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4128 Prairie Ridge Rd CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 sITE qDDRESS• INSPECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: ' I U# : i Ht. .?;t t l•Alltlt fclfiAf f?O UN I I? i 1011 I IiW PERMIT SUBTYPE: kili i I +i t 146 H.'N i / 1 i! 4 J 21i 1')'3 , APPLICANT: , , ?re•tir,h? ?? I•; ? <<i;, • { t? I.' i ki J fa -6 ki 9 E? TYPE OF WORK: JF 41 INSPECTION DA • •• 7 Permn Mo. Pe.mR Mokl.r oem Teleptwne i SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspsctlon Date Msp. CommsMs Foottngs I Foundation Framing Roofing RougF1 Plbg. Rough Htg. Isul. Fireplace Ffnal Hlg. Orsat Test Final Plbg. Plbg. lnspec[or - Nafily Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. oock Final weu Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I I I' I 3830 Pilot Knob Road Permit Number: '' •;?}? ? Eagan, Minnesota 55122-1897 Date Issued: . . .' ` } ' •,':{ (612) 681-4675 SITE ADDRESS: APPLICANT: ? ! irA 114 11 fs t(16F It1J I 1I?M I Mo PERINIT SUBTYPE: TYPE OF WORK: l; l I 0 14 k'I l? [.iIi! f'. I rtftpt 1ErlM1;6 t: I I ! Fl?? ? L --1 J ?? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING i ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I y: ., . . _ . . _ . ... ?? ? ? CASH RECEIPT GITI( OF EAGAN ? 3$30 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 ? ? I DATE r?cerveo I' ?.. ??, •i i ? 5 f,? 1' f• ? FFK)M i AMOUNT $ ^ D CASH wa 47, I w d DOLLARS tro ? CHECK ? t ? `70C,?-?:???? •'?F? . ?? ?? FUND I' OBJECT I I I AMOUNT Thank You ev C r? v Yek--posbw Car ? G 2 ?... .. ._ . . i ; SEWER dPWATER PERMIT ; CITY OF EAGAN ? 3830 Pilot Knob Rd. ? Eagan, MN 55122-1897 DATE 14 `-'? 0 USE ONLY METER # ? d PERMIT DATE 04f 12/90 CHIP # 10/ a 3 a 9 g5? PERMIT # 11323 METER SIZE S ?dc-I( B.P. RECEIPT # C 7225 ISSUE DATE B.P. RECEIPT DATE 04 f 12 90 _X PflV _ BOOSTER PUMP ? 4128 T'?''B.iL'j G' Pi dre 1'03d ? SITE ADDRESS ? LOT ' BLOCK rSEC/SUB Country Tic1141•f ? APPLICANT: ? ADDRESS: _ , CITY, STATE ` PHONE: - PLUMBER: ADDRESS: CITIf, STAI PHONE: 4 OWNER: = I '' ` ADDRESS: ` ? ( CITY, STATE ,L hZl PHONE: ' ?? • ?. ?.? ;, ?? ? . : PLEASE ALLOW TVYO WORKING DAYS FOR PRO SEWER PERIiAITS, CONTACt ENGINEERING DEPT. ZIP PERMIT REGIUESTED ? SEWER __xWATER _ TAPS _ COMM/IND ? RESIDENTIAL .? NEW - EXISTING - Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Crit WfLL NOT b?.qiven for Deduc? Meters. i' ,, . ?? ,T/' I4REE TO COMPLY WITH CITY OF EAGAN ORDINANCES -- ?[/ ' 1 ? . ^? r `??f.,i7 . SIGNATURE WHENMETEr?R ISSUED 3. CALL 454-5220 FOR INSPECTIOMS. FOR STORM SEYYER "ATER PERMIT CITY OF EAGAN 3830 Rilot Knob Rd. Eagan, MN 55122-1897 i• DATE, OFFICE USE ONLY METER # PERMIT DATE 04 % 1 G CHIP # PERMIT # 11323 METER SIZE B.P. RECEIPT # C 7225 ISSUE DATE B.P. RECEIPT DATE04/1 Z/ ?C PRV - BOOSTER PUMP SITE ADDRESS 4128 Ridtre Road PERMfT REOUESTED LOT ? BLOCK 9SECiSU6 ?ountrY Kollr,t _x_ SEWER ? WATER _ TAPS APPUCANT: ADDRESS: - COMM/IND ? RESIDENTIAL CITY, S4TATE ZIP ? MEW - EXISTING ; PHONE? ' . , - ' ;'-? /:)?""/"4I'-1 AheadSofpriDomenkler PLUMBER: Meters on WateStLine? ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE PHONE: y? I AGREE TO COMPLY WITH CITY OF nielniGQ- 1.Q Y1 l.l A f't-(111 1/' EAGAN ORDINANCES CITY, STATE ` .`-0 ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. .. : *v,,,• , .??J'?7?'?r`'._..tF?T+!?y`.+bk .vr?.,,. .+cs;e REACr`JA7Eb FM BASIIMW 08/07/90 c.LAW 44&221-5452 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, "•' "• PHON E: 454-8100 BUILDING PERMIT Receipt To be used for SP DWG/Cm Est. Value :161 ,OOU Date APR Site Address 4128 PRIIIRIE Lot 7 Block S Sec/Sub. Parcel No. W Name _ o Address City _ Name SAM Address ? Phone yVj W Name _ N E ; Address i W City - I hereby acknowl informaUOn is co Minnesota StatuN Signature of Pem A Building Parmit on the express cc , applica6le State c I Building Official - that I have read this application and state that the and agree to compDA with all slpplica6le State of JOE MILI.ER HOMES ork shall be done in accordance with all utes and City of Eagan Ordinances. ? ` RD ? 177n4 OFFICE USE ONLY Occupancy R-i i FEES zoning '"u- 853,00 (,octuaqConst Bldg.Permit (Allowable) V-14 Surcharge 80.50 # of Stor,es sZ ' Plan Review 534.00 Lerglh Depih SAC, Cily 100.00 ` S.F. Total - SAC, MCWCC W•00 S.F. Footprints - 67s?? On Site Sewage _ Water Conn On Site Well ? Water Meter 90•00 MWCC System ? ??' ???t 3Q.? Cily Water xx ?.oo PRV Required SIW Permit Booster Pump - SNV Surcharge .50 232,00 Treatment PI APPROVALS Road Unit 333.00 Planner CounCil - park Oed. BIdg.Off. _ _ Copies 3 570.00 Variance - TOTAL , ? Permit No. Permft Holder Date Telephone # WATER 0 s??? ?r ?C? U a r . PLUMBING ? ? 3 (0 5'a r 8?so ?' H.V.A.C. Q ? ? ?? !cO ELECTFIC d(/ /,?v gilej. 5 /1 gD ? ? Inspsctian Date Insp. Comments Foofi,gs I y? Foundalion F??ing 3 s y ? Roofing Rough Plbg. 7-? l? G ff? Rough Htg. Isul. Freplace Final Htg. - (J Final Plbg. Const. Meter Plbg. Inspector - Notity Plumber EngrlPlan 86dg. Final 119A2 Dedc F1g. C? Dedc Fnal Well Pr. Disp. •?? Ttrttfiratt of (Orrupanry Citp of (Eagan ]DrVwftu,ut a# luddittg AWPrtinn This Certifcate issued pursuant to the seguirements of Section 306 of the Uni,for?n Building Code cerhfying ihat at the time of issuance thrs structure was in complrance wiih the various ordinances af the GYty regulating building consrruction or use. For the following.• u. a.r=a„ SF DWG/GAR ewg. Pern;t No. 17704 0-r-wr ryve R3/M I ZoninB nistnn R I rMm Con:t. VN o„w or suaa?? ??ZR BM naa= 18133 UMAR AVE S. LRWIN ewwiU Aea. 4128 PRAZRIE RTDGE R(]AD L,,w;tyI,Z, g5 ; criNI12Y MJ[Y,T J@]E 22, 1990 ?-? su;imng ofrici.i „. 0 POST IN A CONSPICUOUS PLACE MECHANICAL PERMIT PERMIT # CiTY OF EAOAN RECEIPT # -- ' 3830 PILOT KNOB ROAD, EAGAN, MN 56122 DATE: ITRACT PRICE PHONE: 454-8100 Site Addross ? Lot ' Block Sec/Sub m Name _ ? Address c City _ ? Name _ 3 Addresg O CiN - Phone Phone OF WORK d Air Air Cond. Vent Gas Piping OuUets # Other ? M BTU M BTU M BTU M BTU CFM PERMIT FEE: S/C: TOTAL: BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HYAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 E COMM/IND FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIAAUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 ' (ADD 550 S/C PER EACH $1000.00 OF PERMIT FEE) ? SIGN/ATURE OF PERMITTEE ? - .. FOR: CITY OF EAGAN - ---------- - ------- - ror %. ' • CITY OF EAQAN PERMtT #t _ 'RACT 3830 PILOT KNOB ROAD, EAQAN, MN 55122 RECEIPT# ICE P"ONE 45t48100 DATE: ? ^ - Site Lot. ? Name ? Addre c CityA o/ BLDG. TYPE WORK Blodc S ub Res. New _ . Add-on Comm. Repair -A- FEES COMM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.IFEE $20.00 STATE SURCHAAGE PER PERMIT .50 (ADD $30 S/C PER EACH $1,000 OF PERMIT FEE) SIGNA HE OF PER EE FOR: CITY OF EAGAN Other RES. PLBG. ONLY - COMPLETE THE FOL LOWING: NOJ FIXTURES TOTA,?C d Water Closet - $3.00 $ -7 Bath Tubs - $9.00 ? l.avatory - $3.00 SFiower - $3.00 - _ , ,- ? Kitchen Sink - $3.00 UrinaUBidet - $3.00 Laundry Tray - $3.00 ' ? Floor Drains - $1.50 Water Heater - $1.50 ? Whiripool - $3.00 - -7- T Gas Piping Oudets - $1.50 ! -? (MlNIMUM -1 PER PERMIT) Softener - $5.00 weu - $10.00 Private Disp. - $10.00 ? -rrtr? w Rough Openings -$1.50 7 ? U. G. Sprinkler System - $12.00 PERMIT FEE: ? ' STATES S1C: GRAND TOTAL: ?i?? CITY OF EAGAN N0 17704 .* 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 BUILDING PER • ? MIT PHONE:454-8100 Receipt# L- n 7a;2 T" To be used for SF DWG/GAR Est. value $161, 000 Site Address 4128 PRAIRIE RIDGE RD Lot 7 Block 5 SeGSub. COUNTRY HOLLOW Parcel No. w Name JOE MILLER HOMES o Address 18133 CEDAR AVE S City FARMINGTON phone 431-2001 o Name SAMF I 0Q E1ddfB55 ? City Phone U? ?y W Name Address aw City Phone I hereby acknowlege that I have read ihis application and state that the infortnauon is correct and agree lo com with all applicable Siate of Minnesota Stalutes antl City of gan ances Signature ol Permitee A Building Permil is issued lo: JOE MILLER HOMES On lhe expre55 condihon that all work shall be done in acWrdance wiih all applicable State ol Mmnesola Statutes and Cny ot Eagan Ordinances. Building Otficial OFFICE USE ONLV Occupancy R-3 M=1 FEES Zoning R=1 (ncNap Const V=N eidg. Permn 853.00 (Allowahle) v=N Surcharge $0•50 # of Srories - 554 00 Lengih ? Plan Review . Daplh 54 ? SAC, City 100.0 ? SF Total - SAC, MCWCC 600.00 S F Footprints - OnSiteSewage _ WaterConn 625.00 On Site Well - water Meter 90.00 Mwcc Sysiem xx 30 00 Cny Water XX Acct_ Deposit . PRV Required xx S/W Permn 30.00 Booster Pump - SM! Surcharga .50 Treatment PI 252. 00 APPROVALS Road Unit 355. o0 Planner - park Ded. Councd Bldg Ofl Copies Vanance - TOTAL 3,570.0 0 ?. r g1-'= DATE: R E: 4128 PRAIRIE RIDGS RD 04/12/90 X Your Sewer 8 Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman 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 tollowing reasons: _?Your Sewer & Water Permit for the a6ove property has been completed, but the meter cannot .. . be issued or occupancy allowed until further notice. r. -?,• COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. _'-- RE: 4128 PRAIEIE RIDGS RD 04/12/90 DATE: R _ Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman 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: _lYour Sewer & Water Permit for the above property has been completed, but the meter cannot • ? be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BV LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 51?C9 0 C? 36 77:" 0 REOUEST FOR ELECTHICAL INSPECTION jli? See inslmctions lor compleLng this brm on back of yellmv copy 'X' 8el'ow Work Covered by This Request s.°,!;d+gk g v? ew AW Rep, ypeofBwltling AppliancesWired EquipmentWired Home Fange Temporary Service Duplex Water Heater Elec[nc Heahng Apt Bmlding Dryer Olher (Specify) Comm./Industrial Furnace Farm Air Conditioner Othar (specity) Canirecrork Remarks Compute Inspection Fee Below: # Olher Fee # SermceEntranceSize Fee # Crtcwts/Feeders Fee Swimmmg Pool 0 to 200 Amps ro 100 Amps Transformers Above 200 _ Amps Amps SIg05 Inspector5 Use Only ? Qf/ OTAL Irngation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE RED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 M I, the Eledrical Inspector, hereby ti Ih t th b Rouyn-in , /? ?,- oete - cer ty a e a ove mspection has been made. F?nai Dete ? OFFICE OSE ONLV - This request voia 18 months Irom ??bS o`'l°78? @ 36750 Fequesl Date Fve No Rou i Inspecion r) / 7/ 9 O Raq 7 ? Reatly Now Will Noiilylnspector Ves ? No hen Reatly? I licensed contractor ? owner hereby request inspeciion of above eledrical work at: Job Address (SVeet Bax or qoute No ? Ci?, 4128 Prairie Ridge Road Eagan Secbon No 7 Township Name or No Range No. Cpunry Dakota OccvOant(PqINT) Joe Miller Construction C Phone No a. 431-2001 Pawer Suppher Dakota Electric AtlEress Farmington, MN 55024 Electrkai Conhacbr (COmpany Nemen Midland Electric Inc Coniracror5 License No . 041610 Mailmg Aetlress ?COnvaclor or Owner Makmg InstallaUOn) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 NNbor e(COnVectonOwner Making Installetion) PM1One Number 892-6688 MINNESOTA STATE BOAflO OF ELECTRIdTY Gngge-MlEway Bltlg. - floom 5-113 THIS INSPECTION REOUEST WILL NOT 1821 Unlverni[y Ave, St Paul. MN 55104 BE ACCEPTEO BV THE STATE BOARD Phone(61]) 602-0800 UNLESS PROPER WSPECTION FEE IS ENCLOSED S O/5'(2 REQUEST FOR ELECTRICAL INSPEGiTIONooo ?4 ea.ooooi-o ? See inswclions for compleung Ihis torm on back o1 yello capy g ? e?'3/ r ys?? ? r3 3? 6 6 ` 'X'" Be/ow Work Covered 6y is Request ew Atld Rep TypeofBuiltling AppliencesWiretl EqqipmentWired Home Range Temporary Service Duplex Water Heater Elearic Heating Apt Building Dryer Other (Specify) Comm./Industnal Fumace Farm Air Conditioner Olher?speciry) ConVac?or5 Re'iSM?'nis? I Compute lnspection Fee Below: # Other Fee # ServiCeEniranCaSrze Fee # CimmWFeeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps TranSformers Above 200 _ AmpS Above 100 _ Amps Signs Inspei Usa Only TOTAL Irngallon Booms ? Special Inspechon Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 MONTHS. / I, the ElecVical Inspector, hereby rtd Ih t h b Ro.qm,n y . oaie `!/sl r! ce y a t e a ove mspection has been made. F'„ai I oe?e G? ? OFFICE USE ONLY Thrs request witl 18 montns Irom '8 90 ?'Y? C? 3 566 1 00 Repuest Dy[¢ ?? ire No. Fou n Inspechon Re tl'+ ? Reatly Now?Will NoLty InspectOr R d Wh ' s G No y en ea I rJ licensetl contractor (Awner hereby request inspection of above electrical work at, Jab AaCress (Strret Route No-) ' ? ; ? Ciry r L ; ra Section No Township Name or No Range No Counly Oc IP INTI Php9p No( G 8S_7?2 6 C7 ?'? ? • f.r7e rK YS2 Powee uppher / qtldress Eleclncal Conlraclor(Company Name) Con?ractor6 L?cense No eD wnEl-, M Img Adtlress (C O nvactor or Owner Making Installation) ? / V? AutM1 tl g Wre ICOnVacmrrpw r MaBi InstallaUa Phona Numbar MINNESOTA STATE BOAqD 01P ELECTHICITY ? THIS INSPECTION REpUEST WILL NOT GrlggsMitlway BIOg. - R.O. 8-173 BE ACCEPTED BYTHE STATE 60AFD 1821 Unlversily Ave., St Paul, MN 55100 UNlESS PPOPER INSPECTION FEE IS PM1one, (812) 8@-0800 ENGLOSED 2004 RESTDENTIAL BUILDING PERRaT APPLICATION , City Of Eagan 3830 Pilot Knah Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenfs RemodeVReoair Reauirement5 3 regislered ske surveys showing sq. ft. of lot, sq. it of house; and all roofed areas 2 copies of plan (20°h manimum lot coverege allowed) 1 set of Energy Cakulations for heated addifions 2 copies of plan showirg beam & window sizes; poured found design, etc. i site survey for addNOns & decks i set of Eneigy Calculations Addifron - indkate Aon-site sepfk system 3 copie.s of ' 717/93 Ri ist Detail Options selection shcet (bl9s with less unifs C `W \? v .v 0 10?00--s /1 ' Date / / n • onstruction , Y o / IIniUSte # 61 Description oF Work Multi-Family Bldg _ Y? N w Lo ? Fireplace(s) _ 0 phone T l Property Owner e e ContracWr //,-CJ.k. -e--Y /980 Address ABC Seamless 2-lst Street City ? hone # Tele Zi State N6Y - p p 1 6a-S f-b( C-At4al' , n/lj' . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone I herehy apply for a Residential Building Permit and acknowledge that the i that the work will be in conformance with the ordinances and codes of the N If so, 25% plan review m )CT 2 6 2004 >n is complete accurate; Eagan and the 5tale of MN Statutes; I understand this is not a permit, but only an application for a permit, i4d=woFk=isamtta=stajllwithout a pernut; that the work will be in accordance with the appro:cant's plan in the case of work which req ires a review and approval of plans. ApplicanYs Printed Name Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 741-02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt • Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mutti Misc. ? 05 03-plex O 11 10-pfex ? 19 Lower Level Q 24 Storm Damage ? 06 04-pleX ? 12 12-plex Plbg_Y or_ N ? 25 MiSCellane0us Work Types O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement `Demolition (Entira Bltlg) - Give PCA handouC to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings(addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ AirlGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ RI. _ Air Test _ Final _ Windows _ Insulafion _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Building Inspector d) go i FERMIT CITY OF EAGAN 3830`61ot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BurLplNG Permit Number: 033081 Date Issued: 0 8/ 31 / 9 S SITE ADDRESS: 4128 PRALRIE RIDGE RD LOT: 7 BLOCK: 5 COUNTRY HOLLOW P.I.N.: 10-18275-070-05 DESCRIPTION: (y i ii 4V x ?-_ REROOP/STORM Bu-i"lding:,Permit Type Buildinq Giijrk Type ?Gensus Code 434 F" DAMAGE STORM DAMAGE REPAIR AL7. RESIDENTIAL ?4 p REMARKS: FEE SUMMARY: CONTRACTOR• - Applicant - TMD CONSTRUCTION INC. 14059731 4243 BOULpER RIDGE PT EA6AN MN 55122 (651) 405-9731 sr. Lzc. OWNER: 20051507 DAHL f,flNOICE 4128 PRAIRIE RIDGE RD EAGAN MN 55123 (651)688-7020 ? Z hereby acknowledge that S have read thzs applicat3on arid state that the inYormation ls correct and agree to compLy wit15 a11 applicable Stare ofi Mn. Stetutes and City of Eagan Ordinanca5. APPLICANT/PERMITEE SIGNATUfiE " &'-SLJI o SUED BY SIGNATUR I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) - ` CI1'Y OF EAGAN ?? I 3830 PII.OT aKN ?O 7 RD - 85122 3?-9 ?/ J <5 ?'?' New Construetion Reauirements RemodeVReoair Reauirements ? 3 registered sde surveys ? 2 copies of plan ? 2 copies of plans (inGude beam & window saes; poured fid. design; etc.) ? 2 site aurveys (extenor adddions & decks) ? 7 energy calalations • 1 energy cakulations for heated addRions • 3 copies of tree Drexrvation plan if lot platted after 717193 required: _ Yes No DATE: ?- a-2 -9 g CONSTRUCTION COST; ST°!- m DESCRIPT OF WORK: r( e nG ('-e ? C? • ?-r? ?? e f-'a o Sf-- STREET ADDRESS: 4- 10 )'?' ;n/s Q. LOT: ? BLOCK: ? SUBD./P.I.D. #: (,V Name: A- a? ? C P Phone #: ??S Ss" ? 7o ad PROPERTY 1-ast Ficst OWNER ? Street Address: 10Ar; City ?cz-?j?iv State: Zip: SS / 2-?3 Company: Z>t- C.Phone #: 4 3 / CONTRACTOR Street Address: a t?L 03 License #9-0'O S/ S^ a7 ? City ??4 2n/ State: ?-i N ARCHII'ECT/ ENGINEER Company: Phone #: Registration #: Street Address: City State: Zip: S' ? / D- Y Zip: Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this applica6on and state that the intortnation is correct and agree to comply with all appiicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature ofApplicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ?&JGNG?;???Y£?T FOR CITY USE ONLY PERMIT # RECEIPT # Z DATE: KEm1`7',I'Ii4?,Ci? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----------------------' WORK DESCRIPTION NEW CONST ? ? 1•' ADD ON REPAIR fOWNER NAME: SITE ADDRESS: _6112 k 1,4I -c-1i l-i e it,%pm+ . ? I LOT:7 BLOCK SUBD. `A,GC? INSTALLER: ADDRESS: /L, c6Cr_ ?C r- s/,2 _? DWELLINGS & COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMIJM - 1) 3.00 _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE TOTAL D? 5 /'5- ? .50 $ 16,50 CO?IEItCTkI.?,.INDIIST&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 _ SUSD. 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 1% $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) 1 o•* es3•oo+ 80•50+ 554•UU+ 2,U92•50+ 3,5'IO•00*+ 853•00+ 80•50f- 554•00+ 2,oa2•so+ 3 ) s7o•uo*+ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MUI.TIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 9 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (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 WHICH REQUE5T IS MADE. LOT CHANGE IS REQUESTED 013CE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTDR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED 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. WAR 0 9 RECO ? Valuation: Date: fl?.fD. T.GC-GG't.C'. iC. OFFICE USE ONLY To Be Used For: Site Address ??) IL Lot / B1ock 115 Parcel/Sub Dwner Address City/Zip Code Phone Contractor Address 19 Gity/Zip Codep Phone 4,31- Arch./Engr. _ Address City/Zip Code Phone # Occupancy Zoning Actual Const V/U Allowable LIIY # of stories Length ?Z Depth Sy S.F. Total Footprint S.F. On site sewage_ On site well MWCC System i/ so, City water ? PRV ? Booster Pump - APPROVALS Planner Council ? Bldg. Off. 41?a Variance FEES Sldg. Permit ?S ? Surcharge pLan Review ?Sy sac, city /DO SAC, MWCC /oF0 Water Conn Water Meter 90 Acct. Deposit ? S/W Permit 3')_ S/W Surchaige ? Treatment P1. z? Z~ Road Unit 355? Park Ded. Copies SUBTOTAL penalty TOTAL S??/ 13s Ur?Pe r ? 1356 ?rk z : ? B 2? ? % X 5/' = 3 ?,?- z o= ? 06 Z?1g = 3g G3p,r iS=_ .: ? :. .?.?„ . ._ J S,S' o r._ . . /?? ?3P kX'L'L'llloll EIIIVELUI'F1 AVk;IlAOL • • ('Po Lo nulnulEl•ad tivltlt Uuildiug io or Tvro Faiully Uvlolliug _1 olltar ' a utraotor JD?M1 khF? (?.11Vj4'?'? IIuII uoiIPuTrcriuu porinik uppliasEio?i) ormar tliEo Addrenn , uata ri?o??o ? IIIEAL FEE'P OF ,XPoSEU YlAL4 .tt. aUoYe gCad'e n . • '1'o'lhl, EXPO6F;U WAI?I, AIIEA OtZ F'P, AIAqUM VfALL 00119'lIIUU'PZUl11 "Ulf Yalue x Area r? •? 0?3 x ?1?1? ??11?? !1q."P"1'. (0 RZ.. Iiotail _ CO x q(Z. E'T. ?lo = AU A ra[arauoa ? 11N? . ? O?x ???° tIQ. = P"P. i? n ? SU) A ) ? nttaclted litill x li u BQ. F"P. ? = E"P `il1t h) (U) (A) chootu p x oiuu x 6Q. p(?. . A'T. ? (U)(A) 411111p41J1 'lUll Valuo x Ai'ea F' Ilolce & Type ??1?,V1-i ?thsYVTT 1,1111 1369 x qq. F'1'. 242 a 97.1 (11) (A) a u nqn x tlq. E"C. = t If I t A) u u apn x tfR. E"P. ? (Ij) (A) n n upn • x f3q, F"1. 0- (U) (A) IbUItJI I'Ull Valuo x Area ? Iliilco' 7yne Do ? S itUll l 94j• X T'L. y t011 A u u ? ?(Li uqu i ' x 8(Z. F'P.(ll) A) lipll . rx 8(1. E"P. a (U) (A) u u upu x pq. . (U) (A) F"r.'''' To'PAL19 2-3011 Z SQ.. ? .k'T. e , -(U) 1A) . • . . AVEIlAl1H Sijjit . 'f0'PAI, (U)(A) VAI,11E.7 . zel )(/ ? DIV1UEU DY ToT N, 1'IA LL AIlEA Z?flI i? =--= ? ? - 11 1?VEIlAUS IIU ? or leoe far 142 fnm iJ.y droelliuge , . . .. Iro'EA?. AIIEAt 4. llotoll retoreuoa ' "0l' IbZ.` x 8Q• F'1'• 7J J 5, = z?U)(A) [rom ' tiUil x Bti. F'l'. u attnclied elieetn. IlUll x 6Q. P"1', ? ti))(A) UoocrlUa openluGe 111011 x Uq. P"P. _ (U)(A) iu root. 'itU11 x 8Q. Prl.--??,,? ? (U)(A) To'CAL (U) (A) VALUES UIVIUGU DY ? ? ?G? .rq?+"?tll?'t?'?7 ? ?r,`? iq1"( z?.?.???4> ? ? '1'o'eAL IlOOF/OEILII U A?lEA .? 7j?y ' • ... ?:,. AVF1l1ME 11 U 25 I6r. veutilated roate. ? c,I ? r•?--^?' 11ooF/UELI,IIIO"? ,.• •, ? , I 11?0?? ?J??"T ~ s' ° X( S, 0 X (?co+ (a ??1 z3b1? z Co_c. I ,t.ol x I ?O - ! ? ? cv TAM? Wi Zox(av ? ?Iq-Xl =???v 3'-ZO)(413 = og 1=zIln 4oX401= ? Xz -- Ioo'a , Z-7,0xIS= I?X1= Id?d ' z-z?X?g= Zz?S"X(n= 35 ? ? zg 0-" 4ATlp Pr-, = Z 4 91.0 13 95-t11 23oI,Z (003,0 1(n 9?, Z , •?? ??? r iw? ?^ ?tJl?S Z?Z?a ?;UoLuiwLulug 'lUll vuluuu ut 11ooL, YlullI 1liwo uud Uuuu. Uluulc IIUDF'/cfEI1111U ., 1l YAIU 1.) Intnrior Air e'ilm 0.61 2.1 5/0,, UYE'• Bd. ?56 3•I L?nulntiotl ?`,.? h.1 ,.) Exterior hi.r eiz? . ,?i , ( p'111,1, ) • upu 0,02-1 i0'PAL . ?? (ll)n 1?.s7g i• ' VIALI, li VAI.U 6.) Interiar hir F'ilat 0,60 7•? V°'OyP, va. 049 , ll. ) lusulaliou 111.ad 9.1 Pull:l"?1-iif Z •?'' lo.) iuooli?.ta 63aslir .67 ? 11.) Extas•ior Air k'ilm .17 uuli p 1/11=1 7oTnL (ti)n 23.01 1111 11 VAI,U?F 12.) Lttorior Air llilin 0.60 . 13-) Lleutatiou I`1•o0 111.) 2it Fir Ilim Joiati • 1.00 . 15•) P>ulta'-p17t: 2004 16. ) Ilauonike . ul.dii??t , 667 17:) Exterior Air P'i1m ?17 nuu n t/nd ,aio ? . ? 2oTnL (n)p FU1111UA'rlu11 . 1 ll VALU 10.)• InEerior Air F.ilra' o,GO . :•?v.) zo: ? •' P-rl y P,ri0", . ll.cv 2I .) 12° Uoltatete llloalt 1.2U 22.) , 23.) F3xEeriar Air Film .?7 IIU11 p OIPI ?Q/ 0 7OTi11 (11) b ,?.f 7 ? ? . ' • . • . ? ?. . ? ? , . ? ? . . • , 1 - , . . IM -344-91) ' CERT/f/CAT£ of SWWr ' o+ m`' N E9? ? ,? v I L13.02 Q ? ? o T? ? 10 ? '??c'?` ? ,6 Z6. • '?'S7' . , "„ OO O ??`r' `305`a. a bL S431 a l ty ?r ? a ? ,•.,, r _ _ ! ?G b4oo N?j ?? fl.ou 'p o „F+ 11M N W ( ? ?0 8 1 .0 4 41 0J °O ? L- '6.00 ?' S?S J?? .? ^ 26,OO i 6 S,,j C? qq I ? 30 I- 146t o I I ?Nss' N 89?3E?31??w r ?.. ? Scale: 1" = 30' EP+GAN E D REVIEWED By BY. ?.S -- _? Dat ? ° DATE.L " ?.? ?A AN Ahv?N? RIIdG DEPT PAo V o ?EOUIl LLED DESCRIPTION Lot 7, Block 5, I HEREBY C£R77FY THAT rN/S SU4YEY fiAN OR REPART COUNTRY HOLLOIV W.4S PREPARED BY M£ OR UNAER MY D/RECT SU°£RV/S/OW Dakota County, T1innesota ANO rNAr! AM A DULY R£G/STERED LAND SURYEYqR UNAER THE L AwS Of' TNE STAtE Ar M/NNESOTA. P l a t b e a r i n P s s h own o Denotes iron monument 8140 ?Existin?; Proposed DATE ? ? brandt anginaaring Ca iutuaying 2705 uuoodi liail - burnivilla, minnatota 55337 (bIR) 435-1966 MD -344 -90 t lqloq 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIDNS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED 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. , S N ? To Be Used For: (?? E 6 Valuation ? Site Address Lot -7 Block j Parcel/Sub /-k//'qG(.r- l ?q ? OcanercZ c?al'r' lQQ ?C.f' Address City/Zip Code La?-«v' Phone X Contractor '5Ct ?? L...l Address City/Zip Code Phone Arch./Engr. Address City/Zip Code ? v 000 Date: 1:5 A' USE ONLY FEES Occupancy 2oning Actual Const Bldg. Permit Allowable Surcharge # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water _ Road Unit PRV _ Park Ded. Booster Pump _ Copies SUSTOTAL APPROVALS Penalty - Planner TOTAL ? Council Bldg. Off. Variance Phone # INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 7 BLOCK: 5 4128 PRAIRIE RIDGE RD TRUMAN VENTURES COUNTRY HOLLOW (612) 835-6696 PERMIT SUBTYPE: DECK TYPE OF WORK: ? NEW BUILDING 020771 04/28/99 ? CITY f7f EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued. ?k?'C'6 5? suzL ozrav? 020771 04/28/93 SITE ADDRESS: P.I.N.: 10--18275-070-05 4128 PRASRSE RIDGE RD LO7: 7 BLOCK: 5 COUNTRY HOLLOW DESCRIPTION: Buildind Permit Type Building Werk Type Building Length ? Building Width ' DECK NEW .... ... -? ?tI t (v 22 18 sr, J rt? t.J? y,? REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Flpplicent - OWNER: TRUMAN VENTURES 18356696 DAHL CLARK 4816 KINGSDALE DR 4128 PRAIRZE FtZDGE RD BIQQMINGTON MN 55437 EAGAN MN (612) 835-6696 (612)688-7020 2 hereby acknowledgs tfiat T have read this application and state thaC tMe information is correct and agree to comply with all appl3cable State of Mn. ? Statutes and City o Eagan Ordinances. ? APPLICANT/PERMITEE SIGNATURE ISSUEO e SIG E REACTIVATE _ CITY OF EAGAN FEe,MI7 N 1993 6BUILDING 81-4675 PERMIT APPLICATION Va 1?l ? ?' Ap?' a 3 RECD , a? 5 10 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 structurat plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last workin(j day of month. in which request is made, 2) address is changed or 3) tot change is requested once permit is issued. Date Valuation of wort 295-bz oe, Site Address: 7I Z ? )'2?4?2lC ?OG? /(A-9 STREE7 R1ITE 9 ienani name: (commerciai oniy) LOT _?_ BLOCK SUBD. P.I.D. N Descri tion of work: ?!C The applicant is: ? Owner Contractor ? Other (Describe) Name Z)AIi L J ZILL? Phone? Property Owner LAsT FIRST J? -B o f& , 6t- ?6 pddress STREET fTE M , City F-A-4 4-7? State.AIA? ZipS-15%Z3 Company rn ? f Phone Contractor Address '?-46 rK.&6faW6- ?Q- License # Exp. City ?(?fIJGa?Y?aZ/ 5tate /A/ 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 com ' h all applicable ate of Minnesota Statutes and City of Eagan Ordinances. - Signature of Applicant; ? _ / / .. .. L / OFFICE USE ONLY BUILDINC PERMIT TYPE 0 OI Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 Sf Porch ? 05 Sf Misc. WORK TYPE ? 31 New 32 Addition ? 06 Ouplex 0 07 4-Ptex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterattons O 34 Repair ? ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 fireplace v 15 Deck ? 35 Tenant Finish ? 36 Move r ? 16 Basement Finish 0 17 5wim Pool 0 18 Comm./Ind. O 19 Comm./Ind. Misc. 0 20 Public Facility ? 21 Miscellaneaus ? 37 Demolish GENERAL INFORMATION Const. (Actual) (Allowable) UBL Occupancy 2oning #' of Stories length -z IT Depth APPROVALS PTanning Engineering REGIUIRED INSPECTIONS ? Site ? 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 Footing Final MWCC System City Water PRY Required i--- Booster Pump Fire Sprinkler Lensus Code 173-V SAC Code Assessments ? framing ? Insu]ation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review Lit^<rss MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: G'? I Yaluatim: $ SAC % SAC Units . . ? 30 ? a Lh 0 . a? ?.y.? , , J, CERT/F/CATE of suRvEr I A I is? ar N ? D In N ? L, ? Cli- IT- 1 o ??5 q q ? 30 ? /V13z?344-?U 4^? ?:` '30?i•M1a Ib? e ??--ss, Scale: 1" = 30' N 89°3??3?"Gv I ?+3 ,oz , .d Z?ia00 ? LcL Sv3,a? ? i ? i,ou - s Q? Di ,.o ? ?6 2600 ?i . EAGAN REVIEWE n BY DATE,..?" ? e 0 N 14btSo N 89?3$'31?'W ? r.. RB By TAGAN IN Lb O N o ^ Vi N m 0o Z: DEP1' P.R.V. REQUIRED DESCRIPTION / N£R£BY CERT7FY rNAT TNIS SU4VEY, fiAN OR REPART WiIS PRFPAREO BY M£ OR UNOFR MY OJRECT S7A°fRV/S/AY ANO THAT I AN A D(/LY RLTG/STERED CANQ SYMW1'CkP UNOFR THf LAWS OF TNE STAT£ Q° M/NNfSOTA. oArES:-_&0 1 q?Q , Aff. ,NO. 8140 ? Lot 7, Block 5, COUNTRY FIOLLOIV Dakota County, Minnesota Plat bearines shown o Denotes iron monument (Existine, Proposed brandt anginaaling a iurvaying 2705 woodi trail burnivilla, minnatoto $5337 (612)4351966 0 ? I tv f Qj I --??o 0 iV132 -344 _s? 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION /, ? •` v ? City Of Eagan ? ?v - 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReouirements RemodeVReoalrRequiremenGS ?? '??'+ 3 regislered sile surveys showing sq. ft. of bL sq. iL of house; and all roofed areas 2 copies of pWn Ce[t afSGrvey?e`? (20%maalmumlotcoverageaDOwed) 1 setofEnergyCalcuW6onsforheatedaddNOns TreePicsRlao-RecdilH?sa?•=.Y??_ K n, etc. 1 site survey for addiGOns & decks Tre@'Ft?Rdq??tl?w? ?;'r=.1?°.;' N 2 copies of plan showing beam & whdow sizes; poured fou )unitssi' isetofEnergyCalwlations " AddNOn-indicateAon-sitesepficsysfem Oi?sit 3 cop?es of T an fter 711193 Ri efail Options selection sheet (bldgs wit r leDate p . C?Qons uctionCost ? ite Address C? °(- T? UniUSte # o?, S 3 p Descriptlon of Work ?ICL 0? l?X ?A iN? ? I C( `O '00')fS Mulri-Family Bldg _ Y? N Fireplace(s) _ 0 ner O P t dc(b aY) ? Telephone #(664 V ?"0 roper w y S? Contractor I CR Inn 1'? ??.P Sd ?A ? . Address 356 219t Street e?rt' N Zi C't3' /?` hone #((p ?/ 45? v ? Tela State p p 36 Uorl n C,\- P-, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Teiephone #1 I D Telephone # ( ? I hereby apply for a Residential Building Permit and acknowledge that the informaEgn ' urate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with the avproved plan in the case of work which requires a review and approval of plans. J m: e ? ?? I? ? < < Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Re air ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? WindowslDoors )4___?4 Replacement •Demolition (Entire Bldg) • Give PCA handou[ to appliwnt Valuation Occupancy MCES System . Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bidg) _ Final/C.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Au/Gas Tests Final _ _ _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retauring Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total od , 411° City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use J I Permit #: / (/ / 5)-- Permit Fee: 057 Date Received: CO - �-�" (2" Staff: 7 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 6//a2' Pi'.J- 0''C.r Unit#: Date: Site Address: Name: —rir0 V- Phone: 9 -4-17s? Address / City / Zip: Fag, Applicant is: Owner y. Contractor Description of work: g -e. _ IC UUj= Construction Cost: 7/55700 Company: _2t)C1.Gc f p- 0714. Address: Multi -Family Building: (Yes / No ) /Ao CPQ ,,L Contact: Gfi-6:9 6S"'/ -34R-4/9 City: V L- a-VLw 1413- State: /q - Zip: 751)16 Phone: el /. 625-- = is -el License #: Cv� _ 471.Q / Lead Certificate #: /1 7 cal -/ 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conforman Eagan; that I understand this is not a permit, but only an application for a permit, and work is no accordance with the approved plan in the case of work which requires a review and approval of pl Exterior work authorized by a building permit issued in accordance with the Minnesota S days of permit issuance. App ant z -Printed dN�fne the ordinances and codes of the City of out a permit; that the work will be in ompleted within 180 Page 1 of 3 2014-05-30 09:15 MAINPRINTER City of Earn 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 01 » 651 975 5694 P 1/1 Use BLUE or BLACK Ink For Offlco Uso Permit #: f 13 /C3 Permit Fee: l v� Date Received; Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6 017 Site Address: 11/9-.8 R'4.4„ eDald _ Unit #: J Resident/ Owner ; ' Name: Er( (, /ni)Jt" Phone: 4' f Z) 7'/ '&954)4 / / e- Re2G.e, iaw.d, Address I City / Zip: X77 2.13 -Prov,rt.- Applicant Is: — Owner Contractor G 7.ype of`Work:: '_rr Description of work: i x.57 3 11 L� /A -Pi -den -0s ..S .u. exi3J-tkc, ef17, .S , J Construction Cost: 5 D , / (0.4, Multi -Family Building: (Yes _ I No/t. ) •Contractor ' ComparQUBOIS Design & Remodeling, Inc. Contact: 'lD/111 ICi'tAIS 11825 Point Douglas Drive South Address; ° City: 1 - • r/ t1`_ r State: Zip: Phone: Email: �ht't 00�lI'"LSCE . reutod License #: J -%f` OcI78b Lead Certificate #: /177 ID- / (/J -i If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) In tho last 12 months, ,-Yes _No If Licensed Plumber; Mechanical Contractor: Sower & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan basad on a master plan? yes, date and address of master plan: Phono: Phone: Phone: NO:TE:.:Plans'and;suppocf/ngdocuments that,you,submit are considered .to:.be.publicanformation.•• Portions.of the lnformation:may''be classlflod'as.non-public i1 you p.rowlde,specificreasons that would permit the City to . '•conclude. that they: ares trade .secrets. CALL BEFORE YOU DIG. Call Gophor Stato Ono Call al (651) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. wwwAg gt lttl100a6,1!6.91.0 I hereby acknowledge that this Information le complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this le not a permit, but only an application for 0 permit, end work le not to start without a permit; that the work will be In accordance with the approved pion In the case of work which requires a review ono approval of plane. Extorlorwork authorizod by a building pormlt Issuod In accordance with tho Mlnnosota Stato Building Codo must bo complotod within 180 days of pormlt Issuanco. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122769 Date Issued:05/19/2014 Permit Category:ePermit Site Address: 4128 Prairie Ridge Rd Lot:7 Block: 5 Addition: Country Hollow PID:10-18275-05-070 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. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric Trower 4128 Prairie Ridge Rd Eagan MN 55123 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature � US@ 6LV C VI DLHIsf� II IIl ' r_--_—^—____------� i For Office Use � � � �3 �� ' � Permit#: � � � �� I � � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Dace Received: � Phone: (651)675-5675 � � I Staff: Fax: (651)675-5694 �________________! 2014 RESIDEN�'IAL�PLUM�ING PE�:MIT APPLICATI4N `� �� a r�, i� Date: Site Address: / �5.�� f't� � ___-,.,/),-� �/� Tenant: ��- , �..(��sf'C Suite#: � � �.�,�..�,...,.��:,.�,n. �.��,��..v,�,�_�. . _ .. . _..�.�.-. .,�� .�$ � � � ��t� Phone:�l�- �`t��9J`�N �; � ��?t��t��tlf�`1;��i` Name: _ � . � ;: , ,. : Address/City/Zip: � L�-/f�1/� �� _ �.�.�.-��;,��..�, .�..>�,�aR�„�:�-�,.�,F,.�. ..�, _....�a„�.-,� . ��.,..,�-.,�..,�,,::...,_,-,�,, . .,�, ..... ...� �n�� , � ' ��m �, � .. ' �1ame:�b�k `L,� p74L L�,� �� License#:� il � :��C8��3�" z Address: _CitY� U �g ,.. , b / � � / 2 '� � � �� State: y Zip: ��(� Phone: ��1 �,J 2� �o ' �� , Contact: "� �� C�1��t� Email:-��C (' `/Z.V��TxE � �-�"T�l /V�� ', ,�„��.�� . �,,�..��„ . �•� � � t �/ t ` � J�_ New Replacement _Repair _Re��uild _Modify Space Work in R.�.W � 'T�p��i��r�` jT — — ` ,_..�...,�,t.=,.,..., .�..x.. , ; r� - „ ::y:><v; � � �:,<:��;.`.: �� Description ofwork: _� �; � :.�.,.�. . �,�,��.�..�.�..,�.�,� . . ..�,__. ...��. ; � '>�:�'"��• RESIDENTIAL ' � � :: _ - r �:�= - � _ � Water Heater �Water Softener �� ; � , Lawri Irrigation(RPZ/_PL'8) �: � P�� Add F'lumbing Fixtures(_Main!_Lawer Level) f 5 Septic System � � �` New Water Turnaround i; ` � Abandanment z+�fe.r�_eyn.�.�3m^�`s3•bkied3se'r.yEs'a.F�^?mrAn�mvasn m...,-n-arnsamm�,�meum _.emm.z+�a�¢mxemn.x�mmm�amm.mcn:m.==.m�r..mv.crnm-+.-er++.m�raa�mc--�.vamrmx.v.. ..�wara^.nr.x�r,cu-��;om, ,�m.�+n.+-.u:!� . ,,.�.- a�m ...-_ .�T+� ,.....-c�<aT-�c.�.a,...,., --� II� k � li RESIDENTIAL FEES: � � $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.0o state surcharge) � F I $60.00 Lawn lrrigation(includes$5.00 minimum State Surcharge) ' � � $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaro�und*(includes$5.00 State Surcharge) � i`Water Turnaround(add$200.00 if a 518"meter is required) " ; $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00,3tate Surcharge) �? r TOTAL FEES $� � �.�,.,�_..�..�.,_..�..�..._ . . ._ �_ .. ��,�� _��„�,��,� ,��.,�. _ . �-�� .��,�� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiiity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wvwv aopherstateonecall.pra I hereby acknowledge that this information is complete and accurate;that the work will be in cc�nformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a perm�, 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��lans. x � �7'Vl � x i v�- ��d� -�� Applicant's Printed Name App ant's Signature _ s _�ax:.�<=tis�r s_,. �:c� :�.- :,r=�. ,,..,,.,r ..::.,.. 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'... �t.......,. ':��s. . .. . . . . ..Y..:.::�..:r.,.......c..a... .. .: :: . .. . .. . � . . � ...... � �.:..;..., .,. ... .. . . . ... �u .. . . . ......:...:' y'�"a`;i':=S: ... .... ...�;.-.. ...:,.ti.-.r....t.� ,._..�. ..y:x:r: .''v'k:e ....... ..:.,:,,;.�-._..;. . .w\....<.. .. . ......._.v. ...v....:., . . . ....:__.f,...:. ' :.'..�::.�r:<�.:.:.v ..K.�� - .., ..: ..� ....... . . .. . ».......z . .....< ,. .. . .. .. . . ._ .. . .... .:...r.. .�:� � ... ._ .. �.. .. .o. ........ . . . . ....... x...., ;. 1. �i. ..,. ..:.n. ... :; �� '��'t�� , � �`.�1��»., ,.,.r..,...�.��.:�� . ��,: �,��.�,,:•r _ �. .�r�� _ ...:.u..._::v....,>..,,,�I...�,� . .�� W,..,..�.;�. _:�. .--..�..,=.,.-n - _� ,. ,r_,�-:<.,u. .v,,.�.,�..,v...,....:..<>�.A,,.x... ._,.,._a. ..� ,..... �.,..,,._.. .,.� PERMIT City of Eagan Permit Type:Building Permit Number:EA165328 Date Issued:10/28/2020 Permit Category:ePermit Site Address: 4128 Prairie Ridge Rd Lot:7 Block: 5 Addition: Country Hollow PID:10-18275-05-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric Trower 4128 Prairie Ridge Rd Eagan MN 55123 (612) 743-6954 Hoffman Weber Construction Inc 2155 Old Hwy 8 NW St. Paul MN 55112 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature