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4083 Prairie Ridge Rd CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t G} ?j 01 PHONE: 681-4675 BUILDING PERMIT Receipt # j - To be used for ST aWCf GAR Est. Value $156,000 Date FEd 3 Site Address 4063 PRAIRIE AIDGE RD CE USE NLY LOt 7 BIOCk 4 SBC/Sub.CONBNTRY PASS 2N OFFI g ^3 O FEES ' 'ParCel No. Ocwpancy Zonin R l Bklg, permft 836.00 Nem MITTSL3TAEDT BROTNER3 g (nctual) Const Y-N Surdrge 78.00 ? p,ddr.. 785 SU1f86T bR (Albwable) Y-K mm PavieW 543.00 ? Cay EAGAN lsti Zp 55123 LB 9hto?es 669 ucanse 5•? Phorle 4 56-912 5 oePm sAC. City 100.00 ; NNTIe SAMN S.P. Total - SAC, MCWCC 700'00 ? ? S.F. Footprinis - 67s'? +?dr@?S On Site Sewage _ Water Conn ?y ZP on site wen R wate. Meter 95' 00 ' Phone MWCC System X' A«t. oePosit 3(}?QQ ? 0003443 ?JC2fiSB # City water X / 30•00 PRV Required W Permit S I hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surcharge '50 information is correct and agree to comply with all applicable State ot ??? ' Minnesota Statutes and City of Eagan Ordinances. Treatment PI ? Signature of Permitee ' ?.` `` • •. ?? _ - _,-'? ""` • . - ? APPiiOVALS Road Unit 380•00 EVT 8???ERS I?ELSr A A Building Permit is issued to: M Plan"er - Pazk Ded. on the express condition that all work shall be done in accordance with all Council IicaWe State of Minnesota Statutes and Ci of Ea an Ordinances. ? ri 9 Bldg. Off. Vanance - - Copies TOTAL 3.772.50 ? ?j Permk No. Permit Holder Date Telephona # S/W PUJMBING ? HvAC ELECTRI J ?1 U ELECTRIC Inspectlon Date Inap. Comments footings I ?_ Z f Foundation 7 1?' 2 ?e Framing 3 ' f?2 S Roafing Rough Plbg. IQ _! ? Rough Htg. ? fU._ Isul. _/?1?/ 4j? Fir? ? ? 1 z C ? Final Htg. ?Lj Orsat Test Final Pibg. Plbg. In specfor - Notify Plum6 er Const. Meler Enyr./Plan ay` Bklg. Fnal z y P? Dedc Ftg. Dedc Fina! L ? Well Pr. Disp. ?, • 3 - ,:j z?/ E? c ".5r - 4' -3 -1?-96- 46t -?e :17,41,1_10"'-i, ?? y fss/9s 14- 7iJ fl-.r,c- 4-- A-ei.G f. . . ? • r +? (Strfifira#t uf (Orrupanrg Citp of Cagan ?tpwftw ,a# lwding jicewprtioa T7ds Cer!lf'aaQie fssued pursuant to !he requireinereis of Section 306 of Me Unifonn Building Code certijytng thot at the Ainre of issaairce Ais structur+e ww in con;pliance wilh dre ?adous ordi=s= of de Cyty regulaling buildtng rnnwuction or rrse For the foUowixg. Use Clemificedow SF DFIG/GAR BW PermiiNm 20079 R-3 M-1 ?,ore?o?c R-1 Vn ?? ? 1 L TA DT SROS ? 785 SUNS?T DR., EAGAN MN s s ,, D april 23, 1992 POST IN A CONSPICUOUS PU1CE ? CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? r. DATE 19 ? necewEO .__-- Fnou AMOUNT $ & DOLLARS ?m O CASH ? CHECK ? ??• ? -. . ? • . ?;_•. ? 7? =r ?? FUND OBJECT !(MOUNT I ' - . , ." . . . , .' I _ 1- . '. ? ) ,w / /V :_Y t l I I Thank You ;. BY + ti1 f`A wnae--PaY? ?vr veao?-?osw,g CoPy ? Pink--Fae copy SEWER & I?IATER PERMIT CITif OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 METER # - CHIP # - METER SIZE OFFICE USE ONLY PERMIT DATE 02104/92 PERMIT # 12526 B.P. RECEIPT # B.P. RECEIPT DATE 02/03/92 X PRV _ BOOSTER PUMP PERMIT REOUESTED DATE FEB 3. 1992 I ISSUE OATE SITE ADDRESS 4083 PRAIRIE RIDGE RD LOT 7 BLOCK 4 SEC/SUB COYENTRY PASS 2ND APPLICANT: ADDRESS: _ CITY, STATE PHONE: _ PLUMBER: HCD(?21ALD PLUMBING ADDRESS: 19271 KENW00U TB CITY, STATE LAItLVI .LE MN ZIP 55044 PHONE: 435-3 ') 34 OWNER: MITTEL3TAEDT HROTHERS ADDRESS: 7$5 SUPISET DR CITY, STATE EA(:ANI MN ZIP 5g123 PHONE: 456-9125 X SEWER COMM/IND X WATER - TAPS ? _X_ RESIDENTIAL ?. ZIP R NEW .- EXISTING Lawn Sprinkler Meters are to be Installed ? Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. j f"AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EaGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 3, 1992 OFFICE USE ONLY METER #-V?LJ 7Z Z-,3,7 PERMIT DATE 02/04/92 CHIP"? 6 -2 g 5?!2 -? ? 5? PERMIT # ? 6 METER SIZE L&j E ?? S B.P. RECEIPT # ?' 1 ISSUE DATE - a B.P. RECEIPT DATE 02/03/92 x PRV _ BOOSTER PUMP SITE ADDRESS 4083 PRAIRIE RIDGE RD alll? LOT 7 BLOCK 4 SEC/SUB COVENTRY PASS APPLICANT: ADDRESS:_ CITY, STATE PHONE PERMIT REQUESTED X SEWER x WATER - TAPS - COMM/IND _X_ RESIDENTIAL ZIP x NEW - E7CI5TING Lawn Sprinkler Meters are to be Installed PLUMBER: MCDONALD PLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: 18271 KSNWOOD TR Credit WILL NOT be giuen for Deduct Meters. CITY, STATE LAKEVILLE MN Zip 55044 .1_ PHONE 435-3334 ? - - - - ?'--- -- - : - WITH CITY OF AGREE TO CaMPLY OWNER: MITTELSTAEDT BROTHERS EAGAN OROINANCES ADDRESS: 785 SUNSET DR CITY, STATE EAGAN MN ZiP 55123 PHQNE: 456-9125 IGNATURE E METER 19ST&O ?-,i?r.; ?E, ---;- ,, 'i. . ?x%--%/'? x , PLEA ALL OW TWb VGORKING DAYS FOR ?ROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTAGT ENGINEERING DEPT. -,- -,' li,? 'AddYeSs: 4083 PRAIRIE RIDGE RIIot 7 Blk 4 Sec/Sub COVENTRT PASS 2 These items ware/were not complete at the time of the final inspection. aa 9a' . Yg5 No lnsppctor, Final grade (6" from siding) / Permanent steps - garage VI" Permanent steps - main entry Permanent driveway Permanent gas ? Sod/seeded grass ? Trail/curb damage / Porch ? Basement finish ? Deck / Please verify vith the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outslde lavn faucet be£ora freeze potential exists. ? nECKieonren White - City copy Yellow - Resident copy Pink - Contractor copy `- CITY OF EAGAN ??(? Q Q 7 9 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55127 BUILDING PERMIT PHONE: 681-4675 Receipt # ?- % () I w ';? (';?' Tobeusedior SF DWG/GAR Est.Value $156.000 Date FEB 3 , 1991_ Site Address 4083 PRAIRIE RIDGE RD ine 7 ain,L, 4 co,ic.h COVF.NTRY PASS ParcelNo. ----------???? Nymg MITTELSTAEDT BROTHERS w qddress 785 SUNSET DR 2 ? cj{y EAGAN MN ZP 55123 Phone 456-9125 ¢ Nazne SaME 0 Address City ZiP ? Phone 8 License q 0003443 I hereby acknowlege that I have read ihis application and slate that the inlormaoon is correct and agree to comply with all applicable State of Mmnesota Statutes and City of Eagan Ordinances. SignaWre of Permj A Bwltling Permit is issued to MITTELSTAEDT BROTHERS on the express condition that all work shall be done in accordance wilh all appliwhle Sta1e ol Minnesota Stalutes A an d Ciry of Eagan Ordinances. p . ? ' I I IA1tl0 Il.ril.? I ,, IIIL'I BuildinuOfficial OFFICE USE ONLY R-3 M-1 FEES Occupancy R-1 elag. aermn 836.00 Zpning (ACtuapConst V-N Sumharge 78.00 (Allowable) V-N Plan Review 543.00 # 0f SIOn05 Licerea 5.00 Length Depih 51 ' SAC, City 100.00 S.F Total - SAC, MCWCC 700.00 S F. Footpnnis - 675.00 On Sne Sewage _ Water Conn On Site Weil Water Meter 95.00 hnwCC System X X A??? Deposit 30.00 Ciry Water X 30.00 PRV Required S/W Permil Boosler Pump - S/VJ Surcharge • 50 TreatmeM PI 300.00 APPHOVALS qoad Unil 380.00 Planner - park Ded. Council BIdg.Ofl. _ Copies 772.50 3 Variance - TOTAL , , . I r DATE: FEB 4 1992 RE: 4083 PRAIRIE RIDGE RD (MITTELSTAEDT BROTHERS) X Your Sewer & Water Permit for the above property has been completed. It will 6e held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. 8E SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT 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 allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter s¢e must be confirmed by 8ill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, 8uilding Inspections Dept. J-(]G384 REQUEST FOR ELECTRICAL INSPECTION ? S9b inshuct¢,ys for compleung fiis form on back ot yellow wpy "X" Below Work Covered by This Request ??e.4jtt E&00001-OB ?.?. ew Adtl Repv "' Typeof8wlding App6ancesWirad EqwpmenlWrted Home Range Temporary Service Duplez Water Heater Electric Heaung Ap[ Bwlding Dryer Oiher (Specity) Comm /Industrial Fumace Farm Av Conditioner Omer (syeoity) Gonhai RemarksCompute Inspec0on Fee Below: S Other Fee # SerwceEniranceSrze Fee # Qrcuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ro 700 Amps Transformers AbOVe 200 _ Amps 70 Amps Signs Inspecror5 Use Oniy TOTAL IrrigationBOOms Special Inspechon Alarm/Communicanon THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 5. I, the Electrical Inspector, hereby Rougn-in / te cerhfy that the above inspection has been made. oe?e OFFICE USE ONLY This request voitl 18 months Irom p ?JD Sz % ? Y????i / ? J 8 ?• 1 .? 1 L??G ?Y??A. C.?CL?YY l? 1 Request Date ' 2` q Rre No ( Roug -m Inspection qequireC? ? 7?,?? ?ReaGy NowJ?'° ill NoLty InspedOt n R H'h C ? 0 _ ? No Ves e e a y / I licensed contractor ? owner here6y request inspection of above electrical work at: JoE Atlere ss ISVee? Box or oute No.) City ^ / " Settion No Township Name o r No qarge No Couny OccuOant(PRINTI PM1One NO. - c Power SupDlier Atltlrew • Na.? Eiecmcal Conlractor[COmOany Neme) ConVector9 L¢ense No G•?_ ?`!?,l? L "? c C OJ?,? MaiLng qtltlress iCOnvactor or p.vner Makmg Inslallation? qlulho".1 Signamre lGOnnacronOwner Mag InstallaLOn, hob r MINNESOTA STATE BOpRD OF EtECTRICITY THIS INSPEGTION REOUEST WILL NOT Gnggs-Midway Bldg - Hoom 5-193 BE AGCEPTEO BV THE STATE BOARD 1921 University Ave SI PLUI, MN 55100 UNLESS PFOPEA INSPECTtON FEE IS Phone (612) 642-080U ENCLOSED City of Eagan Cash Receipt Receipt Date 10/22/2008 Receipt Number 199351 DAY CARE iNSPECTION CYNTHIA DANIELSEN 1221.9216 50.00 9083 PRAIRIE RIDGE RD Total Receipt Amount 50.00 110249 9:42:35 1 o•n LS36°a0+ 7d°00r 543 •vi)?- 2>>Ij •°iJ? .3 1 '72 • 50 ?f?o•OOt u'OU+ 543•00+ 2,315•50+ j,Tj2 .5C) ;; , - 1991 BUILDING PERMIT APPUCATION CITY OF EAGAN JAN30REC,7 REQUIREMENTS: 10091 SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERE SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SEfS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QFj LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: SC-,i IFjnLy Valuation: MMM-01 Date: ?/10 J42 Site Address qqg-3 Lot 2 Block ? Parcel/Sub?L Owner Address City/Zip Code Phone 4 Contractor LJ', Address 7Kf City/Zip Code Phone 46 Arch./Engr. Address City/Zip Code Phone # 01? /'ficl) ccc - ... . ._- -- - -•--- fEES Occupancy R3 M-I Bldg Permit 89E . o? Zoning 2- i Surcharge e.or Actual Const v-N Plan Review .<< Allowable v nl UCense Fee 5,?• # of stories SAC, Ciry /C,r, ?• Length GC' SAC, MWCC 'Jor, Depth Water Conn. c- l s, ?<• S.F. Total Water Meter s, FootpriM S.F. Acct. Deposit S/W Permd -? ; On-site sewage S/W Surcharge • sz' On-site well Treatmerrt PI. MWCC System ? Road Unft ; 3f-Z,??• City water Park Ded. PRV • Trail Ded. Booster Pump SUBTOTAL APPROVALS Penalry Planner Lot Change Council TOTAL 3'7`7?.•? eldg. Off. Variance Sewer/WaterLicensedContr. fj ct,AA for s wer/water permits is two ays once area . gn ure ermittee ali applicable State of Minnesota Statutes anc C.. I c D\,r£#- Processing time agrees that all work shall be done in accordance with City of Eagan Ordinances. , VA l.kA-t1oN .r . . GR?a.v? • r- 3ox ?o - Goo z Kio 7 ?-- s?s x ?5= 8?595 C3SMT 3iua4:rI 4-1 II X ? - II 67(o 19 ?52l )( 1y= ZI?3z2 1ST ? ovYt _?- i'?:xq ? iy IX24 = Zy 135mT -:: 1- 16 11 X 53= $S"? 383 3rtU L?ve?t? ??3( xZy ? DW?1 1 ? ?c ? ; r ? 75S X53 = ? b= 15S,31S' _ r .r. - Or2IS6/0Uo . _r SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST. ? ? /,•. a '•a _ ? / ?! ' ' ?? ? ? NOTE: NO SPECIFlC SOILS INVESTIGATION HAS BEEN COMPLETEO ON TH155y. LOT 8Y THE SURVEYOR. TF1E- SUITABILITY OF SOIIS TD SU. ` THE SPECIFlC HOUSE PROPOSE?1YO IS NOT THE RESPONSIBLITY THE SURVEYOR. GT.;?.??L?Z?t? ?}fA;1T NOTE: BU0..DING DIMENSIONS SHOMJN ARE FOR FIORfLONTAL B VERTICAL' LOCATION OF STRUCTURE ONLY. SEE ARd11TECTUAL PLANS FOR BUIIDING 9 FOUNDATION DIMENSIONS. ? ? ? r@e? ?., ED R ? DENOTES PROPOSED SURFACE DRAINAGE ll'? o?ov0 °`?? '? ?? O DENOTES IRON MONUMENT SET SCALE: 1 INCH a 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 956,17- FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -eqf3,53 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 8$8.3 FEEf WE HEREBY CERTIFY TO M ITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Loi 7,81ock 4, COVENTRY PASS 2ND ADDITION, axording to ihe recorded plaT fhereof, Gukoia Cour7ty, htitutesuia. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 23RD DAY OF JAN. ,1991. PROPOSED GRADES SHOWN WERE TAKEN FROM THE DEVELOPMENT PLAN FOR COVENTRY PASS 2ND AODITION PREPARED BY PIONEER ENG LAST DATED 4-26-90. SIGNED: R. HILL, INC. ? / BY: m ? ,n T O cp ? 0 A ? 0 0 ?o 0 m W in N > O rn p o n Z W m 7r Z M O m ? co N N JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGiNEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044 • r SURVEYOR'S CERTIFICATE MITTELSTAEQT BROS. CONST. RIDGE Oq0 854.3 QR e%.e ?asU< _ .?..,,..,, 16 a52.3 /). J N , BENCN MARK TOP OF PIPE ELfiV.•B6Y.14? ? ? 5 ---- ag5s • , 1 i ? 861 9 \ O ? P W1 . ?N? a ,. - ? o PROPC6mM / pi1VEWAY? - eei2? 2313'Fr GARAGE ? . I N r+4.33Z- IoA & 853.81, ? I I W I / PROPOSED O HOUSE rn -V/ - ? 6-0 0 Lei / enw L •e?°:eaaa?S?A) ' 14i4-es)/ , 5 DRqINAGE 9 UTILITY ? EASEM-ENT PER plq7r?5 6738 ? N66°3946 E - ; - eas.o • ?•9 N ?DRAINAGE fv ? EASEMENT? 0 M? N LOT " ? 7 855.0 ? 1 ? 9ENCN MARK ror oF ave ELEV. 869.66 p 40 441 I A c i 030.3 ? / ? m ? -n tp 0 CD P. O 0 O r ? RI N c. p R1 ?` A[\)> p ? O ? C?7i D N x ? p m 0 to SCALE I INCH=30 FEET James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 * 612-890-6044 DATE EXTERIOR EHVELOPE AVERAGE "U" COMPUTATION OWNER T-N E 0A L b E ? Q 4T A. SITE ADDRESS g3 A(l,q??e. CONTRACTOR (Y? ?`t TE ? S'r ff E t?T I'??.fX7 '??'JA>6 T' I ?JL AADRESS rI Su iUS ET A0 PHONE 4?a ?I i'Z S DETERMINE WORRIRG SQUARE FOOTAGE OF EACH. 1. Total exposed wall area ... 2'7 g ry sq: ft. x .11 . ? 2. Total roof/ceiling area .... _L(p? sq. ft. x •026 . ef ?rj Total exposed wall area ahove floor - '2, (o 9 (p a. To[al wall Window aiea ......................... 'z qQ,1-/ b. Total door area ................................ 40,) c. Total sliding glass doer area ................. ) p q,p d. Total fireplace wall area ...................... p e. Total wall framing area (average lOx) ,,,....... f. Total net srall area above floor ................ g. Tatal tim joiaC area .......................... ?'L , Total exposed foundation area h. Total fonndation windoW area ..... ............ p i. Total net foundatton area above grade .......... Q/ Determine "U" value of each wall segment. a._ 2 N/J, N RfoUlt , Y 7-5 - !lq.2_- b._ 4'o,a. R „Ui. 107 2,ff c. 10910 R IlUtf ,'I2 - N5.4 d. p xifplt n ? Q e._ 2L9,n X"U" of SBC 6006 (02. f. 1716(,(, g IfUll ,DY-ly g. '256.0 x,,,,it , oyy h. O RItUot O O s. 9l, d z„U„ , o?-_j 7.5 ----=? -?) 3 . ...............................Total If item 43 is [he same as, or less than item "o-u-have met the lntent -1- Page 2 of Z . I, Total exposed roof/ce113ng area 6 2? J. Total skylight area ........................... k. Total raof/ceiling framing area (average IOx).. Ip1.56 ' 1. Total net insulated roof/ceiling area ......... 1523•y ? Determine "U" value for each xnof/ceiling segment. ' j , el x liUn - Q - k. 101 t 5L R iiUfr i. 152 3, 4 y xttU,e „+? 11 ? • - / 4 .........................................Tota1 ? if total of 04 is the same as, or leas ttian P2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope ilesign To utilize [he total envelape syetem method, the valuea establiahed 6y the sum of items 113 and A4 shall not be greater than the eum of items OI and 92. , ' 1. + 2 . 3. _ t 4. _ -2- CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "" }f COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ? ADD-ON MINIMUM 15.00 SHOWER 3.00 .?? ? WATER CLOSET 3.00 9 l BATH TUB 3.00 ? LAVATORY 3.00 ? / KITCHEN SINK LAUNDRY TRAY 3.00 3.00 ? J L, HOT TUB/SPA 3.00 ,3 -? ? WATER NEATER 3.00 r- ??. FLOOR DRAIN 3.00 3 a GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER Z: WATER SOFTENER 5.00 ? PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ?mL?Enm PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. OWNER NAME: , SITE ADDRESS IAT:I B INSTALLER:? ADDRESS:_j CITY: LY,?h PHONE #: SUBTOTAL S 7 i ST. SURCHARGE 50 SIGCAT E OF PERMITTEE' TOTAL: $ rs_/rJO ?OMM$AGIA?fiT?iDLFS????4I:n PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAHILY 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: FOR CITY USE ONLY PERMZT # RECEIPT # DATE: 3 _5 ?- 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: $ ( S IGNATCTRE) CITY OF EAGAN WORK 7DES IPTION NEW CONST ADD ON _ REPAIR _ 391-i CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # , PHONE: (612) 454-8100 RECEIPT # O 5 DATE: AHSII???TTAT:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & :...... ............ ............... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -------------------------------------------------------- WORK DESCRIPTION FEES NEW CDNST ? ADD-ON MINIMI7M $15.00 ADD ON _ HVAC 0-100 M BTU 4M? REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUMSk 3.00 f?9(TTE?OF 1 PER PERMIT OWNER NAME: SITE ADDRESS: '?6 Si'3 IAT ?( C??5K.rot` pisSS 3' ? : ? BLOCK _ SUBD. INSTALLER: aDnRESS: Jurnsville Hea[ing & A/?, It1C. o e s an ve. o. CITY: SavarTe, hqN 55?7p,1122 5 PHONE #: o? SUBTOTAL: $3g ? STATE SURCHARGE: .50 l TOTAL : $ 3 e( SIGNATURE OF PERMITTE G P?ONB4ERCIAT./INDVSTRIAL,, 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: OWNER NAME: SITE ADDRESS: LOT: BLOCK , SUBD, INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE StIRCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN LOT ( BL SUBD-?'t1J?,?v Pass ? RECEIPT #: hl;)oa RECEIPT DATE: ? -" ? - ( I MECHANICAL PERMIT # ?1 1999 MECHANICALk14ITt' (RESIDENTiFcIa C11'Y OF SAfiRN 3$30 flLOT KNOS RD £PiBAN biN 55122 Date: (651)6$1-4675 Complete this section anlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100M3TU ADDITIONAL 50 M BTU • Gas outlets (minimum of one req_uized @ $3.00 ea.) $ 3p.OQ 6.00 State Surcharge Total .50 $ Complete this section oiilv if you are remodeling, addmg to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alterafion, or repair. (?K' New _ Fumace _ Air exchanger SITE ADDRESS: 9 OWNERNAME: 1 INSTALLER NAME! STREET ADDRESS: CI1'1': ? Alteration Repair _ Other Reminder: Ca11681-4675 for inspections. ? Air conditioning cv ? Other $ 30.00 State Surcharge .50 Minimutn Total Due $ PHONE #: PHONE #: STA F- _,? uoaar--? ZIP: 2r . IGNATUFtE OF PERMITTE CITY USE OSLY ????? 7 CITY USE ONLY L BL RECEIPT#: SUBD. _ RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT #: 1999 MECHRNICi4L PER1i31T (COhIRIEtC[RL) CITYdF EAfiAN S$SO P1LOT KNOB fiD £A6AN, MN 55122 (651) 6$1-4675 Please complete for: all commercialfindustriai buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: C;UNTRACT PR1CE: WORK TYPE: New construction Install U.G. Tank _ iuic,iui iu,pruvc,ue,it ! Remove U.G. Tanic (ytinirnum Fee) Processed Piping (Minimum Fee) **NOT'E: When instailing/removing underground tank, call 651-6814675 for inspecrion by fue marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL ----------------------------- SI'fE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: ADDRESS: CITY: ($50 per $1,000 of peanit fee due ou all pemilts.) PI-IONE #: (AREA CODE) PHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE ?. RESIDENTIAL BUILDING • Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucAOn Reauirements RemodeVReoair Reowrements Office Use Onlv 3 registered site surveys showing sq. R oi lot sq, ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd (20°k maximum lat cove2ge allowed) i set of Eneyy CalculaLOns for heated additions Tree Pres Plan Rerd 2 wpies of plan shaxing beam & window sizes: poured tound design, etc. i site survey for addihons & decks Tree P2s Nat Reqd 1 set ot Energy Caltulafiais Add'rtion - indicafe iJar-sde sepfic system _ Onsite Septic Syslem 3 capies of Tree Preservation Plan il lot platted aker 711193 Rim Joist Defail Options seleclion sheet (bMgs wRh 3 or less unrts Date 04 / 17 / 03 Construction Cost 7,659.00 Site address 4083 Prairie Ridge Road, Eagan, mNI Unit/ste # Description of Work Replace Roof Multi-Family Bldg _ Y X N Fireplace(s) _ 0_ 1 _ 2 Property Owner Christopher & Kathy Miller Telephone #( 651 )454-7265 Cantractor Exterior Innovations, Inc. Address 635 State Humboldt Ave. S. Zip 55431 city Sloomington, Telephone #( 952) 884-0814 ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesotz Rules 7670 Cateeorv I Mumesota Rules 7672 Energy Code CategOry . Residential Ventllation Category'f Worksheet . New Energy Code Worksheet (J submission type) Su6mitted Su6milted • Energy Envelope Calculations Submitted Licensed Plumber '7elepho e # } ? Mechanical Contracfior A? ?'TeWjphone #, Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is compiete 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 wark which requires a review and approval of plans. Rondi .TPnkins Applicant's Printed Name L2 ? Appl? ant' Signature OFEICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage Q 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex 0 ' 18 Deck ? 23 Porch (screenlgazebo) ? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Plbp_Y or _ N ? 25 MiSCellaneous Work Types .. . ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Altera6on ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt 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 Canst Width REQIIIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) , Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests ` Final _ Framing Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review - MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT City of Eagan Permit Type:Building Permit Number:EA123186 Date Issued:06/02/2014 Permit Category:ePermit Site Address: 4083 Prairie Ridge Rd Lot:7 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-070 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - 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 - Terry L Danielson 4083 Prairie Ridge Rd Eagan MN 55123 (612) 723-6345 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r________________� . � For Office Use I I � CltV of �a a� ; Permit#: � >l7 � J � � Permit Fee: . �V � �� I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651)675-5694 I Staff: � I � 2014 RESIDENTIAL BUILDfNG PERMIT APPLICATION . . Date: � � Site Address: �� ` Unit#: � Name: /�-�/�% //�G-�'j'f�=/�/� Phone:�.!� ��.� o�� Resident/ ' • . OwneC Address i City I Zip: �.�� /�Gg,�.�^�� , � Q� � Applicant is: Owner �Contractor � Type of Work Description of wo�k:�l C�� '- ,y�/'�./'� S j�C �" ��,.� ' Construction Cost: ��.� Multi-Family Building: (Yes /No�( ) Company: ,G' C�- � �' � ��tac�� .r�lv/�.��✓ '/.��f..� Contractor Address:_�� "��1¢� �/�� City: ��T �� State:��Zip: 'J� Phone:?�� ,��dS%�'��'anail: 1.��'J�,��/—�/l'fT�y�,1,ylJ�/l-��j', License#: � '� Lead Certificate#: T �^ � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? � _Yes _No If yes, date and address of master plan: 1 1 Licensed Plumber: Phone: � Mechanical Contractor: Phone: � Sewer&Water Contractor: Phone: � ' NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of � the information may be c/assified as non-public if you provide specific reasons fhat would permit the City to ` ': conclude that-they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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. I x��j �l.r�--f�iG/j E'`'�` x�`�� ApplicanYs Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171447 Date Issued:08/17/2021 Permit Category:ePermit Site Address: 4083 Prairie Ridge Rd Lot:7 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Terry L Danielson 4083 Prairie Ridge Rd Eagan MN 55123 (651) 983-3038 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature