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4172 Prairie Ridge RdFROM : BUILDERS EDGE INC 952+492+3709 Gity of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 PHONE NO. : 952+492+3709 Feb. 01-2010 10:53AM P1 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Oa v v Date Received: Staff; 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "1 ~ cam% U J Site Address: / 7 - i/e&k/646 Tenant Suite #: RESIDENT 1 OWNER Name: r7 e #-/11 /1/4,,,s7,09.4. r- Phone: fv,%— AP6 ^ 70 1 Address / City / Zip: 9/ , Al - Applicant is: Owner KContractor TYPE OF WORK/,;,, BB � .efJ.-S� �' peSCription of worts: n -d S �/ I Construction Cost (a/ ddd -Mu1U-Pantry Building: (Yes / No 0 CONTRACTOR Name: 134e Z0S' - •z7t- • License #: C 0/34,1 fro Address: .:2l95D AP -75 c/r,. Arlote , City: (70',e-.07,07-,, State: Ith/ Zip: c3-3ss- Phone: 9r-2 " «92 - 3/70 - Contact: 6177 ...5, 44, -'/JL Email: \-7—c8 4e / . it -,vet COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master pian? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as nonpublic 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) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. f., --;-n^r`nirnr.-.;-ft<< ohne thereby 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 vAN be in accordance with the approved plan in the case of work which requires a review and approval of Applicant's Printed Name x Appli Page 1 of 2 . . .. _ . . , r: r1F'.. . . CASH RECEIPT CITY OF EAGAN ? 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 UATE 19 ? AEtervEo .noM i._-- aMOUrrr a DOLuARs ,m O CASH CHECK / ,-- FM :-^, , •? ? 6Y L L t? C g ? YVhHa--PaY? ?DY Yelbw--Posting Copy - P'udc--Fie (',ppy Thank You _ SEWER & ?',?ATER PERMIT CITY OF EAGAN' 3830 Pilpi Knob Rd. Eggan, MN 55122-1897 DATE iUi.Y 23, 1990 METER # CHIP # OFFICE USE ONLY METER SIZE ISSUE DATE PERMIT DATE 03/ 1 5I9G PERMIT # 11 ]0t B.P. RECEIPT # C 903Q B.P. RECEIPT DATE ?' i' ! 2?: r?0 x PRV - BOOSTER PUMP SITE ADDRESS !A7?? P''A[ :t?: KIllGE RD LOT 1-° BLOCK L SEGSUB CQUNTkY HOLGUW APPLICANT: ADDRESS: _ CITY. STATE ZIP PHONE: _ PLUMBER: Ck)?Y?;I PLiJMBIA?C; C0 ADDRESS: 2300 C:UTE:Aii ! ac,E: a CITY, STATE "H`UNI3, "`-i` Zlp 55354 PHONE: 472-2316 OWNER: KASTEP ?,]^.'-`R?!C"Tli,N, I:4G ADDRESS: i' G FA}: 539 CITY,STATE (AV.A',?`-ASc`'=N+ MN ZIP 3`•; PHONE: `0 -55; 1 PERMIT REQUESTED k SEWER COMM/IND - NEW X WATER - TAPS %- RESIDENTIAL 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 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 EAGAN 31130 PtiloC Knob Rd. Eagan, MN 55122-1897 DATE SITE ADDRESS ',' 77. i'1tA I LOT BLOCK 2 SEC/S APPLICANT: ADDRESS: CITY, STATE r PHONE: PLUMBER: ADDRESS: :'."iu?, Ck',A•f CITY,STATE '01.1141), i: PHONE: - 477_-2315 OFFICE USE ONLY METER #'1qYqd Ya&' PERMIT QATE 03115LU CHIP # 6 Z8 / 3?O ?O 9 PERMIT # 11582 METER SIZE B.P. RECEIPT # C y(-%'j? 15SUE DATE t? ? B.P. RECEIPT DATE 07/23'' ?` PRV - BOOSTER PUMP PERMIT REQUESTED Y SEWER X WATER - TAPS - COMMIIND RESIDENTIAL ZIP a_ NEW - EXISTING OWNER: IuC ADDRESS: P 0 8OX 5:19 CITY,STA7E -;`ANHASf,EN, NN ZIP_ PHONE: - PLEASE ALLOW TWO WORKING bAYS FOR PROCE: SEWER PERMITS, CONTACT ENGINEERING DEPT. Lawn Sprinkler Meters are to be Installed - Ahead of Domestic Meters on Water Line. _ Credit WILL NOT be given for:Deduct Meters. ? . F . .y, ?' . . . . . _ ' . / .- .. / _ I AGREE TO COMPLY WITH CITY OF _ EAGAN ORDI Nq - ? SIGNATURE WHEN METO'R I SUED CALL 454-5220 FOR INSPECTIONS. FDR STORM „ .. .,.. ,..., , .. , .. .. _ . ?:. ?---_-: ' CITY OF EAGAN ' p 1$ 182 ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 4 P HO N E: 454-8100 BUILDING PERMIT Receipt # ;141?000 ?? ?/GAR JU1.Y 23 9 90 To be used for Est. Value Date , 1 4172 p1iA2RIE RIAC$ RD Site Ac??ss OFFICE USE ONLY Lot Block Sec/Sub. R-3 M-1 PefCBI N0. Occupancy FEE S S?ER Ci0N8?RUC?I? IlIC k11 Zoning 783?Q0 , Name (Aclual) Const Bldg. Permit W 539 70 SO o Addres (nlbwable) - Surchar e . ? # °f $1Drie$ g ?? ? City Phone ?i ? Plan Review s? Lenym ? 1??? o Name Depth snc, ciry ?? Address S.F. ToWI - CC ?'? gAC. MCIM ? City Phone S.F. faotprinl5 - 625.00 Q S S Water Conn n ite ewage 9p ? 0. Name on si?e weu Water Meter ' W ? 30 0 _= AddfeSS MWCC System - .0 ?u xr Acc1. Deposit a W City Phone CitY Water R ?- S/W Perma 90.00 PRV equired - ?? I hereby acknowlege that I have read this appliCation and state that the Booster Pump - SNY Surcharge infamation is correct and agree to comply with all applicable.State ot 252.00 Minnesota Statutes and City ot Eagan Ordinances• . Traaiment PI 355 00 Signature of Permitee APPROVALS Road Unit . A Building Permit is issued to: K??R COZIS?IRIIC?IIOD1, 1 Planner - Park Oed, ?- on the express condition that all work shall be done in aCCOrdance with all Cauncil applicable State of Minnesota Statutes and City ot Eagan Ordinalces. gldg, pff. _ Copies .3 "5 Building OffiCial Variance - TOTAL , Permit No. Permit Holder Date Telsphone # WATEfi kz SEWER PLUMBING H.V.A.C. ELECTRIC D ?a9 ? O ? Inspsction Date Insp. Commants FootiWgs l Foundation I Const. Meter I I I Plbg. Inspector - Notify Plumber I Final • J • • (grxitfixa?ic of (Orrupaury Citp of (Eagan Bqmhnetc# uf AuiidiYtg Jnoprdian This Cem'frcale iuueri pursuanl to the naguirtmur[s of Sacrioa 306 of the Uniform Building Code wliJying tlrat at rhe tuae of issuance tJrismucuur wrrs in uonrpliance with the mrious ordinancrs of the C:ity regulatbtg building construc[ion or use For lhe foUowing. u?Ch2dThenion SF nwr/Gsu ewk.p, ;crro, 18182 owAp„q Type R-3 M-1 Z,,&w a„,;a R_1 ry,??- V_N o..wdo.uw KASTER CONSTRUCTIOAdd,.. P 0 SOX 539 B.Ift Ad*? 4172 PRAIRIE RIDGE RQh,,, L15. B2. COUNTRY HOLLOW o.,c MAY 17 , 19 POST IN A CONSPICUOUS PU1CE ? MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE PHONE 4548100 Lot Cfty TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cand. 02 M BTU Vent JAZ CFM Gas Piping Outlets # Other CommJlnd. Contract Price x 196 BLDG. TYP5, Res. le-- Other For City Usa Only PERMIT# , RECEIPT # CLK? -17 ? DATE: - WORK DESCRIPTION New Const Add-on Repair ? FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES AIC ON NEW CONSTRUCTION) TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS (INCLUDES GAS PIPING) GAS OUTLETS {MINIMUM -1 PER PERMIT- COMIIIAND FEE -1f% OF CONTRACT FEE $24.00 6.00 12.00 i .50 EA. APT. BLDGS. - COMM. RATE APPLIES MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SJC PER EACH $1000.00 OF PERMIT FEE) .. 17 .i . _._.-- -?-- -?--- PERMIT FEE: -- S/C: FOR: ITY EAGA } TUTAL: ?. ,. CONTRACT PRICE Site AdflTss Lot ; m c ? ?----?+?'-?• ;?? ,? ? r.?.,r -?-? --? ? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Phone FEES COImIM./IND. FEE --MQF CONTRACT FEE - - ' APT. BLDGS: - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD,$.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: CIN OF EAGAN Res. Mult. Comm. Other For C PERMIT # - RECEIPT # DATE: - New Add-on Repair RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ? FIXTURES JOT? Water Closet - $3.00. $ ? Bath Tubs - $3.00 Lavatory - $3.00 -? Shower - $3.00 ? Ktchen Sink - $3.00 7r. uc- UrinaVBidet - $3.00 -? Laundry Tray - $3 00 ?zi? ?- Floor Drains - $1.50 -t 7,:' n Water Heater - $1.50 ?- Whirlpool - $3.00 - ? Gas Piping Outlets - $1.50 ? -7 oci (MINIMUM -1 PER PERMIn Sohener - $5.00 Well - $10.00 Private Disp. - $10.00 ? ? Rough Openings - $1.50 PERMIT FEE: STATES S/C: • ='' O ??G?? GRAND TOTAL: ,c i 5, 13a, ? - 4k-e&n,? HOUSE HEATING TEST RECORD ADDRESS ?/ ?z ?yaf3??'G/ /° ? 6 ppT.-FLOOR CITY SUBURB OCCUPANTAr aE5 d ., w eY?QY- OWNER -ri4Z?2 'r°-- HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY ? Elschical Wwk By Gos Lin? 8y S ? ?. , B?Zf TYPE OF HEAT GA -FA ?HW -STEAM _SPACE HTR. -UNIT HTR. -O ER T GAS DESIGN CONVERSION ?a? MAKE L• ? MAKE OF BURNER Model . l, OT L?93lop Modal r Sarial Max. BTU Ratlnq INPUT MAKE OF FURNACE Modal CONTROLS THERMOSTA?TJ Hsat Plug Valre ?? Limit L T Limit Sotting Fan Settiny Pilor TYW '( ! T Pilot Make f `. t rK/ Pilm Abdsl Pilot T{mina L.W. G,r Off Prosauro Percant CO2 I?qutCFH `_?Pwcenf 0 2 S1ack T?mp. 6 P?reant CO Fpm 235 VanT Size KINU OF LINER ONF ?' SIZE Drah Hood = 2? L? Rpuloror Filfars Sizs Numbs? Chimnay Locotion Ins d.?0uta{da Ch{mney Construcfion ?j? 463-rii _a' Smoks Bom6 Wiring ?? Drafr `' Test Taq Y Dow Praasurs Li qhiinp InsT. Dats Tutsd -/ Q ? - zy - ,?/ Company Testing Nams of TesHr _ -? ?- T .?f?E: DATE: AUG 15, 1990 4172 PRAIRIE RIDGE RD (KASTER CONSTRUCTION, INC) x Your Sewer & Water Permit for the above property has been completed. It will 6e held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. 8E 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. - COMMERCIAL PROJECTS ONLY: Please pay for meter ai City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WAHNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. ' - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: 4172 PRAIRIE RIDGE Lot15 Blk 2 Sec/Sub COIfNTRY HOLLOW These items were/were not complete at the time of the final inapection. Date: MAY 17 1991 Yes No ? Final grada (6" fxom siding) ? Parmanent steps • garage Ll_? Permanent ateps - main entry ? Permanent driveway Permanent gas ? Sod/seeded grass ? Trail/curb damage f Porch Basement finish ? Deck ? Please verify vith the buildex tha removal of roof test caps from tha plumbing system and the shut-off of vater supply to tha outside lawn faucet before freeze potential exists. (j 'a? urnzmruE- White - City copy Yellow - Resident copy Pink.- Contractor copy CITY OF EAGAN , N8 18182 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERglT ' PHONE: 454-8100 a Receipt # To be used for SF DWG/GAR Est. Value $141,000 Date JULY 23 , Ig 90 Site Address 4172 PRAIRIE RIDGE RD Lot is Block 2 Sec/Sub. COUNTRY HOLLOW Parcel No. w Name ?STER CONSTRUCTION, INC o Address P a BOX 539 Ciry CHANHASSEN Phone 890-5561 , o Name - ?? Address ? Cily - ?a Name - WW HW ?? Address aw City- Phone cation and state ihat Ihe appli I hereby acknowlege that I ve reatrds.l infortnation is correct a ree to y withall applicable State of Minnesota Statutes ann ance / Si9nature ol Permitee n? a BWlding Permit is issued to: KASTER CONSTRUCTION INi 0n lhe ezpre5s cOndition [hat all work Shall 6e done in aCCOrdanCe With all applicabie State of Minnesota S?jtatute,Js andC,ity (jof Eagan Ordinances. 8uilding Official ?\N1f I,???A I y y I f L?Y Phone OFFICE USE ONLY Occupancy R-3 -H--1 FEES Zoning R-1 (Adual) Consl V-N Bldg. Permit 783.00 (Allowable) V-N Surcharge 70. $0 # ol Storles 58, Plan Reviaw 509.00 length Depih 36 ' SAQ City 100• ?0 S.F. Total - SAC, MCWCC 600.00 SF. Footprints _ waier Conn 625.00 On Site Sewage - On Sita Well Water Meter 90. DO MWCCSystem x- 30 00 i City Water X7C Acct. Deposit .. PFV Require0 22L 5/YY Permil _-?? • ?0 Boostar Pump - 5/W Surcharge . $0 Treatment PI 7 57 _ 00 APPROVALS poad Unit 355.00 Planner - park Ded. council BIdg.Off. _ Copies - 3 445 00 Variance - TDTAL , . ? 014 2 9 Request Dete ! Fire No. Ro in Inspection Re ' tl? O Reatly Now ?Will Notity Inspecior ? s ? No WhBn Reatly? IX licensed coniractor ? owner hereby request inspection of above electrical work at: Jeb Atltlress (Sireid, Box le No.) Cily ? ? rV Seciion No. Township Name or No. Ba No. County Occ nt(PFINT) ? Phone No. c? ?6 I .? P w upplier Atltlress L K? C -?O s C? , ' 9. 300 ElecNwl onlrac?Qr ?Com ny Name) COnVactor5 License No. C?" G 3- Mailing Atltlr ss (COn ra r or wner Making Installation) ` c. C u z Sign re IGO?nvyyc?¢??O.v qr Ma?k ?g instana ion7 one Number ?/ ? ?/ ? . .?iLl / / /Y--C/L?il. _ ? / NESOTA STATE BOAHO OF ELECTHICITY THIS INSPECTION flEOUEST WILL NOT rlgga-Mbway Bitlg. - Haom S173 BE ACCEPTED BY THE STATE BOAFD 1821 Unlverelty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plwne(612) 6C¢-0800 ENCLOSED. ?j`/aj?f/ 90 REQUEST FOR ELECTRICAL INSPECTiON M ? See inshudians lor campleting Itis iortn on back ol yellow capy. ?1 01429 "W" Below Work Covered by Thrs Request EB-OOODI-OB ? ?'?'l 9885<<0 ew Add Rep: Type of Building AppliancesWired EquipmentWired Homa Range Temporary Sarvice Duplex Water Heater Electric Heating Apt. Builtlinq Dryer Other (Specity) Comm./Industfial FurnaCe Farm Air Conditionar ONer (specityn Comramor's Remarks: Compute Mspection Fee Belaw: # Other Fee # ServiceEntranceSize Fee # Circuils/Feeders Fee Swimming Pool 0 to 200 Amps K!YI O ta 700 Amps Tlansl0rmer5 Above 200 _ Amps Above 100 _ Amps Signs Inspecmr§ Use oniy: TAL ?? Irrigation Booms 77 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED D CONNECTED IF NOT Other Fee COMPLETED WITHIN 78 11,119ifill S. ( I, the Eleciriral Inspecior, hereby Rou9h-in certify that the above inspection has been made. F;nei ? + OFFICE IISE ONLY TMS request voitl 18 months trom PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date Site Address c 4241 Unit # Property Owner Lf.G?L r L?Lu< Telephone ^667, Contractor Address City State Zip Telephone # ( ) The Applicant is v Owner _ Conuactor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 IncludesCOUntyfee. AdditionalconsulWntfeesmayapply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 ? placement _ adtlitional 1 State Surcharge ? J ( .50 T T I ?L? ? I? ? O B V ?I . I hereby apply for a Residential Plumbing Permit and aclmowledge that the Pormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemrit, 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 appr? plan in the case of work which requires a review and approval of plans. A IicanYs Printed Name Applicant's Si ature RESIDENTIAL ? BUILDING PERMIT APPLICATION ?J 5? I CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651•681-4675 NewConfWCGon Reauiremanb • 3 registered site surveys showing sp, ft ot lat sq. ft. of house; and all roofed areas (20%maximum lot coverage allaxed) • 2 capies of plan showirg beam 8 wuidow sizes; poured founC Eesgn, etc.) • 1 set of Energy CalcWations • 3 mpies of Tree Preservation Plan if lot platted afler 1/1193 • Rim Joist Detad ODtiore sHeclian sheet (bldgs wAh 3 or less unAS) DATE (o - 6-Ua SITE ADDRES TYPE OF WO APPLICANT STREET ADDRESS ?0114tir., TELEPHONE #79-??5_rnUD CELL PHONE # PROPERTY IULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 "ZIP J53 UjSTATe Faac # 5T 95_ 996;2 reLeaHONe# 95a- VyL - 8V86 ------------------------------ ---.... -------------- ------ ------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yIINNESOT:1 RULES 7670 CATEGORY l MINNESOTA RUL,F,S 7672 (J suhmission rype) • Residential Vantilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contracior: _ Plumbing system includes: Mechanical Coniractor: Vlechanic.il systcm includes: Sewer/Water Contractor: _ Air Conditioning _ Hea[ Recovery System Phone # Phone # ------------------------------------------------------------------------------------- I hereby acknowledge that 1 have read this application, state that the informati wiih all applicable State of Minnesota Siatutes and City of Eagan Ordinances. Stgnature of Appiicanf Fee: $90.00 Fee: $70.00 pn? ?UOZe OFF'[CE USE ONLY _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths RemodeVRaoair Reauinmanb . 2 copies of qan . 1 set ol Energy Cakulations for Aeated additions • 1 site survey far exterbr addifioris 8 deck5 . IiMicate if how served Cy septic system for additions VALUATION S GS, 00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY 1016-7 O 01 Foundation p 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (sueened) ? 36 Multi ? 05 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) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratian 13 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Damolition (EnUre Bldg only) - 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemeat) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Ptant Plumbing Permit Mechanical Permit License Search Copies Other Total o•* ?Q 783•00+ 70•50+ 509•00+ 2,082•50+ 3; 445•00*+ ? ? ?83•00+ ? 70•50+ 509•00+ 21082•50+ 31445•00** .?. 1990 BOILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 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. UEPT.) 1 SET 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 ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWEDONCE 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:S/tiuE7?.,Y??i?fYtMEValuation: cz!? Date: 7-/6 Fd Site Address ,f(/',? peq?p;e "b . Lot /57 Block A Parcel/Sub LOU,c'fRy J? Oconer l? •i5 TE< Address 70`Q No,( S3q City/Zip Code(99q?JHASSfn? ?1A) SS31? Phone Contractor ?5?6,Q??"NSfi Address /.C, j?X •?.?`? City/Zip Code Phone Arch./Engr. Address Gity/Zip Code OFFICE US1 ' 00 J? Occupancy Zoning Actual Const V-N Allowable V ->I # of stories Length S8 Depth 3(_ S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water -Iz? PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. ?j/17 Variance . .. kOL 1,6 ?F xv COMMERCIAL ONLY FEES Bldg. Permit 983,co Surcharge y fS Plan Review 00 SAC, City 100,00 SAC, MWCC a'Ds00 Water Conn (225,00 Water Meter 130)00 Acct. Deposit 30,00 S/W Permit 20,00 S/W Surcharge ,$D Treatment P1. 2$2.00 Road Unit 3$$,0 0 Park Ded. Copies SUBTOTAL Penalty TOTAL Phone # . . VAL? G.nR4c-,4-:= Z2X 3v GGO ?r- 2?xzsc?= Z? X I y _ 3qz, (,'z+ rr :- ?- lo xN= ? i28g X ?y= 18p32' 3Svri? _ ?Z?t? 13a3 X Sj ? GG u53 ZS x3i oo 6 B 01, ? u rl )yo?35 .. . ?, , - - Slatve??orfs 6atifixte SURVEY FOR: llon Kaster Construction DESCRIBEO AS: Lot 15, Block 2, COUNTRY HOLLOl4, City of F,agan, Dakota County, A1innesota and reserving easements of record. / 30 .4 Ay ^ ^) Q, ? l ?^ 0 r ?IV?Y a o0 N? e // 30 0? O ? ? =8?94??.3r . \ ! l ? `.,wa+\ ?' ? lq.? ?ZVe a J?v Z' S?d ?iag?Y ? r r' r ?3a 1 i s" 0 ?N $ ? f3 6) ? 8ai ? ??. 0.ek / \ ` \ O QQ,4 t. f?1o ?? / i a L 0 T SQ. FOCl TA GE = 13, 05 / Op, Op.N ? 4l / N $ /ry?0.~ Tl 110. ?5- / ?t8 C%) N ? m ti [V v°o EAGAN 914G%11iEE13INC DEPT PROPOSED ELEVQTIONS Top el foundatlon ¦ 424,3 Oorope Fleor • 4 a2 9 Boeoment floor ? j 8j(.,2 Appror. Sower Serrlee Elw.• 8«; id.f V.ri?y Proposed Elwallem t O Eaotflnp Etsrotlon• a_ 4ro{noolt Olrsctroo+ . ?? Dlnolee O(Igsl $lohs . m ow 1SCALE! 1 Ineh • EO Fsrt BEPIC` a?R-K-1 TNN & Mriya, £lev, , g21.43 MIM SbTBACK REaIREMENI3 Frent - sp "row. eIe. - Rebr - 16 Omeq Side- S iifEvLun?o P/anning fnglneedrrg Surveying p01lMFepAiNlen?n?? MltiwwNbll? I Mreey evllfy fhaf IMS rotWl. PIen x rOperl wM otopend O? me JOB NO.: ' er unAer my Alnct .owr.ioim a?e ?tie? t am e Au1? RN??????d '?OR- r?Aq UnA Savqer mdat 1M kwt of IAe SIaN o/ MleaoeNV. /0pit; OI{OE? 149 1 pep? T• il i 9D D• JVj tAwf0.t I pWQ. CHK. L M? IiOMs/ N3Te m+sc 90 ?W .. EXTERtOR EHVELOPE AYERACE "U" COMPUTATION •DWNER: , SITF ADDRE55: 4 I12- ` lr' '( CONTRACTOR: :?S1" OATE: 1 Is O PHONE: . 1. 2. l DETERHINE NORKING SQUARE FOOTAGE OF EACH: TOTAL ExPOSED 4ALL AREA,,,,,,,, 321b,5& sq ft x"U" _a TOTA ROOF/tEl NG AREA,,,,,,,, (?I'q,r) 'L fq ft x"U" •??rfL,m 3?r,Qi`f -{o? Q,cQoa?.d ?inr Qm' TOTAL EXPDSED WAIL ARfA LALCULATIONS:?, ???' X ?? = I0..33 Total exposed wall , area above fioor,,,,,,,; j0(4 i I b sq ft t a) Total well alndow •rea: IIISqlased...... SCU,'Sb tQ ft K nV" SLc4'?' --(? giszed...... --?? sq ft x "U" 'Cr? b) Total door area ......... sq ft x"U" i? sq ft K "U" • ?? sq ft x "U" ?r aqftx"U" i - 12- v5 -?- a e o a ara g (Average IOa)........... 257?52 sq ft x????? •O ° Z?J,?? c) Tota' ,llding glass door area: ?nb?l4? glazed...... --zr?-? g 1 a zed. . . . . . --w- d) Tote) flrepiace wall area ) T t 1 it framSn area f) Total net wali area above filoor (Insulated):...... Z '10b sq ft z "U" '0? g) Total rtm Jotst area...... sq ft x"U" ?o s ?7•7 9 Total foundatlon erea (Exposed)......... 3 h) Totel foundatTon ZI I , 3t) sq ft window area............. sq f[ x"U" --?- ° I „ o . j +-= z3- s?l O Total net foundation ?0 ??0?'S X area above qrade....ZS?? sq ft x"U" ?nZ'J TATAL s) thru i) Q 2 5 5?? If item l3 !s the same as, or less than item #1, you have met the lntent of • 2 MCAR 1.16008 A and O. _ • ? - :. . . ... . . .. ...:..,:,.. .... . - . ,... ... ', . _ Page 1 . . . r st?. ... . ?__. . - . .. .. . ._ . . TDTAL EXPqSED ROOf1GE1LING GAl6ULAT10t15: Totel exposed sq ft roof/ceiling area........ J) Totsi skyliaht area....... -v- tq ft x"U" yod? ?00-k- 23,3? x k) Total roof/ceilinq framing area (Averaoe 1f)9).,,,., sq ft x"U" 1) "fotal net insulstcd ft z "U" roof/eetling area....... sq . , ?25 _ 5 ?25'? .oZZ - ,??,9sc? • . roTaL J) tnru 1> 3 59? totel of 04 ts the same as, or less than 02, you have met the tatent of 'tCAIt 1.16008 A and 0. 1 ? ALTEIUTATE BUILDING ENVELOPE DESIGN o utiTtze 2he total envelope system method, the values establtshed by the sum ? if ltems X3 and R4 shall not be greater than the sum of items A1 and 02. 1. + 2. ? 3, + 4. ° ?Iwuf q(a<'? Zo(o;52 ?f?,?? V L E R T 1 f 1 C A T i tl N 1 fiereby certify that I have calwTated ihe "U" factors and "R" alues-herein and that-ihe buildinn here describeA meets or exceeds the State ,f Minnesota Enerqy Lonservatton Act. - ' Signatu e ??• ? ...x'.??1..?J,. ,3190 . L (Oate) Page 2 , s• n r ?a4n', ,. 1? .... _........ . ........ . . .. . _?'.. ... _ ?b:»4.-.T'I ? . Y. ???• s'°• . ••• •?•? , - ,. •?? • p.`A • . ` -r Ai,41 ?. i.•?. ? -. . :.;-z-? ? . +uut ?1STR? N M11NG SECTIG1f: ? It YAt!!E' ,oo__ (iNSULAr16) S s? tIM J0lST tECT10N: --? 1' M iOUNDATION INSUTATtoN REWIRED: • ' Mtn. R-S on tntire Ma11 OR ? U?!!It 0•o ? Min, R•10 da+n to frost aepth ? fGIAJDATIpN tEtT10N: t ntcrlor alr f11A 2„ ?o , ? 096 4 ?:Y-?..?... ;`. xter or a r film i0TA1 R? 7? ?? r2,a3 414?-:-?3 . .. _. ?- • - - . ? ?. . . !t? ilR? .I4 ob a ? SLAII OH GMDE . . . , i..y .. : , _ _?--- , ? . • r ,; ` ?Y '? - 1.•,. :? ;? ;,?4 . . , .•=,.-•,a;• :• :.:*+.••o• ,.?•.. ,.? a ?,•?r..4 ,;?,:,.?? •• ?!.•? ? , ?;•..?'?y? • •• ; ?q -; . ; ? % .4 . i ??r f w,. I ? i y ? -¢?;M ? ? ? ??y Is.._??_??1: J..1• ?.s?' -/ !- •??? j's???? ?.a ; ? e??• . a,' ?a?? , Mtnio?ua ? e.5 : ' • ' :. .`? , . ? :? x ? ^?)??r ?R? ? - . . ?.a• y??1 ? ? o .?? ? a,, .r' M1 ?*: ? • ?? ? ? ?} '? ? . ? ? TM ha. P13?""4 ? .u<.?;r` J ' u • t/it • r3 u • I/a • .b? cok?tFUCTina x vr!ut, . , CEIIIMf, 1ECTiON (INi 1 Intcrlor alr , ? Exttrlor aIr ULATED): " tlim D R 5 J6 G? y .0'n fll? stfl! tf ?? TOTAL k U ? 1/It ? ?o2Z CEtIIMG iMMIING SECIIOM: 1 Interlor s1r f11M b.t,f 2 ,,+n r , (o f _ r) ?n ? 31, i'I ? ncer or a r 7T?? (stil l) n.??,'f' , S 3 IntAes so t woor! iO7A1 R Q a I/R • •U71 VENTED ? ; . _. . _.. 7 4 5 .i. • ? • ? i. _ .. e • r r _, . _ ..._,trl.i•???j.?_.:%s ,I ti?? ? ?MQI? •: Qj? pfl ?14,A? CEILING SECTtOh (INSUTATED): 1' Interlor alr flim 0.61 ? ,4/d 3 ' - r ?- TTh??, . 30, • Exter or a r ilm ctltl D. 1 OTAL R ? •, 'J . Uo 1/R?,02S V4v1? CEILINr, FRAMtNr, SECTION: -; - 7 Interlor •tr f)!rn A.RI -- 2 „ . ' 4 Exte? or •Ir flirr, ttiil n. S (n[hcs so t wood •Dlo , TOTAL R ,- .. ' U ? I IR , " . .t . . . ?:.. : ? r . . • ' ' . . - ..?. ? ? .'. ? . ? ..'? . . .. - . .. • .. .. . . ? , ? ? :' ? ? • ? ^ ? : ' . , • ? ? ' • ' ' •• ' ? 1 ? ? ? ? i, . . ?? ' • 1 ? ? . . . ' ',"?'",'"??slar?etr tiim '?•? ?' ?n.1 . . 2 3 - S utSlat ?11 V, lm - - _ _?•?? ??u-k . ? 9" 1?,L1 A, I hl?vl- _ 3c) r-o y ! , , 32-53 3??0? . • ??- ,03 ,?3 FIt.3A o'b ? +. ..-t..r....`! v° ,?-? • ? ; ?-? ? r ?o ? RESIDENTIAL BUILDING Permit Application City O( Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 -'s r1l.o Z) -??` ?A_U? -d 3 9 16 NewConsWCtionReauirements RemodelrtteoairReauiremen4s Office UseOniv 3 registered site surreys showing sq. fl. af l04 sq. ft of house; and all roofed areas 2 mpies of plan _ Cert of Survey Recd (20°k mauimum lot coverage allowed) 1 set of Eneyy Calculalrons for heafed addilbns Tree Pres Plan Recd 2 mpies of plan showing beam 8 windax sizes; poured fourid design, eta 1 site survey foradditions 8 decks _ Tree Pres Not Reqd i set of Eneyy CakulaAOns Addi6'on - irMicate iton-site sep6c system _ On-site Sep6c System 3 copies of Tree Preservatlon Plan it lot platted aRer 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 0 3 Construction Cos ZS l?1P ? Site Address t(( 7 L ?•ca?'?-ic ? i?e ? UniUSte # ? I F.e w• It-t?J SS? z 3 Description of Work Multi-Family Bldg .. _ Y -"N Fireplace(s) i _ 0? 1 _ 2' • ? PropertyOwner Telephone#((94-1) 6AW?66S70 I Contractor Adtlress Ciry ; State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet (J su6mission rype) Submitted Submitted . • Energy Envelope Calculations Submitted ?'. . Licensed Plumber Mechanieal ContractoY . • • 'k Sewer/Water Contractor M I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accuratz; 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. Oal1d Tj4 ApplicanYs Printed Name ?? Apphcant s Signature OFFICE USE ONLY Sub Types ? 01 FoundaHon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex V 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex 0 17 Garege O 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex 11 18 Deck ? 23 Porch (screenlgazebo) ? OS 03-plex ? 11 10-plex fil 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New )d 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy iz 3 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 ?Ir \ Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation ZC HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Ftgs Air/Gas Tests Pool Final Framing _ _ _ Siding Stucco _ Stone _ ? Fireplace X R.I. X Air Test SC - Final Windows (new/replacement) g Insulation _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Approved By Building Inspector L-oLA?eR Ie0 e- ('I 71) .e0 (.C) o ..aSt .?1.tt w?+v 0.f 0 CA Cv- 0 PLUMBING (RESIDENTIAL) L Permit Application ?( Qj J City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required For each unit Date C?- / 19 g l 03 SiteAddress 417Z Unit # Property Owner Telephone # (JW/) G 25?d "6670 Contractor Address City State Zip Telep6one # ( ) The Applicant is Owner _ Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. AlteratiOns To Existing Dwelling Unit, Including $ 50 00 Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ addilional rr ^?'?. I I` ? I iU ?, ? Ll . Statesurcharge ? FEE 11 2003 i $ .50 ?U Total gy $ • I herehy apply for a Residernial Plumbing Petmi[ and aclaiowledge [hat the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I undexstand this is not a permit, but only an application for a pemut, 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 plan ? ?7pplicant's Printed Name Applicant ignature City of Beau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit#: Permit Fee; Date Received: Staff: 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: e2 -/C?`") e ) (I Site Address: A/17 L Roc., T ; p Ric e R 1 &' U vl /hat. r j- - CO (4' s -t e rSuite #• Tenant: Resident/Owner Contractor Name: 6 t I U M Phone:(&IP) $39-25'31 Address / City / Zip: LI PP- P!'a " r; e RibA t✓ Rc,' E., .17 M Name: RR-Cri,eRc73 'i `f' #afv License #: 5-0-60 lheo, ri 1,/,1 D•r,-v e.. City: J 1.4 Vr State: 01,1 Zip: 5-5— Phone: CGj 5/s) Li 3 °l' 5'7? Contact: ite5 P, J KO4-. Email: C ok ft 14404"5-1. ✓!t° Address: Type of Work New Y. , Replacement Additional Alteration Demolition n Description of work: 1 n 1( rt e NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL ,Furnace Air Conditioner _ Air Exchanger - Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank Install/_ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) o� COU TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 *If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0006 **if the project valuation is over $1 million, please call for Surcharge Contract Value $.. x .01 $ Permit Fee = $ Surcharge* $ TOTAL FEE 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 1 understand this is nota 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. x Cl'► ' 'ec, PE +0h Applicant's Printed Name Applicant's Signature x C,�eAdIka_.�p� FOR OFFICE USE Required Inspections; Reviewed By: Date: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening 1 City of Ea�au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2 2016 r Use BLUE or BLACK Ink For Office Use 143tSct Permit #: Permit Fee: Date Received: C _.i Staff: 2016 RESIDENTIAL BUILDING �JPERMIT /� APPLICATION Date: c2 '-% G Site Address: z/ ) 2 / %ari'1e it /b�t. !k Unit #: CA/1k" Name: 7) As.) e $ f r i51- LI' c L* Address / City / Zip: C cLIA /U, 537 Applicant is: Owner )C Contractor Description of work: Phone: Construction Cost:. C' '0, — Company: Kr JSL\ O©r1S4 . C. Contact: Nei n 1S KralS1- Address: L\ \ Lo (4,e1 1? I ' ST City: Se .A./ Vfl IV Zip:55-5)55" 39'State: p: � Phone: � 1 c� ��J Email: License #: C-1 10 13 Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: 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.orq 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 o ermit issuance. x�' Applicant's Printed Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review \/ (25%_ 100% ]� ) Census Code !!! # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE X11 fv g'21 Fireplace Garage Deck Lower Level _ Interior Improvement _ Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes Fireplace: _Rough In _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 1 Hour Air Test Final Siding Reroof Windows _ Egress Window _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) _ Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath - Windows Retaining Wall: _ Footings — Backfill Radon Control Fire Suppression: Rough In _Final Erosion Control Other: 2- , Building Inspector Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164987 Date Issued:10/13/2020 Permit Category:ePermit Site Address: 4172 Prairie Ridge Rd Lot:15 Block: 2 Addition: Country Hollow PID:10-18275-02-150 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 - David J & Mary D Unmacht 4172 Prairie Ridge Rd Saint Paul MN 55123--162 (612) 202-2391 Nmc Exteriors & Remodeling 14505 21st Ave N, Suite 226 Plymouth MN 55447 (763) 244-2961 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175970 Date Issued:04/25/2022 Permit Category:ePermit Site Address: 4172 Prairie Ridge Rd Lot:15 Block: 2 Addition: Country Hollow PID:10-18275-02-150 Use: Description: Sub Type:Underground Sprinkler System Work Type:New Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David J & Mary D Unmacht 4172 Prairie Ridge Rd Saint Paul MN 55123--162 (612) 839-2531 Drain Pro Plumbing 8815 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature