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4160 Prairie Ridge RdI CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ? (612) 681-4675 SITE ADDRESS: 11I4•c% I IrA 11? 1 t I? f lii,E t<U I WIN i I? ' Ilfil I iit! PERMIT SUBTYPE: '' , ; ili t:Ar+INc, F. N I' ! H t, N RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: i iI ttI l N NI. . 1!'vi ( .. ! Z i i1r,11 .' 1 TYPE OF WORK: J M`,111 A ( [ tIN f I NAI iM tii,i H.'4 Ntt ? NJ / t ,'/'1n ? FtFMAi?KS : `,tI'Akl1'IF I'1 tihbl f', Atyl W UUlhl Il J- iIH ANY f'I I/M!{INii U(r f tFl'iklI:/1f tJ" f ? I X?? :,. I ?•?I? ?A'Z ? ? 4??1? -_ ,. ,. . . ? i , i • ? ???? 1F ?+ ME ? `? , ._ ? J PemtR No. PermR Holder Dah Telephale S SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dada Insp. CommeMs Footings I Foundatlon Framing Roofing Raugh Plbg. Rough Htg. Isul. Fireplece Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. / Deck Final ?.- . Well Pr. Disp. CASH RECEIPT w? * CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 ? REc.ErvFO --' . snaM ' - - ? i AMOUNT r a ooLu?Rs ,o0 ? ? CASH CHECK \.. ? BY C 016380 WI.«ayon Cpy Y611ow-Postlng Capy ? Pink-File Copy Thank You SEW?R & WATER PERMIT CI'fY?,OF, EJR?AN 3830 Pilot Knob Rd. I ° Eagan, MN 55122-1897 I r,nTe 11/15/41 ; METER CHIP # OFFICE USE ONLY PERMITDATE 'IL f "''f " PERMIT # 12410 B.P. RECEIPT # C D16380 B.P. RECEIPT DATE 12 02 91 METER 51ZE ISSUE DATE SITEADDRESS 9160 Prairis Ridqe Rd. LOT 18 BLOCK 2 SEC/SUB COL1Iltty HO11aw APPLICANT: Mark Johnaon Construction ADDRESS: 1614 East Clf.ff Rd. - ciTr, STATE Hit?JIIBVi l le ZIP 55337 PHONE: 890`2242 PLUMBER: Schulties Plumbing ADDRESS: 1521 94?H I.DI CITY, STATE EWINE NN Zlp 55434 PHONE: 786-4007 OWNER: ADDRESS: CITY, STRTE ZIP PHONE: = PRV - BOOSTER PUMP PERMIT REQUESTED ? SEWER !X WATER _ TAPS - COMMIIND x rvEw _X_ RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL N/OT be give?rtfor Deduct Meters. 1.- I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER &WATER PERMIT CITY,.OF EA6AN 3830 Pitot Knob Rd. Eagan, MN 551 22-1 897 DATE 11/15/91 c^ OFFICE USE ONLY METER #4(m 5e? PERMIT DATE 12/04/91 CHIP # d? ft? ?-?g1• PERMIT # 13410 METER SIZE B.P. RECEIPT # C 016380 ISSUE DATE 3B.P. RECElPT DATE 12 OZ 91 x PRV -. BOOSTER PUMP SITEADDRESS 4160 Qrairie Ridge LOT 18 BLOCK 2 SEC/SUB COUntry, H ' PERMIT REQUESTED QW ?/ ? SEWER !? WATER - TAPS APPLICANT: Marx uonnsan c:onsLructi on ADDRESS: 1614 East C1iff Rd. - _ COMM/IND CITY, STATE Ba98iaVi l le Zip 55337 , lC NEW - PHONE: 39 -2242 Schultiea Plumbi.ng Lawn 5prinkler M PLUMBER: Ahead of Domesti ADDRESS: 1521 94Tfl I.11 Credit WILL OT b CITY, STATE B?I? ? ZIP 55434 ? ? ( ?. PHONE: 786-4007 I AGREE TO C ?YI EAGAN ORDI Ah _X_ RESIDENTIAL EXISTING srs are to be lnstalled Meters on Water Line. 3ive,rf for Deduct Meters. CITY OF OWNER: ADDRESS: ? C{TY, STATE ZIP PHONE: IGNATURE WHEN METER ISSUED --,:?; ?w P?EA?E ALLOW"TWO(WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPE€TIONS. FOR STORM ? SEWER PERMtTS, CONTACT ENGINEERING DEPT. rr; -rW 7-WI BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?`• PHONE: 454-8100 7o be used for SP dNG/GAA Est. value $1439 q Site Address 4160 Ptl?iglE itiD08 RD Lot I A Block 2_ Sec/Sub. COUMM7( 1iO1.1ATii Parcel No. W Name ?? ???M CM ? Address 1614 ECLI t*! lt13 ° City WRNSYI1d.S Phone Name g? Address Phone I hereby acknowlege that informatfon is correct arx Minnesota Statutes and C read this application and state that the to comply? with all applicable State of A Building Permit is issued to: NA1t1[ -1QM$M dpNRT tM'' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Receipt # Date DEC 2 , 1g-9L OFFICE USE ONIY B-3 Oaupancy R i F EES Zoning - (Actual) Const "'N Bldg. Permil ?p? ? _LZStlfOL (Albwa6le) y=N 71 5 Surcharge . 0 +M of StOries _ 514•00 Length Me Plan Review Depth - SAC, City 100i00 S.F. Total - MCWCC 650*00 SAC S.F. Footprints _ , t C W 6W•00 On Site Sewage _ a er onn On Si1e Well Waler Meter 9s1,00 MWCC System Z ? City Water ?_ Acc t. Deposit •Q PRV Required SNV Permit 30•00 Booster Pump - SNY Surcharge • 50 Treatment PI 276.00 APPROVALS Road Unit 374*00 Planner Cauncil - Park Ded. &dg. Of1. _ ? Za• 00 Variance - TOTAL 3! ? p7 .00 Permit No. Permit Holder Date Telephone # WATER SEN/ER PLUMBING H.V.A.C. ELECTRIC I '2 ?- ?I C7 Inspection Date Insp. Comments Footings I FourKlation . Framing Roofing • Rough Plbg. -"7 _ Z _ ` Rough Htg. ? .N 3/>n, ?.? I5ul. 5L :3- 5 Fiteplace Final Htg. Orstat Test ??,? ,Ubs Final Pibg. 7 Plbg. inspector- t Plumber Const. Meter EngrJPlan Bldg. Final • 2(?- f z Dedc Ftg. Dedc Final well Pr. Disp. /?s 3,l?''?--6Lt•i &s.>>111a..? ft (gerttftrale of (Orx?paury Citp of (Eagan mppr11ww of %aitt[? imwPttiOtt 7Tus Gertlf'raatc fssuad pursuaw 1o tlu requinmuiu ojSection 306 ojthe Unijorm Building Code aertifying that a11he lime of issuance [hlszvudure Kres In cornp!'rance wilh the wariour oriduwncYS of !he C7ity regulatr'utg building oonstnrdion or use. For the foUowing: (16e Qaarotiw 9 F jLC I r A R gyg pt,mit Na I 9 8 4 0 O-UP-KT TYPC-R3AII - zonim o64ia RI r,r?CQQK VN o,,,w or maw" rtM sLrFnuSM [riMT Il+L^.Am,m 1614 E r'..,IFF RD, B?E B-IftAddmu 4160 PRAME RID(?F, IiD. L,arqL 18. 82, OUIDTIAY HMAW POST IN A CONSPICl10US PLJICE DATE: DEC 4, 1991 RE: 4160 PRAIRIE RIDGE RD (MARK JOHNSON CONST) 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. Your Sewer 8 Water Permit for the above property cannot be completed for the follo.wing reasons: _ 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 tor meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ???? 7 0 ?3345 ?` 8 ?r- - 50 Request Date Frte Na augh? Inspec0on v ? Ready Now ?VJtlI NotAy InsOeclor ?Yes - No When Reatli I-9,hcensed contractor D owner hereby request inspection of above electrical work aP Jo0 AtlOress (SVeel Box or No I Ci?y Sedion No Townsnip Name or No Ran9e No Counry Occupanl(PRIN Phone No A2-C: QNn?c?? _ nS? Sgn'R.Z PowerSu?j '? r Adtlress F .4 , i ?E'm ? n on 4 Elecv¢ . ctor (Company Name, Gonvactor's Lcense No Tr, O?F ?fS 9 ' K cT2 ?c? , Mamng Alltlress ?COnvacpt ?or Owner Mekmg Inslalla4o7? ' ISEa? C. ?UWIG;Ta?-, AmhonzeU Siqnalure iGomracbnOwner Maainy Instaliatton) Phone Number - 0?32 MINNESOTA STATE BOAPD OF ELECTPIpTY THIS INSPEGTION REQl1EST WILL NOT Griggs-MiEway BICg. - Poom S173 BE ACGEPTED BY THE STATE BOARO 1821 University Ave.. SL Paul MN 55104 UNLESS PROPER INSPECTION FEE IS Vhone (61I) 642-0800 ENCLOSEO REQUE. ` ELECTRICAL INSPECTION ee-ooooi-oa //?/ ?? ? SeB mslru plelioy Ihis tom On back oi yelloW o0py '?a?• /Q /??? n delow Work Covered by This Request ew Aad Fep yTpeofBUtldmg AppliancesWired EqmpmentWired ? 1 HOme Range Temporary Service ? Duplex Water Heater ElecVic Heabng Apt. Butlding Dryer ? Other(Specify) Comm/Industrial iFumace Farm Air Condihoner Om?ny) Comramor9Remarks Compute Inspechon Fee 8elow N Other Fee x Sermce Enirance Size Fee # Circwis/Feeders Fee Swimmmg Paol 0 to 200 Amps 1j 0 to 100 Amps Transtormer5 Above 200 _ Amps Ab 0_ Amps Slgns Inspector5 Use Onry OTAL ? Irngation Booms ? ? J? ? ? I Special Inspechon Alarm/Communicahon THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electncal Inspector, hereby Fl oa?e?_,!/`Q / ?a certify that the above inspection has been mzde F,,,ai oa? q OFFICE USE ONLY Tnis request voitl 16 montislrom Ad6ess: 4160 pgAIgig RTIY:F. gppp Lot 1$ B1k2 Sec/Sub r;pUNTRy gpI,LCW These items were/were not complete at the time of the fina inspection. Date: 03 26 92 Yes No Tnglaprror, Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify wlth the builder the removal of roo£ test caps from tha plumbing system and the shut-off of vater supply to the outside lavn faucet before £reeze potential exists. ? nELKIFOMMR White - City copy Ye11ow - Resident copy Pink - Contractor copy ' CITY OF EAGAN No ? 9890 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 ? ( ? QD ) //a ? Receipt # fl To he used for SF DWG/GAR Esl. Value $143 ,000 Date - DEC 2 , 19 91_ Site Address 4160 PRAIRIE RIDGE RD LOt -18 BIOCk _Z_ S2C/Sub. (:O tN RY HO ..OW OFFICE USE ONLY PafCBI NO. Occupancy R-3 M-1 FEES R 1 Zoning = W Name MARK JOHNSON CONST INC (AClual)Const V-II Permit 790.00 BIdg p Address 1614 E CLIFF RD (Allowable) y=M . 71 50 City BURNSVILLE Phone $90-2242 xmsiories - . Surcharge 514.00 Plan Feview Leryth (?$'_ o Name SAME DepN 3`F ? 100.00 SAC Cit i ° Addf2SS S.F Total , y 650 00 F . SAC,MCWCC CIIY Phone S.F. Footprin4s - 660.00 t C W On Site Sewage _ er onn a ? ww Name On Site Weii 95 00 W s' Addf2SS MWCCS stem - X . aler Meter aw City PhonB Cirywater ? Accl.Deposit 40_00 30 00 PRV Required x . SNJ Permn I hereby acknowlege that I have read this application and state that Ihe Booster Pump - SNJ Surcharge .50 intormallon is correct and agree lo comply with all applicable Slate of Minnesota StaWtes and Cin Qr ces. 7realment PI 27fi.00 Siqnature of Permitee l? APPROVALS qoad Unit 370.00 A Building Permit is issued to: MAUK i!1{7NC(1N (`f1NCT TN(` Planner - park Ded. on the axpress contlihon ihat all work shall he done m accordance with all Council applicable State of M innesota Statutes a n tl C iry of Eagan Ordinances. Bldg. Oti. _ ?Zty 70 _ 00 { ?? ??.yy,? ??,,, // ??, Building08icial +1 1I1111 ?Qj,(A 'T? Vanance - 70TAL 3i607.00 RFSIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewCOnsWcUonReuuiremeirts RemodellReoairReauirements nn?l/Iy/? • 3 registered stte surveys showing sq. ft oi lat, sq. ft. of house; and all raafed areas • 2 copies of plan ? ?? ?? f(20°h maximum lot coverage allawed) • 1 set of Energy Calculatlons for heated addiGons . • 2 copies of plan showing heam 8 window s¢es; poured (ound Oesign, etc.) • 1 site survey for extenor additions & decks • 1 set of Eneigy Calculatiorrtia . Indicate if home served by sepOc system for additioiu • 3 capies ol Tree Preservation Plan if lot patted after 711193 • Rim Joist Detail Optiona selection sheel(Wdgs vnth 3 or less unils) DATE 9..1aO VALUATION I ? SITEADDRESS 4Ib o Er(06c kidSe_eed MULT6FAMILYBIDG _Y TYPE OF IREPLACE(S) !0 _ 1 _ 2 I APPLICANT (9l'U`9e/? 1_0%0n./ STREET ADDRESS e),lb E er?Pr- Nv ?? CITY?? STATE I?tiNZIP TELEPHONE 4121?:?3 ,S116- CELL PHONE # FAX #W3-Sy6 - 06-_?'3 1Toa PROPERTY OWNER NGl/`{.j Sf. l I TELEPHONE # 6SI '6,fl- cys'rE COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLJI.ES 7670 CATEGORY 1 A (J submission type) • Residential Venfilation Category t Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanieal Conhactor. Mechanical system includes: Sewer/Water Contractor: Phone # Phone # SEP 2 G 200 2 Fee: $70.00 I hereby acknowledge that t have read this application, state that the information is correct, and agree with all applicable State of Minnesota Statutes and City of Eagan Ordingaggs-)/ Signature of Applicant ---?Y??---?OF'FICE USE ONLY _______?_..__ ? .? W Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener _ _ Water Heater _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths ? Air Conditioning Heat Recovery System Updated 4102 OFFICE USE ONLY N .y ? Ot Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg 7y: ?? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ?O 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? ? 06 04-plex ? 12 12-plex Plbg_Y or _ N X 25 Miscellaneous 6- 0L4 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair f?, 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolit(on (Entire Bldg only) - Give PCA handout to applicant Valuation ?i?ls 0 Occupancy +?? MC/ES System Census Code Ll 3L, Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const ?Y A.) W idth REQUIRED INSPECTIONS Footings(aew bldg) FinallC.O. Footings (deck) / FinaUNo C.O. _ Footings (addi6on) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RL _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By ! Z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . a.s - - - ._., ?/ ?`??n'?? V_EYOR'S CERTIFICATE MARK JOHNSON C / h • , ?'? x ? ? ,. '•\ ???I [ -, , 000 NOTE? NO ON SNMFiC SOiLS INVESTGA71aN Hp5 BEEN COMpLgTEO TM19 lA7 8Y THE 9UHVEYOR . T!£ $UITABILITY OF SOtL9 TD 9UPPpRT THE SPeq FIC MMyE pppppgg0 19 NoT TMH RElPpNgIMUTY ' Of 1 HE SURVEYOR NOTE- BUILOiNG pMErySI0N5 SMOWN ApE ATION OR g l 6 VEkTKAI. LAC- ?t?uTECrwL r?ae w?i susc a vouNUTioN pWru,ows. •-`-- DENOTES PROPOSED SURFACE DHAINAGE O DENOTE$ IRON MONUMENT SE7 • DENOTEg IRON MONUMENT Fp X000.0 UNp DENdTEg EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION 0 + ? W 1 / ? / J ' 4 AA , ry - , - !Vl v, N J . / \ 3? . yL- 7 ? t' . ?i ? SCALE! 7 INCN - 30 FEET PROPOSED CiqRAOE FLOOR - 83?.3 FEET PROPOSED LOWEST FLOOR - gZe, y?EET PHQPpSED TOP O BL WEHERESYCER71FYT0 MARK JOHNSON CpNST, 7HA?TyTH?I?TR?AND ????F?? REpRESENTATIQN OF A SURVEY OF THE BOUNDARIES OF; Lof 19, Block 21 CAUNTRY NOLLOW,nccordinqto tha recorded plat fherso(, Da kota C arnty, Mlnnesafa. IT DOES NOT PUR?ORT TO SHOV`J IMPROVEMENTS pR ENCROACHMENTS, EXCEPT AS SHOWN. qS SUP:'EYEO 3Y ME OR i1NRFR MY DIREGT SUPERVISION TNIS 13TN OAY OF NOVEMBER , 1991. RtOPOSED GpAO&S SHOWN WERE TAKEN - FROM TNE GRADING, DRAINAQg,g SI EIIOSION CONTqOL pLaN FOq cOUNTRY MOLLOW, LAST pATEp g_i-r _97 R. HILL,INC, ' ? r ..JOHN C. LARSON, LAND SURVEYOR MINNE50TA LICENSE NUMBER 18828 ME'? James R. Hill, inc.- . PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 9 BURNSVILLE, MN, 65337 * 812-890-8044 /?, . y 'r +' ? ? ?\ "Db ??•o i \ ?? i ? ?Qq ,?.? \ w ? \ „? \ RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConaW dbn Reauiremenn • 3 registered sde surveys shawing sq. ft. of lot, sq. N. of house; and all roofed areas (20 % maxunum loY caverage allowed) • 2 copies of ptan show"xg beam & window sizes; poured tound desgn, etc.) • t set of Eneryy Calculations • 3 copies of Tree PreservaUon Pian H lol platted aNer 711193 • Rim Joist Defail Op6om selectaon sheet (bldgs wilh 3 w less units) DATE _ / '1,9 ee;? a5 RemodellReoair Reaufremenb . 2 copies of qan • 1 sel of Enrergy CalalaUons for heated additiorts . 1 sAe survey for enterior additwns & decks • Indiwte if hane served by septic system for additiom VALUATION ?7soo SITE ADDRESS MULTI-FAMILY BLDG Y L<?I _ , TYPE OF WORK /3 E- ?QOOiC FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT ?N /%EGSLcR -' Py-..SE/? ?-+ o r STREETADDRESS agVo F G'e5nir2ff.e CITY ur STATvL ZIP TELEPHONE #=-55Ker/300 CELL PHONE #?/?- 70 3-8yO? FAX #?L.-* ^?'?/t-06a? PROPERTYOWNER_ o?,•vGY ?ELG TELEPHONE# ?S/-?B??SSQS COMPtEiE FOR "NEW" RESIDENTIAL BUIlDINGS ONLY Energy Code Category _ MINNESOTA RiJLFS 7670 CATEGOftY 1 (J submission rype) . Residen6al Ventilation Cafegory 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Woter Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to with all applicable State of Minnesota Statutes and City of Eagan Ordi e? Signature of Applicant OFFICE USE ONLY _ Water Softener _ ^ Water Heater _ ? No. oF Baths _ Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Hea[ Recovery System 7672 ? Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwalling ? 08 06-plex D 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition p 36 Move B1dg. ? 42 Demolish (Foundation) ? 4'5 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump, Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ' Length Fire Sprinklered Type of Const Width ? REQUIRED INSPECTIONS _ Footings (new bldg) ? FinaUC.O. _ Footings (deck) FinallNo C.O. _ Faotings(addirion) , Plumbing Foundation ? HVAC Drain Tile Other Roof _ Ice & W ater _ Final , Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stuceo S[one I _ Fireplace _ R.I. _ Air Test _ ? Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lor : 18 B L 0 C K: 2 APPLICANT: 4160 PRAIRIE RTp6E RD VON RUDEN CONST, STEVE COUN7RY HOLLOW (612) 469-5721 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW BUZLDING 024089 07/12/94 INSPECTION FRAMING .. . INSULATION .. ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMTTS ARE REQUIREp FOR ANY PLUMBING OR ELECTRICAL WORK ? ?... ? I C11'Y bP EAGAN PERMIT ? Amzd ? 3830 Pilot Knob Road PERMIT TYPE: a u z Lo z N G Eagan, Minnesota 55123 Permit Number: 024089 (612) 681-4675 Date Issued: 0 7 J 12 J 9 4 SITE ADDRESS: 4160 PRAIRIE RIDGE RD LOT: 16 BLOCK: 2 COUN7RY HOLLOW P.I.N.: 10-18275-180-02 DESCRIPTION: ?? . Bu lding,Permit Type iBuilding Wo_ek Type . `--? ? t i r?ff DECK NEW C???? REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $30.00 Surcharge $.50 7ota1 Fee $30.50 CONTRACTOR: - Flpplicant - ST. LIC. OWNER: VON RUOEN CON3T, 5TEVE 14695721 0007022 SELL NANCY 23625 JERSEY CT 4160 PRAIRIE RIDGE RD LAKEVILLE MN 55044 EAGAN MN (612) 469-5721 (612)686-8505 I hereby acknowledge that I have read Chis application and state that the informati.on is correct and agree to comply with all appliaable State of Mn. Statut an C ty ofi E n Ordinances. - ? ?ln?,,a R?i,(1 APPLICANT/PERMITEE SIGNATURE rISSUED SI ATUR r??? EAGAN .? . ` 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ?? P.I.N.: 16--7b[76-180-0? DESCRIPTION: MK1V111 PERMIT TYPE: Permit Number: Date Issued: 4160 F'RAiF7E RIUGF RU 101: 18 b1UCk: 2 COUNiRY HOLIOW 2diffi4j Permit l"y??e GECK Idin? ;k Type NEMI a zGzot BU2tllTt4G 024084 07J12f94 cd REMARKS: .. GCPARHTE PERMITS FlftE REQU1REU FVR AMY PLUM6LNH Utr tLPCiK7CHl WOkk FEE SUMMARY: tldse Fee Surcharge Totel Fee $36.@0 ....._..___._...._..__? 0 $30.50 ? Y CONTRACTOR: - Applicant - sT. llc. OWNER: VRN RUUEN CLtNSI, STEVF 14695721 0007021 SEIL NANCY 23625 JFRSEY CT 4160 PHAIk7f- R1DGE kD 'l.AKEVILLE MN 55044 EAGAN MN (612) 469-b721 (612)686-8505 -+ d; b?re6y=acknowiedg?' ?hat,?Y hav? r?iac! tFiirn applioation anii state_thafi thw .,lnformaCt.on "fis cPrrVcC aiid`cigr?i; tb c8N3p"i'y wYtYt'all.`'`aPPI'icabl e'S'taLe ?ci# Mn. " ` BLaCUt ?a 'C 'rt"C1rairanCis "?-: " 'v ``• '?'... APPLICANT(PERMITEESIGNATURE IMMMD B S A RE . oiq CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 45mK0 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered s?SWBDo y of energy calcs. i9?? COMMERCIAL 2 sets of architectural & str ctural plans se of specifications, 1 copy of ene ta4s.____ 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 Yaluation of work G Site Address: , 5TREET SUITE # Tenant Name: (commercial only) LOT BLOCK 2. SUBD. ?? uv P,I.D. # Descri tion of work: a 'Z e-IleY ? 2 c The applicant is: ? Owner Contractor ? Other (Describe) Name _ Sc/l /afG 4?1 Phone Property LAST FIRST OWn@P Ifr d " kd Address e- l, 9-2 , , ? STREET STE # City L 4 A, State M -'1 ? Zip Company eve- u c h Phone Contractor Addressoz3(,as e License # ? z Exp ? City 5tate /d/ rr 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 with all applicable State of Minnesota Statutes and City of Eagan Ordinances. "z Signature of Applicant: ? OFFICE USE ONLY 11 . .. • , - Y R ? 4 ? B UILDING PERMIT TYP E ; ,?... ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging . O 16 . ', .. . Basement Finish ? 02 SF Dwg. ? 07 4-Plex 11 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. 0 10 Multi. Add'1. [?-15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE I?L 31 New ? 33 A]terations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Canst. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site El 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 IP.Footing F Final ? Framing ? Draintile MWCC System City Water PRV Required Booster PumP Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments y3 ?/ _L ?- ? 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: ve?umcsm: SAC % SAC Units ?- ?? InV 1f:1G IU:JHI9tb K H1LL 1i7L ... . .,pvEvoRIs CEF'tTIFIGATE ? \ /U _ 1tL 111J:t1= 8yu-t244 9517 Pbl / ,.+ ? .? `' ?? s? «rr ?? h • .??^ ? -• i3? , . . .?l 0,? •ir ? y L' rv ??ti ? .( GPQ-p ? ? ?w \?.Q o VO? aa3. T \ w? / \ OQ ? O kp `} \? \ 1 / ! , \t-)4••, /a , ?N , i? `? NOTE? NO ON yPECIFiC S0IL5 INVESTGqT10N HAS BEFN COMf'LETEO THI$ LpT BY THE 9URVEYOR. TIE SUITA81L17Y OF 9aLg 1p gUPf?7 TNE 9PfqFIC HqtgE pqpppgEO IS NOT THE RfSPON5i91LI7Y OF THE SURVEYOq NQTE: BUILDING qMENSI0N5 SHOWN ARE It1R MORi20NiA l 6VEk TCaI LOC- ATION oR gY?uCTU?E ONLY. $EE ARCHI7E4TlML PlM6 !di YUILDWG 6 F`pL?IDATIOk DIMlH810N8. • DENOTES PROPOSED SURFACE DRAINAGE O DENOTF.S IRON MONUMENT SE7 • DENOTES IRON MONUMENT fQUND X000.0 DENOTES EXtSTING ELEVATIpN (00(J.0) dENOTES PROP d ? V 4° MARK JOHNSON C / , A. ,y/ ?/ = P') ; a ,. • ?• *"? `i: ? ?,• ?`? ?Q 7 tii:ilW i?(sl .?/ SCALE: 1 INCH - 30 FEET PROPpSED GARAGE FLOOR - 837.3 F? PFOPOSEQ LOWEST F?.OOR- 8y8,9 FEET OSED ELEVATIQN PRpPOSED BL ? j I??oR,?O? V upf?? ?f1-l??F?? WE HEREBY CERTIFY TO MARK JOHNSON CpN3T. THAT TNIS iS A TRUE AND CORRECT REpRESENTATION OF A SURVEY OF THE BOUNDARIES OF; Lot IA, Block 21 CAUNTRY HOLLOW,acCOrdingto fhe fecordod plot theneof, Dakota Cwnty, Minnesoto. IT DpES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMEN7S, EXCEPT AS SHOWN AS SUR`:[YEp gY ?7E C?R UNf]ER MY DIRECi SUPERV1510N THIS 13TH QAY OF NOVENBER , 1991, itOPpSED GFipDES 5HOWN WERE TAKEN S? =ROM THE GNADING,DRA7NAQE,6? EROSION CONTROL PLpN FOR COUNTRY 10LLOW, (,pgT pqTED 8-17-87 R HILL,INC. JOHN C. LARSON, LAND SURYEYOR MINNE50TA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W CTY. RD 42 • BUkNSVILLE, MN. 55337 9 812-890-6044 ? s06 7 S) 0•00+- ii•5o? 514°00? 2211•>0+ ? rj;}? . Up 79")•UOr '71°50+- 514•U0+ ? ?_I 1 - 5 0 >>s;37•00-1 sa io 4 i - _; 1991 BUI I?9 %P9QICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS ISfTLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENtRGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS YENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER iATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: single family Valuation: ? Date Site Address 4160 Prai.rie Ridge Rd. Lot 18 Block Z Parcel/Sub Countrv Hollow Owner Mark Johnson Construction Address City/Zip Code Phone Contractor Mark Johnson Const Inc Address 1614 E. Cliff Rd. City/Zip Code Burnsville 55337 Phone 890-2242 Arch./Engx' Planco Address 3435 Washinqton Dr. City/Zip Code EAGAN Phone # 452-0724 11/15/91 /,y 7 ?,r OFFICE USE .7? ONLY Occupancy FEES gldg. Permit t? l?QiOD Zoning Surcharge S Actual Const V-N Plan Review SIy#Cp Allowable V -N SAC, City /OO.Oa # of stories SAC, MWCC (p5a.00 Length (og Water Conn. (040,0 Depth 34 Water Meter 195,00 S.F. Total Acct. Deposit 36.00 Footprint S.F. S/w Permit 30•00 S/W Surcharge +st) On site sewage _ Treatment P1. 9.76,00 On site well Road Unit 370,68 MWCC System Park Ded. City water ? Trail Ded. PRV ? Copies Booster Pump _ SIIBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off.?/-!$-?/ S Variance ? d ? Lj ? agrees that all work shall be done in accordance with (Signature f Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. GARqG6 3 2 k z6 z7 ?33Z r? SuX I5 s F35MT, ;2 6 A 36= 936 12K IZc I'?y ...---- )pgoK 14= ?rr. ? n?s ? X Ib6 = JI y ?I4? ? ? - - .. ._ .. _ ti !I"7bQ 15, 120 ?XVvi 3 = I 5' ..?+ 31x 53= f 6LI3 ly31 000 IVUV-14-"77 ihu 1'r:12 1 ll:JHP1E5 R HILL INC SUAVEY4R'S CERTIFICATE TEL N0:612 890-6244 #517 Fa1 / 40 ?,??????s ^ n •. 4`P? Q ?`??.p `.a (tP i 0010 ? \' \ / y, -- . ?N s i - '•? `?.` b.t Q ? N \ ' tOe . ,a NOTE: HO ON SIECFiC SOILS INVE5TG4710N HpS BEEN GOMi'LETED T}IIS LOT BY TME lURVEYOR . 7iE 34ATA61LItY OF 6SED IS MOTL$THE RE!! g101L TY pF?T F g R pP H U VEy R' NOTE: 6UILDtNG pMFj7510N5 $HDWN ARE ?OR HORIZ L 9y? TICaI WC- ATION OF ST 7W? O HLY. !EE AIICNITELTUAL Pl.aJ13 R7R dU1LDING Bi FOlNlOATION QJMVS10N9. "*"- - DENOTES RROppSED SURFACE DRAINAGE O DENOTF,$ lpON MONUMENT $ET 9 DENOTE$ IRON MONUMENT FOUND X000.0 OENOTES EX15TING ELEYATION (00(1•6) DENOTES PRdPOSED e V MARIC JOHNSON C r/ ? ?j•Jb ?. ? OP ZAG?dtl / / / ( J ? /- ? .' ? SCALE t tNCH - 30 FEET PROPQSED GARAGE FLOOR - g37, j FEET PROPOSEO LOWEST FLOOR - 828,9 FE? ELEVATIpN PHOPDSED OP p BL ? WE HEREBY CER7lFV TO MARK e G°?Qo ? C?? ???'?F? JOHNSON CONST. REPRESENTATION OF A SURVEY OF THE BOUNbAR1E5 OF; THT THIS I A TRUE AND CORRECT LOt 18, Block 2, COUNTRY HOLLOW,aCCOrdinyto fha reCOrded plat thtraot, Dakofa Cauniy, MinneWp, IT DOES NOT PURPORT TO SHpV/y IMPROVEMENTS OR ENCROACHMEN75, EXCEPT AS SHOWN. AS oUP, P'EYED pY KaE OR UNDFR MY DIRECT SUPERVISl4N THIS 13TH DAY OF NQVEAI6ER , 1991, FROPOSED GRpDE3 5HOWN WERE TAKEN FROM THE GRADING, DRAIMApE, g SIG EROSIOH LpNTppL PI.qN FOR COUN1'RY HOLLOW, LAST DqTED 9-17-87 R. HILL,INC. JOHN C. LARSON, LAND SURVEYpR MINNESOTA LlCENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. R0. 42 o BURNSVILLE, MN. 55337 * 812-880-8044 . ' MINNESOTA STATE ENERGY CODE CALCULATIONS I+ BASED ON CHAPTER 5 OF THE MODEL ENERGY CObE - 1983 EDITION Adoption Effective Owner I'IZ'411 Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other) NOTE: Complete pages 3 and 4 first. 1. Building Perimeter::?4? uld&SkT/ft. 2. Wall heiqht (ground to eave) << ft. 3. 1. X 2. (above) gross wall area ?2-/1J5 sq.ft. 4. Building dimensions (L) X(W) _!/Z 5? sq.ft.roof & floor area 5. Sq. foot area of rim joist - F oor joist size (2 X?b X 311.- (Perimeter) _ ??sq•ft. J ? 12 6. Doors - Area 19 ? Thickness in U. factor Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. 8. Windows: Manufactarer State approved U factor TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL K G'f'Hffj'r EACH UNITS SQ FEET 9. Total Sq. ft. Glas6 5?%YJ 10. Fireplace area: Width X Heiqht = X = ? aq.ft. 11. Exposed foundation: Height X Perimeter_L6v0_W&X /79=/AO_sq.ft. COMPLETZON OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THS MINIMAL CODE ALLOWANCE, IS USED. -1- Building Classification: Type A1 (Single Family & Duplex) ox : f`raming area = lo% of gross wall area. 2, ! 13. Gross wall area ??!' ? sq.ft. Window area A?sq.ft. U windows = ,5?Z' UxA = Rim joist area Asq.ft. U rim joist= ,p41 UxA = br?0? Door area A_ ?P?J"' sq.ft. U door area= I j UxA = g, g2 Other doors area A?sq,ft. U other doors=47_ UxA Exposed fndn A- f b4 sq.ft. U foundation=101(0 UxA Framing area A? ?? sq,ft. U framing area= UxA = ?J" ?i tZd I ` Net wall area Azo 1, sq.ft. U wa11= , 043 UxA = 7J (138) TOTAI, . . . . . . . . . UxA 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/COde (13. above) x 0.23 (A-2 other residential) x .23 (Other buildinqs) - x .28 (Over 3 stories) BTUH must be larqer than or same A x U Code-. Z_ °F. as 13B above 15. Ceiling framinq area (Af) equals 10& of ceiling area 15A. Gross ceiling area =(L) x(W) sq.ft. 15H. Joist area (Af) = 10$ ceilinq area =?sq.ft. T? 15C. Net ceiling area (Ac) (15A - 15B) sq.ft. U ceiling x Ac _, S ZZ x,_b212 = Z Z(? U framing x Af = - - Ott X =' 15D. TOTAL U x A ............................ 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) BTUH must be larger than or same A(15A) Z x U Code oF. as 15D above NOTE: Use U and A values obtained from pages 1, 3 and 4. CF$TrFS ATTON: i hereby certify that I have oalculated the I#U° factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature -2- i ? n ? , ? x ;F _?? _?--- - - _ - - --_. ;?---.__. ___ ______ --------------_..:_ .?_---__?-__--_--_-------- --- ? _ ? ------ _ __ _ -- - _ ?; - - - - t _ _ . --- --_--? ---_ ------ t - . ---------- ? .- ----------- ,. ? 1 --- :?. _ r K : . t. ,. .. ? . ? ? -....;._ _ , . . ,.. . F? ? i ?____.------^?--_ ?' I s ? .- ? ?QI??•? ? - ?_.._.. _..._..-_...--?. ------- , ? ,,. . - , ------- . _ ...:. ? .- = _-_?_____--- ------ - - ---- -- - ---___--- __ .. ._. ?.., _ " I -- - ------- ,; , jL------------- --- __------___...___- ---------_._-.. ? ----- --------- -----__ ___?_ .? ?. ._N. . ._ ? f ? - ? . ...- , .. ,, ?? . f.StL•11011 ? stUU SCC11011 stcricu. RIII JolSi \=4 ? ?ntEC?oC Nal? ? •-1? (Ws??? ? . t ; i} ' Sheath?ng ? L.v(D . ?;1 .9 ?dln` out..lde •1c [lim .l1 . , ' R i 0'f A L • 7-3 , O ?J ? . . Inalde.alt (llm ! .68 ? • lntet lor uill 00 4" ?tud . Il••.p'd??IID?S`tttuelnd)U- R . • Sl?estl?ind ? Z.O(O Sldlnt .(p ( i ?? . Ovt?lde.?alt tllm ' ,?j . ?? _/ L a TorAL Io. 53 . ; _,t rtd ? ? tntetlor walt' • ? ?_ ln?ul.tlon .ll l U . ?--J Rfist . 'Z . `?^ xtetlor aall eoret ig? ? ?? -? ?_? Exte?lor ¦lt. lllm' Il .,,?j K ivIAL • . ???? _ Interlor AIr Illm R• .68 Infulatlon -''? 'Iti Ineh ?ol? xnoU n•?.08 ?alm ' U . Q . Jolsk) . S6eat1l1n6 b4I Eateclot Wl coreclns (n i . ?- . L:ttatlot a It [llm p? ,?) • . R. TOIAI. ?o ? Lntarlor s(t ((Im n• .68 . lntui?tlon ???? • ? ,? tbunJitlnn ?, ?.Sb • . Cxtetiot ?Ii (?Im R' ,?] ? a torn? I?? I 3 ._. \Cxpo?ed 9luek . \•?` rada (fdn.E U ¦ R . , 07(0 -` ?iL1t7G W'Tli V.'?!'I'EU AL'LIC S AGE ABOVB R VALqE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 *(a• 0 Insulation `f • C 4.38 Joist ------- 9.56 Ceilinq_ 0.56 0.61 AirFilm 0.61 4Z' I ? Tota1R 4,?.7b , O r? 11a 7/R • 0 Z-2? Window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.9 efm/aquare foot or door and minimum code requirement Non-residential door infiltration 11.0 efm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores . .26 R 7.8 Ub 12 lightweight black ? .32 R 3.1 Ub 12 lightweight block insulated cores a .12 R 8.3 U single glass = 1.17; U double glass = .55 U triple glass = .41 with storm window .54 All exterior walls and ceilinqs must have a vapor barrier (0.10 perm max.). Vapor barrier must be ori the ineide (heated side) oF wall. Vapor barriers of the polyethelene thin film havg no R value. A Loc / ? Biock o2. suba. UNDERGROUND S]PRINKLER SYSTEM PLUMBING PERMIT Date [C ` ? ? - ?;? Receipt # C u( 9[0 75 Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. ? Fxisting residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. Cb!/"!?i ?' (Address to be sprinkler ) Phone #: Street Address: Dzo A• l-z Au f . cUd, City, State, Zip: Owner Name: Street Address: Phone #: Irrigation Contractor: Phone #: / / -/- ' n '?" ' ? "? (0?1 ? A?-'Lro C ?/60 ?Na?AY e ?? k?c '0? (P5 0 /) i 1.1 ? L J/ :` I hereby owledge that I have read this application and cor act agree comply with all applicable City of Eagan ? state that the inf rmation is Ordinances cc: Engineering Department CITY OF EAGAN 3830 PILOT KNOB ROAD F EAGA21, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # DATE: ? ?T ? ? R?SI?SENTI?;g PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS LOT:.Zk- BIACK ? SUBD. INSTALLER: ADDRESS ----------------------°------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 3.Da ? WATER CLOSET 3.00 ? SATH TUB 3.00 ?.? LAVATORY 3.00 ? KITCHEN SINK 3.00 3 ? ? LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 S.? GAS PIPING OUT. ? (MINIMUM - 1) 3.00 15.00 ? ROUGH OPENINGS 1.50 %;50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 ele? SUBTOTAL $ 77.50 ST. SURCHARGE .50 TOTAL: S% ?,OMMERC;IAIi??!IIlTISTRI?L;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT; BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $ TOTAL: ( S I GNATCTRE ) CITY OF EAGAN CITY:ZIP: 'cya-?3` CITY OF EAGAN ygU r/n 3830 PZIAT i.NOFr &OAD ?l ,JDU? EAGAN, MN 55122 PHONE: (612) 454-8100 M, ..43aNICAI::.;YERM.i? G. . ..........?:.,............. . ..<.., FOR CITY USE ONLY PERISIT A? RECEIPT DATE: ??,TDENTIAi:: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS STHEN PERMITS ARE REQUIRED FOR EACH IINIT. -____------------------ WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: Z? IAT:Lj? BiOCK -BG-SUBD. INST.v.LEtt: gw;flsville 1-1 12481 Rhode Island Ave. So. ADDRESS: Sayage, CITY: 894-01(?q PHONE #: DWELLINGS 6 -___-------------- FEES ADD-ON MINIMUM HVAC 0-100 M BTI ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: $15.00 , C -6 . QO i $ ?3 •? .50 TOTAL : $?V /,-), ??z SIGNA E OF ERMITTEE q+ / ?i 4 AlC L`ib.?II.dERCIALj?.27DDSTRZALt; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BIIILDINGS, M:n.. . .i APARTMENT BUILDZNGS, AND MIILTI-FA?lILY BUILDINGS STHEN SEPARATE PERMITS ARE 1 NOT REQUIRED FOR EACH DWELLING TJNIT. t?'P .?-L_-__--_-___• n CONTRACT PRICE: x Q OWNER NAME: _ O SITE ADDRESS: W ? IAT: BIACK _ SUBD. h- 2 INSTALLER: W ADDRESS: CITY: PBONE FDR: ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FGR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN RESIDENTIAL BUII.DING Permit App(ication City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshvdion Reauirements RemodeVReoair ReauiremenGS Office Use Onlv 3 registered site surveys showirg sq. ff. of bt sq. ft of house; and all roo(ed a2as 2 copies of plan CeR of Survey Recd _ Y_ N (20%maximumbtcoveragealbwed) lseto(EneqyCalcuWtionsforheatedadditions TreePresPWnRecd _Y _N 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNans 8 decks Tree Pres Reqd _ Y_ N 1 sel oF Eneyy CalaWtlons AddiVon - irMicate ilarstte septic system On-site Septlc System _ Y_ N 3 copies of Tree Preservalion Plan if lot pWtted after 711/93 Rim Jast Dehail OpUOns selecfion sheet (bldgs wiM 3 or less uniLS Date 061 / 1? / Site Address 4166 03 eIL& Construction Cost + I ?i?• /lD e V-d - F cics.a.tn } M N r? r;l 1 s1. t, UniUSte # Description o[ Work vcnu.iv e?6,o lAC e c? 3' ????'I !m Df Vo?cd uJpaGl a?' vGY +. u)a 1 l Multi-Family Bldg _ T' j Y X N Fireplace(s) _ 0 1 _ 2 Property Owner NO.An c? 0 ?`2G I ? Telephone #(Vi l) ? S6- 850 5 Contractor N-fi?G / Gi6l{ Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residentlal Ventiladon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculatlons 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 pemut, but 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 ptan in the case of work which requires a review and approval of plans. Applicant's Pnnted Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling 0 08 06-plex ? 03 01 of_plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-plex ? 11 10-plex 0 06 04-plex ? 12 12-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration 0( 34 Replacement ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Dedc ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage Whg_Yor_ N A 25 Miscellane0us L4/?r/GBI, /,7/9?ira?,t,' i'?/C AFJ(/r/ ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reraaf ? 46 WindawslDoors 'Demolition (EnGre Bldg) - Give PCA handout to applicant op Valuation ? Occupancy /Z'.3 Census Code 3q Zoning R° I SAC Units - Stories - Nbr. of Units Sq. Ft. - Nbr. of Bldgs - Length - Type of Const ? Width - _ Footings (new bldg) _ Footings (deck) _ Footings(addition) Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation MC/ES System ' City Water - Booster Pump `- PRV - Fire Sprinklered ? REQUIRED INSPECTIONS FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall , Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 58W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BLTII.DING Permit Application City Of Eagan 4i1 `70O C? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeUReoairReouiremenls OHice Use Oniv 3 registered site surveys showing sq. ft. of lol, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Rerd _ Y_ N (20°k maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated addihons Tree Pres Plan Recd _Y _ N 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for addNons & decks Tree Pres Reqd _ Y_ N 15etofEneqyCakulations Addition - nMicateifonsitesepticsyslem On-siteSeptic5ystem _Y _N 3 copies o( Tree PreservaUOn Plan if lol plaried after 711193 Rim Joist Detail Options selection shcet (bidgs willi 3 or less uniLs 7 3 Date DQ Construction Cost 4-o!r ? y , SiteAddress UniUSte # ? Description of Wark 7? (.J?t ?8 SF. tl? CRCt?r ?l7 ? j?SoeCd- ?N //?Q?- d- ? Ar?? Multi-FamilyBidg _ Y?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner AQRLq JQ I 1 Telephone #(6SI Contractor Gf " e/-Astr,, l..(J (YPCt?? mN /t`-c/Jt ? 1-?7 b Address o^J/ 0 ),:5'.[Qrydp ` CARto- ,04)0 City &MUwjY1- State jm lV Zip SX/'J-Z Telephone #(76? ) SV6" 12bD COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so. 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( ) . Telephone # ( In), Telephone #? I hereby apply for a Residential Building Permit and acknowledge that the informatiori is complefe and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. s'f"c?u/* S".x -?-&Wy? RVAnd Applicant's Printed Name Applicant's Signature ' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45' Fire Repair ? 33 Alteradon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolltion (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundarion HVAC _ Drain TIle Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ _ Final Windows (new/replacement) _ Insulafion _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector _-lc)t ,--?v P 2005 RESIDENTIAL BUII.,DING PII2MTf APPLICATION ` City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 New Corntrucfion Reouiremenis RemodeVReoair Reauirements Office Use Onlv 3 reglstered sile surveys showing sq. ft. W lot, sq. ft. of house; end all mofetl areas 2 copies of plan CeR of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Caicufations for treated addkions Tree Pres Pian Recd _ Y_ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sRe survey for addifions 8 decks T2e Pres Requlred _ Y_ N 1 set of Energy CalculaUons AddNion - iiMkate ifonstte septic system On-site Septlc System _ Y_ N 3 copies of Tree Preservation Plan'rf lol platted afler 711193 Rim Joisl Deiall Optans seledion sheel (huYdings wilh 3 a less units) Date d-T l a$ Site Address 4-l 1,0 l 05 Pr? r? a ¢ide 'la --= Construction Cast f 3,e-f"• ? I?acVAD , hAN 61?0. 3 UniuSte # --I Description of Work L{GG{G Aac hed -fa LiC.6e-tn_A IEVG? d? ??n 2 Mul[i-Family Bldg _ Y?C N Fireplace(s) _ 0 ZC 1 _ 2 Property Owner N ?.tnG?l ?J, he 1? Telephone #( kor9i )61??' gGorj Contrsctor DW JteA" Address State Zip CiTy Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted 4 -7o.-oy- Have you previously constructed a building in Eagan with a similar plan2 _ 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 inforxnation 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 3tatutes; I understand this is not a permit, but 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 plan in the case of wark which requires a review and approval of plans. m % T ? T ? h. hell /? ? nln11 19. g 2005 Applicant'sPrintedName Applicant's ignature Ul _' OFFICE USE ONLY 5ub Types ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool O 02 SF Dwel ling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 05 03-plex ? 11 10-plex 19 LowerLevel ? 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 ? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 ? 34 Replacement •Demolition (Entlre Bldg) - Give PC A handout tc applicant 086 ? 2 3 Valuation j - Occupancy MCES System _ Census Code q3 q Zoning City Water _ SAC Units Stories Booster Pump _ # of Units Sq. Ft. PRV , # of Bldgs Length ? 2 Fire Sprinklered _ Type of Const Y 73_ Width Footings (new bldg) ?Z Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation , 1 Approved By: Base Fee ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. ? FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Finat _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Building Inspector Surcharge i, Plan Review ?e e- MC/ES SAC City SAC , Utility Connection Charge I S&W Permit & Surcharge Treatment Plant License Search Copies I Other Total ? YEY4R'S CERTIFICATE / ??d ??, \< , / •.- \ J 'O h ' ^^ ?)? ? ? lY',yry?O ? P? ? ?o GP MARK J ,?, L r {? t) n ly ? l? i p A /y 0 4DO 0010 0 sa ?. ,, NOTf: NO ON SMpIC 50I15 INVES71GA710N HAS BEfN COMPLETED T11I= LpT gY THE 9URVEYpR . 7YE $UITABILI7Y OF SOL9 To gl7PPOR7 THE 9PECiFIC NW9E PqpppgEO 19 NOT THE RElppNgIaLITY OF THE SURVEYOR NOTE: 6UILDING pMEN510N5 SHOWN ARrz, ron ?wnap?? L aypqtK?u wc- AT1ON OF TR S l1?Tt/1? ONCY. =fE AIItNITEGTUAL PIAN! WR dUIlO1NG 8 F0IRIOATION p1A1ENgiOH9. ' "* DENOTES PROPpSED SURFACE DIiAINAGE O DENO7ES IRON MONUMENT SE7 • DENOTES IRON MONUME?JT F 7f000.D OUND DENOTES EXISTING ELEVqTION (000,0) bENOTES PROPOSED ELEVATION r ? 30y . ? ? ` / /o / 1 C 7 ?~ \ i,. ? N / ./ ,. !-._. SCALE! 7 INCH - 30 FEET PROPOSED GARAGE FLOpR - 837.3 FEET PROPOSED LOWEST FLOOR - 828, 9 FEET PFiOPOSED TOP Q BL WE HEqEBY CERTIFY TO MARK JOHNSON C4N3T. 7HA?T TH? I? Tq? ?? ?E???F?? REPRESENTATION OF q SURVEY OF THE BOUNDARIES OF; Lot 18, Block 2, COUNTRY HOLt,OW,accordinqto the recorded plat thrraof, Dakota County, Mlnnesotu. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS aUF';El'ED BV A?E OR 11n?nFR MY DIRECT SUPERVISION THIS 13TH DAY OF NQVEIMBER , 1991, PROPOSED GpADE5 SHOWN WERE TAKEN ? FpOM THE GRqDINO,ORA1NApE,Q SIG EROSIpN CONTqOL PLqN FOR COUN1'RY HOLLOW, LpgT pqTED 9-11-87 R. HILL, INC, r a?--L•?-? JOHN C. LARSON, LANO SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. FD. 42 o BUNNSVILLE, MN. 55337 • g12-880-8044 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109228 Date Issued:02/21/2013 Permit Category:ePermit Site Address: 4160 Prairie Ridge Rd Lot:18 Block: 2 Addition: Country Hollow PID:10-18275-02-180 Use: Description: Sub Type:Residential Work Type:New Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Nancy S Sell 4160 Prairie Ridge Rd Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119993 Date Issued:01/08/2014 Permit Category:ePermit Site Address: 4160 Prairie Ridge Rd Lot:18 Block: 2 Addition: Country Hollow PID:10-18275-02-180 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 or installing Bay or Bow windows, 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 - Nancy S Sell 4160 Prairie Ridge Rd Eagan MN 55123 (651) 295-5543 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148091 Date Issued:03/05/2018 Permit Category:ePermit Site Address: 4160 Prairie Ridge Rd Lot:18 Block: 2 Addition: Country Hollow PID:10-18275-02-180 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Nancy S Sell 4160 Prairie Ridge Rd Eagan MN 55123 (651) 295-5543 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162707 Date Issued:07/24/2020 Permit Category:ePermit Site Address: 4160 Prairie Ridge Rd Lot:18 Block: 2 Addition: Country Hollow PID:10-18275-02-180 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 - Nancy S Sell 4160 Prairie Ridge Rd Eagan MN 55123 (612) 221-4553 Gold Star Contracting 3025 4th Ave E Shakopee MN 55379 (612) 221-4553 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177702 Date Issued:07/14/2022 Permit Category:ePermit Site Address: 4160 Prairie Ridge Rd Lot:18 Block: 2 Addition: Country Hollow PID:10-18275-02-180 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 - Nancy S Sell 4160 Prairie Ridge Rd Saint Paul MN 55123--162 (651) 295-5543 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature