4167 Prairie Ridge Rd
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CASH RECEIPT :? .
CITY 6F'
EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE Jl CJ 19 ?`?
Fe«? WAMOUNT $ ! CYL? I ??
8 DOLLARS
,oo
? CASH ? CHECK
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER #??Q?d 7,7 PERMIT DATE 03 J 13 / S t)
CHIP #6163 PERMIT # 112f,5
MEfER SIZE r b CA' B.P. RECEIPT # C 66.)l
ISSUE DATE -5 -le ' 94 B.P. RECEIPT DATE03/U8 1 9p
-1L PRV - BOOSTER PUMP
SITE ADDRESS 4167 YRAIRIE RIDGE RD
LOT 21 BLOCK 3 SECrSUB COUNTRY HOLLOW
APPLICANT
ADDRESS:
CITY, SSATE ')L CA ?•t?l itZ? ?Z?t?, 1?1?-? ZIP
PHONE:
PLUMBER:t?A/C VL ?IN
ADDRESS: T?1? ?v?AA)?'`:PQ I""42 i t= IIr7Al r
CITY, STA7E ?-
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
ZIP
PHONE:
PERMIT REQUESTED
?SEWER --WATER ? TAPS
- COMMiIND
Lf NEW
' RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Damestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF ?
EAGAN ORDINANCES j
'f" / '-? /?
SIGNATURE WHEN Al1ETER 1SSUED
'.:,:..., .
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454•5220 FOR INSPECTIONS. FOR STORM _;,
SEWER PERMITS, CONTACT ENGINEERING DEPT.
- - -- -?. ?
SEWER & #ATER PERMIT
CIT1' OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
l SITE ADDRESS 067 z'C:A.KIE FcI DCE RD
I LOT 21 BLOCK 3 SEC/SUB CO1INTRY HOLLOW
I CITY, Si
PHONE:
PLUMBER:'--aae ej1N 6 & 14 zi A IV, X( A ./A I IIAQ
ADDRESS: 1 tmib MC)Llt,?Q'r " 14X.1!!5 r'
CITY, STATE •? .-1 't l t?l ? ?. ?! ? ?-? f?.1 '? ?•T1 ZI P'
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWU WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. OFFlCE USE ONLY
METER #' PERMIT DATE 03/ 13/90
CHIP # PERMIT # i 1965
METER SIZE B.P. AECEIPT # C 5691
ISSUE DATE B.P. RECEIPT DATE 48 90
x PRV _ BOOSTER PUMP
PERMIT REQUESTED
-''SEWER - WATER -TAPS
- COMM/IND - RESIDENTIAL
ZIP 55H 71? -' NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN OROINANCES
CITY OF EAGAN ;42 175P8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? P HON E: 454-81 UU '
BUILDING PERMIT Receipt # <
To be used for SF MGIGAR Est. Value #134r000 Date MAR Cy 18 , 19_9
Site Ad ress 4167 PRAIRIE RIDGE RD
Lot ?1 Block 3 Sec/Sub. COU"Tlp iioi1oW OFFICE USE OMLY
Parcel No. occupancy R-3 M-1 FEES
1
? DAHI.$ BROTt1ERS INC
Name • zoning -
(Actual) Consl -X-N
Bldg. Permit 759.00
Addres ALE AVE S (Atlowable) w N 67.00
0
N Surcnarge
Phone 6
City # oi Slones
Plan Review
493.00
Za
Name SAME Length
1
Depih
snC. Ciry
100•00
?¢, Address S.F. Total - SAC, MCWCC 5???
? City Phone S.F. Foolprints -
625.00
? On Site Sewage
- Water Conn
? W Name On Site Well -
Water Meter
90'00
?; Address Mwcc system
?
Acct
. Deposit 30.00
i W Cit Phone
y ciry waIer
PAV Required -? SAN Permit 3o•oo
?
I hereby acknowlege that I have/read this application and state that the Booster Pump - SnN Surcharge 050
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Civ of Eagan Ordinances.
Treatment PI 252.00
355
Signature ot Petmitee APPROYALS Road Unit •00
A Building Permit is issued ta ' DAHLZ BOMRS• YNC Planner - park Ded
on !he express condition that all work shall be done in accordance with all
Council .
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy, pry. _ CoPieS
3,401.50
Building OffiCial
Variance -
TOTAL
Permit No. Permit Hoider Date Telephone #
WATER I ? : yd -3/4?C
SEWER
PIUMBING ,
?t. ?s ? t ?3 o d°
H.V.A.C. ?D y d
ELECTRtC ??sdG' .1-
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. p G
Isul.
FrepldCe
Fnal Htg.
Final Plbg. - C
13
Consl. Meter Plbg Inspector - Notity Plumber
Engr./Plan
Bidy. Final J
Deck Ftg.
Deck Final
weli
Pr. Disp.
1
(gtrfifirafe u# Orrupanry
Ctp of eagan
loPprartbtw Df iwdtng 3wPlttDri
This Certifrcate issued pursuant to the requirements of Section 306 of 1he Unijorm Building
Code certifying thar at the time of rssuarrce thrs structure was in compliance with the varrous
ordinances ojthe City regulating building construcdon or use. For the following.•
Use Clamifauon S,F Df,1G/GAR Blds. Rmut No 17588
.
1BV
Oweet of Buildi ? Add?ea? ? ?
X IVM f f
Build' Addreae I.oality
KlY ?? 19%
?ale:
BU' dioE OffKial
POST IN A CONSPICUOUS PLACE
OF EAGAN
C014TRAC7' 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE ,5//& 2 PHONE 454-8100
Site Address ') 'i- , ?' '
Lot ,;?Z/ _ Black ?- SeclSub
? Name
m
? Address
? Cfty Phone 6 ! %
c Address
? City ?? ? r Phone ,r ?' C Yl
FEES
COMMlIND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURGHARGE PER PERMIT .50
(ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE)
SIGNATURE OF PERMI'fTEE
FOR: CITY OF EAGAN
PERMIT * _
RECEIPT #
DATE: ____12
Res. 1 New _
Mult. Add-on
Comm. Repair
Other
RE3. PLBG. ONLY - COMPLETE THE F OLLOWING:
NO. FIXTURES TOTAL
? Water Closet - $3.00 $ J
Bath Tubs - $3.00
L_ Levatory - $3.00 ? ? • c" rJ
? Shower - $3.00 3. G : >
? IGtchen Sink - $3.00
UrinaUBidet - $3.00
T Laundry Tray - $3.00
c ?
/ Floor Drains - $1.50 7•
? Water Heater - $1.50 ' 5 V
? Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM • 1 PER PERMIn
Sottener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE: ?
STATES S/C:
GRAND TOTAL: ? - ? V
. , PERMIT # ?
c
MECHANICAL PERMIT RECEIPT # _
• ' ' CITY OF EAGAN DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
TRACT PRICE PHONE: 454-8100 For Office Use
m Name _ ?? ?_.
? Address -
c Ciry - Phone ''- '-`
? Name -- * -
3 Address ?• ' `-' ?
O City ` Phone
TYPE OF WORK
Forced Air
Heater
Vent
Gas Piping Outlets #
_%--), M BTU
M BTU
M BTU
M BTU
CFM
BLDG. TYPE
Res. ?-
Mult
Comm.
Other
WORK DESCRIP'T10N
New ?-
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BIDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
- a2a.oo
- 6.00
- 1.50 EA.
- 12.00
- 20.00
- .50
?^.
FEE
SlGNATURE OF PERMITTEE '
S/C:
TOTAL• FOR: CITY OF EAGAN
1 DATE: 03/13/90
., .1
RE: 4167 PRAIxIE RIDGE RD
x- Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
? be issued or occupancy allowed until further notice.
Z
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Diric House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
RE:
4167 PRAIRIE xIDGE RD
DATE
03/13/90
x - Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
t°.
'' Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
?
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
c3`o?c3A 4
025469
REQUEST FOR ELECTRICAL INSPECTION
?$Be mstmc4bns for compleAng this lorm on Oach ol yellow copy
'X" Be/ow Work Covered by This Request
? ... : a
EB-00001-0]
,?9•?1
?.
?.?
ew Add Rep, Typeat8miding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electnc Heating
Apt. Building Dryar Other (Speciry)
Comm /Industnal Furnace
Farm Av Conditioner
Otberapeciy) Conlractor's Remarks'
Compule Inspection Fee Below: ? ,sp
# Other Fee # Service EntranceSze Fee # Circw[s/Feeders Fee
Swimming Pool 0 to 200 Amps IX,B6 (j 0 to 700 Amps 4181
Transformers Above 200 _ Amps i Amps
SignS Inspector5 Use Only 'j TOTAL
IrrigaUOn Booms 15-0
Special Inspection
AlarmiCOmmunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
tit
th
t th
b
i Rouqn-in oai .?
cer
y
a
e a
ove
nspection has
been made. Fnal .
OFFICE USE ONLY
This request voitl t8 monlhs Imm r-? CJ
3/a3/90 e& 91/7
? 5 9 -/?
Fequesi Date Rra No
3_? 3- ^O Roug Inspection
Re tll
? Ready Now ?LVill Nobty Inspector
R
Wh
tl
'
y s G No en
ea
y
Iwlicensed contractor ? owner hereby request inspection of above electrical work at:
JoD Atltlress (Slree[, Box or Raute No )
'
/ 7 1
' Qty
Nrr, ?
iC
/ t 11-J.
0. v?-
Secimn Na Township Name ar No Range N. Counry
Oaupant?PRINqT?/J? /?(7 Phone No
Power $opplier
D O /CGT/?z
/Ir. Atltlress
GL? ?V ? / ? %
V a1-
Eleclr I Contrecbr (GOmpany Nam¢) Contrac?or's license No .11
/' .r„r,
MaiLnq Ntldress (Contraclor or Owner Making Installation,
,5i?s o 6 ? ?.?..../?
Awhorrzed SignaWre ICOntrac:or,Owner Making Insialla0on) 01 Phone Number
G 7 zz
MINNESOTA STATE BOAAD OF ELECTflIGITY
Grlgge-MlEway Bltlg. - ROOm &173
1821 University Ave, 51 Paul, MN 55104
Mne (612) 600-0800 - THIS INSPECTION REOl1E5T WILL NOT
BE ACGEPTEO BV THE STATE BOARp
UNLESS PFOPER INSPECTION FEE IS
ENCLOSED
.?/.s1?8'9
P 14754
REQUEST FOR ELECTRICAL INSPECTION
? See imirumiore Iw rompleting Ihis brm on back of yalbw copy.
J(:Relow 4Nork Covered by This Request
EBO00?-0]
ew Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air CondiUOner
Other (specAty) CoM Ramarks. ,
Compute Inspection Fee Be/ow:
# Olher Fee # S EntranceSiz Fee # Circuifs/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
Signs Irepectors use only: TpTAL
Irrigation 8ooms
Special Inspection
AlarmlCommunication
O[her Fee
I, the Elecirical Inspector, hereby
if Rough-in ? oa?e
cert
y that the above inspection has
6een made. Fiw a?e
OFFICE USE ONLY
Thrs requesl voitl 18 monVis hom
/C?{/zsY yl???5
? 34754
Request Oale ? ire o Rough-in I ecnon '
Reqwred Ready Now ? WIII Noby Inspeclor
??_ ? Ves No When Ready'+
I licensed contrac[or ? owner hereby request inspection of above electrical work at:
Job AtlAreas (Stre t, 6? o?ROUte N) ? O ? Qty
Seclnn No Tavnship Name or No. Ranga No Coonty
Occupan ( RINry Phone o. ? Z>
P GP??e Atltlress
E ritrecl (CampHn Neme) n cbr§ Lice2se No.
3
- ?-E , D 5§
Mailing A reas (COnha or Owner Making InstallahonJ ?
A
33
Auth e0 Sgnat (Co poNOxner M g ') Phona Number
8'<?o .-3
MINNiLpTIC3P7qTE BOAHD OF ELECTpICffV ' THIS INSPEGTION REQUEST WllL NOT
Grlgga-NlAway Bltlg. - Room &1]3 BE ACCEPTED BV THE ST.4TE BOARD
1821 Unhrentty Rve., SL Pau4 NN 5510i UNLESS PROPER INSPECTION FEE IS
Phorre (612) W2-01100 ? ENCLOSED
? 25463
REQUEST FOR ELECTRICAL INSPECTION
? SRe mstrc.tices lor campleLng ibis form on brck oi yellow copy.
"X" Be/ow Work Covered by This Request
1
°%
? ea-00001-o7
:
?
?
? ?'?
/
ew Adtl Fep - Typeof8uildmg AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bmiding Dryer Olher (SpeciTy)
Comm /Industrial Fumace
Farm Air Condihoner
Otner(speciry) Contracror's Remarks
Compute Mspechan Fee 8elow:
n Olher Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspeclor5l)sa Onty TOTA
L
Irrigation 6ooms el
Special Inspectwn
Alarm/Commurncanon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oeie
cerhty ihat the above mspection has
been made. F,nai oa 3^? _?
OFFICE USE ONLV
This requesl voitl 18 months hom
2 til 6 3 g
Request Dale
3- l 9
0 Fire No u-in Inspecllon
v¢ 1?
antkatly Now ? Will No?dy inspeaor
R
tl
wn
l
p Ves 100 en
y
ea
IOClicensed contractor O owner hereby request inspechon of above elecirical work at:
JoD Atltlress lSheet. Box ar Route Na ? dty
6
Section No Township Name or No Pange No Counry
4/ GC. O?
Occupani 1PRiNT Phone No?
4a.
Power Suppher
1,4__??rc Atltlress 1 /
Eleclric ConVador (GOmpany Namel
??,*," ?y!,.? cb. ?? Con?rector§ Llcense No
a z3? - s
Mailing AMtlress IConnacror or Owner Makm installatian?
?... ? ja . ?s
Aulhonze0 Si lur ICOnVactodOwner Making Inslal tion Phone Number
GC- D- ? 'y?.,2
MINNESOTA STATE BOARD OF EIECTPICITY THIS INSPECTION REQUEST WILL NOT
Gtlggs-Mltlway B10g. - floom 5-173 6E ACCEPTED BV THE STATE BOARD
1821 Umverslly Ave., SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phane(81I)6Ct-O800 ENCLOSED
CITY OF EAGAN NO 17588
t ,- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ???
PHONE: 454-8100 BUILDING PERMIT Receipt i/
Tobeusedlor SF DWG/GAR Est.Value $134,000 Date MARCH S , 793D---
Site Address 4167 PRAIRIE RIDGE RD
Lot 21 Block 3 SeGSub. COUNTRY HOLLOW
Parcel No.
w Name_ DAHLE BROTHERS, INC
3 Address 9304 LYNDALE AVE S
° CitY BLOOMINGTON Phone $$$-6866
1JI Name-
ga Address
r a C;itv
.
ww Name_
?? Address
a W City -
Phone
I hereby acknowlege Ihat I havJread i ap lication and slate that the
mtormalion is correct and ayIGe to pl ith all applicable Slate of
Minnesota StaW[es it 6f Ea i c
Signatura ol Per ite r?
A suildmg Permit is issued : DAHLE BROTHERS. INC
on Ihe express condition that all work shall be done in accordance with all
apphcable State of Minnesota Stawtes and Qty ol Eagan Ordmances
8uiltling ONicial
OFFICE USE ONLV
Occupancy R-3 M-1 FEFS
Zoning R_i
(ACtual)Const -V-- N Bldg Permit 759.00
(Allowable) Surcharga 67.00
# ol Stones - 493
00
Lengih $$ '
Plan Review .
Depth 48' SAQ City 100.00
S.F.7otal - SAC,MCWCC 600_n0
S.F Footprirns -
OnSiteSewage _ WaterConn 625.00
On Sile well - Water Meter 90.00
MWCC System x
XX
Accl Deposrt
3o-(10
CM1y Water
PRV Re9urted XX S/VJ Permit 10 - ?0
eooster Pump - S/W Surcharge - SO
Treatment PI 252. ?0
APPROVALS qoad Unil 355. 00
Planner - park Oed.
Councn
BIdg.OIL _ Copies
Vanance - TOTAL 3,401. 50
o•*
7>>•OU+
67•00+
493•00+
2)032•50+
31 401 •50-r+
. : : ?ork5f s?
1990 BUILDING PERMIT APPLZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE 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 5ET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
AAR O 6 RECO
To Be Used For: J` aluation: c?$e?-' Date:
OFFICE USE ONLY
Site Address
I 3?J?.?ao
Lot Z-' Block 3 ? FEES
Occupancy 2
? J M -1
n \ Zoning R -1 n
1547
OO
Parcel/Sub l?ov.--.M?
- Actual Const \/- hl Bldg. Permit j
? Allowable \/-IJ Surcharge r?)' r70
Oconer # of stories Plan Review 493L00
Length 5 SAC, City Jnpl00
Address Depth SAC, MWCC 4*00, O
S.F. Total Water Conn 6Zs',OC?
City/Zip Code Footprint S.F. Water Meter QO,00
Acct. Deposit O 00
Phone On site sewage_ S/W Permit 30?00
`
L
?
?
? On site well S/W Surcharge
Pl , Sa
00
2
$2
ve`>
s.-1?
?
?-
Contractor MWCC System V .
Treatment -
?
City water Road Unit 3S S', 00
Address PRV ? Park Ded.
??
? Booster Pump _ Copies
ov?.-
City/Zip Code '.? SUBTOTAL
pPPROVALS Penalty
Phone Planner _ TOTAL ?Q
Council
'4
Arch./Engr. Bldg. Off. 70 317
Variance
Address
City/Zip Code
Phone #
. . ,.. ,? ?
„-?-?
Z?? 2?i = u So :
Z2k 12= Z_ 64 _
??y X ?5= I I i (?o
l3sMT'
d - ?
Iq'izxz? 39 ,
2=23 I
? 2oy X ?°? ° 1(?
? 5 r ?i.ao? /2?
XlO=
1Z31 ?5f= ?2''??6?
Zwo ?tow2,
z4
I 33 b zJ?
CERTIFICATE OF SURVEY I
.C?avu? R (,,outWU, ,'aus.
8713 DUPONT AVENUE SOUTH
BLOOMINGTON,MINN. 55420
888-2084
LAND SURVEYORS
Survey for:
DAI1lE 9ROS., TNC.
\
0,'7 1
,1 ?/ ?2"y Q R-' G r,Jrt t_ f c.l h lJ 4- y ? ? DESCRIPTION: ?
?? Lot 21 , E?loCk 3,
oti COUNTRY HOLIOW
?/ ?`? N?` / ? O_ ?f'y :?,_ '', , t; .l i? .s Izs?,••
I ? --m
By qO
/Zn Dai
EAGPN EIVGINEERIIVG D?pT
a
RECC?M ? ? ED
a.? / \ ? _ ?1 • 4 ?\? \
• ?. tio? , ?{ 2 • ,? ?{
??v ' Q7
/y?
S c a 1 e:
1"=30 i
? ?o \ \?9i ? / `•0?+0 ?
Proposed Grades: hN? ? ??o ? ?0 19?v
Top af Blocks ??ZS z
?.\ ?3\•,?0 \?.
Garage floor ae-re-- ?z y 7 61p??p? ? y n\?
Basement floor f/ 1 7 .Z
?
We hereby certify that this is a true and correct represe tation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said nd. Dated this 5th day
of March , 1990 . ,;-? ? ,,?j f?
?
' ' EXTERfOR kH11ELOPE AVERAGE "U" LOHPUTATfDN
OWIIER: T_
SITE ADDRE55:
CONTRACTOR: DATE: pHDNE:
DETfRMIHE NORKPkf, SbftARE FOOTAGE OF EACH:
). TOTAL EXPOSED uALL AREA.,,,,... 2(0 (pZ sy ft x"U" # I 1 _ 292,
2. TOTAL RODF/CEILING AREA,,,,.,,. ?Q(p-rj •qD sq ft x"U" ? ?
Od-O 2?.7 f
3. TOTAL EXPOSED «ALL AREA CALCULATIONS:
Total exposed wall
area abvve floor,,,,,,,, sq
__ ft
a)
Total Nall window area:
(t) •
QQL4 9lazed...... (??J sq ft z 'lull .rJg `"
? . I
C
glazed...... sq ft x "U"
v
b) Totat door area ,,,,,,,_, ? sq ft x "U"
c} Total slidtng gless door area:
kJv?? 9lazed...... 40 sq ft x 'lull .5cl
e
Z3
b0
.
? 9lazed...... sq ft x 'lull a
d) Total flreplace wall area sq f[ x "U" ?
e) Total wall framing area
(Averaae 104) ..........
3g,q? sq
ft
x
??Un
•(V a
? Z3. Vf
f) Total net wall area above
floor (Insufated).,..... )gq??IC) sq ft x "U" •?? _?45.b'b
g} Total rTm Joist area..... 2q5.8Z- sq ft x "U" •04
= ?(•8?j
Total foundatfon
area (Exposed).......... sq ft
h) Total founda[lon
window area............. Cl sq fi x "U" ,5 LO) _ ?j, Z..?...
i) Total net fourtdation
area above grade........ ?D 5q ft x "U" •?0 ?
3• T OTAL a) thru t)
If item N3 is the same as, or }e ss than item N1, yo u have met the Intent of
2 t1CAR 1.16008 A and 0.
Page 1
r'
4. TOTAL EXPOSED ROOF/CEILtNG CAtCULATIDMS:
Tota1 expnsed
roof/ceiltnq area........ 1c)(05•9c) sq ft '
.i) Total skyllaht area....... sq ft x"U" `
k) Total roof/cef 11nq framing 9.1
erea (Avera4e 1?9,)...... 1Q?•S 1 sq ft x"U" Q 2???
1} Total net Insulated ,?ZS s Z3-.-1 Q
roof/cet1(ng area....... ?? sq ft x"U"
TOTAL j) thru 11? Z(0•9 Z
If total of p4 is the same as, or less than f2, you have met the intent of
2 MCAR 1.16D08 A and 0.
ALTERNATE BUILDINf ENVELOPE DESIGN
To utilize the total envelope system method, the vaiues established by the sum
of items k3 and #L shall not be 9reater than the sum of items A'1 and 82.
1. + 2. _
3. + 4. 6 .
t E R T 1 F_ I C A T I 0 N
I hereby certify that i have calculated the "U" factors and "R"
vatues herein and that the buildinq here described meets or exceeds the State
of Minnesota Eneray f.onserva[ion Act.
a
(Date)
Page 2
-? -5-'=? cl?
'£'zbrw .€.,r;sCkuMtfon'
SIC
a LI.
FIG. 11
Consfructlan R-VaYue
l.
2. I/s'' v¢Ywp?L. .45
3. 5'!z inches soft wood fe.l L
1. 7NEATl+1?1G Z,OL
5, SEfltuG 67
6. Exterior air film s 0.17
1bta1 { a. i5
U=.10
YRAtSE WALL 1. Interiar aiz film 0.68
2• V2" PLYWALL .45
? . 3. 5i/z' EusuL. 19.00
• . 1. 'SNLvTbI IHG 2,oG
5 31v
?4 47
. t .
6. Exterior air film 0.17
FIG. #2 Total .2.1,a3
' V =.04
' ? • 1. Interioz air film 0.68
' .• '!? a_,--_ _
.C? ? 2 ? u 9
00
I . su ?. 1
.
! t?_' ? ! ? 3• 1 1/z" wo6 v I. 88
{
, 5 HEQT411t.I4 2.0G
F,a1 S. Sivi?.i4 .47
•,1 ?1 6. Exterior air film 0.17
LX??
•
???? Tot-al 2-4.4(o
: ??j.
'_ ' . ' V? .04
-
?.. 0.
p
Z ,
. ? y a u • '
<
,?
• .
,
1.
Interior air film
'
0.69
iIOK 2. iwsuL, ,AUa cey weLl- 8,06
C' ?• • 3. 12" bLoc.r_ 1.28 .
? ???' ?O? • ' 4.
,
, . .
? 5.
r
•? ?
. J';i''/..• ' 6. Exterior air film 0.17
?--? . ,.. , Total ? p, I q
• l,Ia,IG
? SI.AB ON GRADE • • '
, •,
t• - • .
Y?
. ..
• - ?/?
r
43 ?
?.. ,?
. , ?
' o . ' ?? •
' . ?
• • ' .' .
• . r . • ? .
• ? . ,?
11 ? _•? ? w ? '
/?! `? ' , • _
• _ ?4t
/fi . "? • ? /(/
FIG. @4
/ I I ? '6 • • • o
? \ •_ . i// ?
!rr ? x x ? r s /?/
/!( _ lr( `c lir s
NOTE: Indicate type, "R" value, denth and
placenent of insulaf.ion.
. : ..;? ? .
. . ? .
R ? - '9a)OF /CE ILING
? ...\\
. ??
Vented Hea[ flov
up
FIG. #5 '
? Co
? 1.
2.
, 4.
--?'
J "
. ?
nstrvetioli(Use for Item L) R-Va1Lte
Interioz air film 0.61
5?8 5HEETeoct ,5L
?iabvL. 3@.eo
Extcrior air film (still 0.61
ibial s9.'i6
v :.oZS
{Z.G. FM*lING (Use foi Ztem K)
1. Intezior Air film 0.61
2. SHf.E.TlCccr .SL
3. Inches 6aft wood
4. Iaches insul above Sraminq 30.0c)
5. Air Fflm 0.61
3bt?1 3G .1 G
- -- - ' Vc . 02'T 6
1. interioz air film ' 0.61
2.
3.
4. Exterior air fiim (still) 0.61
Total
? Hent flov vp , venced•
..FIG. t6 . '
? 1. Inside aiz film ' 0.61
2.
's.
4.
5. Outside oir film 0.17
Total
Notc: Usc a3ditiottal shects if more spacc is
? i.eedec] for dotails and ealculations.
M?11.???}vT!?l?:T?ti L•`?t...:'"?`^-CJ?t2..l?p?
- -- -=?
11
. Heet ' U
Elow up '
FLr., ?7
N L(91E UL/E
JUL 1 i 2007
4
./v ?q,6-
2007 RESIDENTIAL BUILDINC?i PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Canshucfion Reauifemenls
3 registered site surveys showirg sq. ft. of lot, sq. R of house; and all roofed areas
(20%maximum lot coverage allowed)
1 Soils Report rf proposed 6wldng is to 6e placed on tlisNrbed soil
2 copies of plan showing 6eam 8 window sizes; poured tound design, elc.
1 setof Ener9y Calculations
3 wpies M Tree Preservafian Plan if lot platled after 711/93
Rim Joisl Detail Opbons selecfion sheet (buil(fings wAh 3 or less unds)
Minnegasco mechanical ventilafion fortn
/36.00
Gk"'
RemodellReoair Reauirements INfice Use OnN
2 copies ot plan shaxing faotligs, 6eams, jasts Cert af Survey Recd _ Y-N
1selMEnergyCalculatimsfarhealedadditions ShcsRepat_ _ - -
1 site survey for additions & decks Tree Pres Plan Recd -"_Y -N.
Additlon - indicatei(on-sitesepGcsysfem TreePresRequired _Y _N
On-sile Septic System _Y _ N
.,.«.,.e *ho., 2.a 4Car1" e ret a dhe?ason.
Plans are consiaerea uouc inionnauvn Ul????? .... ?..-•? ..- ------
/ Construction Cost
Date
?7 ? rQ ? ?? ? fC '/'('.! ? UniUSte #
Site Address / ? 0
+'
Description of Work
Multi-Family Bldg _ Y ?N Fireplace(s) ` 0 2
7?)? S\,?
P P G r a \ Telephone #( )
Property Owner _ _
Contractor All 0. YUS ? A ' ^
? /
S V, ?? L
/
Address 1-/ z O ?-C
5?5 ? OG
Zi rl
CityLJ v
Telephoue # ( `SI ) 2 4 9- 7 7 1 ?
State p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEw rsuILVIRv
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . ResidenUal Ventilation Category 1 Worksheet • New Ener9y Code Worksheet
(J submission type) Submitted Submitted
. Energy Enveiope Calculations Submitted
In the last 12 months, has The CiTy of Eagan issued a permiT for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
rr?
?
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 permit, and work is not to start without a
permit; that the work will be in accordance with the approve in the c which requires a review and
approval of plans.
? l?C' c? °
ApplicanYs Printed Name Applicant's ignature
,
Sub Tvpes
? 01 Foundati on ? 07 OS-plex
? 02 SF Dwel ling ? 08 06-plex
? 03 01 of_ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Tvpes
? 31 New ? 35
'X 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
r?:!SS.e•??\'.e.5 ?` i ? ,
C. :' ' . . . D@SCflqtlOfl: WaterDamage_ Yes
Valuation ?
Plan Review ? 100% or _ 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const V6 _
Footings (new bldg)
-lk Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Fina]
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
DO NOT WRITE BELOW THIS LINE
? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Ak - SF
;Ii!r- 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 19 LowerLevel ? 24 Storm Damage
? 25 Miscellaneous
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Demolish Building* ? 43 Reroof ? 46 Windows/Ooors
•Demolition (Entire Bldg) - Cai ve PCA handout to applicant
Occupancy
Zoning
Staries
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUII2ED INSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
CERTIFICATE OF SURVEY - • .
.ay
LANDSURVEYORS
Zaauy R. coutrv:e, Pae¢,
8713 DUPONT AVENUE SOUTH
BLOOMINGTON, MINN. 55420
88&2064
\.
.w
?
o 4?
C\\ ?
,
l,
p ?
n' 0?-
Scale-
1"=30'
,
i/
.
Survey for:
DAIiLE BROS.. INC.
?T-a 0,7 r
r?M O?' G 1,Jit I fc-l hV4-/
DESCRIPTIDN:
Lot 21, alock 3,
. COUNTRY H0UlOW
O
?..
q, ?v a
--
f
e.
. ?,
'z-o • R'
od Q
Z: i.?.w: t :f :: r.... : • 4t?.: S
r --._........
?.AGt'?'?3 E??IG:.rE'nli?tG Di:'_'T
01/. R E 0 l1BRED
__ ?\of
?.
-o
.
.?
Proposed Grades: 4\u N'
T o p o f B 1 o c k s? f Z S- ?^
??
?
Garage floor ge- - ?Z 14
\ `+p? ? ?? c n??
Basement floor 7 Z ?\M? ? 'bqy ?
We hereby certify that this is a true and correct represe ation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said nd. Dated this 5th day
of March , 1990 2 o?
' ,bY rUl?.?, f r/i ce
Z66 - Z?
ZMsota Regisl
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4167 Prairie Ridge Rd
Lot: 21 Block: 3 Addition: Country Hollow
PID:10- 18275- 210 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Derek J Shepherd
4167 Prairie Ridge Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA087556
11/21/2008
ePermit
Use BLUE or BLACK Ink
r
I For Office Use I
I NIP I
C' of Evan Permit j
I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I
I Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: I
I
L----------------~
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date- d / 3 _ Site Address: Unit
Resident/ Name: C~l~ Phone: 3~~ y 37~
Owner Address / City / Zip: y 'C Sr/ 3 3
Applicant is: Owner ✓ Contractor
-
Type of Work Description of work: -%6 O k A.-Id
Construction Cost: 577 Multi-Family Building: (Yes / No
Company:
Contact:
I 3D >E
Address: /6,1101 <W- S 6ao City: 4e-/c/-di
Contractor I State: ~L Zip: 07 Phone: Ls Zvo
I
11 License 6G 17'Ndl6 Lead Certificate Nr+l-- 'yQ *y16 j
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall or i
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X 6"- x
Applicant's Printed Name App!' nt's S' atur
Page 1 of 3
L1 y�T
r it
J
WALKING SURFACES GREATER THEN 30"
ABOVE AREA BELOW REQUIRE GUARDRAILS
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH
STAIRS SHALL BE PROVIDED WITH ILLUMINATION IN
THE IMMEDIATE VICINITY OF THE TOP LANDING.
Dorn MUST BE ATTACHED WITH
(2) 3/8" X 4" LAG SCREWS
Vita i a ti WASHERS EVERY 16
TREATED \4!OOD MAY P7. UIRE PPF' ' L
„AND
SUPFLiLF1 FOR MORE INFORMATION.
1
maw
i
- S"le I
1\j.,vaG oafs. eO(
DECKS SHALL NOT BE SUPPORTED BY
CANTILEVERED I -JOIST HOUSE FRAMING
WITHOUT SPECIFIC ENGINEERING._
EAGAN
REV ED
F -\Qv
BY:
7(('WING INSPECTION DIVISION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150156
Date Issued:06/22/2018
Permit Category:ePermit
Site Address: 4167 Prairie Ridge Rd
Lot:21 Block: 3 Addition: Country Hollow
PID:10-18275-03-210
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Derek J Shepherd
4167 Prairie Ridge Rd
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168320
Date Issued:04/16/2021
Permit Category:ePermit
Site Address: 4167 Prairie Ridge Rd
Lot:21 Block: 3 Addition: Country Hollow
PID:10-18275-03-210
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Derek J Shepherd
4167 Prairie Ridge Rd
Eagan MN 55123
Snap Construction
8200 Humboldt Ave S, Suite 120
Bloomington MN 55431
(612) 333-7627
Applicant/Permitee: Signature Issued By: Signature