4080 Prairie Ridge Rd?---- . _
SEWER & WATrmFiPEwMIT OFFICE USE ONLY
C1TY OF EAGAN METER # PERMIT DATE 10 f 17' 4- 1
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP #
? 12347
PERMIT #
METER SIZE B.P. RECEIPT #
ISSUE DATE
I B.P. RECEIPT DATE
DATE O(:T 15 * 1991
-X- PRV ? BOOSTER PUMP
SITE ADDRESS 4460 P1tAIB.IE RIDGB RD PERMR REQUESTED
LOT 4 BLOCK Z SEC/SUB COYENTRY PASS 2ND
I x SEWER x WATER - TAPS
? APPUCANT:
i ADDRESS: - COMM/IND X RESIDENTIAL
? CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meter are,to be Insta44ed
PLUMBER: S?AR PLUMIIiG Ahead of DornestiC eter§ on Water Line.
ADDRESS: 1018 iyl3liliD 5PRINGS TBRR Credit WIL? NOy?be given for DeductlCAeters.
CITY, STATE $IAMIHGTON MN ZIP 55420
.•
!K?
/?
<
-''
??S:i
'
PHONE: 884-4144 ._
'
• :
.?,,
?
,
;' AGREE TO COMPLY WITH CITY OF
j OWNER: DARLE $kOTHSaS INC EAGAN ORDINANCES
i ADDRESS: 43o4 LYNDALE AVE
CITY, STATE B1'OOMI??N MN ZIP 55420
I PHONE: 888-5866 SIGNATURE WHEN METER ISSUED
, PLEASE ALLOW TWO WORKING DAYS FOR PROCESSIFIG. CALL 454-5220 FOR 1NSPECTIONS. FOR STORM
? SEWER PERMITS, CONTACT ENGINEERING DEPT.
I -
0 CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
4
, i
OATE 19
aecerr?o
FIIpm
AMOUNT
O CASH CHECK
.
le'
DOLLAFS
,oo
soe
i
6Y
W,te--Pa„sm CoW
C ~ ?
Y.Now--ftKng copy
vv*-File coPy
Thank You
SEWER &_WAT&R PERMIT OFFICE USE ONLY
CITY OF EAGAN METER #Vyq ,.53 PERMIT DATE 10/17/91
3830 Pilot Knob Rd.
_
Eagan, MN 55122-1897 CHIP # a? 9`3 6a 9a PERMIT # 12347
METER SIZE ' u s B.P. RECEIPT #?? i
DATE OCl' 3`•, 1991. ISSUE DATE B.P. RECEIPT DATE ip 16/1
%t PRV _ BOOSTER PUMP
SITE ADDRESS 4080 PRAI.iiE KIDGE R17 PERMIT REQUESTED
LOT 4 BLOCK 7 SECJSUB C4YEIdTRY PASS 2ND
X SEWER y WATER _TAPS
APPLICANT:
ADDRESS: ' -- COMM/IND X RESIDENTIAL
CITY, STATE ZIP %f NEW - EXISTING
PHONE:
Lawn,- kler Meter ? are,10 be Installed
PLUMBER: STAR PLUMBING Ahetid of opnes ' et on Water Line.
ADDRESS: 1018 MOUND SPRiNGS TERR Credit W't40 n.for-De t ters.
? ?
CITY
STATE Iil,(}pMINGTON MN 55420
ZIP
,
PHONE: 684-4149
, I AGREE TO COMP Y WITH CITY OF
OWNER: DAi[LE BxOT8IR3 INC EAGAN ORDINAIdCES
ADDRESS: 9304 LYNDAI.E AVE
BL002?INGT'ON MN
CITY, STATE ZIP 5.5420
PH(]NE: 388-4$66 SIGNATURE WHEN METER (SSUED
VAg ALL?W TWO INORKIN? DA S FOR PROG?ESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEW PERMITS, CONTACT ENGINEERING DEPT. t; ..
; ' .
?
BUILDING PERMIT
7o be used tor SF I
Site Address 4080 ?
Lot 6 Block Z
Parcel No.
LWZ AL
COVENTRT tABS YPI OFFICE USE ONLY
Occupancy 2-3 -Me--J FEES
Zoning R-1
W Name uwni.c ?urret?" !rc%
? Address 93? LYNDJ1i.E AYE
City aLOOpiNUM Phone 811141-6866
,? Name 5?
Address
;<
P. City Phone
OW W Name
W
? ; Address
i W City Phone
that I have
I Signatureof Permitee ' ?" f/ - ?~l??.?'?`??.:-?'' - '
-?
A Building Perrtlit IP'fssued to: 6
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Ofticial
?
(Actuat) Const v? Bldg. Permit 776.OA
(Allowable)
- Surcharge 69.50
8 ol5tones
Length 600 Plan Review 304000
Depth SAC, City I000
?
S.F. 7otal - SAC, MCWCC 650-00
S.F. Footprints _
On Site Sewage _ Water Conn "0•?
On Site Well Water Meter Qs•?
MWCCSystem ?
X
Acct. Deposit ?.?
City Water
PRV Required x S/W Permit 30•00
BOO?er Pump - S!W Surcharge • ?
Treatment PI 276*00
APPROVALS Road Unit 370.00
Planner - Park Ded.
CAUnCiI _
BIdg.Off. _ Copies
Variance - TOTAL 3,561.
?Q
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ^
•"' .3
PHO N E: 454-8100
Receipt # _
GAR Est. Value $139.000 r)atA OC'1' IS ?091
pe,ymk No, permit Flold er Date Telephone #
WATER
SEN1E13
PLUMBING 5 -JrP/ 4-9S'411?50
H.V.A.C. G, ?? 9? 0 70- ??
Ei..ECrR?c
Inspec6on Date Insp. Commants
Footings I
Foundation . z?.. f
Framing Z_ t D ?
Roofing
Rough PIb9.
Rough Htg. ?
isul. ?-d- / 0 dl59 / f
Fireplace ?-?.-q( /,;L .,/oI ilt,
Final Htg. , 2l-
Orstat Test _
Final Plbg. _/_ Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
eldg. Final Z- y- z
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
44-
?
? . . ?
(grr#t#ixa#r of (O.rrupaury
Citp of (eagan
]kpwttcrttt of laildittg Jmprrtinn
Thir CamJtatte issued pursuant !o !!te trqtrinbtaris of Searion 306 of the urrijorm Building
Code cmifJ'in81ha1 at rhe linle of issWanae tlris strudune K+as in rnmpl'earrae with the variour
ordbumeer ojthe Qity regulatiitg building mwTucxion oer use Forlhe following.
ux a.MTc.soo SF iY'IaR eA& pama tso. 14803
oo-p.,cy Tra R3/M 1 zig nwAa R 1 Tya e-- vH
p,,.,erd&??E BRErIM.S 7K'. M&m 43(Ya TVNi1ATF. AVRffiTRfN_
POST IN A CONSPIdJOt1S PIACE
,Afldi'ess: 4080 P?iAIRIE RIDGE ROA? Lot q Blk z Sec/Sub r,pVENIRy p[s5S W
These items were/were not complete at the time of the final inspection.
ate:
Yes
No i
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entty
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage ? s . ?
Porch
Basement finish
Deck
Pleasa verify with the builder the removal of roof test caps from tha plwnbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. ?
.ccK?eowxn
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN No . 1 gg03
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 n ?y
BUILDING PERMIT Receipt # l? f rJ S (L_
To be used fot SF
Est
139,000
Site Address 4080 PRAIRIE RIDGE RD
Lot 4 Block Z Sec/Sub.COVENTRY PASS 2N
Parcel No.
w IName DAHLE BROTHERS INC
o Address 9304 LYNDALE AVE
City BLOOMINGTON Phone 888-6866
o Name SAME
i
$: Address
E City Phone
r
ww
Name
???-, Address
gW City Phone
1
I hereby acknowlege t 1 I have a this aaplica on?'tat
mformalion is correc and ppl c able S of
tes nd C
Signature ot Per tee
OFFICE USE ONLY
Octupancy R-3 . M--l FEES
Zoning R-1
(ACWaI)Const ?-N Bldg Permit 776.00
(nnowable) V-N 69 50
M ol Stones
Length
DepN
S F. To1al
S F Footprinis
On Site Sewage
On Sita Well
MWCC System
City Water
PRV Reqmred
Booster Pump
APPROVALS
A 8uilding Per ' issued to: Planner
on the ezpress condrtion ihat all work shall one in accordan?ce with all CouncA
applicable State of Minnesota Stawtes and ity of Eagan Ordinances. Bmg.OU.
Building Oflicial (k1n R?,??, I? Variance
i ?
Surcharge •
60' Plan Review 504.00
40' snG cry 100.00
- SAQ MCWCC 650.00
Water Conn 660.00
WaterMeter 95.00
X
X Acct Deposit 30.00
X Snv Permn 30.00
- SM/ Surcharge • 50
TreatmemPl 276.00
Road Und 370.00
- Park Ded.
_ Copies
- TOTAI 3.561.00
/Ucp/?
v ?/.5? S?o
?
p 35866
? ?, ?
"Y"'21 00
Fequesl ?ate Flre No Rough-in Inspeclion
Rzrzatll
? Ready Now p?Will Nollty Inspec[or
Wh
R
tl
?
es = No en
ea
y
I?licensed contractor '? owner h req est ion of above electncal work at:
Job Atltlress ( r Ro e • Qly
t J- cL
Secuon No TownsM1ip Name or Na Range No County ,
Omupam iPRyI ?^? /
l Pnone No
.?/ h
rV 3 / lsG ? - 6
Power SvoPlrer
K /<"?} qddress ?. 1
Elecmcal omracmr (Conpany Name, Con[raclor's License No
/
1Gmiv m c/- , 'c `
Go . ?tJG. 6 ?/- 6
Matlmg qtloRSS (ConVactor or Owner Making Inslallationl
,%_5 D D?. 5?,.<< ?. SS
A
lhonzec
n
5
W
C
l
d
O
??
°
u
?
an
a?
m
on
_wner Maxing Inslanauon)
re i
i? u- %? one NumOer /
?G b 7 2 2--
MINNESOTA STATE BOAqD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg. - Room S173 BE ACCEPTED BV TME STATE BOARO
1811 Umversiry Rve.. SL Vaul MN 55100 . UNLESS PPOPER INSPEC110N FEE IS
Phone (612) 642-0800 ENCLOSED
/Qe??/ REQUESJ FOR ELECTRICAL INSPECTION
11 m,Hmooons foi complehng ihis lorm oo back of yellow copy
Q??RR F; "X" Below Work Cavered by Thls Request
If 9<1
ew? Add Rep TypeofBwldmg App6ancesWired EqwpmeniWired
Home Range Temporary Servme
Ouplez water Heater Electric Heating
Ap[ Bwitlmg Dryer Other (Speaty)
Comm /Industnal Furnace
Farm Air Conditioner
DNer (specify) Gonlrectors Remarks
Compute 7nspecnorr Fee 8elaw
a? Other Fee ? ServiceEntrance&ze Fee # CrtemisiFeeders Fee
Swimming Pool ? 0 to 200 Amps l'LYJ 1 0 to 100 Amps , :ct1
TransfDfiners Above200 _AmpS A6ove100_Amps I
Sgns Inspeotors Use Onry TOTAL
Irngahon eooms
Special Inspechon
Alarm/COmmunicauon I THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 M HS.
I, the Electncal Inspector, hereby Rouqn-io re tG,
cerpfy that the above inspection has
been made F,,,?i _ . oa?e? }!
OFFICE USE ONLV
ThiS rcquast voitl 18monlhs Irom
(??300 ??5, sa
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION Ckx0 2qsg0
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 13 f ?y I HOWARD, TIM
I
Site Street Address I 4080 PRAIRIE RIDGE ROAD i Unlt #
EAGAN, MN 55123
(651) 686-8954 ?
Property Owner elephone # ( )
W.
Contractor (612) $27"4033 Telephone # ( )
Address 2905 GAFU=IELD AVE. Sf). City State 2ip
I
The Applfcant is: _ Owner Y\- Contractor _Other
Alterations to existing dweliing $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
X replacement _ additional
_ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
JA-, t?er?Ia C,,?
Applicant's Printed Name gn t e
? I?
? DEC p 3. 2004
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN q q
'??? ? 3830 PILOT KNOB RD - 55122 ? -?' - ?- ? - I %
(651) 681-4675 1
New Construdion Reauirements RemadellReoair Requvements
? 3 registered sRe surveys ? 2 copies of plan (o
? 2 copies of plans (include beam & window sizes; poured tnd. design; etc.) ? 1 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted afler 7!1l93
requved: _ Yes _ No
DATE: 3' a 3-9r1 CONSTRUCTION COST; `? ?I r Qaa
DESCRIPTION OF WORK: ?E a-d C9 r
STREET ADDRESS: 0' ? 1 1 L ZS ? El=
LOT: ? BLOCK: ? SUBD./P.I.D. C 0 ?Yf-'ti?"Y"
Name: WAf ? Tit w-\ Phone
PROPERTY Last First
OWNER p D
Street Address: L-k a t1 Udm f 12- o', 12 ( G l:
Ciry 5tate: vv\ r3 zip: sS7? X3 ?
Company: 6me'Ylco, ?&It IfQ? Phone#: l?/a"7G7 ??n! c? ?
CONTRACTOR o ?? i
Street Address: ao' l Go ?_AV'2- c?d •License # Exp. ?
City State: M +v Zip: 59?,3 ?
ARCHITECT/
ENGINEER
Sreeet
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with ail applicable Stat
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: -
OFFICE USE ONLY
Ce rti fica tes o f Survey Receive d _ Y e s _ N o
Tree Preservation Plan Received _ Yes - No
Phone #:
Registration #: _
State: ZiP:
_ Not Required +,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
% SAC
SAC Units
? CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
rp"IPWT
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: // /
RgSIA?`IAI::; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQOIRED FOR EACH UNIT.
-----------°------
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: A16' 4' y"/vu.)
SITE ADDRESS: `YO'yls A`G/(d'/e° /'/lL7yTr' /P?
LOT:_t?/BIACK -?-_ SUBD. /O/iC7?vL?u?S 1.?`•?
INSTALLER:
ADDRESS:
i
CZTY: ?Lt?JPH zir.: 5 5` / ? ?
PHONE #: GtYO - 6? S U
PERMITTEE
DWELLINGS 6
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 ? WATER CLOSET 3.00
J
L BATH TUB 3.00 3,0
? LAVATORY 3.00 < OJ
? KITCHEN SINK 3.00 3, OJ
L LAUNDRY TRAY 3.00 3. DV
HOT TOB/SPA 3.00
? WATER HEATER 3.00 A?
FLOOR DRAIN 3.00 ?.AJ
GAS PIPING OUT.
? (MINIMi1M - 1) 3.00 izDj?
? ROUGH OPENINGS 1.50 L?.fv
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $ 5-0
ST. SURCHARGE .50
X? UO
TOTAL: $
fip2QMB(2CIAJ;?iNDUSTRTAl:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS A D
MULTI-FAMILY BUILDZNGS WHEN SEPARATE YERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OL7NER ATAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
t% Og rONTRACT 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
. CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
,. .. .
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE :
?
P4T""TA9 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS STHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: y??VQ_
SITE ADDRESS;_ ?Ac:? aC?N
LOT: A• BIACK o?. SUBD?
INSTALLER:
ADDRESS: AV.
CITY:ZIP:
?
PHONE
FEES
ADD-ON MINIMUM 15.00
HVAC 0-100 M BTU 4.0
ADDITIONAL 50 M BTO 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $?t1 v?
STATE SURCHARGE: .50
TOTAL:
? u_..a .4 ...._...?
SIGNATURE OF PERM TTEE
L`q31M??tCIIiLf?7bU?`uTttTAT:,:° PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNRR NAME: _
SITti: ADDRESS:_
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:_
CITY:
PHONE #;
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING a $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
0'9•50r
504•OU?-
2211°SU+
31 561
•0?-;
77 o•0 0
?-
C?; ?.
63•5U+
5iJ4•p0 P
2+1•5U?
3,501•00?
110 o,a Ul
,
1991
BUI LDING PIMICATION
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 WHICH 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 g:@? -- -
? r? o? __
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A P EEN-C6i3PLETEt
PERMIT MUST SHOW A LICENSED PLUMBER. O?? 9 19?
III
To Be Used For: S?Q<---*-? Valuation: 139? OOO ? Date: U ?
Site Address 1?0070 Ww.+.., OFFICE IISE ONLY
Lot 4r Block 'Z CvvENrRY FEES
PA 55 ZND ADDITfON Occupancy R3 M'I Bldg. Permit 776,00
Zoning R-1 Surcharge 69•sn
Parcel/Sub Actual Const V-N Plan Review $O y.oD
Allowable SAC, City 00.00
Owner # of stories SAC, MWCC (050,00
Length -6O7 Water Conn. (c(e D, oil
Address Depth NOT Water Meter T00
S.F. Total Acct. Deposit 30.00
City/Zip Code Footprint S.F. S/w Permit 3 D'Oo
S/W Surcharge 150
Phone On site sewage_ Treatment P1. 21I6.00
` On site well Road Unit 3170,00
Contractor MWCC System '?/. Park Ded.
city Water Trail Ded
Address PRV Copies.
?
Booster Pump
City/Zip Code `
22?k" SUBTOTAL
APPROVALS Penalty
13 Phone Planner Lot Change
Council TOTAL 9?r
Arch./Engr. Sldg. Off. 0-/
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
j?.
p ? T
VA LuATIbN+ ?
Ga
zZx?2= Z6y
Z2x z(?=5ri 2.
G %2 X $ _ (52)
"78? x ?5=
BSMT.
r-
?bx26 ? (,r7L
`t3X6?lZa S"2
I1 '7&0
?y X 22 : 30$
lo3?x i4= Iy,Soy
I sr F?.c?o2
65MT _ 103
6
C? X!%2= 14
?OS0 X53= 5S'6So
zND F??aR
C3 sm T?
1? u?/z ?-
?xl/,.=
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103L
ly
10
IZ
?0 12. xs3= 5?,8i6
?----?
1 3 °o,r13 °
oK 139, eoJ ""
.
?.
;
IFICATE OF SURVEY
RlOX ?
t M?
LAND SUPVEYORS
Survey for:
DAHIE BROS., INC.
4
0
R
?
Scale: 1"=30'
\1
0
ti
?,ati a4
nl?
?°*,i? (? ?? t//?1??
IdaVa Un-) EQ ,?
Proposed Grades: ??" "?'?"
Top of Blocks 86,5 s Garage floor
Basement floor 8??° ? .... . - •• NOTE: Circled elevations are proposed, others are existi ,: '?"" i,..,rY;.{;>;,a•? r,°.;>;:
Arrows denote direction of drainage. .?
\ A, \
\ t$?A
. \ (,\ vy. ?r V V v-
\ \ ?6 b??? R / ? j
X
DESCRIPTION: N
?- ?
lot 4, Block 2_,, COVENTRY
PASS 2ND ADDfTI p'?A a, / •,L?
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon and all visible encroachments, if,any, fr m or on said land.
Dated this 8th day of October t19 91 ,
bY
0
Z" R. &a&se. pus.
8713 DUPONT AVENU6 SOUTH
9LOOMINO7bN, MINN. 88420
BBBd084
..................................?
Q 50i
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6
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o/9?a° ti U
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z74- 44
' . EXTERIOR ENVELOPE AVERAGE "U" CONPIITATION
owriEn: ' DNt4LE 5RZP5
SITE ADDRE55: ?t0?10 ?'-'????
CONTRACTOR: DAHL? 52[t2. I K.lC. DATE: ?' PHONE: LOC.J'40
DETERHINE VIORKING SDUARE FOOTAGE OF EACH:
1. TOTAL £XPOSED UALL AREA,,,,,,,, 2„1553 sq ft x"U" •'' ????•?3
2. TOTpL ROOf/CEILING AREA,,,,,,,, I 1ZSq ft x"U" •Q ? 2q•.C?
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor,252 L sq fL
a) Total Nall wlndow area:
D«,f%E 9lazed...... 19o.qs sq ft x-u- ?3
glazed,,,,,, sq ft x"U" E
b) Total door area ,,,,,,,,, ?p 40 sq ft x"L1" • 33 ° 8? 4
c) Total slidtng glass door area: •
DOU15LE gtazed...... go sq ft x"U" -- .? ?44-7.2o
Glazed...... sq ft x "U" _
d) Total #treplace walt area sq ft x"U" ?
e) Total wall framing area ?7 lO 25,•Z2
(Averace 104)......... ZSL . 2 aq ft x"U" • °
f) Total net wa11 area above ,
floor (Insulated)....... 1958.85sq ft x "U" _•0 = /aw
g) Total rim Joist area...... 212..9 sq ft x"U" •V'f ° 852,
Tota) foundatlon
area (Exposed).,....... $Z sq ft
h) Total foundatlon
wlndow area .............
sq ft x "U"
z
1) Total net foundation Q Q •
area above qrade........ V?•O2. sq ft x"U" • io ?
TOTAL a) thru 1) ? w
3. ?
?f item N3 15 the same as, or less than Ttem pl, you have met the intent of
2 tfCAR 1.16008 A and 0.
Page 1
4. TOTAL fXPDSED ROOF/CEILIHG CALCULATIONS:
Total exposed ?i25
roof/ceilinq area........ sq ft ?
J) Total skyltoht area....... sq ft x"U" ?
& ? 3•' ?
k) Total roof/celltnq framing 40271
area (Averaoe 1f19,)...... 1(2..? sq ft x"U"
1) Total net insulated OALI
roof/cel l lnq area....... I0' 2•5qsq ft x"U" •?25 ? ZS
4 TOTAL J) thru 1) 28•42-
If total of !y ts the same as, or less than 92, you have met the lntent of
2 MCAI2 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the vatues establ{shed by the sum
of items b'3 and X4 shatl not be greater than the sum of items 01 and R2.
1. + 7.
g, + 4. .
a
G
L E R T 1 f I C A T 1 0 N
1 hereby certify that I have calculated the "U" factors and "R"
values fierein and that the buildinq here described meets or exceeds Lhe State
of Minnesota Eneray C.onservation Act.
qnature
Uate)
Page 2'
*raconstruction
7F -11
5IC ei?
ALL
FIG. 1]
. ?
FIG. #2
Cor.struction R-Value
1.
2. '/2" Q2YWAlt- .4
3, 5I/t inchts soft wood G.1 L
1. d,?,µEPTM1QG Z.aG
S. !5 1 fl11aG .G2
6. Exterior aiz film : 0.17
'ibtal I e,15
' v=.lo
l. Interior air film 0.68
2. V2" bLYwOLL .45
3. Si/L" ,usuL. 19.00
? 4• 'SNLCTM ING 2,OG
5. W6;?v1?.t4 .Gl
6. Extezior air film 0.17
1bta1 Z;,o3
V :.04
. .00
•
?
?? 1. Interior air film 0.68
2. 1 W5u L. l 9? o 0
3. 11/z" weo P 1.8$
C? A=? .-? -------(? 4. S H E 47 K 1 N G 2. o G
S. SfDtwG G7
b. Exterior aiz film 0.17
..
'
--Q 7btnl 24AG
'
' !
?
? Uc .04
" •
?
•
i
? °2_._ . -
}
.? .
1. Interior air film ' 0.68
SION
? 2. irAIWL. Aue eey wsLL- 8.64
C• A
• ' ' 3. LZ" DloGt 1.28 .
? 4.
.
D
'
4
?r?
?
i if/,.•
• ' 6. Exterior aiz film 0.17
.. Total 10.19
• Vs,IG
? SLAS ORi GRADE • . •
? . ?. f • • ?
.?
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• •??.?='+k ' : ? .
,•
-
,
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u ' • ,
"r.
•
? 4' l?? = //? ?? V ?
?? ? 6
• . ' Ifl ?
• •
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Y- ?
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, • ; W .
.•••
r
FIG. }r •
64 '
. / ?
_:
,
83 ? If? 6
? •._ o
•
. _
/// ?
. ,
' o-,' r? • NOTE: Indicate Yync, "R" value, devth and
. ?
. • • ?
-_ ?.,...._. .. . ...__.-?..:.__...._ .__., _.. _. . ,,
. __. .._. .
placenent of in
. ?
sulation.
,
-
FRAtfE WALL
'• ? '-'F'd?OF/CEILING
. ?? ????•_
?
Veoted
FIG. 95
flea[ ilov
up '
Constrvction (Use foz Item L) R-Value
1. Interior air film fl.61
2. 5 e SFIEETe-o« .5L
3. N?v?. 3g.oo
4. Extcrioz sir filxn istill fl•
Toul S9.'18
CLG. FRAMING(Use foz Item 1C)
1. Intezior Aiz film 0.61
2. Sf8" s+fE.?TKoclc 154
3. Znches soft vood 51/L" +.156
4. Inches insul above framina 30.00
5. Air Film 0.61
?PBl?1 ?G . ? G
-- - - v_ , o2-T 6
2. Interior air iilm - p,62
2.
3.
4. Exterior aiz film (still) 0.61
Total
? Heat flov up ? . ven[ed•
, FIG. fb . '
? 1. Inside siz film ' 0.61
2.
3.
4.
5. Outside Dir film 0.17
Total
Notc: UGe n3ditional shocts if more epaec is
i.cedcd for drtpi2s and caleulations.
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crrv ar- f,^-ieFlN
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DA7ta 06/30/96 'T'Ti1E s :L3;,42r:?9
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921.0 900'_ 024 I"'iATRCE f,L, bP.,.25
2155 7091 412<: ;"ftA?G:Tf._ FU t,,OU
IUI:..1 Ror.uipt; Art3c,ur•.+,r, G:l.ft;;
C^0M&
US'cl;; ;'D: NANCY
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, AAinnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-18401-040-05
4124
LOT: 4
COVENTRY
PERMITTYPE:
BuzLnrrvs
Permit Number: 032144
Date Issued: 0 6 J 3 0/ 9 8
PRAIRIE RIDGE RD
BLOCK: 2
PASS 2N0
DESCRIPTION:
ABOVE GROUND
Bu1lding;perm3t Type
B?u3lding Wo,rk Type
'
;.i
?
\
?M
? S
..- ,
_ ?- -..t
SWIM POOL
NEW
1 C° s i (
?..,. ?? „._1??-,..?c, e-:,.[.J ?€
REMARKS:
PLAN REVIEWED BY JOE VOLES
FEE SUMMARY:
VALUATION $2,000
Base Fee $62.25
Surcharge $1.00
Total Fee $63.25
CONTRACTOR:
Y
OWNER: - Applicant -
SPARKS JAYNE
4124 PRATRZE RIDGE RD
EAGAN MN 55123
(612)456-0597
I hereby acknowledge Chat I have read t.his application end state that C.he
in'farmation is carrecC and agree Eo comply with all_applicable'State of'Mn<
StatuCes and City of Eagan Ordinances.
??- ?-
VAPPLICANT/PERMIT SIG UR? ISSUED B: I A RE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ?O?J' •ZS
3 CITY OF EAGAN ?a??
3830 PII.OT KNOB RD - 55122
681_"75 6lJ3
New Construction Reouirements RemodeVRepair Reauirements
? 3 registered sde surveys ? 2 eopies of plan
? 2 copies of plans (inGUde beam 8 window s¢es; poured fitl. design; etc.) ? 2 ska surveys (exterior addkions 8 decks)
? 1 energy calwlations ? 1 energy calwlations for heated addkions
? 3 copies of tree preservation plan if IM plalted after 711/93
reduired: _Yes No
DATE: ?5/ ?- ? / l p
DESCRIPTION OF WORK: a CJp ?le- -grU licl
d
STREET ADDRESS: LI I--? LI IJ/G( r rt e- -1;f?4 ()- °1U I -
BLOCK: Z SUBDJP.I.D. #: CovC (jfiVL'1 pmS
v
Name: -S-IPQ r?S ?1o 'f- Phone #: 456 -O-S-2 /
PROPERTY
OWNER ?[ p . ?
Street Address: u/ f, ( 7?' ?,(? ""'/ e-- ?
Ciri state:
Comp
CONTRACTOR
Street Address
City
ARCHITECT/
ENGINEER CompW.,._
Name:
Street Address
City
1V1 (lJ
Phone #:
License #
_ __.ie #:
Registration #: _
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
zip:
Zip:
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
Siate of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ I
Tree Preservatian Plan Received Yes I
CONSTRUCTION COST; Z , L-,no ?
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. 13 10 = plex
WORK TYPE
?,31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pfanning
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi RepaidRem. ?L17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
BVc-
?GL`,r°7j
Basement sq. ft. MC/WS System
_ Main level sq. ft. ' City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
99
ai
(
?-
Valuation: $ Z_? o-to
% SAC
SAC Units
•
Y
ir. '• y :
? CERTIFICATE OF SURVEY
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8713 DUPONT'AVENUB SOUTM
lIOOMINOTON, MINN. 66420
888-2084
B•f/9 _? Curb BK8 9
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? cn *-?"IREQUH UA7E = m o We here6y certIfy that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
Dated this Z?_Jday of ,.; ,199z. n w
thereon and a11 visible encroachments, if.any, from or on said land.
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8gg ?
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108837
Date Issued:01/16/2013
Permit Category:ePermit
Site Address: 4080 Prairie Ridge Rd
Lot:4 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-040
Use:
Description:
Sub Type:e - Water Softener
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
ARI T JAAKOLA
4080 Prairie Ridge Rd
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112578
Date Issued:08/19/2013
Permit Category:ePermit
Site Address: 4080 Prairie Ridge Rd
Lot:4 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ari T Jaakola
4080 Prairie Ridge Rd
Eagan MN 55123
(612) 965-5092
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152137
Date Issued:10/01/2018
Permit Category:ePermit
Site Address: 4080 Prairie Ridge Rd
Lot:4 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ari T Jaakola
4080 Prairie Ridge Rd
Eagan MN 55123
(612) 965-5092
Kremer Brothers Construction Co.
516 Second Street, Suite 202
Hudson WI 54016
(715) 554-2600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156742
Date Issued:07/16/2019
Permit Category:ePermit
Site Address: 4080 Prairie Ridge Rd
Lot:4 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ari T Jaakola
4080 Prairie Ridge Rd
Eagan MN 55123
(612) 965-5092
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature