560 Country CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
f6121681-4675
?
INSPECTION REC4RD TControl No. 0449
:?'?AG.TIVATED FOR DFAC 06/11/93 PERMIT TYPE: f+" r1 u i M+'
TERRY EVER.SON 829-2714 Permit Number: woot, i 1
Date Issued: 66E 1H/9?
SITE ADDRESS: , c, 14
.i66 1' f111{y I F+Y t T
1
f (}IINI kY NM I 11i,1 ..'NU
PERNA'T ?,YtBTYPE:
?? ?i? ?; . ,• APPLICANT:
OEROLD RRl1Tf1ER5 f:.ONSfi
(612 }j 446•- 3111
p#
?
TYPE OF WORK:
NEW
iiFMAj?k''is S & W f,010T12A1:tOR -- I
. permn no. wrmh Hoiaer Dab TNephorro M
. S/vY
-PLUMBING £ ? 9?• ,j?yL•?$4/
HVAC -
ELECTRIC ?? ??•
ELECTRIC
Inapwtlon Dsb Irwp. Commarrts
Footings I
Foundetion ?792 4)Z
Framing 413 pZ. -&'09
Roofing
Rough Plb9.
i
PAX* ?#g- 3a .
ls,l. 7-- ta - D
FreplBce 71???ys l1s??w ?
FirW ft. --? ?
Orsat Test << (f
Finel Plbg-
! Plbg. InspWor - Notify Plumber
Caist. Meer
EngrJPlan
Bldg. Finai
Declt Fig. ? II g3
Deck Final ? 2 3
weli
Pr. Disp.
7
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
vv 4k?Z 851•681-4675
New Construction Reauirements
• 3 registered sile surveys showing sq. tL ot bt sq. ft af twuse; aru@JI roofed areas
(20% maximum bt coverage albwed)
• 2 copies of plan showing beam 8 windaw sizes; poured found design, ett.)
• 7selofEnergyCalalations
• 3 copies of Tree Preservafion PWn H bt plaCed atter 711193
• Rim Joal DetaY Optrons seleCtion sheet (bWgs wNh 3 a less units)
r s04;
? ]0, o
RemodeUfleoairReauirements (?
. 2 coPies o( plan
li 7r,(Q (
. 1 set o1 Energy Calalations for heated additions
. 1 site wney for e:teAOr additpns & decks ?
. Indicate fl home served 6y sepdc syslem for addiGons
DATE ?I Z2IO ( VALUXION
JOB SITE ADDRESS 5ZO
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER? Fv?wS??
TYPE OF WORK Qer.IL FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?FYtr?M ?v?w? PHONE# l??? C 87t-?7 Y/
ADDRE55
_ ZIP CODE
PAGER # CELL PHONE # 63-/' ' `fZYC FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULFS 7670 CAT'EGORY 1
(check one) - Residential Ventilation Category 1 Worksheet ?l
- Energy Envelope Calculations Submitted rMINNFSOTA RULES 7672 Plumbing Contractor:
Plumbing System Includes: _ Water Softener Lawn
_ Water Heater No. of R.I. Bath
No. o
Mechanical Contractor:
Mechanical System Includes:
5ewer/Water Conhaetor.
Phone #
Fee: $70.00
All above iMormaBon must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat ihe information is correct, and agree to comply
with all appiicabe State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Appllcant
'i
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ . . ; Updated 1/01
_ Air Conditioning
_ Heat Recovery System
New Energy Code Worksheet Submitted uu
Phone 1k: By-
_ Sprinkler Fee:
_ s
f Baths
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
b 02 SF Dwelling O 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex 01,18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex O 11 10.plex O 19 Lower Level ? 24 Storm Damage
O 06 04-plex 0 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous
?r 31 New
[ O 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
O 32 Addition O 36 , Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
? 34 Replacement *Demolitton (Endre Bldg onfy) - Give PCA handout to applicant
a
Valuation 12?0 A 4 Occupancy MC/ES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nhr. of Units _L Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
Y/ Footings (deck) ? Fina]/No C.O.
? Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Frazning _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insularion _ Windows (new/replacement)
Approved By k,01 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit 8 Surcharge
TreaVnent Plant
Plumbing Permit
Mechanical Pertnit
License Search
Copies
' ' Other
Total
?
., ?
CITY OF EAGAN
•?X-s-3830aPilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERAIIIT TYPE:
Permit Number:
Date Issued:
560 COUNTRY CT
LOT: 14 BLOCKs 2
COUNTRY HOLIOW 2ND
Control No. 0449
BUILDIN6
000531
05/18/92
DESCRIPTION:
Building Permit Type
Building Work Type
UBC Occupan'ey
Construction 7ype
2oning
Building length
Building Width
SF OW6
NEW
R-3 M-1
V-N
R-1
50
48
, ... . ? . , . _. . ,.. ..
REMARKS: ?, c:)ISi-{ 4
S & W CONTRACTOR -
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Subtotal
VALUATION
$762.00
$495.30
$67.50
$700.e0
100
1
$2,024.80
;135,000
MISCELLANEOUS $1.610.50
Total Fee $3,635.30
CONTRACTOR: - applicant - 5T. LI pyyNER:
GEROLD BROTHERS CONST 14463171 000111 6EROlD BROS CON3T
1704 280TH ST W 1704 260TH ST W
NEW PRAGUE MN 66871 NEW PRAGUE MN 56071
(612) 446-3171 (612)445-3171
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comp2y with ell applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
AP LIGANT/PERMITEESIGNATURE
I
y1?? ?.?x?? Lrr,??
I ED Y: IGNATUREZ
?
?'41? ? • ?? "' . .
f
J
titp of Cagan
lorparhue?t of lguitdito iwrrtimi
This CertlJkare issued pursuant to 1he reqrurements oJSecNon 306 of rhe Uneform Bntlding
Code cerrifytng rhat atlhe time ofissuance this suucrure kns In complraxce with rhe vnrious
ordinancee ojehe Qity re8ulo6rt8 building rnmtructfon or use For !he fo!lowing.?
uxo.nffin„_ SF I7wG1G1R BW& ,andt N& 531
O-wa.r'na R3/MI ZDWq DWea RI 7he C=, VN
o- ,r&&dm GaM F676 026T Add. I 70. 29Trt7 sT,w, hEW Prt4.tP
ewmmeeaRn 560-Ca 7PiRY C_ L 14. S2. OUTNIItY A0I0OW ?tID
4. ciMmo
l)
POST IN A CONSPI4yJOU5 PLACE
Address: 560 COUNTRY COIIRT Lot ]q Blk z Sec/Sub CpUNTgy gprjM zNp
These`items were/were not complete at the time of the final inspection.
Date: 8 12 92 Yes No . G(? Tnsp
Final grade (6" from siding) ?
Permanent steps - garage V_
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please verlfy vith the builder the removal of roo£ test caps from the plumhing
system and the shut-off of watar supply to the outside lavn faucet befora
£reeze potential exists. ?j
?ECwi oE nxe
White - City copy Yellow - Resident copy Pink.- Contractor copy
n?
ii .
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v ?1 I?
! , ( i }
I
PERMIT #
A3 1
GITY OF EAGAN -
1992 BUILDING PERMIT APPLICATION
681-4675 ?AY o b
RFa,,
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
specif9cations, 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.
Date s Lq2 Valuation of work d0 a
.
Site Address: s6c'?
. ' STREET STE #
Tenant Name:.(commercial only)
LoT t? eLaK ? Fsueo.
?wa
Descri tion of work:
The applicant is: ? Owner 0 Contractor ? Other (Desoribe)
Name Sa Ne_ ZZ, Phone
Property LAST f 5T
Owner
qddress
STREET STE M .
City State ZiP
Company ?.ero?r? ? ra? ??sz? • Phone
Contractor Address 00 qr License NQc?fl14s Exp.
?
City 5tate Zip S667
Company Phone
Architect/
Engineer Name, Registration #
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with a11 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
i
f
? ?
gnature o
S
Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? O1 Foundation ? 05 Apt. Bldg 009 Basement Fin ish ? 13 Comm/Ind New
Eg 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool 0 14 Comm/Ind Add
O 03 Two family ? 07 Fireplace ? 11 Res. Add. O 15 CommJInd Rem
? 04 Multi-fam. T.H. ? 08 Deck ?]2 Res. Porch ? 16 Public Fac.
. ? 17 Agricultural
woRK rrPE
? 31 New ? 33 Alteratlons ? 35 Move
? 32 Addition ? 34 Tenant Finish O 36 Demolish
GENERAL INFORMATION
tonst. (Actual) " V-?+?1 Basement sq. ft. MWCC System YE5
(A1Towable) -?- N lst fl. sq. ft. City Water Es
UBC Occupancy -R 3 M-1 2nd F1. sq. ft. PRY Required
Zoning R-l Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. ' Fire Sprink ler
Lenqth ?aoT On-site we11 Census Code !o!
Depth y8? On-site sewage SAC Code epL,
APPROVALS
Plannin9 Building Y." S> L)S Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site 0 footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road.Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
&Z.0o
S+?
0
1oa,oa
Da,ao
675. a
9t.5, o a
i5oa
. na
. .s0
?Soo. e a
38e). ao
?
Yatuetian: f 13S j 000
6A2LA0E '. z4 x zz .: 528?c I 6? S,y y?
B5?iT,' 4-q XZ6= lZU9 X 15= 1S?P72°
sac % 100
SAC Units 1
2Li?c = 6 2?l x 53 z.
lD X6, = G?X(Zo) _
mattq Le,(.,-eAs
33a72?
_3,05 30 g6 y'?- ?l *72
I ya?l xS? ? ?s---??
1 3`1.?
PIL
MRY 12 142 89:35 TO 612 681 4612 FfAM PIdOHE ENGIrFERRING T-ERB P.02
WMfUI?p?O ?N91q!!RS ???
?O•et. plRipNllt aod IBND 3tl9Y4YONS ?5042•??
?NG{NEERING M. ??E
?'. rPd.4Z
COMPRNY, INC.
lppp 0{T N6M ITR[CT, BURNSYILLE, MINMpqTA OOA7 PM ?b2-9000
CERTIFICATE QF _SURVEY
Legal Descriptio'n. •n-r .w s.nnv ro? ywotrl ?rECONO ?00/YIL+I/,
?- 174t'o7.4 KMVZ2; MI.VN6407A. .
(g'?3;o=) DENOTES EXI&SiNG ELEVA7'ION •
(8m.7 ) DENOTES PRdPOSED ELEYATION
?.--- MDICATES DIRECTION OF SURFACE DRAINALiE
e33.00 = FlNISHED QARAOE FLOOR ELEVATION •
' ?25?E9 n BASEMENT FLOOR ELEYATION
83400 = TOP OF FOUNDATION ELEVATION
aciue : r . ?v +
^ ? \
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yA
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4p P
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,7
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. -16 / -
N,9 \
?o•?l?V?'EE7
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DATE - , _
i -?
? Q •
COUNTR Y
CDURT
s
-3? FY. SPaVT B?itDln/6
sEraocx u,ve
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p,PA/NACE AA/P
arrurr e.4s,%w6vr
U?
gA?'aAN
RZN?'T DEP!'
I h6leby ceiCi£y that thie Se a trua and correat rapreAentation of a traot o1
lan6 ac ohoan attd deaaribed hareo.n. As prapared by me thie R724_ dny m
'4AdY . 19-2j-.
W,$vS-Ii42 j R40O /MB tia F'Y vcR ? Minn. Reg. No.
arY av eM?av R44vEa - navso xSS. 3.0 FL ? f LOAS
Y
. ., `i. .. '.1?9
txrLAroA cKVEiaPF nftruct 'w' tonturnrIota
ri?1ERc ? ? , , > :
to-E f 4 LI?i. z
:ITE ADDRESS:' ?ao ' "`.? ,:' t-?oU-?--- °=--='?.d•
DATE: .S 2 FNONE: 9q5 -3 17 1
:ONTRACTOR:
. DETEIWINE MORKINP. SQUARE f04TAGE OF EACH:
t, TOTAL EXPOSED NALL AREA,,,,,,,, c? aq ft x"U" • I °?
2. TOTl1l ROOf/CEIliN6 AItEA........ sq Pt x"U"
1. TOTAL ExPOSEd K11LC AREA CAtCUtATIONS:
Total exposed well
•rea above Iloor,,,,,,,, sq ft
t
a) Total ?+all xlndaa area:
, 9lazed...... ?D . Jr sq fe xloul,
glaled...... eq ft x"U"
b) Total door area ......... 3 d.?{ sq ft x"U" ?? • S
c) Total tlldinp glass door area:
Q
J
a
2
C.1
V? L qiazod...... sq ft x "U" J
J
q t x ° GC
3
k
?.
6
}
?
t
4
d) Total fireplaee Malt area ""-- sq ft x"U"
a) Total wali framing area
(Averaga 10f,)
....
sq
ft
x ulJu
r/D&
'°
l?• _ N
...
.... ?
f) Total net wal) area above
f1oor (insulated)....... aC)3. ( sq ft x"U" • Dy? •?3.5
q) Total rlm Jotst aree..... sq ft x"U" , • tl?{3 ?? ?
Total foundatlon ?
area (Exposed).......... oZ 6 ? sq Ft A) Total foundstlon
winda+ area ............. sq ft x"U°
1) Total net fou9detlon ? / p y
area abeve rsde........ aq ft x "U" , • _ ? ?
u () ? 3T
T4TAL a) thr
If ttem 03 (s the same as, or tess tAan Itam N1, yau have mec the Intsnt of
2 MCAR 1.16008 A aud 0.
Page 1 ? .
1
?
I /n/. /c'S
04
Request O te Fire No. ou h-in Inspection
+^ ? Fe ired?
?n s C No
???
? Peatly Nav Win Not?N ?ispecmr
When Featly?
ensed contractor ? owner hereby request inspection ot above electrical work at
Jo0 Adtlress (Slreet Box or Route No.I
NA-Ti Ciry
SS l23
- w
Secllon No. 7-1 Name or No. Range No. C.
O (I
"
ccupem (Pq?NTI /' r '
(7'Z(1-A1'1???.o L'? `--?
f r Phane No.
Pawer Supplier Adtlre
Elethical
onha tor COmpany Name)
ConVacmr§ Llcense No.
Matling qpdi 1 onVactoe or Owner king Insteliafion) C
AuUqrizep rgn mre IGOnnectoriOw Making Installalion) Ph
o
ne Number
.......___- - /
?
?y ?
-. ./ ?-? 7-G'k]
c eowMU oF IECTPICITY \? \
Grigye-Mitlway 91tlg. - Raom 473
1821 University Ave., 51. Paul, MN 5511
-Phone (612) 662-0800
THIS WSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
IINLE55 PROPER INSPECTIpN FEE IS
ervcioseo.
REDUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe ?
lit,
J?? O?? ? ? See ngtmetons lor complebng this lorm on back of yellow copy, ?
.?MaZ.. %? OCP/ ?
. "X" Relnw IA/nr4 k., rw:_ n \?" 3
e Adtl Rep TypeofBuiltling q
pplianceSWiretl V ?
EquipmentWired
Home Range Temporary Service
Duplex
A
t
B
il Water Heater Electric Hea[ing
p
.
u
ding pryer Other (Specify)
Comm./lndushial Fumace
Farm Air Conditioner
Olhar(spectry) ConhaUor§ qemarks:
Compute lnspection Fee Belaw:
# . Other
Swimming Pool Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Transformers 0 to 200 Amps
0 to 100 Amps ,
Signs Above 200 _ Amps
I 00 Amps
\
Irrigation Booms nspectmS Use only: OTAL
? ? OV
Special Inspeclion
Alarm/Communication THIS INSTALLATION M
Other Fee AV BE ORD ERED DISCONNECTED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify
that the above in
ti
h Ro?yn-;o
x
pata? '"^`II
?
,
spec
on
as
been lp?ade. Final ce
.,y
OPFICE USE DNp
This repuest voitl 18 monihs Irom
-J
y/ TAL E%POSEO ROOF/CEILIN6 CALCULATIONS:
a?• =' ;
Total exposee j yv?l;q rt
rqof/cellinq ?rea........
,
sq /t u l.Uto
. • ,
j) Tota) skyltoht area.......
k) Total roof/ceilin4 /rwing ?, Z sq ft x"U" • 02 1 ? ai? ':
aroa (Ave?aoe IOxI......
_1) Totsl net insulsted • I?,61 g sq ft x'41'
• O ?$ ?°?
roof/cetlin9 arca.......
mtAl J) tnn, 1 . S.
f totai of 04 Is the sam as, or less than 02. rau have met the ?ntent ?
; ?ICAR 1.16008 A acd 0.
I ALTEPNATE BUILDING ENVELOPE DESIGN
greatere than the sum of items , ll handb#2t? sww
tems I3 =+?d t l4 8 shall e note be system
of i
1. + 2. '
j. + 4. '
CERTIFICATION
I hereby certlfy that 1 have ea9sutated the "U" factors and "R"
values herefn and that the bulldlnq here.descrlbed meets or exeeeds the State
of Miqnesota Enervy Conservatlan Aet•
2Wqna-ture
?117/91
(Oste) page 2
,.
7 :aLCC CAICIlLA7i0N5
yALuE u vatuE
t
`f
r
Insidr air film .68
WA1,1, lnterlor reil •45 (pall) L' . ? . f
SECTION !nau;att..n
y?
° °
.
.?2
Sheachinq
Stding
Y
uuu tde att film .17 ? •
R T07AL Z(? S 3
.;r
2 Instde atr film .£8 -
q s•n,?p Inttr:oc atl l, • 45 ' ?
? SLCT20N 4•, atud R= -tr.-9a (Framtng)U. ?. !
4
:4Z
SheatGing
?
? Sidfng •LI
? Ouufde air illm .17
09 ,; : oreL 9. 'f
2
? Instae air film R• .68 ?
2lID VALL Intrr?or vall
1 ?
• ?
SECTi%
Intulacton
(Wi11 Z: ?
•
?
i
q Sheathing ?
3 Extetloc vall coveting ?
E:tertor air ftlm F ..ii ?
? A tOTAL
'i
N
I11[tlIDT •iT fllm' Ri .63
/
Iaselattoa S
JOISi. 1} lr.eR soit yuud R=1.88 (Rim U*?[
,loist)
'
.
? .
I SAeatAtng r(OZ
? . oy 3 ,
Exterior W.II LoVetin8 , vl
•-:F
Exterior •ir film iP .17. `
I
• R TOTAL 72 • 9&
?
i Interlor a:: i:ln R` .6e
s
? I .. jD6UI3.IOR 7 1
1 ? Foundatton 1.2% (Fdn.) 0 ? ? • j:
i -- Exterlor .i: film R• .17
;i
ST
I i ?
` f lOTAL 9•Io 3 •j,
p
---- --?±_? '-fxposed Sluck 7
- _ _ . ? • P?'? E 3
?
LElLItG, MZ7N VEN_TED ATilt SPACE A90YE
fRAMI11G LEIIYNG
0.61 Air Film
4
40
?, 3S
I S(P
O.EI
Nb ,ra
/ OZ(
.
AnNY
Insulation
Jotat #.
teiNng , S(o
Air Film 0.61
Total R
u.A
FLAi ROOF OR CaTNEDRAI CEILIrIG
a ue R YAIUE
fRAlIII?'i CEILIHG
y- 0.61 Inslde air film 0.61
?.-?--= tetl ing
I --?- ' Jot:t (sw
'-- Insutation
ece
:
Ai
r
p
• - - Roaf decking
' insutatton
Bu11t-up root
0,17 Outside N r titm 0.11
7oLe1 R
IF a U
tisdential 1indow tnflltreticn .5 t1mi11rea1 foot of tratk nirestdanti ?alof door lnfiltratiOn n 11.0 fcfaVline ?al .`oot?of ??Ctiniaur. tode requlnment
b ..
)p 12' toncrete Otock no lnsuletton =.47 R 2.1 .
ip 12" concrete biock insulated cores `_32 R 3.1
1b lY ti5ht?+eight b]otk ' .
!p tY" ltyht«eiqht block tnsulated cores =..12 A 8.3 . •
J single 91ass s 1553. with stor?+;window _.54 •
1 double 91ass s 41
1 trSple glass .
A11 extertor walls snd tellings a,ust Aave a vapor barrier (C.10 penn r:sx.). ;
:apor Oarrier must be on the inside (heated si0e) of wa'1. .
ie0or.barrlers of the polyethelene tM n film have no • vatue. ?
. k
. • j
pqCo E 4
;
j
6UIDELtNE TO (R) fACTORS FROM ASNRAE qANUAt
Of TYV1CALlr USED PRODlCTS
!R FILMS ?
SHEATHING
.(R)
lnterlor A1r Film Malls) 0.68
Exterlor A1r Film Malls) 0.17
Interior Atr Film
1 Vented Ceiling) 0.61
Extertor A1r F11a Yented Ceiling) 0.61
Interior A1r Film Noo VenLed 0.61
Exterior Atr Film 1Non Yented; 0.17
BLONING MOOLS
Approx. 3° 9.00
Approx. 4 1/2" 13.00
ApProx. 6 114" 19.00
ApProx. 7 114" 24.00
Approx. T4" 30.00
APProx. 18" 40.00
All other insulatlon matertals must
be verified (R Factor)
INSULATION
3/4" Mood Subfloor or SheatMng
112" Plywood Sheaihing
1/2" Pertlcle Board
Oypsum or Piaster Board 3/8"
6ypsum or Plaster Board 112"
6ypsun or Piaster Board 5j8"
Plywood 3/8"
Piywood 1/2"
P1yMOOd 314"
SAeathing. Reg. Denslty 1/2"
Sheathing. Reg. Denslty 25/32"
Na11-Base Sheathing 1/2"
ROOFS
Built-up.Roofs
Asbestos-Cement Shtngies
Asphalt Roll Roofing
Asphalt Shingles
0.94
0.62
0:66
0.32
0.45
0.56 .
0.47
0.62'
0.93
1:32
2.06
1.14
0.33
0.21
0.13
0.44
Insulation: 2-2 3/4" Fiberglass 7,00 SIDIMG
' Insulation: 3 1/2" Fibergiass 11.00 pluminum Siding 0.61
Insulation: 6" Fiberglass 19.00 Alwnlnum witM Backer 1,82
Insulation: 3 5/8" ftberglass 13.00 p)wninwn Mith Backer & foiled 2.96
insulatton: 9" flberglass 30.00 112 x 8 Lap Siding (Mood) 0.81
Insulation: 12" flberglass
" 38.00 7/16 x 12 Hardboard Siding 0.67
Insulation: 8
Cellulose 29•00 Asbestos 5ldings 1/4 lapped 0.21
Insulation: 10" Lellulose 37•00 Stucco (Brorm and Finish Coat) -
lnsulation: 12" Cellulose 44.00
Insulation: 1 1/2" Thera?ex 12,00
_Insulation: 2" Thermax 16,00 pppRg LUI '
?S 1 3/4° Solid Core Door .46
? w/Storm. Mood .31
Fir. Pine 6 Similar Soft Moods w/Storm. Metal .26
1 1/20 1,89 Pease Steel Door Insl/N/GL 7.45R .13
Z 1/2 " 3,12 Slidtng 61ass Door. Moal .65
3 1/2" 4,35 Meta1 •72
5 1/2" 6.87
CONCRET
E BLOCK iIINDQHS
?
8" Concrete Block (S 8 6 Reg.) 1,11 A» Nindows
(Pilted rith Yeraicullte) 1,93 (w/Storms 1" to 4" Space) .56
12" Concrete Bixk (S i 6 Reg.)
. 1,28 Removal Double 6lazing (RDG) .55
.
'(Filled rith Yenn1cu11te) 3.15 Theraa or Melded 3/16" Air Space .69
8" L1ght Meight 2,18 1/4" Air Space .65
(F111ed v?1th Vermlculite) 5.03 1/2" Air Space :58
12" Light Meight 2.48 (Other windows spectfically tested
(F111ed wlth Vermiculite) §,gp can use EEtter ratings)
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r•r._. . . .. .. ..?. . .. . . . . -
CITY OF EAGAN
? B? _ ?d MECHANICAL PIIiMIT RECEIPT # C_ C? I (4)
(612) 681-4675 DATE La
RESIDENTIAL
PLEA.SE COMPLETE UPPER pORTION ONLY FOR SINGLE FAMII Y DWELLING3. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WfiEN SEPARATE PERMITg A1tE gEQUIggD FOR EACH DR'ELLING UNIT.
OWNER: ?? G P SOIf? FEES
SITE ADDRESS: ,?6/ O COClAJI ?°?? 67
/o CO STRUCTION ONLI) STING $ 15.00
INSTALLER: Pa f2?r' O/US ?/7 f HVAC: 0-100 M BTU
X
24.00
raoNE #: .? 6?- nnnrizoxAL so M$TU 6.00
ADDRESS: GAS OUTLEl'S . bIINIMUM 1@ $3 EA. .? DO
.-?
CTl'P: / 6 y? e
ZIP: S6Q(o
SURCHARGE:
$ .50
SIGNATURE: TOTAL: $ .:27, -s"o
COMMERCLAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMI'TS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
R'ORK DESCRIPI'ION: CONTRACT PRICE FEES
1% OF CONTRACT FEE.
STATE SURCIIARGE IS $.50 FOR EACH
$1,000 OF PERMIT FE& $
PROCFSSED PIPING - $25.00
$
MINIMUM FEE • $25.00
OWNER: TOTAL: $
SI1'E ADDRFSS:
TENANT:
SUITE #:
INSTAI,LER:
ADDRESS:
CTI'Y: ZIP:
PHONE CITY SIGNATURE:
SIGNATURE:
L?, a_ _,py CITY OF EAGAN
? yc1 PLUMBING PERMIT
SUBD. ? (612) 681-4675
R88ID8NTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR
OWNER NAME: T?°f??4 .? t?L° RSOitJ
SITE ADDRESS: ?(v O G ?Ui4/ /R1/ C!
i
INSTALLER: J?a RSrJi(l? /"/? '.1- ?
ADDRESS:
^?
CITY: / K ZIP: g
PHONE
OF PERMITTEE
CITY USE ONLY
RECEIPT # 0-- (-N c? 1 (-0
DATE G.'
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00
? WATER CIASET 3.00 . 00
? BATH TUB 3.00 ,3,O0
? IAVATORY 3.00 9,40
KITCHEN SINK 3.00 3.00
? LAUNDRY TRAY 3.00 a . OD
? HOT TUB/SPA 3.00 9.06
? WATER HEATER 3.00 3,00
FLOOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 2 00
?Q ROUGH OPENINGS 1.50 4.DD
_ OTHER
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTALI S ..S-7o
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BiIILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
WNTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE #: $25.00 MINIMiTM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE #:
FOR: (SI6NATURE)
CITY OF EAGAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirv oF eacAw
3830 PILOT KNOB RD • 55122
651-681-4875
L rl
New Conshuclion Reaulremenh Ramodel/Renadr R rertlenla
D 3 repisfered qte wrveya atwwinp sq. IL of bt, W. R. of houte 2 Copiea W DIM
antl,go rooted areas (20% rtwxlmum bf covaraae a9lowetll 1 set of eneryy ealCu6aHOns for heaiad atldflons
D 2 coplaa of plafs Www beam R wlnrbw qzes; Pa+red hxL daslyrc elc.) 1 sBe wrveY for exFSAOr adtflHOnf 3 daeks
D 1 tet of enerpy cdeWalions
D J Coplet of hae praservallan plan N bt pWetl aMer 7/1/93
DAlE: 4-3I00 CONSTRUCTION C05f: 13 Go'? ?
DESCRIPTION OF WORK: 3 rd 5441( d4x.aG.c 4I7D/Tto-j.02ivEwAY 4t@Egl4
SfREET ADDRESS:
LOT: , q
ln0 Co? a?y 60-- w+
BLOCK: Z SUBD./P.I.D. M:
Name: ErE?cso? ?'Exu Phone??) (osl-4 8v-?741
rROPErm Lan F'ls' ?W, Gs?-3a;- ?r2vr
OWNER
Str6etAddress: S(oo C06AhT??
CNy E"44i State: M ^f Lp: 5'S123
Company: (???wE'K Phone #:
(area code)
COMRACTOR
Sheef Address: Llcense # Exp.
CNy
_ NO
State:
ARCHfiECT/
ENGINEER Compony: Name: O•f/E E?EKS:.l
Telephone Y: t (or2 ) `/32-- 4o5Zg
meet
city
Reglshation i:
State:
Sewer/water Iicensed plumber (if iristallina sawerhvater): /1l. A- Phone #:
Zlp:
Zip:
I herebr aeknowledqe ihat I have read lhis aPPlicalbn, date thaf Ihe infomwfion is cortect, and agrae to canPly wNh ao appBcable Siate
of Minnesota Stalutes and Cily o} Eapan Ordinances.
Signalure of Appf{canY ,,?
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
APR g
No _ Not Required ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundatlon ? 07 05-plex
? 02 5F DwelGng O 08 06-plex
? 03 01 of _ plex O 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex 0 11 10-plex
? OB 04-plex ? 12 12-plex
WQRK TYPE
? 31 New
0 32 Addition
O 33 AlteraUon
? 34 Repair
? 13 1&plex
?17 Garage
? 18 Deck
? 19 Lower Level
Plbg Yor_N
? 20 Pool
0 21 Porcn (3-sea.)
? 22 Porch/Addn. (4-sea.)
p 23 Porch(screened)
p 24 Storm Damage
O 25 Miscellaneous
O 30 Accessory Bklg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)" [3 44 Siding
? 38 Demolish (Interior) O 45 Fire Repair
? 42 Demolish (Foundation) 0 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code Of
No. of Units 0
No. of Buildings
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length.
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Building
1 ? .? .
Engineering
Val
I
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext Alt - Muld
? 33 Fxt. Alt - SF
? 36 Mutti
H3T
**???***************?*?..****++******?*
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 947
DATE: 04/07/00 TIME: 12:47:07
ID:
? NAME: TERRENCE OR SANDRA EVERSON
3210 9001 560 COUNTRY CT 153.25
2155 9001 560 COUNTRY CT 4.00
i
I !
Total Receipt Amount:
CR125684
i USER ID: SAN
157.25
?
?
F.ERCTIVA
PcRF1I7 #
?
cinr oF EAGaN
1993 BUILDING PERMIT
681-4675
?
?f I,ti.?;! f-.+,, ,. _ -----
APPLI ?IVED
JUN 0 7 }993
SIN6LE 8 MUL - AMILY 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: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 6 / / Yaluation of work
Site Address: E?46,A? -5123
. S7REET 2fP 'ShYP['4-
Tenant Name: (commercial only)
IAT /Y BLOCK a SUBD.60t.n?-y An//a? aZ P.I.D. M
Descri tion of work: Der.l< - ? ?w+ ?iNsM?+w " 8 P2 5z
The appl i cant i s: OK Owner 0 Contractor ? Other (oes«ibe)
Name EvHRSo?j '-7-2Frtvtv Phoncp)6k6"67vJ
Property L.ST FtRST Cw? 82G -?,??
Owner Address ?7
(oa L•9..v6j 64.
STREET STE /
City &"-4rj State Zip SS123
Company SA*-Ac Phone
Co ntra ctor Address License # Exp.
City State Zip
Company SPhone
Architect/
Engineer Name Registration M
Address
City 5tate Zip
Sewer & water licensed plumber ' . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with pplicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
954870
v
COIINTRY HOLLOW SBCOND ADDITION
PREBBIIRE REDIICINf3 VALVE 11GR88MBNT
This agreement, made and entered into the ,??-S? day
of 1990, by and between the CITY OF EAGAN, a
/
municipa/,ity of the State of Minnesota, (hereinafter called the
City), and the Owner and Developer identified herein.
:he terss "Developer" and "Owner" as used herein refer to:
PROGRESS LAND COMPANY, ZNC. whose address is 14300 Nicollet Court,
5uite 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
t
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:
i. 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 fmplement the
recordinq of this agreement.
?
2. otice. 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 1-50, 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 prevent the damage due to hiqh 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. Binding AQreement. 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 WHEREOF, we have hereunto set our hands.
CITY OF A ' OWNER AND DE'JEIAPi.R:
(Date: PROGRESS LAND COMPANY, INC.
6?v
T mas A. By: u 6v% J S? 1-S:
r Its: Mayor Its: Ppc-1i t"EN r
Attest: W. J. VanOverbeke Bv:
Its: erk Its
.
STATE OF MINNESOTA
COUNTY OF DAKOTA
ss.
On this o2I -s% day of
Public within and for said
and E. J. VanOVERBEKE to
duly sworn, each did say
Clerk of the City of Eaga
instrument, and that the s
by authority of its C
acknowledged said instrume
municipality.
¢ •N?.'Nn•Jtn?tI?NI1??lfd:N
Z ?.. . : L K:
, E?
, „ ....... .,,?
STATE OF MINNESOTA )
) ss.
COUNTY OF !1? ? •-?; )
1990, before me a Notary
Count personally appeared THOMAS A. EGAN
me peisonally known, who being each by me
that they are respectively the Mayor and
n, the municipality named in the foreqoing
eal affixed on behalf of said municipality
ity Council ar.3' said Mayor and Clerk
nt to be the free act and deed of said
Z1C
?-
.' ?
??
On this day of St , 1990, before me a Notary
Public within and fo'r said County, personally
appeared s..+, ;;•; y:?Yi!` ?, 8"el- to me
person a?1? own, who being-aach.by me duly skiorn, eacA did say that
the, e? resgeetivel? the F- L?a d? i i i
?- of the corporation named in the
foregoing instrument, -- +-- -1_ , _ff:_._l t_ ___d :__b?.____•
, and that said instrument was
signed errd •_! 1_d on behalf of said corpor?j ion, knr authority of its
Board of Directors and said T"rr 5?d C?zf
'e"d- acknowledged said instrument to be the
free act and deed of the corporation.
?
. _ ? 0 i /1(49- b: iL'! )Ct.?rl
Notary PubVic
APPROVED AS TO FORM:
!
Public Wo s Department
Dated: ??y yv
THIS ZNSTRUMENT 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
oloL -SWI1F?
APPROVED AS TO CONTENT:
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137428
Date Issued:07/05/2016
Permit Category:ePermit
Site Address: 560 Country Ct
Lot:14 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-140
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.
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 -
Terrence P Everson
560 Country Ct
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169441
Date Issued:05/26/2021
Permit Category:ePermit
Site Address: 560 Country Ct
Lot:14 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. 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 -
James & Aundria Riggen
560 Country Ct
Eagan MN 55123
Zins Company Inc
2928 Marcia Lane
Shakopee MN 55379
(612) 743-1895
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174017
Date Issued:12/20/2021
Permit Category:ePermit
Site Address: 560 Country Ct
Lot:14 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Hristo Yankov
560 Country Ct
Eagan MN 55123
(651) 228-9200
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature