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4175 Prairie Ridge Rd. ..Y .. Y. . x?: . .. v x '.r??''i' • y . . ?•.N. . ' ^iS:r `y;: ?.?E',." : " . . CITY OF EAGAN 3830 Pilot Knob Road, P O. Box 21-199, Eagan, MN 55121 `. PH NE:454-8100 BUILDING PERMIT Receipt # To be used for FIREPI.ACE Est. Value $1 +000 Date oc 18459 Site Address 4175 pRAIRIL RIDGE RD C43INTIY HOLLOid 19 3 OFFICE USE ONIY Lot Block Sec/Sub. P2fC@I N0. Occupancy - FEFS W Name ? DICKERSON Zoning (Actual) Const - Bldg. Permit 25•00 o 4175 PRAtRTE RIDCE RD AddfeSS (AIlowable) - 5 .50 urcharge City EAGAN Phone 456"0757 # of Stories Plan Review Length _ o Name JACK RIxLEY pepth _ SAC ciiy O s 4179 149TN AVE NW Address S.F. Tolal , - U ? City ANDOYER Phone 422-0481 S.F. Footprints SAC, MCWCC - Water Conn On SiEe Sewage _ ? W W Name On Site Well - Water Meter ~ = Address WCC S slem M y - ¢ = a W City Phone Ciry Water Acct. Deposit _ 5/W P it PRV Requfred erm _ I hereby acknowlege that I have read this application and state that the ` Booster Pump - S/W Surcharge informaUon is conect and agree to comply wi II apptica6la. State of Minnesota Statutes and City of Eagan.LNdm. 5/ -' Treatment PI .r?/' ? Signature of Permitee - µ. . APPROVALS Road Unit ?I Y A Buiiding Permit is issued to: .1AC?Cr' P?anner - Park Ded. on the express condition that all work shall be done in accordance with all Council -- applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ CoPies 25.50 Building Official Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Uate Insp. Comments Foolings I Foundation Framing Roofing Rough Plbg. Rou9h Htg. Isul. Rreplace .? Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Nolify Plumber Engr./Plan Bldg. Final ('j ?-'7 Oeck Ft9. ?j 'V,-/2 '-L - DeCk Final Well Pr. Disp. ItE,A??C???iTED FOR DECK 8/3/89 CITY OF EAGAN D4 .? HA?FExZ 423-3803 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value $1 41,000 Date MAN 161"4 19L1 Site Address ? 175 PRA1RIE RIDGI !tD Lot I Block ? Sec/Sub. Cfllm"TRY HOLLC?f? OFFlCE USE ONLY Parcel No. Occ„pancy R-3 *4-1 FEES Zoning a"1 ¢ Name L .`t.T•.S Jnciuai?const y"?? Bldg. Permd Trs4.00 3 Address yj`p/+ COG?:TF:.i`;iil)E Djd '(Allowable) V'N Surcharge 70•50 °city ?AGAPv' Phone 454-7423 # ot stolies 392.00 Length 631 Plan Review , o Name DepM 411 sAC, ciry 100.00 ?Q Address S.F. rotai - snc. McwCC S70.OG ¢ City Phone S.F. Footprints - 580.00 On Site Sewage _ 1Nater Conn ? w Name On Site Well Water Meter ^0•00 Address MWCCSystem xx 30.00 ? Z ? Acct. Deposit a W City Phone ciry wacer ?oxc PRV Required XX S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SNV Surcharge information is correct and agree to comply with all applicable State of 2 2? , Minnesota Statutes and Ciry of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 34U' OL, A Building Permit is issued to: `'T L}LULEJ tfOMEy Planner - park Ded. on the express condition that all work shall be done in accordance with all Council - 1'00 applica6le State of Minnesota Statutes and Ciry of Eagan Ordinances. gldy, ory_ _ Copies Building Ofticial Variance - TOTAL .t ?211. ? Permk No. PermR Holder Date Telephons # VY4, TER SEWER " PLUMBING , J Js ?????• - ??3/? ,TL .CL J 1" y H.V.A.C. ELECTRIC L L Inspection Uate Insp. - Comments Footings I 2Lo z Foundation -7/Z44%,, a Framin g ? Roofing Rough Plbg. f Rough Fft9. y ? •y? lsul. ?3 e QS FireplaCe y S Fnal Htg. --?% Final Plbg. Const. Meter Plbg. Inspector - Noti(y lumber Engr./Plan Bldg. Final Deck Ftg. Deck Fnal Well Pr. Disp. t I • I .a Ter#i#iratp uf (Orrupariry Citp of (Eagan arpartmpn2 ? lltildi" jttwrr#tatt This Certifrcate rssued pursuant w the requerements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in corrrpliance with 1he various ordirrances of the City regulating burlding coirstruction or eise. For the following.• Ilse Classifxation ??/GAP, &dg. Pormil No. 16 194 0mvn•-y Troe R3/M 1 ZonwzDWW R 1 Tya Co,ti„_ VN o„?r or ew,mmg 9[. 93AHI.FS Ii[M Add,,. 4194 00[IlMSIDE DR. . F.Af'?AIV BuM,g Addrm 4175 PRAIRIE RIDCE EiD. L,,,ury L19, b3, OQ]NIRY H3U-OW 4&: D,,: JIAE 21. 1989 , Buil(gng Olficiif POST IN A CONSPICUOUS PLACE , , , -t ... '? ,• PERMfT # J MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN S5121 DATE: - 1NTRACT PRICE PHONE 454-8100 Site m Name ? Address c Ciiy Pho c Address ? O CitY BLDC3. TYPE WORK DESCRIPTION Res. New M ult Add-on Comm. Repafr Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADO-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 1% OF CONTRACT FEE - 6.00 - 1.50 EA. MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/INO FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $SO S/C IF PERMIT PRICE GOES BEYOND $1,000.00) . SIGNATURE OF PERMITTEE _J FOR: CITY OF EAGAN TYPE OF WdRK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. , M BTU Vent CFM Gas Piping Outlets # ? Other FEE - S/C: - TOTAL• _ • ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 Site Address Lot 81oc ? Name k .T Address c City Phone Name ' ' - 3 Address p City Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM FiATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR CITY OF EAGAN PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTIDN Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3 00 S Bath Tubs - $3.00 Lavatory - $3.00 i_Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drams - $1.50 - Water Heater - 51.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMI'n Softener - $5.00 well - $10.00 Private Disp. - $10.00 ?Fiough Openings - $1.50 FEE STATE S/C: J , GRAND TOTAL• CASM RECEIPT Alr? r CITY OF EAGAU 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE PC-CEfVED FROM • L--? v . . ? t AMOUNT O CASH Cf CHECK DOLLARS ,ao r + - _ 8Y ' ? °' ? Vuhke?-PeY- ?PY ? • n ? YeNOw"Pos?n9 CWY Pink--Rb Copy Thank You SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFlCE USE ONLY PERMIT DATE 4?1 2/89 WATER PERMIT # 1 035G SEWER PERMIT # ? METER # ?4? ? ? B.P. RECEIPT #? c"0%_R_# 0d 6? 9 Cl y B.P. RECEIPT DATE 3 1/ 8 METER SIZE oC ISSUE DATE 14- - XX PRV _ BOOSTER PUMP SITE RESS 14 l'/4)?? e IP!) LOT LOCK ? SEC/SUB APPLICANT: ADDRESS? -5/0 7 F4 V. N• CfTY, STATE ZIP PiiONE: J Z / PLUMBER: xf? ??/??? l? • ADDRESS: CITY, STATE ZIP PHONE: s? ? ?L S OWNER: 57, 5?IZZ ¢V h`Cif?1? S' CITY, STATE PHONE: PERMIT REQUESTED -ZSEWER 2iWATER _ TAPS _ COMM/IND _ RESIDENTIAL NEW - EXISTING I AGREE TO COMPLY WRl+F CITY OF _ EAGAN OADINANCES: ; _ ?. 40?NATUPE WHE R SU D PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORIA SEWER PERMITS, CONTACT . ENGINEERING DEPT. _. , '_? SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT #"? SEWER PERMIT # METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE METER SIZE 15SUE DATE ?-Y PRV _ BOOSTER PUMP SITE ADDRESS lS ? • t% i /?- L? /? ?/: . ;j ?;' ?c ?_ LOT// iBLOCK •-7 SEClSUB '--•=`r'e:" APPLICANY:, f ADDRESS' ". 4 CITY, STATE ZIP PHONE: "U PLUMBER: k ADDRESS: CITY, STATE ZIP PHONE: 5 OWNER: C'/f/Q/Z! g-5 ADDRESS: ? .' : CITY, STATE Z1P PHONE: ; / . e" • ? ' PERMIT REQUESTED ? SEWER - WATER _ TAPS - COMM/IND _ RESIDENTIAL _ NEW - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: r? .??•',?- SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSiNG. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN No. 16194 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Z Tobeusedlor SF DWG/GAR Est.Value $141,000 Date MARCH 14 ,19$9- Site Address 4175 PRAIRIE RIDCE RD Lot 19 glock 3 Sec/Sub. CDUNTR HO..nw Parcel No. W Name ST CHARLES HOMES 3 Address 4194 COIINTItYSIDE DR ° City EAGAN Phone 454-7925 o Name SAME I g¢ Address ? City Phone ?w Name ?a Address aw City Phone I hereby acknowlege that I havp read this application and state iha[ the inlormalion is correct antl grg e 1o comply with all zpplicable State of Minnesota Sta[utes and City oflj gan Qtdinances. \ Signature of Permitee S { A 8uilding Permil is issued to: ST CHARLES HOME on the express condition ihat all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Oflicial OPFICE U5E ONLY Occupancy R-3 M-1 Zoning R-1 (ACtuaq Const V-N Bltlg. Permit ?Ailowabie) V-N # oi Slories Lenglh oePm S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System Ciry Waler PRV Required eooster Pump APPROYALS Planner Council Bltlg. ON Variance 63' -4.L' y ,.X_ _IX_ ' _ Surcharge Plan fieview FEES 784.00 70.50 392.00 SAQ City 100.00 SAC,MCWCC 570.00 WaterConn $80.00 WaterMeter 90.00 Acct. Deposit 30.00 SM Permit 20.00 SiW Surcharge 1.00 Treatmenl PI 228.00 Road Unit 340.00 Park Ded. Copies 1.00 raTaL 3,211.50 CITY OF EAGAN NO 18459 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-8100 / BUILDING PERMIT Receipt # ?/ ? 7 C4 To be used for FIREPLACE Est. Value $1, 000 Dale OCT 17 , 19-9Q_ Site Address 4175 PRAIRIE RIDGE RD LOf 19 BIOCk 3 SeC/SUb. COUNTRY HOLLOW OFFICE USE ONLY PBfCBl NO. Occupancy - FEFS Zoning - w Name DON DICKERSON (ACluai) Consl - Bldg. Permil 7 5_ nn o AddreSS 4175 PRAIRIE RIDGE RD (Allowable) - S • SO h City EAGAN Phone 456-0757 ;rof stories urc arge - Plan Review Lenglh _ o Name SACK RIXLEY Deplh - SAQ City Z g¢ Address 4179 149TH AVE NW S.F.Total _ SAC, MCWCC ? City nNDOVER Phone 422-0481 S.F. Foolprints _ Water Conn On Site Sewage _ ? F W Name On Site weli - Water Meter ? z AddfeSS MWCC S stem Y - = g W City Phone Ciry watar Acct. Deposil - S/4Y P it PRV Required erm _ I hereby acknowlege that I have read this a licalion antl st Ihat the ?ster Pump - SiW Sumharge infortnation is correct and agree com wii II ale ol Minnesota SlatNes antl Ciry o an s. Trealment PI Signature oi Permilee APPROVALS Road Unit ACK RIX 1' A Building Per ' s issued to: Plenner - ParkDed. on the express condilion that all work shall be done in accortlance with all Council applicable State of Minnesota Sta tut a nd Ciry e s ol Eagan Ortlinances. g?y. p??_ _ Copies ? p r _ ? 1 ,?Yd?1 Building Otficial ?N?I ?J]?' I?.LI ' ? Variance _ TO7Al 25.50 BLDG. PERMIT NO. (??d A.t. E,??i A 01-3210 ? 01-3422 01-3445 101-3446 D1-2155 75-3860 20-2275 Bldg. Perinit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL 7 ?? O t? a 0 yi5/k-? 2 9 0 317Z Requazt Date ??? ? Ire W. Raughl? j R ion e ? Re8M Now ? wh R C ?? O ?B s O No n ee y 4 licensed contractor ? owner hereby request inspedion of above electrical work at: Job Pdtlress (SVeet. Bwc ot Ro No.) 0 Ciry 75 c. SeUion No. e Tqvnship Name ar No. R ga No. Counly ? Occupent(Pql?'?T/)' C 4 e Phone No. • _J R N ° > /{f i r elm .J 7-1 ?Z Power pplier Apd?s C G ?` i C? Ekctn Mrflciw ( mparry Nem ) Contractor§ License No. -5 ' ; ?P Ec ?^,` 30 Mai ing Mtlress (CAmracmr or Pvn Makinp Installation) ? ' - ` e , ( S Authonzetl " (Contraclar/Ow r M 'ng I Ialle?bn) ' ? on Number - e 5 56 O MI4111290TA STAT OARO OF ELECfHICf1Y Q THIS INSPECTION REQUEST WILL NOT GdB9&MWwey floom S-173 BE ACCEPTED BYTHE STATE eOAflO 1821 Univarelly ve., St Paul, MN 55104 UNLESS PROPER INSPEGTION FEE IS Ghone (612) 842-0800 ENCIQSED. ?' RCf]UEST FOR ELECTRICAL INSPECTION Ee-00001-07 ? See instructlona br compkting Ihis furm on back ol yellow copg ? ?' 7/ ? ? ? 9 0 317 "X" Below Work Covered by This Request ew Add Rep. TypeofBuiltling AppliancesWired EquipmentWired Home Ranqe Temporary Service Duplex Water Heater Elec[ric Heating Apt Builtling Dryer Other (Specify) Comm.Andushial Furnace Farm Air Condilioner Olher (specity) ContrectorS Remerks: • Compute lnspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # Circuils/Feeders Fea wimminq Pool 0 to 200 Amps 161 0 to 100 Amps O Transformers Above200_Amps Abovei00_Amps Signs Inspecror? Use Only: 7pTAL IrrigationBooms Special Inspection AlarmlCommunication Other Fee ? 1, the Electrical Inspector, hereby certitythattheaboveinspectionhas been made. Rough,in . F;,,ai DeV? o OiFlCE USE ONLY This request wiC 18 months from , RE ? QUEST FOR ELECTRICAL INSPECTION ee?aoomv? ? See instmcUOns iw wmpleting Ihis form on back ot yelbw wpy. ? 90309 'X" Below Work Covered by This Request e Adtl Rep. TypeotBUilding AppliancesWred EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specity) . Comm.llndustrial Furnace Farm ' Air Condifioner ONer (spedy) CaMreclor5 Remarks: Compufe Inspection Fee Below: # Ofher Fee # Service Entrance5¢e Fee # Circuits/Feetlers Fee Swimming Paol 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps 4 4kV8100-Amps Signs Inspecror6 use Only: lR19dtiOf1 BOORIS ? Special Inspeclion Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has heen made. R°°gh-In ? Finel oe?e o? ?, J c n ?? YJ OFFlCE USE ONLY This raquest vaid 18 monlhs fmm ? ? 90309 ? -? RequBel Date Fire No. R h n InspOCiion Re?7 ' 7 ?eatly Now ? Wll Nolify Inspactor ? v _ s ONO When ReeEy7 ?icensed contractor ? owner hereby request inspedion of above electrical work at: Job Address (Street. Bwx or Route .) Ciry /' 0), i 9 GT Seclion No. Township Name or No. fl ge No. CouMy Occupenl(P INTf Ptrone No. 5 . c 4 4 Vn e ? O)?u?i - 7cl Power ppliet Addrees l L E?c :t n 7?00 Electn CoMredor ( m ny Nam Co apor5 License No. CQ ' )?l{P f. ? 1 ? 3fZ Mai mg Pdtlress (Conhacla w Ono f Making Installatbn) All l 11"/7- ) ?° ? Il G 7 ? .S AuMOrized ' re (Corrtractor ner M' IRSteAaf Phone Number {} 49V MINNE601STATE 9 OF E1.E6TRICRY THIS INSPEGTION REOUEST WILL NO7 Griggs-Mltlwey BICp. poom frl]3 BE ACCEPTED BY THE STATE BOARD /821 Univarelry Ava., St Paul, MN 55100 UNLESS PPOPER INSPECTION FEE IS Phone (612) 642-0600 ENCLASED. ?v ?a/9 p24 4 4 ,G 9 ReQOest Date Fire No. Roug ? spectian R u tl ? Reetly Now LIWA4155ty'luspector ?}I '` - 'Z ? i r No WM1en Reatly9 I censed conrractor ? ownar hereby request inspection of above electrical work at: Job ?Aa/dress ISbeet. Box oute No.? A 'v Se<tion No. Township Name or No. ange No. Counry Occupant IPRINTi Phone No. Power Supplier Atltlress Ele ntrecfor ompany Name) a L1,91.1?LSe •? ? ?G? Conlractors License No. ? 4??s / `? Mailing Adoress tCOnireqor or Ownar aBing InstaO lon) ?S. D, .f rizeo/S'i /aNre ICOm. ctonOw er akin stallaflon? --/ __ _-_ - PhOnB Nber 7 D,S$S MINNHSOTA STATE BOApD ELECTRICITY ' THIS INSPECTION REOUEST WILL NOT Grigga-MlEway BIAg. - m S113 - 8E NGCEPTEO BY THE STATE BOARD 1821 Universiry Ave., . Paul, MN 55104 . UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. ? REQUEST FOR ELECTRICAL INSPECTION ='" ''? EB-00001-OB SBP insvuCtions lor comglBtim^a this form on baCk 01 yellOw ropy ,oS429 ? ? ? 42414 "X° Below Work Covered by This Requesi ew AdB Rep. TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specity) Comm./Indusirial Furnace Farm Air Conditioner Omer IsVeoJyl Cont2cror's amark Compute Inspecfion Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 _ AmpS 100 _ Amps Signs mi use omy: TOTAL SO Irriqation Booms ?? 3? i Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 NTHS I, the Electrical Inspector, hereby Rou9n-io oi certify that the above inspection has been made. Finai ? Date -/ OFFICE USE ONLV TM1is requesl voi0 18 months Iro. ?---??? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4675 New Construction Reauiremenri • 3 registefed site surveys shovrirq sq. R. of IM, sq. R. o( house; and all rooled areas (20% maximum IM coverage allowed) • 2 wpies of plan showing beam & window saes; poured Mund desgn, etc.) • isetofEmrgyCalculatians • 3 copies of Tree Preservation Plan if lot Olatted aRer 711193 • Rim Joist Detail Options selectian sheet (bldgs with 3 or less units) DATE 9 "?5- 60-- SITE ADDRESS ? TYPE OF WORK_ APPLICANT--- 4 STREET ADDRESS 1ELEPHONE # q' IULTI-FAMILY BLDG _Y FIREPLACE(S) /L 4e STATWjaZIPS53 7 Fpx # PROPERTYOWNER-/?..?? TELEPHONE#0- VS6' a7-7 ----------------- 0 -----------------------------------------°-------------------------------- COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9orY - MINNESOTA RULES 7670 CATEGORY l MINNISO'1'A RCJLL:S 7672 (J su6mission qpe) • Residential Ventiletion Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: _ Plumbing system includes: Mechanical Contractor: Mcchanic;il system includes: Sewer/Wafer CoMractor: Air Conditioning Heat Recovery System Phone # Fee: $70.00 ° -----° •--------•------°-------°-----°--° °---'-----°-°-------°---°---------°--------°-----°----------------- 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 O`? a?es?, _ Signature of Appiicant OEFICI; USE ONLY _ Water Softener _ _ Water Heater _ No. of Baths I'??- -I5 RemodeUReoair Reauiremand • 2 copies of plan • 1 set of Erteigy Calalations far heated add'Aions . 1 site survey tor estenor additions & decks . Indicate if home served by septic system for additions VALUATION I Q -9 ?SI _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ 8?equired __ ?... ... ated 4102 OFFICE USE ONLY ???lo , Aa, 25 ? 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 13 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding Cl 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Btdg)` ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Enfire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stones Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests -Fina! _ Framing _ Siding Stucco Stone _ Fireplace - R.I. _ Air Test _ Final _ Windows (new/replacement) _ [nsulation _ 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 Tota I Building Inspector MEMO L?5 r33 TO: THOMAS L HEDGES, ClTY ADMINIS7RATOR FROM: THOMAS A. COLBERT, DIRECTOR OF PUBUC WORKS DATE: MAY 3, 1996 SUBJECT: SANITARY SEWER BACK-UP - COUNTRY HOLLOW ADDITION INCIDENT At approximately 8:15 A.M. on Monday, Aprii 30, 1996, the maintenance division of the Public Works Department was contacted by various residents within the Country Hollow Addition reporting sanitary sewer back-up into their homes. Maintenance employees dispatched to the area discovered that the Country Hollow sanitary sewer lift station experienced a power failure and the pumps were not working. Dakota Efectric was contacted and City dispatched a portable generator to the site with one pump being reactivated at approximately 9:23 A.M.. Full power was ultimately restored at 10:13 A.M.. By Tuesday morning, the City had indications that approximately seven home owners experienced a sanitary sewer back-up irrto their homes to some degree. See attached map for location of impacted properties. CAUSE Preliminary investigations indicate that some type oP power spike or surge created a"fiash burri" at one of the connection points of the control fuse for the electrical motors. Such a power or mechanicai failure should not result in a sewer back-up into residential homes as the City has portable generators and/or auxiiiary pumps that can be commissioned to maintain continuous sewer service. Unfortunately, the sewer baclc-up resulted from a faiiure in the alarm system to notify the City's maintenance of a lift station malfunction allowing it to respond with corrective action prior to any homes being impacted. HISTORY Unfortunately, a similar situation occurred on June 14, 1994. At that time, five homes were impacted. Similarly, the 1994 sewer back-up resulted from an electricai power outage and the failure of the alarm system to notify City maintenance. Due to that previous occurrence, the Public Works Department proceeded in 1995 to repiace all such unreliahle alarm systems with currerrt technology of radio telemetry SCADA System City wide. Unfortunately, we were approximately 4- 5 weeks away from completing the conversion of the alarm system at this location when the second power outage/alarm failure occuned. CORRECTNE ACT10N The Public Works Department has contracted with an Electrical Engineer to review the electrical controls and alarm system to identify any interim measures that can be taken to increasa reliability. The Public Works Department will also be accelerating its efforts to complete the conversion to the new fail-safe alarm system. During the interim, the City will be inspecting the facility three times per week testing all controls and alarm systems helping to insure reliabiliry. The City's insurance agent, League of Minnesota City's Insurance Trust "LMCIT' has aiready been in corrtact with ail of the known afFected home owners helping to procass any claims they may have. Of the seven homes owners, two of them have indicated the back-up did not result in any damage requiring on-site inspection by the insurance agerrt. COMMUNICATIONS In addition to numerous phone calls and personai visits with affected property owners, attached is a letter being sent to affected property owners. As significant additional information becomes available, I wiil forvvard it to your attention. Please let me know if you would like any further action. Respectfully submitted. ? v _ Director of Public Works TAC/cb cc: Eugene VanOverbeke, Director of Finance/Risk Manager Wayne Schwanz, Superintendent of Utilities Attachment: Letter dated May 2, 1996 List of Affected Property Owners Location map b _ '? 1 -1L U Yj 95: 0;i95 11: ,79 Et=iGt+N MT--c FAC - C[ T.f HFLL-pDiSTPS city oF eagan 1110. 995 P001 -Or THOMASEGAN MoyOt MAY 2, 1996 NAME ADDRESS CITY, STATE ZIP PnTRIC1A AWAOA SHAWN NUNTER SANORA A. MASIN THFOOORE H'ACHTFR CouncY MamOeis TNOMAS MECGES Ciry AOminislrclor E. J. VAN OVERBEKE CIN CIY4 RE: FAILURE OF THE COUNTRY ITOLLUW SAIYITARY LIFT STATI0IV ON TUESbAY, APRIL 30, 19% Deaz Name: It is my understanding that your house was involved in flooding &om the baclcup of the city sanitary sewer system on April 30, 1996. The cause of the backup was a failure of che City of Eagan's sanitary lift station which incurred a power failure thus preventing the sewage pumps to function properly. In itself, such a puwer failure wuuld not cause a sewer backup as the ciry has portable generators and pumps to maintain continuous sewer service. Unfortunately, the backup resulted from a failure in the alazm system which notifies the City's maintenance division of a pmblem allowing it to respond with coaecrive action pnor to any of the homes being impacted. Uqon receiving the alazm at 8:17 a.m., on April 30th, 1994 the Utiliry Division dispatched two employees to the scene and they airived on site within 10 minutes of being noti6ed of a flooding problem of one of the homes in the area. They i[nmediateiy requested a backup genera[or to be brought in which was done within an addidonal 15 minutes. At the same rime Dakota Eleccric was notified that a possible power failure may be resulting in the transformer which conaols the sanitary lift station. Dakota Electric dispatchnd a truck which azrived within 40 minutes of the initial call. The emetgency crew connected [he generator to the electrical bypass of the sanitary lift sution and the pumps were operating within minutes. It cook apQroximately 20 minutes [o pump the system down to conrrol any flooding that may have been taken place. Unfortunately approximately seven homes in the area had experience3 a sewer back up to some degree. The entire situation was coaected and the station was back un line operating proQerly by 10:13 a.m. On May 1, 1996 the Utiliry Division contracted with Jensen Electric Company to inspect and test the control panel at the sanitary lifr station. As a result of their insQection, no problem was discovered within the control panel, suggesting possibly what may have happened was a power spike being created within the power lines which may have damaged a fuse. Although a fuse was tocated which showed that it may have been exposed to excessive power, it was still operable. The Utility Division also traced and verified the opera[ion of che current alarm system which has exisced a[ the scation_ Furcher investigation will continue to determine what causad the --------- - ------ MUNICIVAL CFHTER 1nE LONE OaK TREE M.siNTENAHCF iAGll7V J9J0 PIlOT KNpB ROAO THE SVMBOL OF $iRENGiH AND G70WTH IN OUR COMMUNfTV ?`?I COACMMAN iQINI NNESOTA 55142 M EAGAN. MiNNE501A 551$yIB91 EAGFN. . iHONE. (017) 691 6600 PMpNE: !b 12} OE 1G700 F.Vf.(61$) 661-abi2 ECUclOpooMumry/Af}trmprlveACtlCnEmOloyai :Px;6i7JoBt-a3SO 100 (e i z1asa.e:; : roo ;o 1 a, 454 avs b1= 681 J:0O 95- 0,-1•"95 1J: 08 E.?GAN MTrE F?4t= - _[T'f Hi+LL-DPlSTPS N0. 995 P902: :?•'--, On June 20, 1994 this lift stacion experienced a similar problem due to loss of powez from Dakota Elecffic. ,4fter reviewing this incident the Divisioa investigated alternatives in system cvntrol and monitoring failure alarms which lead to the development of our current SCADA (Supervisory Conrrol and Daca Acquisition) system which is utilized at our Water Treaunent Plants. In 1995, the city initiated an aggressive program of replacing contrals and alazms in our entire system with the most current technology available which has built in redundance of a failsafe mechanism. Unfortunately we were approximately fiva weeks away from completiag the conversion to the new alarm system whea the recent pump and alarm failure and sewer backup occurred. 'Ihe ciry will make zvery effort to further accelerate the eompieqon of this alarm conversion and hope to complete the iastallation and tesung within two to tluee weeks. We feel confident that once ihis new alarm system is acrivated there should be no further concerns of similar situations occnrring in the future. In the meantime, the Uulity Divisioa has taken further steps to monitor the operation of the lii4 sta[ion. The current alarm system cvill be tested three times weekly and verified as to the status of iu operarion. Also, we will be adding a light to He installed at the station which will activau during a high sewage level situation. This light will provide a visibie alarm that a problem with the station is occurring and iherefore allowing the cicy to be notified by residents whenever the light is observed to be on. We sincereiy apologize for the inconvenience you have experienced and want to assure you that the City af Eagan is committed to providing a safe, dependable and uouble free sanitary sewer system to meet ail of your expectadons. As the work progresses with the new aiacro system, I will notify you as to the progress and completion date of that project. If you have incurred any damuges the City's insurance company will work with yoar homeowners inswance campany to process any claims and reimbursement payments. Tf you have any questions regazding processing your ciaim, please contact the ciry's insurance agent, Ms. Dazlene Hoise at 215-4077. Sinccrety, Wayne Schwanz Superintendent of Utilities WS/nab It12l6ltaunpy.1:4 COUNTRY HOLLOW SEWER BACK-UP Residents Affecied (Known as of 5-1-96 3:00 P.M.) PROPERTY OWNER APRIL 1996 JUNE 1994 1. Jess Stacy ? ? 4179 Prairie Ridge Road 686-0770 2. Joe & IGtty Robertson ? ? 4179 Cauntryside Drive 683-0930 3. Ted Peters ? 4175 Countryside Drive 687-9267 4. Roger Dean Nelson ? 4177 Countryside Drive 686-0049 5. Don Dickerson ? ? 4175 Prairie Ridge Road 456-0744 6. Tom Bland ? 4154 Lantern Lane 683-9614 7. Mike Smith ? 4181 Countryside Drive 452-6357 8. John Wiilems ? 611 Autumn Oaks Court 454-0037 9. Joe Giacomini ? 4180 Prairie Ridge Road 683-0787 ? .i . ? r-" ? .. ' \? i? i f..J 'E3 JG ' /; ?/ ) -r• ~? •i i u y - ? 1 • ? x \ , - -? - Ie 75 / 4175 ,? --c 41n 2 4 'r ? 6 ?, . / 4! ? - 4179 --?W IP ? i i , ;II Ilq 1 A' I' II - Ili? g ,I?? _ ?- .?.• ? ? ?• - ? ?? !?, r i 611 ? -li? - " •?' q ? ?I ? - \ I W ?C=3: ? i- i:i -? • ? ? ? ?.'" _'-___ ? ? ? ? ? ?. -- : _. -__'..-. ¦ _ ? APRIL.'96_,._ _ ,_ . SEWER 19ACKUP IIII h? = ?? L 1? \ ?1 ?? ?'• ?\ /i . 2E \. , z9 ? , ,/ . •- o•* 784•OU+ 70•50+ 392•OU+ 1>964•Ou+ 1•00+ 3)211•50* 784•U0+ 70•50+ 392•U0+ 1964•00+ 1•00* 3,211•50* 1989 BIIILDIAiG PfiRMIT APPLICATION - CITY OF fiAG9N SINGLE FAMILY DWELLING3 ' ?/ I q 4 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, l SET OF ENERGY CALCULATIONS NOTSz ADDRESSES FOE CORNER LOTS - CONTR6CTOR/HOMEOWNEA M[TST DESIGNATE WHICH ADDRESS IS DESIRED. NO CEiANGES WILL BE ALLOWED ONCE HUILDING PERMIT I3 ISSUED. M[TLSYPLE DWELLINGS RENT9I. QNITS FOR SALS QNZT3 I OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMERCIAL INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET QF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: STNGT,F. FAMTT.Y Valuation: s4fi^_5^fi_^ Date: I/g/pq Site Address 4175 PRATRTF RTDGE RD. Lot 19 Block 3 Parcel/Sub CDUNTRY HOLLOW Owner DON DICKERSON & LYNN GIESEKE AddCB33 6ft6 Tl1iT.TiT14 CTRF.F.T City/Zip Code ST. PAUL, MN 55106 Phone 771-1614 Contractor ST. CHARLES HOMES Address 4194 COUNTRYSIDE DRIVE City/Zip Code EAGAN, hIN 55123 Phone 454-7925 Areh./Engr. PLANCO DRAFTING & DESIGM Address 3435 WASHINGTON DRNE /'qf,v0o- Oecupancy R'"3 M '1 Zoning ?- Actual Const Allowable V-14 of stories Length (?.T3 Depth 4 I ? S.F. Total Footprint S.F. On site sewage_ On sSte well MWCC System /' City water PRV required _jz Booster Pump _ APPROVALS Planner Council Hldg. Off. Variance Council City/Zip Code EAGAN. MN 55122 Phone # 452-0724 F6E4 Bldg. Permit '78µ, l?U Sureharge o, p Plan Review ,7392,? SAC, City oL0,00 SAC, MWCC 590,DO Water Conn 115-ft.00 Water Meter Acet. Deposit ? S/W Permit 2? W S/W Sureharge Treatment Pl. .22j;, Road Unit 34 D, co Park Ded. Copies r.oo TOTAL NORS: Sewer & Water Permit fees and aecouat deposit fees will be included in the building permit fee. Processing time for aerrer and vater permits is two days onee a licensed plumber has applied Por a permit at City Hall. /i il VALUA-T1?1.? GARAGE • u V 2 C}C ZO = S Zc.7 12 X Z?I = ZS? ?IKZ J--- SDO X 15= 12?c'?O?'? P>srnT ?- 3? u Z`6 ? ?s?a Z2 X ly : 3ag rrs? X r4= i???4` I s? FLOOR 92;.srn T - I 1 Sco z K Z x .----- IZ IZ x 50 I sr F?oo R, = ? 2 I 2, Zx2° ? 40 12 ?s x5`??- ? Z.?oo 1 t4d ??? CERTIFICATE GF FOR frr ca+bt?L-? ?o?cs INERElT C[RTIfT TMIT TMt3 fYNVL'/.?UN,OR PEPORT MAS PRC?AREO BT YE OA UMDCF DIE R tuPCNQTIC4 TM T 1 I,4 A DUIY D laM SVPY OR i?AM O TN[ STATC OF YINM[SOTA. MINNESOTA RE ATION NO. )co??3 . ? 660 ?- ? o ?. r ?''•S? - w to 0 ? 0 ? ? ? ? ?• ? ? - V ? ? D /`? ? ? ? "0 ? ? d /J ? .? ? v ? ,;41 Id a ? /?,?•, w SURVEY KURTH SURVEYING INC. 4002 JEFFERSON STREET N.E. COWMBIA MEIGHTS MINkE50TA 53421 - 6I2-?lB-9769 DATE SCALE 1°- Z-? O•IRON MONUAtENT R?v?S?,? 3•9-? (Flt?DCp ft059PLAN) `?oYose? F?-?z??s Tb-P Ot= 13LO?_? 8Z ??? ?a?GST F LGO? d 13 • ? P.R.V. REQUIRED ;'- , . .,. ?d i ? . . . ?. .. ' ?'; .-?..... GFS _. .. t? a:? - . 3_-/3 89 T.?.- . . ....._..,. _?... ._..... .. i? ?q , eZ,.???, ??. s3 ? KO 6a ezo.? I ' / Q O ?> >o ? u,i N 05 / ! ? N ? o l ? N ? S I ? ? v' z ? o ? _ ? ? ... ,? 1-??:eb.-1? /8 `? c? ?r i ! uril?7Ya.?c` =R ?621.0? ? • ? ' s?-? ???_? ? i; ?? 1 ?48 •Z9 U ? ,. ??>zc?-s? C'? • ?`??.?. . S, - 74,KEc;, 31z /Aq YT A . . i .? i r J Q '?s o m \9 (wv N1 ? ? ? p IS Q ? ? ? , jo Is y?q 1990 BUILDING PERMIT APPLICATION 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 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, SUT 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. To Be Used For:REL1NE F??PcA¢aCN?? y` Site Address i-1/75 19Ya'`"e- 12"e Lot Iq Block ,g Parcel/Su6 ?wfmo n...-.,.- A).i" l) 1`L lC y r 3/l`/1 y Address A(J-7 7 r??' uF''? (?•??J ? 4 ?. City/Zip Code C-l '4 Phone q,)u' j' Contractor Address L c.?q UPn K City/Zip Code Phone Arch./Engr. Address 1-t7,;z -GL15-1 City/Zip Code on• DoG '? Date: IO • I? •?O ? OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit 075`30 Allowable Surcharge •Sn # of stories Plan Review ?ngth SAC, City e pth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water Road Unit PRV Park Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. Variance Phone # . SINGLE FAFIILY DBELLIAGS 2 SETS OF fLANS 3 REGISTEAED SITE SU89EYS 't 8ET OF ENERCY ClLCS. 1989 BUI1.DIAG PERtiTT APPLIClTION CITY OF EIGJIti !lULTIPLE DtitELLINGS 2 3ETS OF PL?NS BEGISTSRED SITE SQRVE23 - (CERCS i[I2B H1.DG DIY. ) / SLrP OF 86EAGT C1LCS. COlSlEACI9L 2 3ETS OF IACHI?ECTUR9L 6 5TS9Cf0ltAL PLAN3 t 88T OF $PECIFICATIONS 1 SET OF F.NEAGI CALCS. FfiJLTIPL6 DRELLINGS BENTIL IINIT3 FOR SILE ONIT3 iOF DBITS YOTEt 1pDRES3ES FOR CORIIER LOTS - COATAlCPOA/SOMEOWNEA !lOST DWIGRATE UHICH IDDRFSS IS DESIRED. 80 C99NGES WILL BE ALLOftED OPCE 80ILDING PERHIT IS ISSOED.. SENER 8 NiTEA PEAHTf FEES AAD lCCOQNT DEPOSIi lfiE4 ftILL BS IRCLODED IiITH iHE HOII.DINQ PERHIT FEE. PAOCES3ING TIME FOR Sh'V1ER AAD YATEA PE1tM215 IS TitO DIYS OBCE A YEAMIT HA3 BEEB CDMPLETED INDICATIPG A LICEN3ED PL1MBER. PENALTY APPLIFS Y1HENs PEflMIT IS NOT PAID FOR IN SAME MONTH IT IS REQOESTED. LOT CH9NGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: Valuat Site Address Lot ? Block ? Parcel/Sub ?"f7_ \7 L : yrcc Z° / Owner Jf?h aCrLC<'12,h? C?ip rrLre Address City/Zip Code Phone Coatraetor ?!- Addresa 441,) City/Zip Code Pcn , lPPAOYALS ?Phone Z Planner , Couneil Ilrch./Engr. ) ?J(- Hldg. Off. Varianee dddress City/Zip Code Date: Oecupaney Zoning Actual Const Allowable 1 of storiea Length ib' Depth S.F. Total Footprint S.F. On site aewage On site xell _ lIWCC System _ City xater _ PRV required _ Hooster Pump _ P'EF.S Bldg. Permit Sureharge Plan Review SAC, City SAC, NWCC Water Conn Aater Meter Acet. Deposit S/1i Permit S/ii Surcharge Treatment P1. Road Unit Park Ded. Copies SDBTOTAL ? Penalty SOTII. Phone ! CERTlF1CATE QF FOR sr c-.aasuM E wU(pT CLI1TIfY TFIT Tntf fuO.VCY.PL1M.09 RCPOMT ?S IMCN11C0 t' YE_ ??'C??-'??_V??'w??-p(p R[LT SY?CIV?SION • ? M?T 1AY A DULY ? U• SYPVETpI? YyOCII TNE ?? O TNE STATE 0( Y?wM(SOTI, fl? J ? MINNESOTA REG45jATION NO. )to?i3 0 r) ? i W I = ? 66a ., m V ? / . I -/ , d U d? z ? iJ 1 ? u 79°3$•?. \Aj. SURVEY KURTH SURVEYING ING. 4002 JCFfER50H STREET N.E. COLUMeIe HEIGNTS MINME50TA 55421 OATE :I3 IF+rl SCALE I"- ZS 0•IRON MOHUMEHT RcV?Se9 3'9'? `9L1P4Gp NOJS(ePL A_? !O .? ? ? ez:.o? ? . • S i z&'t'7 ' h 0 v ? N j O O H p S ! ? A( I ? ? J \ Z 1 ? J N l1 ' 1? t ?L?T? Z ` o) S ? 'f EL4,21 _ l ?2o7osCD ?,R?l?_S 6?2.tacL rrLOORr o?.l =1 TC? or ?3?«-? SZ Ii +?a?CST ??l'-01= a 1'3 ?1 P.R.V. REQUfRED y O ?m `9 ,.-- ? r Q 41 ? ? ? Q ? ? CDV?SZ`: S?o?W ?J -7r??LOT? ?? •,?wi . ?- ? LOT L BLOCK .? SUBD. vQ I U e.. RECEIPT # SP& DATE ? 1996 CITY OF EAGAN ew ?M (FOR DACKFLOW rREVENTER) 5./?3/? COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM Residential (boulevards) GPM X Existing residential Area/address to be irrigated: Instal ler: Street address: City, state & zip code: 23MJMZV),6 /7//Y"Ohone #: Owner Name• «/n Street address: City, state & zip code: &Itln. /22?Z Phone #: Irrigation contractor, if different than installer: Telephone #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the faciiities constructeri under this permit within Cify property/right-of-way/easement. A lican s signature Approved by: PRV ? Yes Meter Size Tit e Date: ? No New service ? Yes ? No - & Cost Fees due: Calculated by: PROCEDURE FOR IRRIGATION SYSTEMS - 1996 9??I?IVO?. Ay?Fl?7AlA??^l??f An irrigation permit ig required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover instaliation of backflow preventer. $50.50 water permit fee if new seroice is installed. $760.00 12er connection - VVAC. $396.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $182.00. If gallons per minute are mcxe than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections shauld be made on the preceding tivork day. Requests far PM inspections will be accepted until 12:00 noon. /s fs-0 2007 RESIDENTIAL PLUMBING PeRnniTaPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside olumbino on the same anolication: seoarate aoDlications and oermits are reauired. Date ? / Z5r I CO Site Street Address 2. ' Unit # Property Owner UuY, kn Telephone # Gavic and Sons Plum mg ? Contractor 1272F Nightinqale St. NW Telephone #(7? ) Address Coon Riios, MN 55448 State Zip The Appticant is: _ Owner & Occupant A---ticensed Plumbing Contractor Septic System _ New Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace bumed out fiztures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. If you are insta)ling onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other. _ Water Sokener X Water Heater T $ 75.00 _ new replacement Lawn Irrlgation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 T t l $?/ J V o a I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete ana accurate; tnat tne worK ww oe in conformance with the ordinances and codes of the City of Eagan and tfie plumbing codes; that I understand this is not a permii, bul only an application for a permit, work is not to staR without a permit and work will be in accordance with a plan is required to be reviewed and approvad. 711 7,u,? G 0 6 ApplicanYs Printed Name Applicant's Signature ,_ PERMIT City of Eagan Permit Type:Building Permit Number:EA116515 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4175 Prairie Ridge Rd Lot:19 Block: 3 Addition: Country Hollow PID:10-18275-03-190 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Laura Gillespie Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald J Dickerson 4175 Prairie Ridge Rd Eagan MN 55123 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature 05/10/2016 13:10 6514580453 SS HAMMER MAN of 3830 Pilot Knob Road Eagan 'MiN65f22 Phone: (6e$i) 6755675 Fax:051)0754894 MAY 1 0 2016 r PAGE 01/03 Use BLUE or BLACK Ink For Office Ilse Fe4:116 Lige Permit Fee: / 7,9 Bate Receives:. -sue : G till 2016 RESIDENTIAL BUILDING PERMIT APPLICATION ICATION 9p@y Io •SltsMd_rees:• y 1 ? tai» R; 1-€ iii ti to 44i • • • gesidentf .. .• ' Name:.. .I....or e ..... / ......,Mono:. 47/.-..7.a ...-7.Z 1 .a�.::: .. ..'1' ................ Address Cy 1 Zipl 01 . ...�.. .A . . Applicant is: Contractor AIP Type of.boric •. .' .. st ri ofNo rk: /1/4 W R 0_, 7 f ci, n� 0.e Ch Il 0..k de C lit COnsttuct iri .�6 10 0 ' MullitFensily Redding:: fifes 1 No 1�,/j Ct�nitrat o .Address: Company: SS ii- air, m -e/ Mail Contact; Preva Q o A / ‘Te 4C )' L n S• C ®f -41..d ePoV-e. $hike: h? 4 Zip: Phone: Ir/- 'I'-'4742'ad: SA nrn11 144a<* J ,,„1:1:V.,„/.1,,,, x•'02.0 eaksi G cc%" i cant #: i . r. i2 7, /S Lead Certlficate it E pitriect Is exempt'irotn teed certification, please tatplain why: • in the last 12 months, Yes NO CETT IRIS ARE.A ONLY W•S1RUCITMO A NEW suanisq has the City of Eagan issued a permit for a similar plan based on a master plan? ' tf yes, date And address of tester plan:. Licensed 'Plumber: Mechanical Conor: Sewer & Water Contractor: Pine Suppneealon Contractor Phone: Phone: Phone: Phone: HOTS; Plens,'anod ani dcotiisrents'•t �•' ilOrlt •S•LtD/'IR# a!R@ 6O't1s/del* to bB•peib.IiC •DOR' . Parlays Df • #.e iiiiiiination may b', a+tl^ia0001 as coli . if y u provide spodfiC• roaSons AO 4vosOd > i ` 0 ., mulch* .gist theyeine, tide secrete. ••. • • . CALL BEFORE YOit Oma , Cad Gopher StaIe eft et l$51) 4544002 for protection against underground ditty damage.. cal ea tours before you intend to dig to receive locates of underground utilities. www.gooheretateonecalf.orq I hereby acknowledl9et at this inicrmatlon is complete ands act:uratie;, that the work wifl be in cortfonnarsce with the ordinances and codes 011ie City of Eagan; that t 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 ecoordsr e with the approved plan in the case of work which requires a review and approval of hien. Exterior work authorized by a building pennft Issued in accordance with the Minnesota eta Building Code must bo tompletad within 180 days of penslt issuance. Applicant's Printed Name Applies 'e Signature Paige. I of 3 05/10/2016 13:10 pm TYPES Foundation Single arrilly Multi lei at Pine WORK 119 ES NewWader went „ Move•auiiding 6514580453 SS HAMMER MAN DO NOT WRITE BELOW THIS UNE /(7� �', ,%�'6/'ickC- E ?� . __.. flat _ Porch (34eason) :moo mmn :Porch *Season — Deoh — Porch (ScreenlOazeboIPerg*) Lacier Levoi Pool Armon Retaining Wag P.MBEngti Valtudlon Platt Review (25%____ 100%_) Census Code •otUnita # of Buildings Type of Construction Occupancy Cede Edition Zoning Stories Square Feet Length Width REWIRED 'INSPECTIONS Feelings Plow foOtinge Mach) Building) _.. Fes. ' ) F Roof: Bae & Water Finat framing 30 Fete& . 1 Hour fireplace:,Rough In Air Test Final instdittien Sheathing •Sheeiroctc fire Wage Braced Wails Sts Pan • PAGE 03/03 Extorter AltereitOn FamilYi Selector Mantes pale) It&ceitone.us• Accessory lifseding Derectishihrildfor ..._._ Reroof Demolish mor Dowd* formdcgion �-- Egoism VINackre . -r Water *Demolition of entire building- give PCA handout to apphc of SCES System SAC Unite City Water Booster Pump PRV Fire Suppression Required MalecNeter Final / C40, Required .. Final! No, C.O. Rem HVAC Gas serv... TO3t Gad ;Lino Ar T Pool: Footings Air/Gas Tests Final 'Drain Tile _�_... Sinding: Stucco Lath Stone Lath Brick Wind Retaining Walh_.FootIn s _ BOAS Radon Control Fire Suppression= ___Finugh, 4n _Final Erosion Control omen Review By 1 t, Building 'Inspector Final RESIDENTIAL FEES Base Fear. Sulvharge Plen Review irCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAI. lf'- 5, 810 Page 203 40°)Citpo[Rap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 3 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/28/2016 site Address: 4175 Prairie Ridge Rd Resident/ Owner Type of Wo Contractor Name: Lynae Gieske & Don Dickerson Address i City / zip: 4175 Prairie Ridge Rd Applicant is: Owner ✓ Contractor Unit it: Phone: 651-470-0904 Description of work: 2 gas inserts/ 3 gas lines, one for a future garage heater Construction Cost 1400 Multi -Family Building: (Yes 1 No ✓ ) Company: Carter Custom Construction & Fireplaces, Inc Cone_ Benny Carter Address: 3276 Fanum Rd #400 state: MN Zip: 55110 Phone: 651-653-0190 City:Vadnais Heights Email: cartercustomconstruction@gmail.com License #: MB004750/BC632066 Lead certificate #: 20632066 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: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor. Phone: VOTE: 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 the are trade secrets. CALL BEFORE YOU DIG. Cali 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. www.gooherstateonecall.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 . • = must = completed within 180 days of permit issuance. Benny Carter Applicant's Printed Name x Applicant's Sig Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169259 Date Issued:05/19/2021 Permit Category:ePermit Site Address: 4175 Prairie Ridge Rd Lot:19 Block: 3 Addition: Country Hollow PID:10-18275-03-190 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Donald J Dickerson 4175 Prairie Ridge Rd Saint Paul MN 55123--162 (651) 470-7221 Premier Roofing Llc 7835 Telegraph Rd Minneapolis MN 55438 (612) 445-7663 Applicant/Permitee: Signature Issued By: Signature