564 Country Ct: 'CITY OF EAGAN r ? y 19736
' • -3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 454-6100
BUILDING PERMIV" Receipt # ? -
Site Address 564
Lot 15- Block 2_
Parcel No.
W Name SRI111[ 1'Hmdi Ham InC
? Address 4"6 iIEDGfi00D DEl
? City EAGAN Phone 454-0644
,o Name s?
z ?-
00 Q Address
? Clty Phone
Name
Address _
Phone
I hereby acknowlege that I have read this application and state that the
information is correct andaQWe to comply with all appiicable State of
Minnesota Statutes and Gfty;e( Eagan Ord ances.
Signature of Perrnitee - `_ ?? ?.'!.' `?-
A Building Permit is issued to: SRIAX Tli0RS0li E1MS
on the express condition that all work shall be done in accordance with all
applicableState of Minnesota StatWes and City ot Eagan Ordinances.
Building Ofticial ' .
OFFICE USE ONLY
Occupancy ?3 261 FEES
Zoning 1C;
(Actual) Const V-N Bldg. Permit 5201M
(Allowable) -!N
Y ?
- ? so
Surcharge
# ot Stories
Lenglh ? Plan Review 3?4.00
DePth ? SAC, City 100t00
S.F. Total - SAC, MCWCC 650•00
S.F. Footprinis -
On Site Sewage _ Water Conn 60•oo
On Site Well - Water Meter 95.00
MWCC System ?
o
3
Gty water Acct' DeposA
o•o
PRV Required ? S/W Permil 30•00
Booster Pump - S/W Surcharge • 50
Treatment PI 276*00
APPRaVALS Road Unil 370000
Planner
nGiI
CA - park Ded.
U
Bidg. QH. ?
_
Capies
Variance - TOTAL 3t230•00
. Permit No. Permit HoWer Date TeNphone #
WATER Ip?J`o7 /O ?
SEHIER
PLUMBING
H.V.A.C.
ELECTRIC
Inapection Date In p. Comments
FooungS I
Foundation
Framing
Rooling
Rough Plbg- ! - `
Rough Htg. ?112 A9
lsul. 11113191
Fireplace 1117It/
Final Htg.
Orsta? Test 12
- ?-
?
'
Final Plbg. - Plbg. Inspeccor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
?
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
,? ? ? i?,t ? „i_? .NC?
I PERMIT SUBTYPE:
4 1:", : iil IJi ! 1 N1';H
TYPE OF WORK:
INSPECTION DA • ••
I?Ili,f? I I1 1'1 I?i? l l?nl
I i .'1 r;1{F
f I'AI<Ali 1'1 I:141 I'. Al:f hl i)I1 1 1r1 ti i ii1; 11M? 1,1 1IIT1I+IMi, 9?11. t! I.t.lfrl+ AI l.1Ullt
I? 1
N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1iir I t it i ril;
? H.?d??.?.
l0/:31 /94
APPLICANT:
?
?
??
Permit No. PermH Holder Dete Telephone #
SNV
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inspectlon Date Insp. Commenta
Footings I
Foundatfon
Framing V,'Ay v
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace I?
Fnal Htg.
Orsat Test
Final Plbg.
7
!1?
{
JI?J
Plbg. Inspector - Notity Plumber
Const. Meter
Ertgr./Plan
etdg. Final
r- ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
' CIT1F OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
...) I iilliJ I 1; lI ?
?if11•i 1 ?. ? I1??1 E I?tJ ,'??1
PERMIT SUBTYPE:
. ? ?
INSPECTION RECQRD
PERMIT TYPE:
Permit Number.
Date Issued:
APPLICANT:
t;+t.1li4Et:l tJ t:l: 11 , 1,1 1-1111-1 1 1141,
1 ? I . 1 .'. 81.110
TYPE OF WORK:
l10 1 lNt1', 1 1 I: I 11io
Pertnit No. Permft Notder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectbn aste tnsp. Comments
Footings I
Foundetion
Framfng
Roofing
Rough Plbg.
Rough Htg. I
Isul.
Fireplace I
Fnal Htg.
Orsat Test I
Fnal Plbg. Plbg. Inspector - NoYrfy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I IE!!11 ? i
PERMIT SUBTYPE: TYPE OF 1NORK:
. ., , .
INSPECTION .• • ,.
F
?
L
Permit Hotder Date Telephone N
PLUMBING
HVAC
Inspection Qate Insp. Commants
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
OECK FTG
OECK FINAL
INSPECTr?l..VRL
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
1 t?l : ?'., t3Lelf f:
. . ?rl1ldTlrY Ct ?
1 F11lN 1 kY 1101 I Ul,! :'Mt)
PERMIT SUBTYPE:
,
I F
APPLICANT:
1:!cl, ijil4i, ,ll
(n11) 77+1--F3df?t?
TYPE OF WORK:
[sF`-.t:RINTIf1N
tr?it ? u?e?c?+
A91N4 /9fi
Ui?lil;
rtrPAIP
Hpl C. WN(1W
Permit Holder Oate Telephone #
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL(3G
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CoNOUCnvirr
TEST
HVDROSTATIC
TF.ST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I
I
RESIDENTIAL
' BUILDING PERMIT APPLlCATION
CITY OF EACAN a
? 3830 PILOT KNOB RD - 55122
-s O 657-681-4675
NewConsWetlon Reauirements RemodeUReoairReauiremeMS 7-30a I
. 3 regis[ered site surveys showing sq, fl M bt sq. fl af house; aru611 rooted areas . 2 copies W plan ?
(20% ma?cimum IM caverage albwed) . 1 set of Encergy Calwlations for heated additions
. 2 copies of plan showirig beam 8 windax sizes; poured found desgn, etc.) . 1 sHe survey for ezterior addNOns & docks
• 1 set of Energy Calwlations . Indiwte i( horne served by septic system for additions
• 3 topies of Tree P2sanation Plsn $ bt plakad aftea 711193
. Rim Joat Deisil OpOOns sektion sAeet (bldgs with 3 a less uniLs)
DATE - :? 1, - D' VALU/[ION
JOB SITE ADDRESS S?(a 9 <_n L4_ nfr'v <..r`f,'
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
p4
TYPE OF WORK I A' x-_? b r /I Ha'` o6 0, PIREPLACE(5) _ 0_ 1_ 2
APPLICANT S f-?.35 ? I C_ mr o PHONE#
ADDRESS (o5'`-t ZIPCODE ?Yl! 4-1
PAGER #
CELL PHONE #
Phone #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Ensrgy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULFS 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Conhactor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Condiboning
Heai Recovery 5ystem
All above intormation must be submitted priar to processing of application.
FAX #
T?71- W, ?
Phone#
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnctureotAppileant
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated tro1
a \
CITY OF EAGAN
3830 Pilot Knob Road
- Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18276-158-02
DESCRIPTION:
PERMIT
564 COUNTRY CT
LO7: 15 BLOCK: 2
COUN7RY HOLl.OW 2ND
PERMIT TYPE
Permit Number:
Datelssued:
BUILOTNG
024766
10/31J94
, -,
B,uild3n??',Permit Type BASEMENT FINISH
6u31ding Woqrk Type NEW
/'Carrstructaion ??+pe V-N
? --
i
?
? ..rf{>;.
REMARKS:
?? ra
? ti r f.
l?
r'? r? r-. ,-a
:a? ?i`? ?!?i' `? if' ??,??.?•;?? . ?e?
SEPARA7E PERMITS ARE REQUIRED FOR ANY PLUMBING OR EI.ECTRZCAL WpRK
FEE SUMMARY:
Base Fee $35.00
5urcharge $.50
Total Fee $36.50
CONTRACTOR: - aPPiicar,t - s-r. Lzc. OWNER:
LUNOGREN BR03 REMpDELING 17358640 0001413 URBANSKI TZM
7166 10TH ST N 564 COUNTRY CT
pAKpALE MN 55125 EAGAN MN
(612) 735-8649
I hereby acknowledg;e that S have raad this
infiormation is correet and agree ta eomply
StaCUtes and City of agat? Ordift,?nces.
L:
APPLICANT/PERMITEE SIGNATURE
a,Pa3.3eatiorr ahti state tkrat the
with all a{aplidaia],e State of Mn.
Z0? ? ?
? ISSU Y:?}ONATl1flE
-j
- CITY OF EAGAN
1994 BUILDING PERMIT APPLtCATION $.??• Ko
681-4675 '
? •? .
rrlirrJr -.lf•
SINGLE & MllLTI-FAMILY 2 sets of plans, 3 registered sit 70 Fwiy, s;?N 9; f energy
calcs.
iJ v 1 ?
COMMERCIAL 2 sets of architectural & structu al plans, 1 set o
specifications, 1 copy of energy alcs:-----------
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 Valuation of work
Site Address: ??cf CrU4C7_e_Y 0? /?T
STREET SUITE M
7enant Name: (commercial only)
IAT _jZ BLOCK ?
C All? ,
SUBD. ?? t{}'
P,I.D. #
Descri tion of work: L??-tT_ F-i 9 LS-j-{ kl ?
The applicant is: ? Qwner Contractor ? Other (Describe)
Name EiLea4-ktSed 77" Phone
Property LaST FIRST
Owner Address C?A-,-? rc°e Or-
STREET STE #
City h;pr? State ?? - Zip
Company Phone 7-?3s O?,'KD
Contractor Address 7/6& l0 _e4 S1- 1Pn License # - Exp.
City State Z i p
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 all applica6le St e of Minnesota Statutes and City of
?
Eagan Ordinances.
_
?
Signature of Applicant:
?
OFFICE USE OtJLY
BUILDING PERMIT TYPE
? OI Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 Sf Porch 0 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New & 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable) ?
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? s, ? ? •?
?
?16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
E3 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
v? y
?
,
a
? Site ? Footing ? Framing AZInsulation ,
O Wallboard Af Final ? Draintile O fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Yater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatueesm: $
5AC %
SAC Units
CIT,X OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
s? y
BUILDING
024765
10/31J94
SITE ADDRESS:
P.I.N.: 10-18276-150-02
564 COUNTRY CT
LOT: 15 BIOCK: 2
COUNTRY HOLLOW 2ND
DESCRIPTION:
,- ?
-- ?...
BGilding?_Permit Type DECK
Building Wo.rk 7ype NEW
r --`,
?
?
L, -
i
° 1 -' ?,?`??J
??
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - S7. I.IC. OWNER:
LUNDGREN BROS REMODELING 17358640 0001413 URBANSKI TIM
7166 10TH ST N 564 COUNTRY CT
OAKDALE MN 55128 EAGAN MN
(612) 735-8640
I hereby acknowledge that I have read this
infiormation is correct and agree to comply
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERMITEE SIGNATURE
application and state that the
with a11 applicable State of Mn.
?
? IS U'.SIGNA7URE
141L§
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION .?3u•??
681-4675
C(1.??. ?? 1 ^- i T
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s t ???:V1EQ of energy
calcs.
COMMERCIAL 2 sets of architectural & struc ural plans, 1 set of
specifications, 1 copy of energ - ---------
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 zqCl' Valuation of work '4''? ??47S ?. ?
Site Address: K?X?4Z7?C?
STREET SUITE #
Tenant Name: (commercial only)
LOT Lq
I
I BLOCR _
SUBD.(?
l?(7U Oll
P.I.D. #
Descri tion of work: E
The applicant is: ? Owner kContractor ? Other (Deseribe)
Name -7Z &A Phone
Property LasT FIRST
Owner qddress t?-?WLZTl;e-Q'
STREET STE il
City State ZiP
Company Phone -7-35-- 3?s9n
Contractor Address ?L(C?t'.? zeo' License # Exp.
City cf3e??? State AA,? Zipf7s-
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 a d state that the information is
correct and agree to comply with all applicable State Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
b-.
?
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
0 04 SF Porch
? 05 SF Misc.
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
A 15 Deck
.? ?
? ;...?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
WORK TYPE
? 31 New • ? 33 Alterations ? 35 Tenant Finish 0 37 Oemolish
? 32 Addition ? 34 Repair D 36 Move
GENERAL INFORMATION
Lonst. (Actual) M Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. C9ty Water
UBC Occupancy 2nd F1. sq, ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code oi
APPROVALS Census Bldg
Census Unit v
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
G? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee Vai,at;,,,:
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:
SAC %
SAC Units
S 6 cc,t
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagarl; Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BurLoiNs
Permit Number: 033155
Date Issued: 0 9/ 0 4/ 9 8
SITE ADDRESS:
P.I.N.: 10-15276-150-02
564 COUNTRY CT
LOT: 15 BLOCK; 2
COUN7RV HOLLOW 2ND
DESCRIPTION:
RPLC WNDW &
3ul:lcf_1figt Permi.t Type
Wuilding 43p,rk Type
Census Code' ?
reh
/
%
j..
LL
t;.. .'f
. ., v
?y.. ?
PflTIO DR
STORM DflMAGE
REPAIR
439 RLT. RESIDENTIAL
? i I J Ei :f I l
\ ? E ?( _? ??TVr s tl+
'.. L` _.t .'?..?r t.i .......
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. Lzc. pN?NER:
GLADSTONE WINDOW & DOOR 17748455 211@ SEVERSON MARK
1870 ENGLZSH ST 564 COUNTRY CT
MRPLEWOOD MN 55109 EAGAN MN 55123
(612) 774-8455 (651)454-7893
I hereby acknowledge that I have read this applz`cation and state that the
i.nformatio,ri as Gorrect and egree to,cermpk,ywithallapplicabla Etatie of Mn.
Statutes and City of Eagan Ordinances.
L. _. ?
APPLICANT/PERMITEE SIGNATURE I D BY: SIGNATUR
I
- ''• - 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 01_14
fi81-4675
New Conatrucli0n Reauirement5
? 3 registered sde surveys
? 2 copies of plans (inGude beam 8 window sizes; poured tnd. design; etc.)
? 7 energy calcuWtions
• 3 copies oi tree preservation plan if IM platted after 711193
rayvired: _Yes _ No
DATE: `7 - 1 - 7 Y
DESCRIPTI OF WORK:
?
ST T ADDRESS: -SCoc,< Lo ?n ?n•., C'o?r ?'
RemodeVReDair Reovirements
? 2 eoples of plan
? 2 site surveys (exterior addkions 8 dedcs)
? t energy calculations tor heated additions
%5,
uJ
CONSTRUCTION COST; 1
*? ?k, j
J I?`?bW ??
LOT: BLOCK: SUBD./P.LD.#:
Name: 's P.v eo's o^ M A-2 t Phone #: '{ SL-( - 7 x5 ?
PROPERTY Lasc First
OWNER
StreetAddress: ,S-(?q Co?- Cov?
Ciry State: AA 4-J Zip: SS 1 2 3
i..)i wC)s i.J
Company; (? LJ} a 5 T o..) C k bon r- Phone 651
CONTRACTOR
Street Address: C a"Z D F-72=3 LL- License ti A I to
Ciry /Nli.//?y< State: Zip:
ARCHITECT!
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City State:
Sewer & water licensed plumber (new construGion only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this applicaNon and state that the infortnation is correct and agree to wmply with all applicabi
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _, Yes
_ No
_ i ''-?4tS
Tree Preservation Plan Received - Yes - No - Not Required
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 0 3 2 9 5 6
Date Issued: 0 8/ 19 / 9 8
SITE ADDRESS:
P.I.N.: 10-18276-150-02
564 COUNTRY CT
LOT: 15 BLOCK: 2
COUN7RY NOLLOW 2ND
DESCRIPTION: T.O. s RERooF/sroRm
Bu,i'ldirig:-Permit Type STORM DAMAGE
B?tiilding 'Wa.Ck Type REPAIR
,Census C.ode' „ 434 ALT. RES.IDENTIAL
t ?
REMARKS:
FEE SUMMARY:
(! NT??(?T p - wPPlicant - sr. Lzc. OWNER:
l?? LI1GE C?NST & ROOFING 14328998 20102247 SEVERSON MARK
14541 EVERGREEN 7R 564 COUNTRY C7
APPLE VALLEY MN 55124 EAGAN MN 55123
(612) 432-8998 (651)
' I hereby acknowlsdge that I have read this application and state that the
informatian is correat and' agree'Co comply with ali epplicable 5tate of Mn.
Statutes and City of Eagan Ordinances.
I APPLICANT/PERMITEE SIGNATURE SUED BV: SIGNATl7RE?
J
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? ?] n 3830 PII.OT KNOB RD - 65122
J" 681-4675
New Construction Reauirements RemodeVRaoair Reauirements
? 3 registered sde surveys
? 2 copies of plans (inGude beam S window saes; poumtl fnd. design; etc.)
? 1 energy calwlations
? 3 copies of tree presonation plan H IM platted after 7/7193
raquired: _ Yes _ Ho
DATE:
DESC TION OF WORK:
S -ET ADDRESS: 5(
LOT: BLOCK: ?- VSUBD./P.I.D.
City
Name: ?aPhone#:
PROPERTY 1.sst First
OWNER
Street Address:
0- 0 IL v?'?Yg ?At5?k 0w -?-`-0
State:
Zip: ? ;)_ -'7
S?
Company: 12 62 I1110. l.OviS?`1 P 11 4.'
CONTRACTOR
License #1?0
Street Address: ?? 70 /UJy ? (?VP?1 R?,ePr?
City Va State:Zip:
ARCHI7'ECT/
ENGINEER
Company:.
Street
City
Sewer 8 water licensed plumber (new construction only):
ti ? d
Penalty applies when address chang
and lot change is requested once pertni s issue .
I hereby acknowledge that I have read this application and state that the info at n 771 agree to comply with all applicabl
Siate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
? 2 eopies af pian
? 2 ske surveys (exterior addRions & decks)
? 1 energy ealculations for heated additions
19-7
CONSTRUCTION COST: s a ao ?
Phone #:
Registration #: _
State: ZiP:
lii;.; o ?.J'10
Tree Preservation Plan Received - Yes - No - Not
. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
•. CITY OF EAGAN
3830 P 851-881-48 5. 55122 51 L4 y
New CanshucMan RaaWremenb . a-4-)3A3 Remodel/ReocOr R04?0arieni. O"
n 3 reylstered dro wneys ahowlny sq. M. of lof, aq. lt. ol house ?? O0 2 copiea of plan
and gfl rooted areaa (TqX maxlmum bt covaraae albwetl) 1 sel d enetgy cdcWaMau fa heatetl addlllorts
> 2 coples of pldna (ahow beam & wlndow slxea; pouretl fnd. daslgn; etc.) 1 stte wney for exfedor addilbna & decks
> 1 sat o1 enerpy calculatlau
> 3 coples of hee pre ervatlaf plan H lot plafted cfler 7/1 /9J
DATE: F? 6 D CONSiRUCTION C05T:
DESCRIPTION OF WORK:
STREET ADDRESS:
R 6 0 M ,R DD j>"1 m^?
_ y r xt,, rR 7t - cT r,cc .o n/ ?
LOT: ? BLOCK: ? SUBD./P.I.D. #:
a r
PROPERTY
OWNER
Name: gjfrllj5/? )`-Z) ,./ M 4 R Ll Pnone -7kf3
LW Flrst
Sheet
q
City L ? 6,4 !'? State: ?W Zip:
. ComPcny. 1?J? J I? SC? VJ?[ G'6Y COrUSrPhone #: SJ? y?/ l 32Z Z
(area code)
cormRncTOR Q ' Sheef Address: ucanse # V07 ExP. 32O q J
?. ? ?/ ? ? ?? ?"?/7 ? C?/? ,/???
cnv ZA KL?I%lLLt srate: h4--- ziP: Srp Y'-/
ARCHITECT/
ENGINEER Company: Name:
Telephone A: (
Street Addreas: Regisiratlon Y:
City
State:
Dp:
Sewer/water licensed plumber (If Installina sewer/waterl: Phone #:
1 herebY acknowledye Ihat 1 have read this applicalbn, sfate thaf Ihe iMortnatbn is cortect, and agree to co P?Y wMh 0 appAcoble Sfate
of Minnesota Stalutea and CNy of Eagan Ordinancea
Signature of ApplicanY. ,?
OFFICE USE ONLY
Certificates of Survey Received v Yes ?ehlo ' ,}um, 7
Tree PreservaNon Plan Received - Yes - No ? Not Required ,/ '?
/
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex 0 09 07-plex
? 04 02-plex O 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
32 Addition
O 33 AlteraGon
? 34 Repair
? 73 16-plex ? 21 Porch (3-sea.)
? 17 Garage )d 22 Poroh/Addn. (4-sea.)
? 18 Deck ? 23 Poroh (screened)
? 19 Lower Level ? 24 Storm Damage
aibq Yof _N ? 25 Miscelianeous
? 20 Pool O 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' O 44 Siding
O 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolltion permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings =
Const. (Actual)
(Ailowable)
UBC Occupancy ?
Zoning -A&-
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
i D t?efiesq. ft.
"0 sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS !
Planning Building j&gda[
- T
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
? City Water
;L 2-s-? Booster Pump
PRV
Fire Sprinklered
Engineering Variance
.
? 31 Ext. ac - nnuni
? 33 Ext AR - SF
? 36 Muiti
Pertnit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
sfw surcr,ar9e
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation:
C)
$?
/01
? 4-l - (, (?
) / xt.? 0
21 14 ?-O
/Z/ y 5 c'
SAC Units
% SAC
D SCHWEICH 952 469 3222 Preparefl For:
DBVid SChWCIdf CA1MOqio1!
11'?1b Keae;ck A.
952 469 3920
Fax : 952-469-3920
Jun 13 15:06
06-13-00
60601903.15
SUMIlMARY RSPOKT
--------------
Prepared Sy:
ecott 1
lofgren heating
Job Name: D SCHWEICH
,?*tKr.,,*t?r?*r*s***ra*tttt?ta*,trr,tr,tr++,wwrwww+,r?**w+r,?
I:BkOYIIW. MN SSMO
DESIGN CONAITIONS for bloomington
!{+.11 OUTDOOR
S ER WINTBR
Dry Bulb 95 -20
Wet Bulb 75
Daily Range 22
Latitude 44
INDOOR
SUIYBMIER WINTER
75 70
62
Daily Swing 3.0
Elevation 1000
Safety Factor (t) 0
Latent FaCtor ($) 27
t*rsxr,rw+rwx*wwwwrx,r,tx,r+,t,t*,tx?,t,t*a**tt++*****?tr+rrr+r***r+x:wr,kwerirxwwx*wwvewxw
Sensible
Room Heating Heating Cooling Cooling
Name BTUH CPM BTUH CFM
-------
----
Living Room -------
7,656 - -----
107 ---°---
7,497 379
---
--7,656 ^ 107 --7,497 379
HSATING D<A T 65.0 COOLTNG DELTA T 18-0
..;?
NOTE; *** Calculated Airflow is based upon load requiremente.
Verify that airfYow calculated is compatible with
selectea equipment requirements. ***
?j ?9%5ll/
FequeslDete ilr No. {iougM1-Inlnps an epuiretl
'N6ubm'cell i Oe ar when reatly) InspectionOtne, T? n ougn-In
? qeaEy Naw Will Nolity Inspectar
Ves ? N. Date ReaOy
I? licensed contractor 71 owner hereby request inspection of above electri
Joe AtlOress Ireet Box ar RoWe NoJ Clty
'
Section No. Townshlp Name oNo. Ranqe No. G nly
Occupam IPFINTI
lj
a 4 Phone No.
7 G d
K
Pawer SoO?ber 400ress
Elecnical Con ac:or IGompa^Y Na gtr
Go
?"?C
ry
sj? Ge e o.
[
/
J
Q
Tf p
MaJin ActlreYS fCOntrgGlOrOrOwne Makln stallelio
??
-
Amhorisec S elA iConV o"Ow r Mekmg Instaliationi J a
/Pho/n'a? JNum]b?er?j
--?
MINNESOTA STATE BOFRD OF EIECTR ITV ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey B1Gg. - qoom Sa73 BE AWEPTED BV THE STnTE BOARO
1821 University Ave.. SL Paul. MN 55106 --- - UNLESS PFOPEF INSPECTION FEE IS
PMne(812) 842-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB
? ???? ? oapa??
C See ins(mctions (or mm01e9ng Ihis lorm on back ol yellow copY t (?
05,3975
"7C" Below Work Covered by This Request ?'h+? „k,`????? ?
?.
ew AdJ Rep. TypeotBuilding . -AppliancesWired EquipmenlWired -
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condilioner
Other (sUectly) Gonhecto' RemaMS:
Compute lnspectron Fee 8elawr? .
# Other Fee a ServiceEntrenceSize I Fee # Circuits/Feaders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transformers Abova 200 _ Amps Above 100 _ Amps
SignS inspector's Usa Or.ly. TOTAL ,di
Irrigation Booms
Speciallnspection f
AlarmiCommunication THIS INSTALLATION MAV BE ORD IF NOT
Other Fee COMPLETED WITHIN 18
I, the Electrical Inspector. hereby
certif
that th
ab
i
ti
h Rougn-in n, ,,, oete t?!(!f+
y
e
ove
nspec
on
as
been made. F;nai oa?e
OFFICE USE ONLY ? ? /i?/?J/? ?'.
This reqvesl v0id 18 mOnthS IrOm
? /P P
W
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTT.
NO.
SHOWER
I WATER CLOSET
BATH TUB X4J
f LAVATORY
KITCHEN SINK l ? I
LAUNDRY TftAY vl?
HOT TUB/SPA
WATER HEATER
FIAOR DRAIN
GAS PIPING OUTLET • m?? - ?
ROUGH OPENINGS
WATER SOFTENER
PRNATE DISP. • nakay. u?.
U.G. SPRINKLER • nme unau ooWc
ALTERATIONS • w cx6c;ng
WATER TURN AROUND
SITE
OWN
EACH TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
INSTALLER: STa t 1v l/, u• ca.?.,) t-' l?..ntiln I ...;6
ADDRESS: I.-v.,
CITY: STA : A U ZIP CODE: ? 33 (
PHONE #: ( 4 1? V 7 b^ 110 ? 1
1994 PLUMBING PIIiMIT (RESIDENTIAI.)
CiTY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6514675
STATE SURCHARGE 1T-
5
TOTAL: o,2d 1
?
. ?
: 1991 BUILI19PIT AP ICATION ?
CITY OF EAGAN ?2G •
SINGLE FAMILY DWELLINGS MTLTIPLE DWELLINGS COMMI:RCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS .
1 SET OF ENERGY CALGULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY QALCS
# 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 IN 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 ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
A LICENSED PLUMBER.
PERMIT MUST SH7e,
-R
S?'D A
To Be Used For: ,(fe;,J L?c'•?57PLCeiro.elValuation: 89i Date: I"zel -9 (
Site Address `4 o??,e y?-
Lot /S Block Z
Parcel/Sub (71 r.cnlrv / de rJ f7
Owner 16r'a,.) /?nrnes Zck:
Address 4,4z
City/Zip Code
Phone ? s'41-Ct, (,49
Contractor Z?P.
Address LL14fven? 6'e' v@
City/Zip Code
v
Phone -d6i" 5t
Arch./Engr.
Address
City/Zip Code
Phone #
(Signature of Contractor)
OFFICE USE ONLY
FEES
Occupancy R-3 M-I Bldg. Permit Jr 0,QO
Zoning ft-I Surcharge 14. o
Actual Const V- N Plan Review 3841,00
Allowable Y- N SAC, City / 00 .00
# of stories SAC, MWCC 6t5 D,o O
Length O Water Conn. (?60, Do
Depth qb, Water Meter yS:oO
S.F. Total Acct. Deposit 30,00
Footprint S.F. S/w Permit 30.00
S/W Surcharge ,50
On site sewage_ Treatment P1 . 176.00
On site well Road Unit 3 70•00
MWCC System V Park Ded.
City water Trail Ded.
PRV J/ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner
Council Lot Change
TOTAL
Bldg. Off. 23%i
Variance
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SSMT,
VALuA ?rTi ffiR
Q'I
aoxzz_ ?IL-lo ?C?S= &,Goo
I sr
a6ys?
yx8=
?? l ??ly xs3 = ?1z32-
Z(P)(3o= r18o
g?6= ?i c6
!oz Lt ss
1
.
MIHdGy
.? H
(Vl01itPrey-
)Nner
..
ASE? OV CNA TER vVOFV'fyV '
ERGY COD - D[TIONf'
ndop:lun 6ff?ctlve 1/1
Phone ^at?101 (D-
`
;1te AddressLo7 Is, P??oc.K2 Cou,vr2 HoLLoi..) zdTJ aDD'0 ` ??C , • .PhOne
utldln9 Classiflcatton: Type A1 (5ingle Fa:nily b Duplex)lj?Type A2 (ResidenNal) f
. c (3 stories ar Tessj
(Other) (0'+er 3 stories)
ENERAI [NFORHATION '
. Building Perimeter ? -(3 ft.
, uall height (ground to eave) lj??? f[Z <?aK ltl
-?o ? 4
. 1. x 2. (above) gross Hall drQa ???`Ty? ft. zZ+ ?q
P?, z -V 2
_ Bu{ldtng dimenslons (L) -4o?ZG? + x(N) - ? 34S ft. roof S floor area
. Square fcot area of rim jo15t - Floor Joist size (2 x lo ? )
\d? x Perlme[er + Rim jo st area 2
ft
. -1_
i. poars - Area
TMc ness -? ?` n. actor \??3
?e?'ima[e
f C
L
T ?
r(??3Z??t-1de94, ft.
onstruc
an
ypR o
' Manufacturer_?e , P
?
'. Total doar's perimeter 3 ft
?
. Illndoxs: ?anufacturer ?d?-c o State approved
U factor _ `T
TTPE SI1E AREA (F:,Z) 1IUMBER OF TOTAL FEET Z
EACH UNITS
'z o k3to -? ,-rs 3z .T?-4
zA Y 3c.? 5.?` ? -2 2-, . -6,<1
-4 2C- . 'zz,??
Zok CocD
(n?n?, 3to .o 1 30. 0
N t-. S a 4O\: \ L ??I Pr'F-I
Tatal ft.2 Glass
9
.
4%- FireplaCe area: WidCh x heiaht ? -?'-J x ?• ?3- ft.Z
_j,.ji,cposed foundatlon: He19ht x Perimeter x
2
cg c,=a`? Ft.
MPLE110N OF THIS FORM [5 REqUIREO FOR ALL NEU C0N51RUCTION, MRJOR REH(IDELING AHD BUIID['IGS BEING
YED WHERE ENERGY, OTHER THAN THE MINIMAL COOE ALLOHANCE, 15 USED..
u ?14 0 ?J s
fiequ9?a?e ?? ?
i / ireNO . Ro ti
R r Ingpection
f_; qeady Now II Notity Inspe?or
Whan Redtly?
Iicensed coniractor [I owner hereby request inspection of above electrical work at
Joe Add,s': s„e , ea. , Ro? JNO, Cry
Secti., No Townsry ?me or N? /
( Range No. Coum,
?OccuPantlP r)
?l N
Pno U
J?
Power Supplier Atltlres
[Incmc I tractor iC mpapy Nam i
? ?
Conhactor License
Meter Adrl ss ?G?n[?amor or O aking Installanonn
V ?
Au^ ri e0 Bis ature IGOnha on ner Making Insallatio, Pho//,
MINNE TA AiE BO
Griggs ARO OF ELECTRICIiY ? THIS INSPECTION REpUEST WILL NOT
iEway BIEg. - qoom 5,1]3 ACCEPTEO BV THE STATE BOAR?
1821 Oniverslty Ave, SL GauL MN 55100 BE
Phone (612) 642-0800 UNLESS PROPER MSPECTION FEE IS
ENCLOSED.
?/?? REQUEST FOR ELECTRICAL INSPECTIDN
p ? See insimq ons for completing tn?s form on bacx ol yellow copy.
Q y- 4pq,? "X" Below Work Coverad bv Thi.G RPrn,ast
° "?? ee-oaoovoe ?
: '?..a:«...
??•,:: ? /036o G 5
New Add Rep. Typeofguilding ApphancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplax Water Heater Electric Healing
ApL eulldinr? Dryer Other (SpeciTy)
Comm./Industrlal ?Fumace
? Parm Air Conditioner
Other(spacify? Contraclor's Remflrk5
f Compute Inspectian Fee 8elaw:
# Other ' Fee N ServiceEnhanceSize I Fee # Circults/Feeders Fee
Swimming Pool D to 200 Amps
TranSformers
Above 200 _ Amps 0 to 100 Amps
100 _ Amps
SignS Inspector's Use ONY? TOT L
Irrigation Booms
Special Inspectlon
Alarm/Communication THIS INSTALLATION MAY BE O
bther Fee RED OISCONNECTEO IF NOT
COMPLETED WITHIN 18 N HS.
I, the Electrical Inspecfir, hereby Roo9n-;o
certify that the above inspection has F,,,a?
been made, oat
OFFICE pSE ONLY
TMS requasl vaitl 18 monihs irom -"
? ?c.c? ?J• t. c, ?+ i
.??
` Frbinin'?'area • lOX of gross xall area.
.: ? Z
Gross ,xall aree ,
NindoN area A _ft•Z 0 windows • ?.? T !1 x A'
` • Z
atm iolst area A u rim Joist - . o-? U x R- 5•??
??q.1 _ f?•
?
poor area A _ft.
Z
Fireplace area ,4 -?- ft.
Exposed foundation A ft•?
Framinq area A ?-,`[ ft.
Nlet wall area i4 ??? `?m??5?•
7 door area -•? \?3__ U x• A?_ 'q
U Cireplace ?? -8- U x d• -?;-
il foundation ? _\\ U x. A •
franing area • e01 U x A ? ZC).?
,j Wa1t= _o4-,?t ux:?? `t
(130-.;i'IL . . . . . . . . . . U x • .7?0?•Qi
Gross Ha11 area x 0.11
(13. above) `
x 0.23
x .23
(Fl-1 single PamiTy S du;.;-x = allowable U.( A/Code
(a-2 other residentia'.;
;Other building„
(Ovel, 3 sto??se;) ,
TUH Must be larger than
x l! Ccde. • 0 . . 138 above
Cailing framiny area (Af) aquals 10: af ce;lin? a?ea r the sam e as)
5?E.
Gross ceiling area ¦ ft•2
Jofst area (Af) ? 10", ceiling area ft.2
Net ceilina area {AC} (15A - 158) C)ft.2
U ceiting x A ca x?????(?_ `v_\_1_
U framing x A ft. e C7?(- 'IV x_ ?A -,? .(o°
70TdI U x A ........................................
i.e111ng area"(15A) x 0.026 (A-1 single `amily S duplex --C-67hr-a11owable.U x A
x 0.03 (A-2 other residza:ial)
x O.C6 (other) BTUH Must be targer than 150 (above)
A 15.1) x I,ZLcQdg1?O0 F (or the same as)
-
NQTE: Use ll an9 a values obtained f?•om nps 1, 3 and 4.
?
?
i'
?i
I?
?.
?
(grr#i#iratt nf (Orrupanxy
Citp of Cagan ?
19rrwham Lf Wuilding 3nsperfwu
This Cerlif+cale fsswed pursuaru to Ore requirements of Seclion 306 ojlhe Unijarm Building
Code certilyin8 rhal at rhe rime ojrssuance fhis.mucrure xns in compliance with rhe Narious
ordiimrooes oJ1he CFty regrdrrr6ng bu8ding consrruaioe or use For 1he joUawing:
ve ^-S SF t7Fli/CAR aMe s? ro. lQ766
o="--yrra R3/!'11 ?? Rl T?c ,? VN
o,,??ra?mos BRIATI Ili0R9CP1 FYIES Il1C Add? 4466 41EDWM I1R. SAC'?t1N
e?am aam?s 564 OOWM a= L15, B2, CQ1NIItY EMTL1i 2TII1
?, 12/I1/91
PoST IN A CONSPICUOUS PUCE
?
Address: Syi r,??q ?T Lot 15 Blk 2 Sec/Sub COLVI-Ry HOyiOW Ztqp
These items were/wete not complete at the time of he final inspection.
12/11 9] Yes No
Final grade (6" from siding)
Permanent steps - gaxage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass '
Trail/curb damage
Porch
Easement finish ?
Deck
Please verlfy with the builder the removal o£ roof test caps £rom the plumbing
system andthe shut-off of water supply to the outside lawn faucet before
freeze potential exists.
L ?
White - City copy Yellow - Resident copy Pink - Contractor copyM?
i Nr\ .+ 1 (`? . -
iJ
i..i. ? ?,?. SEC]'to?i '. ir?_,!. . 4 b.., ,?!:lsu;ACt?fl ';? I, r• !_ : ??t? ?' ? ?? ??'
` I -•'? F ?i..i ? ? : ? ? ?,,.r?, ?i3 , . . ' ? P ).?IZ ?O-??e. ? ? 1?'
I...S%h.hBthlng
`-? ?
?O.Ir
I 1 1
? ?F '. ? ?i? ???,?.f I??tirl i;??? . •~? .) + . ?r ' ?.' ? ? t `-lJ
nKaid? elr L Irtl - 17
.,
.
Q TOTAL . ! h?..O
-..t.
,??r ' J I ,? ??, '', , •. , ;
lnstde atr fllm
4}I ' r STIJD ,. ? ' i I? V`L, In[d- toC aill
31
SECTIONi _ud Ra ?? (Fr+uatng) U. .
F
f?:, fatf, ing ?? ]?.. b?' ' ,•? '
Sldfn?e?.
?
?
`1 II ? ?............. ?i utelde atr tltn 1 1 Q ;
?•.?,_
?.OlAL i
Inside:?alr Rq :68 1'?
, ? ? ?I - ''• ?' ' ? -.?
2HD uALL In[rrior vail
?I. f ?1d
i?fl'a. IftsU?l4CiOfi (W4,1 1
I? '• r i ilj???? ?i ?? : . .: : ? R r ?1
' k >i' ? I?1'i?p j ?.,Shu[htn8 - Z cq?
H ?lttrt EYter?lor VdII cO,.lflflo?_' ?J
.i . ?. . i .? / ?
i ' ExCericr alr [llir r :.l
t ? ,... ?.^ . .v ?.??
1j( f. y i f
f'
R 70'CAL
V
lnCtrlur aiC (!im 63
qtM !r.??ln?ton
JQIST inch SUIC 'AllUd Rcl .88 ?Rim ??
alq ayi, sL, r Z`o Ce Jo i s t)? . ,?
,
Shtnch"rng
. t i.,'. I' ???? 1 . I 7/?l 1,141
?? L' 1 0 il w a ll.cu vr r in g
? J .
? U •?.i '. ni a-.. . . ? "1 t. ? f:
i Exycrtor•.,tr fllm ' Rr 7
R TOTAL
In[..rlor. ai ltln ,6£
.
?si ? ; • 'r..? lnsuli:lor ro''rod
? ?' I 1 i.•?o ;(Fdn:?)-? U -•
. ? ?
' ` sterlor 'alr flln R¦ 17 ;.' cyf
ji.
I ? ? '? ii1 ?? ?f? i:, _ `.:: '• ? , ? `? rc
F TO?AL IQ- ? • ' - ' ?i
1.4
pus ad ?3luck
b ? i-i'?I?v, ^Tltl?? •L ?I?(1'i` ??.:? . . ? 1 /? 1 ?y??????yy
Jt.J?
'.1. ? - •Ir ? .rii ? ?.;1 ??? ? ?.? t ?'i ? 1 „ . ''?,,1''?[?[1tt
? ?r? ?' !i 1 . ? . .. . ? • ?;?... I ? . . ? , ? ... . . . 1 ?S'i
_,
-- - - - -. __ ?_ __ -- _ _
?
? DaTE: OCT 3, 1991
RE: 564`COUNTRY CT (BRIAN TEipRSOP HOMES INC)
X Your Sewer & Water Permit for the above property has been comple[ed. It will be held at ihe
Public Works Ga}age (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC VIfORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons: •
!
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plum6ing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, 8uilding Inspections Dept.
SEWER 8, WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE CC: ?, 1;` t
OFFICE USE ONLY
METER # 109 F pERMIT DATE 10/03/0,1
CHIP#QZS? ?N 9 ? pERMIT# 1.2324
METER SIZE p? 4 B.P. RECEIPT #??
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ISSUE DATE g,p. RECEIPT DATE 1
p/,-'3lf 1
?PRV _ BOOSTER PUMP
SITEADDRESS 5:??. C6Tfi.^ ?^
LOT=BLOCK < SEC/SUB CGU;_Z?y Cr r,n^ -• n
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
PERMIT REQUESTED
-SEWER X WpTER _TAPS
-COMM/IND %j RESIDENTIAL
ZlP - L NEW - EXISTING
PLUMBER: ; A:;C- ')L1F.UI'.'6 Lawn Sprinkler Meters are to be Installed
ADDRESS: 7726 =ll:ti: AVli Ahead of Domestic Meters on Water Line.
CITY
STATE <<- ?C_?i ;L^ Cre di?WILL NOT be,given for Deduct Meters.
,
PHONE: ZIP 5423
OWNER: Z.iTi :1
[:'?:?5 L;'C I AGREE TO COMPLY WITH CITY OF
ADDRESS:
? ?+=`:• :?? iC?: 0Ciil J_j EAGANORDINAES
CITY,
STATE
PHONE:
•.-_.,,. ?. ,
ecr-a r1v ZIP _?-?79'i
??Su-G54„ /
?NU/1/I?.Q. r ?
PLEASE ALLOW TWO WORKING DAYS FOR PROC SSMG SIGNAT RE WHEN TER ISSUED
. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT. 454-5220 FOH INSPECTIONS. FOR STORM
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F!.4T ROOF.OR CATHEDfXAI GEILING:
,FiTa ue R,yALUE '' FR'MtNG ;CEIL(rlG ?
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Insulation '
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I Air space
I Raof, de:kiny
Insulation
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, Bui.l t*up roof'
I L r ;.; ? ; 04tsid,e air f.i1m 0 '
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R . ? , .,.:
l,indow 1nf11troticn .5 cfm/lineel foot af crack '
;tesideoNai door infiltraNon 0.5 cfm/square foot or deor end minimur. code requlr"ent:
?in-residential door infiltratlon 11.0 cfm/l ineal foct oF crack . ,.?`
fp 12" concrete b1oCk no insulatlon = .47 R 2.1
lb 12" concrqtQ block.insulated cores = .26 d 3.8 'I
12" liqhtweigh.t;block ; • .32 R 3.1
'I6' 12" ligntrnight 616ck' trisulated cores = .12 Q B.3
,
i.sinyle glass ¦;.1.13; ?+1th;,s.tom HindoN .54 ,. ; .
k double gla?ss ?•..::96
1 triple glass ¦ .A]
A11 exterior xalls and ceiltngs must have a vapor barrier (C 10 perm iax
par.barrier must,ae on the..inside (heated
:4 side) of:wall. i
,
i?ppr,berrferi,of;th! polyetltelene thin film have no R tial ue ?
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CITY OF EAGAN
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE:454,8100 ?
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $$9,000
Site Address 564 COUNTRY CT
Lot 15 Block 2 SeGSubCOUNTRY HOLLOW 2N
Parcel No.
w Name BRIAN THORSON HOMES INC
o Address 4466 WEDGWOOD DR
City EAGAN Phone 454-0644
o Name SAME
,
oa Address
Um
City
Phone
r
ww
Name
x? Address
aW City Phone
I hereby acknowlege tha[ I have read [his application and state that [he
inlormation is correcl an 9pea Io compty w h all applicabie State of
Minneso[a StaWtes and t f Eagan Or ? 4s.
Siqnature ot Permitee '
A Buiiding Permit is issued to: BRIAN THORSON HOMES
on the express condition ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding Oflicial
N°_ 19766
-5 l.0 *S-CO
.is91
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning R=1
(Actual) Const V-N Bldg. Permit 590.00
(Allowa6le) V_N
Surcharge
44.50
# ofStories
50 '
Plan Review
384.00
Length
Depth 48' SAQ City 100.00
S.F. Total - SAC, MCWCC 650.00
S.F. Fooryrints -
660
00
OnSiteSewage _ WaterConn .
On Site Well Water Meter 95.00
MWCCSyslem X qcct.Depasit 30.00
Ciry Water x
PRV Required x SIVJ Permit 30.00
Booster Pump - SMJ Surcharge .50
Treatment PI 276.00
APPqOVALS RaadUnit 370.00
Planner - park Detl.
Council
BIdg.011. _ CoOies
3
230.00
Variance - TOTAL ,
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454 8100
??D$?'XAI>y PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS &
TOWNHOMES/CONDOS LTHEN PERMITS ARE REQIIZRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST X
ADD ON
REPAIR
OWNER NAME: Brian Thorson Homes
SITE ADDRESS: 564 Country Court
LOT:? BLACK 4 SUBD.
INSTALLER• Kleve Heating & Air Co itioning
ADDRESS: 13075 Pioneer Trail
CITY: Eden Prairie ZIp: 55347
PHONE #: 941-4211
CONTRACT PRICE:
OWNER NAME:
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FOR CITY USE ONLY
PERMIT #
RECEIPT #?3G-
DATE:
FEES
ADD-ON MINIM[TM $15.00
HVAC 0-100 M BTU 24.00 *
ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 24.00
STATE SURCHARGE: .50
TOTAL: cy 27•50
?
SIGNATURE OF PERMITTEE
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
.^ROCESSEY °I.itdG $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
city oF eegan
June 16, 2000
Mazk Severson
564 Country Court
Eagan MN 55123
RE: Building Permit #41333 issued 6/16/00
Lot 15, Block 2, Country Hollow 2nd
Dear Mr. Severson:
PATRICIA E. AWADA
Mayor
PAULBAKKEN
BEA BLOMQUISi
PEGGY A. CARLSON
SANORA A. MASIN
CounCil Mempgrs
THOMAS HEDGES
Ciry Atlmirnsirotor
A permit to build a deck to your home was issued to Schweich David Construction. Inspections
required are:
footing, prior to pouring concrete;
final when complete
It is the responsibility of your contractor to call the City of Eagan for these inspections. For
your protection, we are recommending that you withho[d final payment until you have verified
that the City has approved the fnal inspection.
Please call 651-681-4675 weekdays between the hours of 7:00 a.m. and 4:30 p.m. with any
questions you may have in this regard.
Sincerely,
Jan Severson
Office Supervisor
MUNICIPAL CENiER
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55171-1897
PHONE: (651) 6814600
FPJ(:(651)681-4612
TDD: (651) 454-&535
THE LONE OAK TREE
THE SYMBOL Of STRENGTH AND GROWfH IN OUR COMMUNI7V
Equal Opporfuniry Employer
wvnN.GryOfeagan.com
MAINTENANCE FACILRV
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (651) 68I-4100
FFV(:(651)681-4360
TOD: (651) 454-8535
954870
COIINTRY HOLLOW BBCOND ADDITION
PR&SSORE REDDCING VALVE AGR&BMBNT
This agreement, made and entered into the day
of 1990, by and b2tween the CITY OF EAGAN, a
/
municipa?lity of the State of Minnesota, (hereinafter called the
City), and the owner and Developer identified herein.
The t2rms "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
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 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 1, Lots 1-17, Block
2, and Lots 1-10, Block 3 are in a high water pressure 2one 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
remaininq portion of this Contract.
4. Binding Aareement. The parties mutually recognize and agree
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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.
ZN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF A OWNER AIdD DEVELOPi:R:
(Date: ' ' PROGRESS LAND COMPANY, INC.
. Th mas A. By: 0 (:w 1, S-< E?1:
Its: Mayor Its: PP.CS;a'E,v7'
Bv.
Its•
- A \??AAUU_.
Attest: W. J. VanOverbeke
Its: erk
STATE OF MINNESO.TA
COUNTY OF DAKOTA
ss.
On this vLL-s% day of
Public within and for said,
and E. J. VanOVERBEitE to
duly sworn, each did say
Clerk of the City of Eaga
instrument, anci that the s
by autharity of ±ts
acknowledged said instrume
municipality.
.fL al, 1990, before me a Notary
Count}? personally appeared THOMAS A. EGAN
me personally known, who being each by me
that they are respectively the Mayor and
n, the municipality named in the foregoing
eal affixad on behalf of said municipality
City Council an3 said Mayor. and Clerk
nt to be the free act and deed of said
y. •M1.'Nf!)?!lN?NIINNftN `, .'?'? . • . .
J ?
VA
No ary ?P?ublic
....... ..., . , ?
. -• . ',j
STATE OF MINNESOTA )
) ss.
COLTNTY OF lt? ? ; ->: )
On this -',, N
day of 0? "-4,4 St" , 1990, before me a Notary
Public within and f r said County, personally
appeared t, r, ; , ?; 1 1-:_l Ci ( 1'..:.r' I') ?- to me
persona own, who being -0ack-by me duly sWorn, eacla did say that
they----??'respaet4*ely6 the ! 1(`, d t i ? t
?anet- of the corporation named in the
foregoing instrument, -- - , _fr:___d L_ __:l_• ..---..-__•
+ , and that said instrument was
signed ertd--aea4cK1 on behalf of said corporaAion,Lnr authority of its
Board of Directors and said rrr ?, d c?2'r
-ee"4- acknowledged said instrument to be the
free act and deed of the corporation.
f^•- ti.. < __.,,:,.:+....
.. . . . _ b..w..+?l
? ` .. -. _... _ ..4 ?
Notary Pub• ic
APPROVED AS TO FORM:
Ua^a4 QK?ia
Public Wo s Department
Dated: A?? fi? 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
02o G -S7SI /Y:.h
APPROVED AS TO CONTENT:
4-I I 3 3
MiNNE503'A ENERGY CODE
I-2 Family Residenlial Building
RESiDEfV'1'[AI."COOKBOOK" WORKSHEET
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5r1rL...e,?t--, Lvn?Sf 4s2- S?b4-?32a 7-Z
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7Lt poposed bulldirig deslgc ¢pocnEed in 1lKSe
donmrnts b cans'strn[ wiN Ec Luildieg ylsu,
spocificatfaim end othc ulwlniou mbmatcd
witli thc pamh aypliwian. TTe pmpoxd
building Ru bcen daigrbdIo? m,,,c?ellM1c
requi1cmerrts of Ihc MyiResoyy¢?Y Cqde
Building Olficial Uu
MIN[MUM REOUIREMT.NTS [nr uC'no1k6on4r n..tn...
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Enlry Doors 1-3/4" solid wood w/ storm Ceiling wilb energy wss R-}$" Rim joist R-19
door Or equivalent (Min. 7%,'top plate to sheaFhing)
Foundation Windows• insulattd G1ass w/1!2" gap in Ceiling with fow heel lruss R44" Floor over (t-24
wood or viayl frame
• uncoaditioned space
Include square Footege in cakulation of Window/Door Arca Ceiling-no sttic R-38 w! R-5 sheathing
l0 dGLtIlIljRt BbOY[ g73QC WIIIdOW U-VBlOE.
u?__'....
..-...?a.?...? . ?I,v,b,sv,uc m o 11J1rr eiesign k.onomoas
WlodowandboorArcs {' t00 i ,5.'61+ 2-T72-
Aj'. of Ezpostd Wap Atra AEove Gnde W3udow and GrossWa11 pra
podndaflonWlnrtoa/Door Arels
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WlndowlDoorAres Source: HFRC orASNRAEI993Hsndpook
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? MAXIMUM WiiVDOW ll-VAI.UFS
a.necx win
TY? ??? WALL TYPB
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PE A Ix4 framing, R-13 insulation, shwthing R-7 or grxater.
PE B 2
4 f MAXIMUM WINDOW AND DOQR AREA Y? OF E7(POS$D WALLAREA
12Y. 14'/. Ib°/. 18•L 20% 22% 247• 26% 287. 30Y. 32% 34Y.
0.55 0.47 0,41 DJ6 0.33 030 0.27 0.25 0,21 0,22 0.20 0 ,19
PE C
PE D x
raming, R-15 inwlation, shealhing R-S or grealu.
2x6 frsming, R-I9 insulatian, sheathing lat than R•5.
2
6 f
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R 0.52
D.48 0.45
0.4 I 039
0.36 035
032 0. t
29 4.28
026 0.26
024 0.24
0.22 0.22
0.21 0.21
0.19 0,20
O.IB 0.18
0.17
TYPE E
PE F x
ram
ng,
-19 inwlalion, shealhing R-5 or grwler.
2x6 framing, R-21 insulatiun, shcathing less Aan R-S.
2
6 f
i 0.56
O.Si 0.48
0.43 0.42
0.38 0 37
034 6.34
0.30 031
0.28 028
025 0.26
0.23 0.24
022 0.22
DZO 0.21
0.19 0.20
0.18
x
ram
ng, R-21 insulation, shcalAing it-5 or greater. 0.58 0.50 0.44 0.19 035 032 0.29 0.27 0.25 0.23 622 021
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?.oa imnc wnwns maryoiairons os inc ramcs m mc tncigy Codc, Psrl 76700475, $ubp 2.
This is a wmmary only. Othcr requi?emrng may epply. Sce ihe Minacsoy Finuqy Code.
QuesliwW Cd! Depuimrnl of PuWic Service 1nCormatiai Cemcr at 61Il296-5175 q 1-8001657.7710. ? 21i1W+
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO : pprnTp HEATING
ADDRESS : 6510 N HWY 36 SLVD
Ot1ImALE, MN 55128
LOCATION Sy. ;,Ol)AiIgY QOURl'=L15 B2j .,OUrR'RY HCH.IAd
RECEIPT # / DATE 33950/I I-14-94
REASON FOR REFUND PE!d?ffT NOT NEEDED-DUC1wORK OfII.Y
TYPE OF REFUND
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
SURCHARGE
WATER CONNECTION PERMIT
SEWER CONNECTION PERMIT
ACCOUNT DEPOSIT
UTILITY ACCT OVER-PAYMENT
CURB BOX DEPOSIT REFUND
CONSTRUCTION METER DEP REFUND
WATER USAGE CHARGE
3211-9001 $
3212-9001 $
3213-9001 $ 20.00
2155-9001 $
3713-9220 $
3743-9220 $
2252-9220 $
2250-9220 $
2253-9220 $
2254-9220 $
3711-9220 $
OTHER: $
$
$
mTa1. $ 20.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
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II/IS/44
Signatu Date
SEP-16-191 TUE 10:19 ID:JAMES R HILL INC TEL N0:612 899-6244 4173 P01
SURVEYOa'S CERTIFtCATE
?, `<<^
ORSON HOMES
':!:.a . 3A'•-0 ???`?fRd?i.?..?:iFlr.-?? D'<",'g)T
P.R.V. _??OURED
¦OT[: Mp SPaFIC 501L8 INVE$TqATION HA9 BEEN COMPLE7E0
ON T111! LOT ?BY THE SUIIVlYpq. T?E lU7AOiLf1'Y OF NDTE: BUILDIlq pAlprglONS SHOWN ARE
tqLf tp 4UPPpqT THE SrppFIC MpyBC p11pFG?Ep 13 Pp? F
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MdT TME RICerOfIf1AI,ITY 0I TME SUflVEYOl1, ?
DENbTES PROPOSED SURFACE DRAINAGE ?T ? wom.
O DENOTES IRON MONUMENT 5ET SCAIE: 1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUNp PROPOSED GApAQE FLOOR - 832
3 FEEf
x000.0 OENO7ES EXISTING ELEVATIpN PROPOSED I.OWEST FLOOR - .
8sµ4 FEET
(000.0) dENOTE5 PqOP05ED ELEVA710N PROPQSED TpP OF BLOCK - 83 Z. 7 FBET
WE HEREBY CERTIFY TO BRIAN THORSaW HOMES THAT TH15 IS A TRUE ANQ CORRECT
REPRESENTATIpN OF A SURVEY OF THE BOUNDARIES OF;
Loi E5 . B'ack 2, CoUNTRY HOLLOW SEL'ANO ADDITION,accordinq
Dakofo County, Minneeota to the recorded plot tt?ueaf
.
IT DQES NQT PUAPQRT Tp SHOW IMPROVEMENTS OR ENCROACNMENTS, EXCEP7 AS SHOWN. A5
SURVEYEp BY ME OR UNDER MY DIRECT SUPERVI510N THIS 7T H DAY OF 5EPTEMBER, 1991.
SlQNE ; JA S, HILL, INC.
?0 O GRADES 9HOWN 1MFFE ?
1HE OIIAPNO, OMIM-
OOMIROL PLAN fOR
OM' 9lCOMD ?DO•P11pMNFD BY BY:
? E???I"?' I"c" u19T ' JOHN C. LARSON. LANp SURVEYOR
?-ao•so
MINNE50TA LICENSE NUMBER 19$2$
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PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. Rp. 42 0 BURNSVILLE, MN. 55337 1 812-890•6044
SEP-10-191 TUE 10:29 ID:JRMES R HILL INC TEL N0:612 890-6244 #173 P02
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PLANNERS / ENGINEERS I SURVEYQRS
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PLANNERS / ENGINEERS / SURVEY4R5
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SURVEYOR'S CERTIFICATE
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PLANNERS / ENGINEERS / SURVEYQRS
winn W. CTY. RD. 42 9 BURNSVILLE, MN. 65337 9 812•890-6044
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Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
I
I For Office Use'
non I 1 I
Permit
City of EaV 3 1
I Permit Fee• ~ 5I
3830 Pilot Knob Road I I
Eagan M N 55122 Date Received:
Phone: (651) 675-5675 I I
I Staff:
Fax: (651) 675-5694 I I ?
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: e- Unit S-t 1 1
Name: Phone:
RESIDENT
OWNER Address/ City/Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: &&d A72 /ldPA ~
Construction Cost: Oda Multi-Family Building: (Yes / No/-;, )
GL 7A
ComPanY Contact•
CONTRACTOR Address`. Z?-~E City: ,`R T
c/_~ Q 7
~7fr`~ lyl ~4D
Stater Zip: ~y Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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
accorda e with the approved plan in the case of work which requires a review and approval o plans.
X ~744 c X
Ap licant's Printed Name App ican Signa ure
Page 1 of 3
-50
DO NOT WAABYEWt4WAIIIS LINE 16066q
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ~G?>~ Occupancy Z,(G -1 MCES System
Plan Review Code Edition X07 SAC Units
(25% 100% ~ Zoning City Water _
Census Code Stories Booster Pump
# of Units Square Feet - PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: /IJ , Building Inspector
RESIDENTIAL FEES ~
Base Fee
Surcharge
Plan Review 1
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For,Office Use 1
I I
City of Evan I Permit
%'f I
I Permit Fee: t~ I
3830 Pilot Knob Road I
Eagan I I
Eagan MN 55122 I Date Ice, d: 1
1
Phone: (651) 675-5675 1 Staff:
Fax: (651) 675-5694
2011 RESIDENTIAL PLUMBING PERMIT APPLICN
Date: Site Address: S6 C1 Cw-fl- 6-a k 2
Tenant: Suite M
RESIDENT / OWNER Name: oc~~611 Phone:
Address / City / Zip:
CONTRACTOR Name: License/#:~~
Address: 000 t 4.41-r- City: 47r%eCl~ OL
State: * Zip: Phone: 6~-
Contact: Email: r1 CC-/+r !Z.[(f~,^
TYPE OF WORK -New )<Beplacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Plumbing Fixtures Mai _ Lower Level)
Lawn Irrigation RPZ / PVB)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
`Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ -G C
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x! 1,;~-Vef 0 C C x 0~~t=
Applicant's Printed Name Applica Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
- V'
Use BLUE or BLACK Ink
For Office Use I
of Ea ~11 I Permit 00
I
1 Permit Fee: 'D ' 1
3830 Pilot Knob Road I 1
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I Staff: 1
Fax: (651) 675-5694 L---------------
INFLOW & INFILTRATION PERMIT APPLICATION
J Y Plumbing / Sewer & Water
Date: 5. -7 Z Site Address: 4 ` try-{ Ci- SS 121
Tenant: Suite M
Name: -D1 CA-r r\e C P0 w e Phone: (D :~i 1 ` 6 6 - J76'
RESIDENT ! OWNER _
Address / City / Zip: EJ r:s 4 Cot k n f r C i- cz h r j I Z 3
Name: License M
CONTRACTOR Address: City:
.
State:. Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: rGt h YC lip O Lj yt'- ko L.-S -e-
DESCRIPTION
FEES
TOTAL FEE'$
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeactan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.oor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review approval of plans.
Applicant's Printed Name Ap iclp ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138893
Date Issued:09/26/2016
Permit Category:ePermit
Site Address: 564 Country Ct
Lot:15 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dianne C Powell
564 Country Ct
Eagan MN 55123
(651) 587-6532
Maus Construction Inc
1020 E 146th St, Suite 262
Burnsville MN 55337
(612) 703-5025
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171030
Date Issued:07/28/2021
Permit Category:ePermit
Site Address: 564 Country Ct
Lot:15 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Steven P & Sara S Yaeger
564 Country Ct
Eagan MN 55123
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature