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4175 Countryside DrCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA093963 Date Issued: 05/14/2010 Permit Category: ePermit Site Address: 4175 Countryside Dr Lot: 3 Block: 2 Addition: Country Hollow PID: 10-18275-030-02 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: J Carver Construction 1345 Schletti St St. Paul MN 55117 (651) 645-5488 - Applicant - Owner: Craig K Flaskerud 4175 Countryside 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 Parcel Files Cover Sheet Unique ID: 4025 4175 Countryside Dr 101827503002 Y OF -EAGAN Pitot. Knob Roast,,P.t. Box 21-199, Eagan, MN 55121 P'f tONE: 454-8100 Receipt # Date To be Used for ldress 41 W 3 O 3 Block 2 Sec/Sub. el No. Est. D Name Address 4 City Name ST VS VOIOIWEf Address 15674 )IARIIQl1Y WAY City AP 14 VALLEY Phone U� W w 0 W Name Address City Phone I hereby acknowlege 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. / Signature of Permitee c a � <• ...1 t", A Building Permit is issued to• STEVE EN on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 1 Occupancy Zoning (Actual) Const- (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System . City Water PRV Required Booster Pump OFFICE USE ONLY APPROVALS Planner Council Bldg. Off. Variance Bldg. Permit Surcharge Plan Review SAC, City SAC,MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C.. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector — Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. ,---,//:; .9/ f Deck Final gjas/9k cal net/ �,,., / 04 s ,S'2f1 Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for Site Address Lot 3 Block ^` Sec/Sub. colorray i0LL 1 Parcel No. cc w 3 0 0 OV Ucc r Name Address City Phone z ,i aW Name Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comp) ith all applicable State of Minnesota Statutes and City of gan ces. Signature of Permitee "" '""►•.... A Building Permit is issued to: 1 ti ffi on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official + 't Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump OFFICE USE ONLY 14-3 1164 Rod V.11 Bldg. Permit V. Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge E.00 Treatment PI Road Unit Park Ded. Copies TOTAL APPROVALS Planner Council Bldg. Off. Variance 36' 390 FEES 30.00 20.00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC /Cg 5 V l7e t, . i.i //ti /� /� 2/ j941 (71,2_6,(2,6a,„2,_,/ Cy 9 / l / Cryo / 4�7�1 �` e- /:,,,,,eM .1i1`t /�� r.CL%�S / 4L(/ Inspection Date Insp. Comments Footings I %.1/' 9 Le.),S Foundation Framing rb%v/tfq f i After- 16-C '11!'V' Roofing Rough Plbg. /0-S---$1 i Rough Htg. Isul. !'7/r7 ez�4 Fireplace /a/ .�� , /V Final Htg. ,� /ff•—0 r Final Plbg. —ii i Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final �j2 r r% Deck Ftg. /� Deck Final Well Pr. Disp. MECHANICAL PERMIT CITY OF EAGAN 3 3 _PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: 4/l �y .,. " - PHONE: 454-8100 BLDG. TYPE, \z Res. Molt. Name L# fi"�L I f t i �• t'`1Molt. c City tt-t ;i �si‘1 w`>t Phone .; & e Other Site Addre Lot 6 Block - Sec/Sub aer..t tl Comm. Address O Name Address City t'f,:5 C • ry,s n a' \i• Phone -31 OC TYPE OF WORK Forced Air, Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other - M BTU $ 'T• C M BTU $ M BTU $ MBTU $ w_._.. CFM $ PERMIT # RECEIPT # elf CjC DATE:cti ? For Office Use Only: WORK DESCRIPTION V New Add-on Repair FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU 6.00 (RES. CONSHVACTION) C INCLUDES A/C ON NEW GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE &CONDOS — RES. RATE APPLIES MINIMUM RESIDENTIAL FEE — ALL ADD-ON & REMODELS 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1;000) s, 5.5D oa 50 SIGNATURE OF PERMITTEE CONTRACT PRICE: PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Address ''Y 75, Lot Sec/Su a,f. Name Tri Address City Name Address City Phone FEES COMM/IND FEE — 1% OF CONTRACT FEE APT. BLDGS COMM RATE 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 BEYOND $1,000.00) Phone77 SIGNATURE OF PERMITTEE BLDG. TYPE/ Res. M ult. Comm. Other PERMIT # RECEIPT # DATE: WORK DESCRIP11ON New Add-on Repair RES. PLBG. ONLY — COMPLETE THE FOLLOWING: NO2FIXTURES TOTI Water Closet - $3.00 $ r Bath Tubs - $3.00 Lavatory - $300 __..^Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 / Laundry Tray - $3.00 _4_Floor Drains - $1.50 ___LWater Heater - $1.50 Whirlpool - $3.00 / Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 - Private Disp. - $10.00 - Rough Openings - $1.50 FEE: FOR CITY OF EAGAN STATE S/C: GRAND TOTAL: f o 1 74 cOUNTFYt;''It EXTERIOR EIIVELOI'F] AVE1UwE . HU u COILPUT'AT'IOIIIi (To be submitted with building permit application) )ne'or Two Family Dwell ng V11 other r:e).\(/p jp Owner :Site Address :-1-c nnU) C,4/ C.c"4e7- Jontraotor \I>,?: -.-0'"P! IV\1 1-�' d()/1/ 7' Date _ Phone V 15Et) IlIEAL FEET OF EXPOSED WALL JPAQUE WALL CONSTRUCTIONS Detail reference from attached sheets 1)rrfT .ft. above grade = ?)11T11 )C) TOTAL EXPOSED WALLIA 1EA sq. t1UIt Value x Area nun ,04'."2-, x SQ.-FT./g/44 11U11 r 0.-V x sq. FT. cic�,.•I,j nun Q 111111 f� x Sq. P"I'. 111111 x sq. FT.- x sq. FT. nun x Sq. FT._ _ WIIIDOWSt HU11 Value x Area (lake & T I 1 11 Tii ype ��k C ^iVl'r nun IIU11 1 360 x sq. FT. l b41./ = b(0 Z U II II 11 I1 x sq. FT' .... __------�(U)(A) n n HUHx Sq. FT. (U)(A) x sq. •FT. (U) (A) ra (U)(A) (U)(A) U)(A) (U)(A) (U)(A) (U)(A) DOORS t "t1" Value x Area Hake & Type tre/c.,S HUH (q.x q s . 11 11 11 II i x s nun x sq. HUH TOTALS 2 TOTAL (u) (A) VALUES AVER DIVIDED 13! TOTAL yIALL AREA Z?1-, lq AVE1lAa I�Jt115 or leas for 1 c family ROOF/0EILI11a-t._- TOTAL ATEA: rJ' Detail reference t0�1 qq from • nun x sq. FT. ! /C-•= Ic) (U)(A) Huu attached sheets.nU11 x SQ. FT. (U) (A) Describe openings • "Un x sq. FT. (U)(A) in roof. nunx SQ. FT. (11) (A) x Sq. FT. - (U)(A) x sq. ►11 sq. ,(IE HU 11 , ob dwellings FT. 41' _ ,,, Sin (U)(A) FT. .41,o '_ (U)(A) FT. (U) (A) FT. ( (U) (A) FT' ��I ' 9 9 (U) (A) TOTAL (u) (n) VALUES DIVIDED BY 10i WI! AL krr • TOTAL I100F/CEILIN AREA AVE1lAaE 11u' 111�5 •025 dor ventilated roofs. • DATE• 8/30/89 4175 COUNTRYSIDE DRIVE, L3, 82, COUNTRY HOLLOW RE" 896 SUNWOOD COURT, 1.2, B1, SUNRISE HILLS Ind 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 CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Yoe~ :ewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter 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. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 7 OFFICE USE ONLY METER # �v / ?-7 H`f CHIP#fo3 ?l C2 - METER SIZE 6? A £ec>K ISSUE DATE 1 0-- 7 B.P. RECEIPT DATE 8/ 29/89 PRV BOOSTER PUMP PERMIT DATE /89 WATER PERMIT # .834 B.P. RECEIPT # 3630 SITE ADDRESS "�� =__ LOT BLOCK''- SEC/SUB -Jur–. i--- ' :� " - .� ��'� APPLICANT; -i..A;"7/1 ' '..)21 � ADDRESS f 3 _� CITY, STATE ✓ a-^- w 4-44' - ZIP of PHONE" 1 NEW PERMIT REQUESTED SEWER WATER TAPS COMM/IND RESIDENTIAL EXISTING PLUMBER. ADDRESS. CITY, STATE PHONE: OWNER. ADDRESS. SIGNATURE WH FJ1 METER ISSUED CITY, STATE ZIP PHONE. / ✓' /"�.� f I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: 14-1 Site Address Lot ) Block Parcel/Sub 6911.41 a � Valuation: Owner Address City/Zip Code Phone Contractor Address /' h ,( / :3 5 C -Z a -c, l t) L) City/Zip Code L i -,'u 550 2--1/ Phone 3 / _ -e-t9 / Arch./Engr. Address City/Zip Code Phone # //4. 000 Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. Date: PJ OFFICE USE V -- til \l -N -6 3 `1 On site sewage On site well MWCC System City water PRV required Booster Pump APPROVALS Planner Council Bldg. Off. Variance Council 8�7 - ONLY FEES Bldg. Permit 6%,00 Surcharge 5 oo Plan Review 8,00 SAC, City SAC, MWCC Water Conn ' Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies TOTAL NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. CITY OF EAGAN No 16967 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $116,000 Receipt # Date AUG 22 , 1989 Site Address _4175 _CQUNTRYSIDE DR Lot 3 Block 2. Sec/Sub COUNTRY HOLLOW Parcel No cc w z 0 0 Name JOSEPH M MILLER CONSTRUCTION Address 18133 CEDAR AVE S City FARMINGTON Phone 431-2001 0 U< cc r - Name SAME Address City Phone ¢ ww Fw z 00 ¢w Name Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to compl ith all applicable State of Minnesota Statutes and City of agan O ces. Signature of Permitee A Building Permit is issued to• JOSEPH M MILLER CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota�Statutes and Cit of Eagan Ordinances. Building Official ► J tiii f i tit 1 OFFICE USE ONLY Occupancy R-3 Zoning R-1 (Actual) Const V—N (Allowable) V—N # of Stories Length 56' Depth 39' S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance XX XX XX FEES Bldg. Permit 696.00 Surcharge 58.00 Plan Review 348.00 SAC, City 100.00 SAC, MCWCC 575.00 Water Conn 580.00 Water Meter 90.00 Acct. Deposit 30.00 S/W Permit 20.00 S/W Surcharge 1.00 Treatment PI 228.00 Road Unit 340.00 Park Ded. Copies TOTAL 3,066.00 k,a elrrtifirair of (orrupanry titp of (agars fl paritnrut of Vuitbing 3ttiiprrtttm This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification SF AVGBldg Permit No. 16967 VN Occupancy Type R3A41 ZoningDistrictr 1 Type Const. Owner of Building MMILLER"EIEUC l ( --Address 88133 CEDAR AVE., S., FARMMICK 4175 MUMS= DRIVE L3, B2, COM M HolumBuilding. Address Locality Date. DECEMEEE 13, 1989 POST IN A CONSPICUOUS PLACE '4ar-14 q5:ed-r" Ats14... CA.10 AO ii5elx(441444z1)5 9/5)7- 140;13 e • 3•,5)< zsi5±775-1-z0+te2)-= 614H z54-7119 foiirwrtifuT I Ci -* p 5/2-5/e6 ggigi 141-7 411f1 F-41,1- )4'7 yttaiDza z.41)(4S =y.45)(7,7450 '-244 42Xi 41-11.6‘ 910)(17 2- ?-0)(415 lb/0) I ib,c2 7-1(0Xca 1016)(1----- 10,5 ao)64?2 2-1) 1= 2.1, . 4r)(15 1b415 • 3v-€1pg..1 Zgio(1.--) -e-Tt-i 95P-, alto Co°. ff-r-no cgs q15 • --1.&..2:1.70 ro% wsLgvo z3,111t'1 ti54 daxi qey11 pm, jzzipl IA wit* 1.04/5 11 4-i, 611 4/60/0 • /5 51,11 F 54954z2z K :.f , C 0-6&,-(4).--- Request Date 9-29-89 Fire No. in Inspection fired? Yes ❑ No ❑ Ready Now ill Notify Inspector hen Ready? Ij��icensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) 4175 Countryside Drive City Eagan Section No. Township Name or No. IRange No. County Dakota Occupant (PRINT) Joe Miller Construction Co. Phone No. 431-2001 Power Supplier Dakota Electric Address Farmington, MN 55024 Electrical Contractor (Company Name) Midland Electric Inc. Contractor's License No. 041610 Mailing Address (Contractor or Owner Making Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Autho re (Contractor/Owner Makin Installation) '-/ Phone Number Phone 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY Griggs -Midway Bldg. — Room S-173 1821 University Ave., St. Paul, MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NO BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. j0/ley REQUEST FOR ELECTRICAL INSPECTION / / See instructions for completing this form on back of yellow copy. EB -00001- 7 F5 4 9 5 4 'X" Below Work :overed by 1 tits rrequesr -- v Add Rep. ' Type of Building Appliances Wired Equipment Wired 5z Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial x Furnace Farm t Air Conditioner Other (specify) Cont actor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool / 0 to 200 Amps to 100 Amps Transformers Above 200 Amps 'Ab• - = 4 Amps Signs Inspector's Use Only: / A' TOTAL Irrigation Booms f Y/l • SO Special Inspection Alarm/Communication i Other Fee t_.te I, the Electrical Inspector, hereby Rough -in f q. /6.~'/ 7; certify that the above inspection has been made. 1-.t? , ' Final 6 OFFICE USE ONLY This request void 18 months from • Determining +'Urt values at floor Wall; Ilim, and (lone. Moult •looFU1;1I,I11c1' 1.) Iutnriot:Airr ril• e 2.) 5/OH nyp. 13d. 3.) Insulation 4./ 5.) Exterior Air Film (STILL)' • HUH n 1/ila • '024 .LOTAL (Ii)a .7g WALL 6.) Interior Air Fila 7.) i".0)17. Bd. 0.) Insulation 9.) r'u,1:r_hnci 10.) liaeonite iIdiiU 11.) Exterior Air Film HUn 1 /11a 0'1•3 SAULAtlitl 0,69 ;45 Z.01- . 67 .01..67 .17 TOTAL (P)ii 23.01 Interior Air Filet Insulation 2"" Fir Him Joint • %nits-1'ir' 1lanoaite .Siding Exterior Air Film • it YALU 0.60 I9.o0 1.80 204 7. .67 .17 HU II n 1/11a #040 TOTAL (Il)n Z11r 1 FOU11VATIO11 IO.) • Interior Air Film • 19.) •• 20,) P -I/ 9 Pir E1 21.) 12" Uonorete nloolt 22.) 23.) Exterior Air Film "Un p 1/Ha p 07(2i TOTAL .17 !11)a )3.11 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS iotij1991 BUILDING PERMIT ALICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & 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. 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: / Xe.;?" e / Valuation: Site Address -1/75 C 7`rys-06 7 vc.. Lot 3 Block 2- Parcel/Sub :WAIV77e% WO(_(.i .c) Owner %'.c/�Se/?�Ecry Address y/fs �.,pi��Sio ?)ri✓G City/Zip Code L472,), v,) /%,'nn. 5542.3 Phone 4-37-- j,;.z 4,7 Contractor �fe,,, e 4? c4 ., Address 1.5-‘---701 ihi,VC.-J�. eak7 City/Zip Code /e71,*�4% %� y Phone Arch./Engr. Address City/Zip Code Phone # (Signature of Contractor) Date: Arr. ?o, OFFICE USE ONLY M FEES Occupancy ''` L Bldg. Permit •26.077 Zoning Surcharge .5P Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length ,244 Water Conn. Depth /2' Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage Treatment P1. On site well Road Unit MWCC System Park Ded. City water Trail Ded. PRV Copies Booster Pump APPROVALS Planner Council Bldg. Off. Lf5-'6 r/ Variance SUBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 19 014 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 # r. 1' 0 To be used for DECK Est. Value $1,000 Date MAY 6 19 91 Site Address 4175 COUNTRYSIDE DR Lot 3 Block 2 Sec/Sub COUNTRY HOLLOW Parcel No cc w 0 0 Name TED & ROSEMARY PETERS Address 4175 COUNTRYSIDE DR City EAGAN Phone 687-9267 Cc 0 Ua cc1— Name STEVE VONRUDEN Address 15674 HARMONY WAY City APPLE VALLEY Phone 432-7804 U15Q W wW U� ¢z W Name Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all appljcpble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee �P_+V A Building Permit is issued to• STEVE VONRUDEN on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy M-2 FEES Zoning (Actual) Const Bldg. Permit 25.00 (Allowable) Surcharge .50 # of Stories Length 24 r Plan Review Depth —122 SAC, City S.F. Total SAC, MCWCC S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System City Water Acct. Deposit PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council _ Bldg. Off. Copies Variance TOTAL 25.50 1 t MEMO city of eagan L. 3 4 z C CI,Lt tet -My I-io l low) TO: THOMAS L. HEDGES, CITY ADMINISTRATOR FROM: THOMAS A. COLBERT, DIRECTOR OF PUBLIC WORKS DATE: MAY 3, 1996 SUBJECT: SANITARY SEWER BACK-UP - COUNTRY HOLLOW ADDITION INCIDENT At approximately 8:15 A.M. on Monday, April 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 Electric 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 into their homes to some degree. See attached map for location of impacted properties. CAUSE Preliminary investigations indicate that some type of power spike or surge created a "flash burry' at one of the connection points of the control fuse for the electrical motors. Such a power or mechanical failure should not result in a sewer back-up into residential homes as the City has portable generators and/or auxiliary pumps that can be commissioned to maintain continuous sewer service. Unfortunately, the sewer back-up resulted from a failure 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 electrical 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 replace all such unreliable alarm systems with current 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 occurred. CORRECTIVE ACTION 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 increase 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 reliability. The City's insurance agent, League of Minnesota City's Insurance Trust "LMCIT" has already been in contact with all of the known affected home owners helping to process 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 agent. COMMUNICATIONS In addition to numerous phone calls and personal visits with affected property owners, attached is a letter being sent to affected property owners. As significant additional information becomes available, I will forward it to your attention. Please let me know if you would like any further action. Respectfully submitted. 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 101,2 b61 4.LUO 05/03/95 14:08 EAGAN MICE EAC - CITY HALL-DNSTPS City of ecrman NO. 996 P001- 0C.1 MAY 2, 1996 NAME ADDRESS CITY, STATE ZIP THOMAS EGAN Mayor PATRICIA AWAOA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Mambo's THOMAS HEDGES CIN Administrator E. J. VAN OVERBEKE CIN Clerk RE: FAILURE OF THE COUNTRY HOLLOW SANITARY LIFT STATION ON TUESDAY, APRIL 30, 1996 Dear Name: It is my understanding that your house was involved in flooding from the backup of the city sanitary sewer system on April 30, 1996. The cause of the backup was a failure of the City of Eagan's sanitary lift station which incurred a power failure thus preventing the sewage pumps to function properly. In itself, such a power failure would not cause a sewer backup as the city has portable generators and pumps to maintain continuous sewer service. Unfortunately, the backup resulted from a failure in the alarm system which notifies the City's maintenance division of a problem allowing it to respond with corrective action prior to any of the homes being impacted. Upon receiving the alarm at 8:17 a.m., on April 30th, 1996 the Utility Division dispatched two employees to the scene and they arrived on site within 10 minutes of being notified of a flooding problem of one of the homes in the area. They immediately requested a backup generator to be brought in which was done within an additional 15 minutes. At the same time Dakota EIectric was notified that a possible power failure may be resulting in the transformer which controls the sanitary lift station. Dakota Electric dispatched a truck which arrived within 40 minutes of the initial call. The emergency crew connected the generator to the electrical bypass of the sanitary lift station and the pumps were operating within minutes. It took approximately 20 minutes to pump the system down to control any flooding that may have been taken place. Unfortunately approximately seven homes in the area had experienced a sewer back up to some degree. The entire situation was corrected and the station was back on line operating properly by 10:13 a.m. On May 1, 1996 the Utility Division contracted with Jensen Electric Company to inspect and test the control panel at the sanitary Lift station. As a result of their inspection, 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 located which showed that it may have been exposed to excessive power, it was still operable. The Utility Division also traced and verified the operation of the current alarm system which has existed at the station. Further investigation will continue to determine what caused the alarm failure. MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 1897 PHONE. (612) 681 4600 AX. (612) 681.4612 100 (612) 454.e535 THE LONE OAK TREE THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNITY Equal Oppar/unlry/Affirmative Acnon Employer MAINTENANCE FACIUTY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE' (612) 681.4300 iAX: (612) 681.4350 'DO (612) 454-a535 61. 681 4700 05,-0:/96 14:08 EAGAN rITCE FAC — C [ Tr' HPLL—DNSTPS NO. 996 P002,0r4 +C.! 1 On June 20, 1994 this lift station experienced a similar problem due to loss of power from Dakota Electric. After reviewing this incident the Division investigated alternatives in system control and monitoring failure alarms which lead to the development of our current SCADA (Supervisory Control and Data Acquisition) system which is utilized at our Water Treatment Plants. In 1995, the city initiated an aggressive program of replacing controls and alarms in our entire system with the most current technology available which has built in redundance of a failsafe mechanism. Unfortunately we were approximately five weeks away from completing the conversion to the new alarm system when the recent pump and alarm failure and sewer backup occurred. The city will make every effort to further accelerate the completion of this alarm conversion and hope to complete the installation and testing within two to three weeks. We feel confident that once this new alarm system is activated there should be no further concerns of similar situations occurring in the future. In the meantime, the Utility Division has taken further steps to monitor the operation of the lift station. The current alarm system will be tested three times weekly and verified as to the status of its operation. Also, we will be adding a light to be installed at the station which will activate during a high sewage level situation. This light will provide a visible alarm that a problem with the station is occurring and therefore allowing the city to be notified by residents whenever the light is observed to be on. We sincerely apologize for the inconvenience you have experienced and want to assure you that the City of Eagan is committed to providing a safe, dependable and trouble free sanitary sewer system to meet all of your expectations. As the work progresses with the new alarm system, I will notify you as to the progress and completion date of that project. If you have incurred any damages the Ciry's insurance company will work with your homeowners insurance company to process any claims and reimbursement payments. If you have any questions regarding processing your claim, please contact the city's insurance agent, Ms. Darlene Boise at 215-4077. S incerely, Wayne Schwanz Superintendent of Utilities WS/nab 1:\2I bk.°unW,) 24 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA100431 Date Issued: 08/03/2011 Permit Category: ePermit Site Address: 4175 Countryside Dr Lot: 3 Block: 2 Addition: Country Hollow PID: 10-18275-02-030 Use: Description: Sub Type: e-Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 - Applicant - Owner: Craig K Flaskerud 4175 Countryside 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 10/26/2015 15:03 FAX 651 451 7740 CULLIGAN a_jytiaa 0'014 Pay City of Ea � 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (aci Ecovr 4CI 1 b 10001/0001 4,0- c-6 Use BLUE or BLACK Ink For OfficeUse Permit #: / 330 7S� Permit Fee: 6.40•� 0 Date Received/0'O^c� Staff:(st7 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: tif' 7 5- court tele „Dr-. Suite #: Address / City / Zip: Name: Milbert Company Inc dba Culligan ater C641376 License #: . J Address: 1.8.01 50th St East State: Mn Zip, 55077 Phone: City: Inver Grove Hgts., 651-451-2241 Contact: William R Milbert Email: Newheplacement Repair Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (RPZ / PVB) Septic System New Abandonment rr. Water Softener Add Plumbing Fixtures L_ Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) // //�� TOTAL FEES $ (DV , 0 0 CALL BEFORE YOU DIG, Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecallorg 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 pia s. x 1/0, L T itifi e -A Applicant' Printed Name