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4103 Prairie Ridge Rda • a .?? . -- J (?? ???cate ? ?c?cu?ra?te? ? of fte" lanw"g 3.oceti" This Ceni, ficate issued pursuant to ilte requirenuitls o}' the Unefonri Building Code cenifying that ar the tinie of issuance thrs stnictun was in compliance with the various ordinances of the City regrelating building coicstnrcteon or wse_ For the followpeg: use classis? ?DW swb Peroma nra 1063 0-a-cr TYm -Kj/i"1 I zonmg as? R 1 Tne COWL VN Owoer ot Buildin L1AHIE ?JS ? 9304 LYAII?ATE AVE S, ffiM.'LN ??gnaa?g41C13PRAIRIIE ?tTDGE RQAD L-aity I5, B4, OMNIIZY PASS ZNm ? W- Doe: -.}.? Bailcrng 0lficial POST IN A CONSPICl10US PLACE . INSPECTI4N RECURD 'CITY•OF EAGAM PERMIT TYPE: 3830 Pilot Knab Road Permit Number: Eagan, Minnesota 55123 Date issued: Control No. 0815 e*a 0 ti'a vI /i6/.Vz (612) 681-4675 SITE ADDRESS: ?. r? r: +? ?? uc ?: ? APPLICANT: 410i PRA1RiE RIU(iE Rii pAHlE HRfiTHFR9 1MC CpVFNTliY i>A`as 2N0 (612) RatH--6666 PERP41T ?,YPTYPE: TYPE OF WORK: NLr N .. . FfiAN1Nfi FLNAL ? PT 9 m pRv ssu PLOR - sTAR PLeO.. Wwmk No. P'amR Holder Oa1b Ti1?p?qt? 11 SW1/V PLUMBING iiVAC ELECTRIC ELECTRiC Inepsctlon Dete Usp. CommMts Foo*W I /?dD Founs8don Fm" Floalb? Bw9h Ptb9' ,?- ? "2' j`?_ ,?'S f? , s Rwa;e p g 9v- b s Final Htp. p_ OrsBt Test Final PIb9- Pb9. Inapeclor - Notify Plumber Cohst. Meter EnDrJPlan B3dp. Finel Deck Ftg. Dedc Flnat weli Pr. aec. .f sf?f 44:'p AWA(W ? Address: 4103 PRAIRIE RIDGE ROAD L°t 5 Blk 4 Sec/Sub COVENfRY PASS 2PID These items wera/were not complete at the time of the final inspection. t: 10 23 92 Yes No Q Final grade (6" from siding) tll? Permanent staps - garage Permanent ateps - main entx'y Permanent driveway ? Permanent gas V Sod/seeded gYass Trail/curb damage Porch y Sasement finish Deck Please verify vith the buildar the removal o£ zoof test caps from the plumbing system and the shut-off of vater supply to tha outside lawn faucet before freeze potential exists. ? uonme.rtn White - City copy Yellow - Resident copy Pink - Contractor copy K2 145 L V, Requasl Oate p y -(1 Fire No Fow -in spedfon e e tl? Ves G N. ? ReatlY Now 'A Notily ???nen Reatly I?'?.Qhcensed contractor ? owner here6y request mspection of above eleCtrical work at: Job AtlOress (SVeet Box or Rout¢ No ) L?-to3 Tcz!?_i.r;e Gty FP qn Sacimn No Towns?ip Name or No ge No Cob Occupant?PRIN7,? 1n ?? `? 0.1 Phone No Power supoI?a c-- Aatlress rM1+1 n Eleotnoal Contrador(COmuany Name) Co V ctor5 Lmense No CAOl lQ 2 Mailinq Adtlre (COnlraclor or Owner Making IoslallaLOn) 12qe`1 IE30?(V ?4ve S Awhorizetl Si nawre iCamractonOwner Makin InsIallaoon) ?-_ Phone Number aq O - 3SSS MINNESOTA A BOARD OF ELECTflICITY ? THIS INSPECTION REQUEST WILL NOT Grlggs-MMw Idg. - popm 5493 BE ACCEPTEO BY THE STATE BOARD 1821 Unlvero0y Ave., St. Peul. MN 5510C 11NLESS PROPER INSPECTION FEE IS Phane(613)6C2-0B00 ENCLOSED g a!Q 9?" REQUEST FOR ELECTRICAL INSPECTION eeaoooyos/? l 75? 914 5 See msvuaions lor comoleeng mis iorm on back of yellow copy Q V'", K 30 "X" Below Work Covered 6y This Request e Add Rep. TypeofBUilding AppliancesWired EqwpmentWiretl Home Range Temporary Service Duplex Water Heater Electric HeaM1nq Apt Budding Dryer Olhec(Specify) Comm./Indusinal Furnace Farm Air Conditioner Olher (spenty) Conlractor5 Remarks Compute Inspection Fee Below. # Other Fee k Sermce EntranceSize Fee # Qrcuits/Peeders Fee Swimming Pool 0 to 200 Amps I Z 0 to 700 Amps Transtormers Above 200 _ Amps Abo Amps SiJnS lnspecWr5 Use Only OTAL Irngatwn 6ooms Special Inspection AlarmlCommunwation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby d Rou9n-,n oace y,L ` cert y that the above inspection has been made F,,,ai +e ? ti -? OFFICE USE 3NLY I Tnis request voio 18 monlM1S from ( C?U 0 -7 6?? 2004 RESIDENTIAL BIIILDING PERMIT APPLICATION rn? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ?? Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodellReoair Reauirements Office Use Oniv 3 registered site surveys showmg sq, ft. of bl, sq. fi. of house; and all roofed areas 2 copies of plan Ced of Survey Recd Y N (20%mazimumlotcoverageallaved) 1 setofEnergyCalculationsforheatedaddition5 TreePresPlanRerd _Y _N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNons & dedcs Tree Pres Required _Y _ N 7 set of Energy Calculalions Addition - indicate ilar-sife septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711l93 Rim Joist Detail Options seleclion sheel (bldgs with 3 or less unb Date 0? ConstrucUon Cost 1 S? 000 SiteAddress 4103 JeKAIs'iG 2?a(ve- r Unit/Ste # F'in ?? 6'i^A I Description of Work ?'r r..liS?1 ?irr5 Z,,? M l i F il Bld 2 1 ? u t - aro y g _ YN _ Fireplace(s) ! 0 _ Property Owner Telephone # ( O,t ?) T 3 F' - Z¢1' Cc' Contractor ?aw Address (p 3 J ? <472? ST City f?c.? 2c/r?I ?.c.L State Zip S S T3 -7 Telephone #((D/2) 7 63 - 7 7 9 7 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculalions Submitted Have you previously constructed a buiiding in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Su6mitted Y_ N If so, 25% plan review Telephone #( ) Telephone #( ) , I^ P ? Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the informatiorieik-sem?}P?e attd aeswr?te; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an application f a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan he case of work which requires a review and approval of plans. „ ?? 9 J ?i?G u S ApplicanYs Printed Name OFFiCE USE ONLY sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex PIbgXY or_ N ? 25, Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair A 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applieant Valuation 002 Occupancy MCES System CensusCode Gi`3?f Zoning CityWater - SAC Units "- Stories - Booster Pump - # of Units - Sq. Ft. ? PRV - # of Bldgs ^ Length - Fire Sprinklered ? Type of Const Width ? REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addi[ion) Plumbing _ Foundation ? HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs _ Au/Gas Tesu Final ? Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. Air Test Final Windows _ ?L Insulation _ _ _ Retaining Wall Approved By: ------------ , Building Inspector ------- - - - ---- - --- - ------ - ------ - ---- - -------- - - - -- - --------- - - - - - --- - - --- - ------ - ------ - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 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 2 3 ! 04 Site Street Address Unit # Property Owner Telephone # ( ) Contractor Telephone# (/a.T/) 4423 • 3136 Address /52?30 City?.ti! _ d•?? ?"'___ State'd.L_Z Zip-AR06,w, O Oth VC wner The Applicant is: _ er ontractor _ Altexations to existing dwelling $ 50.00 ? ?Add fxtures to rooms, excluding water softener and water heater ?7.? YL4:,? _Septic System Abandonment _Water Tumaround (add $121.00 ter is required) if a 5/8" m e Other. Vv?.e.v.?' p ? ?? Water Softener _ Water Heater ? $ 15.OD replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ?Q•? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wi11 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 pfan is required to be reviewed and approved. 914Vnv__ M. l.u 1Lnuji"r.., 9,r ApplicanYs Printed Name Applica 's Signa re &6 354 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 _g, / ar`? / D Site Street Address Unit # Property Owner ?Gle_2J ?d_G[J2C?? Telephone # ?61)39f-j ` ,/ t 7 ? ? ..U? Telephone # Sld Contractor ?'Y_? Address e?i1, 90 ?n-?c{? ?fPnQ City AGr.-e1 State /772 Zi 5/?3 The Applicant is: _ Owner ?Contractor _Other Aiteretions to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water.softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener ?Water Heater $ 15.00 t,? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 ? ? SLP ZUU4 Towi V Iey .----- ' 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. m"s/ 4&-e V se n. s C/Ak-c4 ,,Z?a?Q.?..o J ApplicanYs rinted Name ApplicanYs ignature 0/S-5D '??67f Pf) LOT .?;L BLOCK 6-( SUBD. RECEIPT # G ? S DATE ! / p 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLl1MBER Date: ?-)yn Area/address to be irrigated: Instal Street address: City, state & zip code: Owner Street address: -V-A _ Commercial GPM _ Residential (boulevards) GPM _ Existing residential Owner ? Plumber 0---? v °. #: ?4 ? " Li 8 (o f u q City, state & zip code: fxl:? Phone #: b ` R t r fl n M iirigdiiUii tuntiaCior, ii uiiferent ihan insiaiier. Telephone #: Isg Li - I L -7 g I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. (2" ?T 3-u? Applicant's si ature Title Approved by: Date: PRV 0 Yes 13 No New service ? Yes ? No Meter Size & Cost Fees due: Calculated by: q-,?o _7 0. -l0o l?'6• l,t?*,Qyu.? 7a0 -A 0,, d PROCEDURE FOR IRRIGATION SYSTEMS - 1996 An irrigation permit j$ required - please contact Protective Inspections at 687-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new service is installed. $300.00 per tap if installed by City. Residentiaf project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 ner connection - WAC. $396.00 oer connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previousiy installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $182.00. If gailons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not req iu red, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-0675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. L ? BL // CITY OF EAGAN /} ?? PLUMBING PERMIT SUBD. ?dYU?t (612) 681-4675 REBIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: L_T in I )A1n ?SCLA?(.. SITE ADDRESS: 4f lUs PY'0.f lr?? ?ljix? INSTALLER: sd nnnxESS: "; 3 3 3 ? Co o -?-' S f ?. CITY: ??lo ^ l_sJ?.? ZIP: 5 S 3 7 L PHONE #: 4 (-( _? ` )-l (c O ti SIGNATURE OF CONTRACT PRICE: 1% OF CONTRACT FEE. , STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. COMIIMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT'REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: _ INSTALT.ER: _ ADDRESS: CITY: PHONE j/: FOR• CITY OF EAGAN COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 _ SHOWER 3.00 _ WATER CIASET 3.00 BATH TUB 3.00 IAVATORY 3.00 _ KITCHEN SINK 3.00 iAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIM[TM - 1) 3.00 ROUGH OPENINGS 1.50 _ oTxEx WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 PERMITTEE ZIP: $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: CITY USE ONLY RECEIPT # ?? DATE / n - a?- /a? AL50, FOR TOWNHOMES AND CONDOS TOTAL: v`q $ (SIGNATURE) t J? eLr CITY OF EAGAN PLUMBING PERMIT SUBD.? a,oy (612) 681-4675 R88IDSNTIAL PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------------------- WORK DESCRIPTION NEW CONST (? ADD ON REPAIR OWNER NAME: Cad/F SITE ADDRESS:!L'e? r {eGl?1 . INSTALLER: 1 (L ADDRESS:'??'?o /C/4f ??- CITY: LLue4-7 ZIP: S 5 r CR PHONE eLrZ - G2 SU OF PERMITTEE CONTRACT PRIC£: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. NO ? ? / ? ? ? ? -I COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE.NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: CITY USE ONLY RECEIPT # - DATE ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLIAWING: FIXTURES EA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 IAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER AEATRR 3.00 FIAOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 TOTAL '3 OJ .O 3.mv 3, e° ? Clt Zi 3, ?o STATE SURCHARGE .50 TOTAL: $ L?yiaO $ (SIGNATURE) / CITY OF EAGAN L-.-5- B MECHAIVICAI. PERMIT SUBD. (612) 681-4675 RESIDENTIAL RECEm' # /O 7541-2 DATE 2-- c? PLEASE COMPI,ETE UPPER PORTION ONLY FOR SWGLE FAMII.Y DVVELLINGS. ALSO, COMPLEI'E FOR TOWNHOMES/CONDOS WHEN SEPARATE PIItMITS ARE REQUIItID FOR EACH DWELLING UNTf. OWNER: FEFS S1TE ADDRFSS: , ADD ON/REMODEL (EIaSTIIVG CONS1'RUCI'ION ONM $ I5.00 INSTALLER: HVAC: 0.100 M BT[J PHONE #: Q O o ADDTI'IONAL 50 M BTU 6.00 nnnxFSS: ? 00 kl-O 4ZS.Qk-k. cns ovTT.Ers -1?ttNiMUM i@ $3 En. 3•?? C1TY: ??,? ?• ? ZIP: ?g SURCHARGE $ .50 SIGNA TOTA3.: $'-71.<: O COMMERCIAL PLEASE COMPI.ETE TffiS PORTION FOR ALL COMMERCLWINDUSTRIAL BUII.DINGS. AISO COMPLEI'E FOR APARTMIIVT BUII.DINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. woxx CONTRACf PRICE I FEFS 1% OF CONTRACf FEE. I STATE SURCfIARGE IS $.30 FOR EACH r $1,000 OF PERMIT FEE ?$ PROCFSSED PIPING • $25•00 MINIMUM FEE • $25.00 Fs OWNER SI1'E ADDRESS: 1'ENANT: SUI1'E #: INSTALLER: ADDRFSS: CTIY: PAONE SIGNATURE TOTAL: 1 $ ZII": CITY SIGNATURE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD I Control No. 0815 PERMITTYPE: BuiLniHG ..., Permit Number: 001063 Date Issued: 0 7/ 16 / 9 2 SITEADDRESS: Lor: 5 aLocK: a APPLICANT: 4103 PRAIRIE RIDGE RD DAHLE BROTHERS INC COVENTRY PAS3 2N0 (612) 888-6866 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FOOTING ., . FRAMING „ ZN3ULATION FZNAI FIREPLACE REMARKS: RECEIPT # 1- PRV S&W PLBR - STAR PLBG. . -7 ? ? CITYOFEAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDING 001063 07/16/92 SITE ADDRESS: 4103 PRAZRIE RIDGE RD LOT: 5 BLOCK: 4 COVENTRY PASS 2ND DESCRIPTION: - Builai•ng Permit Type Building ,Work Type UBC Occupancy Construction'Type Zoning `. 8uilding length . Building Width 5F OW6 NEW R-3 M-1 VN R-1 70 34 . ^r ,. " ..?i.',._?1?:' ??'.?:? V???A?-'.??•,i'?.7:.?ii I. REMARKS: RECEIPT N PRV S&W PLBR - STAR PLBG. FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC $ SAC Un3ts Subtotal VAlUA7IOM $828.50 $538.53 $77.00 $700.00 100 1 $2,144.03 $154,000 MISC FEES Y1.610.50 Total Fee $3,754.53 CONTRACTOR: - APPlicant - ST. LICpWNER: DAHLE BROTHER3 INC 18886866 0001647 DAHLE BROS 9304 LYNDALE AVE S 9304 LYNOALE AVE S BLOOMINGTON pIN 55420 BLOOMINGTON MN 55420 (612) 888-6866 (612)868-6666 i hereby acknowledge thaC I have read this application and state that the inFormation is correct and agree to comply with all applicable 3tate ofi Mn. S ut s and Citv of Eagan Ordinanass. I Control No. 0815 ?ft,n RI I " I rntl ISSUE-D[BY STIGNATU E REACTIVI,T,I'_. 1992 UILD NGA ERMIT APPLICAT ON sq 681-4675 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, I copy of energy calcs. 1 3 RECo 1 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 Valuation of work Site Address: 4(D 3 STREET SUIiE N Tenant Name: (commercial only) IAT S BLOCK ? SUBD. M I Dpscri tion of work: AleW The applicant is: C3 Owner Contractor O Other cce8«ibe) Name Phone Property LA57 FIRST 'Dwner Address STREET STE / City State Zip Company P h o n e 5IS?r- - 6 Contractor Address 930'1 S License # 0,wV/6V? Exp.L? City 1610vnrrA4 72?? State /Ji'/1-- Zip-?SS?yv -Ll Company Phone ArchitecU Engineer Name Registration # Address City State Zip Sewer 5 water 1lcensed plumber STR r P?.•, .? K . Processing time for sewer & water permits is two days once area has be pproved. I hereby acknowledge that I e read this p ication and state that the information is correct and agree to compl wi 1 pli le St of Minnesota Statutes and City of Eayan Ordinances. r Signature of Applicant• ? OFFICE USE ONLY BIiILDING PERMIT TYPE ? 01 Foundation lp 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF M1sc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex O 10 Multi. Add'1. ? 11 Apt./Lodging O 12 Multi. Misc. O 13 Garage/Accessory O 14 Fireplace ? 15 Deck ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. O 19 Comm./Ind. Misc. O 20 Public Facility 0 21 Miscellaneous wORK TYPE !?d 31 New I.?J 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move O 37 Demolish u.,ENERAL INFORMATION Const. (Actual) I,y Basement sq. ft. 2l 32 MWCC System (Allowable) UBC O ,t/ lst F1. sq. ft. ?z sa City Water ccupancy z-? 2nd F1, sq. ft. ib gz ? PRV Required duning 2-/ Sq. Ft. total Booster Pump #' of 5tories z Footprint Sq. ft . Fire Sprinkler Length ? On-site well Census Code Depth 3/33 On-site sewage ? SAC Code APPROVALS Planning Building Assessments Engineering Variance REOUIRED IN SPECTIONS ? Site Footi ng ff Framing E]" Insulation ? Wallboard 0 Final ? Draintile ? fireplace Permit Fee Surcharge Y lueti : ?S? . ?? $ ooQ Plan Review 3a,?-z?p = ioG?/ 6u, License MWCC SAC zk , y z? - ??k3d - ?fpo City SAC ?? Nater Conn. Mater Meter -- 6 /?-? /6 -- Acct. Deposit .? ,4 -'--- y ! S/W Permit ?&r3ja ` /06 y -J S/W Surcharge - -- Treatment P1. /yk Z = z ? Road Unit Park Ded. 103zk Ss ? . Trails Ued. _ 08 Copies Other Total: SAC % SAC Units EXT£RIOR £t7VElAPE A1'EFAGE "U"'COHPUTATION , OWNEh !! ? . `; . '. > cJ . ,.:> ?^rW,?;_?: SITE AbDRE55 CONTRACTOR??? i as DATE _-- -- ^HOTE_ ? 4g?la ' . ., . 1. ' . : :.'.; ,:.. t:• :yr•c,L,'(L?? betermine xorking aquare foofage of cach. 1. Total expoaed wall area .... )"1gZ aq. St: X - ' j 9(c • x?•''' "?"`•` 2. . . . . , ,,... .. : Total zoof/ceilinq area ..... 1297, sq. ft. x 1-024 . . _ . . . . ?.?. ' , ' . .?. • , , y. A. Total wall window area.............. l 44 ..;..;.. : I ...... ? ? ? ? ? '' .. A : _ •• ; , ":.'A ?i'.Sy im '. >. , . :, ?F L' ?,'; ? C B. Total door area. ';y';:: >., •A•, ?.,..?,?vtiy;,s",y;:,.r'. •......Y..................... 4-0 -',•.?r.ai'9C .x.;.; ",,'(i" ??• °•'iti:..- w:1•t??ofli?Nd?+fawp'`!y?:S: C. 1bta1 sliding glass door area. ................ D. Total fireplace wall area ....................... " -r: i . • , t .Y .''?k:. 1'?l'? • i;J.??»1•'?-. • E. Total wall fzaming ares (average 10%)........... 1 4-1 :',?'•':`": zI '.,``: :; i0.':`?;=:?`'??' -i ':; ,:;;;a£'`. :^;,'ii•$i.:?. '' ',vx,? ? ?L.. ?'a if?-5r?;i F. Total Rim joiet area.................. ......... . G. Total Net .. . ? 5 5 ?l_? wall area abbvefloor..•••••..••... 12Cn9 r.`,?:s,:;;?s•::^,' •'.;.;. • I '7 ,;?"'s?c!s"a'r,'rpl>:':,,?.?;;"." . $2 ;?.• r?,. .r?::;;??>?. Total exposed foundation area - '•:?:?`?:;• _`:. ;"rx;"':z . . sr.. -' ,:..,?:•,.??=, :?., ?a^ ?^'?.: H. 'Total ioundatiop window area .... .............r. ,F' 2. Total net Eoundati . on area above gzade......... , ? ?,«,?,:.:. rr,•,'„.???, y r,;?. ' aF2:; Determine "U" value of each wall segment. ?-?+?•"'°"^'- `? i... ?.4?r..,+`",fi•y?tr:a•' -' ??. ..J :;:^ ;i•i o. :F .,, ?.;?,. ? ' ;,•,"?:ir._.:; T.. 4T A- x ?V°. •5 n 8 c . u::;?• - .:,i,a:;i:ry",.;..i'[?'1??;. a. • \rP ' ,Jii? ? 3'??'i?Sb??4"j:??_"I.?'_vR'+il??i\ti. b. ?-? X ^U" ? ' ??:i.`?;?.. ?.irt??'s"=,•,???'?.?Fq:;r°„-Y?+,??;_,. C. 33 x°u^ "51 ? I°? ?41_ ;,."'_;?•,? ?,,,?.: ?..,; d. X wUn e. 141 x ^u^ .10 ? I4.1 o ; ? ..Vr.. • . . ' : '`i:?::.,J''.' o..?.;:' : s. 155 x «u„ ,04 ? ,.zo _ ' ' ':?? •t_ -:'._y s. I z t-9 x "U° 64 . . ._. .......??LN?. _ _ .. h. x ?U., ? i• x "u^ ...................................Total . IS3.2 , -•.:.- 5 ^ •lii ., ? '. . i '?:??(.n?J,S,'?i.:T?. ?. f item 43 is the same as, or 1ESS than item ql . you have met the intent af E3C 6006(c)2. ,. . . .-?.?,,. .M . .. . . ? . ? . ? . . . .. . . ... . . . . " i ? . .':?: 'Ta: _ _ _ ; ?i'. • 'y ?• .y`. ,..,:.,, .? . • ' r i, :rL?iF''a e ?!?'.: Total expoaed =oof/ceiling area+ ? .. '''',`t? ? •? ?L4"{?6?iy?1?l. ' .!? . J. Total nkylight area...•.• ' . • "P• ''.F:? 4'g5, •......???• , ...,?... ..'.?_.... ?.,4r_ '• k. 9bta1 roof/ceiling framing area *(a'* .ve....rage....... 30?)...... ? Z??.. . 1. Total net insulated roof/ceiling area.............. ?? (p 3 ",' 1Y'?,J '..r,:.:. ??? ' i2`-.,.;' •' ;; { Determine 'U" value for each roof/ceilin se 4 9ment. 8 ~uw ? . ? ' ?• =.? Y?j? li at 7 . , . ' .,. '.J.?i.:??v??. ??1. :???.VA?• k. 9 x "u" . o z7 G .,,,s• _„y.: ,:• 1. • ?? ?C3 X °u" ' •............................. ..... `??.c • _1 ? .... . 4`. . . . • . ` . . • . , a ' ? ? . i. . . ? ?N ? .-f ?s ' - -• .'i _ f total of 04 is the same bs, or 3ess than #2, you have met the intent? f 3C 6006(c)1. - ' .• o , . - - , . . ? ... . ... , :?`i? Alternate Building Envelope Design z) utilize the L total envelope. system aiethod, the values establish ed by the" Jm? pf items N3 and #4 shall aot be greeter than the sum af 3tems , #1 and #2.':i:; ,.;.;-?,'?•;" •???'}T?'''?-; t • . rY? r '<'{%?" }' `?K ? S`., 'F ?. . s . Lg .•% ; : s'; ? ? , , I)(M'i??? f Y.:'r.,• • i: . . ' ,;''. i.•l«t.•:..`;:i°.-?,.?:.CuSC:4::. . t{ 3. .? •.jv: "..'.? . :.n4.:•( ? . _ . ? ?••y '1 ??,. ':.;4?i?,..-i?_'{'yq;,. ?4O,..?..?? j .?w 45 ?: {: . . . . . . , , w'V. ,<?. , y• j., . :itif:..,.,5'. .., ,? l CCi' ?'7 ' ' '' : • " ' ? . r ? - . . ? y .i ?,:.?. ro?r . . t?li . . • ' '•J4'? '??,' ?' 'Yr 'j V' . • ' n1 4 ? . . r1??'?l n _ •Y? ?.oI?': ?. ?r? •C : .? . . . ? ' _ . ? ?.:yr-'"{.1.??;'`,; ??' '?l? :•`!.?I'.j?: 1 ?I" Y{?: .{ ' ' ? . .. . .? . {?. .\?1? .?.,?V ? , . . . ?. r.i" i ? ? ` ? 3 'c 1 ) ??? ? , ".: .. ; :, :?U , w .? . 4.?•+ " . ?:4'???lt??N.i.?i .. ,,.i? : ??tis:•??,?`?.Knij,4{i,?.'.:'j. , • tt• f • ? ? . >I'?i'L`?1:.?: • }?i il .. . ?il' :. •!H?'?k?? i : T l ' 4 : : n ; r N In.v A. _ ' , . . . ,? . . ? :•i. _ '??.??r..?l;?,'t?',.i.?if:7#?,'ni«:k??rv?'ti'.7 . . .. . . .,?::r^?.:rti ?.?:.+L`+•,';'.' ? ' '' _ , ??( t. :eI ; ?•i: - . _ . I ' . ??'•c. ?? i? .1 . - ;` '4 1ti ?il . . L ' . -'7t00F/CEILING . ' • . ' ' ' . . , ; ' rti; ii''% ? . . . ^ . ? .. ?,?.. . ..;'?`:?. , J . °Construetioli (Use, foz' Item A). 1. Interior air iilm • - . . 1D.61 2. '75/g" SHEET4ack. ..:;..:?. 3. N7vL. 3e.540 4. Extcrior air film (still 0. • 9E1?fT • ? ? Total ??°? ??•F.:: n39.,'18'.F;sw; ,. :,.. ,;V;c:oz5,,,':?:•,r- ' • . . ?. '.???' . .?'a:?..KG.? j.. ??^???ta? ??,? • . ' ? ' . .+'. `?.}.? i??j •(Y., ,,'r.•? . . . ' , , . ., .?i .. }T. • v'Crb': CLG. FRAMING(Use for Item K) Vented Heat flov ?•? ''?'' " ? . 1. 2nterior Air film , up , . 0.61- .. . . .. : ? , ,.:i • . . ,:?;:;e?: ?:.; . . .. • 3. Inches soft wood 117- ,? FIG. NS • ? .??: ' . -4. Inches insvl above 2zamin •"??30 00°"?: "t;•.:'^;;; . . -- ;. ? ... . . S. Air Film 0 61 ` ;,;: :;':-`,;'3•:: I Neat flov up . , vented. • , FON-VEh'TEU . 1, ?l . Ncet • U flov up ' x'Lf3. 417 . • ?.; ..,.:' I tBEx1:..;-3G . 14 '`:':- ; . . .,,-. __ . . _, . ? ?r ?.?.•11=.oz`r,Gt: 1. InLerior air film - ,...,.':° . . 2. ? ? • . ? . . + ?? ?:?; '? : "? -:J ';s.t ,t?-'i; 3• (still) •.. ..'::;:0.61 •,:?,.,?.,?y: 4. Exterior air film •• "°'?`' Total 1. Inside air''film ?0.61 2. ,. 3. . -0. ? 5. Outside air film 0.17 -. • Total ,` ... - .. ?? . . . . NLc: Usc n3ditional,.shcuts 3P'more -sFacc 'is`.?.: reeded for 43nta3ls and ealculations. -•,'; • . _ , ? . :?...,.. .l . `?` - - • . - ,FIG. #6' . 15t 9f cpoque wall area tor lremc eq•7etruction SIC F. ALL FIG. 41 .... FRAtSE fikLL . • . ? • ? , . : - ? _. . . ? • FIG. #2 • • ' • I? _ a ?'r• .: .... ' . . Ccnstruction 1. , lnterior , 1 , `,. ?; R-Velue .2. ?/2' flRY1NAL4 C '??ti?=A`?7`. 3: .9 ? 5Vz inehes aoft wood 4. '?HEATNI?.IG Z p? .?;i:`; '_ , , 5. SInIUG G7 :• >y ;;.?' 6. Exterior air film r 0.17 1bta1 ti p ?c ? ?k s ;'r,;,`,.;,•i:°+???,., .,,.? • . , r? . ? " • ? ? ?. .::, a?' . - ' , ::<;? V.n?? ,' ?' 1. Snterior air iilm 0 68 ` ` •"'? • • 2. .y2•? flLyWaLL . .45 .%.':,?, ,r' 3• , d• ? ??NE.ATN INC.? ?'??'"??'?'' .g, ..S?ci?,1G • ' .? .G'1 ' _,.:?'?.,f??.: 8. Exter ioz air film 0.17 . . Total ,,,: ,. ='•F;?V a:n4 : ?"`?,:: .• , ? . ?.. _ . ,_, ?,,; ia.:,:?-?::'.r.. . • -1• ' - %'?'i L_? 'Interior 0. 6B..:;c air film' :., ?;.•:.: . a . ( .. ? 2 ' ? : , 00 ,?;,;??,•.?;';"` t . " 19 . FA °P `T? • ? O •, 3. 1/1- 11 W ? _ .:?:'?•:;'.,.?, oec' 1 88 ? ;• i , ; S?ECT4 ItIJG =:8 1 ?? i?i ?? ?_ 3• ?11JG .. - ;?d.i:"? 4+?•Sry; . , -'?': .,:47?:i??'?';??s?? i)?'«? `, ? ? Exterior air film ? .. . , . .., 17 . ..? ,. • • J? • ?.. % ? . . ' af ??. "r.' ? r'1 ,410 t511: .24.4G ? . ,?, . • p. I • , iz ti.??.; ' •; • ??x:; }Ns ?04 ? ? .. „ y _ • 6 . ., jt. yl:. ? !. 'r. ? .,1 . J T , .i.: { I . . • ( ?' ? \? > . ? ? ' . t? i ?? p? ?' , .? ;. q .i ' , ., . ? ?''?' R5?% ? ? 1 ? ; t • • . . . .. . ;- . . .' a. .: ': : ? . ...... x.L?!i..`.'? . (j... . . ?it ?? . .. , 1. Interioz air film 68 • ?`' d?• 3 -2• _IiSSUL. Q1Jvo DCYWALL .• 8 O(e ..?:,ayi,•?:;;,::;,?{ ?4; 3. , . . ? ? ?.8 i ' 1T''? . r7 Irnd • • d. .4 w. , .: `?'^,i'>`'a`"`. C ?r• . ? ?n;, . .' ,• '? ., - :?'?/.• ' , 6. Exterior air film 0 17 ? ?'Y?:?4?i : • '? ? . n i.` i• • . . . ? . rlW:, a.:,'A;! , ?_ , ... Total, fl. t9 i:''ik "' '?•,,y?1j: ' .. , . ? . ? . • ? ??ti;';? ?•?q? - ??'?'• " , ? . , _? . -? " .i??i?? •:'. ::2Y1` eT :`??'.A,r?_,i?.. _ , „ :•',?'; .??. :,-.?,?..-, .. ? , l:.< • SLAB GRADE N k ? .? ?. . ,:. •.a . t;?•`: ?s'c?b;. !di .ii , . . .. ? ? .;, •?;iw°. - ?:.r.r`,?,o..."r ,;Y,;#;r. ? . . ,`> ' S ., .} , ... , ; r , .t.. OL ' • . .'r "' ? • u .y ? ------------ ' - a : -' f ? ? " ?? ,- ?- % ? ? ? ?' -'.1f ?. ? k . •? . , ? c , ::? ,-.? , : ; .. . . _ , . .-..' . - : .? ?? - ?.c_'?-1.=.•.?? •, •- ? • , , ? . ? ` ? ..- ??J? .. . , ? . . . `.. -.. ?...•- ?i'?.:G•i.? „.,. , ? , r.. , •, ? . ' '-C ? la ., 4. ? '/? • ? ",,"^' ; 1'• ,?(1. T ?""K r' :?.. ,(?y;: , _??' . ,..•' •. _ ?, ;r ?. ' . ,:;:,.;„?;_ :.. i.,:!.;." ? ; .-?t-- ` ? • . ? ??( ._ ` ' ? ? 1 ' V? . , . w .?' ib • .lil.: r ???J;w:.:.•. s.. _ ? ` • ? . , ? . ? : (? 1 `, `J ' rr X - .. ..Y ? ?. ,•. • ? ' ' ? ,. ( . . i .,. ? , . , .. , - y,,,,,.? ? • - fi4 r? \` ? 7/ ' ?• °- -- ?}s? '_' `;?1?;`' ;i .???.. : =. r?,??.` .• .,:.', , . . 1 , ' _ ` . • N •? ? ??C?. • • L ?r r ,? ?-- - r/. :.-•.•.. y.,t ? . c# - 'x ?K r ? ! ? . .. ' ?'?_rr?.,?..?u.. j. ? '•• ?1.?? ? ..? 1.', ? ° . ? - ? ' ? « • . ;r. . ,t ; ? NOTEs Indicato -type '!R L " valtieoth. ?lFt i ana:?:t?+?+ r> ? "?y `L ` . • ' - • - ._ . ,. . . . < ,,, - r3 _, ,. _ . CERTIFICATE OF SURVEY olu"ft.. ? ? LANDSURVEYORS ?1 p'''a..?a JCJ?1 Survey for: ? /Lc - 8rr 6 DAHIE BROS., INC. 0 ? - ? n ? `as . / M T ?'_ \1C? i Scale: 1 "=30' 8sa? i Y n0???? / ' r ? - • " - / L i - E P, 1) - ?o w• V ; F i .? By ? ??01)3 S ? z, O d' ? W ? ; ?? ?r?c,.w 2?'t?riz.E,?r?ta ?pr s?= 5 DESCRIPTION: ? lot 5, Block 4, COVENTRY PASS 2ND ADDITIDN p °° Proposed Grades: ? Top of Blocks BS6's Garage floor 8,56° Basement floor ?5?8s IraH 8355 NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. __ _-- -- -,R-_?-- -- AVo RJEC)????? 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, fro? or on said land. Dated this 1st day of July ,19 92. ?/? nneso?a` License rvo. gS3 leOI .c'avey R, courau, Ptu. 8713 DUPONT'AVENUE SOVTFi BLOOMINGTON, MINN. 55420 888-Y084 Lr N L ? \ up \ \ ' D \ \ \ ? o eP?. \ a 0 , .?., \.s .l.? 1 ?`_ ? ? ? ? ? = 79 S,3 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4 p ?-j o.UO New Consbuction Reauirements RemodellReoair Reauiremenls 3 registered site surveys showing sq. R of lot, sq. it. o( hwse; and,aSl roofed ereas 2 copies of plan (20% maximum bt coverage aliaved) 1 sel of Energy Calculatbns fot heated additions 2 copies of plan showing beam & wirolaw sizes•, poured Sound design, etc. 1 site survey (or additlons 8 decks 7setotEnergyCalculations Additlon-indlcateBonsitesepticsystem ERE 3 copies of T2e Preservation Plan K lof plaked after 711193 Rim Joisl Detail Opdons selection sheet (bldgs wflh 3 or less unils Date ? ?f ? Construction Cost ? / Site Address `y /?,3 / ? li t -i I f /( ? UniUSte # Description of Work QGvi /vl QU,cY Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 ? 2 Property Owner / Telephone # 45-1) V5 a' ? ^ COOtractor C. ' A Address ? '/ epL City T/ State Zip _M11K Telephone # (?/''>)- COMPLETE THIS AREA ONLY IF Energy Code Category -M'?esob Rules 7670 Cateeorv 1 _ • Residential VenHlation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculafions Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone #( ) Telephone # Telephone # ( I,I I hereby apply for a Residential Building Permit and aclrnowledge that the informatio te; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?? Applic t's Printed Name Applicant's S? re OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 71 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-pleX ? 12 12-plex Plbg_Y or_ N O 25 Mi3cellaneOUs Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 AddiGon ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Building* ? 43 Reroof ? 46 WindowsfDoors ? 34 ReplaCement •Demolitian (Entlre Hldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of llnits Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ AidGas T esu Final _ Framing _ Siding _ SWCCO _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge TreaYment Plant License Search Copies Other Total Building Inspector `?tD 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NQw ConsWCtion Reauiremenis 3 registered site surveys shovnng sq. fl of lot sq. R. of house, and all roofed ereas (20% maximum lot coverage allowed) 2 wqes oF plan shaxing beam & wmdav saes; poured found design, etc 1 sel of Enerqy Calalaliom 3 cropies of Tree Preserva6on Plan'rf lol platted after 711193 Rim Jaisf De(ail Options selectian sheet (bwldings with 3 or lass unAS) Minnegasoo mechanical ventilation form RemodeVReoair Reauirements 2 aopies ot plan showing footings, 6eams, joisGs 1 set of Enetgy Calculations fa heated add'Aions 1 site survey fir additions & decks AddRion - indicate'rf on-sde septic system t1? ?&Q? Olfice IJSe Oniv Cert ofSuneyRecd _Y _N Tres Pres Plan Recd _ Y_ N Tree Pres Required _ Y_ N On-site Septic Syslem _ Y,_ N Date S / 1 SIteAddress / 06 ylo3 ConstructionCost 113000 &qirtE RuGE Ro UniUSte # Description of Work IhX Z.y UEGu Multi-Famlly Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner LSR%q,J .)JAi.i Telephone#(G51 ) 4sy_9wo4 Contractor _ 900 C4d6rnumo> Addreas State 6456 Sp DVLEfSrtE O L„Ipf City O"Sf LRME Zip S$o L S Telephone tl ( 65) ) 442 O$2$ COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet . New Enargy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Fogan-is q? ?errni ?ar[rn milar plan based on a master plan? _ Y _ N If yes, dat?ianc'?d?e? dfl rrfdstdr,' p(: Licensed Plumber Mechanical Contractor Sewer/Water Contractor MAY 0 <9 Telephone #( Telephone #( Telephone #{ I hereby apply far a Residential Building Permit and aclrnowledge that the inforxnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. 131ZA1DO,3 W1??iAMS•/ ?i.? J?V Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW TffiS LINE Su6 Tvoes D 01 Foundation 0 fl2 SF {3welling D 03 Dt Df _ plex ? 04 02-plex ? 05 03-pVex ? 06 04-plex Work Tvpes ? 31 New x 32 Additian ? 33 Alteration ? 34 Replacement ?-3 `--- MCES S Occupancy ystem 25% Zoning A-/ City Water Stories ? Booster Pump ~ Sq. Ft 3Fsy PRV - Length Fire Sprinklered - Width DesCflptiOtl: Water Damage _ Yes Valuation Plan Review/L'/r 100% or_ Census Code LI,?Y SAC Units # of Units ^ # oS Bidgs - Type of Const ? Foobings (new.bldg) ? Footings (deck) _ PooBngs(addition) Foundation Drain Tile Roof ice & Water Pinal _ Framing _ Firepiace _ R.I. _ Air Test _ Final InsulaSion Approved By: Base Fae Surcharge Plan Review MC/ES SAC City SAC lltiiRy Eonnecfion Charge S&W PercnR $ Surcharge Treatment Piant License Se2rcM Capies OShgr Total ? 07 OS-plex {7 OS O6-plex D 09 D7-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex ? 20 Pooi 0 21 Porch (3-sea.) L7 22 PnrahlAdsln. (4-ssa.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous U 30 AccessoryBidg fl 39 Ext. AH - AAuIG L] 93 Ext..AU - SF ? 36 Multi Misc. O 35 tnttmprovement [3 38 Demo1ish Interior fl-04 Sid'ing 1:1 36 Move 8uilding 13 42 Demo4ish FoundaEion 0 45 Fire Repair ? 37 Demolish Building' O 43 Reroof ? 46 WindowslDoors 'Demolftion (Entire Bldg) - Give PCA handout to applieant D 13 16-plex 0 96 Fireplaee ? 97 Garage X 18 Deck D 19 LowerLevel REQUIRED I1VSPECfIONS _ Sheetrock FinaVC.O. ? FinalJNo C.O. HVAC Other _ Pool Ftgs Air/GasTests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ I{er_'nino Wall 8uilding Inspector ? ? CERTIFICATE OF SURVEY Muone - I.AND SURVEYORS L'a";z eoutunc. ;aua. 8773 DVPON7"AVENUE SOUTH eIOOMINGTON, MINN. 55430 HBB-8064 -?_ a.-s /?,!Ji;l Survey for: r Rcr b DAHIE BROS., INC. &' z ? _ " • ,' i FI?1 ? N 8?3 S ? ? a ? Scale: 1 "=30' )01 V ? Y ? ?\ ?.. <O /\ N? . / v\`?? - 0 e \ ? b\ ? ? \ ? I o o ? \ /Y q' ` i V ? ? O tT .? ' : ? ?? / ? ? ti i :? 3l•i? ' V,? C P, YLk ,, vr 8Y 1> , ? ???? ?? % ` ?Pi ? O??l ? ? ?3y - 003 ? I I AGapir i W n? DESCRIPTION: A QiIVZEKjNG DEFT Lot 5, Block 4, COVENTRY PASS 2ND ADDITION pn" Proposed Grades: ? Tap of Blocks 8a?/'s ? Garage floor 9-?,Z' Basement floor /rorf 8355 NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage. ?j y? , ?`tlR?[?' ??$ R? O1JG ???'?^o' We hereby certify that this is a true and correct boundaries of the land above described and of the thereon and all visible encroachments, if.any, frDated this 1st day of July ,19 92. n representation of a survey of the location of all buildings, if any, or on said land. i ? .? se ? , PERMIT City of Eagan Permit Type:Building Permit Number:EA114871 Date Issued:09/19/2013 Permit Category:ePermit Site Address: 4103 Prairie Ridge Rd Lot:5 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-050 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 - Marc A Kapke 4103 Prairie Ridge Rd Eagan MN 55123 (612) 991-9341 Harmony Homes 1120 Winter St NE Minneapolis MN 55413 (763) 413-1100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132133 Date Issued:07/27/2015 Permit Category:ePermit Site Address: 4103 Prairie Ridge Rd Lot:5 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-050 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 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: 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 - Marc A Kapke 4103 Prairie Ridge Rd Eagan MN 55123 (612) 991-9341 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143195 Date Issued:06/06/2017 Permit Category:ePermit Site Address: 4103 Prairie Ridge Rd Lot:5 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-050 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marc A Kapke 4103 Prairie Ridge Rd Eagan MN 55123 Elite Exteriors 1513 Southcross Drive West, Suite A Burnsville MN 55306 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163888 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 4103 Prairie Ridge Rd Lot:5 Block: 4 Addition: Coventry Pass 2nd PID:10-18401-04-050 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: 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 - Marc A Kapke 4103 Prairie Ridge Rd Eagan MN 55123 (612) 991-9341 Elite Exteriors 14815 Energy Way Apple Valley MN 55124 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature