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4189 Countryside DrParcel Files Cover Sheet Unique ID: 4033 4189 Countryside Dr 101827508002 03(',5-I 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 3 / :25/ 04/ /)r, Unit # Site Address L!/ r'9 e(6/71) `S( 6 Property Owner V)61L-L--/ ✓.)a Clja Telephone # ( S 7) 11, i--"7 --Q 413,/ Contractor Burnsville Heating & A/C, LLC Street Address 12481 Rhode Island Ave. So. City Savage, MN 55378-1122 State Zip Telephone # ( ) r(� Bond #: / Ole,(n e t / / Expires: S - 6/ The Applicant is Owner )( Contractor Other Add-on or alteration to existing dwelling unit furnace Additional )(Replacement $ 30.00 air exchanger air conditioner New )(Replacement other State Surcharge $ .50 Total $ 3057) I hereby apply for a Residential Mechanical Peand 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 with the Mechanical Codes; 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 approvti plan in the case of work which requires a review and approval of plans. -/77C a/ Le-/0.�l Applicant's Printed Name yyza zaiha,-y Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi -family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction Underground Tank Install **see below _ _Remove _ Interior Improvement Install Piping _Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: John Bracilev. architectural consultants Inc.. 6005 Id ST. S. E. OSSEO, MN. 56369 MI. 012)-4144T7! _ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Plan *` SS -Sl Date IZ-1,0-8-7 Owner, i.orr 8 Z / CouN7Ry Hot -Law Contractor 'e- (--‘2"-r°. "11 Site Address: PHONE 1)TOTAL EXPOSED WALL AREA 2)TOTAL EXPOSED ROOF/CEILING AREA WALL AREA CALCULATIONS: TOTAL WINDOW AREA GLAZED TOTAL DOOR AREA TOTAL GLASS DOOR AREA GLAZED TOTAL FIREPLACE WALL AREA TOTAL WALL FRAMING AREA NET INSULATED WALL AREA TOTAL RIM JOIST AREA TOTAL FOUNDATION AREA (EXPOSED) TOTAL FOUNDATION WINDOW AREA 4-0 31 sq. ft x'U"` sq. ft. x "U" ,0ZCe°F. Z z-t..S` 1Z sq.ft.x'U" 01 = 2 -LP sq.ft. x'U" .. = 2L -f, sq.ft.x'U" I -L, " 1 1, t sot. x'U" '21 = sq.ft.x'U" ,04- = ,Le Rq.ft.x U„ 104- = 12, cl c sq.ft.x U .1.1..._.= (3 a If item 3 is the same as, or less than !tem 2 MCAR 1.16008 A and 0. ROOF/CEILING CALCULATIONS TOTAL SKYLIGHT AREA TOTAL ROOF/9EILING FRAMING AREA NET INSULATED ROOF CEILING AREA 1, you have met sq.ft.x'U" 4 3) TOTAL the intent of 13.4 - i‘q.ft.x'U" Oar sq.ft.trU",021-0 = ,r sq.ft.x'U°►vz-=ZLgs< 4) TOTA. If item 4 Is the some as,or less than item 2, you have met the intent of 2 MCAR 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN _ • To utilize the total envelope system method, the sum of items 1 and 2 shall be greater than the sum of items 3 and 4. 1) 3) 1 hereby certify that the building here described Energy Conservation Act. +2) +4) (signed) ore ceeds,„the•--S,(ate of Minnesoto `5,%J , //d-614°-/ e /335 / Request Da / 8 (9 / Fire No. Rou,,,!���yyy -i Inspection R, , ;:i 0." es ❑ No ❑ Ready Now NRI Notify Inspector When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street,('Box or Route No.) ` V 1 C !J iv -747 5; ox P4' / C,,,f City ! ... a ,1- 7 F Section No. Township Name or No. Range No. County Occupant (PRINT/Phone •4-7L,, 1)19"# A4 le No. Power Supplier Address Home Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) ,Q 3 31 to /lee L /..0•.� f%.a 1' IP> S' T; v Authoriz d Signa re (Contra c�r/OOwner Ma .ng Installation), �.�G7 f Phone Number �j TO 3— s O MINNESOTA STATE BOARD OF ELECTRICITY Griggs -Midway Bldg. — Room S-173 1821 University Ave., St. Paul, MN 55104 Phone (612) 642-0800 s fo/I1 1704 C THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request Compute Inspection Fee Below: Appliances W ired EB -00001-07 C/335 / Equipment W ired Temporary Service Range Water Heater Dryer Furnace Air Conditioner ractor's Remarks: 6Alt. 2 /7..40 3 5 -ALS b'' Vallee 17 Other Fee Type Building New Add- Rep. of Swimming Pool Transformers Home Signs Duplex Irrigation Booms Building Alarm/Communication Apt. Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Roug Final Comm./Industrial Farm Other (specify) Cont Compute Inspection Fee Below: Appliances W ired EB -00001-07 C/335 / Equipment W ired Temporary Service Range Water Heater Dryer Furnace Air Conditioner ractor's Remarks: 6Alt. 2 /7..40 3 5 -ALS b'' Vallee 17 OFFICE USE ONLY This request void 18 months from Service Entrance Size to 200 Amps bove 200 Amps tor's Use Only: Fee S INSTALLATION MAY BE MPLETED WITHIN 18 M o -in Electric Heating Other (Specify) Circuits/Feeders 0 to 100 Amps Above 100 Amps Fee TOTAL i ,3r%.5� ODERED DI OtINECTED IF NOT e)-- ) 4P Other Fee # I Swimming Pool Transformers Signs Inspec THI CO Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Roug Final OFFICE USE ONLY This request void 18 months from Service Entrance Size to 200 Amps bove 200 Amps tor's Use Only: Fee S INSTALLATION MAY BE MPLETED WITHIN 18 M o -in Electric Heating Other (Specify) Circuits/Feeders 0 to 100 Amps Above 100 Amps Fee TOTAL i ,3r%.5� ODERED DI OtINECTED IF NOT e)-- ) 4P 4-4-, 521.4_, CONSTRUCTION WALL FRAMING SECTION (I (2 (3 (4 (5 (6 interior air film S2 inches of soft wood z6'ke 15%4.64424+E exterior air film WALL SECTION (INSULATED) interior air film 2 3 Se 4 LEI sL, e,t. ire IAC 5 s11.0.I.Jc, 6 exterior air film RIM JOIST SECTION 1 interior air film ► (2 12, r t -+�► (3 l 4 - 5 th..1.a,iJc exterior air film (6 FOUNDATION SECTION (I interior air film (2 I". .+-fes 1t--17• (3�I I� G..exterior air air film (4 (5 0.68 ,4•S Z. cm 4 tyI 0.17 TOTAL R 1�"�I U = 1/R o/ 0.68 •SI 0.17 TOTAL R L.s .11 U = I/R - 0.68 a 1, 0.17 TOTAL R Z.4-44:71 U = 1/R ,oG}a 0.68 0.17 TOTAL R i 115 U = 1/R I. This request void ;9/9 )/ 18 months from Request Date%/�% Fi€e No. Req hen lns�ction Ready Now"�Will Notify. Inspec- c[/J �( KHome Lot Yes No for When Ready Licensed E'lectrical Contractor ❑ Owner I hereby request inspection of above electrical work installed at: Street•Address, Box, r Route No j (1cIA/7.7y91� 7) . Add City ,qL! Sec ion Township Name or No. Range No. KHome County Occupant (PR NT)Phone %L''NE .._ No. Power Supplier PAn TA ez 1"z le, Address Temporary Service Electrical Con ctor (Company Name) lK' i7 "� ELL. r/ i 1 Contractors cense No. A �zso Mailing Address (Contractor or Owner. Making Insta,jilatign) /;,7/ iti/ 4c n`4 lL' �, kfrK 55,1 Authorized Sign tt$ iContrac o /O ner Making Installation) ( !.\ Phone Number 9--,,7572/ MINNESOTA STATE BOARD OF ELECTRICITY Griggs -Midway Bldg. — Room N-191 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. 2' REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. 7891.0 ""X"" Below Work Covered by This Request New Add Rep. Type of Building - Appliances Wired Equipment Wired KHome Fee Circuits X Range Temporary Service 0 to 30 Amps 31 to 100 Amps iy Duplex Water Heater Dryer !.\ Lighting Fixtures Electric Heating Swimming Pool Apt. Building Above 100 Amps Commercial Bldg. ' Furnace Transformers Silo Unloader Irrigation Booms Industrial Bldg. Partial, "Other Fee Air Conditioner Bulk Milk Tank Special Inspection Farm TOT FE Otbi•,F-,($3,ify) ' Other (Specify) Date ` tt� , . t, t Electri Inspe ereby c rtify that the above lJf�nspection has been made. Final f 0 _ 41 Other (Specify) ,,,-fff,,,(((1��,,,, '.) Othe(4)// J/7/ !? Other # Fee Service Entrance Size 8 Fee Feeders/Subfeeders # Fee Circuits Id,/ 7 0 to 200 Amps 0 to 30 Amps 31 to 100 Amps iy 0 to 30 Amps 31 to 100 Amps Above 200 Amps! Swimming Pool Above 100 Amps Above 100_ -Amps Transformers Irrigation Booms Partial, "Other Fee Signs Special Inspection $� IjJ ✓ TOT FE Remarks ' Rough -in / 1 ,� - Date ` tt� , . t, t Electri Inspe ereby c rtify that the above lJf�nspection has been made. Final f 0 _ 41 Dat /22_S S 7," This request void 18 months from 1) APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION citp of ccigcn PROPERTY ADDRESS: (PLEASE PRINT) :NOTE: PAYMENT OF IEE AT TIME OF �* • APPLICATION DOES NOT CON" �,* STITUTE APPROVAL OF PERMIT. * • INSPECTION OF SEWER AND/OR W u R *. ,*t INSTALLATIONS WILL NOT BE SCEDULED ** UNTIL PERMIT HAS BEEN APPROVED. ************************************** LEGAL DESCRIPTION:. ... .. � - .L/} 7t7:- (Lot/Block/Sub ivision or/ Tax Parcel ID #) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE INDUSTRIAL 1 I INSTITUTIONAL/GOVERMENT (Month/Year) ,'R-1 SINGLE FAMILY r--1 R-2 DUPLEX ( Two Units) f R-3 TOWNHOUSE (Three +.Units) R-4 APARTMENT/CONDOMINIUM r ( Units) ( Units) 2) r "PLICANf NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: • irk -12.3. MASTER LICENSE # /7&67")--) For City Use Plumbers License: Active Expired Not recorded Staff Initial 4) In OWNER I NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) DIRI e+4 I ;WHICf P TIqS47. INCA; • S'Ia 141 CONNECTION TO CITY SEWER (7 CONNECTION TO CITY WATER OTHER 6) RU;T11 * • THE GOLD COPY OF THE PERMIT WTTJI BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * * ARE ANY PROBLEMS. EOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ /() 56) SEWER PERMIT (INCLUDE SURCHARGE) C $ / G WATER PERMIT (INCLUDE SURCHARGE) $ 7 te) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /5, ACCOUNT DEPOSIT - SEWER $ $ / SCC ACCOUNT DEPOSIT - WATER $ /c"1 0, e C.O $ WAC Ll $ ' SC , (")0 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 4/�L 00 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /`%/2//.i)o $ /.rZ TOTAL RECEIPT If // 9 RECEIPT f DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDITION. L I NO SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS 1111/111111111 1991 BUILDING PERMIT APPLICATION 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: Site Address 1 c�� zp' P3? Cokiplit f/Cie Valuation: 77j 117 — Date: Lot Block 2"- l Parcel/Sub C11;���C.� 1 t Owner ine4 i C/ �2 i'5' 1�u n 6r ,C Address C%/gy Coia;( f/ �% i� ()2I City/Zip Code e4 yj-c-C y, 1W/22 Phone 4f5-6,-- Gei 3/ Contractor Po( ) ( ? ' is -e Fri' 7D 7 Address 1 4/6, . City/Zip Code (657,;(1/ {) C pr 1' -P fr(I Phone g — 5,)<-- Arch . /Engr . Address City/Zip Code Phone # OCe-y-\_i_Li) .4) (Signature of Contractor) ODO' OFFICE USE ONLY / z FEES Occupancy 2'3 Bldg. Permit Zoning Surcharge Actual Const V -N Plan Review Allowable V-rc1 SAC, City # of stories SAC, MWCC Length 3t-1' Water Conn. Depth /3' 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. DS 5-79/ Variance SUBTOTAL Penalty Lot Change TOTAL 1 Bo, ok) —7- TT 7 agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. BUILDING PERMIT sit CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # To be used for 3—SEASON PORCH Est. Value $17 , 000 Site Address 4189 COUNTRYSIDE DR Lot 8 Block 2 Sec/Sub COUNTRY HOLLOW Parcel No cc w z 0 0 Name Address MATT & CHRIS DUNBAR 4189 COUNTRYSIDE DR City EAGAN Phone 456-0431 cc ,o UQ Name Address DANIEL MAROUSHEK 7746 HILLSIDE TR City COTTAGE GROVE Phone 458-3825 Ucc lu F- w U0 m2 Q W Name Address City Phone hereby acknowlege that I have read this application and state that the information is correct e3nr1d agree to comply with all applicagle State of Minnesota Statutes ari City of Eagan Ordin nces. r1 � 4'/ Signature of Permitee A Building Permit is issued to• DANIEL MAROUSHEK 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 I\.r Q/14 . I N° 1'7999 Date MAY 3 , 1991 OFFICE USE ONLY Occupancy R-3 Zoning (Actual) Const (Allowable) # of Stories Length Depth 13' S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump V—N V—N 34' 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 . 50 TOTAL 306.00 FEES 180.00 8.50 117.00 City 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 EA080303 10/08/2007 ePermit Site Address: 4189 Countryside Dr Lot: 8 Block: 2 Addition: Country Hollow PID:10-18275-080-02 Use: Description: Sub Type: e -Fireplace Work Type: Gas Insert Description: Construction Type: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985-6675 - Applicant - Owner: Matthew Dunbar 4189 Countryside Dr Eagan MN 55123 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature BUILDING PERMIT To be used for 3 -SEA Site Address 4189 COU$TRY'S Lot 8 Block 2 Sec/Sub Parcel No. CITY OF EAGAN 3830 Pilot Knob Road, F.O. Box 21-199, Eagan, MN 55121 PHONE;$100 Receipt # 9 Est..Value DRQ W 3 0 Name MAT? i CHRIS DUNBAR Address City EAGAN Phone 456-0431 4189 COUNTRYSIDE DR 0 Ua cc Name DANIEL US Address 7744 IflU.BIDB Tit City COTTAGE GROVE Phone 4: 8.3825 U¢ wW �w z ccz Qw Name Address City Phone I hereby acknowlege that I have read this application and state that the' information is correct ad agree to comply with alt applicle State of Minnesota Statutes art City of Eagan Ordinances. Signature ofPermitee rAr A Building Permit is issued to DANIEL $AROUSHEK _fill the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On`SitaWell MWCC System City Water PRY Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance V -N 1,41 13' Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL .00 Permit No. Permit Holder Date Telephone * WATER SEWER PLUMBING I-I.V.A.C. ELECTRIC ` /%Ohr? y , IAI 5,0*$ >� V Inspection Date Insp. r._ad Comments Footings I 0/97 104 Foundation Framing ...5-1/ 3-,9/ /� U ) Roofing Rough Plbg. Rough Htg. Isul. S`/3 -9/ ©S Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr.Plan Bldg. Final 6/2 g�1�7 / 124C) 64/7-/L( L.6:5-<�' . c� Deck Ftg. ((( U C.//% GA 2J) Deck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN PHONE: 454-8100 BUILDING PERMIT To be used for Est. Value 5121 Receipt # Date Site Address Lot Block Sec/Sub Parcel No. cc W z 0 NameIA Address City Phone CC z0 �a rc Name Address City Phone OFFICE USE ONLY On Site Sewage - Occupancy MWCC System Zoning On Site Well T Type of Const City Water- (Actual) (Allowable) of Stories Length Depth S.F. Total Footprint S F. UW WW u0 ccz aW Name Address City Phone 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. Signature of Permittee APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment P1 Variance Parks Copies TOTAL A Building Permit is issued to: 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 Pr. Disp. Well Deck Frmg. Deck Ftg.i Temp. LP Cert. Occ.i Bldg. Final Final Plbg. Final Htg. m CD V CT CD (7, C [Rough Htg. I) 0 C CA = Er Roofing Framing Foundation Footings II Footings I Inspection Date Softener Electric :'i,C.: Plumbing , N\ ,'• 7' ..t..„, , ',44..,, ,S,,,,, k...' •-, ..., Permit No. \‘' ...., \\.-',,.,(3,,,,• C=7' ,. s'-. ...1.......„-, Zs.---, ' .,.... 1 , ,... .f:°';:,..\''' — 11 . • - -- '..-- ,-, •,,;'4, , --:- ' Permit Holder ). sk, \ N., ,,... ;.,' \ N...,., k rs ' t1/4 •••,, ‘ ' r• IN t . x\N.j \ . 160.4. tic.L. '1-3 r... 4- Comments `-‘-‘,'•\ ,N. '''',,,, , '`1„..\ , "..... .. . ',....,C. "•-,.'. Telephone # PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 5 , PHONE: 454-8100 e) Site A ss Lot Block _ /Sec/Sub E,7c)--- Name, Address` City gra yam': Phone -I c O Name Address rj i City City , Phone "s- TYPE OF WORK Forced Air M BTU Boiler M BTU $ Unit Heater M BTU $ Air Cond. M BTU $ Vent. CFM $ Gas Piping Outlets # $ Other $ FEE: S/C:At rr TOTAL: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 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) SIGNATURE OE PERMITTEE f'it r FOR: CITY OF EAGAN CONTRACT PRICE: PERMIT # PLUMBING PERMIT RECEIPT # ✓ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: , /8 6 PHONE: 454-8100 Site Lot Address _f, ;A t° ``.- . t. {tlk:r . Block Sec/Sub 1 o Name r r r r' .t Lsfi Address t. City /f/°", Phone Owner - Name , r"�f� " Address 1�` ' t.%:&�,t, zc City + r r' . 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) E, R 'fit SIGNATURE OF PERMITTEE BLDG. TYPE Res. Mult. Comm. Other WORK DESCRIPTION New - Add-on Repair RES. PLBG. ONLY — COMPLETE THE FOLLOWING: NQ, FIXTURES Water Closet - $3.00 Bath Tubs - $3.00 '7 Lavatory - $3.00 —Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 / Floor Drains - $1.50 Water Heater - $1.50 +Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) I Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 TOTAL $ / G. L, Cts ...ca r..7 • FEE: - STATE SIC: r GRAND TOTAL: CONTRACT PRICE: Site Addr ss 4 Lot Block 9 Count PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Y d 0 Name Address City ho 8 t'i P Sec/Sub Ural, Name Address BLDG. TYPE, , Res. Mult. Comm. Other PERMIT # SRECEIPT # DATE: ,+e City Eagan Phone 4)2-- 49 COMM/IND FEE — 10/00F CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO -?- RES. RATE APPLIES MINIMUM — RESIDENTIAL FEE -4,12.00 ' IYIINIMUM COMM/IND FEE STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND,$1, 00.00 X SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN /0_2 f- 7c WORK DESCRIPTION New t Add-on Repair RES. PLBG. ONLY — COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL / Water Closet - $3.00 $ n c- .P Bath Tubs - $3.00 7Lavatory - $3.00 / Shower $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water 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 - $1.50 FEE:l w `r 490 �'!!�!s!//////��ff STATE S/C: f "' GRAND TOTAL: CITY OF EAGAN Permit No: Date* 3830 Pilot Knob Road Meter No:.- ? % � ___,_.e..Size. P.O. Box 21199 Reader No: /o -F �oi 7 St/ Date Eagan, MN 55121 l s7r, /?, a-8? Owner: Site Address. Plumber. Conn. Chg: Zoning - Acct Dep: No. of Units. Permit Fee. Surcharge. I agree to comply with he City of Eagan Tr. Plant Ordin Meter: Misc By WATER SERVICE PE - IT CITY OF EAGAN Permit No: Date. 3830 Pilot Knob Road B/P No: Date- P.O. Box 21199 Eagan, MN 55121 Owner Site Address. Plumber. MWCC• Zoning. City Chg: No. of Units. Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Surcharge Ordinances. Misc • By SEWER SERVICE PERMIT AIR FLOW VENTED VENTED CONSTRUCTION CEILING SECTION (INSULATED) (1 ;interior oir film (2 54$ aN�-rizoLK (3 €' _O -/moi (4 exterior air film (still) 0.61 44 0.61 TOTAL R 45.127: U = 1/R 1022 _CEILING FRAMING SECTION j 1 interior air film 0.61 (2 45'B Slo (3 I (4 interior air film 0.61 (5z inches of soft wood Q �S TOTAL R 3ct• U = I/R '()ZIP CEILING SECTION ( INSULATED). ( interior air film 0.61 (2 (3 (4 exterior air film (still) CEILING FRAMING SECTION ( I interior air film (2 (3 (4 interior oir film 0.61 (5 inches of soft wood .TOTAL R .0 = 1/R 0.61 TOTAL R U = 1/R 0.61 EXPOSED BEAM CEILING SECTION (A interior air film 0.61 (2 (3 (4 0.17 (5 exterior air film TOTAL R L = I/R 1988 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:4�/ �l c9 ' ))R. Site Address Valuation: Lot Fe' Block Parcel/Sub Gou.N? #oL (A-) 4/u ;t: C,40 e�,�1f /� �t ,,c)(2 " Owner Address //0 Peu<A)(714"7 ;5111- City/Zip ?y7LCity/Zip Code MI/Ali 0-172 6E38 _. Phone Contractor Address ,y°/ M j/" eot,i✓-yam City/Zip Code 67 - Phone Arch . /Engr . '-U" kZ 7i7 Address' 'v42 sr OSS C% s'.S376 Phone # 'ti 1 77 City/Zip Code 7i‘c.766%; Date: 2L// 000 On site sewage MWCC system On site well City water PRV required Booster Pump - OFFICE USE ONLY APPROVALS Engr/Assess Planner Council Bldg. Off. Variance Occupancy _✓ Zoning _ Actual Const y/..' # of stories Length Depth S.F. Total Footprint S.F. �Zo FEES R-3 R.-1 V -N V -N 57.67' 3$.Oo' Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 652.00 c2.0o 326.bo 100.00 ss0.00 55O • oo 00 25.00 20q-,00 a 3340.46 3830 Pilot BUILDING PERMIT To be used for SF DWG/GAR CITY OF EAGAN N° 1 4 5 6 4 Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Est. Value $124,000 Receipt # Date JANUARY 21, Site Address 4189 COUNTRYSIDE DR Lot 8 Block 2 Sec/Sub COUNTRY HOLLOW Parcel No. w z 0 Z U< 1— 0w ww z x— m w Name HOME CONSTRUCTION, INC. Address 2119 VIBURNUM TR City EAGAN Phone 688-2004 Name SAME Address City Phone Name JOHN BRADLEY Address City OSSEO Phone 424-9772 I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes an City of Eagan nances. Signature of Permittee ,z- - A Building Permit is issued to7 HUME all work shall be done in accordance wit Building Official ,(j‘rtc tj 117.7' 004ST. , INC. ,19 88 OFFICE USE ONLY On Site Sewage Occupancy R-3 MWCC System X Zoning R-1 On Site Well Type of Const City Water X (Actual) Vn PRV X (Allowable) Vn # of Stories Length 57.67' Depth 38.00' S.F. Total Footprint S.F. APPROVALS FEES Assessments Water/Sewer Police Fire Eng r. Planner Council Bldg. Off. APC Variance Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL 652.00 62.00 326.00 100.00 550.00 550.00 67.00 325.00 204.00 2,836.00 on the express condition that all applicable State of Minnesota Statutes and City of Eagan Ordinances. Trrtiftraf.e of Mrrupanrq Qitp of (Eagan Erpathnrut at %tithing ,Jnnprrtinn 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 /GAR Bldg Permit No. 14564 Occupancy Type Zoning District Type Const , Vn Owner of Building E. Address 2119 VI. E GA1. f 41'439 CXXJNTRYSIDE DRIVE IJ a B Z (1: i IfXJ Building Address s ro ncality Building Oficial Dat '988 POST IN A CONSPICUOUS PLACE