584 Prairie Cir WINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 '
SITE ADDRESS:
, :; r ? .• t?i ?????
; ;?ajrttf, crW u .
F. u?i?? l ?• ?riut ? u?l
PERMIT SUBTYPE:
, APPLICANT:
TYPE OF WORK:
iy
INSPECTION .. . D.
,,,}? ? r? , . •,, , ? ?.;,:?
?
?
?r ?
Permk No. Parmit Holder Date Telephone M
ELECTRIG 9 $ Q?
PLUKJBING ---?733
HVAC
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFINQ
ROUGH
PLUMBING ?/
PLBG
AIR TEST
ROUGH
HEATING
- I0,4
GAS SVC
TEST
INSUL
?
GYP80ARD
FIREPLACE
FIREPLACE AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL '
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
x>
PT r.
.-I CITY OF EAGAN
,__.- • 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ?
Tobe usedfor Est. Value '12u•!`': Date •
9
Site Address OFFICE USE ONLY
"
•? i?
Lot Block Sec/Sub. On Sfte Sewage
• Occupancy
MWCC System Zoning
Parcel No. -
On Site Well (Actuai) Conat
oc Name ' i. . City Water (Alloweble)
W
Address PRV Required of Stories
;
0
City Phone ?? ?
Booster Pump
Length _
Deptfi
°C
.
o
Name
S.F. Total
? ` Address Footprint S.F.
P City Phone APPROVALS FEES
W
W Name Engr./Assess. Permit
c
? Z Planner Surcharge 6
_ g
? Address
Council
Plan Review
W
5 City Phone Bldg. Off. SAC, City Q
I hereby acknowledge that I have read this application and state that the varience SAC, MWCC
information is correct and agree to comply with all applicable State of
Water Conn. '
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial TOTAL
? ?2 'Zirs
Permit No. Permit Nolder Date Tetephons it
Plumbin
9
96-- 9L,
,
Electric
Softener
Inspsction Date Inap. COmments
Footings I
Footings II
Foundation
Framing ?
Roofing
Rough Plbg.
Rough Htg. ?? - I/it 0
ary
Isul. `
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ- 1
Temp. LP
Deck Ftg.
Deck Final '
Well
Pr. Disp.
?: ik
CCtrfifiratr uf (Orrupttury
Citp of eagan
arpartww of Edlding jwrriim
This Certificate rssued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifying thal at the lime of issuance this structure was in compliance with the various
ordinances of the Cuy regulating 6uilding corrstruction or use. For the following.•
ux cleswr.tion : i7kG/GAR a1dg, ft,rod No. I5236
o«uwar 1119 KON Zminc nWj;a rya coWc ?In
o»oa ot wddmss 2119 Building Addren " S84 PRAZr'7. LonG ry T. i2, B4, OQ[.?fTM-' WT 137
CIbfo6C1^ ']
Date:
Bw7ding OfEaal
POST IN A CONSPICUOUS PLACE
?i• ?
. . ?, ,
CONTRACT PR
$ite Address =
Lot
m Name U
? Address _
c City _C
? Name _
c Address
o CiH -
PERMIT # ? ?-
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN June
$ 3200 . 00 ?? PILOT KNOB ROAD, EAGAN, MN 55122 DATE
PHONE: 454-8100
TYPE OF WORK
Forced Air 60, 000 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent 3-bath fe.ns ldr`ye1CFM
Gas Piping Outlets # 1
Other
FEE
S/C:
TOTAL•
! BLDCi
TYPE
O
K DESCRIPTIO
.
W
R
t
?
V N
l
Res.
New
A C Mult Add-on
d. Comm. Repair
5040 Other
FEES
HVAC 0-100 M BTU
RES
-$24
00
.
ADDITIONAL 50 M BTU .
- 6.00
7-$1 1 (RES. HVAC INCLUDES a/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMII)
50 EA
- 1
24.00
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
-- MINIMUM COMMERClAL FEE - 20.00
STATE SURCHARGE PER PERMIT
PERMIT PRICE GOES
A - .50
1. 50 EYQND $1,ppp)
B
26 . 00 II
OF PERMITTEE
I J. 0
FOR: CITY OF EAGAN
, . ? PIUMBING PERMIT
CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122
0.CT PF11CE: ,?Ju,. PHONE: 454-8100
- Name
. Addre?
c City ,
Name
3 Addre
p City ?
Phone
PERMIT#
RECEIPT #
DATE:
r• BLDG. TYPE WORK DE$CRIPTION
Res. New ?'
Mult. Add-on
Comm. Repair
Other
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPtIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
PERMITTEE
FOR: CITY OF EAGAN
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Ng. FIXTURES TOTAL
_ ,?Water Closet - $3.00 ?
-%-Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
? Kitchen Sink - $3.00
Urinal/Bidet - $3.00
_LLaundry Tray - $3.00 ' -'; -
-LFloor Drains - $1.50 -?- `- ?'
Z Water Heater - $1.50
Whiripool - $100
? Gas Piping Outlets - $1.50 ' 17
(MINIMUM - 1 PER PERMIn
? Softener - $500
well - $10.00
Private Disp. - $10.00 ? C
??-Rough Openings - $1.50 FEE
STATE S/C: - c
GRAND TOTAL: ? ?
.?. r . ..,,?r„?,:J.a? ;•'y4?.w?? ..rlV.?:. . n1..::
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS ' -
Correction Notice
Located at
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
?
e
? .°r2
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
CITY OF EAGAN
454-8100 Y
DEPT. OF1
NG INSPECTIONS
?
ion Notice
.?
Located at
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
?
-
f
.
When corrections have been made, please
call 454-8100 for inspection.
Date - ? ? Inspector City of Eagan~
DO NOT REMOVE THIS TAG
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ?
. . , i . , .., ,:
SITE ADDRESS: APPLICANT:
1 11110 1 F' ,' I{i1l LuU h/ +jy
4{?s r i i? i M??
0`i7 iq 3
00, i: a l0st
J
PERMIT SUBTYPE: TYPE OF WORK:
1,aIii
1:E10 r
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNDucriwrv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
• CASH RfCEIPT
CITY OF EA?AN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
oAre
:
FFOOM?
r
AMOUNT
? « v L
DOLLARS
+oo
? CASH (] CHECK
.? _
.,
.
? Y ? ?.?,?
b? V? iq ?/? ,r 1Nhite-Payers Copy
r Yelbw-POSNng CoPY
Plnk-Fiie Copy
Thank You
BY
pol-
C
,
-?
BLDG.
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2165 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 ACCt. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
U
TOTAL ??
CITY OF EAGAN ?5 4 ?6
3830 Piiot Knob Raad, P.O. 8ox 21 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for ` Est. Value 1120'U0() Date JUNE 22, .19 t8
Site Address `? ?` °? ? • ? ?- ?? ??T,'; 4?';ST OFFICE USE ONLY
12 4 C`1l?'il tiY FIOL?A`i On SRe Sewaye Occupancy i?i
B3/
Lot BloCk SeC/Sub. x Ri
MWCC System Zoning
Parcel No. Vn
On Site Well (ACtual) Conat
HUl4E CANSTRUCTlON 1 NG
a Name
City Water x
x
(AUowable)
yik
z ddress 2119 vlltuPhrt1M TR PRV Required !k of Stories
° City EAGAp Phone 688"2004 Booster Pump Length 55. A
Deptn 38•4
,0 Name ??!"? S.F. Total
? 4 Address Footprint S.F.
? City Phone APPROVALS FEES
= b?
?
?
W U
W
Name Engc/Assess. Permit ?
Planner
Su?charge ???
_?
?Z Address Council Plan Review 320_At]
W
¢
? City Phone
61dg. Off.
SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 530 .00
info?matiDn is CorreCl and agree to comply with all applicable State of Water Conn. 550.00
Minnesota StaEutes and City of Eagan Ordfnances. 67
00
Water Meter .
Signature of Permittee 4 - Road Unit 325.00
A 8'uilding Permit is issued to: HtJKE CaMSTRU` TIaN Treatment P1 204•00
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City o( Eagan Ordinances.
Building Official /, ---_- - - TOTAL $ 2 8l
s b•?
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
55122
AMoUNT I $ /vA ? rv
? DOLLARS
loo
? CASH U CHECK
r
FUND I OBJECT I I I AMOUNT t
C?
Thank You
BY
?Q 85518 ?`? ??
Pink-Flle Copy
CITY OF EAGAN , Permit No: Date:
3830 Wbt Knob Road B/P Na Date:
P.O. Box 21199
Eagan, MN 55121
Site
i circle Wwac L
Plumber. Thampwn PlumbinF
MWCC: 550.0 d
Zoning,
Ciry Chg: ' 5 ri p d No. of Units: '
15
UO
Acct Dep: p
.
of Eayan
l
wFth the Cit
to cam
1
r
_,, y
y
p
ag
ee
Permit Fee:
Ordinances.
Surcharge:
Misc.: Br
CITY OF EAGAN, ,
3830 Pilol Knob Road
P.O. Box 21199
Eagan, MN 55121
SEWER SERVICE PERMIT
PBrmit Na Date:
Meter No: 5ize:
Reader No: Date:
7-i2.-sa
Site AddreSs ?. Pza±ria C3.rCls WSYt Lll ew1 wun:.r i 1 i.L;ri
Plumber. ' ? --apson PIuakbintt
Conn. Chg: SSO.OOvd
Acct Dep: 15.94vd ,
Permit Fee: 10. ()ftJ
Surcharge: . 5(lvc
Tr. Plant 204. n^tad
Meler. !
Misc.: PRV R3i?UIr .D
Zoning:
No. o} Units: Z
{ agree lo comply with the Cily o1 Eagan .
Ordinances.
er
WATER SERVICE PERMIT
CITY Q,F EAGAN Permit No: Date: 7--1 `-8R
3830•Pilot Knob Ruad Meter No: 4'0 7qU f 71 Size: _S/g a?f
P.O: Box 21199 Reader No: ??1R S2'4 R' 7tJ Date: °1- 8-gSl
Eagan, MN 55121
Owner. F.ume Gonst.
Site Address: _ 584 Prai ri p'i e iJest 1.12 R4 i,puntry l+ollOw
Plumber. T'hcnnpson P1_ umhi n•
Conn. Chg: 550. QOpc
Acct Dep: 15. AOrtd
Permit Fee: 1 _2 _ OE?pd
Zoning: _
No. of Units:
Surcharge: - _ SGpd I agree to comply with Ihe City ot Eayan
7r. Ptant 104 . 0nd Ordinances. ?
Meter a7 ???1 p"
Misc.:
r
WATER SERVICE PE IT
R1
CITY OF EAGAN N2 15 2 3 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8700 Q??/ ?
BUILDING PERMIT Receipt# a ??
7obeusedfor SF DWG/GAR Est.Value $120,000 Date JUNE 22, 19 88
Site Address 584 PRAIRIE CIRCLE WEST OFFICE USE ONLY
"OUNTRY HOLLOW
lZ
4
OnSiteSewage
Occupancy R3/Ml
Lot
Block
Sec/Sub. X Rl
MWCC System Zoning
Parcel No.
Vn
On Site Well (Actual) Const
HUME CONSTRUCTION INC Citywater X (Allowable) Vn
m Name X
W Address 2119 VIBURNUM TR PRV Required n ot Stories
° City EAGAN Phone 688-2004 Booster Pump _ Length 55.8
oeptn 38.4
o Name SAME S.F.TOtal
O? AddfeSS FootprintS.F.
U<
i-
City Phone
pppROVALS
FEES
64
0.00
?
? W
W Name Engr./Assess. Permit
w
?Z Planner Surcharge 60.00
z-
U. r Address
Council
PlanReview
-32f?-Q0
a W City Phone
Bldg. Of(.
SAC, City
1 00.00
I hereby acknowledge ihat I have read this application and state Ihat the Variance SAC, M WCC 550.,40
informalion is correct and agree to compty wi`h all applicable State of WaterConn. 95Q..Q0
Minnesota Statutes and Cit f Eagan Or?"na h s. Water Meter ---6-7 JQ0
SignaWre of Permittee •
Road Unit
NUME ?9 STRU^vTION
A Building Permit is issuBd 1:
Treatment P7 20 00
ontheexpressconditiontha allworkshalbedoneinaccordancewi[hall
applicable State of Minnes ta Statute a?, nd City of Eagalr)O rdinances. Parks
TOTAL $2,816.00
BuildingOHicial
?
284` 18 9? OFFlC US ONLY This reqirest void 78 mamhs (rom wlidanon dak pnnkd in ihin bax,
ur?-S'?9 7
a Q
" T
PLEASE PRINT OR 7YPE ? ?
Reqoesl Do 6 Roogh-in inspecllon required2Yn N. Inspeclion Olher Than 0.aagh-In: 0 ReadY N. ill Coll IKW
? I /7 (You mva mll Ihe inspecror w en reodyj Dme Reody:
I, licensed contrador ? owner here6y request inspection of ihe above elechical work at:
lob Pddrws (Sheel, Bw, or Roure Na.) ?
500,51 Aa:.-;e W, Ciry
E*'? Zip Cade
Ssia3
Secfian No. Township Name or No. Nange Na Fim No. CounM
O¢epont /
-/- Y Le e:r
46 Phone No .
7
e.
PowerSupplier _
04-kE/ec?'.? Pddrczz ?
?a?r•t ?r•?
?t??
Ele lricv onhadar (Company Noma) ,
fi-,? C
?`
/ r C-?l ConM1acror Li se No.
C? o0 99? Moekr tic. No. (Planf EIM. Only)
?E
e?
a .
MailingAddress nlmcrororOwnerPedorminBlnstalioti
5'SeY Nr•- ?• Ew ?? ?' ?Pd, E.? o.?
xris/' Ss-? 2-3
AuMorixed Signarore (CoMr, r or ner Pedotmiig o
?'?.?„ Phoire No.
EB-0000lA10 6/95 // STATEBOMDCOPYEEINSTRUCTIONSONBACKOFVELLOWCOPV
III?IIIIII I?? I IIIII IIE I III ? I? II?? REQUEST FOR ELECTRICAL INSPECTION
Minnesota State$oard of ElecVicity
?
1621 University Ave., Rm. S-1 S. Paul, MN 55104 ?
* 0 2 8 4 1 8 9 8* Pnor?e (siz) saz-oaoo g S j7
Home Duplez Apt. Bldg. Olher: New Addn
Commercial Indusfrial Farm Remod Re ir
Air Cond. Htg. Equip. Waler Fhr. Load Mgmt. Other:
D er Ron e Elec. Heat Tem . Senice
"X" above the work covered by tbis requesG Enter remorks in f is space and on the back of the whife copy only.
s / 6a ? ?t-,?.- ? f? //47 .:,
/a we-- /eve /, .
Calculate Inspecfion Fee - 7his Inspecfion Requesf will not be accepted wifhoul the correct fee:
Olher Fee # Service EMrunce $ae Fee # Circvih/Feeders Fee
Mo6ile Home Park Siall 0 to 200 Amps fo 100 Amps
Sireef Ltg./TroHic $ig. Above 200 Amps Above 100 Amps
Transfofinef/Genefa}Of INSPECTOP'SUSEONLY TOTAL
?
?
Sign/Oufline Ltg. Ximr. ?•
Alarm/Remote Confrol
Swimming Pool ? he.eb cem ; iA i mfnsmllation descnbed hemin on Ihe dahs em
Irrigdfion Baom Ro?gh-in ?b
ecial lns
ecfion
S
p
p
Inves}igo}ive Fee F??al Dole
THIS INSTALLATION MAY BE ORDERE DI CONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
This rxquest voiE h?? /na
18 rtqn[hs fmm
E 1 9749 /;--g
??900
•--- __._ ..?.._. ?:....;..,._....?..
guired. nN^ ?ReaGV Now?Will Nu:ify Inspao-
pQyp, lor When Readv
icunsetl'Electrical Coiitractor I hereby reCUest insDection ol above
Owner aletlncal wark installed at
SVeet Address o fl ou e No.
?f ,??'r/?'!E aL-E Ciry
ecbon o. Townshio Name or No. Range o. Counly
OccuDa,7C (??{NTJ.
cr?r??, Gati?>T
??U/y L Phone No.
Power ?IJ}'e,r/
/I/`-'a? [???l? Add•ess
E?{ FD??D qinPanY Njaingl? -
?/ /V/ Lr I ' G?har,tor's L'oonse No.
Mall g AdJress (COnVa ?tor r Owner M kin9 Installa?i )
'?Ol /ri?,L!A ,??
Au,n ?z sie?awre IComrector/ wn Making InstnllaY n1 Pho r --b
?n 1
M NESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
Grie9s-Midwey Bldg• - Noom N•197 BE ACCEPTE? BY THE STpTE BOAPD
UNlESS PROPEN INSPECTION FEE IS
1821 Univarfiitv Ave., St. Vaul. MN 55106
Phone(612)fi420800 ENCLOSED.
rJ?-lgB' REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-a
~ p'S'r a
/ See instructions tor colelin
mp 9 lhis farm on back ol vellow coov. :J J
E? 974 9 "X" Below Work Covered by lhis Request
Adtl Nep. TYPe ol Building Aooli oncea Wired Equ,uinent WireA
Home Range Temporary Service
Duplex Water Heater Liyhhny Fixture5
ApL Building Dryer Electric Heatm
Commercial Bldy. Furnace Silo Unloader
Industrial Bldy. Air Conditioner gulk Milk Tenk
Farm Dine, Soeci v cinor Isnauivi
? ,r Suecifv K -Ut-h1,, z f OG Othi:r
omDute lnsoection Fr.e Below
p Fae SeFvice EnVenceSize H Fee Fenders/5ubfeeders N Fae Gircwts
? 0 to 200 Am 5 0(0 30 qm ps 0 to 30 Am ns
Above 200_qmps 31 to 100 Amps 31 to 700 qm 5
Swinvning Pool Above 100_Amp5 Above 700_AmVS
Transiormer5 Irngation &Torc'5 PdrtiabOther Fee
Signs SPecial inspection S f
/? 70 A F
pertwrk5 I
?O ? . a
Nou9h-in ,
?
J? 4 , Elact '
nspec oq haroby
ertify thet the abov
Final
?
7 s ec[ion has been
,eea.
Thl8requaslvolAlBmontMfrom TJI '
? 1988 BUILDING PERMIT APPLICATION - CZTY OF EAGAN •
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE4r?LIELLINGS RENT9L UNITS FOA SALE UNITS
0 OF IINITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
IVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ??IL"7 Valuation:
Site Address?&
,J1710£
Lot Bloek ?
Parcel/Sub
Owner k4ne Cc.,/.SuicxZ/????U•
Address 4K7 7
City/Zip Code C??,JA/
I
Phone [p lJ?? ?CO
Contractor
Address
City/Zip Code
Phone
/i
Arch./Engr. 144?10
Address _, ` 'A)'?-
City/Zip Code 0-0(sc
Phone ll
Date:
120 oFYicE usE oaLz
On site sewage_ Occupancy R-3 M-f
[•IIWCC system J? Zoning R-1
On site well Aetual Const V-/d
City water ? Allowable V-PI
PRV required ? IF of stories
Booster Pump _ Length 5 s -, eg
Depth 3$-41"
S.F. Total
Footprint S.F.
APPROQALS FEES
Engr/Assess Permit
0?
?
Planner Surcharge O 4-°
Council Plan Review ?
Bldg. Off. ? 23 SAC, City 9.0-
Variance SAC, MWCC -%:;90, 220
Water Conn o'?
Water Meter (?n, 60
Road Unit Oo
Treatment P1 00
Parks
Copies
-
TOTAL ?
'?j
UALUATIoN!
-------??-
?`I X zy ? 5?[. xi y= go6 y
bs mT'
ZGu3z.. = ?32
Ik%r.y? ly = 2S9
?-
1091 x 13 ? IylK3
1 sT ??„vi2
45m7' ? /09/
1?z x ? /o
zX4sri= 1?
?
1118 x 4q: 54'ISSZ-
2r.p
3L?L = ?3Z
Z ?C /3 = Z L
(12 byZ
1I 90-7I
i
?
i
61
u . :::
u•.
?;o•uu+
?:??)•uuF
i ,'?`. ,•u?.?*
. ,
1 ?*?T
* PIONEE
* enginee
* *?
?
2422 Enteiprise Orive
Mendota Fleiyhts, MN 55120
(siz) 681 1914
Certificate of Survey for: 14UME "" O?
2qq, 7
i
0
?
?
?
?`65K.Gf
^
F/up E/: 806.16 . ryb.......° ?yp3
STRUCTlON <?
NoRTH
vP
J? 6,p3 ?
C
c? g43 ..
y '7
4P\,
C?b.
? -?
?.h^o• jr ??eb
? ??? ?
?? ?/? .4
/ • o
b° ?o pe
$'1G, ? ? ? b
? '.
.
H?
A's E( = PQ4, 5l
F3? \?4-
900.0 Denofes exisfin F(evcalivn
• 9oao _ Denofes propod Elevation
Deno%e.s Dralna e eUlilify Ec?semenf
?
/
e%8a4.7j ?
\O?
By
/
.
qE
DQfO// ?• ?'
r
EA A1V NGIN 'ERING DEPT'.
Q
QP• X. ? 0E?+3?A l 0 9ED
lRUPOSfD NOUSE f[.EVqT10NS
/vwesf Floor Elevalion
- Deno/es Ora;nb?e Flow Arrows Tvp af (3/ock Elevcrfiori=
o Deno%s monUrnenf Ga? ?e Slab Elevalion= 84?_?33 __
!?Ppriil s shown at•e assumed Sub.iect fo Easemenfs o?'record
C.or 12 , BLocuCouNrRY yoLLOw
DAKOTA CpuNT, Mi,VNE50Tq I hnre6V r.ertlfy that Ihis SurveV. plmo pr report wns? /p??a/p ar?d bV me m undw mY direct supeprvipsion and thit 1 am Auly Registe'ed Lnnd SurveYor
under the liws o( the Slate of Minnecota. Dpfed lhis //e? day MA.O. 19..(1.¢_.
V
-`-? CU`le_' 1 incl = 40 *eel ?? _
?tnRC?a?n.siruciiT", Wi
John Bradley
,
architecturoJ consultants inc.'
ODOB EdBT. 6.E. OSSEO.YN. 60369 IN. (612)-421-17T2,
Plan *` ?? ° Date
?
tv
Site Addre
1)TOTAL EXPOSED WALL AREA z??O sa ff. x'u°,' L
2)TOTAL EXPOSED ROOF/EEILING AREA 1?13 Sa ft•:sU°' ?Lb
WALI AREA CALCULATIONS:
70TAL WINDOW AREA
GLAZED
70TAL DOOR AREA
70TAL GLASS DOOR AREA
GLAZED
70TAL FIREPLACE WALL AREA
70TAL WALL FRAMING AREA
NET INSULATED WALL AREA
70TAL RIM JOIST AREA
TOTAL FOUNDATION AREA (EXPOSED)
IZP,9 1
ZSo sQ.ff.x?U°i4? c•??.5'?d
3m sq.ft.x"U" ' e1 = 2' ?
.4+,v 6Q.}Gx-U?--tL4Z-= (,& : -b
sq.ff.z?U???c 14-?4
38
7_ 1 1 `
l?l03 sq.fl.z"U"
e
o? sq.it.x1U?? I'Z
TOTAL FOUNDATION WINDOW AREA ? sq.ff.zU° ==
_ 3) TOTAL zS3
. 1f item 3 is fhe some os,or less than Jtem l, you Aave mef !he /ntent of
2 MCAR 1.16008 A ond O.
ROOF/CEILINO CALCULATIONS,
70TAL SKYLIGHT AREA
70TAL ROOF/fEILING FRAMIN6 AREA
NET INSULATED ROOF CEILING AREA
_i
xlU°'?? =
? p oZ sq.it.z U?' °u =?. o
4) TOTAL . "?
1/ ifem 4 is fhe some as,or less fAan Ifem 2, you have met !he intent of
2 MCAR 1.16008 A and O.
ALTERNATE BUILDING ENVELOPE DESION
To utilize the fofal envelope system method,the sum of (tems f ond 2 ahall 1
be yreater than ihe sum of ltems 3 and 4.
;
_ . 1) +2) _
. 3) +4) _
1 hereby cerHfy thotthe 6u11dJnp here descri6ed meets or exceeds e Sfo e of Mi?
Enerpy Conservation Act.
I[innaA)
_ ?
. CONSTRUCTION
CEILING SECTION (INSULATED)
(( 4inierior oirfilm 0.61
? 2 ?!- /a. ?ucc-ro.r e , Slo
( 3 ? o?. , 1 ., • 44
(q exterior air film (still) 0.61
TOTAL R 45.12--a
U = I/R ,D2.2
CEILING FRAMING SECTION
( I Inierior ofr fflm 0.61
(2 6?8 som ,eec? .Slo
(3 ? I?%LJL- 77-
(4 interior oir film 0.61
(5 -&*inches of soN wood Q.?S
TOTAL R
U = I/R ,DKSo
CEILING SECTiON (INSULATED)
( 1 interior air film 0.61
(2 ? V-Ocv . S(P
(3 TL 2R n o r-r z.L?l?
(q exterior air film (stiN) 0.61
TOTAL R 31, ?',
U = I /R .-.C2Z-S'
VENTED
CEILING FRAMING SECTION .
( ieterior air film 0.61
(2 Vi.o- ic
-- _Cl.r
36 cao
(3 ? ? pn o r
(4 interlor air film 0.61
(5 ?2?nches of soff wood S,L?
? a.cr?- lituss? .TOTAL R 45,1?
U = I/R ,O 2
EXP05ED BEAM CEILING SECTION
(.1 interior air film 0.61
{p
(3
(4
(5 exterior oir /ilm 0.17
TOTAL R
L = I/R
.
„? I FE:.,+-, ?1 4-C, CONSTRUCTION
'RAMING SECTION
lnterior air film 0.68
St inches of sofi wood
, 0-6.I D[ 4..t??+i-aa+E L o L
; exterior oir film 0.17
TOTAL R 11, °
U = I/R ' °0)
ECTION (INSULATED)
inierior air film 0.6
. u'IsL Bc.t???e11-E. L.ol?
s?w?ac .S (
ext rior oir film 0.17
TOTAL R LS . I'1
U = i/R - 02t
)IST SECTION
I inferidr air /llm 0.68
p 5r? 0--i4-F 1.?. 19, o
3 I 04....?•p I, o-1
q L I81 Px1i?FN-E L',o.4_
$ alamebh? Sl
g exterior air fllm 0,17
TOTAL R 16:11
U = 1/R •oqo
ATION SECTION
interlor air f11m 0.68
I"?-r2e ?.?>. r. e
I ,24,
exterior air tilm
0.17
TOTAL R 115
U = 1/R 'It
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
"
y ....................... „
? NOlE: PA1MffNl OF Ffi AT TIME OF .
k
?
; nrriacaTtoci DoEs rM
cc
e
?- ;
n
p
v
?T y?
? J?T1NR? APP?T?AI? OF Cuv'a?.?. R
i iNCDFS`I'TCSI OF 'SLSdR A['I7/wR VA1ER
zcsrnisAlzors wna. Nar se scEMUm ;
y['PIIZL PFItPIIT FIAS HEW APPROVFD. k
•?i?.e?:iair?wxriit+r??s+?ree?*r+xfr+r?+?
dtV.oF czC1C]C9P1
(PLEASE PRINT
1) PROPERTY ADDRFSS: ...?O 7 Y".?L-?•I/??0 C"?I?,I??i ??
T•FY:AT• DESCRIPTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? . . .
Lot B ock S vision or Tax Parcel ID
IF EXISTING STRL'CTORE, DATE OF ORIGINAL BUILDING PEa2MIT ISSOANCE:
Mon Year --
PRESENT 7ANING/PROPOSID USE: ?
Q .CONP9ERCIAL/RETAIL/OFFICE
Q IDIDC?STRIAL
Q INSTI'IUTIONAI;/GOVERNMENT
2) ? NAME:
ADDRFSS:
I?n R-1 SINGLE FAMILY
El R-2 DDPLEX ('1Wo L+nits )
Q R-3 TOWDII30USE (Three.+.Upits) ( Units)
Q R-4 APAF2TMENP/CODIDOMINILT7 ( Units)
.aav. mmncvrvnA CI.VU
CITY, STATE, ZIP: MiNNETONUn ?,r? ?34a
PHONE:
3) NAME :
ADDRESS: "
CITY, STATE, ZIP: MINNETONKA, MN.55343
rxoNE: 3. .-. 5a rAsrm LzccENss #
4) HIME??'J?a? • NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
? i:I NDIQ?RTIEtY'':WHIC
? CONPIF7CTION TO CITY SEWER ? X? CONNECTION TO CITY WATII2 O OTHER
?y.•?
6)
***,r*****+,r*?*****«********?********r?**???,?***********+***********?*:r*?***+**?**??********+,*,e**+**?
* THE GOID COPY OF THE PER14rT WIIS. BE SENr DIRF7CIS,Y TO PUELIC MRFCS TO FACILITATE METER PIQC-OP. ?
? PLEASE AIS,OW 'IWD WORKING DAYS FC)R PROCFSSING. SOPEONE FROM TM CITY WILL CONfACT YOi? IF MME *
* ARE ANY PROBLEb1S. +
?fit,
? Active
F?cpired
Not recordeG
Sta Initia
1 ,
: FOR .CITY USE ONLY PERMIT # TSSIIED .
?
Pd w/Bldg. Permit FEES:
$ $ /? • C? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ 7"0 G' $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAF
$ $ ACCOUNT DEPOSIT - SEWER
$ S ACCOLNT DEPOSIT - WATER
$ $ WAC
$
01 r:
$ $ TRUNK WATER AS'SESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRU[VK SEWER
?..? . , . .
$ $ LATERAL BENEFTT/TRLNK WATER
$
$ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
S o $ -$7 TOTAL
_ yq-?6 2? - ?%?S/-'
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUZRE EXCA VATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PCBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING COIVDITIONS:
APPROVED BY: TITLE:
DATE: / c e
?
a
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: gurLorrve
Permit Num6er: 0 3 2 3 q 3
Date Issued: 0 6( 2 4/ 9 8
SITE ADDRESS:
P.T.N.: 10-18275-120-04
PERMIT
589 PRAIRIE CIR W
IOT: 12 BLpCK: 4
COUNTRY HQLLOW
DESCRIPTION:
REROOF
Bu1183ng Permit Type
;iui:ldirig'tJork Type
E
'-rrensus Cpde'-`
,
?
.,
-'.., i.? ' ? 1.?, J;..?^"
??.
REMARKS
FEE SUMMARY:
;:DNTRACTOR: -
S M I CONTR ZNC
734 N MCKNIGHT
MAPLEWOOD MN
(612) 731-0739
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
Applicant - ST. LIC OWNER:
17310736 2010624 STRAKA ROBERT
RD 584 PRAIRIE CIft W
55119 EAGAN MN 55123
(612)688-7107
( S hereby acknowledge that Z'have read tAis application and' state that the ?
i•nfarmation is norrect and agree to comply with a71 applicaBle State of Mn.
5tatutes and City pf Eagan Ordinenees.
<
APPLICANT/PERMITEE SIGNATURE ISSUED BV: SIG ATUR
s2so 1998 BUILDING PERMIT APPLICATION (RESIDENTIAI,)
ciTsr oF Enaax
3830 PILOT KNOB RD - 65122
681-4675
New Construetion Reauiremants
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window s¢es; pouretl fid. design; etc.)
? 1 energy caleulations
? 3 capies of tree preservffiion plan if lot platted aRer 7J1/93
required: _ Yes No
DATE: o ? J y /-/ k
DESCRIPTION OF WORK: / C--4/ o
STREETADDRESS: V? l Dec
LOT: BLOCK: (A SUBD./P.I.D. #:
RemodeVReoair Requi2mants
? 2 copies of plan
? 2 atte surveys (exterior addRions S decks)
? t energy calculetions for Mated addftions
CONSTRUCTION COST; r /l ! (D
Name: J f r C1 !1G¢ ep ? e/e ?- Phone #: 7l6 2
PROPERTY L%st Pirst
OWNER ? , . ? .
Street Address: 21 O'l r Q!?P e L(,CC+ ( Q Cf-j , ?7 G 44
City <? R State: Zip:
Company: ee, 19 Phone#: 73I- 6? 3 6
CONTRACTOR
Street Address: /? AN License i! oc 6( b(n ? 1 4
City Mf}tOl-2 00o d State: " -t,
ARCHITECT/
ENGINEER Company: Phone #:
Nazne: Registration #:
Street Address:
City
Sewer & water licensed piumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penally applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicant:-t-6? ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip: 5'?%T-/ ( ?'7
State:
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Afterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
13 12 Multi RepaidRem. ?
? 13 Garage/Accessory O
? 14 Fireplace , ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Pianning Building
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
?
. ?
:m
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
°k SAC
SAC Units
CITY OF FAGAN
L'ASHTER: S TERMINAL N0: 84
DFlTE: 05/07/37 7IHE: 16:05:17
IIl;
hAME: DAVID SCHWEICH CQNST
3210 9001 584 PRAIRtE CI 50.00
2155 9001 584 FRAIRIE CI 0.50
Tn+.al FieceiR+, Amollnt: 50.50
CRO?3328
USFR ID: iVANCY
4w
X CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: auzLozNG
Permit Number: 02991A
Date Issued: 0 5/ 0 7/ 9 7
SITE ADDRESS:
P.I.N.c 10-18275-120-04
584 PRAIRIE CIR W
I.OT: 12 BLOCK: 4
COUNTRY HOLLOW
DESCRIPTION:
, -.
5`uildii'r','},,Permit Type BASEMENT FINISM
°BuiYdirig 'Wb.r.,k Type NEW
C? Gertsug Lode 434 ALT. RESIDENTZAL
--?
r
. . _ .. _ . _+'"`.
.? y 5
ti?Yy` t _ -
?l /r? ? ? ? ?? (-? } ?? J '' € ? "I I?? `. 1
REMARKS
FEE SUMMARY:
Base Fee $50.08
Surcharge $.50
7ota1 Fee $50.50
CONTRACTOR:
SCHLiEICH CONST, DAVID 14478808
17160 HAMILTON DR
IOEVILLE MN 55044
OWNER: - Applicant -
STROKA ROBERT
584 PRAIRIE CIR W
EAGAN MN
(612)688-7107
I hereby acknow],edge that I have read this
informata:on is ccirrect and agree to comply
L Statutes artd City a'F Eagan Ordinances.
APPL? R TEE SIGNATURE
opplication and state that the
with all app]iceble 5tat€ of Mn.
I
C ?
SSUED BY: SIGN
1997 BUILDfNG PERMI TMA?PP?LGAN TION (RESIDENTIAL)
3830 P I L O T K N O B R D - 55122 A4C, t. L?
681?675 ??
New Construction Reauiremerrts RemodeUReoair Reau'vements
? 3 regiatered ske surveYg ? 2 cropies of plan
? 2 copies M Dlans (IncluAe beam & window saes; pourod fid. desipn; etc.) ? 2 site surveys (exterior additlona 8 decka)
? 1 energy calculations ? 7 energy celalaHons for heated sdCitions
? 3 eopies of tree preservation plan if IM pletted eRer 7N/93
required: _Yes,,>3 No ?6-D
L
DATE: /?-l OL 'k ?y jct `t ? CONSTRUCTION COST: ?-
DESCRIPTION OF WORK: P9+'`? 9s e
STREETADDRESS: ? ?r I r"P °+?'? e
LOT ) a BLOCK 4 SUBD./P.I.D. #:
PROPERTY NeRle: _ IL h bf i`1 S"fr? ka Phone #: 6VV- 2 ?07
OWNER
)
StreetAddress - ?9, `( fl` 4I\;e C', s- fe w
.
City: ?q,.. State: Zip:
??-
1
CONTRACTOR Company: _ Vi???e eo.,,<t Phone #: 1
Street Address: 0160 uJJ% License #: ??? 7
City: `,, kc u; State: Zip: sSc?Yy
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new consWction only): . Penally applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. (((??? ?
Signature of Applicant: adt? ?-
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No p?.AY 1 199I
Tree Preservation Plan Received _ Yes _ No _ Not Required BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. o
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o
a 04 5F Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
0 31 New p( 33 Alterations o 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(AI!owable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq. ft.
APPROVALS
Planning
Building FYl
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering Variance
?
?
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
I L
#/ CITY U3EONLY .
BL
t..
1
1997 PLUMBING PERMIT (RESIDENTIAL) ?
CITY OF EAGAN
? ? ai i,?nr
3830 PILOT KNOB RD
EAGAN, MN 55122
a/t •4
(612) 681+4675
s
Please complete for. . single fiamily dweilings '
.. ,.• ? '? n?,? ?"
. townhomes and condos when permits.are required foreach-umfi
• backflow preventer for underground sprinkler"sy"sfem
FIXTURES ACH,.
E
Shower 3:00
z
Water Closet 3;00 x
Bath Tub 3:00 )c
-
?
Lavatory - 3:00 z
Kitchen Sink 3:00 x 'A
Laundry Trey 3.00
Hot Tub/Spa 3.00 ;71
Water Heatet 3:R0.
f
Floor Drain 3.00
G2S Piping Outlet ' minimum -1 • 3.00
Rough Openings: 1.50 x:.
Water Softener 'ror awenin9s under construaion 5.00 x
Water Softener ' forezisting dwelling 20:00 x` , ?s
U.G, Sprinkler `for'dwelling under const. 3:00 -r ?
U.G. Sprinkler `torexistingdweliing 20:00
AIteFBtlons . ' to existing residence 20.00
Water Turn Aroand 20.00 <
PFivate Disposal System ' Dak Cty lic. 75:00"
(newandTefurbished'systems)
Private Disposal SystemsAbandonment 20.00
? .,
'
STATE'SURCHARGE y
TOTAL
I hemby aeknowledge lhat Ihave reaE this. application; atete that the IMortnation is Eortect and ?ptee to corr?pfy;?,wRh a4iap
of Eagan ordineneea. Ris.the applicenPs respansibility:to notify the pro perty, owner•that the CRy ofEagan assume,sYno4lia
dameges nused by the City duririg Ns rwrmal operationel and maiiKenence activkies to fhe fadlNe"s-consfructe??'untle? tSis°?
City property/tightcf-way/easement.
Ct r t.j2S
?
SITE ADDRESS: '
-
?
OWNER NAME:
INSTALLERNAME: So' A ?-
C?^^'?'f° TELEPHONE#:
'3 A?
STREETADDRESS:
`
kp52 +
C T
T
PU^ ZIP
ITY
. S
A
E:
-
SIGN{ITURE
:z-
"? ` '?-
. _ ?°
-y' 0 ? 5
*30, So
2006 RESIDENTIAL MECHANICAL rERMiT arPr.ica'riorr
City Of Eagan
3830 Pilot Kaob Road, Eagaa MN 55122
Telephone # 651-675-5675
Piease complete for: single family dwellings 8c townhomes/condas when permits are required for each unit
Date_g-D(p
Site
Unit #
Fproperty Owoer Telephone # ( &61 ) ! 0??? ' lI/ -l ?u
Contractor
Street Address , T)() A 7-
Stste
Bond
The Applicent is _ Owner
- JA.J`1:7 ' J(,J( City
Zip [l/ qTelephone # (
Expires:
i-Conuactor
Add-on or alteratfon to existing dwelling unit
_ furnace _Additional
air exchanger
? air conditioner
_ heat pump
other
State Surcharge
Total
_ Other
?Replacement n E?y?
U
SEP 1 1 2GUh U
$ 30.00
$ .50
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is comple4: and accurate; that the work will
be in conformance with the ordinances and codes of t6e Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without,a p mit; that the work will be in accordance with the
approved pl n[he case? ork which requires a review and approval of plans. ?
M a (fi
Appiicant' Printed Name ApplicanYs Signaiure
ac
0?
of EaaIl
? CitY ?
3830 Pilof Knob Road
Eagan MN, 55122
Phone: (651) 675-5675
Fax:(651)675-5694
- -----------------
, For Cwjg-qsge ?
? ? ??? ?
? Permit#: > . I
? PertnilFee: /V•?? I
i i
? Date Received: ?
I I
I Staif: I
I
2008 FZESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10??1?`j_SiteAddress:'??`t CcS?,\'? l?J •
Tenant:
Suite #:
RESIDENT 1 OWNER Name: ? cyl ?z E?t CV \?k S\_j3?one:C0S ( t f? "..q?g
p
Address/City/Zi
Applicant is: _ Owner ? Contractor
r ?
K
&e
TYPE OF WORK Description of work:
/
A
f 4 °' ?vY?-?
i
C
C
M
ft
B'
Y
f
onstruct
on
ost
u
i- am y
ng: (
es _
No
CONTRACTOR Name: ?t n d C1 L.O Ii-?'4??icense #: dh [S,n34q:a
Address: ` -L cil-? r
City: ?State:??ip:
Phone: Contact Person: V`a 'iT? e VC?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventifation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
----
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_1'es _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE Plansand supp? rng documents`?-thaf,ynu svbmrf a?e..considered to be public rnfocmatron ? Port+ons?of, ?
`
sAtha! would pe%in?t fhe CrCy to =
the rnformahon rriay de
classifiedas non pubrc if?you prov?de specrilc reason
?
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I hereby acknowledge that this intormation is complete and accurete; ihat the work will be in conformance with the ordinances and codes of the City of
Eagan; thal I understand this is not a permR, but only an appliration fcr a permil, and work is not to start wRhout a permit; that the werk will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. ?
x??Q x
Applicant's Printed Name Ap ' Signature
Page 1 of 3
�aly of Ewa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675-5694
6002
Use BLUE or BLACK Ink
Permit s: 6 1 q
Permit Fee:
Date Received: v
Staff:
2009 09 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I D 3 "d Site Address: S� 1 Cra I) I a YC3 w eE
Tenant: e{ :2O.. K 1^A r m Suite
RESIDENT OWNER
TYPE OF WORK
CONTRACTOR
Name: DLi tPa V I tL k o Phone: 1 ipg& (U Qo
Address City Zip: &ii i
Applicant is: Owner Contractor
Description of work: I 4 �A- 1Si//'
Construction Cost -SO C) J Multi- Family Building: (Yes No X
Name: 'U3G I `vl License
Address: y D V l i Tj+ v 0 1
Cit It 1 !s V I
State:m Zi p 1
Phone: I Y" /J i Contact Person: C/k I 6-
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:
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.copherstateonecall.orq
I hereby acknowledge that this infom ation 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 and approval of p �tjs:
x
Applicant's Printed Name
x iii
Applicant's ignature
m
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110015
Date Issued:04/18/2013
Permit Category:ePermit
Site Address: 584 Prairie Cir W
Lot:12 Block: 4 Addition: Country Hollow
PID:10-18275-04-120
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 .
Angie Olson
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 -
Nicholas C Underwood
584 Prairie Cir W
Eagan MN 55123--163
(612) 524-7410
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA113236
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 584 Prairie Cir W
Lot:12 Block: 4 Addition: Country Hollow
PID:10-18275-04-120
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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.
Jason Larson
25 S Sutton Lake Blvd
Jordan, MN 55352
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nicholas C Underwood
584 Prairie Cir W
Eagan MN 55123--163
Jay's Plumbing
25 South Sutton Lake Blvd.
Jordan MN 55352
(612) 868-4102
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149606
Date Issued:05/30/2018
Permit Category:ePermit
Site Address: 584 Prairie Cir W
Lot:12 Block: 4 Addition: Country Hollow
PID:10-18275-04-120
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 -
National Transfer Services Llc
584 Prairie Cir W
Eagan MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature