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4185 Countryside DrCITY OF EAGAN 17426 3930 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 e"i PHONE: 454-810 0 BUILDING PERMIT Receipt # To be used for sF VW?f Ghlk Est. Vatue $148,000 Date JAN 9 19 ? Site Ad ss 185 COUNTRYSIDE DR Cl Lot f Block Sec/Sub OFFICE USE ONLY . PafCBI NO. Occupancy R-3 ?i FEES W STARK CONSTRUCTIOIi Name ing zon (Actuaq Const .?? Bldg. Permit ? ? o Address (Albwable) - 74.? EPX" 87 Surcharge -0300 City PhOne s ot Stories Plan Review 52g'? o Name S?E Length Depth Cil SAC 1?.? = y , ? Q Address S.F. Total - 6? pp ? SAC, MCWCC ? r City Phane S.F. Footprints - Water Conn 625.00 On 5ite Sewage _ ame On Site Well W t M t ? •? 9 er er a e j _ Ad dress MWCC System 30 ? . xx Acct. Deposit ty Phone Cdy water ? 30,00 PRV Required &W Permil I hereby acknowlege that I have read this application and state that the Booster Pump - 5/W Surcharge 1.? information is correct and agree to comply with all applicable State of Mi t St t 252 00 nneso a a utes and City of Eagan Ordinances. Treatment PI . ? r Signature of Permitee APPROYALS Road Unit 355.00 ??1?H A Building Permit is issued to: . ??K Planner - Park Ded. on the express condition that ali work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff _ Copies ',4?.00 BuiWing Official ' - Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING ? 9 C H.V.A.C. ELECTRIC ,?i? ????y???L Inapectfon Date Insp. Comments Footings I Foundation Frarniny Roo(ing 2? Q Rough Plbg. - -/ S I r l. A ? Rough Htg. ' Isul. Fireplace FinalHtg. final Plbg. ' = / (? -.• L ; -?(? Const. Meter Plbg. Inspector - Notity lumber Engr./Plan Bldg. Final R ? Deck Ftg. Deck Final W@II Pr. Disp. 1P CITY OF EAGAN 3830 Pilot Knob Road Eagan, MinneSata 55122-1897 (612) 681-4675 , SITE ADDRESS: t.1111Cdif+Y (IFII I I I I i PERMIT SUBTYPE: ,1.. „ J?I: ,I ? , 1 1.1 1'.H TYPE OF WORK: ? ?I kA z I, ;, INSPECTION .. . D. ? TI4N RECORD PERMIT TYPE: Permit Number: Date Issued: P a/ i i APPLICANT: 1 ?a ? r?? r ( 1; 1.' ) 4 4: ?. .? tt I ??' Permit No. PermR Holder Date Telephone M ELECTRIC PLUMBING HVAC InapecUon Dete Inap. Comments FOOTINGS FOUND FRAMING c ROOFING ROUGH PLUMBING ' PLBG AIR TEST ROUGH HEATING f o iq?cy GAS SVC TEST INSUL ia GYP BOARD FIREPLACE FIREPLACE AIR TEST -Z - ? ` FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. I BSMT FINAL "W DECK FTG DECK FINAL I '-- SEWEp & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 oA-rE -2 - L - C'IU 4185 :AUNTRYSIDE DR ..._._ r,_ . SITE ADDRESS 'Us LOT ? BLOCK ? . APPLICANT: = ADDRESS: CITY, STATE ? PHONE: , STATE OWNER: _ ADDRESS:_ CITY, STATE PHONE: - OFFlCE USE ONLY METER #? 3_5'13I0 S PERMIT DATE CHIP # io?-38 7?DI g PERMIT # - METER SIZE ? 8 rt o[K B.P. RECEIPT ISSUE DATE 3-170 ? J G B,P. RECEIPT ? PRV - BOOSTER PUMP _ PERMIT REOUESTED .? SEWER X WATER _ TAPS - - COMM/IND ? RESIDENTIAL ? x NEW - EXISTING Lawn Sprinkler Meters are to be Installed D r Ahead of Domestic Meters on Water Line. Credii WJCI NOT be-givertfior Deduct Meters. ZIP •- ? i? , _ /. "( - J, ? ?_._ r / ?"• 1 A E O COMPLY WITH CITY OF EAGAN ORDINANCES ZIP ? 4 K e'G SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEYYER PERiAITS, CONTACT ENGINEERING DEPT. r; y.LF_'rior Envelope Average "U" Computation Page 2 of 4 . •a? C aot '7 "i Total exposed roof/ceiling area M. Tbtal skylight area ............................ ? - 77 n. Total roof/ceilinr, -framing area (z-veraye 10%) ... , o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. X lfUl; n. l OX"U" ?_ . 0. x „U,? , b L = l ? ??i '3 4.. ....................... ToL-al = 7??•Lt ? . 'f to*al cf 1#4 is the same as, or less than #2, you have met the intent of SF3C 50C15 (c) i . - • .:.'t,. '«'? . ,,t. _ w Alternate Buildin Envelope Design ? • Zb utilizz the total enyelope system method, the values established by the s;un of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. .3. + 4. . . . " ?1 1 - . •? . =-, X' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: c,eo s54ao t///.'t/9Co BUILDIN6 027252 04/11/9(9 SITE ADDRESS: P.I.N.: 19-18275-070-02 4185 CtlUNTRYSTDE OR LOT: 7 BLOCK: 2 COUNTRY HOLLOW DESCRIPTION: easEMEwr FINSSH ALTERATION 434 ALT. RESIDEfdTIAL m ? ?' @O?&a T? g6 ?_? -gY ?S9t? HtYI''? v % ? ?' ?5di P+I!-0ft 1['d j?9?i ?.N H. REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Total Fee $58.00 $.50 $5.00 $55.50 CONTRACTOR: - Applicant - sr. LIC.OWNER: BAKKEN HOMES 14475287 9001407 MCDONALD MARK 4376 HICKpRY NILLS TR 4185 COUNTRYSIDE Oft PRIOR IAKE MN 55372 EAGAN MN (612) 447-5287 I,'h•ar.,e;by a.ckn?wled;g;?: that?z haue r??tadap}?13cat?on ai?d, s??Ce th??,°t??e ? i rf fa'r.ma tga'n -is, car, r.'ect :arrd ?cjree` ?b corrcpl`y uith ?p?•11cab7,e 5ta to "af Mn ° ; 5?a?ute? arid[ C1ty ;r?f ?a,ge? ra rt? ?._ .. . ? _ . ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoalr Reauiremenh ? 3 registered sfte aurveys ? 2 copies of plan ? 2 copies of plana (include beam & window aizea; poured Md. design; etc.) ? 2 sHe surveys (exterior addRians 8 decks) ? 1 energy ealculatiure ? 7 energy calculations tor healed additlons ? 3 coDlea M tree prexrvaHon ptan H tot platled after 7/1/83 requhed: _ Vea _ No DATE: ?- CONSTRUCTION COST: ?ae-7,4? cza DESCRIPTION OF WORK: 134, T PL) 7-.T" STREETADDRESS: /-?7o et LOT el; BLOCK SUBD./P.I.D. #: ?Z/'? PROPERTY Name:?.?L Phone #: OWNER "' . `"•`. Street Address' City: x K" .:t, 5tate; h'l?;`• Zip: _ + , .. f? ?.I !• 1 y ? S?S 7 CONTRACTOR CORIpa11y: lcy ?/v/' PS'.• • Rhon'e'#: `1 •. . . ., .•,; .._ l y? `7 • Street Address: 413 9' /,.;i . %-&i.icense #: , 's .. City:?G'?` o Y ,[Cfjt, ? 4 `. ..r State: s?; Zip• .S'?'3 ?7 Z ARCHITECT/ ENGINEER Company`. Name: Registration #* ' .. . , Street Address, ? City: s Phone #- 5tate: Zip: Sewer 8 water licensed plumber: -S;VPP / z Pv P/?ryi Ln ;.v?- ffW eP altyalies when address chan9e and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the informaHon is correct and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . Signature of Applicant: OFFICE USE ONLY ?E C ETV-ED ? Certificates of Survey Received _ Yes No hPR --------------- Tree Preservation Plan Received _ Yes _ No I . 1 14 a 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUGTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN; TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS AEQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICN 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 MiIST SHOW A LICENSED PLUMBER. IdA N 0 1 RECD h 5/a6? FAmi - A7-rACtti-D I ?' 0 To Be Used For: Valuation: Date: ?J Site Address ltf??S C00,v7RU Lot S-7 Block -] ParcelfSub COUNTRY HDLl.Ow Owner C CNS% /ZVC-r1o+il /IVAddress '/ 7? !? Lt/ i n City/Zip Code L'?1SF}n, YrIN S/o;? 2 Phone WC)G ' 'g-34?fj Contractor ?'nVf`1 ow1?LdIon Address ? Q ). ? )-J? V-) H -1 Y ' City/Zip Code Phone Arch./Engr. Address City/Zip Code OFFICE USE ONLY /y 8 1 oco- Occupancy Zoning a -? Actual Const V-1J Allowable V-N # of stories Length ? Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV ? Booster Pump _ APPROVALS Planner Council Bldg, off. Variance FEES Bldg. Permit 80g.00 Surcharge ?N, DO Plan Review 5 2 5,of7 SAC, City /OlO, OC SAC, MWCC 4200.00 Water Conn Z 00 Water Meter 90,Do Acct. Deposit p,aU 5/W Permit 0,00 5/W Surcharge ,00 Treatment P1. 2,52 , aD Road Unit 3$$,0 D Park Ded. Copies SUBTOTAL Penalty TOTAL 1g LQ Phone # . . , CITYOFEAGAN N2 17426 , • 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 I BUILDING PERMIT Receipt # L Tobeusedtor SF DWi^>/GAR Est.Value $148,000 Date JAN 9 199-a- Site Address 4185 COUNTRYSIDE DR Lot 7 Block 2 Sec/SubCOUNTRY HOLLOW OFFICE USE ONtY . Parcel No. occuPaocy R-3 M_1 FE ES Zoning R=1 w Name STARK CONSTRUCTION (ncwaq const V=N Bldg. Permit 808.00 I AddresS 4738 W WIND TR (Aimwabie) V=N Surcnarge 74.00 ° Cjty EAGAN Phone 687-0300 #ofStories Length 58' Plan Review $25.00 2 Name SAME Depth 5' snc, cry 100.00 ;: Add ress S.F. Total ?F - snc,MCwcc bon_nn City Phone S.F. Fooipdncs - 625 00 onsiteSewage - WaterConn . ? ww Name OnSiteWell - w W ater Meter 90.OD ? El AddfeSS MWCCSystem xx Acct. Deposit 3Q.00 aW City PhOne City Waler gg_, PRV Required xx_ S/W Permit 30.00 I hereby acknowieye that I have read ihis application and state that [he Booster Pump - S/W Surcharge 1.00 inforcnafion is correct and agree to cmply with all applicable State of Minnesota Statutes and Ciry of Eaga rdinances.l, Trealment PI 259_ nn L OVALS Signatureof Pefmite APPR RoadUnit 355_nn A Building Permit is issued ro: ST RK CONSTRUCTION Planner - park Ded. on ihe express condition ihat all work shall be done in accordance with all Council applicable State of M innesota Statutes and Ciry of Eagan Ordinances. gldq. Off. _ Copies } BuildingOflicial Variance - TO7AL 3.490.00 . ? ' - I+ r . g ; i (trr#i#iratt of ""trrupanry titp of eagan De}rarfmcnl of litildittg JWPriimt - . ? This Certifecate issuedpursuant to the requiremencr of Seclion 306 of7he Uniform Building ? Code cenifying that at the time of issuance t6rs structure wes in compliance with the vanous ordinances of 1he City reguTadng building construction ar use. For the jollowing: UseCl..ifimiion SF =/GAR HIdB.PormitNo."^ I7426 VN R3/141 RI m,,;ng D;s,;n Trx cani oa„Paa? ira > o,mRoreuaaue STAidC flQ9STWCrEN Add,ss4738 47LSL W= 1R.. FAGAN L7, B2, COUt+iIId[ HIdlkl 4185 0? ZY " D?IVE w?,hry s?wm? aa ? ? ? % 6l 1990 i?AY 22 ? p,. . Bu?Nng ?d ? I POST IN A CqNSPICU0U5 PLACE L ? BL ? CITY USE ONLY RECEIPT #: '55 DATE: SUBD. ? 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN; MN 55172 - (612) 681-4675 Please complete for: ? single family dwellings • townhomes and condos whsn permits are required for each unit FIXTURES EAC13 ZLfL TOTAL Shower 3.00 x 3,03 Water Closet ` 3.00 x Balh Tub 3.00, x = Lavatory _ 3.00 x 1 = 3. ? Kitchen Sink 3.00 :c - . . . -LaundTTTay ? Sra?t 3.00 :i • ' _ ? = 3? Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain " 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1:50 :< _ Water Softener . -:. 5.00 x = Private DispOSal ' Dakota Cty. ucense 85.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations ` to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL • ! lf 5- T? 2 $ITE ADDRESS ? ? t-, cSc l..rt I? k OWNER NAME: ?igo-H INSTALLER NAME: STREET ADDRESS: CITY: STATE: MA.f ZIP: 6D?72a PHONE #: ( Ela ) qy?Z e?f ZSTMNA TT - Determine working square footage of each = ZgS'?? ?' 1. Total exposed wall area..... 25'y $- _sq. ft, x .11 2. Total roof/ceiling area..... Iv7z- sq. ft. x .026 h' Total exposed wall area above floor= a. Total wall window area .................................... ...:. Z?.ZrfoS ``` ?` .. .. b. Total door area ............................................... c. Total sliding glass door area ..........................:. ..... d. Total fiireplace wall area ..................................... 'i $^ e,,fN.= e. Total wall fraring area (average 10%) ..........................:..: 2ZA •??.. < ? 4 f. Total rim joist area ..................................... g. ? net wall area above floor. ............................. ;- ,., h. wall area above floor ...........................:. ..``' .................. . i. wall area above floor........... -' . .? , j. frame wall area at foundation ........................... ...: -otal exposed foundation area= ? Z ? k. Total foundation window area ....................... 1. Total net foundation area above grade .............. (,Z, r,'?:?'•- . Determine "u" value of each wa11 segment (e,g. window, door, each separate wall section) a. ZZ,Z x 'lull_ b. 3'?6 X„u,l r ? C. ?[r'? X iiU ?lll LI? - I)!(?V aqyTn`:: - .. +( ?.'.. , d x u?? Z'? • ?.k':. , . e G Le X u?? f. ZZ? X,lull 9. i7gC) x u?? ,oy = 79,z. ??`.?;F n. x ?lull 1. X ° u .' i • X uUu , o y = lo , Z9 k. ti,9 X,lull 1. ?.Z. ? x „ul, 114 3. .:............................... Total = Zl3,S/ If item #3 fis: as, or less ?i H1; you have:c intent of SBC, A? . , 2? O- 5 9?p P B?P PE OFFIC USE L/Y -This reqoesl void 18 monlhs from volidatlon dom prinled lo this bay Reqa koagh- inspetlim reqoired2 ? Yes (Yau muxt coll the Inspedor when ready) No InspMian O?her Thon Rough-In? ? Ready Now ? Will Coll Late eeady, irensed conim<for ? owner hereby request inspection of the above eledrical work ot Job Mdress (Streel, Baa, ar Route No.) C? tUL Ciry CA C11 0\? Zlp Cade Setlion No. Tawnship Name or No. Range Na. Fire Na ' Couny eifl? y`1- O¢uponf ?J PhoneNo..? , 1 ` ??? [l lJ PowerSuppller Address Eleclnml ConNacmr (Com?pony Name) - c,? C-l?c.J?c, c Conlratlor License Na. Masxr Lic No. (pant Elecf. Only) 2 osl ? Mailing Add? ss (Cantmcror or Perfarming Inzwllation) e. ` l - /wllionzed $igrwNre (Conhaclor ar I°,talla,io°) ? `h °°r a E8-OOOOlA-10 6/95 HOCOPY-SEEIXSTNUCTIONSONBACKOFYELLOWCOPV _ I? ?I 6? I' II REQUESTFORELECTRICALINSPECTION I Minnesota ? Avear Rm f SI1 B, c 827 Unive St. Paul, MN 55104 ??,`.Ay? * 6 0°? 1` 4* Phone (612) 642-0800 N_,*?"`? Home Duple: Apt. Bidg. Olher: New Addn Commerciol Industrial Farm Remod Re air Air Cond. Hig. Equip. Wofer Hir. Lood Mgmi. Ofher: D er Ron e Elec. Heat Tem . Service "X" above ihe work covered by fbis request Enter remorks in fhis spare and on }he back of the white mpy only. r,vrgE ,As,1sE.wB.vT Colculote Inspection Fee - This Inspeciion Request will nof be accepted wfihout the torrect fee:A?jsj /i Oher Fee # Service Enhance $ize Fee # Circuils/Feeders Fee Ma6ile Home Park Stoll 0}0 200 Amps 0 to 100 Amps S}reef Ltg./Traffic Sig. Above 200 Amps A6ove 100 Amps Tronsformer/Generator INSPECTOR'SIlSEDNLY ?TAL e' ? $ign/Oulline Lfg. Xfmr. 2aYl l Alarm/Remote Conhal $wimming Pool I hereb mm fhat I' elenn I in Imion e?nbed here?n on Me dare rcd IRi9O}i0tl Boom Rouqh-In . Dat a Speciallnspedion Investigative Fee e ? ? Final ? THIS INSTALLATION MAY BE ORDERED CONNECTE IF NOT COMPLETED WITHIN 18 MONT S. PLAN $ t ?J-77 * LINEAL FEET FF'}TOSID WALL BLOCK: 3&. r- ? ca -F 3Fs t zG .. ? f. ?= I`-( ? KtM: W.O.: FUI,L 1: 3?-Ztor- 3 c r Z_ co + 8- S? = I'{ c.' FULL'1:7J?-Z7,S-4.:??,-Z7?: FIREPLACE: ;a RiM: z -7 ':) * SQUARE FEEP EXPOSID WALL ARFA BIACK: X . S' 7 7-- 1CNEE : x 5 = W.O.: x B = fT.JLL 1: j? LI X 8= I I S Z FULL 2: X $ = I b?-f8 FIREPLACE: ? x $= '-i g RIM: L l S X 1= 7-7 S?- z s17 r ^ SQUARE FEEI' EXPOSID CEILING S6S7 * iN?FIS il I;zy >s .33 . :_,•?;>i., 1 uOZ[{ , .. .?'J - ?? ?} t?.?, ao?e - ,??,•-i?l . ?j.7a Z? z?. z? 37 - ? i z 4 7 c, _. °2? c<7 i??, 3az.o _ -- = sL ? .. • ? ? . - ,ZZ,"v15- - * DOpgB Z$ _ 1`15 z 5 cC . . 3 _ Zo * PATIO DOORS * BASII9IINT tJNITS II I-Z817 , Ifl08E ?(VGINEEflI(VG CornPANY, irvc. ?-IUUU EA9T 1461h SiREET, srA,e.e C,o.vsr. CONSUlTINO 6N0fNEfR6 ?Z7?7??? PLflNNEfl3 and LAND iURVEYORS B? 135 O.9GE 56 8URN641LLE, MINNE90TA 663ST PH 4D2'3UU0 Gertificate ofi Survey Legal Descripliou : zoT 7, e?oc,e z, CGY/NTiE'Y ,voccor,, 17f/KO7-4 COVNT ,y M/NNESOT.4 (8z7,o) DENOTES EXISTING ELEVATION (8z7. 7) UENOTES PROPOSEU ELEVA710N SCALE : /u - ?'0 BZB.oo = fINl51-IEU (aAfiAIUE PLOUR ELEVATION eza•Z9 = gpSEMENT FLOOR ELEVATION Bz8•33= TOP OF BLOCK ELEVATION pRA/niAGE ANo U T/L/ TY 69SEMENT- W ti m 0 ti ? ? INUICATES UIRECTION OF SURFACE DRAINAG6 30 'F20NT 49/-J/L0/N9 SETBAC.e L /1v,!5 N 99° 38' 31 !-f/ (BLi.? -- I(8zz, 7 8 g 30.0o g.@z4s. /o ?! Z tp 1`. {? ti d? 827,7? I Q? DO ? v I? I?ZO-'9?o6.00 CA 8Z7,7) 6.00 , 2 ?_ ,?u,_? ? /867 s, ?1 $ 8,85% i ? ? /60, o0 N 093/"G!/ L.J...? 0 ?BZZ tJ r.,; n ?I ? Q ? I , EAGAN ENGINEERII413 I?EP'i?' ?. I heroby certify Ihai thie is a lrue and correcl reptesenlalion o1 a trucl of land as shown end described h.rewn. As piepaieJ by me on 11iis 3rJ day ol JANUq2}' 19 90 . . ?o O a V o ?EQVM ? ? Minn, Reg. No. /6`'?- PERMIT City of Eagan Permit Type:Building Permit Number:EA139427 Date Issued:10/24/2016 Permit Category:ePermit Site Address: 4185 Countryside Dr Lot:7 Block: 2 Addition: Country Hollow PID:10-18275-02-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Judd 4185 Countryside Dr Eagan MN 55123 (612) 685-7313 J Carver Construction Inc 1345 Schletti St St. Paul MN 55117 (651) 645-5488 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147819 Date Issued:02/08/2018 Permit Category:ePermit Site Address: 4185 Countryside Dr Lot:7 Block: 2 Addition: Country Hollow PID:10-18275-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Michael J Judd 4185 Countryside Dr Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154405 Date Issued:03/19/2019 Permit Category:ePermit Site Address: 4185 Countryside Dr Lot:7 Block: 2 Addition: Country Hollow PID:10-18275-02-070 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Michael J Judd 4185 Countryside Dr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature • , • • •siB EAGANE cEIVE D �1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1W (851) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspectionsno citvofeagcan.om BY: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION 05/18/2020 4185 Countryside Drive Date: Site Address: Unit#: MAY 2 7 2020 For Office Use Permit#: / 6/ 7/y 11 Permit Fee: �71• 7/ 14 Date Received: Staff: L J Resident/ Owner Mike Judd 612-685-7313 Name: Phone: 4185 Countryside Drive, Eagan, MN 55123 Address / City / Zip: Applicant is: Owner Contractor ge1 / ar,ti,4%10 Jh Type of Work Remove existing deack and replace w/e size Description of work: 48,000 Contractor Lindus Construction Cory Maxon Company: Contact 879 US Hwy 63 Baldwin Address: City: WI 54002 651967038q cory.maxon@lindusco.com State: Tip: Phone: Email: BC728981 NAT 58924-3 License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: in the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer & Water Contractor: Fire Suppression Contractor Phone: Phone: Phone: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be classified as non-public /f you provide specific reasons that would permit the City to conclude that they 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.cltvofeaaan.comisubscribe. 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 D G. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.00pherstateonecall.org 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 tans. Cory Maxon x Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE * SUB TYPES Foundation — Fireplace Garage Single Family Multi 01 of _ Plex L// gs ouin+KAis: dE D4. /‘i 7/1i Porch (3-Season) _ Porch (4-Season) Deck _ Porch (Screen/Gazebo/Pergola) Lower Level Pool WORK TYPES, _ New _ Interior Improvement _ Siding _ Addition _ Move Building _ Reroof _ Alteration _ Fire Repair _ Windows Replace _ Repair _ Egress Window Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Unite # of Buildings Type of Construction 8.aoo Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) X! Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final X Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant 1 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required X Final / No C.O. Required HVAC Service Test Gas Line Air Test _ Hood _ Pool: _Footings Air/Gas Tests _Final Drain Tile _ Siding: _Stucco Lath _Stone Lath Windows _ Retaining Wall: _ Footings _ Backfill Radon Control Fire Suppression: _Rough In _ Erosion Control Other Reviewed By: T - n/e /s , Building inspector Final Brick Final EFIS RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL ke lac :n� ' Ale •per v..; a sSc, eeL ,.a \ *ec t Foc5-4-•: ^�s F"r beck Sca t-� � = "e5C)0-Cow - t5 � 5145. cis Page 2 of 3 LfiC_Ocktv-ity s, ct6 D. /62/7// ROBE • ENGINEERING COMPANY, INC. ,I000 EAST 146Th STREET, BURNSVILLE, MINNESOIA 6633t PH 432-3000 CONSULTING ENGINEERS PLANNERS and LAND SURVEYORS Certificate of Survey Legal Description: LoT 7, &Del< Z, CDY/NT7'Y evoccaw, L 4KOT4 cociAiTY M,A/N65074 (8z7"0) DENOTES EXISTING ELEVATION (8z7. 7) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 8Z8. oo = FINISHED GARAGE FLOOR ELEVATION aza•Z9 = BASEMENT FLOOR ELEVATION 8z8.33 = TOP OF BLOCK ELEVATION 5T4R,e c wsT dei7/7.D/ • . B /35-. Og6E 56 ORA/A/466 AND 1.17/6./Ty EAce/neNT EAC ''ATE' G-/a-goad BUILDING INSPECTI . ,ga/LDWG 'G /ivy ....- N B9c 38' 3/" N/ (82./.e .q�s` f---/ao.o0--- -- -:"..... o 2 ......tO l V 8�0 t�N 60 oo al `(022��' �5 2 8z7.7% O i11\_a` a ( I ro$% 8851 tii 'r N. Q r‘, Q tv ?Z-�4- -- lg 2 08Te3k }: LN,5 ••••• - --r_ '"•-....7.11 ,f,'E 4 #. , 43, _SI o ---icaoc--- o _ e t\ /60.00 /AZ7.o) N 89' .39' 3/""!v :;g� LT.« G 11 pl n, . EAGAN ENGINEERING DEPT I hereby certify Thai this is a true and correct representation of a tract of land as shown and described h.,on. As prepared by snip on this day of 1JANU#IE-I' ,19 90 e V., (], E Q U Il ,F L Minn, Reg. No PERMIT City of Eagan Permit Type:Building Permit Number:EA166474 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 4185 Countryside Dr Lot:7 Block: 2 Addition: Country Hollow PID:10-18275-02-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Michael J Judd 4185 Countryside Dr Eagan MN 55123--162 (612) 685-7313 J Carver Construction Inc 1345 Schletti St St. Paul MN 55117 (651) 645-5488 Applicant/Permitee: Signature Issued By: Signature