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571 Prairie Cir ESEWEa & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. ?Eagan, MN 55122-1897 'i DATE AQ r i. 1 25,1991 OFFICE USE ONLY p METER #?T r?79 Ff PEAMIT DATE 05/06191 CHIP # d aa I°? ?O ?9 PERMIT # 11972 METER SIZE B.P. RECEIPT # C 13227 ISSUE DATE'??b B.P. RECEIPT DATE US G3 9! x PRV - BOOSTER PUMP SITEADDRESS 571 Prairie Cir East LOT 1 BLOCK Z SEC/SUB Country fiolloW Znd APPLICANT. .7osenh M. Miller Conat Inc ADDRESS: 181 3 3 C e d a r Av S o CITY,STATE rgrn:irc?-,ton, Mn 21p 55024 PHONE: 4 3 1 - ;? (` 1' ; - PLUMBER: P e s s i a n P 1 umb i n Z ADDRESS: 121 Re dyood Dr CITY, STATE ^ r?> 7 e V a 17. ey. M n Zip 5 5 12 4 PHONE: OWNER: - ADDRESS:_ CITY. STATE ZIP PHONE: ,-- . . PERMIT REGIUESTED X SEWER x WATER - TAPS -COMM/IND xxxr.x RESIDENTIAL NEW - EXfSTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Cre ' WILL NOT be givBn for Q?duct Meters. "-4f'i' , ?? / l? ?? F I A E TO COMPLY WITH CIjY 13 EAGAN ORDINANCES t SIG?TATURE WHEITMETER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM . SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER`81N%TER PERMIT cirY'oF tar.AN 3830 Pilot Knob Rd. ? Eagan, MN 551 22-1 897 %b DATE "-pril 25,1??9i OFFICE USE ONLY METER # PERMIT DATE CHIP # PERMIT # 11972 METER SIZE B.P. RECEIPT # C 13227 ISSUE DATE B.P. RECEIPT DATE O X PRV - BOOSTER PUMP SITE ADDRESS '7 1 a i r'. ? C i r $ a s t LOT 1 BLOCK = SEClSUB CQUntry Hallow Znd APPLICANT: 3osaFh M. Mi12tt Congt Ir,.y ADDRESS: 18133 Cedar Av si CITY,STATE riarminrzton, Mn ZIP 35024 PHON E: 431-- 2 0': 1 PLUMBER: 1' vaa ian P 1 umb i a a ADDRESS: 121 Re droo dDr CITY, STATE An n I e V 31 ]ov, tin Zip 35124 PHONE: r: " ., - '6 8 9 Q OWNER: - ADDRESS: _ CITY, STATE PHONE: _ ZIP PERMIT REQUESTED x SEWER K WATER - TAPS COMM./INO xxxxx RESIDENTIAL X 7L _ NEW EXISTiNG Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be givien for b@1duct Meters. 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. j?- -? DATE: MAY 8, 1991 RE: 571 PRAIRIE CIR E(JOSEPH M MILLER CONSTRUCTION INC) X Your Sewer & Water Permit for the above properry 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: Yaur Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WA7ER TURN ON POLICY. Secretary, Building Inspections Dept. ? CASH RECEIPT CITY OF EAGAN , 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 PlEcErAD ;:s nh rv-? ??« FFIOM i? AMOUNT = 8 loo DOLUIRS ? CASH _ p"HECK oUfl'?i/ BY -?-) C 13227 WtAo-psyws Copy YoMOw-AWUrp Copy VY'Y Pink---FNe Copy • ~ Thank Yau +?R+,•?.;?,. . . . -s. .. ? . ,-:i-Zal..'r'.?Ne?*'v?^v'"' d sa.. CITY OF EAGAN : • ? ? .- - , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8140 BUILDING PERMIT Receipt To be used for 81 Value Site Address s71 P4AIUIR Ci4 R Lot I Block 2- Sec/SubC(XIH1RY t1AtJMr M Parcel No. W Name JOSSPH M MIIIEA CepSIrRtr_?tr? ? Address 1e133 CE[= w1/E s 0 City rAR!lIMGTAp Phone 431w2001 Name s? Address Phone Name _ Address City _ Phone I hereby acknowlege that I have read intormation is correct and agree to a Minnesota Statutes and CiN of Eaaan f Signature of application and state that the y with all applicable State of OFFICE USE ONLY oocupancy R?-9-1111--1 FEes z«,iny JIW-1 (Actual) Const --Vm* Bldg. Permit 780-? (Allowable) -V- Surcharge 70•00 # oi 5tories length _n' Plan Review 507. ? Depth -31W SAC, City toQ.? S.F. Total - SAC, MCWCC 650,? S.F. Footprints - On Sile Sewage _ Wa1er Conn "0.00 On Site well water Meter 95.0? MWCC System x ? Waler City Acc t. Deposil • ? PRV Required S!W Permit ?, Bwster Pump - S/W SurCharge • ? Treatment PI 27f?-DA APPROVALS Road Unit 370•? A Building Permit is issued to: `iOSEPH M MILLEA COMST Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council ^ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Otf. _ Copies Building Official ; • Variance - TOTAL ? . - Permit No. Permit Holder Oate Telephone * WATER / ,?- SEWrR PUIMBING H.V.A.C. FI Ff:rRic Inspecfion Data Insp. Commar+ts Footir,gs I Foundation Framing Rooting Rough Plbg. ?l Rough Htg. 7 ?r •''""- ' 9 ? ??-,,,?' ?•y? Isul. Fireplace Final Htg- yS e ?7 Orstat Test vy. J' Fnal Plbg. f? •?l ? Inspector No ' lumber Consf. Meter lei a Engr./Plan Bldg. Final AFZ Deck Ftg. Uedc Finat Wefl Pr. Disp. ? .• ? (gtrft#trafe jof COrrupanry Citp of ( 'eagari Eeprhttrid af WW[.ding JmWprtiatc This Cerq)?cate issued pursuan(10 [he requiremenls of Section 306 of the Umfornr Building Code certifying lhar a11he titne of issuanee this strucwre xws ix carrrpliance wilh 1he various o?dinances ollhe Gt?' reSuladnB buddin8 corrouaion or use For the joUowing. u,e absd6caoo. S6 = - 4w esa& ftc rro. 1R998 O-vNV-T 7'P? R-AAl? zmioL Dsmia R 1 7ype co..,e VN oweer d emldins ]CXM M hff f 7 L rYUC'T -Am= I R I 43 (M1AR AVF. S, FAINII+,'ZQd BwdimAdd= 571 P'RA'CRTF. !'TRLT R F.A.SI' i,,.k L l. S2, OOLWIkY HOI.il)w 2Id1 ? -? n.c 7/26/Q1 . Bw78ins o dal ? POS7 IN A COHSPICI}OUS PIACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ' ! ::?t1i1F i 1 PERMIT SUBTYPE: INSPECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: 1 NInCK APPLICANT: TYPE OF WORK: 409!yl 3/ 9# - •? 1,? k( MAI+kS: Sk{'AFtAIt I t IrMI I', AfiE tiE t1111Rf:1) FqR ANY V111MI; fM4i OIt FI fC Ik1i A1 1I1Wh Permft No. Permit Holder Dete Tekphone M S/VY PLUMBING HVAC EIECT ELECTRIC Inspection Dete InsQ. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. L Isul. .u y? ? ?t T Freplace I? Final Htg. 'I Orsat Test Finai Plbg. Plbg. Inspecyor-Ndify Plumber Const. Meter EngrJPlan Bl.?fl&l . OI?O//J ? a Gy? s ` r Deck Ftg. ,12 Deck Final ? weu Pr. Disp. y 9s' !? S/ /a/-? 8o 8 4413 ;x`6.2 °° Request Date 6-3-91 Fire No. ough-in Inspection Requiree? ? peady Now / Will Notiry Inspector f Yes C No When ReatlY? 119 licensed contractor El owner here6y request inspection of above electrical work at: Job Atltlrass (Street. Box or Fome No.) Gty 571 PRASPIF CIRCLF? EAST /FAGAN SecUon No. Township Neme or No. Range No- unty 6p`DAKOTA OccupantfPRINTj JOE MILLER CONSTRUCTION Phone Na. 612-431-2001 Power Sup Irer D?KOTA ELECTR Adtlress IC ASSN 4300 220TH STREET SW, FARMINGTON E?e?rC3MyDLANDm]EECTRIC INC Tnpac? N. , . 41610 Mailin9y6%c145TH STREE?InstaEST #214, APPLE VALLEY, MN 55124 Aulnorizec Signa 'Iract Ing Installali Pnone Number 612-432-6688 MINN` ESpTA STATE BOARD OF ELECTq THIS INSPEGTION REQUEST WILL NOT GriggsMidway Bltlg. - Room 5-17BE HGCEPTED BY THE STATE 90PR0 1921 Unlverefly Ave., SL VauL MN 55104 UNLESS PqOPEii INSPEGTION FEE IS Phane (612? 602-0800 ENCLOSED . 4 j??/9? ;EQUESToFOrR EP ECTRI?CA?LtiNSPEIC?TION copy E nQ Q 1? -"X" 8e1ow Work Covered by This Request 0 D ! Q/7 ew 'Add"I Ffep.j v TypeoBUilding AppliancesWired EquipmentWired ' A'i Home X Range Temporary Service Duplez Water Heater Eleclric Hea[ing • Apt Building Oryer Other (Specify) Comm./Industrial X Furnace Farm Av Contlitioner Olher(syeutyl Contreotors Ramarks_ Compufe Inspection Fee Below: k Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee Swimming Pool D to 20) Amps /f 0 to 100 Amps 6'? Transformers Above 200 _ Amps Abave 100-Amps SignS Inspedor's Use Only. OTAL Irngation Booms ? Ov ?p?• Special Inspection AlarmiCommunication THIS INSTALLATION MAY 8E ORDEREO DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON ! I, the Elecirical Inspecror, hereby Rouqn-in ? D te fj z certity that the above inspection has been made. F;?ai (??• ?'U 7 ?/?/' OFFIGE USE ONLY This repuest voi0 18 manths Imm 1 °° J 2 411 /./ a ?- ?is ? Request Date Fire N¢ . gh-in Inspeclion uiretl? ?u ? ,y., eatly Now OWill NotityIrtspector ? Vea lo When Reatly? IVicensed contrector ? owner hereby request inspection of above electricai work at: JM Ftltlress lSYreet. Box w Roule No.I ? City 1°.2.4/?°/E C!R Z '9 '0;7 ? Section No. Townsnio wame or No. Range No. Counry Occupa tIPRINT? / Phone No. / Power Supcller ? AMress y ? v mmmaaa Eiect/y?al CoMraaor? pan? Coniracbr5 License No. / b g Mailinq Atldress (COnVacyw or O.vner Making Installation) G 3 L-o-- ? Aulhorizetl SI aNre Conlractor wne? Making Insl alionl Phone Number MINNESOTpSTATE BOARO OF ELEGTPICITY THIS INSPEGTION REOl1EST WILL NOT Griggs-MlEway Bltlg. - Poom S173 BE ACCEPTED BV THE STATE BOARD 1821 Univerelly Ave., St. Paul, MN 55104 UNLESS PROPEF INSGECTION FEE IS Plqne(612) 612-060D ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?° ?? ee-0oooi-oe +?,? /OS? % J 2 5 41 1 S. instmctions Ia compleling ihis fo?m on back ol yellow mpy, X ? " Below,Work Covered by This Request ??:?°` e Add Rep. ` TypeolBuiltling AppliancesWired EquipmeniWired Home Renge Temporary Service Duplex Water Heater ElecMC Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Olher (syecity) Comracbr5 Remarks: ,G Compute Inspection Fee Below: O G-ff # - Other Fee # ServiceEniranceSize Fee # CircuitsiFeeders Fee Swimming Paol 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspccbr5 Use Only: TOTAL U ? Irrigation Booms ? v ?S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH3. I, ihe Electrical Inspector, hereby Rougn-in Dare certify that the above inspeCtion has been made. Finel 44 oeig?a 'I OfFlCE USE ONLY This reques[ wltl 18 mont05 hom ? Fire No. oug - n InpSetlion RepuireO ('IOU m cell inapeclor when reatly) Veg ? No InspeNO n Other Tnan gouoh-In ? qeatly Now 11 NotHy InSpecMr Dat¢ ReaE ? tor owner hereby request inspection o( a6ove electrical work at: 7 r oute N tmel. 0.1 Ciry Seclion No. Township Name or No. qenqe Na. Counry OccLpant INT? ` ??21 /4n? A.n? C Phone No. Power Supa?ier . Atltlress ElecMCai C ntractor ( Company Name) im P O k1r1 c.f-' ConVactor's Licensa No, Mailing Atlaress iConlreclor or Ownar Making Insiallationl v AuOOri?nVaclon ner Makinqlnstallalion? _ nAi? i? 1x[ cvyzr Phone Number 6??-93a MINNESOTA STpTE BOAPD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT Gri9gs-MiAway Bltlg. - Foom S173 ' BE ACCEPTED BY THE STATE BOARD 1021 Univeraity Ave.. SI. Peul. MN 55106 UNLESS PFOPER WSPECTION FEE IS Phone (812) 6,12-0600 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION pi? Sre instmtlions for complelinq ihis lorm on back o7 yellow copy. ? 6 4?6 2 ` , X" Below Work Covered 6y Thrs Request ?'""?? Eaooaoi-oe ew 7ypeoiBUiltling AppliancesWirad EquipmeniWired Home Range Temporery Service 7 Duplex Water Heater Eiectric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher(Wecl?Y) GontractorSRemark ? S M?1 • tt r?? Co pute Inspeciion Fee Below: # Other Fee # ServiceEntrance Size Fee # CircuitslFeetlars Fee Swimming Pool 0 io 200 AmpS 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector's Use Only: 1 TOT ?- Irrigation Booms ?0 - v? , /? - Special Inspection Alarm/Communication THIS INSTALLATION MAY B D DISCONNECTED IF'NOT Other Fee COMPLETED WITNIN 1 NTH I, the Electrical Inspector, hereby certify that theabove inspection has been made. pouqn-m oate oete ? ?- OFFICE USE JNLV This request voia 18 months irom Address: 571 pRAIRIE rjRCIE EAST Lot I Blk Z Sec/Sub COUNTRy gOLLaW = These items wera/were not complete at the time of the final inspection. Date: 7/26/91 Yes No Final grade (6" fxom siding) L/ Permanent steps - garage ? Permanent steps - main entry Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ? Deck Please verify wlth the builder the removal of roof test caps from tha plumbing system and the shut-off of water supply to the outside lacm faucet before freeze potential exists. oa unnam,uex White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $140, 000 Site Address - 571 PRAIRIE C7R E LOt 1 BIOCk 2- Sec/SubCOIINTRY HO .OW N Parcel No. . . w Name JOSEPH M MILLER CONSTRUCTION I Address 18133 CEDAR AVE S ° City FARMINGTON Phone 431-2001 F Name S? 8Q Address City Phone ww Name ? ; Address gW City Phone I hereby acknowlege lhat I have read this application and stata that ihe informatian is correct antl agree to comply with all applicable Stale oi Minnesota Stalutes and %of Eagan Ordin es.? . Siqnature of Permitee ( '' OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (ACluaq Const -Y---V eldg. Parmit 780.0 0 (Allowable) V-N 70 00 Y ot Srories Lenqih D ih ep S.F. Total S.F. Footprints On Sile Sewage on sae wen MWCC System City water PRV Required Booster Pump APPROVALS A Building Permlt is issued to: J95EPH M MILLER CONST Planner on the express condition that all rk shll b ae donein accordance with all Council applicable State ol Minnesot?a Sp 1 tatut?e)s and}}??C?i/ty of Eagan Ordinances. Bldg. Off. Building Oflicial 4M(? ?J.PAJd f yy?lyLl variance ? N2 18998 Receipt # C ? 3•??--? Surcharge • 521 Plan Review 507.00 -3 (L' SAGCiq 500.00 - snc, Mcwcc 650.00 WaterConn 660.00 WaterMeler 95.00 X X Accl. Deposit 30.00 X ShV Permil 30.00 - SM! Suroharge .5 0 Treatmenl PI 0 276.0 Road Unit 370.00 - Park Ded. _ Copies - TOTAL 3,568.50 ? ? °i ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construdion ReauiremeMs • 3 regislered site surveys showing sq. ft. o( lot, sq. R. of house; and all roofed areas (20% maximum lat coverage allowed) • 2 copies of plan showing beam & window s¢es; poured found design, etc.) . 1 set of Energy Calculations • 3 copies of Tree Preservalion Plan if lot platled afler 711/93 • Rim Joist Detatl Optbns selection sheet (Wdgs wiU 3 or less units) DATE G - I -? '(Y2 RemodeilRenair ReauiremeMs • 2 copies of plan • 1 setof Energy Calculations (or healed additlons . 1 site survey kr exterior additlons 6 decks • Indicate if home served by septic system for additions (W2 .'7 s VALUATION? ? /? ? ? ? • ?? SITE ADDRESS MULTI-FAMILY BLDG _Y _ N TYPE OF WORK FIREPLACE(S) _ 01 2 ----- ----- ? . APPLICANT ? Fachen? ?????? & ggmg, dQQ?. ; 49 $OWh OWesSO BIVU. STREET ADDRESS _Lfl(IC C8p8Q8,1ipN 55117 TELEPHONE# --------? L CITY STATE _ ZIP Fa,c 48'd-'g"a `W) . //0" '?, PROPERTYOWNER ? ?5?.`?? C?l r ? < < -? TELEPHONE# (6S( , Ipg?p-? {?lO? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA'1'EGORY 1 MINNESOTA RULES 7672 (4 submission lype) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Conhactor: _ _ Phone # Plumbing syslem includes: _ Water Soflener _ I.awn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mcchanical system includes: Air Conditioniiig Fee: $70.00 I-Ieat Recovery Syslem Sewer/Water Conhactor: Phone # -----------------------°-------------------------°---------°----------------------°-----------°---------------------- I hereby acknowledge that I have read this application, state that the in crtlation is correct, andyigree tA co ply a with all applicable State of Mi nce . nnesota Statutes and City of Eagan Or d % Signature V. Applfc? ? ' ---------- __---------- ------------------ ------------------------------------------- -......... -----•----------- - --ibF?tY'2'I"ZIIUC? ---- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not lii[ed ___ _ - -? ------ -? __at? aioz OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Ait - Multi ? 33 EM. AIt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition - ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration' ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy ? MC/?S System ? Census Code Zoning Ciry water ` SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs _ Length Fire Sprinklered Type of Const- Width . ' REQUIRED IN,SPECTIONS Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fiteplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . Building Inspector CITY USE ONLY LOT BL PERMIT #: SUBA C O l?VA,&, 0 W ? ll?X RECEIPT #: RECEIPT DATE: I _D- - ('- 0 ?) 2000 MECHANICAL PEfiMIT (RESIDENTIAL) crrY oF Eas,vv 3830 PaoT xxos U SEIfikN M1V 551 EY 651-681-4675 Date: d? Complete this section vnly if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ ?-4 -J ?? I 1 $ 30.00 6.00 Complete this section onlv if you aze remodelinQ, adding ta, or replacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. ? New _ Replacement _ Other Furnace ? Air exchanger Reminder: Call for frna! inspection Air conditioning Other Fee $ 30.00 State Surchazge .50 Tutal $ 30.50 SITE ADDRESS: OWNERNAME:_ -Dan f IXSUi PHONE#: 051- lP&p' I3UI4 IIVSTALLER NAME: __ t5Y1 S 1? V ??VL I ffi.J? PHONE #: r? STREETADDRESS: l?? O D? (?? 1?SY ??-K? ? „,?n QY? K •_' (AREACODE) (?I CITY: ?Y??O ? STATE: MP ZIP:(SS 3-?6 CITY USE ONLY L _ BL PERMIT#: SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: EOOO 1HECIiANICAL P£SMTf (COMM£KCIi4L) C1TY OF £A&AN S$SO PILOT KNOB fiD f AfiAN, bIN 551 fE 651-6$1-4675 Piease complete for: all commercial/industrial buildings multi-family tiuildings when separate permits are not required for each dwelling unit DATE: K)' Q-0 R'ORK T'YPE: New coaswction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When insta[ling/removing underground tank, cal[ 651-681-4675 for inspectiol: by fire marshal and p[umbing inspector. Description of work: Fees: 1°/a of contract pace OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surchazge TOTAL $ calculate at $.50 for each $1,000 Base Fee SITEADDRESS: 571 PRA7R7E C7RCL.F. F. OWNERNAME: DAN & LESLIE GILLELAND PHONE#: 651 - 686-9304 (AREA CODE) TENANTNAME (IMPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: RON'S MECHANICAL, INC. ADDRESS: 12010 OLD BRICK YD RD PHONE#: qr, 9 - 449_8989 (nREn cooe) CITY: SHAKOPEE STATE: MN ZIP: 55379 SIGNATURE OF PERMITTEE 1991 BIItIG P!IT YLICATION CZTY OF EAGAN SINGLE FAMILY DWELLINGS ls[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 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. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NDTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[TST 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 BSEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address (E4 Loc ) Block a . ? ek?' L/- a Valuation. Date: s- 9/ OFFICE USE ONLY Parcel/Sub [ .? Owner Address City/Zip Code Phone Contractor `-,/2L4-G/p1ii /VI - Address r City/Zip Code Phone ?•? / - Arch./Engr. Address City/Zip Code Phone # I?? oov- occupancy 2-3 M-I Zoning K -I Actual Const V-N Allowable # of stories Length ? Depth 3. S.F. Total Footprint S.F. On site sewage _ On site well MWCC System ? City water ? PRV r Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance FEES Bldg. Permit 78L).D0 Surcharge =70, D? Plan Review JQ ,pO SAC, City IDO.DO SAC, MWCC (S50'00 t7D Water Conn. ?(00 1 Water Meter 95.00 Acct. Deposit 30.00 S/w Permit 30.00 S/W Surcharge .50 Treatment Pl. 296,oo Road Unit 00 Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL ,/sIktl ? agrees that all work shall be done in accordance with gnature of Contract all applicable State of Minnesota Statutes and City of Eagan Ordinances. Y4 LU.4? ? ??iuz?- sza ? _ G'lz = ?6_ saa. x r5= `7530 BSMT, 22x14= r?za IZ ?0'14 K Iy= ?5-03Co I S'f Fi-oo2 ?N/'?-= l0?4 xS3 = 5G922 e? ?1 G a ? ??oo f't ?---0 = ? SMT = 1 ???( 13r) y?1? ? ?2x,?= 132 x go_ I L?ooov ,mcr Ite AJdress '.ontfactor fullJing Class?flcahLon: TYpe; AI (Single famLly G Duplex) IOi°_: Completc po es 3 anJ 11 (Irst. (O[her). • , ' GEIIGRAL ItIF01U1AT1011', , . . • , rr- +,r V ?,1? v , I. Outldln9 PerlmeCcrl7GG . ?I'i?-?--(t. ' y, Wal? Ilclyh[ (girounJ to eave) Z• Ua [ c?_ 7ype A2(ReslJentlal) ' (} storles or essF_ (over 3 storles) 3: I. x Z, (above) gross wall atea - ,, ? roof c(Ioor nrcu ) ()'j 7 ft It, Dulldln9 Jlmenslons (L)?__?_ _r . , J 5,• Squarc (oo[ aiEa.of I'Im folst ?Flo o r Jols[ sizc (2 x X Perlmeter ° Rlm (tz ?u?st area ? , ' 'tz 15m , • ' '' ' e • G. O uoors - ni ' ln. U faclor ft. lhlcluie;s , Perlmeter ' 7'ype, of Constructlon ., 11anu(ac,tin-er . • Total daor's{?erlnmter /?V?a?L. er' t ?i't???ff5j?' Stalc, approveJ____ - . • 0. _ ur 411ndows: Hinufac U factor .1 y ) ItEA (Ft IlUIIRER OF TOTAL FEfT Z • TYPE S12E . A EACII • UIIITS . .. . ' ? i ' • . ^-? --' ?-?_ ??-__ ? I 9. Total f[.Z Glass '' v??Ill? - . Ft.2 = x------?' 10. Flreplacc'.area;' 4!IJtli X liel9h.t ft.Z DEI11( . , X ?`?7 ?.?.._a-' -IiU«-UEL-(? ? II. ExposeJ founJa[lon: Ilelgh[ X Perlmcteri 10VEDE5111E'fiE EIEICY,FOT111ER5.T,1A?IU111EDIIINUil1l`CIOUE ALLO41IAi1CE,?IiSIUSED-???EIIC nilU- ?UILUIIIGS ; .? iuiuirsoin siniI LnuRcv_cuue.cnt,cuLniions =rt v?l.' I I , . --, onsED'oN c1InP1'Ctt 5 oF?'IIIE IIODEL CIIEIIGY COUE - 1967 EUIIIUII , • . . . ' ' , AJo?tlon E(fectlve 1?1/6F-- t2. • Prat?r?ny arca = IOX. u( grpss riall area. . 42.'3? 0 rt.2 . ? 1.3. ?ross tirall arca Z ? ?'x ?° ?-. ir ft. U windor?s ?; Nindo•?i area A ' ?? ? . ?'? x A ° ?! ... ? ft.2 U r1m ,}olst R{m Sotst area A ? " Z L• ll•x I1 = li-'_ ??____t::l? - ?C ft. U door area n ?-- I Door arca ? 'Z Uf-Gt, eplate• U f'61'c?JilaCe:'ared A 'v - • 011Q ? U X A ?- ? I 7 L" R.2 U j o u n dat(on ° i?--- Z? Exposed`foundatlon 015U x ? ?,?- ?(t.2 U framin9,area i ? Z?? L? . Fram iny arca.A ??" ' • t{?_ U x A U wa11 ' t? 1 C(?? i IIeE wall area U x ? . • ' t' ? = a1luYie1)le U x NCode Iq. Gross wall area z 0.i1 (n-1 single fam{}y S duplex (13. aboye). X 0.23 (JN-2 o[her resldentlal) y}dln s} . . 15. 15A. 15R I,C. 15U 16• , x 0.033 (?-2 other restdential): . x .23 (Other.uu 9 ? X,;20 (Over 3 stories) . p1Ull, 11ust be larger tlian 17R aboveJ_ ?...... . 2,2? • ??>?j x U Codg.? I? ---- ----- ?. or tl?c saine as) C'elling f'raming area (11t) equals lOX of celling a1"ed c' s Gross cefling aroa ft.Z ? Jolst are? (AF)„=,1.0» ceiling area = , ' , , •., 0? q25 ft.2 Ilet ceiliiig area (P?) (15A - 15U) U ceiling x A c= i p 7 2 x -1?-- . n a n7??? x__._? u iraminy x (_ .. Z? TOinL'U x /1 ............. .................. .., cod (15A) x 0.026 (A-1 single fain11Y S duplex - e allo ria6 l e U n Ce111ng area I Q?j x U(cod ?- - , p 15? I IIOTE: Use Uand A values o6Laluedla?[ °i ia9e5?a'Iculn'teJ'tl?e "U" factorsand "R'?? values CERTIFILn11011: I Iiereby certify - at tlie LuI1Jln9 here Jescrlbed u?dets or exceeJs the Stat6 of 111nneso a. EncrgY Conscrvatloni Ac,[? ' ? .. . . , .' ?. . 'i . ' - .-- ? ?19nature Uale ' . ?.''. x 0.06 (oti?er) Z? ?-? °awt 14ust Ue,larg@r llian •150 (above) y. rOLCv (or the same>asI ? ?. I ? ' Liiic , . „ rA nultniflu :. . ni,? ? ?,?p' p_ lnsutatlon ???•bo-- , 4_ . ?? Gt•??? Jolst •. , ''? " ?j((? Cclling .7? , ? , . . _------=---?--y--- . , , ., ..?....?? p,?J_??_? Alr Fllul Z* ? ? ioLal n t . ?oZ3 u°? - U.G1 7P? ' • , o Z'Z ? rtnr ?nuor cn11iEmRnL. cEtl.uia. R 'JA`IIE ? Il V?liie ? CEIIIIIG ' IIG C ttnFIl _ • '• O.GI luslJe a?Y f iliit 0.61 ? '?--"- '--'- `? C c I I 1 n t ?sEii3j l `- J '--'-- u s -- Insulat{oli ' Alr spacd .° -?-- ?- Insulallon ? 1iu11t-up rooC _ ?.--- p,jl UutsiJe b1r fllm U.il ' lotal Il - ?- ? ? U ? ------ u - : Illrallun 5, c(nlJl luenl. fout of crack , ieslJentil?l Juor Inflitratlon 0.5 cfin/stiuore fuot 01• Joo?• dnJ ?+? I n l inum' code Ye yu l rem e nE 11 Iuii-IesIdenllal Juor Inflll:ral.lon 11.0 cfudllueal toot aI crack black lock 11?su1latedLcores ? .2Gp It ?? 9 .) 3..?0 Jl1l ? ?2i1 [onu'el1 ? b 1? . .' ? • 1V it)' 12 ? L'ilCIgiIt ?1lOC$. . n i)G . . 121, lghtriclylit bluck, Ilisulated'cores °?12 It O?j ^ )b . ' . 1 9ln9 ?4 glass = 1.17; titlh storui Ondo'd 54 ) Jou6I 2 yla ss c .55 .. , , . J lrlple glass = .41 111 ?xlerlar'aialis anJ cel?lnys nuisE linve 1 v???or ban-ler (O.IU pei?m ;i??or barrlcr'must bc oii Lhe Inslde (hcated 51JC} uf tia I I i f?po1• bat'rlcrs Qf thc' pu. lyetlielene thln (llm IiaJe no it vn?ue. ; ' ? . .. . . , , . ' . li ' • , . , . I . . , • • ?" , I . . . ' • . . 1 .. ? I . I MILLER CONST. TEL No.612-891-4061 Rpr 29,91 9:58 No.003 P.02 ` /I'132 -535-91 cERrIFIcarE aF I ? ry . N 7a o aa CJI ?G(i ? i a ? ??sErn???T7 .--? ? v; t-OQ??N -? - ? '?• ? 3 ,k?t ? ..W - ? ? • ? ? i i N °03 ti ? ? • ? -_.. / 5 ` N a UTl L(TV EA56MENT s ?Su ? N I cb N ? ,vIV ?, I 5 _ ? o ? ?' QROws? ?+ous? ? ? ' ; 7.0 =M7 LL ft'3•i o ? 6Ak AAII i ? ?? I? N4FL 83?S zA"i 3d,fsIN ? ? .:.?. Sca1e: 1" - 30' r ? 4..'? r, IQ ?D ?, ?9.6o3y ?,"Y \ E A,'G x-- 4? r?'3S•54? Q JF:F ? ..r.•- _,? ? ?py1 ~ ? ??. v, ?! M F'( r P P?? ['ws IIM , DESCRIPTION`' •. -'?..-?,"? t n E r r E S r C E a n F r r H A r r / n s s u 4 v F r , R . A N G w n r I 1 G K f L a t 1 , B 1 o c k 2, MseSAvFpAREaBYME0r4uNGFRMYO/A£CT,4lNqERV/diQW COUNTRY HOLLOW SECOND ADDITTON AHO TNAr t AM A DYIGr pEG/srEREO c/MD SGWYFYqq D a k o t a C c u n ty , h', i n n 2 s o t a LWDfR TNE LAM'S G1F 7Wf JrATE Qr M/N/YFSOTA. Plat bearings shown n I)rnntPS i ron monument oArE 24 ? M?m 8144 - ' n..l ?o .._.ow? ?Existiny'? Proposed brand! an9104161109 A,ivRVaying 2105 woodi trail ? burnivilla, minnaioto 55337 (bIR) 4351966 . A432 -535-91 ?*?****?****?**??*?***********?******** CITY OF EAGAN CASHIER: JS TERMINAL N0: 764 15:01:21 DATE: 05/03/00 TIME: ID: NAME: HENDRICKSON CUSTOM BUILDERS 3210 9001 571 PRAIRIE CIR 97.25 2,00 2155 9D01 571 PRAIRIE CIR 99.25 Total Receipt Amount: CR128972 USER ID: SAN +i??***************_*********##*i?i??+i? 3000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? •'" cirr oF E?cani 3830 PILOT KNOB RD • 55122 '-+0 \!o 1-4 S- 851-681-4675 ' New ConshucXOn Reaulremenh Remodel/Reoalr Reauiremenh > 3 reglstered slte wrveys ahowlnp sq. fL of lof, aq. H. of haue 2 copies of pion and go rooletl areas (20% mmdmum lot covem(e allowetl) 1 set of anergy calculallons for healed adcUNOns > 2 caplea of plans (show beam & wlrxbw sizes; p0ured hW. deaign; efc.) 1 sife wrvey for extedor addmons 8 decks ? 1 set of arwrpy cadcWanona > J coples of lree preservaflon plan 1/ lof plafletl aRer 7/ 1/93 onTE: -a I-oo DESCRIPTION OF WORK: coNsrxucnoN cosr: 1731500 15?sa6a STREET ADDRESS: -S? / 1j0t"Q ir'/,P C/ ? ? LOT: BLOCK: 9-- SUBD./P.I.D. k: Name: lT1 Il2 I41JCf QqN 4" hRS// e Phone U: 4/c,??v ~ 93031 PROPERTY laat Fint OWNER Sheet Addreas: 5 7 cip' E GQCi Q/f State: AitI Lp. . City . . ComPany: Ae4U, /[?rc) 6S-/Ouvri-b6one #: ? 9 eloZ 7 (area code) corirRncroe S7U ?a,?'•e ??'' C uoe? a?O O?. 3-v / Sheet Address: ? city -Fg-lqaAj _ state: zip: S??a 3 ARCHITECi/ Name: ENGINEER Company: Telephone #: ( ) Sheet Addresa: Regishallon cryy SMte: LP: Sewer/water licensed plumber (if installina sewerhvater): Phone #: I hereby acknowledpe lhat I have read this applkaNon, sfafe ihat Ihe infortnafion' ed, an agree comply wNh a0 aPPBcable SfaFc of Minnesofa Statutea and CNy of Eagan Ordinances. v ? Signaiure of Appacant ' OFFICE USE ONLY S Certificates of Survey Received _ Yes _ No i` Tree Preservation Plan Recelved _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex O 10 08-plex ? OS 03-plex p 11 10-plex 0 06 04-plex O 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair . . r., ? 13 16-plex ? 21 Poroh (3-sea.) ? 17 Garage OF 22 Poroh/Addn. (4-sea.) 0 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Storm Damage Plbg _V or_ N ? 25 Miscellaneous ? 20 Pool O 30 Accessory Bldg. 0 36 Move Bldg. 0 43 Reroof ? 37 Demolish (Bldg)" ? 44 Siding ? 38 Demolish (Interior) O 45 Fire Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code D / No. of Units O No. of Buildings Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ? Engineering _ sq. ft. sq. ft. Fontprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. Aft - Muki ? 33 Ext. Att - SF ? 36 MuRi ? Permit Fee a S 2 O S h Valuation: $ 30/ K %?p0 - uro arge Plan Review 42°O License MC/ES SAC i 3 City SAC WaterConn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: C(Ct . -), S? P SAC Units % SAC 'A ENERGY CODE I-2 RF,SIDENTIAL "COOKBOOK" WORKSIiEET 9PP??? ?? Phone !L vr sert/ - 5 ? ? ?oS? -SS? Dale ?f-a ? -ov StatementofComplianee: BuildingOlTicialUse Applicent Addras . IU PmDoscd 6ullding daign iepiexnted in Ihae c 1 / s?ia 3 -i e??? C Q ro documeols b consisleot wilh Ihe building plero. 47 4? ,t iv specificatlan, and oiher nlalnionn submined Building Add2ss: with We pamk epplieetion. 71x proposed 57 ? Pi°Yt tr/?Q. `!? ?? 6uild' haabeen iy,nedt the . , rc enlso[ in Ene Code. ' Q - ' icanUEngineer MINIMUM ItEQUIREMEN'I'S for "Cookbook" Oetion: Entry Doors 1-3/4" solid wood w/ stortn Ceiling with energy Wss R-38'+ Rim joist R-19 door br equivalent (Min. 7%:" top plate to sheathing) Foundation Windows' Insulated Glass wJl/2" gap in Ceiling with low heel truss R-44•• Floorover R-24 wood or vinyl frame unconditioned space 'Include squere footage in calculation of Window/Door Arca Ceiling-no attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. - •• ...-'-•:-- ^--°--- - . .... . _ . - •• . .?? ? ??n.ioii ronormance ac wm?er vesign Lonmhons f),, P05fc-) N2w W I a1CJOw S / Windowand boorArea 100 : ? I S` ?+ 3g?? fl ?Qe?l a ye 1300 035 u-1A0iue WII?IDOW U-VALUE: 0,39 ex.ts f I As % of ExposM Wall Arca Abme Crade Wlndow and Gross Wa0 Area Window/Door Ara Soafce: NFRC or ASHRAE 1993 Nendbook FoqndatlonWindow/Door Ans .?. ?. MAYiMiil?t tl?iwtnn?v it ?? l t tr?.c. Cheek Wall WALL TYPE ??u?aiv?• V-?ALVGO MAXIMUMWINDOWAND UOOR AREA °s OFEXPOSED WALL AREA Type UsEd 12% 14% 16%; lB?Js 26%..: 22% 24'? 26'/d 28'/a 30'0 32'rb 34% x4 Baming, R-l3 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36' 0.33 030 0.27 0.25 OZ3 0.22 0.20 0 19 i m x4 frammgR-IS insulagreater. 0.52 0.45 039 0.35 0.31 0.28 0.26 024 0.22 021 0.20 . 0 18 x6 ftaming, R-19 insulation, sheathing less than R-5 0.48 0.4I 036. 032 ? 0.29 0.26 0.24 0.22 OZ I 0. t9 0.18 . 0 17 x6 famingR-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 0.24 0.22 0.21 . 0.20 6 framingR-21 insulan R-5. 0.51 0.43 0.38 0.34 0.30 0.28 0.25 0.23 012 0.20 0.19 0 PE x6 t'raming, R-21 insulation, sheathing R-5 ar greater. 0.58 0.50 0.44 039 0.35 5 0.32 019 077 0.25 0.23 0.22 . 0.21 , i ms teoie contams mterpolations oF the values in the Energy Codc, Pert 7670.0475, Subp. 2. Tt:is is a summary only. Otha rcquircments may apply. Sa the Minnaota Energy Code. Questions7 Call Department of Public Service Information Center et 61 ]1296-3 175 or I-8001657-3710. 215/96 ..1 . lP MR VANDERBILT ,--?-- ?n?R/tr Elevation -B . ?Elevetlon ?C Elevatlon D Y0¢ wk \STERPI ECE -? % PMILLER CONST. TEL No.612-891-4061 Apr 29,91 9:58 No.003 P.02 /1932 -535-91 CERT/F/CATE OIF ( 5-71 N 7Z o a, ` O,?Gv i a ? ??sEME?z7 ? ? ? v; t-OR??N _^ - ? '?• r 3,t?4?O..W - ^; • ? ? ? i ? 54•? o ? ? 5 ` DR.AWA 46???.` i? N a u7IL(ry EgssMEIIT S .w N - N I ^ cb N 'n:r: V) -a I ^ 4RGWtEn MOVSS ? r i 710 _ SSMt tL 8Z8.1 $ •, l--? ( p 6?3k StAQ N 6L 8345 1 ^? ° ' ?'° PB37.8 -:=n.7 IvC?ativ Scale: 1" d 30' I ,r E?? s o 4_ ? , g9 6D3y ?„ A G .?S Dp K E ? 1 E tv D=?' , , a ._ E a -- Q?1y y49 BM??3t?4) ? R.U ??? ? DESCRIPTION` •. - : _•,`? ? CITY GF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 , PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDING @23005 03J03/94 SITE ADDRESS: 571 PRAIRIE CIR E LOT: 1 BLOCK: 2 COUNTRY HOLLOW 2N0 P.I.N.: 10-18276-010-02 DESCRIPTION: Bta'ilding?_Permit Type B'uilding Wo,rk Type BASEMENT FINISH ALTERATION e ? ?15 .•??--agan REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - 3ILLELAND DANIEL 571 PRAIRIE CIR E EAGAN MN 55123 (612)686-9304 ? I hereby acknowled-ge that I have read this application and state that the information is correct an-d agree to comply with all appliceble 3tate of Mn. Statutas and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATUFTE AXAQ fi&t?4.i nLq ISSUED :51 NATURL I INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLoiNs 3830 Pilot Knob Road Permit Number: 023005 Eagan, Minnesota 55123 Date Issued: 0 3/ 0 3/ 9 9 (612) 681-4675 SITE ADDRESS: Lo r: i e Lo c K: 2 APPLICANT: 571 PRAIRIE CIR E GILLELAND DANIEL COUNTRY HOLLOW 2ND (612) 686-9304 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION FRAMING .. . INSULATION ., ROUGH TN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBSNG OR ELECTRICAL WORK ? . ? 2300S CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ,r e ' ; I:?M( U ' FCB 17 1994 ? ??•?5 D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ot / 10 /54_ Valuation of work ?500o Site Address: 57 1 17M312CiP & ?c0?) SiREET SUITE # Tenant Name: (commercial only) LOT SIACK o'L SUB? COun" 17176#6co 7 ,I,D. # CZ f d ?c ino Descri tion of work: Cl ba-7rcoM y. l rr_> c.?J ! bQS u.ui.Z The applicant is: j$ Owner 0 Contractar ? Other (Describe) Name C-3, (le (04-)CI -bcz,--iiPa Phone ( R?-9 -56 q Property - LasT FIRST Owner Address 57 ) Pra kri e Cr rc P? E STREET STE # City La?? State M? Zip ?+a3 Company nor-9- Phone Contractor Address License # Exp. City State Zip Company 00 ne_ Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber C?en? Q-'`? . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. l Signature of App icant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New JH 33 Alterations ? 35 Tenant Finish ? 32 Addttion ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS 13.Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ,Q Framing ? Draintile y3 y G/ I 0 ti Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: vatuesian: $ ? . ?* ? "Lre r?'?. •.. ?. JH 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC 96 SAC Units 954870 { COIINTRY HOLLOW SSCOND ADDITION PRBSBIIRE RSDIICIN4 oAI.VE AGRSSMBNT i This agreement, made and entered into the day I of 1990, by and between. the CITY OF EAGAN, a municipa ity of the State of Minnesota, (hereinafter called the City), and the Owner and Developer identified herein. The terss "Developer" and "Owner" as used herein refer to: PROGRESS LAND COMPANY, INC. whose address is 14300 Nicollet Court, Suite 235, Burnsville, Minnesota 55337. wHEREAS, the Developer has applied to the city for approval of the plat or subdivision known as COUNTRY HOLLOW SECOND ADDITION, located within the City; and WHEREAS, the Owner and Developer agree to notify the proposed potential buyers of all lots within COUNTRY HOLLOW SECOND ADDITION that' Lots 1-4, BYock 1, Lots 1-17, Block 2 and Lots 1-10, Block 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 agree as follows: 1. Recordinq. 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 1-27, 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 elevation of 875 feet. All costs shall be the responsibility of the Buyer and shall be installed to prevent the damage due to high water pressure. 3. Validitv. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Bindinq Aareement. The parties mutually recognize and agree that all terms and conditions of this recordable aqreement 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 DEVELOPi:R: (Date: ' ?'1 PROGRESS LAND COMPANY, INC. Z - ?.. ??-- . T mas A. By: Its: Mayor Its: PW'1r Attest: . J. Vanoverbeke Its: erk Sv: Its? I STATE OF MINNESOTA COUNTY OF DAKOTA ss. On this o2/ s% day of Public within and for said and E. J. VanOVERBEKE to duly sworn, each did say Clerk of the City of Eaga instrument, and that the s by au*hcrity of its C acknowledged said instrume municipality. 1990, before me a Notary Count personally appeared THOMAS A. EGAN me p?rsonally known, who beinq each by me that they are respectively the Mayor and n, the municipality named in the foregoing eal affixad on behalf of said municipality ity Council ar.3 said Mayor and Clerk nt to be the free act and deed of said y •?+nr?r,?r.••e???+a??r??r:N L V:?.. . . .. ....... .,,, STATE OF MINNESOTA ) ) ss. COUNTY OF ll?+ ? -'? ) • . ? ? ??ic ?. ? Notlary 'Public On this ? day of S1' , 1990, before me a Notary Public within and f6r said County, personally appeared t.. t, i ;- r i:j Ct! ('::r r', -a"d-- to me persona 1 own, 1who being -0ack?by me duly s?rorn, eae3} did say that ?Ei?ey--?resgeet4vel-? the 1 14 ?.I d? i? 1 a"d- of the corporation named in the foregoing instrument, -' ` '` " - --- -°°'"'' `- -''° '-`""- "" i?- , and that said instrument was signed arn3-aeaI a on behalf of said corporaAion, L,p authority of its Board of Directors and said rrrS , d LdZd' -erd- acknowledged said instrument to be the free act and deed of the corporation. ?"` _ . ..... .. ..-.-+.:..:?..:....:?r,.,,,yi,?` t i /l? 1?' `L'! 7 ?? - . ? . .. .: .... . . ..' q . , , - .- , f Notary PubVic - . . . ? ? APPROVED AS TO FORM: l' F,fe4.?-d-w 4 l??Xa Public Wo s Department Dated: Rva H, l190 THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD 03o L -575'I ?KD APPROVED AS TO CONTENT: CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # /?2 9 7' RECEIPT # 00 6, O DATE: A1 O PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR OWNER NAME: -4 ?'C> SITE ADDRESS-'?)l ( . ?P?'cX\ ? k IAT: 1 BLOCK 'A SUBD. INSTALLER: cA\'E! ? l-t \ 1- ADDRESS: -'?)oc1 ? nA CITY: V: ZIP: . ,^U 'D PHONE #: `?r?- FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M STU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TmmAt ; DWELLINGS & $15.00 24.00 6.00 3.00 .50 CP Z L.L-/ SIG % TURE OF PERMITTEE C4MM?RCTAI,fTNI1U57'RSAT. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, . APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARF NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. iitOC^aSSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: ( S IGNATIJRE ) $ CITY OF EAGAN CITY OF EAGAN 3830 PILOT RNOS ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 Nelm..?....: . FOR CITY IISE ONLY rEtHrr a RECEIYT 0 DATE: 911 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ' FATlILY DiiELLINGS S TOWNHOMES/CONDOS WHEN PERMITS ARE BEQIIIRED FOR EACH iJNIT. WORK NEW CONST v ADD ON REPAIR OWNER NAME: 0 o? -?? SITE ADDRESS iAT: I BIACK 1,-2- SUBD. INSTALLER: GENZ-RYAN PLUMBING & H ING C0. nDDRESS: 14745 South Robert Trail CITY: Rosemount, MN zlp: 55068 F-:ONE # 423- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 1 SHOWER 3.00 ? ? WATER CLOSET 3.00 ? ? BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 .3 ` ? IAUNDRY TRAY 3.00 HOT TOB/SPA 3.00 ? T WATEA HEATER 3.00 ? :7AOP. B°,P_IN 3.00 3 " GAS PIPING OUT. ? 1 (MINIMUM - 1) 3.00 .J d ? ROUGH OPENINGS 1.50 5-0 OTHER WATER SOFfENER 5.00 PRIVATE DISP. 15.00 _ U.G. SPRINKI.ER 3.00 SUBTDTAL S ST. SURCHARGE .50 TOTAL: S _qR2?JEI?rC????? PLEASE COMPLETE THIS PORTION FOR ALL COMMLRCIAL/INDUSTRIAL SUILDINGS AND MIILTI-FAM2LY BUILDINGS AfiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING DNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT F'EE. $25.00 MZNIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: $ (SIGNATURE) 1994 PLUMBING PERIVIIT (CO ;M^MERCIAL)=. CI'1'Y OF EAGAN '3830 PILOT KNOB RD EAGAN MN 55122 (612) 68146.75` PLEASE COMPLETE FOR ALL COMIvIER"CIAL;/INDUS`TRIAL BU ILDT?TGS:,? ALS0-1FOR MULTI- EAMILY BUILDIIV"GS WHEN SEPARA-T'E PERiv13TS '.4RE, NO'I` rREQUIRE-D FOIt E:4CH DWELLING UNTT. _ NEW CUN5TRUCITUN ADD ON REPAIR i, cc: i ro ui' wrv i xnC1'7FEE: STATG SURCHARGEo- 5:50 FOR EACH `$1',000 OF tE,R?ikT•'-FEE. A?INI111UT7 FEE S 25.00 ? COIVTRACT PRTCE`X 1% STATE SURCHAR:GE TOTAL SITE ADDRESS: CI11'e _ PHOr'E #: $ ? $ s. za = '• ? , ;?? STATE: _ , ZIP"CODE: TOR:. CITY OR EAGAN. APPLI'CANT' ' PLEASE COMPI;ETE FQR SINGLE FAMILY DWELLINGS. ALSO, FOR'TOWNHOMES AND CONDOS WHEN PERNiTTS ARE;:REQUIR'ED FQR. EACH'UNTT; - - - ---- - ------ - --- - - - -------- ------------ ---------- ------------- NO. FIXTURES: EACH TOTAL"-,.', SHOWER 3:00 WAT'ER CLOSET 3.00 - BATH TUB 3.00 LAVATORY . 3:00 KITCHEN SINK 3.00 -° LAUNDRY TR,e;l' 3.00 H9T TUB/SPA 3.00 ' WATER HEATER 3.00 FLOOR DRAIN' 3.00 GAS FIPINE'i OUTLET? mmmm = 7 3.00 ROUG'H OPENINGS 1.50 WATE$ 50FPEN'ER 5e00 ' PRIVATE DISP'. • nek c,yu rs 20.00 U.G. SPRINKlE"R • nome:under consi. 3.00 e(:-P"fT 4-q-7W ALTERATIONS • ,o odsting 20.00 ? WATER TURN AROUND' 20.00 STATE SURCHP.R.GE :50 . TO y4' . 1-6 TAL: SiTE ADDRESS: e5 T' owr INST F CIT1'; STATEa A:? • ZIP CODE: vf"??8"' PHONE #: I994 P,LUMBING RERMIT (RESIDEN'ITAI:). . GITY OF'EAGAN _ 3830 `PII:OT KNOB RD EAGAN MTi 55122 (612) 681=4675 ? - q RESIDENTIAL BUII.DING ? ? ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ?12? `1q - New Conshuction Reouirements Remodelrtteoair Reauiremenis Offce Use Onlv 3 registered site surveys showing sq. ft of bL sq. R of house; and all roofed areas 2 copies of plan CeR of Survey Red (20°k maximum lot coverage allowed) 1 set of Energy Calalations for heated addiGons Tree Pres Plan Recd 2 copies of plan showirg beam 8 window sizes; poured found design, elc. 1 site survey for additions & decks Tree Pres Not Reqd 1 sel of Energy Calcula6ons Add'rtion - indicete 'rforrsfte sepNc system _ On-site Septic System 3 copies of T2e Preservation Plan if lot platted aftar 711l93 Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units DaYe _Q_ /-3_ Construction Cost 13 Site Address UniUSte # Description of Work /D ?PiJ ? / Q iU ? ?l I C i ( 1' Multi-Family Bldg ?,(J p cU S _ Y? N Ftireplace(s) _ 0 1?1 1 _ 2 ProperTy Owner I + -P c- i Telephone # ( 6?/ ) & a « ? lG Contractor ( ( :?5 l-t 6 6 'P, 445 Address 57 ...4 0 ? Q l V' 1- v- ? CiTy State Zip ? Telephone # ((?1) 6??0:50 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheat (Jsubmissiontype) Submitted Submitted _ • Energy Envelope Calculations Su6mitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone I hereby apply for a Residential Building Pernut and acknowledge that the info Y?'n is that the work will be in conformance with the ordinances and codes of the Ci NIIV Statutes; I understand this is not a permit, but only an application for a pernut, an out a permit; that the work will be in accordance with the approved plan in he case of work which requires a review and approval ofplans. ? ? _l? AI xL ApplicanYs Printed Name Applican s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex IV 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N? 25 Miscellaneous Work Types ? 31 New ?f 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant o 7 Valuation ' 30 ? 0 c7 A a0 Occupancy R- 3 MCIES System Census Code q, 3 H _ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v ? Width _ Foo[ings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundarion Drain TIle Roof _ Ice & Water Final F Framing ? Fireplace & R.I. ?OAir Test ? Final ? Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinaUC.O. Vi FinallNo C.O. T Plumbing 10 HVAC Other _ Pool Ftgs Air/Gas Tests _ Final Siding Stucco Srone ? Windows (new/replacement) _ Retaining Wall Approved By - /!/fl , Building Inspector -- - --------- ------ - ------ - ------ - -------- LowClz L eveI 7 a .oa 6 oo • s ?ISDo. Z wS n:D vW ?- ,?I??5'OD ? ? ? ? t -7 PLUMBING (RESIDENTIAL) PermitApplicatiou , ???? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651,-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date?/?/? . ` ? ?Unit # _ Site Address r ) PJ ( , i rL' J `P) Property Owner 6G Telephone # (/ps/) Contractor D UJ71,(?jl')'Cl Address ?M ki/O!/l//YG3 14uc City 142Afv/ A State /2)AI Zip 6V Telephone # (64 y4, 9-? p p 9 _ ? The Applicant is _ Owner Contractor _ Other _ Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consulfant fees may apply. Alterations To Existing Dwelling Unit, Induding _ Adding fiMures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) ` Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 ? Lawn irrigation system ? --" - -?? ? g, ? 11i? !' , ` Water softener Water heater ?E? ? 4'???? I - - Ll $ 15.00 I f replacement _ additional ay_ _ - =-x - so $ State Surcharge Total S f hereby apply For a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes, 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 thc approved plan in the case of work which requires a review and approval oFplans.,,) Q? ? J o.x? e, S?bera ? Applicant's Printed Name Ap ' ant's Signature úùú þõ ÿ þ ÿþþýûýþ üÿÿ õþ äüùó ë ú ýüûúùø ÷ü õúùø ô ó ø÷ü Úü ÿ ÿ ø ï Üü ï ìüû ò þý ø þ ííí äî ÞôÞ ô äãúêéýé ò ï÷ èî ø ï çæééí ÷ü ýüì ÿ ÷ö æéé öõõô úóò øø ÿ Þ ô å ý ä ü å òô ÿ òô èçíë ì ûù ó ÿ ì ì å ì øø ì ì ðï ÿ ïøùóì øø û ý ðò ý ü äùð ÿ ã é øø á ï ýÿ ü ü ùýÿ ü i Use BLUE or BLACK Ink For Office Use I Permit 1 I ~Dc~ i City of Evan I 1 ^ f~ I Permit Fee: lkV UO 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: 1(443 Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: ----------'J 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: A-rf-l C Et~~ M/ V Tenant: Suite Resident/Owner Name: Phone: Address / City / Zip: 5q L ~j -Name: MILBERT COMPANY INC dba CULLIGAN WATER License 063031-WC Address: 1801 50111 STREET EAST City: INVER GROVE HGTS Contractor State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: Type 'of Work - New Peplace . ment _Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater ater Softener Lawn Permit Type Irrigation RPZ PVB) Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.oro 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 th approv Ian in the case of work which requires a review and approval f lans. ,t x x Applicant'. Printed ame Applicant's Si ature FOR OFFICE USES, W"W", vewd ybj Requred Inspections Rough In =Air Test 'Gas Test~~ . Final f PERMIT City of Eagan Permit Type:Building Permit Number:EA113508 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 571 Prairie Cir E Lot:1 Block: 2 Addition: Country Hollow 2nd PID:10-18276-02-010 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Daniel L Gilleland 571 Prairie Cir E Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA122356 Date Issued:05/06/2014 Permit Category:ePermit Site Address: 571 Prairie Cir E Lot:1 Block: 2 Addition: Country Hollow 2nd PID:10-18276-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Lisa Nyberg 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 - Daniel L Gilleland 571 Prairie Cir E Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131902 Date Issued:07/14/2015 Permit Category:ePermit Site Address: 571 Prairie Cir E Lot:1 Block: 2 Addition: Country Hollow 2nd PID:10-18276-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Daniel L Gilleland 571 Prairie Cir E Eagan MN 55123 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147357 Date Issued:01/02/2018 Permit Category:ePermit Site Address: 571 Prairie Cir E Lot:1 Block: 2 Addition: Country Hollow 2nd PID:10-18276-02-010 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: 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 - Daniel L Gilleland 571 Prairie Cir E Eagan MN 55123 (651) 270-2083 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Ail For Office Use I ✓ o % ; 0 � � oo Permit#: // .,, E AGA N `7'11,110. �!' Permit Fee: f/ / Date Received. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MBAR I T (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 L U 18 Staff: WI buildinginspections cityofeagan.corn L. 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Si 211g Site Address: 420 tr`e Cr t Unit#: IName: t VA r L PSI, G ` 12 t c„,,, J Phone: 65-1- 2.-- -0—2( i S Resident! 6—.3- -- Owner Address/City/Zip:67 . I ' I ✓t. ( r'" E Applicant is: Owner Contractorbq_. j Type of Work Description of work: 12f'. — c,k, p-e_ •— 1 0,-, ( 3 i-1175 4)h--(4,11-(__ Construction Cost CiO Multi-Family Building:(Yes /No ) Company\4\ 1uun.5 .+:1L"tri'0.-kI ?/z\ 1f114Z,,i,Lfi'Contact: Tom'J Tv' Contractor Address: 12.61c, 2IL1 Sl. L'''') City. I� '.'i Stater Zip:• 76- Phone: /52, 2LIL ��'Email: iu� L, L �>Vt ,'�,I 04,1 License it:_6(4 o 5-7.. Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 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-public if 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.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.qopherstateonecall.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 o 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. s x j re1/6v kO.,r101C1C k x Applicant's Printed Name ,,nt' Sign. ure DO NOT WRITE BELOW THIS LINE ! 7 e e D- SUBTYPES 7 / M17 lie ie eiE �� — Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi ,,r Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Flex — 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 4T 3/S'. - Occupancy :COL -J MCES System Plan Review Code Edition . al/L /,yam SAC Units (25%_ 100%'in') Zoning R` ! City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 13 Width 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 _ Framing Drain Tile _ Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath_Stone Lath _Brick _ Insulation Windows Sheathing Retaining Wall:_Footings—Backfill_Final — — Sheetrock Radon Control — — Fire Walls Fire Suppression:_Rough In Final — Braced Walls Erosion Control _ // Other: eviewed By: /77 d)//•t/f , Building Inspector ESIDENTIAL FEES 2 /16' 5? , iar Base Fee Surcharge 27e / o v Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148884 Date Issued:04/26/2018 Permit Category:ePermit Site Address: 571 Prairie Cir E Lot:1 Block: 2 Addition: Country Hollow 2nd PID:10-18276-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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: 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 - Daniel L Gilleland 571 Prairie Cir E Eagan MN 55123 (651) 261-0398 Powers Premier Contracting Llc 3125 Atwater St Hopkins MN 55305 (701) 388-4159 Applicant/Permitee: Signature Issued By: Signature