4123 Prairie Ridge RdINS
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687 -4675
SITE ADDRESS:
'f'? H!?: tt i; I!1(01 t;l+
,? , r•? I ?I lr', .?N1)
PERMIT SUBTYPE:
I .,,
,"-ITION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
(t,i.'I ti4.' ihl.':i
TYPE OF WORK:
Permit No. Permit Holder Dete Telephone 8
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Oate Insp. CommsMs
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Fnal Htg.
Orsat Test
Fnal P1bg- Plbg. Inspector- Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. fJ
Deck F,nal Jr
We«
Pr. Disp.
BUILDING PERMIT
, To be used for Sip t
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PFIOME: 454-8100 }? L_.
Receipt # _ ?
Site Addre35 4123 ?1IQIE RIDGE RD
Lot 2 Block 4 Sec/Sub.COYL1iTRY PA$8 2 OFFICE USE ONLY
Parcel No. occuPancy &-3 -*-A FEES
Zoni- R^ 1
W Name 14iTTE1.STASD'[ DBOTlISRS
0 Adcfress 7$5 SI}NSM Dx
City EAGAN Phone ?l?9123
Name 8AME
9' City Phone
t;'? Name
Ww
U? Address
? W City Phone
I hereby acknowlege that I have read lhis application and staEe that the
? information is correct and agree to comply with a11 applicable State ai
Minnesota Statutes and City of Eagan Ordinances,
Signature of Permitee - 'F?
? A Building Permit is issued to: yITTEI-SWOT BaMER$
on the express condition that all work shall be done in accordance with all
appticable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
?-- r
(Actuai) Const
V N
Bidg. Permit ?
713 • 00
(Allowable)
Surcharga yY.L+?e,
# oi Stories
Length
7 '
Plan Review d?q ?
??..spC
DePth sf ? SAC, City 100.00 !
?
S.F. Total - SAC,MCWCC --650s00 ?
S,F. Footprints - {
On Site Sewage water Conn bbfl ?? !
On Site Well
Water Meter 95.00
MWCC Syslem
CilyWater X
x_
AccLDeposit ?
30•00
PRV Required X SNV Permit 30•00 ?
Booster Pump - 5NV Surcharge • 50 ?
TreatmentPl 276•00
APPRDVALS F{oad Unit 370.00
?
Planner - park Ded.
Council ?
BIdg.Off. _ Capies
Variance - TOTAL 9 ,4"• 00
?
. Permit No. Permit Holder Date Telephone #
1?SATEA
SE1NEfl
PLuMSiNG ? 9/ ? 333
H.V.A.C. p ?p 7 0 1?f' ? ?
ELECTFiIC S?[? 3 g?
Inspection Date Insp_ Camments
Faotings I
Foundation
Framing
Rooiing
Rough Plbg. zV-
Rough Htg.
s r e?. z ! / Iire
l5ul. Q f ,
Fireplace 'lra
Final Htg.
Orstat Test ?
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final V?2 719'l
Dedc Flg.
Deck Final
Well
Pr. Disp-
4
?.,? ?-? ? • ?
?
I
,
(gPxftf tratP of COrrlivatiry
titp of (ifagan
gr#raxtmmz nf suning itcaptrttmt
This Certificate issued pursuant ta the requiremenu of Seclion 306 of the Unifornt Building
Code certifying lhat at the iime of issuance this structure was in compliarrce with the various
ordinances of the City regulating building construction or use. For the follo)Wng.-
u. ci..jr"r;. SE' DWG/var eMS. Ftr6, No_ 19482
ooc„p,ay ryuX R3/M1 zdmog oiat,;ct Rl Type rrn„r VN
Owou ot Buil(QML96= WIl'?. .S Am.785 SMW ?? , EMAN
123 PliAIRIE AIDGE SL1AD ?;?,?2, B4. 4WwmPASS 2DID
4/27/Q1
BuiUng
POST IN A CONSPICUOUS PLACE /
?
CASH RECEIPT
CITY OF EAGAN ,
3830 PILOT KNOB ROAD .
EAGAN, MINIVESOTA 55122
DATE 19 ?
FROM?
AMOUNT S y ?J
-? 4/-- ?
? CASH )9:fCHECK
DOLLAFS
,aa
95 ?r? t' ?: ?rk- ? ? ?,? ; ?
C 14659 wftia--aw. cov„ ?
veuo?-vosuny cuvr
Pink--F'?la Copy
Thank You
BY
PERMIT
CITY OF EqGpN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE JUL 25, 1941
OFFICE USE ONLY
METER # PERMIT DATE v70 26 f 41
CHIP # PERMIT # 12 1 7 t,
METER SIZE B.P. RECEIPT # C 14C 5`,
ISSUE DATE B.P. RECEIP7 DATE
^ PRV - BOOSTER PUMP
SITE ADDRESS 41 I F ::I AGB Rll
LOT Z BLOCK ` SEC;SUB COVEN'I'EcY 'A_'S 22.1)
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: MCDONALD P1.11MBING
ADDRESS: 18271 KENKUD TR
CITY, STATE LA?'VILLE hN Zip 55044
PHONE: 435--3334
OWNER: MI?ELSTAEDT BROTIlERS
PERMIT REQUESTED
x SEWER X WATER - TAPS
- COMM/IND ?' RESIDENTIAL
Y NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
ADDRESS: 783 SUNFI:'C DF
GITY, STATE F-A?N Mt, Zip 55123
PHONE: 156...91 ?'. SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER 8 WATER PEF
CITY OF EAGAN
3830 P41ot Knob Rd.
Eagan, MN 55122-1897
bATE JUL 25, 1991
OFFICE USE ONLY
METER #? T J °? 79 /-a PERMIT DATE 6
CHIP # d a?i 9 7 y 9 PERMIT # U176
METER SIZE 401r"_5 B.P. RECEIPT # C 14E? `':
ISSUE DATE - B.P. RECEIPT DATE 07/251 `-' i.
PRV _ BOOSTER PUMP
SITE ADDRESS 4123 .?.,A; ' : !; RIDGE RD
LOT ' BLOCK 4 SEC/SU6 CC?VENTRY PAS6 2ND
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: ?'C13oNALU PLLJrIBING
ADDRESS: 18271 KEiVWUOI) Th
CITY, STATE
PHONE: I,A?.l::VILLE t-31•: ZIP 55044
435-3334
OWNER: "ITTELS`I'At,llT B
PERMfT REQUESTED
X SEWER ;? WATER - TAPS
- COMMIIND
X RESIDENTIAL
X_ NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
, ? --- -
,
I AGREE TO CQMPLY WITH CITY UF
EAGAN ORDINANCES
ADDRESS: 785 SUNSr?' ? !Ir
CITY, STATE LAGAN h;t; ZIp 55] 23 ?
PHONE: 456--9 i NATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Address: 4123 p{2ATRTF ruDGE pOpp I.ot 2 Blk 4 Sec/Sub rpVEijRy pASg 2ND
These items were/were not complete at the time of the final inspection.
9/27/91 Yes No tz,),
Final grade (6" from siding)
Permanent steps - garage (S
Permanent steps - main entry I?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass y
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plvmbing
system and the shut-o££ of water supply to the outside lawn faucet before
freeze potential exSsts. ?
RMlfOM1EP
White - City copy Yellow - Resident copy Pink - Contractor copy
. CITY OF EAGAN No 19482
; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt u C-14b S I
To be used for SF DWG
Est. Value $121,000
Site Address 4123 PRAIRIE RI?GE RD
Lot Z Block 4 Sec/Sub.COVENTRY PASS 2N
Parcel No.
IName MITTELSTAEDT BROTHERS
? Address 785 SUNSET DR
City EAGAN Phone 456-9125
io Name 5AME I
g? Address
City Phone
W w Name I
?? Address
gW City Phone
I hereby acknowleqe that I have reatl this applicahon and state that the
informahon is correct and aqree lo comply with all applicable Stale of
Minnesota StaWtes and City of Eagan Ordinances. _
SignaWre of
199A
OFFICE USE ONLY
Occupancy R-3 M-7
Zoninq R=1
(Actuel) Const V=N
(Allawa6le) V-N
S orstones
Lenglh
Depih
S.F. Total
S P. Footprints
On Sile Sewage
On Sne Well
MWCC System
City Water
PRV Reqwre0
Booster Pump
APPROVALS
A Buiidinq Permit is issued to: MITTELSTAEDT BROTHERS Planner
on the express condNOn Ihat all work shall be done in accordance with all Councd
applicable State of Minnesota Sfatutes anryd hCit1yI of Eagan Ordinances. Bldg. On.
8uilding Oflicial ,?1n+?n R ?1 f I Ill Variance
70'
$2'
X
X-
X-
FEES
BId9. Permn 713.00
Surcnarge 60•50
Plan Review 463.00
SAQ Cny 100,00
SAC,MCWCC hSn-nn
Water Conn 660.00
waler Meter 95.00
Acct Daposit 30.00
5/W Permil 30.00
SNJSurcharge .50
Treatment PI 276.00
Road Unit 370.00
Park Ded
Copies
rornL 3,448.00
_... _ _., .. .. . . . .. . . .
v_ r
RE:` 4123 PRNIRIE RIDGE RD
auL zb, 1991
DATE
(MI'PTELSTAEDT BROTFlERS)
X Your Sewer 8 Water Permit for the above property has been completed. it will be held at the
Pubhc Works Garage (3501 Coacfiman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above propert'y has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meler at City Hall. Meter size must be
confirmed by Bill Adams or Duk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE OIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?` REQUEST FOR ELECTRICAL INSPECTION
?/?3/71 li? See mslructions lor mmpleliog ihis foim on back ol yellow cooy
5 X" Belcw WorR'Covered by This Request
EB
-00
001-O
B
g
?'?1 y
y
s6
y"
Ao
{
.? mG/d
7
,?.y?
y
ew Add tRep Type of Build i ng AppliancesWired EquipmentWiretl
tnome Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Bwldmg Dryer Other (Specify)
Comm /Indushial Furnace
Farm Air Conddioner
OtM1erlsuecifyl
Campufe lnspectron Fee Below. Gontracror5 Remarps
n Oiher Fee # ServiceEntranceSrze Fee # QrcwtslFeeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps /
Transformers A6ove 200 _ Amps Nbove 100 _ Amps
SignS Inspecrors Usa Onry TOTAL
Irngahon Booms
Special Inspec6on
Alarm/CommuNCation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ONT
I, the Electrical Inspector. hereby R°°gm'" Date ,Z-?y
z
cer4fy ihat the above inspection has
been made F,?ai
( oa?e
OPFICE USE ONLY
Tp6 requesl vaitl 18 monlhs Irom ?
p OF(718004 "v ? C,?? ?? ^ d ?? ? 9
Request Daie Fve No c-in Inspection
eq I'ed'+
- `'
Cl ReaOy Now ?L ilh
Gspector
n Notify R
?
l/ NO
es a
ea
Y
I?$[licensed contractor ? owner hereby request inspechon of above electncal work at.
i
Job Atltlress Slreel Box or Ro¢e No CiTy
K ?L U ' ? /7 CT'
$eG?ion NO Township Name or No IRange No COV01y
Occupant (PFjW?T/j
V// Phon?e yNo '
Power SupoLer
n Ad
'?I
Elecmoai Gomraqoi (COmpany Name) Contreclor's L¢ense No
Matling Atltlress IGOnVactor or Ovmer Making InslalleVOn)
s, ?s? n?? - - ?,r? ?-?--? ?
/whon¢ed S naWre iCOnlracmcOwner Makmg Installatiory Phon Number
MINNESOTA STATE BOl PO OF ELECTRICITV THIS INSPEGTION REOUEST W ILL NOT
Griggs.MiCway Bltlg. - qoom 5-173 BE AGGEPTEO BY THE STATE BOARO
1821 Universily Ave, 51 Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)6C2-0800 ENCLOSED
-30&^*e?71
S? ? 41
RESIDENTIAL ? xO?o '
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCairetructbn Beauhemems
• 3 regMered stte surveys showMg sq. n. of bt, sq. tt. oi house; an0 jg roofed areas
(20% maximum bt Coverage albwed)
• 2 coples ot plan showing beem & wintlow sizes; poured fauntl design, etc.)
• lsetofEnergyCalculatrons
• 3 copies o1 Tree Preservetbn Plan'rf bt platl8d afler 711 /93
• Rim Joiet Delall Opibns seledbn sheet (bWgs wNh 3 or less unit,s)
DATE ? I??3'2_
f
SITE ADDRESS H ?? 'n ^ ,n - -_-
NPE OF WORK f? }MULTI-FAMILY BLDG _ Y _ N
_ FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ( J z,?
STREET ADDRESS -7q(P CITY ^ ATE IP
TELEPHONE - 152?5tX? - R7 CELL PHONE # FAX #
PROPERTYOWNER TELEPHONE
?
----------------------------------------------------------°---------------°----°---°-------
COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7692
(J submission type) . ResitleMial VeMilation Category 1 Worksheet Submftted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contracfor:
Plumbing system includes:
Mechanlcal Conhacfor:
Mechanical system includes:
Sewer/Water Conhactor:
^ Air Conditioning
_ Heat Recovery System
----------------- °----°---°---°-----------------------°------------° •
I hereby acknowledge that I have read this applicatlon, state that fhe
with all applicable State of Minnesota StqtuTes and Cify of Eagan Ord
Signature of Applicanf
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
BemodeVPeoair Beoulrements
. 2 copies W plan
• lsetofEnargyCalculationsforheatedadditions
. isitesurreybrexterbratldilans&tlecks
• Indicate'rfhomeservetlbysepticsystemtoraddWs
VALUATION
Phone #
Phone #
Fee: $90.00
2
Fee: $70.00
to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03plex
? 06 04plex
? 07 OSplex O 13 16plex
? 08 06-plex O 16 Fireplacs
? 09 07-plex 0 17 Garage
? 10 08-plex 0 18 Deck
? 11 10-plex ? 19 Lower Level
O 12 12-plex PIbg_YOr_N
? 20 Po01
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ect. Alt - MuRi
? 33 Ext. Alt - SF
? 36 Multi
O 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndatbn) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof O 46 Windows/Doors
O 34 Replacement 'Demolition (EMire Bldg onty) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Boaster 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 & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Cities Di
? Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1.1. 2 3 if:r
..iiv' P!TI; ,., ;
PERMIT SUBTYPE:
oF cK
INSPECTION REC4RD
PERMIT TYPE:
Permit Num6er:
Date Issued:
Ft I DGF RU
„ APPLICANT:
hIFlVICI JOE
(E,t ?) bn. , ?I ?
TYPE OF WORK:
IV l 6J
t,u?inr??r.
o)9/s?_/?):s
INSPECTION
F n?? ?? r? r .. .
i- r r! Fi i .A
?
?.--" - -.
?r?
Cities Di ital uality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? . •- •
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT 01?1?0
PERMIT TYPE:
Permit Number:
Date Issued
! I. , ?i:r.?1t!t r,r?c., i?h
i o r: si ucx: /i
rnvr `Hu
r.r.iv.: ;c, - 1 ',,1 0 1 -0 ?0 v,,
DESCRIPTION:
P4'f'; Lcl, nr}, Perm; 7y?f- DCCK
,{2i? ?t?
?• ? \
/ L \
?.-
i
?`"
?r`-;.---?? g??flg
REMARKS:
FEE SUMMARY:
`?utcli.irn,r? ._._.______._..i?"'?_-:'. ??<<al I'•? '.?6 r•t?
Sub Lo L,i 1 3..15 .'-l49
CONTRACTOR:
HAP4rL J(-] fl
? 9R0 Ii01 i11l PAUI.
((i1?) 6q?. 012n
o 111 -
t6?1?V11?1i
I
MM SS i @fJ
OWNER:
?CHfl17LCIPi
4 1 ; •
EF`.GFiP,!
DEIAD!N
, P,I\71fTE i270(iF I?:;
i•1 id
hl' , I h, I 1
1.111:L'S ,,^,'_i COf .t..i.
L _
? .
AF ICA T/PERMITEE S NATl1RE ISSUED B IGN RE
REACT4yRTE ?
PEFMI7 7AP?E???? CITY OF EAGAN
893 BUILDING PERMIT
R 16 1993 681-4675
APPLICATION `* a6 - s a
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date y /6/9.3 Yaluation of work
Site Address: y I 2 3 er.Q I r ?i6?2? e ?°t
STREET SUITE /
Tenant Name: (commercial only)
IAT C2 SIACK SIIBD T72 P.I.D. M
Descri tion of work: f ck
The applicant is: ? Owner 53 Contractor ? Other coe.«lbe>
Name 9cl1q`f z 121 v.
e l ?O ti tn Phone
Property
Owner ?
LAST FtRST _ %
"
e
pddress e-1 ( 'Z? p rc, iv i
STREET SiE M
City state h r' zip
Company ?j aC 4 Vn-e I Phone Cv ?l 7- -0 ( 2&
Contractor Address 24tMZ?5 /`fk % 1y0116ti S d__ License # Exp.
City J`' ,a State ?"1 h• Zip
Company Phone
Architect/
Englneer 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 ap lication and state that the information is
correct and agree to comply with all applicab e State of Minnesota Statutes and City of
Eagan Ordinances. ,
Signature of Applicant: '
U ?
OFFICE USE ONLY
BUILDING PERMIT TYPE El 01 foundation ? Ob Duplex ? 11 Apt./Lodging
? 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition O 08 8-P1ex ? 13 Garage/Accessory
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New E3 33 Alterations ? 35 Tenant Finish
? 32 Additian E3 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Buildin
Engineering Yariance
REGIUIRED INSPECTIONS
0 Site O Footing
? Wallboard O Final
.? .
? 16 Basement Finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Misceltaneous
? 37 Demolish
MWLC System
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing O Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
7ota1:
valuetian: $
fgof0.ry dirar?e _'?/ 00
SAC %
SAC Units T
BROS.
EYOR'S CERTIFICATE
PRAIRIE RIpGE ROAD
4a.i '
.e
0
ni J.i.T yv.1 899.8 O
` ? NI
t 5yb,?) s
' g
M ? PROPOSED
q DFIIVEWAY
fdEMCN WiNN i ai
? 1 d$0.]?
1bP CF iRON
EllV.ye9.15, i ?
'r' BO.eJ 22 ?
4 %?C6N5 I )~
8
T1 - - ? ? I BiMGH YppK
, lpP Oi IRON
p i [LCV: 6y.6a
I 'Qp
? "1 ',) l 8 So 3> " I
4 n I ti ?240 n
OD n PROPOSED
$I N FIDUSE g ? 4
a
0 w I ' V
m ji-- 6 ?J , '•• 7
Z (8,?5 So.3 _ GD
; () l e
--
,- z
'?
?
LOT ? I ?
<J ? _z
' EAS?MENY FER FLAT
8 ??tg
SAG.o
I I NCH = 30 FEET
85.00 N 2° 42 00 E? " on
L_?l j ??
?
??
_-n T? o W0 ? a 1ames R. Hill, inc.
9 r m?y ` ? pj 0 v OD > m J
o m o N? N D Z?M ? PLANNERS / ENGINEERS / SURVEYQF?S
m ? 2500 W CTY. RD. 42 • 6URNSVILLE, MN. 55337 • 812-890-8044
N? ? m N
«
S
i
1991 BUIL154ERMITA PCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF 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 LAST WORKING DAY
OF MONTH IN WIIICH REQUEST IS MADE.
ZAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
?
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?[gL ?(?L? Valuation: ? Date:
\
Site Address -7( 913
gLot ? Block y
Parcel/Sub 6??,r/r/Gy? -?i .?'?
Owner
Address
City/Zip Code
Phone
Contractor IY1177EL ?jT6f?T d.?Yl?=?
Address ?e -5 5I1,1lei,c?-T d?/L
City/Zip Code L?.&) vr,-i123
Phone 9/a S
Arch./Engr.
Address
City/Zip Code
/ 2,/ 00J,OFFICE USE ONLY
occupancy R•3 M-
Zoning Q -1
Actual Const Y- N
Allowable V- N
# of stories
Length 70'
Depth 5Z?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV Ae
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ?S 7Zy
Variance
FEES
Bldg. Permit 113,06
Surcharge ?
Plan Review oDO
SAC, City at00
SAC, MWCC 66-0-OJ
Water Conn. 60,00
Water Meter 95?at,
Acct. Deposit 30•00
S/w Permit 30.03
S/W Surcharge 1?;b
Treatment P1. ? ,O0
Road Unit r/m,ev
Park Ded.
Trail Ded.
Copies
SOBTOTAL
Penalty
Lot Change ??
TOTAL
Phone #
agrees that all work shall be done in accordance with
o c
(Signature of? Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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SURVEYOR'S CERTIFICATE
\` ? . 4. ? 11 \? _ yr^
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NO7E: NO SPECIflC SOI.S iNVESTqAT10N .
MA8 B[EN COMPLET'ED ON THIS
LOT BY THE SURVLYOR. THE NOYE: BVIl.01NG OIMFNSIOkS SHOWN ARE Ft7R FpRIZONTAL
SVITABItITY OF SOILS 1D SUPPQRi B VFR7ICAL IOGAT10N OF STRl1CTURE ONLY. 5EE
TME 9PECIFIC HOU$E PflOPO$EO p1i011TERVA4 RANS FOR BUILOfNG 8 iOUNDATION
IS NOT TNE pEgPONS16417Y OF DIMEHSIDNS.
THE SUINEYOR.
?----- bENOTES PROP05ED SURFACE DRAINAGE
n DENOTES IRON MONUMENT 5ET SCALE! 1 INCH - 30 FEET
• DENOTES IFiurv ivi.^,T"':;•-.•,E`ST F,^,;;NC PROPOSED GARAGE FLOOR - 85"o.6 FEET
X000.4 DENOTES EXISTING ELE1/A710N PROPbSED LOWEST FLOOR - 8yz. q FEET
(000.0) DENOTES PROPOSED ELEVATIQN PROPOSED TOP OF BLOCK- 8 SI•a FEET
WE HEFiEBY CER7IFY TO MITTELSTAfiDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTA710N OF A SURVEY OF THE BOUNDARIES OF;
Lot 2, Block 4, COVENTRY PASS 2ND ADDItION, accordltg to the
recorded plat ihared, Dokota County,Minneaoto
IT DOES NOT PURPOR7 TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY OIRECT 5UPERVISI0N THIS I7TH DAY OF J U LY . 1991.
PROPOSED GHApES SMDWN WERE TAKEN SIG
FROM TFiE DEVELOf+MENT PLAN fOR
COVENTIrr PA93 2ND ADdITION, LAST
DATED 5-17-89
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R. HILL, INC.
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JOHN C. LARSON, LAND SURYEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hili, inc.
PLANNERS / ENGiNEERS / SURVEYORS
2500 W. CTK. R0. 42 • gUAK5V1t?E, Mk. 55331 0 6t2-880-8044
SURVEYOR'$ CERTIFICATE
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PRAIRIE RIpGE t?OAD
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BENCN AIARK
10? OF IRON
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 o BURNSVILLE, MN 55337 9 612-890-6044
MMMMM"
o PROPO5EO ? 10
oR,vEwar 9
(8503)
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B.ON
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^ n 18V7,51 b (850.3
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EXTERZOR EN9ELOPE AVERAGE "U" COMPUTATION
OWNER ?FIE LC?c/R?lr?`!J?
SITE ADDRESS 14 /o7'7
CONTRACTOR
ADDRESS 'I $., Su A-)5 Er hQ. 9A(,R,) PHONE 4 K(r q I 2'S
DETERMZNE WORRITG SQUARE FOOTAGE OF EACH.
1. Total exposed wall area ... 2'7 g'7 aq: ft. x. 11
2. Total raof/ceiling area .... { rJ 2 5 sq. ft, x•026 a
Total exposed wall area above floor ='z L q c?
a. Total wall window area ......................... g0.-/
b. Total door area ................................ 40,o
c. Total sliding glass door area .................. / O 4.0
d. Total fireplace wall area ...................... O
e. Total wall framing area (average LO$) .......... 2 leq,D
f. Tatal net wall area above floor ................
g. Total rim joist area ........................... 16 .0
Total exposed foundation area m q?
h. Total foundation window area ................... p
i. Total net foundation area above grade .........
Determine "U" value of each wall segment.
8. 214,0.IV xflu^ , y75 a 114.2
b. yD,o x"U„ . or7 ° 2.19
_
c. 1D9,0 g flu" ,Y2 s q5.9
d. D R'tU" p = O
e. 2L9.a X"U„ 2Q.6
f. 1'781.1, g flUff .0Y'3Y ° 77'?5
g. 25&.0 x IlUlt ?0yq
h. Q x 1tU11 O a O
1. //. b R tl}}1/ I O5? n 7.5
U
If item 03 is the same as, or less than item met the intent
af SSC 6006 (c)2.
3 . ...............................Total 2 49 .
-1-
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Page 2 of 2 "
Total exposed roof/ceiling area - 17 2A
J. Total skylight area ........................... O
k. Total roof/ceiling framing atea (average 10%)..
1. Total net insulated roof/ceiling area ......... 1 I,
Determine "U" value for each roof/ceiling segment.
j. e7 X nUff Q ? -
k. ?07.4Z x„v,e , 0 2?R ? 2,78
1. ? c01712 xt,v„ ,o zi g a 15-.-3
4 ..........................................
If total of 64 is the same as, or less than 42,
of SBC 6006 (c)1.
Alternate Building Envelape Design
the intent
To utilize the total envelope syatem method, the values established by
the sum of items A3 and Il4 shall not 6e greater than the sum of items
lll and if2. ,
1. + 2. _
3. + 4. a
-2-
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
• EAGAN, MN 55122 PERMIT #
. PHONE: (612) 454-8100 RECEIPT
W?wm DATE :
??ID?N1`•Z1lTr: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ----------------°---------------------------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00 7
ADD ON SHOWER 3.00 yD ,C?
REPAIR WATER CLOSET 3.00
? ?3C
7• t.xi
BATH TUB 3.00
LAVATORY 3.00 ?
OWNER NAME: KITCHEN SINK 3.00 ?
? LAUNDRY TRAY 3.00
SITE ADDRESS: ? HOT TUB/SPA 3.00 ?
WATER HEATER 3.00
LOT:? BLOCK ? SUBD?'r e ? • n'' ? FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: ? (MINIMUM - 1) 3.00 3'QD
ROUGH OPENINGS 1.50
ADDRESS: OTHER
? ry 11 ,? ? - WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SIIBTOTAL $ NC?
ST. SURCHARGE .50
TOTAL: S 7 ?
Gq1S?t$ItGIAF.jiNDLTST&IAL? 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 NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDKESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 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 FOR CITY USE ONLY 3 41l
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #-_??
?C?,j?C?7:?c??SR?C1', DATE: 0p4 9
R??ID?NTI`l?S:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------------------------
---------------
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME : N?! rT?7" eL S T.y ?v'
SITE ADDRESS: 1'azigtn= ???7c--c !za
IAT:? BIACK ? SUBD.
?lj
INSTALLER:
nnnaess: Burnsville Heatin" & A/C, Inc.
12481 Rhode Island Ave. o.
CITY: Savagg, MN E&M-1122
894-0005
PHONE #
FEES
ADD-ON MINIMUM 00
HVAC 0-100 M BTU 4
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM i-(A-3.00
OF 1 PER PERMIT
?o
SUBTOTAL: $?_
STATE SURCHARGE: .50
s?
TOTAL: $ 3C
SIGNATURE OF PERMITTEE
?DMM4CiALlXNAMSKTAT:b 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:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING m $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE St7RCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118610
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 4123 Prairie Ridge Rd
Lot:2 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
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 -
Lynn J Kram
4123 Prairie Ridge Rd
Eagan MN 55123
(651) 686-8114
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
, �-----------------
' � For Office Use �
I I
• � Permit#:/� � ��/� �
I �
I � / y� / I
l�� Q ���� � Permit Fee: "T�� �Ll `-�r�
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651)675-5675 I I
Fax:(651)675-5694 I Staff: I
I I
V.����������������J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z� �y�� � 5 SiteAddress: `�'IZ3 (�YL.�,�yz,��;, �t�b� �o� Unit#:
,;. : �:s Name: L�)�.1�.► �,�.�'�'M (e5) Io 4�L �l 1 y
�� Phone:
�r, _
` " Address/Ciry/Zip: �"�� 23 PYjIk�YLI� �ql-� � �Ir6.A�+ 1V�,i-c �5�Z3
?=
OPY�.i.a
Applicant is: X Owner Contractor
� �rf� Description ofwork: �I�+t.OU� .SE�o� DF �12�- ��� 14�i1- — �G (� 577k'LL
� ��y� Construction Cost: �Z 0� Multi-Family Building:(Yes /No k )
, �..
� ;
�.-� �: Company: Contact:
��ti
�' ' � �~ Address: City: I
t�,:;
_ �,�:
�n a �,.; �. State: Zip: Phone: Email:
��:
� , �
� License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
�;x•
,,.,.., ����„
._.
,�� . : r. .. Y
,�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orp
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X Ly �I �..1 �12t�M X O�.
Applicant's Printed Name Applicant Signature
Page 1 of 3
, . '
_�
�{l�� 2����E �c��� ��.
� ` DO NOT WRITE BELOW THIS LINE ���'��-��
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch(Screen/Gazebo/Pergola} _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building Reroof Demolish Interior
_ Alteration Fire Repair Windows Demolish Foundation
_ Replace � Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ��� �� Occupancy .�-�� �-� MCES System �
Plan Review Code Edition N � ` SAC Units
(25%_100%_) �=�-�-- Zoning City Water
Census Code �y,a�- Stories Booster Pump
#of Units � Square Feet — PRV
#of Buildings � Length Fire Suppression Required
Type of Construction f,� Width �
�
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control ',
Fire Walls � Erosion Control
Braced Walls Other: '
Reviewed By: � , Building Inspector
RESIDENTIAL ES
Base Fee ' � Uc �
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3