4088 Prairie Ridge Rd
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(Irrufirate o# Mrruvanry
Citp of eagan
loPp2'#tltPltf Af swbitv jm}1PtttOlt
This Certificate issued pursuant to the requirements of Section 306 of the Unijorm Building
Code certlfying that at the time of rssuance this strucrure was rn compliance with the various
ordinances oJthe City regulaliag briilding construction or use. For the following.•
ux aksuficao? ??/GAR eug, ftrrnit xo. 0532
O-Uw-Cr T,X IAn`? 1 Zoning nium R 1 rra caDSr VN
owner or emaaing MMMATD OCNSMJ(,'TION INCAdd. 1212 Sf=IIL BAY RD, B' VI7U
BWdM Addrm 4068 PRAIRIEERIDGE WD L-2* L2, B2, flOVENm PASS ZNID
10/04/91
Iktildins Offic&
POST IN A CONSPICUOUS PIACE
• R ? M,°? lN"^'C?'^?? I
• . • ? ` ?
(gtx#i#tra#t uf (Orxupaury
Citp of (Eagan
Erparband af Wwbing 3wrrttan
This Cerlifuxite issued pursuant lo the requireneents of Section 306 of 1he Urrijorm Buitding
Code cern; jying rhar at llce dne of issuartcr thisstruclure ww in cornplianm wilh tIre various
wIfihancer of the CuY raukift bw7d+n8 cnnstiucxion or use For 1Jre following:
?C62OTwat1Oe SF DWG/GAR am&. ?a tim 19532
0-4-q TVPO R-3 M-1 zosiag Dkzict R-1 Ty,;ft caw V-N
0.,.,,d6aa.g MCDONALD CONST A&hm 1212 BLUEBILL BAY RD
lhuU,KAdd= 4088 PRAIRIE RIDGE RD LO-RY L2, B2, COVENTRY PASS 2ND
SEPTEMBER 30, 1991
POST IN A CONSPICUOUS PLACE
, • " • CITY OF EAGA N • o ?1 .? - 7
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Rece(pt # j ;
To be used for +3Y ili1C /[:AQ FM vallia 61403 ner? nM- . r&n 7 .., A.
Site Address 40As M
Lot 2_ Block _2
Parcel No.
W Name ?? I=''t? IrC
; Address 11212 ft.U6AIi t_ tu?Y RP
0 City SLiR'NSVZI.L.E Phone ,: `'--7061
}? Name??
0.? Address
City Phone
Name _
Address
Clty _
I I hereby acknowlege that I have read this application and state that the
intormatian is correct and agree to comply with all applicable State ol
Minnesota Statutes and City of EBgan Or inanCes.
Signature ot Pertnitee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Oflicial ' .?,u'
OFFICE USE ONLY
Occupancy $r.3--b..l FEES
2oning -it-1
(Actual) Const --V--P-p Bldg. Permit 187-?
(Allowable)
Surcharge 71-?
# of Stories
Lergih --" 0 Plan Review S1 t
Depih _361 SAC, City 200-?
S.F. Total - SAC, MCWCC 650-m
S.F. Footprints -
On Site Sewage _ Water Conn b6A-[X]
On Sife Well - Wa1er Meter qs-?
MWCC System
City Water ? ACCt. DePosit lo-m
PRV Required S/W Permit ?.m
Booster Pump - S!W SurCharge - ?
Treatment PI 27a-?O
APPROVALS Road Unit 370_A?
Planner
Council - park Ded.
BIdg.OtL _
_
Copies I
Variance -
?
TOTAL 3. sW• 50
Permit No. Permft Holder Date Tebphone #
WATER
. -`
SEVYER
PLUMBING
?Ad,
H.v.n.c.
ELEC,RIC
Inspection Date Insp. Comments
Footings I ?
Foundation
Framing 20 .? ?
Rooling
Rough PIh9.
Rough Htg.
Isul. ..? "
F?replace g ? r
Final Htg. _,?? • f / y ?
Orstat Test
Final Plbg. Ptbg. Inspector - Noti(y Plumber
Const. Meter
Engr./Plan
Bldg. Finai
Deck Ftg.
Dedc Fnal
Well
Pr. Disp.
v
HOUSE H?ATING TEST RECORD
C.4yAQ
ADDRESS t? APT. FLQOR C1TY SUBURB
OCCUPANT ? "(, C rA OMMER
HEAT LDSS DATE HTG. lNST.
SOLD BY INSTALLED BY
Eleetrical Work Br Gos Line Br
TYPE OF HEAT GA FA ? HMI STEAM SPACE HTR. UN17 HTR. OTHER
GAS DESIGN CONVERSION
MAKE I?AAKE QF BISRNER
Model `-T{_,j? If? L C? Mode! ?`
Swiol _ N1ax. BTU Rofiny
INPUT IAAKE OF FURNACF
... ._ _ .?.._._
Ilod.l ? - - _
CONTROLS f ?
THERMOSTAT `YAt--? Hoat Piup Vont Si:e
Valv ' KIND OF LIN R - SIZE ?-- NONE
Limit ? ?' Drah Hood ? < < A' ~ Rpulawr
Limit Settie- yFiltKS Sis* X.7 rY ",Number
Fan Settiny Chimney Loeatton la,td. Outaide
? ?
Pilof Type t? J ' l. Chimmoy Construetion
Pi (or Mak.
Pilot Model Smoke Bomb ? lltirfng
Pilo1 Timiny ?e 4N? Draff --Toat Toq ?r^
L.W. Cut OH ?--°-•- Ooor Presswe ?'-- Li tinq Iw.
Prsssun Percent COZ Do» Tested C?
Input CFH Pereent 02 • Compony Tutinq g4. _
Stack T?mp. Po?eent CO 10 Nan» of TesfM
f
Form 235 (
?
??/ ?O2>
HOUSE HEATiNG TEST Q2ECORD
ADORESS APT. FLOOR CITYSUBURB
OCCUPANT OMINER
HEAT LD55 DATE HTG. INST.
50LD BY INSTALLED BY
Eloetricol Work By Gas Lino Br
TYPE OF HEAT GA FA 2?L-HMf STEAM SPACE MTR. UNIT HTR. OTHER
MAKE
Mod.l
Swio 1 .
INPUT
GAS DE51GN
CONVERSION
Valve
Limit
Limit SeHiny
Fan Settiny -
Pilot Typs _
Pi1or Moko _
Pilot Madel _
Pilot Timiny -
L.W. Cut Off ?
Prossuro ?• S?? W•? • Poreonf C02
Input CFH Poreenr 02
Stack Tamp. Perunt CO ?
Fwm 235
Max. BTU Rotiny -
MAKE OF FURNACE
Mod•1
Vent Si:•
KIND OF LINER SIZE NQNE
Drah Mood Reyvlator
Fi Ifers Sfze Xk Num"r
C7hImner Location Inside ,4r--Outsido
Chlmney Construdion
Smoke Bomb Mfiriny
Draft Test Taq
Door Pressure LiyFNinq Inst.
Da1• T•sted
Company Tesfiny ?o ??'r"??'?? 141 !Z
Nane of T•sf.r ,?a?' ?? •
I SEkIlEIL&.,aIVATER PERMIT
CITY OF EAGAN
' 3830'PitoMob Rd.
I Eagan, MN 55122-1897
DATE 109/05/97
OFI
+ METER #
CHIP #
METER SIZE
ISSUE DATE
a PRV
I, SITE ADDRESS i
i LOT ; :•BLOCK SECISUB
Tf ' ,:.?-
APPLICANT: !'• ? L ? : t
ADDRESS: !
j CITY, STATE ZIP '
I PHONE:
PLUMBER: pl.:,,_,r,, ,,.q
ADDRESS: ; i' I y: t=,.? r„ •?, ,< `r' c; :.
r_
CITY, STATE ZIP
i PHONE:
I ADDRESS:
CITY, STATE ZIP _
PHONE:
'. PLEASE ALLOW TWO WORKING DAYS FOR PROCES
SEWER PERMITS, CONTACT ENGINEERING DEPT.
'E USE ONLY
_ PERMIT OATE
_ PERMIT # 12112
_ B.P. RECEIPT # C 14QQ3
_ B.P. RECEIPT DATE t%$ 12 g1
_ BOOSTER PUMP
PERMIT REQUESTED
SEWER !-'WATER -
- COMMlIND - RESIDENTIA
_I,..•NEW - EXISTING
Lawn Sprinkler Meters are to be Instailed •?
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters. ?
I AGREE TO COMPLY W1TH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Not Knob Rd.
Eagan, MN 55122-1897
DATE )8/()5/91
X PRV _ BOOSTER PUMP
SITEADDRESS4 088 Pr,-: !:•ie Ridge Rd.
LOT i ;.? BLOCK Gp_SEC/SUB
ZT r1??ASo 4"U
APPLICANT:
ADDRESS: ??
CITY, STATE t!4?f'aL,rt T ZIP ?T._
PHONE: G- ,5',i? -'z?c? 16,..1
PLUMBER: '
ADDRESS: rOIR N4,. ,,. ?sl S?.-, _,r TF.. A cr?
CITY,STATE ?_ ? L , -I,' ,, wjtV ? ZIP -`,5`?2_1)
PHONE: ';7? S y - '41
OWNER:
ADDRESS:_
CITY. STATE
USE ONLY
PERMIT DATE ("U13/91
PERMIT # 12219
METER SIZE uS B.P. RECEIPT # C 14903
ISSUE DATE B.P. RECEIPT DATE 0$ 12 9
ZIP
PHONE:
PLEASE ALLOW TWO WORK(NG DAYS FOR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
---- - - - - -- - - _ _ - - -` ___.._.? _?___
PERMIT RE(]UESTED
?''SEWER !1?VATER - TAPS
- COMMIIND
__L_lVEW
"-RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be•given for Deduct Meters.
_"-
I AGREE,TO COMPLY WitH CITY OF
FOR STORM
?---- ??? INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
I Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? SITE ADDRESS: APPLICANT:
? ,,.;:li:it ;i. f I?rii?, 1
I tV?'i?# ! F#Y f'AS"i NO (f..l :' )?+86 02`13
PERMIT SUBTYPE: TYPE OF W4RK: '
INSPECTION .A . D•
? • '?, '! . _ ,:?? ? ?, ;4
? II ti Al?Y. S : A".yFf'AR/11T Pf'RMI T I
1-
IL-
Iit A
1 Nly !ai? f 1 F r' 1 f+? (°Iii Llrll
0
3)b SIP
I Permit No. Permit Holder Date Teiephone i
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING. O
ROOFING
ROUGH
PLUMBING ?-? 0 O/? a ri
PLBG
AIR TEST
ROUGH
HEATING
szoc?
GAS SVC
TEST
INSUI
GYPBOARD
FIREPLACE je1
AIR TEST FIREPLACE
O
FINAL PL BG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FfG
DECK FINAL
Addr6ss: 40$$ pRAIRIg RIDGE gD Lot 2 Blk 2 Sec/Sub apVFN1Ry pASS 2Np
These items were/were not complete at the time of the final inspection.
o - Yes No
Final grade (6" from siding) tll-I
Permanent steps - gaxage 7/
Permanent steps - main entry
Permanent driveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal o£ roaf test caps from the plumbing
system and the shut-off of watar supply to the outside lawn faucet before
freeze potential exlsts. "P41
PFCICtEONRII
White - City copy Ye11ow - Resident copy Pink - Contractor copy
OATE:
AUG 13, 1991 ?
,.;R?--? 4088 PRAIRIE RIDGE RD (MC?ONALD CONSTRUCTION INC)
X 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.
- 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 (or meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100,? before issuance.
?
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN ND 19532
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # 0, 1q?"1 o3
o be used for SF DWG/GAR Est value $142, 000
Site Address 4'
lat 2 Block
Parcel No.
RIDGE RD
? Sec/Sub.
?a, INarne MCDONALD CONSTRUCTION INC
37: Address 1212 BLUEBILL BAY RD
° CitY SURNSVILLE Phone 688-7061
0- 1 F Name 3AME I
8y Address
? City Phone
Jw=MjName I
kx:Address
`aw City Phone
I hereby acKnowlege that I have read this application and state that the
mformahon is correct and agree to compiy with all applicable State of
Mmnesota Slatutes and City o(?/3 ga r ina
Signature of Permitae A ??- /?
A Buildmg Permit is issued to: MCDONALD CONSTRUCTION
on the express condition that all work shall be done in accortlance witn all
applicaple State of Mmnesota Statutes and Cdy ot Eagan Ordmances.
Building OBicial
OFFICE USE ONLY
Oaupancy R-3-M- 1 FEES
Zoning R=1
(ACiual)Const V-N 61d9 Permii 7g7•n?
(Allowable) V-N
Surcharge
8 0l stories
Length 64' Plan Rewew 51 1• 00
Depth 3.6' SAGCity 100-OD
S.F.TOtal - SAC.MCWCC 6$0.00
S.F. Foolprinis -
On Site Sewage - Water Conn 660. 00
On Site Well - Water Meter 95.00
MWCCSystem X
Aect Depostl
30.0?
CilyWa[er --X-
PRV Required X SPN Pefmit 30.00
Booster Pump - S/W SurCharge .5
?
Treatment PI
?
276.0
APPROVALS poad Unrt 370 • 00
Planner - Park Ded
Council
BIdg.0/1 _ Copies
Variance - TOTAL 3,580.50
v
j/s? o-
d?V
//???9
?
? ?
,
p
4 4 8 3 2
flepue ' t- - / Fue No Ro -in Inspection
q eoo
J Ready Naw I41MIRNoiily Insjgcp r
en ReatlQ7i
_ es C N.
It,+6ensed contractor '] owner hereby request inspection of above electri wor
Job Atl e ((S el ar ute No ) ? Gry ?
SecLOn No Townshry Name or No nge No CouNy
O[cUPdntIP TI
/
Phone 0 /r!/'') 67 /
v ?f?
Powar uppner ? Atltlrass
Electnc ' ?vacior ( ompapy Name ? Conttaclor§ Prinse No /?
`
? Y
Maemg ACds iComr. or Ow aking nstailaLon? ?
74onze nat iGo?Irai?'lClo?' wner Makmg I on h 2 ur ber
-
. ,.
MINNESOTA STATE DAPD OF EIECTRIQTY THIS INSPECTION PEQUEST WILC NOT
Gnggs-MiEway Bldg. - Foom S173 pE ACCEPTED BV THE STATE BOARD
1821 llnlversily Ave. St Vaul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone J612) 692-0800 ENCLOSED
g?s/5/ REQUEST FOR ELECTRICAL INSPECTION
? Sea mstmchons lar compleling this loim on beck ol yellow copy
Q 4483? "X" Below Work Covered by This Request
EB-00001-08
?
34G 4
ew Add Rep TypeofButlding AppliancesWired EqmpmentWiretl
Home Range Temporary Sermce
Duplex Water Heater ? Eleciric Heatmg
Apt. Bwlding Dryer Other (Specify)
Commllndusirial Furnace
Farm Air Condinoner
Omerispi Conrcamors Femarks
Compute Inspectron Fee Below
x Other Fee # ServiceEntranceSze Fe # Circmts/Feeders ee
Swimming Pool ? 0 to 200 Amps 0 ta 100 Amps
Trans(ormers ?Above 200 _ Amps A 0_ Amps
Signs Inspectors Use onry > TOTAL D
Irrigation Booms a, ?C/
pecial Inspection e
Alarm/Communicallon THIS INSTALLATION MAV BE OR D DISCONNE?TED IF NOT
Other Fee COMPLETED WITHIN 18 M HS. ?
I, the Electncal Inspector, hereby RO09"°" f? -
cerirfy that Ihe above inspection has
been made Fnal ? y ??„ Date
c?i//'GC•?y'? ? Q?
OFFICE IISE ONLY // /
This request voiC 18 manths irom %
? G / ?-- ?
PERMIT
?CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031656
(612) 681-4675 Date Issued: 03/ 2 6/ 9 8
SITE ADDRESS:
4088 PRAIRIE RIDGE RD
LOT: 2 BIOCK: 2
COVENTRY PASS 2ND
P.I.N.: 10-18401-020-02
DESCRIPTION:
BASEMENT FINISW
ALTERATION
AL7. RESIDENTIAL
17.'??
i .i ? u?'?7 n edc_ ry
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR:
(NO BEDROOMS)
@u3lding ?Permit Type
Building 4J2?rk Type
;'?Cehs?usCode v, 434
r
r
z, _ r37B , . J+ i
x`.}i ?J°
?
OWNER: - Applicant -
ROTHFOLK CRflIG
4088 PRAIRIE RIDGE RD
EAGAN MN 55123
(612)686-0233
I. hereby acknowledge that' I`have rbadthis application. _and,stite_ tliat ths ,,, .
information is corPect and agi-eew to,., camAaly =wi•i?h .a1],, .a?ppl?,eab,le-°StA ??e-Qf ?1n.? °
SCAt?iCes and City ofi Eagara 0<rdir?ancesg.y
'LJ
?
PP?ICANT/PERMI SIGNATURE IYSUED BY. SIGN URE
BUILDING PERMIT APPLICATION (RESIDENTIAL) ?-??• ??
?' ?41998
CITY OF EAGAN ??p???
3830 PII.OT KNOB RD - 65122 (,?Gl.5-?.+e
681-4675
New Construdion Reaufrements RemodeVReoair Reauirements
• 3 registered site surveys
? 2 copies of plans (inGude beam 8 window saes; poured Ind. design; etc.)
? 1 energy calalationa
? 3 copies of tree preservation plan 'rf lot platted after 711f93
required: Yes No
DATE: lJ
? 2 copies of plan
-4--2 site surveys (exterior add'Rions & decks)
_.+--f energy calwlations for heated adddions
CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: 7(/ ?3 `6
,
LOT: ? BLOCK: SUBD./P.I.D.#:
Name: , Ot? ?/f'? / yki9 d" ky?alu Phone#: l? 9C0`45%2,? ?
PROPERTY Lot Firy(
OWNER // X21
Street Address: 7'? ?? 5 P oa?
City G C( u y, State: ??/V Zip: _:??2?
Company: 5a 1?h e Phone #:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/ y?
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appiica6on and state that the information is
State of Minnesota Statutes and City of Eagan Ordinances. -0011,
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
PenaRy applies when address chang
all appiicabl
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?16
? 02 SF Dwelling ? 07 4-plex ? 12 Mutti RepaidRem. ? 17
? 03 SF Addition ? 08 8-plex O 13 Garage/Accessory ? 20
? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
0 31 New *33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Pianning
Basement sq. R.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building Ika_ Engineering
Basement Finish
Swim Pool
Public Facility
Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
i
i
o/
v
Permit Fee
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
; ,... .?
Gopies
ToWI:
% SAC
Valuation: $
f.AC'hlrrits?-
... .. _ _ t
, . ,
787 • oo+-
1ri •oo+
511•00+
2, 211•50+
3?5c30•50?°
,??,+pm 7 a7 •oo+
71•00+
511•U0+
2,211•50+
3) 530•50*
*a.em)
1991 BUILDING PERMIT APPLZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
PENALTY APPLIES WAEN: 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 LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS flEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
? Valuation: ? Date: &-5-91,
? J
L108P, ?rn?ri?Ridn? OFFICE USE ONLY
Lot ? Block Z_
CoveK-Fr? ??sS 2N r? f?on'r.? ?
Parcel/Sub
-? °
Owner
Address
City/Zip Code
Phone
Contractor (`--?cUtv.vs?c? Co.JS'E..Z'nY .
Address 12-iZB(uebj( RA.n
City/Zip Code
Phone 6e3-'70(o1
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
R-3 M-I
-1?-_ f
'r-^v
V-N
?
On site sewage_
On site well
MWCC System City water ?
PRV _
Booster Pump _
;.
COP44ERCIAL
FEES
Bldg. Permit 787,Oo
Surcharge 7/•00
Plan Review 5//,0o
SAC, City /60•00
SAC, MWCC Sa•aD
Water Conn. 660 • o0
Water Meter 95. pO
Acct. Deposit 30,00
S/w Permit 30,02
S/W Surcharge •60
Treatment P1. 276.00
Road Unit 317o,v*3
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL _I.TNO. F
APPROVALS
Planner _
Council
Bldg. Off. =DS
Variance
that all work shall be done in accordance with
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(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
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. . . ?? ??
GA RA6'G
?.
22 X 20 --
l2 xzo ?
_ 2uo
----
C?Sfo KIS= lbZoo
Z? k 3Z = Fl3z
l6kl?c= ZZ
l OS? x ??r =/y Z'??!
15-r 'r-Lcwi-
yw 5m7 -? /(.'? o, 5
zxe= G?
I os6 X .?3 =' S7Sss
Rpm
• ??tT= JoS?
l?og xs3a ss?2y
??11 Z? 6 a?e `4 2 , d? o,-_
\ • '
? PIDN
Qn9 * i
* ?C ?F
'900, v
1 q0?.0
P
rs proposecr erevation Lowesf Floor E(evofic,n as o.o
es bra?ne f Ufilr?fy Easemenf Tp o,,^f3lock E/evnlron - as?s.a
?s broina e ?low ?r°rows C'orpgg SJab Elevalron 8s-i.
es monu en f - -
cfearInIs shown are Qssumed o Dpnotas 04'f set Nub
LOT` 2,BLOCK 2,?'C?VENT'??}? PASS 2??41
cmkom covNrY, Mwwrsorp Subjec/ lo easemenfs o'rer_ord
i he.Fbvi certlly thni Ihib 5Uiv9y, piAO Cf report wnQs p?.f pared by mp ? un er my di.nct supervleion and thqt 1 flm dvly tiegfaterr,d LAnd Surveyor
unde. Iha Inws at the Sre tn of Mrnnesnta Oated dny 01 A,p, I g
s ch - ?}'ef
e A ca/e , 1 rn
9OI J?.Ory' --`""'-'---- ROPF H. $iWU4 RFG. Nt7. 14091
Pionear Ensinearins 6e. 19488
P.02
2422 Entr.rprlsa Orive
Mendota Heighn, MN 55120
(612) B8 9
Ceititicete of Survey for; Pm{jT_(LC r"(Q/1(
?
?l 89° 5 7 ' gg^r-
i 24.1 b
NoRrH
1D&E RoA 0
U 3UloCJO R F C) "U" tlME ?'J
penotes eXrsh
INN S E N GY CO C CU S
, ASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective
4- 11 _-425c,?"
Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other)
NQT E• Comnlete pages 3 and 4 fir,st.
GEN ERAL INFORMATION
1.
Building Perimeter 1-,?'sl ft.
N
2. Wall height (ground to eave) v ft.
0Z'0?3
Z
3. 1. X 2. (above) qross wall area
!
sq.ft.
4. Building dimensions (L) ? X(W) sq.ft.roof & floor area
5. Sq. foot area of rim joist - Flpor jo st size (2 X10 ) d
_L(7 X (Perimeter) = Z.v?Tsq.ft.
6. Doors - Are,?A ? -D 12
• ? ? ??
Thickness in U. factor
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft.
1
B. Windows: Manufacturer_JiVL-, 'r'll'176 State approved
U factor r • "
TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
EACH UNITS SQ FEET
V? F- i'SYr
9. Total sq.ft. Glass__ ?Z?/'??
10. Fireplace area: Width X Height = X = sq.ft.
11. Exposed foundation: Height X Perimeter °(D-l X?8--? _1 +/(0 sq.ft.
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR
REMODELING AND HUILDINGS HEING MOVED WHERfi ENERGY, OTHER THAN THE MINZMAL CODE ALLOWANCE, IS USED. '
-1-
, ?
Contractor ?/VC phone
Building Classification: Type A1 (Sinqle Family & Duplex) ?c
12..Framing area = 10% • gross wall area. •
`13. Gross wall area 290 ? ? Oc> sq.ft.
Window area A 2 r5 sq.ft.
Rim joist area A Z?r sq.ft.
Door area A i sq.ft.
Other doors area A"?5 sq.ft.
Exposed fndn A 1111 V sq.ft.
Framing area AZ O(I"4 ? sq.ft.
Net wall area A 1? sq.ft.
(iss)
14. Gross wall area x 0.11 (A-1 sin<
(13. above)
U windows = e5CO UxA = I I v, ?J
U rim joist= 10 UxA =
U door area=1,A UxA =
U other doors= ?? UxA = 1c2,?
u foundation= e 041S UxA = i ?
U framinq area= +`? UxA = Z ??S
d
U wa11= UxA =
L (D?
TOTAL . . . . . . . . . Ux
(le family & duplex) = allowable UxA/Code
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
?BoUH must be larqer than or same
U Code o F. as 13B above
15. Ceiling framing area (Af) equals 10t of ceiling area
15A. Gross ceiling area =(L) - x(W) '-- = IID oC.;, sq.ft.
15B. Joist area (Af) = 10$ ceiling area = II I sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) _ 99 1 _sq.ft.
U ceilinq x Ac = 10211 x? . ? = zoi
r
U framing x A f = I?Z?? x
15D. TOTAL U X A ............................ --
16. Ceiling area (15A) x 0.026 (A-1 single uplex)
= allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
d BTUH must be larger than or same
A(15A) d x U Code i d??0 =? 1!, °F. as 15D above
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION: I hereby certify that I have calculated the "U" factors and
"R" values herein and that the building here described meets or exceeds the
State of Minnesota Energy Conservation Act.
Date
-2-
qnature
i'
- ? • •
?
';;?o,sq-xC?v+??? Zca?z?)= I s5?.?jz.
29oZ, 08
; ? ?'oa I 1ov?
- SQ.?:
I ?HIE? ?1x? = I?,??X (o = v2, S
?1 ?.I ?; ?oXcno = I(?o X ?= -77-?
???".! ?1?`?CJ ?' f Il?/t S? ??O?zi?
ll ;; ?40? = o,15Xz - 17-s
II 1?T't-; ? ZaX?v = ?, o X?1= c?3, a
11;; o xZ - 14,0
xs
!I ?
°-
?
WALL
SECTION
R ALUE U YALUE
Inelde air Eilm • :68 '
Interior vall ? 145 (Nall) U . R :
[nsulation 19'0 '
Sheathing 2•060
Stding .(01 Ou[aLde air E11m .11
R T07AL
Inalde air film 1 68
STUD
SECTION
Intetior wall . -45
u
4y etud R= 4'y38 (p, -rjp(Fratoing) U. R .
Sheathing ?2.oco
S[ding ? •(O-7 . 09?j
Outsfde alr Eilm ' .17 ?r
R TOTAL 10.53
2ND WALL
SECTLON.
R1M
JOIST
?-
Inside air film R= .68
Intetior aall '
Ineulatton (Wall ) U
Sheathing z
Extettor wall coverLng
Extertor air film R ..17
R i0?AL
lnterlor atr- Eilm R= .68
o. - .. Lnsulatlon
l? lnch soEt wood R=1.88 (Rim U n R=
JOISt)
Sheathing 2.0(p
Exterlor wail covecing .?7
Extetlor air Ellm {t= ,17
R TOl'AL z4 • 4(a
Lntertor air Ellm R= .68
(Lnsula[Lon)FldER(aLA?tj 19•00
z,oq-
-? Ex etlor air fllm R= .11
F T01'AL 2.1,01
, O4(
7_
I
(Fdn.) U = R =
?
---Exposed Btock
\
\.???.•???,rade .
3
D O
R VALUE R VALUE
FRAMING CEILING
AirFilm
3 ?,12 Insulation 45• O
4.38 Joist -------
0.56 Ceiling 0.56
0.61 AirFilm 0.61
47-'m4 Tota1R 4(o'78
p=1/g . OZ1
window infiltration 0.5 cfm/lineal
Residential door infiltration 0.5
requirement
Non-residential door infiltration
foot of crack
efm/square foot or door end minimum code
11.0 cfm/lineal foot of crack
Ub 12" concrete block no insulation = .47 R 2.1
Ub 12" concrete block insulated cores = .26 R 3.8
Ub 12" liqhtweiqht block = .32 R 3.1
Ub 12" lightweiqht block insulated cores = .12 R 8.3
U single glass = 1.13; with storm window .54
U double glass = .55
U triple glass = .41
All exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
Vapor barrier must be on the inside (heated side) of wall.
vapor barriers of the polyethelene thin film have no R value.
r. ' •
1
i
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMZT #
PHONE: (612) 454-8100 RECEIPT # I b 3
3?TM"W'T DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------°°----- --------------------------°-----------------------------
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON _'4 SHOWER 3.00 Zj¢
REPAIR WATER CLOSET 3.00 ZJ.QO
BATH TUB 3.00 3 0 R
LAVATORY 3.00 / a 0 6
OWNER NAME: C 6 rJla? h C. KITCHEN SINK 3.00 s.oa
?!I LAUNDRY TRAY 3.00 ?'? 6 0
SITE ADDRESS: Q+ Cl ? HOT TUS/SPA 3.00 .? dn
WATER HEATER 3.00 2ba
LOT:N) BIACK ? SUSD. fid FLOOR DRAIN 3.00 ?
GAS PIPING OUT.
INSTALLER: ? I U P_? g0 PIU n (MINIMUM - 1) 3.00 OD
ROUGH OPENINGS 1.50 ?0
l6co ADDRESS: ?CiW? OTHER
WATER SOFTENER 5.00
CITY:I?S E 0 V`G ZIP: f PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
GO-? ? SUBTOTAL V
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: ? ` oO
WMMEItCiAL';iNDi1ST&IAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
.. .. f ._...,. .. ....._......
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP: _
PHONE
FOR:
CITY OF EAGAN
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)
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) $'(?? -?75
CITY OF EAGAN
1 3830 PILOT KNOB RD • 55122
651-681-4675
New Consfrucflon ReaulremeMs
? 3 regBtered sHe surveys showing aq. H. of lot, sq. H. of house
and all roofed areas (207, mrncimum lot coveraae allowed)
? 2 coples of plans (ahow beam s window s@es; poured fnd. design; etc.)
? 1 set ol energy calcula}ions
D 3 copies W kee preservafion plan B lot plafted aHer 7/1/93
DATE: d -1 -<F q
DESCRIPTION OF WORK: /I.UI.CrlJ?v? C.v / 17-9-aA
STREET ADDRESS: ? 7 U 25 b /J 1'Q
LOT: v' BIOCK: Q? SUBD./P.I.D. #:
Nome: ?one #: I/V&F(/ 0233
RDy?l?:
lasf Firsl
.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Sheet
City
State:
h4
?
Zip:
(area code)
Company: I €Vci €Brir-`(vAAICNf'. Phone #:
9190 W.123'/z ST.
Street Address: SAVAGE, MN 55378
6t2•d454989
Ciy Llc. #6863 State:
Telephone #: areo eode (
license #
Name:
Street Address: ReglstraNon #:
Cffy
Sewer 8 water Ifcensed plumber (reaulred for new construction onlv):
11711 ? • - (S-TZ:I3:=
2 copies of plan
1 sei of energy calculaHons lor healed addNlons
1 tfle survey for exterior addlNOns d decks
CONSTRUCTION COST:
State;
Zip:
Zip:
PenaNy applies when address change and lot change is requested once permM Is Issued.
eby acknowledge that I hwe read this appiication, sfate that the InformaHon is conecf, and a e ta comply wRh all opplicabl
ate oi Minnesofa Statutes and CMy of Eagan Ordinanees.
Signature of ApplfcanY.
Certificates of Survey Received _
Tree Preservation Plan Received
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
CITY USE ONLY 9a
L BL e? ? RECEIPT #:
SUBD. Gay ovRECEIPTDATE: 4011,9V
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES ----------------
EACH ------------- ------- - ----- -------
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 100 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener " for dwellings under construc[ion 5.00 x =
Water Softener ' for existing dwelling 20.00 X =
U.G. Spflnklef ' for dwefling under const. 3.00 =
U.G.Sprinkler "forexistingdweliing 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL )01
------------------------------------------------------------------------------- ------------------ -- --------------------------- -------- --
I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply wdh all applicable CiTy of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no lia6ility for any damages caused by the City during its
normal operational and maintenance activities to the facilities construded undqr this permit within Ciry property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: ?e? ?e?,
INSTALLER NAME: y/1?e-%?'??? TELEPHONE#: G
STREET ADDRESS: ??
CITY: STATE:
SIGNATURE OF PERMITTEE
ZIP:
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
PERMIT# Lt-l J
RECEIPT DATE:
8008 PtESIDENTtlkL PLUM$IRfi PEiM1T APPLICATIOR
cn'Y og EksLAx
3$30 PILOT KAOB $D
£AHRA, MF 551EE _. .,,, _..._
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits e required for ,?PR 2 5 300tv I D
backflow preventer for irrigation system ?
--
BY 5
SITE ADDRESS: iln/1!1 !-i-Q 1n l RI d&i
OWNER NAME: :_ C fLt_i V TELEPHONE #: (9v -1_ KJ m-6a33
(AREA CODE)
INSTALLER NAME: ?`Q i f1 Pon TELEPHONE #: 7S 176 1 6?9?
STREETADDRESS: I ,?Q' I (AREA CODE??
?, `7I U? /! U?
CITY: • STATE: ? ZIP: ?
_ SEPTIC SYSTEM, new/refurbished (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.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenVadditional: _ water softener Water heater $ 15.00
State Surcharge $ .50
ratal $ /5-
I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree W complywith all applicable Cityof Eagan ordinances. It
is the appllcanPS responsibility to notity the property owner that the City of Eagan assumes no JI'a?'lity for any damages used by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within Cjty per?y/right-of t,
? .?/??
SIGNATWA E OF PERJ? EE 1102
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109590
Date Issued:03/20/2013
Permit Category:ePermit
Site Address: 4088 Prairie Ridge Rd
Lot:2 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-020
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.
Phil Holmin
900 Park Knoll Drive
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 -
John W Willy Jr
4088 Prairie Ridge Rd
Eagan MN 55123
Holmin Heating & Cooling LLC
900 Park Knoll Drive
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118043
Date Issued:10/25/2013
Permit Category:ePermit
Site Address: 4088 Prairie Ridge Rd
Lot:2 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
John W Willy Jr
4088 Prairie Ridge Rd
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151188
Date Issued:08/13/2018
Permit Category:ePermit
Site Address: 4088 Prairie Ridge Rd
Lot:2 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-020
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 -
John W Willy Jr
4088 Prairie Ridge Rd
Eagan MN 55123
(612) 237-9448
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature