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4747 Ridge Wind Tr CITY OF EAGAN Remarks ?J~~ Addition PARK RIDGE 2nd ~ot 7 p~k 3 Parce~ 10 56751 070 03 Owner Street ~~~+7 Ri ~lga Wi nc~ Trai 1 State Eagan ~ MN 55122 Improvement Date Amount Annual Years ~ Payment Receipt Date STREET SURF, /f 1 STREET RESTOR. 19$5 492 . 32 . 8~ 15 GRADING SANSEWTRUNK 0 19$2 159.3~ Z~.~TZ 15 1 ~ SEWER LATERAL 19$S 626.16 41. ~4 15 WATERMAIN O0 1985 642 .54 64.25 10 2 " " WATER LATERAL C ~ WATER AREA 19$2 159.3~ 1~.62 15 1.1.6. STORM SEW TRK /r 19SS 370.93 24. 73 15 6. 21 . " " STORM SEW LAT CURB & GUTTER ' SIOEWALK STREET LIGHT WATER CONN. n u BUILOING PER. n SAC PARK I~f'7rR R ~IA~~` . ~ ~ - GAS W~RK ORDER 1082 Payne Ave. STAN DAR D 41 o W. Lake Street St. Paul, MN 55101-3894 Mpis, MN 55408-2909 651-772-2449 b H EAT 1 N G~ 612-824-2656 standardheating.com ~ AIR CONDITIOMING Fax: 612-436-2300 NAME ~ DpTE TECHNICIAN t; j ~ ~ i _ ~ ~ ? ~ ~ , i ADDRESS f/ ~ 7 Y~~Ia ~„!~r R' ~ S A c~5 , UGD ~ ~ COMPLETF,~ INCOMPLETE ? / CtTY STATE ~5:~~~ HOME PHONE WOAK PHOFtE ~o, G n ~/h MAKE TYPE MODEL M SERIAL N - ' 6 ~3>5 1 A ~ ~ . l ~ s~a~/'11 ~ «G:. ORSAT TEST RECORD C02 , Ye METEHEDINPUT ~ CFH CHIMNEYTYPE ~ C/ 02 % UMff SETTING ~ L~ C} ° FIUE SIZE ~ IN. CO % PILOT OUTAGE SEC CONNECTOR S¢E ~ IN. ~i I r NET STACK TEMP % ° TU7AL CFtfMNEY 1kPUT n ETUH R~aipt r~~ 1~ MECHANICAL PERMIT P~rmit No. ' CITY OF EA~iAN ~ FN " ~ : • ~ ~ ~ l ~ y ~ ~ Flll !n rrumbnad ~+cez S?C 7YP~ or Prlnt /eyibJy ToR. 1. Dm l 2. Installation Coat ~ 3. Job Addnst ~ : • = L'ot - ~Ik. ~ Tra 4. Owner _ • Y7 , 5. Convactor ~ ~ ~ j ' • ~ Phone ' - - ~ 8. Addross ' > > , . ~ , . 7. City ~ ~ 1 - State ~ ~ ~ "i-~ . Zip . ~ _ - Buildin9 Type: Residential ~1 Commercial O I~stitutional O 9. Work Descxiption: New ,~7 Add ~ Alter O Repair ? 10. Describe r , = . Fusl Type " • , t , 11. No. E~uinment 8TU - M. Ea. No. Equiument CFM Forced Air Air Handlin9: Mfg. Boilen ~ Mech. Exhaust Mfy. ~ _ • ~L. Unit Fkater Mf9. ~ Other Air Cond. Mfg. Gas, P'ipin~ Outleb 12. 1 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 : ' ` i ~ ' ~ -for Rougt~ Fin~l Inspeccions: Date Insp. Date Insp. This is your permit when numbered a~d approved. Approved CITY OF EAGAN 45+{-8100 . E . Receipt ~ PLUMBING PE~MIT • Permit No. `J L CITY OF EAQ+AN F~ ~ fill in numbered spaces S/C Type or Print I ib/y Tot. 1. Date ~ - 2. Installation Cost . r , , r ~ , 3. Job Address E J Lot Bik. " Tract - 4. Owner % ~ ' il 5. Contractor _ i ~ X : r~ Phone ' , r ~ r ' F ' 't. . 6. Address ~ 1` ' ' ` 7. City ~ ~ i,:. State ~C~ Zip ~ c. y' ' 8. Building Type: Residential B"' Comme?~ial ? Institutional ~ 9. Work Description: New Q Add O {i Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures - i Water Closet Cesspool/Drainfield Bath tubs Septic Tank ~avatory ' $oftner Shower Well KitChen Sink Urinal/Bidet ~ Other Laundry Tray Floor Drains Drinki~g Ftn. Slop Sink ` Gas Piping Outlets ~ 12. I hereby certify that the above information i~s true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 ~ -.-,.~h~ ' • ~ CITY OF EAGAN ~ ~ 3 ~ 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 eU1LDING ~ERMIT R~~~a~ # . T~ M rwA M~ . ' , .i? Est. Value ( ~ Date ; ) . ~ q_~~ Ske Ad~ren . ~ ~ Erect Q Occupancy Lot Blxk ' '-~/Sub. : . . Rsmadel ? Zoning ` t Repeir ? Type of Const. Parcei No. Enlarge ? No. Stwies ? U t',~ , , ~ r~;; : Move ? Langth , W Name Dsmoli~h ? Oepth . ~ Addret,a . `e . ~ ? i' - Grade ? Sq. Ft. Ci 'J Phone r._ ty Install ? r~ AaOeorab hp Name . _ u Assessment Permit V~ Cfddress Phone Wote~ b Sew. Surcharq~ Y , Potiu Plen Review *a W NamB ~ .f~1 7--. ffff $/1C , =z Addre#a . . i : i ~ _ VJoter Cor?n. ` ' ~ u~ , v n i i ~ W City . Phone ` _ - ` " - • ptonrrr Woter Meta~ ~ Cauncil Rood Unit = . i ~ I hereby ocknowled9e thot I how reod fhis opplication and stote that Bldg. Off. . , th~ inlormotion is oorrect ond o9rea to comply with oll opplicabl~ ~ Total Stat~ of Minnesoto Stotures and City of Eoqon Ordino~ces. Va. Dats Slprwtun of Pemnitte~ , . . . ~ A Buildinq Pem?it Is issued to: o^ ~a+d~~~^ all work sFwll pe don~ in aooordanu with oll opplimble State of Mf~esota Sfatufes ond Gty oi Ecpon O?dinances. Suildi~p Offkid ' P~?mit No. P~rmit Holdw D~u TN~ hon~ #t Plumbirq ~ 1 7J ~ N.1iA.C. ~ ~ C ~ ~ - E~~ c~oY3 ~ G , ~ 8oft~mr Ir~accion Oatt Insp. OtF~N Footi~¢ Found~tion Freminp Rooil~g Rou~+ Pibp. Rouyh HVAC ' 7~~ lewlstion ~ /9 Final Plbp. Final HVAC ~ W Final c..~oa' ~ C ~ I l~. W~~r Dye?ib~ Locatioa: VWII S~w~r Pr. Ditp. ~ . ~ CITY OF EAGAN ~ ~ ~ ~ . ' 383Q Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 . - BUILDING PERMIT Receipt ~ To be used for Est. Value :~1 , SJ(: Date ,19 . Site Address - - 7~• OFFICE USE ONLY Lot Block Sec/Sub. ~ I~E ~n ~1 Ske 3ewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual)Const m Name i,`;~~~ ~~i' f~ At~i~ i~ CityWater (Allowable) W , r- PRV Required ~ of Starles = Address = % ~ N t Booster Pump Length ° City ' Phone ' r Depth , p Name S.F. Total ~ ` Address Footprint S.F. ~ City Phone APPROVALS FEES ~ a Engr./Assess. Permit ~ ' Name W W ~ = Planner Surcharge - • { z ~ Address U= City PhOn@ Council Pla~ Review `W Bldg. Off. SAC. City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC _ information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - Foad Unit , A 8uilding Permit is issued to: ' Treatment P1 on the express condition that all work shall be done in accordance with al I parks applicable State of Minnesota Statutes a~d City of Eagan Ordinances. T Building Official TOTAL ' ~ Permit No. Permft Hotdar Date Tetaphone it Plumbing ~ ~ ' L : G/,y a H.V.A.C. E~@CtfIC ~ I / . ~ G~ ~ ' C~ l Softener Inapection Date insp. Commants Footings I Footings II Foundation Framing ~ Roofing Fough Plbg_ Rough Htg. 6_ g~ j~ ~ ~su~. 5~o/~E T~ Ui~ uJL.c. Fireplace ~ _ Final Htg. Final Plbg. Bldg. Final ~ zj ~ ~ Cert. Occ. Temp_ LP Deck Ftg. Deck Final Well Pr. Disp. . - PERMIT # ` ' ` ~ ' PLUM8ING PERMIT {~ECEIPT # ' - ~ l CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address 1 ~/Nt~ 7'• BLDG. TYPF WORK DESCRIPTION Lo,t,T~ Block SeclSub ~ Res. New ~ ~~~-fi E Muit. Add-on ~ ~ Name C Comm. Repair m ~o Address Other c Ciry Phone RES. PLBG. ONLY - C~MPLETE THE FOLLOWING: NO FIXTURES TOTAL Name ~ c,c Water Closet -$3.00 S ~ Bath Tubs - $3.00 ~ Address Sr 7 y 7 IR OG ~ N/~ ~~-l, i wn, Lavatory - $3.00 p City f~`'~ Phone y~ - ~-Shower -$3.00 in~= 7~ Ki?chen Sink - $3.00 FEES UrinallBidet - 53.00 COMM/IND FEE - 1°r6 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8~ CONDO - RES, RATE APPLIES Water Heater -~t 50 MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - t PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) _ Well - 510.00 Private Disp. - 510.40 ~ J-h' ~..~c~s Rough Openings - $1.50 SIGNATURE OF PERMITT FEE: ~ STATE S/C: FOR CITY OF EAGAN GRAND TOTAL: ~ % HOUSE HEATING TEST RECORD ADDRESS 'C- ~ APT. OOR CiTY ~"J SUBURB OCCUPANT OWNER ~ ? HEAT LOSS DATE NTG. INST. SOLD BY Pa~ K ~~~-INSTALLED BY ~~'UZ~ Electrical Work By Gas Line By ~ C TYPE OF HEAT GA FA- HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN ~ lIVIIV MAKE ~~'UP - MAKE OF BURNER t~odef ~ ~ ~ O~ Modsl Serial ~ 7-~~~ Max. BTU Rating INPUT ~ MAKE OF FURMACE , Model ~CONTROLS DAT~ THERMOSTAT •1 ° Heat Plug Vent Siza Valve KIND OF LINER SIZE NONE Limit Draft Hood Regularor Limit Setting ~ Filters Sise Number Fan Setting Chimn~y Location Inside Dutaide Pilot Type ~/U ~ ~ ~ Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring f Pilot Timing Draft L-~ Tesf 7ap L.W, Cut Off Door Pressura Liyhting Inst. ~ ~ Prassvre 3~~ r~'~~ Percent C02 Date Tested ~ Input CFH gd Percent 0 ~ Company Testing ~ ~ Sfaek Temp. Percent CO~ 0 4 Name of Taster ~ I f Form 235 CITY OF EAGAN Wp~ SERViCE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DNTE; ' ' ~ ' Zontnp: No. of Units: 1 - Owner: :;coci :i,~n;es Add?ess: - :,m;; S~~ 1~1~fl5S: 4/~i/ K~C~f!P_ Sx'~?1C~ ~r.Y~a7~.~}~{41IR~r ~ i. ~'r ~ ~t1R1b!'f: - - r "~L1ltl~a'fr~iV~l~~~=l~- „}'ir~~. y--*k nf1 S.tC Mater No.: 0~55' i~~ ;i . ~ ~ , ,~(Size: : ~u~~ i ~ ;jf;~ Reoder No.: L ~ Permit Fee: 1 yrN !o es~olp wiU~ !IN Cihr ~i E~~n Sutiha?ye: v OrriMnar. AAiac. Choryes: , j . . ~ ; ~c; ~ Y Totaf: : i,l ~-:d A . ~ ~ B 7~J! Dot~ Poid: ~ Oote of Insp.: ~ 6 ; ~ ~ . - CITY OF ~AGAN ` SEW~t SERVICE PERMR ~ 3830 Pilot Knob Road 7371 i P. O. Box 21199 PERM~T NO.: I Eagan, MN 5~~1 DATE: 5-17-R5 Zonirg: No. of UNts: :.uSCOri .~Om09 AddrESS: 5ite Addross: Qe n r. L ar u re Plumber. ~tar Pltunbin_/Genz-F, an I . - ~ w~ pa I I Nn~ te eoin~y wilU tw Cil~r of Ee~e¦ Connectian C~?a~: `+25 . Qi1pd I OrltNneM. Atcount Deposit: 15.00 ~ Permk F~e: 1 i? . 00 rI Surchc~ye: . I By Misc. Cl+orpe~ Dcte of Insp.: Total: I nsp.: DoM Pald: F T~is rrpuest voiC y~~/pd p'~"'~ ~O 18 mon~hs from a ~ U p ~ 6E~i94 ~ ~ ' Rnquest ~ate Fire o. R~oqphe~~lnspec~i n ~R~,atly Nuw ? W~II Nmify Inspec- ' ~ 6 - ?Yes ?NO mr When ReaAY ? Licensed Elec[rical ConVactor I hereby request inspection ol ebove ? Owner electricel work inslellad aL Slreet Address. Boe or floute No. City iQ lJi~vp 7~. ~',9~An~ ecuon o. Townshi0 Name or No. Ran9e No. Counly Occupant IPPINTI Phone No. ~o e E~r o ~ 22 5~ - 7a ~ S< Puwer SuPplier Address .OA~ ~ E~ . ElecUical Convacmr ICOmpany Namel Contrdr,tor's License No. S'A ~E' Mailing Address (Contracror or Owner Making Instailation) Auffiorized S~gnawre ICOntra Owner Makinq Installation) Phone Nmnber THIS INSPECTION NEQUEST WILL NOT MINNESOTA STATE BOAND OF ELECTRICITY BE ACCEPTED BY THE STATE BOAN~ Griggs-Midwey Bltlg. - Room N•791 UNLESS PPOPEF INSPECTION FEE IS 1821 Universitv Ave.. 5t. Paul, MN 55104 ENCLOSED. cw,...e ~ai~i aazonoo ~ CITY OF EACaAN N° 10 2 3 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8700 71.~3 BUILDING PERMIT Receipt # ~ Te M uwd ier SF DWG/GAR Est. Value $64, 000 oare MAV 1 6 ~q~_ SiteAddrett 4747 RIDGE WTND mR E~ece C}~ a~,pency R3 7 3 PARK RIDGE 2ND Remodel ? Zoning R1 Lot 81oek ~ec/Sub. Repair ? Type of Conrt. ~s Parcel~No. Enlarge ? No.Stories RUSCON HOMES INC Move ? Length 45 ~ Neme Damolish ? Depth 48 A~~~g 14530 PENNOCK AVE Grade ? Sq. Ft. c~ty APPLE VAL pha~e 432-1433 ~„:eeu ? SAME AVO~era4 F~as P~ Name 5.00 f~ A~~ Assesunent Permit s~ City Phane Water 8 Sew. SurcFarpa 32 . 0~ PoliGa Plan Review~O GW Name PROBE ENGR Firo 5pC 525_~0 p~~g 1000 E. 146TH ST E~p. WoterConn. ~ !0 ~W City BURNSVILLE phone. 432-2044 plonnar WaterAAeter~3..D0 Coundl Road Unit ~ 0 I Mercbv ackrowladps tlat I have read this aPDlicution and store rtwf BId9. 4~ 3 fl / R S T.. P 13 2. 0 0 tha inlormetion is corcecf and o9~ee to wmply with all apO~~~oble A~ 1'atel $2 . 019 _ 50 Stafa of Minnewta Stawtas dpq City of Eaqa~Ordinonceg.'~ ~ yar. Date Sipraturo oF PemdMee ~ Y lY A A Buildinq Varmit is Isswd to: RUSCON HOMES INC p~ My exp~~y ~iflan ~ha~ oll work sholl be dona in xmrdance with all oppliaoble 5 of Minneaota Statutas ord Ciry of Eapan OrdinoMe~. Build{np Offlcial ~ ~-z-'~~ , . CITY OF EAGAN 14 7 81 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHONE: 454•8100 Oa ~ BUILDING PERMIT qeceipt# ~ To be used tor BASEMENT Est Value $1, 500 Date APRIL 5 ,1 g 88 Site Address 4747 RIDG WIND TR d OFFICE USE ONLY PARK RIDGE .~ad'~ On Site Sewage _ Occupancy Lot 7 Block 3 Sec/Sub. MWCC System _ Zoning Parcel No. On Site Well _ (Actual) Const s Name ROBERT & ANN YURKO. JR Ciry Water _ (Allowable) w PRV Repuired # of Stories ~ Address 4747 RIDGEWIND TR - o Booster Pump _ Lenqth City EAGAN Phone 452-7244 Depth ,o Name_ SAME S.F.iotal ~ Q Addless Footprint S.F. ~ City Phone pppppVALS FEES W w Engr./Assess. Permit 34.00 Name ~ i Planner Surcharge i- Address aw City Phone Council PlanFeview BIdg.Off. SAC,City I hereby acknowledge that I have read this apPlication and state that the Variance SAC, MWCC information is correct end agree to compty wiM all applic le State of Water Conn. Minnesota Statutes and~.~~tpej ga ~di es. / Water Meter Signature of Permitteel_~d Road Unit A euilding Permit is issuetl to: ROBERT Y RKO J Treatment Pt ontheexpressconditiont~atallworkshallbe neinaccordancewithall applicable State ot Minnesota Statutes and City of Eagan Ordinances. Parks ,IAl~ I ~p r TOTAL 35.00 BuildingOflicial ~m~f, _ a~ 03 REQUEST FOR ELECTRICAL INSPECTION EB/A°°°'~a ' See i~truetiens for eomp~~tiiq [his fqm o~ haCk 01 yelloMr cOpY. 1 w~13 I~ / O'# 3 6 ""X"' Be9ow Work Covered by This Request ~Y + d Rep. Type oi Building AO~~~anees Nired Epuipmeni Nired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures A t.8uilding Dryer ElectricHeatin Commercial Bld,y. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm i~er y ~ne. Isver.i'y1 t r Sueci y Other Other ompute lnspection Fee BeloW M Fea ServicaEntranceSize B Fee Feedars~Sablesders Y Fee Circuits ~ Ota200Am 5 Oto30A s ~t~30Am~s Above 200 Amps 37 to 100 qmps 31 ta 100 q Swimming Pool Atwve 100_Am - Above 100_A Transtormers Irngation Boo~r.c Partial: Other Fee Signs Speciallnspection S33f rora~ e. G Remarks ~ J Nouph-in Daie . the kleotsical~ ' • ~r I ~ nspecbr. heraby IX mNity thet ~he above Final ~~L~ i tion Ins Eaen s L tlgs reqwst void l8 montha hom g REQUEST FOR ELECTRICAL INSPECTION ee-oooo{~i-a/s' c 1 Sae instructions lor completinp this form on beck of yellow copv~ `y ~ ~C)'1g 4 Below Work Cnvered by ~his Request Adtl Bep. Typa o~ Buileine ~10D~~oncea Wired Equiument Wired Home Hange Tempprary Service Duplex Water Heater Lightiny Fizlure5 Apt. BuilAinc~ Dryer Elec[rie Heatin Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm otnn~ pec~iv Oinei Isnec~lvl [ P.f SYC(GI y 1~1C! n~~1G'! ompute /nspeciion Fee Below # Fee Service Ennance5ize H Fee Fexders~5ubleaders N Fee Gircuits U to 200 qm s 0 to 30 Am s ~ to 30 !~n s Above 200 qmpy~~ 31 to 100 Amps 31 to lU0'q y Swimming Pool Above 100_Amps Above 100_Amps Transrormers Irrigation Booms Partia6"Other Fee Signs Special lnspection 5~ ~ Remarks ~ TO L F E L.oa L e r.~~- F' Nough-in ~j il~~ . th lec[ri 7 Insoecto , e~aby cerfily thqt the above Final ~~e insoection has been / mada. ~~la rapuast ral01B monihs iram This reQUOSt wid S a-, o j 3~~~ ~ months from ~ a ~ q~ ~ . ~ ~ a 1 % Reques[ Date ' Fire No. Ro ph-in Irepection Q Repu r? ~Reatly Naw ill Notify Inspec- ~ ~ Q s ~ ? p~o 1ur Wh¢n R¢ddY icensed Electrical Contractor ' 1 hpreby request inapection of above ? Owner electrical wak i~atalled a[: Strxet Address, Box or Rouce No. Ciry ' i i~c~ C11~., ~t uon o. Townsh~o me or No. Raoee o_ County Occupnn IPRINTI Pho~ No. 0 ~7~ W Power $upP~~¢r Address A~co77f ~led~ ~ Eiectncal Conhactor ~ ompany Name) C~hacm~'s License No. ~ eef~~ c~ o ~ MailfnB Atl~ress lCantractor or Owner Making Instailationl 7 . e. .~zt/~z e ~J. ~.5~ 7d' uthorized S~ w hac d0 r Making Iretallationl Phonr NmMer ~4~-51 ' MIN~~ESOTA STAT AflO OP ELECTRICITY THIS INSPEGTIUN REQUEST i1LL MOT GIifl95-Mldwey B 9. - Moom N-791 eE ACCEPIED BY iHE STA1E BOANO 1827 University Ave., SL Peul, MN 55104 UIVlE55 P110PEP INSPEGTION FEE 13 n~....~. f6121 29]-2111 ENCLOSED. ~~a~~ 1985 HUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LZCENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Co4Ao0. To Be Used For: Single Family Valuation: ~q$;3~~Date: Site Address: 4747 Ridge Wind Trail OFFICE USE ONLY Lot: 7 Block 3 Sect/Sub Park Ridg~rect ~ Oecupancy ~-3 ~ ~o Remodel Zoning Q-~ Parcel # Repair _ Type of Const Q Enlarge tl of Stories Owner YLTRKO, Robert Move _ Length ~ Demolish Depth [~g Address 1345 High Site Apt, 213 Grade _ Sq Et City/Zip Code- Eaqan 55122 Phone 452-8139 APPROYALS Contractor kLecon Homes ~ nc. Assessments Permit ~j Z-rj. Water/Sewer Sureharge 2 Z Address 14530 Pennock Av Police Plan Review ~(o Z,3D Fire SAC Zc, p0 City/Zip Code gpnle Valley hin 55124 Engr Water Conn 500. Planner Water Meter b3.°° P ` Phone 432-1433 Council Road Unit Z~o.°= htark Nagel Bldg Off f Parks Arch./Engr. probe Enqineering APC Treatment Pl 132.°= 14530 Pennock Ave. Variance' Address 1000 E 146th St TOTAL a S a Apple Valley, Mn. 55124 City/Zip Code ~urnsville. ~9n. 55337 Phone N _43?-7_044/432-3000 Z~ ,c 40 = l o q o x s 4- - 5~ ~ c~ o ' , Z5 ~c 22 ~ ~ ~ ~ _ ~os0 S x ~ f 3S x 4~ - l 4 3S ~3~4s AOBE ~ONSULTINd EH6INEERS E~lGINEERING P~RHNEflS and LAND fURVEYOAS CG~II(~ANY, INC. l 1000 EAST 14fitA STREET, BURNSVILLE, MIHNESOTA 5533~ PM ~32-3000 ~~~"~Z~Y, CG[~ a~7"'~/'~ d~ ~val .Utacrl fost: LOT 7, BLOCK 3, J~f1RK R/OGE 2/VD ADA/T/ON, DAKDTA CDUNTY, M/NNESOTA. ~ g_ ~o R- ~ 30' FRONT BU/LD/NG °i"~ SETBACK L /NE lqd~j?d % . ~ ~o . s ~ ' ~ c NORTH y/ v, SCALE: 30' S- a''~ a i f,6~ 9L, ' ~ Z w o k5~~ 2v 9.p~o o~i ~O ~ ) q b ~ ? ~n y G p ~ ~ . lfi a~ 6 ~'a, 33 y~ 'O - '~A J`` 7,. : N / a ~ ~g' ~I~ ° s> t 25' -a ~ ~ ~a~ \ ~ r ^ j' ZD 1b~ a ~9 -o 3S /µc~i v,~u, ~ sy ~a- ~ ,a~ s ~,,y~ o m o.oo ~g~ !a a- ~4 3. ~ ~ ~S\ ~ \ ~ ~ ` ~ ~ ~ 0 25' Z 5 ~~i ; _p, S / `9~k'''`) .`y 4ul ~I ~ ~y~DO) \ 99 ~ c~~ o i3~• , 4~ E f~?.rt ~ :c N 4~NA~E ~Nf a , pRf~EAS~M& 0 n~ 9~'^~ r i , o ~9~fo,o " t~ ~ ' ~F ~ ' ~ ; DEN~TES EX/STING ELEY.9T/ON - NJLJ r h ~ i r) ` ~ . . , i ~ r~+~ t.i t~4: ~9~Io,o) DENOTES PROGOSED ELElG4T/ON /ND/CATES D/RECT/DN OF SURFACE DRR/NAGE F/N/SNEl~ G'fI~PAGE FLODR ELEY•9T/ON =~j~l~f. 83 . I hereDy certity that thia ie a true and carrect repreeentation ot a tract of land ae ~hown' and described T~ereon.. As preparad by me on thi~ Zz.~+o day of ~ , 19 $5 . ' ~~~i~lfinn. Res. No. /~s~ - ;r ~ . . ~ ,u u IV~S . _ . • EXTERIOR ENVELOPE AVERAGE U CDMPUTATION yQ ~~'~'y ~ ~ - _ r _ : . ' ~ , , _ . : ~ OWNER ` ~ ; ~ . . . - - . . _ . ~ „ ~ _ = _ . ' _ i._ : SITE AD~RESS - _ _ - . _ , ' " _ - _ . : . ~ _ . _ . _ : . . . - . . CDNTRACTOR a QJ 6~~' ~~L DATE : ~ PHDNE <3Z (WJ~ ; • - • , • , Determine working square footage of each. 1. 7otaT exposed wall area 219h' sq, ft. x ^ ° ti~~.~ `1 2. Tota1 roaf/ceiling area 1 r~15 sq, ft. x_ S oz~. _ Total exposed wall area above floor = a. Total wall window area 1_S v _ b. Total door area so ' • c: Totai sliding glass door area .~9 ~ d; Total fireplace wall area - . e. Total wall framing area (average~lOA)...:........ I~c., . f. Total n=t wall area above floor • g. Total rim jcist area I2~ Total expos_d foundation area = 7 . h. Totat foundation windox ar=a i. Toa7 net foundation area above arade ~ 3 Oetetsaine "U" value of eac~ wal] s°e-_nt. • v„„ Z a. ((0~1 ~ L' 33 = 4,~ h. 50 X "U`~ 139 = (~•9 c. 39 g~~U,~ , 33 12~~6 d. X _ _ e._ 1`I l. X~~~~~ ~ I = 19 z~.~ ISbZ X ,~13 = (s9,~ ~z,~. 4. ~.L~ X . OA = _ ~~~~1 . h X - m•~` ~ _ ~ r-1 ~ X ~ -------1-- ~.S 3 ..........................:...........iotal = Z27~E(o If item r3 is ths sam~ as, or less tnan item :1, you F~ave m°t the int°nt oP ~3C oJ~S(c)2. h~ _t. ~ - , , . . . . . . . ~ ~ ~ ~ ~ r~ , . . } _ . , _ • : . ~ ' - ~ ~ Total exposed roof/ceiling area l0`l S ~ r. _ _ . _ . - : ~ ` - Total gross roof/ceiling area = - ~ . ' : j. Total skylight area - . . k. Total roof/ceiling framing area S 1. Total net insulated roof/ceiling area....~... 1.~,5' Determine "ll" value for each roof/ceiling segment. ~ X 11~N _ . _ ~ . . k. 10`l~S g ,023' = 2,'~~ 1• 9~~~~ I1 PUII • ~v a 1 I\ J, 4 ..................................Tota1 = 1, . If total of #4 is the same as, or less than ~2, you have met the intent of SBC G006(c}i. ~ , ~ a To utilfzed the total envelope system method, the values.established hy the sum of items ~3 and ~4 shall not be greater than the sum of itens 81 and ~2. . _ + 2. ~ _ 3. + 4. _ MATERIALS Therm. Resistance "R" Exterior Air Siding Material SheathiYig ' Insulatioa Sheetxordc Interiox Aix StuAs Rim Conc. Bl.ks. . , . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~ ~ I SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CARNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT I3 ISSIIED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE IJNITS 0 OF IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COtM3ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL FLANS, 1 SET OF SPECIFICATIO S AND 1 SET OF ENERGY CALCULATIONS ~'D APR ~C To Be Used Eor:~Ob~~, oaluation: ~ J~n Date: Site Address yZ ~.OCC~~w~,~ '~12 • OFFICE USE ONLY Lot 2 Block ~ On site sewage_ Occupancy ~p~n `t MWCC system _ zoning Pareel/Sub ~~~~,~Gp 2 ?N~~~'DN On site well _ Actual Coest City water Allowable Owner f~~ J~ rFt7 ~ PAV required of stories Booster Pump _ Length Address `t 1 ~~~~j,4 ~ n~~~ ~ Depth S.F. Total City/Zip Code ~~l > ~ 7iZ Footprint S.F. Phone Z y-~ APPROVALS FEES Contractor - el~- Engr/Assess Permit 3 y,oo Planner Surcharge I,o 0 Address Couneil Plan Review Hldg. OfP. ~6~~5 SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies 1 TOTAL City/Zip Code Phone ~1 I I ~ ! ~ ~ S Pl~o~(~ i: ~ ~ ~ ~ ~lSo R~ I~ i,.~: ~ i ~(s ~ / i , I 1N Gt ~41 S M tl ~ ( s'7 _~~I N ~ ~ ~ ~ I i i ~Z[iy M 4+ID 2 '~py~jy j ~ ~ ~ : ~ I ~ , I ~ ~ ! ~ ~ ~ i ~ ~ , ~ ~ ~ ~ i~ I- ~ ~ ' ~ ~ ' ~ ~ ~ ~ ~ , ~ I ~ : ~ i tlJ~ i ~ , ~ ~ i;' , i i"i i ~ i i. i ~I+~ I~ i ~ ~ ' i ~ ~ I _.I ~ ~ ~ ~ I i 'S j MI ~..F, N h ON ~MS ~A ~J ~ ~ ' ~ ~k~oP oF ~j~ ~ ~ ~ . ~ ~ i ~v . ~ ' ~ , , i I~! I i ~ , I ~ ~ ' ! ~ i ~ I ' ' ~ ! ~ , i i ' k ~ i' ~ i ~ i ~ ; j ; ; i ~ ~ ! ~ ~ ; ~ ~ ~ ~ ~ ~ IN~TAt' Sh OKF! p~715CT R ~ , ~ ~ ~ ~ i ~ ~~y'`~e.~l Y ~ ~ ~ I HA'U 1~'~iR'-'{ N~ ' i , ~ , ' ~ ~ ~ ; ~ ~ ; ~i , ; ; I I ' , i ~ ~ iu~~. , I , ~ , j I ~ ! ; ~ ~ I, , ~ j ~ ~ e ~ ~ ; , ~ ~ ~ i i ~ ~ ;~I , ~ ~ ~ ~ ~ , ~T+°- ~ ~ ~ I ~ ~ i. I STA L A.~~` i~ i I ~ ~ , I ~---t_ ~ tr{ ~N ' ,~~1'h! . ~ , i I I - i _ I - - f. : _ , - ; _ _ _ ' ' ` I ~~y~~ ~ ~ ~ ~ ~ ~ P ~-T uN ST iQS cc , . E A? ~ , ~ X~ VAl I I ~ , ~ ~ ~ ~ ~ ~ ~ ~ , ' ~......:i-.,,,....I I.... ,t..., I„~. . ~ ~ ~ CITY OF EAGAN ~ `IV ~r APPLICATION FOR PERMIT ' SE[VER AND/OR WATER CONNECTION (PIEASE PRIHi) 1) PP.OPER'i'Y ADDRFSS: 4747 Ridqe Wind Trail LEG~L DESCRI_~'PICN: L7-B3 Park'Ridqe Phase II (Ir~t/Block/Sutxltivision or Tax Parcel I.D. N~nnber) ~r ~'LI~-= STRL'CTri2E, DelTE 0? ORIG1idAi, EiiILDI."IG P_r'.-:•ST ISS~'?~~G: , P:Z.Sr : ~.••R•l:/P~.'°CSr.''] LS~: ~ R-1 S~IGI.E rP~~SLY , ? R-2 GUPL~C (~~U 1,NITS) ? R-3 TCW'[~II-IC(;SE (THI2F,^ + i]I~IITS) ( Wi TTS) ? R-4 }LpAErIP".E.`:T/CY,4~IDQ~LPi1IUb1 ( Wi ITS) ? COfM'fERCIAL/RETAIL?pFFICE . ? IATJUSTRIAL q INSTITUTIONAL/G0~'EFL~pr 2) APPI.IC~3T (PLEASE PR1NI) NAf~t6: Ruscon Homes, Inc. ADDRESS: 1453U Pennock Ave. ~I'I'Y~ ST~TE~ ZI~: Apple Vallev MN 55I24 PHO~~: 492-14'~9 3) pu,~.~jgg~ PLEASE PRlNi) . FOR CITY USE ONIY ~ NAh1E: Star Plumbing - ADDRESS: 1018 Mound S n FLUkBERS LI E: P 'ngs Ter. ~ Ct1Y! CITY~ STATE~ ZIP: Bloomington~ MN S'}f2~ Expire PH~~~ 884-4149 PLUHBER LICENSE N 3329M ~ Record a r i i 9) p~[JPpN'P/(J,~T@IQZ (PLEASE~ PFiHI) i NAh1E: YURKO, Robert ADDItESS: 1345 Hiah Site Apt. 213 CITY, STA'I'~, ZIP: Eaaan, Mn, 55122 PHC}:lG: 5) INDICATE WHICIi PEPMIT ZS BEII~G Ft~UF.STID; ~ CO[rT7ECTI0N 'Ib CITY SEY7ER ~ CO..^1DCPIOY TO CITY WATER ? ~'I7iER (PLI'.ASE DFSCf2IBE) 6) L`UIG, ~ 0:~: ? PL£r1SE E?OID APP12pt7ID PER+1IT FOR PICF~-UP BY ONE OF ABO~,'E PI.~\SE :{AIL PROVF.p PF~L~IIT 'iCJ 1, 2,~3 4 ABOVE (Circle one) 7) SIGv'a1L'RE: DATE: . qili~~FJi ~1 S/ M l~f~a~~ fr 1! A~a:ii=~~i Iq Lf 1~ r:is:a ~a a rs we ~.r~:r~i~ a~ a~ ~k 1s~a~ w F 0 R C I T Y U S E O N L Y PER^iIT ISSUED FEES: $ ~G.{p SE:•:E.°, ntiR~IIT (I.iC:.uD~ SUP.CH~??Gc,) ~ ~ , WATER PERf12T (INCLUDE SURCHARGE) $ c~ ~oLo WATER METER/COPPERHORN/OUTSIDE READER $ WATEP. TAP (INCLUDE CORPORATION S:OP) $ SE;QER Tao S /S~t~ ACCOUNT DEPOSZT - SEWER $ /S:uu ACCOUNT DEPOSIT - WATER $ V: wr7 WAC $ . S ~ ~!o v SAC $ TRUiVK ?VAT,°,R ASSESSMENT $ TRUNK SELQER ASSESSMENT $ LATERAL .BENEFIT/TRUNK SES9ER $ LATERAL BENEFIT/TRUNK WATER $ I?~~C, ° ~ OTHER . . $ TOTAL . S ~U7D fU FuKOUNT PAID/RECEIPT > DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? ' ~ES IF YES, THEN A""PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE `L1 N~ ENGIN~ERING DIVISION. LIST AS A CONDI- TION. . SUSJECT TO TFIE FOLL0:~7ING CONDZTIONS: APPE20VED BY; j TZTLE: DATE : ~6 ~i/~ ~ ~ s~ ~af~ ~ ~ i~ ~w ~ wc~ w a~ ~t~ w~ w w~ ~.a w~~ w r~ fi~ w4~ wt ~ se si+ Ra ~t~ i.t w~ Cities Di ital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. m . . m . , . r- ti ~ . ~ - .1 c ' _ iv~ • .,.y.,.~ T75~r~:.. ' , %ll': ~ " ; ~~.:A. . i F ~';F,.' ~.^i'f a i , -?I;r~~ i i , ...:~'Cr :~nu- - 7. ~~:~P~~.. , 1 . i~+.f.f't~ r _ _ ~S'r t r , ~T' _ ~.~II ~F'.} ~ r~~,. ~°i11. i. r a ; ' . . . . . ~ ~ iOt::.l. 'i~ t F'9y~', . I'.' r'= .~~.i=,_ ,r ' ll,~'iE . ,1 F:~d _ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN G~ 3830 PILOT KNOB RD - 55122 aj ~c O 65'I-681-4675 11-`~-~2, New ConshucHOn ReauRemeMs Remodel/Reoair Reauiremenh ? 8 regisFered sNe surveys showing sq. k. ol lot, sq. H. of houae 2 copie~ ol plan and gll roofed meas (20% max(mum lot coveraae allowed) 1 sM of anergy calculaNons lor heoted addlNons ? 2 coples of plans (show beam 6 window Yzes; poured Md. deilgn; etc.) 1 sXe suney lor extedor addfNona i decb ? 1 se1 of energy cakulafbns ? 3 coples ol hee presenaHon plan H lot platted aller 7/1/93 DATE: ~OVQ.I11b2Y 5~ I~Iq~I CONSTRUCTIONCOST: ~ ~3,v00.00 DESCRIPTIONOFWORK: ~~D~'V~t ~Q~i ( T( f~SUI~ T{~) M STREET ADDRESS: 1 ~~l~ L~ I N V T r~I7~I L LOT: ~ BLOCK: ~ SUBD./P.I.D. B: a~ k ~py a V Name: ~ vDSD ~tsl~+-s ~~/1,Y~ Phone ~ ~ 3 ~ ~ PROPERTY ~a~ F~ OWNER 1` 1-- y~ -~n~ Sfreet Address: ~'-i~ ~D C ~/u ~~1~ 1~~~- Ciiy ~ V State: 1"~ N Zip: S S I2-Z- Company: ~I ~~NTR_R'L ~ I~~ ~-D~~S, I~IG Phone ~ I 2 .S.`~~ 3-~ l~ g (area code) CONTRACTOR Y) ~ L~~Q j~ J~' ~ieense # J~~~ '~l3ll ~b Sfreet Address: < < i ~P• Clty ~If/f ~ Y~~~ F State: I N Zip: ~~0~ 7 ARCHITECT/ ENGINEER Company: Name: Telephone area eode ( ) SheeY Address: Registraiion Cify State: Zip: Sewer 5 wafer Ilcensed plumber (reaulred for new eonsirucNon onN1: PenaHy applles when address change and lot change Is requesFed once permR is issued. ' I hereby aeknowledge that I have read this applicatlon, state that fhe intormatlon is cortecf, and agree to compry wflh all applicabl ~ Siafe W Minnesofa Statutes and CNy of Eagan Ordlnances. n ~ Signafure of Applicard: ~ Ir OPFICE USE ONLY - RECEI'~~;; . ~ Certificates of Survey Received _ Yes _ No NOV 0 8 1999 Tree Preservation Plan Received Yes No _ Not Required - - BY: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 Fire Repair ~n ~ ~'2 ~'~roc' V 3'~{' ~riFd~~ L1 JV U~i111V11J1~ ~ ~ ~~LI~ ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System . Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance PermitFee a5 Valuation: $ ~~J,UDD•OU Surcharge ~ - ` ~ Plan Review I i_r.@nSP MC/ES SAC ~ ~ City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. ~ Park Ded. • Trails Ded. , , Other : . . Copies _ , , , Total: °l S , SAC Units % SAC CITY OF EAGAN CASHIER: JS TERMINAL NO: 060 DATE: 08/10/00 TIME: 10:30:04 i ID: NAME: DRAIN PRO-PLUMBING INC 3212 9001 4747 RIDGE WIND 30.00 2155 9001 4747 RIDGE WIND C.50 Total Receipt Amount: 30.50 CR135620 USER ID: JAN :r***,r*******:r**«****** ~*,r*,r*******~** CITY USE ONLY L BL y~I , RECEIPT#: SUBD. C ~d e 11 RECEIPT DATE: PERMITV! l~~ Ill 2000 PLUI~IDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT Ia40B RD EAGAN, 2M7 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH ~l TOTAL Alterations to existing dweiling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas pi in outlet ' minimum - ~ 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tray 3.00 x = $ Lavatory 3.00 x = $ Se tic S stem newrrofurbisnea • requtres MPC Iic. 75.00 x = $ Septic S stem abandonment 30.00 x = $ ' RPZ new InstallatioNrepairlrebuild 30.00 X = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Under round sorinkler 'rf dweliing is under wnstruction 3.00 x = $ Under round sprinkler rfexisting dwelling 30,00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construcUon 5.00 x = $ Water softener if existlng dwelling 30.00 x = $ Water turnaround 30.00 x - _ $ State Surohar e .50 $ .50 Total - Reminder: Cail for inspections of alterations, i.e. water heaters, water softeners, etc. ; • • - • I hereby acknowledge that I have read Mis applicetion, sta[e that the information is corted, and agree to compy with all appliceble Ciry of Eagan ordinanoes. It is Me applicanPs responsibilily to notify fhe property owner that the Ctty of Eagan assumes no liebility for any damages caused by the City during its no~mal operetional and maintenance adivities to t e facilities constructed under this pertnil wRhin City propertylright-of-way/easement. SITE ADDRESS: T 7~/ ~GI L lN /r!'1 O T~ • ~ r ,L[ / OWNER NAME: : /`l ! I~ ~ /UC~ (.l S U C b TELEPHONE .S-~"' /J~~ ~ (P / ~ (AREA CODE) INSTALLER NAME: Y'U u TELEPHONE - I ~Q " ~ ~ G} r V r` e~ (AREA CODE) STREET ADDRESS: 7 1 CITY: 'e U~ R CEIVED STATE: ZIP: ~ AUG - 9 2000 ~ ,r~ f~ ~ BY:_i_ SIGNATURE OF PERMITTEE y~~ r~ a~I 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) O CITY OF EACAN 3830 PILOT KNOB RD - 55122 851-681-4875 New CauhucMon Reaulremenla Remodel/Reoair Reaulrements ? J regislered ~ite wrveys ~howlny sq. B. of bt, aq.11. ol houae 2 coples of plan and gp rooted areas (40% maxlmum lot coveraae albwadl 1 set of enetgy cdculaflons tor heated addlHOna > 2 coples ot plans (ehow becan ~ window sizea: poured hW. design: efc.) 1 s~te wrvey for exteAOr addi8au A decks > 1 aef of energy calculallona > S eoples W hee preaervaMon plan II lot plalted afler 7/1/93 ~n~: ~-a~ corisr~ucnoN cosr: ~OD DESCRIPTION OF WORK: h/~ c.f' i-~k ~ I~`vrn oq k STREET ADpRESS: ~ ~`~c r LOT: ~ BLOCK: SUBD./P.I.D. i: Q 1' V x Name;~~r)c /Uos~vS~ ~r+one#: f 5 1''~Sa c63~ ~ reo~rm w.r fl~ OWNER ~ g ~ Sh6et Add~A98: ~~'~7 l~i ~ u~ W~l~ ~ City t=G ~ ~ State: ~ip: . Company: ~'r e.c~ ~fr'~uP.~~,~~ ~ n.~t ST Phone 7 ~ ~ ~.3 ~ (area code) CONTRACTOR ~ / r G~ _ sheet Address: wr StZ ucense O ~xP. cuy ~r:o~ L~rke state: ziP: S S~~7 ARCHITECT/ Name: ENGINEER Company: Telephone ( ) Skeet Address: Regishaflon 9: CNy State: Z~P' _ Sewerhvater licensed plumber (H I~tallina sewerhvater): P~~ I herebY xkno+~ledpe that I have read 1hb applicatbn, sfafe fhat the informalion is cort ct, and g e to comply wNh on epp9eaWa Stale of MUtneaoM Stalu~ea and City o( Eagan Ordinances. Signature of Appli _ OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No ~ Tree Preservation Plan Received _ Yes No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ~ 13 78-plex ? 21 Porch (3-sea.) O 31 Ext Alc - Muw ? 02 SF Dwelling ? 08 O6-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-~lex ~18 Deck ? 23 Porch (screenec~ ? 36 MuRi ? 04 02-plex O 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? OS 03-plex ? 11 10-plex Plbg _Y or_ N O 25 Miscellaneous ' ? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ~ 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding ?~33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ~ 34 Repair ~ 42 Demolish (Foundation) 0 46 Windows/Doors ' Give PCA handout to appllcant for demolition permit GENERAL INFORMATION SAC Code D 1 # of Stories sq. ft. No. of Units 0 Length sq. ft. No. of Buildings ~ Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code y3y (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ SseO. ~o Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit . S!W Permit SNV Surcharge Treatment PI. ' Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC RESIDENTIAL 1 BUILDING PERMIT APPLICATION ~ CITY OF EAGAN r( U. C~ O 3830 PILOT KNOB RD - 55122 851-681-4675 l. - ~ n ~~-~XSL 61G ~ ~a--d~-- New Canstruetlon Reauiremenb RemodellRenair ReauiremeMs • 3 registered site surveys showire sq. 8. of lot, sq. ft. af house; aiM all roofed areas • 2 copies of qan (20% maximum bt coverage allowed) . 1 sel of Energy CalcWalions for heated additions ~ • 2 copies af plan shawing beam 8 window sizes; paured found design, etc.) • 1 site survey (or exlerior addifions 8 decks • 1 set o( Energy CNCUlations . Indicete'rf home served 6y septic aystem far add'Nons • 3 copies of Tree Preservatbn Plan'rf lot platted after 7/1l93 • Rim Joisl Deta~ Optio~ seledion sheet (61dgs witli 3 or less units) DATE ~ ` ~ I J VALUATION a'O° ° JOB SITE ADDRESS R; d 5P w~ nd Tr~ ~ t IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER K~ r K a~ Sus~n No S 6 vsc% TYPE OF WORK Q~-~~room R~~d~ I e FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~I~KKe~1Po( Bur`IdpoC PHONE# RS,~-&fS,A-a-*~-Zh' ADDRESS ~ o~ eaS f 7 8f4 St Loo w~ ~ k~ton ZIP CODE .~S ~f~ O PAGER # CELL PHONE # 61 3~8 - f 3 E 7 FAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category MIIVNESOTA RUI.ES 7670 CATEGORY D ~ (check one) - Residential Ven5lation Category 1 Worksheet Su e~EB 2 1 ZOOZ - Energy Emelope Calculations Submitted MINNESOTA RULES 7672 BY ~S - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water SofCener _ Lawn Sprinkler Fee: $90.00 _ Water Healer _ No. of R.I. Baths _ No. of Bat}is Mechanical Contractor: Phone # Mechanical System Includcs: _ Air Conditioning Tee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above iMormation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnalureofApplicanf V~wwYl,~~~i// Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY O 01 Foundatlon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuIG ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or _ N ~ 25 Miscellaneous J} f~ /~JOM r~ 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolitfon (Entire Bldg only) - Give PCA handout to applicant Valuation ~7~(7 Occupancy `~,AA~'• MC/ESSystem Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const 1~P/ W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ FinallNo C.O. _ Footings (addition) _ p~~~g _ Foundation ~pC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final ~1( Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By T[_. , Building Inspector - Base Fee Surcharge Plan Review ~~-~Ff' fL17 t7~ 15 ~iJ ~`L/ V yj Jr ~ MC/ES SAC C~ '1 ~ ~ i~~av~~i a~y sa,c Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN CASHIER: JS TERMINAL NO: ~g6 DATE: 08/23/00 TIME: 07:20:03 ID: NAME: FRED HARTGERINK CONSTRUCTION 3210 9001 4747 RDG WIND T 60.00 2155 9001 4747 RDG WIND T 0.50 . Total Receipt Amount: 60.50 CR136294 USER ID: JAN ~j ~ ~ ~ ~ RESIDENTIAL BUII.DING Permit Application City Of Eagan 1~ g.~5 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWCtionReauiremenls RemodeUReoairReauirements OffceUseOnlv 3 registered site surveys shaxing sq. ft. of lot, sq, ft. of house; and all mofed areas 2 copies of plan _ Cert of Survey Reoi (20% mazimum lol coverage allowed) 1 set of Ene~gy Calwlations for heated addNOns Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for additions & decks Tree Pres Not Reqd 1 sel of Ene~gy Calculatlons Add'rtion - iMlcate i(on-sife sepfic sysfem _ On~site Septic System 3 copies of Tree Preservation Plan if lot platted aker 7/7/93 Rim Joist Detall Options selection sheet (bldgs with 3 or less units Date ~ / ~ / ~ 1 Construction Cost ~ ~ ~ `7 Site Address ~}T y /~)~'w ~ ~ ~ ~ y~ ~ , UniUSte # ~ Description of Work ~c~ n ~?~7d f~ G('~7~_~ ~l ~ Multi-Family Bldg _ Y_~' Fireplace(s) _ 0 _ 1 _ 2 Property Owner s(~J ~ ~(Z ~ `i~f ) .S G t/~ Telephone # (6s( ) (n 8"7-~3 7 Contractor 9ELA ROOFING & RFMnn~~~1~ $,Te Address 410D EXCELSIOR $LVD. City State ~ ih 5541& Zip Telephone #((~(a 86~ ~ooA~e~e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Caiculatlons Submitted Licensed Plumber Telephone # ( ~ Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ~~l) ' " n r n II , r~~ i~ , ~~'i J I hereby apply for a Residential Building Permit and acknowledge that the informa~~' is ~com~lete_an urate; that the work will be in conformance with the ordinances and codes of the City o af`E g-an and the State of MN Statutes; I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a pemrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. r - ~ S Applicant's Printe Name ApplicanYs 5ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm ~amage ? O6 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) _ FinaUC.O. _ Footings (deck) FinallNo C.O. _ Foorings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge TreaVnent Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION \ City Of Eagan o C~ ~'''7 ~ f~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Co~Wction Reouirements RemodeUReuair Reouiremenls 3 registered site surveys showiig sq. ft of l04 sq• ft. of house; and all roofed areas 2 copies W plan (ZO% macimum lot coverage allowed) t set of Energy Calcuhatlons for heated addNOns 2 copies of plan shmving 6~m & window sizes; poured found design, etc. 1 site survey for addNOns &decks 1 set of Ene~gy CalalaUons AoHlfion -lno7cate lfonstte sepNc system 3 copies of Tree Preservadon P~n if lol platted after 7l1/93 Rim Joist ~eteil Oplions selection sheet (bldgs with 3 or less unils 1 Da[e Construction Cost ~V ~ d Site Address / L UniUSte # Description of Work ~Q~~' f~~ w S 11~iult:-rxmily B;dg _ Y_ N FireplaceES} _ U_: _ 2 Property Owner '~~R~~ ~hJ fU.f~h NOIb U,~(' ~ Telephone #((QCj ~)'SrJ~.-'~~~ Contractor ~ I ot ~ ~ Address 'e Ci[y ~ State . Zip Telephone # ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventllatlon Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously construCted a building in Eagan with a similar plan2 _ Y _ N If so, 25~ plan review fee a~olies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) ~ ~ 0~'~ ~ ~ j~ Ir~ , ~ - ~II • ~ u I hereby apply for a Residential Buiiding Pemut and aclrnowledge that the information is~complete and accurat~; that the work will be in conformance with the ordinances and codes of the City of Eagan-and_the_SYate._o_£~ 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 work which requires a review and approval of plans. ~lv1u~ ~,~r2NS /1 ~h/%1 ApplicanYs Printed Name ApplicanYs ' ature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex q 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenfgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 ~emolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applitant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2064 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~ 3~ S-~ ~ ~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 1~~ Telephone # 651-675-5675 :=:G^ ~..c.x U ~ 1~S~ Please complete for. single family dwelfings & townhomesJcondos when permits are required for each unit Date ~ p / [ ~ ~ ~ Site Address C~~1Q W~~'1G~' ~ l Unit # Property Owner r~ dS s LV' Telephone M(~S J f'r ~ STANDARD H~ATING 8 AIR CON41?IONIN6 fA, Contractor 410 WEST LRKE BTREET Ni11NNEAP'OLIS, MN 5641+118-2998 Street Address 612-8242856 City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner Contractor _ Other Add-on or alteration ta existing dwelling unit $ 30.00 x furnace _Additional ~ Replacement air exchanger ~ airconditioner _New '\Replacement other State Surcharge $ .50 Total $ ~ ' I hereby apply for a Residenrial Mechanical Pernvt and aclmowled~e that the inforxnation is complete and accurate; that the work will be in conFormance with the ordinances and codes of the City o Eagan and with the Mechanical Code ~ t I understand this is not a pemut, but only an application for a per 't, and work is not start withou ermit; that the wor ill in accordance with the approve an in the case of work whi equ' es a review and a proval of ans. ~s-~C,~ 2~ , - ApplicanYs Printed Name Applicant's Si re OCT 1 5 2004 sY 2004 COMMERCIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family 6uildings when separate permits arc not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Teoant Name Property Owner Telephone # ( ) Contractor Street Address Cj}y State Zip Telephooe # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *"`see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "'When installing/removing underground tank, calf for inspection by Fire Marsha! and Plumbing lnspector Pe1'tTll[ F¢¢5: $70.50 Underground tank installation/removai $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permi[ Fee • IF ep rmit fee is $1,000 or less, add $.50 ~ $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $I,000 ermit fee $ Total Fee I hzreby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is ~ot to start without a permi[; that the work wili he in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: ~'//7~ y~,,o~ ~ I 2007 RESIDENTIAL BUILDING PERMIT APPLICATION `fib City Oi Eagan j` 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 65i-675-5675 FAX # 651-675-5694 me NtwCmeMietlonRmu4emmis RemoAeVReoah Reaui2meMs 3 regis~red diA~ ~eveys ~avnBxQ. ft oFbl s9. ft. of Aouse: and ~B mokd arees 2 coples of plen sAOwing faoti~. beams, jaists (2096mmdmmida~arape~o+~ . ~ 1sHMFmi9YCaiaAa6onsforhea0edatl~tiar~s 1 Shca Reppt~pioposeE 6~eldkp B 0o De plecetl on dieltirbed sdl 7 site surveY for etlditloiu d detks 2caµBadplsndbwingb~mdrMWOws¢es:paRedfanddesign~etc. AdNNon-irMiuteHon-s~Teseptlcsysrem ~ . lsetdEndgyCdptla6ms ~ . ~w,. - - 3mpieadTreePresevadmPlenifbtpWGedd1Mr717193 ~ . . . ~ RMeJOCat De4~ OpGans selatim ~eet (buNdings xiM 3 a Iess unils) ATmnagasco ~I ven67afpn fam Plans are considered ublic information unless ou state the are trade secret and the reasnn. Date / I~ / ~l Construction Cost Ske Addras 4~~~- l~}~(,~ 1; ~ UniUSte # Descripdon of Work ~W (J~ ~ _ C ~ 'F' ° ~eo'~- - S-~n'C- OP''" ~ ~ Mnlti-Fa~nily Bidg _ Y ~C N FSreplace(s) _ U _ 1 _ 2 Property Owner ~'t~ v S IW NcS ~ J< C~t Telephone #(6 S1 ) t{ SZ ~ 8 3 lj ~ Contracwr (°ll ~f" L'g lu_S ~ : U Ub,J t ~1 ~ . ~e . Addrass ~lN~'~ l72 . ~ City IP (C U~'~~PY State MN Zip S S ~ 2~-{ TekpAone q(Gl~,) Q°l D r~ COMPLETE TNIS AREA ONLY If ~ONSTRUCTING A NEW BUILDIMG Energy Code Category - M~~~ Rules 7670 Caugorv 1 _ Minnesota Rules 7672 •~ReSide~Afal VeMllatlon Category 1 Worksheet New Energy Code Wakshaet (~8~~~^~~ Submltted Submitted . Energy Enve~ope CeIwlaOons Submitted In the Iast 12 monThs, has the Ciiy of Eagan issued a permlT for a similar plan based on a masTer plan3 _ V _ N If yes, date and address of master plan: ~ LicensedPlumber Telephone#( ) Mechanical Controctw Telephone # ( ) Sewer/WaterConiractor Telephone #f ) I hereby app[y for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applica 'on f mit, and work is not to start without a permit; that the work will be in accordance with the approved pl in he case work which requires a review and approval ofplans. / ' ~~Z~l7o~ ( p-ilC Cr1Re4~ 1JrlcCS ~ Applicant's Printed Name ppli Si ature DO NOT WRITE BELOW THIS LINE Sub Tvnes ? Ot Foundation ? 07 05-plex 0 13 1&plex ? 30 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Of of_plez ? 09 07-pi¢~ p 17 Gara9e ? 22 PorchlAddn. (4-sea.) ? 33 Ext.Alt-SF O 04 02-plex ~ 10 08-plex O 18 Deck ? 23 Porch (screeNgazebolpergola) D 36 Multi MisC. ~ US 03-plex . O 71 10.plex ? 19 Lower Level O 24 Storm Damage 0 O6 04plex ? 12 12-p~ex ? 25 Miscellaneous ~ Work 71mes ~ 37 New ? 35 Int Improvement ~ 38 ~emolish Interior ? 4q Siding ? 32 Addifion ~ 38 Move Buiiding ? 42 Demoiish Foundation ? 45 Fire Repair 0 33 Alteretion ? 3i Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 R~IacemeM •Demolltbn {Entlre BIdg) • Give PCA handout to applicent D8SCH6tiOt1: Water Damage _ Yes ~ Valuation Occupancy MCES System Pian Revlew _ 100°~ or _ 25°k C~su& Gode Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Vlhdth REQUIItED INSPECTIONS _ Foodngs (new bldg) _ Sheetrock _ Footings (deck) Final/C.O. _ Footings (addi6on) _ FinaVNo C.O. Foundation HVAC Drain Tile Other Roof Ice & Water _ Final _ Pool Ftgs AiNGas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone La[h T6rfck _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Suilding lnspector Base Fee Surcharge Plan Review MClES SAC City SAC , U66ty Conrrection Charge S&W Permit & Surcharge Treatment ~ant Lfcense Search : Copies Other Total • ~ ~ ForOffice-Use I ~ ~ ~ ~9~ Cit af E~ a~ ~ ~ ~ 1 ; ; ~ ; ~ APR 2 i~ ZOO~J i~""aF~: 3830 Pibt Knob Road i Eagan MN 55722 ~ Date Received: Phone: (651) 675-5675 I i ' Fax: (651) 67rr5694 ~ ~ ' 2 09 RESIDENTIAL BUILDING PERMIT APPLICATION ~.Date• i ZI . SiteAddress' N'~"~Ct?~`~d T2(. ~ Tenant: k"~ << 5 v S g~? /V o f(~ u 5 c Ll Suite 0: RESIDENT / OWNER Name: ,L~""~` -SvS '3^' Nnt bvic h phone: d S'~ -~/f 2-~ 36! Address / ciry ! zip: S~l 9 j S:'~-e Applicant is: _ Ovmer ~ Contractor TYPE OF WORK Desaiption W work~ 1~'' I`i`e`" a"' ~ c'J r l 5 I~+); P?"~j,,, aooz, Construclion C~t Z~ 3~ U Multi-Famii Buildi Y rg: (Yes _ / No ~C ) CONTRACTOR Name: t7~~ ~'A't~S ~a`'`~' ~ S~`~~~y~icense#: ?0o60~/Z A~,~ 1~t6 c-o ~ l~-J~ i~a . c~Ty: ~ f>>2 l1 n- ~ sr~~: z~P: ~l 2`~ Gs"t -i~~ r -3 ~oa ~l~ Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateaoN 1 Minnesota Rules 7672 Energy Code . Resideriiel Ventilation Calegory 1 Worl~et . New Energy Code Worlsheet Category Sunmittea SuCmitted submission type) • E~9Y E^`~~ ~~~o~s SuWnitted In the last t2 months, has Uie City of Eagan iswed a permitfor a simllar plan based on a masber plan? _Yes _No If yes, date and addre~ of masher plan: Licensed Ptumber. pryp~e_ Mechanical Contracbor. pry~: Sewer 8 Water Contractor. Phone: NOTE: Plans and supporting documents thai you submit are considered to be public information. Portions of the informatinn may be classified as non-publlc if you provide sp~c reasons fhat wou(d pemtif the City to conclude that the are trade secrets. I hereby xlmw,fedge thffi Mis inMrrretion is complete and accurate; thal the wwk will be in coMormance wilh the ordinances and mdes of the City of Eagan; Mat I uMeratand Ihis is rot a p¢rmit, Di& onty an appliwfion for a perrnit, aM ~.w is not fa ffiart v.itlwW a permit; that tFe work will be in accordance with the approved dan in Me case of work which requires a review arid a W la x ~ _ L7~ `}^iOo~ 7 d ~ ApplicanCs Printed Name p ~ g Page 1 of 3 RESIDENT OWNER Name: '6''t" t SUS '3,"' AO r 6 z" 41 Phone: 6s-1 _471- 2 g ?6/ Address City Zip: 5 S Applicant is: Owner 'C Contractor TYPE OF WORK Description of work: Pep (A) Le e'" 1 S is) —j li a 8e 2. O a o Construction Cost Multi Family Building: (Yes No CONTRACTOR Name: 4 ,4 -Ice S 4-)C)") t S 1 d1 4. icense o 6pc- /2 P L Address: i c( 6 C /e --ckt NA City: r le U* j 9 State: l Zip: C r7 2 6( Phone: C g1 f e(°0 Contact Person •icc— COMPLETE Energy Code Category ('d submission type) In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Resider4ial Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. Date: Tenant: x City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name Site Address: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 479 dlez,) �`.r_ (L 4 S /Uo t: buSe For Office, Use Q Permit c U Permit Fee: Date Received: Staff: Suite 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 t understand this is not a permit, but only an application for a permit, and wo 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 a of la iTL 1 Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114929 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 4747 Ridge Wind Tr Lot:7 Block: 3 Addition: Park Ridge 2nd PID:10-56751-03-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess 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 - Kirk L Nosbusch 4747 Ridge Wind Tr Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink �----------------- � For Ofi�ce Use � Cl6,} I I O RECEIVED � Pe�,�t#: ✓� 55�� f �a�� , Permit Fee: /��• �� i I 3830 Pilot Knob Road �U� � 2 �� --'� '�'� � Eagan MN 55122 j Date Received:�°� i Phone:(651�675-5675 I I Fax:(651)675,5684 I Staff: � I 1 I v��T�� J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ` � °°� t, `, n^ � �S Date: / v� Site Address: �t'7`C'7 1`�� ..lilf'� ��- Unit#: � � Name: ��L�� - -x.lL� /VC�S�� Phone: ��' 7��'O J�I Resident/ Y r �'p� �A/� �l'�. ��N l .S^.�l 02� OW�g� Address/Cit !Zip: `t"7�7 � Appiicant is: Ovmer �Contractor Description ofwork:_��C.,I'tl��-�, (SC.� �(_(C �q(� � --- d �p�Gl� / ,�T Type of Work � = �-�T�,r—l-6thA�1ZA/G ConsVuction C�,��d.Q� Multi-Family Building: (Yes /No compa�y: �L�k'Kt-NP[X, 1��fzS �C�co�tact:��/��2��+•�. Contractor Address: 4'�O� ��?4S� 7g-��. �'�. c�ty: �.�/V'G� State:�Zip:�z� Phone: 1 "' Email: �A�� L'�KCJ��I�Ce�N'� License#:_�J�-�a 1��( 7 Lead Certificate#: /�/'t I -��7��I If the project is exempt from lead certification, please explain why: (see Page 3 for additional inforrnation) �� R ! �t,CC l-f�` G `( l� '-' `�'� (.1/LF �U�G.`" �� 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 8�Water Contractor: Phone: ! NOTE:Plans and supporting dacuments that you submit are consider+ed to be public infarmation. Partions of the information may be c/ass�ed as nonpublic if you pmvide specii�c neasons that wautd permit the City fo conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wnvw.qopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate;that the work will 6e in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but onty an application for a permit, and work is not to start without a permit; that the work wrilE be in accoMance with the approved plan in the case of work which requires a review and approval of plans. Exterior work author¢ed by a building permit issued in accordance with the Minnesota State Buildin Code mus be completed within 180 days of permit issuance. X�(f�'(�lS �(��'r-�►/�9LSZ °� f , X Applicant's Printed Name ApplicanY ignature , Page 1 of 3 . . :�� ' � ��`i�� j� � /�� DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation � Fireplace _ Porch(3-Season) ` Exterior Alteration(Singie Famity) _ Single Family Garage _ Porch(4-Season) _ Exterior Atteration(Mufti) i Multi � Deck _ Porch(ScreeNGazebolPergola) _ Misceilaneous � 01 of_Piex _ Lower Level _ Pool _ Accessory Building WORK TYPES + New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish In�rior 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 � Occupancy �/�- �� MCES System —' Plan Review Code Edition .�q?7 SAC Units (25%�100% ,� Zoning p_� City Water - Census Code y3y Stories � Booster Pump '" #af Units / Square Feet � PRV " #of Buildings � Length /�. Fire Sprinklers `"r Type of Construction _�� Width �_ REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Finai/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Foatings Air/Gas Tests _,Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_,Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 73� Surcharge Plan Review �� MCES SAC City SAC Utility Connection Charge SB�W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3