4100 Prairie Ridge Rd7 ?-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
?
,ii l?t i
APPLICANT:
TYPE OF WORK: W
L-q
I?
L
ON RECORD ?
PERMIT TYPE:
Permit Number:
Date Issued: ? ' i? "
Permlt No. Permit Holder Date 7olephone #
SNV
PLUMBING
HVAC
ELECTRlC
ELECTRIC
lnspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough PI6g.
Rough Htg.
Isul.
Rreplace
Fnal Htg.
Orsat Test
Rnai Plbg. Plbg. tnspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg. g /01 D
Deck Final ??
Weil
Pr. Disp.
?5 1• > >
' / htOvivdl;lftfi a?
rols-
? +
1
?vs
e.
?G. i•?? • 'v ??3.
SEWER & WATER PEF
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 11-19'91
OFFICE USE QNLY
METER # / PERMIT DATE 11 /29 /91
CHIP #? f?61a ?3? PERMIT # 12401
METER SIZE ? r/y)' B.P. RECEIPT # C 016318
ISSUE DATE B.P. RECEIPT DATE 11 / 25/ 91
SITE ADDRESS 4100 Prairie Ridge Rd.'_ 17"
LOT -1-BLOCK __j__SEC/SUB Coventry Pass 21ld
APPLICANT: C0^j u • C •
ADDRESS: ( 2 izcl
CITY, STATE 131A I-NrU' Ile ZIP _:F:533 77
PHONE: 6,15"-S' ? 0(0I
PLUMBER: 56r 'PI'-tWn?J?r.14
ADDRESS: Nd Tcr ^ACw "
CITY, STATE BI ?+"l iQca f M ZIP :551420
PHONE: P?RH' 9149
OWNER: _
ADORESS:_
CITY. STATE
PHONE: _
ZIP
X PRV - BOOSTER PUMP
PERMIT REOUESTED
__eSEWER - WATER _ TAPS
_ COMM/IND RESIDENTIAL
_J"EW - EXISTING
Lawn Sprinkier Meters are to be lnstalled
Ahead of DoWic Meters on Water Line.
CrediWVlLt " be aiYen #or Deduct Meters.
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
` .. . ' ... ... . . „?. .. , .
'
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675
BUILDING PERMIT Receipt #
To be used for SF DW/fiAR Est_ Value i 15l . UOC1 Date NOY
Site Address eiiw rvi
Lot 1 91ock 1
Parcel No.
Name `'v'a
W ,??? 1212 SLIJrDILL
? Cfty WRiiBVILLE Mp
Signalure of Permitee
A Building Permit is is
on the express conditi
itlon and slate that the
all applicable State of
Eagan Ordinances.
CE USE ONLY
FEES
Occupancy R-3 1116-L 81$
?
2oning R-1 ?. P? ?
(Actual) Const V-N Surcharge 75.50
Y
E
(Allowable) n Plan Review 532.00
M or stories
?V
uoerse
Lenglh
00
100
Depih SAC, City •
S.F. Total - SAC, MCWCC 6X•00
S.F.Fpolprinls - 6?•?
On Site Sewage _ Water Conn
On Site Well Water Meter 95.00
MWCC System
X
Acct. oeposil 30.00
Ciry Water
-x
30,00
PRV Required S/W Permit
Boosler Pump - SNY Surcharge .50
Treatment PI 276.00
APPROVALS qoad Unit 370•00
Planner - Park Ded.
Council
BIdg.OH. ?
_
Copies
Variance - TOTAL -
3,637.00
?
` Permit No. Parmit Holder Date Telephone k
?ING
WAC O-
ELECTRIC
ELECTAIC
Inapeetian Date Insp. Comments
Footings i 1??7k(' u),6
foundation "'l/o
Framing
Roofing ,
Rough Plbg. / - - _ q 1L
Rough Htg. l '
Isul.
F?replace ? C•/9? ,?-
Final Htg. -36?2
omae rest a_ yI ?`
Final PIbB- ' L?
;?Z .? Plb9- I^spector - Notily Plumber
Const. Meter -
EngrJPlan
siag. FinW
Dedt Ftg.
Deck Final
Pc ?isp.
?1 I
? A ?? . ?. . f 1 ? • ? ? ' ?t
i ?
(gierfi?ir?tt tif (O.rruvaury
Citp of (eagar?
Bmwmuld uf wuilding inopprtirnc
79u's Certifua[e issrced pwsuuat to the r,equirementr ojSaction 306 ojthe Unijorm Building
Code certill'in81hw at the &nee of issuance this struclurr wrrs in complia.nce with the taarious
ordiaanors ojlhe (aily regulating building corrstrudion or use For the foUowing.
w. SF =/r.sR Wg. %ni ro. 14904
o-p.77S4. -BlA'jl zooiq obW. Rl Typ, r- VN
B„tie;? wea....b l0o PRAIItTW RmfF Rt%AD L-aky _L I. B 1, QOVEM PASS ZM
;
a 1130/Az
X-
Posr IN n ooNsPicuous Puce
?
CASH RECEIPT
,
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE / / ? -.,? 11
rECErvro
.
FR0/1 - ' ? . ,,
L
AMOUNT $ . ..?
& DOLLARS
,oo
O CASH .0 CHECK
FOR
f
1
BY
C 016318
wnne--Payers co?y
Yelbw-P?tin9 CoPY
PiNc-File Copy
Thank You
SEWER,& YAIATER PERMIT
CITY OF EAGAN METER # _
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP #-
METER SIZE
DATE 11_ 19_ 9 1 ISSUE OATE
StTE ADDRESS 4100 Prairie Ridge Rd.
LOT1_._BLOCK.1-SECISUB Coventry Pass 2nd
APPLICANT: e(>'jS?1'r
ADDRESS: 12 ?2 'RI4i,-6 f1 __A-, Qcl
CITY, STATE F-1 (NSV - II Q , M/'vL ZIP -:?S?3 7
PHONE: ?ES' 7U(pi
''"
?] -
PLUMBER: ?f i 14 ?w 61
ADDRESS: OWN? Tcr r??
CITY, STATE ; M ZIp 55 LI 20
PHONE: ?Ry' 11149
OWNER_ _
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
OFFICE USE ONLY
PERMITDATE 11/29/91
DCD\IIT JF 12401
B.P. RECEIPT # C 016318
B.P. RECEIPT DATE i l/ZS/91
X PRV - BOOSTER PUMP
PERMIT REQUESTED
V SEWER - WATER - TAPS
- COMM/IND RESIDENTIAL
, ?LNEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Dorr ic Meters on Water Line.
Credit WILL be gju.en for Deduct Meters.
OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Address: 4100 pRALRJE P
JDGE rtppp Lot I Blk I Sec/Suh CpVENiRy pASS 2Np
These items were/were not complete at the time of e final inspection.
01 30 92 Yes No
Final grade (6" fiom siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck
Please verify with the huilder the removal of roof test caps from the plumbing
system and the shut-off of water supply to tha outside lavn faucet before
freeze potential exists. ?
xEnn?or.xn
White - City copy Yellow - Resident copy Pink - Contractor copy
DATE: NOV 292 1991
RE: 4100 PRAIRIE RIDGE RD (MCDONALD CONST INC)
X Your Sewer 8 Water Permit for the above property has been completed. It will be held at ihe
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATEfl TURN ON.
_ Your Sewer 8 Water Permit for the above property cannot be completed for the follo,wing
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 tor 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 FOH WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN
,-' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 No 19 9 0 4
PHONE: 681-4675
BUILDING PERMIT Receipt # ( 6
Tobeusedfor SF DWG/GAR Est.Value $151,000 Date NOV 22 ,?g91
Site Address 4100 PRAIRIE RIDGE RD
Lot 1- Block 1 Sec/SubCOVENTRY PASS 2N1
Parcel No.
Nypg MCDONALD CONSTRUCTION INC
? Address 1212 BLUEBILL BAY RD
? ??y BURNSVILLE MN Zjp 55337
cc Name SAME
? AC?C1fPS5
? City Zp
Phone
8
LiC2f1S8 #
OFFICE USE ONLY
FEES
occupancy R-3 M=1- $18
00
Zaning $-1 .
&dg. Pemid
(ACtuaqConst V-N Surchaige 75.50
(Allowabl9) V-N plw qeAew 532.00.
F olstones
Lenglh 64' License
Depih '
46
SAQ Cily ion_nn
S.F Total - SAC,MCWCC 650_00
S F. Faotprints -
On Site Sewage _ waler Conn 660.00
On Site Well Water Meter 95.00
MWCC System X 30
00
Qty Water _x .
Acd Deposil
PRV Required x S/W Permil 30 _ 00
I hereby acknowleg t I have reatl this application and state that ihe
inlormallon is corre c a agree lo comply with all applicable State ot
Minnesota StaWres an C y of Eagan Ordina?es.
?
SignaWre ot Permnee ?
A euilding Permit is issu lo: M DONALD C ST INC
on Ihe express condition thal all work shall be done in accordance with all
applicahle State of Minnesota Statules and City ot Eagan Ortlinances.
Building ONicial
Boosler Pump - S/W Surcharge _ 5()
Trealment Pl '276 nn
APFROVALS qoad Unit 378.'QQ_
Planner - park Ded.
Council -
BIdg.011 _ Copies
Variance - TOTAL 3.637.00
- // s/s?
J 012 3 i
n=' io5?.3Y7
t&ff
Request Da[e
1
?`g
I'a Fre N Rough-in Inspectian
Re rtetl?
Yes G No
? Ready Now ?Nill Nohty Inspedor
W1ren Reatlyl
Ilieicensed conirector ? owner hereby request inspection of a6ove electncal work at:
Jab Aatlrss (Sheat Box or ute No Ciy
Section No Townsh Name or No Range No Counry
occuPa e) y?_ 5GG
Power Su Adtlress
Ele onVactor?Company N e) ConVadorS Licanse No
C, ?
Malmg A ess (C nlractor o akmg tn5lallaPOn) ne,
/ 5 " •
NutM1Ori Signature 1 onv c? !Owner Makmg
??.e?. InstalleLOn?
/yl,?/ ?5?.5??z 5? h e Number
? 3?- 5a ??
MINNEOT?ATATE BOARD OF ELECCITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg - Roam S1]3 V BE AGCEPTED BY THE STATE 80AFD
1801 Univererty Ave., St Paul, MN 55104 UNLESS PROPER INSPECt10N FEE IS
Phane(612) 6024800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °=
? ??i?
? Sro mzhi¢tinnc (n. ?mm?lcnnn lnic In.m nn nnc4 nl vallnw merv _
J 01 231
"X" Belaw Work Covered by This Request `'??•?
e Add Rep ' TypeofBwldmg ApphancesWrtetl EquipmentWired
Home fianqe Temporary Service
Duplez Waier Heater Electric Heating
Apt Bwlding Dryer Other (Specity)
Comm.llndustrial lf 'Furnace
Farm Air Condihoner
Other ?syeatyl Conhaclor's Remarks
Compute lnspectian Fee Selow:
M Other Fee # ServiceEntranceSrze Fe S Circmis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps A _ Amps
51gn5 Inspecror's use Only 7 T ?r'jA
Irrigation Booms ?
Speaallnspechon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Electncal Inspector, hereby
if
h ROUgh-in
cert
y t
at the above inspection has
been made. Final oaie
OFFICE USE ]NLV
This request voitl 18 months Irom
E8-00001-08
101,1t3919
J 5238,ci f= - C'
Request Date
- ? Fre No R gh?in Inspection
qmred,
?Reatly Naw i] Will Notdy Inspector
? Ves No When Reedy?
10 licensed contractor ? owner hereby request inspection of above electrical work at
Jab AdOress SlreeC Box or RoNe No I
d Qry
? z:
Seqion No Township Name or No Ra ga No County
W
OccupantlPRINT)
?,26,tA (N?,C...,
? P one No
Power Svppber Atltlress
» -
Electncal Coniractor ICa?I?? ConVactar5 License No
?
? CH R1S FRANKf: D6
MaOn9Ac1c,ess,Coriua« , L d fDA LANE
AP
AulMrizee Signawre IConhatlodpwnar Mak?ng ns n 1 Phon NumbBr
-? 6
MINNESOTAai&60RRD OF EtECTRICITY THIS INSPECTION REOUEST W0.L NOT
GrIqgrMiEway Bltlg. - floom Sl73 BE AGCEPTEO 0V THE STATE BOARO
1821 Universly Ave., 51. Paul. MN 55104 I1NLE55 PROPER INSPEGTION FEE IS
?M. (612) 642-0800 ENCLOSED
9 REQUEST FOR ELECTRICAL INSPECTION ?"'Q`'?EB-00001-08
?
?
See ms[ructmns for compleUng this form on back oi yellow copy
~ X" Be'low Work Covered by This Request ?•?.:??
J.. 25? 38
ew Add Rep Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Budtling Dryer Olher (Speaty)
Comm./Indushial Purnace
Farm Av Condrtioner
Otner(sVenry) Contramor5qemaBs
14
Compufe Inspection Fee Below:
# Other Fae # Serv iceEmrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 206 Amps 0 t0 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS inspector5 Use Only TOTAL
Irngation Booms
Special InspecLOn ?J •G
Alarm/COmmunicauon TIiIS INSTALLATION MAY BE O ER ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
certify that the above inspection has
been made. Rough-in
Fnal ?., Dale
Oat?
OFFICE USE ONLY
This reques[ voM 18 months Imm
INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Num6er:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: a BLOCK: I APPLICANT:
4100 PRAIRIE RIDGE RD WERNICK STEVEN
COVENTRY PAS5 2N0 (612) 686-8195
PEqMflSUBTYPE:
TYPE OF WORK: NEw
BUILDTNG
021897
09/03/93
?
?- --
? CI`fil( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18401-010-01
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4100 pRAIRIE RIDGE RD
LOT: 1 BLOCK: 1
COVENTRY PASS 2Np
?- ?
Bu3ld,ing- Permit Type DECK
S'uilding'i4
'o,?k Type NEW
; UBC pccupancy,
R-9
f/'Building Lengtfi, 23
? 9uilding Width 18
? ?J
`?.,? -?_?????4• __ ???-?
1'?l
C??? ?CsU?
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $1.00
3urcharge $.50 Tatal Fee $26.60
Subtotal $25.50
CONTRACTOR:
rDic.--??^
BUILD
02189f
09/03/93
49RN2C1C' _ RPPS7EVEN
9100 PRAIRIE RID6E RD
EAGAN MN 55123
(612)686-8195
I hereby aeknowledge that I Ftave reed th3s
infiormation is correct and agree to comply
Statutes and City of Eagan Ordinances.
L (
&"APTYLV WANAMI EE SIGNATURE
application and state thaC Yhe
with all epplicable State of Mn.
-i
?l1(14 I1?J
? ED BY SIG11 ATURE ' `
REACTIVATE>-Ir,NL C E ? V E ff CITYOFEAGAN
PERMIT 4 993 BUILDING PERMIT APPLICATION
311993 1993 6814675
SINGLE L MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ;
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but nat picked up by last warking day of aonth.
s requested once permit
3) lot change i
d
h
,
ange
or
in which request is made, 2) address is t
is issued.
Date _a11412 '?7t / ? l 1993 Yaluation of work
Site Address:
fTREET fUITE 0
Tenant Name: (commercial only)
IAT S1ACK SUBD.
l?fllJt' "?' d.f lC(? Y.I.D. N
Descri tion of work:
The applicant is: A Owner 0 Contractor CJ Other coe.oribe>
Phone "
Name 1
Property - «ST F1R5T
Owner Address `t7U? 1r?11L! ?1,CLP? '
SiREET fTE K
Zip
? State JTLf
.
City.
Comp any - '<p?,,0„ p"/ Phone
Co ntractor Address License # Exp.
City State ZiP
Company Phone
AfChlteCt/
Registration f
Engineer Name
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer fl 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
sota Statutes and City of
n
f Mi
t
n
e
e o
correct and agree to com ly with al cable Sta
Eagan Ordinances. '
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
O 03 SF Addition
0 04 SF Porch
? 05 SF Misc.
WORK TYPE
L7?31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
O OB B-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
? 11 Apt./Lodging
? 12 Nulti. Misc.
? 13 Garage/Accessory
? 14 Fireplace
015 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable) ^
UBC Occupancy
Zoning
t of Stories
Length ??
Depth iq•
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
O Site
? Wallboard
Basement sq. ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
EL Footing
EA Final
? Framing
O Draintile
777,3V
?
'o
O Insulation
O Fireplace
Permi t Fee J
Surcharge ?p
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/N Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies ?
Other
Total:
v.lLacim:
? 16 Basement Finlsh
O 17 Swim Pool
O 18 Coam./Ind.
? 19 Coron./Ind. Misc.
? 20 Public facility
O 21 Miscellaneous
13 37 Demolish
MWCC System
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census tode
SAC Code
Assessments
SAC %
SAC Units
MPF MOV-21-'91 THJ 10:42 1D:PCDONRLD COFJST. TEL 110:612-688-7206 q392 P01
**4 #
* PtONEER
? er,g* eering.
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Ilnusr. AddrPS.: 4100 Prairie Ridqe Rood, Fng(in, MN
Mncir,l Nnrrtr,: 90-746
N 89°5T'39" E
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0I np G?r-? Fr,,?FS5 • RS9..,,?, (1)..1
'PM)o Denotes Existing Flevotivn pRpppSED NUUSF' FIFVA110N
-111?? OP Duiotes Proposed Elevolion Lowest flcor ['Ir.v,ficn 'A4).ny
--- Dencleg Orainog- dc Utilily Easement
-? Denotes Drainoge Flow Direciion Tqp a? Blor.k Elnvillnn ;71 1?J
--c- Denotes Monument . Caroge Slab Elr:val;nn k56
.--e- Denotes Ofrsel Hub georings slinwn nre ncsiimntl
LOT 1. , BLpCK 1 COVENTRY PASS 2NU ADU.
Dn1f0iA CWNIY, MINNESOiA
1 hrrrbY rp111Y Ifip 1Fia nnwv. Pi"n m r.T.nn y?p pr w?M hY m! urNir ro AG?.
r I.qMiul?ln?. ???I llmt 1 nrud?dv ?1MIun,.,? 1 n.N Sw.?yn.
wb. Ue lews Mlhe 51.v of Mlnn??ou. p??..11b1? q?V nl ??•? .• q.q. IA.??L.. . )
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4:
R *-
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
COMPLETE THE FOLLOWING:
N0. FIXTIIRES EA. TOTAL
ADD-ON MINIMUM 15.00
I SHOWER 3.00 a,dtl
9 WATER CLOSET 3.00 .00
? BATH TUB 3.00 3.00
LAVATORY 3.00 d_00
?,. KITCHEN SINK 3.00 3 00
LAUNDRY TRAY 3.00 3,00
HOT TUB/SPA 3.00 3 00
WATER HEATER 3.00 :R((0
FLOOR DRAIN 3.00 3_fin
GAS PIPING OUT.
? (MINIM[7M - 1) 3.00 ,1 00_
ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL • ??
ST. SURCHARGE .50
TOTAL: S OO,
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNROMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNZT.
-------------------
WDRK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: f l. UJQ h ajd
SITE AD?RESS:_?/Q 0 Lc
LOT:-OLL BLOCFC OI SUBD.
INSTALLER: -
ADDRESS:
oiTr: Go 19 Li a
PHONE
_ .. n 8
c/IQ
ZIP:
PERMITTEE
..... . .... .:: ............... _. .......... .. .,
?i?2?MLItCIA??Ik1pTJST??AI?:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BIIILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT:
INSTALLER
ADDRESS:_
CITY:
SLOCK _ SUBD,
PHONE #:
ZIP:
FOR CITY USE ONLY
YERMZT # y--
RECEIPT
DATE:
FEES
IB Or CONTRACT rEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
rCITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /O
?CkiAN?CAI<.;p.1?ItM?? DATE: /a d'I 9
?$?pENxTAS;?; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
-------------°--------- -----------°------------------------------°-------°--
WORK DESCRIPTION FEES
NEW CONST ADD-ON MZNIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM a 3.00
OWNER NAME: OF 1 PER PERMIT
SUBTOTAL:
SITE ADDRESS: STATE SURCHARGE: .50
LOT:? BLOCK \ SUBD. \ Ue' ?v^ ?SS oC ? TOTAL:
INSTALLER: C1 !7-,'\tC"' I-C, Cl L\?
ADDRESS: SOF PERMITTEE
CITY: ?G. t G\ G' ZIP:
PHONE #i : 4 r• ) - Q ?
C4AtrtERCIA3.%TNbIISTKTA7.: PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNZT.
-----------------------------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP: _
PHONE #:
FOR:
CITY OF EAGAN
FEES
16 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PRCCESSEB PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S IGNATIJKE )
.. . _.
818•UJi-
,75•5Jr
53'?•u?j-
2,211 • 50+
3,637'00"
?,?\?'1?" F? i i; • D "J ?
?' '/?•?UE
53?•00+
211- 59T
3,637•00;-.
5???
?
, ? ? - - .` 1991 SUILDIN PERMO A LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMEERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES S1HEN: TYPING OF PERMIT I5 REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED,
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED QNCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
?•
To Be Used For. FA,n,i?j1„r Valuation: ? Date: ! I- 14 - CT J
Site Address 4 100 'PC4,ri?-?'IC?Gerq OFFICE IIS
Lot ? Block
Occupancy R 3 M-1
/_ Zoning R-1
Parcel/Sub cpvenl'CL7nTP}5S ZN7 Actual Const Y-N
Allowable V-N
Owner # of stories
Length (oH?
Address Depth ?
S.F. Total
City/Zip Code Footprint S.F.
Phone
Contractor
.
Address ?12cl
City/Zip Code _? ,yL15Vir?P? SS32?;!
Phone 60Q, - -7 O (o I
Arch./Engr.
Address
City/Zip Code
Phone #
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS _
Planner _
Council
Bldg. Off?.?-/
Variance
FEES
Bldg. Permit eIS.Qo
Surcharge 75.SD
Plan Review ,DO
SAC, City 00,00
saC, xwcc 650, o0
Water Conn. (e60, 00
Water Meter qS,Do
Acct. Deposit 30,00
S/w Permit 30,00
S/W Surcharge ,5'D
Treatment P1. 2r16i00
Road Unit r10,o0
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
agrees that alI work ahall be done in accordance with
all Kpplidab're' State of Minnesota Statutes and City of Eagan Ordinances.
, ? - VALUAA
GARAU'E
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Certificole of aurvr,y svr. m%.vv, , uiu ?r1C.
I inusr, AcldrPSS: 4100 i'roirie Ridgs Rond, Fagan, MN
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LOT 1. , BLOCK 1 COVENTRY PASS 2NU ADD.
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675 1-7'
G, !b-a i- 9
New ConfhucNon Reauhemenh ? 51J,5 Remodet/Recalr ReauhemeMs
? 9 reglsferetl sHe surveys showing sq. H. of lot, sq. fl. of house
and QII roo(ed areas (20% maximum loT coveroae allowed)
D 2 coples of pians (show beam i wlndow stres; poured (nd. design; eTc.)
D 1 sef of energy calcuia8ons
D 3 cople: W hee preservafion plan B lof plalted a(fer 7/1/99
DATE: /U- //S'' ?9
DESCRIPTION OF WORK:
2 coples of plan
1 sM of energy calculaNOns for healed addlHons
1 s(fe survey for exterbr addHions 6 decks ?? /
CONSTRUCTION COST:
_ .,/+
STREET ADDRESS: ? v ? /7 0i 9/ Q n/yt -5-/2
LOT: l BLOCK: I SUBD./P.I.D. #: C ?l ?12 kn TY ? a SS c?
Name: LJeR Ni C-k Sfe L?e'l Phone #: lo.r/- 6P6 - E/ g.5
PROPERTY tast Flrst
OWNER
sheet
O WRqi.e/`e
CNy ? A i? StaFe: !;'/Av- Zip: .5S/z 3
Company:?h?- 14 c Phone #: bi z '707 - 6 9-59
(area code)
CONTRACTOR
Sfreet Address: J z Z $17 5, License #,?7a/693 83 Exp. ?"Zoocl
City ??/1 n I u;//,. State: ,,.M?iv . Zip: 55337
ARCHITECT/
ENGINEER Compan?/--- Name:
Telephone #k: area code ( )
Shee't
City
Sfate:
Sewer 3 water Iicensed plum6er (reau6ed for new conshueflon onNl:
Penalty appltes when address change and lot change is requested onee permfl is issued.
Zip:
{ hereby aeknowledge that I have read this applicatton, stafe that fhe informatlon Is eortecf, and agree fo compty wRh all opplicabl
State of MlnnesWa Statutes and CMy of Eagan Ordinances. ///JJJ
Signature of Appitcant.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ,-- ,
_, . ,.
Tree Preservation Plan Received _ Yes _ No Not Required
?
? \.l }
Regisfration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
X 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-piex ? 14 Apartments O 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) lit 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMA31UN
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC City SAC
Water Conn.
Water Meter
Acct. Deposft
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq, ft.
Building
1-11--?5
Census Code
5AC Code
No. of Units
No. of Bldgs
MC/ES 5ystem
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation: $
SAC Units
°h SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119531
Date Issued:12/04/2013
Permit Category:ePermit
Site Address: 4100 Prairie Ridge Rd
Lot:1 Block: 1 Addition: Coventry Pass 2nd
PID:10-18401-01-010
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 -
Steven C Wernick
4100 Prairie Ridge Rd
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135872
Date Issued:04/11/2016
Permit Category:ePermit
Site Address: 4100 Prairie Ridge Rd
Lot:1 Block: 1 Addition: Coventry Pass 2nd
PID:10-18401-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Steven C Wernick
4100 Prairie Ridge Rd
Eagan MN 55123
(651) 280-0922
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175951
Date Issued:04/22/2022
Permit Category:ePermit
Site Address: 4100 Prairie Ridge Rd
Lot:1 Block: 1 Addition: Coventry Pass 2nd
PID:10-18401-01-010
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Steven C Wernick
4100 Prairie Ridge Rd
Eagan MN 55123
(651) 280-0922
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175952
Date Issued:04/22/2022
Permit Category:ePermit
Site Address: 4100 Prairie Ridge Rd
Lot:1 Block: 1 Addition: Coventry Pass 2nd
PID:10-18401-01-010
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 -
Steven C Wernick
4100 Prairie Ridge Rd
Eagan MN 55123
(651) 280-0922
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175954
Date Issued:04/22/2022
Permit Category:ePermit
Site Address: 4100 Prairie Ridge Rd
Lot:1 Block: 1 Addition: Coventry Pass 2nd
PID:10-18401-01-010
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 -
Steven C Wernick
4100 Prairie Ridge Rd
Eagan MN 55123
(651) 280-0922
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature