4131 Prairie Ridge RdIN5PECTIUN RECORD Cantrol No. o???
? CITY OF EAGAN PERMIT TYPE: ?? ? ? ? ? mli
3830 Pilot Knob Road Permit Number: 906H?11#
' Eagan, Minnesota 55123 Datelssued: 06119192
i (612) 681-4675
SITE ADDRESS: ROT= i SLUCk :4 APPLICANT:
4141 PRAtItxE RIpQE RD MILLE/t DAl.E
CDUMTRY HOLl.O61 ? (612) 296-1864
PERMI? SUBTYPE: TYPE OF WORK: New
? `:
Pertnlt No. Perntit Holefer Data Ta#ephono •
S/IAI
PLUMBING
Hvac
ELECTRIC
ELECTRIC
Irtspaction Date Insp. Commenffi
Footings I
I
Foundation
Framing
RooTing
Rough Plbg.
Rough httg. i
Isu1.
FlrepleCe
Final Htg. I
Orsat Test
Final Pibg. Plbg. Inspeclor - NaUfy Ptum6er
Cortst. Mater
EngrJPlan
Bldg, Final
Deck Ftg.
oeck Final
well
Pr. Disp.
SEWER & WATER PERMIT
cmr oF F-AGaN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 4`? - `'? -? i c
SITE ADnRESS _
LOT 1 RLOCK
OFFICE USE ONLY
METER # PERMIT DATE 04110190
CHIP # PERMIT # 11319
METER SIZE ?Z 6CA B.P. RECEIPT # r 71 59
ISSUE DATE 6 - z 5-90 B.P. RECEIPT DA7E04/09190
-IL PRV - BOOSTER PUMP
l .,
PERMIT REQUESTED
? L L 1= C? ,U ?"?'
APPLICAIYT:
ADDRESS:
CITY, STATE ZIP
PHONE: L{- ? ?{ ° I ?- ?S=
- -- -- ? „
?
PLUMBER: r' 1{ ? )
C 1?61"_`. .?;
ADDRESS: -Z?7,?3?.???]?i? •?- r r Z??
CIT1f, STATE :2:?.. Z 5"129
PHONE: S- r,
OWNER: _
ADDRESS:
t_
_LcJ3EWER _ WATER _ TAPS
- COMM/IND X RESIDENTIAL
X NEW ` EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead af Domestic Meters on Water ?ine.
Credit WILL NOT be given for Deduct Meters.
i- .-
/ ??"?-i r?e ?!' ? ? tx_k_. •
Y WITH CfTY OF
CI7Y, 5TATE ZIp USv
PHONE: SIGNATURE WMEN METER ISSUED
PLEASE ALLOW 'rW0 WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. :._ -
SEWER-& WATER PERMIT OFFICE USE ONLY
CIYY OF EAGAN 04/ }0
METER #
3830 Pilot Knob Rd. PERMIT DATE
Eagan, MN 55122-1897 CHIP # 11319
PERMIT #
METER SIZE B.P. RECEIPT # C 71 5*''
,--
ISSIJE DATE
,' ,- '
? 02
B.P. RECEIPT DATE'O 4
DATE I
-`= PRV - BOOSTER PUMP
e ? SITE ADORESS PERMIT REQUESTED
LOT 1 -BLOCK.Z1 _SECJSUB
"' ,
; - ? r - SEWER _ WATER - TAPS
APPUCANT:
AODRESS: ``? (-4 - ` - ? ? , P. ? - x - ?, - COMM/IND i1 RESIDENTIAL
CITY, STATE ZIP NEW
EXISTING
PHONE: 'AS 1{ q .'.-= _
- '
PL
M Lawn Sprinkler Meters are to be Installed
U
BER: Ahead of Dqmestic Meters on Water Line.
ADDRESS: - ? _, Credit WILL NOT be given for Deduct Meters.
CITY, STATE ?- '; _ ZIP ?--
PHONE:
?.
I AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS:
CITY, STATE 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.
.?, CASH RECEIPT ?
. . ,
CITY 4F EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 4 9 19
nEtE?o I?.\?..N?`?, l!V / LW : L lrL?1I/U ! / .? ?C
,?
AMOUNT
r
a ooLuRs
loo
? CASH ? CHECK
YONO--*bs" CAVY
C 7154 ?'?°??`
Pink-fib COpy
Thank You
?
BY
. . . , ,? ?r .. . . .
----=. CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ?
To be used for ` a' ^,i+- j??i' Est. Value $llbs01XII Date APR 6
Site Address 4131 PRAIRIB EtIDGE RD ?
LOt 1 BIOCk 4 S2C/Sub. COUNRRY HOLLOW OFFICE USE ONLY ?
Parcel No. occuPancy R"3 M-1 FEFS s
zoning y?N
W HLII,IB CO[ZSTRt1CTION
Name
(Actual) Const
Bidg. Permit 696.00 ?
? Address V`" SUPERIOR CT (a,Jlowat>le) V'N 58.00 '
City EAGM Phone 434-1438 # of Stories surcharge ?
452
00
bZ ' Plan Review •
;
Length
Name $AM Depth - SAC
City 100•00 '
,
Address S.F.Total - 8?•? '
SAC,MCWCC
F City PhOfle S.F. Footprints -
Water Conn
bx 5? ?
F-
On Site Sewage
_
w
O
W Name On Site Weu
Water Mete 90•00
yU
??
Addl'eSS
MWCCSystem
?
r
30 ? ?
eW Ci Cit
t
W ? Acct. Deposit • ?
t PhOne
Y y
a
er -w 30000
PRV Required S/W Permit i
i hereby acknowlege that I have read this application and state that the Boosier Pump - gIW Surcharge •50 ;
information is correct and agr?e@ to comply with all applicable State of
Mi 252
OQ `
nnesota Statutes and City oY an
? ?inance . ?,.
?
?
Treatment PI ?
,
'
/
Signature of Permitee e
?i.
APPROVALS
Road Unit
355"00 j
A Building Permit is issued to: BLILIE GONSTRUCTIOIy Pianner - park Ded.
on the express condition that all work shatl be doiciejn?ccordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official ' Variance - TOTAL 3,288.50
, Permit No. Permit Holder Date Tefephone #
WATER / O
SEINER
PLUMBING
d&d.
H.V.A.C. a?- ?So
ELECTRIC 11111940
Inspection Date Insp. Comments
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ? z
Freplace
Fnal Htg. -3
Final PI6g. 7
Const. Meter PIBg. lnspector - Notify Plumber
EngrJPlan
Bldg. Finat
Deck Ftg.
Deck Final
We0
Pr. Disp.
(ger#ifiratit nf Mrrupanry
titp of (Eagan
Erparbitrcti n# NdWno JWPrtinn
This Certrficate issued pursuant to 1he requirenienu of Seclion 306 of the Uniforni Building
Code cenifying tJrat at the time of issuance thir structure was in compliance wrth the variorrs
ordinances of the City tegulatrng buildrng construclion or use. For the follawing.•
Usc Clavmfintion SF DHB/GAR Bldg. Flrmil No. )7668
Occup-y Tra R3/M1 zooing nuu;a Ri rya com. VN
oWnr oc s?um? s•IL? 026M,ZZCN Add= 644 SUPFItIOR OWRT, F.AGAN
Biuldim Addrm 4131 $tIAtlE RID(E R0AD [AXaiity L 1, B4, OO[)tsM EIIZOW
77 J
? 11-11
r n.? J[A.Y 5, 1990
s?im? o?,??
POST IN A CONSPICUOUS PLACE
• CITY OF EAGAN PERMIT # `
CONTRACT 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHCN 4548100 QATE: _
Site Address / BLDG. TYP€ W(
Bbck
City Phone
c Address4?yV ? ,, ??-?- • % r??
8 City t-?c.v. - ? Phone
FEES
COMMJIND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
MuR. Add-on
Comm. Repair
Other
? RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N5 FIXTURES
Water Closet - $3•00 $ TOTAL
• ?'v
/ galh Tubs - $3.00
Lavatory - $3.00
? v
•
T Shower - $3.00
?
?
T Kitchen Sink - $3.00
UrinaVBidet - $3.00
4- Laundry Tray - $3.00
Floor Drains - $1.50
? /? 7 J
Water Heater - $1.50
?
T Whirlpool - $3.00
- -
Gas Piping Outlets -$1.50
7
(MINIMUM -1 PER PERMI'T)
Softener - $5.00
Well - $ 10.00
Private Disp. - $10.00
T
Rough Openings - $1.50
,
U. G. Sprinkler System - $12.00
PERMIT FEE:
?
STATES S/C: ? V
GRAND TOTAL: ?/7, y ?
r
BLpG. TYPE
Res. -
Mult
Comm.
Qther
? Name
c Addre
O CitY -
TYPE OP WQRK
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _,.
'-' '
_ ? . PHONE:454-8100 For Office l
M BTU $. 4
M BTU
Heater M BTU $?
:Ond. 501 M BTU $_._
CFM $?
Piping Outlets #
FEE:
S/C:
TOTAL•
?
?
?
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GA5 OUTLETS (MINIMUM - 1 PER PERMI7) -
COMM/iND FEE - 1% OF CONTRACT FEE
APT. 6LDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS -
1.50 EA. =.
12.00 '
FOR: CITY OF EAGAN
: s .
r-- ? CITY OF EAGAN
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 ?19
PHONE: 681 -4675 • ; , ?
BUILDiNG PERMIT Receipt #
To be used for ?1M FCM lINIOI Est. Value Date ?o0Y 26 ,?g 91
Site Address 4131 PRIIIRIE RIDGE RD
Lot 1 BloCk 4 Sec/Sub. ?TRY ?30L1AW OFFICE USE ONLY
FEES
Paroel NO. Occupancy -
Z
i 35.00
? P?
on
ng -
?. Name DALE !ltLLER (nauaqconst - surcha,ge •50
w ??? 4131 PRA1 B I E R I DG6 RD lnJiowaael - Plan Review
? Cfty FAGAN M!1 Zp 55123 i?n ries =
L;cense
phone 456-9123 Depin - sa,c, ciry
a: N=e SAME S.F. Total - SAC, MCWCC
S.F. Footprints
O Address On Sit
S
w Water Conn
e
e
age _
Qity Z'ip on siie wen water nneter
?
P?lOt18 wcc syst?
nn =
Acct
Deposit
8 Cily Water _
.
Ucem # PRV Required _ &W Permit
I hereby acknowlege that I have read This application and state that the Baoster PumP - S/W 5urcharge
information is corr and agree to comply with all applicable State o(
Minnesota Siatutes?d VtyOf EaQanArdi?anc96. ( l
{ Treatment PI
Signature of Permitee } ? ??_ ` ? ? ?•% K? ? ?- APPROVAIS Road Unil
n suitdiny Permit is issued co: D/41.E Hi W.ER Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Co+ncil -- ?
?
applicable S1ate of Minnesola Statules and City of Eagan Ordinances. g?, ph, _ ?P1eS
BuiWing OffiCial ( 11 ? ' ? Varience I
- TOTAL 36.00
Permit No. Permk Holder Oate Telephone #
$4IV
PLUMBING
HVAC
ELECTRIC
ELECiRIC
Mspection Date Insp. Comments
Footings I
FoundaGon
Framing
Roofing
Rough Plbg.
Rough Htg. I
Isul.
Fireplace
Flnal Htg.
Orsat Test
Final Plbg. Plbg. Inspedor - Notity Plumber
Const. Meter
EngrJPlan
eldg. Final 442 S
Dedc Flg.
Dedt Final
Well
Pr. Disp.
CITY OF EAGAN NO 17685 '
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 ??
PHONE: 454-8100 L?'1
BUILDING PERMIT Receipt u
To be used for SF DWG/GAR Est. Value $116,000 Date APR 6 , 7990
Site Address 4131 PRA7RIF RTD('F u
Lot I Block _4 Sec/Sub. COIiNTRY HOT.i OW
Parcel No.
w Name - BLILIE CONSTRUCTION
o Address 644 SUPERIOR CT
City EAGAN phone 454-1438
.o Name SAME
?a AddreSs
? City Phone
N Name
Address
City Phone
I hereby acknowlege thatl have read this apphcation and state thatthe
infortnation is correc[ and?,? „ to comply with all applicable State of
Minnesola Stalutes antl a an /y?d?/nanc/ey/?.
Signature ol Permitee """ ? ` `
A euilding Permit is issued to: BLILIE CONSTRUCTION
on Me ezpress condrtion Ihat all work shall be done in acwrdance wilh all
applicable State of Minnesota Statutes and Crty of Eagan Ordmances.
Building Otficial
OFFICE USE ONIV
Occupancy R-3 M-1 FEES
Zoning R-1
(ACtuap Const -V--N Bldg Permit 696.00
(Allowable) V-N Sumharge 58.?0
d oi Slories
62
'
PlanReview
452.00
Length -
-
Depih ?!$? SAQCiIy 100.00
SF.Tolal - SAC.MCWCC 600•00
S F. Footpnnts -
625
00
On Sne Sewage _ Water Conn .
On Sile Well Water Meler 90.00
MWCC System xx
XX
Accl Deposit
30-00
QryWater
PRV Reqmred XX S/W Permit 30.00
Booster Pump - S/W Sumharge . 50
Treatmen! PI 252.00
APPROYALS Road Unit 355.00
Planner - park Ded.
Council
BIdq.Off _ CoPies
Variance - TOTAL 3.288.50
RE:
4131 PRAIRIE RIDGE FD
DATE: 0-7 _ 4/10190
X Your Sewer & Water Pbrmit tor the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. 8E SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
PYour Sewer & Water Permit for the above property cannot be completed for the following
; reasons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
6e issued or occupancy allowed until further notice.
?
-' COMMERCIAL PROJECTS ONLV: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) betore 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.
n•? ° ` DATE: 04/10/90
RE: 4131 PRAIRIE RIDGE RD
R Your Sewer & Water Permit tor the above property has been comple[ed. 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.
t
? Your Sewer & Water Permit for the above property cannot be completed for the following
, reasons:
c --
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untfl 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 BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY QF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?p 19916
PHONE: 681 -4675
n ?
BUILDING PERMIT ? o
Receipt #
- L 1?
??
To be used for TAUNDAY ROOM FINISH Esl. Value Date NOV 26 , i g 91
Site Address 4131 PRa7RIE RIDGE RD
Lot 1 Block 4
0 iN RY HOLT OW
Sec/Sub OFFICE USE ONLV
-
. FEES
PefCel NO. Occupancy -
61dg. PemM 5.00
Zoning _
- N2fI18 DALE MILLER (qctuap Const Smcwge . 50
W Addf05S 4131 PRAIRIE RIDGE RD _
(Allawable) - Plan Review
Z
0
Cj(y EAGAN MN 7JP 55123 8 01 Stones
License
Len9m -
Phone 454-9123 Depth - SAG Ciry
N2flle SAME S F. Total - SAC, MCWCC
Q S.F. Foolprinis -
U Address St
O
S H'ater Conn
n
ewage -
e
C,Iry Zp On Sde Wall Water Mater
? =
Phone MWCC System
AaL De
osit
? Ciry Water _ p
LJC2f156 # PRV Required - SANPermrt
I hereby acknowleqe that I have reatl Ihis application and state ihat the Booster Pump - 5/W Surcharge
inlormalion is corre an ree m com ly with ali applwable State ot
Minnesota Statutes a d ity o E n rdi n? Treatmant PI
Signature of Permtlee t- APPROVALS Road UnM1
A Bmldmg Permil is issued ro: DALE - MILLER Planner - Park Ded.
on the express condition that all work shall be done in accortlance with all Councd 50
applicable State of Minnesota Sta
tut
es and Ci
t,y
of Eagan Ortlmances. 6Idg.Off Copies .
B
•
?
?
Bwiding OHicial -4v((l?(?' I 14?1 Vanance _ 70TAL 36 . 00
1114 J/90 910796,
G? 14 7-65,G/ ? ?j
P?aqueslAaf9-
z
q v ire No h-in Inspection
iretl4 ? /
? ReaGy W. $ WII NoLly Inspeqor
v
Re
?.VJh
C
-
o - ? ? No en
a
f
I licensed contractor ? owner hereby request inspeclion of above electrical work at
.b0 Adtlress (St t, BQx or Route No ?
? Cm/ 5
Secnon No Township Neme or No Range N. Counry
Oau QI (PRINT)
-AA 4- Phoere No.
-lLf
P upplier ? ^
1
l AtlCress
Eloomas oimac r(COm?me) fqMrador's ijcense No
S3
Maling Adtlrass (COMractor er Makmg Ins[all tion)
? C
S J /
-V
AulFrorrsed Signelu (COntra r/O.me latbn) Pliorre NumOer
NINNESOTA STATE BOAH ELECTRICffY THIS INSPECTION FlEQUEST WILL NOT
GrlggsMitlwey BMg. - Room 5173 9E ACCEPTED eV THE STATE BOAflD
1821 Universiry Ave., M. Paul, NN 5570C IJNLESS PROPER INSPECTION FEE IS
Phone (612) 662-OBW ENCLOSED.
P 14 7f 5
REQUEST FOR ELECTRICAL INSPECTION
ll? 6ee mstlucirons IOr complatmg ihis lorm on beck ol yelbw cbpy
X" Below Work Covered by This Request
N E&00001-07
'
" 9679(,
e lBld Rep. .- TypeofBUdding AppliancesWired EquipmentWiretl
Homa ange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Mdustrial Furnace
Farm Air Conditioner
Olher(speciy) Conhactor5 Femerks
Compute Inspechon Fee Below:
# Other Fee # ServlceEntranceSize Fae # Circuits/Feeders Fee
Swimming Pool
7 1
D l0 200 Amps
DD
D to 700 Amps
Transformers Above 200 _ Amps ? e-_i mps
Sgns Inspector5 Use Onty:
r TpTAL ?
Irrigation Booms
C _
Speual Inspection
Alarm/Communiration
Other Fee ?
I, the Etectrical Inspeaor, hereby
tif
th
th
b Rough-in Date _
f
cer
y
at
e a
ove inspection has
been made. Fnal oete
OPFICE USE ONLY
This requesl wid 18 rtwnihs Irom
/0100
_P 14764
REQUEST FOR ELECTRICAL INSPECTION
? See iysiructions for completing this krm on bflck of yellow wpy.
'X" Below Work Covered by This Request
E&00001-0/7
Me% Adp R TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
CommAndustrial Furnace
Farm Air Conditioner
Otner (speciry) ema a. Compute Inspection Fee Below: lJ" I' ?
# Other Fea # ServiceEn n eSize Fee ( # CircuitslFeedars Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
SIgfIS Inspector9 Use Only 70 p? .C
v
Inigation Booms Cli? ?
Special Inspechan "l
Alarm/Communication
Other Fee
I, the Electncal Inspector, hereby
tif
th
t th
b
i Rough-in Dale
cer
y
a
e a
ove
nspecfion has
been made. F,nai oa?e _^ ?i?
OFFICE USE ONLY
This request voitl 18 momhs imm
'??? 9 °- y654"
p 4 7 6-4 4/ J? /?' 0'
Requ? Da?a /
?..?h' -'" ( Fre No. -in Inspection
iretl?
? Reatly Now WAI Nony Inspector
R
d
9
l ? Ves ? No en
ea
Y
Ilicensed conVactor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (SVeet, or Route NaJ,
4113( MAVw, Gty
Sedbn No Township Name or No. penge N. Coumy
Occupa (PRINT) Pho
Po Pher ? Atldress ?
EkppcaL6ae?,iqor (
J pany?leme?_
?[ Contre r? "l?iceiree No
???
F S J 3
Mailirg Atltlress (COnbacmr or ner Making InslallaM1On)
L L 3 z-o SS3 37
AulFanzeC Sgna (Cmlr or/Owner Makiig In t n
1 Phone NuRx?z moe?
NINNESOTA STpTE BOARD OF ELECfPoCIiY 1 THIS WSPECTION REOUEST WILL NOT
Grigg.MWway Bltlg. - Room S113 BE ACCEPTED BV THE ST4TE BOARD
1821 Universlry Aae., St Paul, MN 55100 UNIESS PROPEF INSPECTION FEE IS
Mona (812) 642,01IN ENCLOSED.
REQUEST FOR ELECTRICAL lNSPECTION
? ? See mstmqions for completinq Ihis lortn on beck ol yellow copy
10 n "X' Befow Work Covered by 7his Request
???
EB-00001-08
??'y ?
? •*s
e
Iwj
I
Add
Rep
I
TypeofButlding
HOme
App6ancesWrted
Range
EquipmeniWired
TemporarySerwce
I Duplez Water Heater Electric Heating
Apt Bwldmg Dryer Other (Specdy)
Comm /Indushial Furnace
Farm Au Contldioner
?h°? (w??N) CoMradoes Pemarks
1 -4kNd12?j ? - ?vzD Lev?i
Compute Inspectron Fee Below
# Other Fee # ServiceEntranceS¢e Fee # Qrcwts/Feeders Fee
Swimming Pool O to 200 Amps Q l0 100 Amps
Transiormers Above 200 _ Amps A6ove 100 _ Amps
9gn5 Inspecmrs Use Oniy TOTAL_
Irnqauon Booms
Speaal Inspechon
Alarm/Commumcahon THIS INSTALLATION MAV OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH ?
I, ihe Electrical Inspector herehy Ro?9n?in ? I7 -7-
adj
certify thai the above inspection has
been made =
a?e
OFFICE lISE ONLY
This request voia 16 momhs from
//
6?5 9/ C'O/lo.301?
?
p 4 41
quesijl)afl- Fire No R ghin IospeCion
Re wretl?
u^ Ready Now ?dl Nolily Inspector
1?
l - es G No Wnen Reatly?
I=' hcensed coNractor -*twner hereby request inspecnon of above electncal work aT
Joo Aaeress 15treet 6ox or e No ) Qty
SecUOn N. Townshio Neme or No qange N.
OrcuDem IPqMTi Phone No
7a?e , MM e? `tsV-ci?Z
PowerSuop!,er ptltlress
Eiecr?i??l C
onvecmr IComOany Namel Contractor's Ueense No
?
W n
Mailing Atlones I onRactor or Owner Making IrtztallaUOnr
D t
/£
,
A 1 nze gn u e I ctonOw Ma4in in • uon, Phone Nombei
- ?
MINNESOTA STPTE 60APD OF ELECTHIqTY THIS INSPEGTION FEOUEST WILL NOT
Griggs-I BIUg - Room S-173 i BE ACGEPTED BV THE STATE 80ARD
14121 Unrversity Ave, SL Vaul. MN 55104 UNLESS PROPEF INSPEGTION FEE IS Phone(61Y) 642-0900 ENGLOSED
7 71s1 9606
/
2007 RESIDENTIAL BUILDING PERMIT APPLICATION ,/
City Of Eagan ?? ?.
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdian Reuuirements
3 registered ate surveys shaxing sq ft of lot, sq. tt of house; and a9 roofed areas
(ZO% maximum lot coverage allowed)
i Soils Reportif proposed building is to 6e placed on disNrbed soil
2 copies of plan showing 6eam 8 wintlow sizes; poured Found design, etc.
t set of Energy CalculaUOns
3 wpies of Tree Preservation Plan rf lot platted aRer 711193
Rim Joist Detail Opfions selection sheet (buildings with 3 or less uniLs)
Mnnegasco mechanical ventilation form
Plans are considered
Date 5 l 2i L / 0
Site Address
Description of Worlc
Multi-Family Bldg _ Y 0. N
?
L
state thev are
Cons[ruction Cost
Olfice Use Onlv
CeA of Survey Recd _Y _ N
Soils RepoR _ Y _ N
Tree Pres Plan Recd _ Y _ N.
TreePresRequired Y N
Or-siteSepbcSystem _Y _N
and the reason.
Unit/Ste #
Fireplace(s) _ 0 "vl _ 2
PropeHyOwner 1'4iW& Telephone#(&il ) "' J$1y)
Contractor Fireside Hearth & Home
Address ATTN: Danielle Ostgard
scace 20802 Kensington Blvd
_
Lakeville, MN 55044
City
Telephone # ( ) _?
' ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category , Resitlential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionlype) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N if yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, nd work is not to start without a
pennit; that the work will be in accordance with the approved plan in e case ork which requires a review and
approval of plans.
cr ?
r\?v. U'"i W?.
Applica Ys Printed Name Applic Ys Signature
Remodel7Reoair Reauiremenls
2 copies of plan shrnving foohngs, beams, joisk
1 set of Energy Calalatlons for healed addiUons
1 site survey for additions & decks
Addifion - mtlicafe il on-site septic sysfem
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch (screenfgaze6o/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 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 'Demolltlon (Entire 81d g) - Give PCA hantlout to applicant
D0SCf7ptlOfl: WaterDamage_ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
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 bldg) _ Sheetrock
_ Footings (deck) _ FinaVC.O.
_ Footings (addi[ion) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Fina]
_ Framing _
_
_ Siding _ S[ucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Fina! _ Windows
_ [nsulation _ Retaining 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
('4 qq°
2005 RE5IDENTIAL BUII.DING PERNII't APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??7o ?v
1 --
New Construdion Reauirements RemodeVReoalrReauirements Ofirca Use Onlv
'
3 registe2d sBe surveys shmving sq. ft. of lol, sq. ft. of house; and all roofed a2as 2 copies af plan Cert of Survey Recd _ Y, '_
N
(20°k maximum lot average allowed) 1 set of Energy Calculations for heated additlons Tree Pres Plan Recd _Y _ N,
2 copies af plan showing beam &window sizes; poured found design, etc. 7 site surveyfor additlons 8 decks Tree Pres Required _Y _N
1 set of Energy Calculations Addltion • irMicefe i/orFSife septic sysfem On-site Septic System _ Y _ N
3 capies of?ree Preservation Plan if lat platted aRer 711/93
Rim Jo'sl Detal Options seleGion sheet (buldings wtlh 3 w less unfts)
Date truction Cost
ns
Co
Site Address a
,
L? :t ?
tL?`,-e
? Q
1?` • ' UniUSte #
Description of Work !Qa 6L2 B Chl11J.(:t-)S '402%_ C^4;^7')'&X;S-?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 " 10??
P
t
O
lak Telephone # &so `494 " q 19
3
wner
roper
y ,
Renewal By Andersen
Contractor 1920 County Rd. "C" West
Address Roseville, MN 55113 - C'h'
State 651-264-4777 lephone # ( )
License #20130983
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
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application
permit;Pat the work will be in accordance with the approved pla
appro ??1 of plans.
I CA, r
pplicant's Printed Name Ap i s
r a permit, and work is not to start without a
the case o?nork whichsequires-a- ?e?v 'and
Ir? i? II 1?1 I'E '.
?Il zoa5
?
?
- OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. AK - 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 O 72 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'oemolitlon (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIREDINSPECTIONS
_ Final/C.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining 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
"?/vaibov; iliV iLJV
rna toJ O/l 44bD xnnt!7? ??&dYU?1f[Y .
rena1 .
'?
. rund t aoai
3836 Ei;ut &cab Road F-a8an, MN 55122
. TO Whflm Tt May Caatcern:
Eider 7ones is anthorized to
Etdcr Jones to pmvide this p? b?ng ?its forRenewal by Atsdn?,_ pIeas
dato bcyond 61610I; e xilow
to the City- ser"s?i?e for ua in E?ega». 7ttia authorizetian is vatid for arty
, cmtiI a??j bY Andcisen maua?r eaPttaslY revokss it in wiiting
I rcquesf this auttiorizstian be "
oar baiiding PcIInits nn ? a?Pt?'axpediflouely. aa W not delay in rhe Frp?ss?ng of
? can4ctcd at 763-50?r47? zdtcr... Elcaac cali mc if thcro atc nnp qnesc[ona.. I can i?e
_ .,
Xour immgdiatc xttcntion to Ais mattcr 1s aderm-nr,..r a , .
SInoamly.
ond R I2au
ustalIation Managor
Renowa( by Andascn Corporativn
Krrrn Fldes Shnec -
y ox o ???
- - - - ? - - - - ---?".?.n,?,
. MY
wV U
Received Time Jun. 1. 1:07M
,C?IA4,
? BEISSEL
? WINDOW ESIDING
153 East Thompson, West St. Paul, Minnesota 55118-3261
July 28, 1999
City of Eagan
Department of Building Inspection
3830 Pilot Knob Road
Eagan, MN 55122
Re: Dale Miller Residence
4131 Prairie Ridge Road
Permit 4EA036455
To Whom It May Concern:
Fax:(651)
451-6835
On June 22, 1999, we obtained the above-referenced pertnit for roof work, see enclosed
copies of "PermiP' and cancelled Check #77539. The member of our staff who applied
for the permit failed to advise you that the work was storm damage related and therefore
exempt from the permit fee. Accordingly, we are requesting either a full or partial refund
of the permii fee of $186.25.
If you have any questions, please contact our office. Thank you.
Sincerely,
d 4
Vickie L. Pleski
Office Manager
Enclosures
Family Owned & Operated Since 1950
City of Eagan
38:0 PILOT KNOB RD
EAGAN, MN 55122
(65 1)681-4675
Site Address:
4131 Prairie Ridge Rd
Lot: 1 Block: 4
10-18275-0I0-04
PERMIT
Addition: Country Hollow
Permit Type: Building
Permit Number: EA036455
Date Issued: 06i22l1999
Description:
Sub Type: Single Family
Work Type: Reroof
Description:
Census Code: 434
usc occupancy:
Conscruction Type:
Zoning:
Square Feet:
Remarks:
- -- -BaseFee 18125
Fee Summary. S[ate$ufchu_e 51?: 5
Valuation: $10,000.00
4 ilsp5
r g''?J99
Contractor: - APPl«a,t - Owner:
Beissel Window Siding St. Lic.: 6453 Dale Miller
1:3 E. Thompson Ave 4131 Prairie Ridge Rd
West St. Paul, MN 55118
6:1-451-6835 EaeaaMN 5=123
I he: eby aclmoa•ledge that I have read this application and state that the information is correct and agee ro comply wi[h all
applicable State of Vlinnesota Statures and Ciry of Eagan Ordinances.
ApplicanUPerrttitee: Si?mature
Issucd By: Signature
; - - - - . r,-
? BEISSEL ANLHOR BANK N.A. 71539
OF WEST ST. PAUL
WEST ST. PAUL, MN 55118
? WINDOWWSIDING
153E.ThOmpwnAve. Ph.851-061-8635 . 75-1523/960
Wesf SL Paul, MN 54118
DATE AMOUN7?
6/16/99
PAY
BEISSEL WINDOW & SIDING CO.
TO THE
DER
Of City of Eagan
' u_`,?°•--+?^'R:?• ?. :'.?"i?l'3"3,:'g*f7'?r-..-..-_3?'?"'?^^....r+.-r^r-•:+**;?.'n-„'^'vr-.-r.Vrrr-r*?r-_r-?i",?3aa5'?'yF+a'?^..?.g'?"^"' ...
07753911• 1:0960L 52321: 0406094ii• 11'00000L8625e'
?
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QL2 ;r::.?'
n?.,?n?c`c?? ?
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1-'.?`" hnoiEM P?OA0I6A
?
i;- i:ji
. ? . .,. . . , . ? ,.. ,
. . .?. . .?. ... .. . . ... .?, i . -?..
?
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: Beissel Window & Sidiog
ADDRESS: 153 E Thompson Ave
West St Paul MN 55118
LOCAT[ON: 4131 Prairie Ridge Rd P.I.D./LEGAL: Ll, B4, Country Hollow
RECEIPT #/DATE: 111891/0622-99 VALUATION:
REASON FOR REFUND: Storm damage-fees waived PERMIT #: 36455
TYPE OF REFUND: Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 $
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $181.25
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Coanection 3865-9220 $
Sewer Permit 3743-9220 $
Water Pertnit 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 S
Water Treatment 3868-9220 S
Surcharge 2155-9001 $
Utility Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 S
Construction Meter Dep Refund 2254-9220 $
Water Usage Chazge 3711-9220 $
Other $
TOTAL $181.25
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
?
S[CNA URE G/a ? 9
August 2, 1999
DATE
? CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 0656
BUILDING
000838
06/16/92
SITE ADDRESS:
4131 PRAIRIE RID6E RD
L07: 1 BLOCK: 4
COUNTRY HOILOW
DESCRIPTION:
Building Permit Type DECK
Building',Work Type NEW
euilding Length 15
Building Width, 15
\,-=Q_?:_ LJU L;
. r?
REMARKS: C D 043d
FEE SUMMARY:
Base Fee $25.00 COPY $.50
Surcharge $.59 Total Fee $26.00
Subtotal {25.50
CONTRACTOR: OWNER: - Applicant -
MILLER DALE
4131 PRAIRIE RIDGE RD
EACaAN MN
(612)296-1854
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 pln.
Statutes and City of Eagan Ordinances.
? q)aQG •\? 1'1r?.?' r
APPLICANT/PERMITEE SIGNATURE ISSU D 6Y: SI NATURE
PERMIT N ,
REACTIYATE .=
?
39-
CITY OF EAGAN
4zL.oa
1992 BUILDING PERMIT APPLICATION ? ? ?efZ
681-4675
J J N RECo
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.
Date aluation of work
Site Address: `f
STREET SUITE M
ant Name: (commercial only)
IAT I BIACK P.I.D. k
.? ?)7 iTK`l?
Descri tion of work: ?e c`c
The applicant is: A!T-Owner ? Contractor ? Other (Describe)
Name Phone`i39-4 tZ'?
Property LA5, FIRS, ?? ????•tsSy
Owner Address HI 3 4 rk?fz;
?
;-?
V=
Q
a
_
..
'
STREET S7E R
CitY I State M•?,-- Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer h water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to compl with all applicable State of Minnesota Statutes and City
of
Eagan Ordinances. .
S
? .
ignature of Applicant:
?
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
IX 31 New
? 32 Addition
OFFICE USE ONLY
13 06 Duplex
O 07 4-Plex
O OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
9z 15 Deck
? 35 Tenant Flnish
? 36 Move
Const. (Actual) ' Basement sq, ft.
SAllowable) ?
-
- lst F1. sq. ft.
C
_7S
UBC ccupancy 2nd Fl. sq. ft.
Zoning Sq. Ft. total
M of Stories Footprint Sq. ft.
Length ?S On-site well
Depth ? On-site sewage
APPROVALS
Planning Building -z
Engineering Variance
REQUIRED INSPECTIONS
? Site Footing O Framing
? Wallboard Final ? Draintile
? Insulation
O Fireplace
Permi t Fee 2 S, o o veimc;«,; g
Surcharge , 5'Q
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Mater Meter .
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies -?
Other
Total:
. . ,
e. . Y
11 16 Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
0 20 Public Facility
? 21 Miscel}aneous
? 37 Demolish
MWCC System _
City Water ,
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code T-T
Assessments
4
SAC %
SAC Units
• are •for: • BY.: 143/3 7
.,r.e Blilie
699 Superior Court
Eagan, MinneGOta 55123
DELMAR H. SCHWANZ
LAr+o suavtrone. wc
ftOiNw?E VnNr lw+d iMlhIU et WIW?U
11750 80UTH ROBERT TRAII R09EMOUNT. MINNESOTA 56060 e12/423-1769
SURVEYOR'S CERTIFICATE
8
? aj N89- 3& i l?? ?° $?')So.oo T8N0y
-
y ? 4837 30.0;
O - z?.3s
rf ., yvo$
?
o •? gyn. y _ ?
N I Drainage and N ??v •
I I
o
A
? ?
Utility Easement
R .
I
Garage '
j ? I
y
' Proposed
0
ti I LoT /
? g1 OC k? y
0
z ro ?
L- -
a -
N
o 4
f5' ir kil House
0
?iy 30.0,3
19 Tw3s '79
N89-38- 3/w g°39-10
Scale: 1 inch = 30 Peet
O Deriotes iron monument 82,$,b Denotes existing el.evation
O Uenotes Get wood hub ?QZ Denotet prgpq ? dAel,vatiq?
from Deveopment:;,P?ahlk?
.?
? ?.i ib ? "g•r i /
?4Z. d pcopased garage floor elevation tr,/? ?"'"""
4 111
PG L6
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DeGCription: GAG.AN ENGINEEFtlNCa DFPT
Lot l, Block 9, WUNTRY HOLLOW, according to the reeorded plat thereof,
Dakota County, tAinnesota.
Also showing the location of a prop`??p?p}ii??R?use thereon.
....,.,,NNESO?-?,:. P.R.V. REQd.JlREU
I hsreby certlty Ihat thb suney. plan. or ropoA wo
propend by me a unMr my dinel SupanNlon anA
thsl 1em a Ouly Rp1NSmd Land 3umya unMr
tM Iaws ol tM Stm el MlrmNOft.
Otled April 3, 1990
DELMAR H
sctiwAraz '
- 8625 -
r'?•.. : ;. ? ? ??.? `? ONmer N. BeAwsnz
MlonwodftYhlrMlonNo.91126
,.,.. >.. _ .,
? r
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIYLE 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 CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATZONS 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 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 Ml7ST SHOW A LICENSED PLUMBER.
HpR 0 9 RECD
To Be Used For: GL? Valuation: 000 Date: q- 4'" ? v WC. .' n • n /
Site Address
Lot -L Block ?
Parcel/Sub l?p O C?
Owner
Address
City/Zip Code
Phone
Contractor l? L.?L i F-- (?2 0 i=
Address ? Lj 44 ?u..pyn r v-? (21
City/Zip Code
Phone Li y ^ / L{ --
Arch./Engr.
Address
City/Zip Code
c
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
R-3 M -1
R-1
v-N
V-N
&-
419,
On s3te sewage_
On site well
MWCC System ?
City water ?
PRV ?
Booster Pump _
APPROVALS
Planner
Councll ?
Bldg. Off.
Variance
FEES
Bldg. Permit 496,00
Surcharge $B,00
Plan Review [{52,00
SAC, City /.OD,DO
SAC, MWCC 600,00
Water Conn 25, Dp
Water Meter 9Oiao
Acct. Deposit _?Z,p,DO
S/W Permit D,D?
S/W Surcharge t 50
Treatment Pl. 2152,00
Road Unit sss, VD
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
?Od
Phone #
?? '?1
?A l.(Jl A 71 Op.?
12x al = ZSZ
z2xz2 = 4??
11040
T?Srn`T-
`'? k2G,A 1300
? KiZ = 72
I2yc /;? ? 1qz
IXi?= i?
?--'"
( S'?S X lti = Z2pSc?
IsT Fm0A.
t?s°nT= ) S`)S
?'/zxzz = 33
2?7 = 1y
162z X??= SZ?zz
IIS,BiZ
.: -•
, .
, Gert:iiicate for: • ^ Bk: 143/37
Wayne Blilie
644 Superior Court
Eagan, Minnesota 55123
DELM/kR H. SCHWANZ
uNO eunv[roae. iwc.
wym«w unow i.m a rn. eua a w?
14750 30UTN ROBERT TRAIL ROSEMOUN7, MINNE30TA 56080 E121423-1789
BURVEYOR'S CERTIfICATE
N89- 383l w' 0 ?°g41^fi
0
N I Drainage and
Do
Utility Easement
? I LoT /
m
o I
Z /o' I
l- - ?
'(oo Nu4?
?So.oo 9
'
.011
3/Y 3
?
SYo.y A
-
N i.o
_g Proposed IGarage ;
H
Vi
0
? N House ?.f
a o •
8N1'1 N 8 9- 38- 3 i w g39,ra
Scale: 1 inch = 30 feet
O Denotes iron monunent
O DenoteG set wood hub
842.4 '(o?PG L6
x sY i, ?
a Q
I'D I
sb
O
38 gyo./ ' )o
iz,ib ? C
NB.37 30.03 x
1yZ 19 ?38?9 07?pcoRe
II
$?A,d Denotes existing el.evation
?4Z Denotes propo sed elevation
from Developmentl?yP?la-ngti -??;,'• ??; ?
94f,?•0 Proposed garage floor elevation
Description: EAG.AN ENGINEEF
Lot 1, Block 4, COUNTRY HOLIAbi, according to the recorded plat thereof,
Dakota County, Minnesota.
7+lso showing the location of a propqNqdnibRuse thereon
I heroby ceAih tAet Mis survay, plsn, or roport was
prsperod by ma a unAer my direet wparvlsbn md
Ihet I sm a Auly RsplstsrsA LanE Survayor unMr
tM Iwn W tM Stats of'MlnnssoU.
ONed Apr.il 3, 1990
DELMAR H.
SCHVJaNZ
- E625 -
DEPT
PaWo V o WEQLJHRL5D
?
ONme?N.BeMrau. I
* Mlmwsota MphbHbe No. 86T6
?W:?rc ...; • : .
*- '` , OllNER,
. _ . . ? ?. ... ?- , ..r:r,.•:. ..y?, ar.?c?' _. :?•r::r. ?
.r-
.
_ ? ?.a . ° .. Y . i •..?. .. .M . . `'F?SY ? ••6.i ? ' n ? . . .
,no EXTER1QR-?:lNELOEE liVEPAGE COt?PUtATION
. ?.:s,'.. •e:. . . . , ? . ?x. " . _ ' '
SITE,ADDRESS L---cT. .ISi.z:?K y
? r CONTRFlCI'OR • ?l/E . ?if' UATE 4?
b. ,
??.:.. 1.
?,. , .
2.
?? .
?. ..
#.. •
?.:.'
??.
?, .
,•-
, . ?
?
. Determioo vrorL•ing.square Foatage of each.
Ny
Tota} ; exp6sed 'i;a1.1 area ..:. . ?252• 33 Sq. ft
Total roof/cei}in? area sq. ft
PHONE.
.?/ x •39B = ?f??.
x .9G• ,
TQtal exposed ttatl aria above floor
a. Total wa11 vrindow area :........................... ?224
b. Total door area ................................... c, Total sl fding g7ass. door area ....... .........
d. Totdl fireplace:l411 . area:........................ ° ap
e. Total wal] framirtg are?'-(average 10%) . :........ 3oj.z
f. Tote1 net,wall area abovi floor .................
g: 7otaT.rim jdist arta : .......................
? . •
? 7otal ekpos2d foundation area = 96?33
h. Total foundation windovi area ..................... -
i. Toal net foundation area abeve grade ............ Detenine "U" value cf each wall segment.
k-
?
?
?
;
t .
?
a =22(e X lluii
. b. ?7, 97 X "U" , /23 = y Co5"
C: y? X .,u.,
d, 1910 X „u„ , 7z
e. '101,2 X "U" .O 9 = /?--29
f. 15-0S.03 z Hu" .Ay - Go?1 B
9. 1JQ X °Ull 'B7 = J•2?
fL ? x nUu - c -
_ ;. 9a33 x „u„
3. .......:?.,,' ............:.........Totat = ,127 3
If item n3 is the same as, or less than item [1, you have met the intent
of SDC 6Q06(c)2.
.. .
]??h • - - ' 1`\' ' ? i
?,,1?, .• , _• ' .. .,
, . fiw
f '
Total exposed roof/coilino area = /Fp 4/ •
j. Total skylight area ............ ...........
k. Total roof/ceiling framing area (average l0A)...
" 1. ToCal net insulated roof/ceiling area........... f/ 7_3, G
3
Determine "U" value for each roof/ceiling"segment.
,.., j , X llull _
k. ?3o,,y x"u" . os? = 3 39
.?. . -
X „u„
y4 ................... ............... Total
. '
If total of n4 is the same as, or less than "2, you have met the intent of
SBC 6006(c)l. , • -
Alternate Building Envc-lope Design
.. ie uti7ize th2 total envelooe systen ratiod, the values -sestablisfied by the
, sum of 4t2ms :;3 and ;d shall not be greater than the sum of items ;l and n2.
,
. i. + 2. 33•9d ? ?,:G?
3. s27, 3S + a. _.?6o,af
;
. J?.
,',.n/'?I' " ,:?Gl?S C?i"".r?f? Kr`?lt?'?
a
` :. . , " -'-` ' . -. -- a _ :;Sn` lai . _ ,_..+?_. -... . •. ' F?:. . -
? ?a?.-?--•--? ? . ,. . . ..-, ? _-, .. . _. . ?-.. '.: 4? ?'c?`?TE: Uae 15% of qk,sqtkc vall` *eCA•fbr Y - ' ... . .: •:_,• _ ., ?,
? tramc constsuct*on Construcrion ?- , P-v_axfla
r'` • - 1. ?a.C''?'e'Sn'-?ty f.l"m--' ?`^'?---_?'_ r,'•0 '
:. ? - _? ? ? • '? ' ?a? ----- ----.. /•.?
.? a. y??_... ?•oG
S. y6?? ?/?? ----•?GZ
BASIC 6. Exturi-,,r a:t' fi2n G,17
, w,,tL
Q. r . B9
FIG. M1 TOPVIF.N QF' _
FR.lti£ -WALL 1.
2.
? , . 3.
* . . ' 4.
A;. 5;w -
F2G. N2 Total .CJ.Vj .
: ; , ,,,.. • ?i = . ?ay
. _V .
Y? F
,?. , -"'Q • 1. I terior air film 0.68
: '•'i 4.,?_•.Q 2. j_J7 9,IG
3. %N
LLI S?a??l5. 6. er3or ir film 0.17
F3df.*.._{ 11,-?L_??f_ ` i
Total
r ?1; _?• ?•. ? I.. • ' Q= .?y
?';'?,•
n ? µ- ?O
r ?
'i 1. Intcrior air fi].m 0.68
?0?:;?axicN ?= • '` o .. 2. /" 7?fAaypr S.?G
, ?,AU . C ' A ? • . ?' ' 3.
• cl • . •p" . 4.
? u ?Tno?
, ?` ,?? ?' ?.?-?.• 6. Exterior air film 0.17
70
SLAB ON GRADE ?
!l1 FIG.N4
? • V_;:?
:,?IG. i3 ;?' . ?.. • KrNI ? ur = ??? ?
.
NOTE: Indicate tyoo, "?:" value, denth and;:
_ ,' • ?'. ? ' ? , placenent of insulstion.
t'
-Venced
F4. . !
V V
Heac flow-"
uP: '
FIG. I!5
<!miN..B..?:-,S.Ft:'? 11j..
?414
•_F' .? _ . . {- _ ' ??n
Construct1011 '; -R-'?alue
2. ? ` zt31i?7J , S6'
3 . ?O f? £!L//L/lE .313 ?9D
4. F.xtni'ior ciir tilm (still 0.6T
? Tocal 46
1. Interior afr, film ? 0.61
k:• •.
,..
YIG. 46
3
.. ..s?..a?
2.
3. •
4. Er.terior air lm stiTF??Z. Ur
Tutal
I..
z.
3.
4.
'-1'
HON-4'ENTED Nol•e: '-, Use ndditional shects if more space ia
?:; '' • neoded for Qetails and calculal•ions.-
?.;,, ? ? , . " . ? ? .,.`; ' , .;.Heat . ' • .
Elow up . ,
'??=t... . •
•?7 ?0. , .
pr.a. . .
'.
'
rY.ea[ flow up ; vented
l 9,9 ? lP
1991 BUILDIN6 PERMIT APPLICATION
CZTY OF EACAN
SINGLE FAMILY_DWELLINGS MULTIPI.E DWELLINGS COPlMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES i1HEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WIL7 BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCE5SING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For: I?/NISN R0V'a uation:
Site Address
CELot I Block 4-
Parcel/Sub A
Owner \,??Xe
Address
City/Zip Code -L4 <
Phone ?l z' tA
Contractor
Address -
City/Zip Code _
Phone
Arch./Engr. _
Address
City/Zip Code _
Phone #
e /Water L c
(Signature
Date: I ? 2S ?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.
F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
ONLY
FEES
Bldg. Permit
Surcharge ?
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies •SO
SIIBTOTAL
Penalty
Lot Change
TOTAL 3G.o'a
agrees that all woik shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CSTV pF :=:q(;AN
f::A:ill:1:E1i:; S YE!tiMSNfiL NLl. i i?j
PATe(1b/22/99 TIi1i:.; 1.6uC1`.-?t23
TU ^
NP,ME , EsEI58El. l'1?dDH t; SIL!IP4G
300 9001 4131 F'F;A.fSTE nD l.^ni.i:'15
205 900J 413i, I•(i;=;Ih::f.F::: FiU 51,00
Tq't:%II. Rvl.?eapt Am6un'.e
CR9.1. L8'71.
USrI"t IA: P:hNC1?
t J ?
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681•4675 q ?
? a ? ?
New Conshuction Reaulrements Remodel/Reualr Reaulrements
? 3 regisfered sife surveys showing sq. R. o} lot, sq. k, of house
and Q roofed areas l207, maximum lot coveraae allowed)
? 2 coples of plans (ohow beam a window sizes; poured 1nd. tleaign; etc.)
? t sel of energy calculalions
? 3 coples of hee preservalion plan N lot plafted a(ter 7/1/93
DATE:
DESCRIPTION OF WORK: P o C /
STREET ADDRESS: '"/lW
LOT: I BLOCK: _'-+ SUBD./P.I.D. #:
PROPERTY
OWNER
2 copies of plan
t set ot energy calculaflons tor heated addMions
1 sHe suney for exferior addRlons 6 decks
? !39
a,c7
?
CONSTRUCiION COST:
Name: R /?-° Phone #:
tast Flrs1
Sfreet Address:_TL?/ / ?,,4 /ie/ 2 ??,c
?
City ? 61AII., State: 4? Zip:
Company: idr 55e ? (,Vi,26?uw ? S/??fUS Phone #: T'/- & Q3??
(area code)
CONTRACTOR
Street Address: .5? ?Rooitgg'+rd e License #? Exp.
City c?"57 J/ /?d I StateA-it/ Zip: J'?57/*?-
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area eode ( )
Streei Address: Registration #:
City State:
Sewer S water Iicensed plumber (reaulred for new conshuctlon onivl:
Penally applies when address change and lot change fs requested once permit is issued.
I •eby acknowledge thaf I have read this applicaflon, state
' a of Minnesota Statutes and City of Eagan Ordinances.
Signalure of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
cortect, and agree to comply rvtth all applicabl
D?`?`??.????,?, .?
?- - - -
? L
Tree Preservation Plan Received Yes No Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
?,0'(
? Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
8
02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? /33 Alteration ? 37
Lg' 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
,
Valuation: $ C? Cxju 4
?
SAC Units
% SAC
STATE OF MINNESOTA
DEPARTMENT OF COMMERCE
133 Eest 3eventh 3t
9t Peul, ivIId 53101
(612) 296-6319
gUILllIN(} CONTRACfOR
IIk{6453
REMOD
CORPORATlON
Expires: 03/31/1999
J09H F BEL9SEI-
7 Hrs CE due by 3/31199
BEi93II. WIINDOW 9IDING
133 E THOMP90N AVE
yc/ gl' ppUi, MN 55118-0000
CM OOSa9
STATE OF MN DEPT. OF COMMERCE
f?`d???:???^
133 Eaet 9everdh 3t
3t. Paul,ldRd 35101
(612) 296•6319 ? - ?' -
BUIISI1N(} CONTRACfOR ?!yt:ieb¢!?:;
IDtf6d53
REMOD
CORPORATiON
Expiree: 03131/1999
JOSH F BE[99EL
7 Hre CE due by 3/31/99
DBA, BIIS9RL WIINDOW 9IDING
153 ETFiOMP90N AVE
yp gf ppUI, MN S 3116-OD00
/
?
i
L
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
t,Q,j(Q? cl City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ?6 00
?
New Construction Reaui2menta
3 ragistered sife surveys sharring sq. R of lot, sq. ft of house; and all roofed areas RemodeVReoair Reauiremenis
2 wpies of plan OT1ICe U?'?:Ofilv
Ceit of Su`rvey ReW:--'_-?x - '__Y.=_N
'
(20X mazimum lot coverage alluxed) 1 set of Energy Calculations for heated edditions
ks
dditi
8 d
f ?ee,Pres P1arvRecv,=:-?. -4N,
T
2 copies of plan showing beam & window sizes; poured found design, eta ec
ons
or a
1 sRe survey ei
=
s
? ' N
isetofEneigyCalculations Addifion - indicateif on-sitesepficsystem t
n
,
Sy
On-s <<
3 mpies of Tree P2servation Plan i( bt platted afler 711193 •
Rim Joist DetalOptions selection sheet (bldgs with 3 or less units
(gq
/ ffw
/ Qg
Date
-z-ova -
Construction Cost
_
_
l,
SiteAddress UniUSte #
?1?4
Description of Work
D1d
.C-Q o? C?t{??CA75?
1?Q?CJ{? ?/I(l'-?JTC?S?P7??
.
Y la
e(s)
N s Fi 2
1
0
Mul[i-Family Bldg _
Y, rep
c
C'l _
_
_
\`e
t
O
bQ
P Telephone #bj 1) yby 123
.
roper
y
wner
-
Contractor RENEWAL IIY ANUERSEN
1920 COUNTY ROAD "C" WEST
Address ROSEVILLE, MN 55113 City
State 651-264-4777 Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category '1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # (
Telephone # (
Telephone # (
. -. - _ , - I
I hereby apply for a Residential Building Permit and acknowledge that the informati
that the work will be in conformance with the ordinances and codes of the City of
±?? , .. ..
i is complete and
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
of plans. n
aKvalro,
'Applicant's Printed Name Ap icant's Signature
OFFI(:E, USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot 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.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex aibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement `Demolition (Entire Bldg) -Give PCA handout 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
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundafion HVAC
Drain Tile Other
Roof _ Ice & Watei _ Final _ Pool _ Ftgs _ Au/Gas T esu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
Building Inspector
??.?e.s?•.a. iuu ac.ov raA !OJ D/1 Q460
.
.itCt'1lS11U Hk° 91YU8ntS1M
re al .
?? . .
r=e ?, zoo) ? ? -
MY of Rem ..
3836 PiIat Snob Rosd F-a8en. MI+i 55122
To Whom It Maq Goncern:
Elder Tones is atzthorized to pttiI hniIdiag peimits for Ranewal 6y Aude:sen Pteaso alIow
Eidor ]ones to provido this ser'vicc for us in B". `ITtin eudtorl2etion is relid for any
date bcyond 61610 1; until atGRewa! by AndGrspn
to the Gity mst?a?? e?P?1Y rovokes ft in avr[tfng
-
I reqneat this auttiorization bc aoceptesd ezpediflously. as to not delay in the proccssing of
out bnilding pcmuta any furthcr. Picasc caII mc If th= atnc any qaoulona. _ I ceu? 6e
contacted at 763-502-4706_
Your inmSdate attcntiori to this matter 9s ?preeieted_ ° ..•
Sinceiely,
vndR Rau
nstallarion Managcr
Renewal bY Andasr.n Corporation
C'.c.: Karn-A]r}er7onec
Off UNcgwy
Mlrvsesft
MWYF*Onjwm,xom
;
w9/Ue
Received Time Jun. 1. 1,07pld
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4131 Prairie Ridge Rd
Lot: 1 Block: 4 Addition: Country Hollow
PID:10- 18275- 010 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Surcharge - Based on Valuation $3K
BL - Base Fee $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 9533 -
67th Street North Branch, MN 55113 651- 674 -1766 wsandd @peoplepc.com
$1.50
$88.50
$90.00
Owner:
Dale A Miller
4131 Prairie Ridge Rd
Eagan MN 55123
9001
0801
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA076639
02/07/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4131 Prairie Ridge Rd
Lot: 1 Block: 4 Addition: Country Hollow
PID:10- 18275- 010 -04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Bermitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Dale A Miller
4131 Prairie Ridge Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA090954
08/31/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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' �I�� BLue t�r sI�A�FC Ink>�
iFor�ffdce�l�e--------- �
�• j Permit�: t� � L� 1 j
��� �1 ����� ���.,�' � ` � PermitF�e: � .�� �
3830 Pilot Knob Road " � � �
�'� � �� � ��� �
Eagan 1111N 55122 .. � � ` `'� s Date Received: �
Phone:(6�1)S7S-567S � �,�n �
Fax:(Sa1 j 67S-S694 1 Sfa�f:��� s �
1 ��---------------- s��
2015 RESIDEI'++ITIAL BUILDING PERIVIIT ARPLICAT'I�JN �-�' �
�
Date: �"`��-r`� �ite Ad�dres�: '� 'ir.�" " �' Unit#:
, ..� , �.� v _. ,..., � _�,. . ..r . s»� �.,. .�a�. � . .�. .. . � _ .. . _ �., ,� .� �... _ �, . __x.. � � .x, ..
� , Name: ,[.�7�i: � � ��.��,r Phone: (05l-'7"�j'�"',�.�'��„� �
Resident/ ,�
Owner r Address/City/Zip: .,� .�� i� .'S�� " �� � � .�-3
� ;�� A,pplican#is: Owner �"+ Contractor
� ; Description of work: � o✓ jS t+'1 c� c,� � �1° � %�j�'
� Type of Work ,�, �
� � Construction Cost: .��; Multi-Family Building:(Yes /No� e
_M�,�,_a.w�,.,,�..�,�..�.��Aa,,. _ �„� ..�r ��.��4�.,��,r a�. .-�.-�,�,ti,,.�..��.,�. < ���..� �.�� ��� �-��.��.�,..�x�. �,�a�� a.�,�� �
�,„ . �. _
� �'1�3 � .���i.. I7'�'� �
� ; Cornpany: /�./���c.�� ��y'�S��t 1� - Contacfi > ;
;
' � ��,`��r ;
; � � Address: ���� �� �i1 �� � City: .,l?� 1
E Contractor ;
° State:�Zip:� 1�� Phone:�'"S�'S�1 Email: ;u56z,� l:'r��`c/�G�✓�G�or+�
License#: ,� ��� Lead Certificate#: /1�i�,.��v'�� /
If the project is exem�t from lead certification, please explain why: '
; ��s�� i� .��� •-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NfW BUtLDING
; 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:
ti
? Mechanical Contractor. Phone:
'; Sewer 8�Water Contractor: Phone:
�
� Fire Suppression Contractor: Phone.
NOTE:Plans and supporting documents that you submit are considered fo be public information. Portions of �
the information may be classified as non-public if you provide specific reasons that wouftl permit the CKy to
conc►ude that the�are irade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection againsf undergroand utility damage. Cap 48 hours
before you intend to dig to�ceive locates of urzderground utitities. wnivw.gooherstateonecall.om
I hereby acknow[edge that this information is complete and accurate;fhat the work wilf be in conformance with the ordinances and codes of the City of
Eagan; that I understand fhis is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wili 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 Nlinnesota State Building Code must be completed within 180
days of permit issuance.
X���- �a�r''� x �.�- -
Applicant's Printed Name App cant's Signature
Page 1 of 3
�,.�,_.�--�~� �
- - �� ��T�„���E �E�..Q�TH�S �..��� � �-� �-
„ �
,rCi�-,'�- �Gt
����Y��� �� 31 �
Foundation Firepl�ce _ P�r�h(3-�eason) _ Exterior Atter�fi�r�{�in�le��mily)
Single Parnily Caarag� _ Porch{4-5eason) _ Exterior Att�r�tion d�Jluiti)
� �ufTe �IJeck Potch(Screen/GazebolF'ergola) _ Miscellanec�u�
� 01 ofi f'lex Lowrer Levei _ Pool _ Acce��+o�r�uilc�ing
VlrAFti(TYPEa
�eyy #nterior Improverraent _ Siding _ Demolish 8uiltlin��
Addition Move Buiiding _ Reroof _ Demolish)riterior
� Alteration Fire Repair _ Windows _ Demolish F�aur�tiatinn
� Repiace _ Repair _ Egress Window _ 1Nater D�mag�
Retaining Wall *Aemolition of entire building--give PCA handout to�pplican4
�ESCRIPTION
Valuation � �� Occupancy -� MCES System
� SAC Units
Pfan Review Code Edition ��,�,��c)t�
(25%_100%�) Zoning City Water
Census Code Stories Boaster Pump
#of Units Square Feet PRV
#of Buildings — Length Fire Suppression Required
Type of Construction �/,� Width
REQUIRED INSPECTIONS
Footings(New Bu�ding) Meter Size:
Footings(Deck) �,;�;��"�� Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas LFne Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lafh _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_BackfiA_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
� Other:
Reviewed By: ', Building Inspector �'
RESIDENTIAL FEES ' ������ �
Base Fee ���,�
�����
�� �
Surcharge �o� �`
�� �i'
Plan Review ��,�
MCES SAC �
C ity SAC 1 f.�/'"" /
Utility Connection Charge - � '�(` (� ` ,� � �i� ;['�
S8�W Permit&Surcharge �� � �� � ��
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132228
Date Issued:07/31/2015
Permit Category:ePermit
Site Address: 4131 Prairie Ridge Rd
Lot:1 Block: 4 Addition: Country Hollow
PID:10-18275-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Dale A Miller
4131 Prairie Ridge Rd
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature