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4176 Countryview Dr PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA093324 Date Issued: 04/05/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4176 Countryview Dr Lot: I Block: I Addition: Countrvv Hollow 3rd PID:10-18277-010-01 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Tony Boerner 2090 Countv Road 42 W. Burnsville. MN 55337 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Ton's Appliance Rvai Peifer 2090 County Road 42 West 4176 CountrN-vienv Dr Bumsville MN 55337 Eagan MN 55123--394 (952) 435-2442 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature A Merti?ica#e of cccu?attcv zeyartmcat oF 8xi[biag aadoection This Certijcate issued pursunnt to the requirements af the Uniform Building Code certifying 1hat at the time af issuance this structurr was in compliance with the various ordiwnces of the City regulating buildireg construction or use. For the follawirsg: ux clmdi? SP ac eieg. rennit wo. 26139 Oc-purty 7ype R3/U 1 z,,;,,g o;?ftia RI rra con:t. VN Owrcr of Building PFiDGRESS IIM AdAas? ???? ?. ??' g,,;Ming A,,? 4176 CQIIZii4tVm IRtIVL+ u,,,;,L 1, Bl, aQWW H$dlJW 31D S D?. i IMiding arW? I POST IN A CANSPICUOUS PLACE Address 4176 CaMTTtYM DIjVE Zip 5512 3 L.ot iBlk i Sub axttar2Y t3ari.aw 3!tD THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Z? 1 ? Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please vecify with the builder the removal of roof cest caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 651-4645 before working in righbof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contracwr Copy @ 1- INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: ?+ I N 1 1°t' (612) 681-4675 ' SITE ADDRESS: ,„, ? , ?s ? i?i t ; 1 . I ?????_, ?trvvy? ?.i ??i, 1_110at14y Mot i Wi 110p , APPLICANT: t?,?,?? •?;?. :ti?. PERMIT SUBTYPE: TYPE OF WORK: ri r i i INSPECTION DA • .A ? ,. t? , . . ? • ' ?? Pertnh No. Psrmk Holder Dab 1 Telephone i ELECTRIC PLUMBING HVAC Inepactlon Dab Insp. CommeMs FOOTINGS FOUND FRAMING ROOFINCi ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING (3AS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG -17- ! DECK FINAL ?? ,, - CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , /???Y?"?z ti• v ? r u? t ??? PERMIT SUBTYPE; ??f?n?,?;? ?ti?•. Iii?tnr ?: TYPE OF WORK: r'i r Li INSPECTION D . D ', 1! . I? 1 .'. f 1 I I I'a I: I i r ' i rbW 1:(lry f t;F1i 1 Iil.: `, 6AF+ 1•1 fIMCt I'NRi PERMIT TYPE• Permit Number: . ?? •'' ? i ' Date Issued: V,i VP -.,? APPLICANT: f-, Fr V Permit No. Permlt Holder Date Telephone A ELECTRIC &41S011 , 9 / 9 ? (OCJ PLUMBfNG HVAC Inapectlon Date Insp551 Comments FOOTINGS 'L ??,/,Q N'I ,+ FOUND FRAMING .? ROOFING D ? ' A G?.S Si "`3' e ? ' .!s r u/5 ,? ° -e-C ROUGH PLUMBING = - AIF TEST << 1? FOUGH HEATING GAS SVC TEST ? INSUL GYP BOARD FIREPLACE FIREPLACE AIR 7EST FINAL PLBG FINAL HTG ORSA7 TEST BLOG FINAL 88MT fi.l. 85MT FINAL DECK FfG DECK F1NAL / go REQUEST FOR ELECTRICAL INSPECTION Ea-ooo/or?oys ? See instmctions far completing tnis torm on Oack of yellow cop¢ "X" Below Work Covered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Fange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner other (specify) GonVeamPS Remarks'. Compute fnspection Fee Below: # Other Fee # Servica Entrance Size Fee # Circuits/Feeders Fee Swimming Pool - 0 to 20D Am s 0 to 100 Amps Transformers A6ove 200_Amps A6ove 100 -Amps Signs Inspector's Use Only: ? TOTAL 0 s? . Irrigation Booms Speciai Ins ection Ad D Alarm/Communication ER D DIS NEC7E0 IF NOT THIS INSTALLA O Y BE OR Other Fee MPLET THIN 18 / Rough-in ?al??' (!? J I, ihe Electrical Inspector, hereby ? certify that the above inspection has Finai oace ?? , f? been made. OFFICE USE ONLV TMs request vaitl 18 manfis irom 80 1A RO RI, ? ? uea ate NO- Rooghln lnepedi quiretl Ins ecfion OtM1ha gp-In L` V (YOU ust all Insp ?yyM1en reatly) Reatly Now [:] Will No1i(y Inspector Yes Q N. Lble Read ' I' licensed contractor ? owner here6y request inspection ot above electrical work at: Job Adtlress (5[reet, eox or Foute No.J C'ty .. io UAI- ?-? ;J ?lL?J C: A'N Seclion No. Township Name or No. qange No. County 1 hd Occupan[(PRINT) ? ? PhaneNa. c1?s-3lIC- 7 I?V ? N ? ?:. +L 1 L Pow r Supplier Atltlress ? l Electncal Gontractor (COmpeny Nam=) Contraclor s License No. G.L ' Mall mg Adtlreas (Confactor or Owner Making Installat ion) ' /3 tc 5?`37Z Authodzatl Signat ac!odOwner Mak' allonj Phone Number MINNE50 A TE 90ARD OF ECTRI Grlggs-MI ay Bldg. om 5428 ' ; I i 1 ? THIS INSPECTION REOU ST WILL NOT 1821 Univereity Ave., St. a, 5104 1 1111 III I I I I I I IIII I I I I I III I I II II BE ACCEPTEU 6V THE 5TATE BOARO Phone (612) 602q800 ? I OPER INSPECTION FEE IS E ? ENC OSEp RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Constructlon Reauiraments . 3 registered'site surveys shovring sq. ft. of lat, sq. fl. ot house; and all roofed areas (20% macimum lot coverage allowed) • 2 topies of plan shaxing beam 8 vrindow s¢es; poured found design, elc.) . 1 sat of Energy Calculations . 3 copies ol Tree Preservation Plan if lol piatleA after 7/1193 . Rim Joist Detail Op6on5 selection sheet (61dg5 with 3 or less unAs) DATE \6 / ?-/a D ? RemodellReoair Reauiremenh . 2 copies of plan • 1 set of Energy Calculatiore for heated additions • • -isflesurveyforextenoradd2ions&decks . Indicate if home served by septic system foratlditlons 6l? 1 VALUATION SITEADDRESS MULTI-FAMILYBLDG _Y _N TYPE OF WORK_ FIREPLACE(5) _ 0_ 1_ 2 APPLICANT JDh?c? A?.JQ,C?v? L!n^_?S.?U? STREETADDRESS CITY. TELEPHONE #?100 CELL PHONE # Water Softencr Watcr Heater _ No. of Baths ziP S" 3? PROPERTYOWNERTELEPHONE# ID5 I??O?I' 6_1c COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RliLES 7670 CA'I'F:GORY 1 MINNI'S07'A RULES 7672 (d submission type) . Residential Ventilatioo Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . • Energy Envelope Calcufations Submitted Plumbing Contractor: __ PlumUing syslem includcs: Mechanical Contractor: Mechuiical system includcs: Sewer/Water Contractor: Air Conditioning Heat Recovery System I hereby acknowiedge that I have read this application, state with ali applicable State of Minnesota Statutes and City of Ec Signature of Appilcan} Phone # Fee: $90.00 i' the informqton is correct, and agree to comply OFFICE USE ONLY _ PllORC N Lawn Sprinkler No. of R.I. Badis FAX # Phone # Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ , Updated 4102 . 4 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-18277-010-01 DESCRIPTION: Bull d Build UBC U C canst ` Zt3t+sin B u ai 1-c! 6ui1d , Squa? REMARKS: S&W CONTRACTOR - STAR PLUMBING FEE SUMMARY: r-? vy ?y k 4}?+? k?p 3 VALUATION Base Fee Plan Review 5urcharge SAC 5AC t SAC Units Subtotal PERMIT PERMIT TYPE: Permit Number: Date Issued: 4176 COUNTRYVIEW DR LO7: 1 BLOCKe 1 COUN7RY HOLLOW 3RD ermit Type rd?,k Type ig Le n gth wietth . , ? ?e 8 t?- ,r ?..a ? $1,062.25 $371.79 $67.50 $856.00 100 $2,351.54 SF DWG NEW R-3 U-1 V-N R-1 50 36 1,674 :=} c' ? PRV $135,000 MISC FEES Total Fee cP_U#lo051- BUILDING 026139 08/02/95 ??j E1.g?t i4?Is °?E 3?""A-h -wFi 'WT S ??..?t. $1,892.50 $4,244.04 CONTRACTOR: - Applicant - sT. LIc. OWNER: PROGRESS HOMES 14353115 20083122 PROGRESS HOMES 14300 NICOLLET CT 335 9601 RIVERVIEW RD BURNSVTLLE MN 55306 EDEN PRAIRIE MN 55437 (612) 435-3115 (612)944-9381 S hioreby acknowledge Ghat S have -r"ead tha's` .appl3ca-tiq6'4tf ? °inforrtEatiorr is correct° and; agre.to comPl}r raith ,al,idi ' Statutes and ei;.y of,-EagaA'=-Ordinannps. n • ` CITY OF EAGAN ? ? ? ? 3830 PILOT KNOB RD - 55122 7 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 681-4675 ? 3 rsgistero0 eite surveys ? 2 copies oT pian ? 2 copies oi phns (indude beam 8 window sizes; pourod fid. design; etc.) ? 2 site surveys (exterior atldkions 8 decks) ? t enerpy ealaletions ? 1 energy calculations for heaME addkions ? 3 aopba Of Use p rvffiion 1 n ff lot pfeCed after 7/1193 mquhed: EYes No DATE: 7-17-95 CONSTRUCTION COST: s ] 941 , 2Fn DESCRIPTION OF WORK: NPw constru i on oTy Ho use ?TREETADDRESS: --CoLnt°r?VTec,r-»?va = --a?r 4176 Countrvview Drive LOT 1 BLOCK 1? SUBD./P.I.D. ojn ry xal 1 nw Th i rd Addition PROPERTY Name: xiDO Farv Phone #:A44-4-IR1 OWNER '"°' """ Street Address- 9601 Riverview xa. City: Eden Prairie 5tate: mtv Zjp; 55437 coNTw?crort Compeny: Proqress xomes Phone #:41 5_31i s ak- ?treet Address: 14300 Nicollet ct #335 LiC2nse #?D 20003122tpL Cjty; Burnsville Statg: MN Zjp- 55306 ARCHITECTI Company: o'xeefe Desian Associates Phone #•447-5046 ENGINEER Name: Pat O'Keefe Registration #• Street Address- 15191 Fairlawn snores Clty: Prior Lake Statg: MN Zjp;51;372,_ Sewer 8 water licensed plumber: 003329 TM. Star Plumbina _ Penaliy applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the in rtnation i, co c[ and agree to comply wRh all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ? Signature of AppliCent: ? rr??ress H?m _ OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received /11?Yes = ?lo Yes ? No W ??ENED .1111 2 6 1995 , OFFICE USE ONLY BUILDING PERMIT TYPE Building Engineering Variance Valuation: $ a 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ,-,E=02 SF Dweliing o 07 4plex o 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. a 10 _ plex o 15 Deck WORK NPE ?-31 New ? 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuaq ? Basement sq. ft. l/loZ MC/WS System C71:f -, (Allowable) Main level sq. ft. //R-9 City Water 4?e- UBC Occupancy ? 3 u / Z/,?* sq. ft. ?'Yb Fire Sprinklered Zoning T ez-/ sq. ft. PRV 5' # of 5tories Z - as-r- sq. ft. Booster Pump Length .50 sq. ft. Census Code. /ol Depth 36 Footprint sq. ft. (07Y SAC Code o,L ? Census Bldg i e 2'? vI S ? Census Unit APPROVALS ? ? Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Pertnk S/W 5urcharge Treatment PI. Road Unk Park Ded. Trails Ded. Other Copies Total: °h SAC SAC Units 144iN C? 3x9 = z? ?y.re Vz = SZs lf•sK 2e ? s5'G 6 n (o za•"45'x ??O = laY l ?x/sI i P7, yJ° ('n.rf• ZK ?° ?-?? ? ? /$fixsf? = lo // /SL . 6/PL2 Z)e' 2a.73 = ?s /z.sF 3` ' 9So ZB = 3zz = /•S- X (0 9 C> ? - ??- . 3J tc b = 3 ZzF zz = Y&y . S' Y2.i sr? y?z zi6 = k/nA.rx yy " yz j" ? o«A"A ° ys 79Z G? 7!? ??-,gz=(3S,ot?(p? .?, LOT SURVE'`f CHECKLIST FOR RESIDENTIAL ? o BUILDING PERMITAPPLICATION PROPER7Y LEGAI.: ? ( ?, / ??r?? /?`? ?? a a m ' 3 ? DATE OF LATEST RE1/ISION: a z x. DOCUMENTSTANOARDS ?o ? • Registered Land Surveyor signature and company Q,-'13 13 • Building PermRApplicant 12-? 13 13 a Legal descdption ffl-'O ? • Address , 0--?0 13 • North arrow and scale M-'C3 13 • House type (rambler, walkout, split w/o, split entry, loakaut, etc.) o'- '13 13 • Directional drainage anows with siope/gradient °k 0 13 C3 • Proposed/ebstlng sewer and water services & invert elevation ia'' o D • . SUeet name e''O ? • Driveway ELEVATIONS Existina 13'/ ? 0 0 ti • Sewer service Er'? • Property comers ? 0 • Top of curb at the driveway o 0 13 4 Elevatlons of any ebsting adJacent homes Pr se 121?-13 o • Garage floor ? 9 ? • Firstfloor a'?p 13 • Lowest exposed elevatlon (walkouf/window) y 0 • Property comers o'?o 0 • Front and rear of home at the foundadon PONDING AREA Iif apnlicabiel o Er-- c2 0 Easement line 13 Gr? 13 • NWL 0 U' 13 • HWL o 8, E3 Q"? 13 0 0 Pond # designation • Emergency Overflow Elevation DIMENSIqNS ? • Lot IinesBearings & dimensions n - 0 • Right-of-way and street width (tn back of curb) ar? o 13 • Proposed home dimensions inciuding any proposed decks ovarhangs greater than 2' Iff-'13 0 , , porches, etc. Q.e. all structures requiring permanent foobngs) • Show all easements of record and any Cityr utilities within those easements Er' 0 4 0 91'?'O • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures • Retaining wall requ(remenis, if any , Reviewed: Juty 7995 r",, t r'c,?.`".-?,. • . • - a c ,'y, a. „ ,. •.: o NOTES - ? CONTRACTOR S EL AAyL 'VERIFY:'LOCAPIONS i?ND ; EVATIONS F .?}yl- UNDEItGROUND '?II?'IyIT;?eS ' PRIOR TO CONSTRDCI,iON, WITA dtESPECTIVB ., UTILI4'Y CpMP ?DjE?S . •?_• • .. ti. . •'.- -. . NS . 1 ' {?. ..: ..• :?..r -' Y i Yl:? CONT12AC4'OR?S9ALL -..Y..•.•.=?vna a•c?-?XIST,IiJG;:SYSTB}95:,' ,?LL.?WORi ,-ASSOCIATED:WITB'SiJ..CB,-VERIFICATIpN ANp':, ?• ` CONNEC4'IpNS 'SAALL? SE TO CO1VSIbERED INCIDENTI,I ` THL C?ONTRACT: ' . ' : -. - . .¦?? ...,.' ' .' ___ • _ . ... . . . .. -- 4 ?? ? ? ? Q ; O Q . ? CSEE R 104,00 . ? ?.= .. ... . ? .. , ? . . ... O .: . :Uwl tT ShTO LCi ?s?Ar.`6"E?iV O?SIT -. ,?; : ENERGY CODE DESiCN SY ACCEPTAALE PRACTICE 1b Determine Qmpliance with the Minnesota fhergy Oode (Section 602 of the StatP Amended 1983 Mcdel Fnergy Code) nis form is rnly applicable tn detached cne-and ta.o-fanily d.ellings. The requirements here aze based rn Table No. 6-11 in lieu of the criteria specified in Sectirns 602.2.11 .2 aad .3. Bp]1.a]SKJ AdaS255 LOt'. 1 B1 oGk 1 Crntntru H 7 7 na. 4rt3 Fnan • MN C.ORtLc-ctOL Or On'RPS Procrress HoIRPa for Mr R Mrc f a v Hi nn Buildinq Element 'R" Values Area (s4 ft) $ of FSct. Walls Ceilings Design' 44+Req'd 38 Walls (exterior) Design2Y :6Req'd 20 31 65 (r/o rdn) Floors (oves unheatea spaoes) Des1gn2l . 6 Req'd 20 'Windaas (in bldgs w/o 252.3 Design 8.OReq'd 12 sliding glass door) (g7ass) KWindaas (in bldgs with a N/A Design -- Req'd 10 slidi.ng glass door) (glass) Fbundation Walls Design 7]+geQld 5(when irmlating full depth of famdatiai vrall) Design N/ A Re4'd 10 (when insilating mly bo frost depth and inotings extend below) Slab-cn-grade floors Design N/AReq'd=(See Figure No. 3) **Doors (1-3/4" metal faced) Design7.45Req'd 3 • All windows shall be double glazed or have stocm Windaws ** Oonventional doors other than mehl require a stotm door CER1'gICATiaN I hereby certify that I have oaipleted the above infosmation and that it ornplies with the DElte 7/17/95 BCSD 3-69 m/wir coz tAh, r'uwRrs AvPLikLLE?, F r." '?,. ;'24-20'`Q - 0 .? a?: I?4 p. :. Av p o - ?------ ------._._..------?. --..._- ?`-?? ---?-- -- ?C7(y'S F-ftLL- -------- 1 ` ?`J? ?,•-3??? ??i ?j/i?, -_.?___.._ ?^?-4? j w 3 G? f•" 3'??r k' ?? l`^,2+. -___.. ._.... 34% __. ? . ku,) ,(-c Ys ?l-`asl8 ,c .. ? h ?.- --- V- vrCKe-''i ? _._. . .7-ics>1,ox ??? 14 ---- ? 1 3/f4,? - ?'.).xSy' ?._.---- "1....L. Y tn? __---- ?iVJY -- .? ? 2xKL q-`j (MrH %/ Li ?t}Z 12.?i ?'r--- `? .« • ?, i5 ?1d >' ?y ?C . ???, .;:1 .T"IY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BurLozNG PermitNumber: 026661 Date Issued: 11 / 91 / 9 5 SITE ADDRESS: P.I.N.: 10-18277-010-01 PERMIT ? P,004 4176 COUNTRYVT[W DR LOTa 1 SLOCK: 1 COUNTR'f FiOL.LOW 3R[) DESCRIPTION: B:u"i,l;dinzg'.permit Type OECK NEW ,... . _ _... -r- . v ,.._... S I..I REMARKS: FEE SUMMARY: Bese Fee $3(7.0Vi Surcharge Tota1 Fes $30.50 CONTRACTOR: - Appli.cant - sT. Llc. OWNER: PROGRESS HOMES 14353115 2000312 HSAP GARY :14300 NICOLLET CT 335 4176 COUN'i"RYVIEW DR BURNSVILLE MN 55306 EAGAN MN (612) 435--311.5 (612)681-0562 T hereby acknowledge that T have read this appiicati.an aerc{ sCate thaC t4ie infar,mation is cc?t°rect and aq:r-ee to c:cimply wiGt€ a11 atpplieable StaCe af Mn. Statutes and Cit of Eagart Ordi,riances. L _ -j ? J1 APPLICANT/PERMI7EESIGNATURE ISSCTED B : IGNF?iURE ?? CITY OF EAGAN -oOzo 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 687.4675 New GonstruCion Reeuirements RemodeVReoeir Reauirements ? 3 regislered eite surveys ? 2 copias of plan ? 2 eopiea of plena (indude 6eam 8 window s¢es; poured }nd. design; etcJ ? 2 site sunays (erierfor addi[ions & decks) * I a^ergy celWlabD^a ? 1 energy cakulatlons for heeted additions ? 3 copks of bee proservation plan iF bt platled aRer 7/7/93 mquhed: _ Yes No DATE: I O I?-3 I R? CONSTRUCTION COST: ?117???0cl DESCRIPTION OF WORK: STREET ADDRESS: LOT I BLOCK I UL SUBD./P.I.D. #: ?uvv?-X" ?6??0(-J '??) , PROPERTY Name: 1 pQ 64f,?-'y Phone #: OWNER ?* Street Address? ?( -7(c, Ciry: ?? 6-C?11 ^l state: /11N• ziP: CoN7RaCTOR Company: ?U-(Z??S h??',? S Phone #: y"35 r?' ?? J Street Address: License #- City : ?U(ZNS C,u= State: /"-10lJ Zip. !?37--?- ARCHITECTI Company: Phone #- ENGINEER Name: Registration #Street Address_. ? City: State: Zip: Sewer 8 water licensed plumber: /V I{+• Penalty applies when adtlress change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is corte?t a agrce to comply with all applicable State of Minnesota Sfatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Reoeived _ Yes No , OC T 2 ?1995 Tree Preservation Plan Received _ Yes _ No _ _ _ -. - -- - -. - . . ; ,/r/.3* L _ L BL CITY USE ONLY RECEIPT#: 'y`? _L d SUBD. DATE: eb9 ys 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: • single family dwellings ? townhomes and condos when permits are required for each unit ? New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU (_____? 24.00 Additional 50 M BTU -6-.Q0_ ? Gas Outlets (minimum of 1 required @$3.00 each) : db ? State Surcharge .50 TOTAL SITE OWNER INSTALLER PHONE #: STREET ADDRESS: n CITY: ?iu-ryG STATE:? ZIP: S b r? 7 PHONE #: ( ) 0 ITTEL cmr use oNLv L ?_ BL RECEIPT #: SUBD. ? DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 1_ _ .3, C%13_ Water Closet 3.00 x 7_ _ ."- Bath Tub 3.00 x O'S Lavatory 3.00 x U? Kitchen Sink 3.00 x 1 = AR 3'to Laundry Tray 3.00 x 1 = 3. Co' Hot Tub/Spa 3.00 x 3•00 Water Heater 3.00 x 3.C'0 Floor Drain 3.00 x _I = 30O. Gas Piping Outlet ` minimum - 1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private DiSposal " Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations " to exissng 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTr1L ?y 50 L 7 SITEADDRESS: q I G r1 O?,x iNi rv OWNER NAME: S INSTALLER NAME: A 6?5q? 4k " STREETADDRESS: F / ? CITY: Y''c/?dv, LAY<<- STATE: i" W Zlp: 2 PHONE #: (60 ) ?q-) 502S laT Buildin9 Permit Survey for: PROGRESS LAND COIIiPANY LEGAL DESCRIPTION LOT f BLOCK f, COUNrRY HOLLOW 0 tHIRD ADDITION N 0°3679" E 85.00 - - aem?dln'To "fM d r* eor C p1 - ? th?rsof, Dakoto ounty? Mmn??ofa, 51?D 6 lITIL17Y A9EM NT?+ i0o-30.B r - 'aox?oc ? X ? fp' PROPOSED GARAGE FLOOR ELEV. _--U$Q___ 24' PROPOSED TOP OF BLOCK ELEV. __@:325___ I y C" 5a-goxEtnFa I PROPOSED LOWEST LEVEL ELEV. __$29,@___ ADDRESS 4176 COUNTRYVIEW DRIVE O I L O T N BLOCK l??%e? TO I E•28.0N ??61 I ZX TOE•25.8 1 7'-? ? \1 ,, 2.0 42 ° . u.-e4 T ?- - ? ?X, J y?,° t'J q .( ? ? U-) 11 <1/` a? \ ?DO --- a 2o J!? ? X70P•22.3 -_ J L 6 .o / ? "y'I I o4 ? 6 ? -47-- 51 M13. ---- eA -?' N 00619 W1 E 86.70 o e • f COUNTRYVIEW - ? -/- -`-D' +'TWVE - -'1x `" 0 .: ...... .:...• ? I e ?• .. ?? ... - - - - ry?\ ! - /0 ptNsaM st?rFa - *` DcLMAR H 0 `t?`? " P M_ : SCHWANZ - 8623 - ? ????•. . n l4s SUa =I Acrby ur?ily rhat hia aurvry, pary ? M1or rsport rm prepa ed 6y me or SCALE 1 MCH - 30 FEET undcr wy dreel auporvision and Ihat I ` Q ( I am a duly Regieror Lond Surrsyw ?.7 O kon pipe eonussnf under fh? la?s o( ih?Stab o! O AM1?masota. Proposed Elerotion v Daro -? ? ?-- Proposrd Surface Oranoys 10 :0 70.2 Exiuing Eloratian Oelwar H. Schr z Mvmasolo R•grs?rono? No. 8625 Po[?oy. ?? ? u???;.??? ?a ?? SAGAN L 0-Sk--',Fi.i\:: R EVWVI E n mFJM 3Y 'y -? 2? ?r ? Building Permit Survey for: PROGRESS LQIVD COMPQNY LEGAL DESCRIPTION GARAGE SLBE ELEV. _972_0 _ TOP OF BLOCK ELEV._ 972_5 _ LOWEST FLOOR ELEV._969_0 _ ^ ? ....... ,.. rtiro LOT I BLOCK 4, GOLDEN POND FIRST ADD1TlON according to the recorded plat Ihereof, Dakoto County, Minnesota. NORTH 120.00 ' ?o16 b9p I DRAINADE d UTI ITY EASEMENT--;' i r------------------ ------------- '- t-- ? R i ? , i r----------t --- 'l 30 ? 15 I I M \ I I i BUILDING SETSA 1 ? 2 5`?" v? 1 Y X? ? j?y 10> ?OiF nni -o ti 6 00 i ? ? ? ?? , Q o i Iw ?1 ni v i , I I ('----- 'O.od i ? -? 41 O?SE ? \1?4 ? i ? 0 12 P?eOS?O M li s N ri,.-oo ----??:`? 24 ? GP? ? ? o o - W4,. -d ?-- O a ?U I ? I m 1 S ? 1 `-------- `0?, i i s ? ? , i , ' _"_'_"_'_'_'' ? ? Lr) Ln O ? z ? W ? ?-U ? v J -1I N ? N u??????• d 107 ' 5 30 10? p N 3 4500 " E 120.37 10? J??y I HUMMINGBIRD wq ° -----?Y Z SCALE I INCH - 30 FEET 0 Iron pipe monument rs.oo Proposed Elevation '-- Proposed Sur(ace Drainage 70.2 Existin9 Eleva'ion o i M I 30 ! herby certify Jhai Ihis survey, plon, or report was prepared by me or under my direct supervision and that I am a duly Re9istered Land Surveyor under the laws of the State of Minnesota. Dated Delmar H. Schwonz Minnesota RegisJralion No. 8625 40t'City af8tan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date Received:OC l 1 9 2009 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1()/61/ ®' Site Address: -141 1 LQ O (kairr \/ v `i b C . Tenant: Suite #: RESIDENT / OWNER Name: t" lk- PO `k Phone: IS) 1 d3 ' W 5 Address / City / Zip: Setriti.Q &S t 5V CONTRACTOR Name: icense #: 61.6 i 11.5 1'I i1�L Address: S'S. tAft-GXx Btid City: x tii State: /},0 Zip: 350. Phone: (.Q i- (09 ii:,;:_, Contact Person: t�-.5Yt TYPE OF WORK 1,, New _ Replacement Repair Rebuild Modify Space Work in R.O.W. _t Description of work: t t 1( 14 1 C i i ch nil PERMIT TYPE RESIDENTIAL Water Heater Water Softener 1 Lawn Irrigation Add Plumbing Fixtures (__ RPZ / Y PVB) ( Main _ Lower Level) Septic System Water Turnaround - New _ Abandonment . RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater And Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing `Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 If a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work wit l 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 y1 x fidev‘ G—Q %s c'L Applicant's Printed Name Ap , carte Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA131438 Date Issued:06/18/2015 Permit Category:ePermit Site Address: 4176 Countryview Dr Lot:1 Block: 1 Addition: Country Hollow 3rd PID:10-18277-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ryan Peifer 4176 Countryview Dr Eagan MN 55123--394 (651) 275-4337 Jim Murr Plumbing 780 19th St Newport MN 55055 (651) 457-1337 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink r----------------� . I For Office Use � � 3 �,g � Permit#: Clt of �� Permit Fee: � � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received:��_ � Phone: (651)675-5675 ��/�� I I Fax: (651)675-5694 I Staff: I JUN 1 � 2015 '-------------�,��j�,:� � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �- :�3�i� �o ^�_S � � / �/ t �� Date: �� Site Address: ��t�' Y.��'W �L.. Unit#: Name: �GL� h ��c.u.{cz��'� �-�/l_ Phone:��'�7S� y.�3 � �� y��G r/ � ; L Address/City/Zip: Y�" �^-• � ��L��'' , '� Applicant is: Owner �Contractor �"�' ��; `��q i l ..WVW • 1V W-/' I �'�'1� � .l �� Description of work: `i �D � �� '� Construction Cost: � -S v� Multi-Famil Buildin es /No �� ,�,�� .�a_.,; � Y 9� � x x � Company: f,9��"�G� /70 VEi2 C�yy,f1/1, l Contact:�/7�/�L ; ` Address: �O /7l"`�L(Zi t0�� L'� City: �o s�- �i9v� = ��'�lG�#�� Statem� Zip: �Sb7S- Phone:�0�1- (�lg�ggf�maiL ; Y License#: �79� Lead Certificate#: �� If the project is exempt from lead certification, please explain why: t c� o u E �o - -�.S- ' 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 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: �t�7'� i�;r�a�s��r�'�►�I��s�,y��'�� i'�� r'�� `��' t�e f�+r��t`��n��y b��1��t��;�' � �� ►l�'�`� , �� , 3 � � � � s � �# �� , , v �� :��, ��'�t�� = ` „� � 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.popherstateonecall.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 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 must be completed within 180 days of permit issuance. X �iAc�n�w�E /Q_ �Jov�r`, X �_� Applicant's Printed Name Applica�t's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE � 3 I �� SUB TYPES �� ►��y�f►`�� I _ Foundation _ Fireplace _ Porch(3-Season) � _ Exterior Alteration(Single Family) � Single Fatnily _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) �I _ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building ' WORK TYPES ��''��/� _-, �,��``� ' _ New � Interior Improvement _ Siding _ Demolish Building* � _ Addition _ Move Building _ Reroof _ Demolish Interior ii � Alteration Fire Repair Windows Demolish Foundation I Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant ', DESCRIPTION I, Valuation 7�� Occupancy MCES System I Plan Review Code Edition SAC Unit� II (25%_100%�) Zoning City Water ,I Census Code Stories Booster Pump � #of Units Square Feet PRV ,I #of Buildings Length Fire Suppression Required ! Type of Construction Width i REQUIRED INSPECTIONS ' Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required , Footings(Addition) � Final/No C.O. Required ' Foundation HVAC Gas Service Test Gas Line Air Test ' Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final I � Framing Drain Tile � Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick '' � Insulation Windows ,I Sheathing Retaining Wall:_Footings_Backfill_Final , Sheetrock Radon Control ' Fire Walls Fire Suppression:_Rough In_Final �' Braced Walls Erosion Control ' Other: / Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ,� ��r'�` �� Surcharge � � �f� � �1� � �;1�- �� Plan Review ��;�,..��C� ��- MCES SAC °� � City SAC ��, <� ., �,� � � Utility Connection Charge �'� � � �� 1 � S8�W Permit 8� Surcharge �� °�� - ��° '�--�'�� , : � Treatment Plant Copies TOTAL � Page 2 of 3 vt ,i b For Office Use $_ 6 a : � � a 0 Permit#: /�/ 0115 E AGA N Permit Fee: //c;2•D'62 ..........,. g)- --- - REC1EVED Date Received: / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810Li:4 (651)675-5675 1 TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections(c�cityofeacian.com AUG U ) LU IU L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ,....6iy____ Name: ibik, 04\-- Phone: 6 12 -`t 3 2-26'71 Resident/ t �7 Owner Address/City/Zip: Ls 1 (S ( �� U.i'U J r-i-\,'� Applicant is: Owner Contractor -�goo Type of Work Description of work: Ke=QlCil C (0 -A e_cci 0----\6,C, (-6t. I.►�Cjf Construction Cost: 5 i 1 (0, Multi-Family Building: (Yes /No ) Company: Contact: Contractor Address: City: 1 State: Zip: Phone: Email: License#: Lead Certificate#: b If the project is exempt from lead certification, please explain why: Lac// r X47 c 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: i Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: I Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be ( classified as non-,ublicif ou a rovide s• cific reasons that would ®ermit the Cl to conclude that the are trade secrets. 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.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed 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 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecail.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 wit.out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv- • •lans.7 x ?-i 0-11\ JA VI- x ,, Applicant's Printed Name Applic . Signat DO NOT WRITE BELOW THIS LINE 4( 76Lcuvtimi(i' /- / 7 .SUB TYPES Foundation _ Fireplace , Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi $t Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level — Pool — Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation A etl9 * Occupancy 47.24 –/ MCES System Plan ReviewCode Edition 01,0/9- SAC Units (25%_100% ) Zoning R –/ City Water Census Code 4 S4 Stories ' Booster Pump #of Units / Square Feet PRV _.-- # '#of Buildings / Length j Fire Suppression Required Type of Construction A Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required — Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: fi!' 'Ir,,, P% , Building Inspector RESIDENTIAL FEES Base Fee 73 Surcharge Plan Review 4/7 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Building Permit Survey for: PROGRESS LAND CO4IPANY LEGAL DESCRIPTION LOT 1 BLOCK I, COUNTRY HOLLOW THIRD ADDITION , N 0°3679" O E 85.00 3tiy aeeordng to fhe recur d jt�-` v thereof, Dakota County, Minnesota, A9 yti s ,, &W THIRD • .NT:—' r -' '710R- , •. 1 x rOa fae PROPOSED GARAGE FLOOR ELEV. __2I__ I 24"f12 PROPOSED TOP OF BLOCK ELEV. ....._212-5___ I OX ELDER I PROPOSED LOWEST LEVEL ELEV. __629.5___ ADDRESS 4176 COUNTRYVIEW DRIVE 0 I L O , V P4\-j- e 1';i0 P N 11 it BLOC / J'e� 1 01 �. TOE 28A, 0 'd I 04' 1 (\I tej) Obi I " x TOE-258 W t' 11 04 P i I A° c 5 d '--- r delemia .1 LW i co r•\'�',,-0 + c'J 13.84 1 as r X11 sI 1 `.ter/`. fl6 C -- — _ w1 77 � ., J �r x TOr-71.3 ot, z1 f43 " o ( w L ,71// / I L • -� — — i �� .-rte f, e UILDIc 11 , t6� DAV—-----\f � i• f. 0° 6 791 E 186.70 .....,ii COUNTRY VIE W �,� / e OP +I:, tot, 1YGx w?'‘‘. . .-..-. . `.-,.` f4. ___-_ • ties • - •ro ptNski SEivER '' D E L M A R ods e SCHWANZ el Q e ens' M r e —8625 IifHS11R��'� 7 c, 2�; ....... I herby certify that his earner, , I or report nos pre ed by me or Q SCALE I INCH - 30 FEET under ■y direct sups-vision and that 1 an a duly flogisterld Land Surveyor 0 Iron pipe eoaument under the lues of th State of Minnesota. CProposed Elevation / V Dale• ..O .A ( •-- Proposed Serfacs Draiaoge ` � ply 70,2 Existing Elevation Delmar H. 5che. z ' / i f 14147 Minnesota Registration No. 8625 IR F. v,.. zipi • D‘for_-__7Zc EAGAN ENGINEERING G D L I'-s k_:I A I\ REVS/` WED_ �%• 3Y %' - PERMIT City of Eagan Permit Type:Building Permit Number:EA161316 Date Issued:05/18/2020 Permit Category:ePermit Site Address: 4176 Countryview Dr Lot:1 Block: 1 Addition: Country Hollow 3rd PID:10-18277-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bjorn A Bragstad 4176 Countryview Dr Eagan MN 55123 (612) 269-1348 Maintenance Free Minnesota Inc 4220 83rd Ave N Brooklyn Park MN 55443 (763) 560-6140 Applicant/Permitee: Signature Issued By: Signature