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3727 Ridgewood Dr
Date: CityofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RFCFI APR 2 9 2011 Use BLUE or BLACK Ink For,Of ice -Use Permit#: qg 03 Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION 5-5-0-3 Site Address: 3 ? )4, d Far-, ` Suite #: J 0 RESIDENT / OWNER Name: wi d.- 1;1 t4., th,..9 0 Phone: _61.57— 6P! - 055). Address / City / Zip: 3 70)- l , G tJOo c 1/4 Erejk, 011. 5s /;3 CONTRACTOR Name: 1-7'4, /4-10- r License #: / Address: (, rPO 1 e /Co-.er 4c �� City: Ave- /6t kk < State: 144 Zip: rri� 3 77- Phone: 9�r7� 9-7 2-9/0/. 9 Contact: r Email: J ef--F- Pin SID ° '- ill h. -"\ TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ! -( v'--7 •'^ «. d— 4 C NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE - RESIDENTIAL FFuumace COMMERCIAL _ New Construction „ Interior Improvement ✓Air Conditioner Install Piping Processed Air Exchanger Gas , Exterior HVAC Unit Heat Pump ^ Under / Above ground Tank ( Install / _ Remove) Other _ ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge), pJ $5.00 State Surcharge) $ 5J v TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) a o Contract Value $ Gi [fid o, x 1% _ $ ,5:5: U a Permit Fee - If the Permit Fee is fess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit Oct = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aopherstateonecalf.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the .rdinan -s 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 to s rt without a that e rk will be in accordance with the approved Ian in the case of wprk witchrrecprires a review and approval of plans. Applicant's Prin ame 'M x FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In _Air Test Gas Service Test _In -floor Heat Final Exterior HVAC Screening Inspection Date: r City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Chil Use BLUE or BLACK Ink Permit #: w Permit Fee: Date Received: Staff: -ro Tenant: .1 4 Site Address: 37z1 1- 41L Suite #: RESIDENT / OWNER Name: 1 'to., 4 A--,4,Hvr Phone: Address / City / Zip: 3'321 R%;i/tie.ea--- Applicant is: Owner .,\--- Contractor TYPE OF WORK Description of work: ) t.t p 1A4c //e c,4 Construction Cost: 4i'12O Multi -Family Building: (Yes / No ?r ) CONTRACTOR Name: G--f7,9,425W/tit •zsf. ,LKr, License#: 206,3C' ss— Address: /(A(4 .-3:4----( /4. --,—City: L ict.,.. l jt State: ,/ 7 A/ Zip: 637M '-( Phone: et- S-% L(4 7 Gy' -1 Le Contact:. S v 144,111t -s-014-4.6 Email: i ASGK Ei e fsr(4r ie (.re,•t • Gd -"L_ COMPLETE In the last 12 months, has Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of .� the information may be classified as non-public if you provide specific reasons: that would permit the City to conclude that they are trade secrets.. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 RECET” JUL 1 9 201 nt Olt:" a ure Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Fireplace Garage Deck Lower Level Interior Improvement Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation i7 Plan Review (25%_ 100%_) Census Code / #of Units # of Buildings Type of Construction 1%17 REQUIRED INSPECTIONS Footings (New Building) � ) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 11 - Siding Reroof Windows Egress Window Storm Damage 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required y' Final / No C.O. Required HVAC 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 itYpa, in6a-or-A-7 6 Co Page 2 of 2 Eon Nrueger LINEN..11.► ssoctates, Inc. 111111111111M111 ; EMI ® r, 8080 Wallace Road len Prairie, Minnesota 55344 (612) 934-4242 CERTIFICATE OF SURVEY 11G Q (_ g5Ji00 72`7 D) i �f�0C1i pp_ Engineering Land Surveying Landscape Architecture Planning ,= Survey for: BALI -1 BUILDERS Job No. 5451 Bk. y53 Pg /8 /2,2oRo$E0 ELEVAT/oI LOWEST FLcog - . •• 'ft.• 33 GARAGE PGooe- .9/'%O Toa o� FOU,V12A77ON- 9/933 'XX - QENo7'ES EXIST/NG E1-EVAT/0/•1 (w) - DENOTES PROPOSED EVAT/O/`/ �- -. DEjVoTE5 D/RCT/off c FLo, . of SV,'ZFAGE DgA/NAE IHEREBY CERTIFY THAgTTHIS ISATRUE AND CORRECT REPRESENTATION OFTHE BOUNDARIES OF Lo -r IS F�l_r'LiC 2 W11VD?KEE 1 T2. A.0DITlDN , 'OAKn SURVEYED BY ME THIS 22;,-r4 DAY OF SEPT AA6 ,i9 88 lit"121‘!"--- COUNTY, MINNESOTA. IF(-1FR RCINAIf)1 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for ?, Est. Value .1153s00 0 19 ? Date C,?: ? 0X=}' 3 Site Address 3727 RILGWOOD DE +7 14'- Lot 15 Block 2 Sec/Sub. 1??E8 Parcel No. a Name RAC8 ]WILDING CORP 3 Address 12710 103RB ST N 0 City STILLWATER Phone 43' -4255 Name SAM 0 0 < Address P City. Phone U 'U Namq _ ?- 11? u Address a W City _ I hereby acknowledge that I have read this application and state that the infprmation is correct and agree to comply with all applicable Stale of Minnesota Statutes andty of Eagan Ordinances. Signature of Permittee -=j,?__ _ _ _ A Building Permit is issued to: 13ACH $l; T LLL;4G COOP 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 OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 MWCC System Y Zoning R-1 On Site Well (Actual) Const V-N City Water _ X (Allowable) V-N PRV Required * of Stories Booster Pump Length 54, Depth 401 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 746.00 Planner Surcharge 76.50 Council Plan Review 373.00 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 550.00 Water Conn. 550.00 Water Meter 67.GO Road Unit 325.Oa Treatment P1 204.00 P Coy .50 TOTAL 2992.00 CITY OF EAGAN i; ,?' • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 15671 e PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for ?? i" i'q•'tr Est. Value ?193,001-) Date X:T')BiA 3 Site Address 3727 _RIDGEWOOID DR Lot ' Block 2 Sec/Sub.WINFDTREE *T}4 Parcel No. m Name AACI, BUILDING CORP 3 Address 1 •'? I: 1.01',P ST N o City L Phone 43V-4,253 o Name t::.. 0 < Address i-` City Phone Name a W I City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee_-_______-- _ A Building Permit is issued to: UCH BUI L JIAG CORP 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--. OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 MWCC System .t Zoning g•-! On Site Well (Actual) Const V-N City Water- (Allowable) ?x+ PRV Required * of Stories Boaster Pump Length `14 1 Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit -146.00 Planner Surcharge , 6.50 Council Plan Review 373.00 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 350.00 Water Conn. 55C.00 Water Meter 67.00 Road Unit 325.40 Treatment P1 204.00 **wPOpy .50 TOTAL 2.';92.00 Permit No. Permit Holder Date Telephone is Plumbing Fi.V:A C. G? 'Y lJ" !C2 L ?.¢ Lf are /G^/'? Electric o 00 Softener Inspection Date Insp. Comments Footings l Footings II Foundation Framing 4 2 2 Roofing Rough Plbg. Rough Htg. Isul. ?? /'[077 / /cr v? ??PPVC Fireplace ?? ? Final Htg. Final Plbg. 1• Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. "r Trdif irait of Orruvaury Citp of eagan Firpartwmt of Nuldmg JWnfloa This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certtfying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• use cwfi ion SF DWG 1W Bldg. Permit No. 15671 Oau.ay Type R3 /M 1 Zonwg DLvAia RI Type Const. MVN Owner of Building BACK WI DIM OCV. Addan 12710 193 S3 $, SMIMAIM Address X727 ?ICM DRIVE Lowiv I?? E2. W]I?ID'M 71H '717, ' Date: JAW M 1741 1989 Pn?aai? orfi POST IN A CONSPICUOUS PLACE CONTRACT PRICE: Site Address 377. 1c. Qewo Lot Black " Sec/Sub i - - r Name Fi umbi r - 3 v Address ' V t k C City " Phone c 'y' - •) 5 Name ?3 c` had Cor 3 Address 1271-- Z 1! 3rd St i p City Sttl).aater Phone439-1425_11 FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20,00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 1 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 c( '`r BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?lQ FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 =Kitchen Sink - $3.00 Urinal/Bidet - $3.00 J? Laundry Tray - $3.00 - Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 - Z Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ' Rough Openings - $1.50 s FEE: STATE SIC: ` GRAND TOTAL: PERMIT # • MECHANICAL PERMIT RECEIPT #? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub 1 777 Res. New Mult Add-on y Name Comm. Repair / e4 Address - r City / 1,Jh A Phone 1-1 '7 ?Jr C' Other Name CD Addre 3.1 p City _ TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. -t! M BTU Vent 2;z ' •%1• CFM Gas Piping Outlets # 7- Other FEE: 5 SIC: _ TOTAL v_ FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & RFMODFI S - 19 nn FOR: CITY OF EAGAN 15 ' l X1 Z CASH RECEIPT CJTY'OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEWED FROM AMOUNT $ & DOLLARS im ? CASH Q CHECK BY White-Payers Copy Yellow-posting Copy Pink-File Copy Thank You CITY OF EAGAN Permit No. Date: 3830 Pilot Knob Road B/P No: - - Date: P.0. Box 21199 Eagan, MN 55121 Owner. ?iii _ c c Site Address: Plumber: r°Pa^ ? ' 'fui MWCC: Zoning City Chg: No. of Units: Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Surcharge: Ordinances. By SEWER SERVICE PERMIT CITY OF•EAGAN 3830 Pilot Knob'Road P.O. Box 21199 - Eagan, MN 55121 Permit No:_ Meter No: _ Reader No: WATER SERVICE PERMIT Date: Size: Date: io-i t--aa CITY OF EAGAN Permit No: Date: 3830 Pilot Knob :'load Meter No: YL a Size: S M "A P.D. Box 21199 Tslo (?,,?J Eagan, MN 55121M I Date: r - I fit! c t.u Owner. Ba h S]-d Corp. 7 Site Address: 377 Rid gewood r' 15 Wi.ncitj: ' Plumber. Thompson pl-u n1-. Conn. Chg: 550.00pd Zoning: p? Acct Dep: iS.00vd No. of Units: 1 Permit Fee: 10.00pd Surcharge: . 50nd I agree to comply with the City of Ea a , Tr. Plant 204 Onpd g n Ordinances. Meter. Misc.: - WATER SERVICE PERMIT 9979 Conn. Chg: ?` • ?t`i Zonin : "I Acct Dep: No. of Units: i Permit Fee: Surcharge: 1 agree to comply with the City of Eagan Tr. Plant Ordinances. Meter i I , 0Or,,' W - CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 /C 7 DATE 192? ? eecerveo t h e nr,pS<in 1 I bg Ct ? c AMOUNT $ ? CASH O'OH-ECK DOLLARS im 5?w P-e, OIh?P 3-7,27 f? i cl r?e- /d)(-)oc l i RIND OBJECT AMOUNT n a ? ? .s!!s ?> 3<) 6, G co 3 7 _ fu `r" Thank You BY N° 88040 White Peyem Copy yell.'P..Mg Copy PM-File Copy BLDG. PERMIT NO. -) ?:-) 01-3210 Bldg. Permit (?JLr 01-3422 Plan Check 3 01-3445 Surch./Adm. 5 3 01-3446 SAC/Adm. L? 01-2155 Surcharge 4 CI -7 75-3860 Road Unit C )p - 20-2275 SAC f5/4 5 0 20-3865 Water Conn. 20-3868 Water Trmt. ? 00 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit CO 20-3743 Sewer Permit 79-3866 Sewer Conn. G OC 28-3855 Park Ded. 01 3L TOTAL GI ?`? cc) CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121N? 15671 BUILDING PERMIT PHONE: 454-8100 Receipt n g -/ r To be used for SF DWG/GAR Est. Value $153,000 Date OCTOBER 3 19_ Site Address 3727 RIDGEWOOD DR Lot 15 Block 2 Sec/Sub. WINDTRE TH Parcel No w Name_ACH BUILDING CORP 3 Address 12710 103P.D ST N o City STILLWATER Phone. 39-4255 Name O $a Addre City- Name- Address aW City- w 1 hereby acknowledge that I have read this application and stale that the information is correct and agree to comply with all applicable State of Minnesota Statutes an City of Eagan Ordinances. Signature of Permittee __ ___ A Building Permit is issued to:-BACH_BUILDING_GORP---_ 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 Oflicial__LLDU,It__?S.t_ OFFICE USE ONLY On Site Sewage _ Occupancy R-3 M-1 MWCC System X Zoning R-1 On Site Well (Actual) Const V-N City Water -Y_ (Allowable) V-N PRV Required # of Stories Booster Pump Length 54' Depth 40' S.F. Total Footprint S.F. _ APPROVALS FEES Engr./Assess. Permit 746.00 Planner Surcharge 76.50 Council _ Plan Review 373.00 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC 550.00 Water Conn. 550.00 Water Meter 67.00 Road Unit -.2x1._00 Treatment P1 _.2.0.40 pwacopy .50 TOTAL 2,992.00 This renuest void /O??/dQ? ?113" {J& 18 months from d l 0-10 E 4 3 5 6 41 Request date ?l ?-7Sr Fire No. R a, Ins Dection eq red? y/ ?Ready Now UO Will Notify Inseetr /-' for Wh n R d Yes ?No ea e y Ig Lic4tnsed Electrical Contractor z LhJf I hereby request inaoaction of above Owner electrical work installed at: Street Address. Box or Route No. City Section o. Township Narria, or No. mange. No. Co Occ ant (PRINT) Phon No. c / - ?2 Power Supplier Address ? ' Elec i a1 Contractor (Company Name) Cmrtractor's License No. A / J Mating ddress (Contra r O or akmg In a' ation) AIE Y Autho 'z Signature IC r c r Owner Makin Italian) Phone Number ?7 /y MINNES?TA STATE BOARD OF ELECT111C ITY t THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul. MN 55104 or.....e rcwt gn'... ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 /? 'See instructions Icr completing this form on beck of Yellow copy. E ??4 3 5- 4, ""X" Below Work Coveted by This Request Ada Rep. Type of Building - Appliances Wired Equipment Wired t Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm E?' v b 2 0 om", Isned Wl &.7T! uecifv x - r- 0 Other Compute Inspection Fee Below - " B Fee Service Entrance Size ft Fee Feedere/Sabteede,s g Fen Circuits 0 to 200 Amps 0to 30 Amps 0to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amfis Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Part"L"Other Fee ?I ISigns I I Special Inspection, Remarks TOTAL F? v 7 Y. the E ctrical certify rlity that chat the abov inspection has been made. This request void ..& /1? 1 5i 0_3 9 TAID 0 4 2 8 Request Date / ,?? %•? (} J Fi No. Hough-in Inspection Required? ? Ready Now ill Nolify Inspector Wh ? Yes No en Ready? 1 icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City i Section NO. Township Name o No. Range No. D? Occup ??? Phone NO. 4 Power Supplier Address Elect' I Contractor (COmpan e) ?fie> A C Comractorg License No. 640,2& Mailing A ress (Codirector r OWA.' Maki Ali Installalio L ? ut . z > r ?Q 5. ? Aultrod n re ( ntm r M - I Ial Oon) Phone Number 7, ?& MINNESb TA STATE BOAROF ELECTRICITY Griggs-Mldwoy Bldg. - Room 5.173 1821 Untverslty Ave., SL Paul, MN 55106 Phmre (512) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. MWIP F Q0-4-2 8 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. X" Below Work Covered by This Request J EB-00001-01, axe,3s e Add Rep. Type of Building AppliancesWred Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Oryer Other (Specify) ; CommAndustrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above-100_ Amps Signs Inspect ns Use Only: r" TOTAL Irrigation Booms ? o? ?S Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby i it h Rough4n 1_7 7 /12 Dare at the above cert y t nspection has been made. Flna1 , /1 _ d OFFICE USE ONLY This request void 18 months from i 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS uJ144 os-cp mor g/ag COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SEP 2 81988 ?in<k Fmjy To Be Used For: Valuation: {z Date: P? Site Address .377 7Si?> 000 ?n Lot IS- Block ?)- Parcel/Sub Owner Address City/Zip Code Phone ???? ContractorLcx o?1 . 41- 1 N Address /a 7/o /03rt/ sf Aj City/Zip Code gt/'Aa-'Ar/- T"J.0 3 so€ ? Phone Arch./Engr. Address City/Zip Code C'h«/7/`rise/-) Phone # 93y'7yy61 f var. !S 3, ooo' On site sewage- MWCC system On site well _ City water J PRV required Booster Pump APPROVALS Occupancy R--3 M-t Zoning R-1 Actual Const V-N Allowable V-N # of stories Length sq! O" Depth _N0= 4, S.F. Total Footprint S.F. FEES Engr/Assess Planner Council Bldg. Off. 30 Variance Permit rl`f .D Surcharge 7A, Plan Review 3Q3. SAC, City .100, Dt3 SAC, MWCC ,OD Water Conn DO 5501 Water Meter 61,00 Road Unit 325,00 Treatment Pl 204,00 Parks Copies 1SO TOTAL x3m on VALUJ*,l ct t G,?FRA? E Z2X24, 5I? X ?y , $ou8 ??rnT t y x Sy= 75(- ?` x 32 13oo)( I'S-- 169oo I s?- ?ao?. ?smr = r 3n? 1310 x "_:: 6 4f19a Z? )D F?Qo,-Z_ 1 " t?SY = ?S{4 1?n3? 1-15 5- I'zK7 _ ?`l 1 L?s? XYcl G3?3 6! R R ? 1 i "i Ron atuegsrs i CERTIFICATE slss ssnc ates, Inc. 6060 Wallace Road OF - Engineering ' ten Prairie, Minnesota 65366 ®? - ' Land' Surveying 936 6262 2 ?w 5 SURVEY - .?• landscape Architecture nnin - Pl 161 - 1 _. . g a Survey for. SAL" SV{LDERS Job No. Bk. y53 p9, /b 10 Jti5 00 go q0-33 / t1 I r I l i Zo c ZA - sa r n ,0 0 °AG ?PST E'1 G11',_. ,:G DEPT, p,2oPo5E? ELEVAT/oN5 XXX - 061,107,55 6XlST/NG ELEV,4 Y/oN LoW65T FLG?2-. - 90/ 33 (Xxx) -DENOTES P1?0P05EO EL6YAT/OW GARAGE FGooe- 9/5!0 ?? -.O&NO7"&5 D/PECT/oN ?` FLoW To.- C"c, FouNofi r/on/- J/// 33 oP Su 2Ff1cE 02AINA? E . IHEREBY CERTIFY TH TTHISISATRUEANDCORRECTREPRESENTATIONOFTHEBOUNDARIESOF LuT IS , SLVLIG 2 w1hio- l EE -IL" A-00I)TION1 Dc? C TY, MINNESOTA. SURVEYED BY ME THIS 22J°t DAY OF ?E?•'tB ,19 Bg . RONALD L. UEGER YcW. \909.9 E 1 9? ts. %l0.6 30.0 E;oJ v 90`l ° -1 ?913•`? 9•? ? 5 O ? 2. yo ? ', C' 'B vN B,o ?O G 11 J1 410.38 D O r 713 G 10 g/trS3 ? 9ny 9 ? ivy 1?eja) 1 X55 ya ?? EXTERIOR ENVELOPE AVERAGE "ll" _COMi'UTA'fiON OWNER: -- -- -- ------- MIT wp Z w?N R? A ,y' I- IS S SITE ADDRE rsr LC CSX SS: CONTRACTOR :, 3mc44 zsaa'_ Pt?-? PIf+N { C1: 7G Determine working square footage of each 1. Total exposed wall area ..... .17L1 sq. ft. x. .I1 = qp ?? 2. Total roof/ceiling area..... J3 11 sq. ft. x .026 Total exposed wall area above floor= 3 5-77 a. Total wall window area ........................................... ZASS b. Total door area ................................................... _ c. Total sliding glass door .area. ................................... d Total fireplace wall area ........................................ - e. Total wall framing area (average ION) ............................ f. Total rim joist area ............................................. g. net wall area above floor ..................................... z 4,3 Z h. wall area above floor ..................................... i. wall area above floor ...:.................................. j. frame wall area at. roL_,ndat4on ................................... Total exposed foundation area= S r Total foundation window area ....................... . 1. Total net foundation area above grade .............. 5 Determine "u" value of each wall segment (e.g. window, door, each separate wail section) X IV. 7 :!5>z a - _ , . b. X „Ui X U.. c . d _ X ,lull_ e. 371 X f. 3?Z X U„ , a:?=_ _ 06r3Z X „U„ , i0r.3 i2!J s _ , . . h. X u.. _ X U.. _ i. j. X U1-- If item 13 is the same X "u" = as, or less than item k 'I. you have met -the a X U intent of SBC 60 06 (c; -- 1 '-- . 3 . ..... ............................Total = 330, 3 Total exposed roof/ceiling area = m. Total skylight area ............................ n. Total roof/ceiling, framing area (average 108); o. Total net insulated roof/ceiling area....,.:....: Determine "U" value for each roof/ceiling segment M. X uU r ... G ,l/moo X „U„ 4 ........................... Total Gl/. L total of -4 is the same as, or less than Ir2, you have met the intent of SBC 5.25 ;r_) Alternate Building Envelope Design Ib ttiliza the total ervelope'system method, the values established by the sum of itea:s -3 a_:d -4 shall not be greater than the sum of items Irl and n2. + 2. 3. .330.3 + 4. PLAN # G/oV jf/,? * LINEAL FEET EXPOSED WALL BLACK: KNEE: 3p W.O.: FULL 1:/./ 2Z+ /S?%/?fi Z? 3.?? z> ?? Z+ 3,?a 3ot5y =/73 FULL 2:/,/. z•r/f rZf FIREPLACE: - RIM: ?Z * SQUARE FELT EXPOSED WALL AREA BLOCK: //le x .5 = S? KNEE: x 5 W.O.: s x 8= ?3Z FULL 1: /73 x 8 = FULL 2: /Cr9 x 8 = ,GS 5 Z FIREPLACE: x RIM: 3Q Z x 1 = 37?Z TOTAL _ 3 7/9 * SQUARE FEET EXPOSED CEILING rG3// -?& Z¢3c, -4w // 294,p- J&7' //// r??o /// Z9GV Z?3? -// * iNI?HLI6WS 9Z 7Z Z? /oo S ?o DOORS Z8 r I r 3 Y, * PATIO DOORS * BASEMENT UNITS CONSTRUCTION ' R-VALUE 1. INTERIOR AIR FILM 0.6S 2. 57P 3. 4. 0.61 U = .02 HEAT FLOW UP FIG. #5 1. INTERIOR AIR FILM 0.61 2. 578"- 4. U = 0.024 CONSTRUCTION I' HEAT FLOW UP VENTED FIG. #6 NON-VENTED HEAT FLOW UP 1. INSIDE AIR FILM 0.61 2. 3. 4. 5. FRA 1. ME INSIDE AIR FILM TOTAL U - 0.61 2. 3. S. OUTSIDE Alm rnm 1. INSIDE AIR FILM TOTAL U = \ 0.61 2. 3. 4. 5. DE palz FM • TOTAL U = NOTE: USE ADDITIONAL SHEETS IF MORE SPACE IS NEEDED FOR DETAILS AND CALCULATIONS. FIG. #7 ROOF-CEILING WeU-. seczuxis No S1 lase 1yq, 0f opoque Ia11 orea -(br 1- 'fvame. ctrstrucf ion W LL FIG. -*I TUN=eVJ CV PRAne VIALL .M. #a R- VALUE CONSTRUCTION-- FRAMING - 1. INTERIOR AIR FILM 0.68 2. 172" BD 3. 5 1/2" SO WOOD 6.87 4. 25/32 ? 5. MUM - 6. 6. MrlERTOR AIR FILM --O-.T7- TOTAL 89'- U= .09 NET 1. INTERIOR AIR FILM 0.68 2. 2 YPBD .4 3. 6" 4. 25/32 SHEATHING 2.06-.------ 5. S. ING .62 6. r.MRIOR AIR U= .04 s;LL ISekLER --? . .1 U• o 4" p 1i _... _.0 Fo-9DRTTI I p ` __...._.._........ WALL a pY ; ap< r----- (? . •1 - 1 BLOCK 1. 2. 3. 4. 5. 6. INTERIOR AIR FILM 0.68 8 lit STYRO S. 0 PROTECTIVE BARRIER MMIOR AIR FILM -7= AL R= .13 U= .14 SLAB ON GRADE 1 ? •\ .? V 1 II f ` C i:T 43 .` 1 1 1 0 , " c? 1 ? ? 4Q 1 1. INTERIOR AIR FILM 0.68 2. 6 NSUL. IT. 00 © 3, x 4. 25/32 SHEATHING- 2.06 5. S DINT G .6 ® 6. MERIOR A FILM 0.17 TOTAL 24.42 h U= .04 F-f-G• 10 p - ? r ? 1L ?-- t I ?Y AI ? L. r !t ( , ' D a lit- irr - ° • ll1 U! LL off llf c ?1 ? Itf r. ? r?l NOTE; INDICATE TYPE, "R" VALUE. DEPTH AND . PLACEMENT OF INSULATION. APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION of eagan NOTE: PA7MIU OF FEE AT TIME OF APPLICATION DOES NOT OON-- 4*. STII[TPE APPRMM OF PERMT. i INSPEMON OF SEWER AND/OR WATER # i INSTAUATIONS WILL NOT BE SCEDULED 4 U ML PERMT HAS BEEN APPROVED. 444#####fi#Yfififi#YY##iiiiiif4iiY4f###4iY 1) PROPERTY ADDRESS: LEGAL DESCRIPTION:........- Lot B ock S vision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mont h/Year) PRESENT ZONING/PROPOSED USE: Q .CONVIERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) s NAME: I I C NG GO., N . ADDRESS: 12201 MINNETONKA BLVD 1ROMPSON PLUMB A. 3S CITY, STATE, ZIP: MINNETONK ) PHONE: q ? 3 - 1R,501- For City Use 3) Iff , : :, NAME: THOMPSON PLUMBING CO., INC. P1lmibers LlCense: MINNETONKA. MN 55343 Active Expired CITY, STATE, ZIP: PHONE: MASTER LI CENSE # Not recorded Stan Initial 4) o o nI- NAME: ADDRESS: CITY, STATE, ZIP: PHONE: S) o .I. a, •?:u I sllefyISoom CONNECTION TO CITY SEWER CONNECTION TO CITY WATER O OTHER 6) THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. a PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. FOR -CITY USE ONLY PERMIT # ISSUED 99 7 Pd w/Bldg. Permit FEES: $ $ ID 'S U SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ 7•G c,' $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ I? ACCOUNT DEPOSIT - SEWER $ $ / • G` > ACCOUNT DEPOSIT - WATER $ 7 G G t•' $ WAC $ l?' S21 tJ U $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ G $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ %????• C? $ > ?° ?: e'` TOTAL RECEIPT RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING A O . S A C NDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: City of Ea ju 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit #: Permit Fee: Date Received: i I I Stan: I L----------------J ?I C=8 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Y U Slte Address: c Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address/ City/Zip:1 Y. ` V` CONTRACTOR Name: ITV License#: lGr1 ? ' COUO Address: City: State:- Zip: h Phone: Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL - -Water Heater Water Softener Lawn Irri atio Add Pl bi Fi g - um ng xtures (_ RPZ /PVB) L- Main _ Lower Level) Septic System -Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $,50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc-) (includes $.50 State Surcharge) F--^a TOTAL FEES $'E0y I hereby acknowledge that this information is complete and accurate; that the work will be in oonfonnance 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 TP ' that the work will be in accord a with the apprc ad plan in a of work which requires a review and approve of plans. x ( x Applic t' rl Name Appl' nt' tg 1 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In -Air Test Gas Test -Final Use BLUE or BLACK Ink r----------------� I For Office Use � � � Permit#: � �� � City of ����� I Permit Fee: ����� D 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING P RMIT APPLICATION Date: Site Address: Unit#: Name: � %� Phone: ��l' � �j r 6�'J"� Residen#/ ��� � �1WI1@I' Address/City/Zip: , � ���k� •� ,c, ,� ' � ��G a � '.1 Applicant is: � Owner Contractor � � �� Description ofwork: � y,���,� ����f--�? TYRe o'��Wark ..; �r, :°` Construction Cost: �� ��� — Multi-Family Building: (Yes /No� Company: v r;�� _- r� L� w c� C.i�+� "�.� Contact: (''�� � �� Address: �S� c.-i�/�v^.� ����''� City: -�����r Grc��-c L-�.�.1'�. G;ontractor � " � � ����� � _1 ' State:a'"tti� Zip: �SU�"a Phone:�SS����`��o Email: ��'��7J�qf�'�°� � CU��-+CG�S� '� ' License#: /�'�- (��� a �� Lead Certifi ate#: If the project is exempt from lead certification, please explain why: (se Page 3 for additional information) COMPLETE THIS AREA ONL.Y IF CONSTRU TING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar p an 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: NU7 E:Plan�and supporting"dacuments that you submit are can idered to be public:infarma#ic�n, Porfions of , the�nformation rrxay be��classified°as nanryp��ilic if yar��proviale� eeific.�reasbns th�t wauld permit fhe�ity�ta F;: concl�rde� hat'ftte: are tra.de _ecrets,? CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for prot ction against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonec Il.or I hereby acknowledge that this information is complete and accurate;that the work will b in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and ork 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 appro al of plans. Exterior work authorized by a building permit issued in accordance with the Minnes ta State Building Code must be completed within 180 days of permit issuance. X ��.(�1� �J�l`i`7'((' ��/ x ,� �� Applican 's Printed Name Appli ant' ignature Page 1 of 3