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3648 Ridgewood DrCITY OF EAGAN f 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 1150 To be used for SP DWG/GAR Est. Value $10 3 , t10 0 Date . - %A1+ C ii 6 19 8 fj Site Address 3646 RIDGLWOOD DR Erect 12 Occupancy R3 Lot ? Block Sec/Sub. WINDTR EE 4TH Remodel ? Zoning Rl Parcel No Repair ? Type of Const . Addition ? No. Stories Name '`'"kF4 JOHNSON CONST Move ? Length 4 -4 = 4149 : TRA&IBEERY LN Demolish ? Depth 416 Address I t I ? Ft S o n mpr. q. City Hail"? Phone 454-0623 Install ? i o Name SAME ApprovaN °u a Address Assessment ~ City Phone Water & Sew. Name DAN MANSCELDT Address 00 PARKLAWN, STE 21.1 city BLI'Mi phone 893-0785 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 Orklinancep. Signature of Permittee c ,??'"?- A Building Permit is issued to: 14ARK JOHNSON CONST all work shall be done in accordance with all applicable State of Minnesc Building Official Police Fire Planner Council Bldg. Off. 3/6/86 APC Var. Date Permit $ 440.50 Surcharge 51.50 Plan Review 220.25 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2,296.75 on the express condition that and City of Eagan Ordinances. Permit No. PenMl Hower Data Telephone S Plumbing 3 u "QiLC LQ/ d' M.LA.C. 1 17 . ? 8? Electric // C.? 705-0 S ?/ }` Softener Inspection Dab Insp. Comment Footings 1 , Footings II Foundation Framing Rowing Rough Plbg. Rough Hill. ( 3 • l 2 C Insul. Fireplace / (v Final Hill. Final Plbg. . /?- Sl7 P 5 Bldg. Final Cori. Occ. Deck Fig. Deck Frmg. Well Pr. Dhp. 17 y 7-7 "/ r 1 M P?RMIT # 7 CITY OF EAGAN FEE MECHANICAL PERMIT RECEIPT # S V ?J 454-8100 S/C '^J MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL L `' v DATE ,X1111 G MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair 3. Total Bid Price S~ 9 4. Job Address ?4t ,--AVA0< C/r Lot 13 Block Sec 5. Owner L;2 <.: , /% r'; !,.. 9r 6. COntGE?. 5EDGWICK HTG. 8 AlR COND. CCl (Name) S y / ,/ (Street) (City) Rip) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee OtA nNNG` tr VENTILATING HOT WATER STEAM v AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. ?L RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND r OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OFfEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. IlLi -41. i _. PERMIT # y?3 PLUMBING PERMIT RECEIPT # CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE - T PRICE PHONE 454-8100 Site Addre Lot Block Name G Address Cit C y Name 3 Address p City 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 SIGNATURE OF PERMITTEE FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs i3 $3.00 vatory - .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 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE d STATE S/C: ?l `' ` ' GRAND TOTAL• GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS CITY aOQ A-j OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By f 1' % i f Gas Line By c e d 54 "Y' S TYPE OF HEAT GA_ FA--?- HW_ STEAM SPACE HTR. UNIT HTR: OTHER GAS DESIGN CONVERSION MAKE e ti luo i/ MAKE OF BURNER --- Model Model ~- Serial Max. BTU Rating INPUT MAKE OF FURNACE Model THERMOSTo Valve Limit Limit Setting Fan Setting _ Pilot Type - Pilot Make - Pilot Model _ Pilot Timing _ L.W. Cut Off Pressure Input CFH_ Stack Temp. CONTROLS Heat Plua Vent Size 1) ,U c KIND OF LINER - SIZE NONE Draft Hood wj-urcd Regulator Filters Size Number Chimney Location Inside X Outside Chimney Construction /a S_S l Smoke Bomb Draft Company Testing Name of Tester _ Wiring Test Tag \l t° S Lighting Inst. Form 235 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: M H Eagan, Minnesota 55 1 22-1 897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ,????rt urn (1t 611 Nl? S ixi l jl i II ! r, I .' ?l ?•?r i r.?, s PERMIT SUBTYPE: TYPE OF WORK: It ITRAI IION ! ; „r ONr It$: tIV I-40 4 ) INSPECTION DATE INSPTR. • TYPE DATE INSPTR. *` iva Permit No. Penntt Holder Date Telephone I ELECTRIC dO y U av PLUMBING -7 HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 3?2/ Gt y 2 ?w/ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL r^g 7 A142W5 5.P. BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 41, CITY OF EAGAN Remarks Addition WINDTREE 4TH ADDN. t 3 Rlk Owner Street 3 4eRidgewood D: ve 10 $4473 030 01 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 15/ 1971 1 ?,. 42.1 SEWER LATERAL WATERMAIN WATER LATERAL - - WATER AREA <j 7 T9'/ T 1540.20 32 , water area 41--i- 1977 602.00 40.14 15 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 r DATE v 19 -/ f RECEIVED FROM ?- C?.?/ (?f (/ .' , ?C .{ Z ,•? ?' i ? AMOUNT & _DOLLARS Soo ? CASH q CHECK FOR FUND CODE AMOUNT 371-3 ?s Thank You B y//.(/J/ White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN SEWS SERVICE PERMIT 3630 Pilot Knob Road PERMIT NO.: P. O. Box 2119S Eagan, MN 55121 DATE: Zoning: ' No. of Units: Owner. T Address: 1.3 Ba Wlitii±.. Site Address: Plumber. `ea;i L 1 soma to I-gal whir tM City of Ileoea OrdiMeees. By Dote of Insp.: No.. to comply wah tb city of ""a Connection Charge: M. "AU P " Account Deposit: - n ` Permit Fee: I r Surcharge: Misc. Chorgos: r ' Total: - Date Paid: ITY OF EAGAN WATER SERVICE PERMR 0 Pilot Knob Road 0. Box_21199 PERMIT NO.: 733j agawn, MN 55121 DATE: ?`- - Ir Pi No. of Units: r "Ark Johr,,so -, won roes: >L ..ill=. rec Site Address: Plumber. Meter No.: 3 70 r 1 size: " aeF( d'+gg E,G,} po 1 . mops Reader NoA Pe F 1 some to comply wid1 as . ?? C: Oerhasasse. ??? Misc. Charges: 1 jF . 00nd TP TY OF EAGAN 30 Pilot Knob Road 0. Box 211" van, MN 551 k1 Connection Charge: Account Deposit: i Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: WATER SERVICE PERM PERMIT NO.: 7-3-3 DATE: . No. of Units: T nrk Johnson _.oast. By A! f?,ef Total: Dote Paid: _ Date of Insp.: Insp.: REQUEST FOR ELECTRICAL INSPECTION Ee-00001 0a 7 / 1 See instructions for completing this form on back of yellow copy. 7050 "X" Below Work Covered by This Request K C rlerr)Addl 8epl Type of 8u0ding I Appliances Wired I Equipment Wired I Bulk Mi M Fee Service Entrance Size a Fee Feeders/Subfeeders s Fee Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Am s Above 100--Am s Transiorfners Irrigation Booms Partial-"Other Fee Signs Special Inspection 8emarks 3 S6 TOTA SEE f?e // ?/ --.-? `J I, the EI?Mria?l? t/?/Y/ y ` !J/'/Y/• inspect. q hereby certily that the above Final w ( H inspection has been made. This request Vold 18 months from C 7050 ZA, 6/ Pguesi Vile NO. Ho pAn.?p Inspection E16 a aired? ?Ready Now ill Notif Y. Inspec- ?-%o - d 6 Yes ?NO or When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No.? City ection No. I ownship Name or No. ange No. County Occupe (PRINT) Phone No. Power Supplier Address Electnca ntractor (Coin Name/I ?S G Ce, Contractor"s License No. O 1 s S mmiing ss iuomect or Vwner maxing installation, ng MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1921 University St. Peal. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612129].2121111 1 ENCLOSED. ,y / /_ G ?J OFFICE USE ONLY This request void 18 months hom validation dare primed ir1n this box. TT// [C 7 / yf i (Y I IIII II ?I II III I I I II III II II II III I III I? ?I I ??f? , ? 7 ?irrnv"' __ _ /?' +f, * 0 4 2 3 3 9 7 9* PLEASE PRINT OR TYPED I R ' °to J 3 / 991 Roughin inspecFlan required? AYes ? No ll Inspection Other Than Rough4n: ? Ready Now Will Call Vou mun w the inspector when modyl Date Ready: I, licensed contractor ? owner hereby requ t in}pection of the above electrical work at: Job Address (m.t, , w Ro .I City Zip Code (/p OG i Sechom No. Township Nome or No. Rang. Na. Fire No. County Ocapant Phone No. Power Su iw Address S Eleckicd ICOmpanY I Contractor License No. Master Lk. No. (Plant Elect. Only) &qo175'-7 Mailing Address (Coart or or r Perk i lastallmi ) S? A, 033 AuRwn n e ( onh a Owner JW ( Phone No. ?S3s 3Z` "NOMW 423°397 y/!o S -7 REQUEST FOR ELECTRICAL INSPECTION ra Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Du lex Apt. Bldg. Glher. New I I Addn l Commercial Industrial Farm Remod I R air Air Cond. Htg. Equip. Water Hh. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service °X" above the work covered by this request. Enter remarks in this space and on the back of the white ropy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee It Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to f 00 Amps Street Ltg./Traffic Sig. Above 20Amps[ Above f00_Amps Transformer Generator INSPECTOR'S USE ONLY TOTAL ZIA 50 Sign/Oufline Ltg. Xfmr. ?k - Alt) I-I &C TLA Alarm/Remote Control Swimming Pool I here certi Ihor I in The a al he& described herein on the doles sTa Irrigation Boom Roughln Duce S ecialIns ection E N G? p p Investigative Fee (iml "107/ THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1 MO THS- SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NoS??? 8910 WENTWORTH AVENUE SOUTH - MINNEAPOLIS, MN 55420 - (612) 881-9000 TEST RECORD v (/ ADDRESS n c/ /fl&;C 23r. G7V OCCUPANT e7z/ a ER --- SOLD BY 44 Hrz- Y MAKE / MODEL SERIAL NOI.j INPUT. THERMOSTAT 16XI 7_1166- VENT SIZE VALVE off/ LIMIT &-V4^ I, TYPE OF LINER SIZE C h LIMIT SETTING FILTERS: SIZE //?eyo'7?/IGL1MeER J FAN SETTING WIRING d'7 OVSQ' j PILOT TYPE /;//-?/ c' ?'r• L TEST TAG IGNITION MODEL b r y4-1- LIGHTING INST PILOT TIMING ? ??G ??'• Z (? DATE TESTED / ? PRESSURE ?•`fhW ' L' PERCENT CO, INPUT CFH S-61 PERCENT O, V COMPANY TESTING J v7 I//S STACK TEMP. 410 PERCENT CO NAME OF TESTER FORM 235 (REV. 1199) FORM DISTRIBUTION: WHITE COPY JOB FILE YELLOW COPY - CITY CITY OF EAGAN M o 11580 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 / BUILDING`PERMIT Receiptfi (?[ / To be used for SF DWG/GAR Est Value $103,000 Date MARCH 6 1986 3648 RIDGEWOOD DR R3 Site Address Erect IN Occupancy R1 Lot 3 Block 1 Sec/Sub. WINDTREE 4TH Remodel ? Zoning Parcel No. Repair ? Type of Const V Addition ? No. Stories MARK JOHNSON CONST Move ? Length 43 Name u i Demolish 111 Depth A A a Address Int. Impr. 1:1 Sq. Ft City EAGAN phony 454-0623 Install ? Name SAME $< Address City Phone DAN MANSFELDT W W Name tz 7600 PARKL WN, STE X5 Address W W City BLMTN phone 893-0785 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 O in nc s. Signature of Permittee &xv9<? A Building Permit is issued to: MARK JOHNSON CONST all work shall be done in accordance with alf-Mrslicaldie State of Mi nest Assessment _ Water & Sew. Police Fire Planner Council Bldg. Off. 3/6/86 Var. Date Permit Y Surcharge 51.50 Plan Review 220.25 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies Total $2,296.75 on the express condition that and City of Eagan Ordinances. Building Official AC5A 6?P X Z'UAA 1-3d ------------------ I Foi'Y'iFice l1,se I j Permit # I Permit Fee: Date Received: I Staff: ( / ...°} I I 2008'RESIDENTIAL BUILDING PERMIT APPLICATION Dale: ? r?? : Site Address: - --,k\ la- "A Tenant: Suite #: c `'?G ? 'y Phon?` " &Q, RESIDENT / OWNER Name: ? Address / City / Zip: / - Applicant is: - owner ! Contractor TYPE OF WORK Description ofwork: k?-Lfo\?s--`? gD ?1 Construction Cost: [ G,C-yj1n Multi-Family Building: (Yes No CONTRACTOR Name: '?V--J clr-T_ ?6WW -License #, Z- 947 Address: City: ??-?V.1 ?C State _Zip: ?rC1? Contact Person: Ph on COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • 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? _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 provlde specif . reasons that would permit the. City to " conclude that the are trade secrets. 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 forr tTmrM, and wo k is not to an without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review ano Applicant's Printed Name Applicant's Sign Page 1 of 3 U9 ?5(- 2005 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. Date `? I ?Jr / OS OTTA, LISA 3648 RIDGEWOOD DRIVE Site Street Address EAGAN, MN 55123 Unit # (651) 683-9908 Property Owner - - Telephone # ( ) NORBLOM PLUMBING CO . Contractor - ( ) Telephone # (15 12) 8274033 Address City State Zip MINNEAPOLIS, MN %N% O h The Applicant is: _ Owner ontrac or - t er Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heaterripjete next section if installing these appliances). ' (t n r S !J -Septic System Abandonment " APR 2 5 20 D 1 5 meter is required) -Water Turnaround (add $125.00 if a 5/8 Other: Ev Water Softener Water Heater $ 15.00 - new replacement Lawn Irrigation _RPZ _4PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ ?! 5-0 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; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicants Printed Name Ap(i s Sign ure c?.,` ;»-,?,t`,ti.•,? >XRS4sX: CT''V CF EA??At NO, !54 WC 200' 3648 ...i?'W "WM-) 3.00 VvelON Vaurt. V, c ?rr4H •1 :I ?.. 'STA Zoe NANCY A. y' 'a.rnll 4b.•. _r,At t J.Y:rlH all k5' _ )1. a??: PERMIT x CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 2 9 5 8 8 Date Issued: 03/11/97 SITE ADDRESS: P.T.N.: 10-84473-030-01 3648 LOT: 3 WINDTREE RIDGEWOOD DR BLOCK: 1 4TH DESCRIPTION: BASEMENT FINISH ALTERATION ALT. RESIDENTIAL C' ? , a1-`L-? (ONE BEDROOM) Uldin -Permit Type wilding W;e.k Type Census Code 434 fl iT 4 REMARKS FEE SUMMARY: Base Fee Surcharge Lic. Search Total Fee $50.00 $.50 Fee $5.00 $55.50 CONTRACTOR: - Applicant - ST. "IC OWNER: KR^l2ER BLDRS 14501653 0006781 OTTO JERRY 6316 BACHMAN CIR 3648 RIDGEWOOD OR IryVER GROVE HITS MN 55077 EAGAN MN 55123 (612) 450-1653 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. AP TIPERMITEE SIGNATURE application and state that the with all applicable state of Mn. IJ??SIU ATUR' ?k trdsB997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 eo _? 681-4675 New Construction Reouirements Remodel/Remir Reouirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations s 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: 3-' 7 -? -) CONSTRUCTION COST: DESCRIPTION OF WORK: L/dl?6L/y7?Z/ /ill/S/7 STREET ADDRESS: ` r jxx bytw D,Q r LOT ,L BLOCK SUBD./P.I.D. it `+ff- PROPERTY Name: -o fo ? a Phone #: OWNER Street Address:--G 4$ A-1921j= w&XV 04, city: State: P?H, Zip: CONTRACTOR Company: W(2?%L 4/a,001c5 Phone* Street Address: all l39Z~ 44. License #: ? 7 g c City: G7 State: MH, Zip: 4Sfl77 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required 05 1997 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging e' 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New JEr'33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. MC/WS System Main level sq. ft. City Water i sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. qS4 Footprint sq. ft. SAC Code Census Bldg i Census Unit 0 Building M,13 Engineering Variance Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units 0= * ,,40-50+ ,1-50+ 220.2 + 575^G0+ 5. i-GO+ 6330+ 290-1-0+ 136°00+ 2a 296-73 * CITY USE ONLY L ?- BL L / SUBD.La ?- RECEIPT'P:_ 79 ?g0 RECEIPT DATE:' W/o l V 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814875 Please complete for: w single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH LJI? TOTAL Shower 3.00; x Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x / _ Kitchen Sink 3.00 x _ Laundry Tray 3.00 x = Hot Tub/Spa 3,00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet 'minimum-1 3.00 x _ Rough Openings 1.50 x - Water Softener ` for dwellings under construction. 5.00 x Water Softener * for 9Yicvng dvtel:'in, 20.00 x - U.G. Sprinkler `fordwelling under const. 3.00 U.G. Sprinkler "forexisting dwelling 20.00' _ Alterations ` to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System * Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems `"Abandonment 20.00 = STATE SURCHARGE TOTAL I hereby acknowledge that I have of. Eagan ordinances. It is the ap damages caused by the City durii :City property/right-of-way/easeq SITE ADDRESS: OWNER NAME: . INSTALLER NAME: "7' STREET ADDRESS: Y /`/ &U14AyS:At.vf CITY: //'? tU?ac(?uv STATE: j-//- 9.7 -50 O?? Ste. information is correct, and agree to comply with all applicable. City property owner that the City of Eagan assumes no liability for any mane activities to the facilities constructed under this permit within. TELEPHONE* W-o58a /%- ,y a/? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND l?3 000 To Be Used For: [aFOM J Valuation: - Date: SZP? Si? 94 i/?yL Site Address 3 b qdp l?J 016 Ld o od 44e Lot ;3 Block / Parcel/Sub (,,;,u1DU QeE S f', yl, a Owner ?Tar? ( a2x? Address lenkno<t City/Zip Code Phone Contractor i7, .K dam, se , Ca„ Address <//y9 SF?o?a(?ernt /w^, City/Zip Code ?w ?tSia73 Phone h15S - o6a3 Arch./Engr. ban Mans Address 1>6oo are/owg, a, 6211 City/Zip Code Phone # g53? o7gs Erect Remodel Repair Addition Move Demolish Int.Impr. Install A APPROVALS Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off k G Treatment P1 . APC Parks Variance Copies TOTAL 75-- ' 4 2 88 22 ` 22x 4 l 2 S8o 6 °f ? 2- x 4-4, = 4 2 -7 cob 102.v6¢- r I. SURVEYOR'S CERTIFICATE MARK JOHNSON CONST, c_ f r? r? C\ / 10 0 d J ? ??_\ N2n a I to tiv aJ =g?? LOT Py O P 10 3 M? I1 1Z TI v 1 I11?? W W I r- I pl I II I NI 11 to U) F exi&rN 30 F 9I8.1k UNN4Tj N 919.z St.. 9 1 ^? N IN f IN 51s.1 10 919.4 1 ; O? Ali 1?1'6 26.33 N I ] \O ? 1 u ? 1 i\O N V 1 1 Z 22.0 x 67 \J ?3 N 920 I° 1N 10 1 48.60 - 162.36 N 4002'05"E I r\ -1- x9125 L _ l l I 910.9% , fXIS71NG N HOUSE ,W 0 ;91&2 _ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 920.5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 5I7--b FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9-10, 9 FEET I HEREBY CERTIFY TO MARK JOHNSON CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block 1, WINDTREE 4T11 ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. 32.05 . 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, THIS2-1Y1A DAY OFFE.32QARy, 1984. SIGNED: JAW-". y(ILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 86385 111/71 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mm 55431 012-884-3029 30 EXTERIOR ENVELOPI' AV7-RAC;E "H" COP1PUTATION OWNER , SITE ADDRES C014TRACTOR odrl? DATE PNON£ Determine working square footage of each. 1. Total exposed wall area 3?. (sq, ft. x,/(.19'= 5 _??i-- 2. Tot al roof/ceiling area . /D 0 sq . ft. X,(I r = ja 3. Tot al floor/cant. area - ?--- sq . ft. x .10 = r Total exposed wall area above floor = -;? aY/•0 a. Total wall window area . . . . . . . . ?7l.Ivi. b. Total door area . . . . . . . . . . C. Total sliding glass door area d. Total fireplace wall area ?{ O e. Total wall framing area (average 10%). f. Total net wall area above floor . . . g. Total rim joist area . . . . . . . . . . 644x% 0 Total exposed foundation area = i8p_ij h. Total foundation window area . . . . . -- i. Total net foundation area above grade. .C.? . /8n Determine "U" value of each wall segment. a, 171, Llo x „Ul# S53 = b. x ,lull .3/ c . x "U" 353 = d. x "U" _( , e . 70- 0 x "u" rJ9 = f. x "U" g x „off OY h. x "U" - i . 80.0 x fU,t . /`/ _.a SUBTOTAL 4• TOTAL (0 5 If item N4 is the same as, or less than item #1, you have met the intent of SBC,6006 (c) 2. Total exposed roof/c(!iling arch j. Total skylight area ........................... k. Total flat roof/ceiling; framing; .area........... 7 <v3 1. Total net insulated flat roof/ccil..ing area..... S7 M. Total vault roof/ceiling framing area . n. Total net insulated vault roof/cei)inr, area.... -- Determine "u" value for each roof/ceilinr. segment x 1. 10iy- 3 Z. m. x n. - Tota. = If total of #5 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Total exposed floor/cant. area o. Total floor/cant. framing area (average .10$).. p. Total net insulated floor/cant. ai,ea .......... Determine "u" value for each floor/cant. sePment x "u" - e. P X Itul, _ P. - 6. ........................ ...................Total "I- ?- -? If total of S6 is the same as, or less than M3, you have met the intent of SBC 6006(c)3. ALTERNATE BUILDING F.NVF'LOPE DESIGN To utilize the total envelope system method, the values establisl:ec1 by the sum of items 44, #S and N6 shall not be greater than the su'r; of items N1) B2 and 93. 4 ?U7 J? 2. 5. cX?_ U 6. i Preparcd Da tc/?- i? ?Y Total ezooeed wall area above floor Total wall window area ......................... _ Total door area ................................ _ L?- Total alidling glass door area ................ Total fireplace wall area............ wall framing trot (average 10) ......... /Z-? Total not wall area above floor ................/?- Y Total r1n foist trot ........................... Total exposed foundation trot -- Total foundation window area ................... _ r Total net foundation area above grade.......... Determine "U" value of each wall sogment. "--- x "U" ----- a. b. /- x "U" 710- r ?. aC_g o. x "U" d x "U" o? . Lv Z "U" 9• f. //3.`{ x ouv 8• x "U" rj h. I "U" ?---- - 1. x "U" ` Subtotal c /--s- Total exposed will area above floor = .eJ h. o. 5. r, f' . Total wall window area ......................... Total door area ................................ _ -- Total eliding glass door area ................ Total fireplace wall area ............ Totai wall framing aroa (average 10%)..... ..... _ Total not wall area above floor ................ 75•°^ - Total rim foist aroa ........................... Total exposed foundation area -- i,. Total foundation window area .................. 1. Total not four4atlon area above grade.......... '- Determine "U1 value of each wall segment. 0 X. mu- -S 3 b. X "U" 0. Q-y NUN d. X "U" -X Mu- o? X "U" g X "U" h. _ X "U" i. -- I "U" 3?3 /2,7/ . Jy - lit-O d subtotal = r THRU STUD w/ S•.R. 6 SIDING Int. Air ' .68 S.R. YS Stud .. lo.07 Shtg., ??.OL Siding qL( Ext. Air .17 Total. "R" 1/R=. "U" THRIJ CLG. Int. Air .61 MEMBER S.R. ( ") ?G C1g.. Memb. 4/•3j Ins. (g? 3;.U Still Air .61 Total "R" = 5?.. I3 I/R 7HRU CONC BLOCK. Int. Air. .68 C.B. ((?• ) x.28 Opt. Ins. S-O Ext. Air .17 Opt. S.R. :-? _ Opt. 'Sid. -- ? • Total "R" 7. 13 1'/R = ?U TIIRIJ INS. WALL Int. Air W/ S.R. S SIDING S.R. Ins. SHTG. i Siding f?l Fxt. Air ` Total "K" = A!) 1/R = nun = a1 THRU CLG. Int. Air INSi!LATION S.R. ($/TU") ` Ins. (j2") ?(k.n Still Air .6' Total "R" 1/R = "U" s THRII RIM JOIST Int. Air Ins. I`f.o V5" Wood 1.c Shtg. .1.b1 Siding q`( Ext. Air :'. Opt. Brick Total "R" _ ?{• N If l 1/R = STUD Int. Air .68 . " F.C. Stud 87 BOTH SIDES (Opt .) Shtg. 5/8" S.R. 56 S . R . "YS---5 f+ Ext. Air .17 Total. "R" _ 8..73 1/R = l? Q J STUD Int. Air .68 S.R. Stud 6.87 3IDIPG Shtg. o1.OL Siding y q Ext. Air u17 Total "R" = 1n..7Z I/R = "U" = T i THRf1 INS. 5/8" F.C. S.R. ROTH SIDES Int. Air C. (Opt. ) Sht g. --- Ins. 5/8" S.R. 5(: Ext. Air Total "Rte 1/R = "Ll" L•`. `fF3 THRU INS. WALL w/o S.R. W/ SIPINC El Int. Air Ins. 12.0 Shtg. Siding -Y Fxt. Air .17 Total "R" = 2ri ";? U MEMRF,R Int. Air .92 CANT. Carp.-Pad Vinyl Und. Ply Joist Depth Ply. Ext. Air .J.7 Total "R" = l 1 / R 7HRU ID'S . AT CA*'T Int. Air Carp.-Pad Vinyl IInd. Ply. Ins. Ply. Fxt. Air ]? Total "R" _ ' RESIDENTIAL c, BUILDING PERMIT APPLICATION A ? 76.05 J / ys? CITY OF EAGAN ?l 3830 PILOT KNOB RD - 55122 f j -a2 651-681-4675 L11 New Construction Requirements RemodellRauair Requirements . 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for healed additions . 2 copies of plan showing beam &window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan d lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER SWSW C TYPE OF WORK S-?\ t?, .Y+ FIREPLACE(S) _ 0 - 1 - 2 APPLICANT ?E ?t.?P d'vCb PHONE# W'5?'1Wb ADDRESS 04% ks `?_ZIP CODE PAGER # VQ ?'E. CELL PHONE # V3Z%;1 1r, FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COM Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Sul: - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: y°-,zi-C Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: 't?3a';Zle Phone # Mechanical System Includes: Air Conditioning Heat Recovery System Sewer/Water Contractor: Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant I ( _ ? ' Certificates of Survey Received _ Tree Preservation Plan Received - KTlot Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex )"t 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) * 22 Porch/Addn. (4-sea.) 'I19il( 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous F ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 76- 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair b, 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Axo. DO Occupancy 143-u d MC/ES System Census Code _q34 Zoning City Water SAC Units (9 / Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Y N Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _X Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof - Ice & Water Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. -Air Test - -Final - _ _ Windows (new/replacement) Insulation - Retaining Wall Approved By J , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other L/ -Sr'+mar? Pont,H- l v r x 60A" - 3?y x 5-y = 4, 672 yv:: )"l,$-(D 0111 e k, ?i °00 Zs?? 3?- 4 Total Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release Ib Data filename: Untitled TITLE: ADDITION COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 03/28/02 DATE OF PLANS: 3-28-02 PROJECT INFORMATION: JERRY & LISA OTTO 3648 RIDGEWOOD DRIVE EAGAN,MN 55123 COMPANY INFORMATION: HEGGE CUSTOM HOMES COMPLIANCE: Passes Maximum UA = 50 Your Home = 48 4.0% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 252 44.0 40.0 3 Wall 1: Wood Frame, 16" o.c. 336 19.0 0.0 14 Window l: Above Grade, Wood Frame, Double Pane with Low-E 58 0.280 16 Door 1: Glass 34 0.300 10 Floor 1: All-Wood Joist/Truss, Over Outside Air 196 38.0 0.0 5 Furnace 1: Forced Hot Air, 80 AFUE Air Conditioner 1: Electric Central Air, 10 SEER Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.287 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 innesota Energy Code requirements in MECcheck Version 3.3 Release Ib and to comply with the mandato equirements listed in thcPMECeheck Inspection Checklist. ?Q ?- Builder/Desi er Date_7- PROPERTY ADDITION, CERTIFICATE OF SURVEY For: Jerry & Lisa Otto DESCRIPTION: Dakota Count Lot\3, Block 1, WINDTREE 4TH innesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or :encroachments, to the property except as shown thereon. Signed this 10th day of February 2000. Z,),?R, Hill, Inc., 1 By Harold C. Peterson, Minnesota L.S. No. 12294 Notes: 1. Building dimensions shown. are for horizontal & vertical placement of structure only. See architectural plans for building & foundation dimensions. 2. No specific soils investigation has been completed on this lot by James R. Hill, Inc. The suitability of soils to support the specific house proposed is not the responsibility of James R. Hill, Inc. or the surveyor. 3. No specific title search for existence or non- existence of recorded or un-recorded easements has been conducted by the surveyor as a part of this survey. Only easements per the recorded plat are shown. 4. Proposed grades shown were taken from the grading &/or development plan prepared by JAMES R. HILL, INC. Denotes o Denotes • Denotes x927.6 Denotes (930.0) Denotes Denotes Bench Mark: set spike set iron monument found iron monument existing elevation proposed elevation proposed drainage Bearings are on assumed datum Scale: 1'=30' D z x N rn ;E) N o Inc Hill James R m f N O oo m o n \ oo N m N O> f z . , . PLANNERS / ENGINEERS / SURVEYORS O m N to o „ d m o N o o me 2500 W. Crr. RD. 42, Surrz 120, Buwmau IAN 55337 N o ? PHONE (612)890-6044 FAX: (612)890-6244 F CERTIFICATE OF SURVEY For: Jerry & Lisa Otto N 88 °37' 45"W _ 61.01 _ N66 0 ° 47' 4S„4' 1 0 ss 5 -? o ?0 , 3 1 . - ? >ORA1N f I nT r? / EASEMENT ER fury L_V I ? ? LAT?__-/ p I ??.-.'r'v S'E.D p o A'OR ro??5 114- -1 0a h f M 1`'J ?` XISTING ° N N HOUSE n //N,., 21.0 / ^ h' EXISTING \?f GAR. ?o f ?. .0 ° N f 0.0 N 22.0 LO hou n 5 PROPOSED 22.23 I ORIYEWAY f \ ?j h? o 78 00 _R-333 °254 \ RIDGEWOOD - °? DR I V E 11 Scale: 1"-30' Page 2 of 2 James R. Hill, Inc. W I /?T L_V I 1- x 0 c PERMIT #: V-SD&?1g ?/ Z CITY USE ONLY yq y ll3 . RECEIPT DATE: 2115-101 RESWENTIAL MECHANICAL PERMIT APPLICATION crrYoF EAem 5830 PILOT KNOB RD KAeM MN 55122 651-661-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: C") - /o(_(J f SITE ADDRESS: OWNER NAME: TELEPHONE #: 6S( 613- 4r/DS (AREA COD "AkIllCt4 hiEAjlt? a1i€+ ?04T110wYki INSTALLER NAME: %I #: (AREA CODE) STREET ADDRESS: CITY: STATE: riace a cnecK marK next to the permit worK type I New residential dwelling unit under constructionand not owner/occupied ZIP: $ 70.00 Add-on, modification or alteration to existing dwelling unit • furnace replacement -Ar;y C 571/X+/O^/a24kD • air exchanger 0 • air conditioner • other Nature of work: Total $ 50.00 Reminder. Call for inspections. _RMNHTR FEB 15 2001 By '/ j A1,1114 S GNATURE OF PERMI E Updated 1101 PERMIT #: APPROVED BY: CITY USE:ONLY RECEIPT DATE: INSPECTOR COMMEACIAL MECHAMCAL PFA MIT APPLICATIOR CITY OF EmAN 8880 PILOT KNOB RD EAeA v, MN 55188 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: . SITE ADDRESS: OWNERNAME: -'HONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = nummum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 X?>XMW?k?%k?kM?KS'rFW>kYF ?k<?k K?k>kk:Y,t?"?$okYaMX<>X?Re$<4;r;;?X<Y6 CITY OF E:AGAN CASHIER, JS TERMINAL NO, 003 DATE% 02/16/00 TIME; . 10:3606 ID a NAME: GERALD OTTO 3210 9001 3648 RDGWOOD DR 125.2^_5 2155 7001 3648 RDGHOOD DR 3.00 Total. Receipt Am=02 7.25325 CR123620 USER ID w JAN %?m?kr?:k?Y?cau 4cra ?c??r???m m? mrk ?k#??k ?X3k?X:k ?? ? ? ?k>K? *?X?? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN q 3830 PILOT KNOB RD - 53122 1 651-681.4675 -a l11I? New Construction Reaulrements Remodel/Repair ReaulC is > 3 registered site surveys showing sq. it. of lot, sq. fl. of house and gll rooted areas (20% maximum lot coverage allowed > 2 copies of plans (slow boom & window sizes; poured fnd. design; etc.) > 1 set of energy calculations > 3 copies of free preservation plan if lot plotted after 7/1/93 DATE: \ D-s a-IL? do 2 copies of plan 1 set of energy calculations for treated additions 1 site survey for exterior additions & decks CONSTRUCTION COST: \ ?JC7 DESCRIPTION OF WORK: ?°?? `A\ s CAP • ?•?,ts+ ?'1?1z?- ?? (??lA, STREET ADDRESS:! rJcr? gab F??o?? LOT: BLOCK: SUBD./P.I.D. Name: Phone PROPERTY Last First OWNER -»?OS>Joob Sheaf Address: City l' C= P? State: Zip:1 Z? Company: Phone #: (area code) CONTRACTOR Sheet Address: ?- Ucense # Exp. city State: ARCHITECT/ ENGINEER Company: tName: Telephone #: ( '1Y1? Sheet Address: Registration C City State: Seweriwater licensed plumber (if Installing sewerNmter): k-'z) ?? ?L- Phone #: Zip: Zip: I hereby acknowledge that 1 have read this application, date Mat the infomwlbn is correct, and agree to comply with aR applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: l , . Certificates of Survey Received Tree Preservation Plan Received _ OFFICE USE ONLY Yes No Yes - No -L Not Required F® 2CC7 t OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi ? 02 SF Dwelling ? 08 06-plex ;K 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-plex E3 18 Deck [3 23 Porch (screened) ? 36 Mufti 13 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Pibg Yor_N ? 25 Miscellaneous ? 06 '04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42, Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code -aL # of Stories J sq. ft. No. of Units Length - sq. ft. No. of Buildings -I Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy I, (.&M:j6f sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building T- Engineering Variance Permit Fee '1?4s- Valuation: $ ??® Surcharge . o O Plan Review License 5 r VarA MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies p Total: SAC Units % SAC CERTIFICATE OF SURVEY For: Jerry & Lisa Otto I /1T 7 LAJ I O N O 0 'd' O m x vx (n \ o N z C N N88°37'45"W 61.01 _ IV660 47, / 5 0 0 6S 6 4s., _o 4 \\'DRAI O ? / £AS£MfNT p Unllly £RPLAT? I 15, p? I X12.0 °wn i 10.0 - ?. ?n 0 N 5 PROP £D n DR'V£WAY 78.00 - 31.ts? MO O e) ?O 21.p / ?I 4 22.23v // h? ?/s M o P 8-333 _ - d =13 254 RIDGEWOOD DR ? VE Scale: 1"=30' Page 2 of 2 I (,\T A L_V I It 0 0 0 m James R. Hill, Inc. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT PE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID F) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: . . ? CCIMMERCIAL/RETAIL/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVERNMENT E2?IR-1 SINGLE FAMILY ? R-2 DUPLEX (Two Units) ? R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIL'M ( -Units ) 2) ?v NAME: dil u l ?TG S M f 41 ". ADDRESS: CITY, STATE, ZIP: PHONE: :2A je _ DD7 3) u NA[?. For City Use I T! S n LL M Y e U Q Plumbers License: .'ADDRESS: L Active 111 - Expired CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENSE# p?s $(6) 9 Staff Initl'al 4) ?• • i:• NAME: ADDRESS: CITY, STATE, 2IP: PHONE: CONNECTION TO CITY SEWER Er[ O CTION TO CITY WATER ? OTHER 6) r• PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) FOR CITY USE ONLY PERMIT # ISSUED 73.3 / Pd w/Bldg. Permit FEES: $ $ ?O' S d SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ / $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ?S?•rt ACCOUNT DEPOSIT - WATER $ SD o d? $ WAC $ J 7? • !t 7l $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?J?c D D $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ J [rD TOTAL f7 /5"s / RECEIPT RECEIPT DOES UTILITY CONNEC TION 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 LIS . T AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: 1114' If 6 Use BLUE or BLACK Ink r—————————————————+ I For Office U � � � Permit#: ��'�"�� I Clty of �� ; . . ,1� as- ; Permit Fee: U �- 3830 Pilot Knob Road � � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I 1 I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !'I P"JY Site Address: J 6 b , �t- Unit#: ,a �s� : , ��, <_. ,��i��' i . ' � ,,„ Name: �.,d� � Phone: �(�/— �- ��o� "ReSldentl��" �6�f � ��„�p-t�.�.i �, Owner adaress i city i z�p: , � Applicant is: Owner �Contractor ' Description of work: � ¢�i Y.�Lt/i�A� Type of Work Construction Cost:� S= Multi-Family Building: (Yes /No�� Company: ��P ji��r�� Contact: /ue� �� . � Address: ��{�{4 /Y� �� City: �, �.,7, �d�C � �C'ontractor '� � '" . State:��Zip:_��;5'/89 Phone:�� 7�7'/�/�/�mail: License#: �r �� 9O � Lead Certificate#: 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&Water Contractor: Phone: NOTE:Plans and supp,orting'documenfs fhat you submit are considered fa be public informa#ion. ,Portivns of ths infor`mation';may,be+�lassified as°non-public'°if you',provide specific reasons'that would permit tHe City;;to , concicrd'e t�a#tl�e ;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.aoqherstateonecall.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 on�y 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 ��Z �,� C�r o N G-o L � X.�� Applicant's Printed Name Applicant's Signatur��e �/ Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174570 Date Issued:02/04/2022 Permit Category:ePermit Site Address: 3648 Ridgewood Dr Lot:003 Block: 001 Addition: Windtree 4th PID:10-84473-01-030 Use: Description: Sub Type:Water Heater & Water Softener Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Gerald B & Lisa A Otto 3648 Ridgewood Dr Saint Paul MN 55123--131 (612) 716-1565 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature