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3689 Ridgewood DrCITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt y l a?_.? , Site Address , ;, f Erect U Occupancy Lot Block Sec/Sub. Remodel Wit- d Zoning Repair ? Type of Const. Parcel No. Addition ? No. Stories Move ? Length W Name Demolish , ? Depth Address T Int Impr. ? Sq. Ft.' O City Phone 63Q-._ Install ? 9 wpprorers N Pees , ame ut Address Assessment Permit City Phone Water & Sew. Surcharge Police Plan Review G W Name Fire SAC uK Address Eng. Water Conn. <W City Phone Plonner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. l with all a licable orrect and a ree to com th form ti n i i Tr. PI. y p pp g e n a o s c APC City of Eagan Ordinances. State of Minnesota Statutes and Parks ; Var. Date Copies Signature of Permittee Total A Building Permit Is issued to: - on the express condition that .all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official U9i? Inspection Date I Insp. II Other Htg. Final Well Receipt PLUMBING PERMIT Permit No,: CITY OF EAGAN ? - Feel- Ck_ Fill in numbered spaces S/C . SU Type or Print legibly Tot. 1. Date u1:3/;35 2. Installation Cost 3. Job Address Tix','.; )On Lot r Blk 4. Owner NICIODDALE BUILDERS z Tract /J1 5. Contractor-CHULTIES PLUMMOG Phone 786-4007 6. Address ',383 SUNSET Ctii. -NE 7. City State ;1N Zip `')/:32 8. Building Type: Residential P 9. Work Description: New 9 Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe BRAME DWELLING 11. No. Fixtures Water Closet No. Fixtures ool /Drainfield Cess Bath tubs p Septic Tank _ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray i Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the a ve i Wmation is true and correct, and I agree to comply with all:gldinan s an c9des 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 4546100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residen tial ? Commercial ? institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air 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 : 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 Remarks Addition WTNnTRFF 4TH AnnN _ Lot 6 Blk 3 Parcel 10 84473 nhn 03 Owner Street 36979 Ridgewood Drive State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. la ` STREET RESTOR. GRADING SAN SEW TRUNK 5 1971 1.00' 2 . 1 2O © O ??.310 O I? -•2 -t?S SEWER LATERAL . WATERMAIN WATER LATERAL WATER AREA 5 1972 _,640. 20 2.00 20, , e5- O / eP /n? -A S- water area 1977 02 IC, 00 40.14 15 0? O, O 1-3-R- STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. IT 11, BUILDING PER. 1099 SAC 525.00 PARK CITY OF EAGAN SEWER SERVICE PERM 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: MN 55121 E DINE: agan, Zoning: No. of Units: ner: O w Address: Site Address: Plumber. I eysaa to eewrPllr with the City of Iowa ormaeaae. By Dote of Insp.: Connedion Charge: Account Deposit: Permit Fee: Surcharge: Misc. Char Total: Date Paid: RMI CITY OF EAGAN WATER SERVICE PE T 3830 Pilot Knot} Road P. O. Box 2119n PERMIT NO.: Eagan, MN 55121 DATE: Zoning: . No. of Units: Owner: - r 1 t=r Address: = ?R n Rid -. F'?'c:,d Site Address: ' ? ?;i" -1c a' •.: ? ? P b lum er. 5' Mater No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 some to conve with the City of Eaves Surcharge: ordleas ees. Misc. Charges: Total: B Dote Plaid: y Date of Insp.: Insp.: il CITY OF EAGAN N°_ 10 9 7 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 J BUILDING PERMIT r?? Receipt * Te be used far SF DWG/GAR Est. Volue 106, 000 Date SEPTEMBER 1 619_$5 Site Address 3689 RIDGEWOOD DRIVE Erect I,R Occu panty R-3 Lot 6 Block j sec/Sub. WTNiITARR dTH Remodel ? Zoning R-1 Repair ? Type of Const. j't Parcel No. Addition ? No. Stories W Name WOODDALE BUILDERS,INC Move li h ? 11 Lengt14 Q R . Z Demo s Depthsnn Address 2459 15TH ST NW Int. Impr. El Sq. Ft. City NEW BRIGH7Qdtje 636-2355 install ? g Name _ u? Address r city Phone EM Name JA RA R- ATi T , TNC 1ZU Address 820n Rf1MRnT.nT AvE S- <W City 1L0nMTNi'_T0i4hone - State of Minneso Statu'ry of gan Ord. Assessment te that I hereby acknowl a thaWand od is ap 'cat Q1 tha intion s cocto wmpl i licable Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. y8/85 Date Fees Permit 44 is - till Surcharge 53-00 Plan Review SAC 525.00 Water Conn. 50n - On Water Meter A'A n n Road Unit 280 nn Tr. PI. 749 fin Parks Copies Signature of Permifteb ? Z%V= r FO s - 1 1 Total 2,225.00 A Building Permit is issued to: WOODDALE BUILDERS, IIS19mthe express condition that all work shall be done inp'ccordorlce withAll applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CASH RECEIPT • CITY OF EAGAN • P. O. BOX 21.199 EAGAN, MTA 55121 TE 19 ?? AMOUNT Is S-/ IO?CJ FUND COUfi AMOUNT u 2zS? ? . 32 c/ / O Thank You a N_ 57110 , ite-Payers Copy Yellow-Posting Copy Pink-File Copy & _DOLLARS r00 CASH ECK CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: WATER SERVICE PERMR PERMIT DATE: . No. of Units: Owner: Wooddsle Builders Address: Site Address: 3689 Ridgewood Dr. T.6 53 Windtrea G Plumber. _ Meter No.: Render No.: & Ph 9 ?77 I come ft am* with As CUT of Eagan OvIll" n By of Insp.•? f' 0 • . Dcrfe? Connection Charge: 5C1()_ Dflnd Account Deposit: 15.OOpd Permit Fee: 10.00pd Surcharge: .50pd Misc. Charges: 197. 0C)PA TP Total: 63 00od mater Dote paid: Insp.:_ NO.: 6888 11-1-85 5b575 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 J ' See instructions for completi iy this for m on back of Yellow copy. o.: 6267n ""%"" Below Work Covered by This Request (r,J New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (specify) O ther (Spncify) t er Spedly Other Other Compute Inspection Fee Below p Fee Service Entrance Size p Fee Feeders/Subfeeders p Fee Circuits 01o20 0 qm s 0 to 30 Amps D to 30 Amps Above 200 o j 31 to 100 Amps 31 to 100 Amp, Swimming Pool Above 100 Amps Above 100_Amps Transtormers Irrigation Booms Partiab'Other Fee Signs Special Inspection S / TOTAL F Remarks / EE t . / ot? V Rough-in r oate I, the Elsctiiial Ynspecloq hereby certify that the above Final ` D411e ?y' inspection has been 4J.Z-p (. made. Rtiemquest voitl 18 months from 18 e e oid months 5 75 L(? 3 ? 10-1-7-85 from lI ?\ U l •W D rr. ?J?? lll... Request Date Fire No. Rough-in?Inspection Re red Ready Nu..4ill Notify. InsPeo- ) ??1L-pV /O i1 s ?No for When Ready Licensed Elecbi cal Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Ro No. 8y City J r t ?, section No. Township Na m or No. Range No. County Occ ed tIPRI 1 Phone Nn. Power PPIi r 01 Address Electrical o actorr ICOmPa Jame) inhWI Contractor's License No. e. 1 Mailing Add (Contr or or Owner Maki g Instailation) p ? 40f Authoriz gnat re IContracto /Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REGUEST WILL NOT Griggs-Midway Bldg. - Rgom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297.2111 ENCLOSED. 1 `i CITY OF EAGAN 2/84 1(ii APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPET?TY ADDRESS: ? LEGAL, DE-=TICN: (Int/Block/St ciiV151Cn or Taff Parcei Z.D. N ,= r`) E IS G ST?.UC -ME, DA--- OF ORIG IAN Z ILDL:G =-; ST ISSN? Cr: P.-SE` T ..^.`TI r ?a0P05 L7SE: C3 R-1 SD,=- FAMILY ? R-2 CUP= MNO UNITS) ? R-3 TiJ'TNHCUSE (== + LT7ITS) ( Ti Ni-S) ? R-4 A^re;,'! 1 1T/CC Ma,1I`_IILtiI ( IINITS) ? CCMMMCL7?L/Rz=T1/OFFICE ? mIDi.'ST?.' ? SNSTTILTIONAL/GGVER.L'_, ,T 2) (PLEASE PRINT) APPLI= A , NAME: ADDRESS: x959 /'5tA j{ N, ?[{iis°fe C17Z, STATE, ZIP: B wxa J ? - - - •? y PHONE. ` (d 3 6 ? sY a 3) Plz„EyEv.-,w;-.. :,-P SE PRINT.. _ NAME FOR CITY USE ONLY PDCRESS ?- F PLUMBER C YSE: CITY, STATE, ZIP Active Expir ' - PHONE: ...3'?} ,. PLUMBER:. LICE N5E''H` .5R m9 f Record Inir 4) OCCUP?V?IT/?Sv`cTt ( NAME: (PLEASE PRINT) : ADDRESS: CITY, STATE, ZIP- PHONE - 5) INDICATE ;,TEACH PERMIT IS BEING REQUESTED: C C NECIION TO CITY SEWER S tU: 'NECi'ION TO C 2 . ITY S•NATER ? 0TIE2 (PLEASE DESCRIBE) 6) D;DIG,:?. az: ? PL--aSE HOLD APPROVED PER`JT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PEPMIT TO 1, 2,C 4 ABOVE ; „ (Circle one) 7) SIC?TLTE: DATE: ?????? ! R Q+Li1Ui?JS.i? i? Ew:aau R s !Yws saa a s w ssra :w a i r ?arys?? s R?? ? ecw.aa s F O R C I T Y U S E O N L Y PERMIT °- ISSUED FEES: $ $ /?. $ La $ $ / S v c' $ S- $ SEWER PERMIT (INCLUDE- SURC ARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SES. TAP ACCOUNT DEPOSIT - WATER WAG SAC TRUNK WATER ASSESSIENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SE!,7ER LATERAL BENEFIT/TRUNK_T.IATER OTHER $ TOTAL c,J AMOUNT PAID /RECEIPT n 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 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ?! ss? ws R Q i? ?R != NO M*A= Rw R Q R W?:ft lFfg RQf Ri R ffip-_n w-" WHO M Q M Q.}0 We ? mm" w" w w 1.48.00+ 53°00+ 224-110+ X25- 00 + 00+ 63°' .0+ 280-00+ 132°00+ ;'s 225.00 * 1 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: ,•x4T?? Valuation: Date: 9/5/85 4 Site Address: 3 0 Ridgewood Drive OFFICE USE ONLY Windtree 4th Addiiton Lot: 6 Block 3 Sect/Sub Erect ?C Occupancy (? 3 Remodel Zoning R-I Parcel # Repair Type of Const 4z? Enlarge # of Stories Owner Wooddale Builders, Inc. Move Length yq?8" Demolish Depth Sn „? Address 2459 - 15th St. NW Grade Sq Ft City/Zip Code New Brighton 55112 Phone 636-2355 Contractor Sames As Above Address Same City/Zip Code Same Phone Same Arch./Engr. James R. Hill, Inc. Address 8200 Humboldt Ave. South APPROVALS Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off- Parks APC Treatment P1 Variance TOTAL City/Zip Code Bloomington, MN 55431 Phone 11 884- ®e(ic;tl°r??j ? y y? S? Sd o ?i a &O a N o R P E? kv DPS? r Cities Digital Quality_ Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. .i yi'p' s i'e ' .- s!i ' +f1 t;i,) 1Y p •URVEYOR'S;'?C,ERTI AiTtEIplQyW00DDAL'EBUILDERS ??/ ?lH ` V R :. I N Y L .Ayp^^ .S i 5; t ' ? ' '$(gtr i?a(??r IM 4 r`q f F x ?\ - r 4 s I 4S '? v C e . U ?' '?? F ?ahX X r V ?, ? Y LT`fr 1 91 i 9 .h 1 Lr"'pyt Ai tV r { , l ° ' va .. da vk ?#A-? }i j3'i'U fJ L l/ I RY J At fry;b?? Zit* x ryt?'NI3 KS Av t, t 9} r0? ab tnr t +* tS wf, .r x. S^a r S C t? t ' taw n, t. i.y 's? tv I r o dr1?? f Ate, .Aaey\ ",.$ „may ?q w 7'n^4 ? yt W. i y V'I /J? `?? • ?O? LOTS !•?.,yw`.?'g 4:.4yA r,:Ej a,y?1('L ?f? 4 6- toy (b' 'el F9 ? ? qd' d i' A e t \ \\ ??-1 A, r t es? r.. ? 1 l1 ?' IJsO ' ? ?'?,a, \? ??; >v arm .' i' r ? • 1 Q6? st6,,e 4 30„W - k4 1?7 4 > ,. '?3 n"i05?85r ?b ,.5 6 pP? u? 1'? r f 3 71- .4 DENOTES PROPOSED ?SURFACF?DRA+INA,GE O DENOTES IRON'MONUMENIT??SET? .; I SCALE; 1 INCH = 3Q_+^FEET ® DENOTES IRON `MONUMENT?fF.,OUND 'PROPOSED=GARAGE FLOOR = Oa.6 FEET X000.0 DENOTES: EXISTING'.. ELE,VATION ?} {:,zfjP.ROPOSEDLOWEST FLOOR = FEET (000.0) DENOTES PR0P0SE0-EL'EgUAjPI0N x q; r ,PROPpSED'.TOP OF BLOCK = yo3. FEET, I HEREBY CERTIFY TO WOODDALE BUILDERS; 1T{iATTHIS,-IS A TRUE AND CORRECT ) REPRESENTATION OF'A SURVEYI OF HE° BOUNDA'IES, 9:11 Lot 6, Block'3,I. WINDT(2EE!!4TN rADD;I,, IOK 'according to the recorded plat thereof, Dakota Coun?? ;Dunn sota!Iitl?Ii?i c AND OF THE LOCATION OF A PROPOSE BUI,L'0 NG??','ITIlODEl PNOT PURPORT TO SNOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON #r AS;SURUEYED QII MzE,',? OR,UNDER MY DIRECT SUPERVISION, THIS 30t13 DAY OF t9 I? '$ipG FO;n'JAMES,?I`HILL, INC. t, r at . ,ix i rs t ? ? 7 i 1 ??rl ? kBY, SURVEYO1r AHAP0 D;C t.PETERSOIJ, LAND (I(,'i Fir r MINNESOTA LICENSE NO. 12294 i iFl?? iF tr t f'_ Ili ? i!?Ff 6r Q??31 '4 v) II" v' PROJECT NO BOOK 40 GJ?AsMES R. HILL, INC. i fI CE { 85825 golf Plarinel'rs/,,Engineers / Surveyors {{ yt , , FILE NO.)y' ky a.?s? It?8200?Humboldt Avenue South FOLDER ?;r6f1'<?Bloo?minpton,.Mn.' G5431 d12-884-3029 I. t,, f?? ?jy"t }4y pFr- w I?r1t?' t ,;s:; J 3 r ,.ts#l . < 3 is v_Taz HS.z , n4; i II s5 ?, ?/. r r?l' a ?/O ?- ???/?/• ??pd --_ ? )? - I s? l I $i I l I !I• i b/7 ...... 1 3 r. r r 7.:ca• 337 Cl:e 3•:i l?i;.g Ty,: 1 Cn! :.nd ;.o .-.?Ily i•-SIL:q CL1:r i:?l ! C. I Ar'•1 (:.) 0-71 L:!. U a A ?• ?I t> c1 I _ /yy ?2 l a r?ai - I rr]iin^ Area ? ? r0 ? •S . • . pZ. yo . -uo : . Jo st rea'. ! - s z Fireolace Vail ' `Fain aclon all-Ca ve rode= NOW ? w Ol v r _ ? ? . 'o? ':.faundation InEors,- YPe . _ r. " Other 'f describe -. - -- ` ) h r d i O c scr er Se .- T?•. --'- rssEi ''`=?eic-. ? s Tn ais U -71%.e, (IJaA)/I11 fr^n Lint a arr.r LIU I +r.aaa •Y ? nl y I Arts 7) z I •` 10 Ar•a (tIn• _ }) S) _ Y I ....a f li Lln! 9 10 I *...a: 12 Al :!rnstly! U-'lilac, Line ll/Lt nr 1 ?•'`'? t""r z ?- ?i lc?l.l+x?d 1s yn+tx'?S+n Lt;r+ 11, sl rer isse•Llles is r.W red sa Ll-e 3. .,r EXTEi:10R ENVELOPE STANDARD WORKSHEET' PAGE 2 '?xrS erch'v GE?, ?•,•: /!/?,,_?? ="? I?SSe:Ct11'/ CGi /;<.c._ Material describe] Thickness R-Value Interior f-Value see Table 2 6l Ext?rior f-Value see Table 2 ?7 _Total A%,,f,,hbThc.rnal Resistance y1,y2 Assembly U-Value see fable 4 Fnter on ?,c 1 r rlaterial. descr be r Thickness ;-Value 7 Interior f-Value ,ee Table 2 Exterior f-Value see Table 2 ^ Total Assembly Thermal Resistance Assembly U-Value see Table 4 Enter on Page 1 - MY I ?Cssemhly hla terial descr be Thickness R-Value rial describe Thickness R-Value -_ - 7? vs? 7 - < * s`=lnterior f Value,. see Table'2 M ? - Interior f-= 'ie (see--! able 2 r Exterior f-Value` see'Tzble 2 = Exterlar f '-_:ue see Table 2 Total -- Assembly Thermal Resis"ance a Totar Asseir' Thermal Resistance / 8f Assembly <U-Value see Tale 4)p - d Assembly U V?luc ,see Table 4 Enter onYa a.l ?- sscnbl Fr"iST. _ ssembl - 4_ria<._,s??c..._. Mate: descri be TMckness R Va ue r ttaterial describe Thickness R-Value ri s? an+•K ` +,4 6•xrpi ?.1? ?.. - s• ,e &- .U.. - 1 -- _ _ k? r tn? WVf?? ?..1U/:? at r - ??/ ?? F __ D a ?.X=-?O _ ,7i/Sr ,C _.3-?7. -- G7?_-1?- • s r??2-/?„ 7 _ In tcrlor t-Value see Table 2 In terror f-11/clue see Table 2 _ Exterior f-Value see Table 2 tx(er or-14-11 .e_ee_Tahle 2 Total Ass :hly Thermal Gesistanc_e_ Cutal H,sri„blv lherwal Resistance Asseni6ly U-Value (see Table 4r Assembly U-Value see Table 4 Enter on Page 1 Enter on Page 1 j Sn;t11?' SSef.l 11 '- F - Fatrria !dts ;:r,be?_ Thickness P l'a ue hater I describe iThickness R-"a u2 f_ r terior f-Value sr_e Table 2) -i Interior f-Value >.r Table 2 Fn i. lalU- \?: ,S.?i„ -.,,?_ .__.-.. ___ -i-]C.•Jl,f ?'!all. (]_c ldoi2 r_.. ii Enter on Page 1 ?L Enter on Page 1 +iRf'. •,?r'r , J.., ?I... sY ??"'3""5 ,. G, ".'Yi_ ... 4. `widµ7 i 6d-?.._w -, ;X?.?, -?.,... üú û ú þýý üûúüûøú ÷ýýòÿüïþ ô þÿ ýü þýõ ôóüòüðü ø÷ö ôø÷öôóüòüÞóòßö ê üöñ ü ðü í ö ÷ ï êöìêüê üêü ùêüèë óóö üú ëë ê ý üöèð ëë üö ëü è ð ùêü ù÷ óü ë ê÷êüè üîåäåþþè þèþ ô÷ üæ åè âèãâ æ úè óñ õðï öö ðóãÝ ÷àü ã á ìþâß ó á öüáÞ û áÞ ã éãçãÿþ ù÷ ó ì ü öö ü ëê ü êö÷ó öö ù ëáü ü ð÷ëû í üè öö òê üü ÷ Oct 01 2010 6:44RM O'Connor's One Hour Date: City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5684 Tenant: 651-437-5943 p. 2 Use BLUE or BLACK Ink Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Site Address: 31081 00d Dr (V e Greg Johnson �f Suite #: J .,f RESIDENT / OWNER Name: 6re, Johnson Phone: )"'314J` /32_3 ,DZip: Address !City /V3 to 8 �? I4cie wood D rr l 1,5 E van, T 1'1 e: rypiasH Li CONTRACTOR Name: D'(UYlfal- Mani k?u.i £ �-�f'G —Acrid Address: 19 ()L# Ve.vr�� 111 I ui h Hash n S State: Yykvl Zip: rd.) J j Phone: OS) 431 4117' contact: 4 Email: a f. i l , it 1 ► I rf r TYPE OF WORK New Additional Alteration Demolition ,Replacement Description of work: r- ac€ml en -Li i2T)1 c/ '-, I Ii� - a sl 3p !{c �e r 1Z �� slat ,.:<. dlk : t4 atfii ♦ it eC ):<�iF°.!- o 1i 1. Ste. .. :�. .1�f£1.... PERMIT TYPE RESIDENTIAL Furnace — New Construction Install Piping COMMERCIAL Interior Improvement Air Conditioner Processed Air Exchanger — Gas Exterior HVAC Unit Heat Pump finder / Above ground Tank ( install/ _ Remove) Other �`� When instaliinghemovvng 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 burned out appliances, ductwork, etc.) (includes $,50 Slate Surcharge) $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes - If Permit Leg is less then $1,000, installatlon/removal OR Contract State Surcharge) surcharge Is 5.50. increases by $.50 for each Permit Fee requires a 51.00 surcharge). Value $ x 1% =$ Permit Fee = $ Surcharge - If permit ee is > $1,000, surcharge 51,000 Permit Fee (i.e. a 51,00142,000 $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.00nherstateonec0ll.prg 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! understand this isnot 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 xJmit x%, App icant's Printed Name Ap. jJ ant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139539 Date Issued:10/27/2016 Permit Category:ePermit Site Address: 3689 Ridgewood Dr Lot:006 Block: 003 Addition: Windtree 4th PID:10-84473-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory Johnson 3689 Ridgewood Dr Eagan MN 55123 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature