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4168 Countryview Dr? • ,V • ., WVmficate nf cccu.panc4 Wit4 of Cfagan Zow-tuext of louilbi»g 3x"ccN" I • This Cenificate issued pursuant to the requirements of the Uniform Buildireg Cnde certifying that at ihe time of issuance this siruciure was in cnmpliance with tire various • o?dinances of the City regulating building construction or use. For the following: S1' UaG 20822 Use ClassiFicafion: Bldg. Ptnort No. Occupancy'lype _ Zoning District T ? qoN Owner of Building Address Bu&hn 8 naaress 41? UIIVE ?..Mality L2, B3, OWNlW KILOW 07/16/q3 Date: Buildiog Offici6l POST IN A CONSPICUOUS PLACE i `/ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD RF$4CJ'I?JA?D FOR DECK ?3/22/93 PERMIT TYPE: R D CONST 452-3575 Permit Number: Date Issued: • i 1) 1 - ? "M11 NYW f F.14 (?k ` PERMIT SUBTYPE: i- TYPE OF WORK: INSPECTION .• . .A ; ` {':f P1N('i ? _ .r:__?"?a .r. _ k ?'?"?`i°.??',`°-??'-?-°.•?_'?.?, _ _ _ . 3 ' ' ? ? , . . . .. . ? . ;? .?.. ;?. , ?. ? ?' . ? . ? • :? -??y ? APPLICANT: Permlt No. Permit Holder Date Telephone # S/1N PLUMBING HVAC ,S 6( 7 - z,1 ELECTRIC - , 6;W3v- ELECTRIC Inspectfon Date Insp. Commerns Footings I Foundation Framing Roofing ! Roug, Plbg. ?y R°ug?' Ht9_ 4 3 ? lsul. Fireplace 6'1719j ? Flnal Htg. 2X Orsat Test Fnal Plbg. 7/1 3 ? Plbg. Inspectar - Notify Plumber Const. Meter EngrJPlan Bldg. Final 7 4 - 93 ??- Deck Ftg. lO_ Z'?4 3 / ? Deck Final g 3 S weli Pc Disp. ?r ? '?'VZ 7d REQUEST FOR ELECTRICAL INSPECTION im. See instructions for completing lhis form on back ot yeitow copy. "X" Below Work Covered by This Request EB-00001-08 ?4% ? ??. ????•? 1 C ? /7 ;;1; ew- w eof8uilding AppliancesWired EquipmentWired Range Temporary Service M Water Heater Electric Heating ilding Apt. Dr Other (Specify) /Industrial urnace Farm Air Conditioner Other (specity) Contrector's Remarks: Compute Inspection Fee Below: # Other Fee Fee # Service Entrance Size # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Sigf1S Inspector5 Use Only: ???? TO L 4co ' Irrigation Booms ?? rAL Special Inspection Alarm/Communication THIS INSTALLATION MAY BE 0 ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M ? I, the Electrical Inspector, hereby Rough•in '. ?? certify that the above inspeciion has F;,,ai r Date been made. 19 ' OFFICE USE ?NLY This request voitl 78 monlhs from L - - THIS INSPECTION REQUEST WILL NOT BE RCCEPTEO 8Y THE STATE 80ARD UNLESS PFiOPER INSPECTION FEE IS ENCLOSED. MINNESOTA STATE BOARD C1FE46CT11I Griggs-Midway Bidg. - Room 5-173 1821 University Ave., St. Paul. MN 55104 Phone (612) 642-0800 C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 416$ COUNTRYVIEW DR LOT: 2 BLOCK: 3 COUN7RY HOLLOW 21V0 P.I.N.: 10-18276-020-03 DESCRIPTION: rmit Type rk 7ype Znning Building Length Building Width ZL I REMARKS: S& W PLBR - RAY HAEG PLBG FEE SUMMARY: 5F DWG NEW R-3 M-1 V-N R-1 65 46 BUILDTNG 020822 04/30/93 tV oF caLju ? a vaLuaTaroN Base Fee Plan Review Surcharge sac SAC % SAC Un3.ts Subtota,l $630.50 $409.83 $49.00 $750.@0 100 1 $1,839.33 $98,000 MISCELLANEOUS $1,,744.50 Total Fee $3,583.83 CONTRAGTOR: - Applicant - ST. LIC. OVIfNER: THORSQN NOMES BRIAN L 14540644 0001317 THORSON HOMES INC 4466 WEDGEWOOD DR 4466 WEDGWOOD DR EAGAN MN 55123 EAGAN MN 55123 (612) 454-0644 (612)454-0644 I hereby acknowledge that I have read this application and state that the intormation is correct and agree to cnmp.ly with all applicable State of Mn. L Statutes and C.ity of Eagan Ordinances. ? APPUCANTIPERMITEE SIGNATURE 155UED f: SI NATURElIV INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L Q I N G 3830 Pilot Knob Road Permit Number: 0 2 0 g 2 2 Eagan, Minnesota 55123 Date Issued: 0 4/ 3 0/ 9 3 (612) 681-4675 SITE ADDRESS: APPLICANT: I.OT: 2 BLOCK: 3 4168 COUNTRYVIEW DR THORSON HOMES BRIAN L COUNTRY HOLLOW 2ND (612) 454-0644 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FOOTING .A . FRAMING DA INSULA7ION FINAL FIREPLACE REMARKS: S& W PLBR - RAY HAEG PLBG - - .t? ;.? ? Addiess 4168 CqI1N1RYVIEW DRIVE Zip 5512 3 Lot 2 Blk 3 Sub !rnNrRV tirn.Tnw 2Nm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 0 16 93 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) r/ Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch ? Basement finis6 f Deck Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shuboff of water supply w the outside lawn faucet before freeze potential exists. Cont3ct engineering division at 6814645 before working in righFOf-way or installing underground sprinkler system. ? White - City Copy Xellow - Resident Copy Pink - Contracror Copy REACTIVATE _ RECEQQ/JED CITY OF EAGAN PERMIT #, ' 993 BUILDING PERMIT APR 2 7 1993 681-4675 --------------- APPLICATION -$5??W(0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, 1 copy 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 Site Address: ?1 ? (1ucc") tr V/ e?c? ?O - w17 STREET SU[TE X Tenant Name: (commercial only) IAT ? SIACK ? SIIBD. P.I.D. k ?.i."?ccn T' /o Descri tion of work: Wt5id ,c'ueY/o The applicant is: ? Owner Contractor 0 Other (Describe) Name 'T%n..?`sv.r) . /Je . Phone Property UST FIRST Owner Address &,,t /az-ooC1 lvxv-c ? Jaa?., rnci STREET I STE # City e!??4ae7Ai State X7.) Z/ Zip =6w/..,2?5 Company 7Aceso.? .C/om?s L.r.ec?, Phone Contractor Address 44ZZ ldt -/6[c,oclc,l 1).ci?e License # "13 16 Exp. City 4Q fn State ?rl U Z i p -6-/a 3 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Wx? .(fa- e. ? . Processing time for ? sewer & water permits is two days nce area as been approv I hereby acknowledge that I have read this aPplication and state that the information is carrect and agree to comply ith all pplicable State of Minnesota Statutes and City of Eagan Ordinances. / ? i Signature of Applicant: , OFFICE USE ONLY BUILDING PERMIT TYPE . _„ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ??Fin9* 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 5F Misc. 0 10 Multi. Add'l. 0 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE JW 31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System ImS (Allowable) V- N lst F1. sq. ft. City Water lE% UBC Occupancy R-3 M-I 2nd F1. sq. ft. PR4 Required Zoning R_1 Sq. Ft. total Booster Pump 8 of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code !o/ Depth On-site sewage SAC Code APPRQVALS -=?'- Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Oeposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other rotal: sac % 1040 SAC Units ( ? Footing ? Final ? f'rami ng ? Draintile ? Insulation ? Fireplace vatuetim_ $ cl BjDba- Gaa,ar '. -x:32-4'76g ? 7e Za : qO Z I ??2 x y =?-' B94x1(e? ' ?9 xzz_ 63s 18X 26_ y68 tN,3o'i ?FKB = 3Z I 13$ x ls"= Ir7,°'7° IST FL?aarL By?T_ )13Y ?yZxz9= 4y i'?z x??rz ? ? i 6 s? lyz xlarL = ?L 0 b I LOT SURVEY CHECRLIST FOR RESZDENTIAL Le 'm N SUILDIN PERMIT APP ICATI N < m ? > ¢ PROPERTY LEGAL: dflKT a a W U a m Date of Survey: ?.Q S U) a 2 DOCUMENT 3TANDARDS IY 0 0 • Registered Land Surveyor signature and company ? ? • Building Permit Applicant GY ?? ? • Legal description ? B' 8 ?? ? • ? • Address North arrow and bar scale ? CY ? ? - House type (rambler, walkout, split w/o, split lookout, etc.) ?v?f] ? : Directional drainage arrows with slope/gradient t. 0 ? Proposed/existing sewer and water services v? y • ? Street name Q/? . 0 Driveway ELEVATIONS entry, Existina ? L?l ? • Sewer service [i?? ? ? • Lot corners ? • Top of curb at the driveway ? ? • Elevations of any existing adjacent homes Prooosed ?0 ? • Garage floor ?? ? • First floor ?Q ? : Lowest exposed elevation (walkout/window) D?Ja ? Property corners fil? ? • ? Front and rear of home at the foundation PONDING AREAS (if aoolicable) ? B' ? • Easement line 0 fj]/ ? • NWL ? CJ?O • HWL ? nY • Pond # designation ? • Emergency Overflow Elevation DIMEN3ION3 L?7? ? ? • Q ? ? • 0 ? o • X? ? 0 • ? ? . Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent exi Ret Reviewed; October 1992 E12-474-O677 L'r'I-1AN EXCELSIOR 'r'raF'eI7 422 F01 JUN 19'92 17:47 , r. ntnnt4u4n ??A?4 n.M•Y• ?Mr YI?Y4Man?4?r BASE Q?? ? A TLR o( T HO EBCY COD DL7lON_;... J?' . Adap:lort bft?etlv? l{1/ 4 1. . l++ner THE TUCSON PIWne / .. b ;ite Address E'?_ ? ?S? K&ae__V ????? ISCAWA &lM?s?? . :ontracCOr._? i`: er. ?•., ? ? ,>.-,,,,_ ?s?n phCne ;uitding Classiflcatlon: Type A1 (Slnole Fa?i?y s Duplex) ? Type AZ (acsidential ? (3 xtories nr ess (Other) (pver ] storles) ENERAL INfDRl4ATIQN " . 8uilding Pertmater ft, SC,,, 9 -? S`a9 , Wail height (ground to eave) vo,reeg ft, 3-'L~L z--4 ' N, 3 3 z ; ?? kr-C _ 1. x 2. (abava) gross walt dno \CmO ft. Building dimensions (L) _-?? x(W)??, ?-;??CQ ft.2 roGf S fToar area Square fcot area of rfm joist - Ftoor jaist slze (2 x lo ? 1,o7_ a Perimeter - Rim o st area tZ Doars - Area ?L?3. • ' Thic nescl'? ? n, actor` 04.7 TYPe ot Construct on .?? ?'erimtter tE. ManufacWrer??? Tatnl door's perlmeter ' ft _ kindows: Nanufacturer?r? \ItK State approved_ u Factor TTPE ?.0..5 _ 5IIE AREA (F:,2) EACH CX - Z? c?0 !C7- d ? 'IUMBER QF TOTAL FEET Z UNf75 . Tota] ft.z Glass ? FlrepleCe dree: )iidth x heioht ¦??-?X? -. _?, Ft.2 . Exposed faundatton: He19ht x Perimeter _? x(?? ¦ ?t ? p Ft.Z 'LETIOH OF T11I2 FORtt IS 2EqUIRED FOit ALL kEU CON5TRUCTID9, MAJOR RENpDECIVIG ArfO QUllD1NGS DEII :0 uHERE CHERGY, O7NER TNAY THE MIHIHAI CDOE ALLONANLE. I5 USED. . . • 612-474-05' p• •{?? ??? ( ?, x • . ? . *., • . .* uAlt? . s=to0 1 , F" f .. S ?. snro SECfTpH,. ?.: ? Y'. ?'.?-?•i .'..] !. L`i'I°1AFJ EXCELS I OR `r'ARD 422 F03 SUN 19192 1 r: 4F_t • *3VLjjC T?'?xl ?? ,'y1 '`py{?/???µj. ? \, ??1???`???F ? ?•?'??[, ?;,?,I? {I)'' ?? 'IF?}n!)!T;xA ?? . (We11) V • .? • s?. w?? I !:1suiAEtuf1 . 1 ' ? bQ . ,. . R i 3khin4. ?..? L.. `.e+ . ,. sidLnR Jutridr air fllm .17 , .a R TOTAL ? .i inslde atr Etlm .69 ? Intr: tot vfl l uz C? ? • ` ?? ? ? .cud R= ? ? ?? '?'3?g- tFS+?mcng? U » ? .? , . "- ' P ?h??khtng _oGa Z !y. ; ?. ? Stdfni .Gr7 ...' ? .? quCsld• ait tiln .11 `- ? : ' 1\ • O! AL \ V1' ? ? ? ? ?'IT..I . ? I .!I' ???I.''.1'.?: ?•:?1 Instde air i:lm ? - . fneerior xail .4? . . insuliitlon ' 64 1t )..; . ?..,.; 1`l;or5, .Sh*+tthtng ?' •. ?.:. '. • -' :.:;; Exterlor vall .qvvrino , 4'1 Excertoc air ((1ir "n .,li R 70TAL ?..?.. r+. '`. ? 1 1 tH ]OI5T Intereur air (lim +I :r.sula:.ton I? inch su[t xuud R=1,88 (RSm q? fj •?.? i 5t? 2. oG. joist) '-i 3Ip heath?"hg •...:, eer'lnr wall cvvertng •?? ::??} &xter[or air fllm R+ .17 ' '... asrorAr. 4(0 In[»rtvr air [!ln R' ? lnaula:lor, r ? . . Founetaeion {fdn ) U • tT• I xterlor air [!ln R+ .17 . ;;•.;`z t C?," ?` F roTtiL ? Exputed 3lack ?A r--? , • `S ....? ` ,L: 612-474-0677 LYNAFJ EXCELS I OP, `(ARD 422 P02 JIJN 18' ?2 17 : 48 t ' Framing area ¦ 10X of gross wall area. Grass wall aree ?.. ? (:?C) f`••z . z •wi?orr erea A ft. 1, windowi •_ .. 4'f 1J x A Rtnm)oise area A rtt.z U Nm foist ¦_..o?- , U x A+ ? Daor area A____ Pc.'J door area *•?,"? V x•A Fireplace area A? f.,z UfireplaCe > -?-- U xA ¦ -E3- Exposed foundatton A ? 3.0 t*..? U foundation - .\ U x A• 'F-).03 framinq area A "?. C. ft.2 U franSng area a09 U x A¦ \a _ 44 het kall area A t. 'J wall U x" ¦ O?j w (139; -.?,-?L . . . . . . . . . . U x A Gross Nall area x 0.11 (A-1 singie famiTy S du;,;=x ? a1loNable U.t A/Codp (IJ. above) x 0.23 (a-2 other resiCentis'; x .23 (O[her butlding;; -c .28 (Qver 3 storfes) . ;!ust de larger than x L' CG?e, ,.. , ?\? • ? ? 136 zbove C211ing framtng area (Af) equals )0: af c4;ling area vr Lhe same as) Gross ceil ing area +(l)___ .t?-? x-z- 9_ __,_ ¦ C 16? \ ??O ft.2 Jotst area (pt) ¦ 10; ceiling area ft Z . • Ne'_ ceillna area (.4C) (15A • 158) ft.Z U ceiling ;c A c¦ Z-1 U framing x A t+ x_?? _ ? tetAL u x a . . . . . . .. ....... . .. .... .... . . . .. . .... . . . ? C6 _ 0's Ce111n9 aree (]$A) x 0.026 (A-1 single `amily 5 duplex - code allowable U x A x 0.033 (A-2 other residz^tfa7) . x O.C6 (other) 8o H?MUSt be larger [han 150 (above) A f 1.5'?) x ?f.mqtj,?O?(a F (or the sdme ds) r---- !IOTE: Use U and A vzlues ob[ained t?-om nps 1, 3 and 4. .. ? ? 612-4 r 4 06 r r LYI 1AN E}:'CELS I OR YARD 422 F04 SUtJ 18' 92 17: 4q W ,.?ry ? . ? 1~ ? b : ??? t' r;'rJy'( U•11 / ?Y'\ i ly,'i'?i 1? ?'•l? ? ,?r?, f? (. 1 fi'I?',1., ? .. ;r.'` : t :• ,. • . I .?n ?..?? 141 w ' , .1 , . , . ?. A1t` F1U .. - -- - . ?. ':. , , ?\ •-i5 tnautation - 44 •2 ':-? ,;o1st . ,- --- r? Cattinq ? LnsidR d{r fil Cdi]in9 JoisC (stu _ Tnsutatlan Air spact ? Rcof dpckinq _ (nsuletlon 8u!)t*uo roo1' Outside'ai.r fi ---?--?i! a. unLuE CEIL[tiG • To ti 1 R,,.? ? u R• w? ndoa tnfiltreticn ,5 ctm/linael tpot of crack istden N A1 door inflltrat9on 0.5 cfm/square foot or deor and mtnimue code requtreirjent. in-restdential daor infiltration 11.0 cfm/lineai foot of track , 12" concrete bioCk no tnsulation =.41 R 2.1 , 12" contretig block inxtilated core; _.26 R 3.8 , 11 lightwsiQht block ¦.32 R 3.1 12" lightwoliht b16Ck irfsuTated cares =.12 4 8.3 singl*.glass ¦ }.lat rrlth;stom,rfndox .54 tlouble glass • .$5 tr1p1• qlass ¦ .4T ' 1 exterlor xdlls and ceiling5 must have a vapor barrier (C.10 pErm rU.}, por barrler nNst De on ihe 1nOde (heate4 slde) of wali. por barriers.of tht polyrGholene thin itlm have no R?alue. I 0.°--..,. ?.- ?.....?.._ .0g4?4 A1r Fttm Tptdi R 1 ?y u F! AT ROOF OR CATHEQlC14h a(?itIG R'Ve T e . FR;,Mti1G ;;. --w? "--^t ^ti?=k ?- . ?f - ?i ?:'?; PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND COND05 WHEN PERMITS ARE REQUIItED FOR EACH UNTT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE . J - Z -q3 FEES HVAC: 0.100 M BTU $ 24.00 ? ADDITIONAL 50 M BTU 6.00 GAS OLJTLETS (MINIMUM 1@$3.00 EACH) 4t 3•00 ? ADD-ON/REMODEL (ExisrtNG coNSTRucr[oN) $ 15.00 STATE SURCHARGE .50 ? TOTAL Z `7. 50 SITE OWNER NAME:h1-(Qhq ?J ho??SON_? TELEPHONE #: Li CV) 1-{- INSTALLER: K lPi1JP ? . °r tq-f (- I ?ct"Id . ADDRESS: CITY: liU.IC7? aYI r f STATE: !, I zip coDE: 553`47 TELEPHONE #: G ?J I - L4 o2I ( 1993 MECHANICAL PIItMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 . 07 ?3 AUING PERMIT (RE CITY OF EAGAN 3830 PII.OT KNOB I EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT. NO. FIXTURES SHOWER WATER CLOSET ? BATH TUB IL LAVATORY / KITCHEN SINK ,21 LAUNDRY TRAY HOT TUB/SPA ? WATER HEATER ?2 _ FLOOR DRAIN _i-3 GAS PIPING OUTLET • minimum - t ROUGH OPENINGS WATERSOFTENER PRIVATE DISP. • nek.ay. uc. U.G. SPRINKLER ' home under coast. ALTERATIONS • to odsun8 WATER TURN AROUND SITE OWNER N STATESURCHARGE TOTAL: ,B-(.c.nf u 11,4, EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3. )tn _ 3.00 /n , d 0 3.00 -?3 e) O 3.00 lo . D O 3.00 3.00 .3 , n O 3.00 /?. fs o 3.00 .00 1.50 5.00 15.00 3.00 15.00 15.00 .50 1-/, o0 " ! U fY/ /! A / A/ t l/ CITY PHONE #: ( 3 Alo_ STATE: 172/1I ZIP CODE: S,5?'2 ? v 9 6 Ln- 6 07 O--l- ,Ai4vn,h-AZ SIGNATU OF PERMITTEE REACTIVATE _ ------ ?ERMIT - VL? ? IL8 93 CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy 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 /90 3_ Valuation of work SiteAddress: NJ6$ Cm?„c?tz..? STREET ? SU1TE # Tenant Name: (commercial only) IAT ?.. BIAC& ? SUBD. P.I.D. N Descri tion of work: ol The applicant is: ? Owner Contractor O Other (Deetribe) Name (:;?r z 4 P-?? It 7 Phone 6 g/ -? 9T"O Property LAST F1RST Owner Address Cm?Lo?yvc-e"-v D?' STREET STE-f City State ?-'-?-?- Zip 5 S' z 3 Company Phone H?y- 3 S"75 Contractor R. O. CAN3TRUCTION Address 980 STONY PoiNT ap. License # H9?? Exp.3 gF_ City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 8 water licensed plumber . Processing time for sewer & water permits is twa days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Si f gnature o Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation O 02 Sf Dwg. ? 03 SF Additian ? 04 4F Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE 0 31 New 'O 32 Addition 0 33 Alterations ? 34 Repair GENERAL INFORMATION 0 11 Apt./Lodging Y?? 1 Ba„se?at Finish ? ? 12 Multi. Misc. ` &1Swim Poc.l ? 13 Garage/Accessory O 18 Comn./Ind. O 14 fireplace ? 19 Comm./Ind. Misc. pr 15 Deck ? 20 Public facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish p 36 Move Const. (Actual) s Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2-3 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ta' On-site well Census Code '43(1_ Depth On-site sewage SAC Code / APPROVALS ? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site ' 0,Footing ? Wal l board ?Fi,nal ? Framing ? Draintile ? Insulation. ? Fireplace Permi t Fee a 5. 0n Surcharge gv Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies 1,00 Other Total: SAC % SAC Units vea.tta,: g l.a* z., 8 c. 3; ':fpcw,-J.y NellacsJ Ztilz Or 3830 PILOT KNOB ROAD TtiONAS ECAN EAGAN, MINNESOTA 5 51 22-1 89 7 tmYa PHONE: (614) 454-8100 DAVID K. G1157AFSON FAX: (674) 454-8363 PAMEv' WCREA TIM PAWIENiY THEODORE WACHTER Cancil Members THQMA$ HEDGES Cily Administratrn October 29, 1990 EU6ENEVANOVERBEKE Cay Clerk WARREN ISRAELSON PROGRESS COMPANIES INC 14300 NICOLLET SUITE 235 BURNSVILLE MN 55337 Re: Hold on Buildinq 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 Engineering 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 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 GROYJfH IN OUR COMMUNIN Equal OppoAunity/Attirmative Action Employer 954870 • COIINTRY 80LLOW BECOND ADDITION PRESSIIAE R$DIICING oALVS AGRBEMBNT i This agreement, made and entered into the day of 1990, by and between the CITY OF EAGAN, a municipaYity of the State of Minnesota, (hereinafter called the City), and the Owner and Developer identified herein. The terss "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, Slock 2 and Lots 1-10, Block 3 are in a high water pressure zone and a pressure reducing valve shall be insta7,led 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 i, Lots 1-17, Block 2, and Lots 1-50, Block 3. The Owner shall provide and execute any and all documents necessary to implement the recording of this agreement. 2. Notice. The recording of this document shall constitute notice to all owners and future owners of property in the COUNTRY HOLLOW SECOND ADDITION subdivision that Lots 1-4, Block 1, Lots 1-17, Block 2, and Lots 1-10, Block 3 are in a high water pressure zone and that a pressure reducing valve shall be installed in each home below the elevation of 875 feet. All costs shall be the responsibility of the Buyer and shall be installed to prevent the damage due to high water pressure. 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 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 DEVELOPi:R: (Date: PROGRESS LAND COMPANY, INC. l- By: its: PRed;De? w 7' BV: Its , Attest: . J. VanOverbeke Its: erk STATE OF MINNESOTA COUNTY OF DAKOTA ss. On this o2I-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 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 affixad on behalf of said municipality by authcrity of =ts City Council ar3 said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. . y •Nire.r•in.r???a???u?r.H • Y - . L Y'?: .... .NN,? ' . ? ' - ? ? ?.E:-'A jl '?A ?(3'Yli •, Ey Not? 7blic .. ....... .,,, , . ? ?; STATE OF MINNESOTA ) ) ss. COUNTY OF 11,? :'-'; ) On this N day of !A St , 1990, before me a Notary Public within and f r said County, personally appeared k./, i ;, r y:-A 7i r?`,, , ea?d to me persona?ly , own, who being each-by me duly r?orn, edid say that -the•- `r + resg?eet?e? the F? ( °,I d 77t ?and of the corporation named in the foregoinq instrument, ____ ____..__ __ __:_ :..____..._.._ _.. Wie t ' ', and that said instrument was signed arrd--aealen on behalf of said corpora ion kiy authority of its Board of Directors and said rrS ??? "end-- acknowledged.said instrument to be the free act and deed of the corporation. i /l(tLl- : r"L "flfi. r'1 Notary Public APPROVED AS TO FORM: ? F,?.C-d, '' o C'? ?a Public Wo s Department Dated: ft..? l y yo 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 ,A 0 L -575'l ?K.Q APPROVED AS TO CONTENT: RESIDENTIAL -53 g'y y BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4675 New Constructlon Beaulremente • 3 registered sile wrveys showing sq. ri of lot, sq. fl. of house; antl II roofed areas (20% meximum bt coverage alhwed) • 2 copies of plan showtrig Ceam & window s'¢es; poured lound design, etc.) • 7setolEnergyCalculations • 3 coples W Tree Preservefan Plan 8 bt pla8ed aHer 711/93 • Rim Joist Detail Opflons seleclbn 5heet (blUgs wAh 3 or less untts) DATE / /J V SITE ADDRESS ' NPE OF WORK_ ? APPLICANT STREET ADDRESS D 10 YIQ?VYA,-V1c TELEPHONE # (4ta JXFS-U3MCELL PHONE # I??a ?s pamotleMeoelr Neaulrementa . 2 copies of plen • 1 set of Energy Cakulations lor heatetl addflbns • 1 sife survey for exterlor addlHOns 8 decks • Indipte 0 home servetl by septic syslem for addRbns VALUATION , <O MULTI-FAMILY BLDG _Y " _ FIREPLACE(S) X 0 _ 1 _ 2 Kk) ZIP L? ?P FAX # PROPERTY OWNER 2^C.cno k uIIk TELEPHONE #`-M-0)-Ift -- ° ° °-----------------------------------------------------------------------°------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI.FS 7670 CATEGORY 1 MINNFSOTA RULFS 7672 (4 submission type) . Residential Vantilation Category t Worksheet Submitted ` estf • Energy Envelope Calculations Submitted FR,7 UI_ 3 1 2002 II Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhacfor: Phone ri Phone # Fee: Fee: $70.00 ---------------------------------------°-----------°------------------°------------------------------°---------------- I hereby acknowledge that I have read ihis applicaTion, state that the information is correct, and agree to comply wiTh all applicable State of Minnesota Statutes and C(Ty of Eagan Ordinances, Signature OFFICE USE ONLY _ Water Softener _ Water Heater Vo. of Baths _ Phone # Lawn Sprinkler No. of R.I. Bad Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 RPR-29-'93 THU 16:11 1D:SRMES R HILL !NC TEL N0:612 890-6244 #214.P92 SURVEYOR'$ CERTIFICATE ? ? I LJ-F ( (e.sa 'UN I.!.f Rnnn _ ro r? j HOUS ? nE '? 713y ? ? I$70,8 t-- ? - -T? ?trI8.S0 ?&50<\ ? - RELpIN6 ?? Q ? W N ' ?. WQ? i Bf?9 I ? ? 'rou & xL - - I M 9w a ? Lea?.r? - ?o I ??.,rcaea isso?'+ ? , aILV ?^ (gre,q) .8 EXI T / "?-- LV; ? ?Q\ M M ? J i i ?`' -.? ? _J ??eiGn? y? Q ?I J ?I ? ? ? 10 1 1"E I MO7[: NO BPCFIC SpILS I!Nl9iGATION HAS 9u11 Cq/rLETEp oN 1Mq LOT BY 7Hg f NOTE: ?RDI?? ?l[Vpq. 7FB l?TA?,I?y pp SOILS 10 8YPlORT 7H[ 4PnflC Mbt1?L Pltllblrt0 18 aYIOA? ' NOr T!E RE'.?ON91B4,lTY OF TM! EUHVttOR ? ? DENa7Ea^ PRpPO3ED SURFACE DRAINAGE a ION oommolm• O DENOTES IRON MONUMENT SET SCAIE: 1 INCH - 30 FEEi • DENOTES IRC?N MONUMENT FOUNp pROPO5ED GARApE FLOOR ?Eyly $ FEE7 X00p.0 OEN07E3 E7(ISTINQ ELEVATION PRQPOSED LOYYEST FLOOR - $LG.! pE3ET (000.0) DENOTES PROPOSED ELEVATION PqOP03ED TOp OF BLOCK=93g,z FEEf I WE HEREBY CER7IFY TO BRIAN THORSON THAT THIS IS A TAUE AND COqRECT REPRESBJTATION OF A SURVEY OF THE 80UNDARIES OF: Lot 2, Blcck 3, COUNTRY HbLLOW 8ECAND ADDITIQN,acoordlnq to thp rewrded plnt TlWo(, I bokota County, Mhwspto, IT DOES NpT PURPdRT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYEb BY ME OR UNDEFl MY DIRECT SUPERVISION THI3 20TH DAY OF A PRIL ,1993. PnorosFo 6RaM *awM yXpE SIGNEDAM R. HILL, INC. TAMN PRqA TNE ORON4 OiMpl- . ? noe s Erallow aoNTRa. p.ANpp?• CDwrpr FqLLOW sEtalo ionMl?lAI?D BY BY: •'?-?. r oAfi??r• oN?a EKMNQ' W" LAST JOHN C. LAR30N, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 ? ? :3 0 m o 0 W ? 0 0 ?n ,p 1 O ?y y Y ? ? ° x? o S o M ? O m y ? ? James R. Hill, inc. PLANNERS / ENGINEERS ! SURVEYORS 2600 W. CTY. RD. 4:! • BURNSVILLE, MN. 65397 * 812-890-8044 BRIAN THpRypN R-95% JAM&S R H[LL [NC 04-29-93 04:15PM P002 #37 lr 40 fr'93 TFN 16:11 ID:7AMES R H1LL INC 'I SURVEYOR'$ CERTIFICATE A ? TEL 110:612 890-6244 BRIAN THORSON mg B ?/ C; , , ?' 14200 S89023'41 j SODO ?rRETLiNe BaxM W ?-... - '? N I I W?h tW7 _ ? ? ? A a 20.33 {? I d? 1 BWM IA 17187 M I ?' ¢I I M , ?A a O ?1 /J 10 L I?`?ROO ?BSOK`/ (Bze,9} 14 .a / ?. NO7[' MO IMIIC lOILI IfNl9TOATWN HA! S61111 Lp1PLETEU oM nHa Lar Br nM siwu[mn. n+e su mr oF sai.s nb surPortr n1i e?sa?c ? r??ereo ts • Nff nc REVotoeLirr. of tHe suavrrae DENOTE3 PROPOSEp gURFACE DRAINAGE O DENaTES IRON MONUMENT SET • DENOTES IRQN MONUMENT FpUNp xooo_o oENOTEs oasnNa a.FVnnoN (000.0) DEN07E3 PROP03Ed ELEVATION ? /j (BSG,s) #214 P02 EERING D'cP`P NOTE: 9tALDIN6 pA1p/90M5 SM01Y11 All[ M.Iti ?R?ANpIM11Qt{AIL??II.AM OITIOL a ra~iae elmnomm 3CAlE:1 INCH - 30 FEET PROP03ED GARAQE FLOOR -• 3'33 8 FEEY PRpPOSEp LOWEST FLOOR -&LG. I pEET PROP03W TOP OF BLOCK=934•Z. FgT WE HEREBY CERTIFY TO BRILW 7}IpRSpN THAT TNI8 IS A TAUE AND COqRECT REPRES9JTATION OF A SURVEY OF THE BOUNDAHIES OF: , , Loi 2, Brock 3, COUNTRY HOLL.OW SECANO QOPITION.acoordinq to thp recorded plnt ih"eot, Dokota County, AMrwoola, % IT DOES NpT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENT3, EXCEPT AS SHOWN. AS SURVEYEb BY ME OR UNDER MY DIRECT SUPERVISION THt3 20TH DAY OF A PRIL 11993. PnorosEo eRaqC? 3?awN wtpt SIGNED? M R. HILI, INC. TA1I71 o11G1A pTNE 91MDIp,, CMM- L Pf.AN ' ? . ??HOl.LOYY PJIDwON CONTIIO? . 7EE0N0 IOG.P260 !Y gY r -IJL o? ? gN$wesnx?o, Oe., uar 1pHN C. 1 0 H3oN, LAND SURVEYOR MINNESpTA LICENSE NUMBER 19628 i ? o? ? W? m o o o z > m a N t W ? O 8-95% James R. Hill, inc. PLANNERS ! ENGINEERS / SURVEYORS 2600 W. CTY. RD. 4S1 o BURN3VILLE, MN. 65397 # 612-690•8044 JAMES R HtLL INC 04-29-93 04:15P![ P002 #37 411' CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /Z6/0 G� � Permit Fee: /r1 -73- Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: Site Address: Unit #: Resident/ Owner Name: Phone: Address/City/Zip: ctic04 COU►t,I r"ii€k) 1r. 5\1etvt. 41/W 5-5" /A5 Applicant is: Ar Owner Contractor Type of Work Description of work: p -- � Construction Cost: O vuv Multi -Family Building: (Yes / No) ) Company: /IeNM(" POtx+.e 541,7hoo Contact: 5/'187 MP 4,4 Contractor Address: 1-157 4 (5 }`T . E City: 454175 State: #%N Zip: 5033 Phone: (Si ti6Email: U shite M N.Ct4 Cowed Net— License #: ,(/L 6 yo Lead Certificate #: ,i 7 —F108e/95--1._ If the project is exempt from lead certification, please explain why: c 13,A \4- I I S `1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?" Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateorTcalLorq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code st be completed within 180 days of permit issuance. x , lo►wtes geoNevtl Applicant's Printed Name p icant's Signat Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148592 Date Issued:04/10/2018 Permit Category:ePermit Site Address: 4168 Countryview Dr Lot:2 Block: 3 Addition: Country Hollow 2nd PID:10-18276-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Gregory R Nitti 4168 Countryview Dr Eagan MN 55123 (612) 201-2823 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature