4135 Prairie Ridge Rdi a ua.wa iv/ v.?/ ?v
;,otv'IA" -688--7955 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
STi LL ?_LViuci4,RHONE: 454-8100
BUILDING PERMIT - - Receipt #
To be u ued fo r f-st \ialue 1? 0 2+000 Date ?
Site Address '
Lot Z Block
Parcel No.
RIDGE RD
W Name
o Address 18133 CEDAR AYE S
City FARMINGTON Phone 431-2401
Z o Name SAM£
OU a AddreSS
?` City Phone
? W Name
W W
?z Address
a W City Phone
I hereby acknowlege [hat I have read ihis
information is correct and agree to comp
Minnesota 5tatutes and City of Eagan Sio
the
of
r-
A Building Permit is issued to: `??? g?j'?'SR ??'??
on the express condition that atf work shafl be done m accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
?'4,400 17571
in 90
OFFICE USE ONLY ?
Occupancy R 3 M-i FEFS
Zoning j
(ACluai) Const V K Bldg. Permit 604'001
(Aliowable) V-N Surcnarge 46.00?
# of Stories
52 ?
Plan Review 392.00 .?
Lenglh
14
' ?
100000
Depth -
2 SAC, City
S.F. Total - SAC, MCWCC 600•00
S.F. Foolprints - 625.00i
On Site Sewage _ Water Conn
On Site Well water Meter 90•?
MWCC 5ystem xx 30.00
City Water XX Acct. Oeposit
30.00
PRV aequired _ s/w Permii ?
? ?
Booster Pump - 51W Surcharge ?
•
Treatment PI
APPROVALS Road Unit
Planner - Park Ded.
Copies
TOTAL 3,124.
. ?
Permit No.
Permit Holder
Date
Telephone #
WATER I ? .? ' CGJ?i? 11,?'
SE:JER
PLUMBING
H.V.A.C. ,_
I I?i f .
? r.jL? ??;,? ` i`r?,
,? A:? 7
ELECTRIC
Inspection Date Insp. Comments
Footings I D
Foundation
Framing y 2?-p0 ?
Roofing
Rough Plbg.
Rough Htg. ; y p
Isul. Q
Fireplace Y Q
Final Htg.
Final Plbg.
Const. Meter r- tif lu r
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final O ur-y0 r2
weu Z
Pr. Disp.
O 71/7Ii
!?
. ^_ 1 J
(ger#tfira#p ,af Mrruvg?nrff
titp of eagan
ior;t8rtriPlti o# vwlamg jwPti'tDtt
This Certificale issued pursuanl w!he requiremenls ojSection 306 of 1lte Uniforrn &eilding
Code certffying lhat at the tiine of issuance tliis structure was in compliance with 1he various
ordinanees of the City regulating building constnrcrion or use. For the following: ---
uee c1amrxafloe SF M/GAR 8Wg.1emrii No. 1757 I
o-o-r T* R3/141 ?tiiM Dis? R 1 rya coft. VN
? d a„-?;? MItdFR JCNST . Add= 18133 iFM AVE S, FAR@1GI.L"N
.„?? 4135 PRAIRIE RII)C? R?1AD ?,h?L2, H4, 00[R1iRSC H?DOW
+
? am MAY 24, 1990
?
POST IN A CONSPICUOUS PU1CE
- ClTY OF EAGAN pERM1T #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE HONE 4548100 DATE:
Sife A dress •_-r10-tAd BLDG• TYP? WORK QESCR, Ip.?Ff7N
. New
Res
Lot Blodc Se b
- Mu4t. Add-on ?
Comm. Repair
.. Name rfill, ?
? C?yfe ?f p ne 3,? ?hRE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO FIXTURES TOT/?
?1lf
? ater Closet - $3.00 $ t?
Nama C4 Ba1fi Tubs - $3.00 ?-
FEES
COMM.IIND. FEE -196 OF CONTRACT FEE
AQT. StDGS. - COMM. RATE APPLtES
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)
, .,...... _
Sfiower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 ?
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 ?
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATESSlC: s?
GRAND TOTAL: • 3?
For Offlce Use Only:
PERMIT
. ' ' MECHANICAL PERMIT #
CITY OF EAGAN RECEIPT # - '
3830 PILOT KNOB ROAD, EAGAM, MN 56122 ,
CONTRACT PRICE PHONE 454-8100 DATE:
sice nddress ? . sLDc:. rYPE WORK DESCRIPTION
Lot J Block Sec/Sub
Res. New
,
?.
m Name M ult Add-on
Address Comm. Repair
c
Ciy ?
t Phone Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
?
c Address ? ADDITIONAL 50 M BTU - 6.00
p City Phone (pES. HYAC INCLUDES WC ON NEW
CONSTRUCTION)
50 EA
M
'
.
? - 1.
GAS OUTLETS (MINIMUM -1 PER PER
I
TYPE OF WORK . COMMIIND FEE -1°6 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaON &
REMODELS - 12.00
Afr Cond M BTU MINIMUM COMMERCIAL FEE - 20•00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # (ADD $50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMR FEE:
SIGNATURE OF PERMITTEE ,
S1C: '
?`
;. TOTAL: FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
? I ;. f;•: is t 7 t! f? E I??_?{ #t(1 .
; t1iflN I v 'r i•It 11. Lk)W
I PERMIT SUBTYPE:
I N E; 1-.
,., APPLICANT:
??_y i s??; a i f P I?
TYPE OF WORK:
c- 1 Nn4
F?4? i{ 4? 1 1444
eal?ca?ya
?
Permft No. PermR HoWer Date Telephone #
SNV
PLUMBIM1iG
HVAC
ELECTRIC
ELECTRIC
Inspectlon Dats Insp, Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Fnai Pibg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
aeck Ft9.
Deck Final
weil
Pr. Disp.
SE1NER.&WATER PERMIT
CITY OF EAGAN
3830 Pilot Knab Rd.
Eagan, MN 55122-1897
DATE
2-28-9C
?
OFFICE USE ONLY
METER # J? ! ^7?50 PERMIT DATE 03 /09/90
CHIP #0/ 6y 1/ °7 PERMIT # 11263
METER SIZE &ct B.P. RECEIPT # C 6671
ISSUE DA7E pv B.P. RECEIPT DATE03 Q6/SO
SITE ADDRESS i rie piditP Rr-l ,
LOT ? BLOCK SEC/SUB Countrtl '-?oilcy=
r
APPLICRNT:
ADDRESS:_
CITY, STATE
PHONE: _
PLUMBER: '2nm lir?rnsiaYl
ADDRESS: I?I 226Wnnd -',)r _
CITY, STATE AnniE T'%111? V; n"•T 21P 5?' 1
PHONE: !' -32 . F q-0 "'
_ PRV - BOOSTER PUMP
PERMIT REQUESTED
"V SEWER _-Z' WATER - TAPS
_ COMM/IND Y RESIDENTIAL
Y NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cr it WILL NOT be given for Deouct Meters.
i,i ,i
I AGPEE TO COMPLY WITH CITY OF
OWNER: - EAGAN ORDINANC S
ADDRESS:
CITY, STATE ZIP
PHONE: S NATURE HEN METERISSUED
PLEASE ALLOW TWO WOHKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING OEPT.
ZIP
SEMR 8rM(ATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagarr, MN 55122-1897
DATE
METER # -
CHIP # -
METER SIZE
ISSUE DATE
SITEADDRE? ?S 1; ?? r -1•,n.9 rie pidcre Rd .
LOT' ?\%OCK 4 SEC/SUB ?7ount »l? ''. 011 0w
ar
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: `20r" HL4 R RlA PI P3,1,imh 9 r+rr
ADDRESS: 121 Vf'dwnnci 1r _
CITY, STATE " ^ ^ le V3 _l'lE'?l , ZIP 55124
PHONE: !' -' ' -
OWNER: ""1 1 ? r rjl„nrnA+?
ADDRESS:
CITY, STATE ZIP
PHONE:
OFFICE USE ONLY
PERMIT DATE 03/09/90
PERMIT # 11263
B.P. RECEIPT # C 6671
B.P. RECEIPT DATEO? 06 40
_ PRV - BOOSTER PUMP
PERMIT REQUESTED
X SEWER - WATER - TAPS
- COMM/IND
? NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
--r_
I A(JftEE TO COMPLY WITH CITY OF
EA(3AN ORDINANCES
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 OF ,EAGAN
3830 PILOT KNOB ROAO .
EAGAN, MINNESOTA 55122
DATE 19 ? v
r*cervEo
FnoM 1 Ur-
-?
AMOUNT S ? ?t? ? :-J ?
p CASH
[yl CHECK
?
?? - ? ; ? ?- e ?. ? . ?o?? ?,?' ?- ?? l
BY
& DOIIARS
1m
C 6671 wnite--PaY- ?Pv
veuow-Posdnp copy
Plnic-Fib Copy
Thank You
CITY OF EAGAN Np 175 71
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT Receipt # C Cn L0? ?
Tobeusedfor SFDWG/G1R Est.Value $92,000 Date MAR 2 1990
Site Address 4135 PRAIRIE RIDGE RD
Lot 2 Block 4 Sec/Sub. COUNTRY AOLLOW
Parcel No.
W Name JOE MILLER HOMES
o Address 18133 CEDAR AVE 5
City FARMINGTON Phone 431-2001
o Name FAMF
z i-
0,a Addres5
m
- City Phone
1861 Name
r
X-,', Address
a
¢W City Phone
I hereby acknowlage that I have read this applicaLOn and state lhat che
inlormation is correct and agree to compty with all applicable State of
Minnesota Statules and Ciry of Eaga/nan/cp?e-J?
Signature of Permitee
A Building Permit is issued to: JOE MILLER HOMES
an the express condihon ihat all work shall he tlone in accordance with all
applicable Siate of Minnesota Statutes and City ol Eagan Ordinances.
Building Official
OFFICE USE ONLV
OcCUpancy R-3 M-1 FEFS
Zoning R-1
(Actuap Const V-N Bldg. Permit 604.00
(Allowabie) V-N
Surcharge
46.00
# oBtones -
59'
Plan Review
392. 00
Len9th
Depih 54' SAC,Ciry 1QQ.00
S F Tolal - SAC, MCWCC U0.00
S F. Footpnnis -
On Site Sewage _ Warer Conn 625.00
On Stle Well _ yyater Meler 90.00
MwcC system XX
Acct Oepost 30.00
Qry Waler
PRV Required - S/VJ Permit 30• 00
8oo51er Pump - S/W Surcharge - 50
Treatment PI 252. 00
APPROVALS Road Unit 355.00
Planner - Park Ded.
CouncA
BIOg. Off _ Copies
Variance _ TOTAL 3,124.50
DATE: 03/09/90
- RE: 4135 PRAIAIE BIDGE RD
x Your Sewer & Water Permit for the a6ove 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.
You 'Sewer & Water Permit for the above property cannot be completed for the following
\reaons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVEI.OPMENT DEPAR?MENT FOR WATER'TURN ON POLICY.
r
Secretary, Building Inspections Dept.
DATE:
' RE: 4135 PRAIRIE RIDGE BD
03/09/9D
x 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.
YouF,Sewer & Water Permit for the above property cannot be completed for the following
rea^,ons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPAR7MENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
lvIF3?o
9
/
?lUi J l7 I! 1• C? 6/ ? ' • !llJ?[/W" V/? ?
Reduesi Date Fne No ough in Inspection
4/ 2 0/ 9 0 RB u?r
d' ? Reatly Now W??h
y7?or
, e
s
L N. en
atl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 AOtlress (31reet Box or Route No ) Gry
4135 Prairie Ridge Road Eagan
Sectim No
TownsM1iO Name or No
Range No
Counry
I Dakota
Occupan[(PRINT) Phone No
Joe Miller Construction Co. 431-2001
Power Su00lier Address
Dakota Electric Farmington, MN 55024
Electnwl Coniractor (GOmOany Name) ConVac[ar? Lrcense No
Midland Electric Inc. 041610
Maling Atltlress (Conireclor or Owner Making Installation)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
Aulho Convacpr.?Owner Making Install t?on) PM1One Number
892-6688
MINNESOTA STATE BOARD OF ELECTflICITV THI$ WSPECTION REOt1E5T WILL NOT
Grlggs-MlOway Bitlg. - Foom 5113 BE ACCEPTED BV THE STATE BOARO
1821 University Ave., St Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Plwns (612) 64240800 ENCLOSED
G 36740
REQUEST FOR ELECTRICAL INSPECTION
? See mstruMions jor comGktili9 this lorm on back oi yellow copy
"X" Below Work Covered by This Request
?i E13-00001-07
91r???
?? f0677/
ew Add Rep Typeof6mlding AppliancesWVed EqwpmenlWiretl
Home Range Temporary Service
Duplex Water Heater Electnc Heatmg
Apt. 8utlding Dryer Other(Specify)
CommJlndustnal Fumace
Farm Av Conditioner
Olper (spsaty) Conlractor's Remarks
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Cucwts/Peeders Fee
Swimming Pool O io 200 Amps to 100 Amps
Transformers A6ove 200 _ Amps Amps
SignS Inspecior's Use Only Q
? TOTAL
Irzigahon Booms
Special Inspection
Alarm/Commumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electncal Inspector, hereby
ti
th
t th
b
i Rough-in
cer
ty
a
e a
ove
nspection has
been made. Final
OFFICE USE ONLV
C? .
'o monms trom
?/???` :ESee QUSES OFORoEP ECTRoCALtiNSPECTION
H 3 8 3 7-3 - "X" Below Work Covered by This Request
EB-00001-08
L4111
e litld-• TypeofBUiltling AppliancesWired EqwpmentWired
p;C Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Bwldmg Dryer Other (Specity)
Comm./Industrial ' Furnace
Farm Air Conditioner
Other (speGty) CqMrazla5 flemarks
Compute Inspectian Fee Be/ow:
# Other Fee # ServiceEniranceS¢e Fee # CirCUitSlFeetlers Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Trensiormers Above 200 _ Amps Above 100 _ Amps
Signs irspecmrs use onN a^ 7DTAL_ .S?
Irrigahon Booms v Cj v
Special Inspecllon
Alarm/Communication 7HIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS. ,/
I, the Electrical Inspector, hereby Rough-in , oa?a? ? Ql
certity that the above inspec?ion has
been made. F??i - ? r
/ _y
r
OFflCE USE ONLY ?
Th* rapuest void 18 montM Imm ' -'
yi C'1/11"Aly`1
? 38373 a
da?
' dp0°
'I
flequesl Dale ti, -
?/ p? Fire No. Roug InSpMan
R ui ? ???///
? Reatly Now?p Will NolAy InspecWr
R
tl
?
I? Vd?
? Yes ? No en
aa
y
113 licensed contractor )6wner hereby request inspection of a6ove electncal work at:
JoDMtlresssheet, ouleNO)i
?/ 35 ?rar'rr Ciry
'
Secbon Na Townsnip Nama or No aige No Counry
/
Occu am (PRINT)
ff Phone W.
?
?
A KQ?
Pawer Supplier AGtlress
Eleclrrcal Convador (Cqmpeny Name) ConVaclwS Lzense No
omE.owh EY
Majlmq pEdress (Comractor or Owrier AAakmg InstallaUOn)
1+6 0 JF-
0.Nhonzetl naNre ICoMredorrClwner Making Inslellatwn) Pha/nen Nu Qmb `C
W O- 79JJ
MINNESOTA STATE BOARU OF ELECTHICUY THIS INSPECTION REQUEST WILI NOT Gryge•Mltlway BIEg. - Pnom 5113 BE ACCEPTED BY THE STATE 80ARn
18Y1 UnWerNty Ave., 51. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6,112-0800 ENCLOSED
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55723 Date Issued:
(612) 681-4675
SITE ADDRESS: LpT, 2 BLo c K: 4 APPLICANT:
4135 PRATRIE RI06E RD LAQUA JON
CDUNTRY HOLLOW (612) 687-5688
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
OOTINGS
1
?
FINAL
BUTLpING
023386
0N/20/94
-1
?
CITY•OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18275-020-04
PERMIT
4135 PRAIRIE
LOT: 2 BLOCK:
COUNTRY HOLLOW
PERMIT TYPE:
Permit Number:
Datelssued:
RIDGE RD
4
Ck 2W4
µlaolv
BUILDING
023386
04J20/94
DESCRIPTION:
euilding`.Permit Type DECK
Building Wo,rk Type NEW
\
?
. /?
• .,?,i ,,, j ?, ?-'
%
r?1 1sj)C?liC ?
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - APplicant -
AQUA JON
135 PRAIRIE RIDGE RD
AGAN MN 55123
612)687-5688
L
Z hereby acknowledge that Z have read this application and state that the
information is correct and agree to comply with all epplicable 8tate of Mn.
Statutes end City of Eagan Ordinances.
?p,? I rh?1
AP NT/PE ITE AT ISSUED By. SI NATUR
I
CITY OF EAGAN
M ? 1994 BUILDING PERMIT APPLICATION
681-4675
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: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Pf-«- / ?b /??°1`"? ,yaluation of workAZSDo
Site Address: LAI3S
STREET SUITE #
Tenant Name: (commercial only)
IAT BLOCK SUBD.
C
?t
` P.I.D. tlk
Z pv,.,
fl?
Descri tion of work: fLoPoSef] 07LY,
The applicant is: Owner ? Contractor ? Other (Deseribe)
Name L'tQ\-1FF Phone i%m?
Property
ner
O LAST n FIRST
64S'1-sb$$ uox"
0
w Address yl3s 9'izr}1Rlt 10t)e
0
STREET STE #
City L)j? ?_3 State m? Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wi h all applicable State of Minnesota Statutes and Gity of
Eagan Ordinances.
Z
Signature of Applicant: ..
j
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
El 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. a 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGtUIRED INSPECTIONS
? s;te
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq, ft.
On-site well
On-site sewage
Building
Variance
0 Footing
E] Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuec;on:
?
,? • .
r^ ? ?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facil9ty
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code ?y
SAC Code o /
Census Bldg /
Census Unit o
Assessments
SAC %
5AC Units
. , ? .
M32-3 ZO -9b
CERT/f/CATE Of
=l0
.?
?. o
O?
?
?
LA
I -4-
?
I iz6.
I Jn?' 6 n' o
4.,
o Q? yV
N ?4 JJ
6,po 4 _C
L
I,\ ?y
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)
x I
Scale: 1" = 30'
PaovosEo DEu<
?
i
0
?43,9t
?39499 IV
.?
•1
4-
ou? ?
8
? z ?
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Cki q
?Ol
DESCRIPTION
/ H£REBY C£RT/FY TNAT TH/S SU4V£Y, ftAN AR REPA4T
WAS PREPAR£D BY ME OA UNAER MY O/R£CT S(A9ERV/S/AN
ANO THAT f AM A DULY RFG/STER£O LANO SUFYEYGW
UND£R THE LAM'S Of THE STAT£ QF MlNH£SOTA.
OATE 26 .-6 {990 REa W. $140
Lot 2, Block 4,
COUNTRY IIOLL0IV
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
,. .. __ .?
?F,xistin? ropose
brandt anginaaring arurvaying '
2705 uioodl trail
burnivilla, minn-aroto 55337
(612) 4351966
s~r
?
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. ?
i
` 30
?.. _ t? lo
N &9°3S'3!"w
4?.19
/032-3zD -9a
o•*
b04'00+
46•00?
392•00+
2,03?_•50+
3r124•50*+
604•00+
46•UOr
392•OOr
2,Od'2•5U+
3; 124•50*+
?
? IS ti 1
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
On site sewage_
On site well
MWCC System ?
City water
PRV
Booster Pump _
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 MUST SHOW A LICENSED PLUMBER.
MAR p i Reco
To Be Used For:
Valuation: Date: 4-d?P`" L
Site Address i'l1 ooa ?-OFFICE US.
, G/?
Lot ?L Block 4 /
Occupancy R-3 M-I
Zoning ?-i
Parcel/Sub Actual Const V_14
Allowable V -hl
Owner # of stories
Length ?
Address Depth $&f
S.F. Total
City/Zip Code Footprint S.F.
Phone
Contra
Addres
City/2
Phone `'t' `p((?U/
Arch./Engr.
Address
City/Zip Code
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY GALCS
ONLY
FEES
Sldg. Permit
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
/ fXf00
46,oa
1 ,D
?
Q(7i1X7
30, oO
30, oD
,5J
252,0
?
355,00
APPROVALS Penalty
Planner _ TOTAL I .?1
Council ?
Bldg. Off.
Variance V
Phone #
VA ? U?p,?r? t?_ '? ??, •
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1
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.
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°
ap
41
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DESCRIPTIO:d
/ NERfBY CER17fY TNAT TN/S SU4VEY PLAN OR REPART
Wi1S HVfPAREO BY ME OR UNDEN MY D/R£CT SUp£RV/S/AM
AND TNAT I AM A DULY REG/ST£RED LAND SURYEYpR
UNDER THE LAMS 01F TNE STATE Ar M/NNESOTA.
efa
n,aTE 7h t 990 RM Mv. 8140
Lot 2, Block 4,
COUNTRY FIOLL0IY
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
?^---
(F-xistinv.i ropose
brondt anginaaring P. iurvaying
2705 WOOdir tfall
burnirvilla, minnaioto 55337
?
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i
smvEr
30
N 89°38'31"W
47. i (
612) 435-1966
One or Two
All Other
CITY OF HUILDINa DEPARTIdENT
EXTERIOR EI4VFLOPE AVERAQE IIUII C017PUTATION
(To be submi.tted rrith building permit application)
Family Dwelling Owner
L ZSfte Addresa ,
Contractor
LIIIEN, FEET OF EXPOSED YJALL 9aE ?ol?K ?IdG?ft.
OPAQUE WALL COt7STRUCTIONt. "Ull Value x Area
Date Phane
above grade - Oa ?
TOTAL EXPOSED WALL AREA Sq. FT.
IIuII .04 3 X sq.
Da tHil
"Ult , 0710 x
5g,
reference 121I?? npn x Sq.
irom "Ull x sq.
attached "Ull x SQ.
sheete IIUI;_ x
. sq.
YIINDOWSf "Ull Value x Area "
Afalce & Type CS1flT "Uft x sq.
n u npn x sq.
it it lipll x sq.
n n npu x SQ.
DOORSt "Ull Value x Area
FT. M. ZO. 77, O(U)(A)
FT.)o'j,Za= R• 19 (U) (A)
FT. 132.So= 5,3 f S11)t A)
FT. (U) (A)
FT. - (U) (A)
FT. - (U) (A)
FT. k#4.80= (99,s0 (U) (A)
FT. - (U) (A)
FT, - (U)(A)
FT. - (U) (A)
14alce & Type ?7TLjWS6(.r 'IUII •1Q' x SQ. FT. 9oD =?P,860 (U)(A)
n n ?'17n npn ,4,.7 x SQ. FT. 2 a=_171 (U) (A)
" VIUll x sq. FT. _ (U) (A)
"Ull x sq. FT. _ (U) (A)
TOTN,S 7,3Z0•00 SQ. F'T. ISB?S(C (U) (A)
AVERA4E,
% °
TOTAL (U)(A) VALUES
DIVIDED BY TOTAL tiVALL AREA M-Oio,61
??81
AVERAQE IIU , ? 15 lesa for 1&2 fA lH
ROOF/CEILINa:
TOT/lL AREA: Z(p0 ?
Detail reference liUll .OLf x SQ. FT. fZ400 = 2& + A U) (A)
from flUff x SQ. FT. ? (U) (A)
attached sheeta. "Ull x SQ. FT. _ (11)(A)
Describe openings itUff x 3Q. FT. _ (U)(A)
in roof. flUff x sq. PT. - (ll)(A)
TOTAL (U)(A) VALllES DIVIDED BY rY'4Le7 Z(0o 5Q.rf 2(p' CUya>
?
ToTlIL ROOF/CEZLIN(3 AREA
AVERA4E l'Ut? ,025 or ventilated roofe. '
,.
'. • ? ,
Vo?K? .1i: GF,--r'? ?.
I. ? +iY.i'k'?' .,. ?'.1 . ?i? •
i '
&x0?? cwb? loA??-^ ?i?,, ?:.? ; . •i ! ?
I
/g.5 X (34+34t??-91?) - ?3 Z?Zo_po? :a
Co?? C. ? ? ' _ i
?tv7? c34t3¢+t947) - Jo,.zo ? -..
a
, . ,. . . .
(,341- 34-t41vf41a? = 13z.go ?
p_ .
? Y`1????! ? ?` . . . ?• , . '
. . 1?nx3lfl =- 4-.0, x 14
ZOX3fv = s, o X : (o = ? 30.00 ? ? ? _....
'
24x30 (a.o X 4= '? Z4,oo ..
2¢X4S ? 8•O X lv = '• . 98.aa ;.. . ? :.
2ox?8 = (0-7 X 4= ? z(?: So .., .
144.13
o .
3° stt.• w/s?• _ ? 28,00` , . : ?
?
-
Z? 5?(.- S?K. - ?` Z?.eo? ;
? .
;
J . . ?
(?- P?.-rlo
?
. _.. . . _
8.1 . j
-- ! 91•a0?
??5 ?q?L i Z3 2o.o0 ', . ... zlaX ? = 1191v . .
q
„ K!N'1
wnw's l3z,go ?
-' '
475. So ` ? f Zloo ?
: ? .
11
1, .
... . DCtqg's 00 ?
? ; 194+ GO
i :
I . ? . .? .. ? ...
_ ??
? ,' '?._..
. .
--YlAI,L SECTiON--
,' Uetcrmining "Ull valuae at Roofi Walli Itimi and Conc. 13loclc
ROOF/CEIL I tJ4
1.) Iitterior Air P'ilm
z.) 5/8,, ayp. nd.
3,) Insulation
4•1
5.) Exterior Air Film
(STILL)
(I2) VALUE
0.61
.56
a-j-, o0
.61
?iUi1 = I/R; r Oz? TOTN, (R)=
?----
'?" ?
Y11LLL ,
6.) Interior Air Film
7.) 3" aYP. na.
£3.) Inaulstion
'9.) ?
j'r?fZT-f_11t=
10.) Maeonite Siding
it.) Exterior Air Film
R VALUE
0,68
.iE5
1q,a o
? 67
.1?
IIUII , IIR=., TOTILL (R)=
RII7
12.) Intorior Air Film
13. ) Inaulation
1ll.) 2" Fir Rim Joiat
15.) ZvILT' rrT?-
16.) Maeonite Siding
170 Exterior Air Film
R VALUE
0.68
I q,oo
1.fin
?!7, o}?
.6Y
.17
upn TOTAL (R)= Z? ?`I
71
.?.-
__.--
FOUtIDATloil
18.) Interior Air Film
19.)
zo. )
21.) 12" Concrete 9loclc
22.)
23.) Exterior Air Film
liUll = i/n_ .07(fl
.
R VALUE
0.68
// 00
,.za
.17
TOTu (p) =f3,1?
(ii-lit)
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMZLY DWELLINGS
MULTIPLE DWELLINGS
.i,EP 2 ,4 RFO4
Date: 5j:oy/?v
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
1
To Be Used For: %7i$?i, Valuation:
Site Address 413!? &n Ot ?41021i: ICo
Lot z Block -( I
Parcel/Sub cci-)tivy Nk-x-L
_?
Oianer ?C:,IJ Lf?JV)i
Address S1904E
City/Zip Code E)9l-.6ti.
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
COMMERCIAL
FEES
B1dg. Permit
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
TT
OFFICE USE ONLY
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. KprS
Variance
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157168
Date Issued:08/07/2019
Permit Category:ePermit
Site Address: 4135 Prairie Ridge Rd
Lot:2 Block: 4 Addition: Country Hollow
PID:10-18275-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donovin D Mollner
4135 Prairie Ridge Rd
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
•
For Office Use% Permit#EAGAN
j6Cc'o
I 9.
Permit Fee:
ECEIVE� Date Received: 72
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX (651)675-569 APR 1 0 2020 Staff:
buildinginspectionsacitvofeagan.com L
BY:
2020 RESIDENTIAL BUILI5ING12EftIVIIT APPLICATION
4/10/20 4135 Prairie Ridge Rd
Date: Site Address: Unit#:
sZMAtaltiag ON- Donovin Mollnjer
612-240-0098
Name: Phone:
4135 Prairie Ridge Rd
„K,4.1.,4' Address/City/Zip:
iSeoeivfA000=3s, Applicant is: Owner ✓ Contractor
� � ���4 Rebuild deck
Description of work:
15,000
ti'4. * Construction Cost: Multi-Family Building: (Yes /No .. )
Beyond Remodeling, Inc Joe Blackfelner
, w4;� Company: Contact
IRP:,;;N 0 6736 Argenta Trail Inver Grove Hts
, � Address: City:
� ��# 55077 ^ joe@beyondmn.com
�h State: Zip: Phone: , .ZZ.?g-(3S iEmail:
40, itY.
� � BC668478 R-I-74543-19-01789
ll:t d f*0License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
.o:raa•r'- mar' >sr. <rJv Y :xr, him x;x-° "*c�ar�, .c.�si �w�a rc.�. r� M.0"""c"
r
t .,, 4 — ,_
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized bya building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be •nformance with the ordi .nces a ...es of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, an. • is not to st- without a •-rmit; t•= the work wi •e in
accordance with the approved plan in the case of work hich requires a review and ap• • - of plans
agii'
x —�oP 1Gct .4114 , � Vill
Applicant's Printed Name • •Ii.nt's T•nature
•
DO NOT WRITE BELOW THIS LINE I 3C Q(Ct
U
t- " LoOlCIC)b
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
— Multi .4 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex — Lower Level — Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows Demolish Foundation
_
1( Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ��
Valuation 4 19 i Occupancy jc.- i MCES System
Plan Review )( Code Edition zc t '&&s Me_SAC Units
(25%_ 100% ) Zoning I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V9 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
}c Footings(Deck)r& avay.,.)-L- x
t0SP`ct"'`V Final/C.O.Required
l � . . Jc 3
j '1° C
"Y' C.O. Required
Footings(Addition) X Final/No C.O q
Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test—Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
7( Framing 30 Minutes )C 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES e P Cci Lc. 60)4,'15 z k i'IA.
Base Fee Su
vii.t %
Surcharge +V t',4.
Plan Review 4 mut) aP so o+4"K5 4
MCES SAC 4f /-Av,,,,,H y X..4 ./4 ec7l,^E e(e- A6-0
City SAC frr/r le) 5 -11,? eze, ,f,
Utility Connection Charge J
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
) i .,!"--- r yr-I'Y re--• r/...„,-,9_, ,?.._ 0
..
, . I-1 1 ,) (po CI co
Property Map
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z
'w*;v F�v�s a s�'�3'?'1n'0 .ZZs"s�r�� � �s '�3 �.3:K -'
° ..lyv s f `tC;fP.Fit- ,�w_ i m.633 @3*-3kt!*__,,,,��k,, �3'u� ,
l'r s .� ahan-�`ai't`a - "G�s?. ^i"i^, f^n�, g.�
ei ,1 6kr. x11��.1etif 3 £ ^an 1 i3
A x `^ y. 5.63,3 6 3 t3' e - ,
semi_a''s T,",# 1.0e'7_ i6t. :�i}
h' ' 2 Z Y�+'4 t�
4/10/2020, 8:25:45 AM 1:282
0 0 0 0.01 mi
Lot Dimensions '
3 5 0 0 0.01 0.01 km
Tax Parcels
Sources: Esri, HERE, Garmin, Intermap, increment P Corp., GEBCO,
USGS, FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance
Survey, Esri Japan, METI, Esri China (Hong Kong), (c) OpenStreetMap
contributors,and the GIS User Community
Copyright 2018,Dakota County
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171100
Date Issued:07/30/2021
Permit Category:ePermit
Site Address: 4135 Prairie Ridge Rd
Lot:2 Block: 4 Addition: Country Hollow
PID:10-18275-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Donovin D & Amy L Mollner
4135 Prairie Ridge Rd
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175812
Date Issued:04/15/2022
Permit Category:ePermit
Site Address: 4135 Prairie Ridge Rd
Lot:2 Block: 4 Addition: Country Hollow
PID:10-18275-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Donovin D & Amy L Mollner
4135 Prairie Ridge Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature