4161 Countryview Dr-- _ _ _ i
;;l?I t ? : i?. I
j CITY OF EAGAN PERMIT TYPE: j
3830 Pilot Knob Road Permit Number:
I
Eagan, Minnesota 55122-1897 Date Issued: ?•? i?? '
(612) 681-4675
C SITE ADDRESS: ' ' !' ` '' ' " ' `'') 0 APPLICANT:
i , l; ! I'+ r:1
iiNtRyv.rc,6t fiir
? ,,???r11I:Y 11ti1. I ll!•1 'plli f 3: N i L 36ts-i1;, I
PERMIT SU@TYPE:
I 1idY fv
itCItOUi 1111F T it •. } rtPp 0AMtA61
TYPE OF WORK:
I:e F', Cta l F' f 1(1 N
F
L
?I
Permit Holder Date Telephone #t
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING 3.?.
ROUGH
PLUMBING
PLBG
AIR TEST
- -
- - -
ROUGH
HEATING
--- -- - - - -
------ ------- ---
GASSVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
- --
- -
- - - - - -- - - --
BLDG FINAL
- - I
- - - - - - ---
-- -
- - - -
- - - -- -
DOMESTIC
METER -
-
-
IRRIGATION
METER
FLUSH
MAINS ^
CONDUCTNITY
TEST
HYDROSTATIC
TFST
i
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? . .. . . .. _
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 , 9 Date Issued:
(612) 681-4675
SITE ADDRESS: 4' ? +
Iril 14` ? Iu,F
: 10 111 N r I: Y V 1 1"1-1 11 V
4 rI il?V)FiY F{!tt l i?W ."NFt
PERMIT SUBTYPE:
,;r, ;. Jrll ,11
1 11 I 1
li (f t2A1 i+lN
INSPECTION
• t, l,i: i i•J?, D,
•
?!! .., .: I 7,,;
D
I:11111.(! I 11 !'! 2?: i 1!li+i
f Rf MAI
?
APPLICANT:
TYPE OF W4RK:
M6? 11lm
E{ 1'R 1 f" R! 140 1
- I?
??
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspsction Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
O-
.
FIREPLACE
AIRTEST
(}-
FINAL PLBG
FINAL NTG
ORSAT
TEST
BLDG FINAL
BSMT R.I. -- r- -
BSMT FINAL ? -
DECK FTG ? '
:%00' ? je ' I1vOtCTION REC4RD l
CITY OF EAGAN WACMAX M-R BEK 07f26/93 pERIUIIT TYPE:
3834 Pi{ot Knob Road MM wALLIN ME DMVEMEM 8%-46N Permit Number:
Eagan, Minnesota 55123 LIy'?? 1805 Date Issued:
4 (612) 681-4675
SITE ADDRESS: 101: 10 016E- II, : ; APPLICANT:
4 if, t [.AUM7RYViEN qR BA?14 NUI1pER5 ING
? CDl1MTNY NOLlc1W aMD (612) 423,-1114
PERMIT SUBTYPE:
,f licri;
TYPE OF WORK:
Control Na 0592
Nl11il) lMA
ee4ar4N
06/e9/gz
N(_N
fIII` I I W., .. .
PRAMlN,, .•
I
fN';tlf Af I?:h FtNAI
FtRrPlAr,1;
REMARK`3: WEt`E.7NI" #
????t
- ?• c
:r
L -- -_------ -- ?
PHV
5&W YI.RR. _
Permft No. Pemk HoMar Deb Tslephorw N
SIIN
PtUMBING 7 Z dZ ;3 l?
17
HVAC ? ?? ?
ELECTRIC
419
17_
S ?
ELECTRIC
Inspection Date hnp. Commerft
Footngs i 6?alQ ?
FoundBtion
Freming
ROO"
Rough Pibg-
Ftou9h Nt9• -?' ?! ? .
isui.
Fireplace
Finai Mg.
Oreat Test
Finel Plbg. F'b9. Inspector- NotftY Piumber
ConsL Meter
ErgrJPlan
81dg. Final ?.•- /(?_ 9z
oe& r-lg.
Dedc Flnal
r
WNl
Pr. Disp.
?
y
/0 x 39F
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
RemodellReoair Reauiremenis __... ..
(3(fice Use Otd4
3 registered sile surveys showing sq. fl. of lot, sq. fl. of trouse; and all roofed areas 2 copies of pWn ced aF Swvey Recd ?= Y.J N.
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions T3ee PF2s Ffzn Re?tl ?_.. Y 'N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks TreC PrQS i?eqwred ?= Y N
lretofEnergyCalculations Addrtion - ind?icateifonaifesepticsystem Drosde3epticSyslZm ?_Y _N;
3 copies of Tree Preservation Plan if l01 pladed afier 711193
Rim Joist Detail Options seleclion sheet (buildings wilh 3 or less unifs)
?
Date I6 1(
Conatruction Cost ZS? ?,tf0
Site Address Unit/Ste #
S?JX?
Description of Work
?
Multi-Family Bldg _ Y y. N Fireplace(s) _ 0_ 17x 2
-41
Property Owner
Telephone #(?0S'/5 ySy_V 7/?
Contractor r
*
Addresa
City
5-1 11
7
State ?` !uf Zip `?59? r9 Telephone # 67Tq)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Ca[eeocv 1 _ Minnesota Rules 7672
(J submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 259o plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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.
ApplicanYs Printed Name
Applicant's Signature
PERMIT
Cl.TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNs
Permit Number: 032781
Date Issued: 0$/ 0 4/ 9$
SITE ADDRESS:
4161 COUNTRYVIEW DR
LOT: 10 BLOCK: 2
COUNTRY HOLLOW 2ND
P.I.N.: 10-18276-100-02
DESCRIPTION:
REROOF
Buildin'gt,.Permit Type
Building W:a,rk Type
,,`Gsnsu_s Code . ?.,
?
• _
? .
.?
v
STORM DAMAGE
REPAIR
434 AI.T. RESIDENTIHL
v ?
y
..._. -. _ _. .. . ........_ ._s a . . .,..
REMARKS:
REROOF DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - A p p 1 i c a n t-
BINA ROOFING & HOME BLDRS 13580828
620 ELIOT AVE/PO BOX 646
RUSH CITY MN 55069
(320) 358-0828
sr. Lzc. pWNER:
20094706 SWEDAI. SCOTT
4161 COUNTRYVIEW DR
EAGAN MN 55123
(651)454-9576
i ? hereby aeknowl.edge that-T have read this
information is carrect and a9ree Yo compiy
Statu'tes and City of Eagan Ordi;nances.
APPLICANT/PERMITEE SIGNATURE
applicat3.on at?d st'ste th-aC th'e
with all epplicable State ofi Pin.
J
UED BY: SIGNATURE
, - 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675 g_ y _ 01 2/
New Conatruction Reauirements RemodeVReoair ReauiremeMs
? 3 registered sde surveys ? 2 copies of plan
? 2 capies af pfans (inUUde beam 8 xnndow saes; poured /nd. design; etc.) ? 2 sita surveys (exterior add'Rions 8 decks)
? 1 energy qlculetions ? 1 energy calculations far heated additions
• 3 copies W Vee presenation plan if Iot plaued after 7/1/93
required: _ Ves _ No
DATE: i/G ?. 916 CONSTRUCTION COST; G°?a' .?
DESCRIPTION OF WORK: Alp ?x i'?' ? :S?ls i"l?J ? .??? .?
STREETADDRESS: /V/6/ 1-'nFIj4 •Lvv 11i'eiy/ 4?`"//-e
LOT: I0 BLOCK: ? SUBD./P.I.D. #: CO w.JY?4 ?i0 I IU W
Name: ;5GO ff oL Tu/? ?- Phone #:
PROPERTY Lsst Fim
OWNER
Street Address:?14gu E'evi2L-9 `,P W
Ciry State: >%A/ Zip: ?Slo? 3
CONTRACTOR
ARCHITECT/
ENGINEER
ne if: 0&)?
License # G?O('? 5RL/7Og;
City fJf State:- Zip: .r?'r'D ??7
Company:
Phane k:
Registration #:
Street Address:
City
State: Zip:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested onCe permit is issued.
Penalty applies when address chang
1 hereby acknowledge that i have read this appliqtion and state that the infortnation is Correct and agree to comply with all applicabl
Siate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree preservation Plan Received Yes No
CITY OF EAGAN
• 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
C,2,05('P8'0 5
BUILDING
027537
05/15j96
SITE ADDRESS:
P.I.N.: 10-18276-100-02
DESCRIPTION:
4161 COUNTRYVIEW DR
LOT: 10 BLpCK: 2
COUNTRY HOLLOW 2ND
Permit Type BASEMEMT FINSSH
4owr?k Type AL7ERNTION
?s•?? 434 ALT. RESIDENTIAL
Dx „¢? °?
g e!t a
?MF F Fi? `k@? `m.EA
??.
{g? ?a
Po??2(£ wA
e
m enn?-,? c?
Nuti.fao-
REMARKS:
A SEPARA7E pERMI7 TS REpUIR£p FOR ANY PLUMBTNG OR ELECTRICAL WpRK
FEE SUMMARY:
Base Fee $59.00
Surcherga $.50
Total Fee $50,50
CONTRACTOR:
= n
OWNER: - Applicant -
5WEDAL 5CtlT7
4161 CQUNTRYVIEW pR
EAGflN MN 55123
(612)454-9576
A r ng W ?-
ISSUED e . 57G ATUR
CITY OF EAGAN 4-601%-5)
1996 BUILDING PEaMIT APPLI ATION (RESIDENTIAL)
B
681-4F?S
RemodeVRSOair ReauiremeMs
? 3 regNStered aNa aurveys ? 2 wpiea of plan
? 2 copies oi pians (Mdude beam & window sizeu; poured ind. design; etc.) ? 2 sRe surveys (exterior addkions S decks)
? 7 energy calcutations ? 7 energy calculations for heated additions
? 3 eopies of tree preservatfon plan if bt platted after 711J93
requfred: _ Ves _ No ,
DATE: 5?7CONSTRUCTION C05T: ? 00C.2
DESCRIPTION OF WORK:
..... n .n n
STREET ADDRESS:
LOT 10 BLOCK i_ SUBD./P.I.D. #:
PROPERTY Name: ?v.lecl9 1 ?c 77` Phone #: clS y ?s 7 6
OWNER ' u" R?
., n
Street Address, `f/6 l c ti 6?ti L--cw N
City: F µ State: A/
CONTRACTOR Company: S4 -'s -? 6.• e Street Address:
ciry:.
ARCHITECTI Company:
ENGINEER
Name:
Street Address*
City:
Zip:
Zip:
Sewer & water licensed plumber: , Penairy applies when address change and lot
change are requested once permit is issued.
f here6y acknowledge that 1 have read this application and state that the infomiation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordfnances.
Signature of Applicant: 7
? -
State:
State:
Zip. 5 5-1L3
Phone #:
License #:
Phone #'
Registration
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
P?AY a P 1996
Tree Preservation Plan Received Yes No
-' `? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
Build"ing permit Type
Building Work Type
U8C Occupan'cy
ConsCructipra "Type
Zoning
Building lsng•th
Buil-ding Width.
4161 COUNTRYVIEW DR
10T: 10 BLOCK: 2
COUNTRY HOLLOW 2N0
BUILOING_
000748
06/09/92
DESCRIPTION:
PERMIT
l 1 i < y? 4a
REMARKS:
RECEZPT M L- C-IC'l 3 114
FEE SUMMARY:
8ase Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
PRV
VAIUATION
PERMIT TYPE:
Permii Number:
Date Issued:
SF QW6
MEW
R-3 f4-1
VN
R-1
56
42
S&W PLBR. _
$138.000
$772.50 PIISC FEES
$502.13 Total Fee
$69.00
$700.00
100
$2,043.63
$1,610.50
$3,654.13
CONTRACTOR: - Applicant - ST. LI pN/NER:
BASIG BUZLDERS INC 14233114 000209 BASIC BUILDERS INC
2810 145TH ST W 2810 1457H ST W
ROSEMOUNT pN 55968 RQSEMOUNT hIN 55068
(612) 423-3114 (612)423-3114
2 hersby acknowledge th:at I have read Yhis application and state that the
information is correct and agrea to com¢ly wtth all applica6le State of M•n.
Statutes and City of Eagan Ordinances.
L _I
APPLICANT/PERMI EESIGNATURE -p ISSS#D B!SIGNATURE
Control No. 0592
?- ----` .t -- -%
f= FdAi3.M M2 ? 844-9034 1 ,
. Lk.$18D5
af
of ?agan
f f'
? mp}iNftPIt1 Df lUibi!!g itt6#iCtttOlt
?
Thir Cervycafe rssteed pursuant to the requrremeats ojSecNon 306 of the Unifornt Building ?' .
Code cerriJying 1ha1 x the Bme ojissuancelkir suucwre xns in compllance with the various
? ordinances ol the a+l' +p8W*fn8 building construction or use. For the jollowing:
i
UabwWmuw CW rkr,/rau ? mas. phdt rm 748
o-v.a,s'Type R31MI zo,M p?% BI ryeer .. VN .
' p?apwjy„e RASTC'MTfTMRS TTT: -Add? 2810 145'fN ST W, RSdf'
"'eWI" AM= 416t Oa1N1TtYVTIId DR'[VE _,;3I,10, B2 OUnUnY tt[gdtW 2BID
Z.'IZ -??/ n? 9110192 -
e"oft °"
Po3T IN A CONSPICUOUS PUCE -
Addfees: 4161 COUNTRYVIEW DRIVE Lot tp Blk Z Sec/SubCO7NIgY HOLiAW 2ND
These items wara/were not complete at the tima of the fina inspection.
-pate: 9/10/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent staps - roain entcy
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damaga
Pozch
Sasemant finish
Deck
Pleasa verify with the builder the removal of zoof test caps from the plumbing
system and the shut-off of watar supply to the outaide lavn faucat bafoze
freeze potential exists. ca
wcueowrn
White - City copy Yellow - Rasident copy Pink - Contractor copy
;
! 1 931
Qd ? ii1
:. I i )
PERMIT #
REACTIVATE _
` l 0
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
1
APPLICATIONJ
r?11N 4 ?? 1?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of manth in which re uest is made or lot chan e is re uested once ermit is issued.
Date G2 2 u j q?I2 Yaluation of work
ite Address: (f GU,t)7RY VrtW D
SiREET SUITp K
Tenant Name: (commercial only)
LOT __ 0 BLOCR ? SUBD. ?Ci??Y ?Lco?? `??? P.I. D. #
Descri tion of work: S/Al6tff- iG y
The applicant is: 0 Owner ?I Contractor 0 Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
pddress
STREET STE N
City State Zip
/ - 3-21141
Company 619SiL Phone
Contractor Address 2k10 License #00OW97 Exp.
6
City R6 SElqd0Iv7- State !In /V,N• ? Zip
Company ?Lf1.Vcp Phone
Archttect/
Engineer Name Registration #
Address K?ASN/itlG yv'?) bR,
City .46A tu State Z;p -S.SSj 22
Sewer & water licensed plumber &v?ER `/2EAMER L- . Processing time for
sewer 6 water permits is two days once area has been approve .
I hereby acknowiedge 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:
U
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
,K 02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 11 15 Deck
WORK TYPE
)q 31 New ? 33 Alteratlons ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V- N Basement sq. ft. MWCC System ?«
(Allowable) v- N lst F1. sq. ft. City Water yES
UBC Occupancy ?I 2nd F1. sq. ft. PRV Required
Zoning R-t Sq. Ft. total Booster Pump
ri of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code /o/
Depth On-site sewage SAC Code ot
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED IN SPECTIONS
? Site ? Footing ? framing 0 Insul ation
? Wallboard ? Final ? Draintile ? Fireplace
Permi t Fee r12 ,
Surcharge q 00
Plan Review SoZ,13
License
MWCC SAC
City SAC pp,pp
Water Conn.
F,?
,pp
Water Meter q
,s,
?p
Acct. Deposit 30,00
S/W Permit 30 aa .
S/W Surcharge
Treatment Pl. ?
Road Unit 3$Q.?
Park Ded.
Trails Ded.
Copies
Other
Total:
sac x ) oD
SAC Units I
vatuacip,: $ 138Ro.70
G,a2aE,Et
24Y
754Xt?= 12,4(,?}
18 x 44 ? `'K?Z ?1 'x???? 7 Ioy
j )e 9 =
13xl?-
' 114 3__
'
? odZ?e53%
'
: _ I
'? ?g -
? -•' , .
..?- . ?
f o3o X l?: 15? 450 s?r o?'e?
i'ST F??oa
? ? ?- x 53 , 5? 2 ? o -rp7erc. ?l ??
, , r ? .• 06,03i92 14,08 g 612 473 2253 CNGS NOUFK PRCHT 01
. • " /31-'?!
CextiEicate Fore
Bnslc Builders Ine. N
Ruaetouunt, NN 55066
DELMAR H. $CHWANZ
_ gAwoMMIYEYOP0.MC. -
tl ft t.w rt m. wdd Mwnwd•
14750 60UTH ROBERT TilAi6 R09EMOl1NT. MINKledTA 6e0lS e1L03'7700
9URYEvOR'8 CfiRTIF1CATF
PFapvsed geraqe tlour exov. 633• 30 5cal+, 1 inch a 30 Eept
Pcppoeed top oE blt+ck Alov. _ 843 a F Iton pipe monutuenr
propoaad lowest level alev, . D2 S.L 3 dm Set woad hub et eetbachs
r941e Bxistinq epot elevetion
BMi Top uf eanitary manhole on Che centor.lina
of CounttyvieN urive end nesr the cnmmon Propoeed alevaEivn
lut line behw+een Lotn 5 end 6, H1.ovk 1. = 9]9.65
?.r??
?l?H??? ?Uf1[rTt/
? 75
y ` fNB9°z3'4J" ? ??• g"' fi
/4Z .00 .' ?.? ' ;M
`? .•lL.e-- u?- ""..." - ._..... 'K O.C
W
yw[= 8zt1o
W
p d ? a
1v 'fp?'YF ? M I
h )? ?
?
?
?
Z, ,
n i . , ? ? > ? • ??y 'a
?.
/ ? ?
f•I N69'r34?"w ?N ?D) C"'?, ?1 ?`' 'A
0F
? _ .
fr?,rv.w
d3y i
/
LLJ
--- - -- - t
??` ?? i i t W -?r? `?"l ? ?
? 3 E?i.r?,?1Id EPdC;?II?iE.?RING DEr?
. T
--pasctlptfun? - --
I,ot Dp, Block 2, COUNTRY HOLiQN BECOND HDDTTIDH, aoaoCdiilg to
the recurded plat thereoE, bekote Cuunky, Minneeute.
1 hereEy eMllfy Mht MM aumY. Msn, er ropwl was
pbpomd yy m ayrper eq,AlwwtSypwvhlononA Alsn shuwing the loaAtfon of a grap se houPa
mw tem a duh "Me Umi 9uneyw undK ag ateked thareun.
1M Mw ol tM BnM M Glnmsob. ?
04-17-92 .MtnarH.saMw?n?
ai.e MxM.b+. h.otia.na? +?. ee?e
Nevisrd propoeed alev. 06-05-97 •
• , F1INN_ ESOTA STATE, ENERG,Y CODFCALCUL•ATIONS
BASED ON CfiAPTER 5 OF Tfl$ e??s1
' MODEL. RNPRGX CODF - 1_983 EDrTrON
Adoption Effective
Site Address LO T 10,
7?? ?w c.d 2?" a I+ba ?N .
Building Classification: Type A1 (Sinqle Family & Duplex
Type A2 (Residential, 3 stories or less) (OVer 7 stories) (Other)
NOTE i Gomn1 etp pages 9 wn.i q f jrat ,
GENERAL INFO MAT70N 4509 ?
1. Building Perimeter&2??,r
2. Wall height (qround to eave) ft1. .
3. 1. 7{ 2. (above) gross wall area ?/ C r? sq.ft.
4. Building dimensions (L) X(W) =[OKsq.ft.roof 6 Ploor area
5. Sq, foot area of rim joist - F or jgaize (2 X n
X (Perimeter) sq.ft.
6. Doors - Area ?? ((J?1/t e;;E 12
4 ?
Thickness in U. faCtor k1 • l? ,
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft. . ,
B. Windows:
` gtate approved
U factor_ l
?> U
TYPE SIZE AREA (Sq.Ft.) • NUMBER OF TOTAL
7I/1 EACH UNITS SQ FBBT
9. Total sq.ft. Glasa /L \
^
10. Fireplace area: Width X Height = X = sq.ft.
11. Exposed foundation: Height X PerimeterAa4??=1o7daq.ft.
,
COMPLETION OF TfIIB FORM IS REQUIRED FOlZ ALL N6W CON$TRUCTION, MAJOR
REMODELING AND BUILDING3 BEING MOVED WfiERE ENERGYt OTNER THAN Tf1E MINIHAL
CODE ALLOWANCE, IS USED.
-1-
ea-ooaaiaio eiys
STATE BOAHD COPy _ gEE INSTRUCTIONS ON BACK OF YELLOW Cppy
IIIIIIIIIJI I 7 a? IIIIIIIIIIIIIII REUUEST FOR ELECTRICqL INSPECTIOW:S?o
Minnesota State Board of Electrici[y
? 1821 UniversiNa?r, a,., e_,oo ...
;
12
1]
Framing area = 10$ of gtvss wa,11 erea.
Gross wall area- 2(22'2, ( (
Window area A?,A?i `f?9,ft.
Rim joist area A z sq,ft.
Door area A s9.ft.
other doors area A Qt0 .ft.
Exposed fndn Al ?sy,ft.
Framing area A 2 t"2 sq,ft.
Net wall area ALf., sq.ft.
? sq.ft.
U WiI1aOW6 ° ?
u rim joist=I? I
U door area=
U other doore= l
U foundation=10
U framinq area= a,
U wall= 1 04
VICT1 °
UXA = 1 -l
UxA = ?I ? IJ
llxA
UxA = I
7 UxA Dt l
UxA
(138) TOTAL • . . . . . . . . U = +
14. Gross wall area x o.ll (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.27 (A-2 other residential)
x .23 (other buildinqs)
x .ze (over 9 stories)
??r'? ? I BTUfI must be larqer than or same
A U CodB oF. e6 13B aboVe
15. Ceilinq framinq area (At) equals lOt of ceiling area ?
15A. Gross ceiling area =(L) '""'' x(W) . e`?
.,-eq , f t.
158. Joist area (Af) = 108 ceiling area =.? gq,ft. 15C. Net ceiling area (AC) (15A - 158) ? ?. sq.ft.
Vi ceilinq X AC ll framinq x A f =-LV-22L-xI 676;?O> e,
15D. TOTAL U x A.........................
...
16. Ceiling area (15A) x 0.026 (A-1 sinqle fami y 6 duplex)
= allowable UxA/Code
x 0.033 (A-2 other Yeaidentiel)
x 0.06 (other)
A(15A)x U Code 1 VVW n? (, oTUll must be'larger than or, eame
r• as 15D above
NaTEs Use U and A values obtaihed from pages 1, 3 end 4.
CEgTIFICATION: I hereby certif that 2 have calculated the "U" factors and
"R" values herein end that the building hera dencrihed meeta or exceeds the
State of Hinnesota Energy Consetvation Act.
Date signature -2-
-Z?--Cffo) 2- 2 62
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\D??-?'Z
REACTIVATE X__
P?MII
LJl EC E 1V E ? CITY OF EAGAN
993 BUILDING PERMIT APPLICATION
U L 2 9,1993 681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL set of
2 sets of architecturat & structural plans, l
.
specifications, 1 capy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date, Valuation of work ?OC1i?U
Site Address: er?? Dr-
STREET SUITE M
Tenant Name: (commercial only)
LOT /0 BIAC& 01 SUSD. P.I.D. M
Descri tion of work: C L
The appl i cant i s: ? Owner Contractor ? Other (Deseribe)
Name el-e ?4" °),- P h o n e SCSJl/- 9-57,-'
Property LAST FIRST _
Owner Address
STREET . . STE Y
City r;gtcIZ-- State ,?'lrr - Zip5??-)Q2
Company fv,,Jl? li?Ial/ii ?anrve.??2e/s Phone
Contractor Address )?;? 41--n .0 5' - License #CLExp 3?.?
City, L-?' ds"r'ISStateZipc!'s?3?%
?
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time far
sewer 8 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 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY.
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Sf Dwg.
? 03 Sf Addition
? 04 Sf Porch
0 05 Sf Misc.
WORK TYPE
?31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi'. Misc:-
? 13 Garage/Accessory
? 14 Fireplace
F 15 Deck
C
? 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBL Occupancy iZ-.? 2nd F1. sq. ft.
Zoning Sq. Ft. total
1I of Stories Footprint Sq. ft.
Length On-site well
Oepth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIOMS
? Site ?. Footing
? Wallboard ? Final
? Framing
? Draintile
413 ?/
-?
0
0 Insulation
? Fireplace
Permit Fee 01L
Surcharge ?i
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuasion: $
. • . . r. y.. '. `. } ?
? 16 Basement Fin'ishW
O 17 Swim Pool •
? 18 Corrm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
06i05,92 11100 a 612 423 2255 LIIRS IIDVqK PRC117
/3! -'n
-Ce=fiEicate Fntt
Bnslr. Buildera Ine.
Roaemuunt, 11N 55068
DELMAR M. SCHWANx
. &•we*wrtrone,me.
. p"MWO lMn.r a." a lrn M.M d YmnwaU
11790 OOUTH R69ER'f TRAIL R08EMOUNT. MINN!lOTA 660E! Oitl1ts-170Y
911pVEYDR'8 ICi RTIFICATL
Prupused qernqe [luvr elav. 639• 30 Sca1e, 1 inch - 30 Eeat
plppoead tup oE binck alav. Bjd...L.3 Q F Itdn pipa mi.+nomenr
Propoe4d lnwest level elev. _ 62 ?.3 u° Sat woad hub et eeibech5
Y91t. Existlnq epat elevetinn
BNs Top uE ennicary menliole on the cenr.orll.na
uf Countryview Drlvs end neer tlie commun Q? Pc'opoeed elrvation
,
lot lina botveen LutB 5 and 6, Bl.ook I.
= 839.65
?UfKr1V *? `
+ Ok?N?Ad& l ;?1? .
?? E'A??")r?EU?s lu.4? .i A
? ?jY??
ya nVBfz av! 1
?? IM?
?1?1L = 8l ?f.o1 ?
yw? = Bzt,o '
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'? $.?(;r?N ?,t?,ir??.ERir?r r)EE?,
-peacriptlnnl
IuC lp, Rlnck ], c4?INTRY lto[.IAN SHCOND ADD[TION, aoc??rdinq tu
the tecu[ded plet thereiif, bskute Cuunty. Mlnnaeata.
1 haraey osruly thN 111111 WrnY. 9066, or nport wu
p?sptr?dlryOMp?yf?0?rmydh?elWpHVNb11?nA Alsn shuwing tha iooqtion of eni 8rvp sa houso
ma I om s doM pplaurrd lane 8urvsyor mdn nn ehdked thereun. A,
IM um 01 iM 0141141 ol Mnnnnob.
N
04-17-92 MIhM? . S?*¦m
bal?d _ MMM?eu hNMlt?qon No. Elt1
Rpvissd pcoFoaed elev. 06-05-92 ?
954870
COIINTRY 80LLOW BSCOND l1DDITION
PRESSIIRE REDIICING VALVE AGREEKBB
i
This agreement, made and entered into, the day
of 1990, by and between the CITX OF EAGAN, a
?
municipality of the State of Minnesota, (hereinafter called the
City), and the Owner and Developer identified herein.
The tarms "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
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
shail 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,
Slock 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. otice. 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 hiqh 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.
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. Bindin9 Agreement. 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 ? OWNER AND DEVELOPLR:
(Date: ! ?_ PROGRESS LAND COMPANY, INC.
z?--
. T 'hdinas A. By: !.? ?w S? ELt- ?
Its: Mayor Its: PRCdia'Ew 1'
Bv.
Its:
O?*N J 6.Me144AjC--
Attest: . J. VanOVerbeke
Its: erk
.t
STATE OF MINNESOTA
COUNTY OF DAKOTA
ss.
On this vLI S% day of 1990,.before me a Notary
Public within and for said County/'personally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me peisonally 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 affixad on behalf of said municipality
by aut2zority of its City Council ar.3 said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
'? ???,/// I?? . .
y •??!Nr.rr!rN?H?He?ffDN
y'
? Not?ary Public ?
_, ....... .,.? , i ?;
STATE OF MINNESOTA }
) ss.
COUNTY OF I?? )
On this day of 1-?L.;X.k =t , 1990, before me a Notary
Public within and fdr said County, personally
appeared s. 1, i;, r _ !:j C+! f' _i r 1 ?d-- to me
personaown, who being -0ack-by me duly 7o rn, easiti did say that
??• ? re?eet-?tet? the d; i? Y
aftd- of the corporation named in the
foregoing instrument, -- - ??_ ___ _r6____1 .._ __;d _ __ ys .
, and that said instrument was
signed +?±?d !e_1__ on behalf of said corpora,t, ion,k±y authority of its
Board of Directors and said 1'Jrr.S , d
?- acknowledged said instrument to be the
free act and deed of the corporation.
?-? .' -. , • ?..:a:,...:. ?.....,,.«
` z P?rtCLi. P ??i•?7
` Notary Public
?.
APPROVED AS TO FORM:
Public Wo s Department
Dated: k?? F. l9 90
P
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
APPROVED AS TO CONTENT:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179280
Date Issued:09/27/2022
Permit Category:ePermit
Site Address: 4161 Countryview Dr
Lot:10 Block: 2 Addition: Country Hollow 2nd
PID:10-18276-02-100
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 15,000.00
Fee Summary:BL - Base Fee $15K $265.50 0801.4085
Surcharge - Based on Valuation $15K $7.50 9001.2195
$273.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Thomas E & Lisa A Malloy
4161 Countryview Dr
Saint Paul MN 55123--394
Applicant/Permitee: Signature Issued By: Signature