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4072 Prairie Ridge Rd ôíô öÿ ÿ þ þýý üûöüùû øýýú÷ù òäöù ñ þýô ýüûúùøîüö ßöòö öúùøôó öøîüö ßöòö Þüöÿ öÿö øöìöïüöìüûöã ööþý ö øöþáå à ý ññ ñ ã ç êêñ òø ýüö öÿîéç êåêå è ü þåê ñð ôïî øø òöøöÿùýô åäöÿöäþýüñâ ö ö÷ÿ÷ ò÷ øãô ñ ÿ ãô áâàâ â öûù óÿ äö øø õöì öö ÿöìøùó øø ûý õã ý ü òùõ ÿ íö ê øø ë üùýÿ üö SEWER & WATER PERMIT CITY OF EAGAN 3830 Pibt Knob Rd. Eagan, MN 55122-1697 DATE 06/28/91 OFFICE USE ONLY MEfER # PERMIT DATE1 i/20/91 CHIP # PERMIT # METER SIZE B.P. RECEIPT # C14354 7181vi ISSUE DATE kx B.P. RECEIPT DATE _ PRV - BOOSTER PUMP SITEADG}RESS4(i i?'-e Ridge Rd. oventry Pa:,s I1 LOT " ? - BLOCk- '" SEC/SUB ` ^' APPUCANT: ADDRESS: ? 2 ? ? r? ? •_ ? r :, , I'? - .. I CITY, STATE ZIP - ? -- PHONE: t PLUMBER: AQDRESS: I O? L? ,..,Q,? `? ?i?„ c? TP rra?C' CITY, STATE ZIP -` Z L PHONE: OWNER: ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED ? SEWER WATER _ TAPS _ COMM/IND V NEW ?RESIDENTIAL - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domsstic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AG?EIE'T0 COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ? - DATE: 7/10/91 RE: 4072 PRAIRIE RIDGE btD., L6, B2, LOVENTRY PA3S 2ND xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. our Sewer & Water Permit for the above property cannot be completed for the following easons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy atlowed 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. Secreiary, Buildrng lnspections Dept. CASH RECEIPT Fiipli AMOUNT a CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 I { oArE 19 --} • " & DOWRS ,oo ? CASH tj CHECK ww 1? ? '-` . i + ? f i t ?r ? C: I? ev ?- '- / t ._ r C 14354 Whft--P•"°? ? Y?.--??? ? ??" Co" Thank You SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pifot Knob Rd. Eagan, MN 55122-1897 oATE 06/28/91 OFFICE USE ONLY METER 0 /1 PERMIT DATE 7/ 10/91 CHIP # PERM(T # 12139 METER SIZE ? -SPnS u-S g p, RECEfPT # C14354 ISSUE DATE 91B.P. REGEIPT DATE 7/$/91 RX _ PRV _ BOOSTER PUMP SITEADDRESS''{17? PrairiA Ridge Rd. LOT _! '. BLOCK ?=' SEC/SUB "o ve n t r v P a s y I I APPLICANT: ADDRESS: CITY, STATE ?,•,s?11 ?, MN "' } ZIP S'2'? PHONE: : F• fi - 7 an ? . PLUMBER: ADDRESS: ? < ?• T? A CITY, STATE ^^ 4n J ZIP 5'5 Z PHONE: OWNER: !E?4n„r A'S ADDRE,SS: CITY, STATE ZIP PHONE: - PEFiMIT REQUESTED SEWER _L-ATER - TAPS - COMM/IND ESIDENTIAL NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Dome tic Meiers on Water line. Credit V1llLL Obe given far-peduct Meters. OF METER ISSUED PLE"E /(LLOW TWO WORKING DAY8 FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PER111ITS, CONTACT ENGINEERING DEPT. ,• -; . ? _ ?;?;: &)V? HOUSE HEATING TEST RECORD 2 ? ? ? 4?v ADDRESS ? APT. ?Ld C SUBURB --? 0 OCCUPANT C- ? OrIlIER ? 1 o • - /`-?? ? HEAT LOSS DATE HT . INST. SOLD BY ?077 1 c I j ? 6;e INSTALLED BY (f A Elechicol Work By Gas Lino By C? TYPE OF HEAT GA FA HMI S7EAI?A SPACE HTR. UWIT HTR. OTHER ---t"" 6A5 DESIGN COHVERSION MAK E ?'+n bIAKE OF BURI? --- Model Alodel Soriol Mkx, BTU Ratin? INPUT MAKE OF FURNAC Model THERMQSTAT Hwt Plup Vo{vo I ? Limit Limit Settin9 ? T.. Fan SeftinQ Pilot Type Pilot Mak• Pilot JNod•1 _ Pilof Timinq ` - y L.W. Cut OfF ? -7 Presaun Prreent G02 ? lnpuf CFH Percent OZ ' Staek Temp. , P?rqnt Cd Form 235 Yent Sis• _ KIND OF LINER ---- SIZE NONf Droh Hood r ? Rpulatefr- Fi Itwt Sise /M r Chimney Loootion 4w41d. taid? Chimney Constwdion Smok• Bom 1Miriny Draff ' ' T*s1 Tao Door Pnsaur? - Liyhliny (nat. Dab Toshd Company Tostiny. Nanw of Toster ? G (_ { % t t'?+?T+-swe•svr-..-- R. -i-w.r--? ,?-, -., • • .. .*.. -• .. ;, . -? - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for $F j}WG/GAR Esi. Value ;116,13C Site Address 4072 PR/?IBtB RIDGS RD Lot b Block _2 Sec/Sub. COVgN'PQY pABS 211 Parcel No. W Name ?+?? 4?57F11?.Ti(? i11G ; Address 1212 s1.UEBxLL 81?Y RD ° cit aur?sviw.E y Phone 488-7061 o Name SAME 00 uK Address 9c City Phone Name _ Address Phone I hereby acknowlege ihat I have read this application and state that the infortnation is correct and agree to oomply with all appliCable Sta1e o1 Minnesota Statutes and City of Eagan Olances. Sgnature of Permitee --_1- A Building Permit is issued to: MCWNAM COM$UCTIOl1 on the express condition Ihat all work shall be done in accordance with all applicable State ot Miripesota Statutes and City of Eagan Ordinances. Building QHicial Receipt # ? i 'i _ - 'I OFFICE USE ONLY Occupancy R-3 -Um1 FEES Zoning (Actual) Const 00 Bldg. Permit 731, (Allowable? ? Surcharge 63,00 # or stories Length 7Q? Q? Plan Review 475, Depth q 1cL+? SAC. City 100•? S.F. Total - SAC, MCWCC 650,? S.F. Footprints - On 5ite Sewage _ Water Conn 50.00 on sita weli water nneter 95.00 MWCC System x Ciry Water JL- Acct. Deposit 30-00 PRV Required _X SMI Permil ?•? Booster Pump - g/yy Surcharge ? Trealmenl PI ? APPROVALS Road Unit 370, Planngr - Park Dad. COUnCiI -- BIdg.Off. _ Copies Variarice - TOTAL 3.4w. ? . Permit No. Pe?mit Holder Date Telephone # w:tiER SEVrER PLNM8ING / ?9 ? 7ti19'O ?CX/ avi. H.V.A.C. ELECTRIC 8a g s ? ? InspacNon Date Insp. Comments Footingsl Foundatio, g Framing ? Roofing Rough Plbg. Rough Htg. ??/?lg /'? 9!3 Isul. Fireplace q?U ? CS l?-N /Y • (i? Final Htg. d?9 orsrat Test io/it"/9/ 11L1/ Final Plbg. /p ? Plbg, inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Dedc Fnal Weil Pr. Disp. / ,l (gerfif tra#r of (Orrupanry titp of (Cagan ap#iwcbnPlt1 of %jbiltg 3ri8}1PtftOtt Thrs Certt; ficate issued pursuant to the requiremenu of Se+cJion 306 of the Unijorm Building Code ceriifying that w the lime of issuance lhfs slructure was !n compliance with 1he various ordinarices of tJFe Crty regulating buildrng construclion or use. For the following: u. a.&.s. SF DWG/GAR Bkig. FtTm No. 19364 oa„p-y Tm R3/M 1 Zomi,B nda;tt RI rya r- CYN o??rsQQEDW4La rJQJST. IlM. Add. 1212 X,L1EBII.L BAY RD, B'V'II,TE s46,1 naa,.. 4072 PRAIRIE RIDGE R(lAD L-90 L6. B2, i70'VH+TiRY PASS ZTID ? o„w t/ 10/ 15/91 eut'la;ng oer POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ?? a ???? ?+ ? a i? ? E3?? ??? E? ? SITE ADDRESS: APPLICANT: ,. i iti??tl?Pfr'.t N (s.l.?i ',t+., 4rll PERMIT SUBTYPE: TYPE OF WORK: . ; I s . , ,,; r- L en ? ? Is 1 r4r; 1 4 i<I E ;a IqH r n I Ii F'I A+'.F UIPIfi4 IFl 7 J Pertnit Holder Date Telephone B PLUMBING HVAC inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL :?c n?? DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL Addres8: 4072 pRALRIE RIDGE rZp Lot ( Blk z Sec/Sub Cp?gy pASg 2Np These items weie/were not complate at tha time of the final inspection. 10/19/91 Yes No Final gtade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Perinanent gas Sod/seeded grass Trail/curb damage ? Porch Basement finish Deck L/ Pleasa verify vith the builder the removal of roof test caps from the plumbing system andthe shut-off of water supply to the outside lawn faucet bePore freeze potential exists. ? unaeonrtn White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE:454-8100 , BUILDING PERMIT To be used for SF DWG/GAR Est. Value $126 ,000 Site Address 4072 PRAIRIE RIDGE RD Lot 6 Block 2 Sec/Sub. COVENTRY PASS 2N Parcel No. w Name MCDONALD CONSTRUCTION INC 29 o Address 1212 BLUEBILL BAY RD City BURNSVILLE phone 688-7061 ?o Name SAME I g? Address City Phone ?' Ww Name_ Address Phone I hereby acknowl that I have read this application antl state that ihe information is corr and agre ; to comply with all applicable State of Minnesota Statutes City oi E gan 0 r9i ances. Signature oi Permilee A euilding Permit is is u ?o: CDONALD NSTRUCTION on Ne eapress conditi n t all work shall be done in accrordance with all applica6le State of Mi _ e ota Statutes antl Ciry ol Eagan Ordinances. Builtling OHicial Receipl # N° 19364 i I 3sy 1991_ OfFICE USE ONLY Occupancy R-31`L-.1 FEES Zoning R-1 (ACtuaq Const V-N Bldg. Permit ? 731.0 (Allowable) V ? Surcharge 63.00 N olStories 70' PlanReview 475.00 Lerglh DeOtb Z6? SAQCity 100_0 ? S.F. Total - SAC, MCWCC 650.00 S.F. Footprinls - On Sile Sewage _ Water Conn 660.00 OnSiteWell - WaterMeter 95-0? MWCC Syslem X CiryWater -X- Acct.Deposit 3n-17) n PRV PaquirBtl X SNJ Permit 30 _ nn Boosfer Pump - 5/W Surcharge 0 .5 Trealment PI 276.0 n APPROVALS RoatlUnit 370-(1(1 Plenner - Park Ded. Council BIdg.Ofl. _ Copiea Vanance - TOTAL -j.480.3V p 825 11j4j9i g... a? ioa4ey?o3?? Request e //?? Fire Na, ??? [ l/ 7 u5h{n Inspeciian eq?tl? .1 5 G No / O Reatly Now L,^Nill Notity Insped Whe Featly? I o'licensed contractor ? owner hereby request inspection of above elect al work at: ? Job Aaar ss (SV ef. ox or City Secli No. To nsH Name or No. ge No. Coun Occupam IP P?one No. Power Supplier Aadress ElecVi? nVaclor ICo pany I?mel ? Con tors 'censg NO ? OV Metlm adr ss ICOnha? r 0 ? ing Installelionl /'? - • ?ion Authori. Si a re ?GOnva Owne Makin Insta?ilaa . P on Numbe ?? MINNESOTA STAE BDAPO OF ELECTflICITY THIS INSPEGTION REOl1EST WILL NOT Griggs-MlOway Bltlg. - floom S-173 BE ACCEPTED BV THESTATE BOARD 1621 Universily Ave., St. paul, MN 551114 _ UNLESS PROPER INSPEQION FEE IS Plmne(61Y) 6C2-0800 ENCLOSED. :EQUESToFORoEP ECTRI?CALbINSPECTION %OfJ 1 44829 "X" Belaw Work Covered by This Request x° m"tQ EB-00001-OB ? ? / 0 3 ew dd Rep. 7ypeofBUilding AppliancesVtlired EquipmenlWired Home Range Temporary Servica Duplez Water Heater y Electric Heating Apt 8uiltling Dryer • Olher (Specify) Comm./Industrial iii urnace Farm Air Condiiioner Ofher (syemN) Gonlrector's Remarks: Compute Inspectian Fee Below.' # Other Fee # Service EniranceSize Fe # CirCUits/Feaders Fee Swimminq Pool D to 200 Amps / 0 to 100 Amps Tiansformers Above 200 _ Amps ove Amps Signs Inspedor's Use Omy: TOTAL I O Irrigation Booms /D 5 Special Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCON CTED IF NOT Other Fee COMPLETED WITHIN 18 THS ( I, the Electrical Inspector, hereby Rou9n-m oat!,, ? certify Ihat the above inspection has been made. Finai ? ?a? O ?/J OFFICE USE ONLV y? tf / ?OSi?J y TM1is rBpoest voitl 18 monlhs irom 10- /] F RESIDENTIALBUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephoue # 651-675-5675 FAX # 651-675-5674 New Construction ReauiremenLS RemodeVFteoair Reaui2menb OI(ws Use OnN 3 registered site surveys showing sq, ft oi lot sq. fl. of house; and all rooted amas 2 copias of plan Cert ai Survey Recd (20% maximum lot coverage allowed) 7 set of Energy Calculations fa heated addidons Tree Pres Plan Recd 2 copies of plan shawing beam & wiiWow sizes; poured found desgn, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 sel of Energy Calculatians Addition - indicefe if on-site septic system _ On-sile SepBc System 3 capies o( Tree Pmservation Plan if lot platted after 711/93 Rim Joist Oefail Options selection sheet (bidgs with 3 or less units Date /15/ C Site Address l D-? < < o 74 adl? Constructi n Cosor //JQD ?a UniUSte # Description of Work 1 - Multi-Family Bldg _ Y /?'N Fir lace(s) _LX0 _ 1 _ 2 Property Owner Telephone # (GSI go? 7° Contractor filloorem Address State ? V ?? /V L Ctty ??[? ri '// Zip ,j Telephone # ?Jla ) 7/D? 'JrIJ?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NENf BUILDtNG 4 (q Z 7,5 - Minnesota Rules 7670 Cateeorv 1 _.--?-n L ora xuies ioiz Energy Code Category ? Residen0al Ventllation Category 1 Work e?y ?,, • eyr? nergy Code Worksheet (J suhmission type) Submittad ,?,? S larrlilted • EnergyEmelopeCalculatlonsSubmittedJUiq "i s tJ?? ?J1 Licensed Plumber Telephone #( Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MiN Statutes; 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. Applic t's Printed Name GGl da",., -, ApplicanSi ture OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool El 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N.? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 38 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 bemolish (Interior) q 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Demolition (Entire Bldg) - Giva PCA handout 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) FinallC.O. , Foorings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota I Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ? ? 0 ? ? 1/?1?, q, 3830 PILOT KNOB RD - 55122 l-t `11 651-681•4675 New Canstruction Reauirements • 3 regislered sile surveys showing sq. R of lot, sq. ft. o( house; and atl roofed areas (20°h mazimum lot cove2ge allowed) • 2 copies of plan showing 6eam & window sizes; poured found design, etc.) • isetofEnergyCalculatiore . 3 copies of Tree Preservation Plan'rf lot plalled after 711193 • Rim Joist Detail Options selection sheet (bidgs wiN 3 ar less units) DATE ?Io2? I _0a' JOB SITE ADDRESS 'r "?U72 IF MULTI-FAMILY BUILDING, HOW PROPERTY OWNER TYPE OF WORK d% • APPLICANT ?? it- RemodellReoairRequirements I . 2 copies of plan • 1 sel of Energy Calculatbns kr heated additions • 1 site survey for euterior additions 8 decks • Indicate if home served 6y septic system for additions VALUATION L« '<- (. E? ANY UNITS? ? ? ADDRESS Y07L r /t?,L 2? P,- PAGER # FIREPLACE(S) _ 0 X 1 _ 2 PHONE# ZIP CODE!S??- I Z3 3??Fax# b51- Zr3o NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: PlumUing Syslem Includcs: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: CELL PHONE # 7 9 ' Waler SofLener Water Healer No. of Balhs Phone #: _ L,awii Sprinklcr No. of R.I. Bafhs Phone # Air Condilioning _ Heat Rccovery Sys[em AII above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the i rrr with all applicable State of Minnesota Statutes and City of Eagan Ord nc SignWure of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Fee: $90.00 Fee: $70.00 PTP q ]?L , agree to comply Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ?-19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg)CY or_ N ? 25 Miscellaneous ? 31 New g 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demalition (Entire Bldg only) - Give PCA handout to applicant Valuation ACO Occupancy ? `3 MC/ES System Census Code 113`/ Zoning City Water SAC Units ? Stories Booster Pump Nbr. of Units ? Sq. Ft. XQ Hez- PRV Nbr. of Bldgs a! Length 11 & Fire Sprinklered Type of Const :Y?/v Width yO REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Wa[er Final Pool Ftgs AidGas Tests Final Framing Stone Siding Stucco ? Fireplace a R.I. !d Air Test jt Final _ Windows (new/replacement) ? Insulaaon - _ Retaining Wall Base Fee Surcharge Plan Review MGES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ----- ----------------- Approved By Building Inspector PERMIT # i 1 H -?)-6 RECEIPT DATE: EOOE RUIDEPTiAL PLiJM$IAH PEibI1T APPLICATION crcY og RAem 3930 Paor [uvos ftn E46RA, 6llY 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: ? "7Z P?'Gc , ?- I ? ^' cX? OWNER NAME: : o%J TELEPHONE #: C75 I - -/ SZ 21Z?b (AREA CODE) TELEPHONE#: 2-2--7k _ n (1 (AREA CODE) INSTALLER NAME: STREET ADDRESS: _ ciTV: Co?4aW STATE: AG 1? ZI P: s?'i Z3 _ SEPTIC SYSTEM, new/refufiished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Waterturnaround - ewsting dwelling unit (+ 5/8" meter'rf needed -$118) Other: &1.2?j1,v..,L v-1k- -'F( V%- i ? _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ , .50 TOtal $ -?S I hareby acknowledge that 1 have read this application, atate that the information is conect, and ree to complywifh all applipble Cityof Eagan ordinances. It is ihe applicanYS responsibility to notify the property owner that ihe City of Eagan assumes n li ility for any damages caused by Ihe City during its normal operatlonal and maintenance acUvities to the facilities consWcted under this permit within Ci %Ay(tight-? y! ement. r ?j ? SIGNATURE OF PERMITTEE 1/02 CITY 0F r-_.FleAN GA.i]:F_Ft? S r:r:.RMIraK No: 9s.e DAiEa iCl/fJ1./98 TSMt:.: A6.04a20 Iit r, iJAMEc EI_DE:fi-,?ONf'S 300 900i. 'FOf 2 F'IiFllfi:I:E RLi 87.25 2155 9001 4072 f-'RFhIRIE_ RXl 2.0f7 Toi;aI F<ei=ei.pt Am[n.»y+„ 89.25 CF;09 i 3"i4 Ugr:k :[I!e NANCV Y??(iK7:t?C?, YFX?*?kN,7K7K7KYCYFYFM"Yk?K%k?':%??'.+?SK'M?'M?K?K%??rYh'C?kX<.?X1? PERMIT CITY OF EAGAN 3830 Pilot Knob Road Ea-gan.M'tnnesota 55122-1897 (672)681-4675 PERMITTYPE: BuzLoxNs Permit Number: 033514 Date Issued: 0 9/ 3 0/ 9 8 SITEADDRESS: 4072 PRAIRIE LOTr 6 BLOCK: COVENTRY PASS 2ND P.I.N.: 10-18401-060-02 RIDGE RD 2 DESCRIPTION: , ° I REPLACE . Bu?i`ldf n'tg,,Permit Type B,tirilding Wtark Type ?C'ensus Eode ? WINDOWS SF (MISC.) REPAIR 434 ALT. RESTDENTTAL (?. ,. .. _... _ ?t ?... _ ?._ . .. ?. J ?.. i_ _, . .7 ...) - ? . -_ REMARKS FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $87.25 $2.00 $89.25 $4,000 [?? Rp(?TOp - Hppllcant - sr. Lzc. OWNER: 17 TAL--bY -F4NDERSEN 15024777 20040630 HUNEGS HOWARO 350 73R0 AVE NE 8 4072 PRAIRIE RIDGE RD FRIDLEY MN 55432 EAGAN MN 55123 (6•12) 502-4777 (651)686-6902 I I hereby acknawledgs that I have read this application and state that the information is correct and agree to comply, wS.th all applicahle State af Mn. 5tatutas and City df Eagan Ord'inanoes. APPLICANT/PEiiMITEE SIGNATURE ? a "W q.WUED BV: SIGNATURE I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 33?? 3830 PII.OT KNOB RD - 55122 681-4675 9 - ? d - O . New Construetion Reauirements RemodeUReoair Reauirements • 3 registereC site surveys ? 2 copies of plans (inUude beam 8 window s¢es; poured fid. design; etc.) ? 1 energy wlculations ? 3 wpies of tree prexrvation plan if lot plaUed after 711l93 requirod: _ Yes _ No DATE: 9 -,Q 1,9 ? DESCRIPTION F WORK: de.n.Paeg-'4 WLn STREETWD-DRESS: 40?a k ? 2 copies of plan ? 2 aRe surveys (erterior adtlitions 8 deeks) ? t anergy celculations tor heateA addRionsCONSTRUCTIONCOST; a 3 .? '14,0-.`° ecL , LOT: ?O BLOCK: SUBD./P.I.D. n V Name4k,10Q s f-k7,(?GLlr.l E Phone#: PROPERTY Last VFirst owrrEx ?}0'?02 P?a.raaa R?ds?e 2cl Street Address: City C_GIL,y(Lh State: -)'In Pl Zip: .SS Ic-IS Company: 1 4el'1 Dt.c )aX lL!, IrrI1 A dt h _ Phone 410 "LC (T Z -J CONTRACTOR StreetAddress: License# c7'Q0Ct0C4---'?0 City 74 d Q?'t , State: Zip: ? 3,;?- ARCHITECT/ ENGINEER Company: !/I A?, Phone #: Name• Street City Sewer 8 water licensed plumber (new wnstruction ony): and lot change is requested once permit is issued. State: I hereby acknowledge that I have read this appliqtion and state that the State of Minnesota 5tatutes and'City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certficates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No D eopjetraH- #' _ Zip: Penatty applies when address chang and agree to comply with all applicabl OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex D 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations M 17 4.i'li!;nn fl 3A Renair GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move n 37 D.i,,,o!i+ic,., Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM/ Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units r PERMIT . : CITYOFEAGAN 3830 Pilot Knob Road PERMITTYPE: euiLoxn,G Eagan, Minnesota 55123 Number: Permit 02382 7 (612) 681-4675 Date Issued: 0 6/ 10 / 9 4 SITE ADDRESS: 4072 PRAIRIE RID GE RD LOT: 6 BLOCK: 2 COVENTRY PASS 2ND P.I.N.: 10-18401-060-02 DESCRIPTION: Building.Permit Type DECK 'Building Work Type NEW \ ? ' -? C Y { ` ??f REMARKS: FEE SUMMARY: Base Fee $30.00 COPY $.50 Surcharge $.50 Total Fee $31.00 Subtotal $30.50 CONTRACTOR: OWNER: - Applicant - HUNEGS HOWARD 4072 PRAIRIE RID6E RD EAGAN MN 55123 (612)666-6902 I hereby acknnwledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate ofi Mn. ? Statutes and City of Eagan Ordinances. ? " AISSUEO BV IGNATURE INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: BuiLoznG Permit Number: 0 2 3 8 2 7 Date Issued: 0 6/ 10 / 9 4 SITE ADDRESS: LOT: 6 BLOCK: 4972 PRAIRIE RIDGE RD COVENTRY PASS 2ND PERMIT SUBTYPE: DECK APPLICANT: 2 HUNEGS HOWARD (612) 686-6902 TYPE OF WORK: NEW INSPECTION .. . .A FOOTINGS FINAL F ? L J ' CITY OF EAGAN ? Yri 1994 BUILDING PERMIT APPLICATION 681-4675 4,31- 00 ri;7 ? . „_- -- P/la4e/'!. L-1 SINGLE & MULTI-FAMILY 2 sets of plans, 3 register d site surveys, opy of energy calcs. J(lti 0 2 1994 L COMMERCIAL 2 sets of architectural & s uGUu°a]_p1qn.s,,_1 set of specifications, 1 copy of energy c . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date (o / 2 Valuation of work Site Address: ?DZZ Prai'rie. R4fqe Rd ?qca.h SSi 2?3 STREET SVITE # Tenant Name: (commercial only) LOT L_ BIACK a.. SUBD. P.Z.D. # Descri tion of work: te- The applicant is: ROwner ? Contractor ? Other (Describe) Name t7vY12R5 1-kuJGLrd Phone (08_&-lo902 Property LAST FIRST owner Address L{072- Pra,'r,'e- STREET STE # City State Ad Zip SSl? Company Phone Contractor Address License # Exp. City 5tate Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing 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 w'th all appl'cable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. AD 15 Deck WORK TYPE P-31 New ? 33 Alterations ? 35 Tenant Finish 13 32 Addition ? 34 Repair E] 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance Footing Final ? Framing 0 Draintile o/ / ? ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ,Fn veluetim: $ RJ: .. 1O y ? d' `r ? ?,.. ?'? ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous 0 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments 5AC % SAC Units ? . l?s O \ 1[ 12472 Enleipiiu pilve PIONEEI? Mr.ndola Ilcighls, MN 55120 ---- * eng * eer ng,. -- (siz) eat-tst4 ? Certi(ir.ateot Survey far:'..G vD?MLD (.,UNI'?'r ? NoRrN ` O? .? ? cz, ^ / ?\ S (y ? o Y bti '`'? ? °?'3? o ey z ?s c? ? ??1M ? \?? ??°•° o/ i ..?4?y. j? \3So _ ?a ?'' «^+/ ?'' Ta 6 6 ? ISN' /a ? o Q4"?e ,? \ W-,, ? / ??? ?'$ ?? ? 900.0 Denoles exislinj elevafion Denoles proposed e%vafio 1) Uenofes Uraina e i Ufilil fasemenf ----- Denofes c?raina e 'Ilow I??rows o Denotes monu en f r•y BCaI'+n?s shown are nssumed ?" ? 0ary ? /o ? `noMti A ? " Lowesl llnor f_levofion Tp oin8 rau FlPva ri n n cat 'ale Slob f(eval ?on ? ; ?Di7oles. Of+'SeI flulJ -_- 83Io,7L- _ _ S 4_4. 46.._. LOT e-?o ,BLocK?2 , CovENTaY ?l?AS5 Z"'vQOC?' t?1tuorA COUNTY, M1+VNFSOTF?m Suhjecl lo easerneti/s o{ recar-d 1 hmebV caf111V tLal Ihlf furvnV. Plan oi mpml was piepai?d hV m? ?l u.1drtr nry dii¢cl snpmvislni1 nnJ Ihnl I mn dulY Ilrqiqaied l nnd $mveynl unde, thn Inwf ol Ih! SintE OI Mlnnesnla. Dnlv.d Ihls _1LI`_t daY of -' LL.- L_ A.D. 19 (IL_ , Rev 6-20-91 - A34i 6,td FW. Z 1 inch = 40f'ef u _....__? ,??•?-u '-51 4t71?7. 0?7 nnn[n i n. .unc i.a. nrr.. r M. 14e91 , ._._ . , ... , ? 1991 BUI ? G ? T APP CATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# 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 WkiICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS 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. To Be Used For: 5i,? 1, Valuation Site Address 41.6-12 rr kZ&e Lot Block 2 Parcel/Sub ?.'oueo{n„ Owner f-?el,alA Address t'7,(281u'?i" ll .3: Qd City/Zip Code Phone (Ogg -7061. Contractor ?'jp,,,.,e p,3 4166L/r Addres City/Z Phone Arch./Engr. _ Address City/Zip Code Phone # TiRft==..'? -ajdffW0qjjr? Date: 6- 2A -^t I 1Z(a / D017 ` Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY R-3 M-I 1z ^ 1 V-N V-N 70 a(,- On site sewage_ On site well MWCC System City water ? PRV Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance FEES n 3) 00 Bldg. Permit ' / Surcharge 63,00 Plan Review 14'75?00 SAC, City /00,00 SAC, MWCC ( D5 , OU Water Conn. (p 60 10 0 Water Meter 95,00 Acct. Deposit D,OJ S/w Permit 30,00 S/W Surcharge _150 Treatment Pl. 216,00 Road Unit 'jA 0,00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with tor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. + ? ?9 ` ! VtA LId.A?'? ? G'a Rat,-e 3ouqz)` ?D a ? ? ? ? ('2 Z) ____----- S'78 X ? 5= 86-7 ? ? ? 3y? a.(o ? 43ay ?? ly = lyo?C? I ? ?ow. 55;n T= 10 oLt X T12 = 53,212 Z Nv FL.=7g- a'1/z x 3y ?°I3S K S 3= y 9_ sy.?. I '? ??,?* ? • * PIONEER __ _ _-- - ----- -- -----__--...---- * er?g r?eer ng.. ? * ** I ,?Gsl ? ?o Certificale of Survey for:! ' G"0A1AL'R _C,0AASr 00 ? C oMti ,,/, aDP / - \ ??^M \ \ \ s ?e toNq Z/ 'ZS? n ?? o ?v`•5• ? ? o 0 0 / m ;E? o o/ ?A(L r J' ??\ 3. 2472 Entcipilsn prive Mendota Ileighis, MN 55120 (612) 681-1914 0v u NoRrH rQS O \?"6 5;?9 2?6 z6 F o n h,?.• ?D . ia ? tg` k' o? (y i ?? C ll Qa"j0 o jOr OMV ?r s ,83b•9 g • 900.0 UQnofes exisfinl elevation ? 9oa.o Denoles proposed e%va(io Oenofes braina e f Ufili??y Easemenf ---r- Denoles Drqina e f low Ilrr-aws o Denotes monu en f Beartls shown are vssumed DEPT C L?[ZQP_C7.?EU.??oUSE CL,?YA.?lD.?LS_ Lowesf llnor Elevofinn 936,7G Top ntf'8/ark E/evcxlinn 844,41?_ ? aQ?oe- -Slnb Elevafron 0 ---- ?Pnoles O?'rSpl Hub -- - Lor 6 ,BLocK z, CovENraY pAss 2?°AA Dn?torA COVNTY, MitiWtso-T/T9 Subjecl fa easemenls o"recard I I1CrP.I1Y C•.ltIfy IIq! Ihlt ]IIrvPV, nl;1q br ropnrl was preparvrl hy me or undnr my dhecl snpr,.vielnn nnd Ihn1 I nm duly Rrqialcied Lnnd $mvpYnr under thn Inwe of the State nf Mlnnesnln. bored this J7 !?, d.1y o/ _ A.t). t9 ?. . Rev 6-20-9? - Aad( is Elv,. J ? -t -? / 031 cale : 1=h • - 4or'?ef - ?? 9? ! /j I Z mc ----- ?,. , q(7 iq 7. -? ------ - nrlnrn i n. :1uc1 I i..s. nrr, rin. taeni -- ?^ b121/4 ?MINNE iA STATE ENERGY CODE CALCULATI(. BASED ON CHAPTER $ OF THE , MDDEL ENERGY CODE - 1983 EOITION Adoptlon Effective 1/1/84 ' Owner? Phone Date' 51 te Address L•,OT ? ?5LbCk L.06JgFC1'n PA'S 2N6 , --. Con'tractor_ d Phone____ Buii'd'ing,Class(ffcatton: Type AI (5ingle Famlly s Duplex)-_Type A2(Residential) • • (3 stories or less ' NOTE'T Complete pages 3 and 4 first. (Oeher) ' (Over 3 stories) , GEN6F;AL INFORMA710N N -,i 1. Buliding Perlmete6.ar. WnP-K ExIT fc. 2. Wall hefght (ground to eave) ? ft. , 3• i• x 2. (above) gross wall area 23??j,?3?ft2 ; 4. Building dimensions (L) --- x(W) `-~ ft.2 roof s floor area 5• Sq:;Ire foot area of rim Jolst - Jolst size (2 x ) 157X Perimeter = Rim 'olst area = C? f tz 12 6, poors - A?ea s 4 , D Thtckness in. tJ faccor Type of Construction Perimeter ft. Manufacturer • 7. To2ai door's perimeter ft. • 8. Windows: ManuPacturer? ?-?- 1"T State approved U Factor TYPE SIZE AREA (Ft.2) NUMBER Of ?EACH UNITS , 9. Totai ft,Z Glass TOTAL F[ET 2 10, Fireplace area; Wldth X helght = X = pt,z II. Expesed foundation; He(ght X Perimeter ??.Y? X. iFt.2 :014PLETION OF THIS FORM IS iiEQUIRED FOR Alt AE?7C?NS?TRUC7 TON, MAJOR REMODELING ANp BUILOINGS BEINC 10-VED WHERE ENERGY, OTHeR THAM 7HE MINIMAL CODE AIIOWANCE; IS USEO. z c, - - -...__ .. ... _. .... _. _. - -.? ?axA ?o a?r?H?iisrax?o?r4 ri- d z.z: ? T 3f11 iF. - G?-ranr 12. .? Framing area = 10% of grC wall area. 13. ? Gross wa11 area 20:? ??• G?g . Window area A ?53.? ft.z Rim jotst area A Ib? • 5C4 ft.Z , Door area A' ft. {?T I a ,G? , ,•.? E?,? area A 2 Ft, Exposed foundation A ft.2 ? Framing area a 23Z(ft.2 ?P;et wa11 area A ft. 14, Gross wail ar$'a x 0.11 (13. above) . x 0.23 x .23 x .28 ft.Z c U windows ¦ ,7?0 U x A= 9 1 r7-ZD U rim ?oist a 10141 U x A? '-+' U door area A? U x A U Pr.$WIce U x A= U foundation a ?p t! x A= U framing area U x A? zZ?? U wa 11 =, 0 ?J U x A a_W' (138) TOTAI , . . . . . . . . . U x = G } n (A-1 single famlly 5 duolex = allowable U x A/Code (A-2 other residential) Other buildings) Over 3 stories) a 7-310085 x ucqde..*lI = 15. C'eiling framing area (Ap) equals 10% of ceiling area -- 15A, Gross ceiling area - (L) i56 JoisC ared (Af) = lOe ceiling area 15C. Net ceiling area (Ac) (15A - 158) o°e-TUH o r Must be larger than 13B above the, same as} x W{ ) ?. _ 1055 ft.2 = I D? tt.2 ft.2 U ceiling x A c= rOZ ? x 50 =. U framing x A f- pZ ? x'A(?--?? 150. TOTAL'U x A ..................... ...,..,....:....... . . --_ -? . 1•6. Ceiling area (15A x 0.026 .{`A-1 stngle family 6 duplex - code atlowable U x A ?- .. x 0.033 (9-2 other residantial) ' . x 0.06 (other) • • I?Z-C:c? r? BaUH Must be larger than•15D (above) .,'A (15A) x U(codel= fi7t? F (or the same as) NO7.E: Use U and A values ebtained from pages 1, 3 and 4. CERTIFICA710N; I hereby certify ihat I have calcufated the "U" factors and "R" vaiues heretn and that the butlding here described meets or exceeds the State of Mlnnesota Energy Conservation Act. • Date S gnaCure ?, . . r? • x`F!1-.?. _??` ?'E?? ? ??21 ?o?? . .. sX? ? 13z?o ? ?xl= I I 1?-?X ?o ?r = 13,7 SX 3=? i 5 11 Zp:K 3c? c6m-r =???X z=?? ? v I 71?,X 3la ?wmT = $ ? ?5y? 1 ?= 8 ? 7S" . Z53. ? Cn-Z l .` ? , . .. WALL ' SECTiON STUD • S?C?ION 2NO-pAL•h-.---,SECTION., 1 ? R1M JOIST `VL Y`Fyylll lVI1J ? ? u Inelde elr film .68 InteClor vn1L ??? lnsuLatlon illo Shec[hing 7'10(jo Siding 'o1 Qutetde alr film .I7 R TOfAL Z• ba U VALUE (Nall) U - R A I 1 ?? ? r Inside•air film ? ,68 Intetlor wall . ?? 4" otud Ro ,4;38(p,5'0 (Framing) U- R ¦ 5hesthing Siding ? C0? _..?,.•^^ Outeide•a1r film ' .ll R 70TAL I G? 1 r,? ? Inetde air film R= .68 LnteClor wall ?.....••""'"w'?? .? Insulatlon .?? (Well ) l) ¦ R ? ShedChing ..•.-'"'?-"° z "'?? „ _.. .._..,•-• , ,ExteYio'r"' aa 11-cover ing Exterlor air fllm R"-w .17 R TQTAL InteClor a[r film R= .68 lnsuleCtan l§ inch so£t wood R=1,88 (Rim ' u ek , ' JOISt) ' ' Stieathing ?Ip(p Extetior wall covezing ,r,p l Exterior af.t £11m R= ,17 . ? R rorAL ' Intr.rlor air Illm R= .6E ? Cnsula:ton) 1 (Fdn.)u c A ? O \ ExCeYloc efr fllm R= .17 l'ornL 'Exposed 31uck --- - , . .• _.....___..._.....__ ? 0 " d :a 0 1 =1 =1 0 3:J hJ ki N fl ? N T r fl "1 N Fi 'l .-I F. i ??. S 3 1-1 1 T 6- S c- N fl 4 •? ? ? y . . . CEILINC WITN VENTED TTIC SPACE A86VE ? R VALUE ?77RUE FRAMIPIG CEILIN6 ? 0161 Air Film 0.61 InsulaCian .. ?? . Joist ? Ceiling .5? 0.61 ?z? Ito Air Film 0.61 _ Total R 4 (0 1 - U=T .DZI fL.4T ROOF OR CATHEDRAL CEILING ' Mui ?7 R VALUE FRAh1I NG CE Il, [1;G 0.61 Inside air film 0.61 Ce i i i n Joist ?stu . Insulation - ? Air space Roof decking Insuletion Quilt-up raof , 0.17 Outside a1r film 0.17 Total R R?U Jindow.infiltration ,5 cfm/71nea1 fooC of crack 2esidential door infiltration 0,5 cfm/square foot or door and minimum code requlrement Von-residential door infiltration 11.0 cfm/]ineal foot of crack Jb 12" concrete block no insutation =.47 R 2 1 1b 12" concrete block insulated cores =.P6 R . 3 8 ' Jb . 12" lightweig}it block ` _,32 R . 3 1 Jb 12" lightweight block insulated?tores a.12 R . 8,3 J stngle glass ? 1,13; with storm window ,54 J doUble glass = .55 J triple glass = .41 111' exterior walls and ceilings must have a vapor barrier (0.10 perm max. ,'apor barrier must be on the inside (heated sitl=) of wall, lapor barriers of the polyethelene thin film have no R value. • , ,. 4 . , c; oi iu.uunm riwm "I I i vr IIRVtlIY Iv Z?OLLIJUI I uuciuvu i CITY OF EACAN Page 1 of 5 PERMIT TO WORK VITRIN C TY P$OpERTY/RIGHT-OF-VAY/EASEMENTS 1, r.ocation-- 4 PJ_7z ' i2I,E c A?-y 2_ Nature of 3. Indicate below items to be aff?cted and 'include a ketch r plan of k tao be done. Curtr 6 Gutter I 5treet Surfa e Trail/Sidewalk i Trees: Pond/Wetlands I Public Traffic Control Devices jigns Private ,NK(O?, Drainage Ut111ti vStructuras/Buildings • Othet -lawn in citv_ iaht of waV 4. Method of Installation or 5. Wark to staxt an or aftnr.; -!-9 and shall be oomplctcd by; 9-3 ?-13 unless asi exteasicn granted to: ' by: DATE STAFF/DATE 6, Nill detouricig of traffic be nec ssaZyl NO . If necessary to etour tYaffic, descrihe suggested xoute: I i DETOURS: T7ie Director of P lic Works ahall be noti.fied wr t e at least 72 houzs in advance of any detouY being established, changed o discontipued. ? NAME OF APPLICANT A ua Ci I Irri ation Inc. PHONE 822-1100 P SE PRINT ADDRESS 5422 Nicollet Ave. So. Minn e? olis, 55419 STREET ' CITY STATE ZIP NAME OF PAttTY OR DRGANIZATION PERFORMI G WORKAqua Cit Irri ation ' CONTpCT PERSON: fPne el san EMERGENCY (24 HR,) PHONE #: ADDRE55 S N DAY PHONE R99_11f10 STREET CI The undersigned herewith accepts the as herein contained and agree to ful Eagan. /1) ------------- ---------------- ' ---- '-- FOR CTT'Y USE ONLY , Ai FINANCIAL SECURITY; , Fee - $A^- Receipt In consideration of agYeement to oomp 8agan covering such opexations, and Eagan; permission ia hereby granted application, said work to be done in Fms and conditiotts of this permit by t City of Eagan ;comply therewith to the satfsfaction of the City_of DATE: --------^ ---------------------------?-------------- OF YERMIT AMOUNT: TYPE: ? (C Permit No. ,IAC,etc. iin all respects with the regulationslof the City of rsuant to authorization duly given b said City of or the work to be done as describe? in the above ccordanCe vith special previsiona as ezeby stated; . PI78LIG WoitxS ALL LEGAL REQUIREMENTS SHOWN ON REVER?E!SIDE AND ON(l&-"SPECTAL YROVISIONS"?0 BE GOMPLIED WITHI THE DATE WHEN WORK IS COMPLETEI?:MuST BE REpd?TED TO THE EAGAN CITY E IINEE2. CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # 1? O PHONE: (612) 454-8100 RECEIPT 0 womompCP DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ......< ............... .xs?:.x: TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. ------------------°---- -----°----------°------°----------------------° WORK DIPTION COMPLETE THE FOLLOWING: N0. FIXT[1RES EA. NEW CONST _ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR _ WATER CIASET 3.00 OWNER NAME: _ SITE ADDRESS: LOT:0 BL INSTALLER: ? ADDRESS:? ?ITY: Ga d PHONE #: BATH TUB 3.00 LAVATORY 3.00 ' In G 1J y1C. KITCHEN SINK 3.00 . ? LAUNDRY TRAY HOT TUB/SPA 3.00 3.00 ? SUBD. ? WATER AEATER FIAOR DRAIN 3.00 3.00 (? V? U0 '101 11 ? GAS 'IPiNG OUT. (MINIMLTM - 1) 3.00 ??e ? ROUGH OPENINGS OTHER 1.50 _ TOTAL ? 3.oa a.SZ9 3,Go 3100 3.ao 3?, ()0 66 y.S4 I - ZIP: C WATER SOFfENER PRIVATE DISP. 5.00 15.00 U.G. SPRINKLER - 3.00 SUBTOTAL ST. SURCHARGE S OF TOTAL: Y9, V V .50 V?V PLEASE COMPLETE THIS PORTION FOR ALL COM4ERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ ------------- CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS:_ LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN LAT ( f BLOCK ? SUBD. a?- RECEIPT # ?/?q3 /c?CO 5'? CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Date: S E'P T 3, 1 9 9 3 Commercial pmject _ Residential pmject ? Existing residence Area/address to be sprinklered: 1/07 aZ P2 RI R/Zf- R I D G E pv R jo z Installer: D H t R V PL u.+'i i B1A/ G Streetaddress: /oZ /ol 5 AST 9y7 - N S'rnEET City, state & zip: .t3 Loa In i Iv a rn.j Telephone #: cy 8/-G5(o(o Owner name: o u! A Street address: P2 A 12i t' R iOG E 2./1. City, state & zip: P6one #: G S 6,? 9 0,2 Irrigation contractor, if ditTerent: A O UP C/ T`/ T It 2JG/3 T i oAJ -? Phone #: aa - IJoo I hereby aclmowledge that I have read this application and state that the information is correct and agree to comply with a11 applicable City of Eagan ordinances. New service required 00 50 Fee due: $ 15 ? Calculated by: oja,&/ ???-a..?,?, Signature of Permittee y- ?-i3 d?f CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. Plans must be submitted to the City', engineering department for approva] before installing a lawn sprinkler system. If iiigging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial proiect: $ 25.50 plumbing permit. $ 50.50 water permit fee onlv if new service is installed. $100.00 per tap if installed by City. Please consult with engineering department regarding feasibility of City installation (City will only instal] taps up to 1"). b. Residential proiect: $ 15.50 plumbing permit. e 5n.4;0 .....}or nnrrr+it fs.o if nr_?v ePnrirP ic inctallari . _.r-'"-' -'- .. _?_..'-'_ .'___..._.. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. E)dsting residence: $15.50 plumbing permit -(not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist wiil'contact utility billing clerk for cost and notify installer of al] costs associated with project. If new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer snd water inspections are complete on a new service--(engineering department wil] advise utility billing clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. 5. T'he installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backtlow preventor. T'he public works department may be reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday througti Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. ,,L 1999 suaDiNc ?? la l l? New n Con*ucff n Re ements PERMIT APPLICATION (RESIDENTIA I26???jjj ?q CITY OF EAGAN ? ?I? 3830 PILOT KNOB RD - 55122 rn Q1J 651-681-4675 ?? ? 3 registered sRe surveys showing sq. it. of loi, sq. ri. of house and gll roofed areas (20% maximum lof coverace allowed) ? 2 copies of plans (show 6eam 3 window alzes; poured fnd. design; etc.) D 1 set W ener9Y calculations ? 3 copfes of hee preaervaNon plan 81ot platted aHer 7/1/93 DATE: Z Z - DESCRIPTION OF WORK: STREET ADDRESS: `o-l Z LOT: --Ja_ BLOCK: _1 SUBD./P.I.D. #: C PROPERTY OWNER Remo e alr i m ?? 2 copies of plan 7 set of energy caleulailons for heated add?s?U 7 ske survey lor exterlor addiNOns S deeks Nov ? ? W? CONSTRUCTION COST: ? "?L S 1 -i;v J2_ Name: 0 ititti 2r-- ? ?? Phone 4k: cst I ' n rtrst Street 2- 1 rd.?t yr " CZ City Cc?- State: Compam? ?nZ'L ^_t' Zip: Phone #: 61Z le3 DO (area code) CONTRACTOR I G Sheet Address: l Y-T!0LI 'f- License # Z*3 C, Exp.3?? ciy ?2 tx-r v%- 5 J? ?k R state: /ti N zip: ?S 33 7 ARCHITECT/ ENGINEER Company: Name: Telephone #: area eode ( Streel City Sewer & water Iicensed plumber (reaulred for new conshuctlon onlvl: State: PenaHy appltes when address change and lot change Is requested onee permk is issued. I hereby acknowledge ihat I have read this appltcaHon, sfate thaf the State of Minnesota Stafutes and Clfy of Eagan Ordinances. Slgnature of ApplicaM: OPFICE USE ONLY Registration #: Zip: agree fo comply with all applicabl Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE jft . ', ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) d- 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 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 0 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant impr O 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) K 42 Reroof _ * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning 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: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building ?? - Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered _ Engineering Variance Valuation: $ SAC Units % SAC CZTY OF EAGAN 3830 PILOT RNOB ROAD EAGAN MN 55122 PHONE: (612) 454 8100 RPUM?11 FOR CITY USE ONLY PERMIT # RECEIPT # D p CG DATE: 9 ? PLEASE COMPLETE DPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME : SITE ADDRESS: 1y ?"? \ BLOCK LOT L SUSD - :- - . INSTALLER: \ SII: CAC'C? ?`P P ? ' ?? ? n ADDRESS: . • ? ZIP `4 CITY: L : '?! O `?D ? PHONE #: d tO FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ ? 0?) STATE SURCHARGE: .50 TOTAL: $30-SD ? ? ?ATURE OF PERMITTEE ?4HM?RCTA.FI/?NnIIST&TA?:? PLEASE COMPLETE THIS PORTION FOR ALL COMMEERCIAL/INDUSTRIAL BUILDINGS, , ......:. APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = S25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN ? 141, DO NOT WRITE BELOW THIS LINE . . ?? Sub Tvoes ? 01 Foundafion ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessary Bldg ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace [3 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 OS-plex ? 78 Dedc ? 23 Por screen gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Sto amage ? 06 04-plex ? 12 12-plex 0 25 Miscellaneous Work Tvnes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 1116 32 Adddion ? 36 Move Building ? 42 Demolish Foundation O 45 Fi2 Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demalltion (Entire Bldg) - Giva PCA handout to applleant DB4CfiDtlO(1: Water Damage _ Yes 0) Valuation oU Occupancy MCES System Plan Review 4-1 100% or _ 25°k Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new 61dg) _ Sheetrock _ Footings (deck) _ FinaVC.O. _ Footings (addition) y ' FinaVNo C.O. Foundation T HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Final 1r Framing ? _ Siding _ Stucco Lath _ Stone Lath _Brick T F'ueplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee K,, y' Surcharge r/U?'n' 0 ? Plan Review ?n MC/ES SAC ?+ `? T OL1? ? City SAC Utility Connedion Charge S&W Permit 8 Surcharge ? Treatment Plant License Search Copies Other ToWI -7(9-(4LI ! 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction Reauirements 3 registaed site wrveys shwring sq. ft. N Id, sq. ft of house; and pII roofed areaz (20%mazimumlalcoveregeallowed) ' 1 Sails RepoA if propased bdlding is lo be placed m dislur6ed sail 2 capies N plan showiig beam 8 windav sizes; poured found design, eEC. 1 set of Enerpy Calalatlons 3 copies o(Tree Preserva6m %an'rf bt plaCed after 7I1/93 Rim Jo'st Detail Optlans selectim sheet (buildiigs vnth 3 a less units) Minnegaca medianical vervblation foim RemodeVReoa"v Reauiremenls 2 copies of plan shaving taotlngs, beams, joists 7 set of Energy Calculatlms fa healed additlons 1 site suney for addPoons & Oecks AddN'on - indicate it on-ste septic syafem r IN Ofike'Use'AnN CeKMSurvey.Recd SalsRepat ; ._Y' _N 7ie0res'Plaq',Re4 - ==_y:_N. TieePreSReqWred _Y.__N Ottsite SgPtlC Sjstim N Plans ace considered uqiic information unless au state the are 4rade secret and the reason. / _a DateS IZ /' / ConstruMiooCost 'f 3 700 - SiteAddress 1617- Q('0.y},e., Q (ZC-O-? Unit/Ste # Description of Work ,.4DD V C. K ? l kOO"E 0v24' ?crT S _ Multl-Famity Bldg _ Y_X N T Fireplace(s) (,-')0 -4 1 _ 2 PropertyOwner S coi} (Ve.lScrYl?, Telep6one #( 9$"Z) q$Z- ZZ79 Contractor McAuY\oAG -aSL. Address J (?p/ /VS-7" Sl- Wes;: City QpDI2 uw??U State TA N Zip S71 2.y Telephoue#(? 143Z--Na<-' ( r:., c. -? Z3Z (o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enargy Code COtegary . ResideMlal Ventllatlon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted " Submitted • Energy Ernelope Calwlalions Submitted In the last 12 monihs, has The Cify of Eagari issued a permit for a similar plan based on a masTer planB _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Teiephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I 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. ST?.?e SSt?CaesAIP.Y\ G? L ? M C? D ApplicanYsPrintedName aP ' re JUN 2 2007 C.?-tl # t? 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' ~ r~ ~ _ _ _ .,.~y~ . . . . . i~.. . , , ' ~ I ir.. . . , . ~ _ _ _ : . - _ _ _ 4111/1° City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit*: I 1 OO (p5 Permit Fee: 3/4 Cp•3 Date Received: 1{/-13 Staff: ' J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Name: 01 t ` I e, 15 d Phone: (O r L-11 I ✓ t3 65- Address / City / Zip: ) 72-- Pt qv h Ie,D V Applicant is: Owner X Contractor T e of Work YP Description of work: '9 u I Lo 5 c,,tic,t , P0 •i� I LIY- Il,, Construction Cost: a el el( / Multi -Family Building: (Yes 1 No �) Contractor Company: A LT CoA + -%tottot't (I.!✓ Contact AL .O do so Ai Address: C3 3 W t+r 7r n) 6City: CD i cf State: M. Zip: Phone (0120 IC, 3'176 License #: to 31 f 72- Lead Certificate #: CJ C If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 12._-1 g'-i'IA- Ili In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY has the City of Eagan issued a yes, date and address of master plan: IF CONSTRUCTING A NEW BUILDING permit for a similar plan based on a master plan? Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may 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.gopherstateonecall.orq 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 A1164 U1 L45') . Applicants Printed Name x Applicants Signature Page 1 of 3 (40-0 Pr ii rtz 1-<'0 1d. DO NOT WRITE BELOW THIS LINE I 1 0005 SUB TYPES Foundation _ Single Family Multi 01 of Plex _ Accessory Building _ Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES New _ Interior Improvement Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review Move Building _ Fire Repair _ Repair 100%I,) Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final 1 Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock �� Reviewed By: _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous T Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 4., Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ BackfillFinal Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 9341fPri- p tp(ViA, 1(e)iC ;2/14 (4 0 C r° Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA152477 Date Issued:10/16/2018 Permit Category:ePermit Site Address: 4072 Prairie Ridge Rd Lot:6 Block: 2 Addition: Coventry Pass 2nd PID:10-18401-02-060 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: 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. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Scott D Nelson 4072 Prairie Ridge Rd Eagan MN 55123 (612) 799-9365 Pro Exteriors LLC 9001 E Bloomington Freeway, Suite 126 Bloomington MN 55420 (952) 250-0767 Applicant/Permitee: Signature Issued By: Signature