4108 Prairie Ridge Rd?? ??" 1? QF EAGAN PERIIAfT TYPE: 1t?; t f t.ti? Fl?i
V? 3830 Pilot Knob Road Permit Number: tifle
Eagan, Minnesvta 55122-1897 Date Issued:
(612) 681-4675
. ,. , , . i . r.. i
SITE ADDRESS: APPLICANT:
'-
4 049H
PERMIT SUBTYPE:
Ii
TYPE OF WORK:
ftE 1'f:frqt:inM
( NC+ Fti' {.tiR010p•
tlfi' ?i;lt I!' 1 1 riN
• .. • DA
, .,,. . . . • i
Rfh4ARk:-11t A SUPAH/?TF 1'fRMl°I t5 RPtJIIT{ZFI? flift qNY f'111MHIMG; t7Ft FI.Ft;7"R1CAE l-ir,1RK
'i?'t AM w7EV1i411 lj PV IRFkf HARi'K .
A 1nSr n
Pertnk No. Permit Nolder Date Telephone #
ELECTRIC
PLUMBING
HVAC
InspecHon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
(
?JQ/
ROOFING
PLOUMBING `//???ll ? (? T I?/YO G(y+K7• 1p4.l?.. /P•.?
PLBG
AIR TEST
ROUGH
HEATING 21q
GAS SVC
TEST
iNSUL y 71W . ke `
GYP BOAHD
FIREPLACE
FfREPLAGE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TFST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? CASH RECEIPT ? „•
CITY OF EAGAN .?
3830 PILOT KNOB ROAD i
EAGAN, MINNESOTA 55122
OATE 11 ?'T 19?
FECE?
annouNT
;
O CASH CHECK
DOILARS
?m
Thank You
BY
(; 016223 mte--pa,ers
?
?
Yelbw-POS1irg Copy ?,r
Pmk-File Copy
,OR
PERMIT
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
I DATE NOV S, 1991
OFFICE llSE ONI.Y
METER # PERMIT DATE t 1/ 18/9.t
CHIP #
MEFER SIZE 1'ERMIT # 12384
B.P. RECEIPT # L`
4SSllE DATE B.P. RECEIPT DATE 11 / 15 My
x PRV _ BOOSTER PUMP
SITE ADDRESS 4108 PRAIRIE RIDGE RD
LOT 3 BLOCK t SEC/SU6 COVENTRY PASS 2ND
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
Lawn Sprinkler eters are t be ,4nsialletl a
PLUMBER: STAR PLIlMBIHG Ahead of Do s' M?. _ n ater Ljne. !
ADDRESS: 1018 l?iOUND SPRINGS TERR Credit ILL , ' s.
CITY, STATE BI.QOMINGTON I1 Zip 55420
PHONE: 884-4149
?J AGREE TO COMPLY wrf H CITY O r
OWMER: DAHLB BROTHERS INC EAGAN OF?DINANCES%
ADDRESS: 9304 LYNDALL AV'E 5
CVTY, STATE BL.OOHINGTON Mh ZiP 55420
PHONE: 888--6866 SIGNATURE WHEN METER ISSUED •
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REQUESTED ?
X SEWER X WATER - TAPS !
- COMM/IND X RESIDENTIAL J
ZIP X NEW - EXISTING
SEWER & WATER PERMiT
CITY OF EAGAN
! 3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE NOv a, 1991
OFFICE USE ONLY
METER # ?-4"0 '?' ' PERMIT OATE 11/18/91
CHIP #?? 21,1 6 v PERMIT # 12384
t
METER SI2E B.P. RECEIPT #
ISSUE DATE ' B.P. RECEIPT DATE 111 15 J9?
x PRV -BOOSTER PUMP
SITE ADDRESS 4108 PRAIRIE RIDGE RD
LOT 3 BLOCK 1 SEC/SUB COVENTRY PASS 2ND
APPLICANT.
ADDRESS:_
CITY, STATE
PHONE:.-
PLUMBER: STAB PLUMBING
ADDRESS: 1018 MOUND SPRINGS TERR
CITY, STATE BLOdMINGTON MN Zip 55420
PHONE: 884-4149
Lawn Stir'inkler 'Veters are tq be
of
TO COMPLY W,i'fH CITY
OWNER: DAHLE BROTHERS INC " EAGAN ORDINANCES/
ADORESS: 9304 LYNDALE AVE S
CITY, STATE BLOOMINGTON MN ZIp 55420
PHONE: 888-6866 SIGNATURE WHEN METER ISSUED
PLEASE ALLdW T1N0 WdRKlNG EJAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGlNEERING dEPT.
PERMIT REQUESTED
X SEWER X WATER - TAPS
COMM/IND X RESIDENTIAL I
ZIP X NEW ._ EXISTING
,Y • ?B
(9rr#iftrate of (O.rxu?aury
Citp of (Cagan
Erparbatntf of inilding iitsper#im
This Gertifiaale issued pursuant to [he requirexren[s of Sectioe 306 of [!se Urtiform Buitding
Code cerlijYin% that at the Jime of issuance this structure wru in compliance with the wrious
ordrnances of the City regulaling bcu7ding rnnstrucnan or use. For the following.-
use amwiadion Sg-AWGrGA WftMkrro. 18S66
00-9-CYT§PM -SR 1'E TaameiDisUia 91 TypeCow VT3
Owoer af BOVB ?? 0304 ?AVE s , MZN
Bio7diaE Add'- 4 109 - - L 0 = H tY T, 3 , 9 1 1^--0-? D-r MR S- 2-D -
p&pC ?.?y7, f /fl7
POST qJ A CONSPICUOUS PLACE
CITY OF EAGAN ?•? f????
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?'?•
PHONE: 454-8100
BUILDING PERMIT Receipt # ?
To be used tor SF DUIG/C,AR Est. Value 1152.000 Oate-blim-a_ 1q91
Site Address 4108 --FRAIYIL •IDaZ an
LOt -3 BIOCk _I_ Sec/SUbCQYS?Y P/SA 2Nri
Parcel No.
W Name _ tuliLF AR[177[ggE tMC
3 Address 93o4 LYNDATF AVE IS
0
Ciry RtnMtNGTnta Phone
Name SANK
Address
Name
Address
City Phone
I hereby acknowlege that I have read this
information is correct and agree to compl
Minnesota Statules and Citv nl Eaaan Ordir
Signature of Permitee ..Y..1c " .,
,;; ..
A Building Permit is,ist'uPd to. D?? ?? &RS Il'1C
on the express condilion that all work shall be dorle in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official
OFFICE USE ONLY I
Occupancy R-g -M-1 FE ES !
Zoning itm1 ?
(ACtual)Const -VaM BIdg.Permit A22-m ?
(Allowable) Surcharge 76 - OQ
1
k ol Stones
Length Att Plan Review 5340?
?
DePih SAC, City I00•00 ?
S.F. Total - SAC, Mcwcc 654,4 ?
S.F. Footprints -
t
C
W
660#00
On Site 5ewage
- er
onn
a I
?
On Site Well _ Water Meter 95,?
MWCC System
?
AcCt. Depasit ?
?•?
ry Water
Ci ?
PRV Required ? S/W Permit 30•00 ?
Booster Pump - S/W Surcharge •50 i
Trealment PI 276. j
,
APVROYALS qoad Unit 970•00 '
,
Planner
-
park Ded. .,
?
Cauncil
BIdg.Off. _ Copies
Variance - TOTAL 3, 04 3. S(,?
Parmit No_ Permit Holdar Date Te{ephone #
WATER 3? f?/8 q
SEYVEIi
PLUMBING
H.V.A.C.
ELECTRIC
hspection Dafe Insp. Commnnts
Footings I
Foundation „p .
Framing
Roofing
Rough Plbg.
Rough Ntg. I
Isul. ?2.
Freplam 17?? 9 d.% ?.?
Final Htg.
2 2-
Orstat Test 7 - 9 z
Firal Pibg• Plbg. Inspeda - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedt Ftg.
Deck Fnal
W eil
Pr. Disp.
- ? /7 ?
w, _ DATE: NOV 18 1991
RE: 4108 PRAIRIE RIDGE RD (DAHLE BROTHERS INC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until ihe 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 compleled for ihe following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until turther 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.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 4108 pRARlg RIDGE gM Lot 3 Blk j Sec/Sub COVENTPy pASg 2Np
These items were/were not complete at the time of the final inspection.
Date: 2/21/92 Yes No ?
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry Ll?
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
4iW
Porch ?
Basement finish ?
Deck
Please verify with the builder the ramoval o£ roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet 6efore
freeze potential exists. ?
acaeur.an
White - City copy Yellow - Resident copy Pink - Contractor copy
BUILDING PERMIT
To be used for SF DWG
CITY OF EAGAN ?o .19869
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 () Q I / lDi?
Receipt # L??
AR Esc Value $152,000 Date NOV 8 , 19 91
Site Address 4108 PRAIR7F RID E
Lot 3 Block _I_ SeGSubQOVENTRY PASS 2ND
Parcel No. _
WlName DAHLE BROTHERS INC
o Address 9304 LYNDALE AVE S
City BLOOMINGTON Phone $8$-6866
o Name S?
g? Address
City Phone
?? Name
Address
aw City . Phone
I hereby acknowlege thhi5 pplic on f?d styt? ipat the
intormation is correct a ly ?pl A61e State
Minnesota StatuleZW Signature of Permin euildm g Permrt ied to DAHLE BROT RS INC
on the express condrtion that all work shall be d a in accordance wtlh all
applicable State of Minnesola Statutes and Ciry I Eagan Ordinances.
Building Oflicial
OFFICE USE ONLY
Ottupanty R-3_M_]. FEES
zoning R-1
(ACtual) Consl -3L--N 81dg. Permtl
n
822.n
(Allowabla) y=N Surcharge 76.0
0
# olStones
68'
Pian Review
534.00
Length
oeotn 34' Snc, aty 100.00
S.F. Total - SAC, MCWCC 650.00
S.F. FOOtprint5 -
660
00
On Site Sewaga _ Water Conn .
On Sile Well - Water Mater 95.00
MWCCSystem X 30
00
City Water Acct. Deposit .
PRV Raquiretl ? SM' Permit 30.00
7oosier Pump - SM! Surcharge • $0
TrealmaN PI 276.00
APPROVALS Road Unit 370.0
D
Planner - park Ded.
Counctl
BItlg.Off. _ Copies
Variance - TOTAL 3,643. 50
iC?-/x./ y/
0/0
J 13104
?? °°
4
? ??
qequest Da/te?
? Fve N.
h-in InspecVOn
oug '
? ReaOY N. "'dle
ecto,
h
0y
e
?
T C No a
9
n
I/licensed contractor ? owner hereby request inspechon of above electrical work at:
Job Aatlress (Slleet. Bax o, Route No I
/D Ciry
d Y
Seclion M. Town5N0 Neme or No nge No CouMy
k/
Occupanl( qINT)
. d PM1One No.
65'?6s
Power pplie
' qdtlress ?
4
L
t
o f ? ?? lsoo
ElecVica nlractor ICompany Name)
???t??, ,cl«l C Co. Opnlradar5 license No.
Matling Atltlress IConVador or Owner Makmg In tallaLOm
S
?
?
`
i?• w?
a??t c . ?9
.?37
( Ai.
?
Aulnonz tl Si naWre IConUactonOwner Making Inslall on) Phone NumtBr
GC . E? 'Iva
- ?----?-
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlwey Bldg. - qoom S-173 BE ACCEPTEO BV THE STATE BOARD
1821 Univarsiry Ave., SL Paul. MN 55104 tINLESS PROPEF INSPEGTION FEE IS
V1wne (612) 642-0800 ENCLOSED
?p'1?y? REQUEST FOR ELECTRICAL INSPECTION nee-oooowe
/" ? Sea mslmcLOns for completing fiis form on back oi y¢Ilow copy
"X" Below Wak Covered by This Request
J13104 ---
ew ACd Rep -- Typeof6wlding ApphancesWiretl EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Bmlding Dryer Other (Specity)
Comm /lntlustrial Furnace
Farm Air Condilloner
Otherqyecdy) Contrac[or§ Remarks
Compute Mspechan Fee 8elow.
# Other Fee # ServweEMranceSrze Fee ? Grcuils/Feeders Fee
Swimming Pool 0[0 200 Amps J?? / 0 to 700 Amps j/ry??i
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr's Use Oniy / TAL
Irrigahoneooms
Special Inspechon -
Alarm/Communicahon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
i Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
certify ihat the ahove inspection has
been made. Ri oere
T,-nai
f
OFfICE USE ONLV
?
TM1is requesl void 18 mon[hs Gom
53a?3
RESIDENTIAL
BUILDING PERMIT APPLICATION
ciTr oF Ea,car
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCanstrucMbnHeautremams
• 3 repistered stte surveys showng sq. n. of bt, sq. (t of house; and gg roofed areas
(20% mexdmum lot coverage albwed)
. 2 copies d plan showing beam & wuWOw saes; pouretl tound tlesign, etc.)
• 15etofEnergyCalahations
• 3 coplas af Tree Preservatlon Plan B lot platted aNer 7/1/93
• RimJOislDetilOptbnsseleClbnsheet(bldgswBh3arlessunb)
DATE / l1 ? IO ri,
SITE ADDRESS _L1 n
TYPE OF WORK I 1
APPLICANT
STREET ADDRE
TELEPHONE #
F,vc # 95?2 W5 92 7(p
PROPERTY OWNER I???,Q?/% I?I TELEPHONE #?/'J7 `I ,I ?J? / v
------------------- ------------------------------------ ---------- -------- --------------------°
COMPLETE THIS SECTION FOR -NEWn RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7692
0 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitled
• Errergy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
SewedWater Conhactor:
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
MULTI-FAMILYBLDG _Y t?fN
_ FIREPLACE(S) _ 0 ?1 _ 2
Phone #
Phone #
I hereby acknowledge that I have read this appllcatlon, state that the
with all applicable STaTe of Minnesota Statutes and Cfty of Eagan Ofd
Signature of Applicanf
is
„ i ? 7(101
--°-------°--------•
ict 4nd agre8 f co
.: ,
OFFICE USE ONLY
_ Air Condirioning
_ Heat Recovery System
1-I ? .-I 'D??
pemodeVfieoair Neaulremena
. 2 coplesaf plan.
. 7 set of Energy Calculetbns tor heeted additions
• 1 site survey tor extenor addRbns 8 decks
. Intlicate il home sene0 Dy septic system for edaGbns
N?LWA
VALUATION
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OB OSplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Poroh (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Afteration ? 37 Demolish (Bldg)" O 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to appflcaM
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Watet _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ F'veplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspectar
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy & Storege
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Y,: n* 9Fvn I'?c * %6k;?K#>ru $:m* 'M0. 0gg?w?sgsk
C::1 Y Cii= E:r.t°fita
CA:=HTE.F::; J£'. TFRMINFtL. i:(?a 709
LATrc 04/9.6J98 7'I:"ii'n 0.4708
TD:;
NAt4Fa 87('INN1;.%ND StI.;Jftg 'M
320 '?f)iii d!.Of:? F'RA'.Lh:LE: 4"?l) 50.,00
2155 `?t)p.l. 4M i'FiAT.PSF', fil_i (].°;(i
?
?nh.al Rnrni.f.iil famotliitc 5fle5fl
['ROf'39E ; l!"j
i_i5E1< t?iw JAN
PERMIT
,
C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
4198 PRAIRSE RIDGE RD
LO7: 3 BLOCK: 1
COVENTRY PASS 2ND
P.I.N.: 10-18461-030-01
DESCRIPTION:
?'b
` CEPirv 4A
--
k' ` -
F? -
F -
?O £RA
(NO BEpR00MS)
Permit Type BASEMENT FINISM
Uprk Type ALTERA7ION
d?'-Ia• 494 iql.T. RESIDENTIRL
w#€?aw
d a_ s.a 'v?. ,aP 6?"??
e ??ai?we i ?? F a
.a.a? ? ' '
s d cix`a?
BUTLDING
031780
04/15/98
REMARKS:
A SEPARATE P£RMTT IS REQUIRED FOR ANV PLUMBING DR ELEC7RTCAL WORK
PLAN REVIEWED BY MIKE BflRCK .
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
STEINWAND BLDRS INC 19855111 0001055 HOFFMAN TOM
2 050 PI1.L58URY AVE 4108 PRAIRIE RIpGE RD
L EVILLE MN 55044 EAGAN MN 55123
( 12) 894-0498 (612)454-6370
?1 h0 r`4??..`+?eknow--e-0
9o
ition.-i:s.°c.o,rre c
tiStaCutb?s anci C1, Cy:.Qf
,
n
ISSUE BY: I U
?? ?
99 7 BUILDING PERMIT APPLICATION (RESIDENTIAL) 0 ?Q
CITY OF EAGAN
31160 3830 PILOT KNOB RD - 55122
681-4675
nts RemodaVReoair
? 9 registered ske surveYa ? 2 eopies of plen
• 2 copies of Dlans (induae beam & window aizes; poured fi0. tlesign; etc.) • 2 site surveys (exterior addRlona & tledcs)
? t energy calculations ? 1 energy calwletions for heated addttions
? 3 eopies of tree preservation plen ff lot pletted eRer 7/1l93
required: _Yes _ No "
DATE: Anri1 7th CONSTRUCTION COST:
DESCRIPTION OF WORK: Basement Finish
STREETADDRESS: 4108 Prairie Ridge Road
? ? ??:r-??- A?°-? a''`?'
LOT 13 BLOCK SUBD./P.I.D.
PROPERTY Name: Aoffman Tom & Cindy Phone #: 454-6370
OWNER u.. ,?..
StreetAddfess: 4108 Prairie RidQe P,oad
Cjty: Eagan State: 101 ZIp: 55793 ^
CONTRACTOR COR1parly: Steinwand Builders, Inc. PhOne#:612/985-5111
StreetAddress: 23050 Pillsbury Avenue License#: 1055
City: Lakeville State: MN Zip: 55044
ARCHITECTI Company: NIA Phone #:
ENGINEER
Name: Registration #:
Street Address:
Ciry: State: Zip:
Sewer & water licer•sed plumber (new construction only): . Penalty applies when address change
and lot change are,equested once permit is issued.
I hereby acknowledge that I have read this application and state thffi the infortnation is correct nd agree to wmply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. Ste' d u' ers, Inc .
Signature ofApplicant: b ? ? Pres.
OFFICE USE ONLY CAPR
Ce
rtificates of Suwey Received Yes No
,44?
Trae Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
" .?
?
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging -t5?116 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition a 08 8-plex n 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
0 31 New ?id- 33 ARerations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft. MCNVS System ?
Main level sq. ft. City Water ?
sq. ft. Fire Sprinkiered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code. q 3
Footprint sq. ft. SAC Code o?
Census Bldg ?
Census Unit
Building AAZ Engineering
Valuation: $
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
CRy SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total
% SAC w
SAC Unffw
BL CITY USE ONLY RECEIPT #: V 7eia °
'V
SUBD. RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN, MAt 55122
(612) 681-4675
Please complete for: ? single family dwellings
townhomes and wndos when permits are required for each unit
? badcflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construGion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Spfinklef `fordwellingunderwnst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20 0 =
Alterations ' to existing residence %20. 01
_
Water Tum Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' nbandonment 20.00 =
STATE SURCHARGE 50
TOTAL
----°------------ ----- --- -------------------------- -------------....-------------- --- ------ • •--------------------------- • -• - --- --- --.....
I hereby adcnowledge lhat I have read this appliption, sNate Mat the information is cortect, and agree to comply wi[h ell applicable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages wused by the City during its
nortnal operational and maintenance activRies to the facilBies constructed under this permit wRhin City propertylright-of-wayleasement.
?
SITE ADDRESS: O (/ ?C3'! r r y(
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: 3
Pj !/ C L TELEPHONE #: 4?;eK -
CITY: STATE:
?
ziP: S ? 2
JSIFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
SIGNATURE OF PERMITfEE
d ?F
q--/3 -9r
?? ?? ,
. .. . 0 .r1
82 2 •,) p+
'IG•J0+
»+•U0+
232i1•'?Jr
j , 643 ' 50 ',
F3G2•00+-
?'Tb•00i-
554•00?
211•5U:.
3743•50--
, - ? ?
1991 BIII I ING tkIPLICATION
CITY OF EAGAN
SINGLE FAMILY DAELLINGS
2 SETS OF PIANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MUI.TIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET DF ENERGY CALCULATIONS 1,SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS 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 FDR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CNANGES WILL BE ALLSWED ONGE BUILDING PE IT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEF.N COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:S`-? 1-1?aluation:
kh?-?
Site Address ht?v ?vw??•? +??
T,oc ? slock ?
?
Parcel/Sub 5N ?-
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone Wt) l?j (JtL
Arch./Engr.
Address
City/2ip Code
Date: kk-;' "
OFFICE USE ONLY
Occupancy
R 3 M -l FEES
Sldg. Permit
$ x Z'? J
Zoning TZ -I Surcharge 6.o0
Actual Const Plan Review S 3V. op
Allowable ?/- hl SAC, City !o d. 0 0
a of stories SAC, MWCC A5D,oa
Length ? Water Conn. (,i O, u0
Depth Water Meter s-.o'
S.F. Total Acct. Deposit 40 -P'
Footprint S.F. S/w Permit 3o, °
S/W Surcharge
On site sewage_ Treatment Pl. ',oo
On site well Road Unit o,a.
MWCC System Park Ded.
City water ? Trail Ded.
PRV Copies
Sooster Pump _
SIIBTOTAL
APPROVALS Penalty
Planner I.ot Change
Council TOTAL
Bldg. 0£f. ?
Variance
- i S? ?
of
agrees that all woik shall be done in accordance with
all applicable Stat? of Minnesota Statutes and City of Eagan Ordinances.
VA l.U A-r
G ARAC,e
3y X 3? = 1uZc?
?-I X rr = ??t?)
!YX/o = ?l??d)
?--
6 34 X
?--r' .
?SX Z8^ lD6y
ly?Clc? ? /yo
1 Z X1ti? ?6?gS?
? 5 r FLzom
?3Sn`!T? ! zo ?l
?X7, ?
?---'
?a??X53? `y?83
2Np FL-..> a 2
_---
30 x2S rl ?s?
2 x?y - ? y2 Xs3 = s??b
?5 / 1? J-S
CERTIFICATE OF SURVEY
1AlOM p?
(??uox
r ?I.?
LANDSURVEYORS
aca
Survey for: /
DAHLE RROS., INC. ?
DESCRIPTION: / o
Lot 3, Block 1,
COVENTRY PASS 2ND ADDITIOiV
Proposed Grades:
Top of Blocks 85Sz"
Garage floor
Basement f1opOk
/
?
3
ti
.
's
??
-? ,
-o
%? 0 .
oa'???f
?
i ?
8
i ?
\
,. ?
? `? ?'
.?
-s
{- `
0?
9? o
? -
6 O
?
?'-
?7ra;na?,¢?
?
'Ll I yo
, R tVi E
?
n y ??
?? ?
\ 1 /
?0
By
le: 1 "=30'
r ?
EAG?
N07E:
?/,?o Circied elevations are proposed, others
,o ?01 are existing.
Arrows denote direction of drainage.
S i tf?.
We hereby certify t at this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of ail buildings, if any, .
thereon and all visible encroachments, if,any, fr m or on said land.
Oated this 31st day of October ?1991
_ ., i ;? .? .
nne
/cata ucense No.,
t'ftw R. eeoO+c. Pus,
8713 DUPONT AVENUE SOUTH
BIOOMINOTON, MINN. 66420
aee.soea
.?
%`/3-G9
: . OWNER' ? D/1 H L.
SITE
1og,
EXTERIOR ENVEI,ppg Ayggp,CE "U":'COMPUTATION
v....:.?< ??? 1! \ • ' .
OONTRAG'TOR DATE ?„ ,? -?+? ?,. ?.,. ?.,. i•:r, ? , :: .;, . . • -
i ., . . . . . -- PHONE 99,a'Fa ? L. r, <? t?' ' .
? ' . : . .. : . t : I-.. . . „i,?,..,? .?' .
• .. ' Determine working aquare footage of each..
• l. TotAl expoaed wall nrea ? •
......
c eQ. rt. x
, 2- Total roof/ceiling '
area ...... Bq. ft. X .o2G _ •
. . - _. • . •-•- . . . _.? . . 32.03 ,
; . , , .. . . . _ .
: A. Total wall window area...,.,,,,,,???????????????
2 2 3
H. Total door aiea...............
. . C. Total slidin •••••••••••••••••• 4d
D? 4 91ass dooi area....s .............. . ,
Total fireplace wall'area g C
..,
, E. Total wall fram;nq area --?---
?? . (averaqe 10!).........., c?
Total Rim joiet.area...:........................
3 0 2 . .
G. Total Ne•t wall area above floor..................
2---?_
• ?``'' Total ex •
posed foundation area H. Total foundation window area.....
I
. Total net,foundatiori area above .•.............
grade........... g .
Detezmine "U" value of each wall s g ent.
2 .3 :a.. . _ _ . .
x nUn , tf.g ? ???.0¢
r.
X ^Un .23 a ' 19. za
C.--=-° x "U"
.
Cl.?- x nUtr ? • ••
C. 2.X nV". 0....?? a
22,?d
X "U's e'¢ ,,,?
, -- l 2 .0 8
9. 2- o_ X"U" ' . O?}"
. h'g "U" 6
---?-?
, i. I??S x„u„ ? o .
-? y I ? •? C)
3........ .
...?,......................Total ° 2?0.2?0
Zf item ?!3 is the same as, or less than item q, ave em t the intent of
SBC 6006(c)2.
Total expoaed roof/ceiling area ? I z 3' Z
. J. Total'skyligtit area ................................ .. .
. lbtal roof/ceiling framing area (average 10%),,,,,, '
. 1. Total net insu . . lat.ed.roof/ceilinq area,,,,,,,, 1 2 , . _ . . . . . . . i I 0 9
Determine .°U" value for each zoof/ceiling.seqment.
x "U„
, ` --------_ ' ,
k.
123 x^u^ .0276 113 3, 39
--------------
? ---------- ,
1. • l 1 og X -U" oz5 ? 73 .
, a ...................... ..::....TotBi
. ,
If total of y4 is tlie same as, or lesa Uhan 120 you have met the intent of
SBC 6006(c)1. .
Alternate Buildinq Etivelope Deaign
; To utilize ttle total envelope system metho3, }he valnes established by the
?sum of items N3 and #4 shall not be gzeater than the'eum of items fll and 112.
I ?
?
i--------------- + 2. •
m
3.
+ q,
i I
e
WAI.L
1TION
. p• . , :
`:..
IFxneie wn*.r•
r ,' ^
?•, ?. 1?? ?
: (r(
?
;3 -
A
. , ,
,
ConetrUCtion , R-Value
l. Interior a?r film p?p ?
2. -C: ? RYINALL . 5
3. S!/Z inches soft wood • C0.1 L '
4. 2NEPTHIFIG
5. 51011.lG
6._ Extorior nir film r 0.17
. . • , . zbtal { 0.15
1. Interior air film 0.68
2. ?/2" t?LYWALI: 45
. 3• 5'/z ??.lsuL ty ov
4• SEQTN ING oG
5. -?pi??? • .G7
' fi. Exterior air €ilm 0.17
7'otal Z;. 0 3
V =.04
1. Int-crior air film 0.68
z• 1u=,111 . ?9 00
3. _! ?/L Wonn I 9R
4. ATNII.IG 7 0[.
5. S?DI?.i4 . .G7
b. Exterior air film ?.17
Total 24.4C.
, Uc .04
l. Interior air film 0.68
Q? 2. INSUL. AWc> flR
YWeLL .
80(e
fl
' 3• _12" oG?
6 l 1.28.
. 4.
5.
6, Exterior air film 0.17
••: Tota:l ? O. I 9
' U ?, la
si,ne oGrvwE
. p
•??f
?
. , FIG. 114
If1 ?
k
III
. • .? : , -
?
? ? • ? 1
. ? • •? ? . ?
. 6 . • ' 1! 1
. : ? . . • , iri ? ?'.
'Jgo TSO of npoquQ aIIll area Sor
'" freme conatruction
VE1tT
ILING
' .
. .:
. . • . • , ^ ^
Conetrvction (pse for Item i,) K'value
1. Interior air film .0.61
? . 2. '_50 SNEET2acr- ?SL
3. u?uL . 36.00
4. Extcrior air film (atill O.
Total 3 9? 9 S
• . U ?,oz?
d . ?
,
Beat flow
' .? • up . r
i • ? . . . .
•. , . .
?.}u?1???, "? .
_?
CLG. FPAMING(Use for Item K)
1. Interior Air.film 0.61
2. 5/8'f SHV-r-,T F?ac?c ,5G
3. Inches soft wood +?3g
4. Inches insvl above framin ' 30,00
5. Air Film 0.61
?6t?1 3 G . 1 L
? " -- -• .•V=?bZ'T(?
1. xnterior air film ' 0.61 .
2.
3..
.' 4. Exterioz air film (still) 0.61
. , Total
. flou ?+,? • , vented• • .
; . _... . . •
16 ..
3 .a.._ ._.. . _ .. .._ . .
1. Inside tair film •' 0.61
2.
.°A?.,?? . ? . :1 ?iPlSr. 4 .
S. Outsidc air film 0 ,17
?.\ Total
t.3"ON-N-N' TED : Note: Use additioiial sheets if more cpace in
i:ccdecl for dr.tail<; aiid calcu2ations.
-. llent ' '
' ' flov Up . . ' • •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
?'S:CIliH7??G^;^?'.?1K???T
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: D c?8 9a?-
...
?IAE.? .<.:?`SlA?1$: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
?:.>.......> ...:.. . ..
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION
N0.
NEW CONST _
ADD ON
REPAIR
OWNER NAME: ? ` ? ?/? ?'1 _
SITE ADDRESS: O IRA- "40 ,,4r 4,1 _
LOT: 15 SLOCK ? SUBD.
INSTALLER: }l-lj ?.Pn (?- l ? ?tillfp„/ _
ADDRES S: I??I ?-94k 4 ai vr.( S O
CITY: ? B 3,? J Pr/ ? ZIP: ?ro Zf ?
----- ------------
COMPLETE THE FOLLOWING:
FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMiJM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S C?
ST. SURCHARGE ?a .50
TOTAL: S ? f
CpMMEAGIA?`,it?DUSTHIAT.:, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
? MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAMF:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGA21, MN 55122
PHONE : ( 612 ) j4jfo*tIIO
Mmm"m 6 9 /- I/6
DWELLINGS &
PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
------°-----------
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: '7'10"? / /`G"'/s'/P'
LOT:3_ BLOCK ? SUBD.
INSTALLER:
ADDRESS : 37? v rilri>l/ ???.o /•-'i
CITY: LLTG1Ps? ZIP: S S l Z1)
PHONE
SIGNATURE OF PERMITTEE
----- ---------------------
COMPLETE THE FOLLOWING: ------
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
I SHOWER 3.00 ?,no
? WATER CLOSET 3.00
BATH TUB 3.00 G?
? LAVATORY 3.00
? KITCHEN SINK 3.00 •3 m v
?Z LAUNDRY TRAY 3.00 4•0.?
HOT TUB/SPA 3.00
WATER HEATER 3.00 <? J
_Z FIAOR DRAIN 3.00 3. m-D
GAS PIPING OUT.
(MINIMUM - 1) 3.00 j,a J
? ROUGH OPENINGS 1.50 46Lo
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: $ y7 0j2
FOR CZTY IISE ONLY
PERMIT #
RECEZPT # 5M07
?TE: CbMMERG AL`,i1?IklISTRTAIi? PLEASE COMPLETE THIS PORTION FOR ALL COMII4ERCIAL/INDUSTRIAL BUILDINGS AND
..,..?.>>?.<< .:....:..:.:.::....
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
AWELLING UNIT.
CONTRACT PRICE:
OWNER NAN.E:
SITE ADDRESS:_
LOT: BIACK
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
SUISD.
ZIP:
FEES
i$ OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
\
. CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOS ROAD
EAGAN, MN 55122' PERMIT # PHONE: (612) 454-8100 RECEIPT
24£PONA7.;:DATE: J.a.-?q - /
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
?............
TOWNHOMES/CONDOS WHEN PERHZTS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST X
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
LOT: .s BLOCK ? SUSDA
INSTALLER:
ADDRESS :
CITY: ZIP:
PHONE #:
ADD-ON MINIMUM $HVAC 0-100 M BTU V4..OOOS
ADDITIONAL 50 M BTU 0
GAS OUTLETS - MINZMUM 3.0
OF 1 PER PERMIT
SUBTOTAL: $ al- 0Q)
STATE SURCHARGE: .50
TOTAL:
4 S__.?' ?
SIGNATURE OF PERMIT E
?034MEYtGiAI:f?IDUS$"l??AI>:`, PLEASE COMPLETE THIS PORTION FOR ALL CONR4ERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMZLY BUILDINGS WHEN SEPARATE YERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNZT.
--------------------------------------------------------- --____------- --°_______
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
IAT: 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 6 $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
MU* U $(:,%7k*7'Fk;7k0;9Fhti1'C `MMXtYF?:1k?.
C;TTY (]I' E:Ft:,F}N
CA!'HTli:R: JS TIf.F;M:CNAI... iiCl" 729
DFfiE;; 08/06i99 1'iMl=: 12:2:I.,07
IXj;,
NAME.? I_E23 1pNE;i ROUf"TNGy INC.
92:1.0 9001 408 f-'fiAIR:I:F FFL I.:JCi.LJ
P1.55 9001. 410G F'RA:f.k:F: h:[ a.r.in
Tntal Rr,ceip+, Amotan+„ 157.25
CFt 1.1.4954
LISI':I"t sU: ,7AN
XCXc%'?X(fFYF??? 'M?X<??F?Y6?FY,t? 'Myn?F?XYR?1k7X?#;k'',?(aY9F.aCXCW>Y.h'«X1k
1999 BUILDINC
r=-=",iR3it77=-TTTiF;
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
l S
3830 PILOT KNOB RD - 55122 -51
651-681-4675
Remodel/Reooir ReauhemerW? - G ' -l ?
D 8 regisMred aite furveys showing sq. fl. oi lot, sq. k. of house
and ail roofed areas (2046 mmdmum bt coveraae allowed)
D 2 copfes ol plans (show beam i window aius; poured ind. design; etc.)
D 1 sM d energy calculaHons
? 3 coplea of hee presenaNOn plan N lof plaFted aHer 7/7/93
DATE: r? - "" -Ct'9
2 copies of plan
1 iet of energy cakulaNons for heoted addlHOns
1 site auney iw exlertor addiHOns 3 decks
CONSTRUCTION COST:
DESCRIPTION Of WORK: -7 6,
STREEf ADDRESS: t4 (d g CC^ r-' e-? ?
LOT: L2 BLOCK: SUBD./P.I.D. #: CU?1`2
PROPERTY
OWNER
CONiRACTOR
ARCHITECT/
ENGINEER
Name: 4V ?? a-
Zip:
Phone #:
(area code)
She t Address: ? ? ? ? • ? license #
City n'L4 4-i?-71- Stafe:
last FUsI
Sfreet Address: '?-I
Cffy Sfate:.
/?-? --???
Company: /?S U6
Company: Name:
Telephone #: area code (
Stredt Address: RegisfraNon #:
CHy
Sewer 3 woter Iicensed plumber (reauhed for new consirucNon onNl:
State:
Penally applies when address change and lot change Is requested once permff is issued.
5-5 ??
vgt -C?au (
Zip: J S? ?tJ
Zip:
Ifiereby acknowledge that I have read this applicaflon, stafe thaf the Intormation is onect, anH agre to comply wMh applicabl
Si¢te of Minnesota Statutes and Cffy of Eagan Ordinances.
• / l
Signature of Applicarit: `--/
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Phone #:
'7&5y.vd
rz
_ Yes _ No
_ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 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) ? 42 Reroof
' Give PCA handout to applicant for demolition permk
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee -?)JS
Surcharge
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: :? `? . -?) S
Valuation: $
.
SAC Units
% SAC
73(o Y 7
,. .
2006 RESIDENTIAL BUILDING rERmiT arrLicaTTON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion ReauiremenLs
3 registe2d site surveys showing sq. ft of lot sq. ft of house; and all mofed areas
(20°h maximum lot coverage allowed)
2 copies of plan showing 6eam & window sizes; poured found design, etc.
1 se1 ot Energy Calculalions
3 copies of Tree Preserva6ai Plan'rf lot plalted aker 711/93
Rim Joist Defail Options selecfion sheet (buildings with 3 or less uni5)
Minnegascn mechanicalveniila(ionform
RemodellReoair Reauiremenfs
2 copies of plan showing footings, beams, joists
1 set of Energy Calculatlons for heated addihons
1 site survey for addilions 8 decks
Adddion - rndicete if ar-s8e sep6c system
719. (V
Otfi`r"s`ti5a'.6riiv
Y: ..z,:;.
r=
?411 tkl^^
?7eeA[es , t?Rep7 "?' : ?`?
firEePtes-Re??iued??,F;,?,,,s„+` «N
... ? ..;_.,,».,, . (3Q,sit??SeP_C:;i`-?: `'-??.? _,N
Date ? 196)
Site Address `t 1 ? /AOOlo
(g 12U Y7 C? Nr 1Construction Cost
I1U/J,Ci?CJe ?// K, oaUniUSte #
l,) SS/ 2 3
Description of Work I? C? S I ?? C
Multi-Family Bldg ?C y_ N Fireplace(s) _ 0 _ 1 k 2 '
Property Owner a'l'1"elephone # (Dsl) (037 Q
Contractar ? jU 1 1?????
Address
State City
Zip Telephone # (
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
. Energy Envelope Calculalions Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ?I il ) ???? rC I I??I 1 C I 5)I Teiephone #(
Mechanical Contractor 20llf: I ?? 1 Telephone # (
Sewer/Water Contractor 1 I Telephone #(
?6v- - i
I hereby apply for a Residential Building 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 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 ofplans.
C?o`rhI GL K+Vh/l/1avi
Applicant's Printed Name
? ? 0
Ap icant's Sigiature
AO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12•plex ? 25 Miscellaneous
WjoLk T es
31 New
? 35
I
I
nt
mprovement ? 38 Demolish Interior ? 44 Siding
? 32 AddiSon ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement *Oemolifian (Enfire BIdg) - G ive PCA handout to applicant
DesCrlption: WaterDamage_Yes
Valuation "-
Plan Review 100%or 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const Y6_
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length FireSprinklered
Width / {o ,
Foorings (new bldg)
? Footings (deck)
_ Foorings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing -
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation ? . I
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permif & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinallC.O.
?D FinallNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco I.ath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Inspector
??'kt Fev
CERTIFICATE OF SURVEY
ra"# R, 0e401%0c, Pue.
` ??i?wiw? 8713 OUPONT AVENUE SOUTH
?M??. - BLOOMINaTON, MINN. 66410
898-708d
LANO SUr oRS ? _ ? Il!(] _
""'""=T7(1C-
.,?.
Survey for:
fIP.HC.E BROS., INC. ?
DESCRIPTION: o -
Lot 3, Block 1,
COVENTRY PASS 2ND ADDITIOiV
i
Proposed Grades:
Top of Blocks BSSz' I?'? 1 ? pra,na45? ?(/??? Eas?rr?t?/f ??
c? /
Garage fioor os¢'-
Basement f1op?\0 o ?
,'
\40 ?0.
8 ?
r-
\
w? ? 9 ?? a.? ? `? ?
f
??
.
o s ( ' 0?' •2"? - ?? / ?j i C.,0
1
?o l
? v
01
y ?
c?0 B _ le: 1 "=30'
Data?-----
? ? N? EAQ?'? R
NOTE: P OW EC/
?
Circled elevations are proposed, others
10 ?o• ? are existing.
b \ ,
Arrows denote direction of drainage.
?`• `sid ' ?c
We hereby certify t at this is a true and correct representation of a survey of the
boundaries of the land a6ove described and of the location of all buildings, if any,
thereon and all visible encroachments, if,any, fr m or on said land.
Dated this 31st day of October ,1991 , ""? .
?7'3-65)
ùï
ÿ
þýý ûüÿûü
úýý üù
ñ ò ì
ú
ñ
þýö
þýüûúù ø
÷
ò
ý ûúù
ûúù ø
÷
öø÷õùô
ù ó ý
ò
ý
ò ñíýùú
ð
þïý
î
ôù
ìô
ëë ô
ïý
ô
ü
ô
ê
é
ø ø ù
ÿé
é
ô
ý
ù êòé
é
ù é
ê
ò
ü ô è
ïý
üúø
éôúë ô
ê
îæñåæêê
õú
þý
ë
çý æñåæêäêä
çý ñÿê
ôó
ö òñ
ùù
õø
ûë ô
ó ééô
äò ý úõ ò
õ õ
õ
ìãöñ ãöñ
áàßà
ë
üú ø ë
ëì
ë
ùù
ë ëé
ô
ôùúø ëùùüþ
éã
þ ý
ò ú é í
ê
ùù ÷
ô þ ý
ýú þ ý
îù
þ ý
ÿþþ ýüûùüýûû
úþþ ùûî
í
øÿÿ
ä
ÿ
ÿþ÷
üûúùø÷
ÿ û ùø÷
õ ùø÷
õ òÿê ÿà
òê
÷
ß ûÿ
ÿûÿ
îû÷ø
ð
üïû
ö
÷ í
ÿ ì
ì
ïû
ÿ
ÿú
ÿëé
ò ò ÷
ÿýé é
þ
ÿ÷
ëé éÿ÷
é
ÿ ë
ú
è
ÿ
ïû
úøò ÿ
é
øì
ÿë
ÿ
ö
æääëãäëäã
öú
üûì
ÿ
æëãâëâã
çû ýë
õô
÷ óò
÷÷
ò
ÿ
ùì
ÿþß éé
â û ø
õ
ä
ÿ
í
þ ôàãã
óãñ
ì
úø ò
ì ìí
ìÿ÷÷ ÿ
ì ì
é
ÿ
÷øò ì÷÷ú
ü
éô
ÿ ü û
ÿ ø éþ î
ÿë
÷÷ ê
ü û
ÿÿû
ø ü û
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
coo'
Permit Fee:
OIEF
f55- 00
/f'r1
%2009 MECHANICAL ERMIT APPLICATIONDate:106:S l 11 Site Address: LODV o `e_ �C P� CV
Tenant: — Suite #:
RESIDENT / OWNER
Name:
Address / City / ki(
CONTRACTOR
Zip:fr; / - c sta
Name: Standard Heating & Air Conditioning License #:
130 Plymouth Avenue North
Minneapolis, MN 55411 34 45
City: 612-824-2656 State:
Address:
Zip:
Phone: ont'rt Person:
T
TYPE OF WORK
PERMIT TYPE
New Replacemei
Additional
Alteration Demolition
RESIDENTIAL
Furnace
Air Conditioner
,y Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping
Gas
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
'"` When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)Zr- 4 �
$ vOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
- If Permit Eta is less than $1,000, surcharge is $.50.
- If Permit Leg is > $1,000, surcharge increases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
1 hereby acknowledge that this information is complete and accurate; that
I understand this is not a permit, but only an-..lication for a permit, and
plan in the c of work which requir a r- ^G�. approval of plans.
X )�
Applicant's Printed Name
= $ Permit Fee
= $ State Surcharge
$ TOTAL FEE
e work will be in conformance with the ordina
rlc is not to start wi • • u ' : ' :.: the wo
of the City of Eagan; that
rdance with the approved
ðò
ÿ
þýýü ûóû
úüüýý ùó ü ü
õ å
÷ú
ê
þý
þýüûúù
øý÷
÷ûúù
ô
ó
÷ù øý÷
òý
÷
÷
÷ù
÷ñ ÷
ðý÷
ñ
ï ýü
÷
î÷
÷ ÿþ
÷
ù
÷ÿ
ý
ìêêê
ï
úã÷ñ
úñ ý ïå
ô
î
÷ñ ø
íé
ù
ñ
ëèççê
øú
þý÷ï÷
øæ
èçìçì
÷ ö
õô
ùù
þ ÷â
ö÷õ ûï ñâ ääñ
úñ ý ïå
çôê ÷÷
é
é
î
ù îôê îô
íàëêàà
ï
÷
üú ó
ï
ïå
÷
ïùù
ï ï
ä ÷ñ ÷÷
÷
ñùúó ïùùü
þ
äî
þ ý
õ ú ä ã÷
ç
ùù á
֖
þ ý÷
ý
ú þ ý÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158560
Date Issued:10/21/2019
Permit Category:ePermit
Site Address: 4108 Prairie Ridge Rd
Lot:3 Block: 1 Addition: Coventry Pass 2nd
PID:10-18401-01-030
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 -
Thomas E Hoffman
4108 Prairie Ridge Rd
Eagan MN 55123
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature