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4141 Countryview DrCITY, OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 PERhAIT TYPE: Permit Number: Date Issued_ 47r,1?]l???? i SITE ADDRESS: ;„ i: ry , i ;. : , ttf-J IIFi I , i r?I k r I A * ,: , <<1f? 81 O,: K s APPLICANT: (hi.') hJl -0 104 TYPE OF WORK: { Ili Ntw SPTR. . .. i 14 r; I- I I PERMIT SURTYPF- Permit No. Permft Holder Date Telephone N S/1N PLUMBING HVAC ELECTRIC ELECT o??53 t ?'rv j ? ? Inspsction Date Insp. Comments Footings I (l.. Foundation .., ? O (+fS KC, 7 3 ? A- 171 Framing t Roofing Rough Pibg. / Rough Htg. lsul. 45 ps Fireptace Finai Htg. 11 v _r- /L/ ? ??f V fivS'r'v,?.c? Orsat Test 0 Finel Ptbg. L/? f /" • 1/ l`f Ptbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 7 Deck Ftg. Deck Finai Weil Pr. Disp. `?,u??l y ? %`43 Af/ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ? SITE ADDRESS: I UV1 N 1 k1 I•/a'-,'. 4 1 11 ? PERMIT SUBTYPE: I II 00) t NI. . ?Ir- NUItlIlMti N." 14 1, i wal: RIy4 APPLICANT: TYPE OF WORK: Nf I I ? i N nI VALM ?• = Pennit No. Pertnft Holder Date Telsphone # S/1N PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dste tnsp. CommeMs Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Finel Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Consst. Meter Engr./Plan Bldg. Final Deck Ftg. oeck Fmal weli Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "" +!"'''`' 3830 Pilot Knob Road Pesmit Number. 0 47 ;4 •' Eagan, Minnesota 55122-1897 Rate Issued: "' - • (612)681-4675 SITE ADDRESS: APPLICANT: • ???,tirt??•vtr?? i?? ? , ;: r . . . ? . .? :?----+?-?- r?3s- ?g3a PERIVIIT SUBTYPE: TYPE OF 1NORK: . . .. , , INSPECTION .A . D. Permit Holder Date Telephone # PLUMBiNG HVAC Inspectfon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGN PLUMBING ? PLBG AIR TEST ROUGFi HEATING GAS SVC TEST ? INSUL ?5??? GYP BOAAD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FtNAL HTG ORSA7 TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNDucrivirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? ca, J ,? " ??-- RESI ENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsVUCtion Reouirements RemodeVReoair Reouirements Office Use Oniv 3 re3istered site surveys showirg sq. ft. of b4 sq. ft of house; and all roofed areas 2 copies ol plan Cerl oi Survey Recd (20% maximum lot coverdge allowed) 1 set of Energy Calcula0ons for heated addi6ons Tree Pres PWn Recd 2 wpies ol plan showing beam & window sizes; poured found desgn, etc. 1 site Survey for addifions 8 decks Tree Pres Not Reqd 1 set of Enargy Calculatlons Addition - indicafe il on-sife sepfic system On-site Sepfic System 3 copies of Tree PreservaGOn Plan if lot pWtted after 7!1l93 _ . Rim Joist Detail Options selecUon sheet (hldgs wilh 3 w less units - Datc o2 Constructiou Cost la??(?(' ? Site Address UniUSte # Description of Work Di'?16 71Q r n v J'20d.CA ? A C'j Multi-Family Bldg _ Y N Fireplace(s) _ 0 / ? v 1 _ 2 Property Owner Telephone # ((?1) Contractor t? {- r /j'? Address o? I S[ate C Zip - Tetephone tk Q_pV ) y?q' lq(D ?D COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Categorv 1 (J su6mission type) • Residential VenGlation Cateqory 1 Worksheet Submitted . Energy Envelope Calwlations Su6mitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor • New Subr Telephone #( Telephone # ( Telephone #( 11Sa 0 ' I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MiV Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. c) (1 4 Applicant's Pri ted aN me Applicant's Signa ?/z? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ? New ConsWCtion Reauiremen c RemodeVReoaii Reauirements Office Use Onlv 3 registered site surveys showing sq. ry, of IoL sq. ft. of house; and all roofed areas 2 copies of plan CeR o( Survey Reo9 (20% maximum lot coverage allowed) 1 set o( Ene?gy Calwlations for heated addi6ons _ Tree PreS Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd lsetofEnergyGalculatlons 3 copies of Tree Preservation Plan if lot pWtted aker 711193 Addition - indicafei/on-sftesepficsystem _ On-sitaSepdcSystem . Rim Joist Delail Options selecEon she2t (bldgs wilh 3 or less units Date (o - - Constraction Cost Si[e Address i-I (?( ? U ? ? -F rt/V I p (' UniUSte # Description of Work ? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner r i Lk ? ?? ?? e r- Telephone l Contractor ("hJliZ (Z (j e' Ij112jf' Address J City Lake Zl/ylc? State ? M f? Zip Telephone # (?? ) LIg 61?) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category submission type) . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J Submitted Submitted • Energy Envelope Calculations Submittad Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MiV Statutes, I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work whi approval ofplans. END ? ? ? T m D _ A??-. ?i 1'??? 1? ? 14 2007 Applicant's Printed Name Applicant's Signature r ? -?- `-{-? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RenodeURepair Reauirements Office Use Onlv 3 registered site surveys shaving sq. ft. cf lot, sq. ft. of house; and all roo(ed areas 2 copies of plan Cert af Survey Recd (20% maximum lot coveryge allowed) 1 sef of Eneqy Calculalions for heated additions _ Tree Pres Plan Recd 2 copies o( plan showing beam & windax sizes; pou2d Pound design, elc. 1 site survey for addifions & decks Tree Pres Not Reqd 1 set af Energy Calculations Add'Non - indicate Nonsite sepffc system _ On-site Septic System 3 cqpies of Tree PreservaGon Plan if lol platted after 711/93 Rim Joist Defail Options selection shcet (bldgs with 3 or less uniLs Date -5 // L Site Address y / 03 ConstruMion Cost .> g Oo e ly? 60UdI T1? U1C"/ UniUSte # Description of Work &,kl A?'OWG r7C>'1 //6 ,> Multi-Family Bldg _'it _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Pq-?rla -Z ?rS??°'? Telephone # ( (p? ) W ?- 7 ?Jr7Z' Contractor 4 O//?S Address P State O . 6 OX aZ2-c-1-7 7,ip L 1-, City ??- Telep6one # ( ? f ( ) .?lP ^ 95s `? COMPLETIE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (d submission type) ' Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanicql Contractor Sewer/Water Contractor RM T-111?1 i JIpY }1 2 2003 #( I hereby apply for a Re sidential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand tlus is pe ?t, but only an application for a permit, an work is not to start without a permit; that the work in acc ance with the approved plan in the case o hich requires a review and approval of plan ? pplicant'9`Frint ame Applican t's ure ? 5 X (/? E- -N/ &'/G7 OFFICE U5E ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool [3 30 Accessory 61dg ?71- 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types rk-/G? r,/,r? " b???,IL ?Aa lJ 1 ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding d. 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' O 43 Reroof ? 46 Windows/Doors 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units ? Nbr. of Bldgs Type of Const V /v Occupancy 9 2'0$,- MC/ES System _ Zoning Stories Sq. Ft. Length W idth , Footings (new bldg) Footings(deck) ? Footings(addirion) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. Air Test _ Final ? Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By , Building Inspector ?? ???v f3rtx,1C_ ?/ ovw Pemvt Number MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lc Data filename: LTnergy CaIcsNEC1Mnl03-173.cck TITLE: #03-173 COLINTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 03/10/03 PROJECT INFORMATION: PATRICK & KATHLEEN ENGESSER COMPLIANCE: Passes Maxirnum UA = 484 Your Home = 455 6.0% Better Than Code Ceiling 1: Flat Ceiling or Scissor Truss Wall L Wood Frame, 16" o.c. Window 1: Above Grade, Vinyl Frame, Double Pane Door 1: Solid Door 2: Solid Door 3: Glass Basement Wall 1: Solid Concrete or Masonry, 8,0' hU7.5' bg/8.0' insul Basement Wa112: Solid Conerete or Masonry, 3.5' hU3.0' bg/3.5' insul Floor 2: All-Wood JoisUTtuss, Over Outside Air Proposed and Maximum U-Factor Averages Above-Grade Windows and Glass Doors Includes Foundation Windows > 5.6 fr2 Checked By/Date Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA 1298 44.0 0.0 35 3548 19.0 2.0 166 500 0,330 165 18 0.230 4 30 0.350 11 40 0.330 13 664 11.0 0.0 39 231 11.0 0.0 17 206 38.0 0.0 5 Proposed Average U-Factor Maximum Allowed U-Factor 0.330 0.370 COMPLIANCE STATEMENT: The proposed building design descri6ed here is consistent with the building plans, specifications, and other calcularions submitted with the permit applicauon. The pjqpase? building has been designed to meet the 2000 Minnesota Energy Code requirements in MECchec rsion 3 Release 1 c and to comply with the mandatory requiremenls Iis•ted 'm the MECcheck Inspe ecklis . PERMIT ?'? CITY OF EAGAN ci 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 023461 (612) 681-4675 Date Issued: 0 4/ 2 8/ 9 4 SITE ADDRESS: 4141 COUNTRYVIEW DR LOT: 6 BLOCK: 5 COVEN7RY PASS 4TH P.I.N.: 10-18403-060-05 DESCRIPTION: Buildinq',Permit Type DECK Building l•JO,rk Type NEW ? i i ? ? ,i(7?, t?I' fF-)i ?.:.Z.? ? ?; . ,. REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fse $30.50 CONTRACTOR: OWNER: - Applicant - RADI LARRY 141 COUNTRYVIEW DR AGAN MN 55123 612}686-6651 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L !d% J "" `'", La APPLICANTlPERMITEE SIGNATURE application and state that the with a11 applicable State of Mn. L-1-y ? c ISS ED . SIGNATURE I ' L? 4 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 njI ( I ;;f a . 21 ?3.0. -( C SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 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 APR -t L / :27 Valuation of work Site Address:_Cok?TRYV,zEA-' pRFVE" STREET Sl1ITE N Tenant Name: (commercial only) LOT b SIACK r_ SUBD. C?&K7Rr PASS # P.I.D. 0 Descri tion of work: The applicant is: 19 Owner ? Contractor ? Other (Describe) Name _RAK).L LA12RY Phone ?86 -4C3/ Property LAST FIRST Owner L Address il C0uw7,ey vlE_tv pRi lfE ?/ STREET STE M City EAGAN State MY Zip ?l?23 Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # 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 wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?/ . ' FERMIT CITY OF EAGAN '3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B u z Lo rn G Permit Number. 0 3 2 3 4 2 Date Issued: 0 6/ 2 4/ 9 8 SITE ADDRESS: 4141 COUNTRYVIEW DR LOT: 6 BLOCK: 5 COVEN?'TRY PASS 47H P.I.N.: 10-18403-060-05 DESCRIPTION: B.u3.1d'fh'g_Permit Type 6uilding Work Type ,.?Gensus Code"'''`. r' ? ...E.v.,. r S70RM DAMAGE REPAIR 434 AL7. RESIDENTIAL Y £ ? /? v... _ ? -... -.... '. _ -... _ • ? ... . "`? :. .? ._? __ REMARKS: FEE SUMMARY: CONTRACTOR: - aPPiicar,t - sT. Lzc RONEL RESTORA7IONS 14351932 0002158 P 0 BOX 240744 APPLE VALLEY MN 55124 (612) 432-3444 OWNER: HUSTON STEVEN 4141 COUNTRYVIEW DR EAGAN MN 55123 (612) ' T hereby acknawledge thet I have read this apRlication and state tMat the infiormation is correct and agree ta cc?mply with al1 appli:cebla State afi Mn;, Statutes and City of Eagan Ordinances. I- r APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNATU 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 New ConstrUetion Reavirements ? 3 registered sRe surveys ? 2 wpies of ptans (inGude beam 8 window saes; poured fid. design; etc.) ? 1 energy calalations ? 3 wpies of trea preservation plan if lot platted after 7/1/93 tequired: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: ? BLOCK: ? SUBD./P.I.D. #: RemodeVReoair Reauirements • 2 copies of plan ? 2 site suneys (e#erior addRions 8 Gecks) ? 1 energy calwlations for heated addRions CONSTRUCTION COST; j,r.L Name: l 41/ Di, S ??/?i?• Phone PROPERTY Lest Pirsc OWNER StreetAddress: 1/lGr. Ae-- CrtY Stare: A)6 Zip: Company: 1 4-d Phone CONTRACTOR Street Address: Ugd !L 1) Il D7 License # •? lT? City State: Zip: `1?1r? y i ARCHITECT/ ENGTNEER Company: Phone #: Name: Street Address: Ciry Sewer & water licensed piumber (new construction ony): and lot change is requested once permit is issued. State: 1 hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Registration #: Zip: P;?raffy applies when address chang and agrer ta ramply wi?x. a!1 app!ic2b1 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Date Issued: BUILDING 021243 06/17/93 SITE ADDRESS: P.I.N.: 10-18403-060-05 DESCRIPTION: 4141 COUNTRYVIEW DR LQT: 6 BLOCK: 5 COVENTRY PASS 4TH Building,Permit Type 8uilding Wo`rk Type UBC Occupancy,.? Construction Tqpe Zoning i-? Building Length Building Width ' SF DWG NEW R-3 M-1 V-N R-3 50 36 ? 4 //r 1?l aR?`? ??? REMARKS: S 6 W PLBR - VALLEY PLBG PRV FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal $804.00 $522.60 $73.50 $750.0@ 100 #2,150.10 ;ia7,eee MISCELLANEOUS $1,744.50 Total Fee $3.894.60 CONTRACTOR: - Applicant - sT. LIC pWNER: ROTTLUND CO INC, THE 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD 301 FRIDLEY MN 56421 FRIOLEY MN 55421 (612) 571-0904 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree ta comply with all applica6le State of Mn. Stetutes and City of Eagan Ordinances. L ? APPLICANT MITE NATURE SSUED : GNATU E ? I Wertificate of cccupanc? (Fit4 of Cfagan Tcpartarcnt of sai(hiag 3ttepeetioa ? i , i 1g?. This Certificate issaed pursuant to the requirements of !he Uniform Buildiag Code certifyirtg ihat at the time of issuanre this structure was in compliance wrth the varrous ordinnreces of the Cily regulating building construction or use. For the fol7owing: SF DilG/GAR 21243 U.se Classificazion: _ _ _ BNg. Pbmn No: -------Vlr- 0ccA_YTyPe-i[SC RVIILUIYV vVDistria..?. J•L? • • MN . O of Building •1i n V^.. ??AvA???c..°.? + , b5, V H BUIW10 4 LIICdIrty Da?e: uimiog Olfirial POST IN A CONSPICUOUS PLACE Address 4141 COUNTRTVIEW DR Zip 5512_ IAt 6 BIk 5 Sub COVENTRT PA55 4TH THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Final grade (6" from siding) Yes No Inspedor: ` 7 i Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass TraiUcurb damage ? Porch Basement finish i Deck s; p: ??oA ?L'3} 1? i' Ptcase verify with the bui(der the removal of roof test caps from the plumbing system and the shut-off of water supply to I.. l.im the outside lawn faucet before freeze potential exists. p Contact engineering division at 681-4645 before working in rightof-way or installing undergiound sprinkler system. ? White - City Copy . Yellow - Residenl Copy Pink - Contractor Copy - -- , . ' -----? - - REacTIvarE _: v`;ECEpMEDD , PERhIrIT If . 11 - oF EAGaN ? 1 1 1993 1993 BUILDING PERMtT APPLICATION -?681-4675 i-f" t ! - I ? , l, ? t „ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy af 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 /'V?_ Yaluation of work l(?$a 300 Site Address: LFlL/ l (:?k? 51REET SUITE M Tenant name: (commercial on1y) IAT to SIACK SUBD. ZvV67V`(12 Y PA?fi +r P.I.D. Descri tion of work: ,,- The appl i cant i s: Owner %1- Contractor O Other (Describe) Name -FRF Po-rTLUR0 e?. 1,4z. Phone Property LAST FIRST Owner ` 30 f Address 154n( E ZaM Fo?P STREET S7E M City ioLg-'Lt State INtii. Zip ti7;421 Company Phone Contractor Address License #_Laz? Exp.'9,-S"%/ City State Zip Company Phone Architect/ Englneer Name Registration M Address City State Zip Sewer & water licensed plumber r1AM f?Ivw+6,?. . Processing time for sewer & water permits is two days once area has beO approved. 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 of Applicant: a?, ?Q? ?e.?. 1? OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging J3 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ,. , , ? • ? - r5. > ? 16 Z4semsat Lini-sk ? 17 Swim Pool ? 18 Comn./Ind. [3 19 Comm./Ind. Misc. p 20 Public Facility ? 21 Miscellaneous J!? 31 New ? 33 Alterations ? 35 Tenant Finish C? 37 Demolish O 32 Addition ? 34 Repair O 36 Move ? GENERAL INF ORMATION ? Const. (Actual) Y-0 Basement sq. ft. -MWCC Systcm Ye'S_ (Allowable) =_ lst F1. sq. ft. - Gi#y Water UBC Occupancy R_S M_I 2nd F1. sq. ft. PRV Required &_3 Zoning R-3 Sq. Ft. total Booster Pum p # of Stories Footprint Sq. ft. Fire Sprink ler Length p On-site well Census Code 10L_ Depth On-site sewage SAC Code ? APPROVALS I j' Planning Building Assessments Engineering Variance REGIUIRED IN SPECTIONS ? Site ? Footing ? Framing O Insulation ? Wallboard ? final ? Draintile ? Fireplace Permi t Fee wiuac;m: $? Y v0 z?? Surcharge GqRqGE- 22?c22= 44?4 xf6:= '1?14'} Plan Review . / License Zg k28= 784 MWCC SAC ----- City SAC 22xlv= 309 Water Conn. Water Meter Is'r F:?ooiz; l°`f2 w5= 14135Sv Acct. Deposit S/W Permit Ss?T= 10y2 S/W Surcharge 2-° Treatment P1. -r- GO D H? Road Unit ) ? ?2 x5y= ? Park Ded. Trails Ded. Copies Other C?SmT tlfZ Total: 3?'Lnt = 7 sac x I pO I? e%z K Z= 1-7 gY SAC Units = I'?nb!/2=J? 5 +4 LOT SURVEY CHECRLIST FOR RESIDENTIAL •? w BUILDINa PERMIT APPLICAT N m FROPERTY LEGAL: ? m ? ? 9 Date of Burvey: 2 AOCUMENT STANDARDS 0 ?.• Registered Land Surveyor signature and company v ? • Building Permit Applicant ? • Legal description 0 e ? Address 0° ? 0 - North arrow and bar scale Cd'*?? 0 • House type (rambler, walkout, split wyo, split lookout, etc.) e'0 ? • Directional drainage arrows with slope/gradient 8. Q? 0 0 • Proposed/existing sewer and water services 0 • Street name v? • Driveway ELEVATIONB Existing ? ?0 Sewer service CY ? 0 : Lot corners 0? ? 0 • Top of curb at the driveway 6?? 0 • Elevations of any existing adjacent homes PronoseC Cd?O 0 • Garage floor ? 0 0 • First floor 0''0 ? • Lowest exposed elevation (walkout/window) 6' 0 0 ? • Property corners D" 0 0 • Front and rear of home at the foundation PONDIN4 AREAB (if aoclicable) 1) Ql? ? • Easement line ? 0r 0 • NWL ? B, [I • HWL ? Cr? ? - • Pond # desfgnation ? 0- 0 • Emergency Overflow Elevation M.'* ? ? Q' 0 ? 9-? 0 2--13 0 GYO 0 ? 0eAT Octob er 19 entry, • Lot 13nes • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e., all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and setback of adjacent existing homes • . ? 9 9 - Fe uest Oate ,,. .. Fire No. Rou" ?i eclion r ? 17 ??-/// ? Reatly Now LyJJill Notify InspeJ / Wh Ves CNO 1 en . ? I licensed contractor ] owner hereby request inspecUO of aBO Ve el irical workOn, Job Atltlress ISIraeL Box ai RoN No-? ` City ip ? r Seaion No. Township Name o, No. Range No. Cou?l?{ 4 l Occ ntIPRINT, Phone No. Power S?qpher _ ' ? Y? J ? /L /•? wrc Atltlress Be<Vic C]ractor (COmDe) ConVactor5 License No. D? ?Y Madin tlaress iComreci Making instenaiionj Aut?oraetl Signawre IConv odOwne kmg Inslallation Phone Number ¢?3•3 MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griqgs-MlEway Bltlg. - Roam 5-173 BE ACCEPTED BV THE STATE BOARO 1821 Unlversity Ave., 51. Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS Ghone (612) 643-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? p n See Insimctions for completing this lorm on back oi yellow copy L 4 6 J 3 9 "X" Relow Work Covered by This Request ew Aod Rep. .- TypeolBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Waler Heater Electric Heating Apt. Building Dryer Othev-(Specify) Comm./Industrial Furnace Farm Air Contlitionet 0!nerhsyecily? ConhactorY Remarks. Compute Inspection Fee Below: # Other Fee # ServiceEnirance5ize Fee # Circuits/Feeders Fee Swimminq Pool 0 l0 200 Amps 0 to 100 Amps Transformers Above 200 - Amps Above 700 _ Amps SignS Inspecmr's Use Oniy: TOTAL Irrigation Booms Cj? ?' ' Special Inspection _ ?/ ?/-? w ?TiqL ?'F" Alarm/Communication 7 THIS INSTALLATION MAY 8E ORDERED UISCONNECTED F NOT Other Fee COMPLETED WITHIN 18 MO HS. I, the Electrical Inspector, hereby if Rough-in oai?Q y that the above inspection has cert 6een made. F;,,ai - ' • r. i • o e OFFICE USE DNLY -" ' " f ?This request voitl 18 manlhs iram . t1e, „.,,f sk; tt- ,. -? . „';' ? • ' EXTERIOR . L.,vLLUYE AVci2AGE "i3" C04LYUTATION OWNER TXCL J'IL?a" iJL l,C 71?1 SITE ADD2ESS -(,'p,j, - `V --.- -- " CON'fRACTOR ZAm- ;F DATE _ PHONE S7/" .C??C,'f Determine working square footage of each, 1. Total exposed wall area ..... 2g8& sq, ft. x 2. Total roof/ceiling area .... .//8(? sy. ft. x ?02(o Total exposed wall area above floor = 21f Q 6 a. b. c. d. e. t. S• Total wall window area ............................. Total door area .................................... Total sliding glass door area ...................... Total tireplace wall area .......................... Total wall framing area (average 10%) ............... Total nec wall area above floor .................... Total rim joist area ............................... Total exposed foundation area = `] g h i Total foundation window area ................<..,..,. ! Total net foundation area above gr.ade ............... -? - Del'ermine °U" value of each wall segment. a. 2 5 3 X"Ull b. 3 16 x "Utl c. r ? X "U., ? d • ?/ X "U" e. 2/S g ItUlt f. 1930 x 'Fvll g. 3 / 2 x "u" h. ? g lsUlt i. _ / / . g nUii ? ?U? _ ?13,7 t s O 4f 2 = Ig .06 . 0?40 _ 12.4 S . S? - 3pS.S 3 ......................................Toca1 2 0.7 If item fl 3 is the same as, or less than item lll, you have met the intent of SBC 6006(c)2. 8' /O ? ???? M 01953 6 ? ,??? Requesf Date Fire No. Rough-in I Requiretl? en NOTICE: You Must Call ElecVical Inspeclor II A Rough-In Inspeclion ? G Yes ' No Is Repuiretl. I? licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress ($treat, Bax ar Rou[e No.) ' G} City ?\. Sectio o. q f 1 Townstlip Name or No. Range No. Co ? «? p ant(PRINTV ? Phone No. ?+?LPOlier Atltlress Eleclrical Contracmr (Company Name) Cont2ctor's License No. ? U Mailing Atltlress (Contrector or Owner Making Installation) ANhonze0 Sign r ontraclonOwner Maki Installation? - Phone Number _ _3 0 MINNESOTq STATE BOARD OF ELECTPICITY THIS WSPECTION REQUEST WILL NOT Griggs-Mitlway BIGg. - poom 5473 U BE ACGEPTED BY THE STATE BOARO 1821 Univerally Ave., SL PaW, MN 55104 pNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSEO. ?U REDUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oe `1 ' ? See instmclions for compleling Riis loim on back oi yellow copy. M 1/9 5 3 "X" Below Work Covered by This Request ew Add Rep: Typeot8uilding AppliancesWired EquipmeniWired Home nge Temporary Service Duplez ter Hea[er Eleciric Heating Apt. Building l er Load Management Comm./Industrial nace Otner (Specify) Farm Conditione r Air Other(specify) Contractor5 Remarks: Compute lnspectian Fee Be(aw: # Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 1 W Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspectar5 Use Only: TOTAL 5 O Irrigation Booms 00 /J r Special Inspection . ! AlarmlCommunication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspecbr, hereby Ro.qn-m oaie certify ihat the above inspection has been made. F;,,ai , oaie??/pJ c I ? OFFIGE USE ONLY This request vaid 18 manths Imm ? {-1a. W! 1N' rC. Totnl erposed roof/ceilinG aren ? ? . .. . Total gross roof/ceilint, arca J. Totel skylieht erza .......................... R. Total roof/ceiling frzlning area ............... O(o, 1. Total net insulateci roof/ceiling area ........ . Dete:-aine "U" vnlue for clcli rouf/cci 1 ini; zcFSmcnt. , -- X . k: X„U„ O. h 27 = 2;?7. . i. yy7, ? X„u,. p. a Z Z = z l,v ? . a . ...............................:. Total = 3 ,q • a„ If to*_al oP N4 is the same as, or less than N2, you have met the inte.^.t of sac 6oo6(c)1. To uLilize the total envelope syste= method, the values establi--hed by the suc of items /!3 and AL shall not be sreater.thKn the sun of iteo:s A1 and 12. 1. + 2. - 3'. ' ?+ 4. _ , r. b _ A s -r-FAML WAU. G? IN?-ILATI? LoMPo N ?ri? 12 u ? Olrj??-iM A.I(L =-?%L INSUl.ATiet?l? G1R ao. t?!51?7E AI? ?ILNI, ------ ??I ? . . -_-----p;C.'o - •,_ G?. . , ---- 'wAu. 9, sTuL7 - pl,?N. view. C c C C?- C C LoMPaN?N js o_U"r-t'loE A? F,t,u. hlD lt-If.. . hNERTN 1 N!s . I.t?iID? flig- Fll.,&i. . -- F--VA;.!I5 ----._._O.1 ?---- - -0:G2:- - 2.GCi _ - -?,-?? .---- : ?.-- _ Q" c, G. ---- - U : J- ? p. 009 . -rt F° ^KL r i -G??iP?.''u =(o,I2 x a.ot?9? -{-(o,Sb xo.o43? ? o. o?`r7 RQ "D = 1 ? ??•p = 'JL ?- l ?. . _--- ='- ? -: ?- _ _- -- ---- ..._ --- ??'? ----' = 1N1 !? --;il:i-V -;n1 _?? ? =21??71 oe (D CD -/'_ I • J'___ ? ?yl ? V - o ='??_'J_ -,.Zy I :J . ?-.y?-- -- ? -.-? ?.. wj? ? •-?n??y?-?1? ? ? O O O O - ----:-.: ???ro..r--?'l?-= --tT i ?1Pc?1 J _ ??- ? ?O c ?-?- ?,F?l ? -azz ??R ?:,; Q k;; = 4 )I T,??GY(? -,?- I A.__ ... - --=-c?-?----- _ ---o, ??; - -. ?- - ?-?-?----I J ?'• ? i IO i ? _ -_???.?- - .. :. --?=?5 - -- I ?J ?? J FEB-26-93 FR I 9_ 38 F L HRE HTG.& AIC. F. 02 r? ?a-12_s ?.x DET'pxLED FiEPCJri7' FOR E'NTIRE !-fOllSE F'rep.xred Far: PreparEd Hy: F;uttlund Cc. M.W. Geaerre Flara Neating , Mn ,7ob Name: NRr?9PS6i.C , f • *???*???x.?*#???x?r??????sx*??*?*x#?**???#???x*??ix??*??#?t?*? ?cx??NS????xx???M?? EXFL7SS11;E • GLie';.;.i Nt]RTN SC1L':TH FGa,t',f WEEi'f NkJNW £;F:/8W HOFt2. TGl'ql_ `-•------------'-------- F+kr f) I 5."' f 271 ---------wv._____--_------____ 1Cli? i 1941 01 0 ....__---------Y--- Oi Z73 t C':C'l;7LF10,-3 1 75E-1 099I R, AiQ j a.575I 61 01 01 i4,3:.31 HF-Al1NG ? 2.,1341 i, lOf3t 4.104: '7,9624 Ctif O{ __.._.._..-"---- Gt 1E,7,OBI --°--•-°----' --- FEl,OtS WA? i..3; NCiF(7H SCJiJTH EAST WES'T fJE/NW SE/SW -'--._..._--•-.. _-?--_ _._ GRRpF iDTAL __ __ _ _..----- Ai.FiA ? 7141 7371 ---"----------_..___ ____.....____.-- S, 0GJ,l 463: 0i U; °------'---°°-•---- C'. 3,415; COLZi..LNG f 585; $Q+}; 820; 7291 4; Gi CI 2,790i HEAI'INC, ; 2}2311 2,9221 ----------------------- ..---- 3}96r?; 3 ,818: 01 41 6.798I 20,3371 --------------°___--------------- DOfs(RS tSOF;TH SUIJYH EAST WEST NEJh1W SE/5W __ _ °_--__-------'--- ------------°-°- 7U'I'AL --°- aREA i se; oi ---°------------------'----•--_. zn; ai t+; 01 .. _--------.. _---- ; 38i CdDLINL; 1 1913' Q; 219i o; 01 0; '4171 HEATTh70 : 956; Ot ----------•------°------------ 101762: o; O; 0: ------------°---'_ ; 2,018; FLOaFC faRfiA ---------- ____-------- GOOLING HEATTIVG . --°.___ --------------_-_ 323b __-__ . .,--------------------° I O t 2,68i _---_------------ ---------------_ C6ILINC, AREA _____-_.•__-----•-°-----_-__..__ CL7pLiW$ FiCATING -- ___----------•--- 32:se ------------------------------ --•------__u ------- -`-°•°- 920 t ?,123 -------------------------------- -------- ---°--- ---------------- MISCEL4Ah6piJS COaLING Lf7AD8 ----- Peopla Sent;it+2e Load 1,575 -----°_______________ Latent Load 6,995 Li-hts & Ar>p1 - Load 1 y 195 Laterit Safety Btuh 35v` ventilation l.aad 1,650 Duct rieat Ciain p Infiltraticn Load 429 SensiBle 5afety Rtuh i,166 TOTFlL SEIVSTPI.E F_UqA 24.4$3 T4TAL LA76tJT LORU 7,Z45 8uinmFr ACH 0.06 l'emp. Swing Mult. 1.00 A??# Tatal. (;oaliny Load 31}Fi47 PTiJH Or 2.65 Tqr,s #1* MY9L'EL .LFlIVEQUS HEATING L.DAflS _^--- Infiltraticsn Load 5,154 ---------------°------ Ventiiation Load 9?900 UUc.t Heett L"s p Safety 8tuh 2,87d Wanter ACH 0.21, .. %'Xt* Tvtal Heating Load 60,397 H'CUH ### F E B- 2 6- 9 3 F R I 9= 3 9 F L H R E H T G_& A? CP' - 0 3 *? %_0 0=-li`91 3,1 5UMMA^nY REPUkT Prmp?ared Forc prepared Py: Fcnttilunci Cp. M.W. Guerre , - Plzre Heating . Mn Jab FJume: ??jIF'? • . 4?#?M*d??Mk?)k?'?*?t?#?k*4%"x??x?#%:tt$?*!k9?F#k.'?K?: #*X?:K?*?###ak#?F?c??X???7kNC??c$?S?'?ll??:??? U£'5ICiM1! CQFVDI'I'IC1N5 5UV' QU7'DClOR 5?l1M^1ER WS1VTL-.R Y.7Y"y 13:.Alt7 90 •_iCl WL-t E3uSb `l.`i I I'JUOGK SUMP4ER WTNTEk 75 70 b'7 U;ily kange 22 Latitucle 44 ? f3ai.ly liwii,g 3,(, Elevation $22 Safety 1=actor (%) 5 Latent Factur (7.) 30 * * * #** * NX,* X* kt#* * ##* ** * # w * #* M1 M#M* *M* * iNC* * Mt*:k#* ##:k** *#* * ##* *#* * * 7k**** *##* * * Serisitrle Koam Heatinq Heating Copl.inq Cooiing Ne.me ---- BTUH CfiM J7TU1-E CFM FJ356tlnehC ------- 13,64d ------- 140 ---•---- 112E6 -----__ b:i Crawl Space 3,474 49 166 9 F'aymr S.907 55 1 a:c9A 8:i Liviny Rooin ?,501 49 2164:; t36 Dining Fporn f,SEtl 26 1,029 52 k:itchen 11,542 tb'L 3.Ofl6 196 Dinet'te 2,182 31 1,925 97 F'=amiIy room nT25Z 73 3,938 199 L;aJranm 1 2,465 34 1,2.8 63 F32prporn 2 ^<'890 40 1,647 93 Betlroom 3 2,205 31 1,1°l4 .=,4 Upper Bath 1,091 15 627 32 Master Bath 1,315 18 900 45 Master Hedraom 5,,043 71 2,458 ---- -- 124 ------- 64 r,i97 ------- 845 - 24,483 ------- 1, s^36 H[ATING IIELTFl T bS.O COOLIh1G LELFR T 18.0 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES ? SHrJWER ? WATER CLASET ? - BATH TUB ? LAVATORY ; KTTCHEN cTNK ? LAUNDRY TRAY HOT TUB/SPA ? WATER HEATER ? FLOOR DRAIN ? GAS PIPING OLJTI.ET • minimum - 3 • ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • naiLcry. uc. U.G. SPRINKLER • Aome unAtr conat. ALTERATIONS • to edsting WATER TURN AROUND STATE SURCHARGE TOTAL: .ACH TOTAL 3.00 . 3.00 ? _ 3.00 t? - 3.00 h - 3.00 3 - 3.00 -s - 3.00 3.00 S - 3.00 3 - 3.00 ?- 1.50 ° 5.00 15.00 3.00 15:00 15.00 .50 y?- SITE ADDRESS: 414I C. o!,y v fJ.J D r7 OWNER NAME: INSTALLER: iIA ? ?t P ? ? 6 ? ADDRESS: l.e (o l- CTTY: ? ? e r 1 r• STATE: n,. ZIP CODE: - --??- PHONE #: ( ) u l?)- d-l )? - c ? SIGNATURE OF PERMITTEE 1993 PLUMBING PERM17' (IiES1Dr:lv"1'uw) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT. ? NEW CONSTRUC?ION ADD-ON A/C ADD-ON FURNACE DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ S3.00 EACH) ADD-ON/REMODEL (EXISTING CONS7RUCTION) STATE SURCHARGE TOTAL S1TE FEES $ 24.00 6.00 3•0? $ 15.00 .50 OWNER NAME:?`???VC?-? V TELEPHONE #:51 INSTALLER: aDnuFSS- 9303 P{ymouth Iha tk CTTY: STATE: ZIP CODE: TELEPHONE #: ?a---?\,\nlfl iy" ivu.c:nfuvtc:.v. rrxmti tAnDuurrrau+a./ CT11' OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 CITY USE ONLY LOT 14P BL ? RECEIPT9/ 9 7 SUBD. RECEIPT DATE: IO?/9 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PZLOT IQiOH RD EAGAN MIIi 55122 Date: 9- 1I-9 Z( (612) 681-4675 Complete this section onlv if you aze instailing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if ,you are remodeling, adding to, or repairing existing sinele famity dwellings, townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: 5bi c7x 03 (0 _ Install fiunace X Install air conditioning \A4 lQCeXY\4? _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodei or add-ons of existing residences $ 20.00 Siate Surchazge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME ?C5,,X PHONE #: STREET,ADDRESS: I ? D- \ K ?) ? ) 4 -k? r5? 7S/FORMS BLD/MECH PERMIT (AES) - 1998 STATE: M,r ZIP: 953Y1 SIGNATURE OF PERMITTEE * * PIONEEp * engin ee i * * * ? ORS - CIVIL EN4INEERS • LANDSCME ARCHI7ECT5 2422 Enterprise Drive , Mendota HeightS, MN 55120 (612) 681-1974•Fax 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: Th8 ;Rottlund Company, InC. House Address: Country View Drive, Eagan, MN Model Name: Hampshire MDD,5C. , VIEW DRI VE , R = 329.12 p = 16'10'24" $NS $6 .. 92.90 ?o,o'* e? 4 1. V O ? ? ? eso. / i 0?? a u e 9g? e? 5 ? rn J c;? ? ? ? o W v s m . 900.0 Denotes • 900.o Denotes - Denotes - Denotes --o- Denotes -e- Denotes 41 ,I I ? ? Js Bg1.v 6 ? s ?Zroi ?-? 7p 62 DEPT ? u EPSEMENt DRAINP?E ' O O ? ? ,L, ?s???--- , ???? 50.0 ? o o T-ii I . S 03*44'190 w L oOKo/if ?N/.Vl7ow /'LL-`V ?N7 S'/ Existing Elevation Proposed 'Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown PROPOSED HOUSE ELEVATION Lowest Floor Elevation:844.35 Top of Block Elevation:852.46 Garage Slab Elevation:852.13 are assumed LOT 6, BLOCK 5 COVENTRY PASS DAKOTA COUNTY, MINNESOTA 4 TH A D D I TI 0 N I hereby certity chat this survey, plan or report was prared by m or under my direct supervision and that I am duly Registered Land $urveyor upder tha laws of ehe State ol Minnesota. Dated this day of - A.D. 19 ;08ERT ? ? • ? SCC?Ie. 11nch=30feet ( /• B. SIKIC L.S. R G. NO. 10891 'pGf. SERVICE / 846.1 - __-_-- w oRivewnY I s• °L ? 1 @5°.i "8- - - 1T tizn 22.67 go esi.e i ' a s? a ' Bdc.3 I I . GARAGE I 7 HAMPSNIRE N I? «I ?_ _ _ J HousE PROP?ED m w ? u I 17 00 Fl/Li BASEMENT I /?oKOr// 50.0 . ? x 15.77 xs?/- p3 . r- le p y 5 03'09'29' E? u o• BN%04 I I y e+e.e '? I I i ' + ?I I I I ? 1'` 31 II ? ? I i si ? ? I 75 92526.82 * ? . ?*,? . . ? 'k P1CMEER '----?-?---------- -------"- - --- - -- engineering UND PIANNERS • UNDSCAPE ARCHITECTS 625 Highway 70 Northeast -C * * ,* (61?2)e.783-1880 Fax 783-1883 Certificate of Survey for: Th2 Rottlund Compan ,/L If1C• ciwL 2422 Enterprise Drive Mendoto Heights,MN 55120 612) 681-1914'•Fax,681-9488 House Address: Countrv View Drive. Eagan. MN Model Name: Hampshire Monc:L viEw DRIVE - o ? ` 329.12 R ' " • ? ?y 24 p = 16'10 ?gyS.Bs L 92.90 rF40. f„ 0 e ? aco gu'!• ;? o3 Q y . . I ? G`ECf. SERVICE ? g46.7 l p°f ? --- -I - 1Y / eso. I m ? ? DRIVEWAY I ti'b X?So.L LgSo - - -IT 21.17 839. y !?4 17.17 22.67 o g$1.9 X 3 27 I . I GARAGE I,y m I ? I HAMPSHIREI H ^ u I u_ HOUSE u PROPOSED ' ed I FULL BASEMENT I ? 1?7.00 Goo/<O? 50.0 X 15J7I u xd ? S, d 3 ?q t r ?uJ y s oaro9'a9''? BNy.4 ? ? ? 2y ?I ? f , I I r y.3 ? ?, ? N ? ? I 8u I ?s 83l.u I I 6 5 Z i i W m ? 5 I I o;n c:i I I p * ? cn I I r?i : t c,+ ao v , s ?2bi• ? N 00 (n m 70.62 ' P ?E EPSEMENj u pRP1NP : 900.0 Denotes . soo.o Denotes Denotes Denotes ' -o- Denotes --Ei- Denotes 50.00 ? S 03'44'19" W' ooKovs .ivi?.r?o.--GCCr gv7 SG Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown L . PROPOSED HOUSE ELEVATION Lowest Floor Elevation:844.35 Top of Block Elevation:852.46 Garage Slab Elevation:852.13 are assumed ? LOT 6, BLOCK 5 COVENTRY PASS DAKOTA COUNTY, MINNESOTA 4 TH A D D I TI 0 N 1 hereby certify that this survey, plan or report was pr ared by m ot under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 4 iday of A.D. 79?, / Seale: 1 -inch=30feet RoBERT B. SIKICHL.S. REG. NO. 14891 lFl 51 92526.82 . e -7j House Address: Countrv View Drive Eaqan, MN Model Name: Hampshire ManC-L viEw DRIVE 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-1914•Fax 681-9488 _?"__?_'"-"___'____'_____'___"-.._.:-.-..'- g?neer?ng UND PLANNERS • IANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 '(612) 783-1880•Fox 783-1883 Certificate of Survey for: Tf12 ROttIUI'1CI Company, lnC. R - 329.12 p - 16'10'24" ? L 92.90 o?o:ef" 11 _ 41 _t 8"y. 0 i / 850.3 ? ? (t' 4e Ao( o uV I NI ` I I 1 1 18?° 17.17 I ? m? GI d 1?7.0O / ? T e ea m o C,a J ?. Z 5 DO? w ? ? -Ln CINL I I ? ? i SII ? III SERVICE ? \ I 0 ORIVEWAV BS?G ? " - -IT 21.17 i ?p.67 w 851.8 3 GARAGE o 27.3 8?? I n ? I HAMPSHIRE N I? ? o?ros Z ? I ASEMENT I ? FULL B $5.77 „ 40 f1 ;I I I 6 5 ?Z.pi' i J ? 70.62 i "'I DRptNPGE EPSEN'ENt 848.1 B39 y? p OZ1 ? 831. 0 L,, o? a d- . N 00 V) 50.00 ? $ 03'¢4'19" W LoOKovY ?.vu.?ow CGL':/. 9N7. S(o . soa.o Denotes x eoo.o Denotes Denotes Denotes --o- Denotes -s- Denotes Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown are PROPOSED HOUSE_ELEVATION Lowes± Fioor Elavation:844.35 Top of Biock Elevation:852.46 Garage Slab Elevation:852.13 assumed LOT 6, BLOCK 5 COVENTRY PASS DAKOTA COUNTY, MINNESOTA 4 TH A D D I TI 0 N 1 here6Vi cer(ily that thia survey, plan Or report was pr ared by m or under my direct supervision and that I am duly Registered Land Surveyor onder the laws at Me State ot Minnaota. Dated thisday of A.D. 194u.. sCQle. linch=3Ofeet ? t '•...:. ROBERT B. SIKICHL.S. 0.EG. NO. I4891 Fl 5 92526.82 Use BLUE or BLACK Ink For Office Use Permit#: City of Ea Ed~ Permit Fee: 3830 Pilot Knob Road I D + I Eagan MN 55122 Date Received: Q~ 6 '1 ! j Phone: (651) 675-5675 2 Fax: (651) 675-5694 v w J i Staff: ML 2011 RESIDENTIAL BUILDING PERMIT APPLICATION ~I Date: Site Address: I ( it l e4) 1-t Unit Name: ~Q~ls~ ti clC~ Phone: (05' " B6 6©7 RESIDENT / OWNER Address / City / Zip: - l / L/ A, rtoc 'L--' Applicant is: Owner Contractor IV - TYPE OF WORK Description of work: kjs, Jj Construction Cost: uo Multi-Family Building: (Yes / No ) Company: n l ~ tJ-'6ontact: 6 / l k CONTRACTOR Address: 13 bq "6I City: t.ce/n42Zv State: 'y Zip: ~U a ~v Phone: 6 ,5/ - '7 5 6 T <S 9 7 License 7OSI L Lead Certificate . If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 3 YON U K 4 ' 1' 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 ofLL the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.popherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin de t be completed within 180 days of permit issuance. x 1 2FV4 x Applicant's Printed Name Ap ant's g Page 1 of 3 • rl btlmdNOT WRITE BELOW THIS LINE 0C) -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 6 p~ WORK TYPES t~' f7 New _ Interior Improvement _ Siding _ Demolish Building* _ Addition Move Building _ Reroof _ Demolish Interior 41 Alteratio _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation t Occupancy MCES System Plan Review Code Edition 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) t 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: , Building Inspector RESIDENTIAL FEES'- Base Fee Surcharge Plan Review 012L MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink a I For Office Use Permit I City of Eap Permit Fee: -t-e-~ C ICJ 3830 Pilot Knob Road Eagan MN 55122 I Date Rece' ed: I Phone: (651) 675-5675 j j Fax: (651) 675-5694 I Staff_ - ----'-----J 20/11 RESIDENTIAL PLUMBING PERMIT ~APPLICAT N Date: Site Address: Tenant: C Suite RESIDENT/OWNER Name: Phone: J Address /City/Zip: CONTRACTOR Name: 5 10 License (GCJ Address::: AVC6 City: State: & Zip: Pho Contact: Email: TYPE OF WORK _ New Replacement _ Repair _Rebuild Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) . Add Plumbing Fixtures Main I ^ Lower Level) 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 $ 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.gopherstateonecall4ordina orI hereby acknowledge that this information is complete and accurate; that the we ill be in confo ce 'th tand codes of t he City of Eagan; that I understand this is not a permit, but only an application for a per it, nd work is n t st wit; work will be in accordance with the approved plan in the case work which requires a review an a roval of plans. X x Applicant's Printed Name Ap icant's Si ture FOR OFFICE USE Reviewed B Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA137813 Date Issued:07/25/2016 Permit Category:ePermit Site Address: 4141 Countryview Dr Lot:6 Block: 5 Addition: Coventry Pass 4th PID:10-18403-05-060 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 - Patrick J Engesser 4141 Countryview Dr Eagan MN 55123 (651) 686-2852 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145355 Date Issued:09/06/2017 Permit Category:ePermit Site Address: 4141 Countryview Dr Lot:6 Block: 5 Addition: Coventry Pass 4th PID:10-18403-05-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 - Patrick J Engesser 4141 Countryview Dr Eagan MN 55123 (651) 686-2852 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA148187 Date Issued:03/13/2018 Permit Category:ePermit Site Address: 4141 Countryview Dr Lot:6 Block: 5 Addition: Coventry Pass 4th PID:10-18403-05-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 - Patrick J Engesser 4141 Countryview Dr Eagan MN 55123 (651) 686-2852 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature