4068 Prairie Ridge RdCity of Eapll 1
3830 Pilot Knob Road 4jh
Eagan MN 55122
Phone: (651) 675-5675 V
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: q� 9O 9
Pem,it Fee: 06
Date Received:
Staff:
/���( 2010 MECHANICAL PERMIT APPLICATION
Date: frac:.+• 4244616 Site Address: 4 No? ^YreJ r 1C_ ';dye Rd
Tenant:
Suite #:
RESIDENT / OWNER
Name: S+ e v e Le in e r4T- Phone: (,t37 ?
Address / City / Zip: 4 661 Pr r e. Z;494, eci Ect aah
CONTRACTOR
Name: CENTERPOINT ENERGY License #:
Address: 9320 EVERGREEN BLVD SUITE B City: COON RAPIDS
State: MN Zip: 55433 Phone: 763-757-6202
Contact: JOANN ZINKEN Email:,Joann.zinken@CenterPointEnergV.com
TYPE OF WORK
New y Replacement Additional Alteration Demolition
r^�
Description of work: -1 Q,PUCC l.4.-ir'tri cke .e • RI.0 .c 1)" Q PY% - o (c
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the: Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
t/Furnace
COMMERCIAL
_ New Construction _ Interior Improvement
Air Conditioner
_ Install Piping _ Processed
Air Exchanger
Gas _ Exterior HVAC Unit
_
Heat Pump
_
_ Under / Above ground Tank ( Install / _ Remove)
T
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
bumed out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $ 5Z • (5° TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
_ $ Permit Fee
- If Permit Fee is Tess than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
_ $ TOTAL FEE
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.gopherstateonecalhorq
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 ROGER HOFFHFIN
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections:Under Ground Rough In =Air Test = Gas Service Test _In -floor Heat _Final
Exterior HVAC Screening Inspection
F-SEWER & W,pTER RMIT
CITYbF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE FEB 25. 1992
OFFICE USE ONLY
METER # PERMIT DATE OZ /28/92
CHIP # PERMIT # 12575
METER SIZE B.P. RECEIPT # C 017539
ISSUE DATE B.P. RECEIPT DATE 0227 9Z
x PRV _ BOOSTER PUMP
SITE ADDRESS 4468 PRAIRIE xIDGE RD
LOT 7 BLOCK Z SEC/SUB COVENTRY PA5S 2ND
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
PLUMBER: yTAx YLBU
ADDRESS: 1018 MOUND SPEINGS TERR
CITY, STATE BLOOMINGTUN MN ZIP 55420
PHONE: 884-4149
OINNER: i"KDONALD CONST INC
ADDRESS: 1212 BLUEBILL BAY EtD
CITY, STATE BURNSVILt-E MN ZIp 55337
PHONE: 688-7061
PERMIT REQUESTED
x SEWER R WATER - TAPS
_ COMM/IND -X-- RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
/G'. rt-..r ` ?,. •? ?
I AGREE TO CO PLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE AILOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
„ u DATE: FEB 28, 1992
RE: 4068 PRAIRIE RIDGE RD (MCDONALD CONST INC
-XL Your Sewer & Water Permit Tor 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 PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannoi be completed for the fotlowing
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 UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED 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
FIWe
rt
?tr
DATE
11 i t NJZI(;_? lN I .:-' i
AMOUNT 3 irJ l_ y (?J
0
/ 8 DOLLARS
? CASH P ? NECK 'm
'
.a? ) ?X?y.i ' C.o? l l? ' rL {k
?-`,? _ ? r .• ??(IOEr
B,r
017539 W^?? ?
C Yellow-Postirq Coq ?
PWc-FNa Qpy
Thank You
_ . . „ . . ? . .. . . .? . . . . . ._ . -.'?P . .. . _. . + . . . ?'T? s'-s.-'.?,?.. ?^TT
? CITY OF EAGAN
, 3830 Pilct Knob Road, P.O. Box 21-199, Eagan, MN 55121 1+2?}
?i 148
PHONE: 681-4675
BUILDING PERMIT Aeceipt # - -
Tobeusedtor SF ?/GAR Est.value =133?000 Date FEa ZS ,1992
5ite Address "J°v rnnaaac. aa
Lot T Block 2 Sec/Sub.'
Parcel No.
Narne MGDCmAI.D WTST ING
W AddreSS 1212 BLUEDILL BJIY QD
? Cky BURttSVILLE MAt ZP S5397
? Narne a2esa
0
Address
? City Zp
Building Ofticial OFFICE USE ONLY
Rhane
? ucense # 0002376
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable Staie of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee ? ` -f
A Building Permit is issued to: ?WNALD WHSr iNC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
R-' M-1 FEES
Occupancy $-1 &d9. Permit 755.00
Zoning 66
50
(Actuaq Const ? sumt?erge .
(aUOwable) - plan Re„ie,,,, 491.00
# of Stories ? uoww 3. ?
Length
Depih ?
3
SAC, City
100,?
S.F. Total - SAC, MCWCC 700.00
S.F. Footprints - 6TS??
On Site Sewage _ ?Nater Conn
On Site Well Water Meter 95•00
Mwcc system
t
Ci1
W X
X
??? Oeposit ?.pp
a
er
y X 30.00
PRV Required S/W Permit
Booster Pump - S/W Surcharge • 50
3? .oo
Treatment PI
APPROVALS Road Unit 380.00
Planner - park Ded.
Council
BIdg.OH. - COpies
Variance - TOTAL 39628•?
C
.
•
Permil No.
Permit Holder
Date
Telsphone #
s^'v
PWnnsinG .5 9-8/ D
HvAC
EECTRic c? 073 ,5 °?
ELECTRIC
hsptedon Date Insp. Commsnts
Footings I ? '7 9 G
FoundaGon ? 40
Framing 3- f g g'L '?
Rooling
Rough Plbg. 7- 2- G/ L!.
Rough Htg.
Isul. ?- 9 ?-
Fireplace ajp.}?j,. •I - Z
Fnal Htg. ?. ?
Orsat Test
Final Pibg. Pitg. Inspector - Notily Plumber
ConsL Meter
EngrJPlan
Bldg. Final
D¢Wc Fig.
Dedc Final
Well
Pr. Disp.
?s t
(ger#t#ira#e of (OrrupaMry
titp of Cagan
EPwbuid of Tunllto iwPttWu
M Cerrfj'uau issreed pwsuaw w the raquirenmts ojSectton 306 of the UnFjonx Bulldtng
Code cer#fl'in8 tlrat at rhe time ojbsuance lhis strucurne Kas !n rnmplianae with rhe mwious
ordixances o11he Citl' n8ukdnS buUng constnrction or use. For the joUowtng.
uK amificmi. SF DWGIQR e4 Fl. N,. 20148
R3/M1 Rl ? WL- VN Dkbice ow.« or eom.? ?ONAID !X7NSiT? ON Add? 1212 ffi.BIIL BAY RD, BiTRGIG'IIE
??? 4068 PRAiRIE RIDCE i?.IAD ??'J+ B2, aRNM PASS
% 4/2Q/92
? D&W
POST IN A CONSPICUOUS PLACE
' SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE FEB 25, 1992
OFFICE USE ONLY
METER # ? ? -:V a PERMIT DATE 02I28I92
CHIP PERMIT # 12575
METER SIZE r Q?Su B.P. RECEIPT # C 017539
ISSUE DATE B.P. RECEIPT DATE 02 27 92
-k- PRV - BOOSTER PUMP
SITE ADDRESS 4068 PRAIRIE RIDGE RD
LOT 7 BLOCK 2 SEC/SUB COVENTRY PASS 2ND
APPUCANT:
ADDRESS:_
CITY. STATE
ZIP
PERMIT REQUESTED
x SEWER
- COMM/IND
X NEW
X WATER - TAPS
_X_. RESIDENTIAL
EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: STAR PLBG Ahead of Domestic Meters on Water Line.
ADDRESS: 1018 MOUND SPRINGS TERR Credit WiLL NOT be given for Deduct Meters.
CITY, STATE BLOOMINGTON MN ZIP 55420
884-4149 ??%?---
PHONE:
I AGRE TO CO PLY WITH CITY OF
OWNER: MCDONALD CONST INC EAGA RDINANCES
ADDRESS: 1212 BLUEBILL BAY RD r ?
ITY
STATE BURNSVILLE t?1 ZIP 55337
,
C
PHQNE: 68$-7061 SIGNATURE WHEN METER ISSUED
I
.,? ? n
PCEASI ALLOW ?TWOWO K G DAS(S FOR?66CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. . /??
(
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
• < <.
SITE ADDRESS: ,„ r , Fc t nr: F APPUCANT:
ii k I Itt;f Ir(I
t i1W'1 N!H 1 1'At..'_: _'NII I ?.1 .' 1 AL!. ?,??r.4
PERMIT SUBTYPE:
TYPE OF WORK:
F
L
?
Permit No. PermR Holdsr Dab Telephona w
ELECTRIC
PLUMBING
HVAC
Inapection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
s G
DECK FINAL
PERMIT #: ? -?' (`=
CITY USE ONLY
RECEIPT DATE:
2002 RESIDENTIAL M£CHA1VICAL PERMIT APPL[CATION
crrY oF Ensm
3$30 PILOT KF09 RD
£f46AN MN 551 QE i
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? -a3-E7Z
SITE ADDRESS:
OWNER NAME: Luls G rS'T'(\?--Z- TELEPHONE #: `tQZI--, Q:Z?
INSTALLER NAME:^??.??''?L.?1if.?? ?t dAIL TELEPHONE #: 1
STREET ADDRESS:
CITY: STATE: ?
Place a check mark next to the permit work type '
ZIP: ??OIA
? Add-on, modification or alteration to exisfina dwelling unit
. furnace replacement ? 30.00
?
• air exchanger
l 2 5 2 ?Z
?airconditioner .lU
• other
Nature of work:
- State Surchar e $ .50
rotal S?D
.
S O ERM EE
1102
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMERCIAL MEGHAIVICAL PERMIT ah.Pf'LICATION
Cl1'Y OF Ekfil4N
3$30 PILOT KNOB RD
Pr4fiE4N, MN 55182
651-661-4675
Please complete for: all commercial/industrial buildings
multi-hamily buildings when separate permits are not required for each dwelling unit
DATE:
SI1'E ADDRESS:
OWNERNAME:
TENANT NAME (IMPRO V EMENTS ONLY):
PHONE #:
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
WORK TYPE: New construction
_ Interior Improvement
_ Processed Piping
Install U.G. Tank
Remove U.G. Tank
When installing/removing underground 1ank, ca11 651-681-4675 jor inspection by Fire Marshal and
P[umbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $
State surcharge
TOTA[.
$
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
SfGNATURE OF PERMITTEE
STATE: ZIP:
Updated l/02
BUILDING PERMIT
To be used for SF I
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE:681-4675
Est.
W20148
Receipt#
Date FEB 25 , 1992
Site Address 4068 PRAIRIE RIDGE RD
Lot 7 Block z SeGSub. COVENTRY PASS 2N
Parcel No.
Name MCDONALD CONST INC
w qddress 1212 BLUEBILL BAY RD
? Qty BURNSVILLE MN Zjp 55337
Q Name SAME
? Address
? Cm/ ZP
Phone
? License il 0002376
I hereby acknowlega that I have read ihis application and state that the
inlorcnation is correct antl agree to comply with all applicable Stare of
Minnesota Statutes and Citpy ofE_a,gL/a9 Or?dJinp nces. ? ?// ?
SignaWre of Parmitea ??d?i1 w 71 ?
?-
A evilding Permit is issuetl to: MCDONALD CONST INC
on the express condilion that all work shall be done in accordance with all
applicable State of Minnesota pStaWtes an,,,d ???C///iry of Eagan Ordinances.
Building OHicial p?11.Oi(?, ---?????,/J
?
OFFICE USE ONIY
FE ES
Occupancy R- 3 M-1
Zoning _g-j Bkig' Pernin 755.00
(Actuap Const ?!-N Surchsfge 66.5
0
(Allowable) V'N py? Re?,?w+ 491.0
Q
8 of smries
Length 90 o License S _ M
DepM 34 ' SAQ City
0
100.0
S,F. Tolal - SAC, MCWCC 700.00
S.F. Footprints -
OnSiteSewage _ WalerConn 675.00
On Site Well - Water Meter 95.0
0
MWCC Syslem X
AccL DePosit
30.0
0
City
Water ?[_
PRV Required x S/VJ Parmit 30.00
Booster Pump - SNJ Surcharga .5
?
Treatment PI 300.00
APPROVALS Road Unit
?
380.0
Planner - park Ded.
Council
BIAg.011. _ Copies
Variance - TOTAL
o
3.628.0
iAddress: 4068 p[AIM gIDGE itp? I.ot 7 Blk Z Sac/Sub ?
These items wera/were not complete at the time of the final spection.
D : dXEM(gg 4/29/92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanenc driveway
Permanent gas
Sod/seeded gxass
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the builder the removal of roo£ tast caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. ?
utxiEOxrt?
White - City copy Yellow - Resident copy P1nk. - Contractor copy
city oF eagan
PATRICIA E. AWADA
Mayor
PAULBAKKEN
BEA BLOMQUIST
June 2, ZOOO PEGGY A. CARLSON
SANDRA A. MASIN
Council Members
THOMAS HEDGES
CiN Atlministrator
LOll1S GOITICZ
E. J. VAN OVERBEKE
4068 Prairie Ridge Road cnv clerk
Eagan, MN 55123
RE: Building Permit # 41107 issued June 1, 2000
Lot 7, Block 2, Subd. Coventry Pass 2nd
Deaz Resident:
A permit to side your home was issued to Frank Bielinski. Inspections required aze:
• final when complete
It is the responsibility of your contractor to call the City of Eagan for these inspections. For
your protectior+, we are recommending that you withhold itnal payment until you have verified
that the City has approved the final inspection.
Please call 651-681-4675 weekdays between the hours of 7:00 a.m. and 4:30 p.m. with any
questions you may have in this regazd.
Sincerely,
Jan Severson
Office Supervisor
MUNICIPAL CENTER
3830 GILOi KNOB ROAD
EAGAN, MINNESOTA 55122•1997
7HONE: (651) 681-4600
FAX:(Q51)681-4612
TDO? (651) 454b535
THE LONE OAK iREE
THE SVMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
Equol Opportunity Employer
NwW.CMyOf60QOf1.COR1
MAINiENANCE fACILIiY
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (651) 591-4300
FA%:(65I)681-4350
TDD: (651) 454-8535
Wy1107 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirv oF enc:aN
3830 PILOT IQVOB RD - 55122
851-681-4875
Naw Constructio, ?ltment, • 60- 1316
n s replslered sIfe wrveys flwwlnp eq. R ot bt. aq. N. a1 house 00 2 coWes d pbn
and g( eooled areaa (20X ma)dmum lot coveraae albwedf
> 2 copiea of plmu (MOw beam d wlndow slzea; poured 1ntl. deslyn; efcJ
> 1 set of energy caleulaHOns
'
* J coples d hae pre?ervaMon plon I/ bf Platled Grter 7/t/93
DATE:
.? .3 -' P O
DESCRIPTION OF WORK:
?
CON5fRUCTION COST:
STREET ADDRESS:
LOT: ? BLOCK: ? SUBD./P.I.D. N: r '1 0 -$ o/ •o >v
Z
Name: ?'0 ? ??? Phone i:
PROPERTY lASt FIM
OWNER
Sheet Addreas:
City State:
Lp:
Company: Phone t:
(area code)
COMRACTOR ?v .??
?r?C?1?'.? ucenaeY
a ??l'/G?7LExp.33 aoo/
SheetAddress:/705r v?n -
tY state: vP:
ARCHITECT/
ENGINEER
Company:.
Telephone ?: ( )
1aet of eneryy calculoHO?s for heated addNiona
1 sile wrv6y 1or exf9Aa addiflons & decks
Name:
Sheet Addresa: ReglshaHon #: _
Cly SiaFe: ZIp:
Sewerlwater licensed plumber (if InsWIIirw sewar/watar): Phone M.
I herebY acknowledqe ttwl I have read Ihis applicaNon, atafe that Me infortnatbn ia corteet, and agree to comply wMh aU aPPOcable Sfate
ol Minnesota Stalufea and Cily of Eapan Ordinances. ????
Signafure of Applicant
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes
Tree Preservatfon Plan ReCeived _ Yes
_ No
_ No
- Not Required
MAY 2 6
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaUOn O 07 Orplex O 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OB OB-plex ? 17 Garage O 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Stortn Damage
0 05 03-plex ? 11 10-plex Pibg _V or _ N ? 25 MiscelNaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg•
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition 0 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories
No. of Units Length
TJo. of Buildings Width
Const. (Actuai) Basement sq. ft.
(Allowable) Main level sq. k.
UBC Occupancy sq. ft.
Zoning sq•ft•
ilfliSi,EL?iEa?US ti?SFEC TiOl?s
? ? Stucco/5tone
APPROVALS
Planning Building
? 31 ExLAIt=Muw
? 33 Ext. Alt - SF
? 36 Multl
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES 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: $
SAC Units
% SAC
CI. T.Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.Z.N.: 10-18401-070-02
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
406$ PRAIRIE RIDGE RD
LOT: 7 BLOCKs 2
COVENTRY PASS 2ND
BLiildino..,Permit Type DECK
6Uiiding 'Wbrk Type NEW
aqa00
BUILDING
026468
10/02(95
,
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$30.00
$.5@
Fee ?5.00
$35.50
CONTRACTOR: -
KALQUTBT PROPERTIES
127 17TH AVE N
5 ST PAUL MN
(612) 455-6064
APPiicant - sr. Lzc. OWNER:
14556064 0005502 GOMEZ LOU
4068 PRAIRIE RIDGE RD
55075 EflGAN MN 55123
(612)405-9265
' I hereby acknowledge that I have read this
Infc+rmataon is correct and agree to comply
Statutes and City of Eagan Ordinances.
?
- , `
?
APPLICANT/PERMITEE SIGNATUflE
appiication and state that the
witli aL2 applicable Stdte b'F hln.
?
isUeo J eP? GR AT+UE 'F ?1-?
iNSPECTION RECURD
CITYOF EAGAN PERMITTYPE: BuzLDrwG
3830 Pilot Knob Road Permit Number: 0 2 6 4 6 8
Eagan, Minnesota 55122-1897 Date Issued: 10/021 g 5
(612) 681-4675
SITE ADDRESS: , ' ? o r : 7 B L 0 C K s 2 APPLICANT:
4068 PRAIRIE RIDGE RD KALQUIST PROPERTIES
COVENTRY PASS 2N0 (612) 455-6064
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
.? ?
7-1
? - - ? CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122 s,5?,-le) Q
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construrllon Reaufrements RemadeURaoair Reauirements
? 3 rcgistered ske surveys ? 2 copies ot plan
? 2 copies ot ptatn (indude beam 8 window saes; poured 1nd. design; BtG.) + Y SII2 9UNBY9 (97RR110f aflElll0116 B. CBCkS)
? 1 energy eakuletions ? 1 energy calculetions Mr heatetl additions
? 3 capies of bse proaervation plan if lot p7atted eRer 111193
requfred: _ Yes No
DATE: SP?n7` Z? l`7 9? CONSTRUCTION COST: ? S? v• U o
DESCRIPTION
STREET ADDRESS: pr ? ? "7
LOT ? BLOCK ? SUBD./P.I.D. #:
PROFER7Y Name: 6o me Z L 0L., Phone #: y?? 9-Z ds
OWNER u.,
- ?b 69 nx`. \
!?' n/' / i ? /?
!?( c)SP '
Street Address
Ciry: zc+?lGll'i State: ?. Zip: SS/Z 3
CQNTRACTOR Company: L14I?uisT F1'6 0"% ? e S Phone #: 606L
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Street Address: (Z`7 / 7 ,
? ? r P ?v 1
is Licanse #• 000 -rSo 1---
City;??. S? /?14-j State: A?4A Zip• -5756
ARCHITECT! Company: Phone #•
ENGINEER
Name: Registration #•
Street Address,
City: State: Zip:
Sewer & water licensed plumber. . Penalty applies when address change and lot
change are requested once permit is is ued.
I hereby acknowledge that I have read this application and state that the infortnation is co?and agree comply with all
epplicable State of Minnesota Statutes and City oi Eagan Ordinances. ?
? f
Signature of Applicant:
OFFICE USE ONLY =7?EP2 Certifica
tes of Survey Received _ Yes No u 95
Tree Preservation Pian Received - Yes _ No
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
vCr- 31 New a 33 ARerations
0 32 Addition o 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
0 11 Apt./Lodging o
0 12 Multi RepaiNRem. o
0 13 Garage/Accessory ?
? 14 Fireplace o
,Z'-15 Deck
0 36 Move
0 37 Demolition
,
? .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
2oning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y?Y
Depth Footprint sq. ft. SAC Code
Census B?dg i
Census Unit
APPROVALS
°lannirsg 6uilding Engineering
?. Variance
Permit Fee ?Vaiuation: $ /zco ?
Surcharge j ,
Plan Review •
License -r), rA9 ,
Ar1CNVS SAC .
City SAC
Water Conn. :
Water Meter
Acct. Deposit .
S!W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°h SAC
SAC Units
? . . .. . . :. . r} ? , ?;- ? ... . . . . _ . .. .?. . ?? . .
P i c?nEer Ens i n.= tr i n? 681 94:30
242: Enterprise Drice
Mendata Heighf;, MN 55120
,(672) 681-1914
T* * *
* PIONEER LA
* engiyneering.. ?^"°
1 ?T
1[ y
T
• CNII CNGi NECRS
a11CHITECT5
Certificate of Su;vey for: MGDORQId_ CUnSiI"UCtIQrI,_LnC•.
House Adciress: .406F3 P..Cairie Ridge r?oad. Ea?an. MN
Modei Number: 92-121_
S 85'.30'02" ?
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I??eC?o?o I?ll L?? ? ? ? ? ? E?FiGFi?IIiTGITaJEERIATG D?,Pl'
, 3W.e Deno.es r_x)siing Elevoficn PROPOSED HOUSE ELFVA7014
-i?,?J Denotes Fr;,posed Elevation ' F "
_- Denctes Orcinage & Utility Easemen't ?-oWest loor cievat:on: _?3_?, :"
.+.-" Deno!es Drcinage Flow Directron Too of Biock Eievct?on?
-y- henates Monument Garage Slah Elevotion:
E3 Denotes Offset Hub Becrings shown are assumed
LOT uLOCK 2 COVENTRY PASS 2NC)_. ADD
DAKOTA COUNTI', MINNESOTA
I hcr?yy ?e?Nly ih=t this su. ?P, plan r,r qpprc :.n: pr,ppa.ed ryV ?ne o? ??der n:y tli:ec[ supervisien snrl thsi l em JuiV F'+eQ:sier'eJ l.n.ntl Sorvev.r
ondsr the isrn of thr Stata 01 Minr,=sote, Det=d this 6! rp dav of a,D, ;g 2 '7-.
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dp8[R E. i1K f..H l.$. G. Pop.'6d91 I
1992 BUILDING PERMIT AP?LICATION
CITY OF EAGAN
REQUIREMENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SEfS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET 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 QEt 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.
F-,?udin? ?ut,
To Be Used For: Valuation: ? Date: 2- I 9- 42
/ 33 006
Site Address 14 n4, R"P?; 0a 1
Lot -7 Block _Z
Parcel/Sub Ccyenr6
?
Owner
Address
City/Zip
Phone
Contractor Mel?,,,ald C?j4
L nN
Address 1212 8juebi l1 $q??
City/Zip B.,'-NSV;II P, M&) ?
Phone 1,e8-7o6j License
Arch./Engr.
Address
City/Zip Code
Phone #
Sewer/Water Licensed Cor
for sewer/ycsterWrr,po is
?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Totai
Footprirrt S.F.
On-site sewage
On-site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Bidg. Off.
Variance
once area
R 3 N/ Bldg Permft
- Surcharge
?
T
Plan Review
Vly_ LiCense Fee
SAC, Ciry
? SAC, MWCC
X1 Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
? Road UnR
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penaity
Lot Change
TOTAL
EE
0
Processingtime
agrees that all work shall be done in accordance with
all applical5le Sta" Mi6*iota Statutes and City of Eagan Ordinances.
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FEB -1 9--=?2 LJED 10 53 PL iaNCOI N:._ Ur At4 C: E 1FF I CE P- E 1
- ......... ........ __gA3EU ON CHAPTER 5 ar TIIE ? 1?J .., G.r'
MoDEL• W?TZQA V
'_ Adopt on Ef?ec?ive
owner?? 1??? .. Phone bste?
SiEe Address ConLtactorb/
eu.#J.ding Clesaiticatlont Type A1 (9ing2e F'amily & Dup2ex)_,4_
Type A2 (Iteside?itial, J storiap or less) (Over 3 storles) (Otlier)
2lCL?L?.om??e?,e .oaaea 'mXL_4 f.i..l
(;fJ,jEM1•iNr'Qq n7'toN
1. Hulldireg Parimete
2. Waxl heigllt (ground tv eave) ft,
3. 1. X 2. (ebove) groma wa11 atea? r!-sq.ft.
4. Bui1dl.ng dlmenel.one (1,)? X(S9)_ sg.ft.zoof & floox atea
Sq. Evot alrea oE rim joisr - f?v qqrJoieE size (2 Xkp
)
X?G? (Perlmetex) a _ ??G?gq.1E?.
ia ,
6. Uoorr3 - Ttea /?
Thicknese^ in V. Eactor??'"? ? 14?
Type of Constructlott ' Perimeter tr,
14anutacturer
7. Total doox's pezlmetelr ft.
S. wl,ndowss Ha u acturgr(.? ?."' _stat?e epproved
U factor +?
TXPE 5T.ZE AREA (Sq.Ft. ) NUfdBECt OF TO'YAL
11 -"tf Enctt UNYms sa ??ET
9. Total gq. £t-. G1a88l+ G 1 C/ ?
10. Fireplace areas Width X ttefqht = X a sq.f t.
il. Exposed Eoundationa llel.ght X Perimefer<<4 114'sq.ft.
CaFiPLB'TION OR' TtlXB FORH 13 REQVIREp FQR AL2, NEt9 tONSThUC7Cxo14, HAJOR
REHOb6LINd A"D BUILbINGB 9ELNd HOVEb WIIERE ENEF2GY r O'fiHER THAt1 T1!ffi HxHIHAL
CObE ALLOWANCEt x9 U$ED. .
-1-
?? rcaminy eYee a I0; of qYOBS wall areQ. ..
M
17: Gross wall srea Ee
s
ft
q.
.
Wlndow area AZ 1r? v eq. ft. U windows d+??
U
A
?Y
x
Rim Jo1sC. area At4a?dq.tk. Urim joista 1 d
?
UxA
Do
?
? m
?
or area A
a
? G? sq,ft, U door erea= UxA -?
other doore area A? ?'0?qy,ft, U other d
-
?
(-TL
?
oezs
-
-
UxA
Expoged fndn A(:!? r?7'?
( d
n
sq,pt , U foundation=101
UxA
41 m ?
)?
E'rAming area A?:?`!'1=L_sq.FL . U Ftaming area=1vy7'?;; ??
lO
UxA
tiet wa.l1 area Al' ,2 eq,ft, v wa1.1= 1 o4">
U
A t
-
I
x -
(13B) TOTAL . . . . . . • . • UHA n
- (r4+?1 G
lA. crose wa11 area x 0.11 (A-1 single Eamily &
(13. abpve) duplex) ? allowable UxA/Code
x 0.23 (A-2 other residentlal)
x .23 (Other bul.ldinge)
x .29 (ovaC 3 stvries)
eTUEt muet be larger
?•' "' ?' U Code ° thsn ot eame
F, pg 139 abovN
15. Ceiling ;frami.ng area (Af) equ$ls I,pi oE ceil.inq area
15A. Grosa ceiling area e(L) ? x(W)_ _ sg.ft.
158. Joist area (Af) Q lo% ceiling area sq,ft.
15C. Nek ceilinq area (A C) (15A - 158) ??G•? t• gq,[C.
U ceilfng x A
M`/-I Ll 7 x tc2+zl G
c
?j'
U framing x A
x???..a: ?
C•, ('
#
,
,
15D. TOTA4 U x A.........I ...................?+'/_
16. celJ,ing area (15n) x 0.026 (A-1 sitigle family & dupl;ex)
= allowable UxA/Code
x 0.033 (A-2 other rgeidential)
x 0.06 (ather)
6TUti muet be, lar er
A(15n)?
x u coaea''
d?V
e than or eame
...._
_
F, ag 15D
?bo ve
NO'TES Use U and A values obtained Erom pages 1, 3 and 4.
CEki'CJ.LIfIiTID@t z hereby cerCify thnt I hava calculaked the 'V"
" fnctors atrd
tt"
Stat values hexaln and thaN the bulldinq here described meets or
e of Minn
t exceeds the
oeo
a Energy Conservation Act.
da
5ignature ' .
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04.06.-92 i; :,r $6111.1 461 9605 KUPIW ia ooi
? KREC'k,[, U'BR.IEN,
? MLTC?;I.LER Q ;
WAS.S, i:vc:.
ARCHtl'EC.l'S I.X NGINECGS
F,t!Spy.II?.LAVENUL IM1F,AffRUV? FIEIGMiS,MN',i,')U?G
C' a J5+ 45L'9
4/6/92
Bi;t,1 Wj.ntAr
MoDonal.d Cnnst.x'ut't3on Inc:,
1212 Eluobil] riexy
Dutnsvi7,10, MN 55337
RE' 3058 Pz-air.i:c 14.Ldye P.uaa, k:agan
9_2 Co(i P°SS z4
nea7C 147C. WinC.er,
Tkle weE;L' aonnc.-?Cr Wa11 Nrtt; x-evi.Pwt?U LUL' ttte ak)ovr-. :•esldanc+!.
Ths wa:11 iFj ;;rructurally adequate.
Tlie fpllawir3g ucuumptton^ uet•e uia<ie iri che dr.siqn cheCk.
Codtt: AC.T 3I8.1 ;7tructura1 P].ain Cohorate
81 concr.utr: wail: L'c - JODU psi Q 28 days
SoJ.I n1-c!>asurai 30 psE eclttivdLent tl.uid
BaclcP.tll: 7 fL- mriximvm, qrsnul.ar wi,th .t i't r_lay aap
Gra3i.nr.j; Gra3o tn elope rapldly nwZy EYom wa12
Cleas:e c*J.l ir you have any yuustions.
Bi.ncerely,
,r
?i??-?/z..n?
' samas tY: KraCh FB 12707
Kzech 0' Brj.en, taueJ..lf:r, xnd wass Inc,
FAX: Mcdonald Cot:stcuctlon 686-7206
?
z0d 9£S1F 90'2L-889-ZS9:ON,-l31 '1947J Q7dNUQJW:QI £7:60 rqW Z6.-2S--'Jdti
CITY OF EAGAN
CASHIFR: JS TFFMINAL N0: 043
DATE. 12/28/93 TIMEs 15e04:51
ID;
NAMEa FRAhCIS J. BIELINSKI
3210 9001 4068 PRA'iRIC FiIY 125.25
21.55 9001 4068 F'kAIkIE FL 3,00
Total Fiecaip+, Amount: . 128.25
Ck1.21rHr
L15E:fi SIt: JAN
7t7kAC7k7K1? 1XXCYF?k7kX<M7K 7kXak? ??F 7K%K7K?k1X?AY?k>k?k>Y YF?k7KXc**>XyF
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)p
CITY OF EAGAN
3? /? 3830 PILOT KNOB RD - 55122
(651-681-4675
New ConsWelion Reauiromenh RemodeVReoair ReaulremaMs
? 3 registered site surveye showlnp sq. R of lot, sq. R of houce 2 eopbs of pkn
and 1 roofed areae (20% meximum lot eaveraae allowed) 1 set of energy celculations kr heatad addltions
D 2 copies of plans (show beam d window sizes; poured fnd. declgn; ek.) 1 sfte aurvey for extarbr additlona 8 decks
? tsetofenergyalculadona
D 3 wpies oltrea preservation plan H lot platted after 77193
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRE5S:
c
LOT: 7 BLOCK: ? SUBD.IP.I.D. #:
?F
Name:
PROPERTY Laet° Flmt
OWNER
Street Addrass:_
Phone #: G 5/. y0 S 92 L 5-
City State: `? Zip:
Phone#: G/Z 7?z
• (area code)
CONTRACTOR '
Street Address: l 7?? jO? License # Exp.
-?
City AelO- State: 0?!/i. Zip: SS 5?/3
ARCHRECTI
ENGINEER Company: Name:
Telephone #: ( )
Street
City
Registration #:
State:
Zip:
Sewer 8 rratcr licenaed plumber (new construeNon onlvY. Telephone #:
. ?
Per:alty appiios when address ehenge and IM change ie requeated once pemiR is Iasued.
I here6y aclmowledge fhat I have read thia applkatlon, slate that the Infortnadon ie cortect, and apree W compty wHh all applkable Min ofa SfaWfes and Ck
of Eagan Ordinaneee.
i f
Signalure of Applicarrt
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No Not Required
? - - - ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-ptex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
?02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
?
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg.* 0 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Y-,-U Basement sq. ft. Census Code
(Allowable) VIV Main
level sq. ft. SAC Code
?
UBC Occupancy ?
s. ft. ?
No. of Units ?
Zoning sq. ft. No. of Bidgs /
# of Stories sq. ft. MC/E5 System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Bu ilding jr Engineering Variance
Permit Fee Valuation: $_??
Surcharge
Plan Review ?
License "'
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit S/W Surcharge ?
Treatment PI. F
Park Ded.
Trails Ded. "
Other
Copies
Total:
SAC Units
% SAC
---
_ . i? ? - - ----- -------
?* *}? I 2472 Emerprise Driee
? LliNDSVRVE1ORS•GIVILCNGINECFS _ 1 ?Aendo!a Heighcs, MN 5G120
* ER ?r _
RIONE
* * * --?----
* (612) 681.15141
en9i?neering ut+oilwYI?EH3•L4?+o,-.cn?CAROMITECI9
Certiiicate of Su;vey for; MCDOrlc7ld Construction, In.c._
House Address: 4Q6?3P,Cairie F2i(ige f?oad,_E?aygn. MN
Model Number: 92-121_ ?
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S 85'30'02" ?
72.74
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?h.A3ry
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j
D ?'~ O
' X1;,GA IdGIN.F.EF.?NG
?`eRa?o R?QUIRE0
_._. ' ' •- 'r-'•?;v: ? y?. ^:
•)uu.c Denotes txlsting Elevation PRUF'OSED HOUSE EL.FVATIOM
Dena'tes Fr-uposed Elevotion Lowest Floor Elevation:
- Denctes Droincge & Utility Eosernent
Denotes Drainage Flow Direction Top of Block Elsvationt
?- benotes Monumen{ Garage Slab Elevation:
--T- Denotes Offset Hub BeOrings shown ore assumed
LOT BLOCK 2 COVENTRY PAS.S 2N_C) ADD.
DAKOTA COUN'Y, MINNESOTn I
?` .,. .'?bl? .nc? :h1: f•:•:q . n`i' R• rt0(rn .- 9TP:e..? AV m. m.G•?i., n•; •• _.. ., en ?. ,: e>a• ? am±.' i°.?: ve+..J lg-? c.?rc._o.
... . .. . i . `' o..?.:!; - ?.
e: : ..-:.t_a. .?;? r_. _ ?, ? ?i?? • ' ?
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2006 RESIDENTIAL PLUMBlNG PERmiT aPPUCarioN
ClTY OF EAGAN
3830 PtLOT KNOB ROAD, EAGAN MN 55122
651-675-5675
'lease complete for modifications to existing residential dwellings.
%s ot)
iate
;ite Street Address Unit #
'roperty Owner 'C--' Telephone #
:> 2 r CC'.S C
Telephone #('?S5-ygJ 7?
:ontractor
?
State-• /J/,ft/ Zip?37
-
?
kddres
"he Applicant is: _ Owner XContractor _Other
New _ Refurbished Submit 2 sets of plans and MPC license
>eptic System Includes County fee
_ $ 100.00
Per as-buiR $ 10.00
alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check lhe
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5i8" meter is required)
Other:
Water Softener • Water Heater $ 15.00
?
_
_ new X-replacement
Lawn Irrigation _ftPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ '50
7otal ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wiil be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that 1
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 ytitji the approved plan in the event a plan is required to b"r viewed and approved.
(/ Appf
ApplicanYs rinte Name ibaAYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151662
Date Issued:09/06/2018
Permit Category:ePermit
Site Address: 4068 Prairie Ridge Rd
Lot:7 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-070
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J Johnson
4068 Prairie Ridge Rd
Eagan MN 55123
(651) 452-0899
R Miller Construction Inc
7671 Central Ave NE, Suite 202
Fridley MN 55432
(763) 571-3514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153896
Date Issued:01/31/2019
Permit Category:ePermit
Site Address: 4068 Prairie Ridge Rd
Lot:7 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J Johnson
4068 Prairie Ridge Rd
Eagan MN 55123
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154448
Date Issued:03/22/2019
Permit Category:ePermit
Site Address: 4068 Prairie Ridge Rd
Lot:7 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-070
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 -
Timothy J Johnson
4068 Prairie Ridge Rd
Eagan MN 55123
(651) 235-6568
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157424
Date Issued:08/19/2019
Permit Category:ePermit
Site Address: 4068 Prairie Ridge Rd
Lot:7 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J Johnson
4068 Prairie Ridge Rd
Eagan MN 55123
(651) 235-6568
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature