4132 Prairie Ridge Rd_ - -
CITY OF EAGAN PERMIT TYPE: ?'" "
3830 PiIDt Knob Road Permit Number:
' Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, r . -. itlf ;. , .
? SiTEADDRESS: ,?; APPLICANT:
ni -; z rVArH111 f+JOBr Rr) Nf AllCi.ATR's coNSr
I tlllPiiF?'j ttiil l (?IJ (612) 223--r'4N:3
PERMIT SUBTYPE:
,. . . TYPE OF WORK: , E PA.c I
?.
?
_.F,. .
:
.-
?
------------------------------------------
' I.iF.qCRIPtT01V t2ti2f.lOF
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
- --
- -
FINAL HTG - - ?
OASAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
. ?-v; .
BUILDING PERMIT
To be used for SF ?/GAR
Site Address reAiaia
Lot 6 Block Sec Sub.
Parcel No. _
W Name 4wW8LVw6 %.ua aue
? Address 14355 CIlIA?
0 City kOSEMOUNT Phone
;13Z,000
SA!!F
iS
Phone
r- Q
WO WW Name
?? Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: Cw1tRQLL CUSM $
on the express condition that ali work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
l5/08/9d . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121
PHONE: 454-8100 C3043
Receipt #
Occupancy
Zoning
(Aclual) Const
# 01 Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Si1e Well
MWCC System
City Water
PRV Required
Boosler Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
1s;25
89
OFFICE US E ONLY
R-3 K"1 FEES
R--1 i 752.00
ihL- Bldg. Permit
%fW-
Surcharge 46.00
521 Plan Review 376.00
36' snc, city 100.00
SAC,MCWCC 575•00
M
X]L-
580•00
Water Conn
90'00
Water Meter
30.00
Acct. oeposit
20•00
S/W Permit
1•00
S/W Surcharge
228'00
Treatment PI
Road Uni1 340•00
Park Ded.
Copies
?
;3,158•00
TOTAL
Date
WAT-ER
SEWER
H.V.A.C.
EIECTRIC
Foundation
Final
Deck
Pr.
e ? • A
b •? ' .
(ger#tftratt uf (Orr??aurg
titp of (Eagan
Dppal'ttitPti# Af Wltdbtilg JWPtflDtl
This Certi?j"rcate issued pursuanl to the reqrriremenls of 5ection 306 of fhe Uniform Builrting
Code certrjying that at the time of i.r.ruance this structure was in compliance with the various
ordinances vf the City regulating building construction or use. For the following.•
u. clwwrwuao SF IW37GAR Biag. N,n,;, xo. 16825
oaup.acy rype R9/A11 2oning auria RI Tyre co? Vn
Owner ot Building r Address 14355 r-DMRRON A'?1EF RDSEKIN1'
Boiidi?Address 4132 PRA= FIDM !mAD L.lityL6• B2+ ??M MUBW
Date: ,0lMB?'.'R 11. 1989
Bw7disBMC&A
POST IN A CONSPICUOUS PLACE
, . .
• • PLUMBINCI PERMIT For OffiU 0 n1
' CITY OF EAGAN PERMIT #?U S?
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE , PHONE 4548100 DATE: ?
sae
? .._..
? Add
c City
c Addi
8 City
FEES
COMM./1ND. 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)
FOR: CITY OF EAGAN
sLoc. nrPEx
Res.
Muft. Add-cn
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES
? T TAL
Water Closet - $3.00
?- $
Bath Tubs - $3.00
?-
Lavatory - $3.00
-? Shower - $3.00
- ?
-
Kitchen Sink - $3.00
? J, 00
UrinaUBidet - $3.00
-? Laundry Tray - $3.00 _
?
?- Floor Drains - $1.50
? Water Heater - $1.50 ?
? 1Nhirlpool - $3A0 -:4
?- Gas Piping Outlets - $1.50 ? • S
(MINIMUM - i PER PERMI'T)
Softener - $5.00
wen - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
PERMIT FEE:
STATES S/C: • ??
GRAND TOTAL: J• ??
. •
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
#
r#
For Office Use
BLDG. TYPE WORK DESCRIPTION
? Name ;:rr „ *?•?. ?,??? Address ` ? , , , ? ? ,
c City Phone
? Name
3 AddreSS ' ! r
o c;ry
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Oudets #
Other
MBTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
Res. New
Mult Add-on
Comm. Repair
" Other ? -
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA
COMM/IND FEE - 146 OF CQNTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMaDELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
r .
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PEAMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
?01-2155 Surcharge
75-3860 Road Unit
.
20-2275 SAC
20-3865 Water Conn.
20-3868 Water TRnt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
?
?
io
TOTAL Ff?3/.??
• CASH RECEIPT
. ,
.. .?
CITY QF EAGAN ?
`3830PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i
DATE 19 ?
IECEIVED
FRpI
L
AL40UNT
8 DOLLARS
,ao
? CASH CHECK
?? -
?:"
, -
FUN OdJECT AMOUNT
Thank You
BY
? ite--Pe? ?
C ? ?? !! Wh
?
vexow--Posting oopy
Pink--FNe Copy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE ' i " . i ,
WATER PERMIT # SEWER PERMIT # _
METER # _
READER # _
METER SIZE
ISSUE DATE
B.P. RECEIPT # ? 1?
B.P. RECEIPT DATE ??! 1
xx PRV - BOOSTER PUMP
SITE AODRESS
LOT ?_BLOCK ? SEC/SUB ^ J•!Z,'
APPUCANT:
ADDRESS: c'-
CITY, STATE ZIP
PHONE:' ?
PLUMBER:
`,`
;
r_ -
ADDRESS:
CITY. STATE 21P .
? PHONE:
OWNER: ?
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
PERMIT REGIUESTED
'SEWER ? WATER _ TAPS
COMM/IND
N NEW
1- RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDIMANCES:
c
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
? i - -: /-,
SITE ADDRESS ' e"=+ G 4?E-/r o
LOT'?,_BLOCK -L SEC/SUB
APPLICANT:
ADDRESS: < <'
CITY, STATE ZIP •SS?F
PHONE: yo2,? - 6L?O .
PLUMBLR:
ADDRESS:
CITY, STATE
PHONE:
OWNER:
PERMIT REQUESTED
?EWER _kWATER - TAPS
COMMlIND
_)S, NEW
,X- RESIDENTIAL
EXISTING
I AGREE TO COMPLY WRHCITY OF `
EAGAN OAOINANCES:
HEN ME
7ER ISSUED
ADDRESS: SIGNAtz
CITY, STATE ZIP
PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT .
ENGINEERING DEPT.
OFFICE USE ONLY
PERMIT DATE 7/21/$9
WATER PERMIT # 106 7 5 SEWER PERMIT # T
K METER #?a? ?,--? ?9B.P. RECEIPT # C 3043
B.P. RECEIPT DATE 711 q j ft ?
ETER 51ZE ??.eQ?
ISSUE DATE !4 1 -r4a x-'K PRV - BOOSTER PUMP
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING PERMIT PHONE:454-8100 Receipl # C3043
Tobeusedfor SF DWG/GAR Est Value $132,000 Date JULY 19
PI° 16825
19 89
Site Address 4132 PRAIRIE RIDGE ROAD
Lot _6 Block 5 Sec/Sub. COUNTRY HOLLOW OFFICE USE ONLY
Parcel No. acuPancy R=a- M- 1 FEES
w CARROLL CUSTOM HOMES
Name Zoning
(Aduap Const E=1-
\L
Permil
Bldg $ 752.00
3 Address 14355 CIMARRON AVE (Allowahle) IR
yn_ . 66.00
° City ROSEMOUNT PhOne 423-6100 x of Stones
5
? Surchar9e
Plan Review
376.00
len Ih
9 ?
NdmB SAME Depth 36' SAQCiI 100.00
iF
pj Address $.F.TOtal - y 75
0
F SAC,MCWCC 5
.0
CIfY Phone S.F. Foolpnnts -
SSO.OO
On Site Sewage _ ?Nater Conn
F
? W N8me On SAe Well 90.00
- Wa1er Metei
?,-? AddreSS MwCCSystem XX_
aw
City Phone
cny water
gx
Accl. Deposn 30.00
20•00
PRVReqmred xx S/WPermit
I hereby acknowlege ihat I have read this applicahon and sta[e that ihe Booster Pump - SiW Surcharge 1.00
inlorma6on is correct and agree to comply wrth all applicable State ol
Minnesota StalNes and Cily of Eagan Ordinances. 7reatment PI 228.00
Si9nature ot Permnee APPROVALS qoad Unit 340,00
A Budding Permit is issued to; CpgRp;L CUSTOM HOMFS Pimner - park Ded
on the express condrtion that all work shall be tlone in accordance wrth all Councd -
applicable State of Minnesota Statutes and Ciry of Eagan Ortlinances. Bldg Oft _ Copies
Building ONiCial diaq QL[? ??
?- Variance - TOTAL :1,3 ,158. ^0
• y - - ?.sa iy
P 34921
Req ate ^,
\/ Fre No Ro -in Insp
R u ian
? Aeatly Now
? Will NMdy Inepector
? ' V ? s ? No When Ready>
Insed contractor wne hereby request inspecUon oi above electriral work at .
.bbAtltlr s(Sire axor o N J//? ?d? Ciry
Secnon No Taunship Narne or Np Range No Counry
Oc nl (P
/.? 6s
/[/L
Pho No
?
PowerSup r Address
Electrical Conimcl0r (COmpany Name) oMrfld ?5 l.ica a No
V
1
Au hA?? CVAct?EZ'
?IN 55124 P?e Number
,
MINNESOTA STATE BOIINU OF ELECTRICRV THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bldg. - Hoom S173 BE ACCEPTED BV THE STATE BOARD
1827 Unlveralty Ava., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PMm (612) 842-0800 ENClASED.
•,
/a5/yq + `RL'(?UEST FOR ELECTRICAL INSPECTION
? See instructions lor compleUrg this brm on back of yelrow copy.
P 34921 'X' Below Work Covered by This Request
E&00001-07
e Add Rep. TypeoBuilding AppliancesWrtetl EquipmeniWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Oiher (Spec'rfy)
Comm /Industrial Fumace
Farm Air Conditioner
Olher(sPecM) Conhador§ Rema,ksCompute Inspection Fee Be/ow:
# Other Fee # ServiceEnlranceSae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs hnspeaor5 Use Ony: / TOTAL
Irri afion Booms /J, G?J S
Special Inspection ?
AlarrcVCommunication
Other Fee
I, the Electrical Inspector, hereby
tif
th
t th
b Rou9n-in oa?e
cer
y
a
e a
ove inspection has
been made. F„ai
?
OFFlCE USE ONLY
This raquest wid 18 months /rom
3
5s?
y/ri/e Y
g
/
,
?
I? 510 21 `; ?? ? ?c ? ?c?zC-'-' $(! 5d-O
Reques te` A ?5' JJjj No Roug ns tlan
Re ire
? fleady Now aN4UNeNIy Inspectw
Wh
R
d
?
s ? No en
ea
y
Ikensed contractor ? owner hereby request inspection of above electrical work at:
Jo? Ad ress (Street, Boz a No.)
N
Secllon No ' Township ame or No Ran o Counry ?
t?-,2 (PFIN'?
6/ ? l.c.. ? Phone No
,? 3- S 3l
Power Supplier Atldress
Eleclncel Contracior (Company Nama) mracfrnk nse No
Meihrg AEtlress (COnlrecror or A. B t ?
re '
14540 PENNOCK LAI?E
quttrori u C"OFin'fi'Iq3kI I111?M9Ya1w? G1Ylltl .)?,)12A
,kPP LL 1 Y Phore umber
MINNESOTA STATE BOAND OF ELECTp1CfiY THIS INSPECTION REQl/EST WILL NOT
Grlgga-Nitlway Bldg. - Room fr773 BE ACCEPTED BV THE STATE BOARD
1841 Unlverstty Ave., SL Paul, MN 55104 UNLESS PFOPER INSPECTION PEE IS
Phoiro(6I2)692-0800 ENCLOSED
q q p REQUEST FOR ELECTRICAL INSPECTION
ll? Sce mstmr,tans for completinq ibia brm on pack of yellow copy
P 51021 'X" 8elow Work Covered by This Request
?ooooi-o7
%3 i SC,
Ne% Atld ep. TypeofBmlding AppliancesWired EqmpmentWired
! Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dr er Other (Speciry)
Comm.Andustrial umace
Fartn Air Conditioner
OtM1er (speafy) ContmcmrS RemaAS'
Compute Inspection Fee Be/ow:
#
Other
Fee #
ServiceEntranceSize
Fee
#
Cvcuits/Feeders
Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ve Amps
$I(Jf1S Inspector5 tlsa Only:
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee ?
I, the Electrical Inspector, hereby
certify thatthe above inspedion has
been made. Rough-in
Fnai ? oa?
oahe
??^
OFFICE USE ONLY
Thie request void 18 monNS Irom
DATE:
RE: 4132 PRAIRIE R1DGE BOAD? L6, S5, COUNTHY HOLLUTd
xx 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:
?
.
?? .
\ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be 154uedtir occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confOned 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. ?
DATE: 7/21/89
RE: 4132 PEtA1RIE RIDGS ROAD. L6. 115, COUNTRY HOLLOGJ
? 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 YQUR PERMANENT WATER TURN ON.
-,1 Your Sewer & Water Permit for the above property cannot be completed for the following
? reasons: ?
4
b
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be i?sued or occupancy allowed until further notlce. - COAIIMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
conf"rrmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. ? . /
?0 ?% ?(
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruction ReaukemeMa
• 3 registered site suNeys showing sq. tt. of lot, sq. N. of house; antl ALI rooled areas
(20% maximum bt coverage albwed)
. 2 coples of plan showing beam & w(indow sizes; poured found design, etc.)
• lsetofEnergyCakulalbn5
• 3 oopies ot Tree Preservetbn Plen d bt platted afler 7!1/93
. Rlm Jo6l Deteil Optbns selectbn sheet (bWgs wNh 3 or less units)
DATE 1_::_)-Z2-c5;>
SITE ADDRESS 9k
TYPE OF
APPLICANT
STREET ADDRESS '/_4?-" Ka e4 \A .? l
TELEPHONE # '6;1-134:3?8&ELI PHONE #
cinr
MULTI-FAMILYBLDG _Y 2(N
_ FIREPLACE(S) _2?0_ _ 1 _ 2
]v ?S .
.'V?.STATE _MLZIP ?
FAX# 1)`I-4aS-0219
PROPERN OWNER Gx o?!s Co"Y'? TELEPHONE #55 \
------------------- --------------------- --------°-°--------------- ----------------- ---------
COMPLETE THIS SECTION FOR %NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residentlal VenfilaUOn Category I Worksheet Submitted • New Energy Code WoAcsheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhoctor:
Mechanical system includes:
Sewer/Water Conhacfor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditianing
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
--°---------------------------------°°-----------------------°----•
I hereby acknowledge that I have read this application, state That
with all applicable State of Minnesota Statutes and City of Fragary
Signafure of
OFFICE USE ONLY
1 k-}Z- 93?
HemodeVHeoah Heauirements
. 2 coples af Dlan
• lsetofEnergyCalculetionslorheatedaOdAbns
• lsitesuneyforexterloraddHbnsBdecks
. IndUte if hwne served by septic system for adtlilbns
VALUATION lo?)O`A •?
Fee: $90.00
Fee: $70.00
???n -T?
correct, and agree td, comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uPdarea aroz
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
O 07 OSplex O 13 16-plex
O 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Yor_N
O 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
O 31 New ? 35 Int ImprovemeM ? 38 Demolish (Interior) O 44 Slding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
O 33 Alteration 0 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaJ/C.O.
_ Footings (deck) Final/No C.O.
_ Footiugs (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ F'veplace _ R.I. _ A'v Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit .
License Search
Copies
Other
Total
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNG
Permit Number: 0 3 2 5 5 3
Date Issued: 0 7/ 16 / 9 8
SITE ADDRESS:
p.I.N.: 10-18275-060-05
4132 PRAIRIE RIDGE RD
LOT: 6 BLOCK: 5
COUNTRY HOLLOW
DESCRIPTION:
STORM DAMAGE
REPAIR
434 ALT. RESTDENTIAL
;1 ?;; <"-?7 ? _ r t'? _?• I f'?.i: ? '.`%s"`.':., - , , ??.; "?
RERtlOF
Qstailctl'ng Permit Type
,Building'G4ork Type
-'Census Code"`.
f`? ?
;
1
r' +f
r.
i
REMARKS:
FEE SUMMARY:
CONTRACTOR:
BEAUCLAIR'S CONST
3120 68TH
INVER GROVE IiGTS MN
(612) 223-2903
- Applicant - ST. LIC
12232903 2012038
ST E
55076
OWNER:
WALSH JIM
4132 PRAIRSE RIDGE R?
EAGAN MN
(651)683-0965
, I hereby acknowle,dge that S heve read this
informetion is carrect end agree to comply
Statutes and City Qf Eagan Ordinances.
L
APPLICAN7/PERMITEE SIGNATURE
applieation..and state that the:u
with all applicable 9tate of Mn.
ISSU B . SIG ATURE
t 9,%IUILDING
<3 ,/
New Conshuction ReGUirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
? 3 registered site surveys
? 2 wpies of Dlans (inGUde beam & window s¢es; poured fid. tlesign; eta)
? t energy calwlations
? 3 rapies oT Vee preservation plan if lot platted aRer 7/1/93
te44ired: _ Yes _ No
DATE: ? 6 ? ?4Yr
RemodaVRecair Reauirements
? 2 copies of plan
? 2 s8e surveys (exteriar addkions 8 decks)
? 1 energy nlculations fir heated addftions
CONSTRUCTION COST; 6 LD2
DESCRIPTION OF WORK: Ps„2nl(2 Rg .ef ?
STREET ADDRESS: Y t 3 L
??o__ BLOCK: 15
SUBD./P.I.D. #:
Name: WdLS(n Phone#: 6d'3
PROPERTY 1.ast First
OWNER
SueetAddress: LI 13 Z Prai??c. ?c'?k lPrj
City 2f;7
State: Zip:
2Z3? Z?t7J
Company: geR. 4?-c C,.:t l, Wov Q r?Q4 (/l Phone #:
CONTRACTOR
Street Address: 3 1Zo 6 rA S'a, c
City L..ve. 6,r? acL4 State:
ARCHII'ECT/
ENGINEER
Street
City State:
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 application and sfate that the infortnation is cortect and agree to compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: Z?
OFFICE USE ONLY ?CE D
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Require $Y;? ?
License # -'? 0 / Z03 8j ?
r1- Zip; 53076
Phone #:
Registration #:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
D 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
.r :^?? , ° •.!!
>
,?sr
?" ?
?
8:: . e
•,c„ ,
..?• ?.
16 Basement Finish
17 .Swim Pool
20 Public Facility
21 Misceilaneous
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
MGWS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
°k SAC
SAC Units
i _
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
PENALTY APYLIES 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 MUST SHOW A LICENSED PLUMBER.
To Be Used For: ,7:?4?FC /C Valuation: Date: .$ -7' 59D
Site Address 113,2 f?iQR/?P/? ?/J4E I OFFICE USE ONLY
Lot ?O Block G S FEES
Parcel/Sub ( 'jfJU f'1dLL-Jl-cj
Owner F'S ?+ . lN-44-StV
rQ, DOX ?27.5-
Address '0,3a
City/Zip Code C/¢G?Ait/ S]?-1d /
Phone (G / ;:t,) 6.c-.3 U `/'6Lr
Contractor s 'd5' L /'
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
(m42,I)
1990 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
MIILTIPLE DWELLINGS
-j?ATIv
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth )4'
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
AYPROVALS
Planner _
Council
Bldg. Off.
Variance
(G°gkbMMF?-'T/1lGS
Bldg. Permit N1?-
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL _
.
flose ?NG1?J6EfllIVG
COMPANy, I(YC.
...???IUUU EASi 1481h 6TflEET,
C44RoZ[. C147-04
,?/oMES
CoNSUlTiNO 6NDINEfAS
PLHNNEflS nnd LAND iIlRYEYOHS 316 2404•01
6URN6YILLE, MINNE801A 653li PH 432'3OUO
Certificale o'f Survey
Leyal DescriI,tiog: GoT 6, 8/.a'.e S, COUNT.eY NoaZls,/
DAK.oTA GoUAvTY, MiAvAlESOTA
(838 -? ) DENOTES EXlSTING ELEVATION
(83).0) UENOTES PROnOSEU ELHYPiI'ION
-, INUICATES UIRE(:l'ION OF SURPACE UFiAINAGE
839.33= PINISI-IEU GARAUE FLUUR ELEYATION
831.(oz = BASEMENT FLOOR ELEVATION
839•0- = TOP OF BLOCK ELEVATION
SCAa,: /" ° 30'
30' FRoNT BU/LD/NG P.R.V. REQUIRED
5e7-MC,e L/?vE DRAiN96E Ai?O
C UT/UTY EASEMEyvT
; ?i I ?837.7•
?? 1 U)
? ?
IHI
Q ?gY
?
?
?l
.,- -
?' nl
?
2
I ?839. e?
?838.6?
LB?,D
/O I
?e ??-.-3:
-7
N 890 3f9
146.50
,-?
22.6- 7?I13,
i ?
J ? p
m ?
'? o J Ri
N
?Zi00
?
?N
O
4
?830,5. Q
(g3i,o? ? ?J
/50, 03
N 89° 53'
?830, o?
- --? ?
o?
N
? N
? 1 I ? O
r?
J
1o
??-
/ r ?
EAGAN EhGiNtERIN„ ?
?' DEFT
I IisnLy eeitlly Ilial Iliis is a Lus anJ eorroct iapissenlation of s troct ol laud as shown
•nd desciibed ti«•.a. As piepneJ by nw on tliis -??day ol ?IvL7" ,19U- .
r
i
144111. R.y. uo. ??-cF5
CITIZEN'S REQUEST FORM
EAGAN ENGINEERING DEPARTMENT
DATE: ??I ?? ?? ? 9 `J D
NAME : ZT- j m w cc. I S?
ADDRESS : 4/ 3 2 ,FR A I R 1 E Q,' ?a .e ?octl - trou??r-F J40/1o W
PHONE: ?i? aI - 3 JL7 7 ( G S?- D`?(oS l-?C`" 2 1
1 1 ?
t!/ i?( k)2 0,1 0,?. -TJ-?ry _V/? /• 1 2? 5'{' TVly
NATURE OF REQUEST : CO v R?'I' ?,i ?A 5 S I S P; 9? ?-F 0? r"?
)n-ra T-N/S Pond 4o d ?r d,s
?o A?t sti ol, l,l b c l.ean -e d a ?-f
TAKEN fiY:
REFERRED TO: gV1 ;
??oh?. ??
Le
ACT ION TAKEN : zk'3 S- 3 I I S , U.)
eA.QQQA oN. -7- 1 4 - 90 --t-
ajv? o-
n r.I .
BY:
?
I
tlk-
ii
DATE: 7- Iq -
?
?{1„?1M
AA nn .n ,.fnt ir .
MEMO TO: DOIIG REID, CHEIF BIIILDING OFFICIAL
CRAIG LARSON, BRAA
FROMs MICHAEL P FOERSTCH, AS6T CITY BNGINEER
DATE: JIINE il, 1990
SUBJECT: CONSTRUCTION DEBRIS/EROSION DAMAGE ADJACENT TO
4132 PRAIRIE RIDGE ROAD
LOT 6, BLOCR 5, COIINTRY HOLLOW ADDITION
For your information, Engineering has received a complaint from Dr.
James Walsh of 4132 Prairie Ridge Road regrading construction
debris from the Joe Miller home under construction adjacent to his
home. Also, significant erosion sediment from the adjacent home
construction as well as from the Coventry Pass development has
damaged his property. Please take the appropriate corrective
actions.
Dr sh can be reached at 681-3797 (W) or at 683-0965 (H).
(AssisVtant ity Engineer
MPF/jj
cc: Dr. James Walsh
io o•*
'T52•OU*
66•00+
37C•OU+
19o4•Ou+
s>is;s•uux
r' 752•00
,
66•0 uF
3?b•UU+
1?9o4•OU+
>>153°OOM
1989 BIIILDING PEBMIT 9PPLICATION - CITY OF EAGAN
SINGLB FAMILY DWELLING3
I & 4 iLff
INCLUDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSFS FOR CORNSR LOTS - CONTRACTOR/$OMEOWNER MUST DESIGNATE WHICH ADDRESS
I3 DESIRED. NO CAANGES WILL HE ALLOHED ONCE HITII.DING PEAMIT IS ISSOED.
MIJi.TIPLE DWELLINGS RENT9L IINITS FOR SALE DNITS
# OF ONIT3
INCLUDE 2 SETS OF PLANSt CERTIFICATE OF SURVEY - CHEC% WITH HLDG. DEPT.p 1 SET OF ENERGY
CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS MD Jut 1 7 lgug
To Be Used For: S Valuation:#? Date: '/oZ ,2
Site Address
Lot L Block s
Parcel/Sub ?
Owner
Address
City/Zip Code
•,_
Phone
Contractor
Address
City/Zip Codec'YS',f-?4?? 6-Lrda
Phone
Arch./Engr.
9ddress
City/Zip Code
Phone #
Oecupancy R- 3 M-I
Zoning R J_
Actual Const V - N
Allowable v- N
ll of stories
Length 52?
Depth 30
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water 117
PRV required ?
Booster Pump _
APPAOVALS
Planner `
Council
Bldg. Off. 18
Varianee
Council
ONLY
FEGS
Bldg. Permit 75Z.OD
Surcharge G,h,Dv
Plan Review ?n6,ao
SAC, City DD.Oo
SAC, MWCC
o
571)5.0
Water Conn 0•00
Water Meter 90,00
Acet. Deposit 30,00
S/W Permit ao.oo
S/W Surcharge -- 7.0V
Treatment P1. aa ,o?
Road Unit 3L+D,ov
Park Ded.
Copies
TOTAL S.I fi ?. f
? `S 4? w
NOTE: Sewer & Water Permit fees and aecount depasit fees will be included in the building
permit fee. Processing time for serer and rrater permits is two days oace a lioensed
plumber has applied for a permit at City Hall.
UA-Gua-no?,)
GARA(;E
?N x a.? - ,5-?8
UX?'_ Cz4?
50'1 x ?5= 9 560
6srn?-
? so12,c
a.?c
??x6=
46LI t ,) I
r700
33G
a4
I09 2 X 14= ISAO$
N t?`r ?Loo?
C,,2= ia-
BSmT.: I O ? 2-
ID?(C? X50= SU%00
Z N O FL-oort
,
lu v5t? = `?oo
?2?F2`6= 33b
? 31G6?
flose PtVGt?V??flING
CornPANY, iNC.
CONSUI_jINO ENOINEfflSSPIFiNiVERS and IAhD URVEVOHS
C90011- CvSToal
?oMES
-Y z4o4. o/
IUUU EA9i I461h SiflEET, dURNSYILL6, MINhE50TA 6635i PM 432'30U0
Cei'tificate o'f SLuAvey
Legal Desci'lj)t1Dt1: LoT 6, 9GG?'.e s-, COVN7k Y
DAKO74 GOIJN7Y, M/i?NESOTA
(SaB7) DENOTCS EXISTING ELEVATION
(832,0) UENO'iES pROPOSEU ELEVATION
INUICATES UIRECl'ION Of SURFACE DRAINAGE
?9.33= f-INI5I-IEU UARAGE fLUUR ELEVATION
831.6z = gASEMENT FLOOR ELEVATION
839-" = TOP OF BLOCK ELEVATION
964&5: /" _ 30'
G°?o G?o?Io G° C?Ca?. M o G?C?D
30' FRONT Bu/LD/NG DRA/N?6E ANO
? UT/UTY E.4SEM4c/Y
-7
?
? -
30.00
?
Q
QI\4Y
?I
,
N
?
ti
?
(gs7.7-)
?--
N
? 6ARAC-E ?
u ?
?
m
3Z.oo
N a
'?8._a• ? -
?9.0 22.67 8 , ,?
/O I ?n
?/ P
rc
Q
?839. p?
?838,0?
?38.0
?839.c
Ir?
L_
!s 34-.-3:
(8 34, 3?
N 89° 38 3/" W
/ %..50
830Si
1(8,mo)
150. 03
/V B9° 53'
?
?
\,_ I
\ 1 I
\ )
1
?J
,a
(g3vx-)
1,830,0?
L?j
?
N
O ?
? N
? o
O
?
?J9,
`-
L EAGAN EIVGIATEERIIVG I7?,'PT
I Iiere6y certi(y llinl lliis is a lrue anJ cottecl teptesenlalion of a lracl of land as sliown
89
and described hereon, As prepated by me on tliis ??. ?_?dBY °f JuLY .19- .
160gs
_? ? Minn, Rey. Plo.
h
?
??
,i • GITY Or. ?,41,40? BUILDINQ llEPARTh1P.NT
' EXTF.RIOR EIiVF1,OPE AVERAGE "Ull C014PUTATION
(To be suhmittad with buildin$ pormit application)
One or Two Family Dwe211ng
All Other
Contractor (?'.?,,7j,(? 0t22?, l?2yq?'c1
Owner
Site Addresa
? o " Phone
LINEAL FEET OF r? N
EXPOSED YlALL ft. above gxade
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "U" Value x Area
Detail 3 x SQ.
.
rence - tal
•
n
n
x
S .
NA
from p
„7q,i _x gQ,
attached "U" x SQ.
sheets nU x SQ.
n x &Q.
WINDOWS: "IIll Value x Area
Make & TYPe 1PjSlC_,rUn x SQ.
uU?? x SR
u n '
npu x SQ.
n u np n
X SQ.
DOOR3s "8ll Value x Area
FT. 7,43a & I (D)(d)
FT. a , 116 a (U) (A)
PT. I` .$ a U) (A)
Fm. _ ?u3(4)
FT. - (lt} (A)
FT. _ (U) (A)
F"P. 290' 4' = ( U ) ( A)
FT. = (U) (p)
FT. - iU?(A)
FT. - (U) (A)
Malce & TYPe _Q?p?,'z; uUil
, x SQ. FT. (U)(A)
u rt
„" X Sq. FT. U) (A)
nUu x SQ. FT. - (u)(A)
er n _ IIUn x SQ. FT. (U) (A)
TOTALS ;;-', 13 gq,. r'T. Z?,? ? 1?? (U) (A)
AVERAGE "U"
TOTAL (U) (A) VALUES
- ?
DIVIDED BY TOTAL 1BALL AREA aZ t?j
AVERAGE I'U,"il5-or lesa for 1&2 family dw li
ROOF/CEILINas
TOT.AL AREA: 11-714-?
Detail reference IlUll ,d?r" x 3Q• E"P• (U) (A)
from nUn x SQ. FT. ae (U)(p)
attached sheeta. VIU11 x 3Q. FT. a {U)(p)
Deacribe openings IIUII X gQ. FT.
?U?{A?
ir., roof. fluu
X $(?.
'. ?U){?)
a
TOTAL (U)(A) VALUES DIVIDED BY '?!`? ?T?L? ?i?.?( ?'? CV?f?t?
z
TOTAL ROOF/CEILINCi AREA
AVERAGE ??r ventilated roofe, T
i'?
1 ?
7-
N \?jD 4- 64,:arr4.
5' T? Zrv-???? _1.4 (o 9, Icr
z7,,!?) ` 17
?z" !4.
W IN?JJ?
I -zq E? 04, = v ?• I= 3, o
?
f I ??%x,4 L2 0
s
-t7
( 2.' I(p?(?n I = 17.,?,
I I ? - zi1K ?;? -- 17
3° ?? ?? =Z??b VfG,n
Zg ?-??.? ?'?.? ?'- Zl? 0
XZ
?4?th
J:?,Pu5i 5X'PaDw
1 i '?„?Yi'` 1 Z'7 i?? 2,, i,
?
--YJALL SECT:CON--
, .?: I
ROOFCETLING R V U
1,) Interior Air N'ilm 0.61
2.) 5/8 11 Gyp. Bd. . 56
3.) Ineuletion ?,oa
4.1
50 Exterior Air Film .(i
(STILL)
nuo - 1/R- I OZ- '1'OTAL (R?=
De,termining toUll valuos at Rovf, Wall, Rim* and Conc. $lock
- ---- -- ' I
1
WALL
6.) Interior Air Film
7.) P aarn. sa.
8.) Inaulation
9. ) ?t11 'C 1?1't'?
10.) Masonite Siding
11.) Exterior Air Film
R VALU
0.68
.45
iyab
z,v¢
.67
.t7
upII = 1/R= TOTAL (R)= z,:2
RIM R VALU
12.) Interior Air Film 0.68
13.) Insulatioa Iqivc
14.) 211 Fir Rim Joist 1.88
15.) '15va.T fzttg z o04.'
16.) MASOnita Siding .67
1700 Exterior Air Film .17
1/R- 1 C+U TOTAL (R)a Z4?14"-
FOUPdDATION R VALU
180 Interior Air Film 0.68
19.) '
20.) Pf.-AlC7 Wy,A.. r'j, oer
21.) 12" Concrete Bloak 1.28
22.)
23.) Exterior Air Film .17
upn _ 1/F2= [? 'POTAL (R)= ']?' j,
??_
ds??
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when peimits are cequired for each unit
Date O / / /O?
Site Address
U,?t #
P
t
O C/L Tele
hone #
wner
roper
y p
Contractor
Cit
?
Street Address y
State ? N• Zip \??UbK Telephone# (3ar?-
Bond #• Expires:
The Applicant is _ Owner °'C" Contractor _ Other
Add-on or alteration to eristiug dwelling unit $ 30.00
fumace _Additional _Replacement
air exchanger
? air conditioner _New _?rReplacement
other
State Surcharge
D?? $ .50
k
'.l ?UL 1 $ 2/'?
Total
I hereby apply For a Residential Mechanical Permit and acknowledge that
be in conformance with the ordinances and codes oF the City of Eagai
rmt but only an application for a pemut, and work is not to start appr ed plan in the ca?" wqrk wlric]i reqyires a review and appro al o:
ApplicanYs Pri?nted Name
prmation is complete and accurate; that the work will
?the Mechanical Codes; that I understand this is not a
pemrit; that the,.ryork will,be in acgordance with tha
$1g[lShitO
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial bUildings
multi-fami(y buildings when separa[e permits are pot required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Ezpjres:
The Applicant is _ Owner _ Contractor _ Other
W ork Type
New Construction _ Underground Tank _ Install _Remove'"see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When instaNing/removing underground tank, ca!l for irtspection by F'ire Marshal and Plumbing Inspector
PerItllt Fees: S70S0 Underground tank insfalla6onJronrovat
asoso MNimum (mciudm smte sumnarge)
or
ContractValue $ x 1% _ $ PermitFee
. If permit fee is $1,000 or less, add $.50 => $ State Surcbarge
If pC[IOlt fee is over $1,000, add $.50 for
every $1,000 nermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Pemvt and acknowledge that the information is complete and acciuate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tUat I understand tlvs is
not a permit, but only an application for a permit, and work is not to stazt without a pernvt; tUat t6e work will be in accordance with
the approved plan in the case of work which requires a review and apptoval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
s s?
2007 RESIDENTIAL PLUMBING aeRMiT aPPUCarioN 1CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date (0 1. ZV l 0 -7
? T7
Site Street Address 4 iJ' L?t c.'?Y i2 -i`+ 6OL - ECi twti Unit #
PropertyOwner ?Obc,Y'? Co Ye- Telephone# ((pyi) 45Z 8 455
Contractor- 31Ya+? ?PrC iH q Telephone # ("157-) 4-& R ?v 4 ?{ Cr
Address 85jrJ' 7 pq_(?, City LA ieL' Ui lle State n? ?1 Zip r'J5d4- 4-
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes instailation of a water softener andlor water
heater at the same time. !f you are installing on! a water sofrener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener X Water Heater $ 15.00
_ new ?C replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
7otal $ 15.50
I hereby apply for a Residential Plumbing 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 f I
understand this is not a permd, but only an application for a permit, work is not to start without?e -it ??rwI?
accordance with the approved plan in the event a plan is d t
re uireo be reviewed and approve ?
.?
?T?e.bora? l?vso?.? JUN 2 1 2007
ApplicanYs Printed Name `7
,?(?IicanYs Signa ure
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140047
Date Issued:11/21/2016
Permit Category:ePermit
Site Address: 4132 Prairie Ridge Rd
Lot:6 Block: 5 Addition: Country Hollow
PID:10-18275-05-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert W Corey
4132 Prairie Ridge Rd
Eagan MN 55123
(651) 303-1779
One Hour Heating & Air
1904 Vermillion Street
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151028
Date Issued:08/06/2018
Permit Category:ePermit
Site Address: 4132 Prairie Ridge Rd
Lot:6 Block: 5 Addition: Country Hollow
PID:10-18275-05-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan M Fierst
4132 Prairie Ridge Rd
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168841
Date Issued:05/05/2021
Permit Category:ePermit
Site Address: 4132 Prairie Ridge Rd
Lot:6 Block: 5 Addition: Country Hollow
PID:10-18275-05-060
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Ryan M & Johanna M Giesen Fierst
4132 Prairie Ridge Rd
Eagan MN 55123
(612) 227-8580
2code Exteriors Llc
8206 Jergen Ave S
Cottage Grove MN 55016
(651) 261-5009
Applicant/Permitee: Signature Issued By: Signature