557 Country CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA169907
Date Issued:06/14/2021
Permit Category:ePermit
Site Address: 557 Country Ct
Lot:17 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-170
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
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John R & Kristen A Bertsch
557 Country Ct
Saint Paul MN 55123--395
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature
' RESIDEN7IAL
r BUILDING PERMIT APPLICATION
CITY OF EAGAN
4t y6yy 0 3830 PILOT KNOB RD • 55122
651-681-4675
NewConswction Reauirements
. 3 registered sRe wrveys slwwing sq, (t of lot sq. ft of house; anN roofed amw
(20% mazimum bt coverage aibwed)
• 2 copies of plan shaxing 6eam 8 windav slies; pou2d fwnd design, etc.)
• i sat of Energy Calailationce
• 3 mpies otTree Presenatan Plan'rf bt platted eRer 7f1183
. Rim Joist Detail Options selectlon sheet (bWgs wiTh 3 or less unils)
DATE _
JOB SITE
5S
IF MULTI-FAMILY BUI
PROPERTY OWNER
TYPE OF WORK_ 1
APPLICAN
ADDRESS
NE# iiy
ZIPCODE S077
FIREPLACE(S) _ 0 _ 1 _ 2
PAGER # CEII PHONE #6'?? I114 FAX #
NEW RESIDENTIAL BUILDfNG ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Re5idential Ventilation Category 1 W orksheet Submitted
- Energy Envelope Calculations Submitted
IS
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contrcctor. Phone C.
Plumbing System Includes: _ Water 3oftener _ Iawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical CoMroctor. Phone #
Mechanical5ystem Includes: _ Air Conditioning
_ Heat Recovery System
Sewer/Water Conhactor. Phone #
? Pn I$ u U
dl 70,50
w
Fee: $70.00
All above informaUon must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnWure of Applicant Je?
^
Certificates of Survey Received _ Tree Preservation Plan Rec ved Not Required _
Updated 1101
HOW+? _MANY
l?T E
RemodeVReoairReauiremeMs 1-3I'0l
. 2 mpies of plan
• 1 set of Energy Calculations farheated addNOns ?
• 7 site survey for exterior addiGOns 8 decks
• Indicate H twme served by septic system for additions
vawaioN iA,-0-0
, ?
SEWER & VyATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 •
DATE _ AUG 12, 19?
•.,??^?••?-
OFFICE USE ONLY
METER # PERMIT dATE
CHIP #_/} f ST_y 7/ 1P PERMIT # I2,-; i
METER SIZE Se u 5 B.P. RECEIPT #
ISSUE QATE B.P. RECEIPT DATE '
PRV _. BOOSTER PUMP
SITE ADDRESS -`> ; 7 CCUNTHY Cl' LOT ' BLOCK 2 SEC/SUB CQUNTRY FiOLLOW 2?vD
APPLICANT: -
ADDRESS: _
CITY, STATE
PHONE:
ZIP
PERMfT REOUESTED
-? SEWER _ WATER _ TAPS
- COMM/IND _ RESIDENTIAL
A NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: 31FR?EL ?'I1aEIN; ' Ahead of Domestic Meters on Water Line.
ADDRESS: 1959 SRAt,7;< s. i• Credit WILL NOT be given for Deduct Meters.
CITY, STATE :iN ZIp 5=>
PHONE: L? 2-456 i
1 AGREt TO COMPLY WITH CITY OF
OWNER: JFNSRlAANN PROPER'fIES EAGAN OR INANCES
ADDRESS: 14340 PILfJT KNGB
CITY, STATE t1YF'LE VALL.LY AN ZIP
PHONE: 421--1 179 SIGNA URE WHEN METER ISSUED
PLEA5E ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
,
,
?
i_ - • ,
? AUG 13, 1991
DATE
RE: 557 COUNTRy CT (GIENSMANN PROPER7IES) R "
Your Sewer & Water Permit for the above property has been completed. It will be held at the '
Public'Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
?
? Your Sewer & Water Permit for the above property cannot be completed for the following ?
i reasons;
! Your Sewer & Water Permit for the above property has been compfeted, but the meter cannot I
? be issued or occupancy allowed untii further notice. i
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC, j
; - REQUIRED BY LAW.
?
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
? I
j 5ecretary, Building Inspections Dept. ?
?---- - - ?
XCityofEapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
?
?
j Pertnit#:
? Permit Fee: Lv I
? Date Received:
? n I
I Staff: C? - =' I
i
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3")4-d'q Site Address: ?
??
Tenant: .7 ?/-5 C'f,- Suite #:
RESIDENT/OWNER Nam;j?4a- '7L?'-R-' Phone: C'S?? 7?
?55 ? -o-??-?-?-
Address / City / Zip:
Applicant is: _ Owner ? Contrac[or
TYPE OF WORK Description of work: 'd"
Construction Cost: 'IM17 , 60 Multi-Family Building: (Yes No ?
CONTRACTOR ? i
Name: 6 ???"+?-e License#:
Address: g?? s? -
?UO0nL,-'r.^-??=- zi
:
ac
P
,
Phone: ?.-? - 7y? Contact Person: ?L'e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
CBtCgOry Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and suppnrting documents that you subm/t are conaldered M be publk lntormaNon. PorNons of
the InformaHon may be c/assli7ad as nan-pubNc H you provlde speciNc rwsons that would pe?m/t the City M
conclude Mat they 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 woiic which requires a review and approval of pl . ?
x ?? / __?, t'-G, x i3Q?
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
*dtV oF eagan
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE
MEG T[LLEY
Councit Mem6ers
THOMAS HEDGES
Ciry Adminutraror
Municipal Cenmr.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phonc: 651.675.5000
Fax: 651.675.5012
TDD: 651.454.8535
Maincenanm Faciliry:
3501 Coachman Point
Fagan, MN 55122
Phone. GS 1.G75-5300
Faz: 651.675.5360
TDD: 651.454.8535
www.ciryrofr+gan.com
THE LONE OAKTREE
The sym6ol of screng[h
and growth in our
communiry
March 31, 2003
AUTOMATIC GAR AGE DOOR & FIREPLACE
9210 WYOMING AVE N
BROOKLYN PARK MN 55445
RE: , 557 COUiNTRY COURT ,
BUILDING PERMIT #58272
TO WHOM IT MAY CONCERN:
On March 11, 2003, your application to install a gas fireplace/gas line at the aforementioned
address was processed. A few days later we found there was an open lower level finish permit
(#57651) for this address.
The City of Eagan does not require a senarate permit to install a fireplace when there is an ooen
interior improvement permit. Building Permit #58272 has been cancelled and a$69.00 refund
will be sent to you under sepazate cover; the $1.00 state surcharge is non-refundable. Inspections
relative to this fireplace installation are being recorded against Building Permit #57651.
Prior to submitting future applications for fireplace installations, please call 651-675-5675 and
check to see if there is an active interior improvement pemrit. If so, advise the staff person
answering the phone to revise the permit to include a fireplace and required inspections.
This letter is also meant to advise you that effective January 1, 2001, the City of Eagan Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
courtesy, we are informing contractors of this policy via letter and issuing a refund for a cancelled
permits on a"one time only" basis.
If you have any questions regarding the above, please feel free to call me at 651-675-5671.
erely, ?
7 nice D. Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Officia]
, . CLAIMVOUCHER-REFUNDREQUEST
' CITY OF EAGAN
MAKE CHECK PAYABLE TO: AUTOMATIC GARAGE DOOR & FP
ADDRESS: 9210 WYOMING AVE N
BROOKLYN PARK MN 55445
LOCATION: 557 COUNTRY CT
RECEIPT #/DATE: 41464 3/11/03
REASON FOR REFUND: PERMIT NOT REQUIRED PERMIT #: 58272
VALUATION: $2,000
TYPE OF REFUND:
Plumbing Pemut 9001.4087 $
Mechanical Permit 9001.4088 $
Building Permit Fee 9001.4085 5 69.00
Plan Review Fee 9001.4222 $
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connecflon 92203865 ?
Sewer Pernut 9220.4532 $
Water Pernut 9220.4507 $
Account Deposit 92202252 $
Water Meter 9220.4509 $
WaterTreatrnent 9220.4685 $
Water Supply & Storage 9220.4680 $
Surcharge 90012195 $
Overpayment 90012250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 92202254 $
Other $
TOTAL $ 69.00
I dec e under the penalties of law that this account, claun, or demand is just and diat no part of i[ has been paid.
"??-- 3/31/03
SIGNAI'URE DATE
? -?50 9 1 ?
2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN
3830 P1LOT KNOB ROAD - 55122
651 681-4675
Date:?
Description of Work: ? Construct new fireplace vGas _Masonry _ Alterations to existing
_ Install Qas ixsen onlv _ Install gas line onlv
Other
Job address: .7 GV CL V - 1 "
/
Lot: 1-7 Block: ? Subdivision/P.I.D. #:? t,? 0 n
Applicant (circle one only): wner Contractor Permit Fee: 560.50
PROPERTY
OWNER
Name: kA1`Cl Phone #: lDSI yJA "Jy 1 I
Last First '
Street
City ? 0. G O:Y\ State: Zip: 651a
Phone #:
(azea code)
FIREPLACE
INSTALLER
Street Address: nV.7Y\e. r
City
State:
Zip:
Phone #:
(area code) GAS LINE
INSTALLER
StreetAddress: nuOY\e.'r
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is coaect and agree to
comply with all applicable State of Minnesota Statutes an City of Eagan Ordinances.
?
'?Sign ture ?
?, ? ;
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR _
OWNER NAME : GUP/fJ.D/J'Y/A/Y!/!v 0h4_?
SITE ADDRESS: SS7 &z/Gf//tiiY
IAT:/9 BIACK -,)' SUBD.
INSTALLER: ZZ2egzez ,
ADDRESS: II ? fYJ,ll?iOp _ ?
CITY: l'oQ'.A.////2J ZIP: fi'S1o2?
?_
PHONE #: ?Ka ??S?oS
.
PERMITTEE
FOR CITY USE ONLY
PERMIT #
RECEIPT #--??Ty(?
DATE: 7 9
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 ,3; 0V
? WATER CLOSET 3.00 L,00
/ BATH TUB 3.00 3.00
? LAVATORY 3.00 ae
L KITCHEN SINK 3.00 ?OD
/ LAUNDRY 1RAY 3.00 ?0 O
HOT TOB/SPA 3.00
/ WATER HEATER 3.00 3:0 O
? FLOOR DRAIN 3.00 ?,6D
GP.S PIPING OUT.
l (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
39'O?
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: $ 39'? J'ro
?pMMERCIf???iHIfUST&ZAI.,:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
ZIP:
TOTAL:
$
(SIGNATURE)
. " 1
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, ?IN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT #
DATE : 30
jt,E$ILI?ATTYl?X,'; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
? TOWNHOMES/CONDOS WfiEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
LOT:? BLOCK OZ SUBD. O?
INSTALLER: ?IZ_RYAN PLUMBING & HEA O0MPANY
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ZIP; 55068
PHONE #: 423-1144
-------------------------------
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.001-'
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 ?
OF 1 PER PERMIT
dU
SUBTOTAL: $ '7Z-
STATE SURCHARGE: .50
0
TOTAL: $?
IGF6A1'URE OF PER'MITTE
COt;B4ERCTAI.fINDUSTKI?2..; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACN DWELLING IINZT.
__________________------------_- °°___________-___--°___--------°___----°___-
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PNONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
FnCCESSED FIPI,7G $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
1991 SIIIL1?97??LICATION
CITY OP EAGAN
SINGLE FAMILY DWELLINGS
liULTIPLE DWELLINGS
COMIERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTl1RAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH ZN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 1/.(.s?sJJ - Valuation: ? Date: -71Z36 /
Site Address 0LLA4 1?., CA
Lot 1 aiock Z
n I ti?4
Parcel/Sub l Dun?''W 1?1?0? Z, f
Owner
Address 1u390 Ltifob 2.1)•
City/Zip Code Apo?t
Phone 1 1-7 1
Contractor 5ryv,-.2 r}S /Ql o u-G- Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/2ip Code
Phone #
Sewer/Water Licensed Contr. ;
Contractor)
agrees that all voik shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
?lejw>'
occupancy R-3 M-?
Zoning R-I
Actual Const V-N
Allowable V-t4
# af stories
Length ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
HWCC System Lle
City water ?
PRV ?
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. -t5 ?.z&-7/
Variance
FEES
Bldg. Permit 70,3,00
Surcharge MT-100
Plan Review ' , _rJo
SAC, City / 0 0oJ
SAC, MWCC
Water Conn. 10100
Water Meter q5r' 00
Acct. Deposit O,Oa
S/w Permit 30.0
o
S/W Surcharge _1 ',
Treatment P1. 2 6,00
Road Unit 3170?01:0
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL um.nQ
2I-'lZ ?
1 ?6??2 x 3 ?
i
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- ?.er#ifir?.#?e nf- (?rru?r?nr?
?Citp of eagan
JOP}1aThUPttf Af lUtIbhM jU9}1PttiDtt
This Cer?ifrcate issued pursuant !a the requiremextr of Secdon 306 of the Unijorm Building
Code certifying that at the time oJissuance lhis structure was in compliance wkh the various .
ordiwnces of the Gtty regulating burlding consbuction or use. For the following:
Use ClacrifiuGon SF UG/(?ieAR Bldg. R'mit No. 19546
p-„p-y ryx R3ImI &nig amia TI Type Cmw. VN
Owen M&dldieg • PIMM= Apdayy u/MO P= IQM RD., /PRF. VA 7LF.Y
eoaei.S,?m. 557 OMNMr-QOURT i,o„Iiry LI7, S2. OOMM HOI7AW 2DID
A. - ::- v'• ? 9/2B/Q1
8uilding Olfuitl? '
POST 1N A CANSPiCUOUS PLACE
Address: 557 OD[1N1?tY COURT Lot 17 Blk 2 Sec/Sub OOUNT_Ry gpLLqW 2ND
These items were/were not complete at the time of the £inal inspection.
q q Yes No
Final grade (6" from siding) v
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway
Permanent gas t?
Sod/seeded grass
Trail/curb damage L?
Porch ?
Basement finish
Deck
Pleasa verify vith the builder the removal of roof test caps Erom the plumbing
system and the shut-oFf of water supply to the outside lawn faucet before
freeze potential exists. ?
?EMLFOMf[P
White - City copy Yellow - Resident copy Pink - Contractor copy
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JoG Notlress IStreet Dox or RoNe No.j E a g a n
557 Count Ct. Coon,v
Secuon No. Townsnip Name or No. Ranqe No.
Dakota
I Phone No.
Occupd?? iPRMTi zig Wensmann Properties Atltlress
?L?-
POwer Supplier
Dakota Electric 4300 22?t
ICOnlracmrs License No.
EI¢ctncal ComVdclO1 (Campdny N2.'r:e)
Joos Electric Co
Mai6ng Nr.o:es=_ CO?'?acror o? O.w?ei Making Installanon?
2104 Great Oaks Drive Bur ville, MN 55337
IPhone Number
Awno:rzecS,,raroreCOmrac:or.OwnerMa,,mginslaii. on) 431-4755
- THIS INSPECTION REOUEST WILL NOT
MINNESOTA S1ATE BOARD OF ELECTPidTV BE AGGEPTED BY THE STATE BOARO
Griggs-MiUway BIEg. - Aeom 5470 " UNLESS PROPER MSPEGTION FEE iS
1821 University Ave.. St. Paul. MN 55104 . ENGLOSED.
-
Phone (612?602-0800
a eeaaom-oa ?
REQUEST FOR ELECTRICAL INSPECTION , ??-? ?
Sae mstmr,h.n "s lor complet n9 In'S lor, r, or bacK ol yellow oopp ? y
"X Below Work Cavered by This Request
qPPIiancesWired EquipmentWired
ew Adtl Rep. Typeofeuilding Temporary Service
Home Range
Water Heater Electric Heating
Duplex
Olher (Specify)
? Drer
Apt Building Y
CommJlndustrial X Furnace
Farm X Air Conditioner
I OtherI specilyl Con;ractar's Remarni.
I Compute Inspection Fee 8elow: Fee
? Other Fee H ServiceEniranceSize Fee u CircuitsiFeeders 4
0 to 200 Amps 0 to 100 Amps
Swimming Pool qmps
Above 200 _ Amps Above 100 _
Transtormers TOT
$ignS Inspecmr's Use Only. ? '?65 . 50
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOP}l'M4S•
I, the Elecirical Inspector, her RouSh-in
eby certify Ihat the above inspection has E,,ai Oate !G;;2?
f
been made. ?
OFFICE OSE ONLY
Tms :eauest voitl 18 monlhs trom
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" To ntilize the total'envelope-:system rx[hod, the values established by
? the sum cf items 03 and 04-sha11 not be greater [han the sim of iteas _
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CITY OF EAGAN N2 19546
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-5100
BUILDING PERMIT Receipt # C' ILi C'i ? ZI
Tobeusedfor SF DWG/GAR EsLValue $118,000
Site Address 557 COIJNTRY CT
Lot 17 Block 2 Sec/Sub.COUNTRY HOLLOW
Parcel No.
wlName WENSMANN PROPERTIES
o Address 14340 PILOT KNOB RD
City APPLE VALLEY phone 423-1179
?o Name S? I
g: Address
? City Phone
r
ww Name
AddreSS
aw City Phone
I hereby acknowlege ihat I have read this application and state that Ihe
intormation is correct and agree to wmply with all appiicable Slate of
Minnesota Slatules and City of Eagan Ordinances.
Si9nature of Permitee E
A Building Permit is issued to: WEP SMANN PROPERTIES
on ihe express condilion that all work shall be done in accordance with all
applicable State ol M4i'n?n?es?ota Statutes and City of Eagan Ordinances.
8uilding Ofticial ,j}S2[,?(??9?' ?
? ? t?
'I
OFFICE USE ONLY
Occupancy R- 3 M-1 FE ES
Zoning R-1
(ACtual) Const V-N Bltlg. Permi[
0
703.0
(Allowable) V-N
Surcharge
0
59.0
X of5tories
Length 50, Plan Review
0
457.0
Depih SAC. City 100.0
0
S.F.7otal - SAC. MCWCC 650.00
S.F. Footprinls _
On Site Sewage _ Watar Conn 660 • 00
On Site well Waler Meter 95.00
MwcC Sysiam X 30
00
City Water x ?cl DePosit .
PRVRequiretl SN?Permit .30.00
Booster Pump - S/W Suroharqe
?
.5
TreatmentPi 276.00
APPROvAL' Road Unit 370.0
0
Planner - park Dad.
Council
BIdg.Off. _ Copias
Variance - TOTAL
u
-f r 430. a
? sity oF eaga
3830 PILOT KNOB ROAD iHOAnnS EGaN
EAGAN, MINNESOTA 55124-1897
PHONE: (612) 454-8100 DAV1D K. GUSTAFSON
FAX: (612) 454-8363 P'?? McCREA
TIM PAWLENb
THEODORE WACHTER
Council hlembers
THQWAS HEDGES
CM1y Atlminis[ralor
October 29, 1990 EuGENEVU,,ovERBEKE
Crty Clerk
WARREN ISRAELSON
PROGRESS COMPANIES INC
14300 NZCOLLET
SUITE 235
BURNSVILLE MN 55337
Re: Hold on Buildinq Permits
Dear Warren:
The City of Eagan has put a temporary hold on building permits for
Lot 4, Block 5, Country Hollow Addition and also Lots 1-10, Block
3, Country Hollow 2nd Addition.
The pond lying east of Lot 4& 5, Block 5, needs excavation work
at the pipe outlet area where sand has accumulated due to upstream
erosion. This work can best be accomplished by access of Lot 4,
Block 5.
Lots 1-10, Block 3, Country Hollow 2nd Addition, are on hold
because of the lack of final restoration work in conjunction with
the retaining wall construction. These lots will remain on hold
till this work gets completed to the satisfaction of the City of
Eagan Engineering Department.
We hope this work will get completed as soon as possible.
if you have any questions pertaining to these items, please call
me at 454-8100. Thank you.
Sincerely, cc: Mike Foertsch, Assistant City
Engineer
Craig Knudsen, Engineering Tech
Steve Hanson, Assistant Building
Official
Stan Lexvold
Senior Engineering Tech/Construction
SL/jj
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal OpportunitylAfflrmatlve Action Employer
954@70
;
COIINTRY 80LLOW 88COND ADDITION
PRE88URE REDOCING VALVE A(iAEBlSffi
This agreement, made and entered into the day
of ?-!-7? , 1990, by and between the CITY OF EAGAN, a
municipal&y of the State of Minnesota, (hereinafter called the
City), and the Owner and Developer identified herein.
The t2rms "DeJeloper" and "Owner" as used herein refer to:
PROGRESS LAND COMPANY, ZNC. 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
r
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 I,ots 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, TFiEREFORE, 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.
.
f
?
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 1, Lots 1-17, Block
2, and Lots 1-10, Slock 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 prevent 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 Aareement. The parties mutually recognize and agree
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 WIiEREOF, we have hereunto set our hands.
CITY OF ? OWNER AND DEVEIAPi:R:
(Date: PROGRESS LAND COMPANY, INC.
. T? mas A. By: ?W J
its: Mayor zts: PPC.ri 0EIvr
Attest: . J. VanOverbeke Bv:
Its: erk Its•
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA )
On this v2?s% day of =-? Zv , 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 Council ar.3 said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
y •NI!f«!)flfNINI1IIfIfCN
-":LV:'-
__,A'
' .n ... ?- •? ? ?
. . ......- .W
STATE OF MINNESOTA )
) ss.
COUNTY OF
Not?ary Public
? i
. , .'? . ?? ?
On this day of 1990, before me a Notary
Public within. and fo'r said County, personally
appeared ?.. f; ;;,, J-:_l 0 r" ?t i i 4k3le? to me
perso na?1y?,?own, who being?ch-by me duly s?orn, eab?s did say that
theY e? respeetiyelyx the 11 i?
a"61- of the corporation named in the
foregoing instrument, --- - "-° `' -"'° b}:e ,a!er__=-_- __ ____ ___r_-a" _-, and that said instrument was
signed and ---on behalf of said corpora?y ion L?y authority of its
Board of Directors and said rrr s , <<
-erie'k- acknowledged said instrument to be the
free act and deed of the corporation.
?'?_ •?? .e?-r r.1s'-c.:MlJ^s?+4nMP?
L
" .. . .. . P. ?
Notary Pub?-ic '
APPROVED AS TO FORM:
?
puc.?v"?; 4 g'a?
Public Wo s Department
Dated: fFv? 6? I fo
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
,AoL
APPROVED AS TO CONTENT:
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWction Reauirements RemodeVRenair Reauiremenis Office Use Onlv
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calaha9ons (or healed additions _ Tree Pres Pmn Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
7setofEnergyCalculations Addifion-indicatei(on-sitesepticsystem _On-siteSeptic5ystem
3 copies of Trce Preservation Plan if lot platted after 711193
Rim Joist Detail Options selecGon sheet (bldgs with 3 or less unfts
Date ^ l ?/ 00
ConstrucNon Cost 131
Site Address CT UniUSte #
Description of Work ? ?• Ilt'Si pt?
Multi-Family Bldg _ Y i/N Fireplace(s) _ 0 2
Property Owner _7i_n kr_1 &5_?5G4 Telep6one #( 65 I) ys(/-,OB ?l
Contractor Roc)`Pi ng
Address City J40 Il h'ICLC;?Z
State Zip .5W?/ Telephone # ?763) SV/ -0 349/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiantype) Submitted Suhmitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
JAN 1 3 2003
I hereby apply for a Residential Building Permit and acknowledge that the inf `r'mat?? isomanplChe an accurate;
that the work will be in conformance with the ordinances and codes of the C o? ' te of MN
Statutes; I understand this is not a permit, but only an application for a permit, an?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 ofplans.
?
ApplicanYs Printed Name Applicant's Signature
S-11oS ? RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675
New ConsWCOon Reauirements
• 3 regislered sAe surveys showirg sq. fL of lol, sq, ft. of house; and all raofed areas
(20% maximum bt wverage allowed)
• 2 copies of pWn showirg heam & window s¢es; poured found design, etc.)
• lsetofEnertgyCalculations
• 3 mpies of Tree Preservation Plan'rf lot platted after 711193
• Rim Joist Defad Optioris selectlon sheet (bldgs wifh 3 or less units)
DATE l2.-10-0a-
SITE ADDRESS
TYPE OF WORI
APPUCANT
d,
RemodeURevair Reuuiramenb
• 2 copies of plan
• 1 set W Energy CalculaUora tor heated addiGOns
• 1 site survey for ezterior addilions S Eecks
• Indicate It home served by septic system for addifiois
1'`
VALUATION
?ULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Cc?.?rI-?-r? ?MA-?: CITY E-man STATEN,+/ ZIP
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNER TELEPHONE# Cp51-4?5?-5?-1?1I
,
COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL:SOTA RULLS 7670 CA'1'EGORY 1 MINNESOTA RliLES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: A_ Phone #
Plumbing system include Water SoFtener _ Iawn Sprinkler Fee: $90.00
Water HeaCer No. of R.I. Baths
No. of Ba[kis
Mechanical Contractor. NIy4 Phone #
Mechanical sys[em includes: ? Air Conditioning ree: _.$ZOAO- -,j
_ Hea[ Recovery Sys[cm
Sewer/Water Contractor. N I A Phone # ' -` 7?
1 L-
I hereby acknowledge that I have read ihis application, state that the information is correcVaad-0-Ye c?
with all applicable Stote of Minnesota Statutes and City of Eagan Ordir
,tm.r.es
Signature of
OFFICE USE ONLY
51
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dweiling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex X 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuIG
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
)'r- 33 Alteration ? 37 Oemolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire B ldg only) • Give PCA handout to applicant
Valuation L/ Occupancy _67= 3 - &;r 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 14J Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addirion) Plumbing
_ Foundarion Z( HVAC
_ Drain Tile T' Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
Y Insularion _ Retaining Wall
Approved By7- -z_
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
LL
V/ ?o
Building Inspector
?a??
7Gq33
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWction Reauirements
3 registered site wrveys shovring sq. ft. of lot, sq. fL M house; and all roofed areas
(20%maximum lot coverege allowed)
1 Soils Report iF proposed building is ro be placed on dlsturbed soiV
2 copies of plan showing beam 6 window sizes; poured foond design, etc.
1 setof Energy Calculations
3 copies ot Tree PreservaGon Plan if lot platted afier 711193
Rim Joist DeWil Opfions selecfion sheet (buildings vrith 3 or less units)
Minnegasco mechanicdl ven6la[ion fortn
I V, 3&
RemodeUReoair Reauiremenis Office Use Onlv
2 copies of plan showing footlngs, 6eams, jasts Cert of Survey Recd'; ,
Y_N
1setMEnergyCalculationsforheatedaddi6ons SoiSRepat? ' I
Tree PtCS Flan ReCG -Y-N
Y?N
a
1 site survcy fa additiom 6 decks
Additlon - indicafeifon-sAesepticsystem 7 reePrESRequi
' Y,=t?
m
On{SrteSepGcSYsle Y =N.
;
' & A
Date.*3_? Construction Cost ? ? O C
Site Address O ?'?.?l?"S Y _t+ IJnit/Ste €I
tion of Work
Descri 1:J C..C\?
p
Multi-Family Bldg _ Y?? N Fireplace(s) ? 0 2
-a, Telephone#(6;fl) t/53??
PropertyOwner
Con[ractor
Address ?z
N 9 0,? A w ? A o e--
Zip 5Z2 CiTy "e- 4--
Telephone #(? fJ.) 7?o U- tA ,
State
A y,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Su6miited Submitted
• Energy Envelope Calculations Submiited
In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a masTer plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber _
?
Mechanical Contractor
MAK 1 1 2 2007
Sewer/Water ContracYor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building 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 the State of NIN
Statutes; 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 wark which requires a review and
approval of plans.
'K, 0 ?LC--, 1 ) 4 l\ v-- S 27 c? "d ???1---r-?_
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation
?
07
05-plex
? 13 16-plex
?
20 Pool
Q 30 Accessory Bldg
A 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ak - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola ) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
? 35
Int Improvement ?
36
Demolish Interior ? 44
Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
x 33 Alteration O 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
I
? 34 ReplaCement 'Demolition (Entire 81dg)- Give PCA handout to applicant
DeSCrIDfIOn: WaterDamage_Yes
valuation y??'v?
Plan Review // 100% or _ 25%
Census Code ? L
SAC Units -^
# of Units -
# of Bidgs
Type of Const
MCES System
City Water ~
Booster Pump -
PRV
Fire Sprinklered `
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
_ Footings (new bidg)
Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Finai
? Framing
Fireplace _ R.I. _ Air Tesi _ Final
? Insulation
Approved By: _
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? Final/No C.O.
HVAC
Other
Pool Ftgs
_ Siding _ Stucco Lath
_ Windows
Retaining Wall
Building lnspector
Occupancy R _3
Zoning 11 /
Stories ~
Sq. Ft. "
Length
Width `
as Tests Final
Stone Lath Brick
%,Z-
? ? OOP
0? qoI: 00,
a?
oo- 0 0
b
_ r1???
tA
. ioP' glpc-IL E1_. 83fo. 3
L?f?=?rcMCwaT EL. 82Po,'L
t?l ?,4"4 ??? 4• w k?
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o?S?1o`TE? lP_o?l I?&OtAUMENT COUK1 -x
MINaESOTA
I hereby certify thatis °sur°vey"was`prep'a'red, me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the Laws of the State of Minnesota.
Date:_t1„/? aa?/:5/ b.-OW
LeRoy l . Bohlen
Registered Land Sur.veyor No. 10795