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4176 Prairie Ridge RdF : ?,? . ...??, ?_ . .. , ... I , ?,.. 3830 M r?' BUILDtNG PERMIT To be used for SF Di1G/CAAr, Sile Address 4176 PRAIItIE RIDGE [tD Lot 14 Block 2 Sec/Sub. ?UNTRY ROLLOW Parcel No. Name THE wjnaWvva co inc wAddress P 0 BOX 124329 0 Cay APPLit YALLEY Mtd ZP 55124 ri? ___ 891..4605 pc Name owru ? AddfesS Ciiy Zp Phone 8 License # I hereby acknowlege that I heve reed -this.application and stale lhat the inlormation is correct and agree to comply wilh all applicable State of Minnesota Statutes and City of Eagan Or nances. Signature ot Permitee -- n Buikiing Permit is issued to:? THE iiTINQ1iiDOD CO INC on the express condition that all work shall be done in accordance with alt applicable State of Minnesota Statutes and City ot Eagan Ordinances. 8uilding Ofticial '; ?"'1?"°I,gs,'--y"'-^•_"?'q?C?!'7!°@. .R?. "'?_'' ? . . CITY OF EAGAN . . ? , Pilot Knob Road, P.O. Box?21-199, Eagan, MN 55121 PHONE: 681-4675 Receipt # Est. Value 4 ;104•OW :;., . . ?.. ?..,,?. K„ .._ 20 / _ 1991 OFFIC E USE ONLY R-S M-' FEES Occupancy R-1 Bidg' peffnft ??.00 Zoning V"K s?•? (ActuaqConsl -V=N Sur?harge (nuowabie) ?lan Review 42 5.00 # ol Stories Length 1??? Dep1h SAC, Cily S.F. Total - SAC, MCWCC -650'00 S.F. Pootpnnts - ' 640.00 On Site Sewage _ Water Conn on sce wau Water Meter 95•00 MwCC System X 30. ? Ciry Water X - Acct. Deposit ? 30.00 PRV Required S/W Permit Booster Pump - SNV Surcharge .50 276.00 Treatment PI APPROVALS RoadUnit 370'00 Plenner - park Ded. Counal BIdg.Oft. _ CoPies 3,342.50 Variance - TOTAL , Permit No. Permit Holder Date Telephons N SNV PLUINBING HVAC ELEC7RIC ev ELECTRIC Inspection Date Insp. Commenta Footing5 I s Foundation ? .1 ? Framing / • 30 L . ?? ? ? -?/? / ?- ? ?(?' Roofing 2 G. Rough Plbg. - - t Rough Htg. ?•??_ I5ul. Fireplace -? i?L Final Htg. 3 ? O ? Orsat Test • .-a Final Plbg. '? ? Plbg. Inspecta - Notify Plumber Const. Meter Engr./Plan Bldg. Final -3- Z-5Sz Dedc Ftig. Dedc Fnal weu Pr. Disp. Trrtif irate of (O.rrupartry Citp of (gagan iorpatutt# uf Nuaiag jmwrdimc This CertiJ'oate rssuod pursuanl to the naquinanerus oJSoralion 306 ojthe urtiJorm Buildiag Code certilyin$ lha[ at !he time ojissuance this sYruc,wre xrrs ra complianae wuh rlre ?arious orrlinarxcfs of the Crty regulating building cnnsTrudion or use Fnr rJre fallowing. use a.mlaeon S17 IInG/CM pkl& % r4m 20006 OM„p-7 TYW R3/MI z..gDm, R I T"C C,..d VN D.,C 03125/42 Bmui.s omcw POST IN A CONSPICU4US PLACE ?-.. ' CASH RECEIPT CITY 4F EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / 19 FK-?? J y itp l?-,)I ti t.? (: (??I /`; AMOUNT a ir 1rtC f1'1L' UChdQ li1t!Cl-kil i%it`LL ?(? {U),?rGSO ?u?Rs ,00 O CASH [VHECK r ,? +' ? j 4 -?- L 1 - Thank You , ?- aY -" e - ? C 016667 .?'??? Pink-Flle COpy ? SEWER WATER PERMIT CITI? OEAr. AN 3$30 Pilot Knob Rd. Eagan, MN 55122-1897 DATE DEC 31, 1991 nvas?,:.7?',:y? .-.?-,.,-cr,rr•a,.•.r'?- OFFICE USE ONLY METER # - CHIP # - METER SIZE ISSUE DATE PERMIT DATE 01 /06/92 PERMIT # 12474 B.P. RECEIPT # C 016667 B.P. RECEIPTDATE 12/31/91 X PRV _ BOOSTER PUMP SITEADDRESS 4176 PFWIRIE RIDGE RA LOT 1'-$BLOCK 2 SEC/SUB COUNTRY HOLLAti+I APPLICANT: ADQRESS:_ CITY, STATE ZIP PHONE: PLUMEIER: ADDRESS: ? I?S A{Zr,v$?-? (lJ GTY, STATE Q?? • N ZIP PHONE: AZ3 - 3? 30 OWNER: THE WINDWOOD CO INC ADDRESS: P 0 BUX 124329 CITY, STATE APPLE VAI.LEY MN Zip 55124 PHONE: 891-4605 PERMIT REGUESTED x SEWER x WATER - TAPS COMM/IND x NEW ._X_ RESIDENTIAL - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Crj4t WILL NOT be given for Deduct Meters. I AGIREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMfT CITYOF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE DEC 31, 1991 OFFICE USE ONLY METER # s ?-S PERMfT DATE 01 /06/92 CHIP #0L,94 7 ! 93 PERMIT # 12470 METER SIZE B.P. RECEIPT # C 016667 ISSUE DATE -3 -Z0^9xZ_ B.P. RECEIPT DATE 12/31/91 X PRV _ BOOSTER PUMP SITE ADDRESS 4176 PRAIRIE RIDGE RD LOT 14 BLOCK 2 SEClSUB COUNTRY HOLLOW APPLICANT: ADDRESS: C1TY, STATE ZIP PHONE: PL • '"`*l ?T•?110 6"IFA?< i WI?+lMlA-g ADDRESS: ? 1f?K W CITY, STATE ?PWW r N ZIP ? PHONE: 3? 3D OWNER: THE WINDWOOD CO INC ADDRESS: P d BOX 124324 PERMIT REQUESTED ? SEWER X WATER - TAPS - COMM/IND -1L RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Cr)Dot WILL NOT be given for Deduct Meters. TO COMPLY WITH CITY OF CITY, STATE APPLE VAI..LEY MN ZIP 55124 PHONE: $91-4605 SIGNATURE PL?AS??A?LOWTWO ORKWG AYS OR?PCESSING. GALL 454-5220 FOR ?SEWER PERMITS, CONTACT ENGINEER(NG DEPT. METER ISSUED INSPECTIONS. FOR STORM Address: 4176 pgAIrug gM gpqp Lot 14 Blk 2 Sec/Sub r,OUNTRy HOLI,pW These items were/were not complete at the time of the final inspection. at : 03 25 92 Yes No jilspprtor Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass ? Trail/curb damage ? Porch Basement finish ? Deck Please verSfy vith tha buildar the removal of roof test caps from the plumbing system and the shut-off of vater supply to the outside lavn faucet before freeze potential exists. ? nECrneo nrtn White - City copy Yellow - Resident copy Pink - Contractor copy BUILDtNG PERMIT To be used for SF I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:681-4675 Receipt # GAR Est. value $104, 000 Site Address 4176 PRAIRIE RIDGE RD Lot 1?-?. Block -2_ Sec/Sub. COUNTRY HOLLOW Parcel No. _ N2I118 THE WINDWOOD CO INC ? Address P 0 BoX 124329 Q Cily APPLE VALLEY MN 7jp ? Name _ ? Address _ ? C4 - Phone _ 8 License # Zp I hereby acknowlege that I aua_ a plication and state that the information is correct to comply all applicable State of Minnesola Statutes an ' of Or j n s. I Signature of Permitee A Building Permit is issued to: THE WINDWOOD CO INC on the express condition that all work shall be done in accortlanca with all applicable Slate of Minnesota Statutes and City ot Eagan Ordinances. Building Olficial OfFICE USE ONLY FEES occupancy R-31i-1 654 00 Zoning R_1 Bldg. PetmII . (ACNaI) ConSt - - Surcharge 52.00 (Aliowable) V-N plan Revew 42$.00 8 olStories _ Lenglh 571 License Depth 49 ' SAC, Ciry 100.00 S.F. Total - SAC, MCWCC 6$0.00 S.F. Footprints - On Site Sewage _ Water Conn 660. 00 On Sila Well - Water Meter 0 95.0 MWCCSystem -x- 30 00 City water ? q?cl.Deposil . PRV Required X S/W Permit 30.00 Booster Pump - SMI Surcharge .5 n Treatmeni PI 97 F• nn APPROVALS Roatl Unit ? 370.0 Planner - pyk Dad. Council BIdg.Off. _ Copies Variance - TOTAL 3+342.z0 c ot16e0006 , 466 DATE: 1AN 6, 1992 / RE: 4176 PRAIRIE RIDGE RD (THE WINDWOOD CO I -X_ Your Sewer 8 Waler Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Fioad) until the meler is picked up. BE SURE TO CALL PUBLIC WORK: y454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer 8 Water Permit for ihe above property cannot be completed for the following reasons: _ Your Sewer & Water Permit for ihe above property has been completed, but the meter cannot be issued or occupancy aliowed 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) betore 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. %/.3 Y" /O K 0 4 3 5 2?°i ?(3a ???? ? d6 Raques[ Date ".Tllly 10, 1992 Fire N. RougO-in InspecMi Requiretl? GYes CXJO r Reatly Now ? Will Notify Inspedor XMenReatly? I?{licensed contractor D owner herehy request inspection of above electrical work aC Job Adtlress (Slreel. Box or Route No.) Ciry Sedion No. Tawnshi0 Name ar No. Range No. Cuunfy Oxupant ;PFINT) Michael Judd PM1One No. Power Supplier Atltlress Elecvical Convacmr (COmpany Name) ein Heating and Electric Inc. Convactor5llcense No. CAO 1118 Mailing Aedress ICOntrac[or or Owner Making InslallationJ 6525 E. 170th St. Prior Lake, Mn. 55372 Au on e naNre ICOmr tonOwner ak g I stallation - Phone Number 447-2490 MINNESOTA STATE BOARD OF ELECTRICITV ? THIS INSPECTION REQUEST WILL NOT Grlggs-Mitlway Bltlq. - Room 5-173 BE /+CCEPTED BY TME STFTE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plwne(812)662-0800 ENCLOSED. ?jr3?s Z ' 0'435"2 REQUEST FOR ELECTRICAL INSPECTION Ii See insimctions br completing this lorm on back ol yellow capy. "J(" Below Work Covered by This Request EB-OOOOLOB ?iew Add Rep. TypeofBUilding ' AppliancesWiretl EquipmentWiretl r Home Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer Olher (Specity) Comm./Indushial Furnace Farm Air Condi[ioner Otnerlsyenty) Contraclor's Pamarks: Compute Inspection Fee Below: # Other Fee x Service EniranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps ? hansformers Above 200 _ AmpS Ahove 100 _ Amps $ign5 Inspector's Vse Only TOTAL Irrigation eooms ?- ? 15.50 Special Inspection ?J? Alarm/Communication THIS INSTALLATION MAV BE ORDER ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby f Rouqmin Data ( certi y that the above inspection has been made. OFFICE USE ONLY This request voia 18 monfis fmm - ?3 7 3z?? a? cz?- ?? S° y Re uest Date ??. ? Fire No. Ro -in spection Fe uire s ? No 7 Reatly Now f?XtiA'No?ity Inspeclor Whan Raetly? I T,46nsed contractor ? owner hereby request inspection of above electrical work at: Jeb Ad ress (SV 1. Boyo(Houte Not Ciry? Secton No. Township Name ar Na. - Range No. Counry OcZu a t IPRINTI o ? Om Ph? D Power Supplier Atldress Electr onUactor ompany N e) • Conlraclor5 License No? D O? Mailm Ap ress iCOnt actor or Ow ekmg Installation) n . ANh ee Signatore ICOnv dO?vne? Mdking In5ldlla?io ) ti ?sia umber OB 3a-5"o? MINNlSAA STATE BOARD OF EIECTRICITY THIS INSPECTION qE0UE5T WILL NOT Griggs-MlEway Bltlg. - Hoom 3413 V BE ACCEPTED 8V THE STATE BOARO 1821 Unlvenlly Ave., SL Poul, MN 55104 UNLESS PPOPER INSPECTION FEE IS PMne (612) 602-0800 ENCLOSED. ?a3 9a REQUEST FOR ELECTRICAL INSPECTION ? See instmctions for completing tlis larm on back of yeltow copy. J 0l 273 "X" Be/ow Work Covered by This Request ??• ? EB-00001-OB /O sw.,m? . ew Adtl Rep. TypeofBuiltling ApplianceSWired EquipmentWiretl Home ange Temporary Service Duplex ater Heater Electric Heating Apt Buiiding l yer Other (Specify) Comm./Indushiai rnace Farm Air Conditioner Otner (sV?ity) Cqnvactor§ Remerks: COmpute lnspection Fee 8elow: A . O[her Fee # ServiceEnirance5ize Fee p Cimuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Trensformers Above 200 _ Amps e 100 _ Amps SignS Inspeclor's Use Ony' TAI._ sD Irrigation Booms Special Inspection Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fae COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-;n oa?e /? Jf? certiry that the above inspection has been made. F;?ei oare OFFICE USE ONLY TM1is repuest voi0 10 monms Irom 59 T?(.0 PLUMBING(RESIDENTIAL) ? Permit Application ...??5 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 pemiits are required for each unit Da[e 03 WESCOTT, JEANIE 4176 PRAIRIE RIDGE ROAD Site Address EAGAN, MN 55123 Unit N (651) 994-1317 Property Owner Telephone # ( ) Contractor NOROLVni P.vWIOING W, (612) 82T-4033 Address City • State ip - Tetephone # ( ) The Applicant is _ Owner ? Contractor Other _ , . ? Septic System New _ Refurbished Submit 2 sets of plans and MPC license. p ? r ?100.00 Includes Countyfee. Add(tional consultant fees may apply. ` r / Alterations To Existing Dwelling Unit, Including ? Addi f t t l l l w e ' $ 50.00 _ ng x ures ower eve o s or room additions, excluding water so ftener and af ehea ter • _ Abandonment of septic system _ W ater turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild 30.00 _ Lawn irriga[ion system _ Water softener xWater heater $ 15.00 X replacement _ additional State Surcharge $ .50 Total I hereby apply £or a Residential Plumbing Permit and acknowledge tllat the information 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 perntit, but only an application for a permit, and work is not to start without a pemtit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Jlo_-C? No`UUVV-\ ? ApplicanYs Printed Name A 's ignature ,5_3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConetruction HeauhemeMa • 3 regislered sHe surveys showing sq. fl. of bt, sq. k. ol house; and ig ruofed areas (20% maxMum bt cove2ge albwed) • 2 copias of plan shaxing beam & wintlow sizes; poured fountl tlesign, etc.) • 1 set of Energy Cakulatbns • 3 copies of Tree Preservatbn Plan d bt pYatted aRer 7/1/93 • Rim Joisi Defail Options seled'pn sheet (hklgs wiN 3 or less unds) DATE ? 6;??-0 ? _ZF? J//3- 2s HemotleVNeneir Reauiremenla . 2 copias of plan • i setof Energy Calculations for heated additions • istlesurveyfor exleri0ratlditions&decks • NdIC21e 8 hOm6 Serv6d by septic SyStem tOr adGAbns VALUATION, X ?/Uf 7- C) C) , SITE ADDRESS MULTI-FAMILY BLDG _ Y ?N NPE OF WORK :Z°1Lcrrl-' FIREPLACE(S) i/6 _ 1_ 2 APPUCANT S4 bu PLn T" S STREETADDRESS 75?6 //,.c?t?tlaJ?,.A,r,e ? CITY??-L e2ite-STATE_1"ZIRS'5 % TELEPHONE # CELL PHONE # FAX # 9_k1,2$X'Z-$.5/f PROPERTYOWNER Si1P-'LU1k4 1ELEPHONE# ol . COMPLETE THIS SECTION FOR -NEWa RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l (J submission type) • Residential Ventilation Category 1 Worksheet Submitted 4Qe',i?0 sul . Energy Envelope Calculations Submitted 2 5 2007 Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkle g-- -Fee:- ?$9 . 0 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confracfor: Phone # -------------------------------------------------------°---------------- - I hereby acknowledge that I have read this application, state that the information Is ct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan es, Signalure of Appltcan OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPdeted aroz OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 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 Plbg_Y or _ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Entire 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 Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total .?5 Building Inspector , • - o•n 654•00+ 5 2 • 0 0 + 425•OOr ?zll•50? ??;+2•?0* 654•OOr 52 .pp+ [.•>> • 00+ 2,11 1'70 ? ,,3«z•5o;1 5.:U) ? 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS (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, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING YERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Single Fam Detached7'aluation: ? Date: 12/3/91 Site Address 4176 Prairie Ridge Road Lot 14 Block z Parcel/Sub CountrY Hollow Owner The Windwood Ca[gany, Inc. Address PO Box 124329 City/Zip Code Apple Valley 55124 Phone 891-4605 Contractor Same Address City/Zip Code Phone Arch./Engr. Address City/Zip Code /oy, oou-? Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F OFFICE IISE ONLY R-3 NI - ( R-I v-N v-N 49' On site sewage_ On site well MWCC System City water ? PRV ? Booster Pump _ APPROVALS Planner Council Bldg. Off Variance (y%'ti AS FEES Bldg. Permit 65y00 Surcharge 3? -o 0 Plan Review L425.00 SAC, City / DD, ou SAC, MWCC 5? o,vo Water Conn. (?60,vD Water Meter ,OJ Acct. Deposit 10,00 S/w Permit 0,00 5/W Surcharge l O Treatment P1. 276,00 Road Unit D, UO Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 0 Phone # agrees that all work shall be done in accordance with (Si n ture of Contractor) all applicahle State of Minnesota Statutes and City of Eagan Ordinances. " VA L u AM2 ?iARAU-G Zz k zz ?- 48y x1s= 7z40 usMT. P7 X 23 = bZ I X13; a'l3 L1L Skz _ J q52 X ly = I33z 8 I sT ?l.?ucZ 4,4 x 2?= II g8 2-X 13= 2? SX 12= ?c? ? x I z : yo3 23Xz = y'0 ? x l2`lz = If_ SZ?lbg 0576 am 10,41 Oao o- f 03 ) WAvvwuov Hc RQQE CONS PIRNNERS ndGLBND sfURVEYORS E 3 '?388? O/ PNC7IN??,lfi,?9 9K. 166 P?2.47 COMPANY, IPlC. ? 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 05337 PH 932-3000 CERTIFICATE OF SURVEY Legal Description: SCALE : 1" m 30' I?OT4 C,&V,111177 : M/NNESOTA. ('El9- e _) DENOTES EXISTING ELEVATION (BZi, o ) DENOTES PROPOSED ELEVATION .r.-- INDICATES DIRECTION OF SURFACE DRAINAGE 821.33 = FINISHED GARAGE FLOOR ELEVATION 8/B.6 = BASEMENT FLOOR ELEVATION ezi, bb = TOP OF FOUNDATION ELEVATION EAGAN REVtEWED 3Y SD?? DATE • WFT. F"/VT 9411Lp/N6 $ET94G< L/NE ,/ - ?O / ?i \'23 ? P,° O ??'c?iY • t _s, / i 6SCo ?? o?'? '3 ? DRA/NAC?E AND , . UT/L/TY EflSE/YIENT ' >o V ?11 1 1 .? ?r o o? 63 ?3?3? v.- ` :N N ? R ? ?.;•.:?:??? ?:?r?:fsa?:}-.?:rf?? r_,'?°.:T: _ I ipenovo RECo I hereby` certify that th s is a true and correct representation of;a tract o land as shown and described heraon. As prepared by me this 2ND day o QECE/?IQ?.2 , 19?. Minn. Req. No. 16085 3? y 2- L? B?-- MECHANICAL PIItMIT RECEIPT # /U (e SUBD. (612) 681-4675 DATE, -7-?to72' -? r3 9.2- RESIDE1VTfAL PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FA11III Y DWELI.IlNGS. AISO, COMPLETE FOR TORNHOhiES/CONDOS WHEN SEPARATE PEItMT!'S ARE REQUIRED FOR EACH DR'ELLING UNIT. pv*WEp_ Michael Judd FEES SITEADDRFSS: 4176 Prairie Ridge Rj-. ADD ON/REMODEL (F.ICISTING CONSTRUGTION ONLl) $ 15.00 INSTALLER: Lein Heating and Electric Inc. AVAC: 0.100 M BTU 24.00 PHONE #: 447-2490 ADDTI'IONAL 50 M BTU 6.00 pn?RFSS; 6525 E. 170th St. GAS OUTLEI'S - MINIMiTM 1@ S3 EA. CTIY: Prior Lake, Mn. IP: 55372 SURCHARG& $ .50 SIGNATURE: U ffldoz TOTAL: $ 15.50 / COMMERCIAL /G PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAIJIIVDUSTRIAI, BUII.DINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTfIER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUiRID FOR EACH DWELLING UNTP. R'ORK DFSCRIPTION: STfE ADDRESS: T'ENANT: SUITE #: INSTALLER ADDRESS: CI1'P: PHONE #: SIGNATURE: CONTRAGT PRICE I FEFS 196 OF CONTRACT FEE. STATE SURCHARGE IS S.SO FOR EAC$ $L,000 OF PERMIT FEE. $ PROCFSSED PIPING - $25.00 1-$ 11IINIMUM FEE - $25.00 TOTAL: $ C1TY SIGNATURE ZIP: r 'CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB KOAD F.AGAN, M. 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #-? pI:UMBINGPERHIT DATE: ...:., ' rtESIDENTT'AI:.;: PLEASE CO?IPLETE UPPER PORTION. ONLY FOR SINGLE FA?fILY. DAELLINGS .. > . ..,: .. ,;. . TOWNkIOMES/CONDOS WHEN PERHITS ARE REQUIRED FOR EACH UNIT. --- °------------------- --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST y ADD ON REPAIR N0. FIXTURES EA• ? ADD-ON MINIMUM 15.00 SHOWER 3.00 ? WATER CIASET 3.00 l gpTy( TUB 3.00 a IAVATORY 3.00 OWNER NnME: ?'?A'?Zood T KITCHEN SINK 3.00 • I y?? L ? IAUNDRY TRAY 3.00 c . SITE ADDRESS : HOT TUB/SPA 3.00 lAT:? BLACK ? SUBD. + ? ! WATER HEATER FIA9R-DRAIN 3.00 3.00 GAS PIPING OUT. INSTALLGR: ?'-'???J?F?.S ?•R?-S , (inc. ? (MINIMUM - 1) 3.00 3 ROUGN OPENINGS 1.50 ADDRESS:_ IS 82', OTHER WATER SOFTENER 5.00 CITY: ?ZIP: PRIVATE DISP. 15.00 . U.G. SPRINKLER 3.00 eti e a: ?-I'L3- 3?3 U ?Cs-?FZ? ?.?c,..?C ?4-u cE??-R-• TOTAL o0 (s•:CV 3 .:: o 0 3, o? 3.1-vU 3 _100 3. po SUBTOTAL $ 37. 5D ST. SURCHARCE .50 SIGNA'IWAE OF PERMITTEE 3$•UQ TOTAL: S ,COMMERCIAl/INbUSTRIALi` PLEASE COHPLETE TNIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINCS AND : _. _..,.: ., . . . _.. HULTI-FAHILY HUILDINGS W11EN SEPARATE PERHITS ARE NOT REQITIRED FOR EACN DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUSD. INSTALLER: ADDRESS: CITY: ZIP: PNONE FOR: CI1'Y OF EAGAN FEES 18 OF CONTRACT FEE. ' STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: ,(SICNATURE) I CITY OF EAGAN L2iL B' ?-?( MECHANICAL PERMIT RECEIPT # SUBD. l,L Us - .cJ (612) 6814675 DATE ? RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLETE FOR TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DR'ELLING UNTI'. OR'NER: SITE ADDRESS: ADD ON/REhfODEL (E7IIS1'IIVG $ 15.00 1 t?G? • CONSTRUCTION ONLY) HVAC: 0.100 M BTU 24.00 INSTALLE Lxtg Q ADDTPIONAL SO M BTU 6.00 an:°ES cAs oirrtE: s-MixnAuM :@ $s 3 CITY: ZIP: (Q SURCAARGE $ SIGNATU : TOTAL: COMMERCTAL PLEASE COMPLETE TffiS PORTION FOR ALL COMINERCIAIIINDUSTRW, BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UNTT. WORK DESCRIPTION: CONTRACf PRICE I FEFS 196 OF CONTRAGT FE& ? STATE SURCAARGE IS $.SO FOR EACH $1,000 OF PERMTI' FEE. s PROCFSSED PIPING - $25.00 Fs MINIMUM FEE - $25.00 OWNER: SITE ADDRESS: TENAIVT: SUITE #: INSTALLER: ADDRFSS: CI7'P: PHONE #: SIGNATURE: TOTAL: I $ ZIP: CITY SIGNATURE. Date: C!ty ofEsp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenants RESIDENT / OWNER Use BLUE or BLACK Ink F4tQffice Use Permit #: /6) C'6 Permit Fee: Date Received: Staff: 2011 MECHANICAL P RMIT APPL CATION Site Adress: Pill 1 Name: Address / City / Zip: V '�I Rotolo, /� �_ 1LU 1 o 1 1 -' 1 1\ l License #: Address: 16104 Vertu' l i l 1 1 l e�City: tQS11 nC& State: mnZip: 10a3 Phone: (OS ).— +31 - contact: \Q Me tie ct, Email: ciVan t(� ion\OIIrQ i r . Vy I 1 Phone: �-� a rnt • Ea94k, M CONTRACTOR Name: TYPE OF WORK PERMIT TYPE New ,/1 Replacement Additional Description of work: Alteration Demolition NOTE: Roof mountedarid group• triounted Code Please contact the Mechanical Ins RESIDENTIAL urnace ir Conditioner Air Exchanger Heat Pump Other inechanca ctorfor in uiputred to .be sdreened byC.i m ti rri1,[ied screening methods.'; New Construction Install Piping Gas on on pe COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) JJ 11�' • TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE 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.qopherstateonecall.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 nItltlp start without a permit; that the work will be in accordance with the roved plan in th case of work which requires a review and approval of plans. x MA App ca is Printe Name Ft712 OFFICE USE "' . • pecticirfs• Reviewed By Air Test Gas Bovis HVAC Screeping Inspection' Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Peot 2010 RESIDENTIAL PLUMBING PER k T APPLICATION 6 Use BLUE or BLACK Ink Permit Fee: Date Received: Staff: 1 Site Address: J Tenant: Suite #: RESIDENT / OWNER Name: 2111 1.4 i J Phone: l/ 4 Address / City / Zip: i 0-4 / at . A CONTRACTOR Name. 0 C ()Yl not,- P i aryl bi1'1 ct ii-kO1-1 I1 ' License #: i Address: !(I04 V "'V'Y;j 1 )►or) a" City:2 14c1 h riG�5 State: mr, Zip: 55U33 Phone: OS1` L J1~41li Contact: e&y t 1 A Email: i CL ► k %i i • ra. , G? TYPE OF WORK _ New Replacemen Repair Re•uild Modify ..ce Work in R.O.W. Description of work: �, _ V " _ PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures (_ RPZ / _ PVB) (_ Main Lower Level) Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $W.4614 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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.org 1 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 accordan 'th the approved plan in the case of work which requires a review and approv., • .' s. /1/ App ican ' Printed @oYyw)(v\ x Applic ignatu e 4 Yi Required Inspect PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108481 Date Issued:12/10/2012 Permit Category:ePermit Site Address: 4176 Prairie Ridge Rd Lot:14 Block: 2 Addition: Country Hollow PID:10-18275-02-140 Use: Description: Sub Type:e - Water Softener Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Philip A Faggiano 4176 Prairie Ridge Rd Eagan MN 55123 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature