4343 Fox Ridge Ct
Use BLUE or BLACK Ink
I
I For Office Use
I I
innwl
of Ea an Permit I
City I Permit Fee. ~~55' Go
I
3830 Pilot Knob Road j ~1 I
Eagan MN 55122 I Date Recei ed: I
Phone: (651) 675-5675 I I
I Staff:
Fax: (651) 675-5694 _-__-__-_I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: ~f Site Address: Ll lq 3 :F G f ~ ►'~'I ,y •S 2)
Tenant: Suite
RESIDENT I OWNER Name: Phone:
Address /City /Zip: VD-y( 2>G iG1 f164 N 5 1
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
DESCRIPTION Description of work: _i?j1 r2 iS~ I S'~ i l N r tr'L
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 o rk which requires a review and approval of plans.
x TEITK- ~z®,j e1i x
Applicant's Printed Name App icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
CITY OF EAGAN Remarks ? U? '1 -±r- l 9
Addition SUN CLIFF 2nd Lot 10 aik 6 Parcel 10 72976 0
owner Street 4343 Fox Ridge Court state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. L? 4. 369.37 24.62 1 --8
STREET RESTOR. }?/o7? [!
986 -24-54 -.53-- 431 . 51 5
a1 5,s3
C-/6&
?-?-
GRADING ??/3"• ?
SAN SEW TRUNK J 1970 48 6 1.95 25 17.60 7 9 8
SEWERLATERAL 3985 53 19 5 21-2-51
SEWER LATERAL 999 1986 829.62 165.92 5 a q, a, -/U(,S -45_
WATERMAIN
wATER La,TERAL 1000 1986 942.60 188.52 s 9?a• o -?0 8
WATER AREA Acf , 62-14 4-16 19 8-39 7-9-85
WAT LAT BEN 1986 57.88 11.58 5
ST4RMSEWTRK QS?_ 1471 161.72 8.09 20 40.52 7-9-85
' STORM SEW LAT
S W SERVICE 1905 1986 808.77 161.75 5 6,77 D- ,e_5-
' CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5 (p/U,/ - zu 4-2-3
WATER CONN, 500.00 11
BUILDING PER, 10096 n i?
' SAC
PARK
CITY OF EAGAN 'I U a?? !
, • 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagtn. MN 55121
PHONE: 4548100
eU1LDING PERMIT aeceipt ?t
Site Addrea
Lot Block Se'/Sub. -
Parcel No.
.? Name :?C)SEPH riILLFR COr'7S`i'
? Address ` i; l i i ?•rr;'? v AVE
City Phone 431 - L G(11
t0 Name
? Addn
u
?- Citv .
Phone
City
Erect L! Oaupancy _
Remodel ? Zoning
Repair ? Type of Contt.
Enlerge ? No. Storiea _
More ? Length
Demolish ? Depth
Grede ? Sq. Ft.
Assessment
Water b Sew.
Pol ite
Fin
E+0•
Planner
Cowntil
I hereby atkrowlodye that I how reod this opplicntion cnd srote that Bldg. Off: 4 ' i Z/B 5
tir informofion is Corrcct ond oqree to comply with oll applicabl• A?
Stnto of Minrxsow Statutes and City of EoQon Ordinanus.
Var. Date
50
35
Pem+if
Plan Review • "u
SAC
Woter Conn. . U v
Wafer Mefer
Rood Unit U ?.'
132;.J0
Total ? 1.-jv'i . 50
Siynotun of Permittee
'? `•FF,?? N;Ii.???_t ??JIJ:-?'1.
._ ?.?
A Buildinp Pem+it {s issued ro: , on the •xprom conditbn Iha+
oll work shall be dorn in otoordonct with oll oppliaoble Stote of Minnesota Statutes ond Clfy oi Eopan Ordinoncea
Buildinq Offftiol
PKmft No. PKmit Holdw Dob Tels hone i?
Plumbinq 5? V -) Jl 4`t
H.VA.C. G( A r 'Y 76 O
Eloctdo 3
sofc.n..
InWection Dsta Insp. Othw
Footin4c ?
Foundetion
Fnmina ?. a
Rooliny
Ra,gn vibg. •? y
Rouqh HVA /r
Insulation
Final PlbO. %
Final HVAC
FinN ?
Cat/Oec. ? 1l (
w.Mr Wscribs location:
tiwu
s.w..
Pr. Oisp.
ctrr oF EaGaN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date l' i..' 1 '191, 7
Site Address
Lot Block Sec/5ub. kN"
Parcel No.
Q Name
W
3 Address • ° City Phone '
a Name .o
? ? Address
? City Phone
City Phone
I hereby acknowledge that I have read this appllcatlon and state
that the information is Correct and agree to compiy with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permittee
k'i I,1 1?.!i Li ; t.
OFFIC E USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Conat
City Water _ (ActueD
All
w
bl
(
o
a
e)
# oi 5toriea
L
th
eng
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permif ? 1 ?? • ? ?`?
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engc _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Coples
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 Ciry of Eagan Ordinances.
Building Official
Permit No. Permit Molder Date Telephone ?i
Plumbing
H.V.A.C.
Electric
Softener
Inspoction Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
?) ? ln
MECHANICAL
CITY OF EA
FiII in
1. Date 12. Installation
3. Job Address l. ? Lot
4. Owner
PKmit
Fae
S/C
Tot
_ Blk. Tract
' , . ; ?. .
5. Contractor Phone
6. Addreu
7. City ' State Zip
8. Building Type: Residential fn Commerciai ? Instftutional O
9. Work Deacription: New O Add 17 Alter ? Repair ?
I 10. Describe Fuel Type
I 11,
No. Ea-112ment 8TU - M. Ea.
Forced Air No. Epuiament CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, : O
h
,
?
Air Cond. .
er
t
Mfy.
Gas, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
comply with all ardinancea and codes governing this type of work.
S'igned : - _ ? -- - for
Rou9h ', Final
Inspections: Date Insp. Date Insp.
This ia your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Site
? Name
? Address
c Ciry F
Name
?
c Address
3 C. c
o ?b
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
MECHANICAL PERMIT PERMIT # .- y
CITY OF EAGAN RECEIPT # ? 3630 PILOT KNpB iiOAD, EAGAN, MN 55122 ,
PHONE: 451-8100 DATE:
BLDO. TYPE WORK DESCRIPTION
Sec/Sub Res New
Muit Add-on T-
Comm. Repair
hone Other
hone -
FEES
RES. HVAC 0-100 M BTU •
ADDITIONAL 50 M BTU •
(RES. HVAC INCLUDES NC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) -
COMMlIND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MIH161UIYI RESIDENTIAL FEE - ALL ADaON &
REMODELS •
MINIMUM COMMERCIAL FEE -
STATE SURCHARGE PER PERMIT •
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
$24.00
6.00
M BTU
M BTU
M BTU
M BTU
CFM
PERMrT FEE:
S/C:
TOTAL:
FOR: CITY OF EAGAN
1,50 EA. ;
12.00
9??'?so I?u a.?-?
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fae
Fill in numbered;qaces S/C Type or Print /egi,(aly Tot. j
I
1. Date 2. Installation Cost
3. Job Address Lot 81k. Tract '
4. Owner
5. Contractor Phone
6. Address
7. City I ' State Zip
8. Building 7ype: Residential ? Commercial O Institutional O
9. Work Description: New ? Add ? Alter 0 Repair ?
10. Describe
11.
No. Fixtures
Water Closet 1Vo. Fixtures
C
l/D
i
fi
ld
Bath tubs esspoo
ra
n
e
i
S
T
Lavatory ept
ank
c
S
f
SFiower tner
o
W
l I
Kitchen Sink e
Urinal/Bidet Oth
Laundry Tray er
F1oor Drains
_ Drinking Ftn.
Slop 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 gaverning this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date (nsp.
This is your permit whert numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN WATER SERVIC E PERMIT
3830 Pilot Knob Road
P. O. Box 21198. - PERMIT NO.:
Eagan, MN 55121 D/1TE:
i
Zoninp.
No. of Units:
Joseph ASil er
O
wner;
Addross:
Stte Addrcss: 44341 rox Ridre C aurt LU) B+ sun 'cli 2
Plumber: t:th 1_LmU n F Zri?.:
Meter No.: Connection Chorpe: - ?
Stu: Accou„t peposff: 15.00pd
Reader Na.: Permit Fee: I?.C;f?pcl
? 1 yrw to aemnh wM6 tM Cihr of Eaaon Surcharge: ' S,rri
Misc. Choroes: 132.00 pd
Totol: !,etE
Dote Poid:
CITY OF EAGAN rsEWpt SERVICE PERMtT
3830 Pilot Knob Road 7309
P. O. Box 21199 PERMIT NO :
Eagan, MN 5513 ] p,??; ?'` 2 -8
ZO^i^g: 1 No. of Unih:
?r; oaep er
Addrcss:
Sita Mdress: 4343 ? 8e ntt un
plumber P ymouth Plussib3ng Inc.
1.oe.. ft eempy wYk Nn eity ef l.ma¦ Cannectlon O,arpe: 425.00 pd
"NweN. lleoourrt Depoait: -I3.uDp?'
of Inap..
Permit Fee:
SurCharpe:
Misc. Chorpm ,.
Total:
Qoft Pafd:
30 Pilot Knob Road
0. Box ?1199 •
gan, MN 55121
SorN h eomply
WATER SERVICE
PERMIT NO.:
DATE:
w. .,; ? ?.,:...
Mlac. Charpes:
Totol:
Dots Poid: -
j Date of Insp.:
CITY OF EAGAN No
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55721
'
BUILDING PERMIT PH ONE: 454-8100
Receipt #-T5 1 14 (45)
To be used for DECK Est. Value $1, 500 Date JliLY 1
13845
1s 87
Site Address 4343 FOX RIDGE CT
Lot 10 elock 6 Sec/Sub. StiN CLIFF 2ND
Parcel No.
w Name PATRICK T LUKE
z Address SAME
? City Phone 454-4871
a Name_
?a Address
? City_
a
w Name_
z Address
a
w CitY_
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Slte Well _ Type of Const
CityWater _ (ACWal)
(Allowable)
# of Stories
Langth
oevtn
S.F. Total
Footprint S.F.
APPROVALS
nssessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
FEES
Permit $29•00
Surcharge 1 _ 00
Plan Revlew
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P7
Parks
Copias
TOTAL $30.n0
I hereby acknowledge that I have read this application and state I Bltlg. Off. _
thattheinformationisconectandagreetocomplywithallapplicable APC _
State of Minnesota Statutes dEiEy-ef-? an Ordinance Variance
Signature of Permittee PATRICK T U
A Bwldmg Permit is issued to: on the express condition that
all work shall be tlone in accordance wfth all app? e State of Mi sota Statutes and City of Eagan Ordlnances
7
Building Official _ ??
CITY OF EAGAN N°_ 10096
. s 3830 Pilot Knob Road, P.O. Box 27•199, Eagao, Mld 55121
PHONE: 4548100 ,Sp?l7
BUILDING PERMIT Receipf # _.T
SF
57.000
SiuAddreq 4343 FOX RIDGE CT Lot 10 elack 6 eec/Sub. SUN CLIFF II
Parcel No.
? Narn@ JOSEPH MILLER CONST
AddmS 18133 CEDAR AVE
Citv FARMINGTONphone 431-2001
Nsne SAME
$? Address
CitV Phone
Neme
Cky Phone
Erect lD OccupencY _
Remodel ? Zoning _
Repafr ? Type of Const.
Enlarge ? No. Storias _
Mwe ? Length _
Oemolish ? Oepth _
Grede ? S0. Ft.
V
50
35
Asaessment
Worer d Sew.
Police
Fim
ErW
Piomw
Couixfl
I hercby xknowladps tMt 1 how mod rhis applicotion ond stafe that Bldg. Off. 4 12 8 S
IM Mlwmation is mrrcct and apre to comvlY with ell applirnbla A?
StaH of Minnetato Stotutes an of Eog rdinonces.?
Var. Dete
Permit 304.00
SurcMrpe 28 • 50
ww Review 152.00
SAC 525.00
W,rQr C,,,, 500. 0 0
Woter MeMr 63,_00
Rood Unit 280_n0
T.P. 132.00
raai $1,984.5
0
Signature, A Build ? Pe? ?? ?? ?: JOSE MILLER CONST m ? e? ???? thal
dl work shall W doro in a.cordonca with dl limble Stot??o?flj`Ain? Srotutes md City of Eapan Ordirwncea
Buildinp Offidal xt-? [L?c.d?
EB
REQUEST FOR ELECTRICAL 1111?ECTIOPI '°S.°°r°-s' ? f
? .p p p ??3 , See insbuetionsBe/owtor co-Wo?kleti?9 this fmCoveredm on back of yaliow eopY.
2O J(" by This Request ??7 Sd
FAtl Rev. Tvpe ot-ffiuiltling AoCliancea Nired Equioment YIirM
Home Range Temporary Service
Duplex Water Heater Llghtiny Fixtures
Apt. Building Dryer Electric Heatin
Commerciai Bldg. Furnace Silo Unloader
Industrial Bldy. Air Corditioner Bulk Milk Tank
Fatm Othc, oeu v erhe. 15neuryl
1 rrr,, Sue, cfy Other ' Ofher
ompute lnspectron Fee Below
N Fea ServiceEntre-eSize # Fee Feeders/5ubteeders M Fee Circmts
0 to 200 qm s 0 to 30 Am s .5a 0 to 30 Am
Above 200 Am s 31 to 100 Amps 31 to 100 Arnps
Swimming Pool Above 100-Amps Abuve 100_Amps
Transformers laigation Boorrrs 0 Partial/Otber Fee
Signs ?Special Inspec:ion 's ? ?• ?
Rertarks . TOT FEE ?
_ . / `3 7--) O/
Noueh-in D'ale Th
q .r
lecttica?
IeeweeW. he.eby
:
hef <he aEOVe
CBrt:fv
Final Date i?wpeccion has been
'
I 7-1y-y rireee.
tMt requast void 18 moMOS from
rnis
wnd -/_
??N??ff? go?.
'f37 s o ?0
?ucensea t?ectnca? contmcror ? I hereb
Y tequBSt insDection ot above
Owner electncal wwk iristalled ar
Sveet
A
ddress, eox or Route No. - Cfty
/
/
T?? ? ? ' )
W6'
4i T/N
ection o. Township Name or No. flnnge No. County
t3 bTf?'
Occupanl (PPINT) Phone No.
1
I
-13)-2M
P??
ouOV Ad ress
VG - lXo-7
EI vi a' Co tractonlC 9iaway Namel
r's Ucense No.
Co
Mailin9 Addrass JCon cmr Owner Maki M Instailalionl
/3 ?V
Authoriv d ignatare ICo tra or?Owner ki? Ir„tallation Phone Nurt?her '
f . ?__ a-s aa
MINNESOTA STATE BOARU OF ELEC7RICIT' THIS INSPECTION REQUEST WILL NOT
G,iB9s-Midwey Bldp. - Poom N-191 BE ACCEPTED BY THE STA7E BOARD
1821 Universitv Ave., SC Paul, MN 55101 UNLESS PROPEfl INSPECTION FEE 6
Phane 1612) 297.2111 ENGLOSEO.
?f ??? 6 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
?
0682 See instructions tor completing ihis form on Dack of yallow copy.
:"X'_Below Work Covered by This ReQuest
5?d ._
P4ev{AAEi?i16p.I Type of BuiltlinB 1 Aaoliances Wiretl I Equipment Wired I
M Fee ServicaEntrenceSize # Fee Faeders/Subfeeders- Fee- Circuitg
0 to200Ams 0 to30qms 0 to30Ams
Above 200 qmpsi . 31 to 100 qmps 31 to 700 q?n
Swimming Pool Above 700-Amps Above 100_AmV!+
Transiormers Irrigation Boorcis Par[ial- Other Fee
LI I Signs I ? Special Inspection
flertarks 'S I / 1
??'S?CJ TOTAL,FEE A,
/ ;?O j
final
I, IM1tl P4¢c1rICAI
Inspeetor, hereby
cartify that the above
insoaction has been
This repueat vdC 18 montM1S trom lz??
.'y
This request vOid J? a -16 ?
18 monffis from /
0 068250 ?I,Q ?? ? ?
Aequest Dale -?
? Fire No. Houph-in Inspection
Req ' ed7
pReadv Now?Will Notity, Inspec-
? o ?or When Ready
? licensed Electrical Contractor -I hereby request inspection of above 90wner , aiecVical work installed at
Street Address, Box or Route No. City
sf3 A
-l ? j
C
0 , ( a C ,
ectmn o. 7ownship Name o1 No. Hange No. Counry
?
Or.cupa ?PRINTI
T
' .
L Phone No.
I:
ta I -
Pow r $upP ier J
?
4 Atldress
G
Oc?C
Electrical Contmctor ICOmpanv Namel Contmctor's License No.
MailinB Address (COnVactor or Own r Makinp Inslallation)
3413 ? - -?,
? .-?j M? ?"?? '
I Authoriz ctor? st Ila on? Phone Number'r/' f
?
?
? 1 / J
/
MINNESOTq STqTE BOARD OF ELECTHICITY THIS INSPECTION PEQUEST WILL NOT
G6B9s•Mitlway Bldg. - qoom N•191 eE ACCEPTED BV THE STATE BOARD
7921 Univeraity Ave., St. Peul, MN 66109 UNLESS PflOPEH INSPECTION FEE IS
Phone 18721 297-2111 ENCLOSED.
MECHAIVICAL (RESIDENTIAL)
Permit Applicatiou
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Farnily Dwellings
Townhomes and Condos when permits are required for each unit
Date 03
Site Address I ? I 3
L' Unit #
Property Owner ?Y1SL 5 Telephone # ( (pS o
Contractor Burnsville Heatinp & A1C Inc
12481 Rhode Island Ave. So.
Street Address SGvGpe, MN 55378-1122
State Zip City
Telephone # 00(o
( nf /? )
The Applicant is _ Owner _ Conuactor _ Other
Add-on, moditication or alteration to eaisting dwelling unit $ 30.00
furnace replacement
exchanger
air conditioner
other
State Surcharge
? $ .50
Total
L
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the informarionis completeandraccurate; that the work will
be in conformance witk the ordinances and codes of the City of Eagan and with the Meckianical Codes; that I understand this is not a
permit, but only an applicarion 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
? ?ly-
Applicant's Printed Name licant's Signatui6
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
851-881-4875
C,g-k-- 1 3??I `/? Remodeiia.oak aa«aremee,rs
D 3 repistered Yfe wNeya YwwlnB W_ R d bt. sq. ft. of haise 3 coPtas ot Plan
aid gu rOOlewareas (20X maumum lot covemae albwedl 1 atldifl
a Y eVei o1 qana (ahow beam & window siaes; poured tntl. deslyn; etcJ
D 1 set of Nwrpy CaICWaMOna
n 3 coples ot tree preservallan plan H bt platted aller 7/1/98
DAiE: - 91)- U Q
CESCRIPTION OF WORK:
STREEi ADDRESS:
LOT: 10BLOCK: ? SUBD./P.I.D. M:
0
1 set o1 energY oalcWaliws or Ma?eC ons
t wa wrvey br extedor addiHOns a deeks
CONSTRUCTION COST:
OOri
ss r aa
v _GVAA\/ scl"f?e'h Phone M: 6 J f ? ??5- " /.S
PROPERTY
OWNER
Sheet Address: ? tl- V y,
U
Gy 9=z?? State: 0#N1 - Ztp:
r aa
,a.: 6sf ?-Oc-qq-m
(area code)
CONiRACTOR
ARCHrtECT/
ENGINEER
cny
ucenseu
State: ?? - zip:
Company: Name:
Telaphone g: ( )
Street
citY
Regtshatlon #:
State:
Lp:
Sewerhvater licensed plumber (if installina sev[er/waterl: Phone #:
I Aereby acknowledpe ttwt I have read lhis aPPlicaMon, afafe ihaf 1he InfomwNon is cortect, and agrae b compy wilh aA apPIcable Stafe
of Minnesota Stahiles and dry of Eayan Ordinances.
Signature of ApplicaM:
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No AUG - 3
Tree Preservation Plan Received _ Yes _ No _ Not Required
x
?-... . ,?
,l
1985 BUILDZNG PEEUIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CON1'RACTORS MUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS
To Be Used For:(o--Z Valuation: r?- Date:
n , .
Site Address: .S1,o0OFFI"
c?CE USE ONLY
Lot: L Block ? Sect/Sub 'Erect ? Occupancy
? ?U Remodel Zoning ?-I
Parcel 11 Repair Type of Const -7T_
Owner
Address
Enlarge /f of Stories
Move Length 50
Demolish Depth 3 5
Grade Sq Ft
City/Zip Code
.. . : ti
Phone APPROYALS
Contractor Assessments Permit -?04 00
Water/Sewer Surcharge 2a.?
Address Police Plan Review ?52.=°
` Fire SAC 525• ?
City/Zip Code ?,?n
,5vv2 Engr Water Conn SUo.
Planner Water Meter (03.°=
Phone Council Road Unit
Bldg Off9 / Parks
Arch./Engr. APC Treatment P1
Address _ Varianee
TOTAL
SU
City/Zip Code
Phone #
It ce&. . o? 9 1"
FOR: JOE MILLER CONSTRUCTION CO.
Q
d?
•??
0
r,
,
\?.
5
62°S
?? ? ?6 e?s F
? ?( )
`?, ? I
.??-
o ?ma I
40
?
`? ry b J
•/? - (9ie. o) I 7 ?
? 24 -
` ??e1 1
_0
ouse , '^ "` Z
ti
/G ??? 2ti O ?T 2l
? f ,ove?ho.7y
L
5 ^°-••w
?O y R: 20 ? ,
?
~- - __75
(Y/0. 2
COU RT
C. R. WINDEN 3 ASSOCIATES, IPIC.
IAND SURVErORS T*L i46•3646
1381 EUSTIS ST., ST, tAUL, MINN. 66100
Scale: 1" = 30'
? Denotes Iron
Monument
NOTE:
r•Denotes Woeden Stake
?roposed Garage Flooz E1.=9/2.3
(912•0) Denotes Proposed
Ftnished Ground E1.
-q-- Denotes Direc[ion
Cf Surface Drainage
Vertical DatLm - N.G.V.D. 1929
Lot 10, B1oCk 6, SUN CLIFF
SECOND ADDITION, Dakota
County, Minnesota
WE MERElr CERTifY TMAT THiS IS A TRUE ANp CORRECT YEPRESENTATION OF A SURVEV OF iHE
60UNDARIES Oi TME IAND ASOVE DESCRIOEO AND OF THE IOCATION OF All lUIIDINGS, If ANY,
TMEREON. AND All VISI!?E ENCROACMMENTS. If ANY, FROM OR ON SAID IAND
Dorad Mit Z~_day oF Agril A.D. 19fi5
C. R. WINDEN d ASSOCIAiES, INC.
br 0,•^VL
Sw.oror. Mienpwo Raqatretion No. 77ZG.
y ~ 1
S'
SINGLE FAMILY DWELLINGS
IHCLDDE 2 SETS OF PLANS, 3
4/*S
ITION - CI1R
SAGAN
OF SOHVSYt 1 SBT OF ENERGY CALCULATIOHS
HOTE: ADDRESSES FOB COEAER LOTS - C09TfiACTOR/HOMEOTiiNEH MDST DESIGHASE WHICH 9DDRESS
IS DFSIRED. NO CHANGES iiI[.L BE ALLOWSD ONCS BQILDING PERMIT IS ISSDED.
HOLTIPLE DWEI,LINGS - RFSIDENTIAL ASNT9L i1HI?S FOR SALE OHIYS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS -
CAP49LBRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
+ o $2,000 LANDSCAPE BOND
To Be Used For: AC-,-
Site Address L/3?l ? ?„? ?a Q J-
Lot 0 Bloek 0
Parcel/Sub r-?
Owner fa? TrI cK T L,j Ke.
Address y?y? rQa p Ct
City/Zip Code Eq q q N s S/? ?-
Phone ??- U
Contractor OwnJey' ?4?0?e?
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone S
t3
Valuation *?
Date:
On Site Sewage_ Occupancy
MWCC System _ Zoning
On Site Well Type of Const
_
City Water _ (Actual)
(Allowable)
U of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FfiFS
Assessments Permit
Water/Sewer Surcharge
Police Plan-Review
Fire _ SACp City.
Engr SAC, MWCC
Planner Water Conn
Couneil Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL
2? .
??
?da
? .
4 . ?I z/a4
CITY OF EAGA:]
APPLICATI0,4 FOR PERP4IT
• SEWER AND/OR WATER CONNECTIODI
(PLEASE PRIHT)
1) PRqPEiYi'Y ADDRESS : 1-2'c/G G ?p u h?
r.Frar DESCRIP'PICN: 1Ur ?o
(IAt/Biock/Sutxtivision or Tax rarcel I.D. N=berl
; .T'i .ia 5=-.UMM. DAT O" ORTGLML :.Li11,ir::G
._?: -', c?
P°WSLT ..^:7T?;/P??POS'?J C'•S: OP,-1 SZiGL: cP_`^SL`?
? R-2 CLTPL-{ (T.dp UDIITS)
? R-3 'ICr,;-t?Circr ('??'_Q?. + L':lI^.S) { LNI'^5)
? ?-4 AcA.c'?'E1:T/CC_:DCi.Lr`.1I`LM ( L1iIT_5)
Q CC1"'nCL-li./RF,TA:I,/CFF=
? MDC:S=S,
? NSTI'IL'TICNAL/G;VE_Ri?A1ENT
Z) AppLi= (PLEilSE ?ftINi)
ADDPEss: , a/3 3 (f ?
CITY, STATE, ZzP:
,
Pxo.E: -aoe/
3) Pu;.1mll ??'
•
H/0
/'/
N ??
?
/ FOR CIiY I1SE ONLY
- Y
4T
LaNr
)YS - .1-FC-- -
AGDfZE55: ? ? - PLUHBERS LICfYSE:
Active
CITY, STATE, ZIP: /1jp(S /J//J ,,sy?/ [?] Expired
PHONE: ' ?``
55 `Y- 3(o7S PLUMBER LICENSE N al.YyS /Y3 ? Not of Retord
at , nttia
4) OCCITPANP/C1.vTtE2 NIIN'lE lYLtqSE PRf!IT)
:
ADDRESS- 5'4vxc.
CTTY, STA2E, ZIP:
PHONE:
5) INDICIITE WE{ICH PERMIT IS BEING REQUESTLM:
M-CCN. ION 'PO CITY SETr]ER
P coNNBCrzev To czTy i•rATER
El (7"if;FR (PLFILSE DESCRZBE)
bJ
PLF-'%SE F?OID ppPRWID pgL+7IT FOR PICI:-(7P BY ONE OF F1BC)VE ?
? PI.E'ti5E b*ALL APPROVm PER.?lIT TJ 1, 2, 3. 4 AEWE
(Circle one)
7) SICZATURE: DATE:
. . . .. _ ? . _« .
F 0
PECMIT ° ISSUED
C I T Y U S E ON:,Y
FEES: $ /U, jU
$
$
$
$
$
j {.:lGl
$ /(.oo
$ ?CJ (i U-_l
$ ?
$
$
$
$
S
SEivER °ERMTT (I`IC:.== JU°CHAP.GG)
WATER PEF211I; (Ih'CiuDE SliRC:IARGE)
WATER METER/COPPERHORN/OUTSZDL REnBER
WATcR TAP (INCLL'DE CORPORATZON STCP)
SE:dER TAP
ACCOUNT D.F.POSIT - GIATz'p
Wt,C
SP.C
TRliD7K 4VATER ASSF.SSi-?E::T
T2li11K SESdER ASSESSbIE:iT
LA:ERAL BENEFIT/TRUDIK SE::ER
LATERr1L BENEFIT/TRUYK 6PATER
oTxEx
TOTAL
AIy`.0[J::T PAID; RECEIPT 4 r /?j
DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
•S IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
E=/NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLOWING CONDITIONS:
APPROVED BY:
TI:LE:
L
DATE:
- a-e'
'?a?+?•??s??+wc?re??w?wf?aws??+??w??w?s?a«EMsaW?PN waIc= A* aM
??
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126565
Date Issued:08/29/2014
Permit Category:ePermit
Site Address: 4343 Fox Ridge Ct
Lot:10 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-100
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Andrew Geffre
4343 Fox Ridge Ct
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165394
Date Issued:10/29/2020
Permit Category:ePermit
Site Address: 4343 Fox Ridge Ct
Lot:10 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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 -
Andrew & Nicole Geffre
4343 Fox Ridge Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165396
Date Issued:10/29/2020
Permit Category:ePermit
Site Address: 4343 Fox Ridge Ct
Lot:10 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Andrew & Nicole Geffre
4343 Fox Ridge Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature