4071 Prairie Ridge RdHouse heating test record
erae ed¢ KJ.
Owner /e/2$
Address
City r_,l/G(,f til
Heat loss ��// Date htg. inst ej43
Sold by CenterPoint Energy
Installed by CenterPoint Energy
Electrical work by CenterPoint Energy
Heat type Q Space heater
Gas line byt o)
Unit heater Other
Gas design
Makeet,t,a- kgall MAW
Serial no. fl -,7,5,J 2 PpQ/®D.2./j3
Input C2/0.00
Controls
Thermostat
Heat plug
at oS
Valve
Limit
7:Gtote—ft
Limit setting ‘0°
Fan setting 7:e—:"A-s/
Pilot typepP—
y/Z_
Pilot make
Pilot model
Pilot timing
Pressure: Hi fire / Lo fire 3 51/4 G
Percent CO2 7,
Input CFH % c'
Stack temp
Percent 02
Percent CO 3 Sfov►
Conversion
Vent Size
CenlerPoint®
Energy
9 re PV
Kind of liner/size .5 S L 1'
Draft hoolgi,uQ,Qeegulator
Filters: Size /`Y2s-%/Number
Chimney locations: !'lUaside 0 Outside
Chimney construction
1 Vevf
Wiring T `' Test tag
Lighting Inst repo,
Company testing CenterPoint Energy
Tester's name `% ( C-6 G�
Date tested 6 - , 1 /0
CNP 235 (11-2008)
SEWER &-YYATER PERMIT ?
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATEF /1n/91
OFFICE USE ONLY
METER # yyyy 02-2 S PERMIT DATE 06/14f':1
CHIP # fl 1? 3(r q sy PERMIT # l 2CO1
METER SIZ¢ SPn Su 1 B.P. RECEIPT # C 13934
ISSUE DATE e' .1.I - 9! B.P. RECEIPT DATE 06 12 / 91
X PRV - BOOSTER PUMP
SITEADDRESS `?n ?1 'rair•ic ?idPd,,
LOT 9 BLOCK " SEC/SUB L;0Vt]r4 Lml . Z',Z',r.Z F'L)_
APPUCANT: ?'?CG= ?Aicl
ADDRESS: i2lZ 'L1-? 1"' _1_-?A-\ C
CITY,STATE L2J ZIP 5?3?
PHONE: (0 1 Ut° 1
PLUMBER: SJ-?r
ADDRESS: I D18 Ma-f^Nd.S '!? pn fi TPe /r4<P
CITY, STATE Z-) "o1"I,,_,G L' "4 MN ZIP .65420
PHONE= e ?), y- 41 '49
OWNER: siprv'r1 r 1?L (A PPU (,1'-)T
PERMiT REOUESTED
'-?EWER I' ATER - TAPS
- COMM/IND L''RESIDENTIAL
-At--'NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line_
Credit-WIL .tNOT be given for Deduct Meters.
?----
Y WITH CITY
' ADDRESS:
CITY, STATE ZIP -- ?-
PHONE: SI NATURE WHEN ETER ISSUED
PLEASE ALLOW TWOWORKING DAYS'FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
' SEWER PERMITS, CONTACT ENGINEERING DEPT.
,
T?.T? ' • • . , . .. ??. .-..i.?.:r. rr`?R?t".w;P7.T+W"i+--+-r--.,."T??T? wl(]"YCw'r'¢?+'?"'w??f. , . '.+w ?
• CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 `U°
' PHONE: 454-8100
BUILDING PERMIT Receipt
-
. ,
To be used ior ST Bi1G/GAR Est. Value =123 ,000 Date -jtiN 1 ,
2 , 199L
Site Address 6071 pWBIE RIDGS IID
Lot 9- Block 4 Sec/Sub?YBMi'?Y pASB 2ND OFFICE USE ONLY
P1rCe1 N0. Occupancy R--3 &-A FEES
Zoning $sl
W Name ??A1A1.D CA11?'P?i1CIION INC (Actual) Const SL-K eldg. Permit 720.00
AddreSS 1?12 RI1IESILL 1AY RD (Allowable) ?N 61
30
o Surcharge .
Ciry J&1I11SVI1-t.F Phone b8B-7061 +r ot siories
489
Plan Review ?. ?
Len th
9
o Name S-AME Deptn ? SAC
Cit 100•00
= ,
y
?? Address S.F. Total _
650
00
SAC, MCwCC •
? City Phone S.F. Foo[prints _
Water Conn 6?-00
, On Site Sewage _
?
W W
Name
On Site Well
-
W
t
M
t
95.00
? ; AddresS MwCC System ? a
er
e
er ?
?
e W CI? PhOf1B City Water Acct. Deposit .
x P 3o•oo
PRV Required 5/W
ermil
I hereby acknowlege that I have read this application and state that Ihe Booster Pump - ?????rge .30
iniormation is correet and agree to comply with all applicable State of
Mi
t
t
S
Ci
f
00
276
nneso
a
ta
utes and
ty o
Eagan OrdineqCes. Treatment PI •
% ? --??
Signature af Permit e??
I APPROVALS
Road Unil 370•00
DQpALD COlI$?'Rl1C'I'IOE1
A Building Permit is Issued to: Planner
-
Park Ded.
on the express condition that all work shall be done in accordance with all Council --
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies
Building Official ? Vaziance - TOTAL 3,"1•00
?
' Permit Na. VermM Holder
OZ Date Telephone #
WATER .
SEWER
PLUMBING /go
'17 o",
H.v.ac. 711r
F-LEcrRic
InspecNon Date Insp. Comments
FooGngs I
Foundation .
Framin9
Roofing
Rough Plbg.
Rough Htg. awl
Isul.
Fireplace
Final Ht9.
Orstat Test 2 Y.c?
Final Plhg. Plbg. Inspeclor - Notiy Plumber
Const. Meter
Engr.lPlan
eldg. Final
Dedc Ftg.
Dedc Final
WNI
Pr. Disp.
? ?• «
?r . • e
(Urtr#ixa#e of (Orrupartry
Cirp of Cagart
Ervwdmrtd uf Waitdittg jnwrtivn
This Catificate tswed pursuart! to the requineinents of Seclion 306 oflhe UniJorm Building
C4de cr?rijl7nS [ha1 at !he A'cme of issuance rlrisstructure tacs in c»nyvliance with the vearious
ordinanoes oj[he Giy regrdvMtg building cbnsirucAion or = For lhe following:
ux awsmm,;,,. SE' nra[;/GAR ?Piami Nm 19232
00-PNX77hx R3/M12 z.,jx n6,i,:, RI rraco= Vn
oww cteva&M MMQMD M+LS'T. D1C. Add. 1212 HMIII. BAY RD., BLMf1SVIIIL
?M 01"- 4071 PRALRIE RIDM R[lAD L-Ifity Lq, B4, MVENT.RY PASS 2NID
EW& 8/2q/ql
POST IN A CqNSP1CU0US PUCE
DATE:
JllN 14, 1991
AE. 4074 PItAIRIL RIDGE RD (MCD{INAI.D CONSTRUCTION INC)
x
Yaur 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 PUBLIC WORKS (454-5220) FOR YOUR PERMAMENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy aliowed 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: 9EFORE DIGGING, CAIL LOCAL UTILITIES - TELEPHUNE, ELECTRIC, GAS, ETC.
- REQUIRED 6Y LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURId ON POLICY.
Secretary, Building Inspections Dept.
?
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
.
.?
DATE 1-," - I .?1
_
1 19
a[CErveo
fqO,A r J . i? . .
AMOUNT $
? CASH
? CHECK
Pon C
BY
& DOUARS
,m
C 13934 ,^??aym C.WY ?
Ye?»--?ww ?vr
Pinic-File copy
Thank You
NATER PERMIT
I SEVYER?& ?
' CITY OF EA?AN
3830 Pilot Kn?b Rd.
Eagan, MN 55?22-1897
DATE?./101?' ?
?.i,..:r- .-;.?.:..,y..-,.,....;.-.
OFFICE USE ONLY
METER # -
CHIP # -
METER SIZE
ISSUE DATE
PERMITDATE 06I14/91
PERMIT # - 12061
B.P. RECEIPT# C 139-14
B.P. RECEIPT DATE t6112 t? 1
x PRV - BOOSTER PUMP
SITE ADDRESS ??r,?1 F'rdirie Rid Re Rd.
SEC/SUB PPa?'°=4..P-
LOT 2 BLOCK Riv' 0-'rr`:-1 1e
CO TR A ZND
APPLICANT
:
ADDRESS: _ ?s9'
CITY
STATE
?- ZI P
,
.
PHONE
: r
PLUMBER: `- ?.4 i j`I.•... LT.
ADDRESS: fC' I? Mn f"`d L. e /A[ P
QTY, STATE -L L, ti t', J
" ZIP '7; i 2C)
'-?
PHONE: c ?1 • ?1 I y
OWNER:
ADDRESS: ,
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
!?`SEWER WATER - TAPS
- COMM/IND L-- RESIDENTIAL
_lGNEW _ 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 COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WJRKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTlONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Address:4p7j pRAIRIg ROAD Lot q Blk 4 Sec/SubopvENTgy pASs 2Np
'These -items were/were not complete at the time of the final inspection.
8/29/91 Yes No S'
Final grade (6" from siding) ?
Permanent steps - garage ?' -
Permanent steps - main entry ?
Permanent driveway v
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?J
Deck
Please verify with tha builder the =emoval of roof test caps Erom the plumbing
system andthe shut-off o£ water supply to the outside lawn faucet before
freeze potential exists. ?
.??.0.2.
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN ?? 19232
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727
BUILDING PERMIT PHONE: 454-8100 qeceipt# aq ?
Tobeusedfor SF DWG/GAR Est.value $123,000 Date JUN 12 , 19 91
Site Address 4071 PRAIRIE RIDGE RD
Lol 9 81ock 4 Sec/SubCOVENTRY PASS 2N1
Parcel No.
IWIName MCDONALD CONSTRUCTION INC I
o Address 1212 BLUEBILL BAY RD
City BURNSVILLE Phone 688-7061
Name _
Address
Phone
Name _
Address
Ciy _
Phone
I hereby ackno
information is rrf
Minnesota Staiu s
SignaWre of PermiD
A Building Permit is
an the express con,
applicable Slete ot I
Building Oflicial
ihat I have read ihis application and state that ihe
and agree lo comply with all applicable State oF
,X City ol Eagftp OrdinflnFes.
all work shall 6e done in accordance with all
Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Znrurg R--1
(ACtuaq Const V=N eltlg. Permit 720.00
(Allowable) V=N
Surcharge
61.50
$ 01$10liC5
A$ I
Plan Review
468.00
Length
Deplh 40', SAQ City 100.00
S.F. Total - SAQ MCWCC 650.00
S.F. Footprints -
On Sita Sewage _ Water Conn 66n - on
On Site Well Water Meler 95.00
Mwccsystem X
?cl. DeDOSit 30.00
City Waler x
PpV Required X 5/W Permit 30.00
Booster Pump - 5/W Surcharge • 50
TrealmeNPl 276.00
APPROVALS RoadUnil 370.00
Planner - Park Ded.
Council
eldg.OH, _ Copies
Vanance - 7o7AL 3,461.00
, 'I / r A` ioIA /9/
/o3ase91t'/o aoo75
p 177 ??. ,
"° *to ii? '°°
Rea?est D Fire No. ough-in inspec?ion
equir ?
C Ready Now ?II Notify Inspecl
-
es C No ?
When atl ?
?
"
I qli
t
d
D "Q{C
i
f
l
l
k O?
b
i
b
cense
con
ractor
owner nspect
on o
here
y request
a ove e
ec a
wor
Job Aaar s(St?Bo? or Ro o.l . , ? City
Section o Tow hip e o?NO.
L Fa No. County
,
Occupan PRINT? Phone o.
Power Su I?e AtlOoss
EI nc. C maor tC mpany Name Gomrector's iense o.
D D
Maili.?g?reOnirdc,o, o• OyyerMakin4 s allation?
_
{j?71 rl / i
?
U ?:= ?? :«<>
?
.
Humonzetl aWre IConM ki
? ng In tion
` e umber
a
. .
MINNE50TA STAT BOAHD OF EIELTRICITY
Griqga-Mieway Bitlg. - Room 5473
1821 Universfly Ave.. 51. Paul. MN 55106
PM1One(612)642-OBUO
THIS INSPECTION REQUEST WILL NOT
BE ACGEPTED BV THE STATE BOFRD
UNLESS PROPEA INSPEGTION iEE IS
ENCLOSED.
-?/? /4/ REOUEST FOR ELECTRICAL INSPECTION °?' ? ea-aooo?-oe
/ ? See insvuclions !or completing Inis form on back ol yellow copy. ;'M1"?31 ?OaO p? S
' 17 771; "X" Below Work Covered by This Request
ew Add Rep. TypeofBUiltling AppliancesWiretl EquipmentWired
Zoe ? Home Range Temporary Service
Duplex Water Heater Eleciric Heating
- Apt. Building Oryer ' Other (Specify)
Comm./Indusirial urnace
Farm Air Conditioner
- Otner Isu?ityl Gonhactor's Remarks'.
Compure Inspection Fee Below:
# Ofher Fee # ServiceEntrance Size # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformer5 Above 200 _ Amps I A6ove 100 _ Amps
Signs inspector's Use Oniy: 00 TOT
?
Irrigation Booms IDy" . ?
Special Inspection
'
y
? cil
AlarmfCommunication THIS INSTALLATION MAY BE ORDERED DISCONN CTEDY NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rougnin oahe)" ?
(
certit that ihe above ins ection has
Y P
been made. Final Date l
f
OFFICE USE ONLY
This reouesi wid 18 momM1S Irom
t
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 r 31 i os ' --
5
,
ANDERSON,ROSE
S11@ StfE2t ACICII'@SS 4071 PRAIRIE RIDGE ROAD (Jnit #
EAGAN, MN 55123
(651) 681-0068 '
Property Owner Jelephone # ( )
NORBLOM PLUMBING CO.
contractor Telephone #( )
Address City State Zip
MINNEAPOUS, M
N?5540?
O
?
_
ther
The Applicant is: Owner ontrac or
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5/8" meter is required)
Other: '
_
Water Softener X Water Heater $ 15.00
_ new 4- replacement.
Lawn Inigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ IS. SO
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 tfiis 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.
J,2? NUT'WwM
ApplicanYs Printed Name
s sign ure
11 JUN 0 6 2005 ; I
. -? f?2.3?
1991 BIIILDING PERMIT APPL CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
4-
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_ii OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQIIEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
(i-xclud<5 l.t)
To 8e Used For: Valuation: -•'?? ? Date: (6-10-91
, ?e Address 1-40-71 Tf i ' ?
1?
Lot 2 Block ?
(T,avLM4Ry Pa;?,S 2NtO4?dN,
Parcel/Su6
?
Owner A/1, !-)o,?Alc? Jn.ctin?? ?y
Address @d.$
?
City/Zip Code JIrnisvdiei SS53?
Phone (.5,6g -'7p(o 1
Contractor Sq.,`.,F As Q?,.ieR
Address
City/Zip Code
Phone 1
Arch./Engr.
/
Address
?
City/Zip Code
.
OFFICE IISE ONLY
?23 odo"
Occupancy t'3 M -I
Zoning 0-)
Actual Const
Allowable V-/? -
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water ?
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. M79/
Variance
FEES
Bldg. Permit O, OJ
Surcharge 50
Plan Review 9ro0
SAC, City loD'Ou
SAC, MWCC 00
Water Conn. Du
Water Meter _ 45, aa
Acct. Deposit 30,o0
S/w Permit 3010
?
S/W Surcharge , i"o
Treatment Pl. 'Jb,Oi?
Road Unit 70,0?
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL 77G
that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
aaX?Z? s z?
S44 K I S:? i?,p
4---
a? xab = ???
03?
ls?J r`
ty, v47 ! a36
=/2.
5
Z ? r? T?-Oo,Q
2f
: 'Zo
83? ? S3= y?r3o?
?ZZsI?
,-
ex 1 Z3e nO
,
'? * * * 2-0?2 Enterprisc Orlve
? PIONEEFt Mendota I 1ei91its, MN 55120
-- --- - ----- ------- -----
_ _--------
* er,g* eer ng . l i6121 681-1914
***
Certificate oI Survey ior: _MeJ?N'4L(? C.OII(S7' /NG _ _
NORtH
op
bv 0
a? ?bp???? ?? ?, ? so S F%
? s.
)
V ?°e // u^z?C \ 2? `d? ?? ?'•
ll . N
c06°'a
Da ?
\-iz1GA
iV EN.`INr",EaR.IN(] DEPT
? dY JL
\l?
!
3 I I
? i ?
?
.
RDO \ ? I
k ? p
N?I
P Re0!1.
• 900.0 Denofes exisfinl efevaiion
? goo.o Deno(es pmposed e%vation Lowesf Flnor fievofion 831;.7 _
Denofes brarna e f Ufil;?fy Easemenf 7"0/? or.^BIoCk EIQVpIio17 8Y?.7
--r-- Denofes vr4ina e f/ow I-Irrows C;aragQ Slob E/evalron s?c.4 ^
o Otnoles monu en f ?
Beartn?s shown are assumed o Denoles nl'i"sel Nub
Lor 9,BtoCK 4, CovENTaY pAss 2e"70Q _
DAKOTA COVNTY, MItiWfSOTW Subjec/ !o easemenFs o,"record
1 herpbV tlrllfY Ibnf Ihie eurvnV, plan or repnrl wns prepatwl 6Y mp or under my dirett supnrvisinn and thil 1 Tm dulY nrgis,ernA lnnd Surveyor
unde• thn lewe of the Stnte ot Minnesota. DataA day of _i A,D, 19-9/- .
-aale 1 rnch 40ief
---- - --- -
Rnn ht n.tiv,icl?l c prr,.N?1?An? ??
p5 90193.02.
------ - -----
01/- zo1
'MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective
Site AddressLyT?` 0 D`OCK C:OVBrt46l f'465a LNA taD'YKl.
Contractor ? 1-t.7 ,)1'i-d7 Phone
Building Classification: Type A1 (Single Family & Duplex) ?
Type A2 (Residential, 3 stories or less)
HoTE• Comolete pages 3 and 4 first.
GENERAL INFORMATION
If?
1. Building Perimeter%?NWOo- ?IN ft.
V%
(over 3 stories) (other)
2. Wall height (ground to eave) ft.
3. 1. X 2. (above) gross wall area 56??11Iv sq.ft.
h??,
4. Building dimensions (L) ?- X(Fl) ? = V?3 sq.ft.roof & floor area
5. Sq. foot area of rim joist - Floor jo size (2 X 10
_ _ X (Perimeter) _ ?sq.ft.
Q O
6 . Doors - Area 12
Thickness in U. factor
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter
8. Windows:
U factor
Manufacturer State approved
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
he?? Hkk?'F-V` ?rv+ EACH UNITS SQ FEET
S
9. Total sq.ft. Glass W
10. Fireplace area: Width X Height = X = sq.ft.
11. Exposed foundation: Height X Perimeter 4 (0-1 X( -+ 45 = 9 1, 1 V( sq. ft.
COMPLETION OF THIS FORM IS REQUIREp FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL
CODE ALLOWANCE, IS USED.
-1-
12. Framing area = lo% of qross wall area.
13. Gross wall area ??3?7 dI (b sq.ft.
Window area A ?_?l l_sq.ft.
Rim joist area A ZZd54`sy.ft.
Door area A sq.ft.
Other doors area A Zfsq.ft. U windows = ?3CO
U rim joist=
U door area= +I
U other doors= 14 7 UxA =
UxA =
UxA =
UxA
?,?
,?
= { 1 1
Exposed fndn Asq.ft. U foundation= , b7(p UxA =
Framing area A?I 7J? sq.ft. U framing area= I"1-5 UxA = 25,?
Net wall area A_[IJILIJ? sq.ft, U wa11= •OA J UxA = 1i3
(13B ) TOTAL . . . . . . . . . UXA
14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
r/ 2 q BTUH must be larqer
A L? J1' bx U Code + 1? = Z1Q' o I °F. as 13B above
han or same
15. Ceiling framing area (Af) equals 10% of ceiling area
15A. Gross ceiling area = (L) x (W) ?- _ 105-?P sq.ft.
15B. Joist area (Af) = 10$ ceiling area = A9 5 sq.ft.
15C. Net ceilinq area (Ac) (15A - 15B) = lep sq.ft.
U ceilinq x Ac _ x. q4e2 = Iq
U framinq x A f = JbL77 x 4a? = Z lI L
15D. TOTAL U x A .......................... ??1,?
5
16. Ceilinq area (15A) x 0.026 (A-1 single fami y& duplex)
= allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
1,.?.? 7 BTUH must be larger than or same
A(15A) /(?J? x U Code iOZ? _(? ? °F. as 15D above
NOTE: Use U and A values obtairted from paqes l, 3 and 4.
CERTIFICATION: I hereby certify that I have calculated the "U" factors and
"R" values herein and that the buildinq here described meets or exceeds the
State of Minnesota Energy Conservation Act.
Date
Signature
-2-
411 -zg5l
8? ??x ( 3z?-3zt Z? ?-z?) = l 01'1 ? z?
Z??l, f?
? I? Po?NS
Po ??v
Iq I 1?I 7?X?v = l I ? z5 ?°l = ? d h zs
?s
Sliv-l
? I r?
? unLL
SECitON
SiUD
SECTION
SECTLON.
R1hl
JOIST
terlor elt film
sulatlon
unJatlvn
terlor alr, ffilm
R TOThL
poeed BLutk
J•'?'?+rade
tnslde •[t film :68 '
Interlor xall .45 (Nall) V . ? a
0.
tneulatlon q . •
Sheething Z p(a ' .0427
Slding . .(01
Outelde alr Etlm .17
R toTAL,
z-3 , O ?'?
Inalde.alt film ? .68
'
Intettor xall .45
4,, stad . R= 4d3p (n,s (rr.ming) u -?_
Sheething ? Z.OlO 5?ding .(01
. ,?-
Outslde ait Elim ' .11
N TOiAL
lntetlor xall '
lndulntlon tall ) U + R ..
?
xtettor wall eovet n ,
Eaterlot slr.fllm' R .,17
A TOiAL I-'erlor alr [Llm R? .66
Insutation 1q,00
lnch eo[t wood R=1.88 (aim
Jolst) '
?athing Z.O(o
tetlor wall covering
1
tettor alr Elim R' ,17 R TOiAL 2.4, 4(p
R° .68
R= .17
1 3,1'S
?
U°?=
?-
F?
(Fdn. ) U ° ?{ =
. ol (o
3.
i
:!
,EILING WITH VENTED ATTIC SPACE ABOVE
R VALUE
FRAMING
R VALUE
CEILING
0.61 AirFilm 0.61
*6-1• 0 Insulation 44 - o
4.38 Joist -------
0.56 Ceiling 0.56
0.61 AirFilm 0.61
Tota1R I ?;. 7,e,
U = l/g .CJZ-Z-.
Nlindow infiltration 0.5 cfm/lineal foot of crack
Residential door infiltration 0.5 cfm/square foot or door and minimum code
requ3rement
Non-residential door infiltration 11.0 cfm/lineal foot of crack
Ub 12" aoncrete block no insulation = .47 R 2.1
Ub 12" concrete block insulated cores = .26 R 3.8
Ub 12" lightweight block = .32 R 3.1
Ub 12" lightweight block insulated cores = .12 R 8.3
U single glass = 1.13; with storm window .54
U double glass = .55
[! triple glass = .41
All exterior walls and ceilinqs must have a vapor barrier (0.10 perm max.).
Vapor barrier must be on the inside (heated side) of wall.
Vapor barriers of the polyethelene thin film have no R value.
A
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PNONE; (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # ?Oo2 /D
DATE: 7 ?
???#gg`TW PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: 7v / ( if 'L[J
LOT41 BL}O-CK ? SUBD.
INSTALLER: / 1 VP, 's?Qr
ADDRESS: / r1 / J (?A u VM I 7TVC:
CITY0OIqU (Nf'(?VO , MN. ZIP:
PHONE # ; f_?
SIGNATURE OF
-------------------'
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
r ADD-ON MINIMUM 15.00
SHOWER 3.00 _2.U6
WATER CLOSET 3.00 `l.nn
BATH TUB 3.00 -2 Or)
TAVATORY 3.00 j a.oo
KITCHEN SINK 3.00 -L_Qo_
LAUNDRY TRAY 3.00 .3 o0
HOT TOB/SPA 3.00 3 nn
? WATER HEATER 3.00 `?.6c)
? FLOOR DRAIN 3.00 ?.0 0
GAS PIPING OL':.
(MINIMUM - 1)
3.00
?Q
.:3 ROUGH OPENINGS 1.50 ?Q
OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00;
U.G. SPRINKLER 3 00
?? ??
SUBTOTAL S ,
ST. SURCHARGE .50
c,
o0
?
TOTAL: s ,
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WFtEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
CITY OF EAGAN
i CITY OF EAGAN FOR CITY USE ONLY
' - ? 3830 PZIAT KNOS ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #--?-
3??F1$t±7I?1?:s;??A?T; DATE: 7///J
S?A??'X`IAI,;;: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
? ._ ...........................
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ --------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ? ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM j- 3.00
n\ .nr\ OF 1 PER PERMIT
OWNER NAME:
SITE ADDRESS: `AU I \
LOT:? ni.OCK -i` SiJBD!
INSTALLER:
ADDRESS
CITY: ZIP: lsss??0T
PHONE
$?300
.50
4 3?5?
?UMME.RGTAT.??!ID?lS?'R?l?1,:` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
.. ....... ...:.... ....... .......:......... .. .......... ........
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNST.
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
18 OF CONTRACT FEE.
STATE SURCHARGE s $.50 FOR
EACH $1,000 OF PERMIT FEE.
FkOCESSED PIPING = $27.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
SUBTOTAL:
STATE SURCHARGE:
9524615156
Sep 19 07 02:43p DUN-RITE ROOFING CO. 9524615156 p.1
v?.ar.cwir,:ca ?rpy?? CT42r{"ry UtV y yy7&4b1515b ?. 840
mmRESIDENTIAY.BUILDINGr?QnrKADUM ?'6 Y
Ciry Of Eagan s/
3830 pitot Kaob Road, Eegan MN 55132 ??p
Teleptioue # 65l-67?56TS 'FAX # 651-675-?94
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Telephone # t
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iei@p?tip1v2 #(
iL nereoy appFy ior aKmaennau nuuamg ftrmrt und aclmowledge wat the info:motion is compleoe and sccurate;
that the wack wi11 be in canfoniance with ifie ordiaancea md codes of the City of Eagan and the Stute of MhT
Scarures; 1 uadustamd this is nat a pecmit, but enly an applicatioa for a permit, and work is qot w staq without a
permit; that the war1c wil l be ia ecvordeace arith the apptoved aim in the case of wosk req?ures a zeview and
$PProval ofplans.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111337
Date Issued:06/19/2013
Permit Category:ePermit
Site Address: 4071 Prairie Ridge Rd
Lot:9 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:Replace 1 door within existing openings.
Kara Benson
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Rose Marie Anderson
4071 Prairie Ridge Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146064
Date Issued:10/06/2017
Permit Category:ePermit
Site Address: 4071 Prairie Ridge Rd
Lot:9 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-090
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rose Marie Anderson
4071 Prairie Ridge Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
-I
For Office Use
t e
% e
,
EAGAN
:::e: / P./1 °2"7r(
69 14>
....,-„,..
„..--„..
RE In !: -,:,-1 V I,‘,i II' Date Received: --a 7---c-/k- ?
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 OCT 1 5 ?018 Staff:
buildinginspectionscitvofeagan.com - L ...
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
49 .. ....._ _
i
1 - Name:/7C9$e.- /76/ei-50Phone:/4/ -6/4, • 4/e8C..i
i
Resident/ Z
a Owner Address/City/Zip: 1710 7/ 71-9,09/e/e j24,,...
ZC/
.71., f'(me dt'Szvi
Applicant is: Owner < Contractor lb _
W t/ ,/4. . ,
---- ------ A
/*re-/lie) ( 1
, Description of work: 112,95/-cr ,e000-7
Type of Work 1
i
Construction Cost: 0 IC_ Multi-Family Building: (Yes /No
,„,_ ....... ,
i Company: "21"..5 5/04 6,75 le uc h.e,/ 2-I-Contact: ô7'90 6,/e- e)6-7 i 7_51
I
Contractor Address: e„,_0(o, fc-,
7 6,-)/ Vt - " ,eri)/ Z' City: 3 /1
4 2 :;ip c— 1
i
1 !
StateneliZip: 7 p Phone:1..ole--e/b75,glail:Chk.ci tz frr e 65 i 00 ex)F,1 511 0
1 1
w License#: /SC-74/00-2 CP
1
t------------- ---------- ----------- --
L_ead Certificate#: •
: If the project is exempt from lead certification, please explain why:
Arne. 41,1- .617/1 et(lir Z._ /91.63 1
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? 1
!
Yes No If yes, date and address of master plan:
I I
I Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I :
Sewer&Water Contractor: Phone: I
1 t
i
Fire Suppression Contractor: Phone:
f_...............___....____________ u information.
! NOTE;Plans and supporting documents that yosubmit are considered to be public Portions of the information maybe
classified as nonifblic if you provides'ecific reasons that would .ermit the Ci to conclude that the are trade secrets. I
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances an• 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 ,-rmit; at the work will be in
accordance with the approved plan'n the case of work which requires a review and approval Ian'.
J
. ,
Applicant's Printed Name Applicant's Signature
X07{ 66 (. /5;d .e7 . t/j � 7 '
DO NOT WRITE BELOW THIS LINE ,�
SUB TYPES
Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
1 Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
_ Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation LAcA> E,' Occupancy srZI_ / MCES System
Plan Review Code Edition /MA 2c2(5— SAC Units
(25%_100% O ) Zoning 12 -I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction —10—
Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) / Final/ No C.O. Required
Foundation Foundation Before Backfill y' HVAC_Gas Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: _Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
' Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Y' Shower Pan y! 'n / Other:
Reviewed By: /°®" 4'2; /2 (f , Building Inspector
RESIDENTIAL FEES
Base Fee IJ2C,oi,7)"/p-) e
Surcharge ( i —
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
-I
F%,''',,,, E AG A Nor Office Use
e :0 :::::ee
( �"„,
: (0 0 '' '
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspections(a)citvofeagan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /6,-31–/h Site Address: t”-/O. 7/ p`° i i---).e P-K/5 e «Gt
Tenant: Suite#:
Name: JathRvi .e1'50 eV Phone:
Resident/Owner
Address/City/Zip: �O-7 f time ir/
Name: Ma ri4^1 p ?Jv Alb fl 1 .1n I License#: 3c9:78 F P
Contractor Address: I as F, /6511.7 S''free-f- City: YO u 4 eyrie r`tc�
t
State: Pin Zip:S5 SC- 7 Phone: 6Q I a 75(0 - i j?,
Contact: llh ec Email:
Type of Work —New Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Description of work: rt)Q.1, hcc4 i 4 ub .Sho e r vt.\1 V°P WE," Y C le,Sei [ .ti$ Nx
t RESIDENTIAL $
`I i
Water Heater
Water Softener
I Lawn Irrigation (_RPZ/—PVB) ,
Permit Type
Septic System a Add Plumbing Fixtures( Main/ Lower Level)
New Water Turnaround
__ _i_____ Abandonment
RESIDENTIAL FEES:
I
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ i
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacian.com/subscribe.
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 Do U% 14 l b p( x C----.) (--- 1,L0Q.,zc
Applicant's Printed Name Applicant's S nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156131
Date Issued:06/18/2019
Permit Category:ePermit
Site Address: 4071 Prairie Ridge Rd
Lot:9 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 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 -
Rose Marie Anderson
4071 Prairie Ridge Rd
Eagan MN 55123
(612) 616-4282
Mission Construction Llc
2067 Winterberry Lane
Shakopee MN 55379
(612) 810-3195
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156282
Date Issued:06/24/2019
Permit Category:ePermit
Site Address: 4071 Prairie Ridge Rd
Lot:9 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-090
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 -
Rose Marie Anderson
4071 Prairie Ridge Rd
Eagan MN 55123
Mission Construction Llc
2067 Winterberry Lane
Shakopee MN 55379
(612) 810-3195
Applicant/Permitee: Signature Issued By: Signature