4163 Prairie Ridge RdCITY OF EAGAN
,` ?' •` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt #
To be used for ?F VI"'?/GAR Est Value r Z27,o,00 Date bOV ia ,19 8z
SiteAddress 4163 PkAZttiI! FIDCF, Rb
' Lot Block 3 Sec/Sub. COUIM HOLLDW
Parcel No.
? Name ST CF:AALKB g0NZ8
= Address 4144 f;?,i,}?s"RY$YD$ DR
? City EACA3? Phone 454-7925
¢ Name
.o
? ? Address ?
?¢- Citv Phone
Address
I hereby acknowledge Ihat 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 of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: 4T CH":4L+-? IIO.365
on the express condition that al I work shall be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
On 5ite Sewage Occupency 'L'a
MWCC System -t Zoning
On Site Well (Aclual) Conat? V"N
City Water x (Allowable) ti"1111
PRV Required of Stories
Booster Pump Length 161
Depth 46'
S.F. Total
Footprint S.F.
APPROVALS FEES
' ?bZ•i?
Engr./Assess. Permit jJJJ
Planner Surcharge 4 . ' ?
Council Plan Review 3 3 1 'oc)
Bldg. Off. SAC, City ?' ` 00 '
Variance SAC, MwCC 550.00 ?
5?•? '
waterConn. ,
67.00
water Meter
Road Unit 325•00
204•00 `
Treatment P1
Parks
TOTAL
Psrmit No. Permit Holder Date Talephone
Plumbing
'A JOf- /o / g0
H:?.a?. ?
; ii*(?
Electric -8 -?'c // ? ?
,
Softener ' -
Inspectfon Dete Insp. COmmellts
Footings I
Footings II
Foundation ? ?? • '? ?
Framing
Roofing
Rough Plbg. I I/
Rough Htg. ' 49
Isul.
Fireplace
Final Htg.
Final Plbg. ? T
Bldg. Final 2 _1?-?q s3d
Cert Occ.
Temp. LP r
Deck Ftg.
Deck Final
Well
Pr. Disp.
s .'. At
(ger#i#'tratr uf (Orruvanrg
titp of eagan
ap;rartmrnf of lmbi»g Nvprtinn
Tiiis Certtficate usued pursuant 1o the requirements of Section 306 of the Uniform Building
Code certifying that at the tiirre of issuance thir structure was in compliance with lhe various
ordinances of the Ci1y regulating buildtng construction or use. For the following.•
9
uN abssirK.eon AF DW/GAR aldg. Rrmii No. 1586
o-„w-Y -n,a R3/141 ZonieS ois? Rl T,m co„sL VN
owna cc suaa;ng ST. QiAEtiF.S Ffis£S Add= 4194 OOf]NiR= IR, F.l1GAN
e?„g naae 4163 PIiAIl3E RIDGE RD a.,,,y L22, B3, 001IlVM HaI17W ,
,,? o.u pA? 27, I989
su,7a;? oefia.fPOST IN A CONSPICUOUS PIACE
? . : MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
TRACT PRICE PHONE: 454-8100
Site
(D Name
'Z6 Address
c City '
? Name -
c Address '
O CitY
TYPE OF WORK
Forced Air
Bailer
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
- BLDG.TYPE
Sec/Sub Res. ;?-
Mult
? Comm. -
- , Other
-??
PERMIT #
RECEIPT #
DATE: ;
WORK DESCRIPTION
New ?-?-
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkrAIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADO-ON &
REMODEIS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(AQD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
? M BTU
M BTU
M BTU
M BTU
CFM
FEE
. j.w , t.. , .
S/C: SIGNATURE OF PERMITTEE
TOTAL• FOR: CITY OF EAGAN
• PERMIT #
' PtUM811YG PERMtT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CT PRICE: PHONE: 454-8100
Site Address
Lot Bfock Sec
? Name 1•- ' -' t , ?, - ;: ?.. ;
a?
?u Address v;z City
Phone
? Name
3 Address
O Ciry Phone
FEES
COMM/IND FEE -
APT. BLDGS - COP
TOWNHOUSE 8 CC
MINIMUM - RESID
MINIMUM - COMA
$.5U S/C IF
F CONTRACT FEE
4TE APPLIES
- RES. RATE APPLIES
1L FEE - $12.00
FEE - $20.00
1 PERMIT - .5U
FOR CITY OF EAGAN '
BLDG. 7PE WORK DESCRIPTION
Res. New
Muit. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
,P" O. FIXTURES TOTAL
Water Closet - $3.00 $?
-
Bath Tubs - $3.00
F
Lavatory - $3.00
-
Shower - S3.00
?
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
` Laundry Tray - $3.00
?
Floor Drains - $1.50
? Water Heater - $1.50
?_Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MIIVIMZJM - 1 PER AERMIn
Soltener - $5.00
Well - $10.00
Private pisp. - $10.00
T_
? Rough Openings - $1.50
FEE:
-; r
STATE S/C:
GRAND TOTAL: ? ? , ^ ? ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-81 QO
BUILDING PERMIT Receipt ?
To be used for a:° Est. Value ?127 s'-%tY? Date ,•?'d 2G ,19 >?=
Site Address 4163 PRA T E:1 F t:I DC?E RD
Lot 22 Block 3 Sec/Sub. ?OUWW ?OLL-OW
Parcel No
a Name ST CHAxI.E3 NUlES
= Address 4194 CO[1?1TRYSIDE UR
° City ?AGAN Phone µ` u-141S
a f?'ime_
.o
o ? Atldress
Ui Ciry-
l- a
oW
W W Name _
F
? z Address
i W City _
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable Stale of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permiltee
A euilding Permit is issued to:_Sr tiHAfil,F'S k1OtIES
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 _
OFFICE USE ONLY
On Site Sewage Occupancy R-3 X-11
MWCC System Zoning R- 1 I
On Site Well (Actual) Conat V"N
City Water X (Allowable) Y--t"
PRV Required X * of Stories
Booster Pump Length 56 '
Deptn 46 ' ?
S.F. Total ?i
Footprint S.F. ?
APPROVALS FEES
66?.?
Engr./Assess. Permit
Planner Surcharge 6?' ?
331.00
Council Plan Review
BIdg.Off. SAC,City 100'00
Variance SAC, MWCC 550•00 ?
water Conn. SSO. QO J
Water Meter 67.00
I
Road Unit f
3-?--00 I
Treatment P1 204•00 ?
Parks
4
652
50
TOTAL ,
.
CASH RECEIPT ?
a
CITY OF"EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE r ,s
NECEIVEO
FHOM
: AMDUNT $ ,
- 8 DOLLARS
100
? CASH p CHECK
,?..<_:?t ?-••, ?,_i'4? ? -I,._; };,_ ?,
FUND OBJECT 1 AMOUNT
Thank You
BY_
- -? f ? rti ?
. :
C: ?
?-
,
wnue-Payers c.o,r
vetlow-Fostins Copy
Pink-File Capy
CITY OF EACiAN Permit No: Date: G? ?a
3830 Pilot Knob Road B1P No: Date: '- t 16! 88
P.O. Box 21199
Eagan, MN 55121
Owner. S; er2 ARLR4Z unmFS
Site Address: ?? i.i E RlC?GE ?.i). , L229 83, COU!??'?: ?, i'i??n,;
Plumber: - _. _QAn
MWCC: }55Q_M jn"
City Chg: 1 c10_ dd rd No. of Units
Acct. Dep: qd
I agree 1o comply with the Cfty o1 Eagan
Permit Fee:
Ordinances.
Surcharge: ?
MISC.: r'KV 3R flIRQ!? By
SEWER SERVICE PERMIT
C1TY OF EAGAN u Permit No: Date:
' 3830 Pitot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan. MN 55121 '
- Owner. '7 C?iARLES H?FS I
? pRAIR, , . ? , v?. . . '
. , L7Z,
Site Address:
. ,
Plumber. . , ' .
? Su .00 ptl ?'-
Conn. Ch9: Zoning:
Rcct Dep: 0 p" No. of Units:
PermR Fee:
Surcharge: •50 ')d I agree fo comply with the Clty of Eagsn
Tr. Plant ' ' 00 p Ordfnances.
Meter. 67.00 p
MiSC.: ".-ry By
WATER SERVICE PERMIT
•,.i:S
CITY OF EIrAN Permit Na: Date:
/3 6 a? ? 8g ?- Oe/-
3830 Pilot Knob Road Meter No: Size:
?
P.O. Box 21199 7_?{ ? Date:
Eagan, MN 55121 ??r? V e- 4?Lj
Owner. "L .,.n......., .. . -- -
Site Address: 4163 PRA1RiE RIDGE RD. L22B3 COUNTRY HC,L
Plumber. H MPSUN PLUMBl NG
Conn. Chg: 4 55?? J nd Zoning:
Acct Dep: >> e^ pd No. of Units: ?
Permit Fae: 00 t'?
Surcharge: -.-.M50--Pfi I agree to comply with the City oi Eagan
Tr. Plant 904 00 Pj Or ances.
Meter. 67 C - O Fd
MjgC.: PRV RFQj71 F1) - La I
WATER SERVICE PERMIT
///G /59 `Dxlls;q a
R 5 41 9-7,(, ;??a j
RequestBate
/
l/
? F No Roup
ui M1?i speIXion
Raq
?
ReaQy Naw ? Will Notily Inspector
'
-
V *Lyes ? No When ReetlY
+
?licensed contractor ? owner hereby request inspection of above electrical work at: 11
Job Adtlress (Street, Box or Na J Clry
6 3 ? r e, r ? y?
SBCOOn o. Townahip Name or No. ahge No Caunry ?
Occupan((PRIM) Phone No.
51. cL/lC
Po Sup lier ACtlress
? ? V, ?
Eleclri ontractor (Company Na Contradw§ License No.
'o '
6
?
0 ? 2,3 a 7
Maibng Adtlrees (Co ractor w Own Makmg Inst latwn)
?
v
- G
`
C
rll
? ? 3
,
, s
oe),j ,
y
Au orii¢tl ure ?COMrecbr/Qxner akin all ion) ? Pho. %.ber
r
,
? ! -5?C `
1,7
MINNESOTA STATE Bp/tFlD OP ELECTHICRY r TiIS INSPECTION REQUEST WILL NOT
Grlggs-MlEway BWg.?C po,m 5173 ' BE ACCEPTED 8YTF1E STATE BOARD
1821 Ilnivenlty Ave., St Paul, MN 55709 UNLESS PROPER INSPECTION FEE IS
Phone(612) BG2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?-. ee-oaam-m
/ .? Sea insvuaions for completing this fortn an back of yellow wpy.
'
:571 g 7 X" Below Work Covered by This Aequest
ew Atltl Rep Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Bwlding Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
ONer (speciy) Coniractor5 Remarka:
Compute fnspectian Fee Below:
# Other Fee # ServiceEnlrence5ize Fee # Circuiis/Faeders Fee
Swimming Pool 0 to 200 Amps / ' 0 to 100 Amps
Transformers Above 200 _ Amps A6 Amps
Signs Inapedor'e Uee Onry
TOTAL
Irtigatlon Booms v
Special Inspection
Alarm/Communication
Other Fee ?
I, the Electrical Inspector, he2by
certiFythattheaboveinspectionhas
been made.
Final ?
? L-
D91 , `v J
OFFlCE USE ONLY
This request witl 18 monihs fmm
111918'S' S9e65z
? 5 4 18 6 "-x-/a °2'
Requeef'Dete ' Fire o. Rough-in In wA
qeQUiretl7 J
)KReetly Now ? Will NoLfy Inspector
ee ? No Whan Ready7
I?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Ro No ) Qry
ar
?-
, • ?
a a
Section No Townahip Name or No. F&n9e No. Counry ?
/
?// q
Occupa (PRINT)
S1.
It.S Phone No.
Powe, ppNer
6 ACtl?ess
Electr I Contrecmr (Company Name) ? Contraclor5 License No
MaAing Atltlress (COniracbr or ner Mabng Instellation)
?
? S
J
Authorized Sg r Contredor/Owner kmpInsi a ian) Ph e Number
??i
` 1 75 3• S l??/
MINNESOTICSTATE BO OF LECTpICfTY THIS INSPECTION REQUEST WILL NOT
Griggs-hlitlway Bldg. poom S173 BE ACCEPTED BV THE STATE BOARD
1821 Univerelry pve„ St. Paul, MN 55104 UNLE$$ PROPEF INSPEGTION FEE IS
Pirone (612) 842-0800 ENClO5E0.
??/g/?? REQUEST FOR ELECTRICAL INSPECTION EB-00001-W/
,r ? See msVUCbons fot campletirg this lortn on Cack ot yHlow copy. ~' P!]nD ./
?. 54 ?t 86 X" Below Work Covered by This Request
ew Adtl Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Neater Elechic Heating
Apt. Building Dryer Other (Speafy)
Comm./Industrial Furnace
Farm ' Air Gonditioner
Other (apeaty) Contractorls Femarl¢Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspectw6 Use Onry TOTAL
?
Irrigation eooms
Special Inspedion
Alarm/Communication C f- jo
Other Fee
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Rough-in
Finei oare
Da?
OFFICE I1SE ONLY
This request voitl 18 months from
BLDG. PERMIT NO. cl
rf- GZ I-f,
01-3210 Bldg. Permit
Z1 01-3422 Plan Check n<
? 0`13445 Surch./Adm. a
--?Ot-3446 SAC/Adm. r 5 ?
? 01-2155 Surcharge
? 753860 Road Unit 13 ? S 0(
? 20-2275 SAC
20-3865 Water Conn. J) O GU
203868 WaterTrmt. -q vC
1-
20-3716
Water Meter
20-2252 Acct. Dep.
? 20-3713 Water Permit
720-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL ?
•' CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINh1ESJOTA 55122
DATE / 1`?` F 19 U"
AMOUNT I$ ?j I U u
? 8 DOLLARS
? CASH 0_C!!EC(C o0
FUNO OBJECT AMOU 7 ,
?lJ c?o
?!J r G
G
i
2
Thank Yo
B ?
?
?
N? 90193 Whne-Payers Copy
veuow--POSnrg copy
Pmk-File Copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N? 15869
t ' PHONE:454•8100 C,
BUIIDING PERMIT Receipt# l? a1 D(i ?3
Tobeusedfor SF DWG/GAR Est.Value $127,000 pate NOV 16 ,19 88
Site Address 4163 PRAIRIE RIDGE RD
Lot 22 Block 3 Sec/Sub. COUNj'[(Q HOLLOW
Parcel No.
m Name ST CHARLES HOMES
; Address 4194 COUNTRYSIDE DR
0 City EAGAN Phone 454-7925
OFFICE USE ONLY
On Site Sewaee _ Occuoancy R-3 M-1
MWCCSystem X Zoning R-1
On Site Well _ (ACtuap Const V-N
Ciry Water X (Allowable) V-N
PRV ReQUired X # of Stories
Booster Pump _ Length 56'
Deptn 461
S.F. Total
Footprint S.F.
o Name_
oQ Address
: aty_
?p
uw
Fw
z
x?
aZ
aw
Name _
Address
Clty _
I hereby aCknowledge that I have /ead this appliCation and state that the
informa4on is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinance _
Signature of Permittee -??.f ??
A Bwlding Permit is issuetl to ST_CI?A$LES_HQMES
on the enpress condrtion fhat allWOrk shall be done m accordance wrth all
applicable State ol Minnesota Statutes antl City of Eegan Ordmances
Building Ot6cial_J?j?lj?_ ftsk,6CN??
APPROVALS FEES
Engr./ASSess Permit 662.00
Planner Surcharge 63.50
Council Plan Review 331.00
Bldg Oft SAC,City 100.00
Vanance SAC,MWCC 550.00
Water Conn. 550.00
water Meter 67.00
Road Umt
n
325.o
Treatment P7 204.QD
Parks
TOTAL 2.$52.50
7(( 4?p 3
2006 RESIDENTIAL PLUMBING PeRnmT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
/?-' &D
?--? __. ...,. . v ..
, Please complete for modifcations to existing residential dwellings.
?--
Date _f?_/ /
?
Site Street Address Unit #
V
A
a-?_k
Property Owner
Telephone # (
H.P. PIPEWORKS
Contractor SM DODA ROAD Telephone # ( )
Address EACiAN ' 123 City State Zip
The Applicant is: _ Owner Y Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appfiance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener ?Water Heater $ 15.00
! new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
[E C FF?
St
t
S
h
arge ?
a
e
urc $ .50
1
Total MP.ti
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance ith the approved pian in the event a pian is re al o b re r e d an ro ?.
plicanYs Printed Name Ap ' anYs re
?,r?C
S?-???p RESIDENTIAL BLnLDI?1G
4 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
g-7 v-O'D
NewConsWCtionRenuiremenls RemodeVReoairReouirements OKCeUseOnN
3 registered site surveys shavirg sq. R of lot sq. ft of house, and all roofed areas 2 copies of plan Cert of Surrey Recd
(20 % maximum lot coverage allowed) 1 sef of Energy Calculaflons for heated addiUons Tree Pres Plan Recd
2 copes of plan showing 6eam 8 window sizes; poured found desgn, etc. 1 site survey lor addilions 8 decks Tree Pres Not Reqd
1 setof Energy Calculations Add'rtion -indicafe ifon-srte sephc sysfem _ On-site Septic System
3 copies of Tme Preservation Plan rf bt platted after 711/93
Rim Joist Defail Optlons selection sheet (61dgs wiN 3 or less umts
4
r
Date IrV l /d ! ?,3 Construction Cost
768a?
SiteAddress L 4I 63 ?eA1 eir- Qi flisf efi,Ar> UniUSte #
Description of Work RG-F'LmGE 4i-5kiSrrJ6 7,xCK wJ-rsd nJ tw (..pk.GEC l>6 Cc
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner D4%iJ L AP_r.teTr Telephane #(6sl SZ- 30 13
Contractor
Address 211-1 wbST 1325`ps'i' City Si-LAcsPEF
State 1'1 pj , Zip 553`79 Telephone #(q52) L405 dz a'7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category
(J submission typc`
Licensed Plumber
Mechanical Conh
Sewer/Water Con
- Minnesota Rules 7670 Cateeorv 1
• Residential VenUlation Category 1 Wwksheet
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone # (
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 a peit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th ca of work which requires a review and
approval of plans.
Applicant's Printed Name App
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgaze6o)
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
0 31 New
7r- 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const V/1.J
_ Footings (new hldg)
? Foo[ings (deck) _
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
_12-,T-
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved Byr??
Base Fee
Surcharge
Plan Review '
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/DOOrs
'Demolition (Entire Bldg) • Give PCA handout to applieant
Building Inspector
,
ICATE OF SURVEY
KURTH SURVEYING INC.
s' lUqyET. PLAN, ONREPOqTWASPpEPANEO 4002 JEFFENSON STHEET N.E.
ECT SuPEpVIS10N A TNAT I AM A DYLY COLUMBIA MEIGHTS MIHMESOTA 36421
f VEY UNO T MC SiATE OF YIMNES07A. 612-700-Y)49 DATE 11 I Z18e.
?
'A RE ATION NO, I 1.l 1-3 PROPOSEO SCALE 1"
GRADES , 0 -IRONMONUMEMTFOUND
BEARING8 ARE ON AN
ASSUMED DATUM,
GAqAGE SLAB • 2y' O •• 60 D SPIKE SET
TOP OF BLOCN• ZY' 3 (-)' $POT ELEVATION
BASEMENT FLOOR• I to PROPOSEO ELEV,
' ? ?? ?• DRAINAGE ARROW
?
'LqNrER
? L4 iq.3( rj LqN
?rZ.7-?I
P,
? o iZ3 3?= 5 b. 70 I ? 5 Ra3? ? O'
gl
Q
• f ?Q?
I ??"-o? ?\L o ?
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DQ41NI<6E AND U7t? y ?,-:rp?_ryTS / ?
N 6y° OD' op7w '
?35.99 ?
!
, BLacK 3,
.`( N o t.io W ,
. Co., MN.
.Ro1/. FiEQUiRED
PERMIT #:
saso Mor xxoB ttn
E48AA MA 5512E
681-681-467$
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: U? I ex) I G Z-
SITE ADDRESS:
OW ER NAME: TELEPHONE #: l05 I-J-I52 ? 3o-L3
?
INSTALLER IVRME: TELEPHONE #: (062?
STREET ADDRESS: ? _? S (j-?Ja? 's- 4- Ci • 1v 455
CITY: STATE: Yy\& \_ ZIP: 650??'?55
Place a check mark neut to the permit work type
Add-on, modification or alteration to existina dwelling unit $
?
• furnace replacement ? is fl
?
• air exchanger
airconditioner LJ
1 1
2]
)?)? 200
1
,
other
Nature of work: BY
State Surchar e $ .50
Total $
SI AITJE?E OF P EE
CITY USE ONLY
RECEIPT DATE:
2002 RESIDENTIihL MECIIkft1Clkl. PEgbIIT APPLICATION
crrYog EAsr?tv
1102
CITY USE ONLY
PERMIT #:
APPROVED BY:
RECEIPT DATE:
INSPECTOR
2002 COMMEftCIi4I. MECHMICAI. PEMIT APPLICATIOft
CI1'Y oF EA6i4N
3$30 PILOT KNOB iiD
Ek&M,MN 581 EE
651-6$1-4675
Please complete for: ali commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
PHONE #:
TENANT NAME (IMPROVEMENTS ONL`n:
WAS THERE A PREVIOUS TENANT IN TffiS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP
TELEPHONE #:
WORK Tl'PE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature
When installing/removing uaderground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% oF contract price OR $50.00 minimum fee, wlricbever is greater.
Underground tank removaVinstallarion = mininmm fee
Contractprice: $ xl%=$
State surchuge
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
,J RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651•681•4675
New Conskucfion Reauirements
• 3 registered site surveys showirg sq. ft. of lot, sq. iL of house; and all roofed areas
(20% mauunum lot coverege aliowed)
• 2 copies of yan showirg 6eam & window saes; poured found design, etc.)
• 7 set W Energy CalcuMons
• 3 copies W Tree Preservation Plan if bt plaked after 711193
• Rim Joisl Del2il Options selec[ion sheet (61dgs witlh 3 or less units)
DATE aa-k)Q'oa
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNERR0.?? JKt'f
TYPE OF WORK lt "
jupLz,
FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 44)N? %aPv-,46,9ur%AA1,l PHONE# 7'6 3•SDr?1?"?'?
ADDRESS'2?Sb-_+31?4- ZIPCODE SSLI3,P
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPL & ? ? 0 T ?
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MAR 4 6 2002 C
(check one) - Residential Ventilation Category 1 Worksheet Sub tted
- Energy Envelope Calculations Submitted gy
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mecliaziical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ances.
Signature of Applicant A-? 4
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
_ Waler Softener
_ Water Heater
_ No. of Saths
RemodellReoair Reauirements
. 2 copies of plan
• 7 set of Erergy Calculatbns for heated additlons
• 1 site survey for e#erlor addiGoris & decks
• Indicate "rf home served 6y septic syslem tor additions
VALUATIoN a a, asa °F
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Heat Recovery System
OFFICE USE ONLY ,
? 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 6d. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
?
? 33 Alteration
37
Demolish (Bldg)*
? 43 Reroof ? 46
Windows/Doors
0 34 Replacement "Demolition (Entire Bldg only) ; Give PCA handout to applicant
Valuatlon Oca!pancy MC/ES System
Census Code Zoning City Water '
SAC Units Stories - Booster Pump
Nbr. of Units Sq. Ft. • PRV. • _
Nbr. of Bidgs Length Fire 3prihklered.
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies '
Other
Total
Building Inspector
.,
••••• •,•• ••• ,i ?ua. ?.s. uv rm i oo O/1 4400 xravenni. nr euvunxZjrav
.?
re al
lw"nmtsw
7une 7, 2001
City of Eagan
3836 PiIot Knob Road
Eagan, MN 55122
To pVhom It May Concern;
IIder Jones is authorized to pull buildixig permits for Renewal by Andexsen_ piease altow
Elder Jones to provide this service for izs in Eagan. This authnrization is valid for any
date beyond 6/6101; wntiI a kenawal by Andessen manager exprossiy revokas it ln wriring
to the City-
I reqnest tlus authorization bc accepted expedidously, av to not delay in tha processing of
ovr building pcrmits any fuzthcI. plcasc call mc if thcrc arc any questiona. I can Ue
contacicd at 763-502-4706_
Your immcdiate attention to this maticr 3s appreciated.
Sincerely,
#ta ti R. Rau
ion Manager
Renewa( by Andersen Corporatian
Cc: Kara_F.lder 7onec
S:GIHIADAM.
N Z q? Fubiic
M?Cwn EruiretJ?n. at, z00.5
WJUU1/UI/'L
Received Time Juo. 7. 1:07PM
1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
CITY OF EAGAN
L`? ? 3830 PII.OT IiNOB RD - 55122
(651) 681-4675 ?--?> -- ? -rj ?
Naw Construdion Reauirements RemodeVRepair Reauirements
? 3 registered site surveys ? 2 topies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • 1 site surveys (erzterior add'Rians 8 decks)
? 1 energy calculations ? 7 energy calculations for heated additions
• 3 copies of tree preservation plan ff lot platted after 7!1193
required:j- Yes _ No
? / t a I?-
G
' 061
DATE: ..
!
J CONSTRUCTION COST:
Vl
? VV-\
C
DESCRIPTION OF WORK: 1C? - IKt?oT v
,
E-
STREET ADDRESS: L I G? Pr`c, 'r? e 1Z?J C? E-0 Cis
LOT: ? BLOCK: ?J SUBD./P.I.D. #: 0U' uV-tiY I O
4
'
-4-4 c
C
I
Name:
r
I t
i,
r Phone #:
PROPERTY Lzst First
OWNER
Street Address: L? / ?,
j Rf?p IP r`! n
City G10414/-1 State: Zip:
Company: Phone #:
CONTRACTOR ?/
Sueet Address: `hc2? I I y
14?Ayvi 6cll?l
A"P -ry License # U 1 360 Exp.
Ciry Gj U Um i"n a State: ? Zip: d5'J?q3J
ARCHITECT/
ENGINEER Company: Phone ik:
Name: Registration #:
Sveet Address:
City State: Zip:
Sewer & water licensed plumber (new canstruction only): _
change and lot change is requested once permit is issued.
Penalty applies when address
I hereby acknowledge that I have read this applicaGon, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ,z?- /i <?C__
rr _? J 1_
L!
OFFICE USE ONLY J ?I-
Certificates of Survey Received _ Yes _ No p( ?mAR 1 2 ss9
Tree Preservation Plan Received Yes No Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging O 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
I of Stories
Length
JVidth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
Census Units
Census Bidg
MC/ES System
Ciry water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMIT
Date: " 1 -2 -ql
Permit #
Date Zr??/
Receipt # fl7>2 3-E7
_ Commercial: $25.50 + water tap if required. (CYty installs all taps up to 1"). If
adding new service, a water permit wiN be required, as well.
? Faosting residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential develonments: Fee to be determined by building inspections department.
May require payment of water per? it, plumbing?WAC, and water treatment
plant fees. ? ??
63
(Address to be sprinklered) Homeowner/Plumber:
RVID urnea
Phone #: snap V4 .
?
Street Address:
City, State, Zip:
Owner Name: \ a V ? A-i f\o-t-
Sueet Address: 11162 ft`(k' Aa
Phone #: ?.?=a2
/1
Irrigation Contractor: Rpn e-e /? /,1 j Gl' GveaS'r
Phone #: - eye/ -z.gZ ???? /vb pva ?r?yK??
?
?
I hereby acknowledge that I have read this spplication and state that the information is
wrect and agree to comply with all applicahle City of Eagan Ordinances
cc: Engineering Department
o•*
662•OU+
63•5U+
..?? 331 •00+
1796•OU+
2, 572•50*
662•00+
63•50+
331•00+
1?796•00+
21852•5u*
A 1988 HIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15 14 q
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR COHNER LOTS - CONTR6CTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS
0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHEC% WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhAERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,-
7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
REC U AVQV 14 IM
To Be Used For: crrarr.F Fnmrr.v Valuation: ?Z7Date. n(-T(1RF.R 270 19R8
Site Address
Lot 2- Bloek 3
Parcel/Sub COUNTRY HOLLOW
Owner ST. CHARLES HOMES
Address 4194 COUNTRYSIDE DRIVE
City/Zip Code EAGAN,MN 55123
Phone 454-7925
Contractor ST.CHARLES HOMES
Address 4794 COUNTRYSIDE DRIVE
City/Zip Code
EAGAN „ MN 55123
Phone 454-7925
Arch./Engr. PLANCO DRAFTING &
Address 3435 WASHINGTON DRIVE
City/21p Code EAGAN, MN 55122
On site sewage_ Oceupaney R-3 A' ?
MWCC system _&e- Zoning
On site well Actual Const ?/- N
City water ?/ Allowable V -N
PRV required IF of atories
Booster Pump _ Length
Depth N6 ?
S.F. Total
Footprint S.F.
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Of f. l I I!o
Varianee
FEES
Permit G6Z,00
Surcharge h31
Sa
Plan Review ,331,Gti?
SAC, City D/ OI 00
SAC, MWCC 550,00
Water Conn O, 00
Water Meter 617,00
Hoad Unit 375. DD
Treatment P1 7-044, D?
Parks
Copies
TOTAL
Phane li 452-0724
_ ?,4?uAT?oN
GARqGe? ,
,21-4 X32.= 768X14 ^ ?d-7SZ.
&6tJY1EN1"
°Z(? X 3z.. - a32
1 ?X ?y = asz
?b?4 x?3? ?ydqz
`-?
? K7 ? ?y
I yZX-? - ID
2??22 .=
.?-
1 Z. X 14 9' s4=4ye
2rJn ?c.oo2
32x 3c? ? lbo
?----
30 12?
.
, CERTIFICATE OF SURVEY
7FOR -St wp.9-6g :l E1oMF ? KURTH SURVEYING INC.
IMERE6Y C[NTIF1 TlIAT TNIO OYRVEY, PLAM. OH REPONT WAB PPEYAREO 4002 JEFFERSON STREET N.E.
BY NE OR YNOEX 1 INEC1 SUPERVISION AN TMAT I AM A DYLY GOLUM6IA HEIGMTS MINNESOTA 58421
lira lAI 8 V[Y R uN0 T NESTATE OF MINNESOTA. 813-7e6-97i9 OATE ( ' I=' I 8a
SCALE- znr
1"
MINNESOTA RE A710N NO. IV113 PROPOSEO Om IqONMONUMENTfOUND
GRADES ' BEARINGB AREONAN
ASSUMED DATWA, '
GARA6E SLAB • z-y • O ••• 60 D SYIKE SET
TOP OF BLOCK• 2Al' 3 t- )' SPOT ELHVATION
BASEMENT FLOOR• 1 to •3 ( )' PROPOSEO ELEV.
-la ORAINAGE ANNOW
?
N Rr\,
A\NC (?
( '0O ' p
? ? Zb 3`_ 5 b.70
i SB°30'op,.
E
`7-
3.Cefe•. r??J 123 1
3
0
, ?1 o O \? ?J( 5
/ -L"A \ Q I
33 [?? ?S ? ? f ?
\
O
'?Z\.Di/?
/ ) ? ?'h . .3p• + ?? .
o
s ,? l b
?
?
,
M
+O) -0 r3 ,r
' ? oG
Es;GAN ENCIP3EERIYvC D 5
o-
r7 ? ?_. n=l
,???.% ?.
pR41NAG@ AND UTIIITY r:,A:iCIA_NT$ `zO.QI . ?iQ,1
N 6y° 00' 00„ W 135.99>?? `T??
\
Lo-s Z.2, BLbC.K 3,
Co u taTRY N oLL-o W,
DAKoTA CO. ) M N .
PoG°oMa RCOM RCD
tuticcr couE - 1943 Eultloti
".. ` opt1on EFfect ve i]81'-
? '--?•--...?C'??'?,???VY? 5' Phone 4t21-?jo Uate'. ^,08'
Address ? ?
L-.ar n_---- .. a a . .
ractoY
ding CliPssificatlons Type AI (Singla Famlly 6 Duplex)
Gomplete pa es j and 4 flrst.
, . (Otlier)
ftAL IIIFORf1ATI0f{
Bullding Perlmeter ?'•-0 T ^ I ??`
`' Y „???? L •
?
Wall helght (ground to eave)
?
1. x 2. (above) gross wa11 area 2
(,PILT t ,
?.
Phone 454-7qas-
typa A2(Reeldentlal)
0storles or ess '
(over 3 storles)
Bullding dimenslons
X(W) ? ?J v ft.Z roof 6 floor erea
Square foot area of rlm Jolst - Floor jolst slze (2 x (Jj
X Pe Imeter - Rlm o st a1-ea' I ?ftZ
f 2 js, .
Daors - /1{ea l??ri? • • ' • .
yhlckness In. U Factor
Type oF Construct an perlmeter ,
HanuFacturer ft.
Total door's perimeter ' . ' . '
. ft. . , .
NlnJows: Flanufacturer U factvr. - State approvad
---.?_ .
TYPE SIZE AREA (Ft.z) NUHBER OF • TOiAI FEET 2
EACII ' UNITS
Total ft.Z Glass
Flreplace area; Nldth %•helght - X
?t
? x p O ? .?
Exposed fonndation: Nelght 1( Perimeter 2
_ET{ON OF 11115 FORN IS REQUIIIED FOR ALI, Fl? CUR?TRGC`iTl AJOfi?€ 'obE ?? Ft.
I kilE11E ENERGY, OTIIER. TIIIVN THE NINIFIAL CODE ALLOWANCE, 15 pSgp.
???G AND BUTCO?NCS 9EIN(
Gross wall area ' I
Hindow area A 5,414? ft.2
R1m Joist area A I?v•(l?7 ft.2
Door area n • ?-9i1.7 ft.z
*1`11K619'ce area A ft.z
Exposed foundation A f 03,Uj? ft.2
Framing area A3:,)Jl (fQ r?? _f' ft.2
Net wall area A ?uI (,0 , (Q ji ft.
U wlndows U x A¦
U rim Jatst ¦ i oll U x A?.?7 •
U doar area ¦ i 1 U x A¦
U c""'yow47 U x A°
U foundatlon ¦I 14(' U x A¦
U framing area ? -? U x A-
U wall = 4019; U x A- Uza, 7/
(13B) .T01AL . . . . . . . . . . U x A - _3V,
? .
Gross wall area x 0.11 (A-1 single Family S duplex ? allowable U x A/Code
(13. above)
x 0.23 (A-2 otlier residentlal)
x .23 (Otlier 6u11dings) • .
, x .28 (Over 3 storles) .
n U a I I °??.%?? I?-°F. 13Btaboveerger thar
, ?44G. .--
Ceiling framing area (AF) eyuals 10% of ce111ng area I. or the. same es) ..
Gross ceil ing area x (W) I ft.2 '
Joist areA (Af) a 10: ce111ng area ft.Z
Het ceiling area (AC) (15A - 1513) ft.2 '
ucer i i„9 x n c4 , bL Zx p eZ 3, ??' ,
U framing x A f= Z i'7 1
TOTAL'U x A....... .............. Z Z
....... .......:.
Ce111ng area (15A x 0.026 (A-1 single family 5 duplex - code allowable U x A
x 0.033 (A-2 otlier resldential) •
x 0.06 (otl r) • • , •
A(15A) ? 1 g 7/ r'nZ?? ?'/1 BaUll 14ust be larger tlreii •150 (ebove)
x_U (codel= ?e,7.5 F (or the same as)
TE: Use U and A values obtalned from pages I,•) and 4."
RTIFICATION: 1 hereby cer[Ify tha[ I have calculated the "U" Fac[ors and "R'l values
reln and tlat the bullding here descrlbed meets or exceeds tlie State oF Hlnnesota
ergy Conservatlon Act. ?
,te
ft.z
? gn ture
2.
li
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[?uulatlvn . • 11,?
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sldlns . . L7 . .. .,' ??•
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Inalde-alt tlim ? .68
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•--._.....___,_, C? I 1 I n .
•--.-.?.?? ?niula lan
•?_....___, Ir spsco
•-;__?, Ilnaf J4cking •
•-?- ? 6u11!-up roaf ?
? ?•?_`, outslde alr fllm U.II --'
? ..
Total II '
I • U .
doH Inflltratlon ,5 cfm/llneal fooE of crack ?? '
IJentlal door Inflltratlon
-resldential door 1nFlltra0,9 cfm/square (aoe or Joor and minlnmm cade•reaulremant
tlon 11,0 pfm/Ilneal foot of ereck
12" concrete 61ock na Insulatlon ":41•11 2.1 12" concrete 61ock Insulated caras . • 26 11 ?.8
12" llqlit?,?elglit black ,
' .J2 ? ?.1 ; •
12" 1191ittiel9lit hlock In.sulatsd cores ¦.12 R 8.3
. .•.
;Inyle glass • 1.1]f Hltli storm.??lndax'.5M1
l9uble glass • 55 • . '
crlple glass ¦ .AI • , ' ' ' ' ' ' ,
.. , , ,
1 exterlor Halls aiid
. ?. .
uar barrle r celllnys must (iave a Yapor 6arrler (0.10.pcrm max.).
niust be oiI the Insld9 (heate(i Slda) of Ho11, oor barrleri af tlle polyetliplene tbln fllm hav9 na 11 value,
. •
. . i .
. •
. • , . ? .
. • '.
. ?
APFLICATION FOR PERMIT
SEWER AND/OR WATER GONNECTIQN
,XR-1 SINGLE FAMILY
OF GC1gan
lPLEASE PRINT
1) PROPERTY ADDRESS:
T•FY;AT' DESCRIPTION;
IF EXISTING STRL'C'IY)RE, DATE OF ORIGINAL BUILDING PERMZT ISSUANCE:
PRESENT ZONING/PROPOSID LSE:
Q CONMEE2CIAL/RETAIL/OFFICE
Q INDUSTRIAL
? INSTIT[JTIONAL/GOVERbIl"IENT
? N:71'E: PAYNgSTf OF FEE AT TiME OF ?
; aerLIcnTTON DOM NOr ccrr- ;
; sizavrs AreacM oF rEanuT. •
.
; irspECTIaa or sEM nND/ox w+TER «
;
; INsxaLrnTioxs c,IIL rOr se SC„UnED ;
? [!NCSL PERt4T HAS BEW APPRWID. :
•weetsarf+fa+ttRwxtxxfvrrtk??w+fn.++?*ir++
Mont Year
0 R-2 DLPLEX (3WU t?nits)
Q R-3 TOWMOUSE (Three + Units) ( Lnits)
Q R-4 ApARTMENT/COAIDOMINILM ( Lnits)
2) ? NAME: THOPAPSPW PLUM61N6 CO.. INC.
ADDRE55: MINNETONKA. MN 55343
CITY, STATE, ZIP:
PHONE:
3) ? :?• tvAME:
ADDRESS:
CITY, STATE, ZIP:
THOMPS(?N PLUM6ING CO.. lNC.
MINMETOPFKA. N1N 55343
PHONE: 775 " I MASTER LICENSE # 1?7U!
4) 'o..'s
rArE:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
,iunwers License:
I? Active
Expired
Not recorded
St Ia?f nitial
5) ! i • •?1• • D 'l71p
? CONNF,CTION TO CITY SEWER 4 CONNECTION TO CITY WATER Ej OTI-IER
f?•?
6)
*?**.*****?***.??**??,?**********************************,r**********?*****************+*x**?********%
* THE GOLD CnPY OF TFIE PERMIT WIIS. BE SEDTi' DIRDCTLY TO PUBLIC WOd2KS 4+D FACILITATE NIEPII2 PICK-UP. *
* PLPASE ALIAW 7W0 WORKING DAYS FOR PROCFSSING. SOMEONE FROM TfIS CITY WILL CONPACT Y00 IF 7Y-IERE *
* ARE ANY PROBLETIS.
?****?***??*?****++??****f*********+*,r*?:+****?**:?***r??***+**?***+***********+*?*?*???x*******???*y
F4R CITY USE ONLY
PERMIT # TSSUED
Pd w/Bldg. Permit FEES:
2'
S
$ $ ? D SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ WATER PERMZT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ? J ACCOLNT DEPOSIT - SEWER
$ ?
$ I `
ACCOONT DEPOSIT - WATER
S
s 0
$ ` $ WAC
$ $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMEIVT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL}NK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ S OTHER:
TOTAL
. _ S?ar,3 5?1?3
RECEIPT RECEIPT
DOES UTILITY CO NNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ?i 'V(jz? a'.a.?
TITLE: U
DATE :
December 20, 1988
THOMPSON PLUMBING CO INC
12201 MINNETONKA BLVD
MINNETONKA, MN 55343
RE: 4163 PRAIRIE RIDGE RD., L22, B3, COIINTRY HOLLOW ADD.
WARNING: BEFORE DIGGINGv CALL LOCAL ATILITIES - TELEPAONEt ELECTRIC9 G,.9p
ETC. - REQUIRED BY LAW
XX Your Sewer and 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 pieked up. BE SDRE TO C9LL PUBLIC WORKS (454-5220) FOR
YOIIR PERMANENT WAT6R TURN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reason:
_ Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or oecupancy allowed until further
notice.
Sincerely,
Jan son
Secretary
JS
J i • • M1
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
/S? -2. aS?
New CorvsWdion Reauirements RemodeVReoair Reauirements O[fice;;?se;On7?
. ,.. ,.,..:m .
3 registered site surveys showing sq. ft. of lot, sq. R of house; and aA roofed areas 2 copies of plan
(20%mazimum lot coverage allaved) 1 setof Energy Calculatlons for heated addifbns
2 copies of plan showing beam 6 w(indmv sizes; pou2d (ound design, etc. 1 site survey fw additions & decks Tree-PresReqllireB? "_Y "..i,1
7 set of Energy Calculations Add'dion - indicate i(on-sife septlc system
3 wpies of T2e Preservation Plan if lof pWtted aker 717193
Rim Jo'st Defail Options selec6on sheet (bldgs with 3 or less units
Date
Site Add? y/( e U'f
3 ?12+0 1 l? If' Construct-ionn Cost
1? KX 4`r ?G' 16 J Ue)
UniUSte #
Description of Work ?Oo'S? nL,
Multi-Family Bldg _ Y1-N Fireplace(s) ?0 2
Property Owner 7?l c -? 1 4- ?(v(a ? i\ w'e I 1 Telephone #(??j?
Contractor fl(?v v I.blvn C8?
Address /-{ 'i `] ?)L- f\ AL.X vn
State Y"' o-?S 1<-) e-A Cih' fa-=
Zip Telephone #((, 5'? ) 4-/ 5 a- S c? 7 v
<± la-- gaa /`/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Calegory 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 pian?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the info tion is c-oiffjK?A and a curate;
that the work will be in conformance with the ordinances and codes of the City BCy rl-the-Siate 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
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Xk2_?
Applicant's Printed Name
ju "_ i < o -,,-
ApplicanYs 5ignature
OFFICE USE ONLY
Sub Types ? .,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace x 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 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 04plex ? 12 12-plex Plbg_ Y or _ N ? 25 Miscetlaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
X 32 Addition ? 36 Move Building ? 42 Demolish FoundaUon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applieant
Valuation Occupancy MCES System ?
Census Code Zoning City W ater
SAC Units - Stories - -?- Booster Pump
# of Units - Sq. Ft. /9? PRV ?
# of Bldgs '- Length Fire Sprinklered
Type of Const ? W idth i N
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drein Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
? Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace R.I. Au Test Final Windows
* Insulation _ Retaining Wall
J
Approved By: ! , Building Inspector '
-------------------
------ - ------- - -------
Base Fee v
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
TreaVnent Plant
License Search
Copies
Other
Total
9-? _ ?'`?
fi
/
> BLOCV, 3,
?`( N o tio ?I ,
e N A a Y e C¦EQU's & E.q J
?
, ;,..?, Y-B FICATE OF SURVEY
? .,.
KURTH SURVEYING INC.
'lURVEI'?7LAN,ONREPOHTN?ASPpEPAREU 4002 JEFFEHSON STREET H.E.
ECT SYPERVISION AN TMAT 1 AM A DYIY COLUMBIA HEIGXTS DATE i
MINNESOTAI 68421
! VEV q uND T NCST?T[ OF MINNESO7A. 612-769-9769
0 11 I Z /ga
NESOTA RE ATION NO. ?C.? i3 PROPOSED SCALE 1"
GRApES , 0'IRONMONUMBNTFOUND
BEARIN68 AR6 ON AN
ASSUMED DATYM.
GARAGE SLAB • 2?"?' ? O• 60 D SPIKE SET
TOP Of BLOCH¦ SPOT E{.EVATION
BASEMENT FLOOR• _I tn •3 ' PROP08E0 EIEV.
¦ ORAINAGE ARROW
?ANrER
q,36 ? nf???l
,v
L= Sb.'7p
? ///^^^???? .Z'i•3? ' S8°30`op"?
/ 4,r '
Ce.. p
l U
0
I I ? ; , ? ? 5.
i ?
c
0. ?
d ? f ?
v.?
\ . " ?">• A Ma \
o, / ` o i ?S op ?\ CL
c' '. ,- . • p,
1 ,
T \ ' _ ?? ? ', . lC'?./. ?? ''- --___ _ Q- I
?-
/? ?? .4: ._.. .i?..;. .IJ.tq.
-___
/ 7
DQAIN?6E AfJD UT?L Ycl?A:::1-1_NTS
;
ZO ?
7J 6y° OD' op?? \,k/ ,
?35.99 rF+' ?TC?
443 Lafayette Road N. (651) 284-5005
St. Paul, Minnesota 55155
1-800-342-5354
www.dli.mn.gov
5/21/2015
APPROVED FOR USE
EVE ARNETT
4163 PRAIRIE RIDGE ROAD
EAGAN, MN 55123
RE: PERMIT # ELV1504-00011
Project: ARNETT RESIDENCE - 497258
Location: Eagan, MN 55123
Address: 4163 PRAIRIE RIDGE RD
Dear Sir/Madam:
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry,
Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators
and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector
from the Elevator Safety Section recently inspected your facility and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE:
Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
Sincerely,
CONSTRUCTION CODES & LICENSING
Brad Underdahl
State Elevator Inspector
cc:City of Eagan Building Official, BO, City of Eagan
ACORN STAIRLIFTS INC
ElFormCE2R
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
443 Lafayette Road N. (651) 284-5005
St. Paul, Minnesota 55155 1-800-DIAL-DLI
www.dli.mn.gov TTY: (651) 297-4198
CERTIFICATE OF
APPROVAL
PERMIT TYPE; ELV INSTALL
SITE:
EVA ARNETT RESIDENCE
Address: 4163 PRAIRIE RIDGE RD
City: Eagan, MN
Approval is based upon therequirements set forth in the Minnesota Statutes, Chapter
326B.184 and Minnesota Rule 1307.0035.
This approval is for permit work performed by ACORN STAIRLIFTS INC under permit
number ELV1504-00011.
If you have questions related to the issuance of this permit call:
(651) 284 5071
Department of Labor and Industry
Construction Codes and Licensing Div.
Elevator Safety Section
443 Lafayette Road N.
St. Paul, MN 55155
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143372
Date Issued:06/14/2017
Permit Category:ePermit
Site Address: 4163 Prairie Ridge Rd
Lot:22 Block: 3 Addition: Country Hollow
PID:10-18275-03-220
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 -
Paul R Arnett
4163 Prairie Ridge Rd
Eagan MN 55123
Greenguard Construction Inc
2915 Waters Road, Suite 101
Eagan MN 55121
(651) 289-7000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145393
Date Issued:09/08/2017
Permit Category:ePermit
Site Address: 4163 Prairie Ridge Rd
Lot:22 Block: 3 Addition: Country Hollow
PID:10-18275-03-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul R Arnett
4163 Prairie Ridge Rd
Eagan MN 55123
Robert Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature