4157 Countryview Dr` . CITY OF EAGAN ,?
3830 Pilot I?nob Road, P.O. Box 21-199. Eegan, MN 55121 ,
??0 j??=-
PHONE: 681-4675 .
BUILDING PERMIi` Receipt #
To be used tor S? VWGICAR Est. Value j1 !11 •000 Date Fts 20 1992
Site Address "
Lot I I Block
Parcel No.
Name 3C
? ?d? 18133 CEDAR AVE S
o?, FAQMINGI'0!? KI9 ZP 35024
ok,,,,,, 431-2001
cc Nanie 0nnc
-0
Address
? CitY ZP
Phone
g u? # 0002431
I hereby acknowlege that I have read Ihis application and state that the
information is correct and agree to Comply iuith all applicable State of
Minnesota Statutes and City ot ?agan ?Mdinances.
A euilding Permit is issued tu: SOSSE'H Pi HI L.LER COIdS?
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY '
R-3 r'-1 FEES . i
Occupancy
Zoning T_-i
- Bklg. Pertnit 818.
(Actual) Const V-
N Suchaige
i
75. 50
(AllowaWe) plan Rg,+few 532.00
j
# ol Stories
?
???
:
5.00
Length ?
100•00 ~
Depth SAC, Ciry j
S.F. Total - sac,MCwcc 700.00
?
°
S.F. Footptints -
C ?
67S.QQ
On Site Sewage -
water
onn
On Site well -X- water Meter 9s•Q?
MWCC System
x
Acct. Deposil 30? ?
• i
Ci1y Water --x- 30•00
PRViiequired SIW Permit
eooster Pump - SJW Surcharge • 50 ?
3?.00
Treatmenl PI
APPROVALS Road Unit 3?.00
Planner
C
il - Park Ded. i
ounc
BIdg.Ott. _ CoPies ?
3,741.00
Vanance - TQTAL
• , Permit No. Permk Holder Date Tebphone #
Sw
PUuMsirvG
WAC T? _ ao 9a- ??3-//
ELECtRIC
ELECTRIC
Inspsctfon Date Insp. Comments
Footings I ?- ZWZ
Foundation
Framing y ! Q
Roofing
Rough Plbg. _ L
Rough Htg. 4 Z Lcl:f
y_3-9t
Fireplace
Final Ntg.
Orsat Test '
Final Pibg. _ Plbg. Mspecior - Nolify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Flg.
Deck Final
wlewii
Pr. Disp.
µ
ah y 3-'z ? ZS? qp,
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55123 Date Issued: +?' • ? ? ? '' `?
(612) 681-4675
SITE ADDRESS: 1111 1 1
(vi t ti iiN
PERMIT SUBTYPE:
I I! ,., 1 i r4 11',
F-
APPLICANT:
,.i cti 1) irIN I
( e. 1.' ) A'.,' fl!'riN4S
TYPE OF WORK:
t i iIA i
?I
?
PernR No. PermR Holder Dste Telephone M
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspecUon Dete In4p. Comments
Footingsl
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Flnal Htg.
Orsa! Test
Finel PI6g. Pibg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Final
Deck Ftg. ? ? ? • ?
Deck Final
S
r
Well
Pr. Disp.
SEWER4 VfIATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE Feb, 14 , 1. 99 2
SITE ADDRESS 4157 Countrviiew Dr
LOT 11 BLOCK 2 SEC/SUB Cauntr Hollow 2nd
APPLICANT: Jn9enh M_ Mi 11 ('ena n
ADDRESS: 18133 Cedar Av S '
CITY, STATE Farmiagton, Mn Zip 55024
PHONE: 431-2001
PLUMBER: ren_r._Rvan
ADDRESS:
CITY,STATE Rosemount ' *In ZIp55068
PHONE: 423-1144
OWNER
ADDRESS:
CITY, STATE
PHONE:
PLEASE At:tOW `1W6 oAF
SEWER PERMITS, CaNTACT
" .
X
11
Your Sewer & Water Permit (or the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POIICY.
Secretary, Building Inspections Dept.
`l OFFICE U5E ONLY
METER # 115_67,9, PERMIT DAYE 02/24/92
---;? CHIP # 6 ? 9 ? / 6ZO PERMIT # 12564
ME7ER SIZE B.P. RECEIPT # C 017499
ISSUE OATE ,?-/ a g.p_ RECEIPT DATE 09 ?20499
X__ PRV _ BOOSTER PUMP
ZIP
ORDINANCES
METERISSUED
?-POR PR _QCtbSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
ING DEPT. , -
DATE: FEB 24
aE: 4157 COUNTRYVIEW DR (JOSEPH M MILLER CONST INC)
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
PERM{T REGIUESTED
x SEWER x WATER , TAPS
- COMM/IND __,_ RESIDENTIAL
-x NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credii WILL NOT be given for Dedug4MetEfs.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: JOE MILLER CONSTRUCTION C0. INC.
-?
SITE ADDRESS : ?/J 7 c-0-c.c / „?,
-cp ?
LOT : JI BLOCK 2 SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEA ING C0.
ADDRESS: 14745 South Robert Trai1
DRELLIRGS
COMPI.ETE THE FOLIAWING :
N0. FIRTURES EA. TOTAI
ADD-ON MINIMUM 15.00
1 SHOWER 3.00
WATER CIASET 3.00 vT
ja_ BATH T[3B 3.00 t? "0
? LAVATORY 3.00
l?
KITCHEN SI1VK 3.00
L LAIINDRY TR.AY 3.00 -0
HQT TUB/SPA 3.00
? WATER HEATER 3.00 jw
L FIAOR DRAIN 3.00 _3"
GAS FIPIP:G C:JT .
? (MINIMUM - 1) 3.OQ 3 ?
? RaUGH OPENINGS 1.50
?
oTHER
WATER SOFTENER 5.00
? PRIVATE DISP. 15.00
U.G. SPRII3KLER 3.00
SUBTOTAL ?I? ? ?
ST. SURCHARGE .50
TOTAL: $ S ? ?
Ci:?2?fEA?;?1`?;;i?DIISTRI'?f:". PLEASE COMPLETE THIS PORTIDN FOR ALL C01?4+IERCIALf INDUSTRIAL BUILDINGS ANL
?:!G:: in::n?. n..v:.:S:i-:..L..?i.?nU"+:-rhv..: -}Y?J?.:3?:.?i?J..r.i+-F.G
KBLTI-FAMILY Bi3ILDINGS RHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACE
DWELLING UNIT.
CONTRACT pRICE:
OwTNER RAME :
SITE ADDRESS:
LOT:__ BLOCK SUBD.
IN5TALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
3830 PILQT RNQB xUAD
EAGAN. HN 55122
PHONE: (612) 454-8100
................: .........:. . ..
I??;:>;??:?
?? . .. ??
? ? ';. . . ..?
P3.F.ASE COMPLETE UPPER POBTION ONLY FOR SINGLE ' FAMILY
TQSiN80MES/CONDaS WFIEN PERMITg ARE RI,rqIIIRED gOR EACH UNIT.
FOR CITY USE ONLY
FERMIT *
RECEIPT ?k O
DATE : d a"?
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTFtACT PRICE x 18 $
STATE SURCHARGE
ZIP:
TOTAL:
$
$
( SIGI3ATUAE)
CITY OF EAGAN
cITY• Rosemount, MN zIp; 55068
-
PERMIT &/2
a ? °
? CITY OF EAGAN ?
-?? / I y?
3830 Pilot Knob Road PERMIT TYPE: B x L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 5 5 7
(612) 681-4675 Date Issued: 0 5/ 11 J 9 4
SITE ADDRESS:
4157 COUNTRYVIEW DR
LOT: 11 BLOCK¢ 2
COUN7RY HOLLOW 2N0
P.I.N.: 18-18276-110-02
DESCRIPTION:
B6ilding--permit Type
Suilding Wo",rk. 7ype
`
/
`t
; i
(7
?7 j L 1?? ?
:
DECK
NEW
rr
???1,? ?`z7C?Jt J?cg ?L,n1
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
BLAIR JAMES
9157 COUNTRYVSEW DR
EAGAN MN 55123
(612)452-0800
I hereby acknowledge that I have read this application and state that the
information is carrect and agree to comply with all appliaable State of Mn.
Statutes and City of Eagan Ordinances.
L
J
,tfttn 81P:d.l rn2
-
APPLICANT/PEFMITEE SIGNATURE ISSUED Y: GNAT EI
" CITY OF EAGAN
231551 1994 BUILDING PERMIT APPLICATION
681-4675
?1' 0. r D
FM. E C?E6V?f?D
AY 0 9 iQ9?+
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, 1 copy of energy calcs.
Pena7ty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lat change is requested once permit
is issued.
Date Valuation of work Ded
Site Address: Z 7 ?.-WW
STREET SUI7E #
Tenant Name: (commercial anly)
LOT BLOCK SUSD.
)4 A ?r„?
C6Um,G-C?oc?J
P.I.D. M
Descri tion of work: 1 2 L
The applicant is: Owner ? Contractor ? Other (OescrS6e)
Name ?
?\Aytr ? Phone
Property LAST G F1R57
Owner qddress t-f l S 7 cooN?K-Yv , cw ot
STREET STE l!
City /= 1A?Ya'?'-' State WI IL,/ Z i p s:"/? 7
Company Phone
Co ntractor Address License # Exp.
City $tate Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comnlv with all a licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN MN 55122
PHONE: (612) 454 8100
?4?CHA?TUA2..'E1?Iv
DWELLINGS &
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FA24ILY
. ::..........: . .:.. .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
------------------------ ------------------------------------------•
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON ,
REPAIR _
ADD-ON MINIMIIM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
3 - GAS OUTLETS - MINIMUM 3-.'80 = 9 `D
?// ' OF 1 PER PERMIT
OWNER NAME: ?t.r.r?z.( C,EJ01-- ,
SITE ADDRESS: 71S 7
LOT: BLUi:K n'e" 3uBD. .?'2tJa?
INSTALLER: GEDIZ-RYAN PLUMBING & HEATING COMPANY
ADDRESS: 14745 South Robert Trail
CITY: Roseimunt Zip; 55068
PHONE #: 423-1744
FEES
0"RQIALf?l4DUST&ZAT.';; PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
rROCESSED PIr^ING = $25.C0
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
FOR CITY USE ONLY
PERMIT #
RECETPT
DATE: o'?J 9a--
SUBTOTAL: $?3 ?
STATE SURCHARGE: .50
0
TOTAL: $ 33 S
SIGNATURE OF PLRMITTEE
$
(SIGNATURE)
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
REQUIREMENTS: ?
?
? ???
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLiNGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTYAPPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE JQB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS 15SUED.
TO BB US8C1 FOf: New Home
Valuation: bea?;eea:ee- D8t@: Feb. 14 ,1992
Site Address 4157 Countryview Dr
Lot 11 Block 2
Parcel/Sub country xollow ana
Owner
Address
City/Zip
Phone
Contractor,,,,R
Address 18133
CIIy/ZIp aarmine
Phone asi-zooi
Aroh./Engr. _
Address
City/Zip Code _
Phone #
5ewer/Water Licensed Contr.
,( sewer/water permits,4s two
fo
/S1 , oou?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On-site sewage
On-sfte well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
once area
,
Processingtime
agrees that all work shall be done in accordance with
0002431
R-3 M-I Bldg Permit
R_ I Surcharge
v-N Plan Review
V-N License Fee
SAC, City
66• SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
&7- Road Unit
? Park Ded.
-iT Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
applicable State of ivtinnesota Statutes and City of Eagan Ordinances.
-------- . ------ --- - ?. ---
_ ?_ . ; .
a .. ? . I?
, F AI
; (trx#i#ira#t of (Orrupanry
Citp of Cagan
loB{t81'lttiYllY of Iliewo jtt6}tYQipt[
This CenlJfaafe issued pursuant to rhe requlrementt of SectioR 306 ojfhe uniJorm enilding
? Code cerdfying that at the lime oji.uucnce thts slnrcture waa irt rnmplfance witli the various
ordinaxces of the GFty regulal'utg bultldtng construction or uce. For the jollowing.•
UNC622motim SB DIrG/Cd?.R Md&rerM;, KQ 20132
owqdnr'Dm R3/14I Zoft Dii RI VN
FA1?1
JO?P[? M MLLT?'dt 0@1Si' ,?,m 18133 CFDAR AVE S.
4157 O"UWVIW DRIVE Lomuty L11, B2, OOOATM HhS.OW 2hID
5/22/92
-? ' e?am? oe w
POST W A CANSPICUOUS PIACE
\
CITY OF EAGAN A201 3 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
'
BUILDING PHONE:681-4675
PERMIT Receipt
7obeusedtor SF ::WG/GAR EscValue $151,000 Date FEB 20 ,1 992
Sita Address 4157 COUNTRYVIEW DR
Lot 11 Block 2 SeGSub.COUNTRY HOLLOW 7
Parcel No.
N2fne JOSEPH M MILLER CONST INC
x
uj Address 18133 CEDAR AVE S
Cay FARMINGTON MN ?jp 55024
O
Phate 431-2001
Q Narne SAME
? Address
City Zip
o Phone
V License q 0002431
I hereby acknowlege that I have read this application and state that the
informalion is correct and agrae to comply voth all applicable Slate of
Minnesota Stawtes and 'ry of Etgan i nc
Signature of Permitee -!-?e A euilding Permit is issuetl ?o JOSEPH M MILLER CONST
on the express condition tha all work shall be done in accordance with all
applicable State of Minnesota St1a7tules and City of Eagan Ordinances.
Building OHicial ? ? ?1 1 n1 ?
OFFICE USE ONIY
FEES
Occupancy R-3 M=1
Zoning $=1 &d9. Pertnd $18. Q?
(ACtual)Const V=N gu-'erga 75.50
(auowaoie) V-N plan qeview 532 .00
N of Stories _
Lengih 6' Licem 5.0?
Oepih 26' SAQ City 100.00
S.F. Total - SAG MCWCC 700.00
S.F. Foolprinis -
675
00
OnSiteSewage - WaterConn .
OnSiteWeil WaterMeter 95.00
MWCC System X
Accl. Deposit
30.00
City Water X
PRV Required X S/W Permit 30.00
Booster Pump - S/W Surcharge - Sn
Treatmenl PI 300.00
APPROVALS Road Unit 380.00
Planner - park Ded.
CounCil
BIdg.Off. _ Copies
741
0
n
3
Variance - TOTAL .
,
, ??•rx oF aozLniNa DEPARTMcirr 411`-h7
kXTERIDR ENVliLOPE AVE1tA4C "Ull COIIPUTATIOII
' (To be eubmi:tted tiviCh building permit applioation)
One or Two Family Dwelling Owner
All Otl?er :611te Addreee ll 73L ct;< Z,
I
Contraotor Date Pltone
LItIEAL FEET OF 1t ,,?A N. '
EXPOSEU VIALL ft* above grada ?4, o,93
TDTAL EXPOSED WALL AREA 3Q. FT.
OPAQUE WALL COttBTRUCTI01{t IIUII V
Detail
referenoe
from
attaclted
sllaete
WINDOWSt
Ffalce
u
u
u
alue x Area
?iYV1?? nUn ? ??? ?j x 3q
' a I..i npn ? G?" ,
-I?-1 ?---nuu
? x Sa.
upn
npu x 8R'
u?n x 3Q.
x 6Q.
'lUll Value x Area
& Type uUn C(? _
x
n S .
upn x 8Q.
npu x 8
u upu x 3Q.
DOOR9t "U" Value x Area
Italce & TYPe Q
n 11 iIpu x SQ.
.. nUn x SQ.
upu x SQ.
' roTnr,s :,
?SQ.
TOTAL (U) (A) VALUEB AVERdQE upn
+ ?
DIVIDED $Y TOTAL 1IALL AREp, ??']?
AVERAQE IIUI? , j 15 or?lese for 1&2 family d e11?
ge ,
ROOF/CEILIN4I
TOTAL A12EA s
FT. '°f,I(.) ?aJj? ?¢U)?A)
FT. t ;i > _ '' (U) (A)
FT. vLY,,. __ U) (A)
FT. _ ?U)(4)
FT. _ (U) (A)
FT. _ (U)(A)
FT. Z1"'f' = ,941 u) (A )
F'P. _ (U) (A)
FP• - 0)(A)
FT. ? (U) (Q)
FT. (u ) (A )
F'P. (U) (A)
FT. _ ???IA)
FT. _ (U)(A)
?U)(A)
betail refereuce 11UII?L07,:+ x SQ. FT. 2(U)(A)
from ' IOUll
ettached sheete. opu x sQ• FT. ` (U)(A)
Describe openinge •ilUll X 9Q. FT. _ (p)(n)
in roof, loull x 3Q, FP. ? (U)(A)
x 3Q. FT. (U)(A)
TOTAL (U)(A) VALUES DIVIDCD BY L 5Rfr 2???fj . `
?Ur??
r_._?..???
TOTAL ROOF/CEILINQ_AREA .I?-I•? ' AVERAQE..flOIV .025 for...ventilated roofe. ba?il
,.
r. ok
Address: 4157 COUNTRYVIF,W ?RIVE Lot I I Blk Z Sac/SubCpUNTgy HpLIpR 40
These items were/were not complete at the time of the final inspection.
D te: 5 22 A
Fina1 grade (6" from slding) Yes No
Permanent steps - garage
Pesmanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass .
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the builder the removal of roo£ test caps from the plumbing
system and tha shut-off of vater supply to the outside lawn faucet befoze ?
freeze potential exists.
PFCKaYMw
White - City copy Yellow - Resident copy Pink - Contiactor copy
-tr C>C-) - c-" ---;)
?
?
wiNa?uS
V-XA t? =-l???f'?Z?" ZZrJ
N ;2- s(x`l°?- 2Z ?c X Z= 9-5, o
ZoX ;?w
Z?{ , o
?..
,
?
cpa .,;?D
? -Pa?16 ??? ^ ? ?i'?x J?L??
?D ?
? ?
I J3/ sis? a 10SO??
?
42626
:t
?
1
Fequest Date Fire Np' ugh-in Inspec?ion J
` equira0? ? Reatly Now y? Will Non1y Inspeclor
-
3-
s
q Z
Y
N
F
? ?'^/?
?
e5 ?
en
eady
o
Ilicensed coniractor I] owner hereby request inspection of above electrical work at:
JoD Atlergss ISVcei. Box or Rowe No.? Cih,
/.s7 CGeJirrr,e-i
Seclion No. Townshi0 Name or No. Range No. Cpunty
OcwpanifPqlNT) Phona No. O
K ?/ w a dO
Power SuOOlier
Atltlress
O
D 2?0 f4 ???? ?m/??
?
EI2cIric31 Coniractor (C
ompan
,
Contracmr's License No.
1-112,5--7- L?'c ic NG , O?. 01 -
Mading Atlaress (COmractor or Owner Making Inscellalton)
/0 SiBCF X' /212i??. -?4/Y ,
nmbonzetl SgnaNre ?COnlraclonOvmer Mabng Installailo ) Phone Number
n,s c 2_ 944 7 7
v
MINNESOTA STATE BOARD
Grlgge-Miaway OF ELECTflICITV THIS INSPEGTION REOUEST WILL NOT
Bltlg. - qoom S?1]3 AGCEPTED BV THE STATE BOARD
ve., 51. Paul, MN 55104 BE UNLESS PROPER MSPECTION FEE IS
Fhone 1821 (612) University 60P A 0800
ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION
• ee.oooa,.oa
? J42626 See inslmdions lor completing Ihis form an back ol yellow copy S?4-
"X" Below Work Covered by This Request ?Dt
, ew Adtl Rep. Typ¢oBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Omer (syeaNl Convacror's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps to 700 Amps
Transformers Above 200 _ Amps 0_ Amps
SIgOS Inspe dors Use Onry. TOTAL
Irriqation Booms ?/ ?
Special Inspection :,eW
Alarm/COmmunica n THIS INSTALLATION MAY BE ORD
Other Fee3T E ONNECTED IF NOT
. COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby Rough-in , oete /
V y
certify that the a6ove inspection has
ry?
F?nai
6een made. oate
.
OFFICE USE ONLY
Tnis requesi void 18 monms from
?
__ --??=.,s •ru• YR1U08 ut IIootf Wnllp, Rimf uud tlona. 8loclc
IiUOF/OEILIIIU N YALU
1.) Interior Air t'ilm 0,61
2.) 5/801 aYP. Bd. .56
3.) Ineulukion ¢¢?
I. l
5e) Exberiar Air Film .61
(9TILL) . ---•
upu a 1/R= •021 'a0TlW
"-? (h)a K,7
S
. • .
WALL • 31 YALU
60 InEeriar Air Filo1 0.68
7.1 ?" dyP• Bd. .1i5
e.) zneulatio» ?9;oa
9. )
to.) 0 ,t :i-- p I rF
i b f4eonite siailis Z.??.
.67
11.) Extes•ior Air Film 617 uuil 04':? TOTAI, (R)= 23.01
-
AIt?
12.) Interior Air Ifi1m
130 Ineulstlon
111.) ?V Fir Rim Joiet .
150 Pw1t.T- R!T5-
16.) IlaoaniEe Bidiug 17:) Exterior Air Pilm
Il VIl1,U
0.68
19•00 1.08
z.67
$17
npn n i/R? .(XJ•p TOTAL (?)e Z7'??
= •
.?-
FOUIIUA'PI011
18.) interior Air Film'
19.) .
eo: ) ?-,?J STRrPi?b •
21.) 12" tlottorete Bloolc
zz.)
23.) Exterior Air Film
? R YIILU
0,68
1.28
.17
??U" „ 1/na ,07(o roTni, (n)= )3.1?,
---;
954870
COIIlPPRY HOLLOW BSCOND ADDITION
PRE88IIRE REDDCING VALVE AGREEMENT
This agreement, made and entered into the day
of 1990, by and between the CITY OF EAGAN, a
municipa'Yity of the State of Minnesota, (hereinafter called the
City), and the Owner and Developer identified herein.
The term_ "Develoger" 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 hiqh 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 sha11
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 HoLIAW
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 grevent 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. Bindina Aareement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, .administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF e OWNER AND DEVELOPi;R:
(Date: PROGRESS LAND COMPANY, INC.
t. Th mas A. t4efi By: I.jAr?9'6ni
; Its: Mayor Its: Pr:eJit7Ew r'
Attest: . J. VanOverbeke By:
Its: erk Its'
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA )
On this vL/s% day of 1990, before me a Notary
Public within and for said Count personally appeared THOMAS A. EGAN
and E. J. VanOVERSEKE to me p?rsonally known, who being each by me
duly, sworn, each did say that they are respectively the Mayor and
Clerk of the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed on behalf of said municipality
by authority of ?ts City Council ar3 said Mayor and Clerk
acknowledged said instrument to be the free act and deed of,said
municipality.
,
p. •M?'NC!tff/lIINI/Ndt: . .
? . . _ !.1 . ?'P n
`
°I Y
No?ary rPublic ,
., ....... .».
. , ?;
STATE OF MINNESOTA )
) ss.
COUNTY OF l)(k
On this day of 7A._4'. St , 1990, before me a Notary
Public within and for said County, personally
appeared ? (, i ; • r 1-:A 7i < f' -f i , ax}- to me
persona?ly? ?nown, who being -aacki-by me duly staorn, eae? did say that
t?• respe?i-? the
and- of the corporation named in the
foregoing instrument, ____ ___:____ __ ____ ________..____ __
, and that said instrument was
signed mrdsear}eei on behalf of said corpora ion, t?y auchority of its
Board of Directors and said rrS , d L+z fi'
?- acknowledged said instrument to be the
free act and deed of the corporation.
Notary Pub ic
,
APPROVED AS TO FORM:
?
f,?.?v4i? a Kl?ya
Public Wo s Department
Dated: _14..til 1?9 0
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SFIELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
MGD
,lo L
APPROVED AS TO CONTENT:
'4 -?) i,? 05
? S RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-9675
New ConsWCtion Reauirements
• 3 regis[ered site surveys showing sq. ft, of lot, sq. ft, of house; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showing beam 8 windaw sizes; paured found design, etc.)
• t set of Energy Calculauons
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joat Defail Options selectian sheet (61dgs with 3 or less units)
DATE ? I2`n /OZ
_ WaCer Softener
_ Water Hea[er
_ No. oF Baths
SITE ADDRESS -4 151 MULTI-FAMILY BLDG Y N
- -
TYPEOFWORK-?"/C? cAot.-,01, FIREPLACE(S) _0 _ 1 _2
APPLICANT
?
STREET ADDRESS a,G C?) CITY STATE_ZIP
TELEPHONE # 4"nA \qlyk__o CELL PHONE # FAX #
PROPERTY OWNER ?\"-1 TELEPHONE# l31? 12-1 ?1?51
-------------------------------------------------------- -......................................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(I;.Ing,$OTA RliLES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category t Woricsheet Submitted • New Energy Code Workshee[ Submitted
. Energy Envelope Calculations Suhmitted
Plumbing Conhactor: _
Plumbing system includes:
Mechanical Contractor.
Mechanical syslem uicludes:
Sewer/Water Contractor.
_ Air Condiboning
Hea[ Recovery System
Phone #
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.
Signature of Applicant
OFFICE USE ONLY
RemodellReoair ReauiremeMs
• 2 wpies of plan
. 1 set oF Energy Calculatbns for heated additlons
• 1 site survey for euterior additiore 8 decks
• Indicate if home served by sepfic syslem for additbns
VALUATION Z $ , OC?!>c? - ?G
_ Phone #
Lawn Sprinkler
No. of R.I. Bat}
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4102
F' i,.r,r cn?a i ri-..r- i r'is c31? 4:vc:
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Certificate of Survey for: -J(;Seph M. Miller COC15trUCtlon„_j.n.C.
House Address: 4157 Countryview rive. Eagan.. MN
Model Name: Revised Harrisburq
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142.00
110.00
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110.00
142.00
N 89'23'41" W
H.u-
2422 Enterprise Drive
Mendota Heights, MN 55120
(sta) e81•1914
30
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t33 ` ----?i=`--_•-?-
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?: .??. Gr? N Y?? ?-
?
• 9000 Denotes Existing Elevation PNOPO5ED MQUSE ELEVATION
. vou.o Denotes Proposed Elevation Ldwest Fioor Elevation: ?Z1,
-- Denotes Drainage & Utility Easement
Denates Drainage Flow Directian Top of Blacfc Elevation: 832.61?
-? Denates Manument Garage Slab Elevation: 3?,-i3
Ei Denotes Offset Hub 13e0rings shown are assurPted
LOT 11 , BLOCK 2 COUNTRY H_OLLOW
OAKOTA COUNTY, AMNNESOTA 2N D A D D I TI 0 N
I fiereby ccrfify (het this curwy, p)an or repon we?s ?p?rs/)?ared by m o untler my dlrect super?vic)ivn and thac I aM duly Reqisrered Land 5urvnyvr
Vnder lhe laws of ihe Stare of Minnesvta. Date?l this_ dey of 19?_.
SCCIle: 1 _ ?
inch_ feet 'U?G.- . `
--?'0-?-- -
ppgERT B, SIKICH L.S. REG.IVO, Ad0 1
1 1_ I 1_I 1 L I i r 1 I i_ C 1 1 Ia !
*1 *. it •
* PIONEER _
? engineering..
LANppUqVEYORS - GIVII
ARVMIRECTJ
Ceriificate of 5urvey for: JOSepr) M. Miller COT15tfUCtIOCI?ItIC.
f-touse Address: 4157 Countryview Drive. Ea.gan, MN
Model Nurne: Revised I-iarrisburq
S 89"23'41" E
142.00
- - -11-0p.00
26.3
? ` ri -M1
24.33
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26,33
?---- ---------??----._...?4
I d I ??- ss.?a ?
110.00
i 142.00
I N 89"23'41" w
ti`
1\/
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,? ¢ I 10
9
2422 Enterprise Driva
Mendota Ileights, INN 55120
,(612) 681•1914
30
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30
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r _. ?..???? ....
., , , ..... , 4
•
?-
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= 9oou Denotes Exisling Elevation
- aoo:o penotes Proposed Elevation
_- Denotes Drainaye & Utility Easement
--- Denotes Drainage Flow Direction
--? Denotes Monument
PHOPOSED HOUSE ELEVATION
Ldwest Floor Elevation, _ .
Top of Block Elevation: 33Z,6F,i
Gerrage Slab Elevation: 3?33
Denotes Offset F1ub Bearings shown are assurhed
LOT 11Y_, BLOCK 2 COUNTRY H_OLLOW
DAKOTA COUNTY, MINNESOTA 2 N DA.MiII 0.N_
1 hureby c,UtY Ulal Ihis survty. plan or Iaport weI; a?ed 6y Lg,,???waer my dlract supervisivn and that I amduly flegisrereJ Lend Surveyor
wnder 1he In.vs of thc State of Pdinnesola. o;?lej ch{%?1dey of ?..LA,L1. 19
nceet dc,
. e:.
Scale: 1-_-3h0f--- ?--
- R06ENT B. SIKICH L.S. AEG. NO. 14B41
02
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119320
Date Issued:11/22/2013
Permit Category:ePermit
Site Address: 4157 Countryview Dr
Lot:11 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-110
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James J Blair
4157 Countryview Dr
Eagan MN 55123
(651) 452-0800
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165992
Date Issued:12/04/2020
Permit Category:ePermit
Site Address: 4157 Countryview Dr
Lot:11 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-110
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
James J & Jane A Blair
4157 Countryview Dr
Saint Paul MN 55123--394
(651) 206-1484
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166506
Date Issued:01/14/2021
Permit Category:ePermit
Site Address: 4157 Countryview Dr
Lot:11 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
James J & Jane A Blair
4157 Countryview Dr
Saint Paul MN 55123--394
(952) 693-1442
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature