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4174 Countryside DrParcel Files Cover Sheet Unique ID: 4024 4174 Countryside Dr 101827507001 INSPECTION'RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: PERMIT SUBTYPE: INSPECTION TYPE DATE APPLICANT: TYPE OF WORK: INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG lC/7 i LGiki � DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: Control No. lI I 1 U 1 1111 00k1-.0141 40/0,?/92 SITE ADDRESS: 11 14 COI$1 RYS 1 DU 11R 'Ohl$EWV HOIIOW PERMIT SUBTYPE: APPLICANT: t,fm TYPE OF WORK: 41 - INSPECTION TYPE 1 iitli 11.;t, DATE INSPTR. INSPECTION TYPE 1 1“iAti 1 WI DATE INSPTR. ,, 1 141":=111 A 1 1 (114 I 1 NAI 1 A 1-c1 VI AU 1 (IN 1 ti Piz I Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date nsp. Comments Footings I %0/a/CI�, 5 Foundation /7i L Pi Framing 1V-V92._ +n /y Roofing Rough Plbg. / el-7/ r� zi/V Rough Htg. N 7L /ii Isul. )2/02 i /fir 74Z C{/ Z4.� r l-f,'LC.. y Fireplace i 2,-.2....9-2.\ a !` s-ayea�ed2 ` Final Htg. i 1< / r.Orsat . Test / ( it Final Plbg. / (y3 4, i, Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final 11)!2 / /J Deck Ftg. Deck Final Well Pr. Disp. /1-7- 72 Z5 _/2-i= RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 6/6/ SITE ADDRESS -#7 TYPE OF WORK�.e-cc APPLICANT I d-� • STREET ADDRESS 4 /L•. .� .4tA ' S. CITY Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION S IDD CLa TELEPHONE # 67Z -I3/-7,5:55- CELL PHONE # PROPERTY OWNER MULTI -FAMILY BLDG _ Y N FIREPLACE(S) X 0 _ 1 _ 2 FAX # STATE MI VZIP .557/'Y TELEPHONE # KSI'%(*/��(� COMPLETE THIS SECTION FOR -NEW,' RESIDENTIAL BUILDINGS ONLY Energy Code Category (-1 submission type) Plumbing Contractor: MINNESOTA RULES 7670 CATEGORY 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing system includes: Mechanical Contractor: Water Softener Water Heater No. of Baths _ MINNESOTA RULES 7672 • New Energy Code Worksheet Submitted Phone # Lawn Sprinkler No. of R.I. Baths Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 I hereby acknowledge that I have read this application, state that the infor ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or gtt' es. Signature of Applican OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation 0 07 05-plex 0 13 16-plex 0 20 Pool 0 30 Accessory Bldg ❑ 02 SF Dwelling 0 08 06-plex 0 16 Fireplace 0 21 Porch (3 -sea.) 0 31 Ext. Alt - Multi ❑ 03 01 of _ plex 0 09 07-plex 0 17 Garage 0 22 Porch/Addn. (4 -sea.) 0 33 Ext. Alt - SF ❑ 04 02-plex 0 10 08-plex 0 18 Deck 0 23 Porch (screened) 0 36 Multi ❑ 05 03-plex 0 11 10-plex 0 19 Lower Level 0 24 Storm Damage ❑ 06 04-plex 0 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous ❑ 31 New ❑ 32 Addition ❑ 33 Alteration ❑ 34 Replacement ❑ 35 Int Improvement 0 38 Demolish (Interior) 0 44 Siding ❑ 36 Move Bldg. 0 42 Demolish (Foundation) 0 45 Fire Repair ❑ 37 Demolish (Bldg)* 0 43 Reroof 0 46 Windows/Doors *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 Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No 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 , Building Inspector 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 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: BUILDING 029647 03/28/97 P.I.N.: 10-18275-070-01 DESCRIPTION: 4174 COUNTRYS LOT: 7 BLOCK: COUNTRY HOLLOW REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: f1RCHADECK 2236 E 43RD MINNEAPOLIS ,(612) 721-2100 MN 55407 OWNER: O' BRIEN BARRY 4174 COUNTRYSIDE DR EAGAN MN 55123 (612)686--7960 APPLICANT/PERMITEE SIGNATURE ISSUED BY: ' GNAT 1 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) SO" 5c CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements RemodefReoair Requirements • 3 registered site surveys • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • 1 energy calculations • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No DATE: DESCRIPTION OF WORK: fie. C� • 2 copies of plan • 2 site surveys (exterior additions & decks) • 1 energy calculations for heated additions CONSTRUCTION COST: boa STREET ADDRESS:vvt"`. LOT BLOCK 1 SUED./P.I.D. #: ,A..:1 -1`y I4 10 t PROPERTY OWNER Name: R:: (.) r t e...A. Phone #: ‘t4, % 16 wr � axsr � Street Address: 4 k r. City: Cali'' State: K Zip: SS' Z-'1 CONTRACTOR Company: Aci"-C-c.A..le. �. ARCHITECT/ ENGINEER Phone #: Street Address: I 1-CDIC) "tt}' re•Cr,License #: City: Mi H e rti State: r:. Zip: ss 3 Company: Phone #• Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all ap State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required RECEIVED MAR 2 4 1997 BY: BUILDING PERMIT TYPE ❑ 01 Foundation 0 06 Duplex ❑ 02 SF Dwelling 0 07 4-piex o 03 SF Addition ❑ 08 8-piex o 04 SF Porch ❑ 09 12-piex ❑ 05 SF Misc. 0 10 _-plex WORK TYPE X 31 New o 32 Addition 0 34 Repair ❑ 33 Alterations GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY Apt./Lodging 0 Multi Repair/Rem. ❑ Garage/Accessory 0 Fireplace 0 Deck ❑ 36 Move ❑ 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building P/i'I Engineering 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: Control No. 1141 BUILDING 001550 10/02/92 SITE ADDRESS: 4174 COUNTRYSIDE DR LOT: 7 BLOCK: 1 COUNTRY HOLLOW DESCRIPTION: Permit Type Work Type raffia SF DWG NEW R-3 M-1 V—N R-1 54 36 REMARKS: c oa i p 3 PRV S & W CONTRACTOR — STAR PLBG FEE SUMMARY: VALUATION $122,000 Base Fee $716.50 Plan Review $465.73 Surcharge $61.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,943.23 MISCELLANEOUS COPY Total Fee $1,610.50 $3,554.23 CONTRACTOR: — Applicant — ST. LI DAHLE BROTHERS INC 18886866 000164 9304 LYNDALE AVE S BLOOMINGTON MN 55420 (612) 888-6866 OWNER: DAHLE BROS 9304 LYNDALE AVE BLOOMINGTON MN 55420 (612)888-6866 APPLICANT/PERMITEE SIGNAT Wertijicate n tccu4anct witti of wagon 'epartwent of lini[binq asOpectilm This Certificate issued pursuant to the requirements 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 DWG R3/M1 I550 Bldg_ Permit No. RI VN Occupancy Type Zoning District Type Const Owner of suilaingDAME MOTHERS Q304 MULE AVE, RIVEN Address L/, 131, COUNTRY Halal Burling Address Locality Building Official Date: POST IN A CONSPICUOUS PLACE Address: 4174 COUNTRYSIDE DRIVE Lot 7 Blk 1 Sec/SubcouNTRy Haim ZIP: 55123 These items were/were not complete at the time of the final inspection. Date: 01/11/93 Yes No Tnspertnr• p© Final grade (6" from siding) V Permanent steps — garage Permanent steps - main entry 1 Permanent driveway Permanent gas Sod/seeded grass l/ Trail/curb damage V Porch it Basement finish I,/ Deck '� Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. 1 stoctumms White - City copy Yellow - Resident copy Pink - Contractor copy PERMIT # REACTIVATE CITY OF EAGAN 1'15-11103 33 1992 BUILDING PERMIT APPLICATION 681-4675 e d lO-I SEP 2 8 RECO SINGLE & MULTI COMMERCIAL -FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re•uest is made or lot chanse is re•uested once •ermit is issued. Date E / /,,2_,'.? / %-1- - Valuation of work /D 2 Gw-t....-, Site Address: Tenant Name: 4-I it' ', a,019th,(41, 11 STREET (commercial only) SUITE 1 LOT BLOCK / SUBD. Co"n r •d vIA..., P.I.D. # Descri stion of work: //C j 0. The appl i cant i s : ■ Owner El Contractor ■ Other (Describe) Property Owner Name Phone LAST FIRST Address STREET STE 1 City State Zip Contractor Company 7)4 4/, ar,, Phone (f -r.- C I Address Vide /ytidti�� -le-fr-e---- License. #/6 4% 7 Exp. 9 3 -,L City NOV/4,•15 / �Yi State /f /Z/ Zip -515- lJ Architect/ Engineer Company Phone Name Registration # Address City State Zip Sewer & water 1 icensed pl umber sewer & water permits is two c -- --' ,- ci if %'444 /;0 -N Processing time for days once area has be approved. I hereby acknowledge correct and agree Eagan Ordinances. Signature of that I h. 'e r, ad this app ica ion and state that the information is to comply with 1 .ppl' a e . - of , esota Statutes and City of Applicant: i% BUILDING PERMIT TYPE ❑ 01Foundation Is.02 SF Dwg. ❑ 03 SF Addition ❑ 04 SF Porch ❑ 05 SF Misc. WORK TYPE 0 31 New 0 32 Addition OFFICE USE ONLY ❑ 06 Duplex ❑ 07 4-Plex ❑ 08 8-Plex ❑ 09 12-Plex ❑ 10 Multi. Addl. ❑ 33 Alterations ❑ 34 Repair GENERAL INFORMATION Const. (Actual) Y -N (Allowable) v -N UBC Occupancy R-3 M-1 Zoning R-.! # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS Sy` 3', ❑ Site ❑ Wallboard ❑ 11 Apt./Lodging ❑ 12 Multi. Misc. ❑ 13 Garage/Accessory ❑ 14 Fireplace ❑ 15 Deck ❑ 35 Tenant Finish ❑ 36 Move Basement sq. ft. 1st Fl. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ❑ Footing ❑ Final ❑ Framing ❑ Draintile ❑ 16 Basement Finish ❑ 17 Swim Pool ❑ 18 Comm./Ind. ❑ 19 Comm./Ind. Misc. ❑ 20 Public Facility ❑ 21 Miscellaneous 0 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments Y. Yes YES !D/ CI ❑ Insulation ❑ Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC %0 SAC Units ---1— Valuation: s 122,00s�„ GARAE+E: 22 x 28 = E,I L (7z) C314/ -r: 44 v1,4 - �1 SLILI i(« r70 tj SZS )2: 3iN / nb0 15p00 (ST I1oo,Q, �� Bt5hATF •I� n 2xr1'/Z i o,s x5'3 ZN b 00 14 A x 832•A 5 4/`/ bq G. /`'tscs SUBD. - BL CITY OF EAGAN PLUMBING PERMIT (612) 681-4675 RESIDENTIAL CITY USE ONLY RECEIPT # �a ZI ''..600DATE /30/q„2--1 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING NO. FIXTURES EA. TOTAL NEW CONST K REPAIR/ADD ON 15.00 ADD ON % SHOWER 3.00 0 7 REPAIR WATER CLOSET 3.00 �j,�J __;1. BATH TUB 3.00 3.t 7 /� / LAVATORY 3.00 �J.Oi) OWNER NAME: lati 'r' 16,D5_L KITCHEN SINK 3.00 3,120 ,,�� /�( /2.-"" LAUNDRY TRAY 3.00 3 t 0 : J SITE ADDRESS: 4l/7j(/M','4mit- r' HOT TUB/SPA 3.00 _L WATER HEATER 3.0002 / =OR o I., 3.00 3. OJ GAS PIPING OUT. (MINIMUM - 1) 3.00 Lv ROUGH OPENINGS 1.50 % 7,J ADDRESS: 9 -507'/1--1-7C-2f./ �tc4 OTHER WATER SOFTENER 5.00 CITY: 44'"��'!� ZIP: cc- 1 2 > PRIVATE DISP. 15.00 ``, ,t U.G. SPRINKLER 3.00 PHONE #: 6d - 6d)-0 0 W. TURNAROUND 15.00 _ "'3i.7J STATE SURCHARGE .50 INSTALLER: SIGNATURE OF PERMITTEE TOTAL: $ ©o COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI -FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) A „94471 o6fic�= Request Date / / / _ _ C? IJ 0 1 �p "�(�- Fire No. �, ,lough -in Inspection �R wired? Yes ❑ No D Ready Now )(Will Notify Inspector When Ready? 1 Xlicensed contractor El owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) 4.114 Count ysi .c 'Dr City 69 an Section No. Township Name or No. Range No. County Vako-tk Occupant (PRINT) D ct M $ ro4, ccs Phone No. 888--CoBb(o Power Supplier Dekloi-& 'E4- c. Address 0.rr i 'it, i Electrical Contractor (�( aS-i-e-r (Company Name) c. 'i c (mIv‘K or Owner Making Installation) c 7�+�+ b� AkYe. S Contractor's License No. CA 01142 Mailing Addre (Contractor 12q Authorized Sign re (Contractor/Owner Making Installation) ` :.t e -P -N hone Number €jaC1 — 3 S&S MINNESOTA ST ARD OF ELECTRICITY Griggs -Midway Room S-173 1821 University Ave., St. Paul. MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 302.5t1 REQUEST FOR ELECTRICAL INSPECTION K 2 9 % ► See instructions for completing this form on back of yellow copy. 4 " /' i5, x" Below Work Covered by This Request EB -00001.08 U t/Ji- fV�w Add Rep. Tpe of Building Appliances Wired Equipment Wired SLA Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # 1 Service Entrance Size 0 to 200 Amps Fee I # 15 Circuits/Feeders 0 to 100 Amps Feed `H" Swimming Pool Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: Ctrixs_____)TAL THIS INSTALLATION MAY BE ORDERSCONNECTED COMPLETED WITHIN 18 MONTHS. ) yr 78 Irrigation Booms Special InspectionAlarm/Communication IF NOT Other Fee r:::o I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough -in t Date Rou g 1 0,/„51) Final f i dtf4/9 „ l / /j.-fI / Y� OFFICE USE ONLY This request void 18 months from L 7 B���j---- SUBD. CITY OF EAGAN MECHANICAL PERMIT (612) 681-4675 RECEIPT #_ C Oa/ g0 7 DATE ‘i 7,0 1 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: 0,,41 \ Q C sos3 T FEES SITE ADDRESS: ‘A\8-\ • k gip" < ,ck, t - ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: ``�S ca \, - ti, r� e.,. HVAC: 0-.100 M BTU 24.00 __ PHONE #: cacQ \ 2-C) \ ADDITIONAL 50 M BTU 6.00 ADDRESS: \\ \ \ � GAS OUTLETS - MINIMUM 1 @ $3 EA. '° < CITY: cav ca, ZIP:,g,---<,1 R SURCHARGE: $ .50 SIGNATURE, r..,,,,, _ ,,. t,_9.St 4..0„. A TOTAL: $(Ark .X51 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI -FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER: SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: ZIP: PHONE #: SIGNATURE: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING $25.00 MINIMUM FJ! J - $25.00 TOTAL: i FEES CITY SIGNATURE: city of ocigcin October 14, 1993 ROBERT & MARIANNE HELLAND 4174 COUNTRYSIDE DRIVE EAGAN MN 55123 RE: P.I.D. #10-18275-070-01 Dear Mr. & Mrs. Helland: THOMAS EGAN Mayor PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk The Community Development Department received a complaint regarding a large pile of branches and brush in a wooded area along Countryside Drive. A site inspection was made and it was determined that this material is located on your property. I was unable to find your phone number so I am writing to let you know that this pile of brush must be removed from your property and disposed properly within two weeks from the date of this letter. Please inform me of your intentions and provide me with a schedule of compliance by October 21, 1993. I can be reached at 681-4685 Monday through Friday between 8:00 a.m. and 4:30 p.m. Sincerely, rh Michael J. Ri Zoning Admi strator MJR/js MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 681-4600 FAX: (612) 681-4612 TDD: (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681-4300 FAX: (612) 681-4360 TDD: (612) 454-8535 City of aau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 17 2010 Use BLUE or BLACK Ink Permit*: Li q3 9 70' Sb Permit Fee: Jiro. Date Received: 5' - / 7 - /0 Staff: 2010 MECHANICAL PERMIT ,� APPLICATION Date� 13-iO Site Address: , -1 4 t nti-- pcb Dr- Tenant: rTenant: Suite #: J RESIDENT / OWNER Name: Ohn Nim--1-fL Qq - I (o(CQ Address / City / Zip: CONTRACTOR Name: Address: _ State: Dan Contact: Wohlers Southside Htg. & A/C License #: 6950 W. 146th St., #106 Apple Valley, MN 55124 _City: (952) 431-7099 _ ZT 1 �' . Email: WOr l ler-3 50Lrt-hSl de, a -'t"1' enti-e-rn E'' TYPE OF WORK PERMIT TYPE New _ Replacement Additional Alteration Demolition Description of work: ?eac .r Cu 9, at RESIDENTIAL Furnace t/ Air Conditioner Air Exchanger _ Heat Pump Other New Construction Install Piping Gas 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: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ la 50TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If PerrnitFee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Chad LctherS Applicants Printed Name 0.d ieanrs Signature City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA130461 Date Issued: 04/27/2015 Permit Category: ePermit Site Address: 4174 Countryside Dr Lot: 7 Block: 1 Addition: Country Hollow PID: 10-18275-01-070 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Jamie Rippel 12850 Chestnut Blvd Shakopee, MN 55379 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 - Applicant - Owner: John A Selvestra 4174 Countryside Dr Eagan MN 55123 (612) 910-9943 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature C!ty of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED AUG 262016 Use BLUE or BLACK Ink For Office Use ` Permg jit #: / 3 ' (J/ Permit Fee: /65 Date Received: 0 'a 6 -Ay Staff: L 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ♦ 2 2©I(0 Site Address: " p 4 t 0 rrve-- Unit #: Name:"t Phone: 6,51 -CM l Y t° Address / City / Zip: Lire{ Gouy^ 'ete Dr., E /144 -S-6-7Z3 is: Owner Contractor CJ Description of work: jt/iw) dim.* Construction Cost: i� Multi -Family Building: (Yes / No( ) owe"- f43d 4dO' 4) 1iI62 5;zei Company: Fro o RC1 . V, t j t �> �% Contact: ��1 /4,f t)( / Address: 0'0' l rkwy . ) soo j City: �? 'Paul State: 10( Zip: 59/6j Phone: (�jl fZ-Z7Z 3$D Email: imc2✓41 C� prosouIrCewiy, WS - (.o License #: Ed, 0 q 3 ?3 Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: TE: plans 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.gopherstateonecall.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. Applicant's Printed Name x Applicant's Sig ure Page 1 of 3 011 -tr C -C - Coi 2- Z 3Z- FEZ l -44 • For Office Use „,` tjØ E AG N Permit Fee: IP(a 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JAN 0 9 2020Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�citvofeaoan.com as,,\ 2020 RESIDENTIAL BUILDING PERMIT APPLICATION � Date: ( /8/Zo Site Address: W X74 C -rizy5sD6 /17-- Unit#: Name: 2-YAW STATTP1AAl Phone: 612--Qle3 -f,22-' Resident/ '-4 Owner Address/City/Zip: 4 11" C-ovM-r-R-Y S2D6 DP_ C�4 n+ry a((? Applicant is: Owner X Contractor I Type of WorkDescription of work: SAS Ent:NT Construction Cost: .$ 53, 437 ' 31 Multi-Family Building: (Yes /No )C ) Company: Cii-tivr NoQTNEQN v�LO LLL Contact: IVA-IE Address: 3520 1 12MZNAL DQ City: 514‘,514‘,....)* Contractor .; State: /1N Zip: SSI 21 Phone: 651- 455-93/I Email: flame-elnb+..n License#: CSC-423(9'78c Lead Certificate#: If the project is exempt from lead certification, please explain why: Zvzt,r ?oST `7 8 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. 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. 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 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 fans. x AA 7E �LZSZt_'$Apl x Applicant's Printed Name Applicant's Signature DQ NOT WRITE BELOW THIS LINE L./(1 L-1 Cpu .. r �; l� l 57 Rt(7. 7 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) — Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior _ Alteration _ Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation /11144.V OccupancyMCES System Plan Review Code Edition V4i 2L) 17SAC Units (25%_ 100%y ) Zoning P-' City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VO Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final /No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing )(30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath Brick_EFIS KInsulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control )( Shower Pan Other: Reviewed By: 7.\\/ , Building Inspector RESIDENTIAL FEES Base Fee 1.1 Surcharge 1 I,'\S Plan Review E MCES SAC 141‘,2 City SAC Utility Connection Charge /i" 1142 S&W Permit& Surcharge M ----. ‘,/ o Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160382 Date Issued:03/06/2020 Permit Category:ePermit Site Address: 4174 Countryside Dr Lot:7 Block: 1 Addition: Country Hollow PID:10-18275-01-070 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Ryan Stattman 4174 Countryside Dr Eagan MN 55123 Wenzel-plymouth Plumbing & Heating 1959 Shawnee Rd, Suite 130 Eagan MN 55122 (651) 452-1565 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164460 Date Issued:09/29/2020 Permit Category:ePermit Site Address: 4174 Countryside Dr Lot:7 Block: 1 Addition: Country Hollow PID:10-18275-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ryan Stattman 4174 Countryside Dr Eagan MN 55123 (612) 968-6223 Elite Restoration Pro 1120 E 80th St, Suite 201 Bloomington MN 55420 (952) 322-7773 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175969 Date Issued:04/25/2022 Permit Category:ePermit Site Address: 4174 Countryside Dr Lot:7 Block: 1 Addition: Country Hollow PID:10-18275-01-070 Use: Description: Sub Type:Water Softener Work Type:Replace Description: 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 - Ryan & Angela Stattman 4174 Countryside Dr Eagan MN 55123 (612) 968-6223 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature