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4156 Countryview DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4156 Countryview Dr Lot: 5 Block: 3 Addition: Country Hollow 2nd PID:10- 18276 - 050 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Lampert Exteriors 9220 Hudson Blvd. Lake Elmo MN 55042 (651) 287 -6958 PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: Lance Glaser 4156 Countryview Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature Building EA091120 09/14/2009 ePermit INSPECTI4N REC4RD? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: i,iftl51 I k'i 1li+1 1. 1+I! •NU I PERMIT SUBTYPE: APPLICANT: . ? TYPE OF WORK: 4i.'l1,?/f- 1 I IlAttli INSPECTION ., . .• I i i : A`,F !`J11{111! 3'I f,hi I I I', ftl UlI IV1 11 I ill; I1Pa'f 1 1IIp11i 1 Nrv Olt ! I I I 11t I1:.111 Iitil:l I ? ? I ;` ? Permit No. Permit Holder DatE Telephorte * S/W PLUMBING HVAC ELECTRIC 14 Q ELECTRIC Inapection Dste Insp. Comments Footings I Foundation Framtng ?s Roofing Rough Pibg. Raugh Htg. l5ul. Freplace Final Htg. Orsat Test Fnal Plbg. Plbg. Inspector- Notity Plumber Const. Meter FsgrJPlan Bldg. Final Dedc Ftg. Dedc Flnal Well Pr. Disp. INSPECTIUN RECOIW Control No. 1371 CITY OF EAGAN PERMIT TYPE: 46 3830 Pilot Knob Road Permit Number: Ai ? HQr Eagan, Minnesota 55123 Date issued: (612) 681-4675 SITE ADDRESS: LOT, 041V, (310r p.. @004PPLICANT: 41 "ItN1'RYVI!`'N Op b1AN1T4t1MERY DF ?iItiN 6 i711Tld r..nwaRY fiii:il i EiW :MC1 (612) 967._+I075 PERMIT SUBTYPE: ,t 1411, TYPE OF WORK: NFb! INSPECTION { ?Irt I I f,It7 ., . i i; AM ! NO? .A ilqSli? A I Yi?t? FtNAE.. FiRF'R! Af:r Rf MARKs.e 17frfIi'i # to!'tV i, J; W C OItil!'itAC. IOR - VA111 YP1 Hti 1:;7Z ? :: • , - - -? 4s •-. . ' ? . -n° '1 I?_?........r._---------------- ---- ----------------?-----°? Permk No. Perrntt Holder Dete Telephone # SMI PLUMBING iP HVAC -?/?p?v ELECTRI ,( ?- ELECTRIC Inspectlan Date Insp. CommerfM Footings 1 2. 1 FoundaUon FrarNng /lZ ?3 i? .. ? -? Roofing Rough Pl?g. ICU- 2 -z-?.3 ?Gf '?? ,r3 aouen Htg. IsL?. z 3 y? Freplace Final Htg. brsat Test zt G? Flnal Pibg. -2-0 !L !T Plbg. Inspector- Notify Plumber Consl. Meter EngrJPlan 814. Final 1?1 ? ? ,?- (!r 4 Q j 72G ? Deck Ftg. Deck Fnal W811 Pr. Disp. INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 I SITE ADDRESS: . I; ??? N I r? ?r v 1??•.t u ?; I ?+?a??RY tlr?t t c??? _t7rr PERMIT SUBTYPE: APPLICANT: , ... r, TYPE OF WORK: III w f?Ilt11?INf IHIHI r?1(. INSPECTION .. . D. ? .P ; i ? ? . . ? '? ? S ? ; ??.? . J? k q ? •? 5 -.- ?, t? J - q ?'•? -?'` $,S . . ?? Permtt No. Permit Holder Date Telephona M ELECTRIC 5'? (p ??/ 9? yf Q?O PLUMBING HVAC Inspecfion Date insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLAGE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? 0, 6, 9 RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ?I r7 o .4 CR,c" 3121/o3 New ConsWCtlai Reauiremenfs RemodelfReoe'vReouirements Ofice Use OnN 3 regivtered site wrveys shoxing sq. ft W lat sq. ft of house; and d mo(ed arem 2 copies W plan _ CeR of Survey Recd (20% meximum lot coverage a9oxed) 130 of Eneigy Cakulatloire for heakd additlona Tree Prm Plan Read 2 coPies of pWn showirg beam 8 wiMow saes; poured fpuq deslgn, &- 7 sde survey for arMiUOns & dedo Tiee Pres Not Reqd lseto(Ene(gyCalalatlona Addftn-'aMicatei/onaTeseplicsystem _On-aiEeSeDticSYSlem 3 copies olTree Preservatbn Plen if bt pktted aRer 711/93 Rim Jast DetaB Optbns selection sheet (bl0gy with 3 or leas unib Date 0 ?? l j q / U--3 Constructlon Cost SiteAddress (,vL7 ? f//G(/? 1,->/i UniUSte # ?' -•? ` 5/Z DescripdonofWOrk 7 )Nlts?-- 1?1/?/°1? )elVel Multi-Family Bidg _ Y VIN Fireplace(s) 20 _ 1_ 2 Property Owner ?xo1?? ? Al u L'1 J/rt S-e? Telephone # (?w ) ? ? -7 • ? ?p ?. ? Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cate or 1 (J submissbn rype) • Residentlal Ventilation Category 1 Worksheet Submltted • Energy Envelope Calculatlans Submitted Licensed Plumber Mechanical Coniractor Sewer/Water Coniractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code WaAcsheet Submittad Telephone # ( Telephone #( ) r ?`. -__- `.. - Telephone # I hereby apply for a Residential Building Permit and acknowledge that the inforrr?(}on_i m lcurate; 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 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. ApplicanNs Printed Name ? App icant's Signature 5S?J(,? ?j PLiIMBING (RESIDENTIAL) ' - ? ?? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts are required for each unit , pd17i' k.lldo ? V190Ydla-' ?4 O3 0-3 Date , 1 p 1 ? a v !?d a Site Address I J Unit # m iz3 Property Owner fG C /,,/t Tetephoue # (?51 ) ? ? % ' ? ?D `7 ? Contractor :? ?? Address City State Zip Telephone # ( ) The Applicant is ? Owner _ Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alteratyi ?To Existing Dwelling Unit, Including $ 50.00 V Adding fiMures t ower eve s r room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional 5tate Surcharge $ .50 T [ l $ 90 1?-O o a • I hereby apply For a Residential Plumbing Pernvt and aclmowledge that the information is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 acwrdance with the approved plan in the case of work which requires a review and approval of plans ? CIn..C.Q ? (Q.S?c.r Applicant's Printed Name Applicant's Si . , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: Buz?ozNo Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 9 3 8 (612) 681-4675 Date Issued: 10 / 01 / 96 SITE ADDRESS: 4156 COUNTRYVIEW DR LOT: 5 BLOCK: 3 COUN7RY HOLLOW 2ND P.I.N.: 10-18276-050-03 DESCRIPTION: DECK NEW 434 ALT. RESIDENTIAL LI ?1Z, ??`.? E ' „s 1_._. REMARKS: FEE SUMMARY: Base Fee $45.00 5urcharge $.50 Total Fee $45.50 OWNER: - APPlicant - ZADACH RUTH 4156 COUNTRYVIEW OR EA6AN MN (612)688-9772 ? ? I hereby acknawle-d"ge thatI,.Nave r.ead thie applicaCion?.and st?te that?kic infiormatioh is correct and aqree`to comply with ail applicable State of Mn. Statutes and CiCy of Eagan Ordinances.' ? APPLICANT/ ITEE SIGNATURE ISSU BY: SI TU E??- CITY OF EAGAN ? ??, ? ? 3830 PtIOT KNOB RD - 55122 im5t3 996 BUILDING PEI2MIT APPLICATION (RESIDENTIAL) 681-4675 W& COnatmdion Renufrements tL.modeURepair Reovirements ? 3 registered sHe surveys ? 2 ooptes ot plan ? Y copiea of plans (Include beam d window sizea; poured fnd. design; Mc.) ? 2 site surveys (exterior adddions & tlecks) 4 1 energy aakulaliona ? t energy nkula6ons for heated eddilioas ? 9 copia of tree presenetron plan if bl pktled after 7/1/83 ? raquired: Yes _ No DATE: cp CONSTRUCTIaN COST: ? ?• v`? `--? OESCRIPTION OF WORK: J?vt %-- t?? ? ?-) STREET ADDRESS: J L? IRD (nlA U LOT ,5 BLOCK ? SUBD./P.I.D. #: ? crr h( ? tia PROPERTY Name: Phone #: IDLL9772- w* OWNER J '' Street Address• ? IS12 l 1? lrtn,? AnV? 'La City: CONTRACTOR ARC1i1TECT! ENGINEER State: Company: ?? ' ToN? Street Address: City: State: Company: Name: State: Street Address* City: Sewer & water licensed plumber: change are requested once permit is issued. Zip• Phone #: o?17 ` 71 License #: ?- Zip: Phone #' Registration #P Zip: Penatty appiies when address change and lot I hereby acknowledge that I have read this application and state that the infiormatfon is correct and agree t?piy with ail appiicable State of Minnesota Statutes and City of Eagan Ordinances. SignaWre of Applicant OFFICE USE ONLY REC??MEDD Certifiqtes of Suroey Received _ Yes _ No S EP i 0 9996 • Tree Preservafion Plan Received _ Yes _ No ---"".-----'--- _...?--"' +° - PERMIT Control No. 1371 , CIV OF EAGAN ? 3830 Pilot Knob Road PERMIT TYPE: 8 Ii t I. p z td G Eagan, Minnesota 55123 Permit Number: 001890 (612) 681-4675 Date Issued: 12 ! y 9/ 92 SITE ADDRESS: ?1156 CiiUN, ii211, VT? W D'i2 L.fJI'e 0005 ^ct..Of_K? 0003 COIJN7RY NqLL.06,1 2N1) ("'10 -.182i6-0 5 0 -0 ? DESCRIPTION: E3uildiri(I Permit Type SF OWG Buzlding ,Woi°I< Tvpc, i'll FW UBC Oncupaney f?--'_'t M-1. DorFs t;r•uctl,.oil fi;ypu? V_..PI %or,ing R-1 Buil,dinq Length 45 BuiJdiny Ulidth 4 6 ? , . ,' . . . REMARKS: Rer.erP 7st C0,?)-l960? F^R v s e, i,a r:onrRHura R - vr+I-Lev r-i.aG FEE SUMMARY: VALuarzor. 8ase Fee P.Lan t2evi.ew Surr,.harae SAC 5A4 ? ;AC Units Subtotal Y; "i I 6 . S C4 $3iz1.73 $43e0N $ i 0 P! e 00 1.0 43 1 23 aau,u?ee hiISt;ELLAH t=OUS $1,610e50 COP4' --- i.5a Tn,tal. 'r;g,? ??3,34J5.13 CONTRACTOR: - Fpo.t3oant. - sr. lzCOWNER: MONTGOhIER'Y OL-:5IGN & BlJTLO 1 41 57 4I0 75 0 0 0 ?23S MOP!'I"GOM[RY GESSGN h E3tJ11-0 1.1350 ALOAVAR ^A'1'H 17.350 fll_NAVAi2 PATIi SNVER GftOVE lir(S I71iq 65075 IiVVER i;ft0Vt.- fiTS MN 55075 (612) 477-4075 (612)457-1075 I hereby scknuwledga that I have read this app.li.cation and state that the information is r.orract and agr?a to compl.y wi.t::h all applir,able Sta1'e v-f Mn. Statute5 and ity of Gagan CJrdinancesa r1 f J?d A IC N7/PER ITEE SIGNATtJ E I SUED B: S?I.-NA E ?.. , ..-T .,.?. ?,. , ?X . o# ? ?Cttp of (Eagan Emabuent ut ad[ding AWrHLM Thls Certijunte issuedPursuant m rhe requUemener af Sectlon 306 ojthe Un{jorm Buildin8 ? l1 Code ceraIl'n8 that at the 6me oJissuance this smrcmre wvs in rnmplicnce with the various urdirrartces of the Ciry re8ulatttt8 6utlding conslnrcDon or use. For fhe foUowing: i. ? ,. SE i1WG ew.n,m;rb.' IS'10 ? - 'u:a.wc? ?I R?,? ry•?? t7N "? ? 11350 ALBAVA[t PAIli, I(?4i oowp?o?'I 6 isa ibRidi=(? i 5.1ft ?= 415fi 00[R1IRYVIEFI AtIVL ?;ry?+ ? ??? ? 02/ la/a3 BWIdMg?. ' POST IN A CANSRLUOUS PIACE - - - - Zip 5512 3 Address 156 WRU-R)5M- Lot, •S ° Blk 3 Sub THESE ITEMS WERE / WERE NOT COMPLGTE AT THE TIME OF THE FINAL INSPECTION. Date: 02/I9193 Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entr} Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement 5nish Yes Na Inspector: ? ? i/ ? ? ? ? l? ? Deck ' Please verffy with the builder ihe removal of roof rest caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potcntial exists. Contact engineering division at 651-4645 bcfore working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink • Conhactor Copy PERMIT # CITY OF EAGAN $3'3 0 REA(VIVAT't _ l'04 1992 BUILDING PERMIT APPLICATION 681-4675 „D E C 0 3 RECD SINGLE b 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 of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 12- / 2- / CI 2- Valuation of wark ? Site Address:_ 15(OlIl'if"i" ?_UI? --Ux STREET SUITE M Tenant Name: (commercial only) IAT S BLOCK ?J SUBD. f? , ? P.I.D. # ?? . ??}tlGt Descri tion of work: {S( , ?i Tfie applicant is: ? Owner O-Contractor O Ot P(oeseribe) Name Phoi-te PCOpEIty . LAST , FIRST Owner Address STREET STE 1 City State Zip Company Y1 17 Itil ? Phone Contractor Address License il =a3c[ Exp. Cit State M? Zip Company 5?W?' r\ J T'jWLI_ Phone Architect/ Englneer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area as been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to compl with al appli b e St te of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: v v OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging W02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 11 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 5F Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE ?( 31 New ? 33 Alterations ? 35 Tenant finish 0 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- N (Allowable) V- N :.'6C Occupancy R-3 M-t ?oning R_I :? of Stories Length C 6 Depth Li_ ARPROVALS ?lanning _rgineering ? 16 Basement Finish O 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. 11 20 Public Facility 11 21 Miscellaneous O 37 Demolish Basement sq. ft. MWCC System ? Ist F1. sq. ft. City Water YEs 2nd Fl. sq. ft. PRY Required y? Sq. Ft. total Booster Pump Footprint Sq. ft. Fire Sprinkler On-site well Census Code On-site sewage gq ?d e o? f ?? .}Lv'..wa U?/?T ? I Building ?z?i9zfjs Assessments Variance , REAUIRED INSPECTIONS ? 5ite El Wallbaard €'ermit Fee Surcharge :'lan Review ? License s? MWCC SAC ;? C i ty SAC : dater Cann. Water Meter Arct. Deposit i' S; W Permit 5/bl Surcharge ? Treatment P1. Road Unit r? P:i-k Ded. ; L?ails Ded. Copies Other ? footing ? Framing. O Insulation ? Final , 0 draintile ? Firepiace veimcie,: $?6, Ooo - G??2.a??: ZZxZr,?= ?14n x r?= ?1040 ___----- RSMT? .2LKY6r I14G; ' W?cg: 3z ?--=' ? sr FL.oo,2 ; I z Z 8 u??5. : l 8? y 2a __.---- 2?x4?= N96 r °f X 5 = 3? - 1 2zT) x 5'3 = 59.?y y .So Total: t ? SAC % _jpd!? _?ei• ._• ; SACtiUnits ?_ -. o . ? 0 • o • 0 • 0 0 ? ? • 0 13 • B?,E] 0 • 0? ? • 0 • 0 0 • /r - ? ?I D 6' ? D 13 LOT BIIRVEY CHECICLIBT FOR BUZLDING pBRMIT PROPERTY .ter_ar.= Date of Surveps Reqistered Land Surveyor signature and compnny Building Permit Applicant Legal description Address North nrrow and bar scale House type (ramblez, walkout, split v/o, split eatry, lookout, etc.) Directional draineqe arrows with slope/gradient 4. Proposed/existing sewer and water services Street name Driveway ELSVATioxs ExtstinQ • Sewer service • Lot corners • Top of curb at the driveway • Elevations of any existing adjacent homes Pxopoaed ?' ?1 0 • Garage floor tA? 0 • First floor ? 0 ? • • Lowest exposed elevation (walkout/window) ? Property corners D ? • Front and rear of home at the foundation PONDING AREAS (3f ibDliCab7a1 11 0 • Easement line 0 D • NwL 0 D? ? 0 C? 0 • xwL • Pond #? desiqnation D ?13 • Emerqency Overflow Elevation DIMENSIONB 2" 0 • Lot lines ? ?D 0 • • Right-of-way and street width (to back of curb) Proposed home dimensions includin an 4 y proposed decks , overhangs greater than 21, porches, etc. (i.e. all -/ " structures requiring permanent footings) ? 0? • Show all easements of record and any City utilities within E? D those easements 0 • Setbacks of proposed structure and setback of adjacent existing homes n?0 • Retainin 1 re 'rements, if any - Reviewed: OCtober 1992 N me / ate 0? 00-9(3 'f; Paquest Da[e c ^ /?,J YS ? Flre No- R. ghc Ins9ecilon iretl Inspaction Other Than ougnln (VOU mt call Inspeo r hen raedy) ? Reatly Now Will. Notify Inspea101 ?? Yes No Oaie Featly I? licensed coniractor P(owner hereby request inspection of above electrical work at Job Atltlress (SVeel, Box or ute No.7 5 Co u n Vi'e.L,,7 . Sedion No. Townstlip Name or No. Panqe No. Counly _ T) ? Phone No. ?. r. vy" Power 5upplier Address Eleclfcal Conly dor (Company Nane) Gontrdctor's Llcense No. D pn--I Meiling Atltlress (C nUaclor of Owner Making InslallaUon) Jtes Authorizetl aWre (Contrador/Owner Making InaffiIlsIIOn) Phone Number G83-36/1. (r.v? - MI ESOTA STPTE BOARO Oi ELECTFICITV f P THIS WSPECTION REOUEST WILL NUI 6E AGGEPTEO BY THE STATE 60AR? Gtlggs-Midway Bltlg. - Room 5428 ?I I III II I III I ?I II I I I I I III I II I II UNLE55 PFOPER-INSPEGTION FE[ IS 1821 Ilniversity Ave., SL Paul, MN 55104 oxn?erc?m aaanPm I . ENCLOSEO. REDUEST FOR ELECTRICAL INSPECTION ea-aoo i-os Pile See inatructlons tor mmpletfng ihis torm on hack oi yellow oopy "X" Below Work Covered by This Request New A=d P. ^ Type of Building Api -3nces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Load Management Comm./Indus[rial Furnace Other (Specify) Farm Air Conditioner Othar (specily) Cootrecror's Ramarks_ ? a? GM nl Compute Inspecfron Fee 8elow: # Other Fee # Service Entrance Size Fee # Circui/siFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 2D0 Amps Above 100 -Amps Slgns ??^.pector's Use Only I«igation Booms ??• ? 0 Special Inspection AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 78 M,NT,HS.i I, the Electrical Inspector, hereby Ro°9r ,?' Oale ?-? U(' J certliy thaf the above inspectlon has been mada Finai f f + oaie .? OFFICE U9E ONLV TMS request void 18 months from Lo? ?, t?t.?? 3 CauarRy l-louo,,) ZNz) /no;a. :XT[Y'OR E`;tiE:CF: k1'.°RGE '?" CORPUT?,T:C`: HC!d?GOMEP,Y CESlu4 f BU:LD CO 1135;; A.2!,1'A° °dTH IS4. u,"; -, SC'z UOCEL :EJi'iG?G!; R„EA 9 U ; A'ER °EAL'IP,ED 1 ? ?i AR[ rnrA 'fi6 k 10 ? 11 '-n (u . _ . I ? ? ? . . 2. FCCF ;,P,EA 1ii9 :2 k.CH.E?'ED A WI?;?C? Afl=A iS8 ... cS ° C00R kRE;, Ci7 3 C SIiDUiG SL.=.SS .`.R=„ . S "s3 D FI°E°IACE kl'EA .5 C E 4ALL SP,P,PE ?.F.?A 1°2 .0:1 , f f;E? ;?A! L 1,°:;, 1322 ,0;4 ? G 4:H ;0'.ST E.^E; 138 ,O;?S 5 H FOL'Nq k':`;?ON A3EA J 5 C I FCU";D A°C','E GRkCc z3 .1119 11 3. TCikL k'?.! L n'sEA 191 J SKYIiiE . 0 K RCOc f:;g= 122.5 .012 : L AiCT Cnvc nczn 1 IiO5.0 C lriC i. Ivi?.i uvv? nuih 28 SU!! 1,+2, Y?'L 1 UK OF 3,+.. ? 2[5 OFFICE USE ONLY This reyuest mid 18 months irom valitlation dale prinled in this box. 359-1567 ?.+ PLEASE PRINT OR TYPEkp R ay O equest ?ate qough-ininspnr.lion ? _ J required (You l ll Yas No Inspeclion Olher Than Rou9n-In: ? Ready Now ill Call ( mus ce thn inspector w reatly) Date Reetly I, licensetl contractor ? owner hereby request ins pection of the above electrical work at: Job AdArass (SVeet, eux, nr Poule No.) City Zip Gotle 3 ?1 2 S ti _ ? ec a No. Township Name or No. ^ Rangn No. O Fire No. Ocenty ? xr ? ??joant ? Phone No . ? s// 3 ` L?' It ? Powar SuValier Addresa Eleclrrc:al nVaqor (Coinpnny Name) i fi?-k E Contraclor License No. Masler Lic. W. (Planl Eleci.Only) C _ Maling Atltlress (CoMraotor or Owrer Perfarming Inetalletb Aut orizetl SignnWre (Conlrnclor or Owner Pertor - Insqllatlon) Phorie N o b ( j 1^'J L O -?? I .L-- ---- --- --- o?w?c o-wno covY - SEE INSTRUCrIONS ON BACK OF YELLOW COPV IIIIIIIIIIII IIIIIIIIIf IIIIIIIIIIIIIIIIIIII IIII IIII *(1:i?.o 1 cc ?t REpUEST FOR ELECTRICAL INSPECTION Minnesota State Board o( Electricity n821 University Ave., Rm. S-?QB, ?SL Paul, MN 55104 .? <'c.,, CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 687-4675 PERMIT PERMIT TYPE: Permit Numher: Date Issued: c?,s 7139 5 BUILDI G 925125 02/15/95 SITE ADDRESS: 4156 COUNTRYVIEW pR LtlT: 5 BLOCK: 3 COUNTRY HOIIOW 2ND P.I.N.: 10-18276-050-03 DESCRIPTION: Bcrildi.ng'.,Permit Type Building Wo,rk Type ,. i A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING DR ELEC7RICAL WORK o •1 ?`-.J ??. !-a ?,- ?? ZY? REMARKS: FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 BASEMENT FINISH ALTERATION CONTRACTOR: ? OWNER: - Appiicant - 6RAHAM RICHARD 4156 COUNTRYVIEW OR EAGAN MN 55123 (612)683-3612 I hereby acknowledge that I have read this application and state that the information is correct and agree tn comply with all applicable State of Mn. Statutes and City o'F Eagan Ordinances. (? :'-? APPLICANT/PERMITEE SIGNATURE ? ISSUED ATURE ? CITY OF EAGAN 16124151995 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ?Y.-Ko m arl ?- ?.'r ? 3 registered ske surveys ? 2 copies M plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exAeriw additions 8 decks) ? 1 energy calculations ? 7 energy calculations for heated additions ? t tree preservation plan 'rf lot platted aRer 711193 required: _ Yes _ No DATE: aIf1ITC CONSTRUCTION COST: DESCRIPTION OF WORK: ?•' 'S?+ hRCt"A t- STREET ADDRESS: LOT -C_ BLOCK -? SUBD./P.I.D. #: PROPERTY Name: 4-e-A LaM A ;a?,.a OWNER """ Street Address- -4 r["G Cao. L, I/,'G., Qr Phone #: 6"-'7; 2'- 6?--3?)d- Cw) City: ? t t n State: lifAL CoNrtiacTOR Company: Street Address: Zip: ?t?>3 Phone #: License #: City: ARCHITECT/ Company: ENGINEER Name: Phone #: Registration #- Street Address- City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penaity applies when address change and lot I hereby acknowledge that i have read this application and state that the informaGon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 1= E 6 14 3995 Tree Preservation Plan Received Yes No 1- o-(- 3?@ L. 3, Cpwnd ry qe llew 2 "J 6 or 3830 PILOT KNOB ROAD THCWws EGW EAGAN, MINNESOTA 55142-1897 Mayor PHONE (614) 454-8100 DAV1D K. GUSinF50N FAX: (612) 454-8363 PAMELA MOCREA TIM PAWLENTY THEODORE WACHTER Couricil Members 7HONJ5 HEWES Ciry Administtator October 29, 1990 EUGENE VAN OVFRBEKE Ciry Clerk WARREN ISRAELSON PROGRESS COMPANIES INC 14300 NICOLLET SUITE 235 BURNSVILLE MN 55337 Re: Hold on Building Permits Dear Warren: The City of Eagan has put a temporary hold on building permits for Lot 4, Block 5, Country Hollow Addition and also Lots 1-10, Block 3, Country Hollow 2nd Addition. The pond lying east of Lot 4& 5, Block 5, needs excavation work at the pipe outlet area where sand has accumulated due to upstream erosion. This work can best be accomplished by access of Lot 4, Block 5. Lots 1-10, Block 3, Country Hollow 2nd Addition, are on hold because of the lack of final restoration work in conjunction with the retaining wall construction. These lots will remain on hold till this work gets completed to the satisfaction of the City of Eagan Engineerinq Department. We hope this work will get completed as soon as possible. If you have any questions pertaining to these items, please call me at 454-8100. Thank you. Sincerely, cc: Mike Foertsch, Assistant City Engineer `/ L/J Craig Knudsen, Engineering Tech ?Steve Hanson, Assistant Building Official Stan Lexvold Senior Engineering Tech/COnstruction SL/jj THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITV Equal Opportunity/Affirmative Action Employer / a /9 9?- - - - --- J ?5 4 o3 Request Dale F ir No. +~ Rough-in Inspection R eQUired? p Reatly Now J11Mryill Notity Inspector v F'?s ? pb Wnan ReatlY? IY-licensed contractor p owner hereby request inspection of a6ove efecVical work at: Job Atlmass (SVeeL Box or Route No Ciry ? W Sec[ion No. Township Name or No. Pange No. Cou ? ^?Y OCCUpan[(PRINT) ( Ir? Phone Na. n??„ „ ?, L P S awar uppfer Atltlre s Elect l nq Conirector ?COmpany Neme) Conlrxror5 Licensp No. Mailin qtl ? g drassConlractor or Owner Meking Inslallati p? it- ?N ? 3 - Auponzed Signature (GUnttactor???,,,pppwr? ng Ins7aualionj / f - Phone Number, ' / l/YrCi n ?-,AO Q?7V? r n!`, /1 MINNESOTp STATE BOARD OF ELECTRICITY ` t?r??? Griggs-MiAway 81Eg. - qoom 5493 THIS INSPECTION qEQUEST WILL NOT 1811 Univerei[y qve., St Paul. MN 55100 BE ACCEPTEU BY THE STATE BOARD Phane (610) 692-0800 UNLESS PqOPER INSPECTION FEE IS ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ''"`-"a?ee-oooo,-oa ? S instmcfons fn, completing this lorm on back of yellow tnpy y-?., /„ q 9 J(,? +?? ?? ,((?J T le(/? ee 'X° BEItIW Wnr4 ( n ra.l ?.?, r,..? o.._..__. ??A? Cf / ew X Adtl Rep. Typeot6uilding H __ _' ...- ...,y qppliancesWired ...,... _.,x,,... Equipmeni Wired ome Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer O[her (Specify) CommJlndustrial Furnace Farm Air Contlitioner Oroer (syamty) Contrdctor§ qemarks: Compute Mspectian Fee 8efow: # Other Swimmin P Fee # Service Enirance5ize Fee # Circuds/Feetlers Fee g ool Transformers 0 to 200 AmPs 0 to 100 Amps 2 Signs Above200_Amps -- Rti 100_pmps - Irrigation Booms Inspeclors Use Only: ?i ) ?TAL ? Special Inspection Alarm/Communication THIS INSTALLATION MAY 0E ORDERED DISCONNECTED IF NO Other Fee T COMPLETED WRHIN 18 MONT I, the Electrical Inepector, hereby 4009"?" ? oa? certify that the above inspection has r -?^^1 G? F?na been made. , om 2 )FFICE USE ONLV / Tis request voitl 18 mont,s from ? _ ? L r gL CITY USE ONLY RECEIPT SUBD. DATE: 7 {r` 1896 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ! New construction Add-on furnace X Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 7 1 a- 9 (o FEES ? Minimum Fee: Add-on/Remodef (existing residence oniy) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL 20.00. 24.00 6.00 .50 SITE ADDRESS: 41510 CUUh ?"e y pi ew br• OWNER NAME: R Li -0) Z ?t G(Q GL) PHONE #: &8 " 77a INSTALLER NAME: (6& h ?-ers sD LLi'l?CI j P??9 w f3 I C IY1G • STREETADDRESS: 7&30 W 145M Sl'. CITY: V a I I Q?_ STATE: M N ZIP: SS 0 PHONE #: ( f00 } ?-3I 7CJR? ? lc? Wok/tt4-9- 954870 ?S COIINTRY $OLLOW BBCOND ADDITION FR888IIRE &BDDCING VALVS AGRBBMSNT This agreement, made and entered into the day of , 1990, by and between the CITY OF EAGAN, a i municipa?ity of the State of Minnesota, (hereinafter called the City), and the Owner and Developer identified herein. The terms "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 ia 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 damaqe due to high water pressure. 3. Validitv. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Binding Aareement. The parties mutually recognize and.agree f 1 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 WI-IEREOF, we have hereunto set our hands. CITY OF e? V OWNER AND DEVELOPi>R: (Date: ! ? '1 PROGRESS LAND COMPANY, INC. mas A. By: Its: Mayor Its: M'SicY,vr I U Attest: . J. VanOverbeke Its: erk ? BV. Its STATE OF MINNESOTA COUNTY OF DAKOTA ss. On this v?/-s% 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 Eagan, the municipality named in the foregoing instrument, and that the seal affixed 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 sa-id municipality. y •....r.?•,?!eNIHI/I?Mf:N ?cNN15 -?• ;iy . ? . .. ....... .,.n STATE OF MINNESOTA ) ) ss. COUNTY OF lt? ? ; •-'? ) ? ; i ?? On this _ ,IN day of S{ , 1990, before me a Notary Public within and fer- said County, personally appeared t .!, ( , , r 1-:A Y t C i',i i, ?- to me persona?l own, 1who being -each-by me duly skrorn, 77t did say that theyx?espeetive?y? the 1 J-l ?? afiel- of the corporation named in the foregoinq instrument, _rr_.__d t_ __;d ?_?._.. ym , and that said instrument was signed on behalf of said corpora ion Lny auchority of its Board of Directors and said rrS ? d uz?' ?- acknowledged said instrument to be the free act and deed of the corporation. Notary PubVic i APPROVED AS TO FORM: f,A.???' Public Wo s Department Dated: ?6i /??o THIS.INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 600 Midway National Bank Bldg: 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD 010L APPROVED AS TO CONTENT: RESIDENTIAL BUILDINC PERMIT APPLICATION cirv oF eacnN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction ReauiremeMs • 3 registered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas (20% manimum lot wverage allowed) • 2 copies of plan showirg beam & windax s¢es; poured found desgn, etc.) • i set of Energy CalcWations • 3 copies ot Tree Preservatbn Plan if lol platted after 111193 • Rim Joist Delail Options selection sheet (bldgs with 3 or less unAS) DATE 743Ie, ?L ReirmodellReoairReauirements I ? • 2 copies of plan • 1 set of Energy Calcuiatians for heated additions • 1 sAe survey for e#erior additbm & decks • IMicate if home served by septic system for additians VALUATION "5N51_dx- 11?4. SITEADDRESS Ljl66 ?i,?.vL?Y U,mu_-? Q!Z MULTI-FAMILYBLDG _Y & N TYPE OF WORKKOMN_+?,b v FIREPLACE (S)_0_1_2 .r n5o r, APPLICANT ..? ? CmA?gTiPUC.I? CoRP STREETADDRESS 70P0 WfiG?3Sa2 ,S'T" CITY.57'lecrs 0MIt STATE?`W ZIP6?5V.;kg TELEPHONE # 9.55a2 90'1? c»I^r CELL PHONE # FAX # PROPERTYOWNER IC071- ,;ZtQfr_f! TELEPHONE# 651 CS£r-97^/? ---------------------------------------------------------------------------------°------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNES01'A R[ILES 7670 CATEGORY 1 M ?('jjFi1?L?.? 7 (J submission type) • Residential VenUlation Category 1 Worksheet Submitted • e?gs? ?ode?NOrkshee ? • EnergyEnvelopeCalculationsSubmitted 0 3 200Z Plumbing Contractor: __ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Hcater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confractor: Phone # ----°-°--------------------------------------------°--°--------------------------------------°°------•-------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. (? „ n ?? y?-tr Signature of Applicant t>t? v 1..1f!Pl,w? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------i I Foi?;Officeilse ? Pertnit #: D "J ?d ? I I Pertnit Fee: / L / )' 0 ? ? Date Received: j Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: !?Q23 Tenant: LrLP 6/4Sei Suite#: RESIDENT/OWNER Name: Phone: Address/City /Zip:?j.SG, ?yp „f, Lr,[w Nr Q2 3 ? Applicant is: _ Owner 1- Contractor TYPEOFWORK Description of work: Rf-S4f{ Construction Cost: o J Multi-Family Building: (Yes _! No ? CONTRACTOR Name: (,d6.t P"!).h¢" (?.,n1 f_ License#: 2t) 3( S Address: 2w/ 9,,h6 U-& t. City: ?i(FhF/rc?? State: M I) Zip: e Phone: 32J_ Y11 -(.,,?U J Contact Person: &.,<< COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted (4 su6mission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical ConVactor: Phone: Sewer & Water Contractor: Phone: ' NOTE: Plans and supporting documents thaf you submif are considered to 6e public iriformation: Portions of the information. may be classirted as non-public if you provede specific reasons that would permit the City to conclude thaf the are trade secrets. 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 staR without a permit; that the work will be in accordance with the approved plan in the rase of work which requires a review and approval of ans. 11- x1cT c? f e,lc%X ' Applicant's Printed Na e Ap icanYs Si ature Page 1 of 3 y 4( PIONEER LAND SURVEYORS • CINL en?-gine? ng LAND PLANNERS • LANOSCAF ?M 1 n ?[ T I 30 r Certificate of sUrvey far: Montg omer y Design & Build Inc. House Address: Countrv View Drive. Eag an. MN 30 I ? I I ? I w I ? I I Z I I o ? I ? I i I I ? i W Q1 ? M C) O z zq• O '^ FD Y/ co 2422 Enterprise Drive Mendoto Heights, MN 55120 (612) 681-1914•Fax 681-9488 625 hlighway 10 Northeast Blaine, MN 55434 (612) 783-1880•Fax 783-1883 6 N 89'23'41" W 831.t> B3?,ei8 142.00 31- gjJ•(e 30.00 ?e 46.33 o T ,? ? '3, 0 ' - o ?i?-7--- -, ---? ? 26.33 g 3¢.?- zo.oo i 10 I ? ? ` I W m ° ° Y ? r I 1 6.33 o z o io. ? 833,1 a ?A rn I p 5 ? O M , s? \ I b ^? I /'? ?/O 00 p 26 33 ? ?? ? . . ? $33.?0 834, g35b z 1o o1 ? ? IN NI I ?-- --a -- -- -- - ?------ -----? 30.00 46.33 ? . ?' ?a g 834,39 834,lr(. 93b.a 142.00 I T?' N 89'23'41' I ? ? B t? EAcAN poG°aMo ?(?QM?G°C D . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION . soo.o Denotes Proposed Elevation Lowest Floor Elevation: 82¢_6-a -- Denotes Drainage & Utility Easement Top of Block Elevation: g33,33 Denotes Drainage Flow Direction - -o- Denotes Monument Garage Slab Elevation: 3-?3,oo -E3 Denotes Offset Hub Bearings shown are assumed LOT 5, BLOCK 3 COUNTRY HOLLOW 2ND AD DAKOTA COtJNTY, MINNESOTA 1 hereby certity thaf this survey, plan or report was preparecl by me or under my Jirect supervision and that I am July Registered Land Surveyor under the laws ol th¢ State ol Minnesota. Dated this2'3RP day of gn?) q,p, 19 . . ? .... /, 7 Scale: 1 -inch=3Ofeet aouEnre.si<fcFi?.s: e,.NO14891 459 92485.01 .- * PIONEEA 11N0 SUHVEYO ? ..??-.=.1 PLANNERS ? * engineering ?K * ? 2422 tnael N,?+, - .- Mendota Neights, MN 55120 ?(612) 6B7-1914•Fox 681-9488 -- NGINEERS '-? _ -6..7-5 Fligh'xay c0 Norlheost -aacwrecTS Blaine, MN 55434 (612) 783--1880•Fox 783-1883 * x' Certificate of Survey for: MOrit o?Design & BuiEd. lnC_ t? V'ew Dri•re Eaaan. MN House Address: _ Cc)un -?--- ? ,o t 30 i AJ I ? B3i.u 83?.68 Li J ? ? Li 5; ? z O U g 29 O 0 L6 m r, 9$ ? G N 89'23'41" W , I 142.00 1 83V3'3?' iti?•4 r---?-- --" R ?,$ 0 833,0` c I `? zo.aa ? 26.?5 I ` w 31 I 16.13 o ? 833. 1 + I U e}, \ ? ' 26.33 $-53'LO $oa' ,o I ? a-i I Ig g 0.00 ? 48.53 --? 3x,S 934131 es4'?.¢ -re.e. 142.00 lr4' N 89'23'41 ?- - - - - - - - -- 6344 i ;o I e? ;i ? ' N I 8s5? N` I I I z-- - --------? - -- „ 836"0 j ? BAGA,N ]ENvINEEHIn"! l P.R.V. REQUiRED W rn Oio 00 o 0 z . 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION = 9oo.a Der;,tcs Proposed Elevation - -- Denotes Drainage & Utility Easement Lowest Floor Elevation:_8?4_?ra ----Denotes Drairage Flow Direction Top of Block Elevation:_833,33 -??- Denotes Monument Gorage Slab Elevoticn: g,3_o..o -B- Deno:es Offset Nub Bearings shown are assumed LOT_5, BLOCK 3 COUNTRY HOLLOIN 2ND ADD OAKQ7A COUNTY, MlNNESOTA I hereby cerNfy that this survey, plan or report was preparod by ,m`e or untler my direct supwvision and that I am duly Flegistercd Lend Surveyor under 0te laws ol ihe Sta;e of Minnecola. Oated this?-?% dav ol Nnv ' A.D. 19-90- , G` Sccie: 1inefi_3(lieet ? a. L.I Q7 ?D 0 0 z 14891 ?'4,_, 92485.01 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108758 Date Issued:01/08/2013 Permit Category:ePermit Site Address: 4156 Countryview Dr Lot:5 Block: 3 Addition: Country Hollow 2nd PID:10-18276-03-050 Use: Description: Sub Type:e - Water Softener Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Jolene Mehle 17484 Goodland Path lakeville, MN 55044 952-953-4643 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lance Glaser 4156 Countryview Dr Eagan MN 55123 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170132 Date Issued:06/21/2021 Permit Category:ePermit Site Address: 4156 Countryview Dr Lot:5 Block: 3 Addition: Country Hollow 2nd PID:10-18276-03-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lance & Amy Glaser 4156 Country View Dr Eagan MN 55123--394 (952) 715-8179 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature