4348 Fox Ridge Ct
Aug 10 2011 7:47PM HP LRSERJET FRXBRUCKMUELL 6516882160 page 2
Use BLUE or BLACK Ink
►r~dEli~ I
I SL
CRY of Eatan I Permtla:
3830 Pilot Knob Road I Pemm Fee.
I
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5675
Fax: (651) 675-6684 I scarf: I
INFLOW & INFILTRATION PERMIT APPLICATION
vO" Plumbing / _Sewer & Water
Date•°/~'"~ / Site Address: q341h
8 FOX x? ota.e CoGtf-
Tenant• Suite tt:
Name: Alark j-1(.2 r1I1 _ ! p.1WCIC Phone: ~J~/-y93 - 7q??
RESIDENT / OWNER '-'T
Address I City/ Zip: FOY IQ Ld= CA M/V
Name:
i^u emuf C/" ~~Lt I)?U/i"1~ G, license f /
CONTRACTOR Address: W472 /"n1'~os-olyariAR Ao'e" City: C-6=n
State: 221L, Zip: Phone: 49 e[,d - G C1 to
Contact: 6r,' Cdr -Jab 6 Email:
PLU 6/NG (Within the building envelope) SEWER & WATER Outside the building envelope)
TYPE OF WORK " Sump Pump Repair Repair
Other.
Other:
DESCRIPTION Description of work: m l.~I"t► ! /r%1
FEES
5
a
$55.00 /Each includes $5. d
( 00 State Surcharge) T•T
AL FEE 5
'Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit IA repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting MM.Citjlofeaoan.comtinfigm or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for mtection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www cooherstatsone Iga 1=0m
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
X Sul l I3nu ry"1l e r fa~v &A~ 2
Applicants Printed Name ApiflicanCs Sign-alum
r.
F~~~1*„SSE rew ,
f~i►etl t _1.Indar ~yroLOCI l ough-ln .FinA( -
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA086404
Eagan, MN 55122 . Date Issued: 09/25/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4348 Fog Ridge Ct
Lot: 16 Block: 6 Addition: Sun Cliff 2nd
PID10-72976-160-06
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Springer Exteriors Mark Kemper
16859 Welcome Avenue SE 4348 Fox Ridge Ct
Prior Lake MN 55372 Eagan MN 55122
(952) 440-1997
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
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA087620
Eagan, MN 55122 . Date Issued: 12/01/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4348 Fog Ridge Ct
Lot: 16 Block: 6 Addition: Sun Cliff 2nd
PID 10-72976-160-06
Use
Description:
Sub Type: e-Siding Construction Type:
Work Type: Siding
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and
take steps to ensure maximum ventilation into attic space.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Springer Exteriors Mark Kemper
16859 Welcome Avenue SE 4348 Fox Ridge Ct
Prior Lake MN 55372 Eagan MN 55122
(952) 440-1997
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN Remarks 7US?
Addition SUN CLIFF 2nd Lot 16 Rlk 6 Parcel 10 72976 160 06
Owner Street 4348 FOX Ridg4 .o irt 5tate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1995 369 - 32 24.62 15
STREET RESTOR. -14DQ4/07$ 1986 431 . 51 5
GRADING R ? 7S 5:3
SANSEW TRUNK L,! 1970 48.64 1.95 25
SEWER LATERAL
SEWER LATERAL 999 1986 829.62 165.92 5
WATERMAIN
WATER LATERAL 1000 1986 942.60 188.52 5
WATER AREA ?(. 197 ()2.34 4.16 LS
57.88 11 . 58 5
STORM SEW TRK 1971 161.72 8.09 20
STORM SEW LAT
S W SERVICE 1005 1986 808.77 161.75
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5
WATER CONN.
BUILDING PER.
SAC 525-00
PARK
CITY OF EAGAN
3830 Pilot 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 $ 9 9. 0 00 Date DECFMBER 9 19 85
4348 FOX RIDGE CT
Site Add ess Erect
Lot T y Block Sec/Sub. $UN CLIFF 2ND Remodel
Repair
Parcel No.
Addition
¢ k:,C D}:t/EL CURP Move
W Name
., Demotish
o Address Y , - Int.-1t?Pr.
= o Name
0
¢ Address
?? .iINNFTONKA DESIGN
W W Name
= a Address # 1 '
i:'kC F:L:?474-5991
<W c?ty
I hereby acknowledge that I have read this application and statethat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagen Qrdinances.
Signature of Permittee
RMC DrVEL CORP
A Building Permit is issued to:
all work shall be done in accordance with all appticable 5tate of Minneso
on the express condition that
and City ofEagan prdinances.
Occupancy -
Zoning `
Type oi Const. V
No. Stories
Length 4
Depth 4 n
Sq. Ft
J • at
Assessment Permit
4
54
Water & Sew. 9-
Surcharge ??
0`
Police :
Plan RevieOf
Fire SAC ? ??
Eng.
Pl Water Conn.-? . Q?
t
M
t
r
W
anner ? . ?,
a
er
e
e
Council
Bldg. Off. 12/3 8 Road Unito{
Tr. PI. ?
APC Parks
Var. Date Copies
a . . 51
Totai
. PermR No. Permk Molder Date Telephone N
Plum.bfny ? ^ - 9 , C/ ?
?
H.V.A.C.
EIsc1Hc
Soflener
Inapactlon Oats Insp. Commenb
Footlnyal f „
Footlngs II
Foundsdon
Framing
RooNny
Rouyh Plbp.
Rouyh Hty.
Insul.
Fireplace ?
Ffnal Hly
Flnal Plby.
Bldy. Final
cert. occ.
Deck Fty.
Deck Frmg.
Well Descrlbs Lxatlon:
Pr. Dbp.
. . . ? "
PERMIT # CITY OF EAGAN
MECHANICAL PERMIT
RECEIPT # --2 ? 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
DATE MINIMUM COMMERCIAL FEE -$20.00 + $•SO
1. Bldg. Type: Res ? Comm Inst 2. New -_?Add _
yg ?-U
FEE
s/c ? NO
TOTAL `? •
Alter. Repair
3. Tota) Bid Price 4. Job Address , `f J-7 d jrJx u? iti[,
Lot_L- Blo Sec ??I L? ? p 5. Owner
6. Contractor ? 407 (kN?? 4L)u //je?
7. Contractor Phone # E67 1 (sve" (City)
RiP1
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODiFICATIONS/ALTERAT ONS -$10.00 minimum fee
Z' VENTILATING HOT WATER STEAM AIR COND.
IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND, RA 1- 1% OF TOTAL BID PR16E PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
., '
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
PERnnIT # 7?`-' U f CITY OF ERGAN FEE S0
! - PLUMBING PERMIT ?-`
RECEIPT # --? ? r 454-8100 S/C
MINIMUM RESIDENTIAL FEE - $10.00 + $•50 TOTAL ?--
DATE L6 MINIMUM COMMERCIAL FEE - $20.00 +=.50
1. Bldg. Type: Res ? Comm Inst 2! New ? Add Alter Repair
3. Total Bid Price 4. Job Address C-T
Lot? Bloek ? Sec ??`•? ??? ?? 4? 5. Owner ??'? ? L?e ??,?c,;,• ?s
?-u
?
6. Contraetor ?vf?1Ze /YlceH:
}
(Name) (Street) (City) (Zlp)
7. Contractor Phone #
NO. ` FIXTURES
?
" Water Closet - $3.00
I Bath Tubs - $3.00
a:Lavatory - $3.00
? Shower - $3.00
? Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXTURES
?Laundry Tray - $3.00
? Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
_1:Gas Piping Outlets - $1.50
t Softener - $5.00
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
=?_Rough Openings w/o
Fixtures - $1.50
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed:' ... • ?';.:c_ i. - L-'? Glr for
Approved Inspections: Date Rough Insp. Date Final Insp.
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
'? '.1 I h1 i I 1 1 t .' h4 I+
PERMIT SUBTYPE:
;-i
PERM{T TYPE: r;s? i r I ? i Nc,
Permit Number.
Date Issued:
APPLICANT:
IMl Iz 1('AN lt! ht+lOi ( 1lV+i FH1
o, t . ) ?.?.? "i 00.'N
TYPE OF WORK:
Ni If
Ili '.r P1111 F o,M 4$.i I WI Is1iJ'. r
INSPECTION DA . ..
t- -1
Permit No. Pe?mit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspaction Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
HOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FJNAL
???, ?,
CITY OF EAGAN
3$30 Pifot Knob Road ` WATER SERV ICE PERMR
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55127 DATE:
Zoninp: - i
No. of Units:
Owner: - ?
Addrcas:
Sits Addrcss:
Plumber.
Meter No.: Connecfion Chorge:
Slze: Account Deposit:
Reader No.: Pertnit Fee:
1 pme h ae?yrllr wilh !Iw Ciy of EMPe 5urchcrfle: ,
Oediwemar. Mise. Chorpes:
Totol: - v -
By Dote Poid:
Dote of Inap.: Ir?ap.:
CITY UF EAGAN
3830 Pilot Knob Road
P. O. Box 27199
Eagan, MN 55127
Ioninp:
Ownar:
Address:
Site Address:
Plumber.
SgVHER SERVICE PERMIT
PERMIT lyp.:
DATE:
- No. of Units:
1 yra. ro aon* wllb 1i. C*y ef b*o¦
Ordlwancet.
By
date of Insp.:
C.onrNttton Choroe: - ' 2 ci , :,0;,o
AcaouM DepOaif: ' ?' • oa1po
Pomiit Fm:
Surchorgs: - -
Misc. Choroea;
Total:
Dah Pcid: _
CITY OF E AGAN WATER SERVICE PERM
3830 P1iut K noL Road
P. O. Box 27199 VERMIT NO.:
E ag?n. MN 55121 DATE:
Zoniny: No. of Units: `
Owner: D'?AJr C07v
Addrass:
Site /lddress: '414P r°" '' i ? Cl if f I I.
'
Plumbar -- ' .. i ; • C8
. ?6 10 0.(7 fl pd
:.
Meter No
.
Size: !? " a.cQ. •' ?? ? ?? Depas(t: 15. U l?rd ?
Reoder No.: ?"Pertnit Fee:
iQ
10. (
p3
Isyrw M es?pll? wilh !lw gsn Surthorfle: . 5+? pd
Ordieomar. Misc. CFwrqes: '• 3? . 00P d TP
? Totcl: 63 . 009 )d ! ?eter
By Data Paid:
Date of Insp.: Insp.:
?-17' 0
N?
??? ?
"
G
?
l
. 3830 Pilot Knob Ro d
P.O. Box 2
-
1 y
9, Eagan, MN 55121
PHONE:454-8100
??
?
BUILDING PERMIT Receipt
??
7obeusedtor SF DWG/GAR EstValue $99.000 Date DECEMBER 9 ?g 85
434$ FOX RIDGE CT
Site Address R3
Erect ? Occupancy
Lot 16 Block 6 Sec/Sub. SUN CLIFF 2ND Remodel ? Zonin9
Parcel No Repair ? Type of Const. V
. Addition ? No.Stories
RMC DEVEL CORP Move ? Length 47
¢ Name
i E
'
Demolish ? Depth d ?
3 Address
•
o _
E
Int. Impr. ? Sq. Ft.
City
hone Install ?
? SAME Approvals Feee ?
o Name
i '?
$a Address
? Assessment
W
t
& S Permit ?
Surchar
e ??' S
City Pnone er
a
ew. g
??' ?
?
MINNETONKA DESIGN
W W Police Plan Review
?Tj
Q
Name
337 WATER ST
~? Fire .
SAC?
O
Address
u u ' Eng. •
Water Conn.
a W ???y EXCELS7??e 474-5991 P?anner Water Meter 63.0
? z?' ?
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 1Z?3?85 Tr.PI. 132.0
?
information is correct and agr ?e to compty with all applicable State ot
Minnesota Statutes and Cit o n fnances. APC ParkS
?
' Var. Date Copies
Signature of Permittee / ?? - 5
Total
RMC DEVEL CORP
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with pli e State of M nesota ta
tu/t?e
s and City of Eagan O?dinances.
8uilding Official '-?'`-? ? ?
?
/ 7 i> ti,fYL.?
_?
This reque5t void
78 nwryhs from
0..097690
RaMuest Date Fire No. Rough. in Insuection
Requi etl? Dfleatly Nuw W?II Notitv Ins?ec-
?
?; - es ?No or When Reatlv
Licensed Elecvical Gontrxcmr , I hereb . y ropuest ins0ection ot above
? Owner electricel work installetl et
Sve t tltlr s, Bou or Poute No. ` _ /
City
+ ?(
?
[_? ? . y?l V
L
ecbon o. Towns ip Nam o o. Ra 9e No. County
PflIN
OccuGant I
Ti Phone Nc.
?
`
l..J
ower SupOlier Atltlress
? G
Electric I Conh etor ICOmNa amel ' Conrtact r's License No.
Mailin AA re s( racror of Owne Making Insiallation)
M
Autnorized ienam 1 o e.actor Owner m 1 . 1 aio 1 ^ tPlh4ne Nyp?per
MINNESOTA STpTE BOARO OF ELECTflICITV THIS INSPECTION qEQUEST WILL NOT
Griggs•Mitlwev Bidg. - Room N•791 BE ACCEPTED BV THE STq'fE BOARD
1827 Univarsity Ave., SL Paul, MN 55704 UNLESS PqOPER INSPECTION FEE IS
Phone (612) 297-2711 ENCLOSED.
. . vK EIECTRICAL INSPECTION EB-OOUOtAA j4M ? Sae• instructions far completing Mis fwm on back otyellow copy. `? ????
?jjy,j ?9.O ""R'" Below Work Covered by This Request
AAtl Beo. Tyoe a1 8uilding . Appliancea Wiretl Equioment Wired
Home Range Temporary Service
Duplex Water Heater Ligh[ing Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. fumace Silo Unloader
Industrial Bldg. Air Conditioner BWk Milk Tank
Farm thpr peufY Other (51>ar,ify)
[ Br SUPdfy t er plh?r
on ree tre/ow
M Fee : ServiceEntrencaSize
0-to 200
qm
s p! Fae Fandars/SUbteeders
0 to 30 Am s k Fx¢
1 Cirmits
0 to 30 Am
Ilh Above 2
00
q,,1py 31 to 100 qmps 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Booms Partial-'Oth ee
$ignS $peCial Inspection
Hemarks
F%ff
.A . / rA., u TOTA FEE
Rough-in ? ,
•
?%
??
Dnte
?z? -
1. tha
? , nspeclor, hereby
Final ?r .
)f
_ /q
Dafe certify lhat the above
ins
ection ha
b
n
/ . .?, .K
P.
... . ` . .E." ?l".O? I
s
ee
P
ma0e.
This rapuest witl 18 montM Iro.
PERMIT #
RECEIPT DATE:
2002 REES&AEMfIAL PLi1MBI1TF PEft4II°ll' APPIACATION
CITY Of EA&aRlY
S$SO PILOT KNOIi RD
EASAN, MP 5518E
651-661-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS:
OWNER NAME: :?1 r\ Ru.hr TELEPHONE #: (4 61 - (OS te - OR"gq
(AREA CODE)
INSTALLER NAME:
STREET ADDRE$S:
CITY: L0.k.Lt3v I Ie- STATE: M IV ZIP. 5196914
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_-?--` '
r-,rc
RPZ:n
installation/re
aidrebuild
00 '
30
p
ew .
_ lawn irrigation system •', i(,. ?'? 1. i. 7?. ?
i; --- - -
ReplacemenUadditional: _ water softener ? water heater $ 15.00 I
State Surcharge $ 50
Total $ •?v
I herebyacknowladge that I have read this application, statethat the information is correct, and agree to complywith all applicable Ciryof Eagan ordinances. It
is the applicanYs responsibildyto notify the property owner that the City of Eagan assumes no liabilily for any damages caused by the Ci during its normal
operetional and maintenance activities to the Hcildies constmcted under this permit; I?y??{ity pr??yll't t-o 4?'eas men ut-A /V ??C.l U f{
SIGNA RE OF PERM EE 1102
? C TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
C6 I I I I
PermitNumber: BUSLOSNG
Date Issued: 025599
05J16Jes
4348 Fox RTDGE cr
LOT: 16 BLOCK: 6
SUN CLTFF 2N0
P.I.N.: 10-72976-160-06
DESCRIPTION:
(WINDOWS)
130 ilding?"mR,ermat Type sF (mzsc.)
f?u11 [ling .War:4S, TYpe NEW
,s
- ?
g?
.:,.-"I
+ nq"
REMARKS:
PERMIT
ts
I>
? p
aT ^S 5?
N
i?
? Y
?
?jF? ?.$ 5gI
.
£a
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i .
` °
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ey
.?p
.,
S
E
'S
,
£
,?
P C
2
}'vI 5?K tl
Wb m
? e
I mG
FEE SUMMARY:
VALUATION
Base Fee
5urcharge
Tatal Fee
$63.00
$2.00
$65.00
$4,000
CONTRACTOR: - Applicant - 5T. Lrc. OWNER:
AMERICAN REMODELING INC 15530020 0002406 WQFFMAN MIKE
3700 ANNAPOLIS LN 4348 FOX RID6E CT
PLYMOUTH MN 55447 EAGAN MN 55122
(612) 553-0020 (612)952-4219
I hereby ackn`awledge that Z:have re
infarmaCi,on is correct and'apree'tp'
$CxtuCes end LiCy a# Eagan`?Qrdinanc
?., . ..
APPLICANT/PEftMITEE SIGNATURE
INSPECTIUN RECOIZD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:P•I•".e 1e-72976-160-e6
10T: 16 BLOCK: 6
4348 FOX RIDGE CT
SUN CLIFF ZND
PERMIT SUBTYPE:
sF (MZSC.)
APPLICANT:
AMERICAN REMppELING INC
(612) 553-0020
TYPE OF WORK:
euxLoznG
025599
05/16/95
NEW
DESCRIPTIDN (WINDOWS)
INSPECTION
FRAMING D. .
ROUGH TN PLBG ..
OUGH IN MTG FINAL I?
.
v , P
l
0999
qg CITY OF EAGAN
199?#-BUILDING PERMIT APPLICATION
681-4675
??Z.rio
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: 21341k fo x1R i? c,?
STREET SIIITF. #
Tenant Name: (commercial only)
LOT ?o BLOCK _]?_ SUBD.'4 ?`??,
?J a-?'uA P.I.D. #
i 1
Descri tion of work: ' el y:
The applicant is: O Owner ontractor ? Other (Deseribe)
Name V`(S ? vP Phone
PropErty LAST FIRST
Owner '
Address z 3W f
o'x t2,4;z (?.
STREET STE #
City +? State !???yae.- Zip S? ? /,
Company Phone
3700 Annapolis Lane, SUIUB 1?
Contractor Address
License #C?2Ya? Exp.?
111-.??-'
C;±y 612-553-0020 State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing t9me for
sewer & water permits is two days once area has been approved.
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. 4
Signature of ppplicant: ?i}7?L? /O/ • i?l?{ `5=??9,5?
OFFICE USE ONLY
BUILDING PERMIT TYPE
<i
l
. . ._ .. ??,.r
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Vlanning
Engineering
REGIUIRED INSPECTIONS
?.Site
0 Wallboard
Basement sq. ft.
lst Fl. sq, ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Buiiui -iiy
Uariance
? Footing
? Final
? 16 Basement Finish
? 17 Swim Paol
? 18 Comm./Ind.
? 19 Camm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire 5prinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessmenis
El Framing ? Insulation
? Draintile 0 Fireplace
Permit Fee
Surcharge
Nlan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
3/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veluac;p,:
SAC %
SAC Wnits
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS 11UST BE LICENSED WZTH THE CITY OF EAGAN
COMMERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BONO
Sia9 /.s ?.9w??
To Be Used For;
.? "`af
Site Address
Lot 49 Block
Parcel/Sub ?Z' If s,L`OOAd
Owner
Address
City/Zip Code
Phone
Contractor J/J?J,e q"ps
Address
City/Zip Code
Phone
Arch./Engr.
Address S-T Z
City/Zip Cotle
Phone !! -tl 7-V -
SINGLE FANILY D6IELLINGS
INCLUDE 2 SE2S OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
?'?? 000
Valuation• ?
Erect X
Remodel
Repair ?
Addition
Move ?
Demolish
Int.Impr.
Install ?
APPROVALS
Date:
Occupancy 9•3
Zoning R • I
Type of Const Q
IF of Stories
Length 47_
Depth 40
Sq Ft
FEES
Assessments Permit 430.
Water/Sewer ? Surcharge 41.1
Police Plan Review 2i5
Fire SAC 2$.
Engr Water Conn Sao.
Planner Water Meter ?3.
Council Road Unit 2gct
Bldg Off &2-E%Treatment P1
APC Parks
Variance
Copies ?
TOTAL
"?°;T
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ii:c av:itionnL ;i?rrt? S.; mocc IIFacO
.:.rrt•: _ -
u a.nd. Calcu2at:OriS.
FOR: R.M.C. DEVELOPMENT CORP.
O?
C.R. WINDEN 6 ASSOCFATES, INC.
IAND SURVEYOQS V 945-E946
1381 EUSiIi 57., $?. MUI, MINN. b5106
\•oi °P ?? c..-' -
f9
Scale: 1" = 30
p Denotes Iron
Monument
76.OS
N 89' 29'S 1` E
?
J?
G?
tiOTE:
c Denotes Wooder. Stake
Propesed Garage Floor El. ° 9i/. 7
(911.4 ) Denotes Proposed
Finished Ground E1.
--W-- Denotes Direction
Cf Sarface Drainage
Vercical Datum - N.G.V.D. 1929
Lot 16, Block 6, SUN CLZFF SECOND
ADDITION, Dakota County, Minnesota
?ME MERElY CERTIfT TMAT TMIS IS A TRUE ANp CORRECT RE?RESENiATION Of A SURVEY OF TME
BOUNDARIES OF THE LANO AlOVE DfSCR16FD AND Of iNE IOCATION Of All lUIIDINGS, !f ANI;
TMEREON, AND AlL V15161E ENCROACMMENTS, IF ANY, fROM OR ON SAID IAND.
Datad thi.?dey oF Novem6e/ A.D. li BS C. R. WINDEr7 i ASSOCIATES, INC.
e,
Sur.itrer. Mlnnoweo RoylnroHen P1e 79IG N7Y H
CITY OF EAGAN
APPLICATION FOR PERNffT SEWER ADID/OR WATER CONNFX.'TION
1) PROPII2TY ADDRESS:
LF7GAL DESCRIPTIpN: L
kLOt/131ocx/5ubctivision or 'rax Yarcel 1.1). ivumner)
IF EXISTIW. STRL'CTLME, DATE OF ORIGINAL BUILDING PERMIT ISSC'ANCE:
(Month ear)
PRESENT ZONINC/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DuPLEX (?Dro L'nits )
R-3 2OWNHOL'SE (Three + Units ) ( Units )
R-4 APARTMENT/CODIDOMINI[)M ( Units)
COD'BVEItCIAL/RE,TAIL/OFFICE
IAIDL'STRIAL
INSTITC'TIONAL/GOVIIRNMEVT
NAME: ? ? ?
ADDRESS: O 9 We sf
CITY, STATE, ZIP: y`c, oh <
PxoNE: ?35-- 3 -773
3) • r.?•
rranE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
oa /l e!:? 1`1 rh- .
(olo C?.??
y'=y Q - Z)j a ) MASTEft LICENSE #
For City Lse
Plumbers Lieens(
4)
NAME:
ADDRESS: a T?
CITY, STATE, ZIP: ?
PHONE:
5) iO ' ?• • ? ??
Vt CONNECTION TO CITY SEWER 99 CONL+IF,CTION TO CITY WII1TER
? O'PHER (Please Describe)
6) ??
PLEASE HOLD APPROVED PFI2MZT FOR PICK-['P BY ONE OF ABOVE
/ d PLEA.SE MAIL AP PERMIT M 1, 2, 3, 4, ABOVE
tf (Circle one)
7)
F O R C
PE??.MIT ° ISSUED
L ?
Y U S E
FEES: $ lb '5-J
$
ro s?
S
S
$
/S?Jv
$
/S-v v
$
$
S?:Uu
$
S
S
S
$
$
N L Y
_. .;.?- ? .
SEi•ic..°, nEt2MT_T (I_'ICL'JUG JVR. C?C'.ARGL)
WATER PERPIIT (INCiIIDE SliRCAARGc)
WATER METER/COPPERHORN/OUTSID:. READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:JER TAP
=C?C'i;:i'?'
ACCOliNT DFPpSIT - WATER
WAC
SP C
TRliNK WATER ASSESS.lE:1T
TRli:1K SESIER ASSESS:SENT
LATERAL SENEFIT/TRU`1K SE:, -- R
LATERAL BENEFIT/TRU.IK L4ATER
WATER TREATMENT PLANT SiTRCHARGE
OTHER:
TOTAL
AMOU:v'T PAID/RECEZPT #
DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A'•PERMIT FOR W0RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIV:SIDN. LIST AS A CONDI-
TION.
SUEJECT TO THE FOI.LOS4ING CONDITIONS:
APPROVED BY:
TITLE:
DAT_° :
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
1r? ( ? Z, City Of Eagan
« 3830 Pilot Knob Road, Eagan MN 55122 ?,+,? ??'J
Telephone # 651-675-5675 ??? J ,Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date 2, CI
Site Address n
?1 6?e vA '
Unit #
Property Owner tk Telephone # ( )
Contractor
Bumsville Heating & AIC, LLC
Street Address 1?$1 RhAdg Icland AVe. SO. City
State SBVege, MN 6637&1122
Zip p?
Telephone # ( `J 2
) qclq - 0 Cos
Bond #: 0 `} Eapires: O? 1- 1`??v?
The Appticant is _ Owner V Contractor _ Other
Add-on or alteration to existing dwelling unit
? furnace _Additional X Replacement
` FEB 1 ? 2004 '_ J, $ 30.00
air exchanger
L V?
air conditioner New Replacement
other
State 5urcharge $ •50
Total $ `-"-' ?
I hereby apply for a Residenria] 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 applicadon for a pernut, and work is not to start without a permit; that the work ovill be in accordance with the
a roved plan in the case of work which requires a review and approval of ans.
Applicant's Printed Name p licant`s 3igna
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use
City of Ea I Permit#:
a~ I
I Permit Fee: 105.
I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /20 13 Site Address: Unit
Name: r KA,, )L Phone: / 2 ~ 16- ~P
Resident!
Owner ;Address / City / Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: t t'Q G Multi-Family Building: (Yes / No
W Company: ~e~-t fS Contact: Sc,* 4-u_4'
Contractor Address: 22 >'9Z C_yA ~P4e_v1 <:~~4E~_ City: 1 vA
State: V Zip:," J~ (>2 T Phone: r
a
License Lead Certificate
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 they 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.oopherstateonecall.oro
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 permit issuance.
x sGv t-~ '-V~/,/L x
Applicant's Printed Name pplicant's Signature
Page 1 of 3
411,11 City of Ea�all
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
S Site Address:
Unit #:
p„.1. en
Owner
1 ,ter.
Name: A r'L ke_r'✓l,De.. Phone:
Address / City / Zip: qg I/ Q OCox ,�,a� e c
Applicant is: Owner i. --Contractor
Type ofFWor:
Description of work: c�c� � 1.�%
p 'e yvtot) 'e $- o f k� c\, ,61 ,,JS
Construction Cost: 6 / 5 O Multi -Family Building: (Yes / No )
Contractar� � n
Company: -es % C)( /-e[J D r----5 Contact: ---C D # j r v1/(
Address: - — 2Z C/ , p.eiI 7d t e4 City: / �t. rm 1.14 /13 A)
/ `
State: /14/72// Zip: S.S D 21 Phone: �D 2/6 d 67/8-/
License #: 4,.5 9 6 5 2— Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes _No If
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?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE q0,0P. supporting documents that you submit areconsidered tobe public inform is n.Portionsof
the information maybe classified as non public if you provide spectbc reasons that would p mit the City to`
f
conclude #hat,theY are trade,secres 41
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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.
Extgrror\work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days **mit issuance.
CO+`n
Applicant's Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152225
Date Issued:10/04/2018
Permit Category:ePermit
Site Address: 4348 Fox Ridge Ct
Lot:16 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-160
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 -
Mark Kemper
4348 Fox Ridge Ct
Eagan MN 55122
(612) 616-3764
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158175
Date Issued:09/30/2019
Permit Category:ePermit
Site Address: 4348 Fox Ridge Ct
Lot:16 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Mark Kemper
4348 Fox Ridge Ct
Eagan MN 55122
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature