4338 Fox Ridge CtBLDG. PERMIT ti0.
. '
01-3210 BI'vdg. 'Permi
r
01-3422 Plan Check
,a ?:•.
,/?--
--
?
t • `. r , C.l
01-3445 Surch./ddm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC ?s
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY OF EAGAN Q 1? 9 s s
3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
.
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est value $96,000 Date DECEMBER 15
Site Address 4338 FOX RIDGE COURT Erect (N Occup R3
ancy
Lot Zl Block 6 Sec/Sub. SUN CLIFF 2ND Remodel ? Zoning
Parcel No. Repair ?
d
i
? Type of Const. V
A
d
tion No. Stories
¢ Name ADVANCE DEVELOPERS INC
Move O
Demolish ? 4
?ength
Depm AQ
3 Address 3209 W 76TH ST.. #205
°
EDINA
8
- mpr. ? Sq. Ft
Cih,
35
5405
phone Insta ?
o Name RMC DEVELOPMENT CORP Approvals Fees
?
,°? ¢ Address S?-'
Assessment ? 421.00
Permit
? City Pnone Water & Sew.
Police Surcharge 48. 00
Plan Review 210.50
?
? W wame MINNETONRA DESIGN Fire SAC 575.00
_= Address 337 WATER ST
Q z
Eng. 500.00
Water Conn.
city EXCELS??{,e 474-5991
<
W 63.50
Planner Water Meter
Council Road Unit 290.00
I hereby acknowledge that I have read this appiication and state thatthe Bidg. Off. 12 12 a Tr. Pi. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan,Ordinances. APC Parks
r ?
i P
r
Si
t
itt Var. Date Copies
$2
264
00
gna
ure o
m
e
ee Total
,
.
RMC DEVELOPMENT CORP
A Bui l ding Permit is issue d to: on the express condition that
all work shall be done in accordance with all appifcable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiel ( ~,
I I Pem-dM No. I PwmN Holdw I DNe I TeIephoea M I
Plby.
Fleal
Occ.
Fty.
Frmp.
Dfsp.
MECHANICAL PERMIT '-
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
d ..?....?_ .?. .,..,..
Site Address
? Name _
? Address
c Ciy _
_Z1? _6Z,I'1 BTU
M BTU
M BTU
M BTU
CFM
?
BLDG.TYPE
Res. ?
Mult
Comm.
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
COhFSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
WORK DESC?IPTION
New •?
Add-on
Repair
Name
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL:
- $24.Q0
- 6.00
- 1.50 EA. '
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONQ $1,000)
SIGN RE OF PC-;AIT?EE '
FOR: CITY OF EAGAN
.r
PERMTT #
PLUMBING PERMtT RECEIPT # 2,V 7
3830 PILOT K OB OAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address 1- BLDG. TYPE WORK DESCRIPTION
Lot ' Block SeclSub
Res. ? New
m Name '- 1= Mult Add-on
? Address Comm. Repair
c City Phone Other
, NO. FIXTURES TOTAL
Name Water Closet - $3.00 $
-3 L-) r LPj T 7
16 S T /? ---Bath Tubs - $3.00
c Address 3?
0 City J_" cl /N!a Phone - 5- 77 ?Lavatory -$3.00 `/, C?C
_,,/,-Shower - $3.00 -' • ? ?'??
FEES -LKitchen Sink - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00
TLaundry Tray - $3.00
MINIMt1M - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE ?20.00 Floor Drains -$1.50
IEWater Hester - $1.50 _ 5
STATE SURCHARCE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ? BEYOND $1,OOQ.00) Gas Piping Outlets - $1.50 _
?Softener - $5.00
Well - $10.00 ?
f--- Private Disp. - $10.00
r.
=Rough Openings - $1-50 _
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• `? •'-- L-
0 ' . y
Ttr#tftratt uf (Orrupttury
Citp of eagan
aPprtntPtlf of Euild'mg jrivPtfinrt
This Certifcate issued pursuani to the requirements of Section 306 of the Uniforrrt Building
Code certrfyixg tluu aP the time of issuanee ihts structure was in compliance with the various
ordinances of rhe City regulanng building construction or use. Far tire following.•
SF DidC/GAR
12961
Use Clasgifintion Bldg. Permit No.
Occupa-Y Tra _ Zomag DMict ,',ype COWL .
Qwner of Bt?7ding A?rm S TE j? 2 ? ` ,
-,-, 8 G. S1.'N CLirF 2lVD
ewwm naarm FQX RIDGE ?uty
r. F:ss.i?? G''• .. -. .. i
Dak.
? Butldirkg QHiciel =
POST IN A CON5PICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road SEWR SERVlCE PERMIT
P. O. Box 21199 PERMIT NO.:
Eagan, M111 55721 p,+TE; -
2°^i^o: No. of Unita:
Owntr:
Address: ? -
Site Address:
Piumber:
14yrM ie em* wllh tw pyr af iepn Ccnnwctian Qwnpe; ?
OrdiMnsa. At.tount Deposit:
Permit Fae:
Surcharpe:
By Misc. CF+orpes:
Dobe ot Insp.: Total:
I nsp.: Dah Poid:
' CITY OF EAGrAN ?
WATER SERVICE PERMIT
a; 3830 Pilot Knob Rlpad
P
O
Box 21199 $259
PERMIT N
.
. O.:
= Eagan, MN 55121 DATE: 1?-?.
Zoning. - 1 No. of Units: ?
,.. Owner: _ "ev
Address:
SiteAddess: 433" Fox Ridge Court L21 B6 Sun C1.iri" '2ne
: Plumber. Vglley Plumbing
? MeterNo: ConnectionCharge: 500'00pd
; Size: Account Deposit: 15.00 dd s'
?. Reader No.; ? ? • `?Aa
Permit Fee:
: 1 agree to comply wlth the CNy of Eagan Surcharge: • 5i?1?
Ordinancea Misa Charges: ? ? ? • Otl ,': Tr'
Total:
• BY Date Paid:
.' Date of Insp.: Insp.:
?
r
cinr oF EnGAN
3832 Pilot itriob Raad
WATER SERVICE PERMIT
P.O. Bpx 2ft189 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ n 1 Mo. of Unib: 1
Ownec _ RIC Dev
Address:
SiteAddess: 43'C Fo x Ricire Caurt L21 rr, Stin Cliff ?nc'
Plumber: Vallc - P1umLinR
?
Meter No.: nection Charge: 500• ai),gd
Size: 'r
Read r No.: a ount Qe osit: 15 . OOpd
inp%4?jt?t? 10.01Dd
1 agree to comply wit p ' ty: p} Eatiafr i' i?S(Irtf A?&?tC. . 5 r?nc?
By / / .. QU IRL D Bttal;.f?
--?-?? - Date Paid:
Date of Insp.: Ingp,:_
??/ 9 s7
CITY OF EAGAN Remarks aj_?Jy
Addition SUN CLIFF 2nd Lot 21 Blk fi Parcel 10 72976 210 96 61
Owner Street 4338 Fox Ridge Conrt State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1985 369.3 24.62 15
STREET RESTOR. -119ei107 1986 -2-t?-- 431 . 51 5
GRADING ? /7S
SAN SEW TRUNK
SEWER LATERAL *
SEWER LATERAL 999 1986 829.62 165.92 5
WATERMAIN
WATERLATERAL 1000 1986 942.60 188.52 5
WATER AREA 4 ,
WAT LAT BEN 1-9/077 1986 57.88 11.58 5
STORM 5EW TRK ? 1971
STORM SEW LAT
S W SERVICE 1005 198 808.77 161.75 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5
WATER CONN.
BUILDING PER.
SAC
PAR K
CITY OF EAGAN A1?
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
BUILUING PERMIT Receiptx
Tobeusedfor SF DWG/GAR Est.Value $96,000 Date D•('RFR 75
SkeAddress 4338 FOX RIDGE COURT
lot 21 Biock 6 5ec/5ub. SUN CLIFF 2ND
Parcel No.
W nlame ADVANCE DEVELOPER INC
o nedress_ 3209 W 76TH ST.. #205
Ciry EDTNA phone $35-5405
Z o Name-
$ Q Address
r r:.
RMC DEVELOPMENT CORP
Phone
F W Name MINNETONKA DESIGN
?z
Address 337 WATER ST
a W c;ty EXCELSWRe 474-5991
I hereby acknowledge that I have read this application and stata that the
information is correct and agre to comply with all applicable State of
Minnesota Statutes and City rd' ? es.
Signature of Permittee ? ? ? ?
A Buiiding Permii is issued to: RMC DEVELOPMENT CORP
all work shall be done in accordance with all app/iGable Stat of Min sot
12966
Erect ? Occupancy n?
Remodel ? Zoning R .
Repair ? Type of Const. V
Addition ? No. Staries
Move ? Length 47
Demolish ? Depth 40
Int impr. ? .Sq. Ft
Install ?
Assessment _
Water & Sew.
Police _
Fire
Eng.
Planner-
Council _
Bldg. Off. 1
APC
Var. Date-
and
Permit $ 421.00
Surcharge 48.00
Plan Review 210. 50
Sa,c 575.00
Water Conn. 500 . 00
Water Meter 63. 50
Road Unit 290.00
Tr. PI. 156. 00
Copies.p ?
TOtal '
- on the express condition that
of Eagan Ordinances.
Building
7 REQUEST FOR ELECTRICAL INSPECTION ro--
? Sea instruetions for completinp fhis torm on baek o1 yeilow copv. r O:7-Y >Z
r QnnQr, "X" Below Work Covered by This Request
Equipment Wired
Electric
Farm
M Fea ServieaEntrenceSiza !1 Fee Feeders/Subleedars p Fee Circuits
U to 200 qm 5 0 to 30 Am s . 7) 0 to 30 Am
' Above 20 _qm ps 31 to 100 Amps `?li G 31 to 100 A 5
Swimming Pool Above 100_Am s a.:P Above 100_Am s
Transiormers rngation Booms Pertial."Other
LSignS I I ISpecial Inspection S ?
ems.ks ? '7 TOTAI
i
1f'7 1, the ElacVical
.j ? / IncPector, heraby
certity Net the above
inspection has Eeen
R1is fequest
inis re0uest witl
16 months irom
C 80086,/?2/
70 S?{2
? 1! v a" z ? // 7 0 G?
RnpUCU-O Fire No. qoug,'in Inspe<tian
Repu? etl
?Reatly Now?Notify InsPec-
/
? as ? No 1or When Ready
M-ea.9msad electrical Conlractor 1 heraby request insoection o( above
? Owner electrieat work inslalled at:
Street Atldress, Boz or P?e No.?"? ,
V V ' ./ City
i/ ?'/'?
ectron o. Township gme or No. Range No. Counry
?
Occ ? IP INTI ,.
? .. z / Phone N
93 - ?- -?
Power pplier
? AOtlress
Elecfrical Coniraccor ICOmpa I ?
LEC`?'? T . Cnn ract r's License No.
CO 2-
?5???ailationl
?E
"`??!'? 40 ?
dlor Ownar MakinB Ins[allationl
Aut nz i?
?p
P?L` Phone Number
MINNESOTA STATE BOARD OF ELECTpICITY TMIS INSPECTION PEQUEST WIIL NOT
Grippa-Mitlwey Bldp. - Noom N•791 BE ACCEPTED BY THE STATE BOAND
1827 Univeraitv Ave.. St. Peul. MN 56104 UNLESS PNOPEN INSPECTION fEE IS
Phone 16121 642-0800 ENCLOSED.
Date: ? I?DI ?00 YJ SiteAddress: C?- 3? rOr Ri`4ee Cmv +'7 E4PAw M N(s 12 Z
Tenant:
RESIDENT / OWNER I Name:
TYPE OF WORK
Address / City ! Zip:
Applicant is:
Description of work:
Construction Cost:
z
P'n t(6,?;7 ?j I-l 5'"2-g2
)?/N oAw MwCO2.7
Multi-Family Building: (Yes X / No
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheei • New Energy Code Worksheet
• Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
, In the last 72 months, has fhe 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 ConVactor: Phone:
Sewer 8 Water Contractor: Phone:
!iheylarl? ? s66-re y:-? ?„
?-condode thaf ? tratle fs. ?._ _ ????? a:?=I hereby acknowledge that this information is wmplete and accurate; that the work will be in confonnance with the ordinances and codes of
the City of
Eagan; that I understand this is not a permit, but onty an application for a permd, and work is not 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 M l;\?v 2P. AQK 4
Applicant's Prin d Na e
R V, , w
438 Fo,x R%,O(x e Cov
Owner Contractor
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext Alt. - SF
? 02-Plez ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
woRK rrPes
? New ? Interior Improvement ? Siding ? Demolish Building'
0 Addition ? Move Building ? Reroof ? Demolish Interior
? Alteretion ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire build ing) - give PCA handout to applicant
DESCRIPTION://??qqq
Valuation n
?0(9 Occupancy
MCESSystem
Plan Review Code Edition SAC Units
(25%_ 100%? Zoning City Water
Census Code Stories Booster Pump -
# of Units Square Feet PRV .
# of Buildings Length Fire Sprinklers
` r^
Type of Const \/ 1 L. Width
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof: Ice & Water Final
? Framing
Fireplace:_R.I. _AirTest _Final
? Insulation
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
Sheetrock Meter Size:
FinallC.O.
? FinallNo C.O.
? HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
9I6 y 7rr7e '' /(I)?32,y?
n h„'
= /D 1?19 0
?UvO
e-i otr3--°"
RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS:
New Construction Requirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 Soils Report if proposed building is to be placed on disturbed soil
? 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 711 /93
? 20% maximum Vot coverage allowed
? Rim Joist Detail Options selection sheet (buildings with 3 or less units)
? Minnegasco mechanical ventilation form
Remodel ! Repair Requirements
? 2 copies of plan showing footings, beams, joists
? 1 set of Energy Calculations for heated additions
? 1 site survey for additions & decks
? Addifion - indreate if on-site septic system
1+'638 Fox P;olqe covY'F,
For: R.M.C. DEVELOPMENT COR°.
FOX
l
?
?
C.
?
R` •03
Co
C. R. WINDEN d. A$SOCII,TES, INC.
LAND SURYErORS Ttl 645-3646
1381 EUSTIS SL, ST. PAUL, MINN. SSI06
A°Sp. '7
p
??
i \
\
•? ? __- 33.5"?1
).II'? ZK ` '?AY
?913??31i
z Q' y
u
m
/ V
?
V„ ?ty°4?1
?
Scale: 1" = 30'
D Denotes Iron
Monument
NOiE:
c Denotes G'neder. Stake
\sJ ?? e-ed Garage Floor E1.913-B
\ s 9i3.5> Denotes Fropesed
\t ?? ?) Finished Ground E1.
-f-- Der.otes Direciien
? r ?Qf Cf S.rfacz Drainage
,a,?N? rtical Dat? - N.G.V.D. 1929
\ lN
\
's
9o4.oJ
U
s?.sr
? E`6cGC.r.,..y,,
Lot 21, Block b, SUN CLIFF SECOI:D
ADDITION, Dakota County, Minnesota
WE NERElY CERTIiY THAT THIS t5 A TRUE AND CORRECT 1E1sRFSENTATION OF A SURVEY OF SHE
60UNDARIES OF iME IAND A6OVE DESCRilED AND OF 7ME IOCATION OF A1l 6UilDINGS, tF ANr,
TtiERFON, AND Ali v15161E ENCROACHiaENTS. IF ANY, flOM OR ON SAID IAMD.
Oorad ehl.5- dar o} D:,eedl`6r/ A.D. 1904?
C. R. WINDEN b ASSOCIATES, INC.
bryJ?-T?-- v ?
SurrsyoMinn@ soio lapqtrolioe Ne
5_. , pR,??ase
42 _
1
1
? i ?-i-
`
S L-_
Tv
ti a st3 ro( F-iaqe 4--ovrt
we . " '
roY: R.M.C. DEVELOPMENT COZZn.
FOX
?
,
?D
R?p? a
2
R`1, 03'
? -
/
? ? 335- 1
? 1 \<
p` ? ?F-s% O
?
? =N
?' m
?
n
? rn
Q
GOv
(9j
C. R. WINDEN a A550CIATES, iNC.
IAND SURVEYORS Ttl 643-3646
1381 EUSTIS ST., Si. iAUI, MINN. SSIO8
r (9j3 _51f".' ` lS
s
N 22.? \N ?
N ??1, ss s
pRoP%ts w \ ?,-
l \
W "a
y2 ?R?i?Nb
1 ?
1 ?
U o
y?.sr
E yy
Scale: 1" = 30'
C Denotes Iron
Monument
tiOZE:
c Denotes tJocder. Stake
?'rr pesed Garage Floor E2.7/3•8
( 91i.$) Denotes Fropcsed
Finished Ground E1.
--q---- Der.otes Direc[icn
Cf Sur`ace Drainage
Ceztical Datum - N.G.V.D. 1929
04.D)
Lot 21, Block. 6, SUN CLIFF SECOND
ADDITION, Dakota County, Minnesota
M'E HE4EDY CERTIfY THAi TMIS IS A/RUE AND CORRECT [EPRFSENTATION OF A SURVEY OF SHE
60UNDARIES Oi iNE UND A60vE DESCYI6ED AND OF THE IOUTiON OF All lUllDtNGS, iF AHY,
TNERfON, AND ALt vISIEIE En+CROACMi.tENiS. IF ANY, fQOM OR Onl SA1D MND.
Daivd 16h f dor ef 'pC:(tnr6e'/ A.O. 19Q(e
C. R. WINDfN A ASSOCIATES, IniC.
Serr?yor. M?nn??elo Rap?Nralion No // /? 7?j
wray?v
•
Y
... .
. . C/??? '? '?
. ?? . ? ? ' . . " '.. 1 11'
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SITE AG,",c SS: ?' ?'";t : ?' ?i •G>? 1?
!)et?' .:a?iiir :c?.-i? , ,...n . ri;;,!.;??? ??f !•a?:..
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198b BOILDING PERNIIT APPLICATIOH - CITY OF EAGAN
iQOTE: ALL CONTRACTORS MOST BE LICfiNSSD iiITH THE CITY OF EAGAN
SINGLE FAlIILY DiIELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DSiQ,LIFGS - EESIDENTIAL BENT9L DeIITS FOR S6LS ONITS
INCLUDE Z SETS OF PLANS, CERTIFICATS OF SDR9EY - CHECg IiITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COMAfERCIAi:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Siap /? 9 la, c00
To Be Used For: , Valuation:6-,P'tr
Date:
Site Address
Lot ,I/ Block /o_
Pareel/Sub xx (111V,;nj ?ry?hro?J
Owner
Address
City/Zip Code Z2,ax??,/
Phone
Contraotor
9ddress _ &Vp9 k)
City/Zip Code
Phone
Areh./Engr.
Address E37
City/Zip Code `wlmp,c?
Phone #
Ereet ? Oecupaney F-3
Remodel _ 2oning
Repair _ Type of Const ?
Addition # of Stories
Move Length ?
_
Demolish _ Depth _40
Int.Impr. _ Sq Ft
Install
APPROVALS FfiES
Assessments Permit 42 l
Water/Sewer Surcharge 48"
Police
Plan Review a
21d. S
Fire SAC
Engr Water Conn O•
^
Planner Water Meter (0 s'
Council Road Unit Zi 0.
Bldg Offl _ . Treatment P1 (SCo,
APC Parks
Variance Copies
TOTAL ?
9 ot (o Y-
NOTE: ADDEESSB3 FOR CORNER LOTS - CONTRACTOR/HOMEOANEB MIIST DESIGNATE i18ICH ADDRESS
IS DESIRED. NO CH9NGfiS HZLL BE ALLOWED OPCE BUILDING PSRMIT IS ISSDSD.
I? x 3g = ?? 4--? S? ? ?-7Z ,
g n ZZ " I"1? ? ?3 = lo2oa . ,,
2 2 ? ZZ = ?FP? ? ? ( 2 ` ?80?
3 l C? 8U
(C?o K 44- " -7° q-°
?S3c?8
LOL• BLOCK: '.^• SUBD./P.I.D #:
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675 10 - a 3 t?
New Constructlon Reauiremenh Remodel/Reoair Reauirements
? 3 registered sNe surveys showing sq. H. of lot, sq. ff. of house 2 copies of plan
and all roofed areas (207, maximum lot coveraae allowed) 1 set ot energy calculafions for heated additions
? 2 coples of plans (show beam 8 window sizes; poured fnd. design; etc.) 1 sRe survey for exterlor addiflons & decks
? 1 set of energy cclculations
? 3 copies of hee preservation plan if lot platted affer 7/1(93
? Rim Jolst Detail Optlons selection sheet (buifdfnas with 3 or less unRS)
DATE: CK?7 ?3 ZU.?O ? CONSTRUCTION COST:
DESCRIPTION OF WORK: If multi-family bidg., how many units?
STREETADDRESS: 11"330,P
Name: /"JO,CGS' ?f)C/? Phone ? a--//
PROPERTY last First '
OWNER 3? r? Za%.?'? ?
Sheet Address: f
Gffy Fa'-4 a?'r/ State: Zip: -V72-Z
CONTRACTOR
Company: Phone #:
(area code)
Street Address: License #
City
State:
ARCHRECT/
ENGINEER Comparry:
Name:
Zip:
Telephone #: ( )
Sheet Address: Reglstration #:
City Stafe: Zip:
Sewedwaterlicensedplumber(ifinstallinasewedwater): Phone#: (?
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Sfgnature of ApplicanT: &S ??
OFFICE USE ONLY
Certificates of Survey Received ` Yes _ No I OCT 2 3 2000
Tree Preservation Plan Received _ Yes _ No _ Not Required ?
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
42-107
CITY OF RJ4CAN
3830 PILOT KNOB RD - 55122
651-887-4675
D J reylsfered site wrveYS ahowlnfl sQ. R of loi, sQ. ft. ol house
md 91 rooletl ar6Ca (2p94 maximum bf covemae dbwatl)
D 2 cOpiea of plana (show beam d wlndow sixea; poured hM. deat9n; e1cJ
> 1 sef of enerpy cdculallOna
D 3 coplea of hee preaenatbn plan H lpt plottetl aRer 7/1/93
DATE: l - 1 - CZ)
DESCRIPTION OF WORK:
12U-5
2 oopiea of plan
1 set ol energy cdculaMOna for heated addlMom
1 qfe wney lor exferbr addiHons R decks
CoNSTRUCTION COST: A 5`(0D , U v
STREETADDRESS: .5 cd t?-T
LOT: BLOCK: h SUBDJP.I.D. 0: l,lY) l ri .
Name: hor ra k k (a.dl a Phone #: (S(-qSCo
PROPERIY coo Flrat
OWNER
Sheet Address:
c+N /-cz 4 C'-q? state: M(l/' zip: ?S( z Z
Company: SELA ROOFING & REr--;' ; phone #: f°( Z gZ 3- g0 `j(
(area code)
COMRACTOR ST. LOUIS PARK, Mhi
Sfreet Address: ID #0001050 License # ZCS Sd Ezp. ?3f O(
CHy
Sfate:
ARCHRECT/
ENGINEER Company: Name:
Telephone #: (
Sheet
CHy
Stafe:
Sewer/water licensed plumbsr (ff Installina sewer/waterl: Phone #:
Zip:
Zip:
I hereby acknowledge ihafi lxrve read lhis applkaMon. staFe thaF ihe (nfomwHon is carecf, and agree b compPy wNh op apPIcoble Stafe
of Minnesotu StaluFes and Cify of Eagnn Ordinancea.
Signature o} ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Regisfratbn M:
Tree PreservaHon Plan Received _ Yes - No - Not Required
L D \ sL CITY USE ONLY
y" ?
SUBD. ?? A 1A CL? ?
RECEIPT #:
RECEIPTDATE: I d'
PERMIT# 1-4-224
2000 PLiJMB2NG PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EACAN, 2M7 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and wndos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES
EAGN #
T[%TAL
Alterations to existing dwelling - minimum fee
Describe: Lt9v.??e v' o -e ? $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ` minimum -1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System newrrerurbisned " requires MPC Ilc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Underground s rinkler iftlwelling is underconstruction 3.00 x = $
Underground sprinkler if existing dweltlng 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if exisUng dwelling 30.00 x = $
Waterturnaround 30.00 x --- _ $
State Surcharge 50
TOt01 -> -> --> ---? $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----------------•----------------••----------------•--------------------------------------------•-------------------------------------
I here6y acknowledge that I have read this application, state that the infortnation is coved, and agree to compty with all applicable City of Eagan ordinances.
It is the applicanYS responsibility to noti(y the pruperty ownar that the City of Eagan assumes no liabiliry for any damages caused by the City tluring Its
nortnal operetional and maintenance activities to the facildies wnstrueted under this pertnd within City property/right-of-wayleasement.
SITE ADDRESS: kl*- C/
OWNER NAME: : 415l? iLdk/xa? TELEPHONE
(AREA OPE)
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(aREa
CITY: STATE: ? L s?
?L1P.t?S
5lG4VATUR F ERMITTEE
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
rAnMErr oF ME AT xM oF
? ArrLIcATIorr noFS Nar wrSriTUTE
F APPRovAr, oF PERf4rT
? INSPDLTION OF SEWIt ADID/OR F7F+,M
? IIISTALLATIONS WIIS, NOT SE SCEgD-
`. UI.ID UNFSL PERMIT HAS
? APPROVFD.
•? 1) PROPERTY ADDRESS: y 11J3 1, ?O t?' C.? LEGAL DESCRIPTION: 'VO p Z •-
Lot B ock Subdivision or Tax Parcel ID
IF EXISTING STRCCISJRE, DATE OF pRIGINAL BDILDING PERM,ZT ISS[,'ANCE: .
i
(Mon Year)
..
PRESE[?P ZONIPIG/PROPOSID LSE:
0 C02•PECtCIAL/RETAiL/OFFICE
C2 IbIDCSTRIAL
n INSTITi'TIONAL/GOVERNMg,'D7T
? R-1 SINGLE FAMILY
? R-2 DLPLEX (1wo C?nits)
R-3 TOWNEIOC?SE (Three + Units) ( Onits)
? R-4 APARTMENT/CONIDOMIDTIDM ( Units)
2)
NAW
ADDRESS n
V U
CITY. STATE, ZIP
• PHONE:-ZJ?5 ^3 %'?
• 3) • u ?: ?• ? ) ` ?! For City Use .
NAME:_ Plinnbers I.icense:
AoDR Ess: 61U G Y e ? ? ? .rs ?> ? Active
Exped
i CITY. STATE, ZIP:?D V' c1 0 ?? 22/'7 - < J o7. ? Notirrecorded
PHONE: LF`.? r.? ? 07??` I MASTER LICEfISE# St?tlal
4) ??« • r i?- n
NAME: ?n r/1/a y i
_ ADDRESS:
.
CITY, STATE. ZIP: ?
PHONE: . ;
'?J? il v ? 1 W• 71' • 3 7?4 SIY7?i ? CONNECPION T0 CITY SEWII2 R7 CpN[VEC,TION ZU CITY WATEFt ? OTHER_.
6)
7)
"' •?" ? PLEASE HOLD APPROVID PERMIT F'OR PICK-UP BY ONE OF ABOVE ._'
PLEASE MAIL PROVID PERMIT ? 1, 2, 3, 4, AHOVE
??/I (Circle one)
r ?. J.
FOR CITY USE ONLY
PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (ZNCLUDE SORCHARGE)
$ $ WATER PERMIT (INCLUDE S['RCHARGE }
$_ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?S• G-'a ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ ? L7 d' U p
s $ WAC
$ 'J 7 $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERA L BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I2eI N-_? o S r577• 6-6 TOTAL
?.l 6 S-zQ O Q eJ ?
RECEIPT RECE PT
DOES LTILIT;L CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YE5, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
Permit Nuznber
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftwaze Version 3.6 Release I
Data filename: C:1Program FileslCheck\REScheck\0804-30.rck
PROJECT TITLE: ry6akin remodeling
COUNTY: Dakota y 3?? GT-
STATE: Minnesota
ZONE: 2
CONSTRUCTION 1'YPE: Single Family
T'E. 05/29/08
DATE OF PLANS: 5-28-2008
WINDOW / WALL RATIO: 0.24
DA
PROJECT DESCRIPTION:
12'x 18' rear sunroom addition
DESIGNER/CONTRACTOR:
k k design /
COMPLIANCE: Passes
Maximum UA = 58
Your Home UA = 57
1.7% Better Than Code (UA)
Gross Glazing
Area or Caviry Cont. or poor
Perimeter B-Yalu€ B-Value L-FaS9t SL9
Ceiling 1: Flat Ceiling or Scissor Truss 204 44.0 0.0 6
Wafl 1: Wood Frame, 16" o.c. 336 19.0 OA IS
Window 1: Above-Gcade:Wood Frazne:Double Pane with Low-E 64 0330 21
Door 1: Glass 18 0.420 8
Floor 1: All-Wood Joist/Truss:Over Outside Air 12 30.0 0.0 0
Floor 2: All-Wood Joist/Truss:Over Unconditioned Space 204 30.0 0.0 7
Furnace 1: Forced Hot Air, 90 AFUE
Propased aod Maximum U-Factor Averages
Proposed Maximum
Avenge U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.350 0.370
fficludes Foundation Windows> 5.6 ft2'
Floors Over Unwnditioned Space 0.033 0.033
COMPLIANCE STATEMENT; The proposed building design described here is wnsistent with the building plans,
specifications, and other calculations submitted with the permit application. T'he proposed building has been designed to
meet [he 2000 Minnesota Energy Code requiremenu in RES checkVersion 3.6 Release 1(formerly MECchec? and to
comply with the mandatory requirements listed in }ia4u59 cheAspection Checklist.
Date S Z4f'09
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use I
O~ EaRd ~ ~ Permit#:
City MIrl
I Permit Fee:
3830 Pilot Knob Road / I
Eagan MN 55122 Date Rece' ed: [f/~ l
Phone: (651) 675-5675 j Staff: j
Fax: (651) 675-5694 I I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
ki Af lem Phone:
Name: Y /S G1 1 'V t {lam }'&P&:27,
RESIDENT / Lo p1 6t
'OWNER Address /City /Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: P Q - 51 c> Construction Cost: 910Multi-Family Building: (Yes / No )
CompanyPit ~Jg~4f,& elf hJ Contact Alex J >1
CONTRACTOR Address: ~q 2Z /~>g)4 04,a & qt, Z, City: k w &!L--`Cy~J
State: )qlj Zip: Phone: Ib_r>l
License 3 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
lb /lJ i,? If
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:
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 the are trade secrets.
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.org
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
accordan with the approved plan in the case of work which requires a review and approval of plans.
Exte 'o rk authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
.
day f P mit is
01
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use/~ I
Permit#: Z/
City of Ea~d
Permit Fee. &
3830--Pilot-Knob-Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: g y 6 A i• ]GU Phone: 7J Z-Z'Z 7-6 ~ 17 0
RESIDENT / 44 _ ~~o
2
OWNER Address /City /Zip: _ Pox P b 6 e
Applicant is: Owner Contractor
TYPE OF WORK Description of work: P me P-" ySe SWA ~ a
Construction Cost: Multi-Family Building: (Yes / Nox )
Company: 4 CGi 1111 e~Contact:~ gji(-
CONTRACTOR Address: ` ~L) M (,✓&1 6 7 City: 2E- r V
State: -Zip: ~ c~ I ~ Phone: ~ 2_SO/ ('67
License r3f 6 37 30,1 Lead Certificate (`C~~ ? 7,
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of )ermit issuance.
X V~ (o P r /J_ x
Applicant's Printed Name Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119699
Date Issued:12/12/2013
Permit Category:ePermit
Site Address: 4338 Fox Ridge Ct
Lot:21 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-210
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:150 sq ft over garage replaced
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Matvey A Rybakin
4338 Fox Ridge Ct
Eagan MN 55122--225
Estate Claim Services LLC
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136934
Date Issued:06/07/2016
Permit Category:ePermit
Site Address: 4338 Fox Ridge Ct
Lot:21 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Matvey A Rybakin
4338 Fox Ridge Ct
Eagan MN 55122--225
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148005
Date Issued:02/28/2018
Permit Category:ePermit
Site Address: 4338 Fox Ridge Ct
Lot:21 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Matvey A Rybakin
4338 Fox Ridge Ct
Eagan MN 55122--225
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 67
buildinainsoectionsOcityofeagan. com
Date:
EAGAN
l&GENE
JUL 0 2020
BY g��-
2020 RESIDENTIAL BUILDING P IT APPLICATION
Site Address: Unit #:
ge2Gc 6,961
r
1� Q
For Office Use
Permit*. 4Q,2
Permit Fee: / % /' �.
Date Received:
Staff:
Resident/
Owner
Name: 1 & Q Q4 "' Phone: f°,13�k� O326
,
Address / City / Zip: IVA9 CCAlQir, 2.4e4 U M N Sc
/
Applicant is: %e Owner Contractor f?,f) k I 'l (r c3ria
Type of Work
.
Description of work: b��-
A
µ yry ea to it'
Construction Cost Multi -Family Building. (Yes / No )
Contractor
Company: Contact
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber.
Mechanical Contractor.
Sewer 8 Water Contractor
Fire Suppression Contractor.
Phone:
Phone:
Phone:
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.citvofeanan.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 (851) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00aherstateonecail.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 - . proved . - in the case of work which requires a review and appro al of plans.
Applicant's Signature
App s Prl - : Name
DO NOT WRITE BELOW THIS LINE
SUS TYPEt.
Foundation
_ Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
_ Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
_ Fireplace
Garage
Deck
Lower Level
1-� 33g -c)X 91i/91
Porch (3-Season) _
_ Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
_ Interior Improvement
Move Building
_ Fire Repair
Repair
(25%_ 100%40
Census Code
# of Units
# of Buildings
Type of Construction
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
_ Footings (New Building)
XFootings (Deck)
Footings (Addition)
_ Foundation Foundation Before Backfill
Roof: Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Pool
_ Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy4A, MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
196,1,L
lqqx1,5 V60.
Page 2 of 3
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For: R.M.C. DEVELOPMENT CORP.
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C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Tel 645-3646
1381 EUSTIS St, ST. PAUL, MINN. 55108
/42(ipt)
Scale: 1" = 30'
0 Denotes Iron
Monument
NOTE:
r Denotes 'Wooden Stake
oAed Garage Floor E1.9/3.8
9/3.5) Denotes Fropcsed
Finished Ground El.
Denotes Direction
Cf S;;.rface Drainage
Vhrtical Datum - N.G.V.D. 1929
Oi
2� Z S r
(904.o)I
Lot 21, Block 6, SUN CLIFF SECOND
ADDITION, Dakota County, Minnesota
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF
THEREON, AND ALL VISIBLE ENCROACHMENTS. IF ANY, FROM OR ON SAID LAND.
Doted this .5-
doy •I i c mpr/
A D 1vBG C. R. WINDEN & ASSOCIATES, INC.
by
THE
ANY,
Surveyor., Minr+e olo
tog usroIion No // 79