4349 Fox Ridge Ct
Aug 10 2011 7:48PM HP LRSERJET FRXBRUCKMUELL 6516882160 page 3
Use BLUE or BLACK Ink
1 ~QQ
City o f Eapn Permit i1:
1 Permit Fee:` ~VI
3830 Pilot Knob Road i I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 675.W94
i ~ae___________ I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & water
Date: D -1 1 r 1 Site Address: r3y~ ax 6, g e, Co(-ti--t
Tenant: Suite
RESIDENT IOWNER Name: rani- Crana ko.5f e4- Phone: Q#s/' -6900
epa,t_ Ca
Address /City /Zip: q2 Q r o
Name: gir i r b"a eJ/Gf RUD26474Y Lioense 919)- tom
Address: _399ol )Oer~nsaA aanj~a fie.- City: A~22AOn
CONTRACTOR
State: zip: 55424_ Phone: 65% e~ g 0
Contact: 6r,~6 or - Ull a Email: r
SING (Within the building envelope) SEWER & WATER (Outside the building envelope)
P7SL
TYPE OF WORK mp Pump
Repair Repair
Other: Other:
DESCRIPTION Description of work: 41 r t;n t dia t @~
1o Co d
FEES 4 1' q c= 2EC S r. r
$55.001 Each (includes $5.00 State Surcharge) TOTAL FEE S .0 0
*Perrnit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 111 repair costs for
reimbursement, two quotes from quaftiod contractors must accompany this application. A list of contractors
can be found by visiting www-citvofeagain comrnflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEEQRE U 1 Call Gopher State One Call at (651) 451-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. wyuw.oooherstateonecall.ora
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_1A 1r e eru L,t _ll er'
Applleant's Printed Name A licant's Signature
FQR 0 . -CE WE Rogpired tnstosos: llnd+arGrol►nd Rqugfi~#n ~)`i►~af
CITY OF EAGAN
NT 4 95`12
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 454-8100
BUILDING PERMIT Receipt #
Te M w?d fw SF DWG/GAR Est. Value $70,000 pate OCTOBER 9 jq 84
S ite Addj ess 4349 FOX R I DGE C T Erect ? Occupancy R 3
Lot 13 Block 5 Sec/Sub. SUN CLIFF 2 Remodel ? Zoning R
Parcel Nv. Repair ? Type of Conat. V
Enlarge ? No. Stories
? Name G?Np OAKS Move ? Length 5
Z Addres UPPER 167TH ST W Demolish ? Depth -Tg--
? City L E I E Phone 432 65Grade ? Sq. Ft.
uS
F
Name _
Address
City Phone
I hereby ocknowlcdge thot I have reod this applicotion ond stote that
the informotion is torrecf and agree to wmply with ofl opplicable
Stota of Minnewta Statutes ond City of Eoyan Ordinor)ces.
Sipnoture of Permittee X=•?
?
A Buildiny Permit is issued to: _ . n K all work shall be done in accardonce with olf oDVlic.abte Stote of luUn
Assessment
Water & Sew.
Potice
Firo
Enp.
Plonner
Council
Bldg. Off. 10 /9/8'4
APC
Var. Date
Permit
Plon check 1/1.Z) u
swC 525.00
Water Conn. 470.00
Woter AAeter 63.00
Rood Unit 2_?sQ0
Parks
Total i 1 r ?? 6 • 50
on the exprcss condition thar
ond City of Eapon Ordlnances.
v
Permit No. Permit Hold*r Dote
Plumbinp
H.vA.c. r ? -, ? -+
Electrie
.
Softener C ?i .`,? I,,n ( l I ?
Inapection Date Insp. Other
Footinya i6,- ' - 20,<
Foundetion
Framing
Rough P16g.
Rough NVAC
Inwlstion
Final Plbg. 9
Final HVAC 3
Final
c.?t/oa.
Water Deseribe Location:
wen
sewwo?
Pr. Disp. -
Receipt V. MECHANICAL PERMIT Permit No. 2 U
CITY OF EAGAN Fee
fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot -Blk. ?- Tract --f ?i 'f
4. Owner
5. Contractor./ 7?L'1 Phone/ -• ? ? ,? , ? ,, ?
i ?
6. Address ?- /r
-
7. City State Zip = 7
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New L`l Add ? Alter ? Repair ?
10. Describe
11.
Type
No,
? Equioent BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mfg. ' , ; ,
Boilers E
Mfg. Mech,
xhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
camply with all ordingnces and codes governing this type of work.
A ?
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks D'i j u" 3,n :Ht ( S (o2?1 ca--Y?/
Rddition SUN CLIFF 2nd Lot 13 Rik 6 parce 1 10 72976 130 06 `
oWner streec 4349 Fox Ridge Cntirt scate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Y2 4- 1985 369.3 24.62 15 344.75 C009973 12-13-84
STREET RESTOF. }E)E3i167S 1986 215?.53 431.51 5 1 s,5,3 C-104& ( !O
GRADING -1 IW.
5AN 3EW TRUNK ?
SEWER LATERAL ? 1989 265-62 5 3 12 t' "
SEWER LATERAL 999 1986 829.62 165.92 5 a - Os lc a-
WATERMAIN
WATER LATERAL 1000 1986 942 . 60 188.52 5 ??• 4, O o' -
WATER AREA ,P-. 1973 62-34 4-1155 15 8
39 12009973 12-13-84
WAT LAT BEN 169?/a79 1986 57.88 11.58 5 -
.BP" -/ U-
STORM SEW TRK , 1971 161.72 - -
STORM 5EW LAT ?
S/w SERVICE 1005 1986 808.77 161.75 5 1. 7 7 - p a- -
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5 /D,/ -!U e-)8 ?
Road Unit 260.00 #46878 10-9-84
WATER CONN. 470.00 1 T
BUILDING PER. 5 2 1'
SAC 525.00 1
PARK
Receipt PLUMBING PERMIT • Permit No.
CITY OF EAGAN F" -, •
Fill in numbered spaces S/C Type or Print legibly Tot. 7 '
1. Date • ,?" ~ 2. Installation Cost -
, ,. ?.
3. Job Ad4ress i:?C-?•. ?.? Lot `Blk. Tract 4. Owner --
5. Contractor Phone - ?
6. Address
7. City
State Zip
8. Building Type: Residential .C1 Commercial ? Institutional 0
9. Work Description: New O Add O Alter ? Repair ?
1 10. Describe
I 11-
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs $eptic Tank
Lavatory Softner
Shower Well
?
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
? Floor Drains
Drinking Ftn.
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 governing this type of work.
Signed .
Rough Final
Inspections: ?ate Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt PLUMBING PERMIT Permit No. / ?
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot ' Blk. t!' Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New D Add O Alter ? Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ? Softner
Shower Wetl
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor 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 governing this type of work.
Signed : for
Rough Final ?
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
ciTY oF EAGnN 1NATER SERVICE_ PERMR
3830 Pilot Knob Road
P. O. Bax 21199 . PERMIT NO.: -
Eagaa, MNF,55124 - DATE: ?
Zoning: No. ot Units:
Owner;
Add?ess: t;? 9 ?oxlCidRe (
Site Mdress:
Plumber: "uri P._i:m n^,
Meter No..
Size:
I Reuder No.:
i 1 soros te oomPly wilh !Iw Citq of EMP¦
Ordineeam
i
? e-- ----
OF EAGAN
Pilot Knob Road
Box 21199
i, MN 55721
- 7' L
Connettion Charge:
AccouM Depcsit: _
Permit Fee:
Surcharge:
Misc. Chorqes: -
TOtOI:
Dote Paid:
Connectton Chorpe:
Accaunt Deposit: _
CITY OF EAGAN WATER SERYICE PERMiT
3830 Pilot Knob Road
P. O..Box 21199 PERMIT NO.:
Eagan, MN t53129 DATE: ?
of Units:
Zoning:
r'rrtr.d Oak..,
i ?-
m's T
e hddrPS- 4Z?
?
iumber:
47". J0 -,?-
I1 br No.: ^ °rge' i C nrl .,,
Size:
Reader No.:
1 a9mw to eomply wuh t6e City
O?diwonem `
AccouM Depostt:
Permit Fee: -
Surcharge: _ "`
. r,, r? . ?_: _•,:
Misc. Chorfles:
TOtOI: o IT)
Dote Poid:
e of I nsp
?Date of I nsp.:
CITY OF EAGAN N? 9572
,. 3830 Pilot Knob Road, P.O. 8ox 27•199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILDING PERMIT 2eceipt #
T. 6a umd fe. SF DWG/GAR Est, Value $70,000 pate OCTOBER 91984
SiteAddress 4349 FOX RIDGE CT Erect 99 Ocwpancy R3
Lot 13 Block 6 SeclSub. SUN CLIFF 2 Remodel ? Zoning RI
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
? Neme GRAND OAK$ Move ? Length 5U-
Addr 7623 UPPER 167TH ST W Demolish ? Depth 48
? city ?LAKEVILLE pnone 432 6561
g SAME
N
= ame
8u
Address
? City
G?
?W Name
i? Address
V
? W CISy
Phone
I hereby ocknowiedge ihat 1 have road this opplicafion ond stota that
the inlormation is correct and ogree to comply with oll opplicable
Stote of Minnewta Stotut nd Ci f Ea an Ordinonps.
$IpnMure of Permittee ???? ? l2^rf ? ?
A Building Permit Is issued to: GRAND OAKS
ull work sholl be done in occordance with pliw6le Stcte(br7V4rn
Phone
Grade ? Sq. Ft.
AvProrols Feas
Assessment _
Water 8 Sew.
Police -
Fire
Erp.
Plonner -
Council _
BIdg.Off. 10 9 $4
APC
Var. Date
Permit +' ?•vu
Surchorge 35.00
Plan check 171.50
snC 525.00
Water Conn. 4 7 0. 0 0
Woter Meter 63,Q 0
Road Unit 260.00
Parks
rotei $1,867.5
0
_ an tha express corditlon Ihal
and City of Eogan Ordinancea.
Buildinp Officiol
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
????? a ZNCLUDE Q SETS OF PLANS,
O?
? Q CERTIFICATES OF,SURVEY
`a? CW U•?(?/?Q ? SET OF ENERGY CALCULAT?ONS
/
To IIe Used For: G?Fcp Valuation:? Date: f0-9
site Address: 3 ?• ?
Lot: f3 Block: 6 Sect/ .Su Sub?_
_ .?, ? Erect: ? Occupancy: ?j
Parcel q: Remodel: Zoning:
Repair: Type Of Const: ?-'
Owner: Enlarge: # Stories:
Move: Length: ?
Address?3 --5a /h p,c-z? S?- Demolish: Depth: ?
City/Zip Code: Grade: Sq. Ft.:
Phone #: 0 Q,<-9 a a
Contractor: Z.L,p"Cl Qq-A-S
Address: 76, 23 0.<u'ap?Z671:?'Srtc)
City/Zip Code:
Phone # - 4/3 a ? r6 /
APPROVALS
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Arch./Eng:
Address:
City/Zip Code:
nhnnoX-
?
Permit: -343,=
Surctiarge:
Plan Rev.: 1-11.`jO
sAC: ?j25 ?-o
Water Conn:
Water Metei (p3."
Road Unit: 2fop.%°
Parks:
lEQUEST FOII aECfRICJ1L INSPECTIO11 Ee-oaooi-a
See :mftw.:?
A n qRl Q9 ""X"' 8e/oq Work Coveied by 7his Request
NaMt+0fil Rw-1 Type o1 Binpiwg 1 Appluecas ei`ad I - EOwpmeni Wiretl I
Bulk Milk
M Fee ServiceEnbeKeS¢e O Fep feeders?S?Meeders a Fee Ci`cuiN
D to 200 Anips 0 m 30 'L to 30 Aunts
Above 200 p" 31 to 100 A'rys 31 to 100 Anw
Swimmi Paol A6ove 700_ Above 100--Affli?
Tremfmmers lRIgitlM BOOIf6 5ej Partial.'Odtgar Fee
? 1 1 Si9ls I I lSmcial litspec[im ?s ./. ?OT FEE
Re?rks ?y
_ L . d
floWh-in Date
/ 1, ths Elecbiml
/ _?y?
i (? G ? Insoecbr. heiebY
ear?ih [IVt the abova
Fina1
?
I?q ?e
.a9? i?aOeetim has Daeo
?..
.lftrequad,old,B mig „m v ,.... . , ,
This reques1 wid y ?ry?
,a mo?rns e.om ? v
A 098142 LI
(o/3 -S'
Z Y?
xwr 11 Nolih &?sP?-
?r 1NMn Readv
Licen§ed E(ec[rical [mvaclw
1 ImebV ??t irtspsesan of above
Owner?, " slectriql worl imOlled aL-
Slree[ Address Boz ar Route Ne.
3?9 Fe ? K`/
dav C:tv
ection o.
K TotshiO Ma?e ar u-
/3
9/
? Harge No_
- Gounry
f
40
1
10 '
Occu nt IPRINTI
?n ? oaz s Pl.oic No.
Power SuOP??
l??t G /?c_ E ??,cG M?4ess ?
iF slo?
Elecv" Cont2 lw IC 1 ? Gmtr/a?c?l'o/r /s Lice?e ONo.
Mailing Addres5 ICdnracl ' s Owner Yakinp IasbiWtionl '
'aLi? 7
Q
AuMaized 5ip?reNre omraet r kinp Insrallaliml
, Rwne Nunber G
+ .. '-3?65
MINNE80TA gTpTE W/Itp OF EIEC7f11CIt1f THIS fllBPECTION NEAUFST WILL MOT
Grigps-YidwaY BNH. - abm N491 E AGCEPfED B? 7HE SrAIE BOARO
1827 Univarsip Avs, SL Peul, 11N ?a UNIFi PROPFA INSPECTION FEE 6
Plqro I612) 2972111 ENClO6ED.
./
- -----------
i For OHic'e'?iJse
Permit #: 13 11
? Permii Fee:
? Dale Received:
I Staff:
I P ?
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1o SiteAddress: Li? x ??"`5?
Tenantc Suite #: _
lk, S1t r Ph
-(ti
B
RESIDENT / OWNER one:
Name:
l
?
Address ! City / Zip:
Applicant is: _ Owner )K/ Contractor
TYPE OF WORK Description of work: -re ( ? d`7?? f?L ?,) 0 ?
Construction Cost: S Z SU Multi-Family Building: (Yes No ?
CONTRACTOR Name: ti/fily h t K" ^? C Z_?,P/° V z M{?f TnC License #:
.l [ yv
q?3? N' (L
v d o<
Address:
City: PIy/-L v jl? State: ? n Zip: 5-S el
I, '7?
Phone:?G?- SS?_ ?U ContactPerson: I?,"%,4n?t
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City ot Eagan issued a permit for a similar plan 6ased 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 Plaas and supporUng documents thaYyou submif are considered to be public informafion." Portions°of "
the information'may be classified as non-public if you provide specific reasons that wou/d permit the City to
concfude that the ?are trade'secrets.
I here6y 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; Ihat I undersland this is not a permit, hutonly 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 lans. X ?o? ?n?l f'SU? x l/? ?
ApplicanFs Printed Mame ApplicanYs Signature
Page 1 of 3
?? C. R. WlNDEN b ASSOCIATES, INC.
IAND SURVFI'ORS 1Q1. 645•3646
1761 EUSTIS ST., ST. PAUI# MINN. 65109
For : 2 5?0
GRAND OAKS DEVELOPMENT
.,
I `W 5 98 e
o p6?45„E > ..
4u
?o?
o G
N Scale: 1" = 30'
2 / 1 ? O Denotes Iron
/ A Monument
/ W o
/D(
2\ l9o kb E? ,\ ? Q
CC)
oy
o,.
?` ? j ,3q 1
" o \ ?V?
NOTE: ? ?s7 o fiS? ? ? .'P
o Der,n[es Wnoder. Stake /o -.
Proposed Garage Floer El: 9/2.3
( 912.0 ) Denotes Propesed
Finis hed Ground El. ??'?c .,`'? n?•?,?'? ?
?47 -rt- Denotes Direccion co?,? ?o. ?6p?r ?? i
C. S:_zface Drainage O
t'ertical Daium - N.G.V.D. 1929 r Ipb ????• ?, '
Lot 13, BloCk 6, SUN CLIFF
SECOND ADD2TZON, Dakota
County, Minnesota O
?
WE HERE6Y CERTIFY iHAT THIS IS A TRUE AND COARECT REPRESENtAtION Of A SURVEY OF THE i
lOUNDARIES OF THf IAND AlOVE DESCRIlED AND OF TNf tOUifON Of All lUIID1NG5, Ii ANV,
TMEREON, AND Alt V15161E ENCROACMMfNTS, li ANY, FROM OR ON SAID IAND
Dorad rAitzst?+dor o+Se?temberA.D. 199¢ C. R. WINDEN 3 ASSOCIATES, INC,
br
, Sun?ror, Mnn?? o Rop.trroi.on Ne: /2E 71
• EkTERIOR ENVELOFE AVERAGE 'U' COMPUTATION -
GkAND OAKS DEVELOPMENT COMPANY
MODEL Q., AREA U U X AREA
REOUIRED
1. TOTAL WALL AREA 1800 X .il 198,/
2. TOTAL ROOF AREA 1196 X. 026 31.096?
ACHIEVED
AREA U U X AREA
A. WINDOW AREA 186.66 .5 93.33
B. DOOF2 AREA 39.8 .077 3.0646
C. SLIDE GLASS AREA 13.44 .48 6.4512
D. F I REPLACE AFYEA p 0 0
E. WALL FRAME AREA 18V .441 7.38
F. NET WALL AkEA 1164.1 .049 57.0409
G. ftIM JOIST AREA 119.52 .0436 5.211072
H. FOUND WINDOW AREA ' C> U U
1. FOUND AROVE GRADE 96.48 .135 13.0248
3. TOTAL• WALL AREA 1800 185.5026?
J. SKYLITE U p 0
K. kaOF FFtAME 119.6 .032 3.8272
L. NET ROOF AREA 1076.4 .425 26.91
4. TOTAL FtOOF AFtEA 1196 30.7'-72?
2n? juw a?d' /Fwa.P
I
n -----,
? Pertnit #:
I Pertnit Fee: /??=1 ? ?5 I
? Date Received:
? Staff:
I-----------------
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ??J v ' U ? Site Address: '1 ? Ll Q" ft k
Tenant: Lllr' J?? ? k{ A CX+ Sul (L suite #:
RESIDENT / OWNER Name: 'k?-?- Phone: U^SI Li 0"5 L> R07
Address / City 1 Zip: ?i-23q tt ?l3 y- Gt AO? C?f' ezi`'VC( /1 Si??tZ-2
Applicant is: ?Owner _ Contractor
TYPE OF WORK Description of work: IC? O?- dwl 1 r1Gi ow cC.11
Construction Cost: 2LA k Multi-Family Building: (Yes No ?
CONTRACTOR Name:k()?ill- eUI ICkr-9 License#: 'k.S?O 0r
?
241
Address: ,
KU
7,
City:_ r/IQ l / State:M/V Zip: 6?;-(JW 3
kd?C?
5 ? °?C
Ph
a -Yfi
&S)'
?
[P
i
one:
o
ac
erson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv t Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and suppoiting documents fhaf you submit are considered to be public information. , Porfions oi
the information may be'classified as non-pub)ic if you provide specific reasons that would permit the City, to.:,
y
` conclude that ihe? are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance 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 permd; that the work will be in
accordance with the approved plan in the ca5e of work which requires a review and approval of pJ2ns.
x L,Cr ??lSr,.i,?? X
Applicant's Printed Name App anYs Signature
iZ Z
Page 1 of 3
2/84
CITY OF EAGAN
APPLICATZOkI FOR PERMZT
• SEWER AND/OR WATER CONNECTZODI
(PLEASE PRINT)
1) PROPERTY ACDRESS: y 5 ?O X %1 ! C?Cr Y" L ct t'/Y ?
r.Frar DESGRI?TT_CV: LD,T j3 a/? ? k l
52,:7
-i
2 ^
(
P
, :,
(Lot/Bloclc/S •ubdivision or Tax Parcel I.D. NLyrber)
? IF 52^'L'C:',M, DA^ 0° 02IG^Tf1i. : i;IiDI`:G :.i_'1IT ISSurNC:
___ ,
_
P°ESL."?' ?.,••1I?;?;/p?OPOS?J" CS: 0 R-1 SL,GIu. cPMff?.Y
? R-2 DLTP1-= (T.,,`O L=TS)
? R-3 1C7.,.7KFC[?SE ('r:?.c= + C7:7ITS) ( IINI"_'S)
p n_4 a=???.,?,F-.??cc_?,:'sr??•I I [nzTS%
? CCY,n1E:CLAL,/RE:AIL,/OFF'ICy
? ?1'DliST7=
Q ItiTSTI:L'PIC.' ./C?.'wM:ME:?T
Z) APPLIG..?iT (PLEdSE PRINT)
NAh?: ' '1^gi n
C'?
?
``
ADC.4ESS: -7 GJ Js
??
CITY, ST?1TF.', ZIP: L. cd .F P \?i /?? /)?/7
PEONE: L/21 9 - 111: " /
3) pj,t,?TgER (PLE SE PRINT)
tsarE: ? L) r r % u
b FOR CITY 115E OALY
m
aoDREss: ej 5 7 l) / Sy 57' %
( PLUM9ERS LICE4SE:
, . Attive
CZTY, STATE, ZIP: Expired
PHOiQE: PLUMBER LICENSE N Q Not af Retord
a t[ia
4) OCCIJpp,N'p/(7,jj\Im NF1P4E: (PLEASE PRINT)
ADDRESS: Lef-5 y l
CITY, STATr-, ZIP:
PHONE:
5) INpICATE S4[-IICH PERNLIT IS SEING REO[]ES'I'Ep_
? CO,INECTION 2°J CITL SE.Tr1ER
? CONr= ION M CITY SVATE.2
? dif1ER (PLPASE DESCI2IIIE)
?
6) IPJDIG?::.' C.+E:
I
li ? PL°.7%SE f?OID APPRGVID PER.+1iT FOR PIC1i-L'P BY ONE OF ABGVE
? PI.Ft+SE :'rllL APPRUVm PER?LIT 'P'J 1. 2, QD 4 AFiC7VE
7) ? . (Circle one)
J
SIGaZL7RE: 4 ? ?r7W[o ? DATE:
?
i
.,, ..
Me?! o1:R+?ai??v'J? rl al?:a?ra!?e : nroa?i?a;r+w is s?iai:ra a?:lElly?+A ???s??y :
. . . . . . . . . , r • .
FOR C I T Y U SE ON;.Y '
PE?t'9IT ° ISSUED
I ---1
FEES: $ /O - S U
$
$
S
S
$ /Z7 `-6
$
$ i 1 '7 0. `---t>
g
S
S
$
$
$ .
SEi^iER PEBp17T (I?ICL:;D? SU?C::?RCc.)
WATER PER11I; (Ii:CL'uDE SliRCHAitGn)
WATER METER/COPPERHORN/OUTSIDE RE2-.DER
WATER TAP (INCLUDE CORPORATIO?I STCP)
SE;JEB TAP
ACCOUNT DEPOSIT - PIAmr.2
WAC
SP.C
TRliVK WATER ASSESS;4E.dT
TRG.dK SESdER ySSESS:•1°?iT
LATER-AL BENEFIT/TRUNK SE:IER.
LATE?2rlL BENEFIT/TRUNK WATER
OTHER '
S
$
TOTAL
AMOUNT PAID/RECEIPT # /-/ 74 ?yI
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
?NO YES IF YES, THEN A"PERMIT FOR WORK WITfiIV
PUBLIC ROADWAY" MUST BE ISSUED BY THE
ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TH£ FOLLOWING CONDITZONS: '
APPROVED BY: -?- ? ?
? i
TI.LE:
DAT° : / - " // ? c? ?-•
msswwrsrw?mmlkm
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use r�
Permit #: E I u'1
Idsa�
Date Received: to -1'13
Permit Fee:
Staff:
/ 2013 RESIDENTIAL
/BUILDING
�PERMIT APPLICATION
(//'�}
Date: A , Site Address: 413 % 5 / o}� ✓�-:A7/
( -
Unit #:
Residen
Qw er
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Type o Jc
Description of work: s 'CY(
Construction Cost: t icy/ 00 a Multi -Family Building: (Yes / N )
Contracio
—\, .
Company: SS / . .._1 Contact: r ,v .7
Address: n) fi,c'/1 . Cti,rCity: li_P 11/' 0/ Pi &e Y
/�
State: Zip:
s--- 2-Y7
S I z- 7 Phone: 6/z-
c.�
(X
License #: /S T C 7 6 7 s ) Lead Certificate #: ,/"7( 7--" / ( / 3 T7 — (
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:
NATE Plans and supp ming ocume s that Y submit areconsi ered€ o be publiat1 c inf r nn. Portio rs ►
� ro .. �
>'he information me classien
aybfid, s nopublic 1 o ypfide speeif ea s • n hat; ` . ul' hermit the ity tom
oodud that he r , ra ®¢e ecre ;,
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.qopherstateonecall.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.
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 /l Ar 4,7N ``�� O d `.SC;4
Applicant's Printed Name
Apflficant's Signature
Page 1 of 3
RECEIVED
Jeffrey Wheeler JUN 2 5 2013
From: Aaron Johnson [aaron@assuredext.com]
Sent: Tuesday, June 25, 2013 8:24 AM
To: Jeffrey Wheeler
Subject: Fox ridge siding job
Hi Jeff,
&05X-
I am writing in regards to 4349 Fox R4ge Ct. Fagan.
While removing existing siding for replacement we found water damaged exterior sheeting on side chimney
chase and a small area above overhead garage door.
We removed & replace damaged sheeting with 3/4" OSB. (as seen in photos) There was no significant
damaged to any structural members behind sheeting.
Please call me when you have a chance to sign-off on inspection sheet.
Best regards,
Aaron Johnson
President, Assured Exteriors
8020 Wynnwood Rd.
Golden Valley, MN 55427
612-685-2419
aaron _assuredext.com
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115172
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 4349 Fox Ridge Ct
Lot:13 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-130
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Brian W Koster
4349 Fox Ridge Ct
Eagan MN 55122
Assured Exteriors
8020 Wynnwood Rd
Golden Valley MN 55427
(612) 685-2419
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121356
Date Issued:03/26/2014
Permit Category:ePermit
Site Address: 4349 Fox Ridge Ct
Lot:13 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & 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.
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Brian W Koster
4349 Fox Ridge Ct
Eagan MN 55122
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145205
Date Issued:08/28/2017
Permit Category:ePermit
Site Address: 4349 Fox Ridge Ct
Lot:13 Block: 6 Addition: Sun Cliff 2nd
PID:10-72976-06-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Brian W Koster
4349 Fox Ridge Ct
Eagan MN 55122
(651) 256-6800
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature