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4498 Ridgeview Dr411°. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit*: Permit Fee: Date Recei Staff: Ss6-0 - 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (()/1/7// Site Address: yya F p N e4'✓ Tenant: v Suite #: RESIT ENT / 0 E Name: % t^'% f 00040( it, n Phone: 6"si 3 `6 7f7 6 Address / City / Zip: ,--7 ((!s dI.y e r,-/ CONTRACTOR Name: Air elh AZ11 if Gktin �G C License #: 0S-7 971 '" f/ll L/ City: 66/"€-^ /./. /(,y Address: 3'3 O �//i ,4 fJ 4-,--t- fl State: M4/ Zip: -Sy)-3- Phone: 743 b 70 33 S`� Contact: Self Q" 1' Email: TYPE OF Wt RK New r Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ _. Description of work: RESIDENTIAL K, Water Heater Water Softener Add Plumbing Fixtures ( Main / _Lower Level) Lawn Irrigation ( RPZ / PVB) Water Tumaround Septic System New 'r Abandonment RENAL FEES: $55.00 M imum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) $5.00 State Surcharge) TOTAL FEES $ (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee burned out appliances, ductwork, etc.) (includes CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.copherstateonecall.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. I-17{/ / 7cninn Applicant's Printed Name =FICE U; CITY OF EAGAN ~ 3795 Pilor Knob Road Fagen, MN S512Z N~ 4 3 8 3 , , PHONE: 454-8100 BUILDING PERMIT Receipt , , To be used for , A r Date , 19 Site Address ~ ~ F ~ • Ered ? Occuponcy - Lot Block~_ Sec/Sub. ' f~~~ Alter ? Zoning Porcel # Repair ? Fire Zone Enlorge ? Type of Const. ti W Name Move ? # Stories Z Address Demolish ? Front ft. 0 Ciry Phone _ Grade ? Depth it. ~ ~ Name ; ~ T.,.- Approvols Feea 0 ~Q Address Assessment Permit ; . ' ~ _ ~ Water & Sew. Surcharge 1; , 5{~ ~ Ci Phone Police Plan check F W Ncme Fire SAC ~ 5• aQ Addreu- Eng. Water Conn. 13U.~0 <W Ci Phone Plonner Woter Meter Counci I I hereby ocknowledge thot I have read this application ond state that Bldg. Off. the information is correct nnd agree to comply with all applicable State of Minnesoto Stctutes and City of Eagan Ordinonces. APC Total y4`=,. 5'l} Signature of Permittee' _ ~ ' • ~-T= A Building Permit is issuad to: on the express condition thot all work shall be done in accordonce with all appliwble State of Minnesata Stotutes and City of Eacon Ordinanc~s. Building Officiol , r.~~+ # oor. ~....e r.~. Piumbing " o ''7~ ~ _ °7~ ' ~ 7 ~ • . Mechonical y 7 sc -_ae - 7 7 ~ INSPECTIONS DATE ~NSP• Rouph-In Find Footings p~ J Date Inip. Dote Irap. Foundoria, _ Plurr~ir,g ~ -30 - ) 7 Frame / i ns. Methonito I Finol ~ - 7 ~ Remarks: INSPECTI~N RECORD CITY OF EAGAN ` PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4~~ ~'t~ Ea 1 t Eagan, Minnesota 55122-1897 Date Issued: ij'~ / I t/~~ (612) 681-4675 SITE ADDRESS: ' ~ ' ~ ~ ~ APPLICANT: ~ u~ : i~~ ~ i:ll)Ir1 VlfW {1P ~ ~ nl ! iini ~Mi, t11 ilr, 1• I i, I c{~9 , PERMIT SUBTYPE: TYPE OF WORK: , ~a ~~,~r~:~~,~ i , ~ . z i~ t~~ I ~ I ! ~~~r, • • , ~~i; ~ N~~ ~ ~ ~ ~ Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspectfon Date Inap. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PIBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT • TEST BIDCi FINAI 1S/ f~rvt / t-Ln BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition CHES MAR lst ADDITION Lot 6 a~k 2 Parcel 10 17100 060 02 Owner F~ri:~~~j st~~t 4498 RidgevieW Drive State- EagaA* MN 55123 , Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 19 ,t SEWER LATERAL * WATERMAIN * WATER IATERAL ~ WATER AREA ~r STORM SEW TRK ' * STORM SEW LAT 1977 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ~ ~s~ ~ _ , 7 ~UILDING PER. SAC PARK INSPECTION RECURD l COntrol Na ~ CITY OF EAGAN PERMIT TYPE: ~'~~I 3830 Pilot Knob Road Permit Number. ~~pyg~' Eagan, Minnesota 55123 Date issued: ~ f~~~ (612) fi81-4675 SITE ADDRESS: ~ r~ ~ ~ r~ d t oc K: APPLICANT: ~~98 RIDQ~VIEW AR Tkli~t «NR'M CHE a MAR 1ST (61~') ~l5b-SI37 ,r PERIV~I~T ~~~T~~fPE: TYPE OF W~RK: N~w . . !~~~~7 i i N~i FKAM [!IG F1NA1 trt MA(iK~: KfC~1i~/ ~ ~ , r Pe~mft No. P~rmR Haldar Det~ 7elephone ~ 5/VV PLUMBING HVAC EIECTRIC ELECTRIC Insp~cilon Detis b~sp. Commenb FoWtngs I Foundation Framing / ~.7 w ~9 Rough Pbg. Rou9h Ht9. Isul. Flreplece ~ ~9• Orsat Test Flnal Plbg. Plbg. Inspectar - Notlfy Piumber Consi. Meter Er~prJPlan V~~ ~"y/ / A~! h iw //OGt~ iParrf-03t. , C X ~ Deck Ftg. Deck Fnal Well Pr. Disp. ciTr oF snaar~ SEWER SERVICE PERMIT 3795 Pilo~ Knob Road PERMIT NO.: . Eogon, MN 55122 DATE: Zoning: No, of Units: Owner: Address: Site Address: Plumber: - ` ~ ~ o9ree to eomply with !he City of Eagon Connection Charge: Ordlnanees. Account De posit: Permit Fee: Surcho~ge: BY Misc. Charges: Dote of Insp.: Totot: Insp.: Date Poid; C~TY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: Owner: i~••~' Address: _ Site Address: . Plumber. Meter No.: Connection Charge: Size: Account Deposit: _ Reader No.; Permit Fee: I agree to compfr with t6e Citr of Eagon Surchorge: Ordinances. Misc. Chorges: B Total: Y Dote Paid: Dote of Insp.: - I nsp.: • . ~7~-; • ' ' ~ • i - •fi--.. c~l~~,j tJ.' _ . ~ . . ' .7Y=;~. . °c4~Jl~~=• . .-y~' ~ - , . . , . _.i~ ,t",- ~`:L ~=t~~ i-_~~,t-:~ _ ~ . ' . f'` , 'tiM1P7 ~ ~33 ~ . . , . - • . _ ~ - _ ;T . ,a-'~``_ ' J ' . - ~ Y' ~ { Yrr~ ~ . ' j , ~~i¢' . ~,r . ~ . . . ' ~~~~t. ~~ir.'i;; i _ i~f" . . . . , •l ~ , - ~ ' ~ ~~~3~, . _ . . . ' c?~ s _ " . ~ . '.i. . ~ .r`th~_~ S ~ . ~ . ~ ~ , • y, t - . ~ ,E- 4. . +f . . tj . . . ' . . 1 , ~:61" ' , , , . . ~ . ~ 1 ~ ~ ' ~ ~ F . ' . . , . . i .r ' t , ~ r~~~s ' L - y ~ ; K • ~ ~ ~ ' Y ,~'.;:~f~ tt ~ ' g' ie . . . 5 M - . . _ ^ . :h ' ~ , ~ _ - ~ ..~.:q..~~~ , - . ;y.~-.,'! - .~i . ' ~ j'' _ - ~ . - . . . . . _ . - _ . - . - - ` - -~-r. t ~ _ , •v ~ CITY OF EAGAN ' , i 3795 Pilof Kno6 Road Eaean, MN 55122 N~ 4 3 8 3 PHONE: 454-8100 BUILDING PERMIT APPLICATION ReCeipt # -~~~g $55,000. June 27~ ~q77 To be uaed (or Sin¢_ Fam Dwle_ d Gnre Date Srte Address 4498 Rid¢eviEw Di, _ Erect ~j Occupancy Lot_(~- Block_.~_ Sec/Sub._~}~eg~g~_~j~~~ Alter ? Zoning Parcel # Repair ? Fire Zone Enlorge ? Type of Const. V w Name Unibilt Move ? # Stories 3 Address Demolish ? Front ft. ~ Grade Q Depth ft. Cit Phone ApDrovals Fees p Name {~iLl~`;~P-~ ~AC. o~ Address 9001 fi Bloomington Freemav ~~ument - Permit 148.00 _ V~ Cit B100IId21gGO~a~e 884-3365 Water & Sew. Surcharye 27.50 Police Plan check ~w Name ~W Fire - SAC 495.00 Address Eng. Water Conn..~Qi~ Qw C~ phone Plonner WaterMeter~Q~~d Council I hereby acknowledge thot I have read this opplication ond stote that g~dg. Off. the infortnation is correct and agree to comply with all applicuble APC Total 940.50 Sfote of Minnesota Statvutesy d City of Eagon Ordinances. Signature of Permittee~l~ ~~""""^R ~ A Building Permit is issued to: Uni ilt In , on the express condition ihat all work shull be done in o~/r)dance with all o imble St~ f Minnesota Statutes and City of Eagan Ordinances. Building Ofticlal ~ _~~~`-y / /y~ REQUESTFORELECTRICALINSPECTION ~°s`~§.a eeooom-os ~ ' L O~~ ? See instmctions ~or completing IDis lo.m on beck of yellow copy S~~~! 8~J .~'r y~~. y ~ [Y / 5 X" ~e/ow Work Covered by This Request ew AOd Rep. TypeolBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Wa~er Heater EleCiriC Heating Apt. Building Dryer Ocher{Spacity) Comm ilndustria~ Furnace R~iA.. (9 c.~, V'7'S Farm AirConditioner 4' („~('tij-l~ Ol~er ~s{recityl ConVactor's RemaMS' ~O R GY.t Compute Inspection Fee Below: 8 01her Fee # ServiceEniranceSize Fee # Ciroui[s/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hansformers Above 200 _ Amps Ab -Amps SignS Inspector§ Use Only: ~O O~ TOTAL ~ SCn Irrigation Booms o~ Special Inspection Alarm/Communication THIS INSTALlATION MAY BE ORDERED DISCONNECTED IF NOT O~her Fee COMPLETED WITHIN 18 M HS. 1, the Elecirical Inspector, hereby Rovgh-in ~aie ~ y certify that the above inspection has F;~ei oa~e been made. OFFICE USE ONIY T~is reque3t witl 18 monihs ~rom , ~ 5 0 6~ l~.le f~~ ~'~o Repuest Dale re No. Rough-in In4 G Requiretl? ? Ready Now p Wili Nofify Inspeclor /3 ? Ves G No When ReatlY? I~ licensed contractor ~owner hereby request inspection of above electrical work at~ JcG Atltlress ~Street. Box w Route No.~ Ciry yy y~ ~r ~,r,E~ ~ ~~r Seabn No. Township Name or No. RanBe No. Caunry Occupant IPFIM~ r_ Phone No. ~R - ~ Eu< z ~5 y-(o ( b~ Z Power SuOplier e~-/~~ }^cA Atltlress IA* ~.JLI\1 ~'~l~C~ E~ecitlcal Comretlor lCOmOany Name~ Contrenor§ License No. ~rrf:r cvn fY Mailin naaress ICOmmaor or Owner Makmg Installation~ Aut~oyz gnaWre ~COmrac~ouOwner n ns lation~ Plrona Nom~er ~-r y~-~ MINNESOTA ~ ATE BOARD OF ELECTfi1CRY THIS INSPECTION REpUEST WILL NOT Griqgf•MlOway Bldg. - Room Sl]3 h BE ACCEPTE~ BY THE STATE BOARD 1Bf1 Univerel~y Ave., St. Peul; MN 55106 ~~r~' UNLESS PFOPEF INSPECTION FEE IS Phone (611) 6C2-0800 ENCLOSED. ~ 3 g j ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB R~, EAGAN MN 55722 1~~ 5- 651-681-4675 New Conshuction Reauirements RamodeVReoair Raouirements • 3 regislered site surveys slrovrirg sq. ft. of lot, sq. fl. ol house; aM all roofed areas • 2 copies of plan (20% mauimum bt coverage allowed} • i set of Ene~gy Calculatlons ~or heated addiGons • 2 copies of plan showing beam & window s¢es; poured FouM desgn, etc.) • 1 5Ae survey far exterior additio~x & decks • t set at Eneryy CakWations • Indicate if home served by sep6c system for additions • 3 copies af Tree PreServation Plan if IM platt~ after 111J93 • Rim Joist Detail Optqns selection sheet (bldgs wAh 3 or less uniLS) DATE v7. R' VALUATION ~S ~O SITE ADDRESS RB /'1 ~G~ ~ t!r ~t cv p"' MULTI-FAMILY BLDG _ Y _ N TYPE Of WORK~tor~ O~'~ ~ Qr ~ou ~ FIREPLACE(S) _ Q_ 1_ 2 APPLICANT T011 ~ ln t LGn S~ Od Z~ STREET ADDRES$ ~OD U~{ c~' 1 B~"' S~ ~ISO CITYRloa~o~. STATE J1' ~ZIP S'SQZO' TELEPHONE #gS2• QEi_ ~oSS CELI PHONE # L~2- 328- LSt. / FAX #~T S2- L~~il 4~ G'j ~ PROPERTYOWNER I{ I ~C~ TELEPHONE# G~SJ-~S'4-L~u~2- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINN~S01'A RULES 7670 CATEGORY 1 MINNESOTA RUI.ES 7672 (J submission rype) • Residenfial Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # , Plum6ing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Bakhs Mechanical Contractor: Phone k Mechanical system includes: ~ Air Conditioning P'ee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone lk f hereby acknowledge ihat I have read this application, state that the information is correct, and agree 1o comply with all applicable State of Minnesota Statutes and City of Eagan O~ances I Signature of Applicant IUIY 2 9 2002-- OFFICE USE ONLY ~y Certificates of Survey Received _ Tree Preservation Plan Received _ Noti2equired _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Rerooi ? 4$ Windows/Doors ? 34 Replacement *~emolitlon (Entire Bldg only) • 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 W idth REQUIRED INSPECTIONS _ Footings (new 61dg) Finat/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ pl~~g _ Fowdation ~pC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucw Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insula[ion _ Retauung Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT ~ontrol No. O 7 CJ 9 ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: eux~oxN~ Eagan, Minnesota 55123 Permit Number: 000986 Date Issued: 0 7( 0 6/ 9 2 (612)681-4675 SITE ADDRESS: 4498 RIDGEVIEW DR LOT: 6 BLOCK: 2 CHES MAR 1ST DESCRIPTION: -Building Permit Type SF PORCH _ j euildiny',Work Type NEW ~ , ~ - ~ ~ , i ~ ~ t - , _ . ~ ,i~~ `~I) .ti7'~ ; ~ ~,j i~~,i L ~ . ~ REMARKS: RECEIPT b QI C~ ~ j~ FEE SUMMARY: VALUATION 59.000 Base Fee ;108.00 Surcharge 54.50 Total Fee $112.50 CONTRACTOR: OWNER: - APPlicant - TELKE TERRY 4496 RIDGEVIEW DR EAGAN P1N (612)456-3137 2 hereby acknowledge that I have read this application and state that the informetion is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L ~ ~A~2%/`~_ ~~h--c• ' - ~ .~~~I APPLICANT/PERMITEE SIGNATURE ISSUE~ BY:~ I NATURE PERMIT ~ CITY OF EAGAN ~ ~ REACTIYA~E _ 1992 BUILDING PERMIT APPLICATION ~ 681-4675 .;?~t~t ~ a REC~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of ~ specifications, 1 copy of energy calcs. Penalty 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 is re uested once ermit is issued. Date ~P / ~ ? Yaluation of work ~~i ^ . Site Address: ~~c~{` ,~l~z>~V~'~t,c~ STREEi SUtTE R Tenant Name: (commercial only) IAT SIACK Z SUBD. C/~5 A~er ~ P.I.D. M h Descri tion of work: ~~~A~~C~ ~~LrCiG ct3iTN SC~C`~~ 1`~vk~i'F A~ nF ~~`Z=<< The applicant is: ~Owner ? Contractor ~ Other coego~fee> Name -~~-1<1`Z Phone ~?S~/-L~n~(~'~ Property «5, F~RSr , • , 5~.5Co-- ~r3, ~ce13 Owner Address ~`f~~ D ti~ Y/ t~. ~ . ~ STREET STE f . City ~'~f Pr~ State ~N Zip SS~ Z- 3 Company Phone Contractor Address License ~ Exp. City State Zip Company Phone Architect/ Engineer Name Registratian # Address City State Zip Seaer 3 water licensed plumber . Processing time for sewer d, 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 3tate of Minoesota Statutes and City of Eagan Ordinances. ~ ~ ~ 5ignature of Applicant: ` `r`"/ v ~``Jr`~~ OFFICE USE ONLY , BUILDING PERMIT TYPE O O1 Foundation ~ 06 Duplex ~ 11 Apt./Lodging ~ 16 Basement Finish O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ~ 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ~ 13 Garage/Accessory ? 18 Comm./Ind. ~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Co~n./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 De.ck ? 20 Public Facility ~ 21 Miscellaneous WORK TYPE 31 New ~ 33 Alterations ? 35 Tenant Finish O 37 Demolish ? 32 Addition ? 34 Repalr ? 36 Move C,ENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump M of 5tories Footprint Sq..ft. Fire 5prinkler Length On-site well Census Code y~ Depth On-site sewage 5AC Code APPROVALS Planning Building Assessments Engineering Variance REt~UIRED INSPECTION5 ? Site ~ footing ~ Freming ? Insulation ? 4lallboard ,IJ final ? Draintile ? Fireplace Perrr+it Fee vo~~t;o,,: ~ 9,000 Surchar`t~e ~ ~ Plan Review '~3~~ X3S ~ ~~SO License MWCC SAC city sac Nater 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 . . ~ . ~f~~~ Da~.e: Lo~2S/~77 BUZLD2idG PERMIT APPLICATIQd ~or ~ BzocK Z- Ai)DTTIOid ~H~S: mp~ f'rk.sr ~aoi` o:,~ :~A;t~F.; ~ SECTION INP9DER IF UI1pLATTED :~w~~.,ss or ~:,nr.~EL R I DG E~/ i E,W D~ i d6 :c:~=_.:a:; occ~Pata~t usE ~?nJGa~ F.9~m~i.,~ lz~S~pE~Si9~ oe , . . _ .:,~;an ::os^~ ~55~;, 300 o~•n~~z ~.C.~v~~~/%.9' ~~~uc.. s~rxor~ Vo. f38¢_ 336-r---„ 4!».-~;ss o/ ~ d'ZOO.,-,a.?ctea ~2~~A"Y~ ~Loor~i,ai~ro.,~ .S--l"5~10 CO!?`.'RACTOR s/}-iYl ~ TELEPHONE tSO. T.DI'~.ESS - Tdote. Inclade site plan, building plans, and energy calculationa o~ith thi.r application Signed ~~-c.~.i f~ OFFICE USE r~u,uz~m=ota ~~dd 0 ~ ;a~ ~75 OD _ ~ ~:'r~ C.>i~P..'?.G"i IOk2 0~~0 . O(~.... . - - _~..'g•R l:SETER ~.U,rn -.*JIT~DING PERLIIT FEIi ~ ~ ~ ~ ~ ^iJRC[?r.~E FEE ~ ~ - ~Li4T C"r~:CIt FF.~ - _ ?aRK DEDIC.'~TIO?a FEE ~ . C~ ~ C/ OTFSER f r''^Fi i~* - ='.`?~O`J14LS: ^ . 4S?dSSI+I,:.NT CI,ERK~__BDIIDING DEPT. POLICE DEP'F. •.~?,.,~'R & SEF7~R DEPT. FIRE DEFT. P31RIC DEPT. _ _ - • ~ F ~ " ~343 ~ dy. ~ (~a L oc 1~ z~, G Ff T 5 . I~"l,4,e k so- l~ o.~~ rie',..+ ~oS.IS 1 n ~ R ~ b \ ~ ~ ~ ~3 ~ ~ ~ N n ~ 7 ~ y 1 NG~~ ~or m~ ~ aF ~ ' 4 I / ~/a3:o r ~'~s ~~F,F~ 6 ~ a . ~ . - PERMIT ~ CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: a u r ~ o r N s Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 811 (612) 681-4675 Date Issued: 0 9/ 11 / 9 6 SITE ADDRESS: 4498 RIDGEVIEW OR LOT: 6 BLOCK: 2 CHES MAR 1ST P.I.N.: 10-17100-060-@2 DESCRIPTION: j'-`~~,~ R E R 0 0 F ~uilding.,Permit Type STORM DAMAGE `Building Wo.r.k Type REPAIR Census Cade ~~lm 434 ALT. RESIDENTIAL n. J~ ~ j _ ; I ~y~ . ~ : . . 4~ ~ f Y~ ` .r 4 .~,v~..~ y ~ t • -`-si i ~~v' lt ' j i i~ ~ F. t ^ ~ ~ \ << ~ i 14`~I i x~ ~t.. t 1 ~a ~ t...i S r . 1;,, ~ _ . , r '-y REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. ~IC.OWNER: HORIZON ROOFING 18903990 2~012795 TELKE TERRY 1333 LARC INDUSTRIAL BLVD 4498 RI~6EVIEW DR BURNSVILLE MN 55337 EAGAN MN (612) 89@-3900 (612)454-6182 I hereby acknawledge that I have read this application and s~ate that the infarmaCion is corNeet an-d agree to comply with all applicable StaCe of Mn. ~ Statutes and City o# Eagan Ordinances. . _ _ APPLICANT/PERMITEE SIGNATURE ISSUED . SIGNATURE ~ / / CITY OF EAGAN 3830 PILOT KMOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL) 681-4675 New Construflion Reauirements RemodeVReoair Reauirements ~ T~ /P<Z ? 3 regisfered sRe surveys ? 2 eopies o1 plan ~".,y~~iO,yQ.. ? 2 aopbs oi ple~ro (include Ceam E wAndow stzes; poured fid. ~sign; etc.) ? 2 sHe surveys (exteNor aOdiliona & deeks) ? 1 e~rergy ealculatbne ? 7 energy ealculalfona for heated addftia~s ? 3 eopias of pee pieeervation plan N bt pletled after 7/7/93 requked: _ Vaa _ No . DATE: A-~11 I I CONSTRUCTION COST: • O D DESCRIPTION OF WORK: ' ~TeGQ- STREET ADDRESS: ~ ~ LOT ~ BLOCK ~ SUBDJP.I.D. ~ ~ ' _ PROPERTY Name: TQ~P2-/ ~~1[~"-~-_ Phone ~~J 7_ OWNER ~ ' Street Address• ~~~9A i) ~~~rz[~rar~l /~~iJe _ Ciry: ~C?c1~-~'/ State: ~ Zip. 5~/~ 3 CONTRACTOR Company: f~ O~~Z~~J 7~ ~~i ~?9 Phone ~3gOU 5treet Address: ~~--~3 ~9~°C L~ ~ ~L~cense ~S6.~L,a ~`~S City: ~U~~~~%/~e. State: ~'J Zip• ss~~37 ARCHI7ECTl Company: Phone ENGINEER Name: Registration Street Address• ~~y: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change a~d lot change are requested once pertnit is issued. 1 hereby acknowledge that I have read this applicaGon and state that the information is correct and agree to compiy with ali applicable Scate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ ~ OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No I OFFICE USE ONLY _ BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex o 11 Apt.lLodging o 16 Basement Finish 0 02 SF Dweliing ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex a 15 Deck WORK TYPE ? 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demofition GENERAL INFORMATION t.6nSl. (~Ciualj o~iSe'itlo~rii 3y. i~. ~ ' ivii.;r~:+ uy5iei~i (Allowable) Main levet sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Buiiding Engineering Variance Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC VYater ~nnn. Water M~ater Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC UnRs ~ ~4~~ ~ 11~ 20Q~RESIDENTIAL BUII.DING PERNIIT APPLICATION o~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenis RemaleUReoair Reauiremenis OA'ice'Use OnN 3~iste~ed sile surveys showin9 sq. R of bt sq. ft of house; and all roofed a2as 2 copies of plan CeA of Su~vey~RerA ~~Y tJ (20%maximum lotcoverage allowed) 1 setof Ener9y Calwlations (or heated addNOns Tre~ Pres ~anR~cd* ~ Y N,~~- 2 copies of plan showing beam & window slzes; poured found design, etc. 7 site surveyfor additions & decks Tree Pre~Req~$ed~~ ,~_,Y =N i set of Ene~gy Cak,u~ations Addifion • irMicafe il on-site sepfic system ~MSlte SepGc'System,~~.^Y~_:N 3 copies of Tree Preservation Plan'rf bt platted aRer 7/1l93 Rim Joisl Dehall Options seleclion sheet (61dgs wifh 3 or less unds Date {"1 / ~/V Construction Cost a Q Site Address 1 ~1 ,1.. ) ` UniUSte # DescripHon of Work ~ ~ Multi-FamilyBidg _ Y~N Fireplace(s) _ 0 _ 1 _ 2 r Property Owner ~ E-~ Telephone #(~j~) Jc~ -{n ~ S(Z Contractor ~ I ~ 1~ Q~ Address^ r~, C~h' _ N ~ •'Z/~n State I vGN Zip y~_ Telephone #Q Qj1 )"L~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy CAde Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eag~thla similar plan? _ Y _ N If so, 25% plan review fee applies. _f--~~ 1, Licensed Plumber ~ Telephone # ( ~ 1J,` 'i ru~,., y , Mechanical Contractor Telephone # ( ) Sewer/WaterContractor ' Telephone#( ~ L, 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 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 wluch requires a review and approval of plans. ~1. n~n~ -rn a~rnras~~n ApplicanYs Printed Name A icanYs Signature ~ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 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 E~cL Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ 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 AI[eration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout to applfeant 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) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fueplace _ 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 øðø ì ÿþþý ÿþþ ýüýü ûþþ õìëòÿ ãòëäþ âã ÿþø ü îü þ ø ûúùõ÷ ùîü þ Ûü þ þù ó ïü óëü äþ ý þÿ þù ý þ ññåñ þäú óÿ úò äÿ óîáôùþóàçêåêñåå ÷û ü ëþ îéçêê èþüþýãê öô øóò ùùþ óÿ úò ÷ëõë ñþùþõÝâññåôì÷ úóüëäõññÿþþäõå áãàâãããâã ë úþ÷ëþëþì þëþùùþþþëþë óþ þþ óùú÷ëþþùùþ þ äþ þüþòú ÿþþí þê ùùþö ó þü üú þü CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED FEB 7 2 2012 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: /Zz, c2'1 Date Received: Staff: Name: (v /C,K lJ ed O L-SQ/•.1 Phone: Address / City / Zip: (Rob QI D6.E.U(� 6116P -r M lJ .55 (2 -2 - Applicant 2_Applicant is: Owner X Contractor Description of work: �11T 1 �iL673 � fN L— Construction Cost: T Multi -Family Building: (Yes / No Company: Ali5►2—Iv Q.GSIbe-11/4-ST( PL✓ Address: /1# Contact: Lan,c&f (& TairaCa e -S®61/44 City: VICIVIZJA State: n(1 id Zip: S c€73e Phone: 9'52- - 5-7 - 2g coS License #: 2063 'T /% Lead Certificate #: 6 -is If the project is exempt from lead certification, please explain why: (see Pac*4r adit�l information) C`G.C/ u I Zrr--YV 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: 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. 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 jEcepag k ©c -t 4 Applicant's Printed Name x Applica,ljgnature Page 1 of 3 Lizogv DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation_ Fireplace _ Porch (3 -Season) _ Storm Damage 4 Single Family Garage_ Porch (4 -Season) _ Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level_ Pool _ Miscellaneous Accessory Building WORK TYPES New_ Interior Improvement _ Siding 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 Plan Review (25% 100% k ) Census Code #of Units # of Buildings Type of Construction 1/34/ azo Occupancy 7 /?C —1. MCES System Code Edition ACV? SAC Units Zoning R-- City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers --- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Additio ).. Final / No C.O. Required Foundation siL HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final Framing Siding: _Stucco Lath ,Stone Lath _Brick Fireplace: Rough In _Air Test Final Windows 3L Insulation Retaining Wall: Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73- 56' 0 L/7 9Y Aa Page 2 of 3 GL/ LW LIa.L U4:44 b51y'i btE71 AkiiL All 16- ou&IkJ itifr4 Cite of Evan 38301311W Knob Road Eagan MN 56122 Phone: (651) 675-5675 Fax: (651) 675-6694 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: i) _ o a"Site Address: :LtLe Z krd , G` P ,460r JANLC:KYNLUMBING PAGE 01 Use BLUE or BLACK Ink For Office Use Permit # I 001 Permit Fee:. Date Received: Staff: Tenant: Name Suite *: Address / City / Zip: Phone; Name: t -,J An p Address: State: License #: -' p �6�Z' .J city � 'yIke,k..- 1WTS 1n zip: l im' Phone: (e<S% '7. New 1, Replacement Description of work: 45' RESIDENTIAL Water Heater RESIDENTIAL FEES:. $60.00nimt, Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60,00 Lawn Irrigation (includes $5:00 State Surcharge) $60.00 Add Plumbing Fixtures, S tic ystem Abandonment, Water Turnaround* (includes $5,00 State Surcharge) "Water Turnaround (add $189,00 if a 5/8" meter is required) $105.00 S, tip )c Svg, tem New ($10,00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ • �I,L BEORE YOU DIG. Cali Gopher State One Call al (851) 454-0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities, yvww,aQpherseonecail arg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with •ihancee and codee of the City of Eagan; that I understand this le nota permit, but only an application fora permit, and work Is not to start thovt : permit; that the work will be In accordance with the aproved pian In the case of work which requires a review and approval plans. AppllcenVe Printed Name Applicant's Signature )y " » (...) 1411404 EP Irl f? •evyji e'air Rebuild — Modify Space Work In R,O.W. Lawn Irrigation (RPZ1,-,r PVB) — Water Softener Septic System dd Plumbing Fixtures Main / Lkt 6 ver Level) New Water Turnaround Abandonment �`�'''%�j.1•. •� ��wny`% na�C'.",J%ti'.'•�:r',i.�:.a.�ry�ti°� PERMIT City of Eagan Permit Type:Building Permit Number:EA116462 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4498 Ridgeview Dr Lot:6 Block: 2 Addition: Ches Mar 1st PID:10-17100-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Jarrod Stenzel Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dwight Nicholson 4498 Ridgeview Dr Eagan MN 55123--180 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature ❑ TOWNSHIP INSPECTION NOTICE NOT MET ❑ COUNTY ❑ FOLLOW-UP I�-CITY OF 1r ps, PERMIT # EAU(o462 DATE _f ARRIVAL TIME ° ADDRESS e OWNER/CONTRACTOR TELEPHONE NO. Cl Site Inspection/Zoning ffittlOoDif/Reside LRawiadow ❑Rental Inspection ❑ Footing/Slab a /Exterior Plaster ❑Sewer/Water Hookup ❑ Poured Walls/Core Fill ❑ Plumbing UG/AG RI/Final ❑Manufactured Home ❑ Foundation Pre-Back Fill ❑ Gasline Air Test ❑Fire Inspection F ❑ Under Slab Vapor Retarder ❑ Mechanical RI/Final ❑Sediment&Erosion Control 1 F1 Framing ❑ Fireplace RI/Final ❑Status/Follow-up/Meeting R ❑ Insulation/Energy Code ❑Fire Sprinkler System ❑Special Investigation y ❑Wallboard/Penetrations ❑Fire Alarm System ❑Remspection ❑ Accessibility ❑ Demolition ❑Complaint Z ❑ Final ❑ Electrical RI/Final ❑Other: = COMMENTS: 11 e e P R � S s1C� oMr y y�� 1 �r S�e �L. A 1Pw1 r� e jS IfsIr Tall I coeF (�1c� 3.iE- rY OL r rG i L.31 'PS Co!.4Lky -71 �2 O � 1 W G're�pe" LCde_ CG„_,p :a cc ac!2 � C i O Oz Z W z W a W ul W All work must comply with MN State building code and manufacturer's installation instructions. Q ❑ WORK SATISFACTORY ❑PROCEED U ❑ CORRECT WORK ❑CALL FOR REINSPECTION ❑ PHOTOS TAKEN/VIEWED ❑A FEE OF$ IS DUE ❑ A PERMIT IS REQUIRED ❑A SPECIAL INVESTIGATION FEE WILL APPLY WORK COMPLETE CLOSE FILE 171 LETTER TO FOLLOW PLUMBING CERTIFICATE OF COMPLIANCE ❑ STOP WORK ORDER ❑NOTICE POSTED ❑CALL 952-442-7520 FOR ASSISTANCE Owner/Contractor Signature Print Name MNSPECT, LLC Inspector (952) 442-7520 Toll Free 1-888.446-1801 Gold Copy to be kept on job site Whit.Cnnv/Municinnlno Fil<