4140 Countryview Dr • . ...?..-. _ _ .
CITY OF EAGAN -t ? 85 ? 5
ilot Knob Road, P.O. Box 21-199, Eagan, MN
4
4
' 55121
PHONE:
5
- 8100
BUILDING PERMIT ? •
Receipt #
' +
To be used for SP DUIC/GAR Est. Value #49•000 Date NOV 6 , 1990
Site Address 4140 COUNTRYVIEW DR
Lot 9 B?ock 3 Sec/SubCOUAITRY HOLLON
. OFFICE U SE ONLY
PBrCeI N0. Occupancy R-1 M-1 FEES
R"1
Zoning
W Name ???? ?'?E$ I? (Actual) Const V?H Bldg. Permit b3S??
o AddreSS ?20 7 g? ST E (Allowable) V-N 49.50
Cit I?R ?O? HTSF'hone 455-5142
y x of srorie5 Surcharge
4
?i
Plan Review
23.00
Length _
p
Name S?
Depth ?
,
?
SAC
City
100•00
Z ,
0
09 Address S.F. Total - 6?•?
0
` SAC, MCWCC
? City Phone S F. Footprints -
water Conn a25.?
?
On Site Sewage
_
yVj W Name on ste weu Wal
t
M 90•00
x er
e
er
?? AddrBSS MWCC System 3o
oo
a W Clty Phone City Water x
x 11cct. Oeposit
S '
30??
PRV Required NV Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge •50
inlormatfon is correct and agree to compiy with all applicable State of
Minnesota Statutes and City oi Ea9an Ordinances.
? - Treatment PI 252.00
.
Signature of Permitea- APPFiOVALS Road Unit 3ss•?l
A Building Pemtit is issued to: ?WHALD Ho¢$ INC Planner - Park Ded.
on Ihe express condition that all work shall be done in accordance with all Council 1.00
applicable Slate of Minnesota Statutes and City of Eagan Ordfnances. Bldgpry, Copies
. 3.181.00
Building Otficial -
Varfance
-
TOTAL
Permit No. Permit Holder Date Telephone #
WATER
II75 V XA-
SEWEIt
PLUMBING
H.V.A.C.
ELECTRIC p?ov
Irispection Date Insp. Comments
Foo?ings I I 9 u?
foundation
Framing P f IF, AQ
Roofing
Rough Plbg.
Fough Htg. fs /7 ?
Isul.
Fueplace
Fnal Htg.
Fnal Plbg. -
Consl. Meter Plbg. Inspedor - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
. ... ,. . . _ ? . .. .. - /. / -PERMIT #
: . MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
/? s
• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE- WORK DESCRIPTION
?
Lot 8lock - Sec/SuF} ` i
Res. New
f Muit Add-on
Name
' ' ?,
' '
? '
Comm. Repair '
?
?o Address •
?
" Other
c City
Phon ?
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
3
p ?4-•-
Ciry .
Phone `' ,s-- ?;
? (RES. HVAC INCLUDES A/C ON NEW
i CONSTRUCTION)
! GAS OUTLETS (MINIMUM - 1 PER PERMIn - 50 E
1 A
' TYPE OF WORK
COMM/IND FEE - 1% OF CONTRACT FEE . .
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE ,4PPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
, Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20,00
' . STATE SURCHARGE PER PERMIT - ,50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
? Gas Piping OuUets #
l BEYOND $1,000)
? Other $
FEE:
: ;
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
,
CONTRACT
PRICE
Site Adcess
Lot `?
m
?
a
C
PLUMBING PERMI
CITY OF EAGAN
PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 1 RECEIPT#
PHONE
DATE:
FEES
COMM./INQ. FEE - 1% DF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MIMIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
{AD[?,$.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF
B LDG.
Res. _
Comm. Repair
ar,er
Use Only
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00 ) G_
F
?
Shower - $3.00 ,
_4- Kitchen Sink - $3.00
UrinaVBidet - $3.00
? Laundry Tray - $3.00
? Floor Drains - $1.50
Water Heater - $1.50 = J`i e ? ?
?r}.F}-
1fVhirlpool - $3.00 ?
? Gas Piping OuUets - $1.50
(MINIMUM -1 PER PERMIl)
Softener - $5.00
Well - $10.00
Private Disp. - a10.00
,Z?_ Rough Openings - $1-50
PERMIT FEE: t), 6=
STATES S/C: S: _a
GRAND TOTAL: _? . S?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
r, cl?'Frh
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
i .. .
I SITE ADDRESS: s? t Or K, APPLICANT:
? PERMIT SUBTYPE: TYPE OF WORK:
I • ? ? ,, i , ? ? , ? „ ? ?
i
INSPECTION „ • .•
I
I '
I
(
?
F- -1
L? J
Pertnit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Commenta
FDOTINGS
FOUND
FRAMING
ROOFING
4
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCriviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTI4N REC4RD
CITY OF EAGAN PERMlT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
,. ,. , ,.
SITE ADDRESS: :t t APPUCANT:
:???N1'?tYVIEW flFt . • : ?i: . „?; , , „ . ? €dt
i 111tiV I kY Fii.t ! t O4i .1411 t n t.' i4:t; . 8 9.?F?
PERMIT SUBTYPE: TYPE OF WORK:
:; i r'r+ i R
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOISND
FRAMING
ROOFING
ROllGFi
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FJREPLACE
AIR TEST
FINAL PL6G '
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IFRIGATION
METER
FLUSH
MAIHS
coNOUCrivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
10
?? _
e
--
s,
SEWER 8 WATER PERMIT
CITY OF EAGAN
? 3830 Pilot Knob Rd.
; Eagan, MN 55122-1897
i DATE rtoV 6 1990
SITE ADORESS 41L4U 1-uuNi.
LOT 9 BLOCK 3 SEC/5U6
, APPUCA
ADDRES
CITY, ST
PHONE:
! PLUMBErs: ?
? ADDRESS:_
I CITY, STATE
PHONE: -
ZIP
' OWNER: r1%,L1[1&wu rwr,..., ?..?
ii ADDRESS: 4020 7 5TH S'r E
' CITY, STATE ZNVER GROVE HT5, Mtv Zip
? PHONE: 455-5] 42
' PLEASE ALLOW TWO WORKING DAYS FOH PROC
; SEWER PERMITS, CONTACT ENGINEERINq DEPT.
CALL 454-5220 FOR INSPECTIONS. FOR
Address :4140 C04]KI'RYVILV DRIVE Lot 9 Blk 3 Sec/Sub COUNLPy HUIiOW ZIVVD
These items were/were not complete at the time of the final inspection.
DATE: 2/27/91 Yes No INSpECIpB: ?
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry tl?
Permanent driveway
Permanent gas ?
Sod/seeded grass j?
Trail/curb damage l?
Porch
Basement finish ?
Deck
Please verify with the buildar the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Reaident copy Pink - Contractor copy
OFFIC?Ei USE ONLY 12 111 /90
' 2? J /6ERMIT DATE
06 PERMIT # 11755
UCK' C11001
B.P. RECEIPT #
- 3 0- / g.p, RECEIPT DATE 11/ 7/90
X PRV -. BOOSTER PUMP
PERMIT REOUESTEO
R SEWER X WATER _ TAPS
_ COMM/IND r RE5IDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WIIL NOT be given for Deduct Meters. .
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
i?? ?
c:; i l ^? I' P"'= L0'1 nVE',1GE ??U?? Gu, '``Ir'L'ir',T10'1
. . + '
^ `J ;f . }.• ?????? .
SIT= "CD'cSS: ?-p-T 1 .L?L.OC_K.3 ?s??...rr-i2v J4nr12
.,
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o5.3?
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i ?. ., . ..? ? .,?, : . ! ... _.l.
------ ??il?'_?. :... ' ? S?•? ? 5Q i C X iiuii
gl a :-2 d
- --
......
y ft x fluff
17 20 .. 4 -7.
?
• 0 ""7
_) i -):il ;' i.'in.; r11a.;;
x
g 1 a ze d...... • 5 q f t x '`U"
d} Total flreplace wali area ff x "U"
a ?
? •?O?
.
^_) Total wali franing area
(; veraoe )0°) . ... ... . . . ?.3 O , 07
?
sq f[ x "U"
'io!a1 n2: .;111 arca abn•:= -
« o
f 1 c z)r I 1 i ? u 1 : • :i } . . . . . . ? ? -2? ?-
i
--
f3:?1
nr_a ..,..'?..........
a.............
0 TOZJi 11:[ r0':::??CIO7
3
,jO.1 (o
s? ? t
^-J o.?.lE 'lUil -1 ,
L X 1-Ull
q
TOT,IL a) thru
U?
,3 1 s th;: a', or than i
1 te:? ?l ?uu 1`13• ? ?:..:t t;12 ir:znt of
S•l.C. Saction 600,{ (c) 2.
I I
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MIJLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEY5 - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCE55ING TIME FOR SEWER & WATER PERMITS IS T410 DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 6L1'l?? P PJYKt1?n Valuation: Date: N?J J? t? q. 0
Site Addxess !l.flW
Lot C? Block 3
Parcel/Sub l ou,1}r,a (in ((oul) C? ?
?
Owner -I)oAal d .? ?tll?eYex, G4110-cj
Address
City/Zip Code
Phone
Contractor )Acbn?1C'18 Horn"5 SviC
Address l{pas:? -l5 st',it
City/Zip Code .L•L l}, yhh jSDi
Phone H.V 5- -S(4 ;L-
Arch./Engr.
Address
City/Zip Code
000. OFFICE USE ONLY
r
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
_R, 3 M-I
Q-1
Y_ N
y-N
?
On site sewage_
On site well
MWCC System t.0e
City water ?
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 63'Jri00
Surcharge qj.q
Plan Review T,??C>p
SAC, City LCD-l
sn.c, Macc boolaa
Water Conn 2S,00
Water Meter 0100
Acct. Deposit Oipp
S/W Permit 30,00
S/W Surcharge 0 30
Treatment P1. z5'2' a?
Road Unit
o0
355",
Park Ded.
Copies .00
SUBTOTAL
Penalty
TOTAL
Phone #
CITY OF EAGAN NO 18515 -?
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100
C BUILDING PERMIT > Fleceipt # Q / ji 6v 1
To be used tor SF DWG/GAR Est. value $99 I 000 Date NOV 6 '
1990
_
Site Address 4140 COUNTRYVIEW DR
Lot 9 Block 3 Sec/Sub. COIINTRY HOLLOW
Parcel No. 2ND
pW Name MCDONAiD HOMRS TN('
o Address 4070 75TH ST F S SQ ??
Ciry INVFR CROVF HT33hone 45-5-57 4
o Name _
Address
lunl Name
?
y 2- Address
aw City Phone
1
I hereby acknowleqe that I have read ihis application and state Ihat the
information is correct and agree to comply with ail applica6le State of
Minnesota Statufes and Ciry of agan Ordina s.
Signamre ot Permitee
A Builtling Permit is issued to: MCDONALD 66MES INC
on ihe express contlition that all work shall 6e done in accordance with all
applicable State of Minnes-o.t.a-Stpatutes and yCyi,ty? ?ol Eagan Ortlinances.
BuildingOfficiall,QA,I IIL[1
Phone
5 .
5
a
OFFICE USE ONLV
Occupancy R-3M.-1 FEFS
Zoning R-1
(AcWap Const em9. Permu 635. 00 ?
(Allowa6le) ?N 4
# of Slories
Lenglh
Depth
S.F. Total
SF. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Baoster Pump
APPFOVALS
Plannar
Council
stdg. oa
Variance
surcnarge 9.50
54' Pian Review 413, 00 ,
50' sac, ciry 7 no _ np
- SAC, MCWCC 600.O0
WalerConn 695-(10
Waler Meter _ 4Q..fl0
X
x _ Accl Deposil 30.00
S/W Permit 30.00
- SiW Surcharge - SO
Treatment PI 999_(1()
Road Unit 355, 0
- Park Ded.
Copies 1.00
- TOTAL 3,1$1.?o
'19rrfiftrxfr of 1?arru?xriz?
Citp of Cagan
Drpurbinnct of imuilaiag Amprrtian
Thrs CerYlJlcate rssuedp+rrsuan[ to the requirements ojSeUioa 306 ajlhe Unijorm BuiWing
Cak certijying Ura1 at the time oJi.uuaxce 1his.struc(ure was in compliancewifh 1he various
ordinances oflhe Ctry regudalirt8 buIldiaB cons(nalion or use For lhefo!lowing.um a6%6.,;o, SF DWG/GAR BW& ,it Nm 18515
O-V„XYTra 113 l s Ditria R1 Tra1 ? (N
o.. ,rauildi.8 MMONAiD W4S INC. Add? 4020 75I1i ST S. INVM MVE HEI=
?... swm? 4140 C,WWpW i= L..Ij, L9, B3. IX70NIRY F10[JIJW 2NID
.:.z a
.i' w?.?,-= 2/27/91 omscw'
rosr ua n coruaIcuous ruce
: '4. ?TO7,',! cX?OS_c? i,JO;/?_ILI;i, C.1LG;?_A71CPl5:
Total expn>ed
roof/c?I1 in?7 araa ? a?}-?;t - C)
..... ...
J? ,.,.21 ..:_ ....,.. r.1E?
_ . , .. . .
-=?
_.,...,. _.-
. ,,,?_ .._ ?_,, _.,,-. - -,--;,._...u , ,.,_?, --..? ?>?-_?? _•? _ ,_
Ll.....s d:li =2.
" _ .._. .. . . .
222.4
3. j3o.?7 + r?: ?9 - L-l?i
,-- ; , -, - ,
?L3.??
,
I J 2 0 9 5 3?.? g,3 ,,,1,..?r?,.,. ,-?? °?
9eGUest Da[e Fire No. Ro h-in Inspection
?_1?7 Z Requiretl? _ Reatly Now LI Will Notify Inspector
_ G ves No When Reatly?
I licensed contractor L) owner hereby request inspection of above electrical work at:
Job Atltlress IStreel. 8ox or Rou[e No.) pity
D'' PJ -
Sedion No. Township Name or No. Range No. rtly
Co
u
'?
^
+i o?Kr/ 3 ?
Occupant(PRINTj Phone No.
n0.
Power SuOPlier AOtlress
Elec ral GonVecror ICompany Name) Conirectors Gcensa No.
l'
Ma?iiifng Atltlress ntta tor or Owner Making Installanonl A
-
an?
7 ?
A
utyho tl SignaWre ICOmracro Owner king Ins alletion Phone Numbar
r
`?,??•?? ??i
MINNESOTA STATE BOAqD OF ELECTFICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bldg. - Room S173 BE HGGEPTED BV THE STATE BOAFD
1921 University Ave., SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
PM1ane(612)64Y-OBOD ENCLOSED.
?-_
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe
'J 2 o9,.._ ? See'nstmctions for completing this torm on Oack oi yellow copy ??'€4e?,_ /N DD?
L
?; "X" Below Work Covered by rhis Aequest
?fJew 'Add- Rep. Typeof6uiltling AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
CommJlndus[rial Fmnace
Farm Air Contlitioner
Olher (specify) ConVaotor5 Remarks'
Compute lnspection Fee Below.
# Other Fee # Service Enlranca5ize Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
Transformers Above 200 _ qmps -Atsove-7p0 Amps
S190S Inspeclor's Use Only:
T
A
Irriqation Booms /
? riSZ
S
eciai In
ti ?
p
spec
on
Alarm/Communication THIS INSTALLATION MAY BE ORDER -DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. ROO9n""
Finai ? oare
oaie ?-
o-
OFFICE USE ONIX .
Thia reques[ voitl 18 months from
. S
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE: auzLorNG
Permit Number: 0 3 2 2 5 6
Date I ssued: 0 7/ 0 6/ 9 8
4140 COUNTRYVIEW DR
LOTe • 9 BLOCK: 3
COUNTRY HOLLOW 2ND
P.I.N.: 10-18276-090-03
DESCRIPTION:
REROOF
Permit Type
Work Type
u;&
e em e $3 Cs.?
? .."i`?I- ni? 'G'.^4e.4 ? ? ...§14Y?.°•??•
PERMIT
STORM ORMAGE
REPAIR
434 AL7. RESIDENTIAL
3
i(+t ?I Yt. g ?
T, qr
n; s 'ronr
sp
R
? 5uw p? A ?'i SV-? &t7'A
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. Lzc OWNER:
TOP LINE CONST & ROtlFZNG 14328998 2010224 GAYLORD pON
14541 EVERG REEN TR . 4140 CtlUNTRYVIEW DR
APPLE VALLEY MN 55124 EAGAN MN 55123
(612) 432-8998
I herelay acknowle'dg-e "that :T iZave cead. ,tM?ss appiic`ati4nand°°stzt4a•G th`e
inform?tllpn 11
is ccirrarid agree ?0 a6m'p7,y w4 Gh a11 ap, pli.c a bJ#, 8tat8 ?-F°Mn: ?
Statutss end C-ity, of Eagart 'prt3ir?af5ae? , _ `
?' . . k _ e e. e. . _ .... . . ..... . ........ ..... .. _ 1 . .. _? e, ? o. ?
APPLICANT/PERMITEE SIGNATURE
5116 1998BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
vv i V\ L ? 681-4675
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registered ske surveys ? 2 copies ot plan
? 2 capies of plans (inGude beam 6 window s@es; poured fn0, design; etc.) ? 2 site surveys (ezledor additions 8 dedcs)
? 1 energy wlalations ? 1 energy celculations for heated add'Rions
• 3 copies of tree preservatiaa plan if lot pWtted after 711193
required: Yes _ Na
OD
DATE: 61 S f`I ? CONSTRUCTION COST;
OESCRIPTION OF WORK: P /oo 4 2bykvt
STREET ADDRESS: `7I y6 &An Ij d. ?4#-n ?
LOT: t BLOCK: 1 SUBD./P.I.D. #: iVL?VVI
Name: ?A_d Phone #:
PROPERTY I Fusi
owrrER q/,!D Cn
Street Address: ?i rnf Uf ?G? ?/.
City State: .?V Zip: 5503
Company: d / i1'4% ?GI1.S? 1?1 / Phone #: 7 ??, ?i/ /D
?Q l D??n
CONTRACTOR Street Address: Mill ? /• License # /
'7/ ? ? G
City ? a I jeti State: ///?I/ Zip: ?J/? %
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
Ciry Stau: Zip:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No
Tree Preservation Pian Recefved Yes No
Penalty applies when address chang
an ree to comply with all applicabl
- Not Required
3`?i o g a-
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55 ] 22
651 681-4675
Date: ??9
Description of Work: ? Construct new fueplace
Install F-as insert onlv
Other
Job address: '
Lot: -I
U ?1?
Block: Subdivision/f'.I.D. #: LU? ? ?(] ?)?-
Applicant (circle one only): Owner CCd ctof Pernait Fee: $60.50
Name: Phone
PROPERTY Last First
OWNER
StreetAddress:
City State: Zip:
Company: Phone #:
(area code)
FIREPLACE
FireINSTALLER Street Address: A???? SidB
Ahn Firesida Comer
License #'evutFvo 1 0
City 2700 N. Fairv?iesA„VO- State: Zi
p' -
Company: Phone #:
(azea code)
GAS LINE
INSTALLER Street Address:
Ciry - State: Zip:
:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
' comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature • "
?
?c, C).<Z:_o
g ---?--a[ ?
_Gas _Masonry _ Alterations to existing
Install Qas Jine onlv
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THOMAS EGAN
3830 PILOT KNOB ROAD Mayw
MINNESOTA 5 51 22-189 7
EAGAN
, DAVtD K. GUSTAFSON
PHONE: (612) 454-8100 v?? ??
FAX: (612) 454-8363 TIM PAWLEMY
iHEODORE WACI-RER
Couricil Mem6ers
THOhVS HEDGES
Crty Atlminisnator
October 29, 1990 El1GENEVANOVERBEKE
Ciry Ckrk
WARREN ISRAELSON
PROGRESS COMPANIES INC
14300 NICOLLET
SUITE 235
BURNSVILLE MN 55337
Re: Hold on Buildinq Permits
Dear Warren:
The City of Eagan has put a temporary hold on building permits for
Lot 4, Block 5, Country Hollow Addition and also Lots 1-10, Block
3, Country Hollow 2nd Addition.
The pond lying east of Lot 4& 5, Block 5, needs excavation work
at the pipe outlet area where sand has accumulated due to upstream
erosion. This work can best be accomplished by access of Lot 4,
Block 5.
Lots 1-10, Block 3, Country Hollow 2nd Addition, are on hold
because of the lack of final restoration work in conjunction with
the retaining wall construction. These lots will remain on hold
till this work gets completed to the satisfaction of the City of
Eagan Engineering Department.
We hope this work will get completed as soon as possible.
If you have any questions pertaining to these items, please call
me at 454-8100. Thank you.
Sincerely, cc: Mike Foertsch, Assistant City
Engineer
V???? Craig Knudsen, Engineering Tech
Steve Aanson, Assistant Building
Official
Stan Lexvold
Senior Engineering Tech/Construction
SL/jj
THE LONE OAK TREE...THE SYMBOI OF STRENGTH AND GRONRH IN OUR COMMUNITY
Equal OpportunitylAffirmative Action Employer
954870
COQNTRY HOLLOW BBCOND ADDZTION
PRE88IIRB REDIICING VALVE AGREEMB!
i
This agreement, made and entered into the day
of 14,f-c-9L , 1990, by and between the CITY OF EAGAN, a.
/
municipality of the State of Minnesota, (hereinafter called the
City), and the OwneT and Developer identified herein.
The terms "Developer" and "Owner" as used herein refer to:
PROGRE55 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 ADDITZON,
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
recordinq of this agreement.
?
f
(
2. Notice. The recording of this document shall constitute notice
to all owners and future owners of property in the COUNTRY HOLLOW
SECOND ADDITION subdivision that Lots 1-4, Block 1, Lots 1-17, Block
2, and Lots 1-10, 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 high water
pressure.
3. Validitv: if any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this Contract.
4. Binding Aareement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF E.?AN e? OWNER AND DEVELOPi"sR:
(Date: 7S ' PROGRESS LAND COMPANY, INC.
. T mas A. t4afi By: W
Its: Mayor Its: PReI/ c7E,v T
Attest: W. J. VanOverbeke
Its: erk
1
BV.
Its•
,
r
STATE OF MINNESOTA
COUNTY OF DAKOTA
ss.
On this a/.S% day of 1990, before me a Notary
Public within and for said Count personally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me p?rsonally known, who being each by me
duly sworn, each did say that they are respectively the Mayor and
Clerk of the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed on behalf of said municipality
by au*_hcrity of =ts City Council ar.3 said Mayur and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
q. 'MI/fff!>C!tN?NlNfflJdN
<,
? .. ....... -?aI
STATE OF MINNESOTA )
) ss.
COUNTY OF l??R,i..> )
?
On this day of 71.,??,A St , 1990, before me a Notary
Public within _ and foi said County, personally
appeared t. t, i ?.; -&"d- to me
persona?ly? ,?own, who being -ach_by me duly s?aorn, ea?ia did say that
t?te??ft+ res}?eet?e?}. the F? !?:?
and- of the corporation named in the
foregoing instrument, a±±d t?,_h ??.. _-n1 _Ff:..ed =_ __=' -_ _k=•--_-= _-_
, and that.said instrument was
signed __.= s___ed on behalf of said corpor ion.k!y authoriiy of its
Board ?of Directors and said ?rr 5,d (.-4if
?- acknowledged said instrument to be the
free act and deed of the corporation.
- { Notary Public
I
APPROVED AS TO FORM:
%r
Public Wo s Department
Dated: Av? ?? /y 90
TIiIS 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
oto L '59-'?r1 A-.Q
APPROVED AS TO CONTENT:
RECORD OF COMPLAA'T
Date / 2? - SZ
Complaint taken by
Type of building ? ` •!J.
Name
Address ?fIxga] description
Phone number
Complaint LJ56A lea j
Action taken -f *o t?e .0 ite o., /-?9 S2 4n?4 /f
S
Comments -= in To??n ?tQ bDn 7z-`+4-fhe Gysu /Z h ava I-et
e?
fUlrh2r (aJCL uPPC'vrce,
Signature
?
,
,0 9999/
a 0 9 2 3
Request Date Pire No. o ?-in I s0eclion
uire??
G Reatly N. ?Vill Notity Inspector
j{Yes G No When Featly?
Ig licensed contractor ? owner hereby request inspection of above electrical work at:
Jo? Aearess ?stree?. 9ox or Rome No.) ciry
Section No. Tawns?ip Name or No. Ranga No. Counly
Occupant(PRINT) Phone No.
r74 ! ?G' J 4
PowerSupplier Adtlres5
4?f?
Ztt? ``- jt
tAJ
c? .
.
Elecmcal ConVanor COmpany Name) ConVaclor's License No.
Lc_?
Mai mq qEtlress ICOniractor or Owner Making Installalionl
g ?
d 2[ trGr (.Je.,.,
Author tl S na re ConVacroV ner akinq Installation) . Phone NumDer
MINNESOTq STATE BOAqD OF ELECTPICITY ` THIS INSPECTIDN REpUEST WILL NOT
Griggs-Mldway Bltlg. - poom S173 BE AGLEPTED BV THE STATE BOAPp
1821 Universlly Ave., SY. Peul, MN 55104 UNLE$$ PFOPER INSPECTION FEE IS
Phona(612)6C2-0800 ENGLOSED.
?02.???0 REQUEST FOR ELECTRICA' 'NSPECTION es-ooom.ae
1. See Insttuclions tor oompleting thia lorre on back oi yellaw copy_
X" Below Work Covered by This Request
a 09723
ew Adtl Rep. _ TypeofBuilding AppliancesWired EquipmentWiretl
Nome Fange Temporary ServiCe
Duplex Water Heater Electric Heating
Apl Buildinq Dryer Other (Specify)
Comm./Indus[rial 'Furnace
Farm Air Conditioner
0[her(specify) Conhaclor's Remarks'
Compute Inspection Fee Below:
8 Omer Fee # ServiceEmrance Siza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps (? [ 0 to 100 Amps
Transformers Above 200 _ Amps 0_ Amps
SignS Inspeclois Use Only: TOTAL
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY E ORD R 415CONNECTED IF NOT
Other Fee COMPLETED WITHIN NT Ali
I, the Electrical Inspector, hereby
certily that the above inspection has
been made. Rough-in
F;na?
?
OFFICE USE ONLV
This request void 18 monihs Irom
'
30
1 ? \1
` El FEI P 836.9 . ... .
I ow I`.. ..g83057 24„W....
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ASEMENT
AND UTP_lTY E
TING DRPINAGE MUB
:._.E`EV _ ? 8337 ?.
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`5.0 a
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?EV?9970
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Sp....:;?... .....
'
5
0 _ J
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--
° PROPOSED GAR.
ELEV. PER
--
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SLAB
DEVELOPMENT
pLqN=837.0 I
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a
7.s%-- GARAGE '?
. EL-F
pROPOSED o i `. Bp?CKOOFDOUSE ?R
ENT PL.AN`
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z
'-_w 1_30 5- ---.i y
" a pEVELOPM
F1OUSE 833A I n
mr 10
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x
w
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50 0 -... ? _•10.5
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O?
.-- TOP 0F Ht1B
-ELEV.=833.9 Q? ,
LW
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S83°57 24 `N.... ..... ToP oF r+ue
= 834.8
EV
??OVERLAND EMEftGENCY SPIL
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TOP IP EL
=832.Z
EV
I Bg
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ELEVATION=
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30 ?I I
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1
LOT 97 BLOCK 3,
COUNTRY HOLLOW 2ND ADDITION,
DAKOTA COUNTY, M I N N ESOTA.
TOP I.P 5
ELEV.=B27 ? .
159.O1 ...
30
0
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m
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00
W
U
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¢
3
30
149.10
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BEARING SYSTEM IS ASSUMED.
0 DENOTES WOOD HUB.
0 OENOTES IRON MONUMENT.
EAGM
?.,.,. ZOP1.P. 4.8 ?.R.?• RC??U I? !E?
.` ELEV. -63
G DEPT_
m DWYER & ASSOCIATES, INC.
Land Surveynrs
875 Spirel Boulevard
Hastings, Minnesota 55033
Aus:(612) 137-2909 Res:(6121 435-5417
i rere;y cerhty that this survey. pian, or report was
prepa,etl oV me or under my direct supervision and that
ar a tlwy Registered Land Surveyor under the laws o1
the i!ate oi ytinnesota .
?: Feg Yo Q297
I BDUNDARY SURUEY
SCALE: I"= ZQ' APPROVEDBV: DFIAWNBV D. J.W.
DATE: I I- O2- 7O REVISED
1
I McDONALD HOMES I NC.
DA KnTA COU N TY. M N. 1 90 '108 M6ER
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178040
Date Issued:07/28/2022
Permit Category:ePermit
Site Address: 4140 Countryview Dr
Lot:9 Block: 3 Addition: Country Hollow 2nd
PID:10-18276-03-090
Use:
Description:
Sub Type:Underground Sprinkler System
Work Type:New
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Donald J & Theresa L Gaylord
4140 Country View Dr
Saint Paul MN 55123--394
Applicant/Permitee: Signature Issued By: Signature