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3649 Ridgewood Dr*City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 2. 2012 Use BLUE or BLACK Ink For Office Use Permit#: /Sb 7 Permit Fee: / 22'. i Date Received: Staff: 2012 RESIDENTIAL BUILDINQ PERMIT APPLICATION Kit/66(4004i 2-5 1Site Address: .1(.121-V9 ) (tu Unit #: iivt I t RESIDENT/ 7 Name3oe `. STN,' -1-11.--t Phone: W ---1 tt-1'_( POWNER Address / City / Zip: L ,t.? le..4 tc c.)`- G�0 Applicant is: Owner Contractor TYPE OF WORK Description of work: F,N.±,(� h1 o £1 Construction Cost: 1 56 ' 0Multi-Family Building: (Yes / N*) CONTRACTOR Company: -5:--C l'1/4) ' �"ti`Y\ -.4k-iii4 LI''/Contact: L tt1.1 l Jj �`'� 7 J Address: 1—'" t11 1 O.e.- L .. o 0 cc L...)c-*-r City: 1166614 c?c.) •.,fi State: ;NO Zip: -50 L.4( Phone:( (.‘1 ,5>1. " 45i -cis Eft License #: 2 335 Lead Certificate #: If the project is exempt i-Vb`: from lead certification, please explain why: (see Pa 3 for additional information) e....._ 0 N)..t0 i.A. 413%--,‘-, t Ci rY4) &JO ti igg-- In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bu' days of permit issuance. STVO Applicant's Printed Na must be completed within 180 plicant's re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace ,V Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Addition ,.* Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% d ) Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair 1000 43/-1 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final ,- Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: 360q1 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Dam e /040S0% wo,c Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant ✓2r• Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required g- Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL hi "Pi 20 Page 2 of 3 CITY OF EAGAN Addition WI Owner Remarks DN. 2 3 10 84473 020 03 Street ve State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ro 113 9 601-d O O •Q eOl/.57 STREET RESTOR. GRADING SAN SEW TRUNK 1971 42.1-5- 20 C 0 166 a.?- -?Sr SEWER LATERAL /9 6 WATERMAIN WATER LATERAL WATER AREA 1972 .20 3 2. U() ;eU & O- Ds O//v (v 2- 2,e water area 1977 40.14 15 i©m. -74 16lna? STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Rn;;d ITnit 280-00 54195 1 WATER CONN. 500.00 BUILDING PER. 10696 SAC 525.00 fe ?? PARK GEO. SEDGWICK H1 G. & AIR COND. CO. i p ?3 11 a G / i HOUSE HEATING TEST RECORD n ADDRESS- ? i c1 O d CITY ?fG?W OCCUPANT OWNER A ?? HEAT LOSS DA SOLD BY Electrical Work By TYPE OF HEAT GA _ FA_)?__ HW_STEAM- MAKE t-41i n.4 GAS DESIGN Model Serial L'd 8-I'll / INPUT /Q 1 dou INSTALLED BY ,fo A ?e ?`' ?? C JS Gas Line By o S r=- rr (I ? "s T; - SPACE HTR. UNIT HTR:y_- OTHER Max. BTU Rating CONTROLS ` i 3 Heat Plug THE RMOSTAT ) 4ru? ? Valve aAluo^ C f YwP Limit A& " e , Limit Setting fan Setting /N? ?.., ??. Pilot Type Pilot Make / C Pilot Model 6 O Pilot Timing 7- - L.W. Cut Off _ Pressure S Percent CO Input CFH Percent 02 ??c Stack Temp. Percent CO 6 Vent Size C? KIND OF LINER SIZE NONE Draft Hood %" i Regulator VAS Filters Size Number Chimney Location Inside- Outside Chimney Construction C /ctSS 1S Smoke Bomb Wiring Draft - Test Tag Door Pressure - Lighting Inst. Q Date Tested Company Testing -'? v Name of Tester -- Form 235 CASH RECEIPT ' CITY OF EAGAN P. 0. BOX 21-199 r EAGAN, MINNESOTA 55121 ? i DATE 19 C . RKCIMVKD FROM -f•' °- ' AMOUNT $ ? CASH & DOLLARS Leo ? CHECK FOR _T/ J/ FUND CODE AMOUNT L '' J 1 Thank You $Y AAtr -5) t Y •' t White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Lot Parcel No. Nsnie r L.c Address City A. Phone G. 6 2 2 Z Name ?U Address City Phone bag wW Name that I have read this rect and agree to c Signature of Permittee A Building Permit Is issued to. all work shall be done in accordance Building Official and state that all applicable state 10696 Receipt * Erect U Remodel ? Repair ? Addition ? Move ? Demolish ? Int Impr. ? Zoning Type of Const. No. Stories Length U Depth 4 8 Sq. Ft. Approvals Fees Assessment Permit U . (; Water i1 Sew. P li Surcharge 44.5C 200.01C Pl i R ce o an ev ew 52 9 OC Fire - . SAC Eng. Water Conn. 5 0 0• 0 c Planner Water Meter 6 3 . 0 C Council Road Unit 280 . OC 7/30/"5 1 3 2 010 Bldg. Off. . Tr. PL APC Perks Var. Date Copies Total ,4 4 ' C an the express condition that sgta Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone s Plumbing U Q HN A.C. w l c1? f r r Electric k Softener Impaction Date Insp. Other Footings 1 Footings 11 Foundation Framing Roofing Rough Plbg. Lf Rough Htg. f? 1 J Insul. Fireplace ?? L?B Final Htg. Ohs Final Plbg. vl" 7LW Final Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. Receipt -/ ~ ! ',?• MECHANICAL PERMIT Permit No. CITY OF EAGAN FM fill In numbemd Wm a S/C Type or Print legibly Tot. 1. Date i 2. Installation Cost j ?: 11 3. Job Address Lot Blk. Tract 4. Owner /? f .:. .1ar.T ter? r. 5. Contractor C`? Phone 6. Address 7. City State Zip B. Building Type: Residential Er Commercial ? Institutional ? 9. Work Description: New O? Add ? Alter ? Repair ? 10. Describe ?.r?,,?,a? •:: tis v ' Fuel Type 11. No. f EquipmenL BTU - M. Ea. Forced Air i No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : . _f . for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 :ipt PLUMBING PERMIT CITY OF EAGAN Pill in numbered spaces Type or Print legibly Permit No. Fee 2R.OO S/C .5O Tot. 2A 5O 1. Date 6/28/85 2. Installation Cost 3600.00 - 3. Job Address 3649 RIDGLrv00C Lot Blk. ? Trae> c/ 4. Owner MARK JOHNSON CONS1'. 5. Contractor SC'HU .TTF S p L MRTW 6. Address 6383 SUNSET RD. NE 7. City SPRING I-AKB PARK State 1-1111 Zip SS412 8. Building Type: Residential E Commercial ? Institutional ? 9. Work Description: New U Add ? Alter ? Repair ? 10. Describe FRAME DWELi.ING 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well _L Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances arid codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning- Owner: - Address: Site Address: - ,_ ''Cic?+?Xr Plumber. F . 1 egree tb om* wki dw Cttp of lave, "sonees. By Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: ' _ No. of Units: Connection Charge: } - Account Deposit: gyp,. ' Permit Fee: - I : : I n-A Surcharge: _ Misc. Changes: _ Total: _ Dote Paid: CITY OF EA GAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: ' No. of Units: Owner: X31:"Cx? `::fi: Address: Site Address r 1; Yrs.? rY--. Plumber. Meter No.. Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 avne to =w* with the city of lase, Surcharge: _ ordb,e"s. Misc. Chorgn: • Total: '):??? '?'! ?' BY Dote Paid: Dote of Insp.: I...... CITY OF EAGAN 383P$4at Knob Road P. P. Box 21199 Eo; in, MN 3021 r: rosc Address: umber. ` WATER SERVICE PERMIT PERMIT NO.: DATE: 1 No. of Units• `E2 4tri r No " ?o? rL Connection Charge: " ` ' . - Account Deposit: p r No.: a ;E al ? / 2 J,2- Permit Fee: _71. pc. . J' to eor,pllr wuh the C y of lava, Surcharge: Misc. Charges: Total: y Date Paid: of Insp.: Insp.: CITY OF EAGAN N°_ 10 6 9 6 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $89,000 Date AUGUST 1 I9 85 Site Address 3649 RIDGEWOOD DR Lot 2 Block --3-Sec/Sub. WINDTREE 4TH Parcel No. W Name MARK JOHNSON CONST Address 4149 STRAWBERRY LN City EAGAN Phone 454-0623 Name SAME C< Address r?-2t r:if Ph... Name DAN MANSFELDT Address City BURNSVILLPshone 894-3208 I hereby acknowledge that I how read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cityjbf Eag;m oprdinancas. Signature of Permittee A Building Permit Is Issued to: MAR JOHNSON all work shall be done in accordance with.oll plicable State Erect Id Occupancy R3 Remodel ? Zoning R1 Repair ? Type of Const. v Addition ? No. Stories Move ? Length 50 Demolish ? Depth 48 Int. Impr. ? Sq. Ft. Install ? Approvals Fees Assessment Permit 400.OC Water 8 Sew. Surcharge 44.50 Police Plan Review 200.00 Fire SAC 525.OC Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 280.00 Bldg.Off. 7/30/85 Tr. PI. 132.01] APC Parks Var. Date Copies Total $2 .144. 5C on the express condition ihoi ;4a Statutes and City of Eagan Ordinances. Building Official 5 n?-' 0 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructions for completing this form on back of yellow copy. f ) fi i`s' i 9 4 X" Below Work Covered-by This Bequest ?J Adr3 Rep, Type of Boiltline Appliances Wired Equipment Wirers 1 eater lectric g Fee Service Entrance size b Fee FeedersrSubfeaders t! Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amts Above 200 Amps 31 to 100 Ainps 31 to 100 Amp, Swimming Pool - Above 100_Am s Above 100-Ann. Transformers Irrigation Booms $v Partial-'Other Fee L' Signs j 1 - Special Inspection 'S R..rks TO FEE aw 61 r I :.Z. btlor"he?ipby certify that the above Final Citai r/?s pec [ion has been This request void 18 months from This request void This Itio l s from 5517 nF9,gA L eq uest [lace rare NO. nou0n-in inspection !!la??...""""'''? g? Rer?qui"retl? ?Ready Now ill Notify. Inspec- -? ?NO for When Beady n 6 Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Addre : ss, Box or Route N City 7 W Z/ 7 £ 1 auction No. Township Name or N01. Range No. County Occ T (PRINT) p?2?C ?H.uScvJ Phone Na. Power S li r Address ' rr/nom ?,r Electric tractor (Com any Name) Contractor's License No. A SK. C?:?C.,? X V 3z- Mailing ess (l'Or1Ir8C r or Owner Making Installation) .4s - Zr iE37 - Authorized atur (Contract r/ caner Making Ins tallaGOn) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwav Bldg- - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 29]_2111 ENCLOSED. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1 y S U Cam. 651-681.4675 C ?'ga New Construction Reoulremenis (Q ?-- I z I G yt n 3 registered site surveys stowing sq. ft. of lot, sq. ft. Of (rouse 2 copies of plan and all roofed areas (20°6 maximum lot COMOae allowed) o b 1 sel of energy caiculollons for heated odditions ? 2 copies of plans (show beam & window slzes: poured Ind. design: etc.) i site survey for exterior additions & decks 1 set of energy calculations ? 3 copies of bee preservation plan If lot platted after 7/1/93 - DATE: 'G ~7' ` CO CONSTRUCTION COST \ Z,1° DESCRIPTION OF WORK: N STREET ADDRESS: V LOT: 7, BLOCK: SUBD./P.LD. g: A? ' Name:?r????\? ?QIF, Phone ft: PROPERTY Last First OWNER Sheet Address: City State: zip:S Company ' ES y?l ? ?b• Phone #: ? ? \Iezzl 1, r (area code) 3 CONTRACTOR Street?Adddrres?s: Z-) `Ucense #Exp.S (v 1 City state, zip. Z? ARCHITECT/ ENGINEER Company: Name: Telephone ff: Street Address:)E7?\ `? ReglshaHon City State: 'V\\Z? Zip: Sewerlwater licensed plumber (if Installing sewer/water): S`'C7--Z Phone #: I hereby acknowledge that I have read this application, state that the inia Orri owed dash"" to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: '?---' Certificates of Survey Received Tree Preservation Plan Received OFFICE USE ONLY Yes No Yes No Not Required i iAY 3 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex llt 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ?' 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex P1bg Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Cortst. (Actual) (Allowable) UBC Occupancy 17,7 IAL Zoning # of Stories sq. ft. Length sq. ft. Width Footprint sq. ft. Basement sq. ft. Census Code Main level sq. ft. MC/ES System Q'1 sq. ft. 15 City Water sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building Engineering Variance Valuation: $ 7, mz) ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti P,Xucf 1s-6 x y 01 -- 6t)- ly o 1y --f SAC Units % SAC SURVEYOR'S CERTIFICATE •p0 ?\ a O ?ry 6 K N 5!°09'37 R 9/' 9 M ?4GF *0OO 9i6 T U , •, i 9, o M S •91 4 r? ? . / 90 ? Q O ry ?b/O '.-? ? / Mh o Pr A O ? PRO °, o j'yO?fE'p .Q4 .0 d \ p, 15 az s ? ?' i aQ,4, 2 ?o u ,. e4o3 a ?I D K DENOTES PROPOSED SURFACE DRAINAGE- I ` S O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 92-i•o FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 914 •a FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 921.4 FEET. I HEREBY CERTIFY TO MARK JOHNSON CONSTR. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Block 3, WINDTREE 4TH 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 zz,ao DAY OF JoL-y , 1985. SIGNED: JAMES R HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PACE JAMES R. HILL, INC. 85744 136/45 Planners / Engineers / Surveyors FILE NO, 8200 Humboldt Avenue South FOLDER Blootnington, Mn. 65431 012-004-3029 hh CITY USE ONLY L RECEIPT #: SUBD. DATE: g ?O 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH MS2. TOTAL Shower 3.00 x = :4later Closet 3.00 x = --- Oath TW V 3.00 ,. _ 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 5.00 x Private Disposal " Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 5. 5 v CARPENTER FRED SITE ADDRE 3649 RIDGEWOOD DRIVE EAGAN . PIN 55423 OWNER NAM H 687-9763 W INSTALLER NAME: STREET CITY: ZIP: PHONE #: ( ) OFFICE USE ONLY L BL SUED. RECEIPT M DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for. ? all commerciallindustrial buildings. ? multi-family buildings when separate permits are pgI required for each dwelling unit. DATE: CONTRACT PRICE: - WnOW TVPF; NFW nnN$TRI I^TInN Ann ON RFPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? - YES - NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: OFFICE USE ONLY STE. # it A!0 ZIP: MIAA NU A-1 ".::,hi APPLICANT METER SIZE: DATE: INSPECTOR: 0•* D. * 400.00+ 44.50+ 200-00+ 525.00+ 500.00+ 63.00 + 280.00+ 132.00+ 21l44.50* 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To Be Used For: a Valuation: Site Address: 3414/7 Lot: IQ Block 3 Sect/SubAj-fx • Parcel # Owner Mg" 140Nnxonl fo?tT Address City/Zip Code Phone Contractor AA),,C,C doawso,0 caucT r.,,,c Address /V/y9 S4row6Qir Ler, City/Zip Code !E?26 ? . M^ SS/a 3 Phone 41+'y_06a3 Arch./Engr., tea, ef?p Address City/Zip Code gjJjo INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS &3, oco. ao / - Date: OFFICE USE ONLY Erect Occupancy R-3 Remodel Zoning R-I Repair Type of Const 4_ Enlarge 0 of Stories Move Length Demolish Depth Grade Sq Ft APPROVALS Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 7 D arks APC Treatment Pl Variance TOTAL 400 -50 m WO - 525.°, 250 ? 132.°? so Phone # 89(1-3,20,q tilx4Q Hbb y 5 X4152 (3 x (;? ? -ZO5 x ?9' 112 3 Z 1 3 i ? f?-S4 - II 22 ,z 4 ? 22- 528 ?C- (( = 58>0s &t)9 14 SURVEYOR'S MARK JOHNSON CONSTRUCTIOP CERTIFICATE OG;Z000 r3 Sa%r, 2x355 - ©?S'/I??•..?? 0 N ._- DENOTES PROPOSED SURFACE DRAINAGE ` -_4_ 0 DENOTES IRON MONUMENT SET SCALE: I INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9z?•o FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 1714 .O FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = Rz.1•4 FEET I HEREBY CERTIFY TO MARK JOHNSON CONSTR. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Block 3, WINDTREE 4TH 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 77-a0 DAY OF JuL-y , 1985. SIGNED: JAMES R HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85744 136/45 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mm 55431 012-BB4-3029 EXTERIOR ENVELOPE AVERAGE `'U ` COP;?UTATION OWNER /f7j?Q,C c?OhA66td CO,, gT SITE ADDRESSg6y9 ?J?QDeCS?p ? CONTRACTOR ZV.dCXr{O/f?uso/v co.?T ,a DATE 7???@SPHOidE /?53 Determine 1. Total exposed wall 2. Total roof/ceiling Total exposed wal working. square footage of each. ,It area .... ??Y8?(,o sq. ft. x 24 .az6 area ... o sq. ft. x L area above floor = /.o = a2?3.,;?y = S'3. S? a. Total wall window area ......... ........ 217 b. Total door area ................ ....... .7y c. Total sliding glass area ..... ....... d. Total fireplace wall area ...... ........ e. Total wall framing area (average 10%)...- f. Total net wall area above floor ........ /7a,22 g. Total rim joist area ........... ....... I4,2,4(2 Total exposed foundation area h. Total foundation window area ... ....... ? i. Total net foundation area above grade . /// p Determine 'U` value of each wa ll segment. a. an,o x "U" X352 = ? ?d b. ?y1 o X ::U:, ,?I = - sa,9d x "U = C. D. av.® x "u' e . X .U„ i /q ?? ?aq = ,?.Zz f. 02022 X ,„v = e-a65 g• /,/a, yd X "U•7 h . X '' U' i. II ,o X "U" ;y69 S .o 3 ............................................Total - c?/6.ae If item .#3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area J. Total skylight area ....?? , k. Total roof/ceiling framing area (average 10', /a Y, 63 1. Total net insulated roof/ceiling area ....... /569.37 Determine "U' value for each roof/ceiling segment. ,) X "U ` k. /C >q r(.3 X "U" cesz8 = 72 R3 1. 1.1°9.p7l/ X r:U1, 7 tpZ a 1.3q 7 4 .........................................Total 391.3"2- If total of #4 is the same as,Ior less than 1.,'2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope DesiF,n To utilize the total envelope system method, the values established by the sum of items #3 and N4 shall not be greater than the sum,of items Pl and #2. 1. 2?3,2q + 2. g3,5Z 3. 4 r, 72.6 + 4. 3-/,3 Z = „?Z b o Fi,- CITY OF EAGAN 2/84 , Il1q \ APPLICATION FOR PERMIT \ - SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 3649 i RIDGEWOOD =,L Daces .IPTICN: ??F Ai LC/A ? (Low/Block/S •,c.visicn or Tat Parcel I.D. NL=--er) SIMUC^ :tE, ) DATE OF ORT_G^a, cvILDL`.G jssuA .CE: P =SE ^_ ^:I1 ?y POFCS? Usz: KX R-1 S2= FA.%ffLY ? R-2 CUP= (T6:0 UNITS) ? R-3 M%-NLLHCU1SE (TF° = LE TS) r T.II=S) Q CC.nL?:.:CLAL/R_z'IAIL,/OF= I ? mmus==s L ? LITSTI':?TICNAL/GONE='.?E•'z"`T 2) ?T (PLEASE PRPiT) N;VT.: MARK JOHNSON CONSTRUCTION ADDRESS: CITY, STATE, ZIP: w w ?' PHONE: f a? -GG.x3 3) PLL. r.EP, (PLEASE PRINT) FOR CITY SE ONLY NA`L4E: SCHULTIES PLUMBING INC. PLUMBER ICENSE: ADDRESS: 8383 SUNSET RD. NE actin CITY, STATE, ZIP: SPRING LAKE PARK, LNIIV. 55432 Ex 'red PHONE: aa?c? 786-4007 PLUMBER LICENSE N 2658M9 U tot cord r?J 3i' :,11-131 4) OCCUPAi.'T/CS'irLT'.12 N% ME: r81NT) ME: ADDRESS : CITY, STATE, ZIP: PHONE: 5) INDIC:,TE WHICH PERMIT IS BEING REC,`UESTED: ® CONNECTION TO CITY SEWER i ® CC N 'E 1a4 TO CITY WATER [] 9,7ER (PLEASE DESCRIBE) PL--iSE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF AECVE ® PLED"?• 3IL APPROVED PER:•LIT TO 1, 2, (3,) 4 AEOVE 7-1/, n ., (Circle one) 7) SIG n tiE: ( vJ!( DATE: 9/5/85 MIR OR q a<?ar a q ! l:a? sa s I`R scs sa o i f ne{ rF? aa'a :a ae Y4 LR lJ??mpr: s fed s of t scaar .. a ..,, F O R C I T Y U S E O N L Y PER-MIT u ISSUED I FEES: $ /n'Su $ $ $ /S O $ lS'oO s sus„?, s S $ S $ 77G- mac, SE:•.ER PE?`sTT (I?iCL:;DE SURC_:?RGE) WATER PERMIT (INCLUDE SURCH.7 R_=) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNX WATER ASSESS:IEN-T TRUNK SEWER ASSEESS,,lv_Nill LA T=R ,L BENEFIT/TRUNK SE:' ER LATERAL BENEFIT/ UUK WATER OTHER L-(2 c -- TOTAL A`IOUNT PAID/ RECEIPT R s? yg DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: 10.1 APPROVED BY: TITLE: p DATE: ?/ 6S A Fly iFfOi ariF 4 io 4w R a het a•Af ? A4 ®?! ep?{ MPO i!a ®k? 1aF 4 ? a•9oB Rae !uF ? 3@ ?A R+? ®!a BQ pFIB oa v ? / RESIDENTIAL BUILDING 0(`? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -0II3.-3s New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys stowing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Read 2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate ifonslte seph'c system _ On-site Septic System 3 copies of Tree Preservation Plan ti lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date - / J / C) Site Address (D q q t4)1, Description of Work Construction Cost 1 t z)o 9 0, Unit/Ste # Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - 1 - 2st? J _,-- r Property Owner ?Y?,C Cl` { I y?.t 1 \ ?S Telephone # (?5!) uI put L Contractor PELLA WINDOWS & DOORS 15300-25TH AVE. N. STE. #100 Address PLYMOUTH, MN 55447 State 763-745-1400 LICENSE #20165884 City - Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # Telephone # II q I hereby apply for a Residential Building Permit and acknowledge that the inforti l&m=is=comp el t curate; 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 aXG roval of plans. ?SOh Applicant's Printed Name Applicant's Signature (Ggb(b 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 1077, New Construction Requirements RemodeVReoair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N 2 copies of plan showing beam & window saes; poured found design, etc. 1 she survey for additions & decks Tree Pres Required . _Y _N l set of Energy Calculations Addition - indicate if on-sde septic system On-site septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711!93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) el e2. T Date / rt?ol 05- Construction Cost T i "t Site Address 3 ?'F\ +mQ? Unit/Ste # Description of Work Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 - 2 ,11 1 Property Owner ?? t 1 PIXY l1(? Telephone # oS?) lIl DS1 ' L ?Q Tai Contractor Address State PELLA WINDOWS & DOORS 15300-25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763-745-1400 LICENSE#20165884 - City lephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 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 Ian in the case of work which requires a review and app oval of plans ^ Applicant's Printed Name Applicant's Signature * OFFPCE 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 ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs - Type of Const 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 ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof . ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Siding _ Stucco - Stone - Brick _ Windows Retaining Wall Building Inspector Pella Windows sr Doors -Twin Cities, Inc. WdH :1 A 'UDP am!1 PGAIB008 15300 25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763/745-1400 WATS 1-800-462-5359 FAx763/745-1401 June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors - Twin Cities, Inc. Please allow their representative to provide that service for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can-be contacted at 763-745-1432. Your immediate attention to this matter is appreciated. ' cerely, Bryan May. Replacement Sales Manager EANtc17E W. SANBD 1 As ?aa?mr?.>m.s+.soas Q / l/ cc: Kara - Elder Jones tu Denna Krafty - Replacement Sales Process Coordinator Windows, Doors, Sc Skylights 7nnR OUTTTq VT"Y gllS T.,T.T eT.! 7Te P X /T'CT TVa Tn/On/Un City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2009 MECHANICAL PERMIT APPLICATION Date: Tenant: Site Address: 41, RESIDENT OWNER Name: Address City Zip: Phone: CONTRACTOR TYPE OF VVORK PERMIT TYPE Name: t Y License Address: City:/ Phone: State: Zip: Contact Person: New t Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be sc reened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on Permitted screening methods. RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under Above ground Tank Install Remove) When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR $50.50 Minimum (includes State Surcharge) If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). Contract Value xl% Permit Fee State Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground 1. x Applicant's Signature se OCT 02 2009 Date Received: Staff: Suite Reviewed By Date: Rough In Air Test _Gas Service Test _!n-floor Heat Flrla Exterior HVAC Screening Inspection Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 1 2 2011 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: /6060_E 7, ?r 2011 RESIDENTIAL BUILDING PERMIT APPLICATION CA It Unit #: Site Address: L 0 DO cy Octktf 5.112$_, OWER Name: .: > cAN cQ,/ v \\(1 /N."- 4)h i,, Phone: i.,5( -1A0 -9 6-1 `f' 22 Address •/ City / Zip: J 4 c SS(L2 +� � d Applicant is: Owner i Contractor � $ -( f�- M ( . keit Description of work: r } TYPE OF WORK Construction Cost: C - C 3C) Multi -Family Building: (Yes / No ) CONTRACTOR ti Company: �� �� c,� iO4_5 (r� /l 1 Q vi h,Q Lt-(' Contact: c61E-1.)( �- � /vt ( Address: t -(iv c L) 0 o 0 lj City: �,$-Q./ttot 1,ti,�" rr '' i /� State: Zip: S 5D le g Phone: 5 (.-. `�(a ` q S 51' License #: 2C) 91S 1 (0) 5— Lead Certificate #: ' ' ♦ If the project is exempt HetiLSQ from lead certification, please explain why: (see Page 3 for additional information) & i / n /9ij5 In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents .that you submit are -,considered to be public information Portions of the information maybe classified as 909=public if you provide specific reasons that would permit the City ``to conclude that,tl eyyare=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.•o•herstateoneca .o • I hereby acknowledge that this information is complete and accurate; that the work will be in conformance -; dinances 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 s = 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. ._.......01/40 // x Applicant's Printed Name Applicant Page 1 of 3 S(p14ciR.cic26-LDC 94 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace ( Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition X, Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Interior Improvement Move Building Fire Repair Repair (25%_ 100% )() Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Porch (3 -Season) Storm Damage Porch (4 -Season) Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: Stucco Lath _Stone Lath _ Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector ,22yx90= Final Brick Final 4,-(1 (IS— 0 Page 2 of 3 IL. &CQ) 3 e$ (�d U CET r+ T l 9lfi F '.1Ar(EUP A R t UAf ITY FO XHA l : QU PMENT 3fJ l�'tiE lit Est :n3rt.f s frr atrafit r 135 Makeup Air dui exhaust capacity 'D59 -75 4, For Makeup A Opening Sizing, refer to Table 501,42 A Use this column if there are other e Use this column 4 there is one fan-assis c Use this 0 MAKEUP AIR C PEI I G SO TABLE FOR STI 420-539 332 180-230 i 12-142 10 s Use this Use this €;troiurnn D Use this Cokmn oil appliances ana An Nuns, to delermif If flexible duct is Barometric dampers • * makeup at n d r City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIALPLUM ING PERMIT AP LICATION Date: Site Address: 3c)(4e\dl8a Tenant: Suite #: RESIDENT / OWNER Name: 41 0 - 1MCVil n Phone: Address / City / Zip: ti L( k -al e,t,-j6 CONTRACTOR. 1 C- License #: �3 9— Name: VAQiI Cil, l c Address: O 1 C. / l 3 5f _ City: State: Zip: 55337 Phone: Contact: Email: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. — Description of work:- (Al, 6-i--.^ rQ4yl.01..1 3/q 4d*L. PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation (— RPZ / PVB) Add Plumbing Fixtures (— Main / Lower Level) — Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a per it, d work is not ;fi •ut a permit t the work will be in accordance with the approvgd plan in tie case of work which requires a review an.. pp .val of plans. X..) CtSo, Applicant's Printed Name nt's Sign. ure FOR OFFICE USE Required Inspections: Under Ground Rough -In City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA110143 Date Issued: 04/24/2013 Permit Category: ePermit Site Address: 3649 Ridgewood Dr Lot: 002 Block: 003 Addition: Windtree 4th PID: 10-84473-03-020 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 - Applicant - Owner: Sandra G Martin 3649 Ridgewood Dr Eagan MN 55123 (651) 686-9674 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink 4,11111°1�' i,lae :-LL{, ::: CityofEaiiilI 19alif I : 3830 Pilot Knob Road UL 1 7 2013 -7-i -7-13 Eagan MN 55122 1 Date Phone: (651) 675-5675 I Fax: (651), 675-5694 i I Staff ] 1 1,1 2013 RESIDENTIAL BUILDING PERMIT APPUCATION .frr A( : 7 4 e01 ,) o b C\. Drive_ e_ 1 Date: I 3 site Addrees. 3�4 1 � �a e � � unitik Name: i k vv(�l !Y0 2» r t Address / City / Zip: 36, Dict t c13ewoocL Dt' Applicant is: Owner )c Contractor Construction Cost Acrlti+Family Building: (Yes I No Company: ct: 'Tg r\ S k‘ t''rA Address- 0:100 (61ST Sat . W2SS 44Z 100 City: Afi2C2 V6t1 state: A1 NI Zip: 5S 12..1 Phone: Co I q. ' 3% T - 7 `t g i License #:Cices,tri Cl SS 7 Lead Certificate #: {fit = TfD I S - J If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) •r2to) &j`(- r (f7.K COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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: Sewer & Water Contractor: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454=0002 for protection before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq i hereby acknowledge that this information is complete and accurate; that the work will be in conformance wail Eagan; that I understand this is not a permit, but only an application for permit, and work is not to start without a pd 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 SI days of permit issuance. x_ t h Ste. i i t ift c e Applicant's Printed Name . Call 48 hours !codes of the City of �t the work will be in 50 Rage 1 of 3 SUB TYPES, Foundation Single Family Multi 01 of __ Piex Accessory Building 3‘1`11 L : tvOU C/ OK - DO NOT RITE BELOW THIS LINE Fireplace _ Garage )(Deck i Lower Level Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/ Pool WORK TYPES New — Interior improvement Addition Move Building Alteration Fire Repair �[ Replace Repair "` Retaining Wall DESCRIPTION Valuation Plan Review (25%__ 100%_`..) Census Code # of Units # of Buildings Type of Construction 1/6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water TFinal Framing Fireplace: Rough In ___ Air Test __Final Insulation Sheathing Siding Reroof Windows Egress Window *Demolition of entire building - _ Demolish Building* Occupancy`Y MCES System Code Edition 444.,...Z2,477 SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL _ Meter Size: X Final / C.O. Required _ Final / No, C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _ Footings __Air/Gas Tests _._Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: F Radon Control Erosion Control Building inspector DENOTES PROPOSED SURFACE DRAINAGE C) DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION SCALE: 1 INCH = 30 PROPOSED GARAGE FLOOR = PROPOSED LOWEST FLOOR = 914.0 PROPOSED TOP. OF BLOCK = .4 FEET FEET FEET FEET. I HEREBY CERTIFY TO MARK JOHNSON CONSTR. THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Block 3, WINDTREE 4TH 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 Zzao DAY OF Jury , 1985. SIGNED: JAMES RHILL, INC. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 BOOK / PAGE FILE NO. FOLDER 1361• 45 JAMES R. HILL, INC. Planners / Engineers / Surveyors 8200 Humboldt Avenue South Bloomington, Mn. 56431 812-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA140511 Date Issued:12/27/2016 Permit Category:ePermit Site Address: 3649 Ridgewood Dr Lot:002 Block: 003 Addition: Windtree 4th PID:10-84473-03-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra G Martin 3649 Ridgewood Dr Eagan MN 55123 (612) 326-1919 The Fireplace Guys LLC 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140511 Date Issued:12/27/2016 Permit Category:ePermit Site Address: 3649 Ridgewood Dr Lot:002 Block: 003 Addition: Windtree 4th PID:10-84473-03-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra G Martin 3649 Ridgewood Dr Eagan MN 55123 (612) 326-1919 The Fireplace Guys LLC 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature , 0 For Office Use / / C7 if rl +6�o e o ®� Permit#: l ,:::,,,,,.% ®e'er / c9. C7 % E AG A N ��� 1+ Permit Fee: (l/ iiEC1 , •-. ., Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810lb (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: '� buildinginspections(a)citvofeagan.com MAR 2 8 2018 L 2018 RESIDENTIAL BUILDpIG PERMIT APPLICATION Date: ,Z J Q Z-`� / Site Address: \TDD: � Or „ ..zs Name rs .9 WO a°7q ! u q '2 Phone: Resident/ l 1 1 S Owner Address/City/Zip: t �� r 1.44- .•: ���i (� 4 f_/ Applicant is: Owner Contractor ,Type of Work x` Description of work: Cbi�-- nti� , C- t� ,�+ Construction Cost F] Multi-Family Building:(Yes /No (� ) Company: A cJ i U, 9 L-Contact: 6-tv--u�-1-tc � `''✓t"\ Address:`` k( 9. 7 \- ��L * City: o ,t Contractor /� t r -� �j' State. r"" Zip: ( ? Phone:tf r" /Email: L� �� r( �Ni . C.C)�' „„_ License#c_42... 975 Lead Certificate#: Ob KA L.sv4” i."--`- If the project is exempt from lead certification, please explain why: A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public ► `tion Portions of the information may bei classified as non-public if youprovide specific reasons that would permit the City to conclude that they are r tease rets; t ; x � You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground Iamage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conform-, - the ordinances and -odes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is n• • .art without a perm'• at the work will be in accordance with the approved plan in the case of work which requires a review and approval of p x , i-f--0.—- t` -N Un.\ x Applicant's Printed Nairne Applicant's : • , -ture .-- DO NOT WRITE BELOW THIS LINE ' q lvr z-& j SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration (Single Family) fSingle 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 id Interior Improvement _ Siding — Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior — Alteration Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION d/ Valuation `fir c,obv• - Occupancy C 1 MCES System Plan Review Code Edition 0/1'1 2E( f SAC Units (25% 100% ?'#) Zoning T2-~ 1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction CB Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) pa Final/No C.O. Required Foundation Foundation Before Backfill ?° HVAC Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final �° Framing ?d 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: i VIII ///,- --17/9 , Building Inspector RESIDENTIAL FEES4/1(•41 ..)f fQe- Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Use Q Z :::e. 073 (0k--) Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections a(..citvofeacian.com L 2018QRESIDENTIAL PLUMBIN PERMIT APPLICATION Date: ('- I l) Site Address: q 1 jp G-)0 0 d Tenant: �J(� S t, r '` l✓'4s !v Suite#: Resident/Owner Name: Phone: Address/City/Zip: Name: Attu ei yt ' , , ✓V• h License#: O ? Contractor Address: t / 7 3 City: &t/Y6i/,`(e OAP"' n� Aq r� C State: V V`!V Zip: 3 ? Phone: 9 7 ? ' 5'l �— � D Contact: L'i^ Email: O.' .YIS ,r e ' N • `U ' 4o O C,4 Type of Work —New _Replacement _Repair Rebuild Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_RPZ/_PVB) Permit Type Add Plumbing Fixtures(_Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher s h Urs before m.. State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours byou intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in confo ance 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 no st without a permit; that the work will be in accordance with the approve plan in e case of work which requires a review and ap• oval of plans. 44 r"\X C6 ytit '� r` Applicant's Printed Name ppli . nt s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA177194 Date Issued:06/20/2022 Permit Category:ePermit Site Address: 3649 Ridgewood Dr Lot:002 Block: 003 Addition: Windtree 4th PID:10-84473-03-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra Geiser Tste Martin 3649 Ridgewood Dr Eagan MN 55123 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature