4139 Prairie Ridge RdINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ' j~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
f , t 7 -
3 fif. n c A: APPUCANT:
F?td
TYPE OF WORK:
?,? ?, ,: ? ? i?c•t i? 1 k00 F
I
INSPECTION DA • D•
I
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J
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Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING y ss w,?
ROUGH
PLUM6ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
SEWEFi & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN
3830 PIIOt KflOb Rd. PERMIT DATE 1%17! 9 l P.O. BOX 21199 WATER PERMIT # SEWER PERMIT #. 12497
Eagan, MN 55121 METER #?? B.P. RECEIPT #
diE?4BEft #E ?3 ?,?{ B.P. RECEtPT DAT? a
METER SIZE u
ISSUE DATE -j - 9 '1, •{ PRV _ BOOSTER PUMP
SITE ADDRESS - 13 9 1111ra i r i, R i dqe Road PERMIT REDUESTED
LOT - BLOCK SEC/SUB,'>>untry H011pa; 1:,r_;;,.J;;
APPLICANT: Mari, ic,4.nson anG -ru-' c)r -SEWER -WATER _TAPS
ADDRESS: ?? 14 Las t C i i f f koad _COMM/1ND x RESIDENTIAL
CITY,STATE, -uQn svill.e ZIP1 '17
PHONE: 0 -12 4 ' ? NEW - EXISTING
PLUMBER: 5 r n i i 7 t i--;:
ADDRESS: !-'-- ? 1 9 4 t h tde. ".; . 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE '-' Zip =, ; 4 3 4 EAGAN ORDINANCES:
PHONE:
OWNER: r: ? -? :rnnc;t%:-.'Ction
ADDRESS: i i, 1 :1 " -c t ' ? ; r := : • -? SIGNATURE ?F ED
CITY, STATE _ 1 u r ?i svi l?? H:,l ZIP 5`? '? i
PHONE: _ LL: s ;
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMfTS, CONTACT
ENGINEERING DEPT.
0 CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?.
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E?
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DATE / - / ? 19
i
rIEcelveo f j
FnaM
AMOUNT $
- ? ?
8 DOLLARS
?m
p CASH I?CHECK
/?
FM }
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BY
C 016898
vvtwto-oa„s Copy m
Yelbw--Postlng Copy
PiNc-Flle Copy
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE L17 !Q 1
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEiPT #
READER # B.P. RECEIPT DATE ' ' ? ? '- " =? •'
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS y13 9lPr. ? i? i d?e Roa. PERMIT REOUESTED
LOT=BLOCK ? SEC/SUB -{!: t?"Y iio ] 1
APPUCANT: "ark C,:.-f;;:tcr. Cor.stru:-,_?,,Ir, `-' SEWER "WATER -TAPS
ADDRESS: - E<<s t11 r i F.03d _ COMM/IND .? RESIDENTIAL
CITY, STATE ZIP
PHONE: T NEW - EXISTING
PLUMBER: ? •
ADDRESS: `.+ 4 t h `. ar- I AGREE TO COMPLY WtTH CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
PHONE: OWNER: ),cz n n k7 n at• - * i r-, -:
ADDRESS: A C ]; f r r.?. SIGNATURE WHEN METER ISSUED
CITY, STATE i: 1 e ZIp
PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
•? • ?-* CITY OF EAGAN r,,?,ry
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675 • --
?
BUILDING PERMIT
To be used for Sy DWG/GAR Est. value
Site Address "
Lot 3 Block
Parcel No.
a:
w
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Cc
?
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c?
Name niuc& junoaur 9.;V
Address 1614 E CLIFF RU
city SllMVII.LE MH Zp
Phone 840-2242
Name _
Address
Clty _
Phone _
Zp
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City oi Eagan Ordinances.
Signature of Permitee
and C
Receipt # ' . .- /
OFFICE USE ONIY
R?j
O [?-i FEES
ccupancy
Zoning
R-t 790.00
Bklg. Pertrit
(noc„ai) const V-N surcnarye 71. SO
(Allowable) V-N
.
rian Review 514,00
N ot stories
? S .?'
Licerse
length
Depth 1
SAC, City
100.00 ?
S.F. Total - SAC, MCWCC 700•00 1.
S.F. Footprints -
C
w '
675.00
?
On Site Sewage -
ater
onn
On Site well ? Water Meter 95000
MWCC System
?
?• ?Posit ?n ?
,]c!?
Ciry Water x 30.00 .
PRV Fequired S/1N Permit
Booster Pump - SNV Surchar ge • 50 ?
300.00 i
Treatment PI
APPROYAIS Road Unit 380•00 i
Planner - Park Ded.
Council
eiay. ar. COP'es
Variance _
TOTAL ,
3,691.00
?
Permk No• ParmN Holder Date Telephone #
SNV
'P.uMatnG ^ ?s??- 8G-?ov
HVAC
EL.ECTRICf 4,1•s???)
EL.ECTRIC "
Inspection Date Insp. Cpmments
Footings I
Foundation
Framing
Rooting
RoLigh Plbg. _ .9
Rough Htg.
is,i. 3/s y,L uJ
?replace qx- z.
Final Htg. LOA)
Orsat Test
Final Plbg. i Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bklg. Final
Dedc Ftg.
Deck Fnal
Well
1
Pr. Disp-
2 '1Y-V
?v -*-. ? z
?
(ger#ifirafe of (Orrupanry
Citp of eagan
?r}?rfi?e?tt of 1trioutg jnwrtinn
nis Certifrcate is.sued pursuant to Ae requiremeals ojSection 306 ojthe Unijorin BuiWing
Code certifying tbat at 1Jre rime of issirance tlas stnuture xas in complimue wilh the Harious
orduiances of the Crty regulaan8 brrildWg conmftcion or rese For tlie.followirr&'
SF DWG/GAR
OxomxyTm R-3 M-1 7mWDWjict R-1
MARK JOHNSON CONST Add,
B„UMA"139 PRAIRIE RIDGE RD L.43
.'' Daw-
?a
Bwp .?4m 20036
7* C.. V-N
1614 E CLIFF RD
B4, COUNTRY HOLLOW 1ST
APRIL 16, 1992
POST IN A CONSPICUOUS PLACE
I have complied with all application requirements for the State of Minnesota contractor's
license, and I have submitted ali required information to the Department of Commerce for
approval.
eA?---
Si nature ? -
&-;-? e-191;1?
N me of b siness
L?i? /9?--
Date
DATE: JAN 17, 1992
RE: 4139 PRAIRIE RIDGE RD (MARK JOHNSON CONST)
X Your Sewer & Water Permit for the above property has been completed. It will be held at ihe
Public Works Garage (3507 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORK5 (454-5220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer R Water Permit for the above property cannot be completed for the follo.wing
reasons:
Your Sewer & Water Permit for the above property has been compteted, but the meter cannot
be issued or occupancy aliowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size mus[ be
confirmed 6y 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.
'Address: 4139 PRAIRIE RIDCE RD Lot 3 Blk 4 Sec/Sub OGLN1l2Y HOLIIXJ 1ST
These items were/were not complete at the time of the final inspection.
Date: APR 16, 1992 Yes No .(??
Final grade (6" from siding) Y
Permanent sCeps - garage ?
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas V
Sod/seeded grass ?
Trail/curb damage iJ
Porch ?
Basement finish ?
Deck
Please verity with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. T,0?1
ucuEOwrtn
White - City copy Yellow - Resident copy Pink - Contractor copy
. ,: • CITY OF EAGAN ?d{? 2 Q Q 3 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN
PHONE: 681-4675 55121
(?
g g
BUILDING PERMIT Receipt # .? b r??
To be used for SF DWG/GAR Est. Value $143, 000 Date .IAN 16 , 7g 92
Site Address 4139 PRAIRIE RIDGE RD
Lot ? Block 4 Sec/SubCOUNTRY HOLLOW iS OFFICE l1SE ONLV
FEES
PafCel No. Occupancy R-3 M=1
1
R Bldg. Permk ?90.00
Zoning =
Nyme MARK JOHNSON CONST ?ncwaq Const ?!-H Surcharge 71. SO
W AddreSS 1614 E CLIFF RD ? ?
A??owable V=N
plan Revie++ 514. 00
? CIIY ' BURNSVILLE MN Zp 55337 h1Ofe5
L ?2' ?e? 5.00
eng
Phone 890-2242 oev?n 28 ? snc. c??y 1 n?. ??
? Name SAME S.F.TOtal - SAQMCWCC 700.00
S.F Footpnnts
O '?d?? St
O
S WalerConn 675.00
n
ewage
e _
CIOr Z'jp On Site Well Water Mater 95. DO
? Phone MWCC System X
OSii ?n. nn
ACC?
De
c?rywa?e? ?( p
.
8 ?
?cel1S9 # _ ?n
nn
"' PRV RBqmreE ? SNV Permil
-
I hereby acknowlege thal 1 have read this application and state that ihe Boos?er Pump - SM! Surcharqe . Sn
information is correcl and agree to comply with all apphcable State of
Minnesota Statutes and City
o
l Ea
gan O
rdi
n
5} n
cp s. Treatment PI ?nn _ nn
"
L
/
/y
/
/
/
'
Signature ol Permitee^_?ry4
?'"?-? APPROVALS Road Umt 'iR0 _ Ml
l
/ ?
A Buildmg Permit is issued to: ?1ARIC .TOHNSON CONST
P?anner
-
Park Ded.
on Ihe express condition ihat all work shall be done in accordance with all Counal -.
applicable Sta1e ol Minnesota Sta[utes and City ot Eagan Ordinances. Bldg Ofl. Copies
J? _ p
Building Official ?!,?IJ ll Q,L(?
I l variance _ TO7AL 3 , 691 .00
/0
ne. 2
?
L10-
J o 'J'? l,UUn'WY \ 7 4ley'ee/LC ` Q?
/
Cl
-5
ReQUesl Date fire No ?
l ovgh-in Inspec?ion
Required'+
? Reatly Now CTWilI Nony Inspedw
G N. When Raatly?
Icensed contrector 0 owner hereby request inspection of above electrical work at:
Job Atleress (Street. Box or Roure? fN? Cny
Y'
SecLOn No Township Name or No Range No Couny\
q b7A
Occupanl (PRINT Phone No.
A o?.r On5 , to?o
PowerSua
? Atltlress
// ' T?
EC'. s ?G?J7i?lv TCYI
Eleqncat Gont r ?Company Name) Contracror5 L,¢/ense No
/ /???
Mailtng Adtlress (Conhactor /o?w ner Makmg Instail nron?
E
rI ,4C+/1
AotM1Onzetl Si ature (GonVactOUOw aking Installatwn) Phone NumDer
? roP-:z-O
MINNESOTA STATE BOAHU OF ELECiRItITY THIS INSPECiION FEOUEST WILL NOT
Gnggs-Mitlway Blag. - qoom S-179 BE ACGEPTEO 8v THE STAiE BOARD
1821 Universny Ave.• 51 Poul. MN 5S1M UNLESS PROPER INSPECTION FEE IS
PhoneJ81Y) 6C2-0800 ENCLOSED
J??> ?-
J 23360
REQUEST FOR EIECTRICAL INSPECTION
If, See msimclions lor completing ihis lorm on back of yellow copy
"X" Below Work Covered by This Request
E9.OOOOi-0e .
ew Adtl Rep TypeafBmltlmg ApphancesWired EquipmentWired
Home qange Temporary Service
Duplez Water Heater Electric Heating
Apt. Butlding Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
ane? (Wmry) Conlractor5 Remarks
Compute Inspection Fee Be/ow:
# - Other Fee # ServiceEntrance 5rze Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps jj ? 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Insvecmr§ Use anty TOTAL
Irrigation Booms qE?
Speaal Inspec[ion
Alarm/Communication THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT
Other Fee ? S COMPLETED WITNIN 1 NTH
I, the Electrical Inspector, hereby
certify [hat the above mspection has
been made. Rouqn,n
Final oew/g
f
oa p
OFFICE USE aNLV Ths request wW 18 months imm
Ig? $ ?_o, 0--b
2005 RESIDENTTAL BUILDING PERNIIT APPLICATION Gk 6 Oq (
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reuuirements Offlce Use OnN
3 registered sHe surveys showing sq. tt af l04 sq. ft. af house; and all roofed areas 2 coples of plan CeR of Survey Recd _ Y_ N
(20 b maximum lol coverege allowed) 1 set of Eneyy Calculations for heated add0ions Tree P25 Plan Recd _ Y_ N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 sile survey far addRions & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculations Addition-Indicalelfon•sResepticsystem On-sileSepticSystem _Y_N
3 copies o( Tree Preservation Plan if lol plaBed after 711193
Rim Joisl Detail Options seledion sheel (buildings with 3 or less units)
l U `
Date 2 [ / 0?
ConstrucHon Cost
Site Address n
Unit/Ste #
Description of Work /N5/07LL LCCA01W &Tl?? (,e4? aaA'lAd
Multi-Family Bldg _ YLl
N
Fireplace(s) _ 0 AJ 1 _ 2
Property Owner (/??LS S/? N??lf L Telephone #((s_)7)?/?? ' 093-Z
COOtI'3Ct01' t
Address ? L--1- /;w`f 0 City ?LGL?J
State Zip Telephone #(??) [t?5d 9)14
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilahon Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submifted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for
permit; that the work will be in acc rdance with the approved plan i
approval of plans. ?
?ol?? (?`?'r(I?
Applicant's Printed Name Appli ant's Si€
a permit, and work is not to start without a
ie case of ork which requires a review and
? .I-?---.I,-_"? = 11
z V , ",.?, r , C 005
nature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazeba) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water Final _ Pool _ Ftgs _ Air/Gas T ests Final
_
_
_ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ AirTest _ Final _ Windows
_
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18275-030-04
PERMIT
4139 PRAIRIE
LOT¢ 3 BLOCK:
COUNTRY NOLOW
PERMIT TYPE:
Permit Number:
Date Issued:
RIDGE RD
4
BUTLDING
032472
07/07/98
DESCRIPTION:
REROOF
B,-t1ildirig,.uPermit Type
Building W'o_rk Type
-'Census Code?"
E?
?,.
i,
?
' S . . . v4.m _
F .kf
t
a?
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
1 ?
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Appiicant - sT. LIC
PAUL LEMKE CONSTRUCTION 16865186 0003550
1924 COVENTRY CT .
MENDOTA HEZGHTS MN 55118
(612) 686-5186
OWNER:
STENpAHL DAVE
4139 PRHIRIE RXDGE RD
EAGAN MN 55123
S hareby acknowledge that I have read this
informatian is correct and agree to comply
StaCutes antl City of Eagan Ordinances.
(_ ?..
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicablt, 5tate of Mn.
SU D BV: SIGNAT R?? ,
?
WI48 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
?? 3830 PII.OT KNOB RD - 65122
pri N..?d e81-4e75
New Construction Reauirements RemodeVReoair Requirements
? 3 registered sile surveys ? 2 eopies of pWn
? Z copies of plans (inGude beam 8 window saes; poured fnd. desgn; etc.) ? 2 sile surveys (exterior additions & decks)
• 1 energy wleulations ? 1 energy calculations tor heated addAions
• 3 copres of tree preservation plan N IM platted aRer 7/1/93
iequired: Yes _ No
DATE: ?7 I`^'7? CONSTRUCTION COST; O ZDD, o0
DESCRIPTION OF WORK: &)oF %Zn"PAlTZ V57 TU SrOr-fvl 1?) t?,V-k?.ro ?
STREET ADDRESS: 9 I3' 0 Co Lr 'o A
L0'f-?_7 BLOCK: ? SUBD./P.I.D. #:
Name: STL7l?AhhL iVr°F- ? k-1-1 Phone#:
PROPERTY Last First
OWNER
CONTRACTOR
StreetAddress: '11 39 Pallel1?7 121t)C'oF P--aAD
City q State: MNI Zip: z 3
Company: P?V L LnNtk- r CbAfSI. Phone#: Ko6(o" S18(a
Street Address: /5729 L'&11&2'JTPY C'OfJk_License # 355d
City 9yf,0-" /11LS1JI?OT/S, I473. State: Wla Zip:
ARCHITECT/
ENGINEER Company: Phone
Registration #:
Street
CiTy
Sewer & water licensed plumber (new construcdon onty):
and lot change is requested once permit is issued.
Zip:
55//.6
Penalty applies when address chang
I hereby acknowledge that I have read this appiication and state that the information is cortect and agree to camply with all applicabi
State of Minnesota Statutes and City of Eagan Ordinances.
? Signature of Appiicant 54-"
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
State:
Tree Preservation Plan Received - Yes - No - Not Required
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = piex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Variance
Pfanning
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
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
Engineering
Valuation: $
Total:
°k SAC
SAC Units
lvt??•n?R ?
'? ? ?3 ??'af "•,,?
16 Basement Finish
17 Swim Pooi
20 Public Faciliry
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
,
CITY OE' EAGAN
3830 PILOT RNOB ROAD
EAGAN, NN 55122
PHONE: (612) 454-8100
??
FOR CITY IISE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------------------------------------°
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
ipT; 3 gTOrK _Z cirBD.
DWELLINGS &
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 --3.
? WATER CLOSET 3.00 `a•?
.?2- BATH TUB 3.00 l0.00
. ? LAVATORY 3.00 I2.lla
KITCHEN SINK 3.00 Z .00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
? FI.OOR DRAIN 3.00
? GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
/ :a? KOUGH OPENINGS 1.50 S? SO
ADDRESS: / OTHER
WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE #•
SUBTOTAL s y9. S?
ST. SURCHARGE .50
SIGNATURE OF PERMITTH ? ??-t-?
TOTAL: ?,?? L-/%-J
C?MMER?IAI:??NDUST??AL;? PLEASE COMPLETE THIS PORTION FOR ALL COAMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER IYAMB:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
i:s :,F CONTRACT : EE .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S I GNATtJRE )
$
$
CITY OF EAGAN
?
, ........
1i?s?nE?T2xnt:;
CITY OF EAGAN
3830 PIIAT KNOS ROAD
' EAGAN, MN 55122
PHONE: (612) 454-8100
!Ik`C?(ANICA7f:;:i'P?.?'C
FOR CITY USE ONLY
PERMIT #
RECEIPT # 4 (p
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: In ??e F_ Tc/fWS °'"
SITE ADDRESS:_C((3 ?f F2A(g?? 'A (DCc Lr'D
LOT:1? BLOCK _?L SUBD.
INSTALLER:
nDDxESS: Surnsville Heating & A/C, inc.
--12481-R1T9 . Su.
5,5l18•1122
cITY: Savage, MN ?'A
PHONE #:
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 4.0
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIM[JM . OJ
OF 1 PER PERMIT
G °
SUBTOTAL: $ z7
STATE SURCHARGE: .50
s- o
TOTAL: $ z 7
SYGNATURE OF PERMITTE
GQP4M$£tCiAI.%Pb.V5TRTALF PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIp:
PHONE
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 UF PERPiIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
%90 •OU+
71•501.
514•OpL
2, 315•50+-
? 3,oJ1•001-
a
•»o•oo?-
7 i • 5o }
? 5i4•00?-
2,315 •50?-
31 o91•UG*
1992 BUILDING PERMIT APPLICATION , CITY OF EAGAN
REDUIREMENTS: 10034
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SEl'S OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SEf OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY 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
ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
/ 5'3 oa0
TOBeUsBdFor: Single/Family Valuation: ?o
SItB Addl9SS 4139 Prai rie Ridge Road
D8t8: January 9, 1992
OFFICE USE ONLY
Lot 3 Block 4
Occupancy 9-3 rvA/ Bldg Permit
Parcel/Sub countr xollow ist. Aaa. Zoning ,
? Surcharge
Actual Const _V/Y Plan Review
Owner Mark Johnson Constructi.on AllOwable vlil LiCen58 F88
# of stories SAC, Ciry
Address 1614 East cliff Road Length 72. SAC, MWCC
Depth -27-33 Water Conn.
Cilty/Zlp Bunnsvil le MN 55337 S.F. Total Water Meter
Footprint S. F. Acct. Deposit
a 9 0- 2 2 4 z
Phone S/W Permit
On-site sewage S/W Surcharge
ContractorMark Johnson construction On-site well Treatment PI.
MWCC System f Road Unit
Address 1614 East Cliff Road City water ? Park Ded.
PRV ? Trail Ded.
Cfty/Zjp Burnsv?rlle MN 55337 Booster Pump CiOp18S
SUBTOTAL
Phone a 9 o-z 24 z License APPROVALS Penalry
Planner Lot Change
Council TOTAL
AfCh./Engr. Carlson Designs BIdg.Off.
Variance
Address 2307 Grange Ave N0.
City/ZipCOd60akdale MN 55119
Phone # 770-8048
FEE
Sewer/WaterLicensedContr.: schuities Piumbin ' 716-4 0 07 Processingtime
for sewer/water permfts is two ays once area as
gii n approve .
agrees that all work shall be done in accordance wfth
(stgnature of P'ermittee)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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StlRVEYOR'S CERTIFICATE MANK JOMNSON CONBT.
osv"D WOE Loc. 1-13-..
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OENOte9 IRON MUNUMENI' BET 90" ti INCH _'30 RU
DENOTE91RpN MONUMEtir FOUND PROPpBED QAMQE R.OOR - B!d •4 FEEI
DENOTES EXigTiNa EL[VATION pnppOSEp LpWE6i p,ppp - s3i,1 F;Lvr
DENOTES PROPOSED ELEVAiION PR01'OBED TOP OF BLOtlf - 640. L i'W
WEF41EeY(^MTIFY70 MAfiK JOHN9VN CONST. THAT7311$ISA'rRUEANOCORqECT
HEPREBENTAiION OF A SURVEY aF 714E BOUNDARIES OF:
Lof A . BIOCMA , pOUNT11Y HOLLOW , acemdlnqtp Ihs roeordid
piee monaf, OeNeta CaMr, Mlnnomea.
f7 DOEB NOT PURPORT TO 9HOW FhtPqOVFIAENis pq ENCROACHMEMS, EfCCEPl Ag gHpyyN. A6
9UpVE?'ED BV ME Op UNDEq MY DIRECT $(lpEqy1910N THIB 7YH pRYOF JAN.
PIOroeRO auon wqrrM welu iANiq SIO ? AM R. HRJ., INC.
?'?OM 1N[ seMINO, DMI11119[.•
?NOsiCN t01R110L ?I FDA OOIMIIY
MOLtOYY.LMTOAfRD9l/-p PY: .??„n
JYYI IN O. 1 AlIM1 ?N, I ANU 9UIIYtN)II
MINNE3d ?A UCENSI_ NUMBFA 19020
)ames R. Hill, inc.
' PLANNERS 1 ENOINEEFiS / SURVEYpRS
ssoo w. em. no. ,:. evndswuE, rw_ esssT . e124004eo4
IDEP
--_..,.,.o,.,d
.:Ai?ltil.: L.?i z.iV::. n, -ICAVi '' U" ..W:.cUisiLl?d
VnilL'+[1 I CLaILLLO. Wao
siTE aDOxEss 5?/39 Ph?:t-:e. iUdqQ- U nATE /Iq /.?Qz _.__....
CONTRACTORJuItj* JoaaoboN C'eN?t, ??,? $90-o??4Z
Determine worldng square footage oY each
1. Total exposed wall area....... 2jA±J1'sq.ft.X'x .?t =
2. Total roof/ceiling area...... sq.ft. a ed?=
3. Total floor/cant. area....... sq.4t. x
Total ezposed wall area above floor 7A'?J7?G?
8 • TOt,81 WALI. WSndOV 8I'98 .. 0 0 ............. 0 •
b• Total door 82'88. . . . . 9 . 0..6 . . . . . . . . . 00?• F
Q• TOt81 SL?lYlg g183$ dOOT area.............. ?• M•
d. Total fireplace caall area ....................
e. Total wall Praming area (average 10%)........ ?
Y• TOt.81 II6t. W811 8r93 8bOV9 f100l.*.*..*..*.??•
g• Total rim joist dP9S**.*., ... s..* ...... Ebzs0
Total ezposed fourfdation area 17¢& co Z
t1• Total foimdation Wi[IdOH 8?68???.???.????????•
i. Total net fovsdation area above grade......
.. ?
Determine "II" value of each wall segmenE
g, 3?50?1° a "p» . .35 = t5 ?"1
b.?? E mIIw r
Q. to.OI" 7[ 'U" .41
d, x "II" -
e. ?'i x "II" O ?
6•_T7+-S?v X ~II" •?
. S "Q" 0 ? M
he z °II" _
1. . (o x "U"
4 . ................................... Total - Z?0.3Q-
If item #4 is the same as, or less than item #1, you have meL
the intent o! SBC 6006(0)2.
?
l ,
Total exposed roof/ceiling area (7iSf2- ? 0
J. Total siqlight area.....................................
k. Total roof/ceiling i'ramjng area (aver.
( .0625924"o/c) ...?
1. TOt91 [19t 1119Ul3t'.9d rooY/C9i1i17g 32'85? ? ? ? ? ? ? ? ? ? ? ? . ? ? ? ? •
Determiae "Q" value Por each roof/ceiling segmeat
e
1.? x "U •? 1
y . ................................................. Total
If total of ¢5 is the sa:ne asv or less than #29, you have met the
intent of SBC 6006(a)1.
Total exposed floor/cant. area
m. Total floor/cant* framin arsa (average .10%)..........
D• Total net insul#ed P1oor?C3IIt• 3Y'98???????????????????•
Determine "II" value for each floor/cant. segment
m. x "0" -
n. z "U" _
6 . ................................................. Total
Zf total of /6 is the aame as, or less than ¢39 you have met the
intent oY SBC 6006(0)3.
xL'PERNATE BOIIDIDIG F?11/ELOPPs DESIGN
To utilize the total errvelops sqstem methodt the values established
by the sum of items #49 t$ and #6 shall n.91 be greater than the sum
of items #1 p +2 ard ¢3.
1. 323,55 2, 3i.^I "1 3, - 355,(OVz
a. Za0#34- 5. ?fi.oab 6. m 316. Zoz-
Preparea by ,
ngte
` ..c
TBRO 9TIID Int. Air .68 'fHKQ INS. 4JAI.L Int. 41r .68
w/ S.R. & SIDIett} 1/2" S.R. .45 x/ SR. & SIDING 1/2" S.R. .45
$tud ?j 0 q7s (O " 7Ae . tj.O
25/32" s11d. 2.06 25/3z• Bild. 2906
ssains sidim ??B
nrt. asr .i? sxc. Air •17
Total "R" a Total. "A" = 2?lI ?M
1/R = "pw = I' M , 1 1/R = "II' ? .04'yJ
j_??.. ..?
Tffit0 RIIS
JOIST
THtII CILi.
MEMM
jl
Int. Air .68 TEiRQ CONC BLOCS Int. Air .68
?rIns• 161.0 C.B. (11.0) 'iK7
Opt. Styro.
Opt.
Ine.
'5.0
1 1/2^ 'dood 1.89 e• '/ 'gt• Air •17.
2S/32p BS]d. 2.06 ?'? • Opt• S.R.
Sid7ag Opt. Sld.
EYE• ASr •17 , TOtil "R" _ /, 11/
1/R = "D" a • ??D
Opt. Hrick
Totsl "R• _
1/R = "Ds _ • O?")
Int. Air .61 THRII CI'ti. Int. Air .61
S.R. INSUI.ATION S.R. •540
Clg. Memb, 4.35 Ina. ( "? +r7.0
Ins. (' 0). 3StO Still Air .61
still Air .61 Total "R" _ 44G ,'16
Total "S" _
''?( I l?j
.
I /a a ?? a .??i?
1,R _ ?Q" x 10 *
5u. so
R E c 2? oWE?
NOV 0 3 2008
__ ___ ___,
?
? Pertnit #: ?
? PermitFee: ??L I
? I
? Date Received: ?
I ?
? St2ff ?
2008 MECHANICAL PERMIT APPLICATION
Date: U-7. O5? Site Address: "113? ,PR/,c'/ /S ?U9E RO
Tenant:
s. dto A.
RESIDENT / OWNER Name: &(Je 5-lePJ4 q F(L Phoneb5/-qSF, -O SS6
Address / City ! Zip: y/39??1e9-r Q i?r ? OG f- kD
CONTRACTOR Name: ONL-- N?4r?oJ
2 s?tR. License# 1 L--F Sfs"9462
.
Address:_/9,-)C/ ?F.?C'Gblcc?p4J ST
City- sr, ov?s State: V/V Zip:
Phone:Z,5%? Contact Person:
TYPE OF WORK - New -X-Replacement _Addflional _ Alteration _ Demoli[ion
Description of work:
NOTE;; 8of6. rodf in6unt#d and ground mounted r»echanical. equipmenf is requiied to
.:`6e scteen?d by City_Code ;Ple@se eontasC fhe',llqeeiiariica! Inspector o? one ot the?
",Ptanners formfarmafion on eimltfed screenFn methads: •' ,-
PERMIT TYPE RESIDENTIAL COMMERClAL
? Fumace - New ConsWCtion _ Interior Improvement
? Air Conditioner _ Install Piping _ Processed
-Air Exchanger _ Gas _ Exterior HVAC Unit
' HVAC units must be screened
_ Heat Pump
Under / Above ground Tank (_ Install / Remove)
Other " When installinglremoving tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ ?O• S? TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes Siate Surcharge)
- If Permit Fee is less than $1,000, surcharge is $.50. _$ Permit Fee
,- If Pertnit Fee is >$1,000, surcharge increases by $.50 for each -$ State SurCharge
. $1.000 Pertnit Fee (i.e, a$1 001-$2,000 P=rmit Fee reqwres a $7.00 surcharge).
$ TOTALFEE
•°•--, ??..?-=6y= Ji=, uus uuauon is cortipiere anC aCCUrate; 7n2[ [nE WOrB Will CZ in CotllormatlCe'Nllh tne ortllnances and coCes of the Giry of Eagan; that
I understantl ihis is not a permit, but only an apphcation for a permit, and work is not to starl wrthout a permrt; ihat (he work wiil 6e in accorUance wiih ihe approved
plan in the case of work which requires a review and approval of plans.
X
ApplicanYs Printed Name
ApplicanYs Signature
FOROFFICE=USE>' -'== '° . -,RevieweH Byi Date:? ? - - ?
Aequired Inspectfons: :_Under Ground' _= fiough In' ?"Air Test. =Gas Service Test =lrnfloor Heat ""'Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110273
Date Issued:05/01/2013
Permit Category:ePermit
Site Address: 4139 Prairie Ridge Rd
Lot:3 Block: 4 Addition: Country Hollow
PID:10-18275-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
David W Stendahl
4139 Prairie Ridge Rd
Eagan MN 55123
(612) 239-6561
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
~ � Por Office Use T�—————— �
� I ���� I
Clt 0� �� �Il Permit#:
1 1� I
� � Permit Fee: �,3 T I
3830 Pitot Knob Rc�tl ��CEI��� � �
Eagan MN 55122 i Date Received: ' ' � I
Phone:(651)675-5675 ��� Z 3 �O l l, i st�: ��? i
Fax:(651)675-5694 ' +
�-----------------��
2014 RESIDENTIAL BUILDING PERMIT APPLICATION C"� ,�'��
� ��
�ate� site Adctr�s• unit�• .��I�
Wame: �r4`1� c� Sfi`����L.. , Phone: �.� ' �°�C�a � �
Resident/
Owner aadress�c�ty�z�p: �l v`!" �e,���,� �� d� r� �C�
Applicant is: Owner �Contractor
Type of Wo1�c Description of work:_h�y�'�� -i� ��,P��.. ��..�..
Construction Cost: I��5�U Mutti-Family Building:(Yes /No�
Cam an 1 C�k- � '
P Y� � �2KS ,V�l_"G��' �i,1,5T; Contact: � ur��,^,
(it3lttt'�C#Ot' Address:_2�1�� � 5H�_ �f^ City: �-✓Ari�?F
� � � �� State:�,l�I Zip: � '` Phone_ �1Z�3����/�mail: '�u-b,��C��S��/ � nl.�e�l./
j`��{�r
Licer�se#: � ?J��, �.e�Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional infarmation
�� �tA.�.f�- �>4�-f � / ���� � � � � ��
COMPLETE TFitS AREA ONLY IF GONSTRUCTtNG Q NEW BUILDING
In the last i2 morrths,has the City of Eagan isstaed a permit tor a similar pian based on a master plan? ''
� Yes �No If yes,date and address of master ptan:
Licensed Plumber; p��; �
Mechaniaal Cantractar: Pho�:
Sewer&Water Contractor: p��;
NOTE.Plans anrt supporting documents thax you s�r6m1#are consider�ed to 6e pubtFc Enfo�ation, PvrtEons af
the irtformation may be ciassitied as non-pu6ltc�f you pt�vide sp�e�lftG t�sons thaf�routd prermi#the City tv
c�onclude#h�t the are trade s�cn�ts.
CALL BEFORE YOU DIG. Calf Gopher 5t0te One Cal!at{651)454-0002 for prc�t�dion against underground utility damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities_ www.gopherstateonecall.orq
I hereby adcnowledge that this information is camplete and acxurats;that the work will be in conformance wwithh ths ordinances and�des of the City of
Eagan; that I understand this is not a permit, but anly an applicat�n for� permi� and wotk is not to statt without a p�rmit; that the work will be in
accordance with the approved plan in#he case of work which requires a r�eviewr and approval of plans.
Extertor work authorized by a buildi�permit issueCl in�rdance with H�e Mtone�i�Stat�e Building Code must be comptet�d wiMin 180
days of permit Iss�nce.
x X G
Appllcant's Prirrted Name A carrt's Sign re
Page 1 of 3
^ ` '�� �� (�,������ �l��- �.
DO NOT WRITE BELOW TWIS LINE � 2,Z�� r
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
_ Multi � 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
� Replace _ Repair _ Egress Window _ Water Damage
, Retaining Wall "Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Occupancy ,� MCES System
Plan Review Code Edition �����'� SAC Units
(25%_ 100%_) Zoning ___�� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV i
#of Buildings Length Fire Sprinklers �
Type of Construction !r�� Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: _Ice &Water _Final Pool: Footings _Air/Gas Tests Final
� Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_Rough In _Air Test _Final Windows
Insulation Retaining Wall: _Footings_Backfill_Final
Sheathing Radon Control
Sheetrock �., Erosion Control
Reviewed By: �� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge � ' �`
Plan Review
MCES SAC
City SAC
Utility Connection Charge �,✓' � �,
S8�W Permit 8� Surcharge �'���/� �� !�.. ���..' �,�""�
Treatment Plant
Copies
TOTAL
Page 2 of 3
�, ; � `. . stsRV�Ya�'S ��I�TiF�CA't� . .
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��.,���� „ ' �~� CENpTES 1'itOP'Qll�3UR1'A�E[1RAINAQ� �'�p; �q� � �w
0 pENbtE9(pON MUNUMENI'BET BCAI,�{IFtCN— �
� b�NOTE9 i�i�N MONUMEN�'FOUND PpbF�O�D 4AMQE H.CQR—8 d 4 FE�ET
k000.4 DENqT�S E7rUS1'tN0 EL.CYATIOH i'RVP'C1SED L01NF5�T A„qQq� 4l3i,I F�eEf
(OOOA) Da101ES PIXC')POSEn ElErrA1'ION PR4Pp�D TOP OF BLOdi» 84o.Z,i�T
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132079
Date Issued:07/23/2015
Permit Category:ePermit
Site Address: 4139 Prairie Ridge Rd
Lot:3 Block: 4 Addition: Country Hollow
PID:10-18275-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David W Stendahl
4139 Prairie Ridge Rd
Eagan MN 55123
(949) 466-0956
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143889
Date Issued:06/30/2017
Permit Category:ePermit
Site Address: 4139 Prairie Ridge Rd
Lot:3 Block: 4 Addition: Country Hollow
PID:10-18275-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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: 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 -
David W Stendahl
4139 Prairie Ridge Rd
Eagan MN 55123
(612) 239-6561
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175456
Date Issued:04/05/2022
Permit Category:ePermit
Site Address: 4139 Prairie Ridge Rd
Lot:3 Block: 4 Addition: Country Hollow
PID:10-18275-04-030
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
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 -
Bartholomew Christopher Casperson
4139 Prairie Ridge Rd
Eagan MN 55123
(612) 387-1766
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature