4183 Prairie Ridge RdBUILDER our oF BusnEss-FRfk„rr raxEN ovER BY svNMTNE W-ALrY„
2121 CI,IFF DR., EA,AN, AfliT 55122 CITY OF EAGAN0aM„ pmSpN; 1ODD 452-05 161V60
, 3830 Piiot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt # `--- ?-•_ "'
To be used for Sp DWG/GAR Est. Value $106,000 Date J1JLY 28 19 89
Site Address 41$3 PItAIRIE RIDGB RD
Lot 17 Biock 3 SeciSub. COLVMY kOLIAii
Parcel No. occupancy
W 0LI t o;,
Name Zoning
(ACtual) Const
3 Address usi»BSS. (Allowable)
0 City Phone 786-96H # of Stories
Lengih
F Name SA? Depth
i
COJQ AddreSS S.F.Total
? Clty Phone S.F. Footprints
F On Site Sewage
? W Name On Site Weli
?z, Address MWCC System
a W City Phone Cily water
PqV Required
I hereby acknowlege that I have read this application and state that the Booster Pump
information is correct and agree to comply with all applica6le State of
Minnesota Statutes and City ol Eagan Ordinances.
Signature of Permitee APPAOVALS
Permit is issued to: NO"HIAIW HOM$, iNC
A Buildin Planner
g
on the express condition that all work shall be done in accordance with all Councii
applicabie State of Minnesota Statutes and City of Eagan Ordinances. eidg. Otf.
Building Official Varfance
OFFICE USE ONLY
ft-3 M-1
R- I
y-N Bldg. Permit
V !i
? Surcharge
Q?A'
49'
?
'X7I
-n
FEES
660e00
33.00
330.00
100.00
575.00
580.00
90.00
30.00
20.Op
1•QQ
228.00
344.00
Plan Review
sa,c, city
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
SMl Permit
5/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
•50
3,007.50
Permit No. Permit Holder Date Telephone #
WAIER IM
PLUMBING a // g ?
7. _?" /??`? ,? '?o`?
N.V.A.C.
ELECTAIC LC
(, •ry ?C V - . ?`
Inspection Date Insp. Comments
Footings I a
Foundation
Framin9 / d" /rkce ti'vS 5 P4 C/C
Ro0(ing
Rpugh Pibg.
Rough Htg.
lsul.
?rep,ace
/
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.JPlan
Bldg. Final ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
+. ' • p ? ? ? ..?_.. . . . . . .. _ . . . . ? . . . .. . .
p . : A
O ? .?
??ex#tftr?#?e uf (?.rr?r??tx?
+?itp of ?a?art
?r?r?ut? ?f ?uil??itu? ?n,?rpr?irnt `
7&is Certifu:nte issu?d pursuanl [o !he requiremerus of Secfion 306 of the Urriform Building
Code aaYifYinB that at the ti?xe of issrrance thisstrrceture ?+as in compliance wi11c [he ?rrriaus
ordi?ra?rces of rhe [?ity regulalirtg building co?on or use Far the follosving:
- t? a?e?,oo. g+ nG? SE' I?/C??R e?. ?,;c ? 168GQ
'? - ?,?„?,,? It3/M1 ?? R I T? ?..,v VN1
o,.? ?t s?a SUN5FlIl? RFALIY ,? 2 I 21 L7.1FF I7?t. . EAC?Pi _
4183 PRAIRIE RZDGL' RL1AD ?;n, L 17, B3, OOIIBTIl?Y E?IL?1
: ? , ,? : ?„? OCI?t X? 1990
POST IN A CANSPICUOUS PUCE d?/?
PLUMBING PERMIT For Offlce Use Only
' • CITY QF EAGAN PERMIT#
, • ,
CONTRACT
PRICE
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PHONE
DATE:
Site
Lot.
I .a, 11e
? Address ?
c City??1???
? Address
? City Phone
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO- RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MfNfMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE)
BLDG. TYPE WORK DESCRIPTION
Res. 74,- New
Mult. Add-an
Comm. Repair
Other
RES. PLBG. DNLY - CpMPLETE THE FOLLOWING:
NO. FlX7U R ES Tl7TAL
=?- Water Closet - $3.00 $ 6-tyf'_
-4_ Bath Tubs - $3.00
? Lavatory - $3.00
_4- Shower - $3.00
-4_ Ktchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 ?
_- Floor Drains - $1.50
Water Heater - $1.50 ?-
Whirlpool - $3.00
1_ Gas Piping Outiets - $1.50
(MINIMUM -1 PER PERMIT)
5oftener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
PERMIT FEE:
STATES S1C:
? GRAND TOTAL:
' • ' PERMIT #
'
• MECHANICAL PERMIT RECEIPT #
• CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address ?- / ? ? •' ? ? '?' ' ' TYPE WORK DESCRIPTION
B
DG
L
.
Lot Block Sec/Su b Res. ? New
? MUIt Add-On
? Name
Address Comm. Repair
c
Ciry
Phone Other
FEES
? Name : RES. HVAC 0-100 M BTU - $24.OD
c Address
~ ADDITIONAL 50 M BTU - 6.00
p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ? M BTU f' APL BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM STATE SURCHARGE PER PERMIT
(ADD $.50 SiC IF PERMIT PRICE GOES - .50
Gas Piping OuUets # --- BEYOND $1,000)
Other q -
' ' ?
?' ' -
FEE -
i
SI(3NATURE OF PERMITTEE
S/C:
TOTAL• FOR: CITY OF EAGAN
". CASH RECEIPT
CITY OF F-AGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE
?rveo ?l\ 1, ?-? ? ?•, i I ?--??,
Fi10M
? AMOUNT $ J
?- :
? CASH
8 DOw1RS
,00
l ? CHECK
BY
C -a .0 6??' YVFet0--PeYeR CAPY
. Yelbw-Poetinp CoVY
Pink-Fib Copy
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
4m
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE ONLY 7/31 /89
PERMIT DATE
PERMIT # 10696
B.P. RECEIPT # C 3162
B.P. RECEIPT DATE? 2 19
'Cl- PRV - BOOSTER PUMP
SITE ADDRESS
LOT -BLOCK SEC/SUB
APPUCAIVT:
ADDRESS:
CITY, STATe ZIP r
PHONE:
?
PLUMBER: -
ADDRESS: -?-
CIIYs STATE ZIP -' - -1,
PHONE:
OWNER: • „ , r . I J i,_ ,r _ c
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
`-' SEWER - GVATER ^- TAPS
,AM/IND
- CO
? NEW
? 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 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEMIER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
oATE 7 /_12 -Z, s `l
OFFlCE USE ONLY
METEH # 353 6 ? 7/ 31 / 89
PERMIT DATE
CHIP # 0 O?? yb IS PERMIT # 10696 .p?
METER SIZE l B.P. RECEiPT # ? 3162
ISSUE DATE 1o - 1' iir4 B.P. RECEIPT DATE 7/28/89
3?1_ PRV - BOOSTER PUMP
SITE ADDRESS tII P (2 S f R oA LOT ! ?RLOCK 'd' SEC/SU6
.
APPLIC/WT: _?
ADDRESS: ??? ? C• t..t v. ? ? . ''4 `? ,
CITY, STATE ZIP 73
PHONE: `7 Elz - _3 R /8'
r
PLUMBER: v,,, I:.) ,,
ADDRESS: L_? J14 n-tz
CIT1f, STATE ZIP ? {.?
PHONE:
OWNER: jv`a f4 l,L ?+-,.,,/ Nc .+? ? s .? ?, r
r
ADDRESS: o` 4 u v, ?- , v P
CITY. STATE ZIP s';'- 173p
PHONE: Y
PERMIT REQUESTED
EWER "WATER TAPS
- CO IND -" RESIDENTIAL
NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITy.;iTY OF
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4:
SEWER PERM(TS, CONTACT ENGI,INEERINGl DEPT.
?-'1%-. 14--?' _r["L-, 'L-? ? -
aHEN METER ISSUED
INSPECTIONS. FOR STORY
(6
CITY OF EAGAN NO 16860
13830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-8100
BUILDING G 2 /CG ?
PERMIT Receipt p )
To be used for SF DWG/GAR EsL Value $106, 000 Date JULY 28 ,1989---
Site Address 4183 PRAIRIE RIDGE RD
Lot 17 Block 3 Sec/Sub. COUNTRY HOLLOW OFFiCE USE ONLY
Parcel No. Occupancy R- 3--K=1 FEES
R
1
Zoning -
w Name NORTHLAND HOMES, INC (Adual) Consl V-N Bldg. Permit 660. 00
? Address 10026 IJNIVERSITY AVE (Allowable) V-N 53
00
Surcharge .
City COON RAPIDS Phone 786-3818 uotstories
60 ' Plan Review 330.0
O
Langth
? Name SAMF. Depth 4 1 Ciry
SAC 100.00
} ,
Address S.F.7ola1 - 575
00
SAC,MCWCC .
? CItY Phone S.F. Footprints -
Yd
t
C 580.00
On Site Sewage er
a
onn
?= Name on ste wen W
t
M 90
00
? er
a
eter .
s- AddfBSS MWCCSystem
Acct. Deposit 30.00
55 City Phone cry watar x(
xx 20
00
PRV Ra9uired S/W Permit .
1 hereby acknowlege that I have read this application and state thal the Booster Pump - SM/ Surcharge 1.00
iMormation is conect and agree to comply wiM all applica6le State of
Minnesota Statutes and City ol lEag O?r ina es. Treatment PI 228.00
Signawre of Permitee -/iL-.-?' A7PROVALS qoad unn 340.00
A Building Pertnit is i5sU0d t?HLAND HOMES , INC Planner - park Ded.
on the express wndition thal all work shall be done in accordance wilh all Council -- 50
applicable State of Minne
sota
S
talutes
and City o
fJ Eagan Ordinances. gi?, pn. Copies .
,
,
?
1
?
Buildinq Official ? ?y yw! L,?lA.1 ? ?4 Variance _ TO7AL -4i n07. 5^.
Address: 4183 PRAIRTE RIDGE RDAD Lot 17 Blk 3 Sec/Sub OpjZff.W gpLLpW
These items were/were not complete at the time of the final inspection.
? Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway
Permanent gas ?
Sod/saeded grass
Trail/curb damage
Porch f
Basement finish ?
Deck '
Please verify with the builder tha ramoval of roof teat caps from the plumbing
system andthe shut-off of water supply to the outsida lawn faucet bafore
freeze potential axists.
White - City copy Yellow - Resident copy Pink.- Contractor copy
BLDG. PERMIT NO. ??R?'C%^ LoI l/ ?jlbCk 3
rrq F?n Uo u) - '//2'3 Pruir ie, 11 ceRq'
073210 Bidg. Permit
07-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. 0` a
?
20-3716 Water Meter /?-
20-2252 Acct. Dep. ?
20-3713 Water Permit
!?^
V
20-3743 Sewer Permit <
79-3866 Sewer Conn.
28-3855 Park Deo.
? '_( Nf0 ?
3007
TOTAL .
DATE: 7/31/89
. RE' 6183 a1R1 - RID(3. ROAD L17, B3. COUNTRY NOLLOW
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
a CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
" Yoer Sewer & Water Permit for the above property cannot 6e completed for the following
4 ieasons: s
? c •)' : '
? ?.
Your Sewer R Water Permit for the above property has been completed, but the meter cannot
w. be issued or occupancy allowed until further notice.
t _
` COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
? confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW
4
CONTACT COMMUNITY DEVELOPMENT D,EPARTMENT FOR WATER TURN ON POLICY.
Al&,.
Secretary, Building Inspections Dept.
DATE: 7/31/89
RE:4183 PBAIBIE R1DGE ROAD. L17, B3, COUNTRY HOLLOW
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
4 Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
„ CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
M,
-z+-Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_f4 Your Sewer & Water Permit for the above property has been completed, but the meter cannot
? be issued or cecupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT'DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?
- 0 74?2
,
ReQuest Date
/^ _'/ J? n
? FIre No. Rough' nspecion
qequ e ? Reatly Now Will Notity Inspactor
4
h
R
d
o
7 % en
ea
y
? Yes o
I licensed contractor ? owner hereby request in5pection of above electrical work at:
Job doress (Slreel, Box orROUle No
Ll 193 R; Ciry
E?
?
Sedion No. Township Name or No. Ranqe No. CouMy
Ocwp
ant (PRINT) Phone No.
^
l?
Pawer Olier Atldress
) f?4
Elecmcal Convacior (COmpany Neme) Convacmr§ License No.
0 3 97a _
Mailing Atltlress ICONrac 1 or Owner aking Inslallation,
Au? orizetl Siqnature cOnVa<t i0wne./r M/ak{ingInstallation) Phone NumDer
MINNE50TA STATE BOAFD Of ELECTRICRY THIS INSPECTION fiEOUEST WILL NOT
Grlggs-Mldwey BIOg. - Hoom S1]3 ' BE ACGEPTED BY THE STATE 00ARD
1821 UniwraHy Ave.. SL Paul. MN 55100 UNLE55 PROPEF INSPECTION FEE IS
Phone (612) 6C241800 ENCLOSED.
_ `q
91 O 1 T L L
REQUEST FOR ELECTRICAL INSPECTION
? See in'Mmctions Id completing [his lortn on Dack oi yellow copy.
X" Befow Work Covered by This Request
??TM ?yyy,??` ?E?6j-00001-0/]4??
e Add Rep. TypeofBUilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buiiding Dryer Other (Specify)
CommJlndus[rial Fumace
Farm Air Conditioner
qher (speci(y) CanVadorS RemaBS: a ? C? 5 P
c^
it, 1' 10
Compute /nspecfion Fee Below: ++
# Olher Fee # ServiceEnirancaSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 ro 100 Amps
Transformers Above 200 _ Amps A6o Amps
SignS Inspector5 Use Only: TOTAL ,
?
Irrigation Booms a
U -
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 HS.
I, the Electrical Inspector, hereby Rough-in oaie
certify that the above inspection has
been made.
f oac 7
oc-
OFFICE USE ONLY ?
Thls repuest voltl 18 monihs from
ff 9 939? ?
0 4 9 5 9??
?
.
Fequaet e ire a. Fa?9?-in clion
Requi
? Ready Now i I Notity Inspector
es ? No When Reetly4
I?L
t
t
d
h
b
icense
con
rac
or ? owner
ere
y req uest inspection of above ele ctrical work at:
.bb Atltlr ireet r fioN .) '. Cily
U '
Section No. Tavnship Name a No.
. fnge No. Cou
k-
Occupam (PRI Phon¢ No.
PowerSU ? AtlGress
Beclric ont om y Nam¢) Cont'lloop Ll.ne?
'
?
Mailirg AAdress (Camraclor pmer 'ng In Ilafibn) F
.` cL ?s
_1
Authorized Sg (Con cbdOwner Making In on Ph e m0e? ?.-l .-
!? L ?
MINNESOfA STATE BOAPO OF ELECTFlICI 1-11, THIS INSPECTION REQUE5T W ILL NOT
Ghrlgge-Mltlway &tlg. - Raom 5173 BE ACCEPTED BV THE ST.4TE BOARD
1821 Univenity Ava, St. Paui, MN 55106 UNLE55 PROPER INSPECTION FEE IS
PhonC (812) BM12-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee?ooam` ( ? Sae insWCtions for Wmpleling this 5ortn on Eack ol yellow copy.
Lf 7-?7 rJr
2 -,0 4 g 5 9 X" 8elaw Work Covered by This Aequest
ew d Rep. TypeofBuilding AppliancesWired EquipmentWired
Home ange Temporazy Service
Duplez Water Heater Electric Heating
Apt. Building Dr Other (Speciry)
Comm./Industrial urnace
Farm Air Conditioner
Other (specity) Canirectar§ RBmaeks:
Compute Inspection Fee Be/ow:
# Olher Fee # ServiceEntrance5ize Fe # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 3 0 l0 100 Amps
Transformers Ahove 200 _ Amps i Above 100 _ nmps
Signs Inspector§ Use Onty: ? TOTAL ??
Irrigaiion Booms
Special Inspection
AlarmlCommunication
Other Fee (
I, the Elearical Inspector, hereby Rough-in ? oela p?
/
certify that lhe above inspection has
been made. F;nai
? oa
3G
OFFlCE USE ONLY
This requeet witl 1B monNS Imm
Repuesl Date
/?t I vy:
?
? ? Fire No. Bh-in I s ion
qumec?
fleetly Now,{.71 Will Notity Inspeclor
?? When Raatl1'?
W
/
/ l7 ? Ves
kN,
IP''licensed contraclor ? owner hereby request inspedion of above el
Job Atltlress ISlreet. BOZ p ROU[e NO.) '
?? &tz,p-c ,e??? c, ,e344 CiN
Seclion Np. Township Name or No. Raige Nv. ? CaY
? ?141-
Occupam ?PRINT)
SUi? , f1 c C?os7`" Phme No.
Power3upONe/r1
%??
? ?/F
?? Adtlress
Y
F
c
t C
d
f-/ A (?/
ls /7
I
ENprical Gonvanor (Comparry Name)
Rz UCel l??f?, r Ca CoMracmr§ L"zense No.
oY/! 2- .
Mailing Atl0 5 I onVactor or Owrrer Makiig Instal/Wtion) '
2, F G? v<i, z/ 4I " J?e,S ?M o ??f 'h4 :1rd
lwMro.?nz?LO /$Jgnalure J(?JV/?ywqwne/r? ki?n?? Ins1911e1ion)
.. /' C C,CANC . _!. ...J 'L/y??.._ fton?e /Nu/ym?Cer .
[ lf cJ'/
MINNESOTA STATE BOARD OF ELECTRICfTY THIS INSPECTION'REOUEST WILL NOT
GrIp9HAlOway BItl9. - p? 3'173 -' ' gE ACCEPTED BV THE STATE BOARD
18Y1 UnFrenMy Rve., $L Paul, MN SSIOC - UNLESS PFOPER INSPECTION FEE IS
Phww (6121642-0800 ENClOSED.
a1T71R-
REOUEST FOR ELECTRICAL INSPECTION
? Sae instmctions lor completing ihis form on back of yellow copy.
'X" 8e/ow Work Covered by This Request
??? 9 ??Y
.
e Add Rep. Type6lBuilding AppliancesWired EqulpmentWired
Home Range Temporary Service
Duplez Water Haater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial ' Fumace
Farm Air Conditioner '
Other(speciry) Contraclor5 Femarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee ,k Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps j 0 to 700 Amps
Transformer5 Above 200 _ Amps Above 100 _ Amps
SIgf15 Inspector§ Ilse Only: A-
L
OT
Irrigation Booms f 6-w ?
r
J?s..Sb
Speciallnspection ?
AlermlCOmmunication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby AO1gh"" Qj
certify that the above inspection has
been made.
? p ?
`
OFFICE USE ONLV
This request voitl 18 monms irpn ? 1
,
1989 B4ILDIBG PERMIT APPLICAiION
CITY OF EAl1AH
i(OtGo
BYNGLE FAMILY DWELLIBGS
2 3ETS OF PLANS
3 BSGISlERED STTE SUR9EYS
4 SET OF ENE&GY CiLCS.
NULTIPLE DHELLIHf3S AEtiTAL ONITS
2 SET3 OF FLlN3
8Ef3ISTfit1ED SITE SORVE23 -
(CHECb iTITH BLDfi DIV.)
1 3Sf OF BWEAG2 CALCS.
FOH SALE 06ITS
COlB'IERCI6L
2 SST3 OF lBCHI'fECTURAL
8 STa0CT9RAL PLAN3
1 8ET OF BPECIFICATZONS
1 SET OF ENERGI CALC3.
i OF OBITS
110TEs IDDAES3FS FOE COHRER LOTS - coNrn`croaisOMEoWxea rmsr uEsicearE iiHIC9 IDDAFSS
IS DESIAED. BO CS11i13FS WILL BE ALLOiTED ONCE SUILDING PERlfIT 13 2330ED..
SEHER A NATER YEAMIT FEES l1aD iCC00lPP DEPOSIT l6S3 NII.L Hfi IACLQDED MIT9 THE HOILDIN4
PERMIT FEE. PHOCFSSING TIIM FOR 3EWER lliD iiATEA PEEHIT3 I3 liTO DAYS OBCE A PEAMIT HAS
BEEN COhIPLETED IPDICATZNG A LICENSED PLD!ffiER.
PENALTY APPLIFS WHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEQOESTED.
- LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSUED.
To Be Used For: Sm SC< {{o--yPValuation: Date: y/gy
/ e
I/
.n Site Address 0,3 l OFFICE OSF ^mv
Lot / 7 Block .? ?
Pareel/Sub ,('06cn±-6 V4,((0-')
Owmer h1o2??.?? "o,..-.es ?;•.c
Address I Uoa(, u?-v\tv P-
City/Zip Code C'oo? 2Ay?'?s Mv\ 5SY3
Phone (( , ! a? 7& 1, - 3 8i 8
Contractor N o2+t? L.?_?( Ho,,1,e s=Lv)
Address SA , ::- a r '+ y<"+
City/Zip Code
Phone
Areh./Engr.
Address
Citq/Zip Code
/O6'? 00p?
Occupancy rZ-3 M- 1
Zoning R -I
Actual Const V- N
Allowable v-N
# of atories
Length
/?
Depth 4
9 ?
S.F. Total
Footprint S.F.
On site aexage
On aite xell
MWCC Syatem v
City vater ?
PR9 required ?
Hooster Pump _
1PPROVILS
Planner •
Council /
Bldg. Off. ??/Ico
Variance
_fa?
Bldg. Permit 660,00
Surcharge 53100
Plan Reniex 330.00
SAC, City 100-00
SAC, MWCC 37TIO-0
Hater Conn IOJ
Water Meter F O.o?
Acet. Deposit 30.00
S/ii Permit 20.0b
5/ii 3uroharge 1,00
Treatment P1. xz8.00
Aoad Unit UO,oo
Park Ded.
Copies .1,50
SifBTOTAL
Penaltq
tOTiL
Yhone #
f . Y
VA u uk A-n oiJ
GA2AC-rG: ZI X 12 = zsz 3 1
22 x z z? y6y
? 63 x 1S= I?oyO
asm r,
lu ?('ilo ? S?n
3?4 Vay
? x 12 = 72
1?-I LI S? XIy = 7-07,7 Z
I--I ou.5,c-
r
19" S ? 255
14n6 )C Sp
1o?riz
. ?
i ?
1.
pion
? eng *
** *
2422 Enterprise Drive
Mendota Heights, MN 55120
,• LAHO
ARCMITECTS '
N 89' S5'08'E
B?Sa bt?,a.t 118.81 '?''?' o.GS,
UN
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0
?.t?f,?te a? S?ryeY ?or: NORTHLA/VO CONsj.'
496?4.6 SS,,
OA? L)
exisfin4 Elevafion
propc}3`ed E/evation
Ura,nalk ( Utilry E4semenf
Orain* low ,4rrows
0 Denofes monumenf
Bearrins shown are assumed
4612' 681-1J1Q
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?e S/ab flevafron a21.7
es Otltv'sef Nub
Easements o r' Recard
L OT 17, BLOCW-3., CD UNTRY 14OLLOW
DAKOTA COUNTY
1 hereby certi}y rhat this Is a true and correct repreeentation oF s survey at the boundaries of the ebove d ribM landf?and ot the location of all
buildings, ihereon, end sll visible encroachments, if eny, from ar on seid lard. As curveyed by me thisdey of L??•? ? A.D. 19n.
l
1 Mcj7, ?O, e/ ?,
/]? R ER B. SIKICH ?.5. REG. NO. 14891 '
? ?q0g2 ?? -
hp j I? BLv-k3EX1'EItjOA CNVF.LOYE AVETiAGE "U" COMk`UTATIOTt ,
..;. APtr SI;E AUDRESS I? fJ Bo?c .?S/?77 'a/A?nI rn„ 5S?3v?C 977
CONTRACTOR /?/?,t-yEiLdh.+? WU?'M?S DI?TE PIlDNE 6i? st6
. ,
Determine working squaze•footaye of each. . '
1. Total exposed vall area ..... ?cq• ft. X I 7/
• 2, Total roof/ceiling area ..... f Sb(? sq. ft. X D2 - 39• ?b _?
, . .._ .. .. . ._ .... _._---- - • " -•- ' ?. .
A. Total wall v3neow area .......................... p
B. Total door azea.................................. C. ,btal slidinq qlass dcor araa ...................
D. Total fireplace wall area ....................... ?
E. Total uall fzaminq area (average lOi)..........._ 186. I
!3 y
F. 7bta1 Rim joist area............................
C'. Total Net wall azea above flooz................. J-kj2S ?
• Total expose8 foundation trea
^? • ?
R. %"txl fnunAat.inn vi.nriov ares....................
X. ^autal r.at fuut.C,.tica ares .1mve grado..........._
Detezmine 'U" value of each vall segmeat.
. . 8. 13-7.0 X rVe y7 s 7.3 .
L. 39y L x Mu• j ?04? ' ' .
• c., 39. !. x •o-
4. ?w ^ Rup • • ,- , e.. ?tsL, ? X"v¦ .08f • Ib,S ? .
• f. a?l X"u" S13 F
A oV? \??? ??? • ? /.l 1 • •
' ? •
h. ? x `u" r ' -
x`u. t a 7Y
3 ...................................sorAl a I 7 a,?15
IL itcm 93 is tttic s.vne asr or lo.s than item 61, yon have met tlie intent of
? • • '
L33C 6006(c)2.
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GT'iY OP' Ef;GAN
CA£ill'1'I:R: JS f'tii'.F:MTNFlL NUr 770
pRTc.: I)9/01/99 'i:C?1i::s i.a:P.i::l..:,
Ir!;;
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I
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:;Xc?C??X;k%??k?kM>'r."cwY?R<h;Y.%c?MX??Y.?i;X:rt?, ??k.XS?>k?BMrk r%??%k
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-684-4675
New Conshuction Reauiremenis Remodel/Reoair Reaulremenh
1157 Z'5-
? 3 registered stte surveys showing aq. M, ol lot, aq. H. ol house 2 coples of plan
cnd all rooted areas (2095 maximum lo} coveraae allowed) 1 set of energy calculaflons for heated addiHons
D 2 copies of plans (show beam R window sizes; poured Ind. design; etc.) 1 aRe aurvey iw exterior addMions a decks
? 1 se1 ot energy calcuiallons
? 3 coples of hee preservation plan B lof platfed a(fer 7/1/93
DATE: CONSTRUCTION COST: 7 9'S6
?
DESCRIPTION OF WORK: -fCO1?vPF Y?ce°or?oule
STREET ADDRESS;
LOT: t I
5 0 k c.L I
BLOCK: SUBD./P.I.D. #:
?l
Name: ? rl U!,$Ol'1 Phone #: 68-B - O/II
PROPERTY lcst Fint
OWNER
Street Addreas: Spt ", G
City State: Zip:
Company: SELA ROOFING & REMOllELING_ rnrr. Phone #: g64100 EXCELSIOR BLVD. (arec code)
CONTRACTOR ST. LOUIS PAItI{, MN 55416
Street Addreu: ID #0001950 License # a3-C, Exp.3 3Iza
ARCHITECT/
ENGINEER
City
Telephone #; area code ( )
State: Zip:
Name:
Streel Address: Registration #:
City State:
Sewer 8 water Iicensed plumber (reauired for new conshuetion onlvl:
Penr,."Fy applies when address change and lof chcnge is requested once permff Is issued.
Zip:
I heReby acknowledge ihaf I have read fhis applicaflon, sfate ihat the InformaNon Is conect, and agree to comply wMh all appllcabl
State of Minnesota Statutes and City W Eagan Ordinances.
Signature of Applicant: ---
,:,1; ?.
OFFICE USE ONLY '
Certifcates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required k )?
A?I?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
El 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellanaous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof.
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Pianning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIVU Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
`
,
SAC Units
% SAC
RESIDENTIAL BUILDING
? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4,lo-W
New Cons6uction Reauirements RemodeUReoair Reaui2ments Office Use Onlv
3 registered stte surveys showing sq. ft. ot lol, sq. ft of house; and all roofed areas 2 copies o( plan CeR of Survey Recd
(20% maximum bt coverage allowed) 1 set of Energy Calculations for healed addNOns Tree Pres Plan Recd
2 copies of plan showing beam 8 windax sizes; poured found design, etc. 1 sRe survey for addi0ons 8 decks 7ree Pres Not Reqd
1 sel of Energy Calculatlons Add'rtion - iiro'kete if ar-sde sepNc system _ On-site Septic System
3 copies of Tree Preservation Plan 'rf lot platted after 711193
Rim Joist Defail Options selecfion sheet (bldgs with 3 or less unrts
Date 12?? /? / c1? - .
?
/?
? ? Construction Cost
? ?
Site Address l /
?f
Q,t (/L? Unit/Ste #
? ?C
{
Description of Work ?i-,yA?
?
'
Multi-Family Bldg _ Y
_ N V Fireplace(s) _ 0 ?1 _ 2
Property Owner Telephone#([pyj)qV- 3DI ?
Contractor T
,r??
Address 3?(, vU, ?TVU City
li4
State Mr\j Zip 515 -37 :7 Telephone # (,Sj) 4 (Q -675 ?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy.Code'4Vorks
0ubmittecl)
t?
t? ?1
Sewer/Water Contractor
Telephone # (
Telephone #
Telephone #(
?
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in Conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ without a
permit; that the work will be in accordance with the approved pian in the cas? w^ which requires a review and
approval of plans
0, ?J ?i? .1,u1
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? 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 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or_ N? 25 Miscellaneous
Work Types
? 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)" 1:1 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (EnGre 81dg) - 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 Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tes[ _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.
(o 4 b;1-7
2064 RESiDE.i'? 11 !AL Pl.UMBiNG PEF6fVlIT APPLIi
+:.'!?-;' pF EAGAN
5830 Pl..Cs?' KNOB ROAD, EAGAN MN 551
651-675-5675
Please compiete for rnodifications to existing residential dwellings.
?
?n °T RID
JUN 0 1 2004
Q?q6£
'
KNUTSON,STEVE ?
Date s I ? I I? 4183 PRAIRIF
20AD
?
Site Street Address EAGAN, MN 55123 Ulllt #
(651)688-0111
Property Owner ? Telephone # ( )
.
contractor 612 €327-4033
_
Tele
phone # (
)
Address 2?,9qy??1.q 5? C.A.'?F"sE?.u.?iv?..?so. City State Zip
1 1fN IVEV?. e„ , 0 1 6tl U .-'-_ -' -'__
The Applicant is: _ L)v,Fner Con:ractor OYi;er _
-
-
-
--? -
-
-
' Alterations to existi¢ig dwelling
$ 50.00
_Add fixtures to roorns, er.cludinc water softener and water heater
Septic System Abandonment
i -
_ Water Turnarriunc'.{add .$121.00 if a 5/8" meter is required)
Othec ,
Water Softener Water Heater $ 15.00
X replacen;ert _ additional ?
Lawn Irrigatior, System RPZ_ new _ repair _
- ----- rebuild $ 30.00
?
I State Surcharge i
$ 50 ?
' Total $ l ?. SO
I hereby apply ior a Residen!iai Plumb`rg Perinit and acknowledge that the information is complete
and accurate; that the work vlill be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to star wi±rioui a oermit and work will be in accordance with the approved plan in
the event a plan is reqUirec €o be rnviewed and approved.
`
? `k:1:G1,-L ????-.
ApplicanYs ?'rinteci tJ^n,e A 's Signature
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
?SO I.? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
:2? r7() .C) 6
New ConsWction Reauirements RemodellReoairReauiremenls
3 registe2d si0e surveys showing sq. ft M l04 sq. fl of house; and II roofed areas 2 copes of plan
(ZO% marzimum lot coverage albwed) 1 setof Energy Calculations for heated addNOns Oae Pgft.R ?="?' • t+?
2 copes o( plan showing beam & window sizes; poured found desgn, etc. 1 sile survey for addAons 8 decks
lsetofEneigyCalculations AddNon-indicateNonsitesepOcsysfem
3 copies WTree P2servatlon Plan'rf lot plafled afler711193
Rim Joist DefaJ Options selection sheet (bldgs with 3 or less units
Date 6, / 025 / 0 ? w
Construcdon Cost L5- j/o
site Address 39/y T UniUSte #
DescripGon of Work S/CI/?s
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 1 _ 2
Property Owner 'RoA/ ?r?+'lr1aL Telephone #((v S-1) Ys-6' 0/ O.-?
Contractor (,(2r SA ow LsoC-
Address City ?
State %ylnl. Zip Telephone #(L S() o)- 77- C/?/U ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tvlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
(J submission type) Su6mitted Submitfed
• Energy Envelope Calculations Submilted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
?
I hereby apply for a Residential Building Pernut and aclaiowledge that the info n is complete anA accurate;
that the work will be in conformance with the ordinances and codes of the Ci t?p-t-fwo Ea of MN
Statutes; I understand this is not a pemrit, but only an application fis not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
-7(a ?? ??eA('
Applicant's Printed Name
(1 C/',e?/
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demol'Rion (Entire Bld g) - Give PCA handout to appllcant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
? 4 3830 PILOT KNOB ROAD, EAGAN MN 55122
? 651-675-5675
Please complete for modifications to existing residential dwellings.
?9 3a.S?
Date 5 I 2) I (N
Site Street Address k 3 C •? Unit #
Property Owner Telephone #?q?I
Contractor k )e.)/?bI.?JJ e?C1r' Telephone # ( )
Address tD RlJ'? ?? I Citv ?4 State Zip
The Applicant is: _ Owner ZContractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5l8" meter is required)
Other: $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
?Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total
? i
$3D,
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of .
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
V\F NN\S \OF (j
Applicant?s Printed Name
ApplicanYs Signature
l? r-
? MAY 0 5 [C04 ? !
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