586 Prairie Cir EPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127698
Date Issued:10/13/2014
Permit Category:ePermit
Site Address: 586 Prairie Cir E
Lot:19 Block: 2 Addition: Country Hollow
PID:10-18275-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Grace S Schwab
586 Prairie Cir E
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
6 cq9� , X ,Qs
/.Sd
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
/gig, ``
/
//
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:q-
Name:
:I
RESIDENT /
OWNER
Name: 0144 ( (IC d"' 6-411.C-- icliPhone: if.) il, ?--5/66,
Address /City /Zip: fire 1 6 i " �G2 S & c�,-7 -7 C
Applicant is: Owner L.. -----Contractor
TYPE OF WORK
Description of work: \. , r=^ ( � b"l� C ; (,;,; '" Ca k— 1 il,t46
Construction Cost: --L. CC Multi -Family Building: (Yes / No?,)
CONTRACTOR
..
//
Company: �`('�R C Contact: b /i& -i-�'
PL11/...
Address: �61 c4 -7 'CI' City: f`'� / 6 4Z� i
State:1 Ilk , Zip: 10 `, Cf'?"1- 0 Phone: e "0 g' e - d---,, ? 5 --
-License
License #: t, r7q 7 Lead Certificate #:
Does this project require Lead Remediation? 0 Yes No (see Page 3 for additional information)
/
If no, please explain: / '7 es 1344 t //-
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are `considered to be public information. Portions of
the information may be classified as non-public, if you provide specific reasons that would permit thety to
concludethat theyare trade secrets. .
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.gobherstateonecall.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 not to start without a permit; that the work will be in
accord with the a proved plan in the case of work which requires a review and approve .. ns.
x
Ap
G4lid,
c
icant's Printed Name
6
x
Applicant's Signature
Page 1 of 3
,�-<_,� // Cie
DO NOT WRITE BELOW THIS LINE
9e -q71
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
lc Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% /
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)_ Storm Damage
Porch (4 -Season)_ Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Z Vin- 11-1
Interior Improvement
Move Building
Fire Repair
Repair
V6
REQUIRED INSPECTIONS
Footings (New Building)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation G HIT/-jSOZfl3"-t
Drain Tile
Roof: Ice & Water _Final
�( Framing
Fireplace: Rough In _Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Final
Z
Siding
Reroof
Windows
Egress Window
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
x
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: Footings _Air/Gas Tests _Final
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Mra/
orL
Page 2 of 3
., CITY OF EAGAN •
,
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value • ? L . ( ?' ' Date ,19
Site Address `?'AS i OFFI CE USE ONLY
Np?''?`'
Lot Block - Sec/Sub On Site Seweqe OccupanCy T?
. MWCC Syatem A Zoning
Parcel No.
'
On Site Well (Actuaq Const
a Name
City Water x
Y
(Allowable)
-
z Address PRV Required # of Stories
? City Phone Bonster Pump Length
Depth
t Name S.F. Total
,
v ? Address Footprint S.F.
P City Phone APPROVALS FEES
?a
W Name
Engr. sess.
Permit
? ?
Planner
Surcharge
-
=
n AddreSS _
Council WaA-Aaview
6 W City Phone Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC r S?' •''
infortnatfon is correct and agree to comply with all applicable State of Water Conn. % 4? •`??
MlnneeOta Statutes and City of Eagan Ordinances. Water Meter '
Signature of Permittee Road Unit 7?
A Building Permit is issued to:_ ? V???'» ?%Qw?T • Treatment P1
on the express condition that all work shall be done in accordance wtih all P
applicable State of Minnesota Statutes and City of Eagan ordinances. arks
_
` "'
e..A.:__ TOTAL
Permit No. Permit Holder Date Tslephone ?F
Plumbing
H.V.A.C. C' a7 9 8 (?'
r
Electric
Softener f
Inspectlon Date Insp. COmment8
Footings I 3?01,
Footings II
Foundation
Framing - ; ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
?
Fireplace ? j.
Final Htg.
Flnal Plbg.
Bldg. Final
CBrt.OCC. l3/ ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
? e
(gertif ira#e uf (IDrrupttnry
Citp of (Eagan
Drparimn# a# Butlding jyaprfimc
This Certiftcale issued pursuanl !o the re.quirements of Section 306 of the Uniform Building
Code cernfying that at rhe tinre of issurrnce ihis structure was rn compliance wrth the various
ordinances ojthe City regulaping building construction or use. For the jollowing.•
uw ckssdiawn S? nar.t',tut ewe. tero;t No. 15320
oocop.ec.y iype zoo;,,g n;,,,;c, Type coosc
Owoer o[ Building Address 'i : • ? i ? '-h??''R ? i-MF,
BuM Addres, ?? PRf'?R.IE r-IFOE?'.A,.'% LO-iity L 19, RZ. CUNLW MUkW
nsra i:IL14??r32 2 s, I`
Bwldiog (7ifficia1
POST IN A CONSPICUOUS PLACE
PERMIT # ? S;z
PLUMBING PERMIT RECEIPT # & `2
CtTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
, Site A ess - 7 ?"i c "? P?"
? BLDG. TYPE WORK DESCRIPTION
Lot
Block ec/Sub
`-' c W Res. C74- New
Name Mult Add-on
m
? Address Comm. Repair
c City -T5`l3 Phone 2 f6 a* Other
Name FIXTURES ZO?A?
Water Closet - $3
00
c Address f y ` .
te8tn rLtbs *- $3-00 -- , a c:?
_ - - -
_
p City Phone Lavatory -$3•00
3
Shower - $3.00
-T
FEES Kitchen Sink - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE --r-Urinal/Bidet -$3.00 v
i-??ndry Tray -$3.00
MINIMJM - RESIDENTIAL FEE _ g1p_pp
MINIMUM
COMM/IND FEE
20
00 --Floor Drains -$1.50
-
_
, Water Heater -$1.50 • S U
STATE SURCHARGE PER PERMIT _ .? Whiripool - $3.00
(ADD §.50 S/C IF PERMIT PRICE GOES =Gas Piping Outlets -$1.50 • S U
BEYOND $1,000.00) Soitener - $5.00
Well - $10
00
.
. Private Disp. - $10.00
-
R.?,.? Rough Openings - $1.50
:7:
33.V O
SIGNATURE OF PERMITTEE FEE
STATE S/C: ? -S-0
?
O
? 3' ?
GRAND TOTAL
FOR: CITY OF EAGAN :
p?a--
PERMIT#
? MECHAI4CAL„WMIT ? ?,._.=' /
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '?- -?•? ?
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub ?
Res. ? New
--
1 Mult Add-on
m Name 7 -3 Comm. Repair
To Address N FATING A i r
Other
c Ciy 8910 WtNT1ti0%Bh6`'F cc
MINNEA?OLIS. i141+'
FEES
? Name
RES. HVAC 0-100 M BTU -$24.40
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air %:1 J M BTU j qoa APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond AA BTU MINIMUM COMMERCIAL FEE . - 20.00
-STATE SURCHRRGE PER PERMIT -
50
Vent CFM $ .
{ADD $.50 SIC IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000}
Other
FEE
S/C: ' SIGNATURE OF PERMITTEE
TOTAL
, FOR: CITY OF EAGAN
CASH RECEiPT :
. ? ,,.
? ..
? -CITY C)F EAGAN ? . -
3830 PILOT KNOB ROAD
-?
:
, ???• EAGAN, MINNESOTA 55122
DATE
xc? / ? •
saor ?? L1 ?f? C .
AMOUNT
& DOLLARS. ?
loo •?
? CASH XCHECK
ran / / ? ? ? ?v' ?` l
A
FUND OBJECT UriT
4 ,.
Thank You ?
BY
?? C3 ? ?'• !?: ?} Vftw-paymOvy
CoPY .? .
. PiNc--Fiie copy
_ . ,, _ _ ... _. . ...?.,..?_..,:_??..____..?._r_.?.....r - ..,.
?. .
.I
`J
?
?
BLQG. PERMIT NO.
- . ,
zl'
'
I.._.?.'?I+ U1!_1 ?y?K. ;_l-. 1v,
•
01-321U' Bldg' Permi? -
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
20-3716 Water Meter _
20-2252 Acct. Dep. _
20-3713 Water Permit -
20-3743 Sewer Permit _
79-3866 Sewer Conn. ?
28-3855 Park Ded. `
, v-
TOTAL
?
G. T , ?L& C`
'
00
00
00
00
0 6?
UO
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100 BUILDING PERMIT Receipt? `: -? V -,," i
To be used for Est Value $ P,0, U0 i` Date _l tf i.Y ! 7 ,19'*
Site Address 5$6 PPA2R] B CIRCLH EAST
Lot lg Block 2 Sec/Sub. COUNTRY HOC.IAW
Parcel No
¢ Name MARK JOHHSQN CONST.
= Address 4149 STitAE-JBrftRY LANE
° City EAGAN Phone 454-0623 •
¢ Name SAMrL
.o
? ? Address
t-' Ciry Phone
rm
Lu
u W
W
Name
_ z, Address
U
`W
City Phone
I hereby acknowledge that I have read this application and state that the
intprmation is correct and agree to comply with all applicable State of
Minnesota Slatutes and City of Eagan Ordinances.
Signature of Permittee
A 8uilding Permit is issued to:_
on the express condition that all
applicable State of Minnesota :
Building OHicial
OFFICE USE ONLY
On Site Sewage Occupancy 8-3.r!l.,1
MWCC System X Zoning R-1
On Site Well (Actuai) Const V-N
Cily Water Y (Allowable) V-pt
PRV Required ? * of Stories
Booster Pump Length gQ
Depth 42
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ? 534•?
Planner Surcharge 45. ?O
Council Plan Revfew 267.0
U
Bidg. Off. SAC, City tOO.OO
Varlance SAC, MWCC 550.U0
Water Conn. 5 Y1.a(3
Water Meter 67 -M'1
Road unit 325.00
Treatment Pt 204,
Parks
TOTAL E2642.OO ,
?
Date: ?-1-a8 -
` CITY OF EAGAN Psrmit No: ; ???4£? Date:
3830 Pifot Knob Road B/P No:
P.O'. Box 21199
Eagan, MN 5512) •
P. Ck Jahnsnu C.onat .
Owner.
5?6
Pra fe r ,>
Site Address:
???u
lties Plura?in
Plumber:
55f?.
, MWCC: tlQpd _ Zoning• r?
?
joo.
City Chg: COrx, No. of Units:
Acct Dep: L. '
4pd
I agree to comply with the City of Eagan
L : .
Permit Fee: p 0.
Ordinances.
Surcharge:
M isc : By
SEWER SERVICE PERMIT
? CITY OF EAGAN - Permit Na Date:
?
3830 Pilot Knob Road
Meter No:
Size:
P.d. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. -_ Tn'.rgnr r ata
SiteAddress: rtrelp- .at I1g ?? Grn?;iLT-:
, Plumber. -? j: ?*jQK ? 1rr?io?-
• ? Conn. Chg: Zoning: -
Acct. Dep: No. ol Units:
° Permit Fee: . s
? [SCn:}
- Surcharge: I agree lo com
l
wiih ihe Cit
f E
'
p
y
y o
agan
Tr. Plant Ordinances
.
Meter.
Misc.: - ,, .. BY
WATER S ERVICE PERMIT
CITY OF EAGAN Rarmit No: ti6 26 3830 P'ilot Knob'Road d Date:
Meler No: U7 -7ed a6 F Size: ?/Pa ? f
P.O. Box 21199 Reader No:
Eagan, MN 55121 ? Date: &nf D -gsr
Owner,
- ? r -
Site Address: ( ? Count tIol_
Plumber.
Conn. Chg:
Acct. Dep: '
Permit Fee: Surcharge: Tr. Plant ` y
Zoning: _
No. of Units:
I agree to comply with the City ot Eagan
Ordinanees
Meter. P •
Misc.: _ B
i y
' WATER SERVICE PEAMIT
?- - -
. . CASH RECEIPT •
' GITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, AyNAESpTA 55122
19?
AMOUN7 I$ S7 I 00
8 DOLLARS
?a
? CASH ? CHE
?. ,
FUNO OBJECT AMOUNT
Q ?U
S?' J
?
Thank You ?
BY
N° 86114 Yehlax-POStirng Copy
Pink-File Copy
This repuesl void 9/1)?SCa'
18 ?n[hs (mm ?
E 283 37L_; 9 2.40 A-r.,yg
Request Date,
I
- fire No. o ph-in InsVection
R rted? ? ?/
Ready Nuw7Q Wil1 Nolity, Inspeo
es ?Nn /L ?or WAen fleedy
Licensed Elecviwl Contractm I hereb re
y puest inspection of ebove
Elo.ner electrical wwk installetl at:
Street Address, Bo
x
or Houte a
. Ci?y
^
J
?
/
"
CJ Y/ f?/'i /?lL E (
V/?
ection o. Township Name or No. Range No. Cow"ly
Occup' yµINT)I Phone No.
/
/lK/?G S
Power uppllar Adtlress
?4e?p
EleMrical C ?actor (Compa Name) Conlrar.lor"s License No.
3s-
q Ad r (COnuactor or Owna Makind Inswilauonl
Aut onze Si wre IC nvac[or/ wner kinA Imtallalioni Phone N ber
"
n
MINNESOTA STpTE 80AND OF ELECTRICITY THIS INSPECTION NEOU[ST WILL NOT
Griqgs•Midwev elde• - poom N-191 BE ACCEPTED BY THE STATE BOAND
UNLESS PflOPEH INSPECTION FEE IS
1821 Univeraitv Ave.. St. Peul. MN 55104
o?....... 1a1m cno_nonn ENCLOSEO.
9/1 REQUEST FON ELECTRICAL INSPECTION ^ es-ooooi-os
, Sae instructi?ns tLCOmplatingtkisiorm ?n back'of Velluw cooy. 8?? F?C
E 28337 1 Below Work Cavered by 7his Reyuest
Adtl NeD. Type oi BuilCinq Aoaliancea WireA EquiVment WireA
Home ftange Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric Heabn
Commercial Bidg. Furnace Silo Unlunder
InAuStrial Bldg. Air Conditioner Bulk Milk Tank
Farm t n«, oeci v eine,
t er uecify Oth¢, Othur
Comuute lnsuection Fee Below
p Fea Service EnLancaSixe H Fae Fenders/5ubleeders k Fee Circuits
0 to200qm s 0 ro30Am s 0 to30Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100-Am s
Transiormers Irngation Booms Partfal."Other Fee
Signs Special Inspection "
?
??/
T
Xerks I -
vi OTALEE 1
/'_. G r
? - -
NouBh-in ? L.11e? I.the EI '
Insoecbq n¢reby
nnn??` iIV thet Ihe above
Final gpaclion Aas bean
I ea.
TOie requasl vald 78 monlM Iram
ihis reauesl void Q'?GI ?'?
18 rtpn[hs from v
E 2 8 3 12 ?. ?q !3 ? ???Y?? c?? °v?%- 1;t/161 0-0
Request Dale Fire No. N( h-in InspecUOn
fl iretl?
?ReaAy Now ill NoUty tnspec-
Yes ?NO or When fleatlV
[:] Licensed ElecVical ConVnctor I hereby raquast inspeclion of ebova
? Owner eloctricel work installed at:
Street Address, Boa or Route N. Ci}y?
eclion o. Township Name or No. ange o. Cnunty
Occupxm 1%i1N 1 ' Phone No.
6 S vv
Power Supplier Atldress
?l
Electrical Con or (COmpany leme) Contrrr.lor's I.icense No.
? ? -
Mailing A ress nVacmr Owner Making Insreila?ionl
4
z,
Authorized S?gna r Convactod wner Making Installanionl Phone Number
MINNESOTA STATE BOAPO OF ELECTpICITY THIS INSPECTION REQUEST WILL NOT
Grigge-Midway Bltle. - Aoom N•191 gE ACCEPTED BY THE STATE BOAND
l1NLE55 PROVEX INSPECTION FEE IS
1821 Universitv Ave.. St. Peul, MN 56104
an...,e iwi,i aa,.nann ENCLOSED.
??? F5?' REQUEST FOR ELECTRICAL INSPECTION ee-oooo? s,
' See instrucIions for completing this fam on bxck of vellow cnpy. ?
Et 2 "X" Below Work Covered by 7his Request
AAA NeR '^TyOe of Builtling AOOlioncea Wired Equi4meN Wired
Home Range Temporary Service
Duplex Water Heater Liyh[iny Fistwes
Apt. Building Dryer Electric HeaUn
Commercial Bldg. Fumace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tenk
Farm Otner aeci v .mr, ( sne?.i fv)
ther Vcufyi thcr 01hi,r
Comuute lnspection Fee 8elaw p Fee ServiceEnlrance5ize tt Fee Feeders/5ubfeetlers N Fee Circoits
0 io 200 qm s 0 ro 30 qm s 0 tn 30 Am s
Above 200 qmps 31 to 700 qmps 31 to 100 A
Swimming Pool Above 100-Ainps Above 700_Amus
Transiormers IFrigation BooR?s Partial.'Oth e
Signs Specialinspection $ 1?
TOTA F
Rem?rks i
?1 .
1, the E I
I I Rouph-in D"te
Inspac[oq hereby
cer?ity Ne? the above
Final Dys 5 inspec[ion has bean
TMe repueat volA 1B montM fmm
PERMIT# ? crO?
RECEIPT DATE:
8008 RnIDEPTUL PLUM$INfi PEiibllT !lPPLICATION
crrY oF EAsAx
9$90 PQ.OT KAOB tiD
SRBRA, MN 55122
651-681-4e75
Please complete for: single famiiy dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: "J U lv PYGIA Y 2. C 1 r
OWNER NAME: : I 0 i'1/x WU Ie. TELEPHONE #: toj2
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: MN ZIP:?
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existlng dwelling unit (+ 5/8" meter'rf needed -$118)
Other:
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener Kwater heater $ 15.00
Ci' -i° 17 F.
State Surcharge . ?
i $ .50
Total
1 herebyacknowledge that I have read this application, state that the informaGOn is wrrect, and agree to comply with all applicable Cityof Eagan ordinances. It
is the applicant's responsi6ility to notiy the property owner that the City of Eagan assumes no lia6ility for any damages caused by ihe City d ing it al
operational and maintenance activilies to the facilities construcled under this permit wilhin Ciry prop. rty`!rig t- -way/e r? t. r
SIGNA RE OF PERMITT 1102
' CITY OF EAGAN N°_ . 15 3 2 0
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
BUILDING PiERMII' PH ONE: 454-8100
Receipt # // r1
<1 `f' Q
To be used for
Est, Value ;
90,000 Date
SiteAddress 586 PRAIRIE CIRCLE EAST
Lot 19 Block Z Sec/Sub. COUNTRY HOLIAW
Parcel No.
: Name r1ARK JOHNSON CONST.
; Address 4149 STRAWBERRY LANE
0 City EAGAN phone 454-0623
a Name_
0
?Q AddreSs
? City_
ua
WW
FZ
Ui5
a
w i
a
Name_
AddreSs
City _
I hereby acknowledge that I have reatl this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C?ity ?of E?lgga Ordi a es.
Signature of Permittee '?J^°
77 ?
A Building Permit is issued [o:_MA$K_JONNSf1N_CQN$T,..
on the express condition that al I work shall be done in accordance with al I
applicable State of Minnesota tutes and City f EaBan/O?rdinances.
BuildingOfficial__?4 A?
I J 7--
,19P-Oft
OFPICE USE ONLY
On Site Sewage _ Occupency
MWCC Syatem X Zoning
On Site Well (ACtuaQ Const
City Water X (Allowa6le)
PRV Required X # of Stories
Booster Pump _ Lengfh
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess
Planner
Council
Bldg. ON.
Variance
FEES
Permit
Surcharge
Plan Revlew
SAQ City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
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V-111
t 1988 BUILDING PERMIT APPLICATION -,CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENE¢TGY CALCULATIONS
- - `
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS li OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
t SET OF ENERGY CALCULATIONS
CONIl•IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:,.(',`,,(Q A%,n; 14 Valuation: 0 ±t=,!M_ Date: 71'7I88
Site Address
Lot 19 Block 9L
Parcel/Sub (!n?...?-na Nn/lnw
Owner j?nn ?ohnson
Address _(A.%K,,,,..,,,
City/Zip Code
Phone
Contraetor t.l,nson Co..s f.
Address `//
City/Zip Code 9996011. 55152 3
Phone
Arch./Engr. ?;n.? ?a?/scn bpSivns
Address al?02l1byn.. r Ar,.2 /Uo .
City/Zip Code Q_?& " ; /0n SS!19
qO00'
0 urrlc;N Wit unLx
/
?
On site sewag Occupancy
e R-3 M-I
M4JCC system ?
L/ Zoning R- I
On site well Actual Const V-N
City water Allowable V_14
PRV required ll of stories
Hooster Pump Length U= O"
_
Depth e.12 r t/N
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit aJ?.00
Planner Surcharge OD
Council Plan Review O0
Bldg. Off. SAC, City iQ7.00
Variance SAC, MWCC _5Sn,00
Water Conn SSD , fb
Water Meter 6 . DO
Road IInit <32S.R7
Treatment Pl 20U,on
Parks
Copies
TOTAL aia71.00
Phone # 7'?O - gOYB
UALkIATIo1J
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GARA&E
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,
SURVEYOR'S CERTIFICATE
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MARK JOMNSON CONST.
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EAGAN
`R'EVIEWE.d
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DATE?
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DENOTES PROPOSED SURFACE DRAINAGE
O' DENOTES IRON MONUMENT SET '
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
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Ip
i?
127.9
z7 9)
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A=17° 37•' 53"•
R=101.86
? 31.35
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u ?
??l 84,.? I
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SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 84.19 FEET
PROPOSED LOWEST FLOOR - 8'J i• 1 FEET
PROPOSED TOP OF BLOCK - 844- 2 FEET
WE HEREBY CERTIFY TO MARK JOHNSON CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LoT 19, Block 2, COUNTRY HOLLOW, according. to the recorded.
. plat thereof, , Dakota County, Minnes.ota ;
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS.
SURVFkYE?S? ' CT SUPERVI510N THIS 30TH DAYOF JUNE .1988.
/I\\
IGNED: J ILL, INC.
By /?b
` Da4e-.? ?.? sv: ???%l.?GLOOYv
,???J EI@fGIi?TEERI?lTC D??? HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12284
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T ro O James R. Hil 11 inc.
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+ °`Z N ° ` -o 0 , m = Z pLANNERS / ENGINEERS / SURVEYORS
o,M:.o- Z? > N W c) W
_ O. m ? Z{` .9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
,
:
. -. ..... . .. Y 'Si1. :?...? ... _.
? R EiLTr.R20R ENVELOPE AYMAGE "0" COMPDTATION
OWNZt ??O;s1?1?OrV T??IfJ??3L.? PLAN N0. t'?b 09
SITE ADDRESS 1,0T 19 16I0CkZ t..41aN4t4- tl?2lLD?+% DATE Bk 1 IY?
CONTRACTOR ? ?ONE
Determine working square footage of each
1. Total exposed wall area...... SAMv sq.ft. z,11 _
2. Total roof/ceiling araa...... 11P5110 sq.Pt. x:D1.?m=
3. Total floor/cant. area....... sq.ft. x,_ _L-::?
Total exposed wall area above floor 2154-•v
a. Total wall window area ....................... ?8r22
b. Total door area....... I................... .... l?
c. Total sliding glass door area................ O
d. Total firaplace wall area....................
e. Total wall framing area (average 10%)........
f. Total net wall area above floor..............
g. Total rim ,joist area.......................... 17 Sr_
Total ezposed foundation area 153.0
h. Total fouxdation windour area ................•
I. Total net foundation area above grade........ L 3.l?
Determine "II" value of each Wall segment
a.-] X uU„ ? - • PJ
h z "U" _ Z 176
.
c, 470, u x "II" ,M -
d, x "II" _
e. x f .7,4KA4- x
g. 175.0 x "U" .041
h. x "0" _
i. 653.0 z "U" .?l o = 4 . ................................... Totam =
If item #4 is the same ast or lass than item #19 you have met
the intent of SBC 6006(c)2.
.. ?. t
Total exposed roof/ceiling area J?d5100
j. Total skylight area ... .......• .....• ...... .......
k. Total roof/ceiling framing area(aver.(.10e116"o/c), _„
(.o625924"o/c)
...?
1. Total net insulated roof/ceiling area..................
Determine "U" value for each roof/ceiling segment
3. , X :lU,- , 3 _ (e .7
k. t x nUn ,
1. i x nOn rOZI
5 . ................................................. Totai = 35, 0 =-Z-
If total of #5 is the same as, or less than #2o you have met the
intent of SBC 6006(01.
Total exposed floor/cant. area -
m. Total floor/cant* framing area (average .10%)..... ...•• -
n. Total net insulted floor/cant, area ....................
Determine "U° value for each floor/cant. segment
x "U" _
m.
x
n.
6 . ................................................. Total
If total of #6 is the same as, or less than #3, 9ou have met the
intent of SBC 6006('c)3.
eT,TN3tNATE BUILDING EIWEIAPE DESIGN
To utilize the total envelope system methodt the valnes established
by the sum of items #F, #S and #6 shall no be greater than the sum
of items #1, #2 and #3•
i. 273•02 2, -Z& 13 3. -- = 3oS? IS
4. 5. ??5i02 6. = M 1,4t)
i
Prepared b
Date
.. i . 1.
? r
THEtII 9TIID
K/ S.R. & smINa
I
l
4
T9RU RM
JOIST
'fHIiQ CLG.
PSENIDm
Int. Air .68
i/2p s.x. .45
$tli (p. bs
25I32" Bild. 2.06
SidiAg 1?v
Ert. Air •1?
xotal "R" _ 11102
1 /R = "IJ" = r (( ?
Int. Air .68
?q TA8. 19,0
Opt. 9tyro.
1 1/2° Wood 1.89
25132" B11d. 2.06
Sidi."6 11 t)
Est. Air .17
Opt. Briok
Total "R"
1/R = "U"
Int. Air .61
S.R. (.?W') ?S(v
cig. roab. 4,?s
Il18 • (o 0): ?JS f C?
stiu asr .61
Total °R" = `}j
1 /a = ptrn _ • D?A?
SnII INS. WALL
v/ 3$. & SIDING
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C
xaa coxa Hi.oca
a • '?
G • ,
/
/ e
THItII Cw .
INSUI.ATIODI
ZL
r
Iat. Air .68
1/2• S.R. .45
(o M =115• 4Iio
25/3200 Bi].d . 2.06
siding -rv
Ect• A1r •17
Totsl "R" = Z?j , ? ?}-
S/B = "Q"
Int. Air
C.B. (I7.")
Opt. 7ns.
Eyct. Air
opt. S.R.
Opt. Sid.
Totsl "R" _
1/&_= "U" _
.68
1ii$
SeU
.17
/ 1 I "1/
Pl?
Int. Air .61
S.R. (?$) S(o
ZI18• +S/o
stili air .61
Total "R" = L?{p•??Sj
_
1/R = no"
•021
SURVEYOR'S
?
CERTIFICATE MARK JOHNSON CONST.
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SS?cb?L
e?'? ?? ? ?° A=17° 37'53° .
??. R•101.86
41 ' 31.35
?--- DFNO7ES F90PnSEP SURf ACE DRAINAGE
0 DENOTES IRON MONUAtEPIT SFT
• DENOTES !RON MONUA1fNt POLIND
XOOOA DENOTES EXISTINCi FLFVAT!r+N
(0000) DENOTFS PROPCSED ELF\'ATION
?
SCALE: 1 iNCH - 30 FEET
PROPOSED GAR.46E f1.00R - d47•1 FEET
PROPOSED LOWEST FLOOR- 8Jf4 FEEf
PROPOSED TOP OF BLOCK - 844• 2 FEEF
WE HERErY CFnnrv TO MARK JOHNSr/N CONST. THAT THIS IS A TRUE AND CORRECT
REDRFSF.NTATION nF 4 SURVEV OF 1HE AOUNDARIES OF: ,
Lot 19, Bleck 2. (XRINTRY HOLLOW, amordinq to ihe recorded piot ihersof, . Dakoto County, Mienosota.
IT DOES. NOT PI!RFnRT TO SNO\1' IM^RO\'FhIENTS OR ENCROACHMENTS? EXCEPT AS SHOWN. AS
Sl1RVFVED BY ME OR UNDER A1Y DIFiFCT SUPERVISION THIS SOTH DAY OF JUNE ,1988
SIrNFO: J LL, INC.
AY
HAROID C. PETERSON, LAND SURVEYOR
. ntINNESPTA LICENSE NUMPER 12294
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• FLANNERS / ENGINEERS / SURVEYORS
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O m I I I ? Z 94M JAMFC AVE S- BIOOMINC70N, MN 55431 • B12-BB4-3048
0
susJEcr. vaxIwcE 7- 3 -f z
APPLICANT: DIANN DUNLEVY-KOCH, ESQUIRE
LOCATION: SE QUARTER SECI'ION 24
EIIISTING ZONING:
DATE OF PUBLIC HEsRiNG:
DATE OF REPORT:
SINGLE FAMILY RESIDENTIAL (R-1)
APRIL 9, 1992
..v
APRII,1, 1992
COMPILED BY: COMMUNITY DEVELOPMENT DEPARTMENT
APPLICATION SUMMARY: An application has been submitted requesting a Variance of
1.25' to the 5' rear yard setback for a deck located at 586 Prairie Circle East!(I.ot 19, Block i
2, Country Hollow).-
COMMEIVTS: This Variance is being requested for an existing twalevel hexagon shaped
deck that has a comer inadvertently built 3'9" from the rear property ]ine. The deck was
not constructed by the current property owners. Review of City records indicates the deck
was built without a building permit and therefore the Protective Inspections Deparnnent did
not have an opportunity to verify setbacks or structural componenu.
The applicant states area neighbor opinions have been solicited and no objections were
brought forth. The applicant believes compliance with the setback requirement would not
only entai] great expense and a complete reconfiguration of the deck, but would also nnpair
their use and enjoyment of the deck itself.
If approved, this Variance shall be subject to the following:
1. A building permit application and corresponding review of structural compliance
with City requirements.
2. Structural modifications, if deemed necessary by the Protective Inspections
Department.
3. No other Variance shall be granted for this lot.
4. All other Ciry Ordinances.
16-9
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*OTS: PAYMF.?Tf OF FFE AT TIIM pF
APPLIcATIox DoFS Nom oOra-izTM
APPROVAL OF PFI2I+IIT.
INsrncriotv oF sMM Arro/ox VAMM
INMrnr.ramrONS WII,L NgT BE SCHED-
ULn vrrrII. PEPMUT HAs ?
APPROVID.
P ease Print
::1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING SI'RL'CiL7RE, DATE OF ORIGINAL BL'ILDIM pERMTT ISSL'ANCE: '
i
- (Mon Year)
PRFSENP ZONING/PROPOSID LiSE:
M COt,AmCIP.L/P.ETui,: Q='-TTcE
Q IDIDC'STRIAL
n INSTI'IL'TIONAL/GOVERM?ffNf
? R-1 SINGI,E FAMLLY
? R-2 DL'PLEX (Two T-Inits)
? R-3 70WN30LSE (Three + Units)
q x-4 aPAxIrErrr/mNroorurricM
( Units)
( onits)
2)
NAME: Schulties Plumbing, Inc
ADDRESS:
CZTY, STATE, 2IP:
PHONE:
1521 94th IN NE --
Blaine, MN 55434
786-4007
• 3) u ?: ?• -
NAME: Schulties Plumbing, Inc.
ADDRESS: 1521 94th LN NE
i CITY, STATE, ZIP: Blaine, M[V 55434
PHONE: 786-4007 MASTER I,I(E[VSE# 2658M9
? Active
E7cpired
Not recordec
Stainitial
NanE:_
ADDRESS: 4149 Strawberry Lane •
CITY, STATE. ZIP: hagan, ruv 5512J
PAONE: 454-0623 .
-5) ? r• i ? r• •?• : o • o• • a?
? CUNNECrION 1CV' CITY SEWII2 ? CONNDCi'ION TU CITY WATER 0 0'SY3ER '.
6) ? ?• "• r ? pIEp,SE HOLD APPROVID PERNffT FOR PICK-L?P BY ONE OF ABOVE
PLEASE MAIL APPROVM PERMIT TO 2, 2 3, 4, AHOVE
' l r7 (Circ e one)
7) r iu• - `. G.,Lo._,.-i W?---8-er..-? . N 7&-Tv-M '7_ 1 y-
FO.R CITY llSE 4NLY
PERMIT # ISSUED
57,f -2-
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLDDE SL'RCHARGE)
$ WATER PERMIT (INCLCDE SL'RCHARGE) ..
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE ;.ORPORATION STOP)
$_ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOtiNT DEPOSIT - WATER
$ $ WAC
$ $ sAC . .
$ $ TRONI'. WATER ASSESSMENT
$ $ TRL'N:S SEWER ASSESSMENT
$ $ ' LATE:2AL BENEFIT/TRL'NK SEWER
$ $ LATE%2AL BENEFIT/TRUNK WATER
$
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$_ I 6t ?? elo $ r'`_7? TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION RF.QUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PLBLIC
Q ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
AFPROVED BY:
TITLE:
AATF,: ?. / ??
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 586 Prairie Cir E
Lot: 19 Block: 2 Addition: Country Hollow
PID:10- 18275- 190 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Grace S Schwab
586 Prairie Cir E
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
h all applicable State
Issued By: Signature
Building
EA090514
08/05/2009
ePermit
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105309
Date Issued: 07/09/2012
Permit Category: ePermit
Site Address: 586 Prairie Cir E
Lot: 19 Block: 2 Addition: Country Hollow
PID: 10-18275-02-190
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
BAC Construction Services Grace S Schwab
3032 Minnehaha Ave. S 586 Prairie Cir E
Minneapolis MN 55406 Eagan MN 55123
(612) 721-5500
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.
Applicant/Permitee: Signature Issued By: Signature
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO. ����
1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD
ADDRESS �� ' "'�� ""� � CITY ���' ' ""
OCCUPANT �f "---°- OWNER e�� � ��
SOLD BY INSTALL��gY ��� '� "/
MAKE nJ ' `^ ��� MODEL ���`�-����— l�� �
SERIAL NO. ������.✓���� INPUT ��
lj rr
THERMOSTAT �� VENT SIZE 7
VALVE / ���'�"��''�Ol�� TYPE OF LINER �
t.,`�.�`� � rr
LIMIT -�`U� C��" LINER SIZE �
�c� ' ,._.---_..._
LIMIT SETTING � FILTERS: SIZE NUMBER
FAN SETTING ` �C�� '��� WIRING ��
, �
PILOT TYPE_ `'�`t"" TEST TAG �
IGNITION MODEL LIGHTING INS7 �
rf, �
PII.OT TIMING ���� DATE TESTED ° "� �� � �
PRESSURE_ �� �. PERCENT COz � 7° l�rr �
INPUT CFH f���' (`— PERCENT OZ �• ( COMPANY TESTING '� ���°'
� 7 �.� �
STACK TEMP. ` � PERCENT CO � � NAME OF TESTER � •�`
FORM 235(REV.10/10) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129325
Date Issued:02/02/2015
Permit Category:ePermit
Site Address: 586 Prairie Cir E
Lot:19 Block: 2 Addition: Country Hollow
PID:10-18275-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Applicant: Holly Flood
1408 Northland Dr #310
Mendota Heights, MN 55340
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Grace S Schwab
586 Prairie Cir E
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
For Office Use
Permit#:
E AGA N
Permit Fee: f(?1)•
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinainspections(acitvofeaaan.com L
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/ l d/� I Site Address: S8.(0 Pr`r`L �" ("- L ash Unit#:
Name: 6--(A_ l i Phone: 79_307-3-z2_
Resident/
Owner Address/City/Zip: g� '���f, t �c(z &,)A L��G n /Vl A/
Applicant is: Owner Contractor
. y e WorkDescription of work: w "d `w rt Ic��.,.�.,J-
ofConstruction Cost: 3, 000 Multi-Family Building:(Yes /No )
f/c e ,r,1 ,idea- :771c_Com any: Contact: GLI i
Address: `70 �i+� S City: 1 /Go, l-.��GG/i
Contractor M
State: 1 ''NZip: 51 /2 U Phone: (01Z-37g-1-3 10 Email: nn��-ti' 3 7/e (ccs loo 1.�o,
License#: )) C C° 1-21-2 Lead Certificate#: /'�/4
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.00pherstateonecall.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 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.
X
6 i- D4..1% I x (i, ,i O-(
Applicant's Printed Name Applicant's Signature
For Office Use
;�� Permit#:E AGA N
Permit Fee: 4P--3• ) 9
i�1 I
C Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 C wVC
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)67 9rE8 q ' �O'� Staff:
buildinoinsgections( citvofeadan.com [
2019 RESIDENTIAL MIT APPLICATION
Date: 2—/ Z r // Site Address: SO G Pr;c"i'` Ct-- 6-4S/ Unit#:
Name: t7r�cc_ kelt:-c Phone: Sol--We-
Resident/ ‘g4 r'- i-to L - 1 S�
Owner Address Address/City/Zip:
Applicant is: Owner V\VContractor f'/ Otr(,Lf J- (1 lo(,.
•
T of Work Description of work: " -tr - r i c) W L 1 we rcowv�.& a
. ate-
YPB Cost: .4.1 1ZQd Multi-Family Building:(Yes /No Na-
Construction ) .3-a C)
Company: Pit /0-0f20- ( aJ'a ckle S --L't C. Contact: Sca ev4- t -k
Address: 1./
Contractor "I e
7 g City: 6w
State:11/&Zip: 5s'no Phone: b a SIs Cr Email: 3f ' " ,P(G� ft)). Co"-,
License#: J3 G 0 017 q -? Lead Certificate#:
If the project is exempt from lead certification, please explain why:
/4c.'54-- IK/01- Qv5I /q7 (
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.00pherstateonecall.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 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. /
‘fk.nft- D„I.,
Boo
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE �(o PIE 0 j fZ j E Ci 2 _ K;,:t//S D--
SUB TYPES
1. Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
_
01 of_Plex _ 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 AC Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION q � 60411
Valuation oue — Occupancy 7186-1 MCES System
Plan Review / Code Edition Apt`` SAC Units
(25%_100% ) Zoning /Z-I City Water ^
Census Code I/3 y Stories Booster Pump —
#of Units ) Square Feet PRV
#of Buildings / Length Fire Suppression Required —Type of Construction lig Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size: 1
Footings (Deck) Final/C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: Ice$rWater _Final Pool: Footings _Air/Gas Tests _Final
Framing v 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final 4- Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 7 AIF,-4
, Building Inspector
RESIDENTIAL FE; = _
Base Fee 7J 76
Surcharge
Plan Review /y7 ".-
M C E S
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies .-Q. "7
TOTAL
Page 2 of 3
For Office Use /A,
• `� Permit#: 1 Jy..3 S jl
E AGA N
1
.`.. .. Permit Fee: /. -6
^' Date Received:,_ / 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 C 1V I
(651)675-5675 I TDD:(651)454-8535 FAX:(651)675- 4 Staff:
buildinginsgections at?cityofeagan.com FEB ' 0L __
__J
2019 RESIDENTIAL B -.!. .► :+ IT APPLICATION
Date: Zl/74 f t Site Address: ciqo `Q'° f t L Craft— Easel— Unit#:
Name: Eng , Ke L(3u-✓ Phone: SO-) 3S/ 3Z9
Resident/ )) 1p
Owner Address/City/Zip: a I frr rk CX frit_ &-S;---
Applicant
-S;—Applicant is: Owner Contractor l '—/ (_0(All-i- 1-1-19 I I b 1..1/
Type of Work Description of work: P . ,, o.. L_p Q / ec.,k
AAA
Construction Cost: ' 'WV Multi-Family Building:(Yes /No D<)
Company://p12,k fO) gc3Yl /s ---,lc Contact: O rli- �-fJ
Contractor
Address: "II)S ( 7$ City: ))oO m )- -r,
State: MA/Zip: S 5 4 ZO Phone:(17,3 $ UY'C Email: 5ibv4( otickinvd,corA
License#: 13 C 0017,1 7 Lead Certificate#: 3 214-r- 2-
If the project is exempt from lead certification, please explain why:
WINSG b0l4- Acle, _
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.gopherstateonecall.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 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.
x 6r0.4,1' WO x CV944
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 5-06PRpe;(-L�e £ /J55 -3/5V -3,5
SUB TYPES •
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck Porch(Screen/Gazeb Pe gol _ Miscellaneous
01 of Plex 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 (). 2 Q Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final /C.O. Required
Footings (Addition) x; Final/No C.O. Required
—
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
—
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests Final
—
Framing 30 Minutes 1 Hour Drain Tile
—
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath Stone Lath Brick-EFIS
Insulation Windows
Sheathing _ Retaining Wall: _Footings_Backfill_Final
—
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
—
Braced Walls Erosion Control
Shower Pan Other:
"11--'-
�
Reviewed By: v , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge i; ° u `
Plan Review
MCES SAC
City SAC
900 0
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
-0 .ig2Aic (: 2 E / �s5
• , ) (
. SURVEYOR'S CERTIFICATE MARK JOHNSON CONST.
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'0- D NOTES PROPOSED S 'Pr ACE DRAINAGE /
0 DENOTES IRON MONUMENT SET ALE: 1 INCH— 30 FEET
• DENOTES !RCN MONj�IMFNT POUND PROPOSED GA . GE FLOOR— S43.1 FEET
X0000 DENOTES EXISTING LEVAT' N7/ PROPOSED LOW T FLOOR— 836.1 FEET
(000 0) DENOTES PROPOSED EL EVATION PROPOSED TOP O BLOCK— $44.Z FEET
WE HEREBY CERTIFY TO MARK JOHNSnN CONST. THAT THIS IS A TRUE AND CORRECT
j REPRESENTATION OF A SURVEY OF l HF BOUNDARIES OF: °
Lot 19, Block; 2, COUNTRY HOLLOW, according to the recorded
I plot thereof, . Dokoto County, Minnesota. 14
I
j IT DOES NOT PURP(TlT TO SHOW IMPROVEMENTS OR ENCROACHMENTS,EXCEPT AS\SHOWN. AS
\ SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30TH DAY OF JUNE 5 ,1988
SIGNED. J LL,INC.
B Y
v' C- Pe•re.i4e7\_,
HAROLD C.PETERSON.LAND SURVEYOR
(-‘,,t'sx/ , ( ' MINNESOTA UCFNSE NUMBER 12294
i
xJames R. Hill, inc.
m ,, T 0 N m m .I
, ' n r ' PLANNERS / ENGINEERS / SURVEYORS
O .3 G O 0 6 I I l a " /60
z 4401 JAMFS AVE S •BLOOMINGTON, MN 55431 •612-884-3029
•
;11.
SURVEYOR' S CERTIFICATE MARK JOHNSON CONST.
• AA;Ri'e--•C E r _ . / ss
A
PsR•V, • . ;
For Office Use
ij4Ø
EAGAN..
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsoectionsncitvofeagan.com
L
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -1 I ( I 161 Site Address: J 56 P ro iri'L Grc It CG 51- Unit#:
Name: Grace, `\C(itler Phone: 607 —35a 32gt
Resident/
Owner Address/City/Zip: S 1G Frai r X. irC,Ie ac
Applicant is: Owner 4.. Contractor /
Description of work: R-C I'-ce war d A WS �rn C � l S
Type-If Work �'
Construction Cost: A _I i 0 0 C) Multi-Family Building:(Yes /No )
Company: I 'c(C 14"ooi 54AC)tfr 1""c- Contact: 6r 1- Da.
Contractor Address: O L 1gµ" 51- City: V4oo.+4 hors
State: M Zip: 55141.4 Phone: (9 t L'3 13rauiIE P�,f%16c�,��( .Co.-%
License#: CC tO I797 Lead Certificate#: /v/4
If the project is exempt from lead certification, please explain why:
how, 1.wilt' et,s- I cr $
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:
pp 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.citvofeaaan.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.qooherstateonecall.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 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.
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166904
Date Issued:02/11/2021
Permit Category:ePermit
Site Address: 586 Prairie Cir E
Lot:19 Block: 2 Addition: Country Hollow
PID:10-18275-02-190
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Matthew Fredrick Helgerson
586 Prairie Cir E
Eagan MN 55123
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174329
Date Issued:01/18/2022
Permit Category:ePermit
Site Address: 586 Prairie Cir E
Lot:19 Block: 2 Addition: Country Hollow
PID:10-18275-02-190
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew Fredrick Helgerson
586 Prairie Cir E
Eagan MN 55123
(507) 990-9562
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175466
Date Issued:04/05/2022
Permit Category:ePermit
Site Address: 586 Prairie Cir E
Lot:19 Block: 2 Addition: Country Hollow
PID:10-18275-02-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew Fredrick Helgerson
586 Prairie Cir E
Eagan MN 55123
(763) 391-5552
Minnesota Exteriors Inc
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature