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. '
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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
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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.
?
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Not?ary 'PUblic
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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
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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
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Description of Work '? \pjpla C.17 W,[ J ?' 'MA d?•
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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 #( )
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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.
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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
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. 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
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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
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MY ?,"1Qdpm
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Received Time Juo- 7. 1-OlPM
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2422 Enterprise priv:
Mendota Heiqhts, MN 55520
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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
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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
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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.
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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
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? 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
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? 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
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--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'
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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