4140 Prairie Ridge Rd? .
SEWER & WATER PERMiT
CITY OF EAGAN
3830 Pilot Knob Rd.
; Eagan, MN 55122-1897
DATE MAR 2, 1
OFFICE USE ONLY
METER #Ll 57 7 /?-13 pERMIT DATE 03/03/92
CHIP # fL? aa 70 PERMIT # 586
METER SIZE ?? r?Su 5 B.P. RECEIPT # ?(7? ?
ISSUE DATE ?2!//''9 B.P. RECEIPT DATE 03/02/92
X PRV _ BOOSTER PUMP
SITE ADDRESS 4140 PRAIRIE HIDGE RD
LOT 4 BLOCK 5 SEC/SUB COUNTRY HOLLOW
' APPLICANT:.
ADDRESS: _
CITY, STATE
PHONE: -
PLUMBER: _
ADDRESS:_
CITY, S7ATE
PHONE?
PERMIT REI,?UESTED
X SEWER X WATER - TAPS
_ COMM/IND X RESIDENTfAL
X NEW - EXIST{NG
Meters are to be Installed
stic Meters.bn Water Line.
? ,AAGREE TO C(SMPY?f WITH CITY OF
01NNER: DAHLE BROS EAGAN ORDINANeES
ADDRESS: 9304 LYNDALE AVE S
CITY, STATE BLOOMINGTON NIlN ZIP 55420 PHO?a88-6866 IISSUED
PLEASE/ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTiONS. FOR STORM
SEWER PERMITS, CONTACT ENGiNEERING OEPT. J-
ZIP
5TAR PLBG
1018 MOUND SPRINGS TERR
BLOOMINGTON !iN
884-4149
ZIP 55420
• ,G - ?`'
BUILDING PERMIT
To be used for ?F DWG/CAB
CITY OF EAGAN ;y.,h??
3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121 S.+G
PHONE:681-4675 . - ?
Receipt #
. Value $153,000 Date MAR 2 1992
Site Address 4140 Pl
Lac 4 Block s
Parcel No.
Name uAx[E aROs
? Address 9UA LYt7D11LE AVE S
O Q ty BLOdHINCtON !!N ZP
cr Idame
? Address .
? uY ZP
Phone
8 License # 0001047
I hereby acknowlege that I have rgad this gpplication and stafe that the
information is correct and aqree: to wmoK with all aoolicable State of
Signalure of Permitee :?"
A Building Permitit issued to: pAHL& DRQ$
on the express condition that all work shall be done in accordance with all
applicable State oT Minnesota Statutes and City of Eagan Ordinances.
Building Official ,
CE USE ONLY
?_3
OCCUpancy ?' FEES ?
Zoning
R-1
?' ?ft +?S•?
$
(Actuaq Const V=N Surcharge 76.50
(Allowable) V=p Plan Revlew 536•00
?
N ol Stories
' O
License
5 . 00
Length
Depth
341
SAC,CiIy ?
100•00
S.F. To1aI - 700'00
SAC, MCWCC
S.F. Footprints - 6?5.00 ?
On 3ite Sewage _ Water Conn 1
On Site we11
xx Water Meter 95.00
?
MwCC system
xx
Accl• DePosit 30.00
City Water
PRV Required xx S/W Permit 30.00
?
Booster Pump - g/yy SurCharge • se
30o' oo
Treatment PI
APPROVALS Road Unit 380'00
Planner - park Ded.
Council --
BIdg.Ofi. _ Copies
3 . 7 53. o+,;
Variance TOTAL
? PermR No. Permk Holder Date Telephone #
33y?-
rLuMeinG G0- as0
HvAC
ELECTRIC
EIFCTRIC
Inspection Date Inap. Comments
Foolings t
Foundation
Framing
Roofing
flough Plbg. ^3- ' WLr,
Rough Htg. -3
Isul. _ ys ckJ 0 y7 fd a)_.
FireplaCe ?,w' Z Z L?, z:;;,e =
Final Htg. .44
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
EngrJPlan
Bidg. Final / aJ,
Dedc Ftg.
Oedc Final
weu
Pr. Disp.
3- ? ???
-
(ger#if iratie uf (Orrupanry
Citp of eagan
Erprtmetc# o# gwGd'm inprrtton
M Certificale issucd pursuant to !he requiremenls of Section 306 of lhe Unijorm Building
Code cerpfying [kat at !he tiw ojissuance thrs structure i+aas in complianae wrtle 1ke Narious
ordiwnces ojrdw Ch' re8ukd8 buddin8 comtrudion or use For tAe foldowing.
Lbe CbmiScidw SF DWG?GAR Md&Pau%kN* 20163
01-4-7 Type R-3 M-1 Z..i..p;.? R-1 Tnc,,,m Vn
Owwa(Bwlding DAHLE BROS Ad&d, 9lQ4 t."Mmat.F avF s_ nt.MTN
Bulding Add= 4140 PRAIRIE R1DGE ? L4, B5. COUNTRY HOLL,pW
? MAY 22, 1992
POST IN A CONSPICUOUS PLACE
INSPEC'
CITY OF EAGAN
3830 Pilot Knob Road
L
Eagan, Minnesota 55122-1897 1
! (612) 681-4675
SITE ADDRESS:
i U ( I KI
? ?? ? f;; n r i< r i R t I???I irl?
Iw 1 1!?4!
PERMIT SUBTYPE:
I :, ;
I I ?lni 1 Nti
?
?
ON
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
1 01A11i'' ;:i, I
1 ?:. l .' ) ? !. ?) • t i i, ?,
TYPE OF WORK:
I ! Id A l
N I t. J
1,r+ I t t11 Nti
A'•'NNsi/
06 i?:'#±i46
Y
Permit No. Parmk Nolder Date Telephone S
ELECTRIC
PLUMBING
HVAC
InspecUon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING .
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR 7EST
FINAL PLBG
F{NAL HTG
ORSAT
TEST
BLDG FINAL '
6SMT R.I.
BSMT FINAL
DECK FfG ?
???
. ' ? CITY OF EAGAN No201 6 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 681-4675 Receipt # n
l. d
To be used lor SF DWG/GAR Est Value $153,000 Date MAR Z , 19 92
Site Address 4140 PRAIRIE RID E RD
Lat 4- Block 5 SeGSub. C4UNTRY HOLLDW
Parcel No.
N2iT18 DAHLE BROS
uj qddrp,ss 9304 LYNDALE AVE S
0 Cjiy BLOOMINGTON MN ZjP 55420
? Name SAME
? Address
pg Cit/ Zp
z Phone
? ucense # 0001647
I hereby acknowlege
information is correct
Minnesola Statutes ar,
Signature of Permy'ee
A Bmlding Permitieissued to: ? SKUS
on the express condition that all work shall e ?one in accordance with all
applicable State oi M,i/n?nesota Stamtes and Ciry A , ot Eagan Ordinances.
Building Oflicial _T? ?T? p???, ? L 1
OFFICE USE ONLY
R-3 M
1 FEES
Occupancy =
Rl Bkig. Pemxt $25.00
Zoning
(nctuaqConst V=N Surcharge 76.50
(Allowable) L plan Reviey 536.00
# ot Slories
Li
00
5
Length 70! cense .
Depth 34' SAC, City 100.00
S.F. Total - SAC, MCWCC 700.00
S F Fwtprints -
On Site Sewage _ waler Conn 675.00
On Site well - Water Mater 95.00
MwcC system xx 30
00
Ciry Water XX AccI. Deposil .
PRV Required ?. SNJ Permit 30.00
Booster Pump - SIVJ Surcharge .50
Treatment PI 300.00
APPROVALS Road Unit 380.00
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
3,753.00
Variance - TOTAL
state thal
/?
dddress: 4140 PRAIRIE RIDGE St 4 Blk 5 Sec/Sub COUNTRT HOLLOW
These items wera/were not complate at the time of the final inspection.
t: y..z. Yes No , f?
Final grade (6" from siding) ?
Permanent steps • garage ?
Permanent steps - main entry
Permanent driveway LI/
Permanent gas
Sod/seedad grass r/
Trail/curb damage ?
Porch ?
Basement finish
Deck
Please veri£y with the builder the removal of roof test caps fzom the plumbing
system and the shut-off oE water supply to the outside lavn faucet befoxe
freeze potential exists. ?
uc,aFUruu
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18275-040-05
DESCRIPTION:
PERMIT
4140 PRAIRIE
LOT: 4 BLpCK:
COUNTRY HOLLOW
B'b?ildin'g?permit Type
rt$uiI din,g Wark Type
Census Code
r
r , g
?
1_•-
i,
PERMIT TYPE:
Permit Number:
Date Issued:
RIDGE RD
5
DECK
NEW
434 ALT. RESZDENTIAL
BUTLDING
0280$7
06/26/96
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: OWNER: - Applicant -
LUNDBER6 LARRY
4140 PRAIRIE RIDGE RD
EAGAN MN 55123
(612)454-9365
S hereby, ackno+vledge that T° hava read this;,applisatian and,&tate that Che
information is correct and agree to comply with all applicable State of Mn.
StaCUtes snd City: of <Eagan ?Ord,inances. = . '
' A LICAN /PERMITEE SIGNATUR 'ISSUED 8 516?fafURE-?-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -16 0 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
New Construetion Reauiremenla
RemodeVReoair Reavirement=
? 3 registered site surveys ? 2 copies oF plan
? 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior adddions & decks)
? 1 energy plculatians t 1 energy calculations for heated additions
? 3 copies of hee preservation pian if lot platted after 7/1l93
required: Yea No
DATE: ? CONSTRUCTION COST: /ciltee)
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ? BLOCK ?
SUBD./P.I.D. #:
ACr6?-
Io?QeV bSo-
PROPERTY Name: 01114M ?? Phone.#: 715?-?36 .?
OWNER `""
Street
City: Z--^>? State: N4U, Zip: SS?l2 ?
coNrRACTOR Company: Phone #:
Street Address: icense :
City: State: Zip:
ARCHITECT/ Company: one '
ENGINEER
Name: Registration
Street Address,
City:
State:
?
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is corre t and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
i????VE
J U N 2 4 599S
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 5F Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
,,Er-'31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging 0
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace 0
1 5 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Buiiding ,?_ Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Pertnit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
-c4 ' s0
Valuation: $
?
? ?. ?.
\r ' ?
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code. 5'3 y
SAC Code o/
Census Bldg /
Census Unit °
% SAC ?
SAC Units
. •. ?
?
??Ga lC. ?f " ?l? ??,
/
P\ `U °?? °o
CERTIFICATE OF SURVEY
,
LANDSURVEYORS
?" ;e' &OCAM. Pue.
8713 DUPONT AVENUE SOUTH
BLOOMINOTON, MINN. 66420
BB8•]084
Survey for: DAHLE BROS., INC.
^ ? /?°4/36
°? . ?AAVAA?
?? I? I N
? ?'
---
?/.79
IL\r
b?
N ? Im ?
?
o?ei'd.
?\la ? ? ? I ? , ? 4 Nl
-?-
o??8y
3s9 ° N,
DESCRIPTION:
3¢:33 " ¢+? /?o.? """"'?'?
, •?' ? ? ?? ? _
\ rc'? m rl? _-
.o •? - / 70, 00 - -
-°- - ? hl
i ^
Lot 4, Rlock 5, COUNTRY HOLL
ra
Proposed Grades: EAGAN EN6INEERII?? DL:
Top of P,locks R36= Garage floor 835s Basement Floor SzB=
NOTE:
Circled elevations are proposetl, others are existing.
Arrows denote direction of drainage. :r^ReV. REOUFR."?
E
we hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon and all visible encroachments, if.any, fro or on said land.
Dated this 25thday of _ F!arl, 1 9 9z.
bY /? ? /
- - ?finneso a icense o. Oi8 -
M
?
?
W - -?
L
r? f
?
r I 3
j ?
?? d $N
-- 79-7ig9
R EMENT .
SINGLE FAMILY
IPLE DWELLINGE
1992 BUfLDING PERMIT APPLICATtON
CITY OF EAGAN
"t`3
-'2 SETS OF PLANS, 3 FiEGISTERED SITE SURVEYS,
.?
1 SET ENERGY CALCS.
2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SEfS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTYAPPLIES WHEN TYPtNG OF PERMIT IS REQUESTED, BUT NOT PICKED UP 8Y LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: S, „?. k r;-M , / ? Valuation: ek2..q:;---Date:
Site Address Lct ? Block S 153,000-
Parcel/Sub CoU„?r- Z %,« Occupancy
Zoning
O Actual Const
wner ?, P ?•? S Allowable
Address # of stories
Length
CitY/ZiP ??ozm-hs
???? -s5/?6, Depth
S.F. TOt81
Footprint S.F.
Phone
Contractor
Address
r--
City/Zip
Phone 53" tlil ? ? S?L
Arch./Engr.
Address
City/Zip Code
Phone #
On-site sewage
On-site well
MWCC System
Ciry water
PRV
Booster Pump
APPROVALS
Planner
Council
Bidg. Off.
Variance
R-3 M-I Bidg Permit
R-1 Surcharge
V- N Plan Review
y_ N license Fee
SAC, Ciry
?o' SAC, MWCC
,3y' Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
x Park Ded.
X Trail Ded.
Copies
SUBTOTAL
Penaity
Lot Change
TOTAL
! ? rJ- z DS
i36100)0
fAO45'00
30, o 0
.ao
300
3A0.00
Sewer/Water Licensed Contr. Processingtime
for sewer/water permits is two ays once area as e approve .
?,z_---- agrees that atl work shall be done in accordance with
Z?ignature o Permitteej
all annfirahfa St?to nf KAinnoenfn Ctmfi dca onrl C`ihr nf Gmnmn Clrrlinnnroe
o?
G4wA ye
30 X 30 = 900
q x II = (44)
lnXl4= (140)
'716 x jS=
Ssnnr.
?
38X28= !06$
14 ?l 10 = 140
? O$
2Kiy _ zs
IZ 36 x!v =
VA,uuia7noo
? r~'w !??
ti. ? .
/b7yo
I r7, 3o(4
Isr Ft-oori
------
Bsn?r = I 23 ?
1xs = g
8%zxl%z= 13
?
?Z5?7X53= 666Zf
ZND FLoaR
28 K 35S = lo6B
alcly=2--1
?oq 6xS3= SSI oss
IS2I?53
oR )S3,aocl'
' CERTIFICATE OF SURVEY
'em•
? ??uon i, ?1--3 D l? T AVENUEr?SOUTH
?BIOOMINaTON. MINN. 66420
,- I 888-7084
V
LANDSURVEYORS
?
Survey for: DAHLE BROS.,.INC. "
`1 m ? ?? DOl
\ ?/.79 0' 3?f 33 4? ? l?ovr
.
/ -` -
\"\
?? 17u
?? ? f j o?
p"
n x
,
y? ??1
s h
Oo l,y?M/
Qml \J)
oa, ? z5,8B _ `'S.o Z33v =5.? -- -- - -
oR,"
aN+ ??5. - /70,??o- Ni
N ?
S9
? ro m; N89 3/M WW ' E,i i R !+. /ii:=- 7-04
DESCRIPTION:
LOt 4, RIOCk 5, COUNTRY HOLL i'?
Proposed Grades: ?A??N ?NC?'iNE?F.ING DEF ?
Top of Blocks e34= Garage floor ?s35s Basement Floor 8z8=
NOTE:
Circled elevations are proposed, others are existing.
Arrows denote direction of drainage. ?:iiz?:AId ld LS ?? l? ?'"??
no?Q I?llf?f?(?? O?fr?E-'
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon and all visible encroachments, if,any, fro or on said land.
Dated this 25thday of Februarv,l9 92.
bY
%Rfinneso a icense o.?S?O18
-
-=
,
F? AZOR EINELOPE AVEAAGE "U"•'?_ 3UTATION ' OWNER D'd H L E tUQO ?: _L i.J G,
SIT£ ADDRESS //
CbNTRACT'OR ?? ??G . , : , . , . , , .• r., • . : ?. . ,. . .
DATE ?. ,2,/. i ' PHONE
... . . . _? _..,f?.6
• .. Determine.working square footage of each..
. 1. Total expoaed wall area .....• 36
8q. tt. x. 1 t _ 3 3'1. 0 4-
2. Total roof/ceiling area,,,,, { 2 3 2
• .' . 8s. ft. g.o2L -, ? ' 32.03
A. Total wall window area..
B. Total door area..
. C. Total slidin •••••••••• •••••••••••••• ? -
9,91ass door area...:....... •••,- 8 0
D. Total fireplace wall"area. ? ???'? E. Total wall framing area (average•10%).?????????
2 2 5 .
F. Total Rim joist.area....•..... -
..:........................ 3 p ?
G'. Total Ne.t wall area above floor.•••
, • ........
w • `'? Total expOsed foundation area -
t} t, - ,
- ? .
H. Total foundation window area..
i. Total net,foundatiori area above..grade..........
_ .. . ., . . ' . ?_ .
Determine "U" value of each wall s g ent.
x "Un , eFg ? 9.0¢ .
r,
b.,-----4-0_ X "p" 123 ,,,
CiZO
c._ ? p X „u„ -
(r o
a._---.-_ X ^u., ? . .
C,? X
2z, 50
f._ o2`X «Ul, .04- 9._ x "tin .
_"---- 104-_ • 8 1 O ?}- ,
h. X "U"
------ e
X"V? • ? ? r I? T ?
3........... ?--?
..,................. .....Total
If item it3 is the same as, or less than item ql, you
,
seC 6006(c)2 ave met the intent of
l
Total exposed roof/ceiling area ?
4Z3•2
J. Total'akylight area.....
k. Total roof ........................... "
/ceiling framing area (average 10+1)...... ? Z
. 1. Total net ineulated roof/ceiling area ....:........ .__ . ; ., _ l l 0 9
Determine "U" value for each roof/ceilinq,segment.
. j• . x wVw ' .
?
k• I z 3 x"v" . o2ITG . 3. 39 .
i: • l t 09 X"U" 2 7', 7 3
4 .......................
............... Tota1
?
If total of 114 is the same as,.or lesa than #2, you have met the intent of
S?C 6006(c)1. ,
Rlternate Duilding Envelope Design
Yb utilize tlie total envelope system metho3, the values established by the
suln of items 03 and 04 s1ia11 not be gzeater than the sum of items fll and fl2,
1.
+ 2.
3. .
+ q,
a
v
? ?city oF cagan
THO1.+A5 EG/+N
3830 PILOT KNOB ROAD Mzyor
EAGAN, MINNESOTA 5 51 22-1 8 97 DAVID K GUSTAFSON
GHONE (614) 454-8100 pqpELq McpREp,
FPJC (614) 454-8363 iun DqwLENTv
THEODORE WACHTER
Couml n•embers
THON?6 NEWFS
Crty Atlmmistreror
October 29, 1990 EUGENE VAN OvERBEKE
Crty CI¢rk
WARREN ISRAELSON
PROGRESS COMPANIES ZNC
14300 NICOLLET
SUITE 235
BURNSVILLE MN 55337
Re: Hold on Buildinq Permits
Dear Warren:
The City of Eagan has put a temporary hold on building permits for
Lot 4, Block 5, Country Hollow Addition and also Lots 1-10, Block
3, Country Hollow 2nd Addition.
The pond lying east of Lot 4& 5, Block 5, needs excavation work
at the pipe outlet area where sand has accumulated due to upstream
erosion. This work can best be accomplished by access of Lot 4,
Block 5.
Lots 1-10, Block 3, Country Hollow 2nd Addition, are on hold
because of the lack of final restoration work in conjunction with
the retaining wall construction. These lots will remain on hold
till this work gets completed to the satisfaction of the City of
Eagan Engineering Department.
We hope this work will get completed as soon as possible.
If you have any questions pertaining to these items, please call
me at 454-8100. Thank you.
Sincerely, cc: Mike Foertsch, Assistant City
Engineer
Craig Knudsen, Engineering Tech
Steve Hanson, Assistant Building
Official
Stan Lexvold
Senior Engineering Tech/Construction
SL/jj
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
Equal OpporfunitylAffirmatfve AcTion Employer
??("-Z_ ( 2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauiremenis
3 registered site wrveys showing sq. R of lol, sq. ft of hase; and all rooted areas
(20% meximum lot wvwage allowed)
i Sails Report rf proposed building is to ba pleced on disWr6ed soil
2 wpies of plan shomng beam 6 window s¢es; poured tand design, etc
1 set of Energy Calculatlons
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Jdst Defail Options selection sheet (bwldings with 3 or less unhs)
Minnegasca mechanical ventilatim lorm
RemodeUReoair Reauirements
2 copies of plan shaxing foo6ngs, 6eams, jasis
1 sel af Eneigy Calculahms for heated additions
1 site survey for additions 8 decks
Addtbwr - ilro'icate Non-site septic sysfem
Office Use Onlv
Cert oTSurveyRecd _Y _N
SOils Report _ Y _ N
Tree Pres Plen Reed _ Y _ N.
Trea Pres Required _ Y _ N
On•site Septic System _ Y _ N
Plans are considered public information unless you state they are trade secret and the reason.
Date -5 07 Construction Cost
_
Site Address 0/ UnitlSte #
Description of Work l
Zl.!/ A4r yL C/00olo
Multi-Family Bldg _ YffN Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner -It y?it Telephone#(GlL)ZS/-Y`f33
4 j
Contractor _1 GC
Address City HO/$ -,(/S
5tate Zip S.? yZI Telephone #(o ?3
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate¢orv I
Residential Ventilation Category 1 Worksheet
(V submission type) Su6mitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 mon}hs, has the 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 # (
1 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, 4ut only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved pl e case of w k which requires a review and
approva f plans.
Applicant's Printed Name A plicant's Sign ture
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151521
Date Issued:08/29/2018
Permit Category:ePermit
Site Address: 4140 Prairie Ridge Rd
Lot:4 Block: 5 Addition: Country Hollow
PID:10-18275-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Anthony R Breede
4140 Prairie Ridge Rd
Eagan MN 55123--162
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165570
Date Issued:11/06/2020
Permit Category:ePermit
Site Address: 4140 Prairie Ridge Rd
Lot:4 Block: 5 Addition: Country Hollow
PID:10-18275-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Hillary Grace Hittner
4140 Prairie Ridge Rd
Eagan MN 55123
Chris Mangroo Llc
23155 Plateau Dr
Lakeville MN 55044
(612) 743-3643
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165913
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 4140 Prairie Ridge Rd
Lot:4 Block: 5 Addition: Country Hollow
PID:10-18275-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Hillary Grace Hittner
4140 Prairie Ridge Rd
Eagan MN 55123
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature