4091 Prairie Ridge RdN RECORD
CITY OF EAGAN PERMIT TYPE: ?0 " "''
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
N I1
I PERMIT SUBTYPE:
i I
TYPE OF WORK: ?
I fr R n i.rAN
itt l)It041111/FsA tlikUt:q ?
INSPECTION .• • .•
1 -111tr11 I M 11 i?? I t C•I/11
kF MAt7?;$; Sf;>AkA 1 I t't' I+M 1 1':• A R f ttf to I I 1 ItF L? f1ii, RN'i E' I tfMFt I NG 4 IV t f i+ f t> 1I AL t.ltll;!
?
PermR No. Permit Holder Date Tslephone #
S/W
PLUMBING
HVAC
ELECTR Oft7
ELECTRIC
Inspectlon Date Insp. Cammerrts
FpptingS I
Foundation
Freming
r
Roofing
Rough Plbg. ?// f/
7 ?r L/p?
?W
Rough Htg. L L?2?'I / T c?e??
Isul. ? Q
Freplace
Final Htg.
Orsat Test
Final Pibg. Pfbg. Inspector - Notify Ptumber
Const. Meter
EngrJPlan
Bldg. Final
iy
Deck Ftg.
Deck Final
Well
Pr. Disp.
e ..
BUTLDING PERMIT
To be used for sg DW
Site Address 44
Lot 6 Block
Parcel No.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ;?{ j?? j
PHO N E: 681-4675
Receipt # ? '-
IR Est. value $129.000 Date Ma 3 , 1992
Name DAxLL sitOB
Address 9304 LYPDALE AVE S
cfty aL.aMiNCroN MN zP ssa;
Address
City Zp
oti-
Signalure of
A Building P
on the exprE
all
f y ;'"j P?'
OFFICE USE ONLY
?d-3 M?-l
Occupancy FEES
Zoninq
R-1
Bd9.I Permft ?
741•
(Actuaq Const V?? Surcharge 64.50
.
(Allowable) - plan Review 4$1.
# of Stories ? License 5.00
length
Dep?h ?
SAC, City
i?'?
S.F. Tocal - SAC, MCWCG 700.00_
S.F. Footprints -
On Site Sewage _ Water Conn 76 S• O0
On 5ite well
X Water Meter 95.00
MwCC System
X
Accl. Ueposii 3?}. ?
Ciry Water
x
JW P ?
30.00
PRV Required ermit
S
Booster Pump - S1W Surcharge .50
300
1DO
7reatment PI •
APPROVALS ¢oad Unit 380.00
Pianner - park Ded.
Council _
BIdg.Off. _ Copies ?
VarianCe - I
70TAL 3,602.65
?
Permit No_ Permit Holder Date Telephone #
1%W
PCUMBING
HvAC 890, /.?0/
ELEcrRic ???75 3 9? °"
ELEcTRic
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roof ing
Rough Plbg. ? '' •
Rough Htg.
Isul. t
Frepiace L.? ?? ? (j -t '-
Finai Htg. ?,7z a ly i-
Orsat Test
Final Plbg.
Plbg. Inspector -'Notify Plumber
Const. Meter
Engr./Ffan
81dg. Fnal
Deck Ftg.
Deck Final
weu
Pr. Disp.
l q-3-f
C
wtx#t#ir?tt of (Orxu?aury
Citp of Cagan
appIl'tltPt11 0f gltlidl" ittopptlim
?71is Certrficate issued pursuant to the requirements ojSection 306 of the Unform Building
Code cernfying that at the time of issuance this stnccture was in conipliance wilh the mrious
ordinances of the City r,egulating building conrtruction or use For the joUowing.
uw clasifimfiad SF DWG/GAR W&PanlkNo 20173
a-UP-y.ryW R3 M-1 Ujgnwaa R-1 TraCa,A Vn
DAHLE BROS Add,,. 9304 LYNDALE AVE S.. BLMTN
4091 PRAIRIE R1DGE ".y L6, B4, ::OVENTRY PASS 2ND
DUC M1 22, 1992
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERIUIIT TYPE:
?,838-Pi1?t Knob Road Permit Number:
?? Eagan, Minnesota 55122-1897 Date Issued:
(651) 6$1-4675
SITE ADDRESS: - ' 10 ? 1 "i,10-11 °'F'O `' ' APPLICANT:
+> tit
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . .A
1 AN ftfvl i°wF 11 Ftv cFtair NnVAi
LL
3 Permft Holder Dete Telephorte #
SEWER/
WATER
PLUMBING
HVAC
Inspection date Insp. Comments
FOOTWGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL p
GYP BOARD
FIREPIACE ?
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDHOSTATIC
7EST
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ' t I tD t Nif 3830 Pilot Knob Road Permit Number: 141 1{j pi
. Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: 1 0], 0, n' «(_ k
I UV 1 N k N 'r I'F1:6'. .'Idl?
PERMIT SUBTYPE:
W .
, APPLICANT:
I 1 iki" I''fISIJI'a ,i t? ?!
TYPE OF 1NORK:
INSPECTION „ . ..
I
F
L
P81'mit No. Permit Holder Date Telephone #
SNV
PLUMB4NG
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commerns
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Flnal Htg.
Orsat Test
Fnal Plbg. Ping. Inspecior - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
DecK Ftg.
Deck Final ?
Well
Pr. Disp.
? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
?
r1
OATE 19
i
nEtEnEO
FROM
AMOUNT
8 DOLLARS
tm
O CASH ? CHECK
BY
C ?17 r) 4 0 W"', ?„ ?
Pir*--Fle Copy
Thank You
SEWER & WATER PERMIT
CIT'Y"OF E??FAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MAR 3}, 1992
` SITE ADDRESS 4091 PRAIRIH RIDGE RD
i LOT b BLOCK 4 SEC/SUB COVENTRY PASS 2ND
APPLICANT:
ADDAESS: _
CITY, STATE
PHONE: _
PLUMBER: STAB P BG
ADDRESS: 1018 MOUND SPRINGS TEjtR
CITY, STATE BLOOMINGTON MN ZIP 55420
PHONE: 884-4149
OWNER: DAriLE SfiU5 --
i
ADDRESS: 4304 LYNDALE AVE S _
CITY, STATE Al.nc)Miu[:Mp MN Zip SS420
PHONE: 888-6866
n.
OFFICE USE ONLY
METER # PERMIT DATE 03/05/92
CHIP #
METER SIZE PERMIT # 12591
B.P. RECEIPT # ' ? -'> >, -
ISSUE DATE B.P. RECEIPT DATE 03 /04 92
CL PRV _ BOOSTER PUMP
PEF,r;1lT REQUESTED
X SEWER X WATER - TAPS
_ COMM/IND _X_ RESIDENTIAL ?
ZIP X NEW _ EXISTING
Lawn Sp.inkler Meters are to be InstAlled ?
,tpr Line.
Aheat9?oVDomesxic 006s on Wa
EAGAN
Y WITH CITY OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWQ WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ?
SEWER PERMITS, CONTACT ENGINEERING DEPT. ',
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MAR 3. 1992
OFFICE USE ONLY
METER #??? 3O2 PERMIT DATE 03/05I92
CNIP # -67? PERMIT # 12591
METER SIZE e6 k B.P. RECEIPT # l?
ISSUE OATE f$" B.P. RECEIPT DATE 03 d4 92
X PRV _ BOOSTER PUMP
51TE ADDRESS 4091 PRAIRIE RIDGE RD
LOT 6 BLOCK 4 SEC/SUB COVENTRY PASS 2ND
APPLICANT:
ROQRESS:_
CITY, STATE
PHONE: _
)
ZIP
PLUMBER: STAR PLBG
ADDRESS: 1018 MOUND SPRINGS TERR
CITY, STATE BLOOAIINGTON MN ZIP 55420
PHONE: 881+-4149
PERMIT REQUESTED
X SEWER AL WATER - TAPS
_ COMM/IND x RESIDENTIAL
X NEW
EXISTING
Lawn
to be Installed
on Wa)er Line.
Y WITH CITY OF
OWNER: DAHLE BROS EAGAN ORDIp(ANCES .
ADDRESS: 9304 LYNDALE AVE S f
CITY, STATE BL.OOMINC;'CON MN ZIP 55420
PHONE: ,888-6866 SIGNATURE WHEN METER ISSUED
PLEAS? kLLOW TWO WDRKING?DAYS FdR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
j?-
Addross:' 4091 PRAIRIE RIDGE IPA 6 glk 4 Sec/Sub COVENTRF PASS 2ND
These items were/were not complete at the time of the final inspection.
Date: S-..1. 4r'°f Yes No
Final grade (6" from siding) ?
Permanent steps - garage ?
Permanent steps - main entry vl?
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish i%
Deck
Please verify with the builder the removal of roof test caps from the plum6ing
system and the shut-off oE vater supply to the outside lawn faucet befora
freeze potential exists. ?
x(CRaNMRR
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN N0? Q 1? 3
, -• , 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
,/f?
BUILDING PERMIT PHONE:681-4675 Receipt # L- C /I 0 / -7/.2 y??
Tobeusedfor SF DWG/GAR Est.Value $129,000 Date MAR 3 , 1992
Site Address 4091 PRAIRIE RIDGE RD
Lot 6 81ock 4 Sec/Sub.COVENTRY PASS 2N
Parcel No.
NamA DAHLE BROS
Z qddrp,ss 9304 LYNDALE AVE S
0 Cjty BLOOMINGTON MN Zp
? Name sAME
? Address
City Zip
?
Phone
p
U LicenSe p 000164
I hereby acknowlege th I have r a iis fi
informallon is correct nd a e t y? plic
Minnesota Statutes a d Ctl ' a s.
'
Signature ol Perm
A Buildin9 Perm' ? ssued to:
on Me express ndihon that all work shall be one in accordance with all
applica6le State of Mmnesota S0tatutes and C y of Eagan Ordmances.
BuiWing Otticial 11?lid I V
OFFiCE USE ONLY
R-3
Occupancy
M=1
FEES
Zoning R=1 Bldg. Permrt 741.00
(Aduaq Const V-N Surctarge 64.50
(Allowable) V-N 481 . F 5
8 0l Stories
51 '
?m 5. ?O
Lenglh
Depih 6-2' SAC, City 100.00
SFTotal - SAC,MCWCC 700.00
S.F. Footprints -
OnSileSewage - WaterConn 675.00
On Sde Weil - Watar Meter 95.00
MWCCSystem X
30
00
City Water X Acct. Deposn .
PRVRequire0 S/WPermil 30-00
BDosier-pump - S/W Surcharge . SD
Treatmem PI 300.00
APPRQVALS RoadUnit 3$0.00
Planner - park Ded.
Counal
Bldg Oft. _ Copies
Variame - TOTAL 3 -
.602.05
REQUEST FOR ELECTRICAL INSPECTION z"2 ee-aoomoe
? See mslr4pions lor complating ihis iorrn on bar,k of yellow ropy
4 4
"X" Below Work Covered by This Request ??'•?
ew A?tld Rep TypeolBUiltling ApphancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heahng
Apt. Bwlding Dryer Other (Specity)
Comm /Indusirial Fumace
Farm Air Conditioner
Oihel (syecAyl GonVecmr's Remarks
Compute Inspechon Fee Below
# Other Fee # ServiceEniranceS¢e Fee # QrcuM1s/Feeders Fee
Swimmmg Pool 0[0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo Amps
Si9f15 InspecrorSVseOnly y_ ttKOTAtl
CO
Irrigation Booms ? s ?
Special Inspection
Aiarm?Commumcanon THIS WSTALLATION MAY ROE. C?ONNECTED IF NOT
{ Other Fee COMPLETED WITHIN 1 THS
I, the Electrical Inspector.
certify that the above inspeclion has
6een made F,,,a? Date,? ? Y
OFFICE USE'JNLV '
This reGUest voitl 18 monihs Irom
33l9?- iosaii
Q 1327
? °°
Reqvest Date
Fire N. Rovghin Inspeclion
3_?Q ??? R wretl?
' y
G Featly Now 7NNtll NoNy Inspecror
When Read
>
Ves r No y
IY licensed contractor ? owner hereby request inspection of above electncal work af
Joo Adaiess (Sreel Box or Route
'?Oat No I ??-?,?e?; ?. FD? City
an
5ecuor. No Township Name or No Ra e No
li"I
Counry '066K
W `d-ta
(PRINT) Phon eBB r (08(06
Pawer Supplier AtlOress
Eienncoi Goniractor (COmpany Namel
K1_cL-?m r_?d n'c Inc Contmclor's L¢ense No
?llq2
MaAing AtlCress IConVactor or Owner Makmg InslellaLOn,
?sc JiQ.UO 2
Amnmrza0 Sgnamre iCOnvactn Owner Making Inslalialion)
Slix ?. -,P, c5? Pnona bar
F3CPO -3555
MINNESOTA STP BOARD OF ELECTflICITY THI$ INSPECTION REOUEST WILL NOT
Gnggs-Mitlway B Eg. - poom 5-173 eE ACCEPTED BV THE STATE-BOARD
1821 Unrversily Ave, St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 6C2-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
??q ? See instmctions for completing tNS lorm on back ol yellow copy
pV Q2521 "X+ Below Work Covered by This Request
ai E8-00001-08 e Adtl Rep. TypeotBwlding ApphancasWVed EquipmentWired
Home Range Temporary Service
Duplex Waler Heater ElectfiC Heating
Apt. Bwlding Dryer Load Managemenl
Comm /Industnal Furnace Other (Specify)
Farm Air Conditioner
Other(syenyl ConVactori Remarks
Compute lnspechon Fee Below:
# Other Fee # SermceEntranceSae Fee # Cirwns/Feeders Fee
Swimminq Poal 0 to 200 Amps 0 to 100 Amps
Transformers Above 20D _ Amps Abo - Amps
Signs . Inspecror's Use Only ? ? TOTA
trngation Booms
t
Special Inspection
Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
ti
h Aougn-in
1 ?
cer
ty t
at the above inspection has
been made. F,,,ai
OFFICE USE JNLV
This request voW 18 months irom I-s? ? r 0 ? rn..]
?
'
?l 0 2
2
l
RequeSt Oate Fire No F1a
(V h-In pgecbon Rep
l mretl
cal inspeclor when ready)
Ins ecYwn Other Than oughln
? p
W
ll N
b
I
t
N
3 ? ow
i
o
y
nspec
or
eatly
??
Ves ? No Date Feady
I? licensed coniractor owner hereby request inspechon of above electncal work at.
Jo0 Atltlress Streel Bax or Route No ? Qry
i ?r
Section No Townshrp or No
:Na?e Range No County
Occupant (PqINT) Phone No y-?, 1?- Qg 1 LQ
Sc 7r ?n?.munh lc?f? ??
Pawer SupDlier App?ess
D c?( cT • c
EleClncal ConVaclor IGompan Name) Conlre[tor§ License N.
A
Maibng Aaaress COnVactor o: Oaner Mabnq InstallaUOn1 .
SG1?- "Z--
Aut?onsetl Sisnatvre IGonVaclo^Owner Makinq Installalionj PM1One Number
lliix --- - - -4-?Z?9I ?J
MINNESOTA STATE BOAqD OF ELECTRIQTV THIS INSPECTION REOUEST WILL NOT
Grlggs'Mltlwey Bldg - Room S1]] 0,?? (11• ? S? BE ACGEPTED BV THE STATE BOAFD
1821 Univarotly Ave. St. Paul, MN 55106 O..,U?ry}S UNLESS PFOPEF INSPECTION FEE IS
Ghone(612) 642-0800 µ ENGLOSEO
DATE: M1R 5, 1992
RE: 4091 PRAIRIE RIDGE RD (DAHLE BROS)
_x Your Sewer 8 Water Permit for the above property has been completed. It wtll 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 accupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
RESIDENTIAL
BUILDING PERMIT APPLICATION
?p-CITY OF EAGAN
\ L 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conswction Reauirements
• 3 registered site surveys showing sq. ft. of tot, sq. fl, of houu; arM all roofed areas
(20% maximum lol cove2ge allowed)
• 2 copies of plan showing beam 8 window sizes; poured found desgn, etc.)
. 1 ut of Eneryy Calculahons
. 3 copies of Tree Preservatbn Plan if bt platted after 711193
. Rim Joist Delail Options seleclion sheet (Wdgs with 3 or less uniLS)
DATE 8 ?? I OZ
SITE
TYPE
APPLICANT
STREET ADDRESS
TELEPHONE kfA-kaO?
1 L--f-a-' --I S"
RemodeVReoair Reauirements
. 2 copies of plan
• 1 set of Energy Calculations for healed addNOns
• t site survey for e#error additions 6 decks
• Indicate rf home served by septc syslem for additions
VALUATION
JDO`J
ULTI-FAMILY BLDG _Y !N
FIREPLACE(S) _ 0 _ 1 _ 2
-1
PHONE #
FAX # MA ravla ?
PROPERTYOWNER?? TELEPHONE#"`T-f`f 4l 1c;?-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL.ES 7670 CA"fEGORY 1 MINNESO'CA R" .ZGi
o?hR
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • 7Erj?Cpaie Cl
. Energy Envelope Calculations Submitted
UG 2 6 2002
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Conhactor:
Vleclimiic:il svstcm includcs:
Sewer/Water Contracior:
Phone #
Fec: $70.00
°------------------°------------------._...----------------------------------...-------------------°-----°----°---°-
I hereby acknowledge that I have read ihis application, state that ihe information is correct, an gree to comply
with all applicable State of Minnesota Statutes and City of Eag inance
Signature of Applica
OFFICE USE ONLY
_ Water Softener
Water Hcater
No. of Batlis
Phone #
Lawn Sprinkler By_-
No. of R.I. Baths
Phone #
Air Condiuoning
Heat Rccovery Systcm
Certificates of Survey Received - Tree Preservation Plan Received - Not Requved _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-piex il ? 20 Pool ?
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace i
? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex i
? 17 Garage ? 22 PorchlAddn. (4-sea.) ?
? 04 02-plex ? 10 08-plex ? 18 Deck ?? 23 Porch (screened) ?
? OS 03-plex ? 11 10-plex ? 19 Lowerlevel II ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N'I ? 25 Miscellaneous
1
? 31 New ? 35 1
Int Improvement ? il 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ?,I 42 Demolish (Foundation) ? 45
? 33 AlteraGOn ? 37 Demolish (Bldg)' ? 143 Reroof ? 46
? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy ?I MC/ES System
Census Code Zoning Ciry Water
SAC Units
Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length ? Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC
O
_ Footings (deck) .
.
FinallNo C
O
_ Fooungs (addition) .
.
Plumbing
_ Foundation HV.AC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Ga
_ Framing
_ Fireplace _ R.I. _ pir Test Siding Stucco Stone
_ Final Windows (new/replacement)
_ Insutation _ Retaining Wall
---------------------- -- d Approved By
------ -
Base Fee
Surcharge i
Plan Review i
MC/ES SAC iI
City SAC ?i
Water Supply & Storage ?
S&W Permit 8 Surcharge ?
Treatment Plant ?
Plumbing Permit
Mechanical Permit ?
License Search
Copies u
Other i
Total
d
30 Accessory Bldg
31 Ext. Alt - MWti
33 Ext. Alt - SF
36 Multi
Siding
Fire Repair
W indows/Doors
Tests Final
Building Inspector
Ur `(' L G!
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?.? ?-
Date (PI 310 _ `
Site Street Address y Y Q,l...vlp n,1 ? 7
f1l ??
Unit #
Property Owner Telephone # ^a? ? ^ I R4 ?
Contractor Telephone#
Address LOIy JV-11 City State (bta) SOI Sa(Ob
?? Zipb?S?J?
The Applicant is: _ Owner V Contractor _Other
Alterations to existing dweliing
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
?Lawn Irrigation System RPZ_ new? repair _rebuild $ 30.00
State Surcha!ge $ 50
Total $30''
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.
ApplicanYs Printed Name
Applicant's Signature
?? ? uuL?l?
JUN 0 S 2004
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: a BLQCKe q APPLICANT:
4091 PRASRIE RIDGE RD LINDEMANN SCtlTT
COVEN7RY PASS 2ND
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
auzLazNG
024198
07/13/94
INSPECTION D, . D.
FOOTINGS FINAL
?
?
----- .._ ---_? ?
?
-?( CITY"bF EAGAN PERMIT
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
ck zAzqi
PERMITTYPE: BuzLozNc
Permit Number: 024108
Date Issued: 0 7/ 13 / 9 4
SITE ADDRESS:
4091 PRAIRIE RIDGE RD
LOT: 6 BLOCK: 9
COVENTRY PASS 2ND
P.I.N.: 10-18401-060-04
DESCRIPTION:
..,
Building,Permit Type DECK
?'BUilding Wo_r_k Type NEW
/ c
i ?
? J
,%,---
t;
00'? ? ???
REMARKS:
FEE SUMMARY:
6ase Fee $30.00
3urcharge $,50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
LINDEMANN SCOTT
4091 PRAIRIE RIDGE RD
EAGAN MN 55123
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree Co comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
I
- m.?
APPLICA T/PERMITEE SIGNATURE ISSUED B SIGAJTURE ?-
CITY OF EAGAN
14101 1994 BUILDING PERMIT APPLICATION ?'-g?•'??
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e s ,?yVf energy
calcs. ,,..
COMMERCIAL .?„-
2 sets of architectural & struc ural plans, 1 set f
specifications, 1 copy of energ ' - -
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ?3, Do
Site Address: Pra,rc
,
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BIACK Li SUBD. Co~4^) P453 P.I.D. #
Descri tion of work:
The appl icani is: CK Owner ? Coniractor ? Other (Destribe)
1
Sce-4 Phone
Name L
d
.
,
r W.aA..
I tsr '.iSY FtRa"T
Owner Address '-IOqI Pral}.c. Rled•
STREET r STE #
City Caoar $tate n7n Zip SS/a3
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: .??Cet 4zt--.-=-`?
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 Sf Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
O 32 Addition
II
OFFICE USE PNLY
II
? 06 Duplex ? I1 Apt./Lodging
? 07 4-Plex ? 12 Multi. Misc.
O 08 8-Plex ? l;a Garage/Accessory
? 09 12-Plex ? 14 Fireplace
? 10 Multi. Add'l. ? 15 Deck
? 33 Alterations ? 35 Tenant Finish
? 34 Repair 0 ?6 Move
GENERAL tNFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
P'anr?iny
Engineering
REGIUIRED INSPECTIONS
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Site 12?r Footing IJ Framing
? Wallboard l?]'Final 6 Draintile
Permit Fee v.iuas;on: $
II
Surcharge
Plan Review
License ?I
MWCC SAC II
City SAC
Water Conn.
Water Meter II
Acct. Deposit
S/W Permit
S/W Surcharge Q
Treatment P1. II
Road Unit
Park Ded.
Trails Ded.
CoPies II
Other
Total:
SAC % II
SAC Units
I?
r x;.., w .. ?r•ar?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code -
SAC Code 1•
Census Bldg
Census Unit ?-
Assessments
? Insulation
? Fireplace
CERTIFICATE OF SURVE
: ? MWN ?
'M?
L_AND Sl1RVEYOR$ ?
Survey for:
DAHLE BROS., INC.
P. I65.5
/y0 ?1
BSfe e
.L . '
BSc?,??,?,i,y a
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Garage floor qs:5-s
Basement floor ,g?ga
N • T G?
NOTE: Circled elevations are proposed, others are
u
/ (koexisting.
.G?a.Ny 2. (,?oarau. Pua. I
8713OUPONT?AVENUESOl1TH
BLOOMINOTON, MINN. 6E420
888-7084
1
Scale: t"=30'
DESCRIPTION:
Lot 6, Block 4, COVENTRY
PASS 2ND ADDITION
o ? I Prnposed Grades:
Top of Blocks
Arrows denote direction of drainage.
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, frpm or or said :ard.
Dated thls 25th day of Februarv ,19 92.
??-
bY
t, Minnesot icense o. 018
1 7-7 _ / r? ?yd 16 -q KVZ
741•D0+
64°50+
431•65+
2, :;1??•50?
j, 6Q2.65;:
741•OOF
64•5p?
4.H1•b5;.
2>315•S0t.
S, EiJ'Z•o?)
?
to' CITY OF EAGAN
? 1992 BUILDING PERMIT APPLICATION
681-4675
I(.K I? /a r? n ? n ra rz
GLE & MULTI-FAM 2 sets of plans, 3 registered site surveys, 1 copy of energy
? ? ?
M calcs.
COMMERCIAL I? 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Fc /-7 5-- / / yy1- Valuation of work " - ia
Site Location: ?r4'r; c K? a/7c )evqd
STREET STE /
Tenant Name:
LOT ?o BLOCK Li SUBD. /
TWZ7
I.D. #
TP-
CoVtti7r. q55
of work: '
Description
The applicant is: P Owner ? Contractor ? Oth21' (Describe)
Name D s13ra S Phone FFS'L YZL
Property LAST FIRST
Owner Address 13oy C ?HaIF/ 4ut -S?
SiREE STE #
City State /L/ Zip SS}?a61
Company lJS t? ?c .(3 ru S Phone F5;'8 •??l? ?
Contractor Address 9 30'? Z?4NC.Io lc /Lc S License # 000101 2 Oll
City l3loop State 47/? Zip SSY?U
Company Phone
Architect/
Engineer Name ' Registration #
Address
City State ZiP
Sewer & water 1 icensed plumber d"n xc? . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant• ? / t---- --??-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Oi Foundation
0 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
X 90 New
? 91 Addition
? 92 Alterations
0 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
? 11 Res. Add./Parch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
0 14 Comm./Ind. Rem.
? 15 Public Fac.
? 96 Move
O 97 Oemolish
? 99 Undefined
GENERAL INFORMATION
Occupancy R-3 M-(
Zoning R_i
Const. (Actual) v-N
(Allowable) v-u
# of Stories
Length ? •
Depth bZ•
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Assessments
Basement sq. ft. MWCC System Y ES
lst F1. sq. ft. City Water yEs
2nd F1. sq. ft. PRV Required Es
Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code /01
On-site sewage SAC Code oi
Building z °? ??
Variance
? Footing
0 Final
Permit Fee `lLl(,00
Surcharge by,so
Plan Review y gi.(P5
License
MWCC SAC 700 o0
City SAC IOa,00
Water Conn. yr7Siao
Water Meter 95,0,0
Road Unit ,300.00
Treatment P1.
R83d-UR1'1; Ac.,Y peP 200,0o
. 3 0. o0
Pa?^k--Bed : sJr? P?.a 30,00
Trai 1 s Ded s/L,15111- 5_0
Copies
Oth2r
Total:
SAC 96
SAC Units
? Framing
? Draintile
velLiatim: g 1?9, oa?
GARAbt
tzxZ2 = y84
?xy=
RSML 4?6 x /6?76oo)
?• _?
2Cxzs= 650
3 X 13- (39)
6xZ=(/&)
`1 x /o - 70
3X7=-21 ?
69(, x15=i j n,zq j?
?-r Loop-
85Mi= 684 ?
z2x3o=L66
ixX= B' -
137oX53= rjy?) j
?rcuafr???sEr-?, aR?
„?,., 31 a• ' r?-'
? 16 Agricultural
? 17 Building Move
? 18 Demol'i,ti.on
? 20 Miscellaneous
? Insulation
? Fireplace
Z N 0 -FL ouY`
38?r22= 936
l 1? / o = lC?
KS '
.y?y-7 D?
-Ftr)AC: 126,630
CERTIFICATE OF SURVEY
®ru:=i
LANDSURVEYORS
Survey for:
?..-?
DAHLE BROS., INC.
P'Q"4 i,P/E
?.Ib5.55
?yI[or? ( o iroBST g ? ? ?-
N ?
?
? I??SSs
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n
$SD -
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.c'arory R eeutuW. Pua.
8710 OUPONT?AVENUE SOUTH
BIOOMINGTON, MINN. 88440
888-3084
l
Scale: 1"=30'
DESCRIPTION:
Lot 6, Block 4, COVENTRY
PASS 2ND ADDITION
? 2? 8?1 r
Proposed Grades:
Top of Blocks ?6°-
?.?
Garage floor Bs.rs
?
Basement floor
CMDa?o ????????
k' ?y NOTE:
?j ? a° • Circled elevations are proposed, others are
/ existing.
P.r^co-rs denote direc*ien of drair.age.
? ?, '? ?'• ? w 4,, '?,
_.--?•.?"'"'__
" ,3????-?
" --`?._-?
a i
E?.G?.?; ?P1CI?3E?,RING
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,
thereon and all visible encroachments, if.any, fr or on said land.
Dated this 25th day of Februarv 09 92 .
,,by t
L-?? innesot/a icense o. 018
Z?7-/9
• ' EXTERIOR FNVELOPE AVERAGE "U" COMFUTATIDN
E?:
SITE ADDRE55:
C_ONTRACTDR: DATE: 2.24-'1Z PHONE:
PETERMINE NORKMG SDUARE FOOTAGE DP fACH:_
„t
1. TOTAL EXPOSED UALt AREA,,....... 6 sq ft x"U" 14-40- T. 70TAL RODF/CEILING AREA,,,,,,.•Sq fii x:"U" .026
? . .f,„.
3. TDTAL EXPOSFD uALL AREA LALCULATI6N5: `
Total exposed wall
,
area above floor,,..,,,. sq ft
a) l"otal uaTl_window area: - •""
.-.s
? -
? 4lazed..... 2d2?? sq fC -x ??U" .- 37' ?
S.L.
?r glazed...... s4 ft x fv, _? . -.
b) Total door area ft x"U"
? t) Total sliding qlass_door_area:
34 ft x "U" ? -
?1 i? . ??` . :,. . . '
qlzzed...... -sq ft xU = - '
d} Total flreplace wall area sq ft x"U"
e) Total wall framing area ? ' -
Avcraoe 10° ? ) . _ . . . . . . . S q f L x "U"
f) Totat net wall area above
??[? ,.:
floor (Insutafed)....... ?-LKJ ?,R6 sq ft x"ll" _-7
g) Tolal rim Joist zrea.... sq ft x"U"?.a
Total foundation -- r; '
area (Exposed).......... _ sq ft - - - . - . ,_
h) To[al foundatlon '
kTndow area............. sq ft x"U" '--'? •
-
1) Total net foundation
area above grade........ sq ft x"U"
31
TOTAL a) :ihru T)
. - . ?F
If ttem 03 is the aame as, or less than i,tem P1, you have met tAe inteni of
2 MCRR 1.16008 A and 0. ?•
pa$e ; " .
_ . ,
4. , 7DTAL FXP(JSED"-RDOf/CEICi11G CALCULATIOtJS:
,...,_.•.. _
total txpnsed
,.,
roof/ceTl ing area........ _144(?' sq ft •
J) 7oia1 skylloht area....... r-sq ft x"U"
k) Total roof/ceillnq framing
area O? ?.??2 '
(Averaqe lnq) ,... 's4 ft x
i
?.
_ 9) Total net tnsulated
roof/ceil lnq area..:...._' 12-12 s4 fL x,tull
14. , TOTAt'J) ihru 1 ? -
If toial of #4 is the same a5, ar less ihan 92, you fiave met the intent o 2 MC?.li 1.16008 A and 0. '
. _ .. :..:
-,.,- ._ • ,
ALTERtIATE BUILDIHG ENVELDPE DESIGN '
" 'io utillze the total enveiope system methc'd, She°yalues established by the sum
of t2ems 03 and !'4 sfiall aot be greater xhan ihe:sum of ttems 91 and 11...-.
=+z._
3, ??pp + 4. ? _ ?`7? E E R i_ F 7 L P. ?? n N.. .
1 hereby cerLify ihat t fiave calculated th "U" factors and "R" values heretn and th.at the Autldinq fiere descri ed V?eets r ex eeds?/ 2 State
of Minnesota Eneray Conservation Act. 1/ ? I
? /
k%.4,tjnacurei
Print name • _"
• / ?
?i
?
'ISTRUCTION R VALUE
AMING SECTIDN:
Interlor air fiTm D.6
or air
? i u I AL -x `.. JIJ.N ?-
_
- NALI SECTlON (INSULATED)
-( l
U - 1/R ' ?d
V
?
?
RIM JOIST SECTIOtd:
--{I Interior
k
. .
?• A ' •4
-? A :
?-?
?•; ?. ;,.
•' ? ' 'p'
. ••.a
'.
FOUNDATION INSULATION REqUIRED: T1in. R-5 on entire wall OR , U? 9/R -Min. R-70 down to frost'depth
fOUNDATION SECTION: -° "
. ,.
1 interlor alr film 0.68 .
Z G
2 .
?. 5(?L /.?,?
3 . iL DWC- 1S
L Exterior air film 0.17
A (5
70TAL a =
ll - 1 / R = ! L?.
3LAR DN tRADE
>'0 ,°•v? Qa• a 6, A
. Ll
Heated Slabs:
Minimun R = 8.5
Unheated Slabs:
Minimum R , 15.2
- ?.
. v;'° ;' "..V•.,?•.? I
4 ,
-f
'
?
"q
. . . ' q ? a
?:
.;•
1
, •-, ., .?d ??
?
• Q
d -
'
? _ ?.
,• •, , ,.
i ? . : • ' ,
.
-:a.
.
" ?
??.t1 ;
? . ..
.
• ,
?
` O •
•
? ?
. AQ Q
•
i- , •
-? 9
?
'
,
d'•'
? d• ? ?
.
.
.
3
-'=page
? _? ,
?
?
ll = 1/R =
ZEIL(Nf, FRAHIIlf -SECTION:
1 Interior air film d.bl
2
3
h Ex!erie- air film Still Q. 1
5 1nches seft wood
TOTAL R =
-L = 1/R =
?
tONSTRUCTiON R VALUC • -
CEfLIHG
3ECTION
(INSULATED): -__ ,?
• _
_ "
t interior air fllm
AIR 2 ?
cxuTE 3
4 Exterior atr film still) 0.61
- TOTAL R
- -., U ? 1/R '?
.
. .
. ,
. . . . .: ^ '.
.' ' -:. -; . ; ' _ . >
t
.. . _.
, .
a
CEILINf fRAMlNG SELTION: ,..._ - .
1 interior air fttm 0.61
- 2 Fim?
3 6 1-p6 OC. 30.?
4 nterior air film still II. 1 '
- 3 - inches soft wood
:
• ? - T6TAl R = f.
? - .•''
_ U ? 1/R
"tEIL1NG SECTION (iNSOtATED):
P -1nterior air film
2
= - -- 3
'
4 -F.xterior air film still
.=:..
0.61
_
70TA1 R
i Instde air "f ilm 0.61
2.
. 3
y
5 Dutside air film D•17
' - TOTAL R =
?U = 91{t,- '" .-?
. .page •k
UENTED
WINDOWS
1420 x 1.75 sq ft =
1426 x 2.33 sq ft =
1432 x 2.92 sq ft = ,
1438 x 3.50 sq ft =
1444 X 4.08 sq ft =
1450 X 4.57 sq ft =
1456 X 5.25 sq ft =
3462 x 5.83 sq ft =
1468 x 6.47 sq ft =
1474 x 7_00 sq ft =
2020 x 2.50 sq ft =
2026 X 3.33 sq ft =
2032 x 4.17 sq ft "_ .
? 2038 ? X 5.00 sq ft
2044 x 5.83 sq ft =
I'tjl!2050 x 6.67 sq ft =
2056 x 7.50 sq ft =
2062 x 8.33 sq ft =
2068 X 9.17 sq Pt =
2074 x 10.00 sq ft =
2420 X 3.00 sq ft =
2426 x 4.00 sq ft =
2432 X 5_00 sq ft =
2438 x 6.00 sq ft =
llI,
2444
? x
7.00
sq
ft =
Zpi,(Z"i
II?I2450 x s.00 sq ft = 32.DG
2456 x 9.00 5q ft =
2462 3 x 10.00 sq ft =??a
2468 x 11.00 sq ft =
2474 x 12.00 sq ft =
2620 x 3.25 sq ft =
2626 x 4_33 sq ft =
2632 x 5.42 sq ft =
12638 I x 6.50 sq ft =
2644 x
- 7.58 sq ft =
1,112650 ?
x 8.57 sq ft =
2656 x 9.75 sq ft =
2662 x 10.8 3 sq ft =
2668 x 11.9 2 sq ft =
2674 X 13.0 0 sq ft =
3232 x 6.67 sq ft =
3238 x 8.00 sq ft =
3244 x 8.75 sq ft =
i
,.?i
• ;
12" sidelite I x 6.67 sq ft = b?
14" sidelite x 7.78 sq ft =
24" x 24" Octaqon x 9.00 sq ft
24" x 361' Elongated Octagon _ x 5.00 sq ft =
TOTAL = GL/Z. L???
.. <l i
Dooxs ` 2-6 x 6-8 Steel Door x 16.57 sq ft =
2-8 x 6-8 Steel Door j x 17.78 sq ft =?
3-0 x 6-8 Steel Door J_x .20.00 sq ft =,?b.Q'?
ToTAL = 37-70
_ . _ ; .
PATIO DOORS
5-0 x 6-8 Sliding x 33.34 sq ft = ' .- -
6-0 x 6-8 Sliding x 40.00 sq ft =;
1 8-0 x 6-8 Sliding _I x 53.34 sq ft =
9-0 x 6-8 Sliding x 60.00 sq ft =.
5-0 x 6-8 Atrium x 33.34 sq ft =
? 3-0 x 6-8 Atrium _ L x 20.00 sq ft = Zb.bO '"
6-0 x 6-8 Atrium x 40.00 sq ft = „
8-0 x 6-8 Atrium x 53.34 sq ft =
TOTAL
i.
_ . ... _ . ' ,. . ??e
i
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuILoiNc
3830 Pilot Knob Road Permit Number: 023173
Eagan, Minnesota 55123 Date Issued: 0 4/ 15 / 9 4
(612) 681-4675
SITE ADDRESS: Lo T: 5 B l 0 C K: q APPLICANT:
4091 PRAIRIE RIDGE RD LINDEMANN SCOTT
COVENTRY PASS 2N0 (612) 437-0$91
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
OESCRIPTION (BEDROOM/BATHROOM)
INSPECTION
FRAMING .. .
ROUGH IN PLBG „
ROUGN IN HTG FINAL
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELEC7RICAL WORK
F
L
J
CI'TY"OF EAGAN
- ? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
023173
04/15/94
SITE ADDRESS:
P.I.N.: 10-18401-060-04
PERMIT
4091 PRAZRIE RIDGE RD
LOT: 6 BLQCK: 4
COVENTRY PASS 2ND
DESCRIPTION:
(BEDROOM/BATHROOM)
B,uilding Permit Type SF (MZSC.)
Building Wo.rk Type ALTERATION
i
•_. i
,
--
o
; J
„ Iz L\2j ?s 1;
? . _
REMARKS:
FEE SUMMARY:
VALUATION $1,500
Base Fee $35.00
3urcharge $.75
Total Fee $35.75
CONTRACTOR:
?
OWNER: - Applicant -
INDEMANN SCOTT
091 PRAIRTE RIDGE RD
AGAN MN 56123
612)437-0891
I hereby acknowledge that T have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and C3ty of Eagan brdinances.
???-
XPPLIGANT/ ITEESIGNA7URE
?) rwn &J.I m?1
I SUED BY: SI ATUR
I
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ?
231681-4675
??13
' SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: kl
STREET SUITE #
Tenant Name: (commercial only)
LOT 4 BLOCK ? SUBD. P.I.D. #
l.
^
Descri tion of work: -
The applicant is: J$ Owner ? Contractor ? Other (Describe)
Name L, rlcecm vlr Sco77- Phone 6Vn -11 4Z?
Property LASr FIRST ? N3)-o$9i
Owner '
P
Q
Address 4c
Ya I
/-u;C)2
; o
STREET STE if
City 4.uar--' State M N Zip SS123
Company Sc.me?C'?(,?ner Phone
CO ntYaCtOf Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Ea9an Ordinances.
Signature of Applicant: ?_
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
0 04 SF Porch
)M 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
JO 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessary
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
,12 Final
,R Frami ng
13 Oraintile
3
0
/
0
,R Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
c; ty sac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
Vetuat;m: s
*S * '* ''%
.? 1 APP
10'1'6Basem t Finis?h
O 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facillty
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Baoster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
CITY OF EAGAN FOR CITY USE ONLY
- -' 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # I U1Lc
PLVXB DATE: .30 tJ
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
---
------------
----°------------------ ----------------------°--
WORK DESCRIPTION ----- --°-------
COMPLETE THE FOLLAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00
REPAIR ? WATER CLOSET 3.00 ?,O >
? BATH TUB 3.00 G. o-2
?
/
? ? LAVATORY 3.00 f„ O J
L?f('
OWNER NAME: KITCHEN SINK 3.00
// ?QJ n
/ LAUNDRY TRAY 3.00
J
SITE ADDRESS: 70 ??°'ral."I'F {a HOT TUB/SPA 3.00
/`/?7
LOT: f? BLOCK SUBD. WATER HEATER
FLUOR DRAI.7 3.00
?17
3.00
/ GAS PIPING OUT.
3A?
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 !4?
ADDRESS : OTHER _
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
v
c
? ? V
PHONE SUBTOTAL $ io
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL
$ 411, O0
:
?pMME1C?IYtL?-?IIJtI$TRI?.T;ti PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIA L BUILDINGS AND
:., ,.
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: _ FEES
OWNER NAME;
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
1° OF CONTRACT FEE.
STATE SURCHARGE - $.50 FDR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
3830 PIIAT KNOS ROAD
' EACAN, MN 55122
PHONE: (612) 454-8100
,`.,?,?G'?d;N;
FOR CITY USE ONLY
YERMZT #
RECEZPT
DATE: 3 30 ?
PI.EASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS b
;,.,..« , .... ,,.:.
,:...
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EaCH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
FEES
OWNER NAME: , ?Q
SITE ADDRESS:
IAT:_4_ BIACK ? SUBD.
INSTALLER:
ADDRESS:
CI:i: 'u . ZIP:
PHONE #: ??C) \
ADD-ON MINIMUM $15.00
HVAC 0-100 M STU 24
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 'arl , uD
STATE SURCHARGE: .50
TOTAL:
SIGNATURE OF PERMIT EE
d4t+RdERCYAT.?IPtDU?'yTR1ALC PLEASE COMPLETE THIS PORTION FOR ALL COZQfERCIAL/INDUSTRIAL BUZLDINGS,
::..:............:.:. .
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 SURCHARGE - $.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
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONIIviERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BLTILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
?
woRK nESCxEMox:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE,
STATE 5URCHARGE: $.SO FOR EACH $2,000 OF FEE.
NIINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN AppI,ICANiT
?..
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI.SO, FOR TOWNHUMES AND
CONDOS WHE1V PERMITS ARE REQUIRED FOR EACH UN1T. '
NO. FIXTURES EAGH, TOTAL
SHOWER 3.00
WATER CL05ET 3.00
BATH TUB 3.00
LAVATORY 3.00
KTTCHEN SINK' 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3:00
FLOOR DRAIN 3.00
GAS PIPING OLJTI.ET •inimm _ 1 3.00
ROUGH OP•ENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nai.ay. sr- 20.00
U.G. SPRIIVKI.ER • n? ? cmL 3.00
ALTERAT'IONS • to «;,,;ng 20.00 k
WATER TURN AROLTND 20.00
STATE SURCHARGE .50
TOTAL: SO
SITE
OWNER NAME: Sc0-17 P She c r i L? r1c1Q?j A n h
INSTALL.ER:_ScArn P
ADDRESS:_%' Sa m ?
CITY: }t:j uSja r STATE: "n? ZIP CODE• S 51 ?
PHONE #: ( ) G(? & -9`t ?1a
L? - = -? -----`
SIGNATURE OF PERMITTBE
i»w ra.umnuvu rr.xmri ticeawr,r iuw)
CITY OF EAGAN
3830 PII:OT' KNOB RD
EAGAN 14IN 55122
(612) 681-4675
CST"Y ?F I:Pi;ilid
i;P. ;H ili!?;: S.3 i'i' R`r1'I:NA{ i'<O: 7'%;'r.'.'.
71ATf'fi i.'I./i'ri;/.li} 1"',jyi::< 150510.
'C „
N:1MC:;
6Zlo O'f?
"'.s?-? 9[)09 4091 I'I-?1 Ife7:E I:;Ci MOCl
2155 900:!. 4091 PF`f-17 L; f:_ PiCi p,.'.-iil
s
r,r„ai. r,.ace:p+, nmvw. .. °,ci,.=r
rRUMP,
I.1';li'!i TJ?e N?'iNI:;Y
PERMIT
S;T '
OF EAGAN
s0 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(651) 681-4675 Datelssued:
SITE ADDRESS:
4091 PRFITRIF RTDGE F20
LOT: 5 BLQCK? A
COVENI"RY PASS 2ND
P.S.Noe 10-7.8401-060-00.
DESCRIPTION:
t3uildlnq P,ermi.t T?Ipe BF4SEMENT FTNISId
Buildinq Work Tyne Al7ERATION
?Census Code 434 ALTe RESIDEN77AL
Busi.Dznn
o34012
11/23J98
. . , . .. _ _ I?`_.
REMARKS:
PIAN REVIEWEU F3Y CRAIG NUVAGZI'K.
SEPARATE PERMIT NEEDEO t=OR ANY PfUME3Itd6 WOF2K.
- GAL6 1 4§--2 8-4 0--.', 6 E,'1 R UrN fi ELF.6T,R-rER TRMIT Afda-f,r5i'{: 6T-48Hd ^.
FEE SUMMARY:
Base Fee
Surcharqe
ToCal Fee
$50.00
$68.50
CONTRACTOR: OWNER: _App1 i c a n ti-
,
L7:IVOEMANN SC07'f
-4091 PRflIRIE RiDGE RD
,f EAGAN hlPi 557.23
(612)937-0391
I hereby acknowledqe that I have read T.hLs applination and sCat.e that tha
infiormation is correet and aqree to cumplv with a11 applicable State ot Mn.
Statutes and City nt Eacian OrdinancFes.
?
I
PPUCANT/PERMITEE SIGNATURE Q$SUED 8V SIGN TUR
1998 BUILDING PERNIIT APPLICATION (RESIDENTIAL)
t ? - CITY OF EAGAN
asao ru.ar xivos Rn - ssiza
? 681•4675
New Construction Reouirements RemodeVRecair Reauirements ?
? 3 registered site surveys ? 2 capies of pian
? 2 copies oT Dlans (inGUde beam & window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior adOkions & tlecks)
• 1 energy calwlations ? 7 energy ealwlations Tor heated additions
? 3 copies of tree preservation plan if lot platted after 711/93
required: _ Yes No
DATE: (0-)-? CONSTRUCTION COST; J 30 t'XX7
DESCRIPTION OF WORK: ?r,cem ? ?P; niS?l
STREET ADDRESS:
j (L U U? vt?'Y,?'1 c- S s 2+?
LOT: BLOCK: ? SUBD./P.I.D. #: S
?-?
Name: ? 1 Phone
PROPERTY Last First ?'az, ?<,. j,
OWNER
Street Address: LIC7 9/ a?r,e ? cAu e Y?A
City ??G n State: /14lu Zip: !a/ 01.)
Company: Phone #:
CONTRACTOR
Sveet Address:
City
ARCHITEC'f/
ENGINEER Company:
License #
State: Zip:
Phone #:
Registration
Street Address:
City State:
Sewer 8 water licensed piumber (new construction only):
and lot change is requested once permit is issued.
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 compry with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
c? „? ?
Tree Preservation Plan Received _ Yes _ No _ I Not Re quir-e?--
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 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) 5 ' Ili Basement sq. ft.
(Allowabte) S' lk? Main level sq. ft.
UBC Occupancy Z- T Sq. n,
Zoning R ?l sq. ft.
# of Stories - Sq, g,
Length ? sq. ft.
Depth ? Footprint sq. ft.
APPROVALS
.,. .
Planning Buiiding
, '% ,
? 16 Basement Finish
17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering Variance
?
?
?-
Permit Fee
Surcharge
Plan Review
License
MCNVS 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: $ I-Z-66 OA-,6
% 5AC
SAC Units
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111251
Date Issued:06/17/2013
Permit Category:ePermit
Site Address: 4091 Prairie Ridge Rd
Lot:6 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
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 -
William E Greenagel
4091 Prairie Ridge Rd
Eagan MN 55123--393
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116394
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 4091 Prairie Ridge Rd
Lot:6 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-060
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Inna Bodnar
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 -
Patti L Greenagel
4091 Prairie Ridge Rd
Eagan MN 55123
(651) 261-7222
Intelligent Design Corp
4009 103rd Ave N
Brooklyn Park MN 55443
(612) 919-2596
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r________________�
� For Office Use I
� � Permit#: / �JI 7� �
Clt� of ����� ; . . /�s. ��- �
Permit Fee. F I
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 I Staff: �
I �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � /� ` � Site Address: /"/'��1<� ,� � � Unit#:
�___.�...�
Name:��,/.� L'% {'� '�'��/'��� Phone:�-`'� �� ..�.��
Residentl ,� �
Owner Address I City I Zip: ����,���j/"/� � �'� ,��'
�
Applicant is: Owner �Contractor
< � � -
Type of Work : Description of work:_�/�?"//7� l'�-�"/�//� �� ����'`�'�
Construction Cost: ����.,�_ �^' Multi-Family Building: (Yes /No�
Company:��'�-�y0,�/�° L�YI� � �°1/�)�����ac������/� /'�G!J�c!�.
Contractor Address: ����' �/i�/�,��'� /�i� City:
State:�Zip:� Phone:?l�;�1��.�5%C%���mail:
License#: 0� Lead Certificate#: �
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:
Licensed Plumber: Phone: �
i
Mechanical Contractor: Phone: �
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
` the informafion may be classifietl as non-public if you provide specific'reasons that would permit the City to
conc/ude thaf they are'trade secrefs.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X��j {\ � /�r/� �oL � �/a//J//���j7 r
!'i r' ��il.��//�C-�f'�� X ����d�[��"4�'�C/
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
. r------------------� �'�..
� I For Office Use . I '
� � Permit#: � �S�` �
Clty of ����Ii ; . . ro3 � ; �
Permit Fee.
3830 Pilot Knob Road � � ��
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: Cc��1`�` C r'l�„�c.�I� Phone: �' S��'��E��--7
Resident/ /�� / .- /�
Owner < Address/City/Zip: _ `7�! ���✓'��. ��"u�E I`-� �Cat��C�v ��� z
Applicant is: Owner �Contractor
: Description of work: ��-'`�-'�"'�. �-,��c (���.i� C3 n; �_��--,^-�r� f �S�
Type of Work
Construction Cost:� ��C� Multi-Family Building: (Yes /No�
-7 �
Company: ��u�t�l�ctiDs"�� ��r9�i���---� Contact: ��;..,� Sµ-�s�-J (t IZ-ZZ/�
Contractor ` Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documentsthat you,submit are considered to be public information. Portions of
fhe information may be classified as non-public if you provide specific reasons that would permi#the City to
conclude that the 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.popherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
� __�
x <�v ..,����� x -c'
Applicant's Print d Name ApplicanYs Sig ature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE �'�( �� ,
SUB TYPES ��� I ��' �� '��
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
� Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
�eplace _ Repair _ Egress Window _ Water Damage
_ Retaining Wal) *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ti (� Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Width �
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: ��, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ����.`�}1/�
Plan Review �
MCES SAC � p L�,���/
City SAC � �` �
Utility Connection Charge �
S&W Permit& Surcharge ��
Treatment Plant �
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154698
Date Issued:04/05/2019
Permit Category:ePermit
Site Address: 4091 Prairie Ridge Rd
Lot:6 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan N Wedin
4091 Prairie Ridge Rd
Eagan MN 55123
(612) 747-2894
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:EA164877
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 4091 Prairie Ridge Rd
Lot:6 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan Nolan Wedin
4091 Prairie Ridge Rd
Eagan MN 55123
(612) 281-7363
Elite Exteriors
14815 Energy Way
Apple Valley MN 55124
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175838
Date Issued:04/18/2022
Permit Category:ePermit
Site Address: 4091 Prairie Ridge Rd
Lot:6 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan Nolan Wedin
4091 Prairie Ridge Rd
Eagan MN 55123
Minnesota Exteriors Inc
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature