4545 Ridgeview Dr Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN - ~ ~
Fee - _
"~~r l I l ' Fill in numbared s,qaces S/C •5``'
Type or Prinr /egib/y To~ ` `7 ~
kj..
1. Date L-• ~ 2. Installation Cost _
, ~ r.e~. . ~
3. Job Address t%~ - 1~- Lot Bik. Trect
4. Owner / r~i/f~`- - , ,
r ~
,j ~ ~ .
5. Contractor 'r ' . , Phone ' '
~ . r- - _ , _ ; /
6. Address / lf-`~~ ' ~i'~ "
i
r~
7. City - State ~ ~ ~ ' Zip . L
i '
8. Building Type: ResidentiaN ~1 Commercial O Institutional O
.
9. Work Description: New O Add ~ Altef Repair O
a~ "
10. Describe s~-.%y-
~r_~~' L_ i'~,,:
~ `
11. No. Fixtures No. Fixtures
Water Ctoset Cesspool/Drainfield
Bath tubs Septic Tank
l..~vatory Softner
~ Shower Well
Kitchen Sink ~ i
Urinal/Bidet Other f ~~~i
Laundry Tray
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify, that th ove information is true and correct, and I agree to
comply with all ord~ia s and co ~governing this type of work.
Signed : i /
for
Ro~ Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition Ches Mar 2nd Addn, ~ot S Rik Z Parcel 10 17101 O50 02
Ov~ner~^!!~"2E ~ r''' Street ~4S R~ ~eview QY'1VP State F.agan, MN SSl2'i
~
~ .
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 152. 76 7 4 20 - 9-7
* SEWER LATERAL 9j
WATERMAIN
,t WATER LATERAL
WATER AREA 1 7 1 2 8
* STORM SEW TRK
,t STORM 5EW LAT 1978
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONIV. . - -
BUILDING PER.
SA~ sao.oa io~62 6-25- 8
PARK
~ r".
Receipt ' MECHANICAL PERMIT Pe?mit No. '
CITY OF EAGAN
~ ~ - Fes.
J Fil! in numbered spaces S/C
Typs or Print /epibJY Tot ~
1. Date J` 2. Installation Cost
F : ~ l ; ~ ,
3. Job Addrest ~ ~s ' Lot' Bik. - Tract
4. Owner
5. Conusctor . i Phone , ~r , t
6. Addreu ~ f • ~ ~ ` t
7. City ' State ' ; ZiP
8. Building Type: fiesidential ? Commercial O Institutionai O
9. Work Descxiption: New ? Add ~ Alter d~~ Repair ?
~ T,
~
10. Describe Fuel Type ~ -,c~ ,
r
11. No• EquipmOnL B TU - M. Es. No, EQUipment CFM
Foroed Air Air Handlinq:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg, Other
Air Cond.
Mfy.
Gas, Piping Outlets
12. I hereby certify tfiat the above information is true and cor~ect, and I ayree to
comply with alt urdinances and codes governing this type of work.
Signad: . a. for
Rouyh F inal
Inapections: Date Inap. Date Insp.
This is your permit when numbered and epproved.
Approved CITY OF EA(iAN 464~100
~'.d'~•~9~R~l4~;. . . Y~. , t- . . ~qwr•..;*~.-s-. - 4.~.... . . _ . •
- . . - .
= J . CITY OF EAGAN ' ~,3 ~s~5~ ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt# e
To be used for ~~i=~~ a` p~C~ Est. Va~ue ;1 S' ~ Date ~ 14 , ~ 9~~~
Site Ad~ress 4549 RtDG~VIa1iI DR
OFFICE USE ONLY
Lot Block Sec/Sub.
Parcel No. occuPa~cy ~3 FEES
~lIC~fA~L SI[~DCIi~I$ zoning =62~QO
W Name (Actualj Const - Bldg. Permit
~ AddfeSS ~~1O5H~1eE - Surcharge ~
City Phone ~ o~ s~ ' 105.00
Length~ ~i Plan Review
a VALLEY INVSST!l8NT8 COlIST D~ek
oU Name Depth - SAC, c~ry
Addre ~ S.f. To1al SnC. Mcwcc
U<
~ Clty ~ Phone S.F. Footprints -
On Site Sewage _ Water Conn
~ w Name On Sile Well Water Meter
W
~Z Address MWCC Sysiem - Acct. O s~~
<W City Phone Cirywa~er _ ~0
PRV Required _ SNV Permit
I hereby acknowlege that I have read this application and stale Ihat the Booster Pump - S/W Surcharge
intormation is correct and agree to comply~•with all applicable State of
Minnesota Statutes and City oi Eagan Ordinances. Treatment PI I
Sig~ature of Permitee I.~ APPROVALS Road Unit I
V~.~Y j~$~~g Planner '
A Building Permit is issued to: - Park Ded.
on the express coridition that all work shall be done in accordance with all - I
applicable State of Minnesota Statutes and City ot Eagan Ordinances. g~~. pry. _ Copies ,
' Variance - TOTAL ~
Building Official I
1
permA No, Pem~R Holder Date Telephone A~
WATER
SEWER
PLUMBING ~~J ~ ~7 ~~S
H.V.A.C.
ELECTRIC ~ O ~ A
Inspeelfon Date Insp. Comme~+ts
' Fo~ings ~ .Z! ~D
Foundalion
Framing ` / Jn~ ~s
Roofing
Rough Pibg.
Fiaigh Htg.
- z-
Final Htg.
Final Plbg.
Consl. Meter Plbg. Inspcctw - Notify Plumber
EngrJPlan
eid9. F~ ~ j ~
Oedc Ftg. ~ / ~
Oedc Final s" 2 ~ ~
w~i
P~. o~so.
CITY OF EAGAN
, 379s Pilot Kneb Road Eoga~, MN ss 12Z N~ 4 8 6 2
~ PHON~s 4b4-8100
BUILDING PERMIT Receipt # ' `s~ 2
To 6e u~ad for ` . . ; : ~ Est. Vul ue , ~ ~ • ` Date , 19
Site Address ~cry`~ = _ ~'~-E:~ / Erect Occuponcy
Lot Block Sec/Sub. Alter ? Zoning
Paroel # -'s ~i 1 Repair p Fire Zone
Enlorge ? Type of Const.
oe Ncme Move p # Stories
W
~ q~~~ Demolish ? Front ft.
Ci Phone Grade ? DePth ft.
o Name ~ ~ ' £"S {.DClSt. (:O. ApProrol~ Fees
o~ ~d~ :.}~o:;" Assessment Permit _
u~ Ci y~~~~ p}~~e '~2 4~`° Water & Sew. Surcharge
Police Plan check
~°C Name Fire 5AC
WW
F
/lddress Eng. Water Conn.
<W Ci Phone Pianner Woter Meter
Council
I hereby ocknowledge that I have read this opplication ond stote that g~dy. p{~, - •
the information is correct ond egree to comply with all applicable APC Total
Stab of Minnesota Statutes ond City of Eagan Ordinances.
Signature of Permittee ' ~
A Building Permit is issued to: on the express condition that
all work shall be done in accordancs with all applicoble State of Minnesata Statutes ond City of Eagon Ordinances.
Buildinp Offitial
?~en~M ~ Oaf~ Im~d /~Nffw
Plumbing S' 7 7 J~7~
Mechanital , f Q ~ 3( -
l-C. ~ S ~ ~ r- ti..~- - ,
INSPECTIONS DATE IWSP. Rouph-In Flnol
Footings Date Insp. Date Irap.
Foundation Plumbing -
Frame/ins. Mechoniool - y/ -
Finol `
I
Remarks:
a: '
' ' W:~ l
- ~ r
. . . -~i
- ' • . .
. y~
. , -1 ' ' ' . . ~ ' ~ : ~i .
CITY OF EAGAN
. • ~ 379'f Pilo~ Knob Roed
Eagan, Mlnwesoto S51 Z2
M~on~: 454-~100
t'Llii+L ; ~ i~.~ _ PERAAIT No. I157
Date: ~~7~78 Receipt No.: 1G6:~1
Singte
4545 Ridge~~ er; Dri ;ie Residentiol
Site Address:
Lot Block 2 s~b/sec. ~hes c~1dT 2nd Multi Res., Comm./Ind. I
i;llyes C:or:a
Name New/Alter./Repnir ~
~ Address ~93b riolyoke
Cost of Instollation
13 ~r'>Vi::ll~
~~.;C1
City Phone: Permit Fee
~enz% Ryan . ~r~
` Nome Surchorfle
~ '_4r4~ ~outh it~bert irai~
~ /lddreu
c
V9 ':>;~~:~0', i: `-J`~~.;C;`, ;~t~
CitY Phone: Total
This Permit is issued on the express condition that all work shall be done in accordartce with all applicable Stete of
Minnesoto Stotutes ond City of Eagan Ordinonces.
Building Official
CASH RECEIPT
CITY OF EAGAtV
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ~g
REG61 V ED
FROM
AM~UNT $ I
~ DOLLARS
~aa
? CASH ~ CHECK
roR ~
PUND COU4 AMOUNT
Thank You
~ BY
,
. White-Payers Copy
Yellow-Posting Copy -
Pink-File Copy
. CITY OF EAGAN !~'~'q~
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: d548100 .
QUILDING PERMIT R«~ia~ # ~
Te b~ w~d for SASEMENT FIN~S~'oiue S 19 , 0 U(; Date D EC F'i ti; i:~: 13 ~ 9 ii =
AIDGE VIBW DR E?ect ? Occupency _
Site Addrpaa
Lot ~ Blxk Gec/Sub. ~ r' p`~~ Remodel ? Zoning
Percel No. Repeir ? Type of Const.
Enlarge ? No. Stories
W Name j1IKF. SIM1<INS Move ? Le~gth ~
~ . . - Demolish ? Depth
Address
Grade ? Sq. Ft.
City Phone
~ `I'ILL(7r~S CUiv^`~' CC~ APprovah F~es
Neme .
Address - i; C) L Y(~:~ L• AV E. P. C. BOX `_7~sasurm~t Permit ~
City ".~i
; F,V I LL 1~; Phone 4 4 Woter d~ Sew. Surchorps y.'~
Polite Plon theck 7. ~ 5
~a Name Fin SAC
F, W
Addresa E?q. Woter Conn.
~W City Phone Plonner Woter Meter
Councll Road Unit
1 hereby acknowledge thct I Fave reod this opplicction cnd state that g~dg. Off. Parks
fhe informntion is corrett nnd ogree to oomply with oll applicoble APC Total Z 1 1.?_ S
Stats of Minnesoto Stotutes and City of Eoqon Qrdirwnus.
Var. Date
5lpnoturc of Permitte~ ` ~
I_~r~; ~lx.s ~
1_,f;r . ~i t,(?
A Bulldinq Perm~t is issued to: on the ~xpross cadition 1ho~
all work sholl be done in accordance with oll opplicoble State of Minnesota Statute• and Cify of Eoqnn Ordinonce~.
Buildinq Offlcial
Pe?mit No. Permit Hold~r Dats
Plum6ing ~ U ~`Z a ~ ~
H.v.a.c. r~ ~~~t-h-c 3~ ~5 y~b - G~ 2-
Ebctric ,~~1 x ~ ~ ~ ~ t,~ ~ / r
Softanar
Impection Data Insp. Other
Footinyt
Foundation
FraminQ ~
/ r
Rouyh Plbq.
Rouqh HVAC
Inwlation
Final Plbg.
Fi~al HVAC `f_~ ~ Le~ S~GG"~'f~c ~ C~ k w
tf~ de.,-~ 6~~ y - ~
Ft~ei ~ ~ A
c~voa. ~ E' ~T•
w~~~ Dsseri6s Location:
Well
S~wer
Pr. Disp. .
oF ~o~N SEWER SERVICE PERMIT
37715 Pilot Kaob Road ~ PERMIT NO.:
Eagan, MN 55122 DATE ~ ~
Zoning: No. of Units: ~
Owner: ' i -
Address:
Site Address: ~ 5~1 ~~.'~-t?qE?y,~M(~ -t~r i. C'!~ I T
Plumber: . ~ , . ~
~:l~~~f) ~i~
1 agree to comply wiM+ the City of Eagon Connection Charge: ^ n.~ n
Ordinonees. Account Deposit:
Permit Fee: ~
Surtharge: '
By - Misc. Charges:
Date of Insp.: Totol:
Insp.: . Dote Paid:
OF EAGAN WATER SERVICE PERMIT
i5 Pilot Knob Road PERMIT NO.:
~agon, MN 55123 DATE:
Zoning: _ No, of Units:
Owner: ' ~ -
~
Address: .
Site Address: : - .
PI umber:
Meter No.: _ Connection Charge:
Size: _ Account Deposit:
Reader No.: Permit Fee:
1 egree to comply wifh fhe City af Eogan Surcharge:
Ordinanees. Misc. Charges: , r
Total:
BY Date Paid:
Dete of Insp.: Insp.:
, <
; _
.
CITY OF EAGAN
' r" r~ 3795 Pilat Knob Road ~j~jl(I~t AIR g~QQZRED
- Eogan, Minnesoto 55122
Phone: 454-8100
~iEATIN~ PERMIT No. 1334
~e: 10-3I-78 Receipr No.: 12208
Single
Site Address: ~545 gidge~?i~ Dt1V~e Res~dential x
Lot 3 Block 2 SublSec. ~ Z~ _ Muiti Res., Comm./Ind. I
Nome '-'illgea CoTlSt. New/Alter./Repoir
~e° Address z~36 HOlyoke Cost of Instollation
City App~e VsIIe~ Phone:46°-ZI44 Permit Fee 2n•nr
Name '~`e H~arc.~~re Store Surchar9e , 5n
~
~ Address 345 - 3rd Street
3 C~Ty F8~.78~.I1';tc?Ti SSOi~ Phone• G~? Rh~~ Total `~r' ,
This Permit is issued on the express condition thot oll work shcll be done in accordonce with all applicable Stnte af
Minnesota Statutes and City of Eagon Ordinances.
Building Officiat
CITY OF EAGAN 1 g558
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~ ~ ~I
BUILDING PERMIT Receipt p
To 6e used for ADDITION & DECK Est. Value $15 ~ 000 Date NOV 19 , ~g4~
Site Address 4545 RIDGEVIEW DR
5 2 CHES MAR 2ND OFFICE USE ONLY
Lot Block Sec/Sub.
P3fC@I NO. Occupancy FEES
Zoning
w Name MICHAEL SIMKINS (Adual) Const _ Bldg. Permit 162.00
; AddresS 4545 RIDGEVIEW ?R (Allowa6le) - Sumharge 7.50 ~
° ~~~y EAGAN Phone :r o~ sio~~es -
Lenglh P~an Review 105.00
o Name VALLEY INVESTMENTS CONST oepm Deck T~ ~larsnc, c~~y
g~ Address 2401 LEXINGTON AVE S s.F.ro~ai - snc,n+cwcc
~ City ~NDOTA HTS Phone 454-5191 S.F. Footprinls -
On Sile Sewage _ Water Conn
~w Name On si~e wen - wa~e~ Ma~er
Addfe55 MWCCSystem
~i~ Accl. Deposit
aw City Phone caywaie~ -
. PRV Required _ S/W Permit
1 hereby acknowlege that I have read this application and state Ihat the BOOSter Pump - 5/W Surcharga
inbrmation is cor and agree to complKwith all applicable State of
Minnesota StaWt s an ity oi Eagan Or i ces./~ 7reatmem PI
Signalure of Pefmite ~l/ ,r+ APPROVALS Road Unit
A Building Permil' is ed lo: VALLEY INVESTMENTS Planner - park Ded.
on the ezpress co ~ on that all work shall 6e done in accordance wilh all Cou~c~l , 50
applicable State ol Minnesota Statutes and Ciry of Eagan Ordinances. Bldg. Off. _ Cov~es
J Variance - TOTAL 2 ~ 5.
Builtling Oflicial ~ ~~~vl fa. ~ ~
~ . . 4 D. ! I. • L: CY• k. ~ 0 C~~ C~ L 0^
oFT:T~iJ ,t,
3a"~'~' ALL CONT CTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE ~ SETS OF PLANS, -
, ~r ~ CERTIFICATES OF SURVEY
~i ~ SET OF:ENERGY CALCULATIONS
To Be Used.For: ~~$,tj~~~7,'".Valuation:~(9 DDD, DO Date: /1- 29 -g~J-
Site Address: C/St~~ /?lZXiEYl~UV TDK. o° ~ c a u o e
Lot: Blvck: .Z Sect/Sub: c~,.~ ~!,~'~J~rt,,,~Erect: Occupancy: ~-3
Parcel ~ /y~ Remodel: ~ Zoning: R-I
Repairp Type Of Const: 'SL
Owner: /`/~//~E a-rry/~/NS Enlarge: # Stories:
Move: Length:
Address: ~/S5~'S /~ioc~E?!L~'lN 1~. Demolish: Depth:
Cit /Zip Code:~ Grade: Sq. Ft.:
Y ~f~ic/ 55/21
Phone ~$Z- rJB(o0
Contractor: ~~5~~~~^~LG71LYt/'~p ~ ~ ~ ° ~
Address:a~OKEl~t'~ .$7Y90.S Assessments: Permit: I34.r'-~
City/Zip Code: [~~y/~~ ~ ,SSO44 water/Sewer: Surcharge: ~.S`
Police: Plan Rev.: (o~,zs
Phone # : ~la~J ~ Z!~'I~ Fire: . SAC:
Engr.r Water Conn:
Arch./Eng: Planner: Water Meter
Address: Council: , ,.~Road Unit:
Bldg. Off.: Parks:
City/Zip Code: APC: ' '
Phnnp$e ' .VaLiaIICO: ~ ~
2o x 3v Za x ~ 3 ~ ~;~o ~
2~ ~2~ = ~s~I ~ i3 = ~~~z
23~ i2~ ~ 2~~ x 13 ~ 3a~7
~
~ ~
oou,~
O Vl tf1 N N
d O~ C
Kl ~0 . -
N
cin oF eac,aN
~ ~ 3795 Ptlot Kno6 Rood Eegaa, MN 55722 N~ 4~62
` PHONF: 454-5700
BUILDING PERMIT APPLICATION Receipt # 10662
Te be uaed far ~LLING 8_GARert. Vo~ue 59~000.00 pafe 6/26 , 1976
sie~ qddreu 4545 Ridgview Drive Erect ? a~~vo~~v I
Lot 5 Block 2 s~~is„b. Ches ~dBT`~ .y Alter ? Zoning ~
pa~~ 10 171~ 0~ 02 Repoir ? Fire Zone 3
Mike Simkins E~iorge p Ty~ ot co~n. ~
W Nome Move ? # Stories
; qddregs Demolish ? Front ~ ft.
~ Ci Phone Grode p Depth ~ - ff.
~ Name Tillg25 CAtlSt CA Apvroveh Feea ~
o~ Address p9~ ~lyoke Assessment 2 7 Pertni~~
_
C. LakfVill@ Pho~ 469-2144 Water&Sew. Surchorge
Police Plan check
~W Name Fim 5qC `~0.00
`-W 250.00
x~ Address Eng. Water Conn.
<"Z' CI Phone Plunner WaterMeter
Council
I hereby acknowledge that I have read this appiication and state that g~d9, pff, 6'~ 7a
the informotion is correct and agree to w ply with oll applicable 992~r~~ ~
SMte of Minnesota SMt s City of gon Ordinances. 1 APG Total
Slgnature of Pertnittea ~ J
A Building Permit is issu to: ~ t on the axprew mndiHon that
oll work sholl be done ' ccordan f II appllcable tate af Minnewta Statutes and City of Eagan Ordinonces.
Building Official ' _
~ ~ ~ ~1. _ _ _ '
~ - \~i % \ ~ ~
~
~ ~
\ . '..I r~ ~1::.~. ~ . . /
. ~ . . ~
:Q:, . r . . f" .
, r. - .n,
~ ~ X'
E ~ _ . . ' .~1
~ L. Sri
~ ° f~rx~ifirttfr nf (~rru~ttrir~ -
~ ~ /
~itp of ~Eagan
; ~rpttrimenr ~ ~uilDing ,~n.s}~rrtiun : (
~
i ,
Thit Crrtifiutte iarued ~atutnt !o tbt nqai~emtntt of Sertion 306 0/ tbe Uni~orm BuiGling 4y i
i f , Codt urtifring that at tlx tinu of iattrarar thi.r itrruttnr wat in torrsplianct with tht va~ioru
~
; 1 wdinarua of t& City ngulrrting MriJding connruttiors ar str. For t/x (ollowing: ;
~ ' ~ ~ ~ ~ '
~ r u.cmasdhm SF Dwlg. & G~tcdge ~ ~a~r.~e~no. 4862
a~vm.r~rv~ I ~c~um V c~~. 3 zm;aa„~, R-1 i
~ Mike Simkins e,,,~, ~4an. MN ~
z~ iew Dr. Fagan. NA7 4, ~
~ a4~ -'"°"n i
r `
~ ~ Dec~ber 4, 1978
~ B ~wo wm:
` .
~ .o.. . m..~a,a,.
~ ~e ~
i ~e. _ u.
: . , : :
` 000[] ~Y ~ ~ ~ ~J
LITxO~MU.E.P.`
~/8/c~`' REQUEST FOR ELECTRICAL INSPECTION ~,"4~`•°'Q~ Ee-ooomoe
M ? See insimc1ions lor completing this brm on Oack of yellow copy. /a //+,~,pp~~ ~
w'f _ 4,0 3 •X° Befow Work Covered by This Request "
ew Adtl Rep. " TypeoBuilOing AppliancesWired EquipmentWiretl
Home Ranqe Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
..OtOer (specity) ConVector§ Remark9:
Compute /nspection Fee Be/ow:
# Other Fee # ServiceEntrance5ize Fee # Circuils/feetlers Fee
Swimming Pool 0 to 200 Amps 0 fo 100 Amps
Transformers Above 200 - Amps A6ove 100 _ Amps
Signs Inspector§ Use Onty: TOTAL
Irriqation Booms ~ ~c J ~Q ~ S ~
Special Inspection
Aiarm/Communication THIS INSTAlLAT10N MAY BE OROERED DISCONNEC'fED IP NOT
OMer Fee COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby R°"9n"" ~
certity thatihe ebova inspection has F~„~i oaie
been made.
OFFlCE USE ONLV
This raQUasl voitl 18 monNS I~am
~~42403 ~~p~° G
Request Date Fire No. RougRin nspection
uiretl ? ReatlY Now L~(N11 Notlty InsPector
I Yes ? No W~en ReatlY?
I 7icensed contractor ? owner hereby request inspection of above elactrical vrork at:
Job Atkress (SVee~, Box or Rouie N4) ~ ~ City ~
Jr c~ Q` 1.l' ~ i e,~..~ , c.-.~-~
Section No. 7ownshi0 Name or Na Faige No. Coumy l ~
~ WIGO~~c'`-
~
OccuOant(PRINT) Ptwne No.
!3 ~ des ~eh
Power SuDplier Atltlress
/1/SP ~ /1'I ~X
Eleclrical Comracwr (CO any Name~ Contracrori L'cense No. ~
~f ff'~ µl 6
Mailinq AtltlrOSS (GonVaMor ar Owner Making Ins~allation) ~
'`f .S~ ,S ~i aS~i'~~ S ///ti~S0,3_.3
Auttarixetl Signa re 1 VatrorlOwn a i InstallaGOn P~one N mber
l9'~.-./ •
MINNESOTp TATE BOAflD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GrlggrMldVrey BItlB~ - po^m S1T3 BE NCCEPTEO BY TME STATE BOAFlD
18P1 Unlvenity Ave., 51. Paul, MN 5510d UNLESS PROPER INSPECTION FEE IS
VMne (613) BC2-O800 ENCLOSED.
~ ~(0 REQUEST FOR ELECTRICAL IN~ECTION EB- ~1Ad
~ n , See insLUCtions for coapiet`~q this fnm on beck of Yellow eopy. 3~rF'G~
2 6 6 U 2 "'X"" Be/ow Wbrk Cove~ed by This Request J o
FA Rep. ~ Type ot Bufltling Appliancaa Wir~d Equipment WireA
Nome Range Temporary Service
Duplex WaTer Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Cortmercial Bldg. Furnace - Silo Unloader
Inditstrial Bldg. Air Conditioner Bulk Milk Tank
Farm ONer t~eury ~hrr ISUer,ilyl
t r SVecify Other O~her
ompute lnspectiun fee Below
p Fee ServicaEMranceSiza q Fee Feedere~Subfeeders # Pee Circaits
0 to 200 qm 0 to 30 qm s ~ to 30 Am
Above 200 Am ~ 31 to 700 Amps 31 to 700 A
Swimming Pool Ahove 100_Amps Alwve 100_Amps
Transiofiners Imgation Boorrs •SQ Partial:'Other Fee
Sig~s Special Inspec!ion S~O
Pem~rks ti.1Cl TOTA
~r.oU
HouBh-in Date I. the EieGlcieal ~
~ 1 pectoq hereby
certitv ~ha~ the above
Final ~ ~ k/ insOection has been
~de.
TM~ ~puwt voitl 18 moMns Irom I
This repuasl void V f~G L / 6
7H rtpnths from - 7
( J Q
B L 'r? ~'J C~I /Yl GC~ ~ / U . (J U
Neq~~Rst Oate Pire No. M h-in Inspecifon
} ~7 fle retl? ~Reatly Now ill No~ity, InsPer
/ / ~ ~ ~es ?No r When fleatly
Licereed Electrical Convactor 1 hereb •
y eQUest inspection ol above
Owner eieclrical wark irmtalled at
Street Atldress, Baz or floute Citv
~sS~S ~ C~/G'7~J ~.e. ~
ecbon o. Township Name or N Hanpe o. Cwnty
Occapant I~IINT) Phone N
' ~.cJ 7":
Power SupO~ier AAJress
Ele rical Con[ractor (COmpany Namel Gantrartur's License No.
~'.~-r~ -z-i~' U~/ ~~=.3
Mailin Address ~Contrac or w Oxmer id,iki~ Iretailati
~ ~ /_3 5"s3
Au rized 5~6nature 1 nvacl ner MakinB ~~b~~ationl Nurt~b¢r~
l C'''- J 7
MINNESOTA STAiE BOARO OF ELECTRICIT' THIS iNSPEGTION pEQl1EST WILL NOT
Griggs-Nidway Bleg. - Room Nd87 BE ACCEPTED BY THE STqTE BOAHO
iB2/ Vniversitv Ave.. $t. Peui, YN 55'104 UNLESS PqOPEN INSPECTION FEE IS
Pnona 1612) 2972117 ENCLOSED. '
~T~ree~uest void 18 months from /
' S ya R 52~8
Da~e of this Request ~-y, n~
I, as ~ Licensed Electrical Contractor Owner, do hereby request inspe~tion of the above electri-
cal wiring installed at:
' 43~lS
Street Address or Route No.~~e 1 ~j'~~e~-»~~a ~~~,r._~ City
Sectice Township Range County ~~E~a~
Whichisoccupiedby~,D~n,~~~')$/~ - 7~~W°- ~_~„„a)
(Name o~
Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Cap ?
Power Supplier Address
Electrical Coniractor U Contractor's License No~/ u v~
~ 'ompany rvame) 4 ~
Mailing Address • , ~SO ~
Elttt~ical Con ac o~ OwQer M ing This Installat on)
Authorized Signature Phone No.S~6~3 ~ 7~9~
(Electtical Con t or Owner Making s Ins allatlon) "
~ o Thi ' pection requert will not be accepted by the
-Gr~' ~'/,-`',y~~ ~o State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity ~
1~b4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ~
REQUEST FOR ELECTRICAL INSPECTION r~
~'t'~ECK BELOW WOAK COVERED BY THIS REQUEST ~ 5 2 G H
Type of Building New Add. Rep. p~¢~ Appliances Wired Fo~ Check Fquipment Wired Foi
Home ? ? ? Range Tempocary W'uing ?
Duplex Water Heater Q' Lighting Fixtuxes ?
Api. Bldg. Dryer ~ Electric Heating ?
Commercial Bldg. ? Purnace Silo Unloader ?
Industrial Bldg. ? Aix Con 0' Bulk M0k Tank ?
Fazm List List
Othei ? ? ? er Oehers#
A
COMPUTEINSPECTION B
Service Entiance Size: # ers&Subfeeders: # Fee Ci~cui[s: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres
Above 200_Amps. ~ Above 100 Amps. Above I00 Amps.
Tiansformers RemoteControlCirc. Partialo~otherfee
S' ns S eciai Ins ection Minimum fee 55.00
Remarks TOTAL FEE ° ~
the~Elec~rical Inspector, hereby certify thaJ.~ abo~~ ecfion hys been ma e,~p ,f0
Rou in / ~ ~e ~
(Final) %cJ. ~'-'v~~~~Date e~ - o'tib-? ~
This request void 18 months from
` CITY OF EAGAN N~ 9795
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454•8100 ~
BUILDING PERMIT Receior #
Te 6e u~ad fer BASEMENT FINI~1 Volue $19~ 000 Da1e DECEMSER 13 ~y 84
4545 12IDGE VIEW- DR Erect ? Occu anc R3
Site Addr¢ss P Y
Lot ~ Block ~ec/Sub. CAES MAR 2 Remodel C~ Zoning Rl
Parcel No. Repair ? Type of Const. V
Enlarge ? No.Stories
~ Name MIKE SIMKINS Move ? ~ength
Z Address S~E Demolish ? Depth
Grade ? Sq. Ft.
c~cy rnone 52-~
z TILLGES CONST CO Avv~~+ob Fees
o Nama
z~ 20936 HOLYOKE AVE. P.O. BOX 9°(~ssment Pe~nrt 5134.50
Address Woter & Sew. Surcharge 9• S 0
~ City LAKEVILLE phone 469-2144
Police Plon check 67.25
Gw Name Fire SAC
i~-,U Address ~ Erg. Water Conn.
~W City Phone Planner WoterMeter
~ Councii Rood Unit
I hereby ackrwwledge ihot I have read this appiicufion ond state that g~dg. Off. Parks
'the inbrmotion is torrect nnd ogree to comply with otl applico6le APC Total $
1~ 1,~_
Stote of Minnesoto $tatutes Ciry of Eogon irwnces.
~ Var.Oate
Sipnature of PermiMee. ~ -~A/~ .
A Buildiny Permit Is. iuued to: TIL GES CONST CO on the express condinon ~hm
oll work shall 6e done in xmrdonce with oll i ble State of inn w o Statutes and Ciry of Eagan Ordinances.
Buildinp OHlcbl
00
~331.a`-~ .
~2ESIDENTIALBUILDINGs
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeVReoair Reauirements Of6ce Use.OnN
3 registered site surveys showing sq. ft. of lot sq. k. of house; and all mofed areas 2 wpies of plan showing footi~s, beams, joisls Cerl o( Survey Rerd ~_Y _ N
(20°k maximum bt coverage albwed) 1 set of Energy Calculations for heated addifions TreePfes Plan Recd .=Y N,
2~pies of plan showing beam & window sizes; poured found desyn, etc. . 1 site survey for addi~ons & decks Tree Pres Reqwred . _Y _ N
lsetofEnergyCalculations Add"dion-ind"~cateifon-sitesep6csystem Oo-siteSeptic.System `_Y~ N.
3 wpies of Tree Preservation Plan if lot platted afier 7!7/93
Rim Joist ~efail Options selection sheet (buildirigs wAh 3 or less unAs) ~
Minnegasco mechanical ventilation fortn ~
51~ -
Date 1~ I~,~/ l Construction Cost /S~
Site Address ~L S~~ E3~ LC~~ ?:J/2. UniUSte #
~
Description of Work ~G.7ZYl~l L-C'fUb~L. ~nUUrvl C,LU S S
Multi-Family Bldg ~ Y ~i N Fireplace(s) x 0 _ 1 _
Property Owner ~~,Cfl,~,c>'rL Telephooe # ( )
Contractor CI.L~')~n~
Address ~ ~~~y ~ + / ~(.~}'/~1.~ ~-tlt~ . s City .~vYVb4~6'
State ~~j~}iJ}~-e-r n'UI~, Zip ~ ~~(~'Telephooet!(q~'~ ~-.~~o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
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 Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( }
I hereby apply for a Residentiai 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 which requires a review and
approval of plans.
~a~(1.~2'~ 'pu~Ttsl2~~`
Applicant's Printed Name Appli S ature
DO NOT WRITE BELOW THIS LINE
Su6 Tvoes
? 01 Foundation ? 07 05-plex ? 13 1Eplex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 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
~ 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg)-Give PCA handout to applicaM
DOSCription: Water Damage _ Yes
Valuation (`U L9 Occupancy MCES System
Plan Review 100% or 25%
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) _ Sheetrock
_ Footings(deck) FinaUC.O.
_ Footi~gs (addition) FinaUNo C.O.
_ Foundation k HVAC
Drain Tile T Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
~ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee / /
Surcharge J L~~'~~ J~ ~
Plan Review
~
MC/ES SAC ~
City SAC ~ ~
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. o,~
162•00+
7•~0+
1U5•00+
0•50+
2/5•00*+
~~~~pm 162•00+
7.5~+
105'00+
0•50+
275•OOT+
i ~
1990 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BiIILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
~ D~710, ~i.~ 1 b ~~,Z ~
To Be Used Fo • j~[i~~ Valuatio Date :
Site Address ~5~,~/~1~~~'~I~lA.~ ~Q• OFFICE USE ONLY
~ 1.5~~7~
Lot ~ Block ~ Q FEES
Occupancy Il 3
~q~ Zoning
Parcel/Sub CHES ZN'i~ ~Dp~A/, Actual Const Bldg. Permit ~b2,co
' * Allowable Surcharge ~
owner~~C1{-~L~IVnF~rNS # of stories Plan Review loS,oo
Q ~ Length ~;ecry- ~y~x 1~1 " SAC, City
Address ~,5 ~{S/~(~(~?IEGJ ~2 ~ Depth ~k - sea~u~q2 SAC, MWCC
) S.F. Total Water Conn
City/Zip Code ~/~G f=}Vv Footprint S.F. Water Meter
Acct. Deposit
Phone On site sewage_ S/W Permit
, On site well S/W Surcharge
Contractor 1..~~J 7~VI.Eh1 ti1S "MWCC System _ Treatment Pl.
`City water Road Unit
Address ~~Q/ ~X1~7Dr fT~.~ S PRV Park Ded.
Il ~ Booster Pump Copies ~S~
City/Zip Code /~~JDe7-ptF~~(p}y~_ - SUBTOTAL
` APPROVALS Penalty
Phone Lr ~y -~/9 ~ Planner TOTAL ~
Council
Arch./Engr. Bldg. Off. ~(~~Ifo
Variance
Address
City/Zip Code
Phone #
I
. . v~~~.,~
~ ~
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~
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EICIST~WG ~usE ~ ~ ~ .
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~fs4s ~iabE.vr~ew> >i R~~E
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D~~ ~ -a~-~~
BUZLDING PERMIT APPLICATION
' Znclude 2 sets of plans, 1 site plan w/elevationS and 1 set of energy calculations.
~
,~L' Ji
7b be used for ~~~p. Valuation ~
Site Address~b ~~~~~s~d~ (Jj~~G
y~~~
n~
Lot Block ~ See. Sub. Parcel Number ~7~0~ OSD o~,
Owner ~~,~d ,rS~,~je,~/~r.sia Telephone
Address
Contractor (~j Telephone O ~ f/
Address
_ I`
Arch./Eng. ~/,~w.,_~ o Telephone
Address
OFFIC~ USE .
Erect Occupancy
Alter 2oning ~
Repair Fire Zone J
Enlarqe Type of Oonst. L/
~Ve # of Stories
17emolish Front ~ SY
Grade Depth ~A
OFFICE USE
Date of A roval & Initidl FEES
Assessment b ab S~ _ Permit --1~ ~7' ~
4tater/Sewer . Sur~~~'4e _ _ ,
Police pian Check
Fire SAC , ~ ~
~9. t~7ater Conn. SO d'
Planner t•later Meter ~
Oouncil (
Pldg. Off TpTAL
A.P.C. . . . .
~ a ~~~a . .
y~ .~i ~
. . ~ S
7~--y
~
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~
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~iACprG <t oi'~' 4 ,i~
TII~LGES CONST. co.
I , .vc~m,i,F ~QINNESOTA l
PHONE LALSEVILI-E 469•2144
I Dh\V:I~.
B~Y~~_: ~DATE: fiEVL9ED NUMf3E& SCAIi I
~6}•!~',78~ ---~'JBt~a ~f"=2o I
~~____~_-e-d-- ~ ~
_ ~
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Address: 4545 Ridgeview Drive, Eagan Date Sept. 19, 1978
OwneY: Tillges Construction Cp. Order No. ~ 25911
Buyer: Simkins
GENTLEMEN:
~
PLEASE COMPLETE THIS PENDING AND/OR SPECIAL ASSESSMENT SEARCH AND KINDLY RETURN
IT TO US ALONG WITH YOUR STATEMENT OF CHARGES TO:
~yQ(~11{$~'qRqg$7R/~fF,'nj1E GUARANTY, INC.
' 204 Sliyway tYOrth ~
American National Bank Complez ~ 2
St. Paul. Minnewta 55101
Telephone: 227-9451 : ~NT$
On all that tract or parcel of land lying and being in Dakota County,
Minnesota, described as follows to-wit:
Lot 5, Blk. 2, Ches Mar 2n8 Add.
~ 6i )
aFr~jv d'
~ SFP ,2p 9j8
~
M
. . ~
?
< SPECIAL ASSESSMENTS=~ t ZL `
This is to certify that I have examined the records in the office of the Clerk,
Village/City/TOwnship of Eagan , Dakota County,
Minnesota, and ~rom such searc certi y t at t e ol owing specia assessments
appear unpaid with respect to the above described tract or parcel of land:
(If none, write "NONE".)
Total Amount Unpaid
Original Subsequent to
Kind of Improvement Term Becinnin Amount Interest Current Year
HOHE
~ PENDING ASSESSMENTS ~
I further certify that according to the records of said office, the following
improvementa are contemplated or pending in council, and are now in the proceas
of planning or completion: (Zf none, write "NONE".)
Approximate Date of Approximate Cost
Kind of Improvement Confirmation or Comnletion of Improvement
H06E
Dated this 28th day of Se tember ,n ,~9 q$
ji
~~•.n L .rih~'
Assessment Cier
Charge $5.00 Paid Village/City/TOwnship of ~itv of Eaaan
*Note: The above total amounts unpaid subsequent to current
year may be paid between:
January 2nd and May 31st with no interest
June lst and September 30th with 1/2 year interest
October lst and December 31st with full year interest
NS-TI 116
i'~. ~.1 i.? f-•'. .+_:6 r7i.L1_
September 14, 1977
Dave Gabbert
3755 Larchwood Drive
htinnetonka, Mt7 55343
Dear pave:
I have listed below the total assessments on the following additions: ~
Che~ ;d3r lst Addition A."40iT'v;
lot 7, blk 2 $1178.98
Lot 8, blk 2 1175.98
lot 9, blk 2 1178.98
CHES A1AR 2~1D`Addition ~ ~
~ lot 1, Ulk 1 ~ ~2825.51
lot 2, blk 1 272Q.21
lot 3, blk 1 2653.03
lot 4, blk 1 265~.66
Iot 5, blk 1 2704.14 !
lot 6, blk 1 2657.97
lot 7, blk 1 2653.13 ~
lot 1, blk 2 2664.80
lot 2, blk 2 2958.53
lot 3, blk 2 3177.42
lot 4, bJ.k 2 3d06.24
lot_5,_ blk 2~ 2984.55
lot b, blk 2 2913.39
18t 7, blk 2 2720.39
lot 8, blk 2 2931.55 .
lot 9, blk 2 3093.44
lot 30, blk 2 2728.14 ~
lot 11, blk 2 2575.13 ~
lot 12, blk 2 2636,78
lot 13, blk 2 2660.62
lot 14, blk 2 2632.i7
lot 15, blk 2 2576.95
loL 16, blk 2 2634.85 ,
lot 17, blk 2 2654.35 '
lot 18, blk 2 26A4.34
Ali the lots in ches Mar 2nd addition also have an unpaid balance for
Sewer trunk of ¢114.61 and Water area of ~142.58.
If you additional information please contact me at the City Hall.
Sincerely,
Ann Goers
Assessment Clerk
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # ' S
;,~S~i~,7,Pr?;?~'~~~~ DATE: / ~J
R~S~~~7'ST![X.; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.
TOWNNOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIM[JM 15.00
ADD ON ~ _ SHOWER 3.00
REPAIR _ _ WATER CLASET 3.00
BATH TUB 3.00
_~,f-~. LAVATORY 3.00
OWNER NAME: UU~UL. A~P~~Q _ KITCHEN SINK 3.00
n LAUNDRY TRAY 3.00
SITE ADDRESS: SS~S i~.(eu~. _ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: ~ BIACK ~ SUBD. r, n _ FIAOR DRAIN 3.00
, GAS PIPING OUT.
INSTALLER: L[lP/12Qi,Q ~l~~~l~ _ (MINIMUM - 1) 3.00
,p~~ ROUGH OPENINGS 1.50
ADDRESS : / '~1.~,~ ~Lf/ ,~7~/70~~ R.6~lr~- _ OTHER _
,~y WATER SOFTENER 5.00
CITY: (DQ-~QY!"l~ ZIP: JrS~oZ.1- _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE TSa ~15~p,5 j rJ'~ ,dv~i,~u
I/ SUBTOTAL S
~/~~~iy-~ ,nio I,~~,p~~J ST. SURCHARGE .50
S1~ATURE OF PERMITTEE
TOTAL: S j S. JO
~~MMER~x{~,f~]DUSTRIAL;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
~ MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1& OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
, LOT: BLOCK _ SUBD. $25.00 MINIMIJM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
l~V 7~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION 3~~) a
City Of Eagan ~a 5'~ ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single famiJy dwellings & townhomes/condos when permits are reqn'ved for esch unit ~
Date~/~~ ~r
Site Address ^f I C!Q ev f~w !)1". IInit #
Property Owner ~ ~ C~ a~~ aJ ~ i'Y1 K ~ Yl S Telephone #(/p1r/ )~SoZ ~
Contractor ~ Q 1.11 I 0.
Street Address ~(e (O ~ ~'V City O 2N1~ W
1~
State U Zip eiv "~y~~lephone N((p5i ) c~c~' ~~~~P
Bond Eapires:
The AppGcant is _ Owner ~ Coutractor _ Other
Add-0n or alteration to eaisting dwelliug unit $ 30.00
~ fumace _Additional ~Replacement _ New
air exahanger
X air conditioner
heat pump -
other -
- _
State Surcharge $
$ d~-
Total
I hereby apply for a Residential Mechanical Pemut and aclmowledge that the information is comple[e 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 pernu; 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 approv 1
1 nc~ aleY~~~"~U4GCaOrc~~no~~'o?'
Applic nYs Printed Name Appli ant' ~ignature
Z005 CONIlVI~RCIAL MECHAIVICAL PERMIT APPLICATION
City OfEagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaVindustnal buildings
mul ~ly buildings when sepazate pertnits are not requ'ued for each dwelling unit
Date1~/~~/ 0
Site Sh•eet Address ~ ~l Uuit #
Tenant Name (if ptica6le) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond ~i ~i~-e,q:
The Applicant is i 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, call for inspection by Fire Marshal and Plumbing lnspector
PCI'~7it FCE9: $70.50 Under~ound tank instatlationlremoval
550.50 Afinunum (includes State Surcharge)
or
Contract Value $ x 1% PeruritFee
$ State Surcharge
If errmit fee is less than $1,000, add $.50
If permit fee is more t6an SI,000, surcharge
is $.50 for every $1,000 owed
$ Total Fee
I hereby 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 pecmit, and work is not to start cvithout a permiY, that ffie work will be in accordance with
the apprwed plan in the case of work which requires a review and apprwal of plans.
Applicant's Ptinted Name Applicant's Signature
Approved By; Inspec[or Date:
Required Inspections: _ U. G. _ R.I. _ Air Test _ Cras Service Test _ Infloor Heat _ Final
~ r__________
i u9...:'_~.le~ ___'__l
j Pertnit f ~ ~ ~ I
City of Ea~a~ F~ a 5 zoo9 , ~ ~
3830 Pilot Knob Road ~ PertnitFee: ~ ~
Eagan MN 55122 ~ Date Received: J j
Phone:(651)675-5675
Fax: (651) 675-5694 I Staff: I
L_________________~ .
2008 RESIDENTIAL PLUMBfNG PERMIT.APPLICATION
Date: Site Address:
- Michael Simkins
Tenant:. 4545 Ridgeview Drive
_ Suite ~
Eagan, MN 55123
RE§IDENT / OWNER Name: 6514527860 ~e:
Address / City / Zip:
CONTRACTOR Name: l~ License ~ U/
Address;_~-{ L~~~.~~ p~ ~'v ~ ~
Ciry: _ 1 r V(/ ~S . State: ~ Zip: 55~- D~
Phone:~ W~~L~ ~2~' TD~;J Contact Person: VP~S S
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuiid _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE REySIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
~ RPZ I_ PVB) ~ Main _ Lower Level)
_ Septic System Water Turnaround
New -
Abandonment
RESIDENTIAL FEES:
$50.5U Minimum Water Heater, Water Softener, ,or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Piumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $136A~ if a 5/8" mefer is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.5~ State Surcharge) 5 O
TOTAL FEES $ SO,
I hereby acknowledge that thls informatlon is complete and accurate; that the urork will be in conf ance wkh the ordinances and codes of the City of
Eagan; that I undershand this is not a perrwit, but only an application for a permit, and xro s not to start wf t a pertni~ that the work wiil be fn
. accordance with thB approved plan in fhe case of work which requires a review and approv of pl
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City of Ea�all
3830 Pilot -Knob -Road
Eagan MN 55122��
Phone: (651) 675-5675 av ��Q1%
Fax: (651) 675-5694 1
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: CD. j 1I' 11 Site Address:. tRIV 'J I L. VV 1)d
Name:
RESIDENT /
OWNER
1�I N MNG' SON* 111°A.
Phone:
Unit #:
Address / City / Zip: LAT -K 1404t.V1 v Pt.
Applicant is:
Owner
Contractor
Description of work: RCfLINC1 1) ,ckIWG' P- PILi�v6,5 OW 0(IS iiiv6 p.L�
i
Construction Cost: / 66(5—Multi-Family Building: (Yes / No )
Company: OW Gn SiehelS Pis)cioL (?tALa Contact: 'TISc Etr,tmiork,
Address: 18732_ L kites vILCL'' rrk.
State:
Zip: Irj 6CL \-k
License #: RC Sc l2_4ce,
City: I --
Phone: C.1' 2-3Y-1166
3
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
.1.1455,4110104,51.1111*111
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:
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
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.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
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
y Deck
Lower Level
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Porch (3 -Season) Storm Damage
Porch (4 -Season) Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
)( Final / No C.O. Required
/ HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
72—
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
()Oa)
Y> 3
1 "7
Page 2 of 3
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neflosto
( DC*.
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L(
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117635
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 4545 Ridgeview Dr
Lot:5 Block: 2 Addition: Ches Mar 2nd
PID:10-17101-02-050
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 .
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 -
Michael Simkins
4545 Ridgeview Dr
Eagan MN 55123
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
r----------------�
' I For Office Use �
� � Permit#: � ��/~'" � j
Cit� of ����� � G� d � ;
i Permit Fee: / E� �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �� ���` l� Site Address: Unit#:
� �.;�v:.�„ � " Name: ��1�1��. � �k'.�`�GZ�,�L�, r�`u�,�GLW1t��Phone: (�'�""2�y"„'��,��
�:
}t'1�1`� Address/City/Zip: L"+; `�J�"�� �=��,e\��`QtZ�.� ��
� ��� � �� �:
� ��° ' Applicant is: Owner Contractor
� � `�� ������� � � � ����. �� � � � � �� ,.. l� �
Description ofwork: V���� � �s�.-RA
�� � �;w,.
Construction Cost: ��3�°� Multi-Family Building: (Yes /No )
� �
� � � �' �
�w � w Company: 1� ��'''�'��C.� .�11'a Contact: ��'1
:
�p„ ��' � e /�� - /��.,
� �,.. Address: a.fSfJ� /�1° `��- ��� ""� City: �DU�"Y1�1h-�/�9
f ��afir
x£ �i M: State:�Zip: 6 �� Phone: ��`�"������ "EmaiL• ���,(� �S P-� � ��-`�
�
�. , ;
�� ? :" �
�� � License#: Lead Certificate#:
�� �� ��:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
i
�0 E�� ;�lan��i�tl��r � r�g d �tt�� �.� � t�1�mi#ar�' ����er+e�t�r � ��''�� �i ���� ���� �
� ��»fa���ion� e c���� �1 as� �� ��f� �. r�n�v�d � ���: �# F����pera�t���'��� ��,.
� � .
�� � c�. �e fh� `� d��� �� � � �
� �.
x
£ � �- . ; ,
�n x .
�t_ x
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.qooherstateonecall.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 o permit issuance.
_.,
X � �C��`- X
Applicant's Printed Name Applieant's Signature
Page 1 of 3
C!tyofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)675-5694
Date: B I A..1
Tenant: b Ai c t
RECEIVED
JAN L i 2016
Use BLUE or BLACK Ink
For Office Use
J Q
Permit #: 1 3 `! V 2--k
Permit Feer 0 . 00
Date Received: _ a5- I LP
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Site Address: (/S LJ r £r �y r l�( rw j r
Suite #:
t/C rltiner
Name: D(rc7 c.c W , , 4 -
Phone: GTS- 0") VI
Address / City / Zip: Lir 9i IC lJf le U r ev at. /=4.A-4 /"`"-i
Name: 4, }c..,4/ ,L, o , y c i' License #: M6 cSJ 5-1 5`9
Address: Y% v=iL,. , z S• 4r 3c
State: /4"-S Zip: fs417) J'
City: S„ 4L f>!. /`o� 1
Phone: r/- (i&s-9J'(.
_rQ
Contact: l h�J ac,/� Email: oc co.�� 4'Y C" � cae, f� 5.<<.C.de.
New )c Replacement Additional Alteration Demolition
Description of work:e
RTE: R
ourted and ground mru
s coral
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
hart
In
Namks
r for ii
0
COMMERCIAL
New Construction _ Interior Improvement
Install Piping _ Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
.11 coo
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
=$
=$
=$
Permit Fee
Surcharge
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x-1 t.d 1i .', c, is
Applicants Printed Name
x
Applicant's Signature
!"
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137091
Date Issued:06/15/2016
Permit Category:ePermit
Site Address: 4545 Ridgeview Dr
Lot:5 Block: 2 Addition: Ches Mar 2nd
PID:10-17101-02-050
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 -
Bruce C Wilfahrt
4545 Ridgeview Dr
Eagan MN 55123
(651) 271-3159
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature