4105 Countryview DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091738
10/23/2009
ePermit
Site Address: 4105 Countryview Dr
Lot: 4 Block: 4 Addition: Coventry Pass 4th
PID:10-18403-040-04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
e -Fireplace
Gas Fireplace (new)
Construction Type:
Occupancy:
Comments:
Improvements to the home may requ
concealing.
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total:
$90.00
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633-2561
- Applicant -
Owner:
Scott W Broders
4105 Countryview Dr
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: q/ a 7(/
Permit Fee: /
Date Received:
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
/ A � ?Site Address: gin 5— 004)10-041/1/e-, /
Tenant: r'7Cz77 7 'if% Z, p 07/49‘217ERI.
Suite #:
RESIDENT / OWNER
Address / City / Zip: zJT(J1t/C/ � ��f
Name: Cfa7 7 ted- Z3, b2?EA s Phone: �< 'vrv� "J�/crs"
Address /City /Zip: �j'¢(� ,/� ��6
Applicant is: Owner
Contractor
TYPE OF WORK
Description of w&k: M.p.5 * ezz., �(/ C,r� �I Ek ,549.4125'
Construction Cost: IZ ele9e) Multi -Family Building: (Yes / No X )
CONTRACTOR
Name: Mor' (3e.Y%5 7-,
9?5 trC /,, LLAY 1.1i24-
City:
,1i'GCity: f V e State: Zip: 5i ?-7
Pherr: aid '-�6�`-? ontact Person:
Address:
License #:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
)TES Plans and supporting documents that you submit are considered to be public information. ' Portions
e information may be classified as non-public if you provide specific reasons that would permit the City
conclude that they are trade secrets.._
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
accord ,*; approv=e/% la in the case of work which requires a review and approval plans.
A. •licant' Printed a Applicant's Sigfiature
Page 1 of 3
roto
DO NOT WRITE BELOW THIS LIN
942 -7.‘,
SUB TYPES
❑ Foundation 0 05-plex
❑ Single Family ❑ 06-plex
❑ 01 of _ Plex ❑ 07-plex
❑ 02-Plex 0 08-plex
❑ 03-Plex 0 10-plex
❑ 04-Plex 0 12-plex
WORK TYPES
❑ New 0
❑ Addition 0
❑ Alteration 0
O 16-plex
❑ Fireplace
❑ Garage
Deck
❑ Lower Level
Interior Improvement
Move Building
Fire Repair
Replacement ,r)g Nti o/rh y
DESCRIPTION:
Valuation
3oGlia'
Plan Review /fj/
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Const.
� 3y
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation .
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace:_ R.I. _Air Test
Insulation
Reviewed By:
❑ Accessory Building
❑ Porch (3 -season)
❑ Porch (4 -season)
❑ Porch (screen/gazebo/pergola)
❑ Storm Damage
❑ Miscellaneous
❑ Siding
❑ Reroof
❑ Windows
❑ Egress Window
Occupancy 3 RG ^ 1
Code Edition .2_
Zoning i
Stories
Square Feet
Length
Width
Final
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
❑
0
0
0
Pool
Ext. Alt. —Multi
Ext. Alt. — SF
Multi Misc.
❑ Demolish Building*
❑ Demolish Interior
❑ Demolish Foundation
❑ Water Damage
' Demolition (entire building) — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings __Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall
, Building Inspector
120
Page 2 of 3
401'
City or6aQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use %
Permit #: Jj ` " %�
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: Ar" �f ' f, S Phone:
Address / City / Zip: / V/05 Ce t4 'iffy {erg,e lA
Applicant is: Owner ^Contractor
Description of work:
ZAsht1 E9res3
GS/— aO0-3a/ S
SII / c✓+ndO�
Company:
Multi -Family Budding: (Yes
r� Neifa )(1"I�tsv
Contact: /yi � 4
City: 1oSe,i0
State: i4At-) Zip: 557)6 Phone: C/ 1 — 6 yy' fy P-"(
License #: 3 L t'o1 ?..5-5
Lead Certificate #: kr- % b? lZ—
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CalI 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x'42^ Nelson
Applicant's Printed Name
x
Applicant's Si • ure
Page 1 of 3
L//05 ou: Vim Dr
DO NOT WRITE BELOW THIS LINE
1//o15
SUB TYPES
Foundation _ Fireplace
Single Family_ Garage
_____Multi Deck
01 of Plex Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review ` ,
(25%_ 100% X )
Census Code (`
#of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
(9(70
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By:
Storm Damage
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Siding _ Demolish Building*
_ Reroof _ Demolish Interior
Windows
Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
_ Final / C.O. Required
y Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows 1i 5
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA120120
Date Issued: 01/17/2014
Permit Category: ePermit
Site Address: 4105 Countryview Dr
Lot: 4 Block: 4 Addition: Coventry Pass 4th
PID: 10-18403-04-040
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace
Comments:
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Dayna Gardner
505 Randolph Ave
Fee Summary:
ME - Permit Fee (Replacements) $55.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
- Applicant -
Owner:
Mary A Broders
4105 Countryview Dr
Eagan MN 55123
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA137228
Date Issued: 06/23/2016
Permit Category: ePermit
Site Address: 4105 Countryview Dr
Lot: 4 Block: 4 Addition: Coventry Pass 4th
PID: 10-18403-04-040
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
- Applicant -
Owner:
Mary A Broders
4105 Countryview Dr
Eagan MN 55123
(651) 285-4299
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
IP1' City of Eaan
Permit Type: Building
Permit Number: EA139886
Date Issued: 11/14/2016
Permit Category: ePermit
Site Address: 4105 Countryview Dr
Lot: 4 Block: 4 Addition: Coventry Pass 4th
PID: 10-18403-04-040
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
- Applicant -
Owner:
Steven C Vetter
4105 Countryview Dr
Eagan MN 55123
(651) 285-4299
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.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168720
Date Issued:04/30/2021
Permit Category:ePermit
Site Address: 4105 Countryview Dr
Lot:4 Block: 4 Addition: Coventry Pass 4th
PID:10-18403-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven C Vetter
4105 Countryview Dr
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature