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4742 Ridge Wind TrDate: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /G/ Permit Fee: oU Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water ;v' 78.1/ Site Address: 9792 Zic19-e. 7-/atl Tenant: Suite #: RESIDENT I OWNER Name: i /6 t 6tin. %7 6,,r l l Phone: ((' l " 324— 5.' Address / City / Zip: -'4 Z g -, W((1() 7/-6-4.1 41( ira II[LAJ 5-sat 11 CONTRACTOR License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair /X Other: Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's''ri ed Name Applicant's Signa re FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground __Rough -In Final , _ . . , . r . _ CITY OF EAGAN . ~~rJC~~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for D~CK Est. Value ~Q~ Date J~E Z , 19 ~4 Site Address 474Z RID~G~ idIIND Tk Lot b Block 4 SeciSub. r~RK ~IDCB 2NA OFFICE USE ONLY Parcel No. + OCCUpancy - FEES Zoning W Name ~ ~B ~ ~NNIE ]~Ai~B'n' (Actual) Const Bidg. Permil ~6 • ~ ~ Address ~?7a2 RIACE iII1~fD ?R (Allowable) - Surcharge ~ ~ Clty Phone 688--2042 # of Stories ~Q~ p~an Review Length Name aw~ Depth ~ SAC, City Address S.F. Total - SAC, MCWCC ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn ~ W w Name On Site Well - Water Meter ~ ; Address MWCC System - Q= Acct. Deposit <W City PhOne City Water - PRV Required - SrW Permit I hereby aCknowlege that I have read this application and state that Ihe BoosterPump - S~W Surcharge intormation is correct and agree to comply with all applicable State of Minnesata Statutes and City of Eagan Ordinances. Treatment PI Signature ot Permitee ~ i APPROVALS Road Unit ]~a Oj{ CQrjl~x~ ~A~RE~ Pfanner - park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. g~d9. pff. _ Copies Building Official variance - TOTAL 2b' ~ I ~ Permft No. Permit Holder Date Telephone # WATER SEWER PLUM8ING H.V.A.C. EIECTRIC Inspettlon Date Insp. Comments Foolings I Foundation Framing Roofing Rough Pibg. Rough Hlg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notiiy Piumber Engr.IPlan Bldg. Fnal Deck Ftg. G ~ Deck Final / ~s Well o~. R~aipt - ! MECHANICAL PERMIT P~rmit No. ~ CITY OF EAGAN ' • FN ~ # . Fill in numbered ~ S/C ~ - ( 1 _ ~ ryps or Print /egibly To~ - 1. Date ~ 2. Instaliation Cost ~ • ~r'_ _ , . ~f,. r r' 3, Job Address Lot Blk. ~ Tract 4. Owner . ~ 5. Contracto~ ~ • ~ - Phone _ ~ - 8. Addross ` 7. City ' State Zip . 8. Buiiding Type: Residential O Commercial ? Institutional O 9. Work Descriptio~': New ~ Add O Alter O Repair ? 10. Desaibe Fuel TYpe 11. No. Epuip~lt BTU - M. Es. No. EQUipment CFM Forced Air Air Handling: Mfg. ~ T~ . Boilers ;t Mech. Exhaust - - Mfg. ~ Unit He~ter Mfg. Other Air Con~. Mfg. Gas, Pi ' g Outlets ; 12. I hereby certify that the above information is true and correct, and I agree to comply with all prdinances and codes governing this type of work. Signed : for Rough Fi~al Inspections: Dat~ Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ClT1f OF EAGAN , ~ 8 3830 Piiot Knob Road, P.O. Box 21•199, Eagsn, MN 55121 " PHONE: 4548100 ~ BUILDING ~ERMIT R~~+~ ~ T~ M w~d Me t1 it~G/ :::~1 Est. Vaiue 3 r Q Q t! Date i' „ 19}~~ Sits Addreet ~ :Z i:](;~: Li I ~+lD 'I'~~ Erect ~ Occupancy , 3 /Sub. Remodel Zoning ~ot 4~Block ~ c°'' ~~~,~,i`. t~.~~~~ tc~ Repair ? Type of Con~t. , ~ Paroel No. Addition ? No. Stories ~ Name JCJ HOMES INC Move ? Length 4~ w ` Demolish ? Depth ~ 5 ~ Address 1~~ ~.l ~1 PEt1NOCR Ajjr' ~nt ~mpr. ? Sq. Ft. City : Phone ~ ~ ~ ' ~ 3 3 Instau ? Ap~eorab FN~ Name uu~ A~~ Assessrrront Permit y } S L- ~ L~ ~ City Phone Woter b Sew. Surcharge 2 6- 5 G ~ Polfu Plan Review 1 d F- flQ ~W Name ~'!J`~Rzt ;aA~~L~PROBE L,I~.':=k Fi?. 5AC 52S_0Q ~W Addross S 3~` t' E~; 'v K z1V!~ E~, Water Conn ~ n n_ n p t W City V• Phone ~ 3 2-~ 0 4 4 p~~~r Weter Meter F~~ _(1 Q Cour+cil Road Unit ~ k~~ - f~ Q I hereby ocknowl~dye thot I have read it~is applicotion ond stare thot Bldg. Off. 7,~ 1 7.~' ~~i Tr, PL ! 31 . 0(} the inlormotion is wrrect and ogree to tomply wirh all opplicobl~ A~ Stah of Minnewto Stotutes and City of Eogon Ordinonce:. Var. Date Copies 5ipnotun of Permitte~ p, r~~ Total r ' A Buildiny Pennit Is isswd to: . on tFN ~xpreas co~dltbn tha~ dl work sholl b~ dorw in occo?donce with oll applioobl• Stote of Minnesota Statutes and City ot Eopan Ordinanc~s. Buildinp Officid - P~rmit No. P~rmk Ho1dK Dar TNsohon~ # Plumbfnp 5 1 e. r 2. S ~ 7 H.vr?.c 9-I1- ~ E~~ y L ' 3 a s 3a . Sotcamr imp~ction Dat~ Insp. Oth~r Footinpa I FooUnysll Found~tlon Framiny ~ `1` RooHnp Rough Plbp. _ 3~ Rouyh Htg. Insul. ~ Firtplsce Finai Hty. Final Plby. /C fy Ffnal ~ Cer,yOcc. ) __t (U Wffisr Dhc?ib~ Loution: Well Sewer Pr. Disp. ~ l, ~ PLUMBING PERMIT P~rmit No. C~r Receipt CITY OF EAGAN ' FM ~ ' Ji Fill in numbered spac~s S/C Type or Print legiWy Tot • ~ 1. Date ~S 2. Installation Cost , S d~ " - . ; 3. Job Address 7 7 7~- ~~.-~~=~ot ~~-.Blk. TracY ~ 4. Owner ~ U S L~ i~ tM 5. Contractor S~~~ c/~ ~ t` n Phone ~~~j f r 6. Address J ~ :a, k~ ~~1~ ~-c 7. City ~ ; Stete „ Zip ~ .5 ~ 8. Building Type: Residential ~J Commercial ? Institutional ? 9. Work Description: New l~ Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield r Bath tubs Septic Ta~k l.avatory Softner ~ Shower Well Kitchen Sink Urinal/Bidet Other ~ Laundry Tray ` Floor Drains Drinking Ftn. Slop Sink ; Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for fiough Final Inspections: ~ate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 CITY OF EAGAN Remarks G/ ~ /~~8 ~ Addition PARK RIDGE 2nd ~ot 6 Rik 4 Parcei 10 56751 060 04 Owner 5treet.l~?~~~ ~ ~ TT~$~~;~~~ State oan~ ~ 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ~ ~ STREET RESTOR. ~ , ? GRADING SAN SEW TRUNK ~'7 ~ f// 3 O-a~'~s SEWER LATERAL a, (R, WATERMAIN G~J 642 . 1F 5. 25 1~ . O /U'oZ ~~`S WATER LATERAL ~ WATER AREA , a] - / ~ STORM SEW TRK 1 O 9 2. ~3 1 - IU' 8-~~ STORM SEW LAT CURB & GUT7ER ' SIDEWALK STREET LIGHT WATER CONN. n ~UILDING PER. SAC ir tr PARK INSPECTION RECORD I Control No. L ClTY OF EAGAN PERMIT TYPE: ~aux ~ t~ ~ N~+ 3830 Pilot Knob Road Permit Number: r~ b Eagan, Minnesota 55123 Date Issued: 1!~? 9 J 9 a (fi12) 68i-4675 SITE ADDRESS: s~ K= ~ APPLICANT: 47~? RIDAE L~IINd TR BARRETT 60B PARK RJbtdF 2MfI (612} 9~12-9~2~ PERMIT SU6TYPE: TYPE OF WORK: w~~~~: wr: w r~~ ~~+rsM AItERAtION . . ~HA1lIM1~ f'INJIL ~ ~ _,F-' _,y..'~~~~~~ ~ ' ~ F ~ ~ . - . - ~ ~ 3~. , - , ~ -~vfi ~~~3~~-,~. _ ,,sx . . , - _ . _ ~ - • • ; , , . . . . ~ . ~ ~ _ - . . . . . . ~ _ a _ T.. ~ , ' . ` - . Y L~ _ ~ ~ _ ~ _ _ _ ~ ~ ~ ~ i's?tnR No. Permft Holdsr Date Tal~phono / SIVY PLUMBilV(i ~ HVAC ELECTRlC ,S/ ,3 , ~ v2 ~ ELECTRIC M~etlvo D~te Map. Commenb Foaiings I Fourdetlan Framing ~l ~ .1 ~ ~ Rooflny RoWh PIb9• Rough Htp. ) z - ~ cu.¢-r,K v - F~~ L~~L ~/N~f 1 Final Htg. Orset Teai Flnel Pltip. Plbg. Inspector - Notify Plumber Conet. Meter Engr.lPlan Bkip. Rnal Deck F~. I Deck Flnel I w~i ~ ~ Pr. Dfsp. I ~ a I , ~1iti~lOtr~r ° CITY OF EAGAN WATER SERVICE P~l1AIT I 3830 Pilot Knob Road P. O. Box 27199 PERMIT NO.:.. _ Eagan, MN 55121 D/~TE: ~ Zaninp: No. of UMrs: 1 Owner: - ~ ' it3:~~ • Addross: - ~ Site Addr•~ rr ~ - I. Plumber. ~ ' ~ ' Meter No.. ~b6~: = ~ ~(0l3 E nnection ~Charpe: . ~ 1`.>. ~ ~g , /~4"t', , ~ _ ~ Aooourit De t: Size: Po?~ - ' Reode? NO.. O gI~7 ~9g.~~r ~ i a< ~~~+er~t~`Fsl:`y ~ n n~` ! . `i;; , 1 y~w eo aowot~r wfK ew C~ ef E~rw Sur~arge: ' prii Mfsc. Chor~ees: i ._i'~~x~i ~ Totol: ~ ' . , ~ . ~ By - Dote Poid: ~ o Irup.: In~p.: ~4r18~g`~ , CITY OF EAGAN SEINER S~tVlCE PERMR 3830 Pilot K~nab Road P. O. Box 21199 PERMIT NO.: ~ Eagan, MN 55127 DATE; - Zoninp: No. of Units: Owner. : Addrcss: , , ~ Site /lddress: ~ • - ~ ~ s _ ; _ ~ ' Plumber. ~ ~ ;~.-?j:~;l ^ 7'-'~-~ - , r~{11~~± . 1 y~w M ee~a~l~r wiN~ !M Cihr ~f l~p~ Conrnction C~a~: OrdiM~e~s. /laount Depodh Pem+it F~s: Su~dwrpet BY Misc. Chorpes: Date of inap.: Totol: I n~p.: Doh Poid: f ¢~o~~ yo~ - ~ n,t~;~ /OG o~ 7 ,1. 452 8 _ ~ ~ ~ - Fequest Date Flr . Rouqh~in Inspection J~ ~ Required~ Featly Now ? Will Notify InspecWr 7 ? Vgs a Wlten R ~ I~licensed contractor ? owner here6y request inspection ot above eleclrical work at: . Job Atldress Street. Box ar Foule Na. Ci ~ ~7ya ~if e w~.,a( T ry en Section Na TownsM1ip Name or No. qg Np, Counry ~ [ A oTA Occupa ~PRI~yT) PhoneNO.~~' ~ C.l% A Pawer uD -er / Atltlress A .o ~..f..n. ~j'3rx~ ' ?o'~ c~~ ~n, /p.~ Elec~nc Conhaclor~9 ompany~j e~ , Contractor§ License No. ~9n.nd ~/t~.~i~ CAoo~ 33 Matling Adtlress (Connactor or Owne~ Making I slallation~ ~o?~nc+~oz.o ~..e Jon~A,a /7'1N SJ~3Sa Aulhorizea SI I e oMrsGtor/Owner aki Installationl PhOne NulMlar y9~ - ~ MINNESOTA STATE BOARO OF ELECTFICITY THIS INSPECTIDN REOLIEST WILL NOT Griggs~Midway Bltlg. - ROam 5-1]3 BE ACCEPTEO BY THE STAtE 90AR~ tBPI Univereity Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone~61t~602~0800 ENCLOSED. • ~ CITY OF EAGAN N~ 16563 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 ~ ~ BUILDING PERMIT Receipt # ~ To be used for DECK Est. Value $1, 000 Date J1JNE 2 ~ g 89 Site Address 4742 RI?GE WIND TR OFFICE USE ONLY Lot 6 Block 4 SeGSub. P~K RIDGE 2ND Parcel No. occupancy - FEes Zoning w Name BOB & CONNIE BARRETT ~qctual)Const - B~dg.Permit 26.00 i Address 4742 RIDGE WIND TR (Allowable) - Surcharge - SQ 0 City EAGAN PhOne 688-2042 # of Srories - Lengih ~ P~an Review o Name S~ oepm ~ snC, c~ry Address S.F.rotai SnC,MCwCc U< ~ City Phone S.F. Footprints - On Site Sewage _ ~Nater Conn ~ W W Name On Sile Well - Waler Meter MWCCS stem ~o Address Y - AccL Deposil aw City PhOne Cirywater - PRV Required - SNJ Permil I hereby acknowlege that I have read this application and stale ihat the Booster Pump - SrW Surcharga iniormation i5 correct and agree to Comply with all applicable S~ate of Minnesota Statutes and City of Eagan Ordina~,n7ces'~-~}- Treatmenl PI Signature of Permilee __~el~'~~~u ~ A7PROVALS Road Unil A 8uilding Permil is i5sued to: BOB OR CONNIE BARRETT Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of.M~1innesota, !S1tatutes andy ~Ciry~o1f Eagan Ordinances. g~dy. pry, _ Copies 8uiltlinqOflicial I'~~ II.pA! I11?J Variance - TOTAL Z6.$0 . , CITY OF EAGAN N~ 10 6 3 8 3630 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ 6L . BUILDING PERMIT Receipt Ts M wd !a SF DWG/GAR Esr. Value 553~ 000 pa~e JULY 22 ~q85 SiteAddrea 4742 RIDGE WIND TR Erect C~ Ottupancy R3 4 PARK RTnGF. ~Np Remodel ? Zoning ul Lot Blaek Sec/Sub. Repalr ? Type of Const. ~ Parcel No. Addition ? No. Storiea RUSCON HOMES INC r.tove ? Lengtn 48 ~ Nari+e Demolish ? Depth jS Address 14530 PENNOCK AVE Intlmpc ? Sa.Ft. cn~ A• V• Phone 432-1433 inscan ? SAME Apo~ovol~ F~es ~ Name Asseument Permit 292.00 Addrest City Phone Water 3$ew. Surc~erge 2 6. S ~ Police PlanReview 146.00 ~'Z Neme M11RK NAGEL/PROBE ENGR Firo snC 525.00 p~~f 14530 PENNOCK AVE ~q, WaterCOnn. ~Q2~~0 ~b ci<v A•V• phone 432-2044 pi,,,,,er waterrne~er ~3.~00 CounNl Road Unit 280 _ OO I herebY ackrqw~eAps thot I haw reod this appliwtion and ata~e that Bidg. Off. ~~~-7I H S Tr. PL 13 2. ~ ~ fha Informafion is cortect and ugree to comply with oll npplicobla A~ parks Stnte of Minnewta Statuta: and Ciry of Eaqon Ordina c. /p C~c~ ~ ~~3lc~ Var. Date Copies $iprroturo of PermiMaa ~ ~ iota~ $1 ~ 964 . 50 A Buildlnp Permlt Is issued ro: RUS ON HOMES INC on tha azpress eordition ~hoi all work shalt be done in uecordm~ce with ol li State of MI ta tot and Ciry of Eoppn Ordinancef. BWlditq Ofiidol ~ ~~~~L'`'f REQUEST fOR ELECTRICAL l CTION es-ooooi.oa w: O o 3~ ~ ~See instructions for completino~ ~ beck o/ ~ Ilaw capy. 5 "'1{"" Below Work Covered b This Re uest q 3~ $ Add Reo. Type oi euilaine APO~iances Ylired Equipment Wired Home Range Temporary Service ~ Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial 81dg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank farm ome, ne~:~ v ~ne~ lsue.:~fv) t er Suocify Ot er Oth~;r ampute lnspection fee Below 'p Fae ServiceEntranceSize N Fee 'Faeders~SUbteeders~ M Fee Circuits ! ~to200qms - Oto30Ams 2 Oto30Ams Above 200 qm~s 37 to 100 qmps 31 to 100 A s Swimmin Pool Above 100_Amps Above 100_Amps Transiormers ~rngation Booms ' Pertial~'Other Fee . Signs Suecial inspection S22O0 Pem+rks TOTAL F D JJ J flouqh-in O~^eI~// ~he Eie - ~ In%pactor, Mereby ~ ' t the above Final f nsoeetion has been erode. ~~ie request voltl 18 monlM1a irom ~ ~ o~~ Ko a9 9 5 !o, c.~ c~~ Request ~ate Fire No. Raugh~in Ins ion Requ ? ? Reatly Now ill No~ify Inapector j,7i 9'L gs ryp When ReaW~ 1 ~ licensed contrador ~owner hereby request inspection of above electrical work at: J Atltlress (Slreet. BOoa or Route No.~ Ciry ~/7YL I~~ c. GJ.%~ 7/ SacM1On No. Towns ' Name or N0. Rarge No. Cou~y OccuOan~ IPRINT~ Pfiaie No. w p 9yZ ~ 9y~E o H • - Zyyz Power SupPlier / Atltlress ~p /~~GKric. ElecVical ConVac~or ~COmpany Name~ CoMradork Licensa No. Maifing A~ress ICOnhactor or Owner Making Installation~ y~yZ w.~ ~ ~ ~r,. s ~Z-L Aulhorizetl SignaWre i IractorvOwner Making Ins~alla4onl ~ Phone NumOer w~ 9~/Z' yZ~ ~ ~ZoYL MINNESOTA STATE 60AH0 OF ELECTpICITY TNIS INSPECTION REOl1EST WILL NOT Grigga-Mltlway 81Eg. - Roam S1]3 BE ACCEPTEO 9Y TNE STATE BOARD 1821 Univarsity Ave.. St. Peul. MN SS10C UNLESS PFOPER INSPECTION FEE IS Phone(61])661-0800 ENCLOSED. /o g 9~ RE~UEST POR ELECTRICAL INSPECTION ee-oaom- ry C ? SeB inslrutlions fot mmpleting ihis form on Ceck oi yellow wpy. ~Dq7f~i~~ ~ ~ ~ ~ ~'7C" ge/ow Work Covered by This Request ewA~.J Rep. 7ypeoBuilding AppliancesWired EquipmaniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer O[her-(Specify) Comm./Industrial Furnace Farm Air Conditioner O~her (speci(yl ConVanor's Remarks: Compute 7nspection Fee Below: # Other Fee # ServiceEnirance5ize Fee # Circuifs/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above i00 _ Amps Signs Inspectork Use Only. TO2TA~L ~ Irrigation BoomS 1~~ ~.~C,/ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE~ DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NTH / f I, the Electrical Inspector, hereby Rough~in oa~ ~ certiry that the above inspection has Final oa~ been made. ~ '7 - OfFICE USE ~NW Tliis repuesl voitl 18 monlhs imm This reques[ void ~ ~ y v 05453~ ~ Lc~ ~ ~f P~~c~ ~ 5~ RequPat Date Fire No. HnoBh-i InsVeciion ~ I _ ~ fleqw ? ~Reatly Now ill Noti~y, InsOec- es ? No ~or When Headv icensetl Electrical Contractor . 1 hereby reQUest insoection ot abova ' ? Ownar ~ elecVical work inslelled at: SUeeYAdd~ess, 6ox or Rou e No. . City l ecuon o. Town.hio Name or o. fianye o. Counly OccuOant I INTI Phone No. ~ ' 3~-~ / 33 P r S~nDlier Address ~ ~~7.(. / ~ . Elecvical on[ractorlCOmOanY Name) ontrar,mr's Li~ense No. ~a ~ ~ MailinB A~tl~ess 1 ontracto~ or Owner MakinB ~~sWlla~i nl }~j yy / O ~~/J~J / V Authorized Si namre trac~ r/Own akiny Insta la~i • 1 Phone Numbe.r ~ MINNESOTp STATE B~ ND OF ELECTflICITV TMIS INSPECTION PEQUEST WILL NOT Griggs•Midway Bldg. - Noom N-791 BE ACCEPTED BY THE STATE BOARD LINLESS PPOVER INSPECTION FEE IS 7827 UniversiiY Ave., St. Paul, MN 55104 Phone (612~ 297-2177 ENCLOSED. ~//c~G~/g~ REQUEST FOR ELECTRICAL INSPECTION esaoaoi-0e ~ 4 5 2 9~ See inrruotio- 1or wmp-eting ihls lortn on Dack of yellow cropy L~' ~~~~A ~~lpJr~~'/ ~ g~ _ "X" Be/ow Work Covered by This Request ew tl Rep.. TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Wa}er Heater Electric Heating Apt 8uilding Dryer Olher (SpeCify) Comm./Industrial Furnace Farm Air Conditioner Other~syeciry~ Contramors Remarks: Compute Inspection Fee Below: # . Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 ~0 200 Amps O to 100 Amps Ttansformers Above 200 _ Amps 100 _ Amps Signs ~~w~or5 use only: ~ ~ TOTA Q Irrigation Booms ~ Special Inspec[ion Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouq~~in oa~e certify ihat the above inspection has F;,,ai Dare been made. OFFICE USE ONW ~ ~ This request voitl t8 moniM1S Irom 1989 H[1ILDING PfiRMIT APPLICATION - CITY OF EAGAN . , 3IRGLE FAMILY DWELLING3 f ~ ~ ~ ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEt ADDaFSSFS FOR CORNER LOT3 - CDNTRACTOA/HOMEOHNER MUST DESIGNATE HHICH ADDRESS I3 DESIRED. AO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS I330ED. NULTIPLE DWELLINGS EENT9L OZIITS FOH SALS QiiITS ~ OF 08IT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg iiITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS COPAIERCIAL INCLUDE 2 SETS CF nRCHITEC?:;R<.L g STDrirT~Tp~~ Pi!!A?Ss 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: ~ Date: t~J% Site Address y7y~ LJ,,,,[ ~ OFFICE OSfi ONi.Y Lot (o Block Occupancy FEES Zoning Parcel/Sub 2.~..( /-}a~,~~~' Aetual Const Bldg. Permit ~ Allowable Sureharge ~~Q Owner „(j,,,,;~ # of stories Plan Review Length O-~ SAC, City Address `1~vz ~Q,q~ W,;,~! j.,,% Depth /z~ SAC~ MWCC S.F. Total Water Conn City/Zip Code SsjzL Footprint S.F. Water Meter Aeet. Deposit I Phone ~~d~-1~YZ On site sewage S/W Permit On site well S/W Surcharge ~ Contraetor N/f4 MWCC System _ Treatment P1. City water _ Road Unit Address PRV required _ Park Ded. ~ Sooster Yump ` ~opies City/21p Code TOTAL ~l..f~~ APPROVAI.S Phone ~ - Planuer _ Couneil Areh./Engr. ~V/,4 Sldg. Off. Varianee Address Council City/Zip Code Phone 0 NOTEs Sewer & Water Permit fees and account depoait fees will be ineluded in the building permit fee. Processing time for aerrer and saater permits is two days once a lioenaed plumber has applied for a permit at Citiy Hall. ,A O B E 3 EN4INEEAS . ' ENGiNEEAiNG `P~ANNEAS and li1ND ~URVEYOIIS I COMPANY, INC. 1000 EAST 146M STREET, BURNSVILLE, IdINNESOTA SS337 PH ~32'3000 cer~i}'i cac~~~ Su~-y-e y ~¢OQt .I~G.lCr'~p~~OSL• ~pT 6, BLOCK 4, PARK RlD~E 2ND ADDITIUIV, ~ DAKOTA COUNTY, MINNESOTA ~~yo_o% DENOTES EXISTItJG ELEVATION (9'{°• pENQTES PROPOSED ELEVATIO~I INDICATES DIRECTION OF r SURFACE ~RAINAGE ~ 33 ~a~ J FIN~SHED GARA6E F~.oOR r^5 S ~tE,/artotil = 94z.3~y ~ - -i' % ~ ~a / ~ ~ ~ Q R- O ~ / \ 0 S o-. 10 : ~ o ah oo LoT E \5 GQ a~~ 9 ~ ~ ~ s ~3s D¢~( . ~ ° '-y~°J ¢ s' . ~ .y / 9333c ,a ~ I"t ~ L . i / J, 1~ l ~ $ a~~''~rv (f~ 11~~ "nF _ i ~ ,j ~ ~ . ~ ` $ ? ~ ~ 9~ ti~ \ ~<J ~ 33 t~ 9`''~ ~o ~ ,1,''~ ~O~Pp~~'~' , rv ; \ ~~2~`i ~ ~T' c~:,ti ~ 'S / °1 q, 3 . \ A~ ~ ' ~ ~'l ~iaG ~ O ~z 1° aq L_~_, ; , i O ~9fr vo1 ~ !1 F R ~ ~a ~~?i So_ \o \ /V, Z--30~ FRCN? BUILDI/VG- NORTH F " SET'PACK LIIJE- SCALE = 30• ~O 4j< s ~o DRAINAC-E AND ~o\~ UTILIT`( EASE??1ENT 9 ~ ~ ~ 's • I her~by certity that thia ie a true and corract repreeantation of a tract ot land as shown'and deecribed hereon.. Ae prepared by me on thi~ i~"~ day ot .Tv~y , 1985 . ~ , T ?linn. l~~s. No. /6~Sf ~ ~ B~ y CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. p~,~~G S~ (612) 681-4675 RECEIPT ~ _GZI~~~ O DATE /D dl RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. 1~?}tTURES EA. TOTAL AEW CONST ~ REYAIR/ADD ON 15.00 /S~ ADD ON ~ ~ SHOWER 3.00 ~ REPAIR _ _ WATER CIASET 3.00 BATH TUB 3.00 IAVATORY 3.00 '~.6 OW:7ER NAME: ~ /~~ri~ _ KITCHEN SINK 3.00 /~~n ~ e IAUNARY TRAY 3.00 SITE ADDRESS: y7YZ /(.c~';c /?i.(,~( T/ _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FIAOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: fe/~ _ (MINIMUM - lj 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: OTHER _ WATER SOFTENER 5.00 ~~~y~ ZIP: _ PRIVATE DISP. 15.00 U.G. SPRZNKLER 3.00 PHONE ' _ W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S~/S.S O COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI=FAMILY SUZLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1X OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR T~~T N~~ EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1X $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: . TOTAL: $ PHONE : FOR: (SIGNATURE) CITY OF EAGAN INSPECTION RECORD Control No. ~ 2~~ CITY OF EAGAN PERMIT TYPE: R u z ~ o z N s 3830 Pilot Knob Road Permit Number: 0 0 7. 7 0 5 Eagan, Minnesota 55123 Date Issued: 1. t~ / 2 9/ g 2 (612)681-4675 SITE ADDRESS: ~ ~ T: 6 B L 0 C K c q APPLICANT: 4742 RIDGE WIND TR BFlRRETT B08 PARK RTDGE 2ND (612) 942-9428 PERMIT SUBTYPE: TYPE OF WORK: 8ASEMENT FINISH flLTERATlON . . FftAM,T.NG FINRL ~ ~ - , PERMIT ~ontrol No. 9~7 /I H 1G~~ ~ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s~~ z~. p x r~ ~ Eagan, Minnesota 55123 Permit Number: 0 rp 7, a q, (612) 681-4675 Date Issued: 10 ! 2 9/ 9 2 SITE ADDRESS: 4742 RIL7~F, WTNC] Tft LO7~~ 6 BI.OCK; 4 PRRK RIDGE 2NfJ DESCRIPTION: ' Bu.;il~f,i~~n..g r~ermit Type BASEMENT FINISH Bui~~{,i.ns'~W_ork Type ALTERATTQN UBC DcCU~~rtic~y ft-3 ` L t,'~f, ~,4~ i. 5d, 1 ~ 7 t '.i ~ 7=~~~[`~+ r1~1~~~ ~~i~t~~'~' } 4 s r ~ ~ ~ L ( ~ ~ I ~ c t_ ~ . z.~ r_ x , REMARKS: ~c~Zf~~~ FEE SUMMARY: 6ase Fes $35,~~i 5urcharge ,~,50, Total Fae $35,50 CQNTRACTOR; OWNER: - Flpplicant BflRRETT (30B 474?_ RSDGE WSND TR EA6AN MN 55122 (612)992-+~428 I her~by acknawledge that I have re~rd thi~ applic~Cian and state kh~t ths irrl`ormatibr~ is ccrrrect ~nd aqree to comply with all ~ppl3caksle State a'f tCn, ~ statutes and City of Eagan ordinan~es. J ` L~~-+~..e~ ~ QC~G~~ Q,c~__ ~n:.e~ fts~,rl 1~~_ APPLICANT/ ERMITEE SIGNATUFE ISSUED BY: IGNA~'TIR PERMIT ~i CITY OF EAGAN 'r~-~ REacrI~aTF _ 1992 BUILDING PERMIT APPLICATION ~ 681-4675 1 3 ~ . SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Renalty applies when typing of permit is requested, but not picked up by last working day oF month in which re uest is made or lot chan e 1s re uested once ermit is issued. Date _ /D / 9 / yz- Valuation of work ~ Site Address:_ Y77'Z j~q j 57REET SUITE f Tenant Name: (commercial only) LOT ~ BLOCR ~ SUBD. PQlIL QICIc,e P.I.D. * O Descri tion of work: / . ~.,e~.,~,,~- The applicant is: ~ Owner Contractor ? Other (Oeserlbe> Name /3ar~~Z~ ti Phm~~e, ~ 2~yz F~- Property ~~51 F,RST a _ ~ Owner Address y~yz. ,Q,~14~1,J, ~ T.. % ~y~~y~ Conn~e. STREET ~ STE A City / ~ State /1'~n. Zip .5.-S'/'Z-Z Company Phone Contractor Address License N Exp. City State Zip Company Phone Architect/ Englneer Name Registration ~ Address City State Zip Sewer 3 water licensed plumber Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Ninnesota Statutes and City of Eagan Ordinances. Signature of Applicant: L~,/ O ~ OFFICE USE ONLY . BUILDING PERMIT TYPE ~ ' ~u q V? r ~ ? O1 Foundation O 06 Duplex ~ 11 Apt./Lodging ~-lb Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition ? 08 8-Plex ~ 13 6arage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 5f Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~31 New O 33 Alterations ~ 35 Tenant finish ? 31 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC 5ystem Z'r-,~ (Allowable) ~ lst F1. sq. ft. City Water ii6C Occupancy Q-3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Cade ~~,~t~ Depth On-site sewage SAC Code ~ APPROVALS , Planning Building Assessments. Engineering Variance RE~UIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permi t Fee vei~~;~: g Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Water Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % ~ SAC Units ~ ~ , ~ . . ~ ~ 1~ 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NaTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 53,oca~. To Be Used For: SinQle I'amil~ Valuatian; ;~ate: Site Address: -~~~Z ~~~~}j~ OFFICE USE ONLY Lot: ~ Block ~ Sect/Sub P~['~ Erect Occupancy (Z-3 a N~} Remodel Zoning Parcel - Repair ~ Type of Const S= Addition ~I of Stories Owner ~I lf ~~~(f~ Move ~ Length ~ ,j ~ Demolish Depth 35 Address ~ jU7 ~f~_~ Int.Impr. _ Sq Ft Install City/Zip Code ~DF3.1 ~1~2~,, Phone ~7^~~~,~~ APPROVALS FEES Contractor _RUSCON HOMES,y INC. Assessments Permit 2°12."-' IJater/Sewer Surcharge Z(o.3-° Address 14530 Pennock Avenue Police Plan Review 14~.°° Fire SAC 525, City/Zip Code Apple Valley L hIIV 55124 Engr Water Conn ~Q~ w Planner Water Meter 3. Phone 432-1433 Council Road Unit 2So, = Mark Nage1 Bldg Off 7 - Treatment P1 {3 2_`= Arch./Engr. Proobe EnQineerine APC Parks 14530 Pennock Ave Variance Copies Address 1Q00 E. 146th St. TOTAL ~ Apple Valley, hIIV 55124 City/Zip Code Burnsvillei hQV 55337 Phone I/ 432-3ppQ 2¢ ~c 3C~ _~,cP 4 x 54-= 4-(~~s~ , , . , , • ~ S2. ~ ~ ( ~`~OS . ' v : 2q K' `~Z 4~4 a08E CONSULTIN6 EHOINEERS ENGiNEEttING PLRNNE85 ond LAN~ 3URVEYORS COM(~ANY, INC. L ~00 EAST 146M STREET, BUANSVILLE, LI~NNESO7A 33337 PH ~32'3000 ce~-~Z}`Z ~a~ su.~-z.-e y ~~t ~~~''~~p~~~n~ LOT 6, BLOCK 4, PARK RIDGE 2ND ADDITION, ~ DAKOTA COUNTY, MINNE54TA ~'~~`o_s% DENOTES EXISTIt~IG- ELEVATION (9~• pENOTES PROPOSED ELEVATION ~ INDICATES DIRECTION OF r93 ` SURFACE DRAINAGE - ? ~o` FINISHED 6ARA~E FwoR ~ i, s Et~?a-rtc,J = 94z.3'~ : s' s~ - ! o / \ ,O 'R ~ ~ ~ \ O S o / . ° 1 • F D a5 ° / ~ LoT 6 kq ~p ~ 5 d ~ \ ^ s \9 ' 3 i ,a ,Y~ ' ~ y > .y 93 : < "e yti~ ~ . i-,~; ;,,J. . ` i_ ' j ` i '~C s~ .i ~ a~~ ~ 8 k '3 i~Q7 / g ~33ja13~~~/ r39, ~ J ~~'~,~,~D'~ f.` , ~i O \ ~2`i~ ~ Y' h>> o ~e 0 ~ ~S J g ~ .r A~' ~ R~~G ~,O ~ ~z ° aQ ; ; F R o ~9y~~-o~ ~ !1 ~~TjC So, ~S 30~ FRONT gL'ILDING- I~10 RTH c<` " SETBA~ K L I 1.1E- SCALt ` 30~ ~j~< ~ c DRAINAGE AND °`J UTIl.1TY EASE~?1EN~ 9~ ~ s - I her~by certify that thia is a true and carrect representation ot a trac! ot land a• •ho+m'and deecribed hereon.. As prepared by me on thi~ day ot Tv~y , 1985 . _ 1linn. ltes. No. /~085 • v . . . ~ ~v~s~.., ~ .r . • ~ ~ - EXTERIOR ENVELOPE RYERAGE "U" COMPUTATION ~ r; ~ ~ , y . . . . • • . . ~ , OWNER . ' . - . , ~ ~ - : . - - ' - , r ~.:.~1 : • : _ ' . . r ~ r . i - •.-~,M. . , ; SITEf A~DRESS` . t e:r , ~ . . . . _ .n,~ . .r... ~ ~ . . • ~ ~ CONTRACTOR CZ-u~~o~i tla,~.~s' OATE ~ . . -PHDNE~~q3Z ~l~?~3_ . , , _ . , . • . Determine working square faotage of each. . , 1. Total exposed wall area l~~oZ ~ sq. ft. x sl I . 2. Total roof/ceiling area sq. ft.~x o' Z6 7ota1 exposed wall area above floor = 16~'07:7 a, Total wall window area /29,Z b. Total door area . ~R ' • ' . . c. Total sliding glass door area . f~g ' d: Total fireplace wall area - . ' e. Total wall framing area (average 1Ub)...:........ ~ . f. Total net wall area above floor ~ 271~,f~ . ' • g. 7ota1 rim joist area 49.~f,_ . Total exposed foundation area = 95, Z , h. Total foundatian window area - 1. Toal net foundation area above grade 9- 5~~ Deterrsine "U" value of ea~h wall segr_nt. • a. /29 Z ~ ~~U~~ = 2.~ ~ 3R x „U„ .13 = q,44 - c. Q$ x "u" ,33 = Z9.d4 d. - X s - ~ e. /41, Z _ x . ?o , 4• 12 f. / 27~, Q~ X . nA3 = ` ~ . 9• ~ X . 04 . ° ~.9$ h. - X „u~~ ~ ~ ^ ~ , i. q~_ X . o~ _ ~Ce~ 3 . f:. ~-:-.....Total = / D ' If item n3 is the same as. or less than item ~1, you have met the intent of SBC o0C5(c)2. , . ~ . : r t ~ . . . . . . . '~r, , 'y ~ ir rl' ~ ~ ' ' ~ . ~ Y ~b . : 4 1 ~ ~ ' ; ` ~ ' ~ i ' ~ . • . . •'~1~ ~ • I". . ~ f.~.,,~. . , ~ . ~ Total exposed roof/ceiling area ~ ~ • Total gross roof/ceiling area = . • Total skylight area . ~ ~ . k. 7ota1 roaf/ceiling framing~area ~ 1. Total net insulated roof/ceiling area....... __1''~~ - . Determine "U" value for each roof/ceiling segment. ~ . . . . ~ II I IY s~ i ' . V 4 ~ k. .Qf~'`-i' X IIUII r OLA ~ Z. / ZJJ1GNeea~~Z~$Z~~IUSULOVER. [ /v/ L ~i ~7~' V X nUn D7i . _ a l~5~. 'f2.~~56 ~l.~~e 3.1~. ~ + 4.................... ~ ° ~ ' ...............Total / Z . If total of ~4 is the same as, or less than fl2, you have met the intent of ~ SBC G006(c)T. . . . • N To uti7fized the total envelope system method, the values.established by the sum of items #3 and B4 shall not be greater than the sum,of itens B1 and ~2. . . _ . } 2. a . 3. + 4. _ MATERIALS Therm. Resistance "R" Exterior Air - Lp~ 5lding Material . ~5 ~~u Sheathing Z•°i, Insulation ~g_ s'~+-^ Sh9e~oCk .95 !'i Interiox Air ~ 17 5tuda s.s e; i Pu . Rim 1.5 „ Conc. 81ks. 1.28 +~i, ~s.zt , ' _ . . . ~ . ~ , - ~ , i al~~+ i ~ ~ /j CITY OF EAGAN L-.~'Jr APPLICATION FOR PERMIT ~ ' SE~VER AND/OR WATGR CONNECTIODT I (PLEASE PRINT) 1) PF,OPIIiI1' A[~DRESS: _ d7d~ tzi Ago ~.>i nr3 m ' 1 iFrai. DFSC.RIafIC:7: L6-B4 Park Ridae (Lot/Block/Subdivision or Tax Parcel Z.D. N~r) u EtIS:= :G `..'T.~F;CI'~,:2E. Dr1T' 0_' ORIGIidAL riiILDL'IG P~_~.ZT ISS~?NG°.: ~Y P:t:S~~ ~:.^,~Ii~l:/P.-.~)°OS~ i53: ~ R-1 S~7GL~ rP~SLY •--V.--° • ? R-2 CUPL,E.'C ('ITnO Wi ITS) ~ R-3 TG~1[~30USE ('I'HRF." + 1.P.dITS) ( Wi ITS) ? R-4 ApAR'IP~..''T/C~DIDC~~1Ti1IU.~1 ( Wi ZTSi ? ca~c~r./~r~r~or~zcE , ? ~USTRIr~L Q INSTITUTIONAL/Gp~'IIL~pr z) AP°LIC~~T (PLEASE PRINT) - _ NAhSE: Ruscon Homes, Inc. ADDRESS: 1453U Pennock Ave. CITY, STATE, ZIP: _Apple Vallev MN 55224 PHO~: 432-143'i 3) Pj,j,^•igg~ PLEASE PR1N1) . NF4~tE: Star Plumbirlg ' FOR CITY USE OvLY ADDRESS: 1018 MOUrid $ 21 PLUHBEA ,LICENSE: P 'ngs Ter. . Active CITY~ STATE, ZIP: Bloomington~ MN 5~}+20 E:pire P$0~: ~ Nok Record 884-4i49 PLUMBER LICENSE N 3329M ~)4 ~ 1 n ia 4) 0[CIJPpl'~'f/('J,~r1Eg ' (PLEASE PRINI) NF1ME: MILLS, David ADDRESS: 14327 Vallev View Rd CIT^l, STATE, ZIP: Eden Prairie, Nia..55344 P~~~~ 937-1561 5) INDZCATG L+1!-IICIi PEP,FIiT IS BEI[~,'G REQUFSTED; ~ CC:W"VECi'ION 'il~ CITY SEY]ER ~ C0:]DIE~TIOy 'i1~ CITY P7ATf.T2 , ? CJI'F~2 (PI,I'ASE DFSCFtIBE) 6) ~dpIG,.:; 0:~: ? PI4?SE F'.OID APPRWEp PER~IIT FOR PICFC-UP BY ONE OF A60VE °IF.aSE b'AIL PRWm PER~LIT TU 1, 2,O 4 AHOVE (Circle one) 7) SI~v'aTL.~E: DATE: ~e ~e a'w:a+~:wi~ n~ aa ~e~~:~ ri r r~sa:a:~ ~ sr sr:sa:~ ia a a.R rt~r..~:r~tar~ r a~f rssssaao-w F O R C I T Y U S E O N L Y PERtit2T ISSU~D , ~ prr. g; $ Si> SET•:Eo nc,v,ur i( I:;C:.:iD: SUP.CH~r~.Gc) $ /o-S~c~ . WATER PERP4IT (INCLUDE SURCHARGE) $ ~ ~i~r, WATER METER/COPPERHORN/OUTSIDE READER $ W?~TEP. TAP (I.ICi,UDE CORPORATION S:OP) $ SE;aER TA? $ /5-~~ ACCOUNT CEPOSIT - SEPIER S lS.v~, ACCOUNT DEPOSIT - WATER $ S"~• ~ WAC $ ~aS:~c~ SAC $ TRUNK ?VATER ASSFSSP4E:IT $ TRUNK SE[4ER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAI, BENEFIT/TRUNK WATER S ~.~,i ~~v ' OTHER $ TOTAL $ ~~lS- 5 U AMOUNT PAZD/RECEIPT # ~f~~ DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGcIT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C.] N0~ ENGZN~ERING DZVISION. LIST AS A CONDI- TION. SUBJECT TO TEIE FOLLO!~7ING CONDITIONS: APPROVED BY: ~ TITLE: DATE : .a s~ ws ~~~~w nc~ ~a s~ ~e ~ ia ww R+~ rt~ w~~ ws'~ Ra rE ~ ~a ti+ nt+ ~c~ ia ~r $ 2 °I is s ~ zoos RESIDENTIAL PLUMBWG PeRnnirAPPUCC,TioN CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ' Date / d(~ ( U b Site Street Address `~7~~ I 1~ I~ ~1.~ Unit # 1,!~/_~~ ry I PropertyOwner vYl~~(C~,/~1 /-?(,(A"),Sb{rl Telephone# Qyj~ ) pqE,'~ l~/~ ~ Contractor Telephone # ~j~ ) 3 ~ ~{'O ' Address City G°Y'+ State~~ Zip~~~3 The Applicant is: _ Owner Contrector _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dweliing $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you a~e installing onlv a water softener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) ~ 3 Other: - I ' _ Water Softener , Water Heater $ 15.00 _ new Vreplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 I State Surcharge $ 50 ' Total $ ~~~V I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, wo c is not to start without a.perrnit and work wi!! be in accordan.c/e with the approved plan in the event a plan is required to r vi~ed an pprov~d. ~ ~lll~()I~h Appli~Printed Name Applic nt's ignature ~I~ 2006 RESIDENTIAL BUILDING PERMIT APPLICATiON ~JD.b ~ City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction ReoWreme~ ftertrodeVRena~ Reauiremen5 ~ O~ice Use OnN 3 registered site surveys showing sq. R. W lot, sq. ft af hase; aiM a0 roofed areas 2 copies M plan showing fooGngs, beams, joisls CeR MSurvcy Recd _ Y_ N (20Y maximum lat coverage allvxcd) 1 set of Energy Calculations for heated atltlltio~ Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam 8 window sizes; poured }ound Oesgn, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y_ N lsetofE~gyCakulatiqs Addidon-indicateilw'sifesep6'csyslem Omsi[eSeptlcSystem _Y _N 3 copies of Tree Preservation Plan if bt platted afler 7M/93 Rim Joist Deteil Optlons selecfion sheet (buildings wilh 3 or less unils) ~ Minnegasco mechanical ventilation form Date ~ / CoostruMion Cost l.ll v ~ o= SihAddress 4~4Z ~~;i,t~ln~`C'~.~.~Q uo~usre n Description of Work ~ 1''\C{ Multi-Family Bldg _ Y~N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwoer ~~~~~~Q ~ L~~ ~~'jS~')') Te~epbonea(~S/) (OSCO-O~`~~I Cootractor ]y~~,~~ t Q Aadress ~~tp~~ (s--~ o vt ~Ci` .~i City r-'1TplQ \)Q~ 0 State M t~ Zip SS a- Telephone #(~(Sa-) ~~j Q(`) ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventllation Calegory 1 Worksheet . New Energy Code Worksheet submission type) Submitted Submitted . Energy Envelope Calculatlons Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone ~ Mechanical Contractor Telephone # ( ) Sewer/WoterConiractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the informaGon is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of ork which requires a review and approval of plans. ~-/SSCa ;L ,.~~I~- , ApplicanYs Printed Name ~ Ap can s ature RESIDENT OWNER Name: Phone: Address City Zip: CONTRACTOR Name: SUr) e_ (,J4.1 t°,( License 0 8 7' (JG Address: 17201 pri/)1Jl *2rl'i4t 1tiJat City: al ii'l Ve P f •t State: Yl Zip: t 3a 1 'l Phone: `S2- t G 3g- i iv Contact Person: Pack t TYPE OF WORK Atm Space in R.O.W. _Replacement _Repair _Rebuild _Modify _Work Description of work: I W a €K PERMIT TYPE RESIDENTIAL Water Heater X Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES 50. 50 City otBaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x Qa(I �li JOfn'\ Applicant's Printed Name n GCGPIG Ul] OCT 2 8 2009 Applican s Signature Use BLUE or BLACK Ink r //��jj �j 14 Permit P Dd -o i Permit Fee: Date Received: �b 421 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10 Z4 Site Address: 1 17 4 1 �d j L✓.i I)f) Tenant: Suite CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. FOR OFFICE USE Reviewed By: Da Required inspections: Under Ground Rough -1n Air Test ,_Gas T           ÿ ÿ þý  ü ûúù þýý  üû ûúÿ ø÷     öööõõ  õôõó ùýý øøú÷         þýö  òóýñðï  é óñðï  í ñðï ï  ìó ëê  é óé  åóïð è  òçó æ  ó   ïý  óîï õþ   üÿäò ûò õã ô ûúù   ý â  ôá  à õô  æ Þâõÿõÿ õù  òó ä  Þõâõ â ßó ûõ  ôó ö òñ ïï ìô  ïìô ò Ý ûñä üÜý äüú  âí Ý ó    íñ ù öìï ü úù ø ÷ â ä ýðö  ääÝ  äïï ää î ô  ôïðöäïïý ò  îú òó éðîü å  õ ïïÛ ô ò ó ó ðò ó City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4742 Ridge Wind Tr Lot: 006 Block: 004 Addition: Park Ridge 2nd PID:10- 56751- 060 -04 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Fee Summary: Valuation: 2,000.00 Contractor: Home Depot at Home Services, The 5169 Winnetka Avenue North New Hope MN 55428 (763) 367 -9740 PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Comments: Pictures are not acceptable in lieu of inspections. Kara Benson 11 20 East 80th Street, Ste. #21 1 Bloomington, MN 5542 952- 345 -6047 tims @el derjones.com Owner: Elizabeth E Martinson 4742 Ridge Wind Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $69.00 0801.4085 $1.00 9001.2195 $70.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA073167 05/01/2006 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4742 Ridge Wind Tr Lot: 6 Block: 4 Addition: Park Ridge 2nd PID:10- 56751- 060 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276 -1680 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Elizabeth E Martinson 4742 Ridge Wind Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Issued By: Signature Building EA082705 04/24/2008 ePermit      íý    úñ  ÿ ÿþþý ûøûüü     ùýýþþ  ñ üýëý í ê   îîí  ÿþ   þýüûúùøùýûúù ÷ûúù øùëõé ù ýíàíäýùú Ý  þòýø óù óññóóúòýóüóçñóúßåýóýüùù  þ  ç üóæòýüúõ åóúñóç øèàãèììçîìçíìî ÷ù  þýñ Üýèàãèçîïç ïî Üýàÿç  öðô  óò ùù áñáóûñ Úüñð öçø õ íí ê ÷û ê ðöîîà ðöîî ëîéàìààï ñüúõ ñ ñ ñùùññåó óùúõñùùüþ åðþýúå äç ùùß ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA124370 Date Issued:06/30/2014 Permit Category:ePermit Site Address: 4742 Ridge Wind Tr Lot:6 Block: 4 Addition: Park Ridge 2nd PID:10-56751-04-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth E Hanson 4742 Ridge Wind Tr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature . For Office Use �c ..--/-Ogc 4( ; „ ::::eo Date Received: L. "- 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: . buildinginspections c(Dcityofeaclan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ,�.,I d L.c.)i Lc-- A (-.f o AO Phone: 5//3 Z-7 5.Z P Resident/ Owner Address/City/Zip: 4/7 417 ''Z P bv.,Ai p `%& c/Ls Applicant is: Owner A Contractor Type ofWo k ' Description of work: 60. .1 r'Z,L �i G /4/ ',t ZY � Vo ,& Construction Cost: I /51. Multi-Family Building: (Yes /No ) Company: / .0,-sv /i✓6,- eto,V5.7AGr,CT/O.+L ontact: s<✓.v -jP'R/.-) Contractor ; Address: 5 '"73,x' JI/Z/s1 V City: CA/„4 5'K� I State/>/oil Zip: 5J/ ii( Phone: ‘/Z-1617J 7 2I n " ':S'aviv`/, 1RO.-)R1 rL , PO License#: be-, ,"7 1 Z776 Lead Certificate#: If the project is exempt from lead certification, please explain why: 13viG.r /:r �'s �,a` COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic if ou •rovide s•ecific reasons that would •ermit the C' to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the •4,inances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i not to start with/a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv- • • -ns. x ,/.9,,,.),,a /' -s''.-J .---) x le'✓ v ` �/ Applic nt's Primed�Name Applicant's Si•'"r ''! el 7qv K/2 1 'C Di i cl . / �5` DO NOT WRITE BELOW THIS LINE t SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi .e Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior ImprovementSiding Demolish Building* _ _ Addition Move Building Reroof Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation _ Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 36 N' Occupancy IAc; – I MCES System Plan Review / Code Edition 7.rJ/ SAC Units (25%_100%v) Zoning ,2 I City Water Census Code 113 Si Stories Booster Pump #of Units / Square Feet 3 2,i' PRV #of Buildings / Length )4 Fire Suppression Required Type of Construction E Width Xi'! REQUIRED INSPECTIONS Footings (New Building) Meter Size: _i Footings (Deck) Final/C.O. Required Footings (Addition) 4e., Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: _Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced WallsErosion Control Shower Pan Other: Reviewed By: , Building Inspector /� RESIDENTIAL FEES l 3 Ag ,�R�� n /J /rte 90Z0ar Base Fee /1 Surcharge Plan Review 7 7 MCES SAC City SAC Utility Connection Charge SSW Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Rici&e 60md -rd . / __,-CDV 10w 1 L-i7qc.7 0 .0 7 4I/ - 1 3l 4,--54 34,1-6'4: 4 '//� , .:. \-11'11\11141\4\sox ! 4 • \1/2\ ....?; I flPC) ig,- N _ 3,f to,:ft4 4.• '• Y4/ dr is e' de /0': f rf off- % • •For %IN ?': 11/26411.sirmish N_ ut___ /4 ‘k .r: in,, . \ 1 .. \ . ...ff..... 00 ir4■.1•- • ` ' n .. . i edia., . ; Q\1\..7.ilzAik, it NI.• . \\\ Nib i kull\IIII\ . , . 4... ,- " 1 / ... \ , / , \ \ / IklIF \\I\ 041 .0 ''..l \\1/2\ tir%. pi ' A 1. \ 6°4' oi \ AO Isilit\ N. Slili\. N oosL ' >1\sv. or cl:156\ 1\11\ /U • . 1 \„,, , '� i ' EAGAN REViE.WED - ■ BY: W/. D.?!,,TE:___________7322: \/ BUILDING IIS`- EC IONS DIVISION \ . . • v\.?f' 0 V\1 , t3V, iiii\\\\ I... I • - • PERMIT City of Eagan Permit Type:Building Permit Number:EA164323 Date Issued:09/24/2020 Permit Category:ePermit Site Address: 4742 Ridge Wind Tr Lot:6 Block: 4 Addition: Park Ridge 2nd PID:10-56751-04-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth E Hanson 4742 Ridge Wind Tr Eagan MN 55122 (651) 210-9947 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168792 Date Issued:05/04/2021 Permit Category:ePermit Site Address: 4742 Ridge Wind Tr Lot:6 Block: 4 Addition: Park Ridge 2nd PID:10-56751-04-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth E Hanson 4742 Ridge Wind Trl Eagan MN 55122 (651) 324-5295 Mad City Home Improvement 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168933 Date Issued:05/10/2021 Permit Category:ePermit Site Address: 4742 Ridge Wind Tr Lot:6 Block: 4 Addition: Park Ridge 2nd PID:10-56751-04-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth E Hanson 4742 Ridge Wind Trl Eagan MN 55122 (651) 324-5295 Mad City Home Improvement 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177012 Date Issued:06/13/2022 Permit Category:ePermit Site Address: 4742 Ridge Wind Tr Lot:6 Block: 4 Addition: Park Ridge 2nd PID:10-56751-04-060 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth E Hanson 4742 Ridge Wind Trl Eagan MN 55122 (651) 210-9947 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature