4127 Prairie Ridge Rd
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soRIILMLMUMM,85.86-0 S / 0 6 / 4 3
?QIB IOFl-PB'CM jH)688-7379
t1Q683-3417
` .ftcate vf cccupanc?
Wim of fteam
2 60 aNa?t of lositiing 3*#*ati.n
This Certificate issued pursuant to tlie requirements of tiie Unifor?n Building Code
certifying that ar the tim of issumece this strwctum was in compliance with the various
oidinairces of the City regulating buildixg construction or use. For the following:
uae ' sldg. Pemrit xo. 1077
OccuvancY TYPC Zamg Disaia _ type Const.
UwnerafBoild?st?'`?•._. EPODiERS pddmo QM4 TMVAIE AVE, HLMM
i? , ,
, Addren Locality
?
? : 10/15/92
?
e.ian omc;r
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN W-CMaIM I-+ox tatt-05/06/Q3 PERMIT TYPE:
3830 Pilot Knob Road EMQM IOPEZ-pQEDA (g)688-7379 Permit Number:
Eagan, Minnesota 55123 (W-)683-34+17 Date Issued:
I (612) 681-4675
i SITE ADDRESS: t uT ;I lit OLk: a APPLIGANT:
? 4127 PRAxRTE kIl1WE RU [tAWI.F i3RQTHEkB INC
? r.,nvENiRY PASS 2NU (612) BilB-60E:fi
PERF41T %UPTYPE:
TYPE OF WORK:
Control No. 0816
-? netbr1
e1 /16 /A:
? f W
l+?, ? i td: ,.
t RAMiNb .•
?
lN`:UTAi ICtN FIlEA!
FI 1?l:PI.A(;[
I
kf NAkK'-i ! PflV
& W CoNtHACTOR - 5'fAl{ pk8q
?
.. ?
Psrmtt No. PwmM tioldar Deb Ti"hone i
5/VN
PLuMeIrr,G
HVAC
ELECTRiC
ELECTRlC
ImpwUon Dete Map. Commenb
Foatinge I
Foundatbn 71`
i
Framing ,
FiOOft
Rbugh Pibg.
Rough Htg. ?,
Fl^epAm 9-2?O 92
Fmsi ?0g.
oraat rosa
Rnal Plbg. O? 9 Plbg. Inspeclor - NotilY Plum6er -
Coned. A+iPAer
EnyrJPlan
Bldg. FlrceJ
°°a` ft. D
Doc* Final -1_93 (
wa
Pr. D".
Address:4127 PRAIRIE RIDGE RDAD Lot I Blk 4 Sec/Sub COVENTgy pASg 2Np
These items wera/were not complete at the time of the final inspection.
Date: 10 15 92 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass
Trail/curb damage j?
Porch v
Basement finish
Deck
Please verify vith the builder the ramoval of roof tast caps from the plvmbing
system and tha shut-o£f of water supply to tha outside lavn faucet before
freeze potential exists.
4lLKi[4F1RR
White - City copy Yellow - Resident copy Pink - Contractor copy
en 9 ni ?/
?
_?
GY ?(
Paquest Oete
O n Fre No Ro -in Insptttion
e
? Reatly Now Wul Noory Inspector
8???^ Ves ? No When Reetly7
Ikicensed contractor E) owner hereby request inspecLOn of above electrical work at:
Jo0 htltlress (S"ree'. Box or?,irte No )
4?2? i?fo.%riE ?il e?? Gry
E QY1
Secuon No Townsnip Nama or No Range No Courity ^??
1?
Occupant(PRINT)
¢. r?3..'4-.rS PM1One No
888-6g?oh
Pow SuppLer
akoz AtlEress
arm ? n -hN,
Elecmcai ConVactor JCOmpany Name) n hecmr's 'censa nb. n
??
? { ? W C l L
Matlmg A ress IGOntraclor or (wrier Makin InstallaLon)
1246-7 .?reS c??Ja
Authorrze0 SignaNre iCOnttaclor:pwner Makm InstallaLo ? Phone Number
? L 6? ?0 - 3S?S
MINNESOT ATE BOARD OF ELECTRICITY ?
Grigqs-M BiGg - Naom St7J
1821 Unive alty Ave. SL Pnul, MN 55104
Mone (612) 612-0BW
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOARO
UNLESS PPOPER INSPECTION FEE IS
ENCLOSED
•30a0? o? REQUEST FOR ELECTRICAL INSPECTION ?? l ee-0o?o/-0e
29146b. Se inslrv ions br complaLng this form on back oi y¢Ilow cOpy s Q? S?P
K ?? ?P?X" Below Work Covered by This Request
ew Atld Rep TypeoiBullding ApphancesWiretl EquipmentWved
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Bwldmg Dryer OtheE-(Speafy)
Comm./Industnal Furnace
Farm Air CondiOOner
Other(specity) ConVactor5 Remarks
Compute Mspection Fee Below:
# Oiher Fee # ServiceEntranceS¢e Fee # Crtatts/Feeders Fee
Swimming Pool 0 to 200 Amps 0O ?Z D to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Slgns Inspecmrb Use Only_ TOTAL
Irngation Booms ?
Special Inspection
Alarm/Communicahon THIS INSTALLATION MAY 8E OHDERED DISCONNECTED IF NOT
Other Fee , COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspecror, hereby
if RougO.m oa e
cert
y ihat the above inspection has
been made. F??ei .7 oere ? q
- L
OFFICE USE ONLY ?
This requast witl 18 monins irom
RESIDENTIAL 1
• ' ' BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 '
NewConshuelian ReauiremeMs
• 3 registered site surveys showirg sq. R of lot, sq. ft. oi house: and all rooied areas
(20% mazimum bl coverage allawed)
• 2 copies of plan showing 6eam 8 window saes; pou2d found design, etc.J
• 1 set of Emqy Calculatbns
• 3 copies of T2e Preservation Plan if bl platted aRer 717193
• Rim Joist Datail Ophans selection sheel (bldgs with 3 arless units)
DATE
RemodellRaoair Reauirements
• 2 mpies of plan
• 1 set of Energy Calculations (or heated additions
• i sile survey for extenor additiore & decks
. Indicate if hame served by septic system for additions
VALUATION D ZZD .QX3
SITE ADDRESS A N 2-1 i?? x d e). MULTI-FAMILY BLDG _ Y _ N
TYPE OP WORK ?/? 1?-166?\ Cl C' FIREPLACE(S) _ 0_ 1 _ 2
`
APPUCANT '-T2cY?P r?v '?oo-F % r? C,
? .
STREET ADDRESS AS ap,qc'? v i') CITY STATE_ZIP
TELEPHONE # Q`?,4 14Lcln CELL PHONE #
FAX #
PROPERTYOWNERec,rique 1`?- ?nPd r'? TELEPHONE#
---------------------------------"------------°-----------'--------°-----'---'-'------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNCSOTA RGLFS 7670 CA'1'EGORY l MINNESOTA RULES 7672
(d submission type) • Residential Ventilatlon Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted
. Enetgy Envelope Calculalions Submitted
Plumbing Contractor:
Pluinbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioniii;
Heat Recovcry System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
----°---------°----°-----°... °-------•-----------------°--------° ° °-------°-------------------------------------
I hereby acknowledge that I have read this application, state ihat The information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
S(gnafure of Applicant
OFFICE USE ONLY
_ Water Softener
Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. oF R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
. . .
? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ 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
? 34 Replacement "Demolition (Entira Bldg only) - Give PCA handout to appllcant
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 of Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foodngs (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundafion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franvng _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
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
Building Inspector
Total
LoT: 1
BLOCK: SUBD./P.I.D#:PA?c.& 211A
?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
New Construction Reauirements
? 3 registered sRe surveys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (207, maximum lot coveraae allowedl
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
? 1 set oi energy calculations
? 3 coples of tree preservatlon plan H lot plafted affer 7/1/93
? Rim Jolst Detail Options selection sheet (bulldinas w(th 3 or less untts)
?•
DATE: ? ?? 1'4- h-° o C) CONSTRUCTION COST:
DESCRIPTION OF WORK: A'dt 65 multi-family bldg., how many units?
STREET ADDRESS:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: '-e&a. Eoc iSuf- Phone #: 6u!;- °/
Last PUsf
StreetAddress: ??a *4 ??Q--
City State:.
Gompany:
Street Addr
CI1y
Company:_
TNephone #: (
Sheet Address:.
CMy
State:
Name: _
Registrafion
, State:
Sewedwater licensed plumber ({f installina sewer/water): Phone #:
Zip:
I hereby acknowledge thaf I hove read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City €?Fagan Ordinances.
Signature ot Applicant )
OFFICE USE ONLY
$ 60. 50
Remodel/Reoair Reauirements CA,kd ??-lizi"m
2 coples of plan
1 set of energy calculattons for heated addfftons
1 site survey for exterior addlttons & decks 1( _ ?
?y
acoctdC
('n?s zIp: s'?'izs
Phone #:
(area code)
License # Exp.
Zip:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 03 01 of _ Plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Parch (screened)
? 05 03-plex ? 11 10-plex 110 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12_plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
IF 32 Addition
? 33 Alteration
D 34 Replacement
VALUATION
Census Code V075;1
SAC Units C2 /I
Nbr. of Units ?
Nbr. of Bldgs /
Type of Const
? 35 int Improvement
? 36 Move Bldg.
? 37 Demolish (Bldg)'
0 38 Demolish (Interior)
"Demolition (Entire Bidg onl
_ Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
_ Footings: New Bldg
_ Footings: Deck
_ Footings: Addition
Founda[ion
-X Framiug
APPROVALS
Planning
Sase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
ToWi:
_ Insulation
FinallC.O.
? FinaUNo C O.
Fireplace: _ r.i. _ air test fmal
Pool: _ frgs _ au/gas tesu _ final
Building Z4? Engineering
Booster Pump
PRV
Fire Sprinklered
? 42 Demolish (Foundation) ?
? 43 Reroof ?
? 44 Siding
y) permit - Give PCA handout to applicant
MC/ES System
De- / City Water
? 30 Accessory Bldg
? 31 Ext. Aft - Multi
? 33 Ext. Alt - SF
? 36 Muiti
45 Fire Repair
46 Windows/Doors
_ Windows - new/replacement
_ Siding
_ Smcco/Stone
Roof: _ ice & water ` fmal
Variance
CITY USE ONLY
L _ BL ? RECEIPT #:
SUBD. C°) RECEIPT DATE:
PERMIT# -I
2000 PLULrIDING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH q
TOTAL ?
Alterations to existing dwelling - minimum fee
Describe: ? _- • -?_l 1.!.v. _ 1
?-U\Nt ? ? $ 30.00
?
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ga5 pipln OUtlet * minimum -1 3.00 X = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurtished ' requlres MPC lic. 75.00 X = $
SeptiC S stem abandonment 30.00 x = $
RPZ new installatioNrepaiNrebuiid 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler rf existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under consWCUon 5.00 x = $
Water softener If existing dweiling 30.00 x = $
Water turnaround 30.00 x - _ $
State Surcharge 50 --> --> -> S .50
Total -' --' ?' --' $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -ic '?()
-------------------------------••---------------------------------------------------------------------------------------...---•-------•-
I here6y acknowledga that I have read this appliwtlon, state Mat the informatlon is correct, and agree to compy with all applicable Ciry of Eagan ordinances.
It is the applicanYs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages wused by the City during its
normal operational and maintenance adivities to the facildies constructed under this permd within City property/right-of-way/easement.
SITEADDRESS: 412? P?-o?`n? Rr?L ?ow?
OWNERNAME:: L°('z-&-P`t '?P&C?` TELEPHONE#: lo!? I 1°8rg7319
(AREA CODE)
INSTALLER NAMV 'Etnc-i TELEPHONE #: CD S ? 66-3 -39
? (a.Ren cooe)
STREET ADDRESS: 4? 2? P6°` ``? ? 6Z` y-? Roo.?-
CIIY:
?'. V ?U1 n/ _._ t"? i 2_3
REACTI4ATE ? RECE4\Uf ED CITY OF EAGAN
PERMI7 IF 993 BUILDING PERMIT APPLICATION _
MAY 0 4 1993 681-4675
0 7 `?1 --------------
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural b structural plans, 1 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 /q/ 1`t 3 Valuation of work ? PS'o°oo
Site Address: Pf,:r.e-
SiREET SUITE M
nant Name: (commercial only)
IAT ? SIACK ? SIIBD. Cy,k?y,?vy ??ss Z?? ?•
J P.I.D. N
Descri tion of work: ?c
The applicant is: El Owner ? Contractor O Other (Deaeribe)
Name L.n PF?- P irt EDA ???? c"?ur Phone
Property LAST FIRST r.)) Gg?- ;:7-/i7
Owner Address 14 85e- R°°a
STREET 8TE
City cL94`^ State MI\j Zi p >> t2_3
Company Phone
Co ntractor Address License # Exp.
City State ZiP
Company Phone
Architect/
Engineer Name Registration N
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 a lication and state that the information is
correct and agree to comply wit 1 applica e State of Minnesota Statutes and City of
Eagan Ordinances.
?
v
Signature of Applicant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
O 08 8-Plex
[3 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
0 34 Repair
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. F?t. total
i of Stories Footprint Sq. ft.
Length * On-site well
Depth ,y, On-site sewage
APPROVALS
Planning Building
Engineering _ Variance
REQUtRED INSPECTIONS
El 5ite %Footing
0 Wallboard QCFinal
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
O 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code
cYllNS 4tb
o
5
As?fne "nts
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuat;on: g
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
A 15 Deck
SAC %
SAC Units
CERTIFICATE OF SURVEY
. ? ?
LAND SURVEYORS
.c'6v;e. ceutuu. pua.
8713 DUPONT AVENUE SOUTH
BLOOMINaTbN, MINN. 66440
868-4006
aca .
Survey for:
DAHIE BROS., INC.
- Zz9. a/-
f
?
N
?
N
?
9sap ?`y ?", o
? '?j
?? -
t
? r
?
izsoo
DESCRIPTION:
?
r\
?
I 7n II
•. M
? ` ? ?7lriv? a?, ? q
i ?
1 \ ` N ? y1 ? `-??
q\ 7
33 i?---?? -
v
=rl ?i
_" ?3QDa ?"?0 clx \\ \ x
?o
Lot 1, Block 4, COVENTRY PASS 2ND ADDITION
v^\
\
?R
r
M ?
Proposed Grades:
Top of Blocks 8s?6 S Garage floor ByZ-f Basement floor B38 S
? NOTE: .
Circled elevations are proposed, others are existing.
> Arrows denote direction of drainage.
Scale: 1"=30'
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 vtsible encroachments, if.any, from or on said land.
Dated this 9th day of July ,19 92. n 1--3 1117 '
cen
277- 98
lBL CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
&88IDSNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE QNLY
RECSIPT # 7L_
DATE o2
ALSO, FOR TOWNHOMES AND CONDOS
WQRK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR ^
OWNER NAME: A?A69(P Y%'Y?_ll?l
SITE nnDxESS:
INSTALLER: K?H?I (! ? `?/ l
ADDRESS: ?/ ? O /[ /?OC? /C'! y? ??
CITY: ZIP:9
PHONE CC? jV
SIGNATURE
NO
?
?
?
?
/
?
?
COMPLETE THE FOLLOWING:
FIXTURES EA.
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CIASET 3.00
BATH TUB 3.00
IAVATORY 3.00
KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
HOT TUB/SYA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS ?IYING 4L'T.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
TOTAL
?
9?°v
?O a
9 ov
E2
3-9
'ILOJ
Lr"Lce
?(? 57
5TATE SURCHARGE .50
TOTAL: S 4717l7
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MiILTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACIi DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SIiB Ev"3LnGS8:
TENANT NAME:
SUITE #: _
INSTALLER:
ADDRESS: _
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% C° CQP::°,Ar-T FEE. ,
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CTI'Y OF EAGAN
MECHANICAL PERMIT
(612) 681-4675
xESmENrraL
RECEIPT #
DATE
PLEASE COMPLhTE UpPER PORTTON ONLY FOR SINGLE FAMII,Y DWELLINGS. AiSO, COhiPLEfE FOR
TOR'NHOMFS)CONDOS R'HEN SEPARATE PERhIITS ARE REQUIRED FOR EACH DR'ELLING UNIT.
OR'NER: FEFS
SITE ADDRESS: ADD ON(REMODEL (EXISTING
CONSTRUGTION ONLI) $ 15.00
INSTALLER: ??? ? r? HVAC: 0-100 M BTU 24.00
PHONE #: ? ADDTl'IONAL 50 M BTU 6.00
ADDRFSS: GAS OUTLETS - MINIMUM L@ S:i EA. ?, O Q?
CiTY: ZIP: SURCHARGE $ .50
SIGNA TOTAL: $ Dn, ?-o
COMMERCIAL
PLEASE COMPLF,TE THIS PORTION FOR ALL COMMERCIAIIIINDUSTRIAI, BUII.DINGS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WfiEN SEPARATE PERhIITS ARE NOT REQUIRED FOR
EACH DWELLING iTNIT.
WORK DFSCRIPTION: CONTRACI' PRICE
196 OF CONTRACl' FEE. FEES
STATE SURCHARGE LS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCFSSED PIPING -, $25.00
MIIdTD1iUM FEE • 525.00 $
OR'NER: TOTAL: $
SI1'E ADDRFSS:
TENANT: _
SUITE #:
INSTALLER:
ADDRESS:
CI1'P: ZIP:
PHONE #: CITY SIGNATURE
SIGNATURE:
INSPECTION RECORD I C°nt °"°. 0816
CITYOFEAGAN PERMITTYPE: suiLotNG
3830 Pilot Knob Road Permit Number: 001077
Eagan, Minnesota 55123 Date Issued: 0 7/ 16 / 92
(612) 681-4675
SITEADDRESS: LoT: 1
4127 PRAIRIE RIDGE RD
COVENTRY PASS 2ND
PERMIT SUBTYPE:
SF DWG
eLoCK: a APPLICANT:
DAHLE BROTHERS INC
(612) 888-6866
TYPE OF WORK:
NEW
INSPECTION
FOOTINC, .. .
FRAMING .A
INSULATION FINAL
FIREPLACE
REhIARKS: PRV S& W CONTRACTOR - STAR PLBO
F-
L
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT ?
PERMIT TYPE:
Permit NumberDate Issued:
4127 PRAIRIE RTDGE RD
LOT: 1 BLOCK: 4
CDVENTRY PASS 2ND
9uildi;99 Permit Type SF DW6
6u31din§? Work Type NEW
UBC Occupahcy R-3 M-1
Constructiori'Type V-N
Toni,ng R-1
Building Length , 58
Building WidtM ? 52
, Building storiss -- 2
REMARKS: C `) A ?S
PRV 5& W CONTRACTQR - STAR PLBG
BUILDING
001077
0T/16/92
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
5AC 8
SAC Units
Subtntal
VALUpTION
$772.50
$502.13
$69.0@
$700.00
100
$2,043.63
$138,000
MISCELLANEOUS $1.610.50
Totel Fee $3,654.13
CONTRACTOR: - Applicant - 5T. I.ICpWNER:
DAHLE BROTHERS ZNC 18886866 0001647 DAHLE BROS
9304 LYNOALE AVE S 9304 LYNDALE AVE
BLODMINGTON MN 55420 BLOOIdIN670N MN 56920
(612) 888-6866 (612)888-6866
Z hereby acknowledge thaC Z have read this apPlication and staCe that tha
information is correet ree to comply with a11 applicable State of Mn.
Stat es andfC_ky E a g a n Ordin s.
Control No. 0816
IS? UED B . ? NATURI ?E
?
PERMIT,S
REACTIYATE ? 4&1(7flce?Ia
10491
CITY OF EAGAN *'S
1992 BUILDING PERMIT APPLICATION
681-4675
'7
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
ate Yaluation of work l/O Gdd
ite Address: y/?2 7P'4,r ;c /C?'c%rc ao d
STREET ! SVITE M
I
e
T
nant t Name: (commercial only)
LOT BIACR _y SUSD. P.I.D.
#
_ Co C r.
Descri tion of work: ew nvis ?vc_ j/'o-I-,
The applicant is: ? Owner Contractor 0 Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREE7 STE N
City State Zip
Company ru Phone
COt1tf8CtOf Address I3dLI Z),,,du& /IV- License # 6lJd Ly Exp. 9,z
City &0 State /l? Zip SS`v
?,
?
Lompany Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber T4 u ,. Processing time for
sewer & water permits is two days once area has e8 approved.
I hereby acknowledge that I read this a lication and state that the information is
correct and agree to compl wit 11 pli ``State f Minnesota Statutes and City of
Eagan Ord9nances.
Signature of Applicant
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
0 31 New
? 32 Addition
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1
O 33 Alterations
O 34 Repair
GEfVERAL INFORMATION
0 11 A t. Lod in ? L1"?
p / g g ,? ¢,?,?a?ement Finish
? 12 Multi. Misc. ? 17 Swim Pool
IJ 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
? 35 Tenant finish ? 37 Demolish
? 36 Move
Const. (Actual) _Y41 Basement sq. ft. iz 9G MWCC System ?-
(Allowable) VJI/ lst F1. sq. ft. ?z G City Water X
UB? Occupancy _3 Pn ? 2nd F1. sq. ft. PRV Required ?
Zoning R-! Sq. Ft. total Booster Pump
t of Stories 2 Footprin t Sq. ft. Fire Sprinkler
Length S 8 On-site well Census Code
Depth 52•33 On-site sewage SAC Code oL
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED IN SPECTION S
? Site ID Footing p Framing El Insul ation
? Mallboard 0 Final p Draintile ? Fireplace
Permit Fee
Surchar
e v,i,ar;,,,:
g
Plan Review
License
MWCC SAC
C i ty SAC
Water Conn. iS -?7 %ya
Water Meter , J
Acct. Deposit '-
S/W Permit -
S/W Surcharge
nL Pl.
t
Road
Un
Park Ded. ?
Trails Ded. 3=x 2% 53-
Cop ies
C
Other
Total : ar
2 z
k/? :
? /Sz
?l
SAC Units
FXTERIOR ENVEIOPE AVERAGE "U" COMPUTATI0N
Lcm'l- polo MA
$!TE ADORESS:
CONTRACTOR: T?AJALI,711132?) JOC DATE: 7?p?q2 PHONE:
OETERMINE 4lORKlfIf SOUARE FOOTAGE OF EACH:
1• TOTAL EXPOSED WALL AREA,,,,,,.. ?'q5.25 sq ft x"Un 11
a ?COLa-lLCJ
2. TOTAL ROOF/CEILING AREA,,,,,,.. sq f[ x"U" .026
3. TOTAL EXPOSED 14ALL ARE.4 CALCULATIONS:
Total exposed wali
area above Floor ,,.,.... 2-200 sq ft
-Tt7-
a) 7ota1 wal! o-rindow a-ea:
?L. qlazed,,,... sq ft x "U"
? ?JSr1
qlazed__,,,, sq ft x "U"
b) Totai door area ,,,,,,.,, sq ft x"U"
e) Total siid?nq qlass door area:
DEL qlazed...... 5Q ft x "U"
qlazed...... ---? sq ft x "U"
d) Total ffreplace wall area
sq ft x "U"
-.4o a 32.?
?--?----?... Q ---?
n ?
e) Total wall framinq area /,.?
(Averaae )0°) ... , ...... 2Z?./ sq ft x "U" bq I
f) Total net wall area above
floor (Insulated)....... 19%30 sq ft x"U" •c.43 ae6. 4
g) Total rim loist area ...... sq ft x:'U" ,641 . R,35
Total faundation
area (Exposed).......... 7 60 sq ft
h) Total foundatlon ?
wtndow area............ ?p, Qd sq ft x"U" ??ZI = 7, 52
3.
f) Total net foundation h /
area above qrade....... sa ft x"U" (/7lU •
TOTAL a) Ithru i) ? ??
If Item A3 Is the 52me as, or less than item P1, you have met the intent af
2 MCAR 1.16008 A and 0.
Page 1
4. TOTAL EXPqSED ROOF/CEIL RIG CAICULATI0f75:
Tota1 exposed /
roof/cetlinq area........ 1? J 7& sq ft
J) Total skyllaht area....... -?- sq ft x"U" ?
k) Total roof/cefllnq framing
area (Averaae 1n9,)...... 15110 sq ft x"U" .OZ-7 -3'7I
1) To[al net insulated
roof/cefltnq area....... J-Z?%.40 sq f[ x"U"
4. , TOTAL j) thru 1) C?J
If total of 04 Is the same as, or less than 92, you have met the Intent of
2 MC?.R 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGPl
To utillze the total envelope system method, the values established by the sum
of Items 63 and p4 shall not be 7rea[er than the sum of i[ems N1 and 02.
I. Z.BS48 + Z. 35. ?7 ? 3Z I, ZS
3.
C E A T 1 F:_ R T! 0 N
I here6y eertify that i have calculated the "U" factors and "R"
values hereTn and yhat the AuTldinq here d71Z d m;ets o?eeds y?e State
of Mfnnesota Enera Conservation Act.
qnature
niA
TPrint name
,l?Y CpT l942
(Da[e)
Page 2
MISTRUCTI ON
AMING SECTION:
?
•
I?.?
?
WALL SECTION (INSULAtED)
----(1
4
5
RIM JOIS? SECTIOIJ:
-?1 Interlor air film
R VALUE
0.
3 ?,?r•ltij?, z 5
4 .,a . , t?: i,.,. ,
Exterior air film -n ii
?
Q A .. ?.
A'•
'A
??"6 :p.
; . Q-. ..
,'Q.A•.'.
A. A? ?.04
FOUNDATION INSULATIOf! REQUIRED:
Min. R-5 on entire wall OR
Min. R-10 down to frost depth
Qa
u ,a
'4 • ' a
a•
F
FOUNDATIDN SECTION:
TOTAL R = L13. IJ
U - I/R ' LILLSY
SLAA OH GRADE
E
u - 1/R - .Q<-
-(1 Interlor alr film 0.68
-?2 'd • f? Cf .l`i : ?,Uc-?
--(3 1 2' ec,?e - {I, Uc?- l 29
--{L Exter or a r film p, 17
f5
Heated Sla6s:
Minimum R = 8.5
Q.- . -.'?Vi ° : ??. ?'•'•4'Q ?
Slabs:
mum R ? 6.2
?4
A
?
?
I
' ? ' 1 ;
4 , •? .? ?•? ?
? Q ? ,
d ? . . ? ? • ? i ?' " r ? r• ?
,
,
.
.
. . Q
r
.
'
• .
q
?
• q ,
?, . ,
1
„ ,
. ?
. 4
. '
?
? ';v
; p .
4
• q. '
•
. -a .
,
??
• . . , ,
Page 3
U- 1/R?
u-t/n-.043
CONSTRUCTIQN
CEILINR
1
AIR 2
CHUTE 3
4
U- 1/R- c7zZ
?
CEIIING
1
2
a
5
,
U - I/R a
G
1
?
? 2 3 4 5
vErvTEo
CEILINC
P
2
3
4
R VA;UC
SECTION (INSULATED):
Interlor afr fllm 0. 1
` .
U
Exterlor atr fllm still 0.61
TOTAL R - ']
FRAHING SECTION:
Interlor alr film 0.61
zl: 7
-
In[erlor a r fi
m st T 0.61
inches soft wood {e_?j.?={
TOTAL R
SEf,TION (IfISULATED):
Interlor air film 0.61
Exter or air ilm stitl 0. 1
TOTAI R =
U- 1/R=
[EILINr, FRAHINR SECT10N:
1 Interlor air film 0.61
2
3
hEx•erie- alr film (still) 0.
5 Inches so t wood
TDTAL R =
U - 1/R =
H
1
2
3
4
5
Inside alr film 0.61
Outside air film 0.17
TOTAL R s
U - 1/R -
Page 4
WINDOWS
1420 X
1426 X
1432 X
1438 X
1444 X
111450 ? X
1456 X
1462 X
1468 X
1474 X
2020
2026
2032
12038
2044
2050
2056
1I112o62
2068
2074
x
x
x
-- ? X
x
x
? x
x
x
x
2420 X
2426 X
2432 X
11112438
?
x
2444 X
I??? ?
2456 'Z -_ X
2462 X
2468 X
2474 X
1.75 sq ft =
2.33 sq ft =
2.92 sq ft =
3.50 sq ft =
4.08 sq £t =
4.67 sq ft =
5.25 sq ft =
5.83 sq ft =
6.47 sq ft =
7.00 sq ft =
2.50 sq ft =
3.33 sq ft =
4.17 sq ft =
5.00 sq ft =
5.83 sq ft =
6.67 sq ft =
7.50 sq ft =
8.33 sq ft =
9.17 sq ft =
10.00 sq ft =
5.00
3.00 sq ft =
4.00 sq ft =
5.00 sq ft =
6.00 sq ft
7.00 sq ft =
8.00 sq ft = 72,00
9.00 sq ft = ?$•(?
10.00 sq ft =
11.00 sq ft =
12.00 sq ft =
2620 x 3.25 sq ft =
2626 x 4.33 sq ft =
2632 x
- 5.42 sq ft =
112638 ? x 6.50 sq ft = l3• ba
2644 x 7.58 sq ft =
2650 x 8.67 sq ft =
2656 x 9.75 sq ft =
2662 x 10.83 sq ft =
2668 x 11.92 sq ft =
2674 x 13.00 sq ft =
3232 x 6.67 sq ft =
3238 X 5.00 sq ft =
3244 x 8.75 sq ft =
I12" sidelite x 6.67 sq ft =& f0-7
14" sidelite x 7.78 sq ft =
24" x 24" Octagon x 4.00 sq ft =
24" x 36" Elongated Octagon _ x 6.00 sq ft =
TOTAL = I 9JI . 31:3
DOORS
2-6 x 6-8 Steel Door x
- 16.67 sq ft =
1 2-8 x 6-8 Steel Door T ? x 17.78 sq ft =?
, 3-0 x 6-8 Steel Door 1 x 20.00 sq ft = 2d•00
TOTAL = :37 /t5
PATIO DOORS
5-0 X 6-8 Sliding X 33.34 sq ft =
r/6-0 x 6-8 Sliding x 40.00 sq ft =?
8-0 x 6-8 Sliding x 53.34 sq ft =
9-0 x 6-8 Sliding x 60.00 sq ft =
5-0 x 6-8 Atrium x 33.34 sq ft =
3-0 x 6-8 Atrium x 20.00 sq ft =
6-0 x 6-8 Atrium x 40.00 sq ft =
8-0 x 6-8 Atrium x 53.34 sq ft =
TOTAL = 90.00
?
.'Y
ti
?
N
? ^^•? - ?.? -.?
3/, ,z z S
•?' 0
NB9°38'3/"W ? ?
DESCRIPTION:
Lot 1, Block 4, COVENTRY S ? ADDITI
Proposed Grades: AAGM ENGINEERING DEPT
Top of elocks 8?'S Garage floor_ 8?y °_Basement floor B3B's
NOTE: ?,o???e '??1"E?J
Circled elevations are propose , kers-ar-e--exis- in __-
) Arrows denote direction of drainage.
/
Scale: 111=30'
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 ali buildings, if any,
thereon and all visible encroachments, if,any, from or on said land.
Dated this 9th day of July ,19 92. n 1-1) 1-7 ,
Aca
CERTIFICATE OF SURVEY
& AIILlM ?
.?,y
LANDSURVEYORS
Survey for:
DAHLE BROS., INC.
u
.587 °/g',,er
-_-_.? ? -- - ---
?
\ ? I? ? "30 \ M
\? ao
?
Z" ?.? ceutrcee, Ate.
8713 DUPONT AVENUE SOUTH
BLOOMINO7f5N, MINN. 66420
ees-xosa
I
0
t
?? 0 3a, z
???dcs
'?y
EAG??? I
I _?
? ' ?n
eY.r-- % ? N b? ? I I
? ? .
DATE /A/
? A ?cA z ,33 ?a
?- - "Ai
\
?
Z77- 99
? CITY USE ONLY ?
L BL ? ? RECEIPT#:
SUBD. RECEIPT DATE: .?47
7997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NO TOTAL
Shower 3.00 x =
Water Cioset 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 "miromum-1 • 3.00 x =
Raugh Openings 1.50 x =
Water Softener ' for dwellings under construdion 5.00 x =
LNater Softener ' for wY?s!ino'J'N9III/lfJ 20.00 x =
U.G. Spfinkler ' Por dwelling under const.
'
' 3.00 =
forexistingdwalling'25'1?
20.00
U.G.Sprinkler
Alterations ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ` Dak Cty Ik. 75.00 =
(new and refurbished systams)
Private Disposal Systems' Abandonment 20.00 =
STATE S URCHARGE .50
TOTAL
I hereby adcnowledge that I have reed this application, etate that the infomneEon ia cortect, and agree to comply wRh all applicable City
of Eegan ordinances. It is the appllcenYS responsibilky to notify the property owner that the City of Eagan assumes no Iiabiiity tor any
damages causad by the City during ils nortnal operetionei and maiMena nce ectivities to tha faciGties consW cted under this permit within
City property/right-of-weyleasement.
41127
SITE ADDRESS:
OWNER NAME: ZQ? 10"04`I-` 16ZN?'Z?A4
INSTALLER NAME: , ?'7`??S A`?'awf Z--s6?`a?.' TELEPHONE#: ?10 "?
ao L.f7t4= 01/- _
STREET ADDRESS: 171
CITY: STATE: /4.1A/ ZIP:
s -? 76- /'?
l ?
?,
(/ f )g 4 SIGNATURE OF PERMITTEE
I ? ? PLUMBING (RESIDENTIAL) ?{-
10 Permit Application -EP ?3 •si?)
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
ToNvnhomes and Condos when permits are requiied for each unit
LC / 3 O/ 00
D
t
a
e
pINEDA, ENRIQUE
Site Address 4127 PR4IRIE RIDGE ROAD Unit #
EAGAN, MN 55123
(651) 688-7379
Property Owner phone # ( )
NMAt (W PL1
44130NG CO
C
,
ontractor
?
(612) ?27-4033
Address City
•
State
ip Telephone # ( )
The Applicant is _ Owner V- Contractor _ Other
Septlc System NeW Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installalion _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener X Water heater $ 15.00
x replacement _ additlonal
-- -, ,-?
State Surcharge $ .50
?
roeai
$ 15. 50
I hereby apply for a Resiuential Plumhing Pemut and acknowledge that the'Loimaiion'1 complete and accurate; that the work will
be in conformance wi[h the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pernut, hut only an application foc 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.
Jlo--? No?-60„vn
Applicant's Printed Name Ap c t's Signature
4*
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: % i cf 3
Permit Fee: / S-vz S
Date Received: /i
11,1/'°
City of Egli
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
„,.11/3//
Use BLUE or BLACK Ink
For Office Use
se f ,,
Permit #: 1 'D 1 le -13
Permit Fee: 5 of
Date Received:
Staff:
L
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Gontr'actor
Site Address:
Name: 6t -r."/
V 2 7 Asti 'i'G 41, /44a Unit #:
ler -- 04q*” I✓it.
Address / City / Zip: 9/x27 �ji, ri t •Ku
Applicant is:
Description of work:
Phone: eS-0 P35-- 5 7/ E
Owner i Contractor
g/e. , iSo t -e e
Construction Cost: sago
S;a4
Multi -Family Building: (Yes / No
Company: ,s4( ee (X kV- ''PS Contact: Br -e. €44 -tom'
Address: 33® (A. 47 City: 4444/00-1
State: �L Zip: $f'”,-' Phone; (t IS2.4/-bPIQ
License #: 456/701-06' Lead Certificate #: N#7"- '/d 96 (- f
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:
NOTE :.Marti am/support/0g documents that you submit We• -considered to be public lnft:r atlon Pot ens..
the information maybe classified as non pubilc if you provide speofc feasoi s that woslope it t, a Clay: s
conclude that they are trade secrets,
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.00pherstateonecall.orq
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 %,qtr E! .til --
Applicant's Printed Name
Ap ant's natu
9
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122630
Date Issued:05/14/2014
Permit Category:ePermit
Site Address: 4127 Prairie Ridge Rd
Lot:1 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Enrigue Lopez-pineda
4127 Prairie Ridge Rd
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143963
Date Issued:07/06/2017
Permit Category:ePermit
Site Address: 4127 Prairie Ridge Rd
Lot:1 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Enrigue Lopez-pineda
4127 Prairie Ridge Rd
Eagan MN 55123
(612) 235-5718
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146207
Date Issued:10/13/2017
Permit Category:ePermit
Site Address: 4127 Prairie Ridge Rd
Lot:1 Block: 4 Addition: Coventry Pass 2nd
PID:10-18401-04-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Enrigue Lopez-pineda
4127 Prairie Ridge Rd
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature