4169 Countryview DrSEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. •
Eagan, MN 55122-1897
DATE
OL"rOBER 12, 1990
. ?
SITE ADDRESS 4169 CdUHTRIV1EW DB1VE
LOT 8 BLOCK 2 SEC/SUB COUNTRY HOLLOid 2N[}
P1ET3CH BUILDER.S lnc
APPUCANT:
ADDRESS:
CITY, STATE S'`+KEvlLLE ZIP
PHONE: `
PLUMBER:
ADDRESS: 151-$5 CAROUSEL WAY
CITY, STATE ROSEMOUNT, MN ZiP 55065
PHONE: 423--3730
OWNER:
ADDRESS:
CITY, STATE ZIP
PERMIT REQUESTED
X X
- SEWEFi - WATER - TAPS
- COMMrIND k RESIDENTIAL
X NEW - EXISTING
lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters an Water Line.
Credit WILL NOT be given for deduct Meters.
COMPLY WITH CITY OF
? PHON?: SIGNATURE WHEN METER ISSUED
, PLEASE ALLOW TWO WORKING QAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FaR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
METER # -7 T S- da 7*5 ?
CHIP #Zl 7 ?? -6-5?
METER SIZE Ci
ISSUE DATE ? / a 9- 91*9
?E ONLY
PERMITDATE LO/18/90
PERMIT # 11684
B.P. RECEIPT #
B.P. RECEIPT DATE 1 2 g0
"° PRV - BOOSTER PUMP
3830 Pilot Knob Rd. j ;
Eagan, MN 55122-1897,?- ?
-0 y
DATE OCT0UR 12, 1490
UFFICE USE ONLY
METER # PERMIT DATE 10/18I90
CHIP # PERMIT # 11684
METER SIZE B.P. RECEIPT # C? ! ?
ISSUE DATE B.P. RECEIPT DATE 101 90
XX- PRV - BOOSTER PUMP
SITE ADDRESS 4169 COUNTRYrI.lni DR1NE
LOT $ BLOCK 2 SECrSUB COUNTRY ROLLQM 21iu
APPLICANT: plZTSLR BU1LDRRB 1NC
ADDRESS:
CITY, STATE
?j PHONE: LAUyYLLB ZIP
I
? PLUMBER:
ADDRESS: 13195 CAm1)3EL NAY
CITY, STATE ROSgMOUNT• MN ' ZIP 3306a
I PHONE: 423-3730
i OWNER: _
ADDRESS: _
CITY, STATE
' PHONE: -
ZIP
PERMIT REQUESTED
x SEWER x WATER _ T
- COMM/IND
x NEW
x RESIDENTIAL I
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters. ?
I AGREE'70 COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
3KING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
T ENGINEERING DEPT.
4 :...& 0
DATE
OCT 18, 1990
RE: 4169 COUNTRYVIEH DR (PIETSCH BUILDERS, INC)
X Your Sewer & ldater 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:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PRQJECTS ONLY: Please pay for meter at City Hall. Meter size must be
canfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARMING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
µ ?u; w--•?-;-,.,-,-,
,? , . . . ... .?_ ... ? ,
.
CASH RECEIPT
GITY OF EAGAN .
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
oarE ? ,s
aECE aD P-( 4i[N '?I , I?IiL??"L?•Y, ( 1/I (? ?
AMOUNT 1 $
DOLLARS
ioo
? CASH Q7 CHECK
* 'e I/S
C ?os7? ?k ??°?y
Pink--Fde Copy
.? :...........:....e,.....?s.?.,?..,__....__. ...__.?..,_.,._.?_.__? ._?.__._.?_
Thank You
BY `-
? -- - CITY OF EAGAN 18452
' ?3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
P HO N E: 454-8100
BUILDING PERMIT ? Receipt #
SF QWC's/G4[.' c l n+ ^•,,nn ?^T?}pt^R 2 ? ?1n
To be used for Esc vaiue Date 19_
Site Address 4169 COOWRYVIEW DR1VE
Lot A Block 2 SeclSub. COUAi'I'R1 HOLLl3iaT
Parcel No. 2ND ADD.
W Name plETSCFI 13U1i.D8RS 1NC
?
o Cddress??9543 V1L?1?Phone 461-3381
$ Name SAtiE
?q Address
? Clty
Phone
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable Slate of
Minnesota Statutes and City of Eagan Ordinances.
Signature ol Permitee ?~ ?" ` ? „/` "- ? l? -
P1B'[SCH DUILDERS
A Building Permit is issued to:
on the express condition that
work shall be done in accordance with all
atutes and City of Eagan Ordinances.
r,-•
? • ?? ? % . _.
OFFICE U SE ONLY
R-3, M- 1
Occupancy ?R_ 1 FE FS
Zoning
Vn
$ 647.?
(Acluaq Const Bldg. Permit
(Allowable) VIA 51.00
Surcharge
S o1 Stories
56
Pl
i
F 420.00
Length
sa an
ev
ew
100.00
Depth SAC. Cily
S.F. Total - SAC, MCWCC •
S.F. Footprints - 625.00
On Site Sewage _ Water Conn
90. 00
On Site well
???? Waler Meter
MwCC System
X?
?l Deposit 34.00
City Water
x 30.00
PRV Required X S/W Permit
Booster Pump - gryW Surcharge .50
252.00
Treatment PI
APPROYALS
fioad Unit ?•00
Planner - Park Ded.
Council
C
i 3.50
BIdg.011. _ op
es
$? ? 20? ? ?
Variance - TOTAI.
, Permk No. Permk Holder Date Telephone #
WATEA ' ` '? ?Cl?i?.?' L?t.??? ???5?5?
SEINER
PLUM8ING
H.V.A.C.
r. '
ELECTRIC ?? ? i• ?? ?1 /?j ?? ? ? ?
Inspection Datt Insp. Comments
Footings 1 ?? ! 7 rl1J ?^ ?B
Foundalion
Framing
Roofing
Rough Plbg- /I I3 -? ?
R..9h?tg.
Isul. ,
Freplace
Final Hig. ? & g ?f
Fnal Plbg. ?
Const. Meter Plbg. Inspector - Noti(y Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
DeCk Final
Wetl
Pr. Disp.
• . . ~ . PERMIT#
. , ,. MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
i 3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE:
? CONTRACT PRICE• ; . PH}ONE: 454-8100
? Site A 40ress
Lot " Block
' SeC/$ub BLDG.'TYP WORKDE$CRIPTION
x
pes. New
Name 7 "/ ,.; Mult Add-n
19 Address Comm. Repair
City
Phone' ? .
Other
L Name ,
c Address
O Ciq 1 ,.
TYPE OF WORK
Forced Air ? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
; Vent CFM
Gas Piping Outlets #
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkiYlln
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
MINIMUM COMMERCIAL FEE -
STATE SURCHARGE PER PERMIT -
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
1.50 EA.
12.00
20.00
.50
SIGNATURE OF PERMITTEE '
i
FEE:
S/C:
TOTAL•
OF EAGAN
• • - --•-•----- - ---..... ror
CITY OF EAGAN PERMIT # _
>NTRACT 3830 PILOT KNQB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE ,11ONE 4548100 DATE: _
?,?
m
?
c
City
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAk: FEE $1-2,00;
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADb $.50 S/C PER EACH $1,000 OF PERMIT FEE)
BLDG. TYPE 1NORK DESCRIPTIi
Res. X New Const?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
ND. FIXTURES TOTAL
Water Closet - $3.00 $ 2, zz
Bath Tubs - $3.00 .503
Lavatory - $3.00 1422
Shower - $3.00 3. GD
Kitchen Sink - $3.00 ?-
UrinaUBidet - $3.00
? Laur?dry Tray - $3.00 .?
Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets_=$1,50
(MINIMUNI - 1 PER PERMIT-NEW CONST.)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 ?/• ST
U. G. Sprinkler System - $12.00
PERMIT FEE: ?
STATES S/C: .5?
GRQND TOTAL: ??
CITY OF EAGAN No 18452
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
j?J?
BUILDING PERMIT , PHONE:454-8100 Receipt # 4-? ?- /fl J?
Tobeusedtor SF DWG/GAR Est.Value $102,000 Date OCTOBER 12 tg 90
Site Address 4169 COU[VTRYVIEW DRIVE
Lot 8 Block 2 Sec/Sub. COUNTRY HOLLOW
ParcelNo. 2ND ADD.
W Name PIETSCH BUlLDERS INC
? Address 9543 BIRCA LN
City LAKEVILLE Phone 461-3381
o Name SAME
zia Address .
0,
m
. City ' Phone
ww Name
r
Addfess
156 City Phone
I here6y acknowlege that I have read this application and slate ihat the
information is correcl antl agree b comply with all applicable State of
Minnesota StaNtes and City of an Ordinances.
Siqnature ot Permitee ?'`'?"
1
A Building Permit is issued to: PI S^vH BUILDERS
on ihe e%press condition thal all work shall be done in acWrdance with all
??applicable State of Minnesota StaWJ/te} and Ci f Ea?gan Ordinances.
BuildingOflicial iC?9%?
OFFICE USE ONLY
R-3' M-1
Occupancy FEES
2oning pD R-1
(ACtuaI) Const vn Bldg. Permit $ 647.00
(Allowa6le) un-- Surcharge 51 . 00
8 ol5tories - 420.00
lengih 56 Plan Review
OeDth
5$-
SAC, City 100.00
F. 7otal
S - 600.00
. SAC,MCWCC
S.F.FOOtprints - 625.00
On Sile Sewage - Waler Conn
On Sile Well Waler Meter 90.00
MWCC System XX 30.00
Ciry Waler XX Acct. Deposil
PRV Required XX 5/YV Permil 30• ??
Booster Pump - S?W Surcharge .5
?
Treatment PI 252.00
APVROVALS Road Unit 355.00
Planner - park Ded.
Council
Copies
3.50
BIdg.0f1. _
Variante - TOTAL ?3 ,204.00
Addres,s: 4169 CO(1NIiRYVIEW DRIVE Lot $ Blk 2 Sec/Sub COUN1RY HOLL,O[d 2ND
These items were/were not complete at the time of the final inspection.
DATE: JANUARY 10, 1991 Yes No INSPECIOR•
Final grade (6" from siding)
Permanent steps - garage N.YPPL??p??r
Permanent steps - main entry ' ?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the zemaval of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucat before
freeze potential exists.
White - City copy Yellow - Resident copy Pink.- Contractor copy
(Itr#i#ira#t n# (Orcixpanry
Citp af (eagan
lgppdmPlt1 Af *Uiib" iwPltiDl[
Ihir Carirwate isrued pursuarst w the requiremen[s ofSedion 306afthe Unijorm Building
Code cernfying rhwar ge time ojissuaruaelhissYracarre %vs in rnmp('rance with fhe various
ordinances of fhe Cuy regulaaieg burldiag mnszructioa or use For 1he following.
i
u,mmrbem cv n[.,"a mft Fomaw. I8459
pm.mm7Tya R4/A/1 Zd,sI36b;q PD/RI rya? VN
o.- dewaa Fz9v=- ?T9.S = Add= 95443 A?.' IN , 7JVrp{mrF
&oticSAddrcvA ll.O MjMjgtlR7rtdd TWMmi. ?y TR_?R7? lYX7NTRV IYV7(1G7 )Nfl `
rosr iN A coNSrIcuous ruce
Ii//FC REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 ?
?
? ? See Inslmclions mr completing chis lorm on beok ol yellow copy.
?? 4?
ew Atltl Rep. '???••'
. 1 5 'X" Below Work Covered by This Request
TypeafBuiltling AppliancasWired EquipmentWired
Home Range Temporary Service
Duplex Wa[er Heater Eleciric Heating
Apt Building Dryer Other (Specity)
Comm./Industrial ' Furnace
Farm Air Conditioner
Olher(specity) Conlmclor's Femerks.
Compufe Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Ahove200_Amps Above100-Amps
Signs Inspecmr's Use Onty: TOTAL S?J
-7
-
Irrigation Booms 7(rJ 2? ?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY 9E ORDE ONNECTED IF NOT
Other Fee ..'
I, the Electrical Inspector, hereby COMPLETED WITHIN 18 MON
Rou9?.in Date
certify ihat Ihe a6ove inspection has
been made. F;,,ai ? oace ? C?
Q
"
OFFICE USE ONLY
This request vaitl 18 monlhs imm
&/%/%? / 7'7
? 3 4115 - / r,2d °v
ReQUest Date ' Fire No. h-in InsOec?ion
? edq ,?('
? ReaOy Naw?rvill Notify Inspedor
Wh
R
tl
?
? Y ?, ra ? No Bn
ea
y
I r icensed contractor O owner hereby request inspection of above electrical work at:
JaD Atltlress (Street Box or Pome o) Ciry 1
??
?
Section No. Township Name w No. Fange No. Counry ?
?
Phone No.
POwe li¢r Atltlress
Eleclr I C racWr (COmpany Nami ? Contractor5 c nse No.
Mailin AQtlress (G Vador or Owner Meking Install9?ion)
? ? t
Aut?onn ignaWre Conlr onOwner aking InStalla0on) ? Phone Number ?
MINNESOTA STATE BOARO Of ELECTNICITV THIS INSPECTION REQUEST WILL NOT
GHqya-MlEway Bltlg. - Room Sl]3 BE AGCEPTED BY THE STATE BOARO
1841 UnivereMy Ave., SI. Paul, MN 551pG UNLESS PROPER WSPECTION FEE IS
Vlqne (613) 64241800 ENCLOSED.
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A -? U.2-5
Cg.LU& 10 - C- - 0-?5
New ConsWCtion ReauiremenLs RemotleVReoair Reauiremenis Offlce Use Onlv
3 registered site surveys showing sq. h of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y N
(20% marzimum lotcoverage allowed) 1 setof EneTgy Calculations forheated additions Tree Pres Plan Reotl Y N
2 copies of plan showing heam & window sizes; poured found design, etc. 1 site survey for addifions & decks Tree Pres Reqd _ Y_ N
iset ofEnergyCalculatlons Addifion - inMicateifarsitesepUcsystem OnsiteSepticSystem _Y _N
3 copies of Tree P2servation Plan if lot platted after 7/1193
Rim Joist Defail Options selecUon sheef (61dgs with 3 or less uniLs
Date ? / _'%) / 43 Construction Cost
Site Address N i(„1 C u u Kf 'N V lt,J 1"J F iv-e- UniUSte #
Description of Work e. t,
M
lti
F
il
Bld
Y? Fi
0
1
2
l
u
-
am
y
g _ _
_
rep
ace(s) d
Property Owner (u ? yd L ¢ l} i 6+"^?- UL- Telephone #((?? 1) y YtiL/ '5 '2-
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Workshaat
(Jsubmissiontype) Submitted Submitted
' • Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Y_ N If so, 25% plan review
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
? ?.?T?,g,Qhone #(
#(
#(
I hereby apply for a Residential Building Permit and acknowledge that the informarion is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
(' ?? ? 2 h( ? ?I rJ LA v--
ApplicanYs Prin e )(ppli anYs Signatur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ?S, 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
PC- 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const ?IAZ
Footings (new bldg)
?C Footings (deck)
_ Foorings(addiuon)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. Air Test Final
Insulation
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Final/C.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
'Oemolition (Entire Bldg) - Give PCA handout to applicant
204f..24.>
..?
? ? rt
vrz
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS Ii[TLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQIIESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANG E IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
UCT p 9 Reco
To Be Used For:.5; r? Valuation:754? Date:
/
Site Address Im 6rual"'L"P,r,J
Lot ? Block 12,
Parcel/Sub vC NG
T
Owner
Address
City/Zip Code
Phone
Contractor/ i/_=TSGf??(//?/cp?'.
Address ?y?3
City/Zip Code /"4.R/?
Phone
Arch./Engr.
Address
City/Zip Code
`OZ? DD? ?@FFICE USE ONLY
FEES
Occupancy -R 3 M.(
Zoning PD R_1
Actual Const V-N Bldg. Permit GW), Oc7
Allowable V-N Surcharge I1OD
# of stories Plan Review D1O D
Length ? SAC, City ?0010?
Depth 59? SAC, MWCC 001 00
S.F. Total Water Conn Gzs1 00
o
Footprint S.F. Water Meter 90,0
Acct. Deposit 30,00
On site sewage_ S/W Permit zO,QO
On site well S/W Surcharge 3b
MWCC System Treatment P1. LS'L,D O
City water Road Unit 5 OD
PRV Park Ded.
Booster Pump _ Copies -7. So
SUBTOTAL
APPROVALS Penalty
Ylanner TOTAL ;?
Council
Bldg. Off.
Variance
Phone #
1/A Ll,l A"'f- I OQ. , _..
G aQA? 1 .
?
Zy x z0 = 6'l2
z x ?? = (3z?
_?----
64n x is? q6oo
A!
y4X.3Z? = (4a?
4 x2 = < ? )
S??AZ = L I??
?
1?3 ? ?S= 92t!ln=
Gq
Iv?1Zo
EX'CERIOR ENVELOPE AVERAGE "U" COMPU'CA'CION
1 UWNER: alE?? I/T/vC yovN&
SI'CE ADDRESS: ?,OI S pLOGK ZND Arorrinm
? CQN'CRAC`COR: I G ??UIL '?7 DA'CE: PHONE:
DETERMINE W()RKING SOUARE FO():CAGE ()F EACH:
1. 'CO'CA7:, EXPOSED WAI.,L AREA 696t, 7 SQ. F'C. X II . _. f 7"?, 3
2. 'CO'CAI., ROOF/CEI]:,ING AREA 141 ,p SQ. F'C. X? _
3. Tp'CAI., EXPOSED WALL AREA CALCU]:,A'CIONS:
'Cotal exposed wall
area above floor
a) 'Cotal wall wi.ndow area SQ.F'.C. X"U"
b) `Cotal door area SQ.F'C. X"U"
c) 'Cotal sli.di.ng glass door ar.ea ?C/,? SQ.F'C. X"U"
d) 'COtal fi.replace wall area ? SQ.F'C. X"U"
e) 'Cotal wall frami.ny area SQ.F'C.' X"U° ?'?
(avei:age 10%)
f) 'COtal net wall area above IZZlQ $Q,F'C. X"U" ?017 =?`"•?
floor (i.nsulateC)
q) '.ccal i-im joi.st airea
'Cotal foundati.on airea
(exposed)
h) `COtal foundation window area
40 SQ.F:C. X "U":01 = S??J
?30 SQ.F•C.
SQ.FT. X "U" - C
i.) 'Cotal net foundati.on area
above yrade
:CO'CAL a ) thi-ough i. = I ???, `7
So.F-r. X „U„ ;I2 _ ?}?f
If i.tem #3 i.s the same as, or less than'i.tem #1, you have met
the i.ntent of 2.MCAR 1.16008 A and 0.
t [??,? ?,K
? ;.V
PAGE 1
4. 'CO'CAI., EXPOSED RO(>F/CEI],ING CALCULA'CIQNS:
Total exposed roof/ SQ.F'C.
cei.li.ng area
j) `.Cotal skyli.ght area I-217 SQ.F'.C. X"U" C3
k) 'Cotal roof/cei.li.ng SQ.F:C. X"U"
frami.ny area
(average 10%)
1) :COtal net i.nsulated ? n
sa.FT. x "U"
roof/cei.lin_y ar.ea
4. '.CO`CAL j ) through 1 )
if total of #9 i.s the same as, or less than #2, you have met
the i.ntent of 2 MCAR 1.16008 A and 0.
? c-5 7 L
A].,:CERNA'CE BUII:,DING ENVE].,OPE DESIGN
'Co uti.li.ze the total envelope system method, the values
established by the sum of #3 and #9 shall not be greatei-
than the sum of i.tems #1 and #2.
1.
3.
+z. -
+4. _
CER'CIFICA'CIQN
I heireby certi.fy that I have calculated the "U" factors and
"R" values herei.n ana that the bui.loinq here described meets
or exceeds the State of Minnesota Energy Conservation Act.
Si.qnatuLe)/
Date)
,
PAGE 2
1
?
A
?W?
?
2 ° b Stude
MISTR? OCT_ION
JWINC SECTION•,
W1LL SECTION (INSULATED)
-?1 Interlor aIr fl
RIM JOIST SECTIfkI:
-?) Interlor
-12 c?, Truiil:
•vi-?
Ua 1/R•o4
FOUNOATION INSULATION REQUIREO: ' •
Min, R-5 on entire wall OR 1/A ?_ _!14
Min. R-10 do?vn Lo frost depth
fOUNDATION SECTION:
1 Interlor atr fllm ? 11.Rq
2 tvro
3 t
4 Exter or a r film
i
TOTIII R ? 5.96
? U ? 1/R ? ,17
SLAI! ON GMDE
? ?-.?•..• - -•o•?- ??a.
? A . t. .'_ •..d .,.!
t1 ' a ?
-.? p? \ ?•? ? ?. .?
Ur.heeted Slabs:
Minlmun R = 6:2
F
G
!iiA
VENTED
H
GUNS.T R?1 L
Ut
CEIUpR SECt1ON (IN;IrIAI@h)t ?
! lntsrlor alr fliw p R
2 ° Sr .. ,
3
; xterlor S r film lstill) n. 1
OTAL Il w
tl + 1/R a ,W
CEILING FRAMINR SECTlON:
1
2
ThRulatim
3
M
S
.
CEILING SECTION (INSULATED):
1' Interlor atr filw ?,61
2
? Exter or a r film (still)
o.
.
U • 1/R a
tE1LINr, FRAMINr, SECTION:
1• Interior airlfilm 0.61
t
3
M Exte? o'??? film stTTT)?bT
S ncheS so t wood
, TOTAt R
I tl- 1/R?
i'
?...
\
1 Inaide atr.f#Im n.Rl
2
3 •
4
5 uts Ae a r fif-m
n.
TOTAL R ?
Ua 1/R?
.
?
da i/R.?7.6
954870
,
COIINTRY HOLLOW BBCOND ADDITZON
PRESSLTRS REDIICING VALVB AGRESMSNT
i
This agreement, made and entered into the day
of 1990, by and between the CITY OF EAGAN, a
,
municipality of the State of Minnesota, (hereinafter called the
City), and the Owner and Developer identified herein.
The tzrm=_ "Developer" and "Owner" as used herein refer to:
PROGRESS LAND COMPANY, INC. whose address is 1430.0 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, Slock 3 are
in a high water pressure zone and a pressure reducing valve shall be
installed in each home below the elevation of 875 feet. All costs
shall be the responsibility of the Buyer and shall be installed to
prevent damage due to high water pressure.
NOW, THEREFORE, the City, Owner and Developer aqree as follows:
1. Recordina. This agreement shall be recorded with the Dakota
County Recorder so as to provide notice to the owners of Lots 1-4,
Block 1, Lots 1-17, Block 2, and Lots 1-10, Block 3. The Owner shall
provide and execute any and all documents necessary to implement the
recording of this agreement.
2. Notice. The recording of this document shall constitute notice
to all owners and future owners of property in the COUNTRY HOLLOW
SECOND ADDITION subdivision that Lots 1-4, Block 1, Lots 1-17, Block
2, and Lots 1-10, Block 3 are in a high water pressure zone and that
a pressure, reducing valve shall be installed in each home below the
eievation of 875 feet. All costs shall be the responsibility of the
Suyer and shall be installed to grevent the damaqe due to high water
pressure.
3. Validitv. If any portion, section, subsection, sentence,
r
1
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 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 A OWNER AND DEVELOP;:R:
(Date: PROGRESS LAND COMPANY, INC.
; ? .
. Th mas A. By: u ?rv J S? EcS:
Its: Mayor its: Pa.?t?I-YW r
Attest: . J. VanOverbeke
Its: erk
Bv.
Its
STATE OF MINNESOTA )
) Ss.
COUNTY OF DAKOTA )
On this v2? s% day of 1990, before me a Notary
Public within and for said County/J personally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me pe=sonally 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 msnicipality
by authcrity of its City Council ar.d said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
g. 'NNt?••ar:!t1IN1I11flf1N1'
?.. . : L v.._.... -•.rK ?
, . ..?.. -iY •
?. V
. _.. ....... ..?.e
STATE OF MINNESOTA )
) ss.
COUNTY OF I'tit..r,'.'>', )
.,
, i, •
'. ?/ C?/.?'!:-f?i,•???-??«?"?y'
; . (, ? ?!r ?• L _ -Gl
NOtlary I , ?ublic
? ?,:
On this day of 4a?.;s?. St , 1990, before me a Notary
Public within and for . said County, personally
appeared t (; ; ; s r I ?and-- to me
persona 1 own, who being -0ach-by me duly syrorn, eaelL did say that
the? respeetiveby6 the I 1-( ?j 6L;
arxi- of the corporation named in the
foregoing instrument, -- - "- ---' -°°'.._d t_ _..id __tr____ l'-
, and that said instrument was
signed a*:1 s____on behalf of said corpora ion tn, authority of its
Board of Directors and said rr ?. dvi°r
-en+- acknowledged said instrument to be the
free act and deed of the corporation.
. . . , _ . . -.. _ .-'' °. #
l" i/OA 1~ ' -v t 1" _
Notary Public
APPROVED AS TO FORM:
?,LV-41 Q I?1?ia
Public Wo s Department
Dated : ?t? ? /T I Fo
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
6.00 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
MGD
ol o(,
APPROVED AS TO CONTENT:
?o3ZU
2007 RESIDENTIAL BLTILDING PERM7T APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuctian Reouirements
3 registered site wrveys showirig sq. R of lot sq. ft ot house; and all roofed areas
(20%macimum lol coverage allowed)
1 Soils Report if proposed buiMing is to be placed on disNrbed soil
2 copies of plan shawing beam 8 vrindow sizes; poured faund design, etc.
i set ot Energy Cakulations 3 copies d Tree Preservation Plan d IW platted aRer 7N193
Rim Jaist Oelail Optirns selection sheet (buildings wilh 3 or less units)
Minnegasw mechanical ventilation form
RemodeVReoa'r Reauiremenfs
2 copies M plan showing footings, 6eams, joists
1 sH N Energy Calculations fa heated addi6ons
7 site survey fw addifions 8 dedas
Add'Aion - irdcate 'rf on-site sepfic sysfem
Otfice Use Onlv
CertMSurveyRecB _Y _N
SoilsRepoM1 . _Y.,_N
Tree. .. Pres Plan Recd
....... Y% ? N
TreePresRegwred y._N
Oo-site Sephc System Y"r _ N
Plans are considered ubiic information uniess ou state the are trade secret and the reason
Date lV
16-7 "/ ?
_ Conshuctio n Cost
c7(iL/•
Site Address - /? UniUSte #
Description of Work ?
?- e - lzk?z
.
Multi-FamilyBldg _ Y_ Fireplace(s) 0 _ 1 _ 2
Property Owner U ? D Telephone #i (40 )"-' i-`7YS:2
?
Contractor ? .
Address City
State
Zip J?SII y `
Telephone #(/t ),' Sb
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted - Submitled
• Energy Envelope Calculations Submilted
In the Iast 12 monihs, has the City of Eagan issued a permiT for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of moster plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
I hereby apply for a Residential Building Permit and
is complete and accurati
tnat the worK will be 1n conYormance with the ordinances and codes
Statutes; I understand this is not a permit, but only an application fon
permit; that the work will be in accordance with the app ved plan in t
approval ofplans. C
Applicants r7nted Name??- Applicant Sie
Telephone #(
Telephone #(
Telephone #(
of the City of Eagan and the State of MN
permit, and work is not to start without a
case of work which requires a review and
?i P/ETS'GH Bt1/LDEcS
?OBC '
NGIlNG CUNS(? y1+ a
PLRJ??6RS iN0INfERS U 8 ORS
anJ IANp + RY V
gK, I¢(o
C.OMPAN4', lNC. ' `"
IUUU EABi 146m B1flflfiTr BURN6YILLa, lAINNEBOTA 6633i PH 4a;?3000
Certificate ofi Survey
Leg al De s c r 1 pt i o n :Lo -r a, arw-x 2, CpUN79Y NocLO w S,5ConVo ADD/TioN,
pAK.o7'A COUNTY, 141NNc507A.
ecALe i r - ao'
L?Q/{/N.413E AND
UT/U7Y EASEA
C$::V??!?) DENOTES EXiS71NQ ELEVATION '
(83Z,0 ) UHNOTES PRCInOSEU ELHVATI414
-+ INUiCATES UIftSCT10N OP 6URFACE DRAINAQE
832,7! m FINISI•!EU CiARACiH rLC10ri ELEVATION BZ4.33 m gABEMENT FLOOH EIEVATION
832.7/ in TOp OF BLOCK ELEVATIQN
(a/y.0-)
10
0
a
1
>
30' FPaVT Bv1Ld1N6 ,
??.
,
-ONo7F1 S7X-V73' AeE A?'
644liE, ND CUCB.
'aw
?.?
fr=/B3.30T 30,an-?
I `
P R.V. REO L.?IRED
1 hareby oerttly thol tlds is a true and ooneol rehieaontefion of a troal of land as ellawn
and ds9oribed horwn. An pieparad hy*ma on this'.614 day a{ ?.,,?? .192-t, .
10
-• - ?
N 69° z?.2, 'R„ W
I IY
?i?1 '`? ?> Lo
! !o
? ROPOSED ?;
e /?'OU3E ,}? 32.ao
%I ?901?9 N
zB,cr = ? ? ? -~ I
? 17oz
0
ogo,? 7..a? % ? 6• %
a?
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PiETS'GH Bv?[DE?2$
ROBE ?
pC PLRN??AS arcdaLANp SiURVeYORS 3Z?COMPANM, INC. ? 44
L..??r,..IUUU EABT 1487h BiflEH7, 8UflN5Yl4L6, MINNE80TA 56337 PH 45Z•3 000
Certificate of Survey
Le g a! De 5 c r 1 pt] o n: z-o-r a, erac,r z, covIVrR r raorso w 5,5Con40 4a017-10N1
pAK07'R CDUNTY, MINNc'S07A.
(Do,a) DENOTES EXt31"INC3 ELEVATION '
(832,0 ) DENOTES PROPOSEU ELEVATION
.? INUICATES DIRECTION Or SURrACE DFiA1NAQ6
832,71 m FINISI•!EU CiARACiE PLCtOti ELEVATION
8Z4.33 m gASEMENT FLOOR ELEVATION
83Z.71 w: TOP OP Bi.OCK ELEVATION
acnLe tr . ao'
Gi¢41N4L44?E 14ND
U7/L17y cflSEiL
30' FRAVT BU1401N6
r41A- vF
It•.? Ic? 1?$ i? tt ?t /' '?.
Ll'L _.:
-N+1'SGr1t`i t:Ny E:c".r:.'1Td vy
,
-. - ?
??
(8N 6?3°zg?4/??W 03o,9-
/9 0.; /G5,00 ?3o.;fi
?T
L_/V
I
'
,0 8 LOT 8? ? 710
i ?az,a;a? R t ?sz4? ; I
? ?az3.s; c azs :'
I ?• ?l1 - 4s.ao ?
? v Nou9E q;? 32,00 :?
I(83z,e?
°` ?
>1 oz O
m ? 8
N ? -
24 ao
,
? T 'OS2•l ?-sBZ7
R= /B3. 30 ,
Id430, ac ? -
is. /g ° /2•4.9" ;,5'85°23'4f„
E /
s? -
57Xdj73 A&-r .or
40 cue8.
DO
OC
0
.?
? j
?
0
/e I
P. °r?oVo ?i°?(DURED
1 hareby aertlly lhai ilds le e trua anJ correal teprasantation of u traai af land as shewn
and dasaribed her•on. qs pieparad by*me on lhia'L_ day ot OG7DAE,? ,19 V
To: 16516755699 From: 7637108061 _ _ . . __ _ _5-_30-18 2:32pm _p.. 1 of 3
Z fill
For Office Use
s• � r r Permit*
cc-
��.,�
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspections,�citvofeacan_com 1... i
2 2018 RESIDENTIAL BUILDING, PERMIT APPLICATION
Date: 30i Site Address: /I(r?o COLL )1 17 10&`J ;D
i Un #:
Name:t€ (� MO fl ' ..+ 3
�� G1} �i �' Phone: /sa" c9 -a.533 1
Resident/ 11
•
Owner Address/City/Zip: L/) ) C 0 j)4 'pile cc) Dr & ilin SSl2.)--
8
Applicant is: Owner 1/Contractor
.1Description of work:��(, lI`� CUe(jGd Joe:1246r !1 Ce�,dType of Work
a rW !
,-.,.- -�.-„�__ i Construction Cost: ! 00 • Multi-Family Building:(Yes I No "----7
Company: AA- Gia-raL 4 ))r Contact: Det0 -,J L k 5e-kt CIC_, a
Contractor Address:2u'a -uvidi ► U' t City: kh/''S O v'1 1
t J _/ ^I /Ad pC,
State:�� Zip:6V 1 Phone: f '0),S1-')1Ef ail: (�v(ii�i�{�i�j t.�f�� UJ�.
!
, 1 License#: Lead Certificate#: mi,-1- -- (J7! ( )
If the project is exempt from lead certification, please explain why:
i
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? i
Yes No If yes,date and address of master plan:
Licensed Plumber:
Phone: 1
Mechanical Contractor: Phone:
9
Sewer&Water Contractor: g
Phone:
Fire Suppression Contractor. Phone: i
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the inform tion may be—
k classifled as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets 1
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be comrleted within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 46 hours before you
intend to dig to receive locates of underground utilities_ www.aophers:ateonecall.orq
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 wilt be in
accordance with the approved plan in the case of work which requires a review and approvo*f,pl ns.
Applicant's Printed Nam Applicant's Signature