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592 Prairie Cir WCITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt?t To be used for Est. Value Date Site Address Lot Block Sec/Sub. Parcel No. a Name ' • • iNC = Address ? k 3 ° City Phone a ,o Name ? ? Address ? City Phone ?- Q U W Name _ W W ? ? z Address ? W City- 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 Cily of Eagan Ordinances. Signature ot Permittee A Building Permit is issued to: _- on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFIC E USE ONLY On Site Sewage Occupency MWCC System Zoninp On Site Well (Actual) Const City Water (Allowabie) PRV Required ?• # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES - Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ' Permit No. Parmit Holder Date TeIephons * PlUtmbing j'.?/,.y- / r,: -, -?. •:'Cl,. ,?;i/.?!. HX.AC. Electric ? , ,?.?:.,, • ?-?.%?,? ? ,?- r^??: , Softener Inspection Date Insp. Cortlm9nt5 Footings I '?? ?,? Footings II Foundation ?? ?' Framing Roofing Rough Plbg. Rough Htg. Isul. 3 & ` ?i? r?'fl'- :9 .?9T?` `?1s+6 Fireplace 3-7,.-?y._ Final Htg. L?/? y? d Sr1 *w d yswf?r.?r?,? sL?? Final Plbg. Bldg. Final Cert.Oca Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . . ,? • , .. CONTRACT PRICE: PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Address r ? Lot Block _;_... SeclSub h m Name ? Address c City ? • Phone ? ` - ' E Name c Address .• ? ! ? ?: p Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE ' APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IIVD FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TifPE Res. Mult. Comm. _ PERMIT # •>-- RECEIPT q c- DATE: WORK DESCRIPTION New ? Add-on Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQi FIXTURES TpjAL ?Water Closet - $3 00 ? -?Bath Tubs - $3.00 _?=L_Lavatory - $3.00 _/--Shower - $3.00 Z Kitcnen Sink - $3.00 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 I Floor Drains - $1.50 ?Water Heater - $1.50 i 1 Whiripool - $3.00 - -?Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMin Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAI: , ? , PERMIT # ' , , • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? 8830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PNONE: 454-8100 Site Addcess ? ? ' ? • ? ? ' ' ' - ' ' " gLDG, pE WORK DESCRIPTION ? Lot ? Blocdc ?? ' _Sec/Sub . New Res. ? Name f Mult Add-on ? 7 n? ? ? ? ? ti ? ;!'' ??:• . Comm. Repair ?u c Address Ci - _ Phone Other ry FEES ? Name ?- RES. HVAC 0-100 M BTU '?- $24.00 c Address V??`='- ADDITIONAL 50 M BTU - 6.00 0 `{ Ciry Phone -? ? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkilAln - 1 50 EA . . TYPE OF WORK ? COMM/IND FEE - 196 OF CONTRACT FEE ? Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHQUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00 . STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $50 SiC IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other FEE , ? r r S/C: SIGNATURE OF PERMITTEE ^` TOTAL• FOR: CITY OF EAGAN , 'V. •--• AV (ger#ifir?tit uf (IDrrupanry Citp of (Eagan arpttrttnptc# n# lldldhv 3wrru,am This Certificaie issued pursacant to the requireACents of Section 306 of the Uniform Building Code cemfying that at the time of issuance thrs structure was en camplrance with the various ordinances of the Crty regulating burlding constrrrcdon or use. Far 1he following.• u,ecwohariw d YOW§/ GAii Mdg. Ftmi;, tvo. 14525 o-p.ay rya R3 zonins omu;a RI rya co.. Vn ow« or auua". RW CMWM.JCI'ICr Ad6. 21 19 1:711-iMM IR, FX'?AN &d1chng Add= S92 YRAT??7F CIR:.'f,[: ?ity LIC'r, B4, CQ]i+nRY FM" n„c APRII.28. 1988 Ikaa;n8 offic;.i - POST IN A CONSPICUOUS PLACE 1NSYLU'1'IUN KLUUKli CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , ? ? . SITE ADDRESS: ,„ r i?n f??t?N 11? Y ilill LOW' . , APPLICANT: tt? I i f+ t NFi ir; 1N:? /?}Ft PERMIT SUBTYPE: TYPE OF WORK: ;•? f'AIf? t"ERIoFt FrF f A tR ' Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING !J ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAI. PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: '+ F'?' "'' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: iA fflon (612) 681-4675 SITE ADDRESS: APPLICANT: r) rl 1 fft t ,i, ,! .11; ?.,?rl?:? ?? PERMIT SUBTYPE: TYPE OF WORK: ? J I;# M15f2F' `."?s PE HW CdVV 1 f 411`(7 fiY 4JAYAIP Rt I} I f R. -qm I I i Permft Holder ` Date Telephone # PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING FOOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIFi TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS ' coNDucrivirv TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAI /?u? CASH RECEIPT_ ' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 ?e van oM, •j AMOUNT $ I al DOLLARS ?oe [] CASH EIGHECK BY White-Payert CoDY Yeliow-Postinp CoPY Pink-File Copy Thank You BLDG. ,- ; - - 01-3210 01-3422 f)1-3445 01-3446 01-2155 17-3860 20-2275 20-3865 20-3868 zo-37i6 20-2252 20-3713 20-3743 79-3866 11-3855 ..? .. . ., . .....?, _ ..?,_ PERMIT N0. -? --=? Bldg. Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. L:ater Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL 4 1 ' - ! `? ? n ? ?, J? ? ?,:?' .y [ ? 1? CITY QF EAGAN _3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # Ta be used for c r' Est Value ` 11'4. tItiu Date CECEMB?:?C 31 19 ii 7 Site Address 592 PftALRIE Clit W. Lot "?' Block 4 Sec/Sub. COjUNTRY HULLOi1 Parcel No a Name MUHL GUNSTRt CT1GN Z1VC = Address 2119 Vl$L:iNI'i': TR 0 City EA"i Phone 688-2004 ¢ Name_ 0 ?? 4 Address P City Um LyW W Name_ ? Address Q W City - I hereby acknowledge thaf I have read this application and state that the informetion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issuedto: HV?t r-UtV:?TR(,(,1'A0N on the express condition that all work shall be done in aCCOrdance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy R3 MWCC System x Zoning R1 On Site Well (Actual) Const Yn City Water x (Allowable) Yn PRV Required Y # of Stories Booster Pump Length 55.67 Depth 37•67 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permft ? 545.50 Planner 5urcharge 57•00 Council Plan Review 272.75 Bldg. ON. SAC. City 1 ao. ao Variance SAC, MWCC 525.00 water Conn. 52 5 . ()0 Water Meter 67.00 Road Unit 305•00 Treatment P1 l80.00 Parks :? S TOTAL ? CtTY OP EAGAN Permit Na 3830 Pllot Knob Road Meter No: P.O. Box 21199 Reader No: Eagan, MN 55121 Owner. 1 , ,n ; t. SiteAddress: '`'2 "rairie Cir L1O I?=t Ce- Date: -12 - ° 3 Size: sa" 1?v ck Datw. ?- A Ty 8 I? try E?ollew Conn. Chg: s??E'XV A DN Acct. Dep: 1 5• - Permit Fee: gef i??iitg Call ioCa. u Sureharge: ?`};b?E - ELFCTRIC - G Tr. Plant 1 ' ) Meter. R MISC.: ? ?, n' r • WATER to comply r?llfy*e Citr of Eayan CITY OF EAGAN Rermit No: 9363 3830 Piiot Knob Road Meter N ?: Da?: x-12-$S . P.O. Box 21199 Eagan MN 55121 Reader No: .. Slz? , Data Owner. I?Wne (:onst. SiteAddress: '?= r irle C ir 1 I. ? f?e, • Plumber sc%n F , ntr ???11?k Conn. Chg: L= 5. G Acct Dep: Zoning. RI Permit Fee: I0, OQ No. of Units: 1 Surcharge: .50 Tr. Pfant 130, QL) I a9ree fo comply with the Clty of Eagan Meter. 07 , r • OrdMances, Misc.- r';'vf'?' ? r •- WATER SERVICE PERMIT CITY OF EAGAN r.Pormit No: Date: 2-1 2- eg 3830 Pilot Knob Road B!P I?p: _?• -. ., Date: j 2_3T_.. g8 P.O. Boz 21199 . Eagan, MN 55121 Owner. P1.11-ae (:°ri5t SlteAddr83e_-5'_`? Meet PrairiP ('ir 1.10 R4 C'niintr• }tol ]o-,, Plumber.- 7iiompsOn Plbv MWCC: 525, p0 , Ciry Chg: 100.00 Zoning• ': 15 . QQ No. of Units: 1 i Acct Dep: Permit Fee: • I agroe to comply wlth fhe City pf EaQan Surcharge: Ordlnancss. Zoning: R1 No. 9f Units: 3 SEWER SERVICE PERMIT ? CITY OF EAGAN N°_ 14 5 3 5 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ' BUILDIh'G PERMIT PHONE: 454-8100 Receipt To be used for SF DWG/GAR Est. Value $114,000 Date DECE BER 31 19 87 Site Address 592 PRAIRIE CIR W. Lot 10 Block 4 Sec/Sub. COUNTRY HOLLOW Parcel No. .. a Name HU'ME CONSTRUCTION INC z Address 2119 VIBURNUM TR ° City EAGAN Phone 688-2004 a0 Name SAME ?a Address : Ciry Phone `ua W w Name Fw rc Address a Qw City Phone I hereby acknowledge that I have read this applica[ion and state that the information is correct and a9ree to comply wi[h I applicable State of MinnesotaStatutesandCi ofEaganOrdi anc Signature of Permittee - / A Building Permit is issue o: HUME CO' RUCTION oniheexpressconditionth allworkshallb d einaccordancewithall applicable State of Minnes Statutes an ity Qf gan Ordinances. Building OHicial 'd OFFICE USE ONLY On Site Sewage - Occupancy R3 MWCC Systam X Zoning Rl On Site Well (Actuap Const Vn Ciry Water X (Allowable) Vn PRV Required X # ot Stories BoosterPump _ Length 55.67 DePth 37.67 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit $ 545.50 Planner Surcharge 57.00 Council PlanReview 272•75 Bldg.Off. SAC,City 100.00 Variance SAC, MWCG 525.00 Water Conn. 525.00 WaterMeter _47..00 Road Unit 305.00 Treatment P1 180.00 Parks TOTAL $2,577.25 This rn4uesl void 9/? 18 nwnths from ? O(1 D 7 O J 1 1 ! -t , Y ,,/ / ? ?G?i o Re.quest Uate - Fi ¢ No. ? Y floueh-i Re uireN. syection Ready Now ? ?Will NotitY Inspec- G Q Ves?t ?NO or When pe??y Lic¢nsed ElecV cal Contrnctor I hereby repuest inspection of ebove ? Owner electrical work instellad et Street Addr ss, Box or o[e N. , ? ?C C @/,C Crl?S? / City ?.qd! ecLOn Township Name or No. qange No. Cowvy Occupnnt (PRINT) i , rNsT Phon¢ No. Power SupOlier o 7-4 CGCL?T/?i G AtlAress Electr c Cnnu [or IComPany Name) 7'??ff??oN CLCL?>?? C Con[racto s mense No. A? ??? MaTnp AdJress IContractor or Owner Makina Instailationl al iti %7??J /? ? ?-IT,?% 553 3 Authorized Si n¢mr I rcu or/Owner MakinB fris[allatioN Phon¢ Number MINNESOTq SiATE eOAPD OF ELECTHICITY TMIS INSPECTION FEQUEST WILI NOT GrigBt-Midway Bldg. - Xaom N-191 BE ACGEPTED BY TME STATE BOAXD 1821 Universitr Ave.. St. Peul. MN E5104 UNlESS PNOPER INSPECTION FEE IS Phonef6t21642-0800 ENCLOSED. Eg REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os Ilt See insM1UCtions br comoletirq this form on baek of yellow coGV. E)- 7 89 14, w "X" Below Work Covered by 7his Request AAtl Rev. TvPe ol euilEing APpliancm W4etl Equiumem Wired Home Range Temporary Service Duple,x Water Heater Lightiny Fiutures Apt. BuilAing Dryer Electric HeaUn Commercial Bldy. Furnace Silo UnloaAer Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm p? i y ?her ISPr.r.ifv) t rsr u???? v ?? Othe, Comoute lnsoection Fee Below _ p fee ServiceEnlrance5iia tl Fee Faxders/5uhteeders ? Pee Circuits 0 to 200 Am s 0 to 30 Am s .5 a ta 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 qm s Swimmin Pool Above 100-Amp5 Above 100_/am s Transrormer5 Irngation Boorc,s Partial.'Oth e Si gns Speclal Inspection , $ ? TOT F Pemarks / • v ? -? ? flouph-in N ? Joa[e , Ne CJ? ?s i InsOector, hereby cerli/y 11,et the nbove Final ?°??e Q inspaction has been .?.._ ? i^?/ ;) mede. Y Thb reVUesl vo1E 18 mont0a Irom City of Eapn 3830 Pilot Knob Road. Eagan MN 55122 Phone: (657) 675-5675 Fax: (651) 675-5694 ?- ------------i I FouOffice'Use ? I Permit #: i PertnitFee: ??O?? ?{/ ? Date Received: I ? I ? I Staff: ? L - - - - - - - - - - - - - - - - - 1 2008 MECHANICAL PERMIT APPLICATION Date: SiteAddress: .S?'7a ?i'AFi< C?R A? - Tenant: Suite #: RESIDENT/OWNER Name:i`idn 1?-?/1n5o?? Phone: Address ! City / Zip: `Y W CON7RACTOR Name:MLJS lfPA?,4 And Can/?:+G ZZC License#: Address: ?/,;Z 7 l/erm ; // ,., S? City: l(A S?%?? i' State: Ab-_ zip: SSo33 Phone: Contact Person: M RJ(4- TYPE OF WORK _ New ? Replacement _ Additional _ Alteration _ Demolition Description of work: ' MOTE: 8oth roof mounted and ground mounted mechanical equipmenf is required to. . be screened by City Code. Please confact the Mechanical Inspector or one of the - „, . Planners for informatlon on ermitted screenin mefhods..,, RESIDEMTIAL COMMERClAL PERMIT TYPE New Construction Interior Improvement Furnace - ?Air Conditioner ` Install Piping _ Processed Gas Exterior HVAC Unit Air Exchanger - ` FIVAC units must be screened _ Heat Pump Under! Above ground Tank L_ Install! Remove) Other ?"' When installinglremoving tank(s), call for inspection by Fire - Marshal and Plumbin Ins ector RESIDENTlAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances,.ductwork, etc.) (includes $.50 Siate Surcharge) $?56,5d TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $50. - If Permit Fee is > E1,000, surcharge increases by $.50 for each =$ State SurCharge $1,000 Permit Fee (i.e. a$1,007-$2,000 PertnN Fee requires a$1.00 surcharge). $ TOTALFEE I hereby acknowledge thal this information is complete and accurate; tnat tne wonc win ce m comormance wmi me rnwnances ariu ?=a vi ilia ..I,' I urWersfand this is not a pertnit, but only an application for a permit, antl work is notLto start without a pertnit; 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 MRftK Gt 30 4 nSin x?? e?b/O ApplicanYs Printed Name ApplicanYs nature FOROFFICE USE ? ,? ?, , ?rRewewed_By: ? Date: r ? Reqed Inspections ;llnder Ground ' Rough In _Air.Tast -_Gs Service Test ;?_In-floor Heat' _Final APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ? NOTE: PA7Q4ES7P CF FEE AT TTME OF ? K AePLxCAxioN DOES Nar cox- { ? STI1STfE APPRGUAL OP PfI2MLT. ? ; nasrrrriaa oF sEPM arm/ox PmxEt ; . ; irsrnr.ATxoNs wu.L NoT se scmoLED ; ? (INPSL PERPIIT HAS B@] AppROVm. ? iiiS}i44#flf?Ry1ii##if4t#Ff1iyRRlf}f11RS ItV OF czC7gt9P9 (P E PRINT 1) PROPERTY ADDRFSS: T.FI:AT DESCRIPTION: IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERNIIT ISSOANCE: Mont Year PRESENT ZONING/PROPUSID USE: Q COMNIERCIAL/RETAIL/OFFICE ,4 R-1 SINGLE FAMILY Q INDL'STRIAL ? R-2 DUPLEX ('34.o Onits ) Q INSTI'IUTIONAL/G0VERDAff.T7T Q R-3 TOWNEiOLSE (Three +; Dnits) ( Ur,its) Q R-4 APARTMENT/CODIDOMINIUM ( . Units) .. 2) ? ru,ME: ADDRFSS: . ? G(. CITY. STATE. ZIP: PHONE: ?33 ?a ? 3) IE? NAME: 112 Oy/ Pl rense: ADDRESS: ? Active . Expired CITY, STATE, ZIP: Not recorded PHONE: ?? 3a 1 MASTER LICENSE # ?710??? / Sta? Init^ia? 4) vz? NAME: ADDRESS: CITY, STATE, ZIP: PHOAIE: 5) s w• a?, • n ??+? CONNECTION TO CITY SEWER ? CONNECTION TO CITY WATEF2 O QTfER .?? 6) O( ??? < *************+***,r*??******:r****?****+****,r*****:t**??:?+,r************?**?**?*+*****??*************?* * 7YIE GOLD COPY OF THE PERMIT WZLL BE SEPTI' DIRFX.TLY TD PUSLIC WORIGS TO FACILITATE MEPER PICK-uP. * PLEASE ALTAW 740 WORKING DAYS FOR PROCFSSING. SOMEDM FROM TfM CITY WIIS, CONPAGT YDL IE' THERE * * ARE ANY PROBIEP'1S. * ?****?*******+*?*?***?**********??****?**+*??***,r*************?**+++****??*?****?****?**?***,r*??*?*? FOR :CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /D 56) SEWER PERMIT (INCLUDE SURCHARGE) $ $ / C WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ /?? ? ACCOUNT DEPOSIT - SEWER $ $ I-? d v ACCODNT DEPOSIT - WATER S U $ ? wac s v $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRU[VK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ D $ TOTAL _ ic) ?i- y/ / 9 ?- RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT pF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" ML?ST BE ISSUED BY THE ENGINEERING E3 NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: .? FERMIT CITY OF EAGAN ?830 Pilot Knob Road PERMIT TYPE: B u zLp z N G ?Eagan, Minnesota 55122-1897 Permit Num6er: 032151 (612) 681-4675 Date Issued: 0 6/ 0 2/ 9 S SITE ADDRESS: 592 pRAZRIE CIR W LOT: 10 BLOCK: 4 COUNTRY HOLLOW P.I.N.: 10-18275-100-04 DESCRIPTION: ;p EX7ERIOR i2EPAIi2 l.dSrig..Permit Type STORM DAMAGE ?,dartg1?rk Type REPAIR s?is Cad? ? 434 ALT. RESSDENTIAL ; w4 ? ?3^ ? r?'w'? !?aN '°q?„44 ? 1SY ?g E r us # ,?? :a?' s?s ? ?4 ¢ d", @ v'"?'?% v ', = a€q ?3 n:r ?r REMARKS FEE SUMMARY: CONTRACTOR: K62 CONSTRUCTSON 3891 GIBRflLTAR EAGAN MN (612) 683-1178 - Applicant - ST. LIC 16631178 0008042 TR 55123 OWNER: WAN50N ANDREW 592 PRAIRIE CIR W EAGAN MN 55123 (612)454-8026 1? harQby,ackriawIad",th4C?S-havo- reatl 'ttr3.s app?.acaICign and sCate thAt the _' informatian lt,, barrerp,t anx1 agrse to camoly wfth a11 appii;cakle State af 'hln. ' . ??a'????s?"ancGaCy ofi 6ig&n'o'r4.£cta•R6es . , J . .. APPLICANT/PERMITEE SIGNATl1RE ISSUED : SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACiAN - 3830 PII.OT KNOB RD - 65122 681-4675 New Construction Reauirements RemodeVReoair ReauiremeMs ? 3 registered site surveys • 2 copies of plans (inGUde beam 8 window afzes; poured fid. Gesign; etc.) ? t energy wlculations ? 3 copies of tree preservation plan H lot platted after 7/1/93 required: _Yes _ No DATE: 62 - 2 - ZO DESCRIPTION OF WORK: STREET ADDRESS: 5?2 v,iOT: M BLOCK: q _ SUBD./P.I.D. #: ? 2 copies of plan ? 2 ske surveys (exterior additions & dedcs) ? 1 energy calwladons for heated addkions CONSTRUCTION COST; -14 DO 7 - F-xfCViD? Zip: Name: /?ir,AevJ Phone #: '5Sq"gOP_ L PROPERTY Lot First OWNER Street Address: '-??g Z City f=qrd State: Zip: Company: gz ConS?icv[-Iion ?o,:.?L'• Phone#: ' /Z' 6 93-//78 corrrxncrox / / / 131 a? Street Address: ?° / ?oi hfC?lT42. /? / Lic nse # 80 L/ z City ? A-i? State: /!9/? Zip: 4-??23 J ENGINEER Name: Street Address: City / Sewer & water licensed plumber (new construction onty): and lot change is requested once pertnit is issued. State: r- Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received _ Yes Phone #: 51Al yl? Signature of Applicant _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY ` - BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ piex WORK TYPE ? 31 New ? 33 Aiterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi RepaiNRem. ? O 13 Garage/Accessory ? ? 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. Building Engineering Variance `f3 IP OI ? Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous aa ? ? MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit °k SAC SAC Units CITY OF Et-1GAN CaSHIBEF:: S iE!;MINAI. NC); 909 DR'iE:; 09/30/98 TIMF: 12:59:02 II7 a NAMEa TtAFiY;F1R(-t 7 HAN:iC7N 32:L0 9001 592 f'fiA.T.RIF f:T.R 50.00 205 9001 532 F'RA7:Fi7E t:Ik 0.50 r 1'otal Feceip+, Ainount u 50.50 CFi(]3'912 USF_'I; ITis NANCY Y,<9F>k?k)k%k?F>kyF?X?yFX<>X%??:k 'h'rt?k%k 'MW.#?k??k?8ok9Fm 'Mh'':{?*hY>%? PERMIT " CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Bu z Lo z N e Permit Number: 0 3 3 5 0 8 Date Issued: 6 9/ 3 0/ 4 8 SITE ADDRESS: P>I.IV.: 10-18275-100-04 592 PRAIRIE CIR W LOT: 10 6LOCKe 4 COUNTRY HOLLOW DESCRIPTION: 8t*&"i.d'a.Erj,aPermi'C Type DECK Br1ti1-d3ng Wtzxk Type NEW E-t75Us C[t?la!k"434 ALT. RESIDENTIAL .,? ""? . . . . 9 ?. . , z sk.? ,? ` REMA?i?S:REVZEweo BY WAYNE MILLER. FEE SUMMARY: Base Fee $50.00 Surcharge ? $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - HAN50N RONALD 592 PF2pIRSE CIR W EHGAN MN 55123 (651)454-8026 V ' : , . - . XI .> h 1 T`Ne p Oby a aK-nQsa2e cige that i ha.+vo` read Ghis apglicatian and state' that the i:nfnrmatitsn ,115?1 00,rro,ct ar1d_ ag-rsae to campiy wi,th a11 6pplica4le Stata of h1M. ?ta?u'??` and y af Eagari Ordinanqas: e ? ?APPLICANT/PERMITEE SIGNATURE I D BY: SIGNATIJRE ?- .? • ?`. 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT 681 KN-46OB7 RD - 65122 ?? p ? New Construdion Reouirements RamodeUReoair Reauirements C?.}?I ?? ?-?i "-I '91 ? 3 registered site surveys ? 2 oopies of plan ? 2 eopies af plana (InGude beam 8 window saes; poured fid. Oesign; etc.) ? 2 site surveys (exterior atlCitions 8 decks) . ? 7 eneigy caleulations ? 7 anergy ealculations for heated add"Rions ? 3 copies o/ tree preservaGon plan rf lot plattad aRer 7/1193 required: _ Yes _ No DATE: Sa -25- O CONSTRUCTION COST; 12 X ( I CL 'eGJr-- DESCRIPTION OF WORK: , . S E O.RESS: _<q Z P R7 l r i ei l. LrC., ir?? LOT )O BLOCK ? C C) S : : UBD./P.I.D . #: Name:? I&Ar?Phone #: ? 5 Li - O VL.+6 PROPERTY OWNER ? S dd Z ? ? C? Y?? ress: treet A ? City State: rn r Zip: ? Company: one # CONTRACTOR Street Address: I,icense # Ciry Stare: Zip: ARCHITECT/ ENGINEER Company: Phone#: Name: Registratian #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang 1 hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree t mQly with all applicabl State of Minnesota Statutes and City. of Eagan Ordinances. Signature of Applicant. RECEIVED OFFICE USE ONLY ?l r ; 17n? Certificates of Survsy Received _ Yes _ No B Tree Preservation Plan Received - Yes - No _ Not Required { v ¦ BUILDING PERMIT TYPE OFFICE USE OR9LY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4piex ? 12 Multi RepaidRem. ? 03 SF Addition ? 08 8-plex O 13 Garage/Accessory ? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 05 SF Misc. ? 10 = plex JZ 15 Deck WORK TYPE :? 91 New ',Ef 33 ARerations ? 36 Move D 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuaq ? Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. tength sq. ft. Depth Footprint sq. ft. APPROVALS ? 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 Bldg Census Unit Planning Building lt'?Ak, Engineering Variance y3? O/ / T Permit Fee Surcharge Pian Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ / ze(/ % SAC SAC Units FOR: HUME CONST. A \ "5 4 81 70.?5?° a 'O9 N? (?? ; •, ? ,S, pQ 0 G41+O v. ? N 11=27°W53" L=28.57 R=60.00 ? A u'sO ?/ GO it; S?°? v ?a a BEARINGS SHOWN ARE THE SAME AS SHOWN ON THE RECORDED PLAT ?e a Ota I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 10 B1oCk 4, COUNTRY HOLLOW according to the recorded plat thereof DAKOTA County, Minnesota. and of a propased building. As surveyed by me or under my direct supervision tfli 5 23rd ddy of DECEMBER , 9$7 , Leland C.N. Smith, Land Surve.yor Minnesota Reaistration No. 14942 0 15 30 60 SCALE IN FEET ? Sq1po o"r, Q7? i'•yt?, 0 D? ^ 9p, / ,.y q 8qy.r / d O? ye? F,a 9?G, Proposed Basertient Floor Elev= Proposed Garage Floor Elev = Proposed First Floor Elev - Proposed Elev ooa Existing Elev 1o00 o Oenotes Iron Monument Set • Denotes Iron Monument Found x Denotes Spike 5et o Denotes Hub Set ?-- Denotes Surface Drainage N 4 .. ? ??'?'r'I• . °Z / 2yY•?l_?.r ?'•uu+ ? J t1F ? UJ? ;U'i•U?+ I :'.'J °'Ju* •? ? ?? r ?1 • :L `? =a ? BIIILDING P s IA&PP- CITY OF SAG9N SINGLE FAMILY DWELLINGS INCLQDE 2 SETS OF PLAN3, 3 CERTIFICAYES OF SURVEY, 1 SET OF ENERGY C9LCOLATIONS NOTE: 9DDRESSES FDR CORNSR LOTS - COATRACTOR/HOMEOWNER MOST DESIGNAYE AHICH ADDRESS IS DESIRED. NO CHANGSS WILL BE ALLOWED ONCE BQILDIDiG PERMIT IS ISSIIED. M[ILTIPLS DWELLINGS - RFSIDENTIAL RENTAL [NITS FOR SALS QHITS INCLUDE 2 SETS OE PLANS, CERTIFIC9TE OF SIIRVEY - CHECS WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Site Address S?a ?j Valuation: Lot L Block Parcel/Sub L;) V-J? 21661" o "- Owner Address "W"y ???v'0AA'*- TewL City/Z3p Code W'q/ 5T-1 3 --l- Phone Contraetor GOA-r? d^?= ` 9ddress City/Zip Code r? Phone Arch./Engr. Address ? ? 3 ?'? SLS City/Zip Code Phone li Date: " l, y, vvo-"--- On Site Sewage_ M41CC System On Site Well City Water ? 9PPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off IZ 3d APC Variance Oecupancy ,R",7? Zoning ti Type of Const - (Actual) V-N (Allowable) V-N # of Stories ' Length ,$-T.(?ry Depth 3q,67' S.F. Total Footprint S.F. FEBS Permit 545,0 Surcharge 52. pD Plan Review Z ? G,7S SAC, City I 00.00 SAC, MWCC Z o0 Water Conn 25,00 Water Meter V1,00 Road Unit oO Treatment P1 D ou Parks Copies TOTAL _77-? c- , a s- VA lv. AT {oP\ • GARA&4E . ? .. 20x2y= s?6xt2= (,91z gASk ffiEN"f` 3Z X ?(, . qK )3: )s x iy = 83Z S" Z Z52. f" ?I3G x ly: i5qoy 1 ST FL-o,z --?--: , ?SmT I I'j 6 S?AhS 2?? »?^ 1160 X yuz. Sld4o zN7 f,??ev? __------ 2(? X3Z=E?3t ? X 13 = ?s ? 110 X y4= '-I0046 ..?- {13 ! • 4 ( ' d J 4 SURVEY FOR: HUME CONST. \ ?.S.F t.1$A ' {7 11 iC, L=27016'53'1 L=28.57 ' R=60.00 a $47Te .C • A o`501 ??? /??' ? ryro• 'si . % a ,yoG o 4-- O gy1•? \, // s? 'P OCA: ?i ? ? ` ? ,p t? ? . , \ =o s;, ? ? ?. ? ? yF p ? ??? ?? 2g9 eG / Z 8? a P / ? ?S aO e\50O ?K, \ ? j o, N59 ?? ?aSe? ,? ? $1. a? BEARINGS SNOWN ARE THE SAME qS SHOWN ON THE RECORDED PLAT Proposed Basement Floor Elev= O Proposed Garage Floor Elev = I hereby certify that this is a true and correct Proposed First Floor Elev - representation of a survey of the boundaries of: P?roPosed Elev o00 Existing Elev ioov Lot 10 , B1oCk 4, COUNTRY HOLLOW according to the recorded plat thereof DAKOTA County, Minnesota. and of a proposed building. As surveyed by me or under rqy direct supervision this 23rd day of DECEMBER 987 , . -r? 'e-A47 Leland C.N. Smith, Lantl Surveyor Minnesota Registration No. 14942 o Denates Iron Monument Set • Denotes Iron Monument Found x Denotes Spike Set ? Denotes Hub Set <-- Denotes Surface Drainage 0 15 30 60 ? SCALE IN FEET N ISRAELSON, REESE, ELLINGSON & ASSOC., INC. 11000 W 78TH ST., SUIT'E 220 EDEN PRAIRIE, MN 55344 (612) 944-0672 ARCHIiECTS ENG[NEERS SURVEYORS DESIGNERS Copyri ght : JOB: L7707 C CONTRACTOR TO YERIFY BUILDiNG DIMENSIONS Reproduction of this drawing prohibited BY:D.DOMEIER wi*6nut wnihtun Annrnval nf tha ahnvP C{atlPd. John, Bradley . architecturo?I consulta?nts tnc. 600B bd ST. s. E. OSSEO, YN. 66J68 P11. (612)-414-1772 Plan Dote ? - ? ? - ?:.,.,e.. TH r Contractor•. Site Address, LoT 10 .N I L 7 k--o(AgjTRy HonW PHONE 1)TOTAL EXPOSED WALI AREA ??sq.ft x'U'-' 2)TOTAL EXPOSED ROOf/tEILING AREA sq. ft. ,i"U'-`' -C MfALL 4REA CALCULATIONS: TOTAL WINDOW AREA GLAZED TOTAL DOOR AREA SOTAL GLASS OOOR AREA _ GLAZED 70TAL fIREPLACE WALL AREA 70TAL WALL FRAMiNG AREA NET INSULATED WALL AREA TOTAL RIM JOIST AREA TOTAL FOUNDATION AREA(EXPOSEO) TOTAL FOUNDATION WINDOW AREA I-l3 sa.rf.x'u"•?z= Z, ? sq.ft.z?U11 Ur7 sq.ff.z'U"i±L= 33.? Zo I a? _sq.if. z 'U?? ,2? ?sq.ft.x ,. U" ? ' sq.ft.x"U"'°`Fi= _sq.ft.x?U?? _sq.it.x"U"' 1127 _5q.f1.zV''- 3YTOTAL I t ifem 3 is the some as, or less fhon ltem l, you Aave met }he infenf of 2 MCAR 1.16008 A and D. ROOF/CElLINO CALCULATIONS? TOTAL SKYLIGHT AREA TOTAL ROOF/PEILING FRAMING AREA NET INSULATED ROOF CEILING AREA " sq.il.z?U? ? ?1 l ?q.tt.,i'U°,?=CGr Z. gq.ft.x?U???oZ?= ? . 4) TOTAL . U• z If ifem 4!s the same os,a less than Ifem 2, you hove mef the lntent of 2 MCAR 1.16008 A ond O. /1LTERNATf BUILDING ENVEIOPE DES16N . To ufifize the total envelope sysfem method, the sum of items l and 2 shalJ be yreater fhan the sum of lfems 3 ond 4. II +2) _ 3) +a7 = 1 hereby cerHfy that the bullding here descri6ed meets or exceeds the 5}ate Minne otn Enerpy Conservatlon Act. (signed Z,r[o 54jrc? _4 CONSTRUCTION 'RAMING SECTION InLrior oir film 0.68 %tnches of aoft wood (?7 ? K/v- t'. Rk. Z.cxo i !j;PhvNAe. .SI i exferlor oir film 0.17 TOTAL R -Jj--424- U s I/R ;ECTION (INSULATEO) Inferlor oir film -„L., !S?- .4S ? +S'?''' t.n o iexterior air film 0.17 TOTAL R Z-3 • 17 U s VR _ S°4'? ST. BECTION nteri r ir Ifim 0,68 l?j R'++44 IwIS 19.0 J'e %l? I.bg , 9,+'x rs• 04. Z.orv ,5+M"4 4 -- xtar(or oir film • ,1 TOTAL R • 40 ll = 1/R fO TION SECTION lnferlor ofr film i 4.0 !Z t. eA4,r- lrteripr 9ir film 0.17 TOTAL RW i'? 1! * 1/R • ILO CONSTRUCTION ?. CEILING_SECTION (INSULATED) (I linterior air film 0.61 ( 2 5/e. s???•y K I 69?1 (,r} exterior air film (still) 0.61 TOTAL R„45J Pa U = _IZR ,OZZ CEILING FRAMING SECTION • ( I_ interior ofr film 0.61 (Q-cP'B St,1:7aocK .Slo " (3 Je rn?ml I "su" aZI (¢ interior oir film 0.61 (g -ep*inches of soft wood 4.L5 TOTAL R 32, 13 11 = 1/R D210 CEILING SECTION (INSULATED). ( 1 interior air film 0.61 _ (2 (3 (q exterior air fllm (still) 0.61 TOTAL R 11 ? 1/R VENTED _CEIUNG .FRAMING SECTIDN A;Linterlor air film 0.61 (eF inferlor air film 0.61 _J5 loches af soff wood ` TOTAL _ R L_ = 1 /R . EXPOSED BEAM CEILING SECTION Interior air fiiim 0.61 ? {3 (4. (5 exierior air lilm 0.1T _ TOTAL R L = 1/R City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694. FEB 48 2010 Permit #: Permit Fee: 50 . Ci Date Received: Staff: L 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2-(4 I2 -V1 U Site Address: _ Barbara Hanson Tenant: 592 Prairie Circle (JO Suite #: RESIDENT / OWNER tagan,wiN SS1L5 Name: 6514548026 Dne: Address / City / Zip: qyy $5.� gfi�,K � [•'n1' C , .. , . CONTRACTOR ,r,, Name: �NORBLOM PLUMBING -CO. License#: O(P (52 12 Address: (612) 8274033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: "I'Sj TYPE OF WORK New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ Description of work: ref/late/ WU&t ' G ea &1 PERMIT TYPE RESIDENTIAL IWater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) Septic System _ Water Turnaround New z f aw Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) etc.) (includes $.50 State Surcharge) n550 TOTAL FEES $ burned out appliances, ductwork, 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 Je;I %-. NO At o-yn Applicant's Printe Name A•,"icant's Signature 3.., FOR OFFICUSEz ' i:.:. fx� q '4 i e - - 5 Required Insp ections: q p �;��,.$! fi`sw$ g 1€3 U qyy $5.� gfi�,K � [•'n1' C , .. , . �`.•N`£ �y^b, ce+.4:u`F �ca'aiv"' " � ro n u :. Reui •� i wed BY_f �Dae� s& , �i',r" Roug '�xY Jn ^ a. a x A �,',, ` `i, est Sp„ v+ 2 8 ';. 4 i 5 i Gas lest Sas*i"2+� '.. Final ,\ z f aw s Use BLUE or BLACK Ink r________________� . I For Office Use i . i ��'�' t � I Clty of �� , Permit#: � � � , � � � Permit Fee: I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 I I Fax: (651)675-5694 I Staff: � I � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: V� �� 1�jC�� Phone: Resident/ y p �'� � Q �!� � �-1 � �� V�/ � S � f�-?� Owner Address I Cit I Zi : Applicant is: Owner �Contractor Description of work ��— ' � Type of Work Construction Cost: l'7, �"Cicr Multi-Family Building: (Yes I No� Company: ��-�- ��`'�c%CI ��,U �C ntact: �f � � Z� L-��I L� J �� Contractor Address: 7�/ 7 J ��Q%�°_ �� City: ��'J� State:�Zip: S � �� Phone: �J�.�GT ��E ail:�I (C'/�C7��/�iJ��Q(!�, License#:_�� r�7� Lead Certificate#: � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE;P/ans 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 thaf-fhey are trade secrets. � CALL BEFORE YOU DIG. Call Gopher State One Calt at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building ode must be completed within 180 days of permit issuance. X \ PD c;��° f `�'(Z 2�- X ApplicanYs Printed Name ApplicanYs S gna re Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � C� � Permit#: ��v��/ X� � �by �1 �� I p rmi F : ��/-� � i e t ee 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APP ICATION Date: `� "l� �7 Site Address: S� � �� ( U\ � � t � . Unit#: ��"� Name. 1��Q�7�}�/9- ��-�� Phone: � �.�Residentl:�� (?wner . Address i City i Zip: �`"( 2- �� l � ( e c T � ; , Applicant is: Owner Contractor Ty�e Of 1NOYk�,� Description of work:� �t ��g'�✓� �� ' Construction Cost: � � /.b Multi-Family Building: (Yes /No� �� f �lZ �z� � J3 :' Company: � �l� �5��—fl� � Contact: � �' Address: �l� '7 l� '�7/�� City: � ' Cont�act4r fik �� , �� ",,rt:� � ,� ,�: State: Zip:S � �� Phone: Email: :;'< License#: �'�'��7� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NQTE: Plans and suppc�rting°documents tMat you submit are considered��a be pt�blic infarmafion. Partions�f �he inforrnafion may be classifieal as non-public if you pravide specific reasons that woulal permit the City to ; canclude that the' are#rade 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.qopherstateonecall.orq I I hereby acknowledge at 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 under and this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with th approved plan in the case of work which requires a review and approval of plans. Exterior work a Morize a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit° sua x t'� x ��}-��,�'1� �� Z�- ApplicanYs R.fi ed Applicant's Signature Page 1 of 3 u PERMIT City of Eagan Permit Type:Building Permit Number:EA166049 Date Issued:12/08/2020 Permit Category:ePermit Site Address: 592 Prairie Cir W Lot:10 Block: 4 Addition: Country Hollow PID:10-18275-04-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 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 - Jerome & Shelyah Mckoskey 592 Prairie Cir W Eagan MN 55123 Palace Restoration 12527 Central Ave NE, Suite 305 Blaine MN 55434 (612) 706-4113 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166535 Date Issued:01/19/2021 Permit Category:ePermit Site Address: 592 Prairie Cir W Lot:10 Block: 4 Addition: Country Hollow PID:10-18275-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jerome & Shelyah Mckoskey 592 Prairie Cir W Eagan MN 55123 Pch Construction Llc 7327 Borman Avenue Inver Grove Heights MN 55076 (507) 340-7491 Applicant/Permitee: Signature Issued By: Signature