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4063 Prairie Ridge Rd?? . . _ _ .. , . . . . . ?„ . _ _ _ . . . ? _ . _ _-•-• ___•^•...,?T. . . CiTY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan; MN 55121 PHONE: 681-4675 BUILDING PERMIT To be used for s£ ??/GAR Est. Value =?tow Site Address 4063 pRAixl6 RIDGE HD Lot 11 Block 4 Sec/SuI50V1-'!MY PASS M Parcel No. Name M-wMi.a cUPsT iRG W?r? 1212 El.UBDILL DAY RD ? city KMNV24U M!1 Zp 53337 prone 688-7061 cc ? ? N21712 _ AddreSS Ciry _ Zp 8 I LIC2(1S8 # VlJl7L.7 10 I hereby acknowlege that I have read this application and state that the information is carect and agree lo comply with all applicable State ot Minnesota Statutes and Ciry of Eagan Ordinanc?es. / Sgnature of Permitee A 6uilding Permit is issued to: ????ALD MUST INC on lhe express condition that all work shall be done in accordance with all applicable State of Minnesola Statutes and Ciry of Eagan Ordinances. Building Official f r!' Receipt # U0149 ,n?;h Date FED 25 ,19 91__ OFFICE USE ONLY ?upamy R-3 M-i FEES Zoning j -1 Bld9. Pemt 622.00 (Actual) Const y-N Sumherge 48.00 _ (AUowaae) Y=N Plan Revlew d oi stories Length S2 ? ? Lice??e 5.00 Depth 46 SAC, Ciry 100.00 S.F. Total `- SAC, MCWCC 700-00 S.F. Footprints - On Site Sewage _ water Conn 673.AA on sae wen Water Meler 95-00 MWCCSyslem X ? ? x Atcl• Deposit _ Ciry Water PRV Required x SJW Permit 30•00 Booster Pump - $NV Surcharge Treatment PI ?? .00 APPRaVAIS Road Unit ??• Planner - Park Ded. ; Council -_ } &dg.Of(. V ri n e _ Copies TOTAI 3,389.30 ,? a a c - Permit No. Permk Holdar Date Telephone # S/W ?8 ya- PLUMBING 3i9 ya- ?59-?/?0 Hva,c ELEcrRic ELEcrRic Inspection Date Insp. Comments Footings I L, ? Foundatlon Framing Roofing Rough Plbg. 3•,3G- a ? ?- l G Hcwgh Hlg. 9? 79- c Isul. Fireplace Fnal Htg. Orsat Test - - / ? Final PI6g. , Plbg. Inspector - Notify Ptumber Const. Meter EngrJPlan Bldg. Final S j 2 1 Deck Ftg_ Dedc Final Well Pr. Disp. L-2s-W ,c? ZS \ V ?I *h. ?:?.3 C w.kin#iftra#t jaf (Orrupanxy titp of (Eagan ar}wrtmrta of Twomg jwrrtinn This Certifu:ate issued pursuant tv tlre requiremenls of Secteon 306 of dre Uniforne Brrlldtng Cale cernJYi?i8 Ihat at the tinie of issrrance tlus strucrrur ww in compliance witli 1lu various ordirrartcrs ojtlre City negulanng buildirtg caistnrctfon or use For rhe jollowrrtg: tan a..&woa. SE DkZ/GAR elde. r,mit tio. 20 14q OOMw"TM R3/M I r,oWn oWI R 1 Type c,OM VN owna de.U* MMQNAL,D JQMr INC Addm 1212 BL1ERIL Bav R1]' m6Ntm7F B.a,l;,,? Ad6, 4063 PftAIRIE RI'DGE FM i,a„mp L 11. B!{ . rJOVP.?TgtY PASS 2DID ? ao? 5J12142 ?? - POST M A CONSPICLIOUS PIACE SEVJER & riIATER PERMiT CITY OF E„AGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 25, 1992 OFFICE USE ONLY METER # PERMIT DATE 02/28192 CHIP # PERMIT # 12576 METER SIZE B.P. RECEIPT # C n 17538 15SUE OA7E B.P. RECEIPT DATE 02 2 7 g2 x PRV - BOOST-ER PUMP SITE ADDRESS 4063 Px11I8I8 RIDGE Ri? LOT 11 BLOCK 4 SEC/SUB C01IENTRY pl1SS 2NU APPLICANT: ADDRESS: _ CITY. STATE PHONE ZIP PLUMBER: Sr g pLW - ADDRESS: 1018 MOLMD SPRINGS 'fHRR CITY, STATE BIMMI??N MN Zip 55420 PHONE: ARA-41 L9 _ OWNER: MCDOtJALI3 COIiS'! INC ADDRESS: 1212 BLUEBILL BAY RD CITY, STATE BlIRNSViL(.E MN ZiP 55337 PHONE: 698-7061 PERM1IT FiEQUESTED X SEWER 7 WATER - TAPS - COMM/1ND _X_ RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILI NOT be given for Deduct Meters_ I AGREE TO CO PLY WITH CiTY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TVYO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: FEB 28, 1992 RE: 4063 PRAIRIE RIDGE RD (MCDONALD CONST INC) x_ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBUC WORKS (4545220) FOR YOUR PERMATfEIyT WATER TURIS ON. Your Sewer & Water Permit for the above property eanno# be campleted for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL U7ILITIES - TELEPHONE, E4ECTRIG, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 4 ? 0. i? ,.. ? ,) 19 aEC,?rveo AMOUNT $ ? a ooLuas ,oo ? CASH []CHECK Thank You ev C? 017538 ft?,a-peyers Cop„ Yelk),? Cooy ? Pink--FRe Copy - V? .'2(v O7 'r 4 / II AI G Li V'. SEWER & WATER PERMIT CITY OF EAGQN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE gFR_ 25_- 1942 A_ PRV -800STER PUMP SITE ADDRESS 4063 PxAIRIE RIDGE RD LOT 11 BLOCK 4 SECISUB C4VENTRY PASS 2ND • APPLICANT: ADDRESS: _ CfTY, STATE PHONE: - OFFICE USE ONLY METER # PERMIT DATE 02/28192 CHIP # _QkSa S?S_ PERMIT # 12576 METER SIZE " Ig-f B.P. RECEIPT # _ r n17938 ISSUE DATE B.P. RECEIP7 DATE 0212 7 92 ZIP PLUMBER: STAR PLBG ADDRESS: 101$ MOUND SPRINGS TERR CITY, STATE DLOOMIHGTOp MN ZIP 55420 PHON E: 8$4?4.1 49 OWNER: MCdOMALD CONST INC ADDRESS: 1212 BLUEBII.L BAY btD CITY, STATE BuBg$vii.t.F Mu ZIP 55337 PHOW: 688-7061 ? Z PERMfT REQUESTED _XL SEWER _JL WATER - TAPS - COMMlIND -j_ RESIDENTIAL _2L NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Dornestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. vL./.????Lr.?? - G? ' L.-? I AGAEE TO CO PLY WITH CITY OF EAGAN ORDINANCES /,? SIGNATURE WHEN METER ISSUED PL&41'ek L6 i N TW WQRKING DAYS FQR PROCESSING. CAL.L 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMI7S, CONTACT ENGINEERING DEPT. ??v ?? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: -(612) 681-4675 SITE ADDRESS: APPLICANT: ' I ? I 1? i Ilti) t<I1 ?:i: ,' f . I+?II?k ?: ?IWI'rtl?I ? ? PERMIT SUBTYPE: TYPE OF WORK: Mf" IJ INSPECTION DA • D• ? J ?.??...r..?.? ?...??._.?.??..? .Y?. Permk No. Permk Holder Date Telephona t ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL [ t? INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS:' k- N.. 1 0- 18401 I.Or. 1 , ; i,A ti;Tf RlD (;f 1+! PERMIT SUBTYPE: . „ ,'<i ' ' 0` " APPLICANT: Hl (?PI TYPE OF WORK: KV1' F 1 1 I)f?;i RI{'TMsiN AFM#itli f ? ? -1 J PermR Holder Do" Telephone # SEWER/ WATEF PLUMBING HVAC InspecUon Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL OYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS corvoucrivm TEST HYDHO5TATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL Atidress:4063 PRAIRIE RIDCE ROAD Lot Il Blk 4 Sac/SUb COVENgy pASg M These items were/were not complete at the time of the final lnspection. Date: 5/11/92 Yes No Tnqpectpr* Final grade (6" from slding) ? Pesmanent steps - garage . / Permanent steps - main entry / Permanent driveway ? • Permanent gas ? Sod/seeded grass ? Trail/curb damage ? Porch ? Basement finish Deck ? Please vexify with tha builder the removal of roof test caps from the plumbing system and tha shut-off of water supply to the outside lawn faucet before? freeze potential exists. ucaeoru?n White - City copy Yellow - Resldent copy Plnk.- Contractor copy CITY OF EAGAN ?,Q?Q 1 49 ? 3830 Pilot Knob Roaii, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681 -4675 C ? ?3? BUILDING PERMIT Receipt # UI ?, j Tobeusedfor SF DWG/GAR Est.Value $96?,000 Date FEB 25 ? , ?g92 Site Address 4063 PRAIRIE RIDGE RD Lot 11 Black 4 Sec/SubCOVENTRY PASS 2ND , OFFICE USE ONLV Parcel No. R-3 oaupancy M-1 FEES i Z ?1 622.00 ?9. Pertnk on ng N3file MCDONALD CONST INC (AcluapCOnst V-N Surclwge 48_00 w qdd?esS 1212 BLUEBILL BAY RD (Allowabte) ?!-N py?Revrex, 4n4_nn M ol Stones 0 Cif)/ BURNSVILLE MN ZIp 55937 Le?? $2? lkerse 5_(1(1 Phone 688-7061 Dapth 46 ? snc, c?ry t nn _ nn ? Nazne S?E S.F. Total - SAC, MCWCC ?no _ nn S.F. Footprints O ?d??` Sit O S Water Conn 67 5_ Ofl n e ewage _ Ojty Z'jp on site well water Meter 9 S_ n(1 ? Phone ,s?em X q?? Deposit ?n _ nn 0 wa e c v ??? # 0002376 ry pRV Requiretl X S/W Permi? ?n-nn ? hereby acknowlege lhat I have read this application and sta[e [hat the Booster Pump - SnN Sumharge _ Sn iniormation is correct and agree to comp ly with all applicable State of p e Minnesota Statutes and City of?an Ordi npes. ? , 7reatmenl PI 300. 00 ? Signature of Permitee ?? z`' t? G? APPROVALS Road Unit 380.00 A Building Permit is issued to: MCDONALD CONST INC P?a^?a? - Park Ded. on Me ezpress condition that all work shall be done in accordance with all Cauncil __ applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. g??, p??, _ Copies ?'1y? ,{ Building ONicial Q?1_??.QJL,?,??/?,11 variance - . TOTAL 3? 389. 50 a' qy a- s s/s s h 1632 ` o,?r711? /055?70 do Request D?1¢ n ? '1 J Fire No. Faughin Inspection qq?ff,y? ? N. ? Reatly Naw WII Notify Wh ^ dy. 1 GS licensed contractor p owner here6y request inspection of above electric ork a ? b Ad ress ( L Boz Rovte No.) Ciry ?l Section No. TownsM1ip Name or No. R nge No. Coun Occupanl(PRl T O Ph0 e Power Supplie ? Addres Be r al Conlrac r ICOnpan Name) Ire o/ Lice Mai ing dtlress IGOntta[t r m Owner Making Installati ? ? Aul? ¢ea Signa?ure ICo?clo? ner Makmg In allationj ?. l I? J Ph Nx MINNESbTA STATE BOARD OF ELECTfUGITV THIS INSPECTION REOUEST WILL NOT Grig9e-Mitlwey 81tlg. - Poom 5-173 BE ACGEPTED BV THE STATE BOAFD 1821 Univenity Ave., SL Paul, MN 55104 UNLES$ PROPEF INSPECTION FEE I$ Vhone (612) 6a2-0800 ENCLOSED. .Id 8' fd'. REfSUES7 FOR ELECTRICAL INSPECTION ? ? 5ee Ins[mtlions for completing ibis form on back of yellow copy ?` . ??-'? 'X" Below Work Covered by This Request t? ni _ ??, -?2`A E6-00001-08 ???,?,,,?% 1 e .Add Reg. Typeof6uilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl. Building ryer Other (Specih/) Comm./lndustrial Furnace Farm m Air Conditioner Omer (speciy) Comracmr5 Femarks. Compute Inspection Fee Belaw: # -. Olher Pee # ServiceEotrance Size e # GircuitslFeedeis Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers A6ove 200 _ Amps - AboveiUO^ Amps , Signs insoector5 use? /aNy ? TOTAL {^ Irrigalion Booms ! A . . a ?r4i?- r0 I.,-o ? Speciai inspecfion 1 L ? -/- Alarm/Communication IF NOT THIS INSTALLA710N MAY BE ECTEd Other Fee COMPLETED WITHIN 18 MON S. I, the Electrical Inspector, hereby cerlify that the above inspection has been made. ao?n-m F;oai - oate 7o Y? OFFICE VSE DNIY This requast vo10 18 moMhs Imm ?t??T? PERMIT EITIFOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLorNs Permit Number: 029913 Date Issued: 06J B g/ 9 7 SITE ADDRESS: 4063 PRAIRIE RIDGE RO LOT: 11 BLOCK: 4 COVENTRY PASS 2ND P.I.N.: 10-18401-110-84 DESCRIPTION: . t,#uildin?} ;Permit Type ,'eUiLding 1h.irk TYPe ? OECK ' CenSUS Cdde „ , ..,,. . ? r NEW 434 ALT. RESIDENTIAL t .-.. ?,,.. ..„ i ?rr i'?Y???f?? f_.'jf'7 1?•->?i`y (-i?rf ' `x`' J REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Tots1 Fee $50.50 CONTRACTOR: - Appiicant - sT. Lzc.OWNER: fHE DECK & DOOR COMPANY 14513192 0005457 NUGHES PAUL 11632 AKRON AVE E 9063 PRAIRIE RSDGE RD ?'fNVER GROVE IiTS MN 55075 EAGAN MN (612) 451-3192 (612)686-2954 I trereby ackinbwlet3ge thst T haue read th.is information is correct and agres to comply StaCutes ancf City caf Eagan Ordinances. L APPLICANTlPERMITE5?rATUR? E appAicat4an and state that the with all applicabio State of Mn. lrxan o,c? I Yh.? t ISSUED 8: SI ATU E CITY OF EAGAN CASH:CER: tS TERMINAL N0: 45 DFlTE: 05103/37 TIME: 16:11:06 TDe NAhfEa R W HENNEBkY 3210 3001 4063 F'RAIRIE RD 50.00 2155 9001 4063 PRAIRLE RG 0.50 ? 7a+.a1 Receipt Amoun+„ 50.50 CR07;3583 LI5i_Ft ID: .1AN 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?`S? ' S-6 6j?r CITY OF EAGAN ?9 ( L8830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeVReoair Reauiremenh ? 3 registered s@e surveys ? 2 eopiea of plan V/ ? 2 copfes of plans (Induda beam d wlndow sizes; poured fiC. design; etc.) ? 2 sRe surveys (ex[eriar addkbns & dedcs)? • 1 energy calaila6ons ? 1 energy calculations tor heated eddkions ? 3 copies of tree preservation plan if lot platted aRer 7/7l93 required: _ Yea _ No DATE: ?` 3v' 97 CONSTRUCTION COST: aeo? DESCRIPTION OF WORK: dd=C/.C 44 t7U / i ianG STREETADDRESS: _ a 6? f7iZ i-? iR Ir Il 1 l76?.: /2??U LOT BLOCK ? SUB6./P.I.D. C°viL2 r/lY 1?/fi,fs k 1`9 /ai>v , PROPERTY Name: /-/ U?c /-/c:s P., 9 (/L cL q -d G ir Phone #: OWNER ?,,.. V Street Address: ?/ 1211,o City: /z-:A G F?.41 State: "IV Zip: .57S /a- 3 coNrw?croR Company: %p'ii U?=c? ?oo0re rd ?"' c Phone#: ?,?/ '-?/? L StreetAddress://,/,3z i4l?Ro?i Avrr tE License#: Sr?s";7 City:/A/di,r Grz-wd State: rW i? Zip:-5So7s ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new constructlon only): and lot change are requested once permit is issued. Penally applies when address change 1 hereby acknowledge that I have read this application and sTate that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: , -?4 OFFICE USE ONLY irFCECertiflcates of Survey Received _ Yes _ No ?(117977 Tree Preservation Plan Received _ Yes _ No _ Not Requi Y: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation n 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? ? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 = pfex \W 15 Deck WORK TYPE Y 31 New o 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVAtS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Variance 0 _L Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SMi Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: )51-"_ Engineering Valuation: $ .r ;. . 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 % SAC SAC Units 1 „ -JK Ji - - ?? LAfouV g„ E.,HO>LANI ? engineerin ?_ertificote of Survey for: House Address: Modei Number: Pv 2122 Entcrprise Driv? h9end0ta Heighty. MiV 5512CJ (612) 681 1914 McDoriald Canstruc;tion Inc. 92-? 53 . I4 = I ?..'" 9. . ^?... i;.?. i .., i?....... 2 .; s„ •o ,\'L :? ... ? ^19Y? r ?• . ? . f .`, \./ ? s . sr92 , - df..n •a'7 W 2 LI 2 i W Z J (1 H 4 EERING C)E;?'°t' bU.5.5 - si,oa Denotes Existing Elevation PROPOSED HOUSE ELEVA710N Der.otes Proposed Elevctian j_owast Floar Elevation: Denotes Drcinage & Ukility Eusement ---=- Denotes Drainege Flow Direction Tcp of Block Elevation: .3` `, • Denotes Monument rcroge Slab Elevation: -E3-- Denotes Offset Hub Bearinys shcwn are assurred LOT1.1 , BLOCK 4 COVENTRY PASS 2ND ADD. DAKOTA CDUNTY,"MINNESOTA 1 hersu•; certiry t?a; ?ni.. ;ur:e, al;n r.r r,:nort v;an QraFer?J 67 me J.' n?i? er m.,. , rrr.a suosrvisicn untl Ihi? r sm Uuly Regi3cerr? La?+d ^aurvoyv?' c:lne. ine cf ahe Sis?e ?A L11nn=sota. C)eiad tt.is?: A:ry pl _l.?_< A U .. 19 21- ?HQUEfiT B. $1 KICH L.S. AEIG. NO. I4 151 90193.08 ?d0 ?. ?+ • ? ?? / •. ,6 f •? n IS l7 /'i p?? •`?? . ? V k. : ,..4j`'.... ?? VfEW ED ?y \ y ^ ? ??r?.p?rra? ? ?i C1; Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: amss LOTe 15. coveNraY N.r.N.: 1e-184e1-11e-04 PERMIT PERMITTYPE: BuiLoxNG Permit Number: 0 3 4 0 0 9 Date Issued: 1I! 13 J 9 S PftA7_RSE RIoGE Ro BLOCK: A PASS zNn DESCRIPTION: ' - REP,OOF Buil:ding -4?armit Type Bui:Lding Work\Type : CeG7sus Code -, STORM DAMAGE REPAIR 434 FlLT. ftE5TClENT.IAL REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. I.IC. QWNER: NMER BLDG CONTRS INC. 17076959 20141480 HUGHES PAUL 12233 NICOII.ET AVENUE 5 4063 PRRIRIE R1"DGE RD BURNSVILLE MN 55337 EAGHN MN 55122 (612) 707-6959 (651) t hereby avknow].edge ttiat T. have read T..hi> application and state that the informataon is correcL' and aqree T.q comply witli a11 applicable State ot P9n. ? ;tatutes and. CitV af Eaqan Ord?inanr,es. ? o/ Q q b APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIG ATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 00 3830 PII.OT KNOB RD 55122 681-4675 New Constructian Repuirements RemodeURenair Reauirements ? 3 registerod sde surveys ? 2 wpies of plan ? 2 wpies of pWns (inUude beam 8 window sizes; pouretl fid. Eesgn; etc.) • 2 site surveys (exterior add'Rions & decks) ? 1 energy calculations ? 1 erreigy calculations forheated additions ? 3 copies of tree preservation plan A lot platted afler 711193 _. ,.. ,. required: _ Yes _ No . DATE DESCRIPTION OF WORK: f'S& - Kf1fDf" STREET ADDRESS: ?4ofl7 :9j VrG I r'Ip, R LOT: i I BLOCK: '4 SUBD./P.I.D. #: Name: Last Fust Street Address: ???-3 City g. State: _ PROPERTY O WNER CONTRACTOR ARCHITECT/ ENGINEER SReet ciri CONSTRUCTION COST; L O, ??n? Y rn OU State: Phone #: C ((' Zip: Phone#: ? __ . . ? ?.. . _. License# n(???`? f 4?$ 10- Z,p: Company: Phone #; Street City Sewer & water licensed plumber (new construction onty): and lot change is requested once permit is issued. Regisffation State: Zip: I hereby acknowledge that 1 have read this appliqtion and state at the infortnation State of Minnesota Statutes and City. of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Penally applies when address chang agree with all appiicabl iJiJv I 3 ,998 Tree Preservation Plan Received Yes No Not OFFICE USE ONLY • ? BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New O 33 Alterations ? 32 Addition ? 34 R2pair GENERAL INFCIRMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 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. Planning Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinkiered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units cl1 c?°?i? 3 r ?os ? oF ?P? OB't? ?o?ES ?yp GO G1 G 4 4-k3.92? bgl.la6 ?o F0? 1 ' ?? Eo lgl 8198?iAZ,9?Lyi??s . P'''' ?? l' 1 00 °O 4E ' G? F1X?f C;6 4 v?IyY i'D 33 0o "?f)g6 S1 ?/ LY FOR G?gVS 300 6 9 ? ?,iOty Ot3 G? I. ? Wp,'5,?8 3•? ? % 9?v Z0? SZti1? 3 pp ?,C? ?Z? ' ? ? ?ST?? gY ? 3 •00 ? 41.?'S y8gl?iZSS? gEa10? S4 ??? ????R 3 00 31? W Q F 5 y14 . GS / ?q?+1G? ? p p11 ? ?, ? D?Sl$g gov'SEt? 13 p0 ? 8?4p,1R ?` j WPTI p,SS ?pi?'LED 15 p0 i? ??0? G? 50 ?1 9?SgS'• • P9 ?G11AR c 9ITE J ? ?Q / S2?'tE S w9RES? 0o goa 1 'SDTt1?$ 'S 1P 8? I?G ?S G12'1 • ? i???? 4C.i.?,L L y?o?? ?? •. E?F Y? Co?r pLIIs9?F.?? 9mELL SI??P? y c0?'`?? Rti? F?R io? F? Pgti ?? R?Q ?Z YR1G? S?ZS 4p Y??1SS lX ? St ?'S?'?o Y?iS ZE S B?1j'p19?5G4I4Si??y•. $25 Op cS YR1GE x 1N. GE o?? ? R?SS • ? SSPSS- SIZ Z1pS?'F' • SQ,t?,y' SE?? S?IS? ??'• 2ZY. ?SS I'aSo .L?•. P?9gsss Gi? ???E ??'• F3,G? F?R' GI? pF .4 S/ 5 / ?... L? aL ?? CITY OF EAGAN PLUMBING PERMIT SUBD. add. ? (612) 681-4675 ? R88IDEDiTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # O S/ ? DATE 3 / S Fo?- ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: INSTALLER: ( J I" h ADDRESS: r??U \7 E'la/e /"1 uri. ? . CITY:GdQ 4?. 6 I^011_2,T 1h. ZIP: <-\-no STATE SURCHARG TOTAL: E .50 ? Y r-- 's-- n COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN COLNTRACT FRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 ? SHOWER 3.00 WATER CLOSET 3.00 ? 00 ?i BATH TUB 3. 00 i . 7L0 _ r LAVATORY 3.00 r KITCHEN SINK 3.00 a,06 ? LAUNDRY TRAY 3.00 3 :00 HOT TUB/SPA 3.00 -T WATER HEATER 3.00 00 FLOOR DRAIN 3.00 GAS PIPING OUT. ? (MINIMiTM - 1) 3.00 _ ROUGH OPENINGS 1.50 ` DTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 SIGNATURE OF PERMITTEE _? . CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # U,</ ?'//,/ 2i towat'iMM"m DATE : j?$TD??IT?AL:;; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: .?1 h ? C` ?f^s?a ` U?crrr?S? ? ZIP: SUBTOTAL: SITE ADDRESS: STATE SURCHARGE: LOT:? /B?LOCK ? SUBD. TOTAL: INSTALLER: ?ISlA,?C1 \ \_, -C\. ?A \ C` , ADDRESS: ?0 c1 CITY: ZIP: PHONE #: ?U- CDO 7:) a FEES ?pMME RCTAT,/INDU51'RTAY.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,. :........... . . APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: Bi.OGK _ SUnD. INSTALLER: ADDRESS: CITY: PHONE FOR: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MiP:iMUM FEE. CONTRACT PRICE x 18 $ FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM I- 3.00 OF 1 PER PERMIT $1CO .50 $ a'T'?o SI NATURE OF PERMITTEE STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION CITY OF EAGAN REQUIREMENTS: lolof SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 5ET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QFj LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: S' e Site Address 1-I06? -Prvoiv-Ie Lot H Block Parcel/Sub Owner Fxd(Ai,s? )UE Valuation: Q6, cc?b Date: 2- 19 - 92 Occupancy Bldg Permit Zoning p,- ! Surcharge Actual Const V/Y Plan Review Allowable vA/ License Fee # of stories SAC, Ciry Length 5Z SAC, MWCC Depth Water Conn. S.F. Total Water Meter Footprint S.F. Acct. Deposit S/W Permft On-site sewage S/W Surcharge On-site well Treatment PI. MWCC System ? Road Unit Ciry water v Park Ded. PRV Trail Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner Lot Change Councii TOTAL Address City/Zip Phone Contractor MclJo* ?,nld C'?fos6c? Address 1212 '(31 ue6'M& Rc City/Zlp Phone (,98• -??i License Arch./Engr. Address City/Zip Code Phone # Sewer/WaterLicen edContr. for sewer wate rmits is c e all i tate of ' nesota Bldg. Off. Variance i area Processing time that all work shall be done in accordance with Statutes and Ciry of Eagan Ordinances. 16,?/?e= s o y IZk 30 : 3?0 -2 3j 6 ),?- le _ /2-90,0q- (?? G ? k zz. 3 i1- •^ ?? rr? ... .., . ? ? ?- ., ??,•??+ ?- 434. p r? :- 2,315•50;. 3, 5c3J•5 0 ? yt`1% 622 .00t F rC 0 0 , zF ,;J !F • p 0 ? 2, 3f7•50` 313(19•50", ,__ , F'ior'?Far E:i?iri_-Frins 68 1 94:=8 F.C?1 y LANouVRVEY04$•CFyiLENG'N[ERS 2422 Entcrprise orive PioNEER I Mendota Height5, VliV 5512V ?EYIgineerin['].,• 4AHOPLPMNERS•lANO$IppEARM1T[CT6 C ' ?I (V12)681-1914 T - Certificote of Survey for: MCDOCIaId Ccnstruction. InC. House Address: Modei Number: 92-' S3 ; - ??? i ? ? ? ? 9-2 / / i? .a.z=. ? I h ??? ? ' _,?,? ?• ?('O ? A ('? ?:8 , ? • ,. `` !'> ?u 1 V V? E W E {? 4 , 3i " C ? i ? 1H? L ?z-p2 ... Z z ? ,. . ? '?s? •ti ? Ff i - IR' By ?'i . __ -•. EAGA1V ERTGYI?TEERI]?TC?, BE - ----!15 -`-, J ?3e? ^36v - 60.53 N 8 • eaa? Denotes Existing Elevation PROPOSED HOUSE ELEVA(ION soac'.? Denotes Proposed Elevation Lowest Floor Elevation: Denotes Drcinage & U#ility Easement " Denotes prainege Flow Direc!ion Top o` 81ock Elevation: a`, ?, _• -z- Denotes Monument Garage Shab Elevation: -a- Denotes Cf'set Hub Bearings shewn are assumed LOT1_._1 ; BLOCK 4 _COVENTRY PASS2NDADD__ DAKQTA COUIvTY,'411NNESOTA I herSUVi certify thd; fhi. ;urvqy, plan .r runo.t wa:Rr3?at?d by rr?4 o under my iirecC supsrvision und tM1ei ! em UuPy kegf:Certd Latid S:rveyoi . ' :1nd?r ?he inwc of the Sea!e of ;41nn¢sota. De2el d.?e ??? ? ri,, y of < A.D. 19 '%/ ... _ : . ?. ?cale: 30 fee^, o'? ?C) _ .. ;.?^... Ot3ERT B. 84KICM L5. Rt'G. NO. 1639? 1 C8 ,4 MINNESOTA 3TATE ENFIiGY--COp CALCYj,AmrUNS BASEb ON CIIAPTER 5 OF 'rI1E M? L ENERGY CODF -] 983 EL?rmA . Adoption Effective Site te Contractor ?`?1••?'?`,?F.J?r(?? ??'?,?7"'r ? ?,G ? ' Phone: Buildinq Classification: Type A1 (3lnqle F'amily & Duplex) Type A2 (Residential, 3 gtories or less) (over 9 stories) (other) NOTE • Com_ b? 10?v + nd af: , rs't. N .kAL INFORMATT(7N 1. Building Perimete? :?1 ft. 2. Wall height (ground to eave) (1 ft. 3. 1. X 2. (above) qroes wall are 1 sq.ft. 4. euildihq dimensions (L) X (W)°?sq.ft.roof & floor area 5. Sq. foot atea of Yim joist - Flo r o st size (2 8 ? X(Perimeter) 6. Doors - Areal?? ?? 12 Thickness in U. factor'4 s A ( Type oF Construction Perimeter ft. Manufacturer 7. Total door's peritoeter ft. e. windowss t? n?yf acturer_?4?7??. ,?',??r?j1 gtate a U factor ?"?j Cp pproved TYpg 3IZE ARFA (gq,pt, ) NUMBEFt OF TOTAL 1 V4??-? EACH UNIT3 3Q PEBT 9. Total sq.ft. Glass ? lo. Fireplace area: Width X tleight X ? sq.ft. 11. Exposed foundations Height X PerimetertQZ_gLiL?-= i,?dQ?q. ft. COMPLETION OF TfII3 FORH 23 REQUIREb FOR ALL HEW LONSTRVCTION, HAJOR REMODELINO AHD BUILDING9 BEIN(i HOVED {iIfERE EHEROY, pTHER THI1N TlIS HINIHAL CODE ALLOWANCE, IS USED. -1- 12. Framing area = l0t of gross wall area. 17. Gross wall area?? e ft • q. Window area Aj&j1-44'sq, gt, U windows a? tL UxA = Rim joist area AIqJi q.ft. U rim joist= U A 10?5 x = Door area A lk sq,ft U door area= LI . UxA = other doore area U other doore=14 1 UxA =?)1I V Exposed fndn ALO - 11?? By,ft. U foundation=10 760 UxA =ot?55 Framing area AW-- /sq,ft. U framing area=109C57 U A = x Net wall area AlTLL*VMy. ft. U wall= 1 QUr °/ UxA =?_! L!_1L (138) TOTAL . . . . . . . . . UxA =6 14. Gross wall area x 0.11 (A-1 sinqle family & duplex) = allowable UxA/Code (1]. above) x 0.23 (A-2 other residential) x .23 (other buildings) x .28 (over 3 stories) I BTUf! must be lerger A G5 I U Code .t ` =2? ?° than or sama F. as 178 above 15. Ceiling framing area (Af) equals lot of ceiling area 15A. Gross ceilinq area =(L) --? x (W)= ft. 158. Joist area (Af) = loE ceiling area 15C. Net ceiling area (Ac) (15A - 158) Bq,ft. U ceiling x Ac =-iZl-Z ,'L x 1 62s` _(al U framing x A f =???X t d? • ; ? L IPZ 15D. TOTAL U x A ............................. 16 l1 16. Ceilinq area (15A) x 0.026 (A-1 sinqle family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) BTUIi must be• larger A( 15A 'r'.?' x U Code o than or eame F, ae 15D abo ve NoTE: Use U and A valuea obtained from pages 1, 7 and 4. CERTIFI A? TIONs I hereby certify that I have calculated the "U" faatore and "R'I values herein and that the buildinq here described meets or exceede the State of Minnesota Energy Conservation Act. Date signature . -2- ?? ? ? ?P.? C3'' c7? I ? rqss1 '!5?Vw ?:?i O O?? 2? ? a''?1= ???-+?`?-? r I , ; , ? ? ; ? Li ? l? ?111 11 11 ? -?1? I 2L St1;1 lUli StUU " stur1olt 5 tC 1 LC11 . ntu Jntsr ? 1?__..,. tetlet u?ll .1r1 ?1lell) U.? ? --? Sl . L .0(0 G . • '..___? tlutilde alt lllm .?? . . . . 0. lolAL Z?, ltl?lde.alt'lllrn ? .6g ' • • ? IntetlcK vlll ,?5 4" ?tud . R¦•.?????..?j (tcu.indlu.. ? , . Bl,e.tlilne ' 2 ?nf0 • 1 ?iaiha d-I ? °95 o?E??a..?.?t t??M • .?t ? . ? - Lnkfitlet u?ll' • ' In1U??l?dN ? 1 _ - V • ?f ? - '? ?nclt?ot vA?? !vrlt 1{ • 1 • "'rj J ?-_ . tltftt ?bF ??Y? ? ?'M ? --' a • J I . R IU[hL ' --7 _ _?_ 1??lEtlot AIt Illm It• .6g ' ._? - •??1 Incl, ?ul?•unoU =11•1.09 (p?m ' ? • ? ? Jolsl) ? ? ? ? . . 61?e?lhlnd Z.bLo .J , Extetlet u??l nnre tlns, ??p ? . O?-) _? t.rletlot ?Ir IIIM ?`?? ? ? . ?,nIAL ?. ., IC ?0 ? . , . __?_ lntetlot elt Illm h• ,66 ' . ? Ird? .? u . . R (JIm ? n• ,?r . < • •b?(p ? 101AL ?3??xj- -?. txpoled Ilnek ?, • . \.?` •.`'??reJe : J, R VALUE 0 R VALUE FRDMING CEILING 0.61 AirFilm 0:61 2 1?0-0 Insulation 45' o - 4.38 Joist ------- 0.56 Ceilinq 0.56 0.61 AirFilm_ 0.61 4 z?t? moteIn +o.78 Ua1/R , oZ1 Window infiltration 0.5 efm/lineal foot of creck Residential door infiltration 0.5 afm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation =.47 R 2.1 ' Ub 12" concrete block ineUlated coYes =.26 R 3.8 Ub 12" liqhtweiqht block =:32 R 3.1 Ub 12" liqhtweight block insulated oores =.12 R 8.3 . U sinqle qlass = 1.13; with storm wlndow .54 U double glass = .55 U triple glass = .41 All.exterior walls and ceilinys must have a vapor barrier (o.lo perm max.). vapor barrier must be ori-the inside (heated side) of wall. Vapor barriera of the polyethelene thin fil.m have no R value, i DO NOT WRITE BELOW THIS LINE Su6 TVOes ? 07 05-plex ? 13 16-Plex ? 30 Accessory Bldg ? 20 POO? ? 01 Foundation 16 Fireplace p 3? Ext. Alt - Multi ? 21 Porch (3-sea.) p ? 02 SF Dwelling 0 08 06-plex ? ? 33 Ext. Alt - SF ? 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex O 09 07-plex ? 17 Garage 23 Porch (screeNgazebolpergola) ? 36 Multi Misc. ? 04 02-plex ? 10 08-plex O 18 Deck ? ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? pg 04-plex ? 12 12-plex a ? 25 Miscellaneous I L? 4- f ?. F.???? p ( ?- l?o?`6, lish Interior ? 44 Siding Work Tvoes ? 35 Int Improvement ? 38 Demo ? ? 31 New ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 32 Addilion ? 37 p Demolish Building' 43 Reroof ? 46 Windows/Doors X 33 Alteration `Demolition (EnUre Bidg) -Give PCA handout to appliwnt ? 34 Replacement DeSCfIDYIOD: Water Damage _ Yea Valuation Plan Review 4(100% or _ 25% Census Code _Thr/ SAC Units # of Units # of Bldgs TypeofConst Occupancy MCES System Zoning Ciry Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace ? R.I. ?Air Test ?[ Final Insulation ? Approved By: _ sneevock FinaVC.O. ? Final/No C.O. HVAC Other Pool Ftgs Air/Gas Tesa Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windaws _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other r-VL,?,P4=4? -I--, 6 UIOA IQ Dz4f t ?ZO W 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Tetephone # 651-675-5675 FAX # 651-675-5694 N¢w ConsUUCI"an Reauirements 3 r¢gistered site suneys showtrg sq. ft of bt, sp, ft of haae; and pll toofetl areas (20%ma%imum lolcoverage allowed) 1 Soils RepoA if praposed 6uiWirg is to be placed on dislurbed sal 2 copies of plan showin9 beam 8 wirMOw saes: poured found design, etc. 1 set W Energy Calculalbns 3 copies of Tree Presena6on Plan if bt platted afler 711193 Run Jost Delail Optims selection sheel (buYdings wiN 3 ar less unils) Minnegasco mechanical ventilation fortn L ??? d i? -5 ._ .?.,... .,.s .rm.llo aprrPt and the reason. Pians are considered ubliC InTOmlaiion umess L_ Date ? 1 ?/ / u SiteAddress Ti?63 P?,aIRLt 41- c u.+ pw« •2R? Construction Cost UniUSte # - ssiz3 Descriptioo of W ork ?' C Multi-Family Btdg _ Y_X N Firepisce(s) X 0 Z Property Owner j A 1A (, l'1 b ?e5 Telephone # (G( 6V6 ' A 54 Contracwr v ? Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde Category . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted . Energy Envelope Calculaifons Submitted In ihe lasf 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber D ? ? M? "" Mechanical Contractor MAY 3 0 2001 Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understartd 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 ?yhjch requires a review and approval of plans. W, `ApplicanYs Printed Name pplicanYs Signature ? ? Ra^odeVReoair Reauiremcnts Office Use Odv p appies M DWn showin9 footirgs, beams. loists CeA of Survey Recd _ Y_ N 1 sel of Eneigy Calcuiatiwis for hea[ed addilions T°ree Pres Pmn Recd _ Y- N. 1 site survey for additions & decks Adddion - indkafeif oo-sifesepdcsyNem Tom? ???? =Y _N City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 J 3 q5 Permit Fee: .6l/ • Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: G' T 31' -3 Site Address: `/°63 ��' d r t wr, 1.`f /706,( /-7, e 5 Tenant: Address / City / Zip: `/0G 3 1114'« ( Suite #: Phone: G /7 - 76 L 5-4/6 ,e4, hr-��:cia-�fcr nom.✓ 3" ? 3 Name: 4, -I -v,:,, /irk /,� c 6- .4 Gam, License #: G Cif - Co Z VG J Address: 3//c2 i14.54,n A✓ -e N City: Pw/4t..j � � State: 71/1A/ Zip: ��S5' 6//% Phone: Z(2 - ,/,--z 7- v6 7Y Contact: /3,76.1 6.rG(eh ,Yr :V' Email: jar y-qN Sd c" 1' 4 c:. C°:'-- i ./k New i'''. --Replacement Additional Alteration Demolition counted mechanical equipment is require to be screed:,! i al Ins f + cto informaf� h n permitted scree i ► � �� inet RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE RESIDENTIAL mace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement _ Install Piping Processed Gas Exterior HVAC Unit _ Under/Above ground Tank ( Install / _ Remove) COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ =$ =$ =$ x .01 Permit Fee Surcharge* TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 27, 74-, 7)sr fcs- Applicant's Printed Name Applicant's -Signature Use BLUE or BLACK Ink Iret~ p l~ For Office Use AON Permit 66 ity ~f l a n 4110. CEaEd I Permit Fee: I 3830 Pilot Knob Road i {rn Eagan MN 55122 1 Date Rec i ed: Phone: (651) 675-5675 1~ 1 Fax: (651) 675-5694 1 staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3 / 3 Site Address: Tenant: ~,4 Suite Name: Phone: (~Ic? _ 760 SW Resident/Owner Address /City /Zip: ~'rJo~- Cc~C Name: nil In Ck-5 ~~f 0,47 0 C? J 7 License CID Contractor Address: 115-o w S~/wlCle-ek city: 7 1 State: Zip: 6 Phone: 7 6 Contact: l~5~7 Ll Email: New Replacement -Repair _Rebuild _ Modify Space Work in R.O.W. Type of Work - - Description of work: I RESIDENTIAL Water Heater Water Lawn Irrigation RPZ / T PVB) Softener Permit Type Septic System Add Plumbing Fixtures Main / - Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ Cs 0 ba 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes gfatffe- 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 wo accordance with the approved plan in the case of work which requires a review and approval of plans. J ZS /k l~d~ x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA155171 Date Issued:05/01/2019 Permit Category:ePermit Site Address: 4063 Prairie Ridge Rd Lot:11 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-110 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 - Paul E Hughes 4063 Prairie Ridge Rd Eagan MN 55123 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157501 Date Issued:08/22/2019 Permit Category:ePermit Site Address: 4063 Prairie Ridge Rd Lot:11 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-110 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Paul E Hughes 4063 Prairie Ridge Rd Eagan MN 55123 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168997 Date Issued:05/11/2021 Permit Category:ePermit Site Address: 4063 Prairie Ridge Rd Lot:11 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul E & Julie M Hughes 4063 Prairie Ridge Rd Saint Paul MN 55123--393 (612) 760-5464 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature