4754 Ridge Wind Tr
,
' 4 , ~ CITY 4F EAGAN ~ ~
• 3830 Pilot Knob Road, P.O. Box 21•199, E 7
agan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipf #
T~ M w~d fa Est. Voiue ~ 7 il Dete , 19~:L
~
5ite Addreat ` Erect 4 Occupsncy
1 ~i , ? T r.~r f~ Y~ Remodel ? 2o~ing z> +
Lot - Bixk Sec/Sub.
Repair ? Type of Const.
Parcel No.
Addition ? No. Stories
Move ? Length
~ Name . ti
W ` ~ Demolish ? Depth c.
~
; Addreas i ~I~ : i1~~-:'< Int. Impr. ? Sq. Ft. 4~
~ City Phone ~ - ~ ~ Install ?
Approval• F~es
~ Name
~u Assessment Permit -
Addresa
~ City Phone Water 3 Sew. Surcharge •
Police Plan Review ' ~
~W Neme ~,h,. . :~.t1..T;i: IdH.::a~ L Firo SAC ~ f
W
~T. . ~~~1 ~i~~. l,`~~ :l!
s~ Address ? Erq. Water Conn. ~ t
~ W City ' Phone G`~ Plonner Water Meter v~
Counci! Road Unit Q• a f
1 hercby aCknowledye fhot 1 haw rood this application ond stote fhat Bidg. Off. F' r~ Tr. PI.
the inlormotion is correct and agree to tomply with oll opplicaN• A~ Parks
StaM of Minnesow Stotutes ond City of Eogan ~rdinonces.
Var. Oate ~p1eS
Sipnature of Pennittee v-.~-', o,~j r.
A 8uildinq Penr?it Is issued M: , ~ ; , ~ ~ : ; t ' on tM eaxpress condition ~ho~
all work shotl be dorw in acco?donu with oll opplicoble State of Minnesoto Stotutea and City ot Eapan Ordinonces.
Bufldirq Officiol ~
Pamit No. Pmnit Hold~? D~t~ TNephons #F
Pfumbioq ~ ~ ~ ~l L
~.v~a.c. 3 ~ - , ~ 5 _ r S
Elsct?ic ~ 3 f ~
Softamr J
Iropsction Date Insp. Othn
Footinys 1 -
Footings 11
Foundatlon
Framing
Rooiing
Rough Plby. ~
Rough Htg.
Inaul.
Fireplace
Final Htg. ~
Final Plbg.
Final f'~S~r ~r,~r
Csrt/Occ. i j{l i
Wafsr ~~ib~ Location: .
Well
Sewer
Pr. Disp.
~
% . -
R~aipt 1 V ~ MECHANiCAL PERMIT P~rtnit No. l
CITY OF EACaAN FN , • ,
1~ 1~ ~1 Fn~ rn n~me~d~r s~c ~
TYw w Prinr ~e,PferY - ,
ToL ~
1. Date , T 2. Instslistion Cost - - ~
' ~ f.
i 1" , a ;
3. Job Addrssl ` : ''~'L',ot~Blk. ' Trsct ~
~ ,
4. Owner ~ . ~ - •~,...L.+- ~ _
5. Contractor ' . , ~ i ~ > ' Phone ~ . < - -
^ ~ _ , .
8. Addreu , . , , ,
7. City ~ - State ' ' 1-%'~- 2ip ~ _ ~
8. Buildln~Typa: Residential Commercial ? Institutional ?
9. Work Description: New ~ Add O Alter O Repair D
10. Dascribe - , ~ Fuel Type ~ ~ ' ~
i
11. No. Eauioment 8TU - M. Ea. No. Eouiument CFM
t F ~ -
Forced Air ' Air Handliny:
Mfg.
Boilers n Mech. Exhaust
Mfg. - ~ ,
Unit Heater
Mf~. Othar
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : ' ~ ~ ~ - ' ' ` ` for
Rouyh Final
Inapections: Date Insp. Date Insp.
This is your permit when numbered and approved.
App~oved CITY OF EAGAN 454-8100
Receipt " PLUMBING PERMIT ~ Permit No.
CITY OF EAGAN -
Fae c'
r 1~ fill in numbered spaces S/C
Type or Print legibly r-
Tot • _ ~ r~
1. Date ~ 7~~7 2. Installation Cost _ ~ ~ "'J
yrJSy ~rGV,~~J ; ~it~ ~ .-+r~,~.
3. Job Address Lot~_Bik. Tract =!ff =
4. Owner ? ~ ~ L' f ~
5. Contractor ~,~'ti Phone ~ - t/ ' !
1 ~ ~
6. Address f / ~ 1 • f r i • ~
_ 5 l ~
7. CitY ~~'~`~ll ~~r,~~' State ~~rJ Zip . ~U'
i
8. Building Type: Residential C~ Commercial O Institutional ?
9. Work Description: New .~y Add ? Alter O Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $oftner
~r
Shower
Well
~ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray
~ Floor Drains
Drinking Ftn.
Slop Sink
-r--
~ Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing thii type of work.
Signed : ~ ' _ ~ - .
, for , . ~ y~ _
Rough Final '
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks 1~~~
p,ddition PARK RTDGF. 2nd ~ot 11 B~k 4 Parce~ 10 56751 110 04
Owner Street 1; 7~}~~ o GT~.~ T~~ State F:g,ga, n~ 1KN 5~ 1 ~ 2
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 11Ej .~C~ C0102 C~_
SEWER LATERAL g . 2 (~"01~2
WATERMAIN Q(j 7$ ,~g C0102 9-3-~
WATER LATERAL
WATER AREA ~ l~E) $ CO1.OZ -
STORM SEW TRK 6. 21 COZO2 --E~
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ni
WATER CONN. .
~UILDING PER. u n
SAC n
PARK
T
~ . .
Please send copy for water meter to~ Genz-Ryan
14745 S, Robert Tr~il
' Rosemount, rr~v 55068
Copy for sewer and water connection goes to Star Plumbing
Thank You
Ruscon Homes~ Inc.
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road . _ .
P. O. Box 21199 PERMIT NO.: ~ 5
E:- ~J
Eagan, MN 55121 D/1TE: I
' No. of Units:
Zonir~p:
~ . ~~z Homes
~WflOf: -
/~IddrESf: ;
~TM ~rc~: ~?5~t ~;idge Wind Trai.l LI1 B4 Park Rid~,e
`>tar. Pl~k • ~ ~
5•Jti.'i~~ pcl
Metar No.: ion Q+arpe:
SI=e• rr 2 OrL' dl_nli?k? Cc?I~ I~~piif~fA'~OStt: 15.~~ gd
ReorJ r No ' L1.s:
~ r I i~''~in+i~ ~ G 10 . 0 0 p d
~y. 50 ct
1 yr« te ao~evhr ~ IC C l~ U I K C ~ 13 2. JO pd
~1i"~'~' ~ 63 . ~Opd ~ieter
~ Totoi:
~ Dote Pdid:
Date of . ~ Intp.:
CITY OF EAGAN SEWER SERVICE PEWNiT
383Q Pilot Knab R~ad p~µlT NO.: ~
P. Box 21199 , < -":s
Esgan, MN 55121 ~TE~ .
~.i No. of Units: "
T.oninp:
,~!$L',`Zi i.{
Ownsr:
/lddross: ~
Site Addross: 4754 ~t~,;;:~ ~'i^:~ ~rail ~f : ^4 Park ~~id ~ 2
Plumber: St:sr l'i}~c+ ! . -?~z s~~t
Yr,e.oc
53:'.~~
ro aon~,hi wN~ w.'e~lr ef ~as.. ca,n~ct~«, o,aroe: ~2s pa _
• Or~iMww. Account Deposit: "t S . ~J~7
Pem,tt Fa: 1 z, ~
Surchoroe: 5~ vd i
By Misc. Chorpes:
Date of Insp.: Totol:
I nsp.: DaM Pold:
CITY OF EAGAN WpTER SERVICE PERMIT
3830 Pilot Knob Road ;_;3~?
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 OATE: 7-~5
Zonlrg; No. of Units:
OwrNr: • .9,_ t:~~~5
l1dd~
51te Addross: ria~~ 1?in~ 'Tra~il L,il R4 ~'atk i?.id e?
Plumber. t a r F 1bA / . ~
Met~r No.: Cannection Chorgs: aiii~, .~~.1 n~~
$~Zl: PeAaoount~ Podt: ~ `r`n
Reoder Na.: _ . . _
eo~w~? ~rill~ ew Cier .1 E~y~. sur~hc~ye: . S(i r~
Mi:c. Charpes: 132.'JO p~
Or~i~eM.
Total• 63,~Ora cetez'
gy Dc,te Poid:
, Dote of Insp.: Irap.:
I
" CITY OF EAGAN nf ? 10 4 6 7
- ~ 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE:4548100
BUILDING PERMIT Re~e~M #
Te M~wd Fa SF DWG/GAR Est. Value $?0~ 000 pare JUNE 26 , ~q85
SiteAddreu 4754 RIDGE WIND TR erect C~ O«upeney R3
La 11 elock 4 Sec/Sub. P~K RIDGE 2ND Remodel ? Zoning ul
Percel No. Repair ? Type of Conct. ~
Addition ? No. Stories
Move ? Length 48
W Name RUSCON HOMES INC Demo~ish ? DePth
~ Address 14530 PENNOCK AVE 48
Inl Impr. ? Sq. Ft.
city A.V_ pnone 432-7433 ~nstan ?
SAME Apy~mah F~et
g Name .0
I
$u A~rey~ Assessmenf Permit
~ City Phone Watt• ~~W 3uroherge 35. Q~
PoUca Plan Review 5 i
Name 140530 PENNOCKRAVEAGEL F~ro gp~ 525.Oi
4~ qddrese Enp, WeterCona
~W City A•V• Phone 432-2044 p~a~~~ waterMeter ~~0~
Council Roed UnN 280 _ Oi
I hereby acknowledqe that I h va rcod th7s applicotion and staro that eidy. 6/26/8 7r. PL - 0~
fhe inlormation is correct rd ogree t ComDly with all oOPlicable A~ Parks
SMta of Minnesoro Stotut ~ GH a E on Ordironces.
~ ~ Var. ~ate Copies
Sipnoturo of Permittes~~ RUSCO HOMES INC 7otal $2 ~ 049.5~
A Bulldinq Permir Is iu ro: on the expren eadirbn ~ha,
all work sFwll be dona in accordanee with I limbla St ro o f sota Statutes ard City of Enpon O'dinancea
Buildinp Oifidol
This request voitl f~ Q~
mon[hs from 1)~ p b g~
~ Q 5 4 5 0 3 L I 1(~'/ ~a~-k- Z a
Rec~ues~ Date Fire No. Roueh-in Insuection
- N Reqm ~NeaAY Nuw ill Notity. Inscec-
~s ~s ? No tor When ReatlY
ic~-nsed Electncal Contrsctor I hereby repuest inapaction~of above ~
? Owner elechicel work installed aC
5~~¢et Address, Box r Route No. . Citv
~ i~ ~IX~L Qn23
ecLOn o. Townshi0 ame or No. ~ Hange No. County
~
Occupun PR~NT) Phone No.
Gcsco,v ~n~ .3.3
Power $upplie~ Addres
~!J
1~ ee~i^/~ ~~Irlin fd,~
Electrir.al Comractor ICOmUanY Name) Cnnhar.tor's Licc~se No.
,f3 ,L .~lecfri'G o~~e3"
Mailing AtlJress (COnVacmr or Owner Makinp Instailationl
3~ ~ fi ca..~4-r'e. .So , e~• ~S3
Au~horized t e Co ract Owner ing Installationl hnne Number Q
~ ~ d
MINNESOTA STATE 80 D OF ELECTHICITY THIS INSPECTION HEQUEST WILL NpT
Griggs-Midway Bldg. Noom N-191 8E ACCEPTED BY THE STATE BOAXD
1821 lJniverai<y Ave., St. Paul, MN 55'104 UNLESS PROPER INSPECTION ~FEE IS
Phone 1612~ 297-2111 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi:oa
_ f ' See instructions lor completin8 this form on back ot yellow cooV.
~T ~ ~D
p~ 0 3 ""X"' Be/ow Work Cove~ed by This Request
Hdd Nep. Type ol Builtling ApO~~~~cea Wired Eq~ipment WireJ
Home Range Temporery Service
Duptex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Furnace Y Silo Unloade~
Ind~istrial Bldg. Air Conditioner .;n:.;~ Bulk Milk Tank
Farm o~ner oeci y otne, ISnedNl
t,r peu y Other Oth~r
ompute lnspection Fee Be/uw -
# Fee ServiceEntrenceSixe k Fee'~~ Feeders~5ubleeders N Fee~ Circuits
(O ~ to 200 qm s 0 to 30 qm s 0- 30 Am
Above 200 qmps~ 31 to 100 Amps '31~ to~100 A
Swimmin Pool Above 100_Am s ~Aboui? 1W_Amps
Transrormer5 Irrigation Booms Partial%Other Fee
Signs Special Inspection S O
flemarks - TOTAL
~EE ~
1
Ao~ah_;~ o:,~e . ,he ~r
~ ' ~P~ Insoector, he.eby
c rti}y.tMt the a~ove
Final ii1e mspection has been
~ ^ i
• ~ mBde.
Riia rea~eat voitl 10 monMe Irom
~is sa
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY Of EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
657-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I ~ 1
Site Street Address ~75~ G~" W~~~ ~~t-- Unit #
PropeRy Owner I'~I,C_ A- re~epnone# (~SJ) 65 ~Ca3/S
Contractor i~"~ P! ~EW~r21~S Teiephone #(~D~~j 3G.5~ i~~0
Address ~~~0 ~dl~I~ wtJ City State ~N Zip SS /~3
The Appiicant is: _ Owner ~Contractor _Other
Alterations to existing dwelling S 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnarou~d (add $125.00 if a SIB" meter is required)
Other:
_ Water Softener / Water Heater $ 15.00
__new ~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ~C'
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work wili 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, work is not to start without a permit and work will in accordance with the approved plan in
th ent a pian is required to be reviewed and approve .
.J eci?1 C-c=n.lc~w51<+ ~ ~l n~ R
Applicant's Printed Name ApplicanYs Signature 'S ~~+i [5
~
~ JUN ~ 3 ?Q~5 U!
~u
J
B' ~
r,.~ 4'~ l{ RESIDENTIAL BUILDING ~-7b ~
Permit Application 1 ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucUOn Reauirements RemodeUReoair ReauiremenLS Dffice Use OnN
3 registe2d site surveys showiig sq. R of lot sq. N. af house; and all mofed ar~s 2 mpies of plan Cert of Survey Recd Y N
(20% maximum lat caverage allowed) 1 set af Enert~y Calalatbns far heated additions Tree Pres Plan Recd Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc, 1 site survey for addifions & decks Tree Pres Reqd Y_ N
15etofEnergyCalalatlons Add'N'on-indicatei(onsitesep6csystem On-siteSeptlcSystem _Y _N
3 wpies of Tree Preservalbn Plan if bt platted aRer 771193
Rim Joist ~etail Options selectbn shee~ (61dgs with 3 or less unils
Date / G/°S Construction Cost ~.~O
Site Address ~7 ~ !L //)G~/~~^"/ UniuSte #
C~~ ~
Description of Work /N G~ f/.Q~/7(f}L,C~
Muld-Family Bldg _ Y_ N Fireplace(s) _ 0~_ 2
Property Owner / I/~(,~ /r'C(/~ Telephone # (G~~ ) ~ ~ -U3~~
,t~( i/
Contractor ~l l~C,~S! ~Lr ! / E
Address 3f/'~ I.U. /`~'l /3 City /J~~
State ~~Y? Zip 5T3~ 7 Telephone # ( `f
~2 ) £+y ~ -~7 ~
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Cateeorv 1 Ivfinnesom Rules 7672
Energy Code Category . Residential Veniilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
• Energy Envelope Calculatlons Submitted
Have you previo~sly constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone J
Mechanical Contractor Telephone # ( J
Sewer/WaterContractor Telephone#~ )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wil] 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 pernut, 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 hich requires a review and
approval of plans.
fl~J !/~`lri,+~~ `
Applicant's Printed Name Ap icanYs Signature
OFFICE USE ONLY ~
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multl
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ~ 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 1 S Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 ~emolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement "Oemolitlon (Entife Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES 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 bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion FIVAC
Drain Tile ptheI
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charga
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
• ~ ~ o g
1 +~.~I ~ R/9~
~ CITY OF EAGAN
~ ~r.;
APPLICATION FOR PERMIT
i ' SE~dER AND/OR WATGR CONNECTIODI
i .
(PIEASE PRIHi) .
1) p~Pg~'~' ~~~5: 4754 Ridqe Wind Trail
r.Frar•DESCRI?TICN: Lil-B4 Park'Ridqe Phase II
(Lot/Block/Subd~.vision or Tax Parcel I.D. Nwiber)
T'r F.,."lIS:_ ST?t[:CP'i2E, DATE OF ORIG1idAL rAiILDLTIG P~.~ST ISSJ?:~:
':.=_z=:
P4=.Sr ~••.^.`II:;r:/P.~)°OSr.~7~ LS~: ~ R-1 S~IGLE r^P.~SLY
? R-2 DUPL~C (ZYrl~ Wi ITS)
~ 0 R-3 TG4vT~II3CQ5E (Tf~ +[~Tg) ( Wi ITS)
CI R-4 ApAR'Ird~:P/CO~IDQ~LL~]IUb1 ( Wi ITS)
? CQf~MEf2CIAL/REI'AII?OFFICE .
? ~US7RIAL
? INSTITUTIONAL/GOV~pr
2) APPI,IC~3T (PLEASE PRINO
NAP7B: Ruscon Homes, Inc.
ADDRESS: 1453U Pennock Ave.
~ITP~ STATE~ ZI~= Apple Vallev MN 55i24
PHO~~: 432-14'3'3
3) PII~`.•'IBER . ~ PLEASE PR1Nf) FOR CITY USE ONLY ~
NAh1E: --Star Plumbing
~
ADDRESS: 1018~ Mound S TI PLUHBEA ENSE:
P ~ Ter.-% / Active
CITY, STATE, ZIP;~ Bloomington, MN 5y+20__, Ezpi~
PHOiVE: -TS8iF-~F1tF9 PLUNBER LICENSE q 3329M ' f Record ,
, _ _ _ .
, -
ni ia
4) p~[Jpp,N'p~[r,rlF~ ' (PIEASE PR1Nf)
NA61E: HENRICH, 12obert
ADDRFSS: 1530.Greenwood Court
CITY, STATE, ZIP: Eacian, Mn, 55122
P~:~: 452-2975
51 INpICATE W[{ICH PEP.h1IT IS BEII~G g~(~UF~~:
~ COtiT1ECTZON 'PO CITY SEYTER
~ CO:u^JF7CPI0~I 'Il~ CITY WATER
? UI7'.Q2 (PIS'ASE DESCRIBE)
6) L`~IGi
~ 0:~:
? PL:1SE }:OID APPI2pyID PEFt~`4IT FOR PICF-Up SY ONE OF A8(R,'E
PI.E~ISE :TAIL PRUVID PFR~tIT 'ID 1. 2•Q 4 pEWg ~
(Circle one)
7) SIG~TL'~E:
DATE:
~ w a;w:a,t~a yn w w.c~~~ r: r.t.c~:~ in ~ sr is ~:ss:~ ~a a~.a.c~:r~a~~ ii~t ~~~a~,..
F 0 R C I T Y U S E 0 N L Y
PER~IIT ° ISSU~D
F~ES: S ~C'S
U SE:•:ED O~A\!TT (I:1C:.iiD: SUP.CHe?RGc1
$ ~G..S~U WATER PERf1IT (INCLUDE SURCHARGE)
$ ~ > uL WATER METER/COPPERHORN/OUTSIDE READER
$ WATEP. TAP (INCLUDE CORPORATION STOP)
$ SE;~ER TAP
$ / S-` ` ACCOUNT GEPOSIT - SEWER
$ _ ~5:u~, ACCOUNT DEPOSIT - WATER
S ~Un WAC
S J"'.)- f-o: SAC
$ TRUNK ?JATER ASSFSSMENT
$ TRUNK SES4ER ASSESSMENT
$ LATERAL.BENEFIT/TRUNK SEWER
$ , LATERAL BENEFIT/TRUNK WATER
$ ~ ~~~Gij OTHER
$ TOTAL .
$ UG- SL AMOUNT PAID/RECEIPT # ~3~~,L_
DOES UTILITI CONNECTION REQUIRE EXCAVATION IN PUELIC RIGiIT OF WAY?
YES IF YES, THEN A'"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
ENGIN~ERING DIVISION. LIST AS A CONDZ-
TION. .
SUBJECT TO TtIE FOLLO!•IING CONDITIONS:
APPROVED BY: ~ i
TITLE:
~ V~
DATE : ) ~ ~
.
iJ° ~a~ ~w 4~ ~a s~ rt+~ w r w s~~ w~ ~a.a r~ ~r si~ w~a wt~ta s~ ~a.a nt.~ ra wr w~
' .
. ~ ~
C~'
~
1985 BUILDING PERMIT APPLICATI~N - CITY OF EAGAN
NOTE: ALL CONTRACTDRS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET QF ENEftGY CALCULATIONS
7D~odp , o0
To Be Used For: Single Family Valuation: ~$5-4-~}$~-pg-Date:
Site Address: 4754 Ridge Wind Trail OFFICE USE ONLY
Lot: 11 Block 4 Sect/Sub Park Ridg~reet ~ Occupancy ~-3
~/a Remodel Zoning R_1
Parcel Repair ^ Type of Co~st ~
Enlarge 11 of Stories
Owner HENRICH, Robert Move _ Length q-g
Demolish Depth ~
Address 1530 Greenwood Court Grade Sq Ft
City/Zip Code- Eaqan, 55122
Phone 452-2975 APPROYALS
Contractor Ruacon HomPS Inc Assessments Permit ~q3oo
Water/Sewer ~ Surcharge
Address 14530 Pennock Ave. Police Plan Review I ~ I,5°
Fire SAC SL5,^.~
City/Zip Code gpple Vallev
61_ n 55~4 Engr Water Conn ~oo.
Planner Water Meter
Phone 432-1433 Council Road Unit 2Q,p.m
Mark Nagel Bldg Off -$q~ Parks
Arch./Engr, probe Enaineering APC Treatment Pl 13z.~
14530 Pennock Ave. Variance 1[
Address 1000 E 146th St TOTAL ~ U 7 f'~• s(~
City/Zip Code Apple Valley, Mn, 55124
Surnsvillo_ Mn 5337
Phone IF 432-2044/d32-3000
2 ~ ~ d- ~ = I l ~ ~ ~ ~ 4- - C~ ~-5 ~q-
2 D x'22' = Q- 4o n. ( I ~ 4 8 4 0 ' .
~ ~ 4 z4
oa~
" 343°+
35 • +
i71°5+
525 • +
500° +
63° +
2gp• +
137_ • +
?r049•~*
~
AOBE ~ONSUlTIM6 EHdINEERS
ENGINEEAING P~pNNEAi und LAND fURVEYORS
COMPANY, INC.
L 1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA SS33T PH 132•3000
Cer~i}'z cc~~ Sur-~r-e y
I.~oal .Iae.tcrLp~toss: LOT BCacX 4, PARK R~ocE 2ND ADDir/ON,
DAk4TA CDUNTY ~'//NNESOTA.
~ ?a'fRONT ed/LD/N6 `
~ SETBACK L/NE - ~ :
~
~3.~ N 89°42'S2" W
~3 ~ - - - - ~ ~ - ss4.
o (9sS.o)
25.33 ~1`i9.li ~ ~
~ ~ 9%.0~.
~ 9~lt.o~ o° ~ I ~U
~ ~ I ! ~5.1 N ~ ~ .
NORTH ~ i ° ~ ( ~ °
SCALE- /"=30' ~ y; .v.ood i.oo o ~I ~9~15~~ Q
~ o '`I~.` g I y1[ v v I ~ o
I ~1. O
~ ~ ~ N Z~ i i.S sD 4.so q~,o~ _
/O `/s_o^. o~ o o ~ / : `
.L A N a. N 1,~ S~I~BJ
w{.O~ \ _ - ~TQ. ~Q ~ \ 'J ~j.l-a/
~
c~ 25 9i'~.a~ N E9°42' S2"!N ~J
~
c_~_~;
ORA/NAGE ~
UT/L /TY EASE/y7ENT
~~9y5•o ~ DENOTES EX/ST/iyG ELEY~IT/ON
(9y5•o~ OFiVOTES PROPOSEp ELEVr7T/ON
+s~ /ND/CATFS D/RECT/ON CF SU.E'F~4CE UrP.4//Vi9G'E
F/NiSHEa G~4RAGE FL o0.~ EL~VAr~oN= = 9•f~~;3
I herlby ceMify that this ie a true and carrect rapreeeatation ot a tract of
land as shown' and deseribed hereon.. As prepared by n~a on t1~it day ot
~ 19_•
~ xinn. lts;. No.
/ ZU, - ~xy-
^ c "r ' . . ' - ; , ' ti •
- ~ EXTERIOR ENVELOPE tiYERAGE "U" COMPUTATION ~ ' - ~ ; ~ i ' ~
OWNER - . . . . y; • . . . ~ ,
_.4'° _ . _ ' ..J pii-'4 .:i(..v.l~.~l.C•.:.:s'.f / ~ .
ir s `Fw SITE ADDRESS - r , ~ ~ , :a . r: ~ _ >.~;S~;~i.: . .
;t r~ , . . - : . s~_~,'~ _ Ct_:.; . ~
' . ~ . . . . ~ _ . . . . . . . . . ' ` . ~,:7 . .
CDNTRACTOR fz-u~c.oi:~ 4lbr.~s° DATE, , , PHDNE•LL~43Z- 1<13.3
, _ . -
Oeterniine working square footage of each. '
~ ,
1. Total exposed wa11 area Zf» S ~sq. ft. x~,jl
. . ,
2. Total roof/ceiling area sq. ft. x o• Zb = 31;. ~
Tatal exposed wall area above floor =
a. Total wall windaw area b
b. Total door area •
. c. Total stiding glass~door area
• d: Total fireplace wall area - . '
. e. 7ota1 wall framing area (average 70A)...:........
, . .
3
f. 7ota1 net wall area abo,ve floor
~ g. Total rim joist area ~ .
Total exposed foundation area = q`1 ~
h. Total foundation window area ' `
i. Toal net foundation area a6ove grade ~
netermine "U" value of each wa]1 segsr:°nt. •
a. Jn8 ~ „U~~ ~ ,.5 ~ ~
b. c~~0 X~~~~~ ~ 4.~~
' , ' x _
' d. ~ X
e._~ X.~~~„ ~y{l~ ~ .
_~t1_i ~~C_
f. /~~3 X ,
n4~ - _ (07.(0
g. ~Z~ x ~4= a
i ' , f~• X 11',11 - ~ 3 - ~ , .
V
y 111111 ~~~1. ' ,
n v v
,
3 . ..........Total = ~ , ~ •
If item ~3 is the same as, or less than item ~`1, you have met the intent
of SSC 60C5(c}2,
!
i~; i1i FF}~ ' r r y ' ~ S-. ~ ' ~
r ~ - ~ 1 ~P { i~! k ~ ~ l ~ c t j ,
e~:~i r~ ,•~d ~ i;~ A r I~ Y w ',~,,F j, f ~ ~ ` i r.~! .
~ r 1 ~i:[' . ~ . , : ~ : . ~ f ~ f t
r ' ~ ~•f~ ~ \ , 1.,:' , a ~r_ . . I. ' ~ ' t .x YTt .
~ ~ ~ Total exposed .roof/celling area = ~,.1 y~ ' .
a . , . . .
~ . . , . ~.~~y~
~ • Total gross roof/ce91 ing area. _ ~ ~ ~ '
• • . . • _-L.r~_. ~ .
. 7ota1 sl~ylight area ,
k. Total roof/ceiling framinq area
' 1. Tota1 net insulated roof/ce111ng area....... .
• Determine "U" value for each roof/ceiling segment.
_ ~ ~ . x ~ ~ e ~ . .
.
. : . ~ k. ~ , . , , X °Un . OZA' a ~ r~+~ cµ...o, ~z,3z"~usu~ ovea.:
.
, 3 ~
1.^ ~Q7~ X u~u . D~ . a ~(.f ~R:sa Ic.' e.~~ .
~
4......... ..........................TOta1 ' _ ,
, . . ' . • ' ' , ~ .
If totai of ~4•is the same as, or less than ~Z, yau'have met the intent of, ~
SBC G006~~~1.. . . . . • • .
To utiTfized the total envelape system method, the values.established by the •
• sum of items ~3 and ~4 shall not be greater than the sum oF itens ~1 and ~2.
. . . . • '
~ ~ 'f' ,L. n .
3, + 4. °
MATERIALS ~ Therm. Reaiatanae "R"
Exterior Air • Lg
5lding Natarial . teS °Iw ~+~r.
Sheathitig
Insulation - ~9_ s'~~ •
Sheetrock .9S Yr" ~
Interiox Air .17
• 5tuds S_5 ¢;i Pu I" '
Rim i.5
Conc. Slks. I• 2g +~s ~ tsal
.
' _ . . . . . . ~ . -
. , ~ • . . ' ~ t'
~30~~ ~p, DD
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWC~on Reauirements RemodeVReoair Reauirements Otflce~~~,Use OnM
3 re9islered site surveys shawing sq, tt. of lot, sq. ft. of house; and all roofed a2as 2 copies of plan showing footings, beams, pisls Ced of Survey.Recd _ Y_ N
. (20% mazimum bt coverage allaved) 1 set of Energy Calculafions for heated addNOns Tree Pres Plen Recd ,~J Y_ N.
2 copies of plan showing beam & window sizes; poured found design, elc. 1 sile survey for additlons 8 decks TreePres'RequirCd Y_N
lselofEnergyCakula0ons Addition-irMkateBonsltesepticsystem Oo-site;SepticSyslem~ ~.~._Y _N
3 copies of Tree Preservalion Plan'rf bt plalted aker 7/1/93 ~
Rim Joist Detail Options seleciion sheet (buildings with 3 or less units)
Minnegasco mechanicalven6lallonform
Date / a~ / ~ ~ / Construction Cost ~oQ°'~ ~ °
SiteAddress ~75~ ~~a-qe w,rlc~ %-r / UniUSte ~
~
Description oF Work ~~li~r b d( 5*'~a~,~~d y~CC r l '°i S~4-t r 5
e
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 X 1 _ 2
Property Owner ~ e~7~e / f
o!' e//ay Telephone #(4S~ )~(o ~-O 3/S
Gontractor ~ ~ ` ~
Address ~ City C~Y~a~-vr
State dN.~. Zip SS~a7- Telephone#((~sl )~of B 3~5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catenorv 1 Minnesota Rules 7672
Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+Isubmissionlype) Submitted Submitted
~ . Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber Telephone )
Mechanical Coniractor Telephone )
Sewer/Water Coniractor Telephone )
I hereby apply 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 City of Eagan and the State of MN
Statutes; I understand this is not a pernut, but only an appiication for a permit, and work is not to star[ 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.
~I, ~ ~ / !~!/Ja l/~ y `a%/~~
ApplicanYs Printed Name ~ Appl~cant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~ 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ex[. Alt- Multl
? 03 01 of _ plex ? 09 07-plex ? /17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex L9" 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
GY 33 Alteration re-~-` r ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitfon (Entire Bldg) - Give PCA hantlout to appliwnt
D@SCrlqtlOfl: WaterDamage_Yes ~
Valuation ~-O° ° Occupancy MCES System
Plan Review 100% or = 25% ~
Census Code - Zoning ~ City Water
T
SAC Units - Stories Booster Pump
~
# of Units - Sq. Ft. ~ PRV
~
# of Bldgs Length - Fire Sprinklered
Type of Const t~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addirion) FinallNo C.O.
Foundation FNAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Au/Gas Tests Final
Framing _ Siding _ Smcco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: 1"~k~ , Building Inspector
Base Fee ~9-
Surcharge l - a0
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant ,
License Search
Copies
Other
Total ~a o0
Use BLUE or BLACK Ink
r
For Office Use
I I ing
Permit DIN
j
City of EaRd I Permit Fee:
I _
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 2 ~~I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name:G Q Phone:
i
Resident/
Owner f Address / City / Zip: q7.~`T` Li, l246
Applicant is: Owner Contractor
Description of work: rvs
Type of Work
Construction Cost: 6 S~ Multi-Family Building: (Yes /No
_iJa- G~-Contact: S Co A-6LAg,a-4,
Company: &;ZA&~-
Contractor Address: tom?- 5► City: ar- dl [S
State: t'1&-,)Zi Phone: ~1 Z- V2 '{1 6QU ~r► ~~L
p:~ r,4Emafl: $co~ n P~9 F+-
License C -S Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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?
's
_Yes No If yes, 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 non-public if you provide specific reasons that would permit the City to,
i
conclude that they are trade secrets.
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.gopherstateonecall.org
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.
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.
X S e, rt- A2 tea, A-, x
Applicant's Printed Name Appli nt's Sign ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141137
Date Issued:02/22/2017
Permit Category:ePermit
Site Address: 4754 Ridge Wind Tr
Lot:11 Block: 4 Addition: Park Ridge 2nd
PID:10-56751-04-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Sandra Mcvay
4754 Ridge Wind Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155872
Date Issued:06/06/2019
Permit Category:ePermit
Site Address: 4754 Ridge Wind Tr
Lot:11 Block: 4 Addition: Park Ridge 2nd
PID:10-56751-04-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Sandra Mcvay
4754 Ridge Wind Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature