574 Prairie Cir E11VNY1;(:`1'lU1V K1;(:UK1)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: , „ ? . • ;, ,,,
?„?:•??•, ?t?: i ??,i
PERMIT SUBTYPE:
APPLICANT:
? . ? ? .,,?• _ n,+•i?,
TYPE OF WORK:
11. .(r I r iw I
F
L
, i•,. ? i
. i , I.l . . , „?11 , t II II , lii !nl'f•1 II il,U?iI , f
Permit Holtler oate 7elephone #
PLUMBING
HVAC
Inspeclion Date Insp. Comments
FOOTINGS
FOUND
FRAMING
FOOFING
o ?v
ROUGH
PLUM6ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPeOARD
FIFEPLAGE
RREPLACE
AIR TEST
FI.NAL PLBG
FINAL HTG
ORSAT
TEST
6LUG FINAL
DINAESTIC
METEF
IRRIGATION
METER
FLUSH
MAINS
CoNDUCTIVITY
IEST
HVDROS'1ATIG
TFIT
BSM1iT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
1NNYLC;'1'lUN KLUUK1)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
, f ??<<t1<!1 ? IIr f-
: 1111 td 1 f' '? I i?? i 1(14}
PERMIT SUBTYPE:
APPLICANT:
! t:l .' 1 ?i'?!• i1t+u+?
TYPE OF WORK:
... 1. 1 j :;I'+
Wll 1 I Il t N1i
i:' / ?Y,•
0
OFl/N:i/?ati
7
?
11s MnNr: 'S: Nt I01011' h??f T 0 11 i n1+01 0AbA61
Pertntt Holder Date Telephone #
PLUMBING
HVAC
Inspection Oate Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
-
-
o r ??
--
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARO
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLEiG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
OECK FTG
DECK FINAL
? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan,.MN 55121
PHO N E: 454- 8100
BUILDING PERMIT Receipt #
To be used for Est. Value ? 1'' ? ? `"''• Date ,19
Site Address ' OFFICE USE ONLY
L?"
' ' ? ?' Ht)I
? OnSiteSewage Occupancy
,
.
Lot Block
Sec/Sub. • MWCC System Zoning '
Parcel No.
On Site Well (Actual) Const
? Name
City Water k- I
(Allowable)
W
;
Address PRV Required "' # of Stories
. ,
° City Phone •- ? ? ` Booster Pump Length
Dapfh
, p Name S.F. Total
? ` Address Footprint S.F.
? City Phone APPROVALS FEES
? ?
W
W
Name Engr./Assess. Permit
y?
V ? ress
Add Planner Surcharge
? Z
w City PhOn9 Council Plan Reuiew
q Bldg. Off. SAC, City
I hereby acknowledge that 1 have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with alt appiicable State of Water Conn.
Minnesota Statutes and City ot Eagan Ordinances• , Water Meter
Signature of PermRtee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
applicable Staie of Minnesota Statutes and City ot Eagan Ordinances. Parks
Building OHicial__ TOTAL
, Permit No. Permit Holdsr Data Telsphono ?
Plumbing C/? . ? l
H.V:AC.
Electric
;,.e c
Softener ?
Inapectlon Date Insp. Commsnts
Footings I Jy ?
Footings II
Foundation
Framing
Roofi
Roug
Roug
Isul.
Firep f
Final
Final
Bidg.
cert.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
fter#i#ira#P of Orrupanry
Citp of (eagari
Departmrtct o# IuOing JmWrriintt
This Cern'frcate issued pursuant to Ihe requirements ojSection 306 of the Uniforin Building
Code certifying that at the rime of issuQnce thrs structure was in compliance with the various
ordinances of rhe City regulatirtg building canstruction or use. For tl+e following.•
•c::-
lhe GatiC?on ?'F' DW, '• Blds. Rrmit No.
Occupaacy Typt R3,M 111 Zaning D'atria ?? 7ype Crnst ??
owna oreWiding `'('. cli1RiFS Addms ' :9?.
Bwldiaa Addrm ? - . . _ . _ , : .. .. Lnuliry ... ?? y ??. , . ..., ; : . . ? "
Daft:
&ulding OlGual.
POST IN A CONSAICUOUS PLACE
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTHACT
Site Address !'=I
Lot Block Sec/Sub
m Name
? Address
c City _ Phone
a?
c
3
O
Name _
Address
City _
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTfAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
_ ' ` I i
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # ?--
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00 S ,
1-Bath Tubs - $3.00 r
4_Lavatory - $3.00
I Shower - $3.60
__?__Ki?chen Sink - $3A0 '
Urinal/Bidet - 53.00
I Laundry Tray - $3.00
__?_Floor Drains - $1.50 ? I
? Water Heater - $1.50
t J
_I Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?__Rough Openings - $1.50
FEE:
STATE S/C:
? .
GRAND TOTAL:
?
. t. PERMIT #
7
. • MECHAHICAL PERMIT
, RECEIPT #
CITY OF EAGAN -
3830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE : 454-8100 •
Site Address BLDG. TYPE WORK DESCRIPTION
Lot = Block SeclSub Res 11, ` New 1-1
' Mult Add-on
,
? Name
Address Repair
Comm.
Other
c City ? t Phone
S
FEE
Name - `• ?? 00
RES
HVAC 0-160 M BTU -$24
? .
.
c Address't O! ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTIETS (MINIMUM - 1 PER PEkilAlT) - 1
50 EA
TYPE OF WORK
? .
.
COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # -? ? ' l BEYOND $1,000)
Other
FEE
? S
S/C: SIC
NATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CASH RECEIPT
CITY OF EAGAN
' 3830 P#LOT KNOB ROAD
EAGAN, MINNESOTA 55122
I + .
DATE 19
aECenrED -4
FROM ? ? -
AMOUNT $
& DOLLARS
,ao
? CASH p CHECK
sv t r
. Whit?Payers Copy
?? ? ? ?• ` . F 9 Yelbw-Posfio8 CoPY
Pink-File CoPY
Thank You
v.
BLDG. PERMIT NO.
01-3210 Bldg. Permit
?
. 01-3422 Plan Check
? 01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75•3860 Road Unit
20-2275 SAC
?
• ` 20-3865 Water Conn.
? 20-3868 Water Trmt.
n`
\ 20-3716 Water Meter
20-2252 Acct. Dep.
? 20-3713 Water Permit
,
? 20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
"7
-l
TOTAL
CITY OF EAGAN
, 233
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 1 21-,
PH ONE: 454-8100
BUILDING PERMIT Receipt* '`
To be used ior Sr DWG/UAR Est. Value $i43+0 00 Date JUNF, 23 yg 88
SiteAddress 574 FR41k1B CI'r'. E OFFICE USE ONLY
CU1'i+TRY IiOLL(?iJ
Lot ?2 Block L Sec/Sub OnSiteSewage Occupancy U'-30:--2
. MWCC System XX Zoning iz'1
Parcel No. V-N
On 51te well (Actual) Const
a Name ST Ct.ARLES H(?Mk:S Citywater XX (Allowable) V-N
z Address 4194 Cr,LNTRY`> 1DE 7Li PRV Required xX * of Stories
'
?
3
0 ? r
City EA?+ Phone 4??-79?5 Booster Pum
P Len th
9 ?7
0
Depth 40
p Name ? SAME S.F. Total
,
? 4 Add?es?
Footprint S.F.
, cc
City Phone
APPROVALS
FEES
T14
?
? W Name Engr./Assess. Permit .
? Z
=
Address Planner Surcharge
?-p()
o
-? ??W City Phone CouncN Plan Review 1? ?
'
Bldg. Off. SAC, City
I hereby acknowlecige that I have read this application and state that the variance SAC, MWCC 550.00
S?
?
infoRnation is correct and agree to comply with all applicable State ot Water Conn. •
Minnesota Statutes and City of Eagan Ordinanceg
1
.
Water Meter b? ,(?
_....
•Signature of Permittee Road Unit 325 • W
A Buitding Permit is issued to:._-jT LtiAALES Treatment P1 204•00
on the express condition that all work shall be done in accordance with ail Pa?s
appifcable State of Minnesota 5tatutes and City of Eagan Ordinances.
TOTAL
Building Official
? '
'CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 /
DATE J {... " ? 19
. ? ?
AEC-Ec?a i ?i ?-L ?-' ? ! ?"•%.
?
AMOUNT $ G,
& DOLLARS
loa
? CASH ? CHECK
FOR
FUND OBJECT AMOUNT
L ./i ? .''S 4c ;? ? L.
G r C. c U
-7 . ?,
Thank You
sv 1-
-
wnuce-pares Coar
veNOw--POMing copy
Pink-Flle Copy
?
CITY E!F`EAGAN Permit No: Data: 8a19:88
3830 Pitot Knob Road. Meter No; ? a ? Size: ^
P.O. Box 21199 Reader No: ? Date: ?
Eagan, MN 55121
Owner. ? r (":hart n H orn &
Site Addr@SS: 571+ p+-niriP (: iryl a F. .22 B z COUIItr7 I•folZOZv
Plumber._ 'r'r„ mhr,17 f;o jPPtes S &
Conn. Chg: 5 50. 0012d Zoning:
Acct. Dap: 1 -0,0pd No. ot Units: }
Permit Fee: -- 10, 00Rd
Surcharge; _ 5(]nd 1 agree ta comply with Ihe Clty ot Eagan
7r. Plant ? M . ()Qnd _ prdinances.
Meter t_
MiSC.: ! f4:T 4 -r ' By
WATER SERVICE PERM IT
CITY QF EAGAN Permit No: Date:
3830 Pilot Knob Road B/ P No: Date:
P.O. Box 21199
Eagan, MN 55121
'. ? i iLSJ ?i0T.:tCS
Owner.
? r
4 .. ra rie F ?
Ci rc e L2? .,, ?n_i.,?•:
. "o?: ' ? •>
Site Address:
'?? tlnn°1? C,o '°etes S r r:
Plumber:
MWCC: 5 5 i: i. OOnd Zoning• FZ
City Chg: 100•oe d No. of Units: '-
Acct. Dep: 1.5. OC}pd
.n,,1 agree fo comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
SEWER SERVICE PERMIT
- ?=
;.'. ? vsei?as}?. j
CITY OF'EAGAN Permit NLo: Date:
3830 Pllo1 Knob Road Meter Na: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
SS4.Of)pd _ Zoning:
; Conn. Chg
Acct Dep: 15.0f3pd No. of Units: ?
Permit Fee: . ZQ • ?opd
Surcharge: .50 Dd _ 1 agrea to comply with the CitY uf Eagan .
Tr. Plant Z 04 • fl d Ordinances. '
? Meter. 6I 000 -
I Misa: PRv mVt°'TBy
' WATER SERVICE PERMIT
. j _ - --- - -
This request voitl N??/00
18 months Imm ? O D
E 16 6 91
W
r,,,,d„ w,-, .???,,,.,,
1 ?? ? e urted? Xeatly Now ? Wiil Notity Inspec-
?F7 Ye? nNn lor When Ready
..W.censeA Eleclrical Convactor I herebv oepuest ins0ection oi above
? Owner elechical work installetl et
Street Atldress, Boz or Houte o. ?
l Ciry
qn')
? ? a , v
ecLOn o. wnshio Name or No. Nange No. Coun?yi,
/ /
? R
Occupant (PPINT) Phone No.
` 2SJ
7
Po Supplier / Atldress
Elecvi I Convac r(ComV nY Nvme) Contrar,tor's License No.
/
? "
?
V Y
rP
r!
Mailing Atldress (COnI!actor or Owner Making Instailation)
j ? ?-- -11 J
Authoriz -pnaIDre ( omractor? wner y?M7aki I allation)
f F it ? Phone N iber
s r??' ??J
MINNESO A STpT ARD OF ELECTHIGITV THIS INSPECTION REQUEST WILL NOT
Gria9s-Midwey e• - poom N-181 BE ACCEPTEO BY THE STA7E BOAAD
tli
1821 Universitv Ava.. St. Peul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS
Phane(612) 642-0800 ENCLOSED.
'211/ w? REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
//?
.? ? Sae ins<ructions for completinp tnis farm on beck ol Vellow coov. .,?? / to
E 16G91 _"X` Below Work Covered by 7his Reques7
Add AeD. 1vVe oi 9uilding Apoiiancna WireE Equipmenl Wired
Nome Range 7emporary Service
Ouplez Water Heater Liyhtin,y Fixtures
Apt. BuilAin9 Dryer Electnc Herun
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditinner Bulk Milk Tank
Parm Ocne, oeu v 0111c, (sncufy)
7F ?, u???rv 1nr,, nmr,
omuute lnsoection Fee Below
M Fee ServiceEntrencaSize enders/Subfeeders IX Fxrt Circuits
0 to 200 Am s o 30 Am s 0 tn 30 Am s
Abuve 200 qmps to 100 Amps 31 to 100 Am s
Swinvning Pool n 100Am a
Above Above 100_ArtpS
T rensformers igation Borc?s Partial•Other Fee
Signs ecial Inspectiun TOTA
Aemirks
' J
I Hough-in Date '.
I, the icxl
Insnector, nereev
rti(y lhet the above
Final inspection has been
/IF ) mede.
Thie repuesl vo1E 18 momlu Irom
Thisrcques[voitlp? P &Q?
18 mpnlhs 1mm ?)'?? ?'
E 16 6 9 5kaa IJ,:P e'5 °0
Requesl Date
/? _?
f Fire No. Ro h m Insper.tion
He ed?
ReaAy Nuw QWill Noufv Insoec-
«"r Wh
n R
d
_ IE5Yes ?NO e
ea
y
? Licensed Electrical Contraclor 1 hereby renuest insoaction ol ebove
? Ownee electrical work installed at:
Strpei Address, Box orROUte .
S ? 1
i
?
? Ciry
)
q'
jA n? e ? "_
ecuon o. Township Name or No. Ranpe No. CountJy^/
?
// I2' C O
Occopanc IPHINTI
?
?
?'
p
?CS Phane No.
5 -
T9.2S
_
ia
l
? /!a P ?
Powe Supplier Address ?
;
ti ,91
EI cal CoMra tor (COmq? ny Namel
?
'
?
L`
?I onUactor's License No.
0
?
Z
a s r
tc
; u? lv .? c
c . Z 3
7
-
Mailinp Addres(Contract) r or Own Makinglnst
? ailatiQnl
. 9 ?
/?/ //
/
?
4
?
5
O?
o
/V
L
l?L
Authorized jPdnature (COmracto?r{ Owner Ma ing InstaDllationl Phone Nomber
a
O'! ? ? ? ?O L?
MINNESOTA STATE?RD OF ELECTRICITY THIS INSPECTIDN HEQUEST WILL NOT
BE ACCEPTE? BV THE STATE BOARD
Grig9s-Midway Bld floom N•791 UNLESS PflOPEH INSPECTION FEE IS
1821 Universitv Ave.. St. Paul. MN 65104
ob n..o tFi,i an,.twnn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ' es-ooooi-os
?See instmclions br completinB this to,m on back oh yellow wpy,
E• 1 V U g 5- "X" Below Work Covered by 7his Reqirest
N.A Addj Rao. Typeyl Builaing ADPliancea Wired Enuiuniani WireA
Home Runge Temporary Service
Duplex Water Heater LiyhtinG Fixtures
Apt. Biiildinq Dryer Electric Meatm
Commerclal Bldy. Furnace Silo Unluader
Industrial BIAg. Air Comiitioner Bulk Milk Tank
Farm Otn, oun v .tn, (Sm:,ivl
t er ueclW Olher
omoufe Insoection Fee Be/ow
Y Fee Service EnVenceSize tt Fee Fxnders/5ubfeetlers tt Fax Circuiis
0 to 200 Am 5 0 to 30 Am s / 33 0 to 30 Am s
Above 200 qmps 31 to 700 Amps 31 to 100 A s
Swimming Pool Abave 700-Amps Above 100_Ampn
Transiormers Irrigation Booms S? Partial•Ot
Signs Speciallnspection S SU ?
Remarks TOTAL )
I, the ElecTi'MM
Inspector, hereby
certify [hat the above
inspection hes been
made.
CITY OF EAGAN NO- 15 2 3 8
3830 Pilot Knob Road, P.O. Box 21 •7 99, Eagan, MN 55121
t PHONE: 454-8100 19 / ?'t ??
BUILDING PERMIT Receipt#° `"I
To be uied for SF DWG/GAR Est. Value $143, 000 Date JUNE 23 1988
SiteAddress 574 PRAIRIE CIR E
Lot 22 Block Z Sec/Sub. COiJNTRY HOLLOW
Parcel No
w Name ST CHARLES HOMES I
= Address 4194 COUNTRYSIDE DR
? City EAGAN Phone 454-7925
a
.o Name
? a Addre
? City_
ua
w W Name
z? Addre
? CitY_
I hereby acknowledge that I have read this application and stafe that the
information is correct and agree to comply with all applicable Siate ot
Minnesota Ste[ules and Cty f Eagan Ordinances.
hl-p
Signature oi Permittee
A Builtling Permit is issued t CHARLES HOMES_____
on the express contlition that all work shail be done in accortlance with all
applicable State of Minnesota Statutes and City o( Eagan Ordinances.
Building OfticialA-049__-?"4?L
OPFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System XX Zoning
On Site Well _ (Actuap Const
Ciry Water _1X (Allowable)
PqV ReQuired _-X(. # of Stories
8ooster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./ASSess
Planner
Council
81tlg. ON.
variance
FEES
Permit
Sumherge
Plan Review
SAC, City
SAC, M WCC
WaterConn.
Water Meter
Road Unit
Treatment P7
Parks
TOTAL
R-3/M-1
R-1
V-N
V-N
62'
40'
714.00
71.50
357.00
100.00
550.00
550.00
67.00
-12 1QO
204.00
2,938.50
, ,.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KN08 RD, EAGAN MN 55122
651•681-4675
New Construction Reauiiemants
• 3 registered site surveys showing sq. H. of lot sq. R. of house: and all mofed areas
(20 % maximum lot caverage allowed)
• 2 copies of plan showing heam & windmv s¢es: poured found design, e[c.)
• 7setolEnergyCakulaGons
. 3 coDies ol Tree PreservaUon Plan It lot platted atter 711193
• Rim Joist Delail Options selection sheel (bldgs wifh 3 or less units)
DATE I?I-AV4-0Q
'a00 .'1 S
RemodellRaoair Renulrements
• 2 copies of plan
• 1 sel of Eneryy Calculations for heated additions
. 1 site survey forextenor aCdNOns & decks
. Indicale if home urved by septic system for additions
VALUATION
SITE ADDRE55 SN C'%( CA-C_ F-o.S+ MULTI-fAMILY BLDG Y X N
TYPE Of
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT?preLAx?.S. 3AA
STREETADDRESSI9Qn C.iatx)-u rjp?"Q' l&je.SA CITY'+05nL&l)r2.. STATEjris.?ZIPSSII
TELEPHONE #LoSI•g[bq•yj,*-+ CELL PHONE # FAX #
PROPERTYOWNER18O... A.GS TELEPHONE#IGSI, q sa.a3o9
---------------------------------•----------------------'----------------------^---------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNr;tiOT:\ RliLF.S 7670 G\'l'ECOR1' 1 4fIN?lESOT:\ RL;I. •L'S 7672
(d su6mission type) . Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Workshee[ Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
b[cctkanical svs•tcm includes:
Sewer/Water Gontractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Condiuoning
Hca[ Rccover}' Systcm
Phone #
Phone #
?
AU F e: S'
? ? 1 ? 20pZ
Fee: 370.00
--------------°----------------------------^------------------°----------------....--°---------------------------------
t hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree to comply
with all applicable STate of Minnesota Statutes and City of Eagan r inances.r?7
Slgnature of Appl(cant --?.v 1? 1??_
v • - -
OFFICE USE ONLY
Phone n
I.awn Sprinkler
No. of R.I. Batt
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
.' , °?.
OFFICE USE ONLY
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory B(dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. A(t - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
? 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/ES System
Census Code " Zoning City Water
SAC Units Stories Boaster 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) FinaVNo C.O.
_ Eootings (addidon) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs ? A'u/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining WaII
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
5&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
??• ?., r?•.i auv ic.av rtfp I OJ all '4400 1(LSpICR,j1., sy}yyrpjyolm
7una'7, 2001 inity of fiagan
3836 PiInt Snob Ruad
Ea$an, MN 55122
To Whom It May Concern;
IIder Jones is authon7ed to lmll bnilcNng petmits for Rmewsl by Mdexsen_ please allow
Slder Jones to provide this servitce for us in EsM. 'Iitut sutharl2eticm is velid fvr eny
dake beyond 6/6/01; unpH a ROnawa1 by Andersen manager wcprasly revoloes it in wridng
to tha City-
I roquesc t(u.y sutborization bc accepted expedidously. as w ttot delay in rhe processing of
our buildinS PomuW emy fnzfhcr. Plcasc caIl mc If thccc u+c my qneationa. I can be
wntacted at 763-502-47p6.
,
Your immgdift aumtion to this matter iq appredeted.
Sinoeiely,
ond R. Rau
astallation Maztager
Ronewal by A.ndeosen Corporation
C'r.: Ksrrn-
F]der Snne_¢ 9MW
*=??n372W
wuuzia
Received Time Jun. 7. 1:O1PM
i 1
? ' •
' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
a ?
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDBESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MOLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO[•MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: STNC:T.F, FAMTT.Y Valuation: Date C?JtINE?16, 1
Site Address 574 PRAIRE CIRCLE EAST I?
Lot __jL Block 2 COUNTRY HOLLOW II
Parcel/Sub (:(}IiNTRY HOLLOW
Dwner 7.TNT R 7.TNnA KTCS
Address 46R4 KTNGSRTiRY nRTVF.
City/Zip Code RA(,,AN, M7N
Phone
Contractor GT_ CHART.F.S HOMF.S
Address 41q4 COUNTRYSIDE DRIVE
City/Zip Code EAGAN, MN 55123
Phone 454-7925
Arch./Engr. PLANCO. EAGAN
Address 3435 WASHINGTON DRIVE
City/Zip Code EAGAN, MN 55121
Phone il 452- 724
vr r tt?a wu vn+.+a
/y3, oo?v-
/
On site sewage_ Occupancy P.3
m 'i
MWCC system ? Zoning R-I
On site well Actual Const V-N
City water Allowable V-hl
PRV required _?/ Jk of stories
-
Baoster Pump ` Length ?
Depth yp`
S.F. Total
Footprint S.F .
APPROVALS FEES
Engr/Assess Permit 7
Planner Surcharge
Council Plan Review 3,$?,DO
Bldg. Off. 5AC, City 1b0. 00
Variance SAC, MWCC
O
5,50,
Water Conn S'O.aO
Water Meter ( . 7. 80
Road Unit a 29-?o
Treatment Pl ,-1-py,qo
Parks
Copies
TOTAL ?' O
VA I,uAT?oN
I2X Zy
zO X 2?? SZ?
oi?_
g? X/Y= lj2vv
?smT
._---
+?}u 308
?C 2? % $40
50
_..----
Il?? X13= ISb?`6?
1sT Fi..ftpk '4 2N'D f?toa?
'lgSwT = 1lSL
2rL I = rY
-z xry ; IN
.?--?--
II 11663L
r ,
,
t
• : ' CE1R17IFICATE OF SURVEY
FOR -'?ff ?CaALLC11?pMGS KURTH SURVEYING INC.'
INEREBI'CERTIFY TNAT TN18 4URVE PIAN-ON NEPORT WAS PIiEMRED 4002 JEFFERSDN STREET N.E.
ar us on uNU iA[ct suxawsw N MAT 1 AM A DULY COLUMBIA HEIGHTS MINNESOTA 30121
' RED LND 8 VEY U OER THE OF THE $TATE OF MINNESOTA. 612-7BB-9769 DATE b? ?- a$
MINNESOTA REGI ATION NO. 1(olt3 PROPOSEQ o. RON'MONUM NT
(3RADE5 OEARIN08 ARE ON AN
ASSYMEO OATYM
OARAGE SLAB • 839 •O e' sO D SPIK[ SET
TOP OF BIOCN¦ a3`?'s I )m SPOT ELEYATION
BASEMENT FLOOR¦ ( )a PpOPO8B0 [LEV.
->a ORAINAAE ARROW
Vr,??tJM??.?..
, z
?l ?
. ?
,g3,;tS?q
0 0?,
? - ? - - - --? ?"
`1i ? ?z.o s ? Cs39?Z) ; ? I' fi
zv,467
1 ?a
? P?OPOSCp I °o
??• I_ i '" i 9 2N.5 ? $^, %
? ,PA?.- - - '?
, zo.o . %
?eL.a - I
-? J c a3? ?s? ? ?
? p
? l
' I ?
a PaAiN" { Lktturl rASeKeµts D
WN F
q4•4-50 v
_ ANo ??????Euff='%
ROI
1..?`sr Z2, Cojr4.-rR.-C OoLwwCo•,1A?.
r
? :};7? Fi ?NVEL??P= F, VEkkGE 'U" CGM?ll?i .
01.RlER:
r
'
??,-),-
?
ll, 1AN? . ? ?
SITE ADDRE55:
r`
CONTRACTOR: SA . C,l/lG/l Q 9---1 DATE : ?j- I t' ny PHONE :
DETERMINE NORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED uALI AREA,,,,,,,, sq ft x"U"
2. TOTAL ROOF/CEILtNG AREA,,,,,,.. Sq fi x"U" 0? e m?
3. TOTAL EXPOSED 1JALL AREA CALCULATIONS:
Total exposed wall
area above fioor,,,,,,,, 3.200,1 sq ft
a) Total wall window area:
gtazed...... ::Z 97, )-. 59 ft x "U" 0 SS w / 3.
9lazed......
sq ft x "U"
?
b) Totai door area ,,,,,,,,, y 5, g sq ft x"U" _`Q _45, (_
c) Totai sliding gtass door area:
glazed...... Jln n sq ft x ??U"
glazed. ..... sq ft x "U" _
d) Total fireptace wall area sq ft x "U"
e) Total wall framing a rea
(Averaoe 10'!)..... ..... sq ft x "U" t09
f) Total net wall area above
floor (Insulated). ...,... , sq ft x "U"
g) Total rim )oist area ..... ?n.cJ, ? sq ft x "U"
Totzl foundation
area,(Exposed).... ...... sq ft
h) Total foundatlon
window area....... ...... ? sq ft x "U"
i) Total net foundation
area above grade.. ...... ? sq Tt x "U"
i T OTAL a) thru 1)
If item "3 is the same as, or less than item 1'1, yo u hav e met the intent of
S.R.C. Section 6006 (c) 2.
? TGTAL CXPOSED ROOFiLEILING CALCULA7101i5: Total exaosed ,.-
_... _
roof/ceilin9 drea........ sQ ft `
__.. _.. _ . . , ..
........
?? '-?--
"
Total skyltaht area....... ? sq ft xU"
k) Toial roof/ceitinq framing ?U„? e?.. ,
, a ? rea Averaae 1DY,)...... sq ft x l1) Total net insulated
roof/ceilin9 area....... ln<Q,y s9 ft x"U"
TOTAL j) thru 1) ?
f total nf !'u is the same as, or less than P2. You have met the intent of
,B.C. Section 6bQ6 (c) 1•
ALTERNATE BUILDING ENVELOPE DESIGN .
greater t than the sum u of items , HlhandbN2the sum
of itemsZx3 t and t?'4 a shall e not e be system
,. ? -5?+ z. 31?? °
t 4. t/'?
C E R T I F I C A T I 0 N
I hereby certify that 1 have calculated the "U" faciors and "R"
values herein and that the buildinq here descrihed meets or exceeds the State
of Hinnesota Eneray Conservation Act.
`
.
nature
codce,
CITY OF EAGAN
CHANGE METER ORDER
NAME: TE
ADDRESS: --? ? ?
,,QY/-t r)t,
Meter Number.
Readout Number.
Reading:
Make: -
Size: -
Remarks:
Remarks:
! /? Oviln c
NO.:
ncca N_ 1 13 2 8
U 7,-f U..,21
Signature:
L2z (3
OUT IN
Meter Numb
_ Readout H6m
i
Date: 17,
?e ?i
o ?U 66r t--?-?
?
<) ??
-02
?
?5- 7y???'??
? :? r.r? ?'; ??:,., ?n ?`?p??
-? ---
eL 45
APFLI?CATION FQR PERMIT
1) PROPERTY ADDRESS:
SEWER AND/OR WATER CONNECTION
oF C'aqcn
,... . . . .. .... , ---
* NOTE: PA]T1FNP OF HEE AT TIME OF
; t,eeiscaMoH ooes txm corr- ;
' STIIVPE APPRGJAL OF PII7MIT.
:
e
? INSPfS`PION O£ SEF1E[t ADID/OR WA1II2
; irisrawv+Txoris wIIa. Nor ae scEOtn.tn *
? I'Nl'IL PQUIIT HAS BEEFid ppPROVm. k
:i?stws.yitt??tt?ya?itt»t:xx?w+?a?ti?x
I,EGAL DFSCRIPTION' !
(Lot Bloc,c S division or Tax Parcel ID ;r)
IF EXISTING STRCCT['RE, DATE CF ORIGINAL BUILDING PEF2hLLT ISSUANCE:
Monc h Year
PRESENT ZONING/PROPOSID USE:
Q CONIINQ2CIAL/RETAIL/OFFICE
Q INDL?STRIAL
Q INSTITI:TIONAL/GOVERNMENT
2) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
I_1 R-1 SINGT,E FAMILY
E---JR-2 DLPLEX (3tvro Units)
Q R-3 TOWNHOPSE (Three + Units) ( Units)
Q R-4 APARTMENT/CODIDONIINICM ( Units)
3) ?i i :?• NAME:
MASTER LICENSE #
ADDRESS: S4LI!Z& "
CITY, STATE, 2IP:
PHONE:
4) o2 •?.
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
?ONNECfION 'IC)
?
'TO CITY WATEE2 O C'PHII2
6) M7 71?7
?***?**?«***?**?********?************?*********??***************.****.*********?***?**?******??Y
*
* TEIE GOLD COPY OF THE PERMIT WILI, BE SENP DIRELTLY 'tl7 PUBLIC WORKS 'IU FACILITATE ME.TER PIQC-L?P. ;
* PI,EASE ALIAW 74A hDRKING DAYS FOR PROCESSING. SOMEONE EROM Tfm:CITY WILL CONPACT YOU IF TIIERE >
* ARE ANY PROBLIIM5.
?**,r***?,r**??,t**********:r*********,?*+*t*??,?**?***?:t*w*,t**,t,t+*,t*,r****,r,t**,r***+*+:r:r,tx**?***:rt****?***;
/
4N C•
For City Use
P1 erums License:
Ij Active
EScpired
Not recordec
Sta Inf?al
FOR CIl"Y 19SE ONLY
PERMIT n ISSUED ,
Pd w/Bldg. Permit FEES:
$ $ Id S? SEWER PERMIT (INCLUDE SURCHARGE )
$ WATER PERMIT (INCLODE SL'RCHARGE)
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ S ?-r`?'•o-?. ACCOONT DEPOSIT - SEWER
$ $ ?.i •c?O ACCOCNT DEPOSIT - WATER
$ .SS o -cL -o s wAc
$ U j> $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TR[!NK SEWER
$ $ LATERAL BENSFIT/TRUNK WATER
$ ?n <U-v $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ $ Y? ? < <? ? TOTAL
1 -Z?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
? ROADWAY" MDST BE ISSOED BY THE ENGINEERING
? NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
1?2
???
DATE: J?//
i Y OF EAGAN
? 38'ilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: suzLoaNe
Permit Number: 0 3 2 7 5 2
Date Issued: 0 S J 0 3/ 9 S
SITE ADDRESS:
P.I.N.: 10-18275-220-02
574 PRAZRIE CIR E
LOT: 22 BLOCK: 2
COUNTRY HOILOW
DESCRIPTION:
REROOF
Bii ildingl Permit 7ype
t.build3ng Work Type
? Census Code?
,.
STORM DAMAGE
REPAIR
434 ALT. RESIDENTTAL
REMARKS:
REROOF DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR:
fl2TEC ROOFING
1444 CLIFF
BURNSVILLE (612) 895-0040
- Applicant - 57. LIC
18950040 2013914
RD E
MN 55337
OWNER:
KICS DZINTRIS
574 PRAIRIE CIR E
EAGAN MN 55123
(651)452-0309
I hereby acknowledge that I have read this
, an1`ormatiqn is Gorrect and agree to comply
Statutes and City of Ea9an Ordinances.
L
APPLICANT/PERMITEE SIGNATURE
application and sCate that th-e
with aZl appl3cabie Stats of Mn.
?-?+C7? ?`--'?'?J I ?P 1
4.4SSUED BV: SIGNAT E
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
? 3830 PB,OT KNOB RD - 65122 ? d Q???
681-4675
New Conshuction Reauirements
? 3 registered site surveys
? 2 copiea of plans (inGUde beam 8 window saes; poured fid. tlesign; etc.)
? 1 energy plwlations
? 3 ies oi free preservation pian 'rf IM plaCed a}ter 7/7/93
required: _ Yes _ No
o e:
ESCRIPTION OF WORK:
STREET ADDRESS: s-7 `7l
LOT: BLOCK: -D- SUBD./P.I.D. #:
Name: /-,i G $
PROPERTY Last First
OWNER
Street Address: 6-7 R 1zf
City 6AGR A)
RemodeUReoair Reauirements ? 3
• 2 oDpies of plan
? 2 site surveys (extenor additions 8 dectcs)
? 1 energy ealwlalions tor heated addHions
CONSTRUCTION COST; '*0i
`R
1Ao
Q ? S Phone #:
_ State: M A? Zip: ?5 :SSI o?
Company: r/ Phone
coxTxACroR
Street Address: . /?lyy 6I1FF License#
Rd _ Z.6??q I y?
ciry 'BugAs C4,11e scace: I7/)A) zip: ,5 S-33 -7
ARCHITECT/
ENGINEER
Name:
Street
City
Phone k:
Regisaation #: _
State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to qOmpty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ?,? ?
Signature of Applicant: !!N v_
,?
OFFICE USE ONLY ( ?
??\ JUL o I
CeRificates of Survey Received _ Yes _ No I I\\
IJl1
Tree Preservation Plan Received _ Yes - No _ Not Requi
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
O 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WOt2K TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Mutti Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
?
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
°k SAG
SAC Units,
2004 RESIDENTIAL BUII.Df1tiG PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Raad, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
71. rl Q _O ()
NewConsWCtionReaui2menb RemoddlReoairReaui2ments
3 registered sHe surveys showing sq. iL of l04 sq. ft. of house; and all roofed areas 2 copies ot plan (200b mazimum lot ooverAqe alla+red) 1 set of Energy Calculations for heated addlibns
2 copies o( pmn showing heam 8 window sizes; poured found design, etc. 1 site survey for additions & decks
7 set of Eneagy Calculations Addition - indicafe Monsite sepfic system
3 copies of Tree Presenation Plan N lot phatled afGer 711193
Rim Joist Detail Optlons selection shcet (bldgs with 3 or less uniLS Date ?? /(mQ cConstruction Cost
Site Address S-+ q Unit/Ste #
Descripdon of Work l
Multi-Family Bldg _ Y_ N F7replace(s) _ 0 _ 1 _ 2
Property Owner Telephone #&5j
Contractor ; gENEWAL BYANDERSEN
Address 1920 COUNTYROAD "C" WEST
MN 55113
State ROSEVILLE C't3' l?
hone # ?
Tele
( )
? ? ? _`1
, p
j
o
oq g3
aoi
,
.
_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheel • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalculaUans 5ubmitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
i.?
! 5 [il04
Mechanical Contra?ior
Sewer/water
Telephone #( )
Telephone #(
I hereby apply for a Residenrial Building Permit and aclrnowledge that the informarion is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
T I ofplans.
ln,.Ca G,
ApplicanYs Printed Name plicanYs Signature
OtFICE;USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screenlgazebo) ? 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 ? 35 Int Improvement q 38 Demolish Interior ° ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Uemolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ AidGas T ests Final
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall •
Approved By:
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
??...e, c?•.i auv ?c.u? rna iod Oll '486A tftSlYLryT¢,t? dSYAIYUlStf.7lSIY
. ? .
re al
3une t 2007
. L 4Y offiagan
3836 PiIot Saob Road
Eagan, ivN 55122
To Whom It May Conoarn:
IIder 7ones is auffiori2,ed to phI buil?g pmmlts forRenewal by Andezsen Ptease a1Iow
Slder Jones to providc tbis s.ervzce far ne in Bam. `i'his
date bcyond 61610 1, cuntf[ aj;$ngwmj by emha[izetian is valid for any to rheGYty ??n ?, ?y ?? it tn wii[ing
-
I requeat this auHiorizatian be ac,cepted-expeffitiously. ss W not delay in the p?cessing of
coourntacbed baildia at S '763-Potmita502-47aay0Rtb. rthcr. Plcaac caII mc if thcrc acc eny qneutona.. I canbe
' - 6:
Your itnmGdiaUe atteatton to Wis matter is atd?t. a
Sincieiely,
ond R Ran
ostatlation Managcr
Ranowai bY Andetsen Coiporativn
C'c.: TCarn-Fiirler 7nnea
°"°
MY ?
wUU:
Received Ti?e Jun. 7. I:01PM
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 574 Prairie Cir E
Lot: 22 Block: 2 Addition: Country Hollow
PID:10- 18275- 220 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Dzintris Kics
574 Prairie Cir E
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA082016
02/22/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115104
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 574 Prairie Cir E
Lot:22 Block: 2 Addition: Country Hollow
PID:10-18275-02-220
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
April Desmith
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 -
Brian W Lorentz
574 Prairie Cir E
Eagan MN 55123
Cedar Valley Exteriors Inc
3369 Coon Rapids Blvd
Coon Rapids MN 55433
(763) 755-2221
Applicant/Permitee: Signature Issued By: Signature
= 13335 sue,
41110`
C!tjofEa
k1
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
SEP 072016
Use BLUE or BLACK Ink
For Office Use Q�
Permit #: l 5 c
Pemrit Fee: (e,0- l/
Date Received: l — ?-1,6,
Staff:
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
1){6.,6Q E
Date: q 12)i) ) V' Site Address:
Tenant:
Suite #:
J
Name: �/
Address: Ill11�Vy Vermillion �'
State: IN Zip: 55033
Contact: Is j... J / A.
One Huff tif.cth hq end ifi r License #: B Leri.J 1
city: Hash Y10is
Phone: Le51 ' X131- y 117
Email:
L,t 10, 1 IL S,✓ vi _' OS .0 O
New )( Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
Fumace
XAir Conditioner
Air Exchanger
_ Heat Pump
Other
COMMERCIAL
_ New Construction _ Interior Improvement
Install Piping _ Processed
Gas _ Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
= $ V ()
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
= $ Permit Fee
= $ Surcharge
_$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
k_fitlY\4,:ge)1144►" Ide
x VassetA Marsrz lI
Applicant's Printed Name
FOR OFFICE USE
Required Inspections -
Underground rough Irl Air?.
Applicant's Sign
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#(//-,%=1
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FY&9&52E/+ &R22&JC2B#0$2/2, 1LU;<M''&'!'8MV'!!
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301 +,41&FI&&;;'((Y040,&FI&&;;8W(
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6&.2E2@A&0$%, Q#2*42& .0 &6&.0X2&E20*& .+1&0BB#+$0 + ,&0,*&1 0 2& .0 & .2&+,H E/0 + ,&+1&$ EE2$ &0,*&04E22& &$ /B#A&Q+ .&0##&0BB#+$0@#2&> 0 2&
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)BB#+$0, T52E/+ 22 &>+4,0 ?E2611?2*&"A &>+4,0 ?E2
5-7411 p,' /)/z.iri c 11z. /T . RECEIVED
��ri�2/yriT fit! 1133 MAY 15 2017
FUEL GAS
APPEND€X.a(IFGC)
WORKSHEET E-1
Residential Ouribustion Mr Casetilatlnn Method
;step 1:Complete vented combustion appliance.inhumation.
Pomace/Boiler,
adiaCtik •� t♦ Direct Vat
(Not fanassisted) &Power y
We=Heater.
14tHood Erm.Aasittictd Direct VOA litaix
(No(fan assistedl I Power Vag
Step 2:Calculate the volume of the Combustion 'ppharice Space WAS)containing combustion appliances,
The CAS includes ail spaces 0001100104 to one another by code oampliant openings, CAS volume: 42112_,
t+.�.l..11?�, _ y:..� ... .,,�, .•t.► 1.229 11016
Default ACH values have been inctnpauted into Table&I for use with Method 4b OCAIR M ).If the year of con"
#. �♦ I f #t a S44 - tf ,I SR:! `. -.r;.:.c+:..# ti .,Id.+
Step 4:betcrmine Required Volume for Combustion Air,
(IX)NOT COUNT DIRECT VENT APPLIANC ESQ Irtmit 34.0120Emihr
B
Use Standard Method column in Table to 6pd:Tsta1 Required Volume(TRV) TRV Ire, A
i .41$1 a#}H.. .Y,# asd�Y�.f te.«t .4 .I=1t. 1 s. #; .`t#.. #51,«1_Il•!., 1 !,-�.�1;�t.
! III[ ' t •tt/ ..::!r .ij.r' !Nk.. •�. ` M.ri. # . fu.. ..
4b—Known Air.lnftltration bit OCATR)Method
ID4 NOT COUNT DIRECT VINT APPLIANCES) Input #tt
Use Pan-Assisted Appliances column inTable B-I to.cud
Respired Voltttne Fan Assisted(RVFAI RVFA
#;rc i f,.j$t #, ,4 8 `.:I .:Y:.'�..# . #}e,.�.:It t«!. - iiiSYii►
Use Non-Fan-Ass' # I«; column inTable,_R.1 t0 rind
elf. ♦Of $.4 ». 1: JLt P.
Total Required Volume(TRV)c RVFA f RVNFA RV= +
y
• I4. I�S#Ii. .,(.}t '. 'f .rS4 !`$��fl 5 ..11.•11 $,.;.ykit
/,.#t .' -la ":*E ; 4$ =�#. . sial*
Is"
6 2015 ERRATA-2015 Mtt0ESoTA FUEL GAS CODE
FUEL GAS
WORKSHEET El—(c tinued)
Rtshignualconglastimmasigthosizgibad
Step 5:Calculate t e ratio o available inter&volume to tbe total mired volume.
j
(from Step 410 S 41:1 &du= ( /
Step 6:Calculate)eslttcno n Factor(R1).
. ),1. ' .tit tc•7a# ar ,`.a.,.. j keiVaiM l F C4-‘18C I05S 441.d-rt
eery, zr.
CEXCEELISREMIENZ 117r LXX wax
Combustion Air Opening Area(CAOAt
Total Btuihr divided by 30(X)Btu/hr per iva C..681/A 14e2CA1301X1Btaihr per ite= 347i
sticasi.Luddinimumao.A.
Minimum CAOA=CAOA inidlipiled by RF Minimum CAOA= 3 x 0 _ 0 1 2
CAOD=1.13 makiplkd by the sports root of Minimum CAOA CAOD=L13 MideMIITI CIA= itt
.1 • M ttt,t. ...:� 4r..t • alda..�s t,ti ;._ .....#_t 1 .t::..
:.•...".[iat S �• f a, t,.!#.f u, trra )t.' : ��tQ .. b. t�;S Y) . • _
2015 MINNESOTA FUEL GAS CODE E 2015 ERRATA 7
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145218
Date Issued:08/29/2017
Permit Category:ePermit
Site Address: 574 Prairie Cir E
Lot:22 Block: 2 Addition: Country Hollow
PID:10-18275-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Brian W Lorentz
574 Prairie Cir E
Eagan MN 55123
(651) 329-4188
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature