4116 Prairie Ridge RdINSPECTION RECORD
GITY OF EQGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number; ? s •.+?'> '
Eagan, Minnesota 55123 Date Issued: ;' '?.j
?
(612) 681-4675
SITE ADDRESS:
c: ri ? ?•? i t ir r ????t !; t)
PERMIT SUBTYPE:
I f
APPLICANT:
, 1 itl,i;l.i? t I:Vtsl Y, I
TYPE OF WORK:
INSPECTION TYPE D• ON TYPE DA
?
?
?
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Fough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. lnspector-Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ft9•
Deck Final ??p a
/
wen
Pr. Disp.
t
BUILDING PERMIT
Tn he useci fnr $F 134
Site Address _
Lot z BI
Parcel No. -
Name uwnIA excrs iM
w qddress 9344 LYNDlu.E AVE 5
? City B1,00MINCt'CN 14P. Zp 55420
or..,.,... KlIY fififsf,
Name sArIE
Addf25S
ClitY ZP
PhOflB
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: UAHI.E BROS I1'OC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota 5talutes and City of Eagan Ordinances.
Building Oflicial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 6$1-4675
Receipt #
w2 Uo 3 4
1992-_
OFFICE USE ONLY
?3 M-1 FEES ?
Occupancy
Zoning
a-1
Bd9. Pemut 843.00
V-N 79.00
(Actual) Const y`p Sumharge
(Allowable) ron Raview 568.00
M ot stories
? L1Cerse J.00
Length
?
100.00
?
Depth SAC, City
S.F. Total - SAC, MCWCC Too•? ?
S.F. Footprints - 675.00
On Site Sewage _ Water Conn
On Site We11 Water Meter 45.00
MWCCSystem ?
x
?t. Deposit 30•?
Ciry Wa1ar X 30•00
PRV Required SMI Permil ?
Booster Pump - 51W 5urcharge • 50
Treatment PI 300.00
APPROVALS Road Unit 380.00
I?
?
Plenner
il
C - park Ded. ?
,
ounC
BIdg.Otf. -_
_ Copies ?
3 #7 85.%
Variance - TOTAL
• PermR No. PermH Molder Date Telephone +M
PLUMBING ??i`' • ?j`oZ ?1,?.? - J%??/
FIVAC
ELECTRIC
ELECTRIC
kopeetfon Date Ifisp. Comments
Footings I
Foundau«, z,/;
Framing -/ 2 D f
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace - z5"9
Final Htg•
orsat Test
Final Plbg• PI6g. Inspectar - Noti(y Plumber
Const. Mete?
Engr./Plan
swg. FwiW /l3 4.1
Dedc Ffg.
Dedc Final
Well
Pr. Disp.
l-? ? Z cr
! ? • 1°r
(gtxti#ira#t of (Orrupanty
Citp of (tagan
atpabneni of Ididing jwrrtiotc
This Ca7iJ'+acle issuod pursuanr w tke reguirements ojSSerlion 306 ojthe Uniforrn Brdlding
Code cerlifylxg tliat a1 the iune ajissaarece dFis structure ws in oompliancx with the ?iarious
orMiauors of tlu Ciry neguladng brrfWing comvucion or use For the folloKdxg:
uK a.:&Ze= SF IXaG/GAR ma?. ra.u r+o. 20084
D 4/u 1 v 1 T)RT
O-W-
Owoa a
Bmldia?
Daw 2/30/y2
war4 oscw
POST 04 A CONSPfCUOUS PUCE
0
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE _
!
aECErvEO i 1!i I. W / 1 t. ! {
?! [
?T
19
aMOUNT s - - - - _ O CASH C) CHECK
ion
? 017166 ViN1e--Pe,? ?,
Ydbw--Postirg Copy ?
PirJc--FYe Copy
Thank You
sv L
SEWER & 1KATER PERMIT
CITAV OtMMAN
3830 Pilai.kCnob Rd.
Eagan, MN 55122-1897
DATE FE$ S, 1992
OFFICE USE ONLY
METER # PERMIT DATE 02 f 07 /92
CHIP # PERMIT # 12530
METER SIZE B.P. RECEIPT #`-() /
ISSUE DATE B.P. RECEIPT DATE 02/05/92
X PRV - BOOSTER PUMP
SITEADDRESS 4116 PiZATRIE RIDGE RD
LOT 2 BLOCK 5 SEC/SU6 GQVENTRY PASS 2ND
APPLICANT:.
ADDRESS:-
CITY, STATE
PHONE: _
ZIP
PLUMBER: STAR PL$G
ADDRESS: 1018 MOUIdiD SPSINGS TERR
CITY, STATE BLOdHINGTON MN Zlp 55420
PHONE: 884--4149
OWNER: DABLE BROS INC
ADDRESS: 9304 LYNDALE AVE S
CITY, STATE BLOOMINGTON HN ZIP 55420
PHONE: 888--6$66
PERMIT REQUESTED
K SEWER X WATER - TAPS
- COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILI NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE FEB 5. 1992
OFFICE USE ONLY
METER # 17Z'? PERMITDATE 02/07/92
CHIF#.12-19? IV'673 PERMIT#
METER SIZE ? ?e'? u B.P. RECEIPT # Q /
ISSUE DATE q' °Z3 '5°2 B.P. RECEIPT DATE 02/05/92
X PRV _. BOOSTER PUMP
? SITE ADDRESS 4116 PRAIRIE BIDGE RD
LOT z BLOCK 5 SEC/SUB COVENTRY PASS 2ND
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: _
ZIP
PLUMBER: STAR PLBG
ADDRESS: 1018 M4UND SPRIiSGS TF.RR
CITY, STATE BLOOMINGTON MN ZIP 55420
PHONE: $84-4149
OWNER: DAHLE $ROS INC
ADDRESS: 9304 LYNDALE AVE S
CITY, STATE gL00MINGTON MN ZIP 55490
L
PHONE:
PERMIT REQUESTED
X SEWER _XL. WATER - TAPS
COMM/IND
X NEW
Y_ RESIDENTIAL 'I
EXISTING
Lawn Sprinkfer Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
TO COMPLY?j 'H CITY OF
WHEN METER ISSlJEO
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ?
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Ad3ress: 4116 PRAIRIE RIDGE ROAD Lot Z Blk 5 Sec/Sub COVEqIgy pAASSg 2ND
These items were/were not complete at the tlme of the final inspection.
Date: 4 30 92 Yes No
.??..
Tn?pprr
FSnal grade (6" from siding) (J
Permanent steps - garage ?
PeYmanent steps - main entty
Permanent dYiveway 1,/
Permanent gas
tl-
Sod/seeded grass
Trai1/curb damage
Porch ?
Basement finish
Deck
Please varify with the builder the removal of roof test caps from the plumbing
system and the shut-off of watar supply to the outside lavn faucet before
freeze potential exists. ?
RELKlf4ARR
White - City copy Yellow - Resident copy Pink - Contractor copy
CITYOFEAGAN
, , ?
2OOS4
- 3830 Pilat Knob Road, P.O. Box 21- 799, Eagan, MN 55121 o
PHONE: 681-4675 e O 1-7 /?o > l
BUILDING PERMIT Receipt # p
Tobeusedior SF DWG/GAR Est.Value $158,000 Date FFR 5 , 1g92_
Site Address 4116 PRAIRIE RIDGE RD
Lot 2 Block -5- Sec/SubGOVENTRY PASS 2ND OFFICE USE ONLY FEES
Parcel No. occupancy R-3 M-1
843
00
R-1 eid9. a?n .
zornng
Name DAHLE BROS INC (ApWal) COnst V-N 5,,mharge 79.00
W AddfeSS 9304 LYNDALE AVE S (Allowable) ?!-N plan Review 548.00
Z
CIry BLOOMINGTON MN ZP 55420 8 of Stanes
lh
L
70
License
_ 5.00
0 Phone 888-6866 eng
oavtn 40 sna ciry 100.00
¢
N8010 SAME
S F. Total
-
SAC, MCWCC
700.00
?
Addf2SS S.F. Footprinls
Site Sewa
e
O
Water COnn
675.00
Ojry ZjP
g
n
On SRe Well _
Water Meter
95.00
?
Phone MWCC Syslem X
AccLDeposil
30•00
8 c?rywata?
License # 0001647 PqV Reqmred ? S1W Permit 30.00
I hereby acknowlege that 1 have read Ihis application and stala that the 8ooster Pump SM/ Sumharge .50
inlormation is correct and agre to compty with all applica6le State of
Mmnesota StaNtes and CrtY o a9an Ordm?ces. Trealment PI 300. 00
SignaWre of Permitee ?" ? APPROVALS Road Unit ' 380- 00
?ANT.F. RR(1R TNC
A Building Permit is issued to:
Planrrer
-
parkDed.
on the express condition thal all work shall be done in accordance with all Council
applicable State of Mmnesoia Statutes and City of Eagan Ordinances. gld9pit, _ Copies
Building OHiaal !yx?R.PJ,.f? I f IlK Vanance - TOTAL 3,785.5
n
DATE: FEB 7
RE:-- 4116 PRAIRIE RIDGE RD (DAHLE BROS 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) unUl ihe meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permrt for the above property cannot be completed for the following
reasons:
Your Sewer & Waler Permit for the above propeAy 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 6e
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.
REQUEST FOR ELECTRICAL INSPECTION es-aoooi-oe
imcnons for compietmg ihis lorrn on pack oi yellow copy
lli? See ine ? /o?L9.3 9
? 1235
Below Work Covered by This Request ????•?
43
ew AdO Rep ' TypeofBmldmg AppLancesWired EqwpmeniWired
Home Range Temporary Service
Ouplea Wa[er Hea[er Electric Heating
? Apt Budding ?Dryer Other(Specify)
_ Comm llntlustrial
Farm Fumace _
Air Conditioner
I IDfier (syeUfy) ConVaclors Remarks
Compure lnspection Fee Below
? Other Fee # ServiceEniranceS¢e Fee # Crtcurts/Feeders Fee
Swimming Pool 0 to 200 Amps (?? 0 to 100 Amps
i Transtormers Above 200 _ Amps Above 100 _ Amps
SignS inspecror's W. Only TOTAL `
_
Irngation Booms ? ,?
Speaal Inspedion
?AlarmlCommunicahon TNIS INSTALLATION MAY B DERE DIgCO1NNECTED IF NOT
Other Fee , COMPLETED WITHIN 18 S.
I, the Electncal Inspecror hereby aoui
certity Ihat lhe above mspecfion has
been made F,,,ai Da?e -^
1,72
OFFICE IISE JNLY ' I
This requestwid 18 monlhsimm
/45?93 9
p 13243 d-
Request Date
? Flre No!
` Rough-rn Inspection
R ired, y^?
? Reatly Now/?i WAI NoVly Inspecror
r -Wnen Ready?
I
f ` s N.
G
I15hcensed contractor J owner hereby request inspec6on of above electncal work at:
Job Atldress ISVeet. Box or Foute No )
?ro_?r;c Qly
c ea
Secuon No TownsNp N, me or No Range No County D02
Occupap INTi
1Q 1?-/lt?f[..? Ppone N.
(o?
Poxe uppLer
ctiko-lti O¢c?ric AtltlfE55
-bn
Ele<Vicai Conlractor IComOany Nnme) CoNractor5 License No
?s-4er O.'ri c nc 04o`1?k8-3
MadingMCrass IConRaclor or Owner Making In5lallationi
124b-1 ??Bocs" 4„¢ S S
Authonzeo SmnaCrte ?CO,Vacta%Owner Uakiny Insta1latiom Phone Number
gq.o - 35sS_
MINNESOT 5 TE BOARO OF ELECTBICITY THIS INSPECTION PEOUEST WILL NOT
Gr1ggs-Mitl BIEg. - Poom S-173 BE ACCEPTED BV THE STATE BOARD
1821 Univermty 4ve. St Veul. MN 55109 UNLESS PPOPER INSPECTION FEE IS
Phone (612) 642-0800 ENGlOSED
r ?
r
CERTIFICATE OF SUR
? AIILSON ?H?
4A?IOx? -
rr?
LANDSURVEYORS
a?s
.G'wrny R. (?outuu, P,ce,
8713 DVPON7'AVENUE SOVTH
BLOOMINGTON, MINN, 59420
868-ZOBd
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We hereby certtfy that this is a true and correct representation of a survey of the
6oundaries of the land above described and of the location of all buildings, if any,
thereon and all visible encroachments, if,any, from or on said land.
Dated this *n day of 2'? a,6,,,-7,.,, 1199z, r
bY Z?-!'."
,?-,FiinnesotY icense o. 9018
?-2'77_ i-?-
*dtV oF eagan
PACR(CG1 E. AWADA
Mayor
PAUL BAKKEN
PEGGY C:AftLSON
cYvoeE riEuDs
MEG "CILLEY
C;ouncd Members
THOh[AS HEDGES
Ciry AcLniniscraror
Mmicipal Cen¢r.
3830 Piloc Kno6 Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
TDD: 651.454.8535
Mainrenance Faciliry:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.681.4300
Fac: 651.681,4360
TDD: 651.354.8535
www.cityofeagan.com
'I'HE LONE OAKTREE
'I hc rymtxil af stmngth
.md gruwdi m uur
cummumry
Juty s, zooz
VIA FACSIMILE: 763-535-6298
MR JOE PEIFER
RMT EXTERIORS
5725 DREW AVE N
BROOKLYN CENTER MN 55429
RE: BUILDING PERMIT 52305 DATED 6/27/02
REROOF
Dear Mr. Peifer:
This is to confirm our earlier conversation informing you that the roof at 4116 Prairie
Ridge Road did not pass final inspection because the ice and water protection was applied
incorrectly. This needs to be torn off and applied correctly. Please call and reschedule an
inspection once this has been corrected.
If you have any questions, please contact me at 651-681-4677. Thank you.
Sincerely,
'c&?
Scott Peterson
Building Inspector
.SP/jS
-? l
ec: Mazk N. Kusie, 4116 Prairie Ridge Rd., Eagan, MN 55124
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstructionReauiremanh RemodellReoairRaauiremeMS
. 3 regotered sile surveys showing sq. ft. of lol, sq. R. of house; and all roofed areas • 2 wpies of plan
(20% mazimum lot coverage allowed) • 1 set of Energy Calculations for heated addilions -?
• 2 copies of plan showing heam & vrindow sizes; poured found design, etc.) • 1 site survey (or ex[enor addNOns & decks
• 1 set of Eneyy Cakula6ans . Indicale if home served by septic system for additiara
• 3 wpies of Tree Preservation Plan if IW platted after 711/93
• Run Jo'sl Detail Optlore sNec6on sheet (bldgs wBh 3 or less unifs)
DATE VALUATION
SITE ADDRESS `7//J?y ?'?'?`? ?' ? ?`t MULTI-fAMILY BLDG _Y ?4-N
TYPE OF
APPLICANT
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS :S 7 CITY ?i •? STATE/20 ZIP
TELEPHONE CELL PHONE #??? FAX #
PROPERTYOWNER TELEPHONE#??
-------------------------------------------------------- ---------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNP.SOTA RULES 7670 CATEGORY t MINNESOTA RUI,LS 7672
(d submission lype) • Residentlal VenGlaUon Category 1 Worksheet Submitted • New F77417 5u6riir?
• Energy Envelope Calculatlons Submitted CUw
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Contractor:
Mec}ulnical system includcs:
Sewer/Water Contractor:
Phone #
Phone #
Pee: $70.00
-°---°----°---------°°-°--------------------------------------------------------------------°------------•---------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina?.
Signature of Applicant
OFFICE USE ONLY
_ Water Softener
_ Waler Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
_ I-Ical Recovery System
Certificates of Survey Received - Tree Preservation Pian Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Ot Foundation ? 07 05-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 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Demofition (Entlre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const W idth i
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinallNo C.O.
_ Foorings(addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FrammB _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u ILp x H G
3830 Pilot Knob Road Permit Number: 023857
Eagan, Minnesota 55123 Date Issued: 0 6/ 09 / 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 2 BLOCK: 5
4116 PRATRIE RIDGE RD STARBUCK ROBERT
COVENTRY PASS 2N0 (612) 452-3019
PERMIT SUBTYPE:
oecK
TYPE OF WORK:
NEW
INSPECTION „ . DA
FOOTINGS FINAL
r- -
L
.. ? I
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT eK a -7439
PERMIT TYPE:
Permit Number:
Date Issued:
b -l0-9Lf
BUILDING
023857
06/09/94
SITE ADDRESS:
P.I.N.: 10-18401-020-05
4116 PRAIRIE RTDGE RO
L07: 2 BLOCK: 5
COVENTRY PA55 2ND
DESCRIPTION:
Building.Permit Type DECK
8uilding Work 7ype NEW
I
? ?.
.
,
\?z?:_r
REMARKS:
FEE SUMMARY:
Base Fee $30.00
3urcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
STARBUCK ROBERT
4116 PRAIRIE RIDGE RD
EAGAN MN 55123
(412)452-3019
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 Mn.
L Statutes and City of Eagan Ordinances. J
? r
APPLICA T/PERMI E IGNATURE ISS ED BY/ NATURE
CITY OF EAGAN
$3n ,s-0
t&a? ia(y
SINGLE & MULTI-FAMILY 2 sets of plans, 3 regi tflV?1?s 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & stAciWall9pPans 1 set of
specifications, 1 copy f energy calcs:._
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date .i U N E / 03 / 1L' ?i L Valuation of work ?? xx
Site Address: ?'?Il ?,a p (? A 1+'2 16 a E ko i7
STREET SUIiE 1t
Ten t Name: (commercial only)
7
11 LDT ? BLOCK ? ??rAJ'??
SUBD dr,?5 OF
P
I
D
.
?? .
.
.
lb l?'?lD QZo C3?
Descri tion of work: ? PI) eTt C?J 0r- A1 tO _D&eAc?
The applicant is: Ur 0wner ? Cantractor ? Other (Describe)
Name S-VAR BJck Rc,6cR t Phone 1152-3019
Property LasT FIRST
Owner qddress Ho??= A??ik,F ,E'tnCI L 2P
STREET STE H
City ?A-& A-sJ State IVZ ?j Zip SSI23-14,
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applitable State of Minnesota 5tatutes and City of
Eagan Ordinances.
l
Signature of Applicant•
L
1994 BUILDING PERMIT APPLICATION
681-4675
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. JO 15 Deck
WORK TYPE
ET 31 New ? 33 Alterations ? 35 Tenant Finish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (ActuaT)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
?.Site
11 Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
tR Footing
13 Final
? Framing
11 Uraintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vetmc;a,: $
0 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 14 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code y31/
SAC Code ai
Census Bldg i
Census Unit a
Assessments
SAC %
SAC Units
?
.
.
o•"
(345•ODE
lJ•00?
54G•UJr
,),515•50'
3 >7i;j • 5 0?":
OUf
vaoo?
40 •oo=
?,317.50r
•?0':
3,'11j
' ,?,FG,? .oad l? q?
?IIILDINC PERM?APPLICATION
IC??Z CITY OF EAGAN
1
SINGLE FAMILY DWELLZNGS M[JLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SYECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1.SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APYLIES WFiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS NADE.
IAT CHANGE IS REQIIESTED ONCE PERHIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMYLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: -S?n Valuation: 9- Date: ';? - y"/??
Site Address //& 11re,,:,e /Ci4[ 4C
Lot 1), slock S
Parcel/Sub C6 ?e n-f'r-r 5 5-')`.dW•
Owner ju?c gr? s ln/G
Address 30 '/ dj,e S.
City/Z1p Code /ylA/ S_SY.-??i
Phona
Contractor
Address
City/2ip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Sewer/Water L censed Contr.
of Contractor)
158, O0o-
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
USE ONLY lclq2 1:,GrQ
R 3 M-I
?
V-N
V-N
T0-'
Af O'
On site sewage_
On site well
MWCC System ?
City water ?
PRV ?
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. ,US z-S9z
Variance
FEES
o
Bldg. Permit 143,0
Surcharge r7q, o
Plan Review $- ,O O
SAC, City tQOlDO
SAC, MWCC 900to
Water Conn. AOS i O a
Water Heter 95,0
a
Acct. Deposit 3ai00
o
S/w Permit 010
S/W Surcharge _ISO
Treatment P1. O OiOo
Road Unit QDi ao
Park Ded.
Trail Ded.
Copies
LICC-NSSUf7iF![.4LbS $,ob
SIIBTOTAL
Penalty
I,ot Change
TOTAL ?U
agrees that all woTk shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinancea.
~ Y ^ L II1•1?044 ? ? . ? f
Ca i4 RAGE
?-
3y ?30 = lozo
Z?c1z ? (Z4)
1Ll X (o = ? 8W ?
----
. .?-
qi2 x rs= ? 3?$tl
?SMT
r------
16X Jy ? Z2'4
x zg ; 1009
zz
?x,2 = r7 z
---
?
1 32o/ 16564-1
)S? FL-0utZ
6swr-r = i 3a?
ZX'7 IU
???2n$ r )2
I 0552 x 53 =`7 I, 65G
Z N,D rw oti
3GxZE3= 1DogX53= 53
151? 3 Z?l ?? 158, oAo'?
CERtIFICATE OF SURVEY
, Z" R. couhiac.
00:= 6 )13 DUPONTAVENUE SOUTH
BLOOMINOTON, MINN. 65420
888-Y084
LANDSURVEYORS
a-a
/[/C.? +:-r)A?1
z°?zz'? I ?rz9i
.-e i 3Z.S5 ? r¢7. ro
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a 1<
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0 0
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n ?o ,
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a m m I ?
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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, from or on said land.
Dated this ¢'h day of
b
y' ? T
,'l, nnesot icense o. 9018
277- /S
' • EXTERIOR ENVEIAPE AVERAGE "U"'COMPUTATION
OWNER
SITE ADDR£SS
CONTRACTOR / 14 lrlc L?VU S_
Determine
1. Total exposed wall area .....
2. Total roof/ceiling area .....
??_t<5P
DATE_2 PHONE
workinq square footaqe oE each.
1`I 8"L sq. ft. X: 1) _ ? q(o .O 2
I Zyz 8q. ft. x-??? _ I 33,sq
A. Total wall window area .......................... 1 4 4
B. Total door area ................................ q.-0
C. Total sliding glass door area ................... 3 g.
D. Total fireplace wall area .......................
E. Total wall framing azea (average 109)........... 14 f
F. Total Rim joist area............................ 1? 5
G. Total Net wall azea above floor................. 7bta1 exposed foundation area -
H. Total foundation window area ....................
I. Total net foundation area above grade...........
Determine "U" value of each wall segment.
a. 144 X -U- •SS = S3.SL
b. 4-o x~u" _ z3 ? 9.zo
C. 33 x^v^ ? 5g ? I°V ?41 -
d. X "U" e
0. ]( ^[J^, lia
f. l55 x "Us, ,04 ? (O,Lc
g. X«u-
h. X lu„
a
i._ X "U"
_- °
3 ...................................Tota1
:f item q3 is the same as, or less than item #1, you have met the intent of
SBC 6006(c)2.
1
Total exposed roof/ceiling area - I 2`i 2'
j. Total skylight area ................................
k. 4bta1 roof/ceiling framing area (average 10%)...... 1
1. Total net insulated roof/ceiling area .............. I I
Determine "U" value for each roof/ceiling segment.
i
x °jJ" s
x. I?cj g "p" . 02-?G
1. ll ?3 X •U" ,oZS ? 29.oQ,
y-
a .....................................Total
If total of #4 is the same as, or less than #2, you have met the intent of
SaC 6006(c)1. •
Alternate Building Envelope Design
To utilize the total envelope system methor7, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
1- + 2. ?
3. + 4. ?
•.+ncL srrT•Oes
Oso i? of opaque wall nrea for
^ frerx+?ccy;?.truction Construction R-Va:lue
l. Intezior air film O.EZQ
2. Iiz" E;?eywa?.L- .4.5
3. 51/L inches soft aood Cn,l L
4. °SNEpTM11JG L,i>G
5. SifltNG .61
6. Exterior air film r 0.:17
1bta1 10.1s
U=,?o
1.
2• Interior air film
V2" 17LYW&LL 0.68
.45
3. SyZ" t1.?suL. 1°l,aa
4. SHEpTHING 2,OG
5. Stpl"G G"1
6. Exterior air film 0.17
Tota 1 -Z;, co 3
U =.04
1. Interior air film O.tiB
2. IUSUL. 19,00
3. t1/z" Wooo I188
4. SkEA7N1KG 12,06
5. StDING .<:7
6. Exterior air film 0,17
Total 24.4`
V- .04
1. Interior air film 0.68
2. INSUL, AuP cR.yWSLL 80(e
3. 12" 6loG? 1,28.
4.
5.
6. Exterior air film 0.17
Total 10.11
!J -.10
SLAB ON GRADE
. •? '
• _ • _ ?r?
. '•'? ?
83 '
?-
.
• o . ? .
1(r1l I
FIG. 04
NOTE:
• . .? . . ?
. ? r
• ` ? ` .. ?I` '
/I ( r u
/ft 6
x
ITicj'C<lt9 tvn?
n `
' ? a ' • ? ' lli
• i!i
• o
r c ?ir ?
• ' •- ROOF/CEILING .
, • • v{ l
Constructioii(Use for Item L) x-Value
1. Interior air film 0.61
2. '_S/A SHEETCacK- 56
3. N-?vL . 36.00
4. Extcrior air film (still 0.61
pIIIT Total 39.'1 S
"•\``•??
Vented Beat flow
up
FIG. RS
1n?t ??t}M?;•;U1:+1y1!';:-'?.?L:w'A^_CJO?.LAflfri
, .FIG. #6
CLt,. FRAMING(Use for Item K)
1. Znterior Air film, 0.61
2. 5l8" SH£.ET&ac.r .5?
3. Inches soft wood 31 /z" +,38
4. Inches insul above framina 30.00
5. Air Film 0.61
1.
IIIterior air film Y^atAl 3r. , I G
0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Inside air film ' 0.61
2.
3.
4.
5. Outside air film 0.17
Total
Notc: Usc a3ditional shects if morr cFacc is
needed for details and calculations.
Fi.r,, a7
? Heac flow up vented•
Nu.V-VL'NTED . ?
. Hea[ '
, flov up '
. _ , CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
"m
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
"MMlAX;;;' PLEASE COMPLETE UPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
------------------------ ---------------------------------------------------------
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR
OWNER NAME : 1 YJ-da SITE ADDRESS:
LOT: O? BIACK ? SUBD.
INSTALLER?
ADDRESS : IF??\ Mt4tn 7?1 1 (ZA
CITY: ZIP:
PHONE # : 1 _:;')7J - '?I ri I `I
.1 Jfmm? CX?/YfL]?a?
SIGNATURE OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00
?,. WATER CIASET 3.00 =0o
? BATH TUB 3.00 3,c,9
LAVATORY 3.00 I ,00
? KITCHEN SINK 3.00 -
L UaDR ?'RAYgFIdQ?,0o M
1'F?.?_ 00 ZLQQ
WATER HEATER 3.00 J,M
L FLOOR DRAIN 3.00
/ GAS PIPING OlIT.
(MINIMUM - 1) 3.00 .??j
? ROUGH OPENINGS 1.50
OTHER
? WATER SOFTENER 5.00 5,n1
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S S14, '?o
ST. SURCHARGE .50
TOTAL: S 155.00
CCJMMERC.I![I;(i2?DUST?IAT.,? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WkIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL: S
( SIGNAT'URE)
- CITY OF EAGAN
3830 PIIAT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
, ... .
FOR CITY USE ONLY
PERMIT #
RECEIPT # (.017107
DATE: :?ll = 1e .9 ?-
RES?RE}`1xI1RL'?j PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE F
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------- ------------------°------------------•
WORK DESCRIPTION I FEES
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME:
SITE ADDRESS:
LOT: ? BLOCK ? SUBD.( e? r\ ?
INSTALLER:
ADDRESS: '_?W W ????1n `<
CITY: '?:' v o._. ZIP:
PHONE #: a I
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3 ?
OF 1 PER PERMIT
c?
SUBTOTAL: $3 STATE SURCHARGE: .50
TOTAL: $ 53•' ?
.?.??. ---•-? _.. ?32 -a
SIGNATURE OF PERMITTEE"
?QAfM?1?C?AT:f?t`tS3?I#STK?A7:t' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
;P: STA:.LER :
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
DWELLINGS 6
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONT??4CT ?RICE x 18
STATE SURCHARGE
TOTAL:
$
( S IGNATIJRE )
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165659
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 4116 Prairie Ridge Rd
Lot:2 Block: 5 Addition: Coventry Pass 2nd
PID:10-18401-05-020
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 -
Mark Neal Kusie
4116 Prairie Ridge Rd
Eagan MN 55123--162
(651) 263-3190
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165994
Date Issued:12/04/2020
Permit Category:ePermit
Site Address: 4116 Prairie Ridge Rd
Lot:2 Block: 5 Addition: Coventry Pass 2nd
PID:10-18401-05-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Mark Neal Kusie
4116 Prairie Ridge Rd
Eagan MN 55123--162
(651) 263-3190
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature