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3635 Ridgewood DrCITY OF EAGAN Remarks Addition WINDTREE 3RD ADDITION Lot 1 Rik 2 Owner Street 3646 Windtree Drive 10 84472 010 02 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. X75 161.30 16.13 10 STREET RESTOR. r - 1984 2315.25 463.05 5 GRADING ;6 1983 613.25 122.65 5 SAN SEW TRUNK 51 1971 160.46 8.02 20 SEWER LATERAL -76 Y 1983 3256.80 651.36 5 Sewer Lat Trk r 1983 188.16 37.63 5 WATERMAIN 1983 260.34 52.07 5 WATER LATERAL WATER AREA 1972 236.39 11.82 20 STORM SEW TRK .71 1983 771.36 154.27 5 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CASH RECEIPT .? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 I RECEIVED FROM AMOUNT $ I DOLLAR! IDO E] CASH IC-HECK FOR. _.tf• / •' 'R BY 6RAAA White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BL.DC. PERMIT NO. 01-3210 J Bldg.'Permi 01-3422 Plan Check 01-3445 Surch. /r"idrr.. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct, Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL /, , - CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 RECEIVED TE AMOUNT Is (P n 19 A? & DOLLARS goo CASH ?fJ.«R!C 53836 BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PIJONE: 454-8100 Site Address Lot Name L m Address city 4 Name 3 Addre O City COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FOR: CITY OF EAGAN FEE: -5-. cri o STATE S/C: GRAND TOTAL: ?'? flrrtif irate of (Orrupaury 4Citp of (Eagan arvartmmt of Waft tl g , rrtinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.. Ux Clwdr" ion 1 'tf ?z''` ; Bldg. Ilrnit No. i i? Occupncy Type }3 Zoning Diwa 1 Type Comr V Owner d Bmldius i ." ;1: m2m rt ' Add,= 4 141 n?` ; Fr ?• BuMng Address Locality ,..1 1 L2 Due: HA" 19, 1987 Bwlding Official POST IN A CONSPICUOUS PLACE i i 12887 3830 Pilot Knob R d P.O. Box 21-199, Eagan, M N 55121 PHONE: 454-6100 BUILDING PERMIT Receipt tf To be used for SF DWG/GAR Est. Value $117,0U0 Date N OVEXBER IS '1986 Site Address 3635 RIDGEWOOD DR Erect ff Occupancy R3 Lot 1 Block Sec/Sub. WI14DTREE 3RD Remodel ? Zoning R1 Parcel No Repair ? Type of Const V . Addition ? No. Stories W Name MARK JOHNSON CONST Move El Length 66 3 Address 4149 STRAWBERRY LN Demolish 13 I I ? Depth 46 F S ° EA City mpr. nt GAN 454-0623 Phone Install ? q. t o Name SAME Approvals = Q Address Assessment City Phone Water & Sew. Police Name Fi re Address Eng. i W City Phone Pl anner 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 EOrdjhances. Signature of Permittee ,71i A Building Permit is issued to: MRK JOHNSON CONST all work shall be done in accordance with all Building of Permit !). 50 Surcharge 38.50 Plan Review 00 SAC Water Conn. 0.00 Water Meter 6Y. 50 Road Unit 290.00 Bldg. Off. 6Tr. PI 156.00 APC Parks Var. Date Copies Trial ? • on the express condition that iota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone Of Plumbing Electric rJ! 1 C ?G 'Y • cc tsoMener Inspection Date Insp. Comments Footings I "// Footings 11 Foundation Framing 19 7 a) Rooting Rough Pibg- / _v -. - T, Rough Htg. Insul. Fireplace Final Hig. Final Plbg. 71y xi Bldg. Final Cert. Occ. Deck Fig. Deck Frmg. Well Pr. Dlsp. Fi - ft•s- ?sx O ,., . . ?- rS PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE ; d PHONE 454-8100 Site Address TYPE WORK DESCRIPTION BLDG . Lot Block Sec/Sub R N ew es. W Name Mult Add-on B Address 8091 0 WENIPSORT-H AYE So Comm air Re c City M . INNEARM 180tM . . p O h t er Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air _ M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 Air Cond. = M BTU M B . (ADD $.50 S/C IF PERMIT PRICE GOES Vent BEYOND $1,000.00) Gas Piping Outlets # Other FEE ) SIGNATURE OF PERMITTEE .'' S/C: TOTAL FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site m Name Addre c City Name "I', 11? 212", Jv, ors r . Address y! ` j , p, , L h }, p City E r? `o Y, Phone • C I 3 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN PERMIT #? RECEIPT # 7_7 y DATE: BLDG. TYPE WORK DESCRIPTION Res. n New Mutt. Add-on Comm. Repair Other IN . FIXTURES TQTAL Water Closet - $3.00 _T? S ' Bath Tubs - $3.00 a Lavatory - $3.00 l Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 / Laundry Tray - $3.00 Floor Drains - $1.50 + Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/C: c ' GRAND TOTAL- t 12 '5 7(5 SEDGWICK HEATING & AIR CONDITIONING pp HOUSE HEATING TEST RECORD, ADDRESS 31+3J? hIOGEVJ00ts ?Q CITY r OCCUPANT OWNER G9-R`T LAKS"pis HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By --?o Gas Line By _ E?7w c C L? TYPE OF HEAT GA_ FAQ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE o MAKE OF BURNER -? Model (6, 3 - 1 O- Model Serial 6 OS Max. BTU Rating INPUT 100.1 000 MAKE OF FURNACE RA-A-1 CONTROLS THERMOSTAT Heat Plug `- Valve (3FKTSHALJ a4ZAy<..n&f Limit M ?T?AT Limit Setting / b O ° F- Fan Setting O 0 ° iir Pilot Type E LELT (2C) t-j w- Pilot Make RA ME MT5 NA Lw/ Pilot Model SP73SL Pilot Timing 1 r+l 5 T A &4E L.W. Cut Off Pressure 3-S ????<< • Percent C02 Input CFH I O C Percent 02 O o Stack Temp. -c2 40° Percent CO Vent Size KIND OF LINER SIZE NONE Draft Hood I %V D SA C. G- Ib Regulator S Filters Size Number Chimney Location Inside X Outside Chimney Construction CLASc, ? Smoke Bomb Wiring r? Draft Test Tag 4E?, 5 Door Pressure Lighting Inst. n?- Date Tested - 1C.- 57 Company Testing flr ru r c.k Name of Tester r?t? R PITT Form 235 1082 Payne Ave. St. Paul, MN 55101-3894 651-772-2449 standard heating.com GAS WORK ORDER STANDARD 6HEATING09 & AIR CONDITIONING 410 W. Lake Street Mpls, MN 55408-2909 612-824-2656 Fax: 612-436-2300 NAME DATE TECHNICIAN ADDRESS 3L ji 12. - 1, woe-ell S A D -y f- COMPLETE ? INCOMPLETE CIr?, STATE ZIP f c^ t. HOME PHONE WORK PHONE t _s-/ MAKE TYPE MODEL SERIAL N ORSAT TEST RECORD C02 % METERED INPUT CFH CHIMNEY TYPE 02 % LIMIT SETTING FLUE SIZE IN. CO % PILOT OUTAGE SEC CONNECTOR SIZE IN. NET STACK TEMP % TOTAL CHIMNEY INPUT STUH CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner, k Address: Site Address: Plumber. 1 som to oe eply With tie City of tlyea Ordieeaeee. By Date of Insp.: Connection Charge: - Aeeount Deposit: P*rn* Fee: Surcharge: Misc. Charges; Total: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: _ A 2 51 Eagan, MN 55121 DATE: Zoning: No. of Units: i Owner. 'iark Johnson Const. Address: SiteAddess: 3635 R.id ewood Prive L1 B? .,ir_dtree 3rd Plumber. Schulties Plumbing _ Meter No.: Connection Charge: 500.0ORd Size: Account De osit OORd 15 p : _ , Reader No.: Permit Fee: 10.002d i agree to comply with the City of Eagan Surcharge: • 50osd Ordinances. Misc. Charges: 156,00 d TPr :. Total: - P mete BY Date Paid: CITY OF EAGAN 3830 Pilot Knob Road P .O. Bbx'21199 Eagan, MN 55121 Zoning: '=1 Owner. ''irk J( Address: Site Addess: 3 635 Plumber. -Schhu: Meter No.: L Size: 1-5X acl? Reade'rNo.:0 7D 6 ;? • liN? ??'' 10 -0012d e: I agree to comply with the C?t of Eapa?? c " e , 50nd Ordinances. C60U c. harges: 15nd TP Total: 3 • 0pd meter Date Paid: Date of Insp. Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: trE WATER SERVICE PERMIT PERMIT NO.: R? 51 DATE: No. of Units: 1 0WON RQUOVatiOnS,lnc. Remodeling Specialists LC #200278966 963 James Ave. St. Paul, MN 55102 Phone: (651)227-7044 Cell: (612) 850-2925 Tim Christensen CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 12 87 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $117,000 Date NOVEMBER 18 19 86 Site Address 3635 RIDGEWOOD DR Erect IN OcctiPancY R3 Lot 1 Block 2 Se,/Sub. WINDTREE 3RD Parcel No. s Name MARK JOHNSON CONST 3 Address 4149 STRAWBERRY LN o City EAGAN Phone 454-0623 i o Name SAME $ a Address City Phone F w Name u a Address g w City Phone 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 Ci??Eag( Oances. Signature of Pew ittee L?IARK JOHNSON CONST A Building Permit is issued to: all work shall be done in accordance with all applica Ole State of Minnep?i. Remodel ? Zoning RI Repair ? Type of Const. V - Addition ? No. Stories Move ? Length 66 Demolish ? Depth -4 A Int. Impr. ? Sq. Ft Install ? Anorovals Fees Assessment Water & Sew. Police Fire Eng. Planner Council 8 Bldg-Off. 11/18Z APC Var. Date and Permit Y Y r' . - u Surcharge 58.5( Plan Review 237.75 SAC 575.OC Water Conn. 500. OC Water Meter 63.5C Road Unit 290. OC Tr. PI. 156. OC Parks CopieS T " Y-+-, ??•' •' •' ? 2 S on the express condition that of Eagan Ordinances. Building i/6/y7 REQUEST FOR ELECTRICAL INSPECTION jj% Ea-000001-05 1?./? ? See instructions for completing this form on tack of yellow copy. Y = C;'] 7 r, "X" Below Work Covered by This Request /owe' NwAAddl Rep.1 Tvpe of Suildino I Appliances Wired 1 Equipment Wired I Farm If Fee Service Entrance Site a Fee Feeders/Subfeedem b Fee circuits 0to 200 Am s 0to 30 Amos 0to 30 Am Above 20 -Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms Partial,"Other Fee Signs I - I Special Inspection b,Lfj TOTAL EE emarks ? ? ?? - _ 7. )/?11. the Inape that the abov ion has been made. This request void /?97 1S months from C 75726 /- i, 13,?2, z,? c- 3 C;9&y $? ?0 0 Request Dato _ 5; 0- Fire No. Rough-in Inspection NR rred7 Ready Now ill Notify Insoec- f Wh R 1 T es ?NO or en eady Licensed Electrical Contractor I hereby request inspection of above Owner eiectrical work installed at: Street Address, Box or Route No City 360 ro •?J Section No. Township Name or o mange No. - County Occupy RINT) Phone No. Power Sup ? Address Electric C n actor (Compe ame) Contractor's License No. D 3] Ma Addre ontra r or Owner Ma kingng l [a io i lationl i Q?J Authorized Signature (Contractor ner Making Installation) Phone Number 3 MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-181 1821 University Ave.. St. Paul, MN 66104 Phone (612) 642-OBOO THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit A30.50 Date _ / 0 1 / Site Address 363 ?W 1 Unit # Property Owner Q?8 C I II Telephone # ( ?OSI ) YJ q 4N Contractor Sharp Htg & AC Street Address 7221 University Ave NE City Fridley State MN Bond #: U-1 Zip 55432 Telephone# ( 763-) 572-0459 ' Expires: _7161 The Applicant is Owner X Contractor -Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger _ air conditi lei New or Replacement ? / other YFr, st d State Surcharge $ .50 Total S? $ 30, I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is 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.. ?// Kevin D Hanson Applicant's Printed Name Applicant's Signature COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) __ Contractor Sharp Htg & AC Street Address 7221 University Ave NE City Fridley State MN Zip 55 432 Telephone# ( 763 ) 572-0459 Bond #: Expires: The Applicant is Owner Contractor Other Work Type n IE 0 W E x - New construction -Install - D Remove Underground Tank h FEB 0 3 20 06 Interior Improvement Schedule inspection during installation or removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ x 1% = $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ 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 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 7, Kevin D Hanson e Z - Applicant's Printed Name App cans Signature Approved By: , Inspector Date: D SLI) g,Y d -?w ca111a1W • + elt la-+-3 lc 5, W -ii " f/zs/o(o 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for healed additions 1 site survey for additions & decks Addition - indicate if onske septic system Office Use Only Ced of Survey Real _Y _N Tree Pies Plan Real _ Y _ N. Tree ores Required _Y _N On-site Septic System _ Y _ N Date J_/ Construction Cost Site Address 3G3?; A latsu) 1k. Unit/Ste # r_ A-,- - i Description of Work Multi-Family Bldg - Y Y\ N Fireplace(s) - 0 )?l - 2 y? y' l7 Z/ Property Owner Y6 ^ ?? Pat/ S Telephone # (GS 7) Fireside Hearth & Home contractor _ 14399 Huntington Avenue Address _ Savage, MN 55378 State 952.736.7761 License#20512060 City telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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 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 i e case of w k which requires a review and approval of plans. Applicant's Printed Name AppliTal t s Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-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 01 of - plex ? 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 ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation 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) - Final/C.O. Footings (addition) _ Final/No C.O. Foundation _ HVAC _ Drain Tile Other _ Ice & Water Roof Fi nal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ _ Siding _ Stucco Lath _ Stone La th -Brick Fireplace R.I. Ai r Test Final _ Windows _ - Insulation - _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ^? a City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date oS ? Site Address dC( Glt? { Unit # Property Owner v r-4)ea? (I S Telephone # (cs () 7 ,5?(- Contractor STANDARD HEATING $ AIR CONDITIONING CO. Street Address 410 INESr I.AF STREET City MINNEAPOLIS, MN 55408-2998 State g12 824-26b6 Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ air exchanger air conditioner -New Replacement other. State Surcharge $ .50 Total $ I hereby apply for a Residential 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 d this is not a C'Iccoce perms ut only anapplicati appr on or a d work is not to art without a pe t the work will b with the a plan in the case of wo c eq s a revtew and ap royal of pans .07 Applicant's Printed Name Applicant's Signature,) I'' P:?14R 9 5 2005 i 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when sepatatc permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove "see below Interior Improvement _ Install Piping - Processed -Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal 550.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fcc • If permit fee is $1,000 or less, add $50 => $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that die information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: RESIDENTIAL (? 2 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 J 1 651.681.4675 New Constructkn Reaulrements • 3 registered site surveys showing sq. K of lot, sq. ft. of house; and Lti roofed areas (20% maximum lot coverage allowed) • 2 copies of plan stowing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan r lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE & /-o z SITE ADDRESS TYPE OF WORK APPLICANT STREET ADDRESS 0=S(v Q)v C,f'i- - TELEPHONE # 6-a-Q a7-O&P CELL PHONE # PROPERTY FAX # TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 M Phone # I I L _ JUN 1 0 2002 I? I hereby acknowledge that I have read this application, state that the information is correct, agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. By Signature of Applicant m. .................................. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 RemodelfReoelr Rsoukements • 2 copies of plan • i set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate r home served by septic system for additions VALUATION K O670. 00 Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths CITY AULTI-FAMILY BLDG _ Y _ N FIREPLACE(S) _ 0 _ 1 _ 2 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Occupancy Zoning Stories Sq. Ft. Length Width MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) Insulation - Retaining Wall Approved By 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 l{ ao /.S7• aS' Building Inspector 0•A 475-50+ 58.50+ 237 •'15+ 575'00+ 500.00+ 63.50+ 290.00+ 156'00+ 21356.25* 10-0E - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.r 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valua Site Address ?G 3 S ?QiG°o p? A4 c Lot Block Parcel/Sub w!j,o[? ! ,. ,J Adl, Owner 1"t ACIAth6oNJ Co4..S'f Address City/Zip Code Phone Contractor ?AoyA)<d" Address q/ cLg„ City/Zip Code aQ,5-0. 55/ 3 Phone 1I5y -6Yg43 Arch./Engr. 6aln OOAC e/.I7L Address ((? City/Zip Code Phone ° ZQ - °&$ `7 t 1? f 000 tion: X686 Date: /I hA1SG Erect ? Occupancy 12.3 Remodel _ Zoning R.I Repair Type of Const :?Z Addition # of Stories Move Length ?G Demolish Depth 3& Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Sa 4-1 '5• Water/Sewer Surcharge 52),$& Police Plan Review 2 3 1 • "S Fire SAC 575, Engr Water Conn C;00. Planner Water Meter G3. s-' Council Road Unit 2q 0, Bldg Off Treatment P1 I SCo. APC Parks Variance Copies TOTAL NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 2x32` x 5?= Sl?icn8 X2)(1?2-' ZCp?x ??= lS3iZ 4 = 'i2 x IS lobo 22x 22 = 4a4-)- 12 - X08 Z.c? 4- x (2. = 3 r co 8 (2x22' y- 3 2- I ?(7&0 SURVEYOR'S CERTIFICATE N RIDGEW00D C lz v I? m I? 30 N py N N N01 ?s MARK JOHNSON DR?V n 13? 01 (91H.b)_,-? qrf 5 -? A l0 o o h 5 :7 5LS QD 9N•'i ^' / I W ? `x ? ? ? 10 9,0 o ?? .PRQr 3 ?pR1Y 2h 10 I 2 . 3 ? 311.33 a 859 1 OSEO PR HOUSE a LOT °° .zo p:t 9z _ ?7rjt?• ? ? / ?r 0RA_ 1N,GEr PER ?! o EAK"'-- Z t0 .A N El I? 150 I rrl ?.x to l?? ! N 79°1e 57n E gts s ?. M 136.01 9o`a 9019.0% 30 \ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND XUOO.O DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION I L _ `/ 1 `1 I lo. I SCALE: 1 INCH C P.30 FEET PROPOSED GARAGE FLOOR n? FEET PROPOSED LOWEST FLOOR ¦ 90 9.S FEET PROPOSED TOP OF BLOCK e 917.6. FEET. 1 IIEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 1, Block 2, WINDTREE 3P,D ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SNOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 7TH DAY OF NOVEMBER , 1986. SIG14EU: J R. ILL, INC. BY: LAROLD C. PETERSON. LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 86218 Planners / Engineers / surveyors FILE NO. 8200 Humboldt Avsnu• South FOLDER Bloomington, Mn. 55431 612-884-3029 0 EXTERIOR ENVELC.^-E AVERAGE 17U COMPUTATION OWNER SITE ADDR ESS CONTRACTO R IV19f ?a?Liuso?/ DAT2 PHONE yS'/ d?23 Determine working square footage of each. 1. Total exposed wall area .... ??98.o sq. ft. X '1%- _ ?Ig.78 2. Total roof/ceiling area .... 13 ?. (: :>sq. ft. X re# = 3 y --r' rea T e ? -') A4, F x . oZ? 1 = S ota above oor wa 1 a x L_p 2a a. Total wall window area ......... ....... b. Total door area ................ ........--ag-0 c. Total sliding glass area .... ........_ d. e. Total fireplace wall area ...... Total wall framing area (average 10%):..1-9 f. Total net wall area above floor .........! g. Total rim joist area ........... ...•••••_n Total exposed foundation area = 31Z_p h. Total foundation window area ... ...... 782 i. Total net foundation area above grade . 3DY/.?e Determine "U' value of each wa ll segment. a. da3.0x °U" -3s = 78.os 0 X "U" b . 38 31 - . D. X "W' e aQO.9 X ' U„ OR? = . 17, . X = f 7Z -R.Z R a p X "U` _Oeyl //. h. .RA X U, -5L, i i. 30Y 12 X '.U" 0-We -- 3 ............................................Total : 23/3S If item #3 is the same as, or less than item H1, you have met the intent of SBC 6006(c)2. A f Total exposed roof/ceiling area = 3?. U J. Total skylight area ..... k. Total roof/ceiling framing area (average 1. Total net insulated roof/ceiling area Determine "U; value for each roof/ceiling segment. k. 3.I X "U" -OZ49 ° o?•llo 1. 112y&97A '`U'" o zr 4 .........................................Total If total of #4 is the same as, or less than E2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items N3 and N4 shall not be greater than the sum.of items #1 and ';2. 1. Sig.78 + 2. 3`158 4. 3 1_9S = 55. 3r 3. x3/35 + u. x7_16 tS a-v/ f'v1. S 7-5.0 7-5 Tom.( -ne,?• ti?,?.,t0 ??-?.., /u,....? a„{,, ? 7 s 7 5 , x o? = v5 2P7.5 - 01;219 1-910 a. ?f/ APPLICATION FOR PERMIT CITY OF EAGAN NTT6: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUIE APPROVAL. OF PERMIT. INSPECTION OF SEWER AND/OR WAa!ER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: _sY1? ` QIL LEGAL DESCRIPTION: Lot B ock Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: Mon Year) Q MMERCIAL/RETAIL/OFFICE Q INDUSTRIAL r] INSTITUTIONAL/GOVERNMENT 2) •. • ' ?Lv' NAME: ?C l?i-l l T i e ADDRESS: ?? CITY, STATE, ZIP- 9 PHONE: f'M R-1 SINGLE FAMILY r-l R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Un ts) ( Units) R-4 APARTMENT/COI"N?'LIRMN ( Units) n\k 3) u m a - NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LIC ENSE# 4) ??? •:.? •2niTam NAME: ADDRESS: CITY, STATE, ZIP: PHONE: -iumoers incense: Active Expired Not recorded StaTInitial S) it Y• i 1 Y' •:1' :J • ]? ?U ._ _. tg?-&ONNECTION TO CITY SEWER ?N ELTION TO CITY WATER OTHER 6) u • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF E MAIL APPROVED PERMIT 7D 1, 2, 3, 4, ABOVE ircle one / - i 'L' FOR CITY USE ONLY PERMIT # ISSUED Pd W/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ ?J S $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 1,5-,o D ACCOUNT DEPOSIT - SEWER $ $ ?S'Cy0 ACCOUNT DEPOSIT - WATER $ e90 G d $ WAC $ S?7 Ci-lt0 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ °lJ d $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 12- % `Y • 5-7-0 $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST O . AS A C NDITION. SUBJECT TO THE FOL LOWING CONDITIONS: APPROVED BY: TITLE: DATE : 12) L? q3 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements Remodel/Repair Reouiremen5 -T---On_P Ofice Use ly 3 registered site surveys showing sq. R of lot sq, ft of house; and all rooted areas 2 copies of plan Cart DiSgivey Recd - d r _Y _N 20, (20% maximum lot coverage allowed) l set of Energy calculations for heated additions as Pldn Rec Tree P -, ' 2 copies of plan showing beam & window saes; loured found design, etc. 1 site survey for additions & decks Tree Pies Required -Y- N I set of Energy Calculations Addition - indicate A on-site septic system Orrsite Septic Sys[em.w;, ?_Y, ,...N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date SSL / 1! U.JU r/ Construction Cost 'J ?? J Site Address :6 p - \ \ll Q R. Unit/Ste # Description of Work ` ^^ 1n.CA 231 Ls fl ??},?S 4 ?`M C ?? 11(\ 'C a 1 S? Bld Multi-Famil Y N Fireplace(s) n 2 "?XrS?nt 1 0 g y - _ - _ C P O n hone#wi )454'o170Q3 Tele wner roperty ? p RENEWAL BY ANDERSEN Contractor 1920 COUNTY ROAD "C" WEST Address ROSEVILLE, MN 55113 City State 651-2644777 Telephone # ( ) LICENSE #20130983 10. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category Residential ventilation category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy.. nvelope Calculations Submitted Have you previously constructed a butldirig in'Eagan wltF fa slm tar plan? _ y fee applies. q i? ?? II Licensed Plumber I Telephone #( Mechanical Contractor 3y-------- I Telephone #( Sewer/Water Contractor Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Pertnit 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. Applicant's Printed Name Applicant's Signature Sub Types OFFICE USE ONLY ? 01 Foundation ? 07 05-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 01 of _ plex ? 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 ? 12 12-plex Plbg_Yor- N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant 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 Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Figs - Air/Gas Tests _ Final Siding _Stucco -Stone -Brick Windows Retaining Wall Building Inspector ??• ?.. r •.i iuv tc.ou rno rot O11 "1460 7tCrUSRAL !fl°BPIUt4tG7tf(M re al arm - rune 7, 2001 city of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To whom it may Concern: E lder Jones is authorized to pull building Permits for Renewal by Andersam Pieria allow Elder date bo n d 6/proZ i until as $?cc for us in Ea?m, 'ibis euthorizetion is valid for any to the City_o by Andaman manaM eapteaelY revokes it to writing 1 request this auttiouzgtion be our building pcnmits an accepted expeditiously, as to not delay in the Processing pf y rthcr. Plcesc can me If there are any questions.. 1 'can be contacted at 763-502-47o6- Your iutmgdiatc Wention to this matter is Md M_ Arn t 9 Sincerely, and R 'Rau asta[Iation Manager Renewal by Andersen potation Cr.: Kara-Rder Inne_a aN a ?c?ulaai. MWY MI W OU2 Received Time Jua. 7. 1:07Pfd ,RVEYOR'S'. CERTIFICATE' MARK JOHNSON N 9.o pR1V E W RIDDEWppp .?1r.9 ?1.9 ?91?16)rr go 13104u E 7. 129 98 N C 301 Z v I? M I? /; x?W O o ? f J l 0 r P 1 ql Z w I q? 33 =a,1 --? N 01 _ 1 ? / N N pd3.5 NPROPO HOU N 01 1 m LoT 0 31.• .0 78 ` -'y r 60.93 q r - 1 x o - v : q?. 0 is w ow < D 10 ?l fn 4 . .-) 0 _.136.01 91 0 901.0' goo.'q lgo?'I) - 30 i_ DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND XOOO.O DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION p/LC•?p/IC• W N GAR• /?( ? 1 .0 2 O - - g16.1 /N' 0 q ?f• 3 L- ,l, ?l Q 1 0? o ?h II?D F. lis.5 4 ? qN,? ??T 0 ?J01MENTt? N z r'1 1 0 --? N_ 1 L---- _,x-?, qls•? \\ N 79° 16,,, 5-7 1` r c1 t " SCALE: 1 INCH • r30 FEET PROPOSED GARAGE FLOOR 9 S FEET PROPOSED LOWEST FLOOR 9d FEET PROPOSED TOP OF BLOCK • 917• FEET. I HEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNUARIES OF: Lot 1, Block 2, WINDTREE 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON, AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 7TH DAY OF NOVEMBER , 1966. SIGNED: ipjME-S)R• TILL, INC. BY: r"- AROLD C. PETERSON, LAiIU SURVEYOR MINNESOTA LICENSE 110. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 86218 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-884-3029 a , J 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements 3 registered site surveys showing sq. 0. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20°h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail options selection sheet (buildings with 3 or less units) ........................ OffisellJsel7nfi1 CeriolSurvey Recd ;s<Y _I?1 Tree Pras Plea Recd ? Y._N TteefhesRegytred Dn-elte$ppticSyslem _. ki:X _N. CAX---d 11( t U -(31kr? Gl Date // ? / /// / Q J QG Construction Cost O Site Address oG?GI 12 Unit/Ste # Description of Work Pl91 2( G? ?? ??? W " r Multi-Family Bldg Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # 6-q ) (e[S l? - ?7? Contractor / /oC/G' / l N I1?Y77Q ? i Z/ Address State City ?T Zip ?U 4elephone # &V) c?a7 ?G ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) 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 Mechanical Contractor Sewer/Water Contractor _ _Telephone #( Telephone #( 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 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 rp oved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name pplicant's Signature OFFICE USE ONLY 40r 133s C :,2,C71 671-t- Sub Types / xrSn / g0 y ? 01 Foundation ? 07 05-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 01 of_ plex ? 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 ? 12 12-plex Plbg_Yor_ N IW 25 Miscellaneous Arr-AA.v /2([Mr(/.pL Wo rk Types ? 31 New $# 35 Int Improvement ? 38 Demolish Interior ? 44 Siding * 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof JK 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) -Give PCA handout to applicant co Valuation ,- av Plan Review 41100% or 25% Census Code y3?j SAC Units # of Units # of Bldgs Type of Const ?fJ Occupancy A-3 Zoning Stories Sq. Ft. Length Width Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile .?[ Roof 4 Ice & Water t Final Framing _ Fireplace _ R.I. -Air Test -Final Insulation Approved By: _ Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Final/C.O. t Final/No C.O. Plumbing _14F 14VAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone - Brick Windows Retaining Wall Building Inspector A150 3 S,6n3r"V @ tile" -/0 AircN!/1/ /lkMv/1cL (w1oc4,37(?i<) `j 000 h oct_,= J`?C'eo ,AVEYOR'S. CERTIFICATE N C 30 I-) 9013, 04,1 E 129.98 N fi . wwwww .Wwwwwwo 17 w Z Im m z N 0 N N •A= RIDGEV 000 oio f 10 _ Jwgl&"1 T4,q 55?? ' / 31.33 ?.l 1 f? LOT PROp05E0 i HOUSE L q1 -0j jx_ 0=1• o ?x9i?•?! v 47B _ r ?. ` p?,?Y., .- ? 60.93 ?,- 1 ceSFJ?? 1: W0 GAR- ?9?N.bj ? q!f 3 ?; o ,. P 4-15, 0 to ,_? 7go Id 57II E S OP-'Wpm 1 M s-4 ,.,L, X36.01 N qo?.a 9?°? ,1 30 \ DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION MARK JOHNSON ?Y.o DRIVE a?:.a Z N 9 i cam, I SCALE: I INCA - 130 FEET. PROPOSED GARAGE FLOOR -? FEET PROPOSED LOWEST FLOOR - 9b g s FEET PROPOSED TOP OF BLOCK - 917.6, FEET. I HEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY Of THE BOUNDARIES OF: Lot 1, Block 2, WINDTREE 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO 51101.1 1-MPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UIIDER MY DIRECT SUPERVISION, THIS 7TH DAY OF NOVEMBER . 1986. SIGNED: 7AROLD R ILL, INC. ??,- - BY: C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE 110. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 86218 Planners / Engineers / surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 56431 612-884-3029 .9 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -1 - C) OU New Construction Reauirements Remodel/Repair Reauirements 6Ffice-:Uss Oglu 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced olSywey Recd , Y ,;; N (20% maximum lot coverage allowed) 1 set or Energy Calculations for heated additions Tree Prasplan Reod _Y =N; 2 copies of plan showing beam &window sizes; poured found design, etc. 1 site survey for additions & decks Tree PraeRaquued........ M1! ..___; 1 set of Energy Calculations Addition - indicate if on-site septic system on sfle Septic System _ Y ,.._;M 3 copies of Tree Preservation Plan ff lot platted after 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) I UP Date (c? / -d& / Site Address 3u3'3 05 Rcy Dcod Construction Cost aOOO .00 Uy. Unit/Ste # Description of Work Ne Multi-Family Bldg _ Y X N Fireplace(s) - 0 - 1 2 Property Owner Gbr6o'n 2 l S Telephone #( (o5 t ) LA -,LA - 2-12 Contractor Address Rl o State MN )Ca d nP c, F\ \ J 2 . City 5 . %U ( II Zip 5c?1o2 Telephone#(t,??q o? 1-?C??ILL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) 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 Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( 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 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. Applicant's Printed Name Applicant's Signature (1? 6 ti slc?v??l u `c Ov- ?r 3_v, l3 l lP . N-!t6e6 Eck Vo Se?F' Yif CU_DL6 " 0 \c'C , Cal\-Cc1 (tn ,I (xl. U3? cc J{F OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-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 01 of _ plex ? 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 ? 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 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 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) - Final/C.O. _ Footings (deck) - Final/No C.O. _ Footings (addition) - Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof Ice& Water Final _ Pool. _ Ftgs _ Air/Gas Tests _ Final _ _ Framing _ - Siding _ Stucco - Stone _ Brick Fireplace - R.I. - Ai r Test - Final - Windows _ _ Insulation - Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. #50,so Date II V0 I')('o ff LL_ Unit # Site Street Address lK J 11 Owner ( e 1, ?S Telephone # Zi Pro ert p y Contractor C&CAe.6n Telephone# #6_l) Address 29 by xjac"Sofacm State Zip ss) n The Applicant is: _ Owner -Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. N you are installing on a wafer softener and/or water _.? heater, do not complete this section; move to the next section and check the. appliance(s) you are installing. ?l?c ??un 5w1C d? 5 •u? i -Septic System Abandonment ?.N 7 2--H -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: - - Water Softener Water Neater $ 15.00 new _ replacement Lawn Irrigation -RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 l T t o a I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; t, t I not to start without a permit and r w' in understand this is not a permit, but only an application 4W accordance with the approved plan in the event a plan Applicant's Prin d ame ature 2A 89 Use BLUE or BLACK Ink � For office use---------� � ` j Permit#: �� Clt of Ea �� 1�� ,��,�� Permit Fee. � a� � 3830 Pilot Knob Road � .--� _� -7, �- � Eagan MN 55122 � Date Received:� 1 J 1 � Pho(:(;51)675-5675 I �.�� i Fax: 651 675-5694 I Staff: I I � L��J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � �e2 �.� Site Address: 1 WOD.[7 �"�✓� Unit#: Name: l�'Dr�C.On /��`r�,S Phone:��/aZ�3�7�'0,32,3 ' Resident/ ' Qyy�gr Address/Ciry/Zip: Applicant is: Owner Contractor Description of work: 6E-/SG eta'Q. G �cl�or �c.cGf. �/� �Y�E2°iD�WOr�t:.; e �.. � � Construction Cost:�/�700- pO Multi-Family Building:(Yes No ) .• , /� `�3�: Company: .Si��P �On1�J�CCj'io y, �L Contact: ' r/ �•°� ��• ' Contractor a,ddress: P�00 f�u.�hola�� HC �. �/.ZU ciry: ��' � State: 1�i✓Zi y� �rodclati � : � p: �S� .3/ Phone:��,��7G�1�maiL•�_ .S'it•e. Go�ts �cc 0�( i� License#:�L (o,3�dlP/ Lead Certificate#: /VgT �/�DS��f f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 1V�7TE:Prans an+�s�,pportTir�r��currrer��c�fh�r�`��c�su�rr�it�re°� i��red t��c��ri�i�� „��Fcrr�`��k�� : � �the�nfarm��tivrt m�y be c►assifl�tl�!�i�`a��r�q,�l��'� ��tle��'�+�,�e��t �I�woultl p�r �� t� �or�+ct�utl�tlr��a;. ��_:�ra�'�',se��ts. �� '�,��, '"��' 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.ora ` 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 i`n' : 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 i�/ / X . . Applicant's Pri ted Name Applic Ys Signature Page 1 of 3'- , . �-� / 1 �^� J '%�, � �"y',� ;�"� ,C l l��E'(,�-�C?C'C.Ir ��I,�.. J � DO NOT WRITE BELOW THIS LINE 1 ��-`� 1 ; 'SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family Garage Porch(4-Season) Exterior Alteration(Multi) ,� �.Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous .;,,�;-_ 01 of_Plex _ Lower Level _ Pool _ 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 .� -DESCRIP710N ,'� Valuation �"C� Occupancy �` MCES System Plan Review Code Edition � ? "�,,,i �- �� SAC Units , : (25%_100%�) Zoning City Water � Census Code Stories Booster Pump `,<#of Units Square Feet PRV #of Buildings Length Fire Suppression Required _Type of Construction _�_ Width `' REQUIRED INSPECTIONS . ' Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final �Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick `: Insulation Windows °Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other• ��Im..: � . Reviewed By: � � , Building Inspector RESIDENTIAL FEES Base Fee Surcharge �'��'�. Plan Review � MCES SAC ��f �,��"��'`��- City SAC � � �`' � Utility Connection Charge �- �"��'��F � �� S$W Permit 8�Surcharge .e�.� � �� 3 ! p �� Treatment Plant �� "�-� Copies x TOTAL � °�� '' � ��"� ,rt-�, Page 2 of 3 �Y 4 a ,�'��,x' �'� � �� ,.+ ¥ �,�'�`'t�. { ` �,°�'x� �., �,�,ry�. �::� g. � 5 i PERMIT City of Eagan Permit Type:Building Permit Number:EA163597 Date Issued:09/08/2020 Permit Category:ePermit Site Address: 3635 Ridgewood Dr Lot:001 Block: 002 Addition: Windtree 3rd PID:10-84472-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gordon J Nellis 3635 Ridgewood Dr Eagan MN 55122 Tradition Roofing & Exteriors 1032 Cleveland Ave S St. Paul MN 55116 (651) 325-1548 Applicant/Permitee: Signature Issued By: Signature