3754 Ridgewood DrCASH RECEIPT
CITY OF EA ,AN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE. 19
FliOMD ?' t ,i.
f
AMOUNT
& DOLLARS
loo
0 CASH N CHECK
son L l-(/?-/ e L . ?!/ L + .. '? ?.1 c1{ ei Ci i
BY ? '/- ;/ ,
A -t ,
While-Payers Copy
Yellow--Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
?- 01-3445 Surch./Adm.
w
01-3446
SAC/Adm.
01-2155 Surcharge
75-38 Road Unit
7
20-22 SAC
20-3965 Water Conn.
?J
20-3868
Water Trmt.
20-3716 Water Meter
i 20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
?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 tii' ti?ot:IG?:? Est. Value ib' .(iUv Date .;Fi,: 23 ,19 1?1
Site Address 3
Lot - Block _
Parcel No.
RIDGEWOOD OR
Sec/Sub.
WINDTREE 7Th
¢ Name " )NTGCMRY DES TGN
W ,.'2 OR
3 kddres
City A, r Phone I -;?uC
o Name_
0< Address
P Clty_
W W
FW
2
s?
"
¢ Z
a W
Address
City
I hereby acknowledge that I have read this application and statgthat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
At Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
31?1t
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const Ya
City Water X (Allowable) Vn
PRV Required * of Stories
Booster Pump Length
Depth
S.F_ Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 778.0(3
Planner Surcharge 81.50
Council Plan Review 389.00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 550`00
Water Conn. 550.00
Water Meter 67.00
Road Unit ___3_2 5.OID
Treatment P1 204--L10
Parks
.
J
044. 50
TOTAL ,
.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PH ONE: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value ` Date
Site Address OFFIC
Lot Block Sec/Sub. ' y) r' t i r' On Slts Sewage
MWCC System
Parcel No.
On Site Well
cc Name
W
3 Address
o City Phone
a
.o Name
o e Address
P City Phone
rQ
W WW Name
F
g Address
cc m 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:
on the express condition that all work shat l be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
X
Pump
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
1* n
84,
Occupancy
i
Zoning
(Actual) Const
(Allowable)
* of Stories
n
L
th
g
e
Depth " 7
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
y
"
TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing ?? • tj ?? ? ?'? =ir G ^ 7 / /?
H.V.AC. ?? Y2
Electric ?•?jQ ?O ?F `'-''
Softener
Inspection Date Insp. Comments
Footings I
Footings 11
Foundation
Framing 2?
Roofing
Rough Plbg. - /
Rough Mg.
?/q M
QJ t y6' e/)' e
Isul. " :so .T - 9-' 22-0 5
Fireplace N
Final Htg.
Final Plbg. 15/
Bldg. Final
Cert Occ. IO-
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
(Urtif trove of (Orrupottry
Ctp of (Eagan
11evartmnd of tWdNM 3wrrvon
This Certificate 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 regulating building construction or use. For the following:
use CLmifcation =/G-P Bldg. Permit No. !5250
Occupancy Type R3M1 Zoning Dimia Type Cook S' n
Owner of Bm7ding Address
I : ri
B3, Bwlding Address ? %+ RT ? L I -Rbty r! , WL ; --v 7?c
Date: ))DM 81 191
Building Official
POST IN A CONSPICUOUS PUCE
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-5100
Site
Lot.
Name
Addre
c City
Name
3 Address
p City = Phone
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)
CITY OF EAGAN
BLDG.TYPE
Res.
M ult.
Comm.
ONLY
r Closet - $3.
Tubs - $3.00
WORK DESCRIPTION
New -
Add-on
Repair
TOTAL
r
Kitchen Sink - $3.00
- Urinal/Bidet - $3.00
1-Laundry Tray - $3.00
' Floor Drains - $1.50
LWater Heater - $1.50
1 Whirlpool - 53.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - 310.00
Private Disp. - $10.00
__t _Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
h.
COI
Site
-WIT: 7
I PERMIT # MECHANICAL PERMIT RECEIPT #
- - • CITY OF EAGAN t
y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: f
1CT PRICE PHONE: 454-8100
m Name
m Adore
c City's
BLDG. TYPE WORK DESCRIPTION
Blocky Sec/Sub Res. ?,Z- New
17. ` Mutt Add-on
v j Comm. Repair
Other
Name y Yom, s c c FEES
HVAC 0-100 M BTU
RES
-$24.00
.
c Address ADDITIONAL 50 M BTU - 6.00
p Ciry Phoned k 7 = i -- (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) 50 EA
- 1
.
.
TYPE OF WORK M
FEE - 1% OF
EE
R
Forced Air
M BTU g DGS.
COMM. RATE T
ACES
APT
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE oG ?
' V
S/C: SIGNATURE OF PERMITTEE
? ? G
TOTAL:
FOR: CITY OF EAGAN
1IN NFEU ION REU(-)K1)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1111. a 1.'[ [„ a APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
I ITF?AIrt(iN
F
J
R MAI?V,1,: i HIMNUY/VtI)I M11';T tit" TNl-,PfC1Irv KfF0PF fONVFA1 1146.
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 1 q
7
` D
(??Q - -- --- -
FIREPLACE
AIR TEST ?
,` ° L.4
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
CITY OF EAGAN Permit No.
3830 Pilot Knob Road B/P No.
P.O. Box 21199
Eagan, MN 55121
MWCC: J50. ` Fd
City Chg: ?' nc,
Acct. Dep: t" c
Permit Fee:
Surcharge:
B5
Date:
Date:
Plumber: 1`ic rr PItrF,ir: -
Site
(OF EAGAN
Pilot Knob Road
Box 21199
an, MN 55121 ,
SEWER
Zoning-
No. of Units: -
I agree to comply with the City of
Ordinances.
Permit No: 471 y
Meter No: _
Reader No:
Date: c
Size:
Date:
tb
N.
CITY
nn. Chg:
ct. Dep: r
•mit Fee: j,. f?rtit a
rcharge: is
Plante
ter.
Zoning: RI
No. of Units: 1
I agree to comply with the City of Eagan
Ordinances.
By
OF EAGAN
b A
d
3
3
Pilot K Permit No: -
r No: !&67410
M
t
,
Date: 6-27-?
Size: !?zy °c4t
no
oa
8
0
P.O. Box 21199 e
e
Reader No: tJ h dg 351- 7 (e Date: 20
Eagan, MN 55121
t2oncgvma?Y Lcr,ix?,
Owner
Site Address: eaoo4 nrive a B3 Windtree to
3 -
Plumber.
Conn. Ch9' 550.00pd Zoning: P1
1
Acct Dep: 15.00pd No. of Units:
Permit Fee: 20.00pd
Surcharge: . 50pd I agree to comply with the City of Eagan
Tr. Plant 704• 00rd Ordinances. V
Meter. ^7 ,manna
??N
70
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN N! . 15 2 5 0
3830 Pilot Knob Road
P.O. Box 21.1 99
Eagan
MN 55121
,
,
,
PH ONE: 454.8100 ?y
4 Q
BUILDING PERMIT Receipt# 0
o ?J
Tobeusedfor SF DWG/GAR Est.Value $163,000 Date JUNE 23 19 88
Site Address 3754 RIDGEWOOD DR OFFICE USE ONLY
R3 /M1
Lot 4 Block 3 Sec/Sub. WINDTREE 7TH On Site Sewage _ Occupancy ,
R1
MWCC System X Zoning
Parcel No. Vn
On Site Well (Actual) Const
Name MONTGOMERY DESIGN
City water X
(Allowable)
Vn
w
z 41$1 KNOB DR
Address PRV Required # of Stories
o City EAGAN Phone 681-9260 Booster Pump _ Length 68
Depth 47
M
0 Name SAME S.F. Total
zi-
ou
Address
Footprint S. F.
i- City Phone APPROVALS FEES
W W Name
Name Engr./Assess. Permit 778.00
Address Planner Surcharge 81.50
zd Council Plan Review 389.00
QW City Phone Bldg. Off. SAC, City 100-00
I hereby acknowledge that have read thisa icat,on and star t a
a Variance SAC, MWCC 550.00
a of
information is correct an gree to comply ith all appli bl St Water Conn. 550.00
Minnesota Statutes an ft Ea an Or ncQs Water Meter 67.00
Signature of Permitt Road Unit -325..-00
A Building Permit is issued to:--M (()MERY-DFM(-N Treatment Pl --24D4. 0
on the express condition that all work shall be done i n accordance with all
Parks
applicable State of Minnesota tatutes and of Eagan Ordinances.
illi
Buildin
Official
TOTAL
VU044. SO
g
_1
/D/& /Fs- 9 9 y
6590-4
Request Date
)
O -,s- F re No. Rough-In Inspection
Required?
Inspector
? Ready Now *.,h
Wh
R
d
?
/ s ? N. en
ea
y
en
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or R No.)
2-? S7</ 7rdccI(---C -? City
ZCrGa?.
Section No. Township Name or No. Range No. cwray^
-^?
Ocwpant (PRINT) Plane No.
Power Ile Address
I
/TIV?
Electrical Contractor (Company Name) Contractorb L' Me No.
e
Mailing Address (Contractor or Owner Making I allation)
`7675 4: l1L?l l2- c Cie 12712
Audarized Signature (Contract r/Owner Maki In ron) Phone Num r
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
erigWillidway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1521 Unlversiry Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (512) 5424 00 ENCLOSED.
/d Cv/SSl REQUEST FOR ELECTRICAL INSPECTION ?• EEB-DOOm-m
q? See instructions for eompleting this form on back of yellow copy. p 7? /< <J
E '65' 04. X" Below Work Covered by This Request
e Add Rep. Type of Building Appliances Wired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer (specify) Comractort Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circu
Feeders Fee
Swimming Pool 0 to 200 Amps 7- iZ Z
0 to 100 Amps
Transformers Above 200 _ Amps Above too- Amps
Signs Inspectors Use Only: TOTAL 4XI
Irrigation Booms
Special Inspection Q?
Alarm/Communication ?O
Other Fee P
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final e O J!! (;.
ate G
f '
OFFICE USE ONLY
This request vatl 18 months from
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
-j
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each d" _it?i L 2., J
Date n
% `^
Site Address )
Unit #
Property Owner ^ i , r ' ` ? ' Telephone # ( )
Contractor
r: ^ .
?' ? G?? 1 6f?LL4 /
Street Address - •
? y i_
City
State Zip Telephone #
Bond #: Expires:
The Applicant is Owner J Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
/
furnace Replacement
-Additional
air exchanger
air conditioner New !Replacement
other
State Surcharge $ .50
Total $ ??
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. j
L'' Lj ?' L5
Applicant's Printed Name Applicant's Signature
11" 11111
JUL 2 0 2005
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip
( )
Telephone #
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction - Underground Tank _ Install -Remove **see below
Interior Improvement _ Install Piping - Processed -Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If Emit fee is $1,000 or less, add $.50 Z* $ State Surcharge
if ep rmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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
Applicant's Signature
Approved By: , Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New construction Requirements
• 3 registered site surreys showing sq, ft. of lot, sq. ft. of house; and all roofed areas
(20% 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 111193
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE S- ZZ r OZ
SITE ADDRESS
TYPE OF
MULTI-FAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFING & REMODELING, IN('
APPLICANT 4100 EXCELSIOR BLVD.
is I. LOUIS ARK, MN 55416
STREET ADDRESS Inamninsn -CITY STATE ZIP
TELEPHONE #X012 623??DC6CELL PHONE # FAX #
PROPERTYOWNER < ?!L??dcc?S I r?vYn TELEPHONE# Co`d '-7Z-73
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J 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 Or(
Signature of
comply
OFFICE USE ONLY
1-I ?."l?T_
RemodelfRegair 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
?Z6D - ?a
VALUATION
Water Softener
Water Heater
No. of Baths
Phone #
Iawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
111J
#MAY 9 9 20
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 Multi
? 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
_ Frammg _
_
Siding
Stucco
Stone -
_ Fireplace _ R.I. _ Air Test _ -
Final - _
_
Windows (new/replacement)
_ Insulation _ Retaumug 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 OF EAGAN
CASHIER: S TERMINAL NO: 728
DATE: 07/29/98 TIME: 15:26:45
ID:
NAME: DANIEL G FER7ICHIL.LI
3210 9001 3754 RIDGEWOOD 50.00
2155 9001 3754 RIDGEWOOD 0.50
Total Receipt Amount- 50.50
CRO95475
USER ID: NANCY
. PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84476-040-03
PERMIT TYPE: BUILDING
Permit Number: 032722
Date Issued: 07/29/98
3754 RIDGEWOOD DR
LOT: 4 BLOCK: 3
WINOTREE 7TH
DESCRIPTION:
Permit Type
Work Type
,a
y ?r"gy._fffi cY'`2Si .m}_A _ .a : 5??v`?v't^
FIREPLACE
ALTERATION
434 ALT. RESIDENTIAL
YID (- rU
G:a+" X11 3 cjs 41d ! s«k 1 }}` ziY no
L rum . {;ti s,: i.
REMARKS:
CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEALING.
FEE SUMMARY-
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant -
MASTER GAS FITTERS INC 17708691
2240 SHAWNEE DR
4 ST PAUL MN 55109
.(612) 770-8691
OWNER:
GRAFTSTROM LINDA
3754 RIDGEWOOD DR
EAGAN MN 55123
(651)688-7273
l b ets-y a M wledge that`T have read this 6PPiicati'611 and 87t tt that the
3 Ioformatian is 6arreot and agree to coimply with all applicable State of Mn.
Staitutss ar[d? City, 0?f Eagan Qrd1nances.
APPLICANUPERMITEE SIGNATURE SSUED BY. SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
DATE: 7--;L9- L K
DESCRIPTION OF WORK: Construct new fireplace
Install gas insert only
Other
PERMIT FEE: $50.50
- Alterations to existing
- Install gas line only
JOB ADDRESS: 3 7s t/ 2' E? n ,n ze
LOT: t4, BLOCK: SUBDBM. /P.I.D. #: ?+?.Ol_
APPLICANT (circle one only): OWNER CONTRACTOR
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.
Name: ? 6kA F -St2ow, 1;.-JO ?4 Phone #: ?f ?cY 7a 7j
PROPERTY Last First
OWNER
Signature:
Street Address: X37 S `? ?i t t c) J0l? D e .
City C State: MM Zip: `JAS d
_g to °i
i "1 (3
Company: Phone #: IL4J y 7% 70
FIREPLACE r
INSTALLER Signature:
Street Address:09?'/-U S`JfJc? /?f Z),e- License#
City State: / ?/?? Zip: 0
Company: C- A/r E Phone #:
GAS LINE
INSTALLER Signature:
Street
A 2 910
i
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
CITY USE ONLY ,
L ? BL .3 RECEIPT #: (Z 719
SUBD. S t/lirti0(?/Cr C? ( DATE: s 9
1996 PLUMBING PERMIT (RESIDENTIAL) .
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681.4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ZLQ. TOTAL
Shower 3.00 x
Water Closet 3.UU 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 5.00 x _
Private Disposal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
SITE ADDRI
OWNER NA
INSTALLER
STREET AD
CITY:
PHONE #: (
GRRFSTROM
3754 RIDGEWOOD DR19E
ERGRM , 55123
1,1588-7273 W
.o o
0
x
=0
oN
?n
L?z
Z?
STATE: ZIP:
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 56122
(612) 681-4676
Please complete for. ? all oommercialrndustrial buildings.
? multi-family buildings when separate permits are DDI required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES - NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
STE. #
ADDRESS:
CITY: STATE:
PHONE #: SIGNATURE:
APPLICANT
OFFICE USE ONLY
ZIP:
METER SIZE: DATE: INSPECTOR:
r
U J +
7"`°UU+
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OT SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: S?. Valuation: 1630 00 r Date: 6 - IL) - 5j'
Site Address 15Ij v1;dr?r?,??a pr.
Lot Block 3
Parcel/Sub J; h l} e 7 r?
Owner rc-r S ?rC. vr.
Address
City/Zip Code
OFFICE USE ONLY
On site sewage_ Occupancy R-3/m-)
MWCC system Zoning R-1
On site well Actual Const \/-N
City water ? Allowable 'V- N
PRV required # of stories
Booster Pump Length
Depth Al r'
S.F. Total
Footprint S.F.
Phone
Contractor 'Jnnyy p? j
Address -t1 16 1 k' n a h 17 r.
City/Zip Code rn Q r, r\_
Phone (,,4)- 9,2(,D
Arch./Engr.
Address
City/Zip Code
APPROVALS
FEES
Engr/Assess Permit 178.60
Planner Surcharge R1160
Council Plan Review 3A9.00
Bldg. Off. 6?23 SAC, City 100,00
Variance SAC, MWCC 0,0
Parks
Copies
TOTAL
Water Conn P!050,Gb
Water Meter Col. DO
Road Unit ap'5100
Treatment Pl 2. O L), 00,
Phone #
VA Lua-T 1 o?y
GARA&E
30x2,(o = 'loo x ty? /0920
[.s m?-
/4 x 9'/z 133
3D'/2)e 36 = 1159
3Xi?= 3
y? 103= ro$
139D X r? = f ?o?n
f3sri11 ? 1350
rWvy xuq: 6??°ld
Z a i-;, FLoat
Z x 3? 1232
x /6 = 6y
3 x I1 = 33
329 xy?. ?SiZ/
1GZSo7
y?.ay .:1n 1
S-QRVEYOR'S CERTIFICATE
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L_ \/ 1
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99'. 4
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s
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921.9
RIDGEWOOD DRIVE
MONTGOMERY DESIGN
A
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Date
_.... - - ---- . . ....
/5? --
,dames R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE, S. 4 BLOOMINGTON, MN. 66431 4 812-884-3029
C 12D c 0 15.
9.50 /
N PROPOSED HOUSE R
21.67
GARAGE a /e I .
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Is
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EXTERIOR ENVELOPE AVERAGE
MONTGOMERY DESIGN °( BUILD
Lary at
EAGAN. MN 55122
GRAFSTROM
MODEL ALTA
"U" COMPUTATION
CO
xx 3 w:e ¢EiS
AREA U U X AREA
REQUIRED
1. TOTAL WALL. AREA 3334 .11 3367
2. ROOF AREA 1302 .026 34
ACHIEVED
A WINDOW AREA 335 .55 184
B DOOR AREA 3,6 .13 5
C SLIDING GLASS AREA 36 .65 2:-
D FIREPLACE AREA '75 .2 15
E WALL FRAME AREA 333.4 .095 32
F NET WALL AREA 2518.6 .038 96
G RIM JOIST" AREA 138 .0436 6
H FOUND WINDOW AREA 0 .5 0
I FOUND ABOVE GRADE 63 .066 6
3. TOTAL WALL AREA 366
J SKYL.I TE .5 0
K ROOF FRAME 130.2 .032 4
L NET ROOF AREA 1171.8 .0227 27
4. TOTAL. ROOF AREA 31
SUM OF 1.+2. 401
SUM OF 3.+4. 397
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
i NOTE: PAYMENT OF FEE AT TIME OF
t APPLICATION DOES NOT CON-
STITUTE. APPROVAL OF PERMIT.
r
r
? INSPECTION OF SEWER AND/OR WATER
4.
INSTALLATIONS WILL NOT BE SCFDULED
I.WnL PERMIT HAS BEEN APPROVED. •',
dtV iiiik*######fi*k###kk*kik####i*#*##**k
of eagan
PLEASE PRINT
1) PROPERTY ADDRESS: 37 5 W Ili' ?? e wn? l Or
LEGAL DESCRIPTION: 81
t? . (j 3 T rtt
-7Gt B cck S vision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE:
Q COnII]ERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
(Month/Year)
Ij-ZI/R-1 SINGLE FAMILY
= R-2 DUPLEX (Two Units)
Q R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
2) NAME: °f}?r,'n f aomee F rw r C.on? ).
J
ADDRESS: uL?J Knnb nr.
CITY, STATE, ZIP: n
PHONE: R 1 - 3 f fl
For City Use
3) uic x: NAME: lJRR PL . h 1 u. P1 reLms License:
ADDRESS: Active
IUo X11/ Yth In H ? (fir. ??`}< `?0? Expired
CITY, STATE, ZIP: t e n rf n I a 14-a A4-,, Not recorded
PHONE: (o g 4- G 7 y. MASTER LICENSE #,r) 0 `3 S- 7 0? -3
S t a Inf?itia'1-
4)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
S) a .a i au a?
CONNECTION TO CITY SEWER Iff CONNECTION TO CITY WATER OTHER
6)
*
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP.
* PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE i*
* ARE ANY PROBLEMS.
FOR CITY USE ONLY
PERMIT # ISSUED
/ c
Pd w/Bldg. Permit FEES:
$ $
$ 61 $
$
$ ?.S • c?L $
$ $
$
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
/2-7 DATE: / 'J FF
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ity Control
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88-324
-mac city of eagan
3830 PILOT KNOB ROAD, P.O. BOX 21199 39663 VIC ELLISON
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100 Mav
Of
Special Assessment Search THOMAS EGAN
DAVID K. GUSTAFSON
PAMELA MCCREA
THEODORE WACHTER
Date: July 28, 1988 co.nil Mem ,s
THOMAS HEDGES
Requested By: city mmlhitraro,
Re L;0,p?8?44x76„ 040-03EUGENE VAN OVERBEKE
L4 B3 Windtree 7th cK clan
First Security Title
On the attached form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAIVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours,
SPECIAL A SESSMENTS
Attachment
THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
1RF=NB C':ION IQ R76!3 SPECIAL ASSESSMENT'S
SPECIAL ASSESSMENTS 5il2ii=iRCH SUMMARY
PROPERTY 1,0. fCi1). YS DATE: 07/2e/BB
1-..2-3-4-5--6 7- 9-_9-1 C )
S.A.# F-iS:3SESSl°ENT DEESCR. YR YRS RATE TOTAL ANN.PRIN. PAYOFF COMMENT
1:1:1305 WAT LAT BN 87 15 8.50% 6:1;.7`, 17.55 246.17
3 0131 7 S:'il P 46:" 87 S 8.5u% 757.71 151.54 606. 1 7
103420 SAN SEW L-f I' P477 87 3 9.0 i485.91 297.18 IiBB.7:;
3.11142 9 f+Jt:T LA T P477 B7 5 9„00% 1532.91 306.56 1226.25
1014S O SERVICES P477 87 '-
J 9.00%
991.55
198.31
793.2-1
.
1014ZI STORM SEW L_AT P477 87 5 9.00% 193.60 38.72 :154.BB
101412 STORM T'RKM P477 87 5 % 0o x 792.05 158.41 633
6z4
Sri+,-,..:.: S'f:tcL-! I°'417 87 ti °.,t,i(>:%;, 262:.59 525.44 .
21II1.05
SUMMARY i.tl'- ACTIVE '3.:,-'. <:...,, 1693.74 6950. 83 C:01°!!°I
Iti_,.., YI:...F-;I .:, '11:17 I-.:<1 2;00.04
Press ENTER (I::;r,mmentn), I"1 or F2 (HcnnrJt•=r Form) or F7 Restart R768)
411? City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 c?RESIDENTIAL BUILDING PERMIT
Date: l ?^ O o Site Address: S"A SA h 1 (6I e[ ) 0 A
Tenant:
Suite #:
(Pn_7173
?
L
RESIDENT/OWNER r Phone:
Name:
i
Address /City/Zip: 3 9 5 1- a U
Applicant is: )
Ovvner Contract
TYPE OF WORK 1 I
f
Description of work: Fr ovA Aoo Y . 2 W Ii Lws, r0iw t k3efir. . &L
Construction Cost: c_r' Multi-Family Building: (Yes _ I No
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
_Yes _No It yes, date and address of master plan:
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 ' you provide specific reasons that would permit the City to :-
conclude that the are trade secrets..
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 approv of plans.
x L% YN c.^ U S?C O 41 x
Applicant's Printed Name Applicant's Signf Lure
Page 1 of 3
------------------
F6011i6e'Use /? I
j Permit #: g q j
Permit Fee: I
Date Received:
I I
I Staff: I
APPLICATION
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
Demolition (entire building) - give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units - Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
_ Footings (deck) Final/C.O.
_ Footings (addition) Final/No C.O.
Foundation HVAC
_ Drain Tile Other:
Roof: -Ice&Water -Final Pool:-Footings -Air/Gas Tests -Final
_ Framing Siding: -Stucco Lath -Stone Lath -Brick
_ Fireplace: _R.I. _AirTest -Final Windows
Insulation Retaining Wall
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Building Inspector
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110825
Date Issued:05/30/2013
Permit Category:ePermit
Site Address: 3754 Ridgewood Dr
Lot:004 Block: 003 Addition: Windtree 7th
PID:10-84476-03-040
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
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 -
James A Graftstrom
3754 Ridgewood Dr
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148217
Date Issued:03/14/2018
Permit Category:ePermit
Site Address: 3754 Ridgewood Dr
Lot:004 Block: 003 Addition: Windtree 7th
PID:10-84476-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
James A Graftstrom
3754 Ridgewood Dr
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150355
Date Issued:07/03/2018
Permit Category:ePermit
Site Address: 3754 Ridgewood Dr
Lot:004 Block: 003 Addition: Windtree 7th
PID:10-84476-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
James A Graftstrom
3754 Ridgewood Dr
Eagan MN 55123
(651) 688-7273
Flare Heating & Air Conditioning
9303 Plymouth Ave N, Suite 104
Golden Valley MN 55427
(763) 542-1166
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166383
Date Issued:01/06/2021
Permit Category:ePermit
Site Address: 3754 Ridgewood Dr
Lot:004 Block: 003 Addition: Windtree 7th
PID:10-84476-03-040
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 -
James A & Linda A Grafstrom
3754 Ridgewood Dr
Saint Paul MN 55123--132
(651) 688-7273
Twin City Fireplace & Stone Company
6521 Cecilia Cir
Minneapolis MN 55439
(952) 529-5797
Applicant/Permitee: Signature Issued By: Signature