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3739 Ridgewood DrPERMIT City of Eagan Permit Type:Building Permit Number:EA127565 Date Issued:10/07/2014 Permit Category:ePermit Site Address: 3739 Ridgewood Dr Lot:013 Block: 002 Addition: Windtree 7th PID:10-84476-02-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Paul J Wohletz 3739 Ridgewood Dr Eagan MN 55123--132 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature Control INSPECTION RECORD I No. j J CIV OF EAGAN PERMIT TYPE: BUt I.O T H6 3830 Pilot Knob Road Permit Number: 041 "r). H Eagan, Minnesota 55123 Date Issued: i 2 /0;, 19 (612) 681-4675 SITE ADDRESS: 1 nT t 13 PLOC IC ; : APPLICANT: 3739 RIDGEWOOD OR DANLE RROTHERB 10C WINOTREF I tH (612) 80B-6666 PERMIT SUBTYPE: t DWO TYPE OF WORK: INSPECTION TYPE ?, I c) .DATE INSPTR. INSPECTION TYPE FRAM IN13 DATE INSPTF;. IN'',I1LA! ih?1 ETNA! FTREp1.Acr_ REMARXS: RECEIPT 0 3 & l# CONTRACTOR - STAR PLEA Permit No. Permit Holder Date Telephone #i Sm PLUMBING J / ?s° ?? /? ??• ?A HVAC r? ?' r // GQ ' ?f ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I is ylga xJ Foundation Framing f y1 r Sl?>? V w Roofing Rough PIb . 9 i / --CJ -G 7'T --6 U? 314 L Rough Mg. Isul. /-27 y3 S Fireplace /a2 743 Ide Final Mg. ( Orsat Test Ic Final Pibg. Pibg. Inspector - Notify Plumber Const. Meter EngrMan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. v INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ,:11 I 1 111 N1 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: ; „ l. i s H 10 1,,,,,11 11Ft 111111111111 111! PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: F - L Permit No. Permit Holder Date Telephone k S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Consi. Meter Engr./Plan Bldg. Final Deck Fig. Q IGI/ 0?? w?? ?OtD ?D /tP?dL(? IKf?L? Deck Final Well Pr. Disp. 1N NFEU ION REUOKI) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number- Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I f1 t. 13 til kill 1 1 1 1,411 1 1XI I Ilk 11IN11lift t ?IIH fit MAVI' RP PA At. I Nii 1 PA f 10 111111H APPLICANT: 1111111)1N[I H ill V-b 1 81117!98 PERMIT SUBTYPE: TYPE OF WORK: 1= (11 A T f, s: + s PAf1n P(110f? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER ------ IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 4Q -1y-7 ? 6rw INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 ?, rt x .i 1 ;t llr;fl.?nt}r? 1?1? - PERMIT SUBTYPE: K , APPLICANT: TYPE OF WORK: fill I I V 110 0 1 1 list. 04/17/90 INSPECTION INSPECTION TYPE DATE INSPTR. RF XARI< &: , A SEPARAi F Pf I?H f T IS RF t) P1 AN AUVtf'Wfil BY MtKF HA (-. n toR ANY PI 11Mti1NIi FOR F 11'97TNT( Al k4f) O Permit No. Permit Holder Date Telephone s ELECTRIC PLUMBING (P? -(p?prJ?j HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING lv?l/ ROOFING ROUGH PLUMBING _ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST L ` FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL d/ DECK FTG DECK FINAL (gerttfiratr of (Orrupaury Citp of eagan ]gp#t81' qt w Of %at" rttim This CaWfwwe issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regukAiV building construction or use For the fallowing: LIM C]mifadOPE m aws.ftzw Na 1858 R3/ml onu+a RI ca" VN Owng al BMS INC Add= 4304 LYNDAIZ AVE S, MM N Adchv 3739 R DGEWOM DRIVE LO-r" L13, B2, WIlMM 7TH Datc 02/23/43 rs+>wms o+s?.+ POST IN A CONSPICUOUS PLACE ?4 Address 3739 RIDGEWOOD DRIVE Zip 5512 3 Lot • 43 Blk 2 Sub WIMTFEE 7M THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 2 23 93 Yes No Inspector: 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. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy C.? cr?cicx? R uest ate .y 2O Fire No. Rough-in Inspection q aired? Re Inspector ?Reatly Now{ .n'Niill /Wh R d ? L V r, No an en ea y 1 "-' ensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street Box or Roul 3q 17r- City n Section No, Township Name or No. Range No. Go 3 Occupant (PRINT) Phone No. Power Supplier ? ?rp?--t•? Address rm i ?f -o r) Electrical Contractor (Company Name) G GointractZlK No. se [LQ Z C 3 L T` Mailing Address 1 nna^ctoor or Owner Making Installation) ?/W r jtaC Authorized nat re ICoMracyor,O?lnstall o Q LAX Phone Number n - '54 . ' co MINNESOTA TE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Mlitil Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55100 UNLESS Pg0PER INSPECTION FEE IS Phone (612) 602.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Eauogo^og, 5456 ?5 to ee instWtions Rn completing this form on back of yellow copy 7., (1 Yb a (q ?. tle ??? Below Work Covered by This Request vaa` e Add Rep. Type (Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other Ispecito Contractork Remarks'. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Ig 0 to 100 Amps Transformers Above 200 Amps A ove 100 Amps B19n5 Inspector's Use Only T L c A ' Irrigation Booms ?` ? Special Inspection r Alarm/Communication THIS INSTALLATION MAY BE 0 DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S I, the Electrical Inspector, hereby Rough-in oeta? f? certify that the above inspection hey been made. Final Date OFFICE USE ONLY This request void 18 months from S LA g" 1 C--? 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. ft. of lot, sq. R of house; and L11 rooted areas 120% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or lass units) DATE ?f O Sy Loa SITE ADC TYPE OF ULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 1'tt?VJ2C\ \1i111?Qfoo \ STREETADDRESS/a3 -:) cry E) cv CITY &05ud)v STATEMid zip 5y337 TELEPHONE # 9S? ?yG-6770 CELL PHONE # FAX J? 6 vas PROPERTY OWNER ?loYYiQS ?P TELEPHONE# 65)-W- 67V COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 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. Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone Fee: $70.00 AUG 2 g 2002 ?C I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of Eagoprdinances. Signature of Applicant OFFICE USE ONLY VALUATION '08670,5 Ramodel/Reoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks Indicate if home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Baths Phone # lr?I.--7 S Fee: $90.00 and agree to Certificates of Survey Received - Tree Preservation Plan Received _ Not Required Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mudd ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous ? 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 CITY USE ONLY L ,S BL liLt.P / SUED. RECEIPT: /*:. RECEIPT DATE: PERMIT # 1999 PLUMBING PERMrr (RESI)ENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, UN 55122 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH H TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x - $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished " requires MPC lic. 75.00 x - $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ O Water closet 3.00 x = $ Water heater 3.00 x $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge .50 > > ----> $ .50 Total --> > > ----> $ 3 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS: J l< OWNER NAME: : INSTALLER NAME: STREETADDRESS: j?/(dJ l?iCSe?°O?A? CITY TELEPHONE #: 6,57/_ (AREA CODE) SIGNATURE OF PERMITTEE STATE: AZA ZIP: SS i-r? /,-41- BL// ??? / CITY USE ONLY RECEIPT #: S 1 9g SUBD. ?A ?WW?/t:P?P? / & RECEIPT DATE: -011-1F-k1 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: (? J single family dwellings ?' townhomes and condos when permits are required for each unit backffow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellings under construction 5.00 x = Water Softener ` for existing dwelling 20.00 x = U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations . to existing residence 20.00 = 2liJ 4 J Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 20.5 J ------------------ ------------------------------------------------------------------------------------------------------------------------- -- hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. ,e) ( i / i'J ! SITE ADDRESS: OWNER NAME: 373`,/ INSTALLER NAME: ?,r. TELEPHONE#: 15 ,/- - 1? G 7 6 STREET ADDRESS: 17 70 CITY: /R??.GLd1 STATE: lye" ZIP: ;> 01 SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 At*r 11% X<Y k:01 ?X/,tM01 *Xt ? %kR:.X? kS,tYFY,tikY"g*XtkUnM", CITY Or EAGAN CASHv=R: 36 TERMINAL. N0: M 30 BF,:. 04/17/`.)?3 f7afEc 4 IL!.' NM M', ROBERT B PITTENGER' 321D 9001 3139 RIL(GEMOOI, 50 00 205 9001 3739 RIDGE:WOOD 0.50 Total Receipt An,ounte 50.50 CROB9"r GB USER IDI JAN `XY,(1\7k'?'t'?t`•XyFiXl,(?XYnY,t nWY,;:(?(YF?Y.>FX•>k%FY,(7Xnt:Y:kk;k%itd! ?:$C:X?n'1,: ?'F PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 031806 04/17/98 SITE ADDRESS: 3739 RIDGEWOOD DR LOT: 13 BLOCK: 2 WINDTREE 7TH P.I.N.: 10-84476-130-02 DESCRIPTION: Census Code ? ? 9M -,Q-, (ONE BEDROOM) Buildin`g,Permit Type BASEMENT FINISH 'Building Wa_rk Type ALTERATION 434 ALT. RESIDENTIAL 11?= 01 c, REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: _ Applicant - PITTENGER ROBERT 3739 RIDGEWOOD OR EAGAN MN 55123 (612)452-0269 I hereby acknowledge that I have read this application snd state that the, 11 information is correct an'd agree to-comply with alj"applicabl' State of Mh. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ?(a ki' l ISSUED Y: G ASR 31-1 6G1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) k6 0., 0 CITY OF RAGAN 3830 PII.OT KNOB RD 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; ate.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/83 required: _ Yes _ No DATE: `i- G, _q F3 CONSTRUCTION COST; DESCRIPTION OF WORK: _FASCM017 f lJU1S? STREETADDRESS: ?73 f P106 W000 DOUG- LOT: BLOCK: SUBD./P.I.D. PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: f7jTT0Q8pZ (ZOOE ( Phone #: 77 ? t?2? Last First Street Address: 3712 91OW-U20W D(FIlA-E City KEN State: - H(\) Zip: I Z Street Address: City Company:_ Name: Street Address: City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. License # State: Zip: Phone #: Registration #: _ State: Zip: Penalty applies when address Chang I hereby acknowledge that I have read this application and state that the info rrna 'o 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 Tree Preservation Plan Received Yes No Not Required Phone # BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 - plex WORK TYPE I U ?)Fs ? 31 New )d,_33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging X16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck F- ,raF'i'tAer. ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code 01 Census Bldg _I Census Unit _0 Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ????f. 'cal L iffO0/0 S41 a i%,UiAC Units Valuation: $ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84476-130-02 DESCRIPTION: rmit Type rk Type DECK NEW )?Cj41?1 REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge .50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - PITTENGER ROBERT 3739 RIDGEWOOD DR EAGAN NN 55123 (612)687-0482 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 Mn. Statutes and City of Eagan Ordinances. L c APPLICANT/PERMITEE SIGN UR ISSUED VT-SI0FMURE PERMIT CK 3as3C q -8 9 5 -(Y PERMIT TYPE: BUILDING Permit Number: 0 2 4 6 3 2 Date Issued: 09/28/94 3739 RIDGEWOOD DR LOT: 13 BLOCK: 2 WINDTREE 7TH CITY OF EAGAN 14LSI rSEE ILDINGPERMIT APPLICATION P 2 IVE 681-4675 6 29 94 4 ?30--?o rRECCEli -''IE C a c i nn SINGLE & MULTI- -- sets-of plans, 3 registered site surveys, 1 copy of energy ca cs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up 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 Cl 21_ Valuation of work Site Address: 3"739 fZ-i0GGtU000 D2juE STREET SUITE # Tenant Name: (commercial only) LOT BLOCK 2 SUBD. Wjr4PTRjQC 7'rq T P.I.D. # Description of work: The applicant is: IT Owner ? Contractor ? Other (Describe) c/ Name Pi iTEIJ(Y? L09GR / Phone 617-0 / S2 Property LAST FIRST 412 ys'Z _oZ67 Owner Address 3 39 9-1000--W Q on, STREET STE # City 0 -A-N State ?4N Zip -?SI Z3 Company 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 h all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace JM 15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance REQUIRED INSPECTIONS ?.Site Footing ? Wallboard Final ? Framing ? Draintile y3'/ D ? Insulation ? Fireplace Permit Fee veumtion: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 8 ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units ?og PrFIEN66C CERTIFICATE OF SURVEY 37,9124.P&Vv'OW -D2. R ems. ? . •nsa 1 8717 DUPONT AVENUE SOUTH •nwx BLOOMINGTON. MINN. 55420 888.2084 LAND SURVEYORS Survey for: _ DAHLE BROS., INC. ?? //°3733 ?O 3 ? z? `gym y? ?o i z_ ?aSP o m? c' T-+% %C? 4I P? rl s N? T ? y,SZ?/7?yB?• aO's 1 Q 0 1 1ca30' 0 11 r;1?1 M I , ? N 30. o .. A ?i11 N DESCRIPTION: Lot 13, Block 2, WINDTREE 7TH ADDITION Proposed Grades: r Top of Blocks 6z1° Garage floor 9Zo$ Basement floor 9L32?- NOTE: Circled elevations are proposed,.others are existing. Arrows denote direction of drainage. We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if any, r r on said land. Dated this 20th day of November 19 92 . 6457 - /.7 L_./?_, BL CITY OF-EAGAN CITY USE ONLY / S B ?? 7 e PLUMBING PERMIT 5- 40S D. Ls U vyy i (612) 681-4675 RECEIPT # ? DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST NO. FIXTURES EA. TOTAL REPAIR ADD ON 15 00 / . ADD ON - SHOWER 3.00 REPAIR _ WATER CLOSET 3.00 BATH TUB 3.00 61e d ? /n? ? A x9y LAVATORY 3.00 /, [b o U OWNER NAME: ? KITCHEN SINK 3.00 3,p a 1 3.00 ? Y SITE ADDRESS: 7 3c) /r?r?lr /?i /!/? _ 3.00 HOT TUB/SPA ?T WATER 'r.EnTER 3. CC La FLOOR DRAIN 3.00 3 INSTALLER GAS PIPING OUT. 3 00 MINIMUM 1 : . . - ) ( ROUGH OPENINGS 1 50 ?J O 3 ? ( . r _ ADDRESS:_ J y OTHER _ S 5 _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 /• ?? _ 2 ?rc? U.G. SPRINKLER 3.00 ??: PHONE C.? W. TURNAROUND 15.00 y? STATE SURCHARGE 50 SIGNATURE OF PERMITTEE TOTAL: S 5 Gtr COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: Ow°AE& NAME ZIP: CONTRACT PRICE: 1X OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. SITE ADDRESS: TENANT NAME: SUITE #: _ INSTALLER: ADDRESS: CITY: PHONE FOR: $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L f? B p y MECHANICAL PERMIT SUBD. / ?- (612) 6814675 RECEEPT # l 11lF DATE-- I-e?, i cA`Z PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: FEES SITE ADDRESS: ???? ?? cz bhp ®? T . ADD ON/BEMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE #: U ADDITIONAL 50 M BTU 6.00 ADDRESS: Tl l W `a19?41 S? GAS OUTLETS - MINIMUM 1 @ $3 EA. a v CITY. ?c+ u ca. ZIP: ?'lQ SURCHARGE: $ .50 SIGNA TOTAL: $';O, so COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAME Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: I FEES 1% OF CONTRACT FEE STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE $ PROCESSED PIPING - $25.00 Fs MINIlVHTM FEE - $25.00 ',11:1KI DI:? SITE ADDRESS: TENANT: SUITE #: INSTALLER: t' ADDRESS: CITY: PHONE #: SIGNATURE: TOTAL• $ ZIP:' CITY SIGNATURE. INSPECTION RECORD Control No. 1355 CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001.858 Eagan, Minnesota 55123 Date Issued: 12 / 0 2 / 9 2 (612) 681-4675 SITE ADDRESS: LOT: 13 BLOCK : 2 APPLICANT: 3739 RIDGEWOOD DR DAHLE BROTHERS INC WINDTREE 7TH (612) 888-6856 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION TYPE FOOTING DATE INSPTR. INSPECTION TYPE FRAMING i INSULATION FINAL FIREPLACE REMARKS: RECEIPT # S & W CONTRACTOR -- STAR PLBG VITY OF EAGAN 3830 Pilot Knob Road Eagan. Minnesota 55123 (612) 681-4675 PERMIT Control No. 1355 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001858 1.2/02/92 SITE ADDRESS: 3739 RJ:OGEWOOD OR LOT: 1.3 BLOCK: 2 WINDTREE 7TH DESCRIPTION: 'building Permit Type SF OWG ` Building',Work Type NEW DEC Oecupan'y R-3 M-1 Construetion``Lype V-N Zoning R-1 Building Lengtih ^. 66 Building Width 36 i _ ' r C c? r-t REMARKS: RECEIPT ##C,0,,4ID?1 S & W CONTRACTOR -- STAR PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC 96 SAC Units Subtotal $814.50 $529.43 $75.00 $700.00 100 $2,118.93 $150,000 MISCELLANEOUS $1"610.50 Total Fee $3,729.43 CONTRACTOR: - Applicant - ST. LIDOWNER: DAHLE BROTHERS INC 18886866 0001647 OAHLE BROS INC 9304 LYNDALE AVE S 9304 LYNDALE AVE S BLOOMINGTON MN_ 55420 BLOOMINGTON MN 55420 (612) 388-6866 (612)888-6866 I I hereby acknowledge that S in rm tion is correct and and e9 apfcl `v an SIGNATURE have read this 49'ree to comply Ordinances. application and state that the with all applicable State of Mn. -SSU?91': S7?NATURE PERMIT # RPACTIVATE _ CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 NUV 2 5 RECD Ffr•.rt: .I SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once ermit is issued. Date Valuation of work Site Address: { ? a A STREET SUITE K Tenant Name: (commercial only) wT 13 SLACK ?? SUED.. P.I.D. M Description of work: The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE 1 City State Zip Company Phone Contractor Address License #__Vk2n Exp. city State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber A . Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I v ead this appl'cation rWd state that the information is correct and agree to comply wi all a icab State )W Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation .6 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE J' 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) V- N Basement sq. ft. (Allowable) v. N 1st F1. sq. ft. UBC Occupancy R-3 NI - I 2nd Fl. sq. ft. Zoning R_r Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth 36, On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Wallboard ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units -L vetustim: S 1.501 ODD Zu P FLaol$ GARAC=£?, 30 x22= 66O .2 7Yzx34. x 10 = o gaol r x - 93i%byo x 16 _ lo, z y! Ax zr j0 - 36 z6. Zx /1_ Zq. XS3= lit x+v : 19G -.- ?---- r lz26Kts= Eg 390 IST 't' ?..O9Q ; . ssr?,r? i?.ZrG ??yq 36y 1.75 r y y3, ?• mph, 0-'WB3"sem`€nt Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System YES City Water Y8 S PRV Required Booster Pump Fire Sprinkler Census Code SAC Code _L00, Assessments CERTIFICATE OF SURVEY h LAND SURVEYORS Survey for: DAHLE BROS., INC. 7820 961/E g6 00 - NO ?o. -'I - ems, PW4. 8713 DUPONT AVENUE SOUTH BLOOMINGTON, MINN. 55420 888-2084 m --< 36 "3 S N m. DESCRIPTION: Lot 13, Block 2, WINDTREE 7TH ADDITION Proposed Grades: Top of Blocks 6Z7o Garage floor 9zo= NOTE Circled elevations are proposed, others are ex Arrows denote direction of drainage. I m `O /0 o m O i Scale, 1 II=30' ?Fd®I??I?IRTDEPq. We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if any, fr,r, on said land Dated this 20th day of November 19 92. by q I' cense Z8/- 7,? EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION SITE ADDRESS: =G'??73?? `r?I[Xt•!A/P1`?? 11L?GF?1 f??11 } CONTRACTOR:.-` DATE: I I (i?ai PHONE: DETERMINE WORKING, SOUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED WALL AREA,,,,,,. J I „ n .11 2. TOTAL ROOF/CEILING AREA,,,,,,,, - sq f t x "U"U" ?,. ? ?' .,... 026 3• TOTAL EXPOSED WALL AREA CALCULATIONS: Total exposed wall area above floor,,,,,, sq ft a) Total wall window area: -!- 1 glazed...... sq ft x „U„ r glazed...... sq ft x „U„ v a b) Total door area`!"], ri sq ft x "U" 7 c) Total sliding glass door area: Vl_ glazed ...... i1,?,i ) sq ft x „U" - glazed...... sq ft x "U" v - d) Total fireplace wall area -- ------- -- sq ft x "U" --- e) Total wall framing area (Average 10`.!)........... _ ++ ?11 , 21V-D sq ft x „U„ f) Total net wall area above floor (insulated)....... -71' sg ft x "U„ l g) Total rim joist area..... _ 4 4. ^,r sq ft x "U" Total foundation I 'j area (Exposed).......... I sq ft 3, h) Total foundation window area.... 1) Total net foundation I . i area above grade....... _ ji - sq ft x „U„ TOTAL a) thru 1) If Item N3 Is the same as, or less than item fl, you have met the intent of 2 MCAR 1.16008 A and 0. Page 1 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/celllnq area ........ ?,?--? sq ft J) Total skylight area...... -- --- sq ft x "U" -'- -'-" k) Total roof/celllnq framing area (Average 10,,)..... sq ft x "U" :JZ J z5 ICJ I) Total net Insulated roof/celllnq area ...... rc.7 sq ft x "U" .077c_. - 4. TOTAL J) thru 1) If total of d4 Is the same as, or less than 92, you have met the Intent of 2 MCAR 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of Items 63 and M4 shall not be greater than the sum of items N1 and 02. r 3. +4. C E R T 1 F 1 C A T! n N 1 hereby certify that 1 have calculated thf "U" factors and "R" values herein and that the building here descrl,h d meets or exceeds the State of Minnesota Energy Conservation Act. 'Signature / Print name 1.I - I (a-c? 2-r (Date) Page 2 A INSTRUCTION TAMING SECTION: Interior air film or air R VALUE 0. M U - 1/R - air rtim f 0 (?_;> RIM JOIST SECTION: {1 Interior air film I E WALL SECTION (INSULATED) --(I Interior air film - ?2 ^ " ,'; 1' 111'7 4 i,- „ I h Exterior air film 0.17 TOTAL R - FOUNDATION INSULATION REQUIRED: Min. R-5 on entire wall OR U - I/R - •A•;•,4 Min. R-10 down to frost depth A ? a• FOUNDATION SECTION: _ 1 Interior air film 0.68 'A 3 ?1' ?'ytile tSL.f.°!. I "L9 A :a: 4 Exterior air film 0.17 Q ', xt * (F A TOTAL R ? I7S U- I/R- ? rw TF ;I SLAB ON GRADE - a• ' 1' /11/1, Heated Slabs: rq' G Minimum R = 8;5 A; -4- Unheated Slabs: 0'`? Minimum R 6.2 4 4 • 41 9 • ? • Q : Q 1 ) 4 , Page 3 CONSTRUCTION R VALK CEILING SECTION (INSULATED): I' Interior air film 0.61 AIR 2 -r2-44 1Q.-Im, CHUTE 3 < o 4 Exterior air film still 0.61 TOTAL R U- I/R- C?Y'L G CEILING FRAMING, SECTION: 1 Interior air film 0.61 2 f ? - 4 Interior air film (still) 0.61 5 _,) Inches so t wood u4 __ _ TOTAL R,!7S' t G CEILING SECTION ONSULATED): 1' Interior air film 0.61 2 3 4 Exterior air film still 0.6-1 TOTAL R U- 1/R= VENTED CEILING 1 2 3 ti 5 FRAMING SECTION: Interior air film 0.61 Exterlo- air film (still) 0.6-1 Inches soft wood TOTAL R U- 1/R= W 1 2 3 4 S Inside air film 0.61 Outside air film 0.17 TOTAL R n _ U- I/R - Page 4 WINDOWS 1420 x 1.75 sq ft = 1426 x 2.33 sq ft = 1432 x 2.92 sq ft = 1438 x 3.50 sq ft = 1444 x 4.08 sq ft = 1450 x 4.67 sq ft = 1456 x 5.25 sq ft = 1462 x 5.83 sq ft = 1468 x 6.47 sq ft = 1474 x 7.00 sq ft = 2020 x 2.50 sq ft = 2026 x 3.33 sq ft = 2032 x 4.17 sq ft = 112038 x 5.00 sq ft = 10.r' 2044 x 5.83 sq ft = 2050 x 6.67 sq ft = 2056 x 7.50 sq ft = 2062 x 8.33 sq ft = 2068 x 9.17 sq ft = Kl1 2074 x 10.00 sq ft 2420 x 3.00 sq ft = 2426 x 4.00 sq ft = 2432 x - 5.00 sq ft = IJII2438 ? x 6.00 sq ft = 2444 1 x 7.00 sq ft = ? -12450 50 12450 X- x 8.00 sq ft = 2456 x 9.00 sq ft = 111114`2462 x 10.00 sq ft = 2468 x 11.00 sq ft = 2474 x 12.00 sq ft = 2620 x 3.25 sq ft = 2626 x 4.33 sq ft = 2632 x 5.42 sq ft = 2638 x 6.50 sq ft = 2644 x 7.58 sq ft = 2650 x 8.67 sq ft = 2656 x 9.75 sq ft = 2662 x 10.83 sq ft = 2668 x 11.92 sq ft = 2674 x 13.00 sq ft = 3232 x 6.67 sq ft = 3238 x 8.00 sq ft = 3244 x 8.75 sq ft = 1112" sidelite x 6.67 sq ft = .,a .."> 14" sidelite x 7.78 sq ft = 24" x 24" Octagon x 4.00 sq ft = 24" x 36" Elongated Octagon _ x 6.00 sq ft = TOTAL = ; DOORS 2-6 x 6-8 Steel Door x 16.67 sq ft = 12-8 x 6-8 Steel Door :T-x 17.78 sq ft = 13-0 x 6-8 Steel Door 1 x 20.00 sq ft = TOTAL = r' PATIO DOORS 5-0 x 6-8 Sliding x _ 33.34 sq ft = //6-0 x 6-8 Sliding - T x 40.00 sq ft = 8-0 x 6-8 Sliding x 53.34 sq ft = 9-0 x 6-8 Sliding x 60.00 sq ft = 5-0 x 6-8 Atrium x 33.34 sq ft = 3-0 x 6-8 Atrium x 20.00 sq ft = 6-0 x 6-8 Atrium x 40.00 sq ft = 8-0 x 6-8 Atrium x 53.34 sq ft = TOTAL = LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: -z Date of Surveys /l/ZA/,? 'Z- DOCUMENT STAND n S 0 Registered Land Surveyor signature and company 13 , 0 Building Permit Applicant 8- 00 ? • Legal description ? ?¢ ? Address 0 North arrow and bar scale 0 0 House type (rambler, walkout, split w/o, split entry, ? lookout, etc.) 0 0 0 Directional drainage arrows with slope/gradient 4. D Proposed/existing sewer and water services 0 D 0 Street name H 0 ? Driveway ELEVATIONS Existing 0 0' V! D Sewer service Q- 0 ? Lot corners Top of curb at the driveway 0 0 Elevations of any existing adjacent homes Proposed 0'0 ? Garage floor 0^ 0 0 First floor 0' 0 b?-D ? D Lowest exposed elevation (walkout/window) Property corners 6 0 0 Front and rear of home at the foundation PONDING AREAS (if applicable) D [` ? Easement line 0 D NWL 0 B 0 HwL 0 0? Pond # designation D D 0 Emergency Overflow Elevation DIMENSIONS Dom] 0 Lot lines 0? 0 0? ? 0 0 Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) D ? Show all easements of record and any City utilities within those easements 0 0 Setbacks of proposed structure and setback of adjacent ? existing homes 0 C 0 Retaining wa ire nts, if any Reviewed: Name Date / October 1992 PERMIT City of Eagan Permit Type:Building Permit Number:EA125965 Date Issued:08/08/2014 Permit Category:ePermit Site Address: 3739 Ridgewood Dr Lot:013 Block: 002 Addition: Windtree 7th PID:10-84476-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Viktar Skirukha Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul J Wohletz 3739 Ridgewood Dr Eagan MN 55123--132 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �-----------------, � For Office Use I I � �V � �+� O f nn��n I Permit#: I A 11 I / � % I 4 1 1JLL 11 � permit Fee: l�0�� I 3830 Pilot Knob Road i � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � i � Staff: Fax: (651)675-5694 �________________! 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION oate: 01/07/2015 site Address: 3739 Ridgewood Drive, Eagan Tenant: Suite#: � }�;rFi''�'�# ��`��4 �}����� Name: Paul Wohletz (651) 260-1547 c � � Phone: ` "} `t �' 3739 Rid ewood Drive, Ea an ��� ,€ ,�.,;''1t�Gi '°'� = Address/City/Zip: g g �' E� I :4 �: t 3��L : �I tE���' ;, �����` ,�h ' � =�i Name: Minnesota Valley Plumbing, LLC �icense#: PC680939 - � �P �,�� ' t'�=�`<< = ��# � 10740 L ndale Ave South Suite 18E � . Bloomin ton _� ` �� �' Address: y City g I�€t I�EtL� t 1 ; p€ ��� "� -�' ` MN 55420 (952) 681-2172 �}� �� State: Zip: Phone: �����,3� � � � ���_ ���;��� `��� Derek Delahant derek mnvalle lumbin com =v-��d a;.--- ,..3::::-_:., E_-=_: Contact: y Email: @ YP 9• s ra]�I ���h �' :: —C� .1� _ ���Ettt ���=n� i ��� = � ° `'�;, _New ]�Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. r..;:,{��s}`'`� ,� ' �,����,,,.�_ �escr�pt�or,ofwork: Replace existing water softener � ��'�- �°'' ,�' =�� RESIDENTIAL �:�� i n a 'u. - e+e'a'�l ��I4I�La, -g3 ;1'� . �:���`°� - ��'���'93 =���' Water Heater �$ � Water Softener � - E ��� �:� { I E _� i', � Lawn Irrigation(_RPZ/_PVB) �`�°F� ' �� ,�'�� ,= Septic System Add Plumbing Fixtures�Main/_Lower Leveq I [F� �3 '�� i � Water Turnaround ,�� ��' �i3`` ��ttc}��� �� ��s _N@W 'i�, ° �.I'i.,�,� �kI kc i � ; � r Gc „�,- u�{ _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) *Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Seqtic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES$65.00 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. wuvw.aopherstateonecall.ora 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 pl X Derek Delahanty X ApplicanYs Printed Name Ap ' Signatur ' '�;t` I 7�I:�.e I t "I li i:t I 9 a= �� 'U I�t .` �_''"r :€ t t i ' '�� . � �E.�S 7 � ' t.�:' tt = { �t �3� .�.� 11��7 �"" ( I .� E� �li'��� ({} ��� R F��Ftt`S.�*lj����`�� �� t�1�#��u4'�k�������� G I�"�j�9�:.=�y���1 t� . -�R ItE.: t ��-� ��_ .s � �. 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