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4153 Countryview Dril \ IJJ ' CITlt' OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ,. ? 001 . , t,tI:-;iu, irw tik r i?111410 v t{1?1 ( lIW 1N(I PERMIT SUBTYPE: RECORD PERMIT TYPE: Permit Number: Date Issued: 13 1 0 r; k" : y yo APPLICANT: rj',rl r ',:,MI .' ' it; ct-,i; ? 4 F.t.-4 0, 1 f.; NA, R t?I t!I TYPE OF WORK: N ? I., -1 -j ? it tM R R Y. `, • P f C E i f f 1p PK V -' & I J {.' } H E; I 1 i F! f f {-I { ;. Permft No. Permk Hotder Dets Tekphons i S/1N PLUMBING ff90 - ? HVAC 0 ?%Uat.L ELECTRI 1 ,18 ELECTRIC Inspectbn DaU Infp. Commenb FooNngs I ?ndation Framing 3. ?Z. Roofing Rough Ptg- Rough Htg. A _73 0 ,gul. ? jyG. 3 3 - ? Rrop,8ce Fnal Htg. 7 0? !`? ?IUUJ Orsat Test I! 7 ] Final Plbg. Z Plbg. Inspector - Notify Plumber Const. Meter EngrJPlen Bldg. Final y? g3 bS Deck Ftg. Deck Final Well Pr. Disp. INS ? CIT-Y OF EAGAN 1 3830 Pilot Knob Road ? Eagan, Minnesota 55122-1897 ? (612) 681-4675 ? ? SITE ADDRESS: I ? •. ?? ? ;,,.?,;, , ?ip??l I.1r PERMIT SUBTYPE: , 1: UN :CORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: I" ?rI NI Li f;u tl_ttlN6 A4/.tF./97 INSPECTION .. . DA ? Permk No. Pertnit Holder Date Telephor» 1i ELECTRIC PLUMBING HVAC Inapection Date Insp. CommerHs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG Alfl TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG / DECK FINAL ? INSPECTI4N REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 I SITE ADDRESS: i" f„ ,,, f ??..???4i ?ip ? a+IfN I 4rY I 1 nlJ , lat? i! Irl t'1 !11 } 1'{: i i i11 I I I . I.' 1 AI , 1 I'i i i! I PERMIT SUBTYPE: F- ? TYPE OF WORK: ? ? Permk No. Permk Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Data Inep. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Flreplace Z?J ? Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. • ?'' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612)681-4675 PEIZIVIIT PERMIT TYPE: Permit Number: Date Issued: BUILOTN6 029755 04/16/97 SITE ADDRESS: P.I.N.: 10-18276-120-02 DESCRIPTION: 4153 COUNTRYVTEW DR LDTe 12 BLOCK: 2 COUNTRV HOLLOW 2ND rmit Type DECK r,k Type NEW `i;=`';'_ 934 ALT. RESIDENTIAL ?- ?"°.-- .a . _ ? ? d t a..?, a s$p ? ?%, za:!? REMARKS: FEE SUMMARY: Base Fee Surcharye 7utal Fee $5@.5m CONTRACTOR: OWNER: - Applicant - ? SAUUE MIKE 4153 COUhdTRYVIEW OR , EAGAN MN 55123 (612)$95-6333 I . " I hera.by` 9nfarrn:at'- ? StatuCeS,, , -$tate ?ha?`„t`h? k rip?"? s ISSUED B : SI ATU 1940997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?!f O,ff 0 CITY OF EAGAN 8830 PILOT KNOB RD - 55122 681-4675 New ConstnuGion Reauirementa RemodeURaoair ReauiremeMs ? 3 registered ske surveys ? 2 copies of ptan ? 2 eoDies of plans (indude Deam 8 window sap; poured fid. design; Me.) ? Y site surveys (exteffo?r addidons d dedcs) ? 7 energy ralculations ? 1 energy celculaGOns for heated adddions ? 3 copiea of tree pieaervetion plen N bt plattetl aRer 711/93 required: _ Yes _ No - DATE: 41 - g ` 9 -? CONSTRUCTION COST DESCRIPTION OF WORK: STREET ADDRESS: LOT -4j, BLOCK C?cY? I SUBD./P.I.D. #: PROPERTY Name: SAj \P- fv?.N5-? Phone #: OWNER m,, Street Address: L1153 L' zontn4l 'bt- City: State: rn'A Zip: S?3-1a-3 ^ CONTRACTOR Company: se-lf T2y Street Address: '/ ?613 Phone #: "?a - 7405 1 5r-7i`7?QS"G333L'"', License #: City: State: Zip: ARCHITECT/ Company: Se- Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: 5ewer & water licensed plumber (new construction only): . Penalty applies when address change and bt change are requested once permit is issued. I hereby acknowledge that I have read this appliptlon and state that the informadon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY =BY: Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ? CITY OF EAGAN PERMIT C? -5 0 4q 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 025116 (612) 681-4675 Date Issued: 0 2 f 0 9/ 9 5 SITE ADDRESS: 4153 COUNTRYVIEW DR LOT: 12 BLQCK: 2 COUNTRY HOLLQW 2N0 P.I.N.: 10-18276-120-02 DESCRIPTION: (^? --?._ (G p S ) B,[t`ilding'.,WPermit Type FIREPLACE Bu3kding W'6r:k Type NEW f L ?. . . . ._ J t :.REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $,60 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. pyyNER: FIREPLACE SPECIALIST 14511970 0003924 SAUVE MIKE 1206 9TH AVE 4153 COUNTRYVIEW DR 5 ST PAUL MN 55075 EAGAN MN (612) 451-1970 (612)452-9613 I hereby acknowl2dge that Z hdve read this application And tCate Chat the infiarmation is porrect and aqree to comply wiCh 411 applicable State Af P1,n. StatuCes and Eity pf'Eagan prdartances. &,s(. ! rn,V A PLIC SIGNATUAE? ISSUE08 :51 TURE -` CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 7995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: -Y ?, INSTALL NEW FIREPLACE: _ WOOD BURNING _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: STREET ADDRESS: vt`e /-/- D-j2- 415-M -f-- GAS LOT 1? BLOCK _L` SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER 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. PROPERTY Name: S? v?? MI 114e- Phone #: OWNER ""°' Signature: Street Address: City: State: m 4--- Zip: FIREPLACE Company: El `Qe ??2c,G1+'Sts Phone#: INSTALLER Signature: AZO0 Street Address: - ? T)- License #: ? ciry: -,& .S-t, Yt?) Z;p.55o ZS GAS LINE Company: rt ?1 w ce Si??' c`?'s4sPhone #: ?S 70 INSTALLER Name: 142 Iv Pv tl L cc.- --- Signature: Street Address/ ,?' p 0 O City: S?--Y. . pC, cl L State: Zip: 'Ss CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: ?s u z ? o z tv c Eagan, Minnesota 55123 Permit Number: (612) 681 •4675 Date Issued: 6/ 9 3 SITE ADDRESS: 5`; i:riUDllfiYlrIEW Di't L.0(e 0012 ?:LOCh:: ?9'i!92 CCiUI'I1??Y i-IQI_I_06J ZIVL P.l:. N. : 147-1F;276-1i(a_(1F' DESCRIPTION: Building Vs, r- mi t: Type $uzld"zrig Work lype U6C Occupancy Constructzon lypc ZCni.nq 84ii.1di.ny Lenr.2th Bui.ldinc Width SF DWG iJc6J R-3 rl-]- V _ p! F, _ 1 r, ?- REMARKS: RC-CETP'I' N PHV sE, I..i r i_ B ft_. o C P! "r_ f. ii FEE SUMMARY: 1/?1LUfkT?L(lIN Base Fee h'lan ?,evi.e;??? Surci-i a r SAf; AL' ' 1C lln.i i:e, S i 1) *o i; 1 I b17_S? $b7 . 0 0 0 L 'vi Qi _ I IL1.,z1 l.:e?i;i :!' L "L 4 ., li1 F7 0 M].;CcLI.tiI:rOU`; T?? I Fe? -- j CONTRACTOR: - ra;? J? t, c?: r, r- , i. I I (,,OWNER: M or!rcoM eRti ?) 1siG ra . 'U u.i:!.u 1.af?7nm-r5 00022, :s 9 r??ordr??orviettr ?,?s?:eN ,. curI.o 11350 F,1 Ur1!1Ir P;aT"?i 7.1co r,L i;n??rR PnT!i INVER f,RQ'JE FIT S hIIM 0 75 IH`JER Gft011f- FITS PiIM 5 15 H?` (f-) 1"i.) -11 ?-,..4417: (61f )i157--n41 7'S I hereby-aWknowledye thai, T have t-ead this epplicaL'ion and state YhaC the 3a7forrriaL'ion is carrcci and eiqrec to comply wi'th a11 applicable 5'Lat_E o'Y ihn. St.a tuY,ew a nd City o'1= Ea 9 nri [lydlnerice>. ? - APPL ANT/PERMITEE SI ATURE ISSUED B: GNATU E i --- 1r i _. , . 1 ? ; Crertificate of ccc"atto ' ?cpartment u? ?ui[biug ?n?reetioa I This Certificate issued pursuant to the requirements of the Uniform Buildireg Code i cenifying that at the time of issuance this structure was in compliance with rhe various I' ! ordinances af the Ciry regulating building construction or use. For the following: U.u Classifcation: " ? ? ? Bldg. Permit No. ?? i . 0o?"Pa^eY Type 7aming Disaic[ R T-Yp C-?- ! Ow?rerofBuilding? ?IIN 6 ?1"" P?- I Addmss I Building Address r`jj' ? Locality > f .? Dam: 0(4/28/93 Buildii -OfFicial POST IN A CONSPICUOUS PLACE ? Address 4153 M" DRIVE Zip 5512 3 L.of I - ?z Blk Z Sub COUNRY HoLuza 2rID THESE ITEMS WERE / WERE NOT WMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: QV28Z93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUwrb damage ? Porch Basement finish ? Deck rlease veafy with the builder the removal of roof test caps from the plumbing system and the shut-off of waler supply to the outside lawn fauce[ before freeze potential exists. Conlact engineering division at 681-4645 before working in rightof-way or installing undcrground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? PERNIT B REANTI`VKTc :.._ ° -tiDlAd CITY OF EAGAN $??`?"?•?? 1892 BUILDING PERMIT APPLICATION 681-0675 -' ,I10 SINGLE 6 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 when typing of permit is requested, but not picked up by last working day f h i o mon n which re uest is made or lot chan e is.re uested once ermit is issued. Valuation of work • ? Site Address:4l5-IZ,q v1C'f_(1.) m.11+?? SiREET SUI7E A Tenant Name: (commercial only) _ V" i(}rvte?'Z Y' -o2'C'- 1[>/\j ? -9 C.t L L? LOT BIACIC ? SUBD. L , j2 I P.I.D. N I D W D Descri tion of work: IWA? 12 4'V `LL.L jK/b- The applicant is: 13 Owner Contractor ? Other (oe8«tbe) Name Pv 1M,`L? FsJ? f?-.?i,i 1 L-1-') phoiie 4 5 -7 - 0-75 Property LAST PIRST Owner Address _ 1137:)O HLm?r-fo, YPA-H- STREET STE M City.t"11?rL ?Ifj_ ? State ?IV Zip ? 0_75 Company Phone %, \? C011tr8CtOY Address License U2-39Exp. City State Zip Company V Phone ArChiteCt/ Engineer Name Registration # Address City State Zip 5ewer 6 water licensed plumber . L. I r-ci i 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 4 v BUILDING PERMIT TYPE ? 01 Foundation kZ 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 19 31 New ? 32 Addition OFFICE USE ONLY 11 06 Duplex ? 07 4-Plex ? OS 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations ? 34 Repair GENERAL INFORMATION -1 . - d O 11 Apt./Lodgi4og 4--^-&16'Ba9'e0Zent Finish ? 12 Multi. Misc. 0 11 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility 0 21 Miscellaneous ? 35 Tenant Finish ? 36 Move Const. (Actual) v-ry Basement sq. ft. (Allowable). v-r-4 lst Fl. sq. ft. UBC ()ccupancy R.3 M_( 2nd Fl. sq. ft. 2oning R_I Sq. ft. total # of Stories Footprint Sq. ft. Length :7? On-site well Depth a,5 On-site sewage APPROVALS Planning Building 1- us Engineering Variance REQUIRED INSPECTIONS ? Site ? Mallboard ? Footing ? Final O Framing O Draintile ? Insulation O Fireplace Permit Fee Surcharge Plan Review License MWGC SAC City SAC Water Conn. Nater Meter Acct. Deposit S/YI Permit S/N Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Capies Other Total: SAC % ! 0o SAC Units I vetuec;a,: 8 114.000 GARA6E; 2DXZZ ? 4Jy0 K 1(* ??0 I{o 85MT; 54 xZ2 = II SS BX12= 34 1ox zcI r A4a . ?/ x Ir = 44 - ntflw LE1?v_s ?SOS XIS.: 22? (02? t3S mT = I $'ti9 S' a,c rs%e = U? 9Ya )r zrz = ay lxl2= )Z . sa rstic x 5 3 = S'`l i?393° / ? 37 Demolish MWCC System YES City Water YE_bl PRV Required >r25 Booster Pump Fire Sprinkler Census Code SAC Code 01 Assessments ? • ( • LOT BIIRVEY CSECICI.IBT !OA REBIDENTIAL ? BIIILDING pBRMIT 7?PPLICIITION PROPERTy LEGA •s ,? ? ?? ? Dat• of Surveys 7 3 p9CtJMENT BTANnf,nns 0-'Q a • Regfstered Land Surveyor siqnature and company H'? D 0 • Building Permit Applicant 9' 0 0 • Legal description 8' 0 0 • Address 0--? D 0 • North arrow and bar scale G' D D • House type (rambler, walkout, cplit w/o, split antry, lookout, etc.) 0r D 0 • Directional drainaqe arrows with slope/gradient 4. IY I] El • Proposed/existinq sewer and water services D?0 0 • Street name H?0 0 • Driveway ELEVATZONS Ex;st;na 13 e ? • Sewer service D' D D • Lot corners M, 13 0 • Top of curb at the driveway 0 00 • Elevations of any existing adjacent homes Propoaed ?" Q ? • Garaqe floor 2' ? 0 • First floor fl' 0 0 • Lowest exposed elevation (walkout/window) ly D 0 • Property corners V0 0 • Front and rear of home at the foundation PONDING AREAB (if anpl;cab7.t L3? 0 ? • Easement line 0r ? O • xwL 8' D D • xwL 0?-0 0 • pond # desiqnation L? 0 0 • Emergency Overflow Elevation DIMEN6ION8 ' L' 0 0 • Lot lines 01-D 0 • Right-of-way and street width (to back of eurb) O'? 0 0 • Proposed home dimensicns including any proposed decka, overhanqs greater than 21, porchee, etc. (i.e. all structures requirinq permanent footings) 0 • Show all easements of record and any City utilities within -/ those easements II ? 0 • Setbacks of proposed structure and setback of adjacent existing homes i? D?I7 • Retaini 1 re rements, if any - Reviewed • ZSJ ?' . 44 e / Date Cctober 1992 • _. . ? ; $y? ? ?? ? ? °3 0 ?? L p? Requesl Date Fre No. Roug Inspec ion qeq ? Reatly Now C?IqJill Notily Inspecior ?yYes _ N. When Reetly? I,K licensed contrador ? owner hereby request Inspection oi above electrical work at Ad oress ISireet. Box or Route No.) Job C?7 / ? Sec4on No. Townshlp Nama or Renge No. Couny At CTA Occupant(PqINT! o. ; FE a7s Power Supplier 17 A Ka C Atltlress Elecincal ConVaclor (COmpany Namej CaNremor5 Licensa No. - O i _? oat?s Maliing Adtlress fConhatlor or Owoer Making InstallaGon? '?(IG ?? JGlL 'i n . . 'l - [ Amho zec Sg at,re i^onuact -rpwn Making Installatwoi V ,.?- 'e`?. Phone Nomber Fi?n-- ?,_ei? ! MINNESOTA STATE 90AFD OF EIECTpICITV THIS INSPECTION REOUEST WILL NOT Grigga-Mitlway Bltlg. - Room S-173 6E AGGEPTEO 6V THE STATE BOARD 1921 llniversity Ave.. St. PauL MN 55100 UNLESS PROPEF INSPECTION PEE IS Phone (612) 602-0800 ENQOSED. ? REQUEST FOR ELECTRICAL INSPECTION ?Ee-?oo?oO* J ? 3ee Instmcibns for complebng this form on beck al yellaw aopy. ?o 7 IL 17 9 RA `X" Below Work Covered by This Request ew Rdd• Rep. v TypeofBuiltling AppliancesWired EquipmemWired Home Range Temporary Service Duplex T er He9ter Elechlc Heating Apt Bullding er Other (Speclfy) Comm./Indus(rial Furnace Farm Air Conditioner OfiEr (sueaNi Gonhacmr's Rema*ks Compute Inspecfion Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee I Swimming Poal ' C?- to 2D0 Amps 11 0 to WO Amps Transformers A6ove200-Amps lAbo? 0 _Amps Signs Inspecmrs Use Only. Q mO TOTAL So Irrigation 8ooms ? C y Special Inspection Alarm,'Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTEO IF NOT Other Fe= COMPLETED WlTHIN 16 MONTHS. I, the Electrical Inspector, hereby Reuyn-m certify that the above inspec[ion has been matle. oate OFFICE USE ONLY This request voitl 18 monihs'ram _ _ --- ' • . ,'t , . L.oT V2? Suock Z? Cdur'7?.v? ?o?-tot? Z?vS? ?DDi?aN ? EXTERIOR EPIVELOPE AVERACF. "U" COMPUTATION r;ONTCOi;EPY DESIC": & EUILD CO 11350 ALE A VaR P?.TH ' INVER CRCVE'HTS, MP: 55075 457-4075 ifODBL: F?L?S'T ?c AREA U RECyUIRED 1. TOT,:L WALL AREA 2. ROOF ;RFA ACHIEVED A . WINDOTd ARE„ E DOOR AREA C SLIDINC.CLASS AREA D " ` RIREPLACE aREA __E WALli FRAafE AREA F P.ET idALL AREA C RIM JOIST AREA H FOUt.D 1•7IP:DOTv' ,"-,FE ; I FOUND „BOVE CP.;DE 3. TOTAL WALL ARF,A J SKYLITE K RCOF FRAME L R'ET ROOF AREA 4. TOTAL ROOF AREA U Y. AREA 2422 .11 266 1506 : -..026 39 190 ;5 - „ 95 : . 40 .13 5 72 .65.. 47., _ 36 2 7 - 242.2 .095 ` :23 1841.° .038 70 157 .Cd36 7 C .5 0 °5 .D6° 6 _ 26C -. _ -: ."0 0: 150.6 .032 5 1355.4 .0227 _ J1_ . 3fi SUM OF 1.+2. ' 306 S[,'h: OF 3.ti. 295 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UN1T. NEW CONSTRUCTION ADD-ON A/C ADD-ON FUI2_N?sCE DATE '?) -cJ-?3 FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH) '3zzo ADD-ON/REMODEL (ExtsTuNG coNSr[tUCnoN) $ 15.00 STATE SURCHARGE .50 TOTAL 3'15? SITE ADDRESS: y\S3 ? OWNER NAME:C?_ ??.-neSo?a_?i?1 TELEPHONE , ADDRESS _'?:K'??''? CITY: C_s? 5L, \16'\.rw ? STATE: ? ZIP CODE:? , TELEPHONE SIGNATURE OF PERMTI'TEE MECHANICAL PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES SHOWER ? WATER CL05ET BATH TUB LAVATORY r KTTCHEN SINK t LAL7NDRY TRAY HOT TUB/SPA ? WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - t ? ROUGH OPENINGS WATER SOFTENER PRIVAT'E DISP. • nek.cty. sc. U.G. SPRINKLER • home under consi. ALTERATIONS • to edsLing WATER TURN AROUND STATE SURCHARGE TOTAL: EACH TOTAL 3.00 4-, 3.00 y 3.00 3.00 (o „uc 3.00 3 1 `c 3.00 3.00 3.00 3.00 to 3.00 vc: 1.50 .? 5.00 15.00 3.00 15.00 15.00 .50 icIz, STTE ADDRESS: qL?? ??.? wti?a U L? OWNER INSTALLER: C)0 ??+'?V C?, ADDRFSS:`?? ln? ??Q?` ?}- • - CITY: ?-•?,'??,P STATE: rrw__\ ZIP CODE: PHONE ) .? ) 4 " A ?L zx SI OF PERMITTEE 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 954870 COIINTRY HOLLOW 8$COND ADDZTION PRE88UI2E REDIICING VALO& AGREffidENT i This agreement, made and entered into the day of 1990, by and between the CITY OF EAGAN, a municipa?ity of the State of Minnesota, (hereinafter called the City), and the Owner and Developer identified herein. The tzrms "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 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. ' r i 3. Validitv. If any portion, section, subsection, sentence, clause, paraqraph 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 OWI3ER AND DE'JELOPi:R: (Date: ' ' ? Q PROGRESS LAND COMPANY, ZNC. Z - u?-- . Th mas A. t4afi By: 0 i:w J S? Et,j? Its: Mayor Its: Pr.'C'JiDE,u7^ Attest: W. J. Vanoverbeke Its: erk 1- Bv. Its STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this o?LS% day of 1990, before me a Notary Public within and for said County?j personally appeared THOMAS A. EGAN and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eaqan, the municipality named in the foregoing instrument, and that the seal affixad on behalf of said municipality by authcrity of _ts City Council ar.3 said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. ? y •N.-i?r??n?ri??a??i?rrsrN ;?? . s ?^"__., • . /7 ;'P , -.F' `..`'v . . l, /.'L(, (?y?'\. ?, !/???/,_C?ll.?•.FaC?,?--i'? S' Not?ary 'PUblic .. ? ....... ...i , ' i . i ? STATE OF MINNESOTA ) ) ss. COUNTY OF lt,. On this day of St, 1990, before me a Notary Public within and f6r said County, personally appeared ?._ ?; i ,- r __ l'_lYIkil -ath3- to me eacZL did say that persona e?l ,?'?own, ,who being_eacU- by me duly syaorn,d c?? i tR respeet-ive!54 the and of the corporation named in the foregoing instrument, - ?? _ , _rr____d t_ __:d_• ...r..-__t ?? , and that said instrument was signed tnrd seel_on behalf of said corpora ion k?y auLhority of its Board of Directors and said r4Ls?d Li 2'l, -6"d- acknowledged said instrument to be the free act and deed of the corporation. " ? Notary PubiVic APPROVED AS TO FORM: ???? ? 41 Q 14t?E'? Public Wo s Department Dated: ft?y f o THIS ZNSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD oAa L APPROVED AS TO CONTENT: (o 1--t 3? I 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW clion Reaui2mencs RemodeUReoair Reauirements ?eOniv 3 registered site surveys showing sq. ft of lot, sq. fl of house; and ell rooted areas 2 copies of plan CeR of 5uNe?#iecdrw N. _?1 (2(1% maximum lot cove2ge a9owed) 1 set of Emrgy Cakulations for heated adtlNOns `?fr`ce Ples Pla Rectl Y.; N, 2 oopies oi plan showmg beam & window sizes; poured found design, etc. i sile survey fOr addNOns & deda ?ree Pres Required `;. Q Y= N. 15etofEneTgyCalalations Adddion-indicafeifarsdesepticsyslem Oo-stteSep?cSystem :;Tl_:, _N 3 copies of Tree Preservafion Plan if lot platled afler 711193 RimJOistDetailOptionsselectionshcet (bldgswith3orlessunHs "W09 t a C ti oq C T'0d Date 7 / Q onstruc / os i on Site Address u Unit/Ste it Description of Work '? \pjpla C.17 W,[ J ?' 'MA d?• 1/ Multi-Family Bldg _ YIC N Fireplace(s) _ 0 2 O P L?? ?"G ? 4 I 1 1 Telephone #(0$ ()-ISZ' roperty wner ? c ? RENEWAL BYANDERSEN Contractor 1920COUNTYRD. C WEST Address ROSEVILLE, M1V 55113 C<<3' State 651-864-4777 _ Telephone # ( ) LICENSE # 20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy CAde Category , Residential Ventilation Category 1 Worksheat • New Energy Code Worksheel (J submission type) Su6mitted Submitted • Energy Envelope Calculations SubmiHed Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( ) ? Telephone #( ? D MAY 1 4 2004 D I Telephone #( ) Rv I hereby apply for a Residen6al Building Permit and aclmowledge 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 this is not a permit, but only an application for a permit, and work is not to start without a perxnit; 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 o? -6e r s a?N Applicant's Printed Name Apphcant's Signature ....s..e.sv.i. auu a?.ov criA !OJ Ufl'4 400 H?IL`If1?,? ?k" 8tVd1lSHe714'f re ?? - . runo t 200l aty of &M 3836 Riiat &wb Road Egau, Ivu+r 55122 To Whom It May eortoarn: Eldcr Ioncs to 'th'ized to PUU 1raiIding pem?its Por RcnewaT 6y Avdexsan PIcase atlow datc bc nd 6/610 S uAti? a S?wnx for us in Bagan. `Ileia etuharIzatitm is vaIid for eny to the City. ' ?,m6waj by And?rsen mna= exprwsly revokes it in wfiting I rcquest Uus autfioazati our bailding on be accepted axpedtdously. ac to not delay in thn promsing of P"mits aaY £vzthcr. Picaac caII mc If thcco uc tione._ I can Un contacb?d at 763-502-4706. nny ques , Your immqdiatc attcntion to this mattcr is adnrectar?i. ' .. Sinceiely. ond R &Rau astallation Managcr Ranowttl by Audarsen Cotporatian C'c: Kstrn_F.Irier I?nPa 1h Q GAWL- MY ?,"1Qdpm ?ro.W,. Received Time Juo- 7. 1-OlPM I wVU: 2422 Enterprise priv: Mendota Heiqhts, MN 55520 ? ?9?i??EFA (e12) se1-1e14-Fox 587-9488 LANO SURIEVOR3 • CAAL ENCINFERS -?- "? ?:1MO Pw+neRS • 6NIO5GAPE AftCM?C75 gZg Highway 10 Northeast ?19g 1'!eie59'`HPIg gleine. MN 55434 (012) 783-1880•Fax 783-1883 Certificate of Survey for: MOC1tgOI'Yler,rDesign & Build. Inc. r• "`'' hiouse Address: 4153 CountrXview Drive Eagan„-MN Model Name; Mvstic ? 13 I ,o i so E ' S 89'23'41 E 728.21 - - - ?. OYERLANOF.MERGENCY SPIIt,WAY a'?8• ?? P ? a . . , 4S.OG -30A0 ? Lii . --e- $ . O _ f ?- + ?'- ax.eo ---?? I io ~? ? ? ?Jwe? ? I 4- i Q I w ? ,%.,.(V. q $ . ? ? C3 cD ?J.J . ??,a.$ ??, I m o ? i??? 12 o? ' w 0 , N - ? ?(,.. c( ?.• .. ? ? ? ° ? w ' I w ??uY?? . °o "' - I . a $ w { e,A,?•2 z ? ? d I g?? o I i I- 24450 b M 2?? ? ?? ? 8aR ? -, $2?'S 93 o '4I 1 L------:°-------m_..?_ _J O . . v? . ' ' 49.D0 j 30.00 ? U g?q.4a 92S.5o iggo,7A 9z9.7. B N 89'23'41 W 1 ? . . I^ ??IA1C DEP? ? 131? I?? L U PROPOSED HOVSEELEVA7ION = 1100.0. Denotes Existing Elevation '• - ?4th' Level Floor; Elevation: 825.0 9p0 Denotes Proposed E(eyation 3rd Level Fioor Elevation:829.80 ? Denotes Rrotnoge & Utility Easement ' Top of Biock Elevation:833.11 '- - TDenotas low Direction Drainage F - 2' Gqrage Slab Elevation: 532.78 -? Oenotes Monument ? '--r?- Denotes Offset Hub -: Bearings shown arQ assumed L?T 12 ?OCK 2;'CQUNTRY HOLL:OW 2ND ADD. $ i Reeeby certFfy thai •OAKO7A .COUNYY. MINNESOTA ' - - ' thls survsy, ptan or raport was ar ared by or under my direct supCrviSl?oJnand em duly Registered Lend Surveyw 19? O d khladey A f Mi P under the lews of the Sta nnssota. ate tt a ? , , .. . . . , ir ' ? r . `-yl?. ?fn?_3 fgg, . ?... ^LI t' ' _ ' . OBE .9.SIKICI-t L.S.RfiG.N0.14991 34(?. 92485.02 ' ,----- ?- 2422 Enterprisa prive * dofiB1 e1914-F x 681?9489 ? pION?EA , v.NO suavEvoris . CIVIL ENqN6E0.3 (812 } *e,?0 ne e?.??g LANO PL1nNNERS • LAnoscwe nRdaiTEcis 625 Highway 70 Norlheost" * Bloine, MN 55434 ` '? ;?.::]f• .. (612) 783-1880•Fax 783-1863 CertificatE of survey for: Montaomery Design & Build. IC1C. Nouse Address: 4153 Countr?Niew Drive. Eagan. MN Model Name: M•vstic ? zz. I 30 o T as.oo ao,oa gyh1? u"' ? W I r-- -------Jg-------??---, ? > 32.00 -1 I io Q ? g I SFltJice?. w I 1 ?ryh}, ? ? .:I I? W ? IU ? q 8 s,? ? ? ?-+? - 01:? ? .? ? € 4 r= ?sas i ao? o ° ? w z 0!? Ig ? ? ? ? Bt$? ? 24.50 zo.sai 8uF• D L ---- 0 ? I '" - -_ 45. 00 ^ ?, 3_0.00 ? U $iq,? 92S.AO !Sgo.7h 9z9.-t . I . 142.00 ? - N 89'23'41 w 11 . , ' I ING DEP ;-. , :.:. . . , .. ?N IN$F,? ? f.,. -P:R.WRIll'"'QUIRE?` ? PRQPOSED HOl1SE ELEVATION = soo.a, Denotes; Existing Eleva#ion . ,' ,,q.{h Level Floor Elevation: 825.00 • 9???0 ^venotes Froposed Elevatiun 3rd Level Floor Elevation:g29•9p --= Deno4es Qroinage & U#ility Easement, Top of Block Elevation;833.11 - Qenotas . Droinage Flow Direction -- -o- Denotes MonumenS Gar49e. Slab Elevation:.832J8 --- --9- Denotes Offset'`Hub ` Bearings shown dre assumed LOT 12`; BLOCK COUNTRY HOLLOW ZND ADD. `OAKOTA CDUN1'Y, MINNESOTA I hereby cer[iFy that thls aurvCy, plan or report wa? pr ated by ar under my dirsct xUpCrvislon.and em duly RlgiSlered L.and Survayor under the laws af thc State of Mipnasota. Pated thls?dey a?l?? q,D, 10 _!Z.&J' l . . , . . . Z C&'' SCale, 1inC?=3?fBe , . . . - OBE B.S?KICNI.S.R6Q.PIO.14bB1 ? 92485.02 ? Use BLUE or BLACK Ink r..________________- I For Office Use I Permit _ 7 City Of Ea I Permit Fee: 1015.25 3830 Pilot Knob Road n I Eagan MN 55122 Date Received: V p 5 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: L 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: / Unit Name: Zi 4A A0,G( /t//f~i~1l~ Pl ~ AQV&- Phone: Resident/ Owner Address/ City /Zip: View ' Q t l F Applicant is: A-Powner Contractor _IX Type of Work Description of work: Q^ Construction Cost: t d_ , Ce Multi-Family Building: (Yes / No X ) Company.- 4 V il ` O 4 J14C ~O ly l neContact: t 22-6 Qj cr Contractor Address: 'T w City: State: Zip: J~ 1 Phone: 12 2 2 License Lead Certificate FIf 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 i 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: I 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 accordance with th approved plan in the case of work which requires a review and approval of plans. Exterior work a orized byf uildin p mit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit' uance x x Y14 RZ5Z-A 4, Ailo f2A Applicant's P t d N, a Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA125609 Date Issued:07/28/2014 Permit Category:ePermit Site Address: 4153 Countryview Dr Lot:12 Block: 2 Addition: Country Hollow 2nd PID:10-18276-02-120 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 by law in ALL single family homes . 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 - Michael R Sauve 4153 Countryview Dr Eagan MN 55123 (651) 792-5942 Avalon Construction Inc 256 George St W St Paul MN 55107 (612) 253-2141 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163395 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 4153 Countryview Dr Lot:12 Block: 2 Addition: Country Hollow 2nd PID:10-18276-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Michael R Sauve 4153 Countryview Dr Eagan MN 55123 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature