556 Country CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTIUN RECORD ? C°"tr°' "°. 1299
PERMIT TYPE: F11.1 I 1 0 j MCA
Permit Number: 001 ' am
Date Issued: 1 t! I t 192
SITE ADDRESS: t,at t 13
c nI1NTRY c?
r. «(IN I kY HOt L nW ?MEl
PERMIT SUBTYPE:
'.I il41t,
APPLICANT:
MnNTCinMFR1? of SION & olIII.U
( 6 t : ) 481"'rt7?"r
lr ?U - o??-{I
TYPE OF WORK:
NFW
. .A .
ttaf' ! 1Nf1 f i•: AIM I iVii
? N;+ t 1 A ( 1ON F[ WA 1.
! ? Rf'r! ACf
1
RPMAf+kS: ANV S & W ChNTRACTQR •- VAI.I.L'Y Pi.AQ
?? ? ?
Permit No. P.nnR MWc1or Dats Tilephone+l
S/MV
PLUMBING 99e -
0
HVAC / tt ? •Y?"I?(0(•
ELECTRIC
ELECTRIC
InspecUon Drb tnsp. Canmenb
Footings I
Foundation A"
FmNng !J =STi?S ? ! 3-
Rooflnp
R°ugr' Plb9- L ?
Rough Htg.
C/?ITG
?2 74?
I5u,.
FlreplaCe
FoW"ft
o?sei Tesc -2-4, S3 S
Futal Pibg. Plbg. Inepector - Notity Plumber
Conet. Meter
EngrJPlen
Bidg. Final 2-lg 9 3 S
Deck Ftg.
Deck Finel
Wall
Pr. Diep.
d? ?7/
15?el
J
,.,--,-_ 1 ??.?V1\?
GITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ,; 1 m ;
,tINTRY t l
r (11tN i IlY Ncil 1 UW ?NU
PERMITSUBTYQE:
ItlI 1 1 tI 1 11 t 1
Nj:'1 ..
ilRJt7/tIE!
APPLICANT:
, ,
? ?, i. ; (? {•a iiri i r?
TYPE OF WORK:
3lK
?t)f /1-+l1N%1.lNf.iw,
IIF ;C1e 1{''f iON
INSPECTION .. . .,
MARC?'; = KERt)Ot . Rf P ! A( f Sr0INr,, FrFF1 ACF ta1Ni,OWs I)Uf Tn ^:IOliM f)AMA+rt
F-
L
?
Permit Holder Date Telephone k
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
O
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
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
? ClTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
` SITE ADDRESS:
r. ?
? PERMIT SUBTYPE:
I I r u«rrH?3S
? t F1 . I
CTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
t:t H 1 iaC t,
APPLICANT:
( EJ ? ?? ? ?li F? •? (
TYPE OF WORK:
1,i ; . t IrN,
f i7AM i NF*
} t F;t 1, 1 Af F
14,- W
4 4•>1- A':;iiN i'clP c,t! f
C RFMAV'r °. .1 ';fPaRA-IN 1-1-PMi7 ['? RFtJl1iRE[1 t"O61 ANY Et Fr.I'RTs:A! WrfRlc
I 1'f AN PCVCCl.1F0 ItY pl(YF Hartcr-'
Permit No. Permit Holder Uate Telephone it
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING Q J/
( !
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL UZ
GYPBOARD
FIREPLACE rZ.
FIREPLACE
AIR TEST
FiNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
QEGK FTG
DECK FINAL
PERMIT
GITI( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: auzLozNG
Permit Number: 0 3 2 9 2 7
Date Issued: . 0 8/ 17 / 9 8
SITE ADDRESS:
P.I.N.a 10-18276-130-02
556 COUNTRY CT
LOT: 13 BLOCK: 2
COUNTRY HOLLOW 2ND
DESCRIPTION:
REROOF/SDG/WNDWS
BuVldingwPermit Type STORM DAMAGE
Building Wer-rk Type REPAIR
aGen:sus C:pde 430. ALT. RESIDENTIAI.
. . . .;? ,>,
REMfffiS:
OF, REPLACE SIDING, REPLACE WINDOWS DUE TO STORm DAMA6E.
FEE SUMMARY:
CQNTRACTOR: -
HO ER CONSTRUCTION CO
6 APFELRIDGE
50UTH ST. PAUL MN
(612) 619-8818
applicanz - ST. LrC. OWNER:
16198818 2792 SHEILN TIM
CT 556 COUNTRY CT
55075 EAGAN MN 55123
(651)
L
I hereby acknowledge thet I have read' this application antl state that the
inforanaCian ia carrect and,agree ta abmply with a11;;appl3,.cakka Staxe of hin,
5tatutes and Gity of Eagan OrdinaRCes.
APPLICANT/PERMITEE SIGNATURE
-G%UED eY: SIGNA URE
J
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
I Q
New Construction Reauirements
RemodeUReoair Requirements
? 3 registered eite surveys • 2 copies of plan
• 2 copies of pWns (inGude beam 8 window sizes; poured fiC. desgn; etc.) ? 2 sde surveys (exterior add'Rions & dedcs)
• 1 energy wlwlations ? 1 anergy calwlationa for heated additions
• 3 copies of tree preservation plan if lot pWtted after 711193
required: _ Yes _ No
DATE: CONSTRUCTION COST;
DESCRIPTIONO ORK:
STRE DRES5: v.v 6 i2 y C 'i, cf714 G ArLI
LOT: " BLOCK: ? SUBD./P.I.D. #: ?? l.tVt?' ? ?} o( I Q W
Name: S/,/E2 N ? m Phone #:
PROPERTY 1.sst First
OWNER
StreetAddress: S5- J? (f a'"T2y ?i-
City G F1 ?4"i State:
Zip: ? -?)"-3
Company: !Y O vE/t c'o "S f2 L`a. Phone #: 6/51 g04F
CONTRACTOR / 3 3 1 qQ
Street Address: License # c.57 9.,4 LZ
City SG S T, Au •? State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Regiscation #:
Street
City
State:
Zip:
Sewer 8 water licensed plumber (new construction ony): . Penaity applies when address chang
and Iot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
Sfate of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Signature af Applicant:
_ No
h ?;?i; i u98
Tree Preservation Plan Received _ Yes - No _ Not
? CfTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
PermitNumber: BUILDING
032015
Date Issued: 0 5/ 15 / 9 8
SITE ADDRESS:
556 COUNTRY CT
LOT: 13 BLOCK: 2
COUNTRY HOLLOW 2ND
P.I.N.: 10-18276-130-82
DESCRIPTION:
":?v- (q-BEASON PpRCH) BuiSdin1? g-.Permit Type SF ADDITTON
'r8uilding Wor.k Type NEW
Census Code ??. 434 ALT. RESIDENTIRL
, ??-
'jJ1
a a-
,\,t`i
= v,
fl•1C???\ 'v 1?'?? ('???/?t
1 ?
1 (?? 0???t? 1 ?, u
REMARKS:
A SEPARATE PERhIZT IS REQUIRED FOR ANY ELECTRICAL WORK
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
VALUA7ION $11,000
Base Fee $174.75
Plan Review $113.59
5urcharge $5.50
Total Fee $293.84
IrVIV I FfAI.; I VFf:
r
OWNER: - Flpplicant -
SHERN TIM
556 COUNTRY f.T
EA6AN MN 55123
(612)428-4151
`.I here`by acknawledge [hat T}t`ave° read Chis '-'A pp13caCip'ti, arid stata xtha'G 'tffe 11 infszrmation is correc[ and,agree to comply with a7,1 applicable 3tate"of Mn.
L =Stia`tu??s en?dCity.ofi Eags? QMdirr"?noe's._
-fiuIa Qd.l
APPLICAN RMITEE SIGNATURE IS ED Y: IGN URIE
-
10 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4.2.q3, 54
36 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construdion Reauirements
? 3 registared sfte surveys
? 2 copies of plans (InGude beam & window sizes; poured fid. design; etc.)
? 1 energy calculations
• 3 copies of tree preservation plan "rf lot pWtted after 7/1193
required: _ Yss _ No
DATE: 5,ZY t ??'j g
DESCRIPTION OF WORK: 7" Se`L'{a?l -po,(
RemodeUReDair Raquiremenk
? 2 copies oi plan
? 2 site surveys (eMerior additions 8 decks)
? 1 energy calculatbns tor heated addilions
CONSTRUCTION COST;
STREET ADDf2ESS; 5 5(O COt?? Ce-a?
LOT: BLOCK: ? SUBD./P.I.D. #: ?!-?+^? H o ? (o w ADk -
Name: P6one#: G8G'5L6(p &tij
PROPERTY [.ast First
OWNER
StreetAddress: 'JrSG Ca?ifi
City t:--GtqGt-
State: M N Zip: SS7 2,3
Company: pW tn Q,,[" Phone
CONTRACTOR
Street Address: License #
City
.
ARCHITECT/
ENGINEER Compi
Name:
Street
City
.
Sewer & water licensed plumber (new con5truction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation 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
Tree Preservation Plan Received Yes No
C> i.A.1 h C4"
State: Zip:
Phone
Registration #: _
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling 0 07 4-plex
iiL 03 5F Addition ? OS 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
;K 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt.lLodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Firepiace ?
? 15 Deck
? 36 Move
? 37 Demolition
..r
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building N? Engineering Variance
y3?(
b(
0
Permit Fee Valuation: $ j I, oe?v .-
5urcharge
Plan Review
License
MC/WS 5AC
City SAG
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL
• ,'??
% SAC
-,
SAGIJnits.....,....._.
;
BL ? CITY OF EAGAN CITY USE ONLY
l iJ? PLUMBING PERMIT
' ?
C
a?-I?
c
SUBD. Uu
(612) 681-4675 RECEIPT #
DATE 1 a- 1?f 2?
REBIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-
------- ------------------------
----------------
WORK DESCRIPTION ------ ----------- ----------------
COMPLETfi THE FOL7AWING:
/ N0. FIRTURES EA. TOTAL
NEW CONST ? REPAIR/ADD ON 15.00
ADD ON _ SHOWER 3.00
REPAIR WATER CIASET 3.00
? BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
?
c.?
? ?'
?•?' IAUNDRY TRAY 3.00
SITE ADDRESS:
?J?
?.? _ HOT TUB/SPA 3.00
? WATER HEATER 3.00
? FLOOR DRAIN 3.00 ."?
GAS PIPING OUT.
INSTALLER:
? (MINIMOM - 1) 3.00 `O
?" ??`
II`
?
OPENINGS
ROTJGH
1.50
+5?
•
ADDRESS,
WVc-i? OTHER
CITY: ZIP: WATER SOFTENER
PRIVATE DISP. 5.00
15.00
U.G. SPRINKLER 3.00
PHONE W. TURNAROUND 15 . 00
STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL:
CODIISBRCIAL
PLEASE COMPLETE THIS PORTION FOR ALL WMMERCIAL/INDUSTRIAL SUI LDINGS. ALSO FOR MULTI -FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLI NG UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTALLER:
ZIP:
CONTRACT PRICE:
1X OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
ADDRESS:
CITY:
PHONE
FOR:
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCNARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
? :GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
556 rOUPdTPY C7
Lql'. 13 F{..OCKa 2
COUNrf2Y HOLLGW ZIVD
DESCRIPTION:
PERMIT
Buil ing Permi.t Type
Bui_1 i.ngWorl< 7yp,,v
U8C ccupanc.y
Corist.rucZ.ioti l:ype
Zoning
6uilciing I-enqth Bui.ldi.ng Width
SF OW6
NCW
R-3 il-1
1i - Pd
R--1
!? 0
nz
REMARKS:
PRV S& bJ CUPIt'kACI"OR - VFILLEY PLBG
BU'.Cl.l]INC
001788
11.;13 J9?
FEE SUMMARY:
vAi.uA'rIoN
Base Fee
Plan h?ev3.ew
Surrharqe
5Af
SAC %
5AC Unit?
Subtotal.
3;F12 ..50
1,398,13
$47..0 (A
0 N
100
1
$1,757.63
g•94,e00
M ZSCELLFlNEOUS z610 .50
'i"oY_al FCe °y;3,368.].a
CONTRACTOR: - rkppliocint - s'r. L rrpWNER:
MON7Gf7MERY CIESIGN F 6UILO 16811773 0002239 MONTGUMERY DESiGl4 & RUTID
11350 AL.6FlV,4R WA'1"H 113 50 FlL.BliVAft PR'iFi
SNVER C]ROVE N7S hIN 55075 7NVER CRUVE FI7S MN 55075
(61.2) 687.--:L77 3 (6 12) q 57-90 76
I hereby ackriowledge Lhat T have read this application and state that the
in1'ormat.ion is correct and agree to aompl.y wi.th al1 app7.icabl..e SY.ate of Mne
5tatutes and CiT.y ofi Eagan Ordinances.
l,wl: ?-rv??,fYJLEC?? ?[N18 ?tA.? ?
APPLICANT/PER u?'TEE SIG RE ISSUED B: G,QNA F??I?
IE ?
Control No. 1299
?
l (Itr#ifira#.e of (Orrupanrg
Citp of Cagan .
lomarimrnt af iuilaing insprdtarc
IAIs CerNJfcate rssued pursuant fo !he roguiremenu of Secrian 306 ojrhe Unifomt Build+n8
Code cer8fyir+8 thx a1 rhelime ojissuance this strucrure xas in compliance wieh rhe verious
ordinances ojthe Crry reguladn8 burlding rnrtstruction or use. Forlkelollowing.?
u,ea.mfi?SE' IJWG my. ?? r+o. 1788
R3/MI u? RI 1VN
°W.P.°`YT9P MRTtOCPff'RY IH'SIt? S?1?IIDAddMI 11350 ALBA?R?YAIFI. IHi
Build,
o? ot
Bdilft . ,
Aeam LookikY
n; D= 02/ 18/93
PO3T IN A CONS%CUOUS PLACE
\
i?
?
.
Address 556 mrmrrRV mr[tr Zip 5512 3
Lot 13 Blk 2 Sub cMNLRY Hcn.tAw 2rD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
? .
Date: 02 1$ 93
Final grade (6° from siding) Yes No Inspector: ?
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
I
Porch
Basement finish ?
Deck
Plcase vcrffy with the builder the removal of roof test caps from the plumbing system ana me snurou oi wnml ?uPY.y .?
the outside lawn faucet before freeze potential exists.
Contad engineering division at 6R1-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink • Contractor Copy
PERMIT #
. .f ?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
$5,3VI. is
MU of-la
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site,surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Datel'Lv .T /qa Yaluation of work 75-0 (36-0
Site Location: O--I-\ (1_c.j ? Sc---
- -
STR T sTE .
iY .?Mne?
Tenant Name: Vt-.. S?1.e_? t?
LOT BIOCK ? SUBD. P.I.D. A
Descri tion of work: gS ; ev)«
The applicant is: ? Owner Contractor 13 Other (Deseribe)
Name Sn.e?h :J: ,` w\ Phone
Property uST FIRST
Owner
pddress
STREET STE M
City State Zip
Company ?Gyr•.Pr-?? 5 c cv? y?u? Phone `FS'7-qU -7S
Contractor Address ??350 It- T?I License #606,2239 Exp
City-l State Zip SSO?S
Company Phone
ArchitecU
Engineer. Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once ar a has been ap roved.
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.
L
Signature of Applicant: 6
?hcrvx •G
OFFICE USE ONLY
BUILDING PERMIT TYPE ..-
? 01 Foundation O 06 Garage/Accessory ? 11 Res. Add./Porch 13 26 Agricultural
A 02 SF Dwg. ? 07 Fireplace -O 12 Comn./Ind. New ? 17 Building Move
? 03 Two family ? 08 Deck ? 13 Comn./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. O 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
0 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
31 New ? 34 Remodel ? 31 Move
?
32 Addition O 35 Repair ? 38 Demolish
? 33 Alteration s 0 36 Tenant finish 0 99 Undefined
GENERAL INF ORMATION
Occupancy R-3 M-? Basement sq. ft. MWCC System 65
Zoning R-1 lst F1. sq. ft. City Water YES
Const. (Actual) v_N 2nd F1. sq. ft. PRY Required YES
(A1Tawable) v-N Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ?{ ?• On-site well Census Code ADI
Depth 42, On-site sewage SAC Cade 40/
APPR01lALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulatian
? Fireplace
Permit Fee vaiuresion: : Ooo -
Surcharge
Plan Review
G ARp6,fi,; 2.0 X2.0 =y6pX/6 =
L yoo
Lice
MWCCnSAC
24>
k?;i/
; 33 0
City SAC
Water Conn. Z
I/K 7= 77
Water Meter 2Zvc4o =w $SV
'-'"
Acct. Deposit
S/W Permit 11-;_7
12.89 K/?r= /9305
S/W Surcharge MMN Fi.ooi4S '
Treatment Pl. ?sp?r: 02$7 X 53 = 6S Z ) I
Road Unit
Park Ded.
Trails Ded.
Copies .So
Other
Total:
SAC % ? o0
SAC Units ?_
LOT SURVEY CHECRLIBT FOR RESIDENTIAL
BIIILDING PERMIT APPLI TION
? p$OPERTY LEGALo
Date o! Survey: /6?1J61 5 7-
i/lJ?lr ?
DOCU ENT STANDARDS
I? ?t7 ? • Registered Land Surveyor signature and company
?'? ? ; Building Permit Applicant
0 ? Legal description
C? ? ? • Address
?0 ? • North arrow and bar scale
? 0 ? • House type (rambler, walkout, split w/o, split entry,
/ • lookout, etc.)
H jC] ? Directional drainage arrows with slope/gradient t.
e?0 ? • Proposed/existing sewer and water services
0" ? • Street name
? ? • Driveway
ELEVATIONS
Exfstina
Q C3" 0 • Sewer service
al? ? • Lot corners
B' 0? • Top of curb at the driveway
?? ? • Elevations of any existing adjacent homes
Proposed
? • Garage floor
!3" fJ 0 • First floor
?' ? 0 • Lowest exposed elevation (walkout/window)
Cr, ? ? • Property corners
F' ?? • Front and rear of home at the foundation
PONDING AREAS (if aonlicable)
0 C1? ? • Easement line
? 0' 0 • xwL
o a'' o • xwL
? 0? 0 • Pond # designation
? ? 0 • Emergency Overflow Elevation
DIMENSIONS
6?? 0 • Lot lines
? ? • 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)
?0 0 • Show all easements of record and any City utilities within
those easements
fl 0 0 • Setbacks of proposed structure and setback of adjacent
existing homes
0 Ci'?0 • Retainin re ' ements, if any
• Reviewe z
Name / ate
Dctober 1992
0
?(n °
Request Date Fre No. Fo -i Mspection
R u r ?
?
U Ready N. ?YVill Noti1y Inspactor
'
es 7- No When ReetlY1
I 19Jicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SireaL Box or qoute No.) CiTy
l?, t9 hl ,•• ?
FAG R N
Sevtion No. TOwnsM1ip Name or No. Range No. County
KCIP,
Occupant (PPMT) Phone No.
f
Power Suppber Atltlress
E)AK(YrA, Z+ o
Elecincal Gont2olor (COmDany Name) ConlrectoY9 Llcenee No.
F'L ^ F?-?C7 ltl it (o5G
Mdiling Acitll256 fC0,h3C101 O! Owne, Mdking IIIS[dII81i0l1)
3 1)91 'p,z 5537$
Authorizetl SiynaWre iCOntr mor/ r Maxing InsWllI Phone Number
U_ ?-cli_`? ? _
MINNESDTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlOway Bldg. - Hoom S473 . BE ACCEPTED 8Y THE STATE BOARO
1821 University Ave. St. Paul. MN 55104 UNLES$ PROPEF INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSEO
REDUESTFORELECTRICALINSPECTION ???
? Seeinstmctions tor comO?Bting lhis formon back oi yellow cnpy.
X" Below Work Covered by This Request as`•?
J? 5534
ew Add Rep. TypeofBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
ApL Building Dryer O[her (Specify)
Comm./Industrial Fumace
Farm Air Contlitioner
Othee(syecify) ConVeo[or's Remarks'
Compute lnspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 Amps
Signs Inspecmr5 Use Onty: TOTAL S?
Irrigation Booms l'?S SS
Special Inspection ?
Alarm/Communication TMIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ON S.
I, the Electrical Inspector, here6y Rouqn-'n
Kc?'
certity1thattheabovelnspec6onhas
been made. F;nai Date, ?Q-
OFFICE USE 3NLV
This request voitl 16 months im.
954870
t
COUNTRY HOLLOW 88COND ADDITION
PRESSIIRB R&DIICIN(i VALVB AGR88MENT
This agreement, made and entered into the C2/1;? day
of 1990, by and between the CITY OF EA6AN, a
municipal?ty. of the State of Minnesota, (hereinafter called the
City), and the Owner and Developer identified herein.
:he tern!s "Developer" and "Owner" as used herein refer to:
PROGRESS LAND COMPANY, INC. whose address is 14300 Nicollet Court,
Suite 235, Burnsville, Minnesota 55337.
WHEREAS, the Developer has applied to the city for approval of
the plat or subdivision known as COUNTRY HOLLOW SECOND ADDITION,
located within the City; and
WHEREAS, the Owner and Developer agree to notify the proposed
potential buyers of all lots within COUNTRY HOLLOW SECOND ADDITION
that Lots 1-4, Block 1, Lots 1-17, Block 2 and Lots 1-10, Block 3 are
in a high water pressure zone and a pressure reducing valve shall be
installed in each home below the elevation of 875 feet. All costs
shall be the responsibility of the Buyer and shall be installed to
prevent damage due to high water pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
1. Recordina. This agreement shall be recorded with the Dakota
County Recorder so as to provide notice to the owners of Lots 1-4,
Block 1, Lots 1-17, Block 2, and Lots 1-10, Block 3. The Owner shall
provide and execute any and all documents necessary to implement the
recording of this agreement.
?
2. Notice. The recording of this document shall constitute notice
to all owners and future owners of property in the COUNTRY HOLLOW
SECOND ADDITION subdivision that Lots 1-4, Block i, Lots 1-17, Block
2, and Lots 1-10, Block 3 are in a high water pressure zone and that
a pressure reducing valve shall be installed in each home below the
elevation of 875 feet. All costs shall be the responsibility of the
Buyer and shall be installed to grevent the damage due to high water
pressure.
3. Validitv. if any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this Contract.
4. Bindina Agreement. The parties mutually recognize and agree
r
r
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands. •
CITY OF ?
D
t
' ?i -
? C, OWNER AND DEVELOPiR:
(
a
e: PROGRESS LAND COMPANY, INC.
Z '?-?-
Th mas A. t 4afi By:
Its: Mayor Its: POCJ/ a'EW 7'
Attest: . J. VanOverbeke
Its: erk
Bv:
Its
STATE OF MINNESOTA
COUNTY OF DAKOTA
ss.
On this o?/S% day of 1990, before me a Notary
Public within and for said County personally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me personally known, who being each by me
duly sworn, each did say that they are respectively the Mayor and
Clerk of the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed on behalf of said municipality
by authority of ?ts City CounciZ ar.3 said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
y ??.•.i.r?rr?rNlNINfHI•N?
• ? : ?- _ 1.1' .. A
.r....?'I';;'?{ •
\
.. ....... .?
STATE OF MINNESOTA )
) ss.
COUNTY OF !?
I Not\ary ,V?ublic
i
On this day of !?„-?,, S' , 1990, before me a Notary
Public within and fo'r said County, personally
appeared l:_a o ! I`-%r', an,}- to me
persona?ly own, 1who being-0acki.by me duly s?+orn, eaeta did say that
e1?ejrespeet °°-°,- the I ?- .?
-a"el- of the corporation named in the
foregoing instrument, --- -=-? L?_ ___, _«,.__l .._ ___d __t_..___•
' and that said instrument was
signed arrd =_____ on behalf of said corpor ion.k?y authority of its
Board of Directors and said ?reS , d csif
-end-- acknowledged said instrument to be the
free act and deed of the corporation:
?^- _ • .._... ,? ?..,:?.;,,,,..?:,,...,,,,?
c
. .. . ,. ..... 4
Notary PubVic
APPROVED AS TO FORM:
?
F,:&LV4' O- Kl??.?1
Public Wo s Department
Dated: _/}?y yo
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
MGD
APPROVED AS TO CONTENT:
#? a % 9
MECHANICAL PERMIT (RESH
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
;a
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH LTNIT.
? NEW CONS'TFti3C; iON
ADD-OId A/C
_ ADD-ON FURNACE
DATE Io) -,_3? 0- 9cZ
FEE5
HVAC: 0-100 M BTU $ 24.
ADDTI'IONAL 50 M BTU
GAS OU17.ET$ (MINIMUM 1@$3.OD EACH) i3 .?
ADD-ON/REMODEL (EXIS'riNG CONSTttucriON) $ 15.00
ST.4TE SURCHARGE .50
TOTAL
SITE
owrER rrAME: (Yk?n-? nnmF rr? 7?F 51 nrn TELEPHONE #: lf773-
CITY: ? *ft' MK UWSTATE: ZIP CODE:
TELEPHONE #: ?5qc?) - I 1 Co Cp
il.t-e p , jk,?
SI ATURE OIF PEMd TEE
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /- tD r 108 Site Address: S.5(^ CD UAdYy?1 C..EXJ l- /
Suite
RESIDENTIOWNER Name: ?? !b?j&, Sher,v Pnone: LS/- 686-5986
Address/City/Zip: -5,S?p G0UN70-M Ceur'f' F1
qA/ ,5-$/2 ?9
.5
Applicant is: V Owner _ Contractor
TYPE OF WORK Description of work: a•6dt un Q. G 8 Gk
1&0
Construction Cost: .? 42le 000
Multi-Family Building: (Yes No?
CONTRACTOR Name: License #:
Address:
Ciry: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category sunmined suemined
(4 submisslon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address oF inaster plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOF?: Plans azji/?auRrtfd?dketime"n?slh?f??ou ?}bmet e?!cet??ideie??fo lss?puh?+c m?ts?rrraNan kk3?'t?4?'s ot, '
PP
tke in?armgt?d? tna
y; be claSsrtre??s`qok,?^Pu?c ?? y6? ?mvfde;s? ?ecffie r?'§ixxms fhaf wp''u`f `d,P'e?r?n?t tff? ?ty fa'?
,. Cttcrcl?mle tl1$itfhe ar?r?de sLscrafs. _ , ? ? _ ? `
I hereby acknowledge that this intormation is complete and accurate; that the work will be in confortnance with the ordinances and codes o1 the City of
Eagan; that 1 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 [he case of work which requires a review and approval oi plans.
t? aew d 7/?3
< = j?u 7?f. Sh e rn/ X% ?
ApplicanYs Printed ame Applicant's Si ature ?
Page 7 of 3
I
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Famify ? 06-plex ? Fireplace ? Porch (3-season) ? ExT. AN. - MuRi
? 01 af _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex X Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10.plex ? Lower Level ? Storm Damage
? 04PIex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interfor Improvement ? Siding 0 Demolish Building*
? Addifion ? Move Building ? Reroof ? Demolishlnterior
? Alteration ? Fire Repair ? Windows ? Demolfsh FoundaTion
? Replacement ? Egress Window ? Water Damage
' Demolition (enilre building) - give PGA handout to applicant
DESCRIPTION;
Valuation .36052 Occupancy 1? MCES System -
Plan Review
??_.?r ///?-
.-
Code Edition A
SAC Units
?
7
(25°/,_ 100%? n
Zoning
City Water
'
Census Code Stories ? Booster Pump '
tf of Units Square Fcet / 76 PRV ?
# of Buildings ?- Length 1.h -Gr Fire Sprinklers ?
Type of Const. ? Width
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Root: Ice & Water Final
Framing
Fireplace:_R.I. _qir Test _Final
Insulation
Reviewed By:
5heetrack
FinallC.O.
JL Final/No C.O
-?h HVAC
Other:
Paol: _Footings _Air/Gas Tests Final
Siding:_Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Coples
Total
Page 2 of 3
- - _- - ..? ili ?
* 4( * * l?Iqhll
* angin
* V, * *
2422 Entnrprlae brWo 0
Mandotn IiefQhir., MN 55120
(812) 081--1014•Fnx 881-0409
625 kighway 10 Norlbeosi9lalne, MN 65434
(612) 783-1B80OFox 7e3--1883
Certitlcata of Survey for: Mont_ qome-y Des,ign 13C gUlld, IriC.
House Address; „5-5?, Country Court Eoap», MN
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AY
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KOM. ?) Denotes Prupqyac! Elevalion
--=r,!! Denotes Drainage & Utlllty Easement
' Denotes Dralnape Flow Direction .
-o-- Denotes Monument
-p- Denotes pffaet Nub Bearingo .9hown
Z3.OI'OSED- HOU$E ELEYAI'IDN -
4t11 LOV@I, Floor Elevat(an:M„5..,9
3rd LeYel Floor Elevatlon:B21.4h
Top of B3bck Elevation:82A,FG
Garage 51ab Elevakiori;824,33
ure assumed `
LOT 13, BLOCK 2 CO UNTRY HaLL.OW 2ND ADD.
DAK07A COUN7'Y, MINNESOrA
? M'roby tHNfy tbat [his wrwy, plpn 0Y MpOrt Wpt preparad by me or under my dllCCt Iu?YVl{i6i1 and ihBt I em dulv ReplttErCd Lend."iurVayDf
undar th0leWS of ibe Stato pl Minnscou, OmcQ thl, ?y, d,Ly of ?^? A,U, 101 ?..?:.. .3
---?sr. R 9 pT 6, 1(C?N . I1EG, NO, I4493
am g2d85.Q0
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PIONEEA UND SURVEYORS .
* engineering LANo PLAwNEn
2422 Enterprise Drive
Mendoto Heights, MN 55120
612) 681-1914•Fax 681-9488
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fax 783-1883
Certific(ite of survey for: Montg omer y Design & Build. Inc.
House Address: Country Court. Eag an. MN
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EMERGENCY SPILLWAY
128.21
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PROPOSED HOUSE ELEVATinN
x 900.0 Denotes Existing Elevation 4th LeveL Floor Elevation:a2r?II
. eoo.o Denotes Proposed Elevation 3td Level Floor Elevation: SaA.?
- Denotes Drainage & Utility Easement
Top of
Block '
Elevation:' 833.1
b
- Denotes Drainage Flow Direction _
-o- Denotes Monument Garoge Slab Elevation: gaz $j
-s- Denotes Offset Hub Bearings shown are assumed
LOT 13 , BLOCK 2 COUNTRY HOLLOW 2ND ADD.
DAKOTA COUNTY. MINNESOTA
I here6y tertify that this Survey, plan or report was prepared 6y me or under my direct supervision and that I am duly Registered Land Surveyor
under the lewsaf the State of Minnesota. Dated thisSO Q dey af A.D, 19
1113/97- Praoe.o E,,01 r?6 %_Lev, c41n7G? to Ro? i '
,
???Vftir?an?j - ?
Scale: I inch_301eet
(i B RT B. IKICM . REG. NO. 14891
59 92485.00
P.02
uenao atHBiat?ia Df?N 55120
* pIoNeEa LAN,,M„?„g . Q,L? (e12) 681-1914•F? ?,-9+?
* a? *eer g ?D ?+?e • ??? ^??18 628 Htghway 10 Natheast
gialne, MN 55434
(812) res-Ieeo•Fox 783-18e3
Certificate of 5urvey for: M,QYltCJ01'Y?ry Desigj;,1. & Bu.Lld Inc,
I ;) House Address: ou t o t E
?e4d
COUNTRY -4 COURT '
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PR0
. ea.o Denotes Existin Elevation• . 1'OSED HOUSE ??yA71?N
9 4th Level: Floor Elevation:82S06
=cRO Dena4es Proposed Elevation 3rd Level Floar Eiavation:-Z_ .w
Denotes Orainage & Utility Easement -----Denotas Dratnage Flow Direction , Top of Block Elevatton:-91+.le
-o Denotea Monument Garage Slab Elevation: ftt,iS3
---a Denotes Offset Flub Bearings shcwn are assumed
LOT 13, BLOCK 2 COUNTRY HOLLOW 2ND ADD.
DAKOTA CouN7Y. NINNESOTA
1 hereby Eerttfy Lhot tlils wrvey, plan or repwt vas preporatl by me or under rtry direct oupervhion enW that i am duly Rcgycered Und Surveyor
undar the levn of eha 5 te M MlnnmoU. Dabd tAic?-?y of ?' A.0. 19
?l/379a MDCeo ?K+?r?6?+.eJ? c1NIJGr? ?,
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fflg 92485.00
R-9'i9o'
11-10-92 03:52PM P002 1$28
2422 Enterprise Drive
* PIONEER ? Mendota Heights, MN 55120
* UND SURVEYORS CIVIL ENCINEERS (612) 681-1914•Fax 681-9488
? Qnginer f7 LANO PLANNERS • LANOSCAPE ARCHIlECTS 625 Highway 10 Northeost
?( * ? * J Blaine, MN 55434
1(612) 783-1880•Fax 783-1883
Certificate af survey for: Montqomerv Design BC BUIld, If1C
-' House Address: Country Court Eagan MN
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. 900.0 Denotes Fxis{i,.g Eievc!±;o.; PROPOSED HOUSE ELEVATInN
. 900.o Denotes Proposed Elevation 4th Leve! Floor Elevation: 82.
-- Denotes Droinage & Utility Easement 3fd Level Floor Elevation: 8-n.ci3
- Denotes Drainage Flow Direction Top of Block Elevation: _8,33,_.? b
-o-- Denotes Monument Garoge Slab Elevation: 832 g3'
-e- Denotes Offset Hub Bearings shown are assumed
LOT 13 , BLOCK 2 COUNTRY HOLLOW 2ND ADD
DqKOTA COl1NTY, MINNESOTA
I hereby certily that this survey, plan or repo:t was qepared by me or under my direcf supervision and [hat I am duly Fegistered Land SurvCyor
under the lawz o/ the St te of Minnesota. Dated this?_ tle a( UC ?
Ke..,?ed if?qz ryaoeo ?.?ecu1nj 6 ? laQDA.?.19
S C CI I e. inch __ feat ,.<• !. ?? I ?i . 1= ?.1?'?-_ ?- ? O--'" RtlBERT 6.'SIKIC/i Y5. REG, NO, 74891
4L59I 92485.00
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112899
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 556 Country Ct
Lot:13 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Diane Moyer
Home Energy Center
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Timothy H Shern
556 Country Ct
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
t;se �xL�,3E �ar B���K Ink
------------------,
� F�r Office Use �
I
. � . � � a ���� �
��� �� �� '�� ( Pemi;t#: �
� � I
RECEIVED j Permit Fee: < �� i
3830 Pilot K�ab Road � �
���� I Date�Ree�ive�i: �3 �
Eagan-M�i 551�2 ,f(�� 3 � I
�hone: �5� 675-5675 i
Fax: (651}675-569� � Staff:
-------- --------�
2�14 l�����E����� ����Vi��`�C� ����i.�T ���L��,�"f�C}i�1
;�ate: 6 ���'�y Site Address: S�C� �(g(/�y �'�v(r.� ��� a��/�
Tenant: �t `�' �� � Q I^� Suite#:
� , . �_, � � � � ���
Residen#lOwner Name: ����,�@ -S'� �1�.�/ Phone: �i�Z-3C��-t�dl C�ell�
Address/City/Zip: •-�J' b �Q C.�CJtJG�� ✓�',.56
Name: .J � V'V� �! � tN ��✓'C.License#: 3S�I���O, 9'�l�L �1/)
� `�='COt1tC8C'�O�"'� �� Address: ��� ��� -,�—��° °�"'�' City: /1/P��fl�Ol�'�
�� State:��Zip:����J �l" Z�! "�,��.�� �
Phone:
Contact: Email: t � � , !J�/'�" ld
l�-o��.� ' '�M ' .�r�� . c�
Type Of V1�dCk �� �-New �__R�placement _Repair _Rebuild _Modify Space _Work in��R.O.W.
Description of work:
RESIDENTIAL
Water Heater
� � ����. �` Water Softener � �
` Lawn Irrigation (_RPZ/ PVB) �
Perrnit Type � �Add ?lumbing Fixtures (�Main/_Lower Level) �
Septic System
New Water Turnaround
� Abandonment
���ESlDENTIAL FEES:
(:,A
��u0.00 Water Heater, W�ter Sc!ftener, or Water Heater and Softener(includes$5.00 State Surcharge) �
� �60.00 Lawr, Irrigation (includes$5.00 minimum State Surcharge)
r ;>GO.OQ Add Plumbir�g Fixtures, Septic System Abandonment, Water Turnaround'� (includes$5.00 State Surcharge)
"Water Turnaround (add$200.00 if a 518" meter is required)
�'''�15.00 Septic System New($10.00 per as built) (includes County fee and $5.00 State Surcharge)
��,-.
� TUTAL �E�S $_
:ALL BEFC�RC Y�U DIC. Call Gopher State One Call at(651j 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive tocates of underground utilit�es. www.qopherstateonecall.arg
i nereby 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
accordarce with the approved plan in the case of work which requires a review and approval of plans.
x�� .Sj-t G h I'1 X— / �yf�l�fa✓
;applicanYs Printeci idame ApplicanYs Signature
, , �
FOR O�FlGE USE , ;': ' Rerriewed By ,.' \ � =t7ate
.. _ �_ : , .
� �_,.,
;.
Required ln�pect�on�: : . ��Und�r,�roun�! � �Rougli�ln ��� � ��Air T�s� �as Te�t°.. � Final�'°�
!1lfe�er Related ltems: Me#e�5ize : . R�dio Read Sfaff
' `
l�se s���.����r SLACK!nk
�-----------------
� For Office Use �
*�: �� j Permit#: / lI�V � j
��� �� �� ��1 � (��� � I
� � Perinit Fee. � F �' �
3830'�ilot Knob Road �'�Q� 0 £ 1�1� i �. /3 � i
Eagan MN 55122 � Date Received: �
Phone: (651}675-§675 Q��'t����� � (�j� �
Fa�:. (651 j 675-5694 I Staff: ]t 1J I
I I
�-------------- �
���4 5�,���L��i�E�§ ��� ���L��1`�� �E���� @ o����.��a9�41 ��iV �
�ate: T '�� l '� l / Site Address: ���0 �-Ut��t1 r`'' �Ov�� ��
Unit#:
� �
Name:��jGj � Fi!.� l�° S�7 t_-�'�l/ �hcne:_i2�2 -��v1?'"�DB�C �
� Residenti
' (,����� ; Address/City/Zip:�j��p �pU�N't.� ��y�(n�
Applicant is: �Owner Contractor
T��� �,��p�,���� � Description of work:���� D//��j.-�rj- /tl ae�tI 1��Ot9t� /�v� G`Bd�'l��wu,�!����{r O�
> Construction Cost:_,���,000.00 Multi-Family Building: (Yes /No�
� Company: �D✓Ef�" � N„S']�'NU�"j��p�p, Cortact: �y"�(�.�
� ;'}
CQntCBCtOr . �. Address: � �Q"I�1rC�r��� ae pvY`� City: -SOV� �Z`'� L�7XUl
� , . .. �
� T State:�Zip. SSD rI� Phone: �S� Y.�fi'�7�mail:_�7Df���''�1D�tlES�Gt,�leii�. (.°��
� ° License#:_� � y�,. L_ead Certificate#�:
; If the project is exempt from lead c�rtification, please explain why: (see Page 3 for additional information)
� a��B / 97�
7�l�e bv�'ldi,v� w�s ea.�,��cfe� h
��� �
� � COMPLE'TE �`NIS AREA ONLY IF CONS�'R�ICTffV� A �i�W B1�lLDIlVG
�
� In the last 12 manths, has the City of Eagan issued a permit for a similar plan based on a master plan?
�
� _Yes _No If yes, date and address of master plan:
�
� Licensed PEumber: P-hone: __
� �Vlechanical Contractor: Phone:
Sewer�Water Contractor: Phone:
NCtTE;Plans and supporfing documents that you submit are cc►r�sidered fa�b�publie informatian, Portion�of '
the information m�y be classi�etl as nort-pubtic if you prQVide specific reasor�s'that►�rould perrnif the C'ity ta
� , �
,.
.�. -�::
��� . �� can��ude:�at��i�� �re C�ade�ecre�s.;�. � �� � � �
CALL BEF�RE YC?U DIG. Gall Gopher State One Call at;651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig#o receive locates of underground utilities. www.aopherstateonecall:ora
! 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 understa�d this is not a permit, but only an appli�ation for a permit, and work is not to start without a permit; that the wc�k will be in
accordance with the approved plan in the case of work which req:aires a review and approval!�f plans.
�xterior work authorized by a building permit issued in accordance with the Minnesota State 3uiic§ing Code must be compieted within 180
days of permit issuance.
X!�-�r�--J"f• ��it e�'N X `
ApplicanYs Pri �d Name ApplicanYs Si ture
Page 1 of 3
5�� �,-�
DQ NOT Wl�13E BEL01�/T'HIS LINE ������
:�i��TY'�?ES
_ Founciation _ F;replace _ Porch (3-Season) _ Exterior Aiteration (Single �amily)
� Single Family _ Garage _ Porch(4-5eason) _ Exterior A�teration(Muiti)
_ Multi _ Deck _ Pc,rch (Screen/Gazebo/Pergala) _ Miscellane�us
_ 09 of_Plex _ Lower'tevel _ Po�l _ Accessory �iuilding
?��C3RK TY�'�S
_ New interior lmprovement Siding Demolish$uilding*
Additifln _ Move Suilding _ Reraof Demolish lnterior
_ AEteration Fire Repair Windows Demolish-Foundation
_ Re�lace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
�`�ESCRIPTION
�!�luation �,���� Occupancy �.� MCES Syst�m
;;` ian Rev9ew Code Edition �j7 MS'$G SAC Unit�
(25%_ 100%�,f ) Zoning '� -;� City Water
7'`�
Gensus C�cfe Sto�ies Booster Pump
�of�nits Square Feet PR�/
# of Buildings Length Fire SprinkQers
°}�ype of Construction �_ Wic�th
�EQUIRED INSP-ECTIONS
Footings (New E�uilding) Meter Size:
_ Footings (G?eck) Fina!/C.O. Required
_� Footings (Actdition) � Finai/ No C.O. Requir�d
Foundation HVAC Gas Service Test Gas Line Air Test
Rao�':_Ice &Water _Final __ PooL• _Footings _Air/Gas Tests lFinal
� Framing Drain Tile
Fireplac�: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
� Insulatio� Windows
� Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetroc{c Radon Control
Fire Wall� Erosion Contres!
Braced Walls Other:
�evieweci �y: c'1"" �' , �uilding Inspector
�-2ESIDEN�'IAL FEES
Base Fee CZr �� �Z-t �� ��`� � ��� �� 1`
Surcharg� �
PEan Revisw
MCES ��C
City SAC
Utility Connectior� Charge
S&W F�errrait& Surct�arge
7reatmer�t Plant
Copies
TOTAL
Page 2 of 3
�
' ' * �en �ne�er�n ��P�- �.,�,a�E �,�
g g &25,Highwoy 10 Noriheast
* * �* (612) �783-1880 Fax 783-1883
� Certificate'of 5urvey far: Montgomer, Design 8C �UI�C�, �nC
� - � ;.� House Address: Countrv Court Eagan •MN
1 ' �
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'L ��������UNTRY � COUR�T � ' I
� �..�� a��
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. � 5 89'23'41" E p 'P - i
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o �z4.7 � �' �
X � zOO \\ � Z � �
8.92 W (T�
x EMER(�MCY SPILLWAY �
S�g 3 128.2� � - __ � !
N 89'23'41" W �� I
�f � � � �
I � �
. s�.o Denotes Existing Elevation . PROPOSED NOUSE ELEV��t�N
x �•a Denotes Proposed Elevation 4th Level:Floor Elevation:.��
--- Denotes Drainage & Utility Easement �d Level Flqor Elevation: 8�i,�'
Qeno#es Drainage Flow Qirection . Top of Biock Elevation: 8�3.i�o
—o-- Denotes Monument Garaqe Slab Elevation: 832.¢j�
—e--Denotes Offset Hub Bearings shown are assumed <
LOT 13 , BLOCK 2 COUNTRY HOLLOW 2ND ADD. .���
qAKOTA GOUNTY, MINNESOTA `" .
. i her�y prtify thst;his survey,p4an or report was prepared by me or umter my direct.su�ivn ar�d that 1 am daly RegCstered i�r�Surveyor
�nder the laws of the St�te of Minnesota,�ated this�'�day of-�T p_p_�q
� �. � /�l���C/
` FIGURE 3 �
NARROW WALL OVER RNSED WQOQ FI.00R OR SECOND fLOOtt–FRAMING ANCHOR OFTiON�
Out¢ide Elrvation Side Elevation
�� ;r .
r, �� : $ :
+�'` Mi�.6701b,framing r� �� ,;
+��� anchors�! '�.� ,c � � .
, Nail sole plafe t r +�= Nail sole
�°,: Ref.No.LTP4 ' , ' : Itate to oist '
,, ,y � � #o joisfi per#able +a �w 4�� +�� P I
� Any orientation R602.3(1 J � ;�� v �;e � - per toble
a�`; p�rmitted yieldin8 �._ r= , - ' � ; R602.3(1 j
�. a�.: �. ;�.r� 6�0��.COpoCily °:+� ,-i�
� � . _.., ,,.. �
. ._,.�.-:..� i
r .
' z�_ �:>.�':'. .
Wood struchtral po�el sheathing o�r approved band joist Approved
band joist
�,�;�.
' Framing anthors instra►led per ihe anchor manufacturer`s retommendatipn.
`�,�,m 4��;-;.. � ..
�'��k��� Y�. i
'; Use engineered wood Rim Board�,l-joist or E>RY lumber rirn joist fio minimiu t,...�
��°�
potenfial for buckling aver bdnd joist. ,
�
Notes: _ �''� �
(o}See Figure l for complete haminp detail. °�
�:,-, '
, (b3 Copodty�sed on stress increou(t.60). Not to s�ule ;
� - - -- --___. _--- - — ---'
� FIGURE 4 i
! NARROW WAl4 OYER RAISED WOflD FtQOR OR SECOND P400&–WO�D STRUCTIlRAL PAhtEI OVERL/►P OpT10N�°�
--_.. __---------- ____ �_._.._ . � ��__.__.___ �_
_ i
Owtsid�El�ration Side Etevallon
�
�, . �� ; _ �-a ;
'�VY:: . f J 1 E. � t� t
� �, 8d commcn nails Noil sole p4ate �'' ;�; _" �*°�� Nail sole
� �� �� (0.131°x 2-1/2'j ►o joisf per tdble �;� i� .� a,�� plote to joist �
Min p� � 3"o.c.top and bo#om R602.3(1) Y± ��„ ;; � : �; per table �
Overlap � �, , ,�X. �' ri R602.3(1)
9-11�1 � ��� ;�� � ;�� ,� �,��'���
,
�,����� �
� �
_ > ��#-:.
� �:�'
! Wood struchrrat ponel sheafhing ov�v approved band joist /lpproved
bond joist
�.:
T��..
,9tli�
�
�
`a�'.�+� "w�`'�'" .:;�'1 �t... .
�;,��� ,�. _
'�
�•. � � ����` .
�Use engineered wc�od Rim Board�,�i=�oist or DRY fum6er�rim joisi to minimize ``�" �-�����- �°�� _��
potentia!for buckling over bond joist. t ,�;� , �
�.,� i.,,�.�s� x
J•-
NOt@: �,�
(aJ See Figure 1 fqr comptete fmmir�7 detait_ � Not tp scale ;
;a �� � ��f����
������ ������� ������� �a� � ����� �������� ����
Because fully sheathing a home with plywood ar QSB ereates a rigid shell structure,the APA Narrow Wall Bracing Method and the
conrinuously sheathed method,referenced in Section R602.i0.5 of the 2006 IRC,solve the problem of ineeting code requirements
while permitting narrow wa11s. The IRC R602.10.5 method allows for wall segments as narrow as 24 inches,but the APA Narrow
Wall Bracing Methad takes the concept a step further with a configuration that adds enough structu�-al support to safely retiuce
bracing width to 16 inches.Both methods can be used all around the house at garage,window and door openings,creating a rnore
pleasing appearance both inside and out.Table 1 summarizes minunum allowabie bracing widths permitted by the 2006 IRC,along
with the APA Narrow Wall Bracing Method.
� � r�"��'� �
� � � � � �
____ _____ ___ .__ r� � �:� � � ���� -�
____.__t ---- -.__..__ .__-----_--- � x � � ,
------ ---- � �
TABLE 1 � �� � �
v
; :
� . ���,r_� ,_,�v �`
i ALLOWABLE BRACiN6 SEGMENT WIDTHS FOR FULLY SHEATHED t10ME5 ; : r
— _---. --- _.-- ---__—._-----____ _..__�-- -----
----- . Min�num Widtb of Seqrcad Mwc.Opaning � � � �
? Bmeing M��nel for�i�ight a�#e____ Height NazF fo ` ' �
Constructibn 8 fe�t �4 faet 10 feet tha Broced Wall -�
' IRC R602.i0.5 32" 36" 40" 85'%of waN height
' --�—�- —__ .� ___ �
(see IRC for limitafiionsj 24� q7a 3p^ 65%o#wall height j
-- ---------
-- _— — - —
AAA NarFOw WaNp� — -- �
Broei+f�N�#�od �b, �$„ 2Q. up to bottom
��0 of hetrder
(see Figures 1,3,4) �
� �_�. ___ _�__. .�_.—_��_._______ _ ____._ �, �
NMe
(aj The minimum width of Mnced wall segment for the APA Method is based on the height from ihetap oi " ����"'
header to bottom o#sil)plafe,os shown in figura 1.Framing,sucfi as a cripple waA,may be buik ontop
of the header,but it does not afFecF the heigM used to determine the minimum bracad woli segmerd vddth ��`'�
�
The APA Narrow Wall Bracing Method permits 16-inch-wide bracing segments
next to most entry doors and windows. �..
���Using IRC R602.10.5,bracing segments can be as narrow as 32 inches wide
next to entry doors and 24 inches wide next to most windows.No header e.xtensions
or special nailing schedules are necessary
�Builders can use 15-inch-wide bracing on raised wood floors including those over � � �
basements and crawl spaces,on second and third stories and in sunrooms.
Builders can easily utilize designs as narrow as 16-inch-wide garage return wails
without using�otic systems or foundation hold-down devices.The APA Narrow Wall
Bracing Method is permi.tted in Seismic I7esign Categories A, B and C next to garage
door openings,with up to one story above,in the 2006 IRC,see IRC Table R602.105
foomote c.Approval of other applications, as shown in this brochure, is pending IRC
r-'`yY�
approval,but in the interim IRC Section 1�4.11 may be used to permit use based on ,�.���,� "��� � a Ft { y'
����, q ,,�� ���o-
testing compieted. t�����,_,. , ri
{r
Note:Drawings are for illustrative purlwses only.Use Fi�nares 1,3 and 4 and the IRC for construction ! 6! �
details and limitaaons_ � � ��� 16'�Braciag next
�� ,' 'to en#ry doors
�< or window
; �;, openings
� � >• (APA Narrow
;; Wali Brating
Me#had)
6
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�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168865
Date Issued:05/06/2021
Permit Category:ePermit
Site Address: 556 Country Ct
Lot:13 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-130
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Timothy H & Kyle A Shern
556 Country Ct
Saint Paul MN 55123--395
(612) 363-7001
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature