4067 Prairie Ridge Rd. . INSPECTION RECURD I Control No. 0 9 2 8
' CITY OF EAGAN PERMIT TYPE: "" "-"' "n
3830 Pilot Knob Rosd Permit Number: 4s I =' 14
Eagan, Minnesota 55123 Date Issued: 06/1i/9?
(612) 681-4675
SITEADDRESS: LoYt 1t
41161 PRAiRTL RIDBE RU
CQVFNI'RY PA9S ?NA
PERMIT RyBTYPE:
g LOCK, q APPLICANT:
pANI.E 8R01'NERS IMC
(617) Al18- 686b
TYPE OF WORK:
MEW
ItPMARK`s: NitV S& W CONiRAt;TOR -- S1'AR pl8O
Pennit Mo. PermR FloMer QaEe Tbiephone i
SJIN
PLUMBINp
HVAC
ELEGTRIC
ELECTRIC
Inspwtbn Dets Insp. Comrtients
F°°dngs I
Faindetion ? 2 D
Frarni,9 p-? yz
RooFing
Rmo Plbg•
Rough Hlg. ?
laid. ? , ? I
Flreplece S
Final Fttg. '
Orsat Te61
Final Plbg- Pbg. lnapedor - Ndify Plunu6er
Const. Meter
ErgrJPlan
Bldg. Final ! e
Deck Ftg.
Deck Fln&I
VYeU
Pr. Dlsp.
?t •
• . . .,
%U*ficate nf cccupanc4
'Witv of w"M
This Certificate issued pursuant to the requirements of t/u Uniform Brulding Code
certifying that at the tirne of issuance this structurr was in cornplimece with tlre various
ordinances of the City r+egulating building constructioR or +rse. For tlee followiRg:
use clmsiecatkw SF DW sw ft rb. 1214
R3 I RI VN
?? g IYIIIE B?lf$RS ?ng ?? A? LMIDAIAVB, R
s.. aaaren 4067 PRAIItIE RiDCE F1IAD I-alm, L 10, B4, OOV@iIRY PASS 2ND
' suMag oMcW
POST IN A CONSPlCUOUS PLACE
#d¢resf:4067 p'RAMIg RID(E ROAD Lot 10 Slk 4 Sec/SuboUVEgy PASS ZNID
These items wara/were not complets at the time of the f1na1 inapection.
Date: 11 9 92 Yes No .(,4?
Final grada (6" from siding)
Permanent stepa - gerage ?
Permanent steps - main entry v
Permanent drivaway
Permanent gaa
Sod/seedad grass V",
Trail/cu=b demage
Porch t?
Basement finish L/
Deck
Pleasa verify with tha buildar the removal of roof tast caps fzom the plumbing
system and the shut-off of vatar supply to tha outsids lsva faucat before
fraeze potential e:iats. ?
White - City copy Yellow - Reaident copy Pink - Contractor copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: `' ' 0 1 P"
(612) 681-4675
SITE ?DRESS: , , ? J 1 y f; l ,,, p . ? APPLICANT:
,, III;i, i! t;tfti,l
?+lt.'i ta iI: i' I'!1b'; ::Nli -A i hN
PERMIT SUBTYPE: TYPE OF WORK:
+ ! r4f 41
?.i ir? t tH' x 1 4` I11 i F 1 Mt 1 1
PermR No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. PI6g. Inspector- Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
92
Deck Final
Well
Pr. Disp.
?
(:?
Kg? 6
,
u
?
Request Date- Fire No. Fougn- In ecbon
Req ' e `?
? ReaOy N. f'?II Notity Inspeclor
?
? Yes C No When Reatly?
?
I i licensed contractor ? owner hereby request inspection of above electriCal work at:
Job Atltlress ISVeeI. 6ox or Route No .
4
/t
ki?6 6 7 4 Ciry
?-?-
g
6
,
, -
Section No. Townsbip Name or No. Range No. Counryp
Ocmpant iPRINTj y ?
?
`L c..[vY (E ri '-/ Pbone No
.
Power Supplrer H Atltlress /1'-
Elecfncal Contractor ICO'
qNKEEtt;`?C Conlractor's License No.
CA 00682
pM Fp
Meihng AddresS (CanVac Ior Making Installatidn)
12Sp3 FLORID A ApPLE VALLEY MN 55124
Avthonzeo Sign(aNr (Con cim-0wner M kiny Instanation? Plone Number
ij
437-63Cr4
ki
1
7'MINNESOTA OF ELECTFICITY?? iNIS INSPECTION REOUEST WILL NOT
`Grigps-Mitlwey 61tlg. - Noom 54]3 ?/,,, 8E ACCEPTED 6V THE STATE BOARD
1821 University Ave.. 51. FauL MN 55104 T ? UNLE55 PROPER INSPECTION FEE IS
?PMne (612) 663-p8W ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION ? goi-ga/
SF
?
?4! (
l
?y ?
6 5?41 See mstmc?ions lor comple?ing this lorm on back oi yeilow rnpy.
? ,
, S
..,
P
P
6d "X" Below Work Covered by This Request
ew Add Rep. Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciry)
Commllndusirial Fumace
Farm Air Conditioner
Other (syecityl Comractor's Femarks'
Compute Inspection Fee Below:
a Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Trensformers A6ove 200 _ AmpS A6ove 100 _ Amps
SignS Inspecmr's Use Only: TOTAL
Irrigationeooms 0'40Z ?j
Special Inspedion Z
AlarmlCommunication THIS INSTALLATION MAV B ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M), HS.
I, the Electrical inspector, hereby
Rou9h-tn Oate
certify that the above inspection has
been made. F;nai
f ate
OFFICE USE ONLY ?? ?
Tnis request voia 18 monfis fmm ?
ei /U %lo d" (O
Repvest Date
Q ?7 Fire No. ovg -in Inspeclbn
tl?
? Ready Now Will Notiy Nspector
-?
q_
1 L Yas G No When ReetlyT
I?licensed contractor .0 owner hereby request inspection of above electricel work at:
Job Atltlress IS1reeL Box or Route No.)
4ao?1 Pra;.?;? ?;
4
?. ??
9 Ciry
?a Qr)
Section No. Township Name or No.
7 e No.
Counly i..?-'-[ ` cTtliq
OccupamlPR?N?
D Phon???
Power Sup lier
c?'t ? Atltlress
ryy'.i
n
Elecm al Convaclor ICOmpany Neme?
?_ ?^
? vactor?5Q n?se No.Q
2
L (1E -
l
Maiiing/A?Cp ss ICOnvapor or Owner Making Instailation
??
?
L_
¢? CIJSLS? J W?+
Aulhonzetl SignaWre tConttactonOwner Making Installati Phon um(''}b?.e?r?J
? 1? -355S
MINNES A ATE BOAqD OF ELECTPI TV TNIS INSPECTION REQUEST WILI NOT
Griggs- A y BWg. - Noom &173 BE ACGEPTED BYTHE STATE BOARD
1821 Unl eity Ave., St. Faul. MN 55100 UNlE55 PROPER INSPECTION FEE IS
Phana (611) 6d3-0B00 ENGLOSED.
:?0a REQUEST FOR ELECTHICAL INSPECTION ??'?a eeuoom-oe
K ? S e ms ictmns for compleEng mis form on back of yellow copy,
?
? p^?
Li?? ?f o?X" Be/ow WorK Covered by This Request
ew Atld Pep. TypeoBuilding ApDliancasWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Othec.(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Olher (speciry) Conirector5 Remarks:
Compute Inspec[ion Fee Below:
# Other fee S ServiceEniranceSize Fee # Circuits/Feetlars Fee
Swimming Pool 0 to 200 Amps ° 0 ta 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecm.5 Use onry: 2 TO AL .?
Irrigation 8ooms 6 ,7•
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ED DISCONNECTED IF NOT
Other Fee .C-)0 COMPLETED WITH MO S r
I, the Elechical Inspector, hereby Roi , Date
?
certi that the above ins ection has
? P
been made. Final Date
???T ?
OFFICE USE ONLY Ths request wi0 10 months imm
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date q ! -1_ I 0?
Site Street Address Llovi -Apl(\.(, Unit #
Property Owner IwC7 ??'?.Q? Telephone # (lq5j ) 45a--"&r
Contractor ZwP?f-S ?)kUwbwA}¢(t{ifCy? Telephone # (Ct51 ) Z?$-qQ1I
-
?
Address as I?tvlD14V1 Kilt- City S`N/t.J1 State nn Zip5&1OZ
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
?C Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge F,,T 9 ? o
? ? 50
APR 1 4 2
Total 05
?5 ?
J-'y l
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
miL t l.Qvtbr& C`fW4Q. C_UA".-
App icanYs Printed Name Applicant's Signature
RESIDENTIAL ?II
rBUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN AAN 55722
651-687-4675
New ConstrucGon Beaulrements
• 3 weglstered sHa surveys showing sq.1L oi bl, sq. tt. of house; and g,?l roofed areas
(20% maximum bt caveraga albwed)
. 2 capies ol plan showing beam & window sizes; paured found tlesign, etc.)
+ 7setofEnergyCakulatbns
• 9 wples M Tree Presenatlan Plan tl bt platteU eher 717/93
. Rim Jolsl Deteil Options selec[bn sheeVMdgs wth 3 or less un0s)
DATE aYX 9 .Z
?
SITE ADDRESS e/ I?I MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK /<, Q-
APPLICANT
STREET ADDRESS
TELEPHONE #
RemodeUHanalr ReauhemeMe
• 2 copies ol plan
• 1 set of Energy Calcumtions lor heatad atldaions
• 7 stte sUrvey for aqerbr addXans & decks
• Indicate M home servea by sepHC system for adtlaions
VALUATION ?
?
CELL PHONE !k
FIREPLACE(S) _ 0 _ 1 _ 2
FAX #
PROPERTYOWNER u?JJ u TELEPHONE#
----------------------- M-M ----------- m -----?----?---------- I ------------------------
COMPLETE THIS SECTION FOR NEW RESIDENTIAL BUILDINGS ONLY
I
Energy Code Category _ nq1NTIESOTA RULES 7670 CATEGORY 1 II N
(d submission type) • Residantial Ventilation Category 1 Worksheet Submitted I; •
• Energy Envelope Calculationa Submittad
Plumbing Conhactor:
Plumbing system includes:
_ Water Softener
_ Water Heater
_ No. of Baths
Mechanical Contractor:
Mechanical system includes: _
Sewer/Water Contractor.
.
Phone # i
11
_ Lawn Sprinkier
_ No. of R.I. Baths
I
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this applicatlon, state that the
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signafure of Applicant
OFFICE USE
MAY 2 $
Fee: $70.00
Is correct, and agree to comply
Phone N
?
I Phone #
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
! Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Mufti
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex O 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bldg. ? 42 Demolish (FOUndatlon) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolkion (EMire Bldg only) - Give PCA hanqout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNa C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Sidang Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Building Inspector
Copies
Other
Total
PERMIT
? CItY 0t EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDIN6
001214
06/11/92
SITE ADDRESS:
4067 PRAIRIE RIDGE RD
LOT: 10 BLOCK: 4
COVENTRY PASS 2N0
DESCRIPTION:
Suilding Permit Type SF OWG
' Bu3ldfng Work Type NEW
UBC Occupancy R-3 M-1
? Construction Type V-N
' Zoning \ R-1
Building Length ` 68
\ Building Width 1 34
?,-
??
REMARKS:
PRV
FEE SUMMARY:
L (D ZL?? ---I>
S S W CONTRACTOR - STAR PLBCa
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
VALUATION
$828.50
$538.53
$77.08
$700.00
100
$2,144.03
$154.000
MISCELLANEOUS $1,610.50
Total Fee $3,754.53
CONTRACTOR: - Applicant - S7. LI pN/NER:
DAHLE BROTHERS INC 18886866 800164 DAHLE BROS
9384 LYNDALE AVE S 9304 LYNDALE
BLOO1IIN6TON MA1 55420 BLOOMINGTON MN 55420
(612) 888-6866 (612)888-6866
I hereby acknowledge that I have read this application and state that the
inform tion is correct and agree to comply w3th all applicable State af Mn.
Sta te end, Citg of Eagan Ordinances.
?
Control No. 0928
I
Dt1A ci
VS?UED ?f: S.NATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: ie
4067 PRATRIE RIDGE RD
COVENTRY PASS 2N0
PERMIT SUBTYPE:
SF DWG
BLoCK: 4 APPLICANT:
DAHLE BROTHERS INC
(612) 868-6866
TYPE OF WORK:
Control No. 0928
BUILDSNG.. ,
001214
es/il/92
NEW
INSPECTION
FOOTING .. .
FRAMING ..
INSULATION FINAL
FZREpLACE
REMARKS: PRV
F
L _
S& W CONTRACTOR - STAR pLBG
7
PERMIT # CITY OF EAGAN
REP.CTIV,01E ? 1992 BUILDING PERMIT APPLICATION
Il..14 681-4675 C?.?x??? d
.A U ti 0 :' REff
SINGLE & MULTI-FAMILV 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in whi
h
c
re uest is made or lot chan e is re uested.once ermit is issued.
Date 2? / '4r / 4'*- Valuation of work ?/U DoC/
Site Address:"/06 ? J
SiREET SUITE 1
Tenant Name: (commercial only)
LOT /0 BIACR SUBD
.
Ca vc P.I.D. *
Descri tian of work: ?
The applicant is: ? Owner Contractor O Other (oe8«fbe)
Property Name Phone
us,
Owner F,RST
qddress
. STREET STE f
City State
Zip
Company /1 c v Phone
C011t1'8Ct0r
Address License # D vo 6 Ex P. `'
112
/
City o„hTo State Z i p
SSy??
Architect/ Company Phone
Engtneer Name Registration #
Address
City 5tate
Zip
Sewer 8 water licensed plumber Proce ssing time for
sewer 6 water permits is two days once
area as bjKffi approved.
I hereby acknowledge that I'have rAd t is
?ipl-riat?lon-and state that the information i
,
s
correct and agree to comply wit 1 a 1 ??e State o?l9innesota Statutes and City of
Eagan Ordinances.
7
Signature of Applic
t: '
-
?
OFFICE USE ONLY
_ 1.,
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging O 16-Basement"Fimish
a 02 5F Owg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory O 18 Comm./Ind.
O 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
1( 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V. N Basement sq. ft. MWCC System E S
(Allowable) v- N lst F1. sq. ft. City Water Y E S
UBC Occupancy R-3 2nd F1. sq. ft. PRY Required YXS
2oning ?-1 Sq. Ft. total Booster Pum p
N of Stories Footprint Sq. ft. Fire Sprink ler
Length ? On-site well Census Code o i
Depth ? On-site sewage SAC Code ol
APPROVALS ,
Planning Building_ Assessments
Engineering Variance
REGIUIRED INSPECTION S
O Site 'El Footing [I Framing ? Insulation
? Wallboard 0. Final 0 Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Nater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
5AC % Do
SAC Units ?_
velustcm: g_
f3snAr ;
PS q: P0c7 "-
2 'W1c 39= /o G q
I4Xln = Iw4?
?-
&R r2A bGt
..?-
3c x3y =
2? ll =
(a11 X /& = 17 2y v
f
/0 6 y
Zg
I aq2 k53=
S"7876
1 oZ?
?Z2 153, 9 D (,
99 8 x rs= .1 y?9yo
Iss Fwir<
/zo t{ X 53 ?-
ZNn ?t?oovt
28X3s=
2 K?y?
?_. .
CERTIFICATE OF SURVEY
?M?pN , 8713 DVPONT?AVENUE SOUTH
8LOOMIN6TON, MINN. 55420
888-2084
LANDSURVEYORS
Survey for:
DAHIE BROS., INC.
IAA,
<??
Z:.???W ?yo, ? .
- . / / .? i• vot;'??
Q
• s ,8 ,,: ?.,.. _ _... .
?, ` .3??$¢p, .\ __ ....
836?
S,Nry
?,,? b r ? ?wl?o
?
o r 1 0 .
Scale:
p:. •, \ 1 11=30'
1 9;5' ?. 1, `J c{
. ?
` 93- f j a'r?
?1z:!5
,
? -o
Description:,
lot 10, . Block 4,
Z"=
COVENTRY PASS SECOND ADDITION
u
a
v
? D?
• 'A • A1V . LIVGI
Proposed Grades:
y,,TQp of Blocks 8s,9_ ' ?
? ?8rage. floor ^ ti
a'sement floor
. '- ti89o z/ , ti
NOTE;:;:Circled elevations are proposed, others are existing.
';Arrows denote direction of drainage.
r.?: .
,
R V e ?E 0,
,Wer.eby_cettify that this is a true and correct representatton of a survey of the
boundgl?les of the land above described and of the location of all buildings, if any,
th?r'84nd all visible encroachments, if.any, from or on said land.
Bt? s. 4th...day of' August 919 92.
y
nnes a cense o. 0
? .
': `?re•
?i' .. , •4 . .
' • , ' E RIOA ENVF;I,pPE AV£RACE "U",' ? .PUTATION .
, OWNER - DGHLE OR-OS. _Z__NC, '
SITE ADDRESS `??6 ?J . . ? .
! OONTRACTOR (/?, /? , .. .?« ,. ?.j
. . . ? ?. . ?. ., ..,, . ?. . .
' ? _.. . .. DATE_---_PHONE ' - . ? .. ', i .. ? .
------------------
, , .
? ' • ? , . ,. ? ; ?. . , , .!.,.. .,? .:,'
Determine,working aquare footage of each..
• 1. Tofinl expoaed wall area ...... ? 36 ?, c?. . • ' ? f .'
re. x. I 1 ? 3 3'T : o¢
' z. rot , _•-.
al roof/ceilin ?
' 9 area ?. ... . 1 2 3 2. 0 2 G
ft.. X ?.
' A..Total wall window a
B. Total do area .......................... 2 23 '..
... or area .................................
'. C. 1bta1 sliding;glass door area;,,,4 ..............
D. Total f lac ireP e wall'area.. g p .. . ,. ,; . .
?- •
. E. Total wall .............
?'. To framing area (average 10!),,,,,,,.???'-------
' tal Rim joist; area. ••• 2 a: S
G: Total ' . ........... ............... ' ..
' Net wall area ab' '--''-°
?i ove floor ................. Z_ Q 71(0
Total ex . .
posed foundation area -
.. , ? . ;
' H. 'fotal foundation window area.....
: I. Total net,foundatiori ???? ........... ' area above grade..........,
I •
_ ..:......... :.'. . _ ___ 1 G 8_
; .
Detexmine "U" yalue of each wall s gment,
..;:..._ _.._., . .. ? .
8• x nlln 0 1.04- . ..
r.
: b. q-o g ???? •
. . 1 . 23 a ?Zc) ' .
i '
.. C._-?Q-- X„uM ?_ r 4- ?.(p O .
d.x tiVn . . . .
? n
-?_
' .. - e.?.- x eVn `,o a '
. f.
_ io2 x MUll
? 9• 2---?__ X uUn
h. x "Ulf ?
x „U„
`- ----_
' 3 ........................ --
...........Total e 2`?
If item • ? •2 ?O
SBC 6006(c)2.
N3 is the same as, or less than item N1, you have met the intent of
J' r • . ... ' . ' ' ' ' . •
• Totel expoaed roof/ceiling erea Z, Z
3f. , j• Total'skylight area.......
.
k. Zbtal roof ........................ " '. .
, /celling framinq area (average 103),.,,,, •
:. 1. Total net inaulated.roof/ceilinq 8L8A..b..'..??????•? 2
: , ._.... .. . _. 1 l O q ', Determine "U° value for each roof/ceiling.segment.
, .
j? X „U„
k. ? 2 ? x ^u° . oz-rG
----------------
' . 1. - l I oq x^o^ .oz5
2773 .
4.......................
...............Total
?
: If total of I14 ie the eame as, or lesa t}ian #2, you have met the intent of
SIIC 6006(c)1. ,
Alternate Building Envelope Deaign 7b utilize the total envelope system method,
sum of items $3 ana gq shall not be the values esta6lished by,the
greater than the 'sum og itecns #1 and 112,
1.
+ 2, •
a
? 3- ' + 4.
e
I . . '
' .
.
' . .
A I
?
; ?
ConatrucEion ; R-Value
1. .
2. ?i2" vRywA?? 5
3• 5?/L inches soft wood L.
------------
4• 5 LA EL+TN11-1G
?
5. I ?1G G7
6., Extorior nl.r film ' r 0.17
. . ' , . T'otel 1 0.15
• . tj'•lo
1. Interior air film 0
6H
2. %/z" L?L.y WA LL' .
45
. 3•
4 5'!t i?ssuL Iq 00
•
5 ??QTN ING
2 oG
• 3taiNG .
6. Exterior ait €ilm G1
0 17
Total
V _.04
• 1. Intcrior nir film
2•' 1N?121 0.68
3. W 19,00
4 . 06 17
?.F.?T?411.1 G • 1•
.
5 . S.Lp I ?.i C.?
6• Exterior air f;1m •G 7
' 0.17
Tota1 2.,414G
' U_ .04
1• Interior air Lilm
2.
iusu?. Auv DC
YJ6Ll. . 0.68
80(
' 4.
.J?_bloa? e
1?2fl .
5.
. 6. Exterior air film
0.17
Total 10,11
' U ,la
' ? . .
?
sz,ne a E
? ? ° • / ,.
?? ? ,?• I?j 1
p'• . ? ?
?% ` • `, ?( //?
? =.. ?
. • r
. ? ?
o . '
FR11tlE WAT.T•
? ? ? .f • ? `
G • ? , ?t
, ?.
%?_ Irl x ? V • • • ? .
-.- ? .
= ? . , 6 . •, rri _
? ?r? . • , .. . ??,
FIG. 114 '_' k ' • ' ? +- /II
' frr ) u + K .? ??
?? f _ ??r = 1+r 77 .?
.?....,.. . _ _ .
4. J
JF•r 15t af opoquo veall arr Eor
frbm??coustructlon `
'-3tOO??CE ILINC
.,
.. . . • , , ' . . , N •
. -?
• .
Conntruckion(Uae !or Item L) k-Value
Interior uir film 0.61
, Z. ' S SHEETRaaK. ? S(•
I . , 3. W?vL. 39.00
. 4. Extcrior air f11m (still 0.
?. To. tal . 3 9.'1 8
• ' . U oz.S
Heat flow
uP . ? • . ,' ??
FIG. ?5 ? ' ?
Q.G. FRAMI.NG(Use for Item K)
1. Interfor Air film 0.61
2. 518?? SHE.?TR.ock ?5?
3. Inches soft wood ? ??Z" •
•{-, 3 8
4• Inc2les insul above framin 30.00
5. nlr F'ilm 0.61 .
?st?l 3G . 1 L
, 1. Znkerior air film " ? 0.61 •
2. '
3..
' 9. Exterior air film (still) 0.61
• Total
nt flow vp . ? . ? ; vented
. . . , . -...
. .FIG. 16' . ' ' ..
' 1. Iriside qit film •• 0.61
2.
3.
4.
' S. Outsldc air. Lilm U.17
Total
1doL'ce U?o tidditional nccuts if more epace 1n
nceclcd for dntails atid calculutions,
. : „ NO:I-VI'.NTED
? llcat ' '
. , flow Up . •
PERMIT ?
C1TY ?JF EAGAN
3830 Pilot Kno6 Road
agan, Minnesota 55123
( 12) 681-4675
SITE ADDRESS:
?` ?
7 ?LDING
021586
07/27/93
4067 PRAIRIE RIDGE R?
LOT: 10 BLOGK: 4
COVENTRY PASS 2ND
p.I.N.: 10-18401-100-04
DESCRIPTION:
(18'x 19' DECK INCL)
Barild1WgtiPermit Type SF PORCH
?uilding Mlprk Type NEW
: ?.?
?
?;., . . . . ..-a
. . . . . . . . . ... .?
1
t
?'t . v. - . ?...
` fw?.,'
V "t
1 ? !
--.?,
?`E?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
subtotal
VALUATION
PERMIT TYPE:
Permit Num6er:
Date Issued:
$5,000
$72.00
$2.59
$74.50
COPIES $1.00
7ota1 Fee $75.50
CONTRACTOR:
ELVESTAD CONST, J C
20534 BISCAYNE
FARMINGTON MN
(612) 463-4748
- Rppiicant - sr. Lzc. OWNER:
14634748 0007559 HECHTNER MIKE
4067 PRAIRIE RIDGE RD
55024 EAGAM MN
I I hereby ackrtow2edge that I hava read this applioatian and staKe that the I
infartoation is carreot and ag.ree to eamply wiCh aYl aPplieatrle S'tat2 af Mn.
Statutes and'City of Eagan Ordinances.
L
'A ?, -? 111 84i.Ltuu
? APPUCANTlPERMITEE SIGNATURE ISSUED N IGNA7U E
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLoiNe
3830 Pilot Knob Road Permit Number: 021588
Eagan, Minnesota 55123 Date Issued: 0 7/ 2 7/ 9 3
(612) 681-4675
SITEADDRESS: Lor: ie BLOCK: q APPLICANT:
4067 pRAIRIE RZDGE RD ELVESTAD CONST, J C
COVENTRY PASS 2ND (612) 463-4748
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DE3CRIPTION (18'x 14' DECK INCL)
(NSPECTION .. . D.
F007ING FRAMING
FINAL
?
-1
?
? CITY OF EAGAN
PERMI7 # R 1993 68BUILDING 1-4675 PERMIT APPLICATION $6,.50
SINGL & MtILi-hFkMit'f= ~ ! ets of plans, 3 registered site surveys, 1 copy of energy
calcs. :
COMMERCIAL 2.sets of architectural 8 struct;ural plans, 1 set of
specifications, 1 copy of energylcalcs.
Penalty applies: 1) whel permit is typed, but not picked up by last working day of manth.
in which request is made, 2) address is changed or 3) lot;change is requested once permit
is issued.
Date suc. / a? / '/9 93 Yaluation of workl'?,
Site Address: qOb7 PR64E ?1D4E ?a/4-0
SiREET SUITE f
Tenant Name: (commercial only)
IAT BLOCK SUBD. CDU?'•tl ?QsI?- .? 1LGL P. I?':I D. 0
Descri tion of work: G-w CoussQuCTto? t>qCK SCIZE?CO OKCt?
The applicant is: ? Owner Contractor ? Other (oesor+x)
Name VAF(2PTNER MiK0? tl Phone
Property LAST FIaST
Owner Address 406Q F>RA. I 2r lR1o0G" lRoAo
STREET SiE M
Lity IF/q 6AN State M YJ • Zip
I
Phone4(p3"4-749
CompanyS C. J-7LVE'STR.p
Contractor Address oZa53y r3nCRyVE AvE w• U,icense #Ooo'755? Exp.3?
CityFA9MIN4T'b&) State N1?J Zip SG06?u
Company JV a 1Je- Phone
Architect/
Engineer Name IRegistration N
Address 'I
City State ? Zip
3ewer & water licensed plumber Processinq time for
sewer & water permits is two days once area has been approved.
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. i
`
-?
Signature of Applicant:
?...
, , .,
OFFICE U5E ONLY
BUILDING PERMIT TYPE ? OI Foundation 0 06 Duplex ? 11 Apt./Lodging
O 02 SF Dwg. ? 07 4-P1ex ? 12 Multi. Misc.
0 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory
?l 04 SF Porch ? 09 12-Plex ? 14 Fireplace
?O 05 4F Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
Ef 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
. : .. .? ..r
dl,VBd'sement Finish
17 Swim"'Pool
? 18 Comm./Ind.
0 19 tomm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 31 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS Gf-Fo2cH i?sk Iti' ozK
? Site ? Footing ?Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee 7Z,°° - c wi?c;a,:
Surcharge - fog_cFk
Plan_&e,iew
cticens
; T??-5AC I ZX?y yZ;,o
I City 5AC ?----
Water Conn.
Water Meter ?
Acct. Deposit y, Z? J
S/W Permit
S/W Surcharge
Treatment P1.
Road tJnit
Park Ded.
Trails Ded.
Copies ?.nn
Other
Total:
SAC %
5AC Units
? CERTIFICATE OF SURVEY
<'a2Ry ? ceut?cs?, Pua,
.
? ?rtfo?m, 8717 DUVONT'AVENUE SOV714
BLDOMINOTON, MINN, 55470
888-208A
. LANbSURVEYORS
-?,
p5urvey for:
\3$g DAHIE BR05., INC.
t?t? $y. ?• ? ,efil, $?
-
Li\ '40
Sat,. W. ? ? \
• ¢ ?
63 ??,"`. ? u+.? wi g8 0???? ?st
?..,.+-•.._, ? ?7' ?_ 8'? ?N
o : \ Scale:
1"=30'
I
?
• NW ''93? ? ?! j g?'?•
? \ 1 ? I
\ b
Descrtptlon:. o
Lot 10, Block
COVENTRY PASS SECOND ADDITION
\ Z
]jc
Proposed G?ades: 'f{ . A_
op of Blocks
flbor?oylos
Basement floor 8y
,;?,. ..
NOTE,Circled elevations are proposed, others are existing. ?B9 8?? a oa
ti
: Arrows denote direction of drainage.
, '. . . __' . .` ....... '?' ?I f•
RE-Cj i_
WO h6r2by ceetlfy that th(S is a true and correct representation of a survey of the
boiiFidBNtes of the 18nd above described and of the location of all buildings, if any,
thOl?606; and.all vtsible encroachmeqts, lf.any, from or on sald land.
4th d8y of _A2gu5t 19 gZ,
,,.:• ?r,? . .._,_
,
??. .
-?•-,; Y
nnes a cense o. o
' I
L_?Z_0_?./.? eL ? CITY OF EAGAN
SUBD. P?BING PERMIT
, (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REYAIR _
OWNER NAME:
CITY USE ONLY
RECEIPT
DATE - a - 91a
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
SITE ADDRESS: 7OG7 /(p ",
INSTALLER:
ADDRESS: 3,75o Atoe?x
CITY: ??lLU}6-r! ZIP: S 5 / 22
PHONE It:
NO
i
?
?
1
?
1
/
?
STATE SURCHARGE .50
FIXTURES EA.
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CIASET 3.00
BATH TUB 3.00
IAVATORY 3.00
KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
HOT T[TB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
orxEx
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W..TURNAROUND 15.00
1Y)TAI.
=
oV
.Op
wv
,D
00
5? O ?7
) I Ov
e16_42
?O. 7 r7
TOTAL: S ?I7 1 O12
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
COP!TR4CT °RICE:
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)
L /D ? CITY OF EAGAN
MECHAHICAL PERMIT RECEIPT # /O 7,f,5c7
SUBD. (612) 681-4675 DATE ?% /ci 2-
RESIDENTIAL
PLEASE COMPLEfE UPPER PORTION ONLY FOA SINGLE FAMII Y DVVELLINGS. AISO, COMPLEI'E FOR
TOR'NHOMFS/CONDOS WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DWF.LLING iJNPf.
OR'NER: FEES
SITE ADDRFSS:
p ADD ON/AEMODII. (EJIISTIIVG
CONSTRUCI'ION ONLl) $ 15.00
INSTALLER: ' HVAC: 0-100 M BTU Zd.?
PHONE +ff: ? - ADDT110NAL 50 M BTU 6.00
ADDRFSS: GAS OUIZETS - AIINII1fUM 1@ $3 EA.
CITY: G c? Q ZIP: ? SURCHARGE $ .50
SIGNATURE? TOTAL:
v
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWIINDUSTRIAL BUII.DINGS. AISO COMPLETE FOR
APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUII,DINGS R'HEN SEPARAI'E PERhIITS ARE NOT REQUIRID FOR
EACH DR'ELLING UNTf.
R'ORK DESCRIPTION: CONTRACf PRICE: FEES
1% OF CONTRACT FEE
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FE& $
PROCFSSED PIPING - $25.00
$
11iINIMUM FEE - 525.00
OWNER TOTAL: $
STfE ADDRESS:
TENANT:
SiT1TE #:
INSTALLER:
ADDRESS:
CTfY: ZIP:
PHONE #: CITY SIGNATURE
SIGNATURE '
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4067 Prairie Ridge Rd
Lot: 10 Block: 4 Addition: Coventry Pass 2nd
PID:10- 18401 - 100 -04
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 21210 Eaton Ave Farmington, mn 55024 651- 344 -4253 clilienthal @controlleda ir.net
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Douglas A Lange
4067 Prairie Ridge Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA074777
08/17/2006
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4131 Prairie Ridge Rd
Lot: 1 Block: 4 Addition: Country Hollow
PID:10- 18275- 010 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120
Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 kara @elderjon es.com
$1.00
$69.00
$70.00
Owner:
Dale A Miller
4131 Prairie Ridge Rd
Eagan MN 55123
9001
0801
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA073479
05/22/2006
ePermit
Use BLUE or BLACK Ink
r
For Office Use
Permit j
City of EaWin
J b I Permit Fee:
3830 Pilot Knob Road I U I I
`30-
Eagan MN 55122 Date Received.
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: i'
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 4 (P Phone:
Resident/
Owner Address/ City /Zip: 4
Applicant is: Owner ,Contractor
Type of Work Description of work: Ke ISO F
~
Construction Cost: / Multi-Family Building: (Yes / No
i~oN
Company: ~bLl Contact:
Contractor Address: 5 31 3 W (4 I `C 1 Co A ,.J':-, City: G J°,
State: M 1" Zip: 57S-i Phone: t!1 1 U)
License C, Lead Certificate 0
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: Plans and supporting documents that you submit are considered to be public information. Portions of I
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.
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.aopherstateonecall.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 Code must be completed within 180
days of permit issuance.
x OWE sJ
x
Applicant's Printed Name Applicant's Sig ture
Page 1 of 3