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
• ,
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EAGANE
cEIVE
D
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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�
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Foc5-4-•: ^�s
F"r
beck Sca t-� � = "e5C)0-Cow
- t5 � 5145. cis
Page 2 of 3
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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
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.
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