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4329 Fox Ridge CtCITY OF EAGAN Addition 5UN CLIFF 2nd Remarks CJ?--SA11?' Lot 8 Bik 6 Parcel 72-976 0$0? street 4329 Fox Rige C urt State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 19$5 369.3 24.62 15 344.75 0010 6 ']-9-8j STREET RESTOR. ?o7P 1986 ' '-z r.r'r. ?.i 1431 . 51 5 / . ? GRADiNG SAN SEW TRUNK 1970 48.64 1.95 25 1.60 " 7-9 5 SEWER LATERAL 212.51 SEWER LATERAL 999 1986 829?. 62 165.92 5 8'a WATERMAI N WATER LATERAL 1000 19$6 942.60 188.52 5 g a, (o p / JU- -? WATER AREA A0 197-79 62.34 4.16 15 8.39 " --85 WAT LAT BE9746E-2 1986 57.88 11.58 5 rj .?F 0- /O / /D- STORM SEW TRK p 1971 161.72 8.09 20 40.52 11 ry( -7-85 STORM SEW LAT S/W SERVICE 1005 1986 808.77 161.75 5 Cj?, 77 .0/ /U-<f - CURB & GUTTER SIDEWALK STREET LIGHT STORM SEW LAT 1006 1986 610.14 122.03 5 WATER CONN. 500-00 it BUILDING PER. 10169 SAC PARK CITY OF EAGAN .Fj 2 ,- -- ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 , BUILDING PERMIT Receipt # To V rrd {er • I. .. i`? Fd Vni, u ? i', L' f1nr. ... .. . .; ?q 'S,5 Site Address Lot Block qec/Sub. Parcel No. .'<i1?VD C3AKS W Nsme Z Address 16 ;- G:i 1' t' l:?' 9 ,... L:AGA,: _. 1 5 ? 4 Z9 Nane u? Addre ?- Cltv - Name Addresa CA Phone ledge that 1 hove reod this opplicotion ond stote thc is Wrrecf and egree to tomply with alt opplicablato Stotutas ond Ciry. of Eaqan Ordinoncas. Erect Occupancy Remodel ? Zoning ?• .i Repair ? Type of Conat. ? Enlarge ? No. Stories Move ? Length 0 Demoliah ? Depth Grade ? Sq. Ft. Install ? Ap?ovab Ftis Nssessment Water 3 Sew. ' Police Fin Enp. Planner Council .?, ?: t Bidg. Off. ?? ?` .? tl /? u ? APC Var. Dete Perr»it SurcFwrpo Plan Review SAC U Water Cam. Water Meter Rood Unit `? • tj `i Pfark3` n - , u G Total 5ipnoture of Panni"es ' t A Buildiny Permit is issued to: `} r• _?, '. ` on th? express condltfon Ihot oll work shall be dons in xcordanu with oll oppliaoble State af Mlnnesoto Stotutes ond City of Eoqon Ordinonces. Buildinq Officiol Ps?mit No. Pormit Holdsr Date Tele hone ?. Plumbin9 H.VA.C. r Ebctric• I 3966 Softaoer Impection Date Insp. Othsr Footinyt 4 2,? (ti Foundstion Framin9 ? Rootiny Rou9h Plbp. Rouyh NVAC ` Inwlation Finai Plbp. Final HVAC 1;4-? Finsi Grt/Oac. Water ? DoseriM location: YYell Sorvsr Pi. Disp. Raaipt ? MECHANICAL PERMIT Psrmit No. CITY OF EAGAN FM ` f1/l in numbered apaces S/C Type w Print legiblY Tot 1. Date ' 2. Inatallation Cost " - ,- - 3. Job Addreu Lot 81k. Tract 4. Owner 5. Contractor Phone 6. Address 7. CitY State 't ! Zip 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New El Add ? Alter O Repair ? 10. Desaibe Fuel Type I 11• No. Eqiioment BTU • M. Ea. Forced Air No. Equipment CFM i Mfg. Boilers A r Handling: Mfg. Unit Heater Mech. Exhaust ? Mfg, h O Air Cond. er t Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with alt ordinances and codes governing this type of work. S'igned: ' r ? ?1 ?' for Rouph Final Inspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. - CITY OF EAGAN F» Fill in numbered spacm S/C ' Type or Print /egibJy Tot. ? 1. Date 2. Installation Cost . ? 3. Job Address Lot BIk. • Tract ? i 4. Owner i 5. Contractor Phone 6. Address `• ? 7. City r State , Zip 8. Building Type: Residential Gl Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Descri be 11. No. Fixtures Water Closet No. Fixtures I ool/Drainfield Cess Bath tubs p , $eptic Tank Lavatory I $pftner 5hower , Wel l I Kitchen Sink Urinal/Bidet Other ? Laundry Tray I Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets J 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Si ned : ? ' . g for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt k Iv? PLUMBING PERMIT CITY OF EAGAN Fil1 in numbered spaces Type or Prini legibly Permit No. Fee S/C Tot. 1. Date 2.Installation•Cost 3. Job Address Lot?Blk. ? TraGt ? 4. Owner 5. Contractor 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New ? I 10. Describe 1 11. Phone State Zip Comme rcial O Institutional O Add O Alter 0 Repair O No. Fixtures - Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes_ governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 CITY OF EAGAN SEWU snVxz Pumff 3830 Pilot Knob Road P. O. BaAc 21199 PERMIT NO.: Eagan, MN 55121 DATE: ZO^i^0: .' ` No. of Units: 1 Owner. "raac' Caks Dev. Co. Addross: Site Address: 43 _ _ x ... ? ? ?. C . . ... ' .. i • 1 04- to eoa* wNli NM Cilp ei %p• Ordinswees. By Date of Insp.: ? ••?-w•- i CITY OF EAGAN 3830 Filot Knab Road P. O. Bax 21190 Eagan, MN 55121 Zoning: Owner. i,o ? , Addresx I Site /lddress: Plumber: ` - I INeter No.: Sixe: Recdsr No.: 1spw fo oowi* wilb !M Gry of Eoww Onii?ane?a. R.. Dote of I nsp.: CtTY Os EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: , t Owner: . . Mdress: S1M Address: ' i2_ ;? Plumber. ' lev Plt: Metar No.: -3 s6 un Connection Qwrye: Acoount Deposit: _ Permit Fee: Surcharge: Misc. Chorfles: - Totol: Date Paid: WATER SERVICE PERMIT PERAAIT NO.: meter Size: ??j"`? ??'-?-G-- Ilccount Deposlt: 15.OOgd Reoder No.: -/ 2 3 m Sa ?2-3 Pennit Fee: 10.00rd I pm h eoiw* wilh !hw Cilr ef byaw $u?Cho?ye: • SonCT Ordinenaa. Mlsc. Chorpes: `' C? . ' i 11 ? & Totol: i . P,??rr?r 40f By . 4-10- Dote Paid: Dot (f Irisp.: ? ! 4 l Tf S? Insp.: Conneccton Q,aa.. • ? ! . v ` , , Ilccou,t D.poait: Psrmk Fw: Surcharge: ' ? i)d Misc. Chonpss: Totol: WATER SERVICE PERMR PERMIT NO.: DATE: _ No. of Unitsw. 1 ; CITY OF EAGAN (?J? 10162 3830 Pilot Knob Road, P.O. Box 21•198, Eagan, MN 55121 PHONE:4548100 BUILDING PERMIT Receipt # 7e 6. w.e fa. SF DWG/GAR Est. Vnlue $70, 000 pata april 30 19SS SiteAddren 4329 FOX RIDGE CT Erect Ck Oeeupentv R3 Lot a Block 6 SUN CLIFF 2ND cec/Sub Remodel ? Zoning Rl . Repair ? Type of Canst. V Pereel No. Enlarge ? No. Storia GRAND OAKS Move ? l.enqth 50 Name Demolish ? DeptA 48 ? q???? 1881 SUNRISE CT Grede 13 Sq. Ft. Citv EAGAN Phone 452-8934 instau ? S` Nema SAME Apyreva4 Fesg u naaress ? City Phone Neme _ Address City _ 1 hercby ockrowladga thot 1 have reod this opplication and state that fhe inlormotion is CArrect and ogree to wmply with oll ap0licable Smta of Minnewta Srotupqc and Ciry_of Eagun Qrdinancea. Sipnotum of Permitteyl.6L A Buildinq Permit Is issusd fo: ull work sholl be dona in acca ASUSSment Water 6 $ew. PoNw Firo Enq. vlanner Coweil em9. orr. 4/ 3 0/ 8 5 APC Var. Date Pertnit ? .343. V V SurcFwrpe 35.00 Plan Review 171.50 5AC 525.00 Woter Conn. -5D-Q00 Water Meter _--fi3a00 Rood Unit 2Rfi 00 PAxscT . P. 13 2. 0 0 Totel q 9 ; 0 4 9 -5 0 '2(H1VL VHiCS UC.Vr.LUYMY:1'4 '1' l.V on fh0 axpresf calditlon IMI with all applimble $qof Minne ta Statutea and City of Eoqan OrdinanceL Budidirq Offidal C' 4? (p REQUEST FOR ELECTRICAL INSPECTION Ee-°°°mA° ? 7 ' See irrstructiens for complelimg this fmm on baek of vellow copY. 6 I I? I,y ? 32431 "X" Below Work Covgre.?rlby.This Nequest u Ad-6aD. Tvoe of 9uiltlina Aooliancee Wiretl EQOipment WireA Water EI al p Fee ServiceEnMenceSixe fl Fee Feaders /5ubfeeders # Fea , Gimuits Oto 0 m s Oto30qm 0 to30Am Above 200 qmps 31 to 700 Amps / 31 to lOQ Amps Swinvnfng Pool Above 100_Amps Above 100_Amps Transtortner5 Irrigation BorWs ojU PartiaL'Other Fee L__L_ LSigis Special Inspec!IOn S Nertarks TOTAt1 F E l3`I'? Rouph-in Oate \ t? I El ?•: ^? ?O , . e ec - s/ Inspactoq hereEy -fv thet tM1e above Pinal Da e ? anspec[ion has been • mb reuoeatrofe ta monma rmn ?id 5rc,c,? 5114(g5 ... UIM / ReQUirc07 oHeadY N. ER?Vill NutifY InsPea- OC M. n N. to, When ReatlV ? LicenseA Electtical Conttac[or 1 hereby reQUest inspection of above ? Owner electrical wmk iratalled ac SVeet Address u[e No. , Box or Ro Citv c .? f ? ?.3.? / l?Li ?i ? f' ? Y 1 ?CC` 4 r ecvon o. ' e or o. - . • ?? ?. ange N9 a !- CounlY D/ / e r4 k iC . . i, / . G Occ ? n[ (PBINT) ?one Na. p ? Power 5upolier D'? Zo ?L E/re.? Address F?P-?- I Elecvical Contractor ICOmDany Name) ,c E F ?r? Conhar.tu??s Licrose No. ? G"7'3 Mailin0 Address IComrector or Owner Making InstailatioN Avthof ized Signature /IConvactor Owner Making Ins[allati Kone N?urber l. YINNESOTA $?(ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT Griggs-Midway Bidy. - Room N-191 gE ACGEPTED BV THE STqIE BOAMD 1821 University Ave., St Paul, MN 55104 UfiLE55 PROPER INSPECTION FEE IS PM?..16121297-2117 . ENCLOSED. L?)y REQUEST FOR ELECTRICAL INSPECTION - ee-ooooi-os 10, See inslmctions br cnmplefing [his form on track of yellow copy. •Y ???j? 'X" Below Work Covered by This Request ?- •w Ne Add Fep? ???ype of Building Appliances Wired Equipment Wired Home Range Tamporary Service Du lax Water Heater Electric Heating ApL Building Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner OMet (specity) Conhaclor's FamaBS: ComputelnspectionFeeBelow: WiYe AlY Coridition2r # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 1 20-0 Transformers Ahove 200 Amps A6ove 700 _Amps $1 fIS Inspector's Use Only: TOTAL ? Irrigation Booms „?p ? '?"' Z ? ? S ecial Inspection ? ? Alarm/Communication THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certif ih t th i b ti h Rougtl-In oa?e y a e a ove nspac on as been made. reF pa OFFICE USE ONLY This request void 18 months twm iciiii 0- 7 69 ? o? ' QJn`??'y 1 44-j?,• ?.ff Requesl ale Fre No. Roug .? Inspeclion Requi?etl InsDeqbo Olher Than RougMin 1 (You must cali ins?leclor when reatly) y?-?J fteatly Now ? Will Notily Inspector 6-28-95 ? Ves N. f13tg Rea' IRI licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sheet, Box or Route No.) Cily 4329 Fox Rid e-Ct:- Ea an Sec?ion Na Township Name or No. Range No. Gounty Dakota occupant (PRWT) Phone No. Bill Chane 681-0071 Power Supplier Adtlress Dakota Electric Farmington Electncal Contreda (COmpany Name) CoMreclois Liconse No. Roehning Electric CAO 1557 Malling Atldress (ConVac[or or Ovmer Making InsWllation) 14811 Endicott 4Jay Apple Valley, Mn. 55124 Aulhorizetl ?jgpat?re (COn?rectodOvmar ing Insr) Phone Number ? AC/ 423-4328 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway BIGg. - poom 5-128 11 111 11 111 1111 11 BE ACCEPTED BY THE STATE BOARD 1 1821 Universlry Av¢., St. Paul, MN 55100 I UNLE55 PROPEft INSPECTION FEE IS Phona1s1z1fi4zA80o cNCn nCFn RESIDENTIAL BUII.DING Permlt Application Clty Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NowConsWC6anReauiremen6 RertadeNiena'rReauiremenb OffimUseOnlv 3 regarered site wiveys showing yq. R p1 bt sq. ft of house; and pu ioofed amas 2 mpiea ot plan Cen of Survey ReM (20% metimum btcoveryqe allowed) 7 set of Eneryy CakulaUOns kr hmteA aEditbns _Tree Pres Plan peod 2 mDies al plan sfawug beam 3 wiMow s¢es; Poured tound desipn, efc. t si0a wrvey faaddiUOns 8 deda _ Tree Pres Not Reqd lsetofEnergyCalalatlaro Add'tion-indkaleilmsAeseCdcsYStem _Onai0e?9YS0em 3 copies of Tree Prese?vatbn Plan if bt pIa1G?d aRer 7Mf93 R6n Joist Dew OpEOro saledim aheet roWps wdA 3 or ku unib Date ? / iT / o-?> Construcdan Cost o2 ? T '??-7 Site Address L'66 Q UnltlSte Descrlotlon of Work R e S LkiL Y"_+'?+ w1? 1^?S Mulfi-Family Sldg _ Y? N Fireplace(s) _ 0_ 1 _ 2 Properry Owner N I Vi L-L-' l. 1'+"? Telephone #?'J I) 1o d ? ? QO 7( COR[[act0r Q/tl } 1?L.? Wiw/ ow a 8 bb ( Il f ly I' ' S~ ' . ' no ? Address 1N60 Gl?nd? pNw ? ,; 3 '- L!i State 1111.493 I) IY'I.UOD Fau (? M,u? Zip Telepha,lnle'# ( )? 7.0p3 !l ?. ? ?n J 18 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateaorv 1 (J submission rype) • Reswenuai venawnon category 7 warksneet SubmiCed • Energy Envelope Calculatlans SulxhiUed Licersed °lumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Mimesota Rules 7672 . New Energy Code Wariwheet Su6miCed Telephone # ( Telephone # ( ) Teiephone #( I hereby apply for a Residential Building Pernrit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances aad codes of the City of Eagan and the State of MN Statutes; I understand this is not a peraut, 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. _ ?J,A L) a.;" s . " C"? r? ApplicanYs Printed Name Applicant's gnature RESIDENTIAL J? BU{LDING PERMiT APPLICATION d? CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWCdon RenuiremMs • 3 regislered sde surveys showing sq. fl. 01101, sq. ft. of house; and aA roofed areas (20% macimum lot coverage allowed) • 2 cop'res oi plan showing beam 8 window saes; paured found design, etc.) . 1 set ot Energy CalcWations . 3 copies of Tree Preservation Plan it lot platted after 717193 . Rim Joist Detail Oplions selection sheet (bldqs wNh 3 or less unih) DATE ! O -q-oZ SITE ADDRESS TYPE OF WORI APPLICANT 11626 STREET ADDRESS 02 y 7 JII iCo / rp` TELEPHONE #`9SzJ707-6ff9 CELL PHONE # tULTI-FAMILY BLDG _Y _.?N FIREPLACE(S) _ 0 _ 1 _ 2 L,9-_STATE't*'VZIP FAX PROPERTYOWNER Uvin?f C!"a,? TELEPHONE#?? 6071 ----------------- ---------------------------- --?°--------°-°------------^------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (J submission type) • Residential Ventilation Category 7 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Controcfor: Mechanical system includes: Sewer/Water Contractoe MINNESO'I'A RUI.PS 7672 ? ?'?? f ocT z 12002 ? ?---- Fee: $9( Phone # Phone # Fee: $70.00 -----------------------°-------°--------°-------....---------°---------°---^-------°... _...---------°------°----- I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdinanc? C Signature of Appiicant n - __-'-------- ----__......... _...... ---..__....... "..... OFF[CE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Phone # _ Water Softener _ Lawn Sprir _ Water Heater _ No. of R.I. _ No. of Baths _ Air Conditioning _ Heat Recovery System RemodellReuair Raauirements • 2 copies af plan • 1 setaf Energy Calculatians forMated additions • 1 site survey for exterior additions & decks . Indicate if home served by septic system far addNons ,?/? U'?y VALUATION t.'?'l 510 - - 15 /d/(0 z. , ,-r-I r? 5 U tK 2_ ?7 ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED iiITH THE CITY OF EAGAN To Be Used For: Valuation; Site Address: {? 4 Lot: 65( Block ? Seet/Sub J C: Z„ Parcel I1 Owner PL,44< Cf?U I 'a ChPin Address INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS ` o Q _ Date: - ?2-94-5' OFFICE USE ONLY Erect x Occupancy R-3 Remodel _ Zoning R_I Repair Type of Const _ Enlarge I! oF Stories Move _ Length GO Demolish _ Depth 4b Grade Sq Ft City/Zip Code Phone Contractor Address City/Zip Code Phone _7 J Z- p ??3y Areh,/Engr. Address APPROVALS Assessments Permit 343' tg Water/Sewer Surcharge 3 5.= Police Plan Review 111. ?'-" Fire SAC y25. `-° Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 123p Parks APC Treatment Pl 1 32. Variance ) & v g s-v TOTAL ? , - City/Zip Code Phone l1 ?" A32 9 (7 t (? . . ? " ? ??G2? ? FOI: Grand Oaks Devalopment 1q1? N z u? 0 tn ON ? ? ? ??•j ? ?. i _ AVS e \? ?\ C. R. WIMDEN d, AS50CIATES, INC. lANO SURVEYORS ToL &45•9648 1381 EUSTIS ST., ST, iAUt, MINN. 6510• _ a7l Fa P ??Iw I' . ^ o5e? 5- N Qroo,,s? ? o..?\', ? N Scale: 1" = 30' O Denotes Iron Monument c / 0 ? D? V ?OT o Denotes No.den Stake ?roposed Garage Floor E1 414.0 013.7) Den??[es Proposed Finished Ground E1. --q--- Denotes Direc[icn Cf Surface Drainage Vertical Datum - N.G.V.D. 1929 Lot B, Block 6, SUN CLIFF SECOND ADDITION, Dakota County, Minnesota WE HERElv CERTiFY IMAT TMiS IS A TRUE AND CONRECT REVRESENTATION OF A SURVEr OF TME 6OUNDARIES OF 1ME IAND A60VE OESCRIlED AND OF TME IOCATION Of All 6UILDINGS, IF ANY, THERfON, AND All VISI6lE ENCROACMMENTS, IF ANY, FROM OR ON SAID LAND Dotad rhlb day o# Anr'A.D. 108$ C R. w r DEN 6 ASSOCIATES, INC. br Sw.aror. M,nne.ma Rapiivaiioe No.0724 s ? 's- >? R J O & NO'LE: c,. , ' EXTERIDR ENVELOFE AVEKAGE 'U' COMPUTATION GRRND QAk:S DEVELOFMENT COMPANY MODEL Q. AREA U U X AREA FEQUIRED 1. TOTAL WALL AREA 1806 X.ii 198 2. TOTAL ROOF AREA 1196 X.026 31.096 ACHIEVED AREA U U X AREA A. WINDOW AREA 186.66 .5 93.31 B. DOOR AREA 39.8 .077 3.0646 C. SLIDE GLASS AFtEA 1:.44 .48 6.451: D. PIREF'LACE AFtEA 0 U 0 E. WALL FRAME AREA 180 .041 7.3E3 F. NET WALL AREA 1164.1 .049 57.0409 G. RIM JdIST AREA 119.52 .0436 5.21107:' H. FOL)ND WINDOW AREA C? U U I. FOUNp pBOVE 6FiAUE 96.4B .135 13.0248 3. TOTAL WALL AFtEA 18OO 185.5026 J. Sk:YLITE 0 U 6 K. ROOF FRRME 119.6 .032 3.8272 L. NET ROCIF AREA 1076.4 .025 26.91 4. TOTAL Fi00F AREA 1196 30.7372 5UM 1 . +2. 229.096 SUM 3.+4. 216,2398 u? 1 C""? ?F, !?? I CITY Or EAGAN z/aa IUii APPLICATION EOR PERNIIT SEWER AND/OR WATER CONNECTION - (PLEASE PRINi) PROD= ADoRESs: r_Fr,i, os..cz(=TPTTcN: (o (Ir?t/Block/Su:civisicn or Tax Parcel I.D. Nizrber) ? i: ?-:2S='=:G 5?^.-'.LC^.'!,T(E, DATE OF ORT.Gu7aL `uiIi.^Ii:G pcoc?;r,•..r•?;?'°aOPOS? IIsz: a cZ-1 Sz;GL:. FP^?ffLY ' ? R-2 Dr.]PL{ (7o:0 LTIiTS) ? ?-3 TC?•rcE (mr.v, + L-.rz.I.S) ? TJ:]IS) ? R-4 r1F:+it?'T'TM'^"I'/C?':ZCi.LT`IIL?1 ( LtiITS) Q CClti4'-SE.4CL:\L/RE^'AIL,/CF:'ZC:: ? Il'DL'S=-L Q I;'75TI:',`TZC;IAI,/GGVE'-?-=;T 2) APpj,_C`T (PLEASE PR17ii) M"-W= G4rn o d oGks a?DREss: I R Fr f _5 e-, h c- '14,? c-? C=. SmTE, ZIP: ? ?!5 4 P1 PF.GNE: fC!-3C( 3) Pu'T-EFI NP .?: (PLE? P'RINT) ? ?Q - FOR CITY I1SE 04LY , pDCRCSs_ ?/ d .,` e P ? -i? -?id! -E? PLIINBERS CENSE: CITY, STAT', ZIP: d O Y1 J11) /, Attive Ezpir p - P?CNE'--?_/ „? - r NJI.n ? p7 I o7 ? PLUMBER tICENSE 7{---- [? No af Retard l " Y - + rr nitta NAMElrLCHa[ rn1111) ' ADDRESS: CIT"!, STn'In, ZZP: PFrVE: 51 INDIGIT'E; :qI-IICH PERNlIT IS BEIhG RE'.QUESTID: ? C021NF.CTI0N 'IC) CITY SES^IER ? CO N .ZQ?I 'IY) CZ71' S4P(I'f.1? ? di[IER (PI.I'1ASE DESCItZBE) ? PM!%-qE f?OID APPT.?OVED pER,%1IT FOR PICi:-U^?i BY O.IE OF AE(Z1E - -- -- C PLFl'1SE Z"^.?1IL APP4(NID PEP,:•LLT 'PJ 1, 2.-Qi 4 AIiOVE ?. ? ,-. - -- - . n . -(C4rcle one) 7) SICz;,TLRE: DATE: 1'? ! w ofataws??.is i. r a E???.a a? r+r?.? ?aa a? s? s?ara:? a.? ?.e ?ranr.i.a ?+? ri ?i aae.lsar w F Q R C pEa-MIT '-` ISSUED T Y U 5 E O N L Y F"S: $ /P-> J $ $ 1, - ?.--o . $ 5 $ s l 5:,? $ $ $ $ $ $ S SEi:cB noqMrT WATEP, PERt[IT (I_;CLliDE SliRCFIA-RGc,) WAT°R METER/COPPFRHORN/OUTSIDE R°ADER WATEP, TAP (INCLL'DE CORPORATION STOP) S::iER TA? ACCOUNT 0°POSIT - [•iA^t'R WnC SAC TRliVK WAT°R ASSESS?iE:3T TRuNK SEWER ySSESS:7E?iT Ln:ERAL Bi.Nc,FIT/TRUNK SE?•:ER LATERr;L BENEFIT/TRU'K WAT°R OT:IER TOTAL a??iou.:T PazD;•RiCclPT n ?51?.:6 I DOcS UTILITY CONNECTION REQUIRE EXCl,VATZON ZN PUBLIC RIGriT OF WAY? ? YES ZF YES, THEDI A"PERMZT FOR WORK WITHIN PUBLIC ROc1DWAY" MUST BE ISSliED BY THE rC_No?_ ENGINEERIDIG DIVISZON. LIST AS A CONDZ- TION. SGBJECT TO TEiE FOLLOS9ING CONDZTIONS: APPROVED BY: TI:LE: DAT°: ?L v• - CEIPT ?+ Crt?w? 1 ? cc ,{ t ir s ?Ht?? ? ?4 ?y . Y 4 9d..k`.? ? "1f ? i ?- e?.? ?? PERMIT City of Eagan Permit Type:Building Permit Number:EA130219 Date Issued:04/13/2015 Permit Category:ePermit Site Address: 4329 Fox Ridge Ct Lot:8 Block: 6 Addition: Sun Cliff 2nd PID:10-72976-06-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Description:Replace Roof Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Wing Chan 4329 Fox Ridge Ct Eagan MN 55121 Estate Claim Services LLC 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature