3733 Ridgewood Dr
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CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 !
aEcerveO ? /( , ? ..
i ! _411
AMOUNT S c !'\
?. J
Cl CASH
& DOLLARS
1m
1 CHECK
FOR t
C, I? 51 wnno-P.yem Copy oG?
YGNOw--POs" Copy
Pink-Re Copy
tJ
•
to
Thank You
BY ` ?L
SEWER $? WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, Mil 55?2,2-1897
DATE MAR 4, 1992
METER # -
CHIP #
METER SIZE
ISSUE DATE
USE ONLY
PERMIT DATE 03/18/92
PERMIT # 12614
B.P. RECEIPT # ,S LEI
B.P. RECEIPT DATE 03/05/92
PRV - BOOSTER PUMP
SITE ADDRESS 3733 RIDCE.WOOD DR
LOT 14 BLOCK 2 SEC/SUB WINDTREE 7TH
APPLICANT:
ADDRESS:-
CITY. STATE
PHONE:
ZIP
PLUMBER: SCHULTIES PLBG INC
ADDRESS: 1521 94TH LN
CITY, STATE BLAINE MN ZIP 55434
PHONE: 786-4007
OWNER: MARK JOHNSON CONST
ADDRESS: P O BOX 21327
CITY, STATE EAGAN MN ZIP 55121
PHONE: 451-1676
PEP510: REQUESTED
X SEWER X WATER - TAPS
COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER &•WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MAR 4, 1992
j , ' OFFICE USE ONLY
0 / ` D 3
METER # 7 PERMIT DATE 03/18/92
_
CHIP # O d 9? S 3 9 PERMIT # 12 14
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE 03/05/ 92
PRV -BOOSTER PUMP
SITE ADDRESS 3733 RIDGEWOOD DR
LOT 14 BLOCK 2 SEC/SUB WINDTREE 7TH
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE: _
ZIP
PLUMBER: SCHULTIES PLBG INC
ADDRESS: 1521 94TH LN
CITY, STATE BLAINE MN ZIP 55434
PHONE: 786-4007
OWNER: MARK JOHNSON CONST
ADDRESS: P O BOX 21327
CITY, STATE EAGAN WIN ZIP 551 71
PHONE: 4_51-lhlb
PERMIT REQUESTED
X SEWER A WATER _ TAPS
_ COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO CO PLY W TY OF
EAGAN ORMNA74C
SIGNATURE WHEN METER ISSUED
PCtAS ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
(Urtif ire#r of Mrrupaury
titp of (Eagan
?,r rtntru# of liu"hto ertim
.-3 10
Tins Certi issued pursudW to the requiremenu of Section 306 of the Uniform Building
Code ceroft that at the time of issuance this structure was in compliance wick the Various
ordinances of the City mguladng building construction or use. For the following:
use a.tircotim SP DWG/GAR elan. PWmk Na 20183
RI o ? MP??C 32COWL- LVN
0?9aNSTAdd= P.0 BCR 217, eagan
Add= 37333RI)GEWOiOD DRIVE I OMI ty L 14, B2, WIMTREE M
Dot 6/15/42
e
POST IN A CONSPICUOUS PLACE
A
fin... . ,.,,en,gyq,., ... , :...... -. rz.r-.sw ??tiww-,.-. ?AV.,r - -.ir ... ?. R,.- .- wr•rwcwr,R7^?-.•r.
f?rfijyAw FOR u ax-04/26M.
'iGpal?r?c-6g6-7358 CITY OF EAGAN 9? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 L20183
PHONE: 681-4675
BUILDING PERMIT Receipt #
To be used for SF DW/GAR Est. Value $169,000 Date MAR 4 f gQ?_
Site Address 3733 RIDGEWOOD DR
Lot 14 Block 2 Sec/Sub. WINDTRIE 7TH
Parcel No.
Name 111"K Jt ftgNmm YiNlIST
w Address P O DOX 21327
City EAGAN MN Zp 55121
Phone 451-1676
cc Name SAID
0 Address
city ZP
Phone
Ijrp qA # 0003298
hereby acknowlege 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 Permitee
A Building Permit is issued to: MAa JOHNSON COAST
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
R-3 M1 FE ES
Occupancy
Z
i
R 1
Bldg' Pernift 881000
on
ng
(Actual) Const N Surcharge 84.50
(Allowable) Plan Review 573.00 .
L of stories 70 , UJcerue 5 * 00
Length
Depth
SAC, City
100.?y?
0/
S.F. Total SAC, MCWCc MAP
S.F. Footprints 675.00
On Site Sewage Water Conn
On Site Well Water Meter 95. w
MWCC System X 30.00
City Water X Acct. Deposit
?'?
PRV Required S/W Permit
Booster Pump S/W Surcharge • 50
300'00
Treatment PI
APPROVALS Road Unit 380.00
Planner Park Ded.
Council
Bldg. Oil. Copies
Variance TOTAL 3 ,854.00
Permit No. Permit Holder Date Telephone #
PLUMBING
40 21 - - / Q // [!? I
HVAC -d
ELECTRIC
ELECTR /* oa
Inspection Date Insp. Co mments
Footings I
Foundation
Framing
Roofing
Rough Plbg. 3-?
Rough Htg.
Isul. J - LL -
Fireplace 2
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final lO??eZ
Deck Fig.
Deck Final
Well
Pr. Disp.
SQL
51,
''!L?°
3U
REQUEST FOR ELECTP'r7AL INSPECTION lq; °'"yee-opoool-o r?
See instructions for campletpq this n hack of yellow copy;?_.,
J' r079 X' Below"Work Covered by This Request 7 . ? ? ?J 2
N.- Add Rep, Type of Building Appliances Wired Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
n
Other (speclly) Contractor's Remarks. (_ ( ct r'y) r [_ i r e J j -
n c,l 2 a
Compute Inspection Fee Below: tkd
# 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 Inspectors Use Only: TOTAL
Irrigation Booms 7 o
1
'
U
S
r
Special Inspection !
Alarm/Communication THIS INSTALLATION MAY
D CONNECTED IF NOT
Other Fee t ` =
COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
F;nal
0 - , l
OFFICE USE ONLY
This request void 18 months From
DATE: MAR 18, 1992
RE: 3733 RIDGEWOOD DR (MARK JOHNSON CONST)
xL_ Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address; 3733 RIDGEWOOD DRIVE Lot 14 Blk 2 Sec/Sub WINDTREE 71H
These items were/were not complete at the time of the final inspection.
Date: q Yes No Tnqppcrnr,
Final grade (6" from siding) ? '
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
•lLRlfOMRP
White - City copy Yellow - Resident copy Pink - Contractor copy
BUILDING PERMIT
To be used for SF
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Nu201 83
PHONE: 681-4675 Receipt # l- (. Q I -7 (a S/
Est. Value
000
1999
Site Address 3733 RIDGEWOOD DR
Lot 14 Block 2 Sec/Sub. WINDTREE 7TH
Parcel No.
Name MARK JOHNSON CONST
Z Address P 0 BOX 21327
O City EAGAN MN 73p Phone 451-1676 55121
8
Name
Address
city _
Phone _
ZIp
I hereby acknowlege 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 Ordigan ep s.
Signature of Permitee 7, /L?t?ut/? l]lr-Y(lMnlJ?--v-
A Building Permit is issued to: MARK JOHNSON CONST
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
FEES
Occupancy R-3 M-1
Zoning
1_1
Bldg. Permit gg1.00
(Actual) Const V-N Surcharge 84.50
(Allowable) VVN
Plan ReNew
.
573-00
? of Stories
t
70'
License i
5.00
Length
Depth 44 SAC, City
100.00
S.F. Total SAC, MCWCC 700.00
S.F. Footprints -
675
00
On Site Sewage Water Conn .
On Site Well Water Meter 95.00
MWCC System X 30
00
City Water
_X Acct. Deposit .
PRV Required S/N/ Permit 30.00
Booster Pump S/W Surcharge .50
Treatment PI 300.00
APPROVALS Road Unit 380-00
Planner Park Dad.
Council
Bldg. Off. Copies
Variance TOTAL 3 .854.00
REQUEST FOR.ELECTRICAL INSPECTION °40K, "FEB-00001-08
? See instructions for completing this form on back of yellow copy. „, ?e?,8
J
51301 "X" Bglow I1 wk Covered by This Request
ew Add Rep. Typeol Building Appliances Wired Equipment Wired
Home Range Temporary Service
1 Duplex Water Heater Electric Heating
Apt. Building Dryer I - Other-(Specify)
Comm./Industrial
Furnace X ott peak meter
Farm Air Con her
Other (specify) Contractor's 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 Inspectors Use Only: TOTAL
Irrigation Booms j : O /S ??-
Special Inspection I
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Finel of f Date
to
OFFlCE USE ONLY ,
This request void 18 months from
r
-
? ? 9?1
i ,102 GJ
r`
Request Date Wa Noy " Rough-in Inspection
Required?
CKReady Now ? Witl Notify Inspector
5-25-93 jYes Xl WnnReady?
I EIicensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
-3733 Ridgewood Dr. Eagan
Section No. Township Name or No. Range No. County
Dakota
Occupant( PRINTI Phone No.
George A. Koeck
Power Supplier Address
Dakota Electric Farmington
Electrical Contractor (Company Name) Contractors License No.
Roehning Electric CAO 1557
Mailing Address (Contractor or Owner Making Installation)
14811 Endicott Way Apple Valley, Mn. 55124
Au nature ICOntra<tor w er Meki Installaji?nl Phone Number
423-4328
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 65184 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-8888 ENCLOSED.
t .fG/?0 REQUEST FOR ELECTRICAL INSPECTION 'c!
? eeoacom.ae
J
74 See Instructions for completing this form on back of yellow mpy /OS ?O?
e X" Below Work Covered by This Request Ik
I ew Adri fiep: -- Type of Building Appliances Wired
Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatinc
1 00 -
Inspection Fee Below-
0O S//3, gay
ther Fee # Service Entrance Size Fee # Circuitslfeeders
nin Pool Pee
g 0 to 200 Amps 1 ?Z 11-10 le 100 Amrre
r r.
mspecNrS Use Only: /l, 1yf A
THIS A 71?BE ORDERED DISCONNECTED IF NOT
COMPLETED WI-FAIN Vv MONTHC. r
?U ?
J
4
c 2 3 3
,
Request Date Eire No. Rough-in Inspectgn
Requiretl? ?',,(^J
? RaedY Now"^' actor
C1 j. (7 NO C an Rea ??
I.licensed contractor ? owner eb Fell t V jg of a e electrical work at:
/,7 •1
Job Address (Street. Box or Route No,; City
i
Section No. Township Name or No. Range No. County
Occupant ?(PRINT;
?
l Phan No.
?
'.4 el
o 140 -) cnS. ys1-Ito
C?
Power Sypp?er _ Addressj?
A,J.c1lLiJT ?u?_, i'-Li2/)')/nG Dom'
Electrical C va r (Company Name) Conlradons License No.
/./A c-i? c c A
Mailing Morass (Contract or O
king Installation)
meerMa
m
?
iOOOG7011
g '
?/
GA / t
-),-A
st)
Authonzed Si
na
ner
sractor/Ow
MM.Zh. I Calla ion Ph
on
e Number
?5
p
( 1
_
0,35-2
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul. AN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0600 ENCLOSED.
Y 7
9
Cl /?y
Jr14 0 7 z
Request Data Fire No. Rough -in Inspection
e fired?
O Ready Nov, Will Notity Inspector
Yes s ? No When Ready?
I licensed contractor I] owner hereby request inspection of above electrical work at:
Job Address (Sheet. Box or Route No.) AY / . 1 /.y j
I i rcc
Fry
.3133 9,'4/4efodd? Or (o did lv.
Section No. Townshi ame or No. Range No. County
Occupant (PRINT)
Phore No.
Power Suppler
El
?
4 Address
a e
r? c
u
&
Electrical Contractor (Company Name) Contractor§ License No.
.{,
a :l Cc 1r"`C-1. 6y2
Mailing Address onhadw or Owner Makiig Instailationl
w y Pel; :. sbs-7;,,
Authori2 Signature (Contractor/Owner Making Installatron) Phone
Number
_
i. M 3
MINNESOTA STATE BOARD OF ELECTRICITY O THIS INSPECTION REQUEST WILL NOT
Griggs-Misway Bldg. - Room SAM BE ACCEPTED BY THE STATE BOARD
1821 Univerelly Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Requirements
• 3 registered site surveys showing sq. n. of lot, sq. ff. of house; and fi[i roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• I set of Energy Calculations
• 3 copies of Tree Preservation Plan it lot platted attar 7/1/93
• Rim Joist Detail Options selection sheet (bogs with 3 or less units)
DATE ?S l/ I 6
SITE ADDRESS J /,'S n l
TYPE OF WORK 'L?R a-,, ?l-
APPLICANT
MULTI-FAMILY BLDG _Y _ N
FIREPLACE(S) _ 0 _ 1 - 2
STREET ADDRESS G CI
TELEPHONE # c_:y?S94W?7aCELL PHO E # 01 -'OL-2 C/C7 FAX
ZIPS,
WL??GI`J K??%- TELEPHONE#
PROPERTY OWNER
r
COMPLETE THIS SECTION FOR ^NEWo RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(,r submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orq
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater _
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
J-I aura,
RemodepReoalr Reaulrememe 1 a??
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
• Indicate it home served by septic system for additions
e?t ()
VALUATION (
_?Ln u?
, ( e?t2
___
Phone #
Fee: $90.00
Fee: $70.00
is,corr()6y cyfd agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of-plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-piex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-piex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. - Air Test _ Final _ Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
fly
22*U? S'00:1 37.33 R'l-P,-.'.f?..'f.)r.? ^p
O: c 9'0 y -- -i f•
y+ j.C'
UE._..` r 1) . rANIPY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
-j L30 ?R-
New Construction Reauiremenh
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
? 3 registered site surveys showing sq. fL of lot, sq. ft. of house
and all rooted areas (207, maximum lot coverage allowed)
? 2 copies of plans (show beam R window sizes; poured fnd. design; etc.)
D 1 set of energy calculations
D 3 copies of free preservation plan R lot platted after 7/1/93
c CX-d-A-c9 ('- I A9
Remodel/Repair Reauirement8
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
DATE: ?!A ly, L999 CONSTRUCTION COST: b oc .oc?
DESCRIPTION OF WORK 1?e mc??e, N? L3R?me v
STREETADD?R'ESS: _ ?73?J tlrc??,e ilcxa0 ?R ?RGAIU
LOT: I BLOCK: D' SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: _V t AS -2)1 11 Phone #: (0 ckoq 6
Last First
Street Address: 3
City AG A State: Yrl 0 Zip: S5
Company: h(Z 'y,z 0LZ (L) e-rC Phone #:
(area code)
Street Address: License # Exp.
City
State:
Company: Name:
Telephone #: area code (
Street
City
Sewer & water licensed plumber (required for new construction only):
State:
Penalty applies when address change and lot change Is requested once permit Is Issued.
Zip:
Zip:
I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ??-' -
Certificates of Survey Received - Yes No 1 4?
Tree Preservation Plan Received - Yes No Not Required
Registration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
Q 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ,K 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) { Basement sq. ft. Census Code 434
(Allowable) Main level sq. ft. SAC Code 01
UBC Occupancy 5s sq. ft. No. of Units I
Zoning r sq. ft. No. of Bldgs o
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
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:
Valuation: $ IZ-9)j?L
SAC Units
% SAC
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
3 registered sit e surveys showing sq. ft. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
1 set of energy calculations
3 copies of tree preservation plan H lot platted after 7/7/93
qq
Remodel/Repair Requirements
2 copies of plan
t set of energy calculations for heated additions
t site survey for exterior addiitons & decks
DATE: ?- Co CONSTRUCTION COST:
DESCRIPTION OF WORK:
-A-
)Z(4d ,Z
P-m
STREET ADDRESS: zl t-J tiCSL, wocl4 loZ
LOT: ? BLOCK: ?- SUBD./P.I.D. #: W? n? C971A f A
Name:--K ycQs ?) Phone #:
PROPERTY Last First
OWNER / rr (n?
Street Address:_ Z-15 fc c , aoc h? -I?-
&v-&008 Coy/-& 008 -ZDLj Ce
City State: /'1) Zip: ?S ! 23
Company; Guff-c- (.00- Phone #: (a fz- Z?7CP
(area code)
CONTRACTOR
(^/? ICow ST- (J License # n) ` 1,285 Exp.3 Vzalo
Street Address: (0955-
city 2yjg= `Lcuzg.? State: M /j zip: 55/ Z `Y
ARCHITECT/
ENGINEER Company:
Telephone #: area code ( )
Name:
Street Address: Registration #:
City State:
Sewer & wafer licensed plumber (required for new construction on) v):
Penalty applies when address change and lot change Is requested once permit Is Issued.
Zip:
I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant. uC.r-L,
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No MAY 11 1999
Tree Preservation Plan Received _ Yes _ No _ Not Required By;_
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair.
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
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:
SAC Units
Valuation:
% SAC
REACTIVATE $ 61 I T Vr MAUAN
PERMIT ?? E39 3 BUILDING PERMIT APPLICATION
r? ?&•a APR 2 1 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets W plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 set, of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty app'ie:: 1) when permit is typed, but not picked ,Ip by last working day of month.
in which request is made, 2) address is changed or 3? lot change is requested once permit
is issued.
Date aOT / 2ll / i9C1'? e°auation of work 3?
,2wdock
Site Address:_ 3133 R.?<
STREET SUITE r
Tenant 'lame: (commercial only)
LOT 14
I
I BLACK -2,-
SUBD.
P.I.D. N
`44 11
W 4Nq .//QQ e
Description of work: A"Or%01.11 -4o zc.lL
The applicant is: V, Owner ? Contractor ? Other (Describe)
Name n?c.4 of e- _ Phone 686-73S8
P operty LAST RST
Owner Address 3733 ??d ekrtloc? O(??i;
STE Y
STREET 'j
r,
city V\ State ?N Zip 6123
Cor.,ipany Phone
Contractor Address License # Exp.
City State _ Zip
Company _ Phone
Architect/
Engineer Name -. Registration #
Address
City ?. State Zip
Sewer & water licensed plumber _ Processing time for
sewer & water permits is two days once area has been approved.
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.
//' n ,
Signature of Applicant: 6-C41" V ^?Y?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-P1ex
? 09 12-Plex
? 10 Multi. Add11.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
[3 14 Fireplace
x,15 Deck
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
•[]'21 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
it of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 70
Depth On-site sewage SAC Code
uS 6 ?eQ
lkig
g
g
APPROVALS 01
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
1'Footing
l Final
? Framing
0 Draintile
? Insulation
iil Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies h5v
Other
Total:
SAC %
SAC Units
Vstustion: $
V E YQ R P S C ER RMI"TE MARK. ,1QrINSON CONST.
el[.$ [19.1 911.!
ol2.9) o; p
99N6N
n' 'll 's
0• or
T
fury.. pR
90AI9 .? 4 ne
N14°49U11V eR? 1264.9D "?iIL
vl:.s ?'p11S"
sms ~`.1
lw? 3
N M
d
N ?
W
8i
1. 6
LOT
A 7 .10
vi
j.1
j?G ? 911.7 ( ppr
'I,! ? 14.5 Kf
O1
t
PROP05Eb
HOUSE /9 , a
19oe.lq-- oo9w?
)
K
o
1
/t? Ir
e vLt ; R'- C
L
1 +1
? I
"M', SOLOING OIMWSIONS SHOWN ARE FON Npa gowAL
A"iTTTECCTU 1111," POR BUILDING & 01.0(8 ,rlC r HUYL:
OI9R"SIONS.
?- DENOTES PROPOSED SURFACE DRAINAGE
0 DENOTES IRON MONUMENT SET
0 DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
x
?
Q
A0
0
N
y
p r
O
Q
)
P 'ry+
a
a
y
sv m
it o ° m yf
II
fRI(.,S)
.?-?MIIQl1 NNYf
"9? 9/ /M[
BUMS owwo
e
z
4 ?
'. St
i
i
.3
f..'1 ' 1
'. [
TsAGLADf`, ? IIZEE$I7G IbEPT
NO WINFIC SOn.i INVESTIGATION HAS DUN COMPti[TEO
ON THIS LOT BY TH9 SURVEYOR. A:'
!TY of
SOILS TO SUPPORT THE SpIllopIC P A I5.
NOT THE ww"SI91LITY Of YN- R
SCALE; i INCH - SO FEET,
PROPOSED GARAOH FLOOR - 916• Y'; .FEET;
PROPOSED LOWEST FLOOR - 908.3' FEET'
PROPOSED TOP OF BLOCK -9 ? 7-
WE HEREBY CERTIFYTq MARK JOHNSON COWT, THAT THIS IS A TRUE AND CORRECT .
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lotl4ift0k21 WIN DTREE 7TH ADDITION,O000MInq 10 thePSowded Pbt thoW,
Dokoto Countyl Mlnnnow.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR F,N0A0ArHMFNTS, EXCEPT AS. cHO"d. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH DAY OF FEB. t992.
?rp? SIGNED: kAS LL, INCR tTSYRoN IOM/Eata BYAS=, lNC, LMT DATED 4-7-87. SON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
..
A R.
1 ! 1 O --
James R[ Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 9 BURNSVILLE, MN. 55337 9 6112-00-OD44
i
E
N
r
I'
.i
Y
C) 1
i
4..,
w
831.00+
84.50
573.00+
Al
t, P 2>>15.50+
fi 3854°00
891 -0o+
84.50+
` 175.00
21315.50~
3354.00*
1992 BUILDING PERMIT APPLICATION
CITY OF EA AN
REQUIREMENTS:
SINGLE FAMILY 2 SETS OF PLANS,3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE DB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For* S , alo ,,; ( Valuation: Date: b? ?olo ?Q2
Site Address
Lot Jy Block l 69, o0 0 - FFICE SE ONLY
Occupancy R-3 Mlj Bldg Permit
Parcel/Sub 44„ Zoning R-r Surcharge
Actual Const v-N Plan Review
Owner Allowable 774 License Fee
# of stories SAC, City
Address boo"3 ,! A Length 70 ' SAC, MWCC
Depth 44q, Water Conn.
City/Zip S.F. Total Water Meter
Footprint S.F. Acct. Deposit
Phone Tl - °Ioa S/W Permit
On-site sewage S/W Surcharge
Contractor Ge4} On-site well Treatment Pl.
MWCC System ? Road Unit
Address 4 c7 %o)? l City water ?- Park Ded.
PRV Trail Ded.
City/Zip w 1551 al - p3arl Booster Pump Copies
SUBTOTAL
Phone q51- 11p7b License Doo3a%t ? APPROVALS Penalty
0& Planner Lot Change
Council TOTAL
Arch./Engr. D? ,AU Bldg. Off.
Variance
Address
City/Zip Code
Phone # qY -tooi2,
Sewer/Water Licensed Contr. S?l,?,,14 yes PI br
for sewer/water ;permits is two ays once area as' can p
FEES
ISl.ov
1/3.00
S.00
Oo.oo
,e)0,00
Da
9s,
o, v o
70. UJ
Processing time
e agrees that all work shall be done in accordance-with
(signature of Permittee)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GARA-bE
.7w G2yx+s=r/3?o
Bs rte. r.
?xti6= !19`
2X
/?!= 2X
X 1?2Yi =
t q.5
GX IO= /bo
IHZ9 X 14=zo?oo6
15T R.-e-
BSM T = 1 4 2?
ZX7? 14
Z-,X 2- - z
ILILISK 5.3=`?te5ss
6sp F. o ,.
2 x? U l/Z = a Ci
?3 X53 = 162, 16 cl
lbB?IZo aR 169,aa, -
. 0
S UR V E r O R f S C E r7 I I T E MARKD. 1011NSON CONST.
N 14°49%VW A
`912,x) ?% i O i
PROPOSED tQi l~ J ,I0
DRIVEWAY
??. • 001.7 .
I 1 Q
NCN KK
Nu{
0• OR
.N+E
flN.•900.1!
I
?
l
IY.Y
4 O ?.
?? N N
N 0
x °
W
004 1
rn
1
r ,
O •
;j
A R. 015.7 I ?
,
.
f .
;
31,1 14.5 n
1 ~
PROPOSED N • N
Y1 HOUSE
ti
OOO.f 110Y .I ?' beck 60*l;*4
Y I
LOT 114
1 ?«
? l
c,
?•1
r
?? rgl`sl
z
MNON MAN
T01 OR /?!.
ilfV.•lN.S?-
r
NOTE; BUrLOINO OIMANSIONS SHOWN ARE Fall HORWRTAL ?esVtid9AN -C14(kRE-ERIN G
A VEl • LOCATION Cr S &
OIMEN ONLY. B[[ DEPa
ECTU mVT't ONO SIfi7CfhC .
DIMIEN P1.ON8 FOR BUiLDIN ILpNO A P69TEO
SIONS4 gN9, FOUNDATION ON 71118 LOTBOILB INYESTRATION HAS BfilDV COM BY THR' lIYRYeYOR. THE BIB f1Y 0I
DENOTES PROPOSED SURFACE DRAINAGE Not SOILS AE8PON81BI{ ITY PO lt- W ffy 116,
0 DENOTES IRON MONUMENT SET SCALE; i INCH YHz
• DENOTES IRON MONUMENT FOUND PROPOSED GARAOIE FLOOR. 9i6rj .
XFEETi
000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -90#.F&ET!
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -9,0 7-
WE HEREBY CERTIFY TO MARK JOHNSON CONST THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lotl4,8bok21 WINDTREE 7TH ADDITION, according to the recorded plot thwaf,
DOkWO County, MInn.Otq, ,
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH DAY OF FEB. 1832.
NDTE< TPgp___ SIGNED- A S R, HILL, INCLI-L
Ram 110hoe LR BY:
AB7OC, INC. BY LAST DATED 4-9-87 JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
i.
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEMFM
2500 W. CTY. RD. 42 • 9URNSVILLE, MN. SW37 0 812-%O-0D44
EXTERIOR ENVE( ,E AVERAGE "U" COMPUTATION
DATE y` Z9/
OWNER
SITE ADDRESS ?-O-T?y
CONTRACTOR
r?
PHONE
Determine working Square Footage of Each.
% 1 1 a =
1, Total Exposed Wall Area..
2• Total Roof/Ceiling Area .
3• Total Floor/Cant. Area
3 R. sq. Ft.
(33C)•oSq. Ft. % .026 =y,6
.75
r7r Sq. Ft. x 3 _
Total Exposed Wall Area Above Floor = 02 5
a.
b.
a:
f.
9.
Total Wall Window Area.
Total Door Area . . .
Total Sliding Glass Door Area .•
Total Fireplace Wall Are average 1011
Total Wall Framing Area
Total Net Wall Area Above Floor .
Total Rim Joist Area. . • • • • ' ' •
Total Exposed Foundations Area a
O 9
• moo. o
h. Total Foundation Window Area • •
i. Total Net Foundation Area Above Grade .
Determine "u" Value of Each Wall Segment•
X null , 3 5 = i I ?a
a. - uVn o7,
•. ?t .
b. ------- X •out,
C. •2C ,t7 X uVu
d. - pull ogg - _?,
e. inn 9 X . 7
X uVu .O rl d?_
f. r?.r,R 1 X stun Q4 s
h. X just
i.
SUBTOTAL =
TOTAL a
4.
less than item N1, you have met the
If item 14 is the same as, or
intent of SBC 6006 (c) 2.
200/T00 ® 'SONS SHHHHDS CZ90 ZZ9 SVA W ST T8/91/20
Total Exposed Roof/Ceiling Area
j. Total skylight area area -
k. Total flat roo f/ f/ceiling fra/ceilin9 area _
Total net inslted flat roo
m, Total vault roof/ceiling framing area-108 I33
n. Total net inslted vault roof/ceiling area
Determine lull value for each roof/ceiling segment*
x "U" _ _-
j. - _
X non
k. _ x nun - - _--G - _-__
M. 133.c _ x -- - = Jq
nun n.
x --?-j
TOTAL
If item #5 is the same as, or less than item #2, you have met the
intent of SBC 6006 lc) 1•
75 U
Ar
Total Exposed Floor/Cant. Areas
o. Total floor/ cant. framing area (avrg. 108) ----
p. Total net insulatedfloor/cant. area . . • _li?--------
Determine "U" value for each floor/cant. segment.
(S
x ^U¦
-- 0?4 - ' _-----
x H u l l
p • _2? `_ -
TOTAL
6.
If total of #6 is the same as, or less than 13, you have met the
intent of SBC 6006 (c) 3.
ALTERNATE BUILDING ENVELOPE DESIGN
To uti ze the total envelope system method, the values established
um of items t4, #5 and #6 shall not be 'V;eater than the sum
by the
of items #1, #2 and #3. 3$S
5 m 3
1. 3/`?•??__ 2• 3. h 3
-------
4. ;Z 5. O 6. 0
Prepared By cd --
ivl`)L
Date
S00/coo 'SOHO HHM3HOS CZ90 !Z9 M 0S:ST T6/9T/SO
a CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
av"WGz
FOR CITY USE ONLY
PERMIT #
RECEIPT # L c>l 37
DATE: ?-
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS A
-----------------------
- RE REQUIRED FOR EACH UNIT.
-
WORK DESCRIPTION ---------____---- ------------- --------------------
COMPLETE THE FOLLOWING:
NO. FIXTURES EA.
NEW CONST X ADD-ON MINIMUM 00
15
ADD ON SHOWER .
3.00
REPAIR WATER CLOSET 3.00
I BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
7 LAUNDRY TRAY 3.00
SITE ADDRESS HOT TUB/SPA 3.00
LOT: BLOCK SUBD. ZZZ WATER HEATER
FLOOR DRAIN 3.00
3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: OTHER _
WATER SOFTENER 5.00
Xv _
CITY:
d'e'X? ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
TOTAL
TOTAL
0
zcD
zL
uf'
s ?o?.J
50
co
S? cPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
i CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
lIEGHeNICAL PERM
FOR CITY USE ONLY
PERMIT #
RECEIPT # /U
DATE: >0 -c3 2.
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ]
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR
OWNER NAME : Ma 1 a r )t "t? h S (AlL ?S 1 / ,??V e- Gk
SITE ADDRESS: 0 00(
LOT: BLOCK! SUBD. L
FEES
DWELLINGS S
ADD-ON MINIMUM $? _O
HVAC 0-100 M BTU / 2
ADDITIONAL 50 M BTU 6
GAS OUTLETS - MINIMUM .00
OF 1 PER PERMIT
SUBTOTAL: $?o 0
STATE SURCHARGE:
TOTAL: $ 3 S'?
INSTALLER: Rum6Vlll2-I {ed"elno ?A/e,
12481 Rhode Island Ave. So. NATUR OF ERMITTEE
ADDRESS: Savage, id1Pd 55378-H22
CITY: 894.OOQAP: {'V i er' u' d $$-SS C D'rol?
?'?rripr ?Cr 38C?0??
PHONE #: vy yj fi 3 /f J? ?y tf? c? 124-
4-- ?? e ?. trail . cl
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
- -- - - - - - - - - - -
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT PHASE ELECTRIC, INC.
ADDRESS 1863 COVINGTON LANE
EAGAN, MN 55122
Location 3733 RIDGEWOOD DRIVE
I li14, B2, WINDTREE 7TH_
Receipt No./Date _110192-105504
Reason for Refund PER ELECTRICAL CONTRACTOR'S REQUEST
Type of Refund Electrical Permit 01-3211
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 S
surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 S
Account Depnsit 20-2252 S
Utility Account Over-Payment 20-2250 $
Other! $
TOTAL $ 64.00
1 declare under the penalties of law that this account, claim or demand is just and
that no part of it has been nail.
v
5/15/92
na ure Date
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA123134
Date Issued:05/30/2014
Permit Category:ePermit
Site Address: 3733 Ridgewood Dr
Lot:014 Block: 002 Addition: Windtree 7th
PID:10-84476-02-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jenny Norell
3185 Terminal Drive
Suite #200
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Kvas Jr
3733 Ridgewood Dr
Eagan MN 55123
Silver Tree Plumbing & Heating Llc
1947 Shawnee Road
Eagan MN 55122
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157276
Date Issued:08/13/2019
Permit Category:ePermit
Site Address: 3733 Ridgewood Dr
Lot:014 Block: 002 Addition: Windtree 7th
PID:10-84476-02-140
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Kvas Jr
3733 Ridgewood Dr
Eagan MN 55123
(651) 260-7423
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162011
Date Issued:06/22/2020
Permit Category:ePermit
Site Address: 3733 Ridgewood Dr
Lot:014 Block: 002 Addition: Windtree 7th
PID:10-84476-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Kvas Jr
3733 Ridgewood Dr
Eagan MN 55123
Honey Doers
19848 Highview Ave.
Lakeville MN 55044
(952) 985-5383
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162011
Date Issued:06/22/2020
Permit Category:ePermit
Site Address: 3733 Ridgewood Dr
Lot:014 Block: 002 Addition: Windtree 7th
PID:10-84476-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Kvas Jr
3733 Ridgewood Dr
Eagan MN 55123
Honey Doers
19848 Highview Ave.
Lakeville MN 55044
(952) 985-5383
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177720
Date Issued:07/14/2022
Permit Category:ePermit
Site Address: 3733 Ridgewood Dr
Lot:014 Block: 002 Addition: Windtree 7th
PID:10-84476-02-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
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 -
William Jr & Suzanne Kvas
3733 Ridgewood Dr
Saint Paul MN 55123--132
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178889
Date Issued:09/08/2022
Permit Category:ePermit
Site Address: 3733 Ridgewood Dr
Lot:014 Block: 002 Addition: Windtree 7th
PID:10-84476-02-140
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
William Jr & Suzanne Kvas
3733 Ridgewood Dr
Saint Paul MN 55123--132
Drain Pro Plumbing
8815 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature