4278 Fox Ridge RdCITY OF EAGAN
Addition SUN CLIFF FIF'TH
Remarks
2 2 ?----? 10 72979 020 02
Owner Street -HZ78 PnX Rlfge_R11c1d State-Fqf;r3t1., M 55.122 ?.
Improvement Date Amount
Annual
Years
Payme
nt
Receipt
Date
STREET SURF. , O f???
STREETRESTOR. 19H6 1622.Z 324.?+?+ 5 .?t0 f?1/?q??
GRADING
San Sew Lat 1986 502.5 100.52 5 ,O o!J
SAN SEW TRUNK n . .
SEWER LATERAL . 51.40
Water Latera 198 582.46 116.49 5 /
WATERMAIN ?
WATER LATERAL
WATER AREA /
5form &i 1 7.13
?
i
STORM 5EW TRK ?5
STORM SEW LAT ?. ,
Storm Sew Lat 1986 739.56 147.91 5 7 ,s'
CURB & GUTTER
SIDEWALK
STREET LIGHT
Services O 3 1986 529.15 105.83 5 S" f
WATER CONN. 500.00 n n
BUILDING PER. 11173
SAC
PARK
3830 Pifot fCnob Road, P.O. Box
PHONE: 451
BUILDING PERMIT
;1 130
Eagan, MN 55124
RecelpT # I
_. ,
?
Site Address Erect 0 Occupancy -
Lot Bl ock Sec/sub Remoda! O Zoning
Parcel No . Repair ? Type of Const.
. Addition ? No. Stories
99 W Name Move
li
h ?
? Length
; Address Demo
s
r
t Im
I
? Depth
.
U
City
Phorte p
n
.
lnsta!!
O Sq. Ft.
C
F
Name MPWvvaw rf!¦
Z
V? Address Assessment Permft -
?-
? City Phone Wafer & Saw. Surcharge
Police Plan Fievlew
?Z N?e Firs SAC
vLg Address
Enq.
Water Conn.
? Z. City Phone Plonner Water Meter
Council Road Unit
I hereby acknowledge thot I have read this npplication and stote that gidg. Off. Tc PL '? .
the intormotion is correct ond o9ree to comply with all applicnble
Stota of Minnesoto Stotutes and Ciry of Eagon Ordinonces. APC
Parks
Var_ Qate ?
C
Sipnature of PermiTtee ?
?
h Building Permit Vs issued to: Total ?
on the express condition thot
, oll work shall be done in acca?dor?ce with oll applicabla State of Minnesofa Statutes and City o# Eo9on Ordinonces.
Buildiny Official
1
Psrmit No. Permit Holder Date Telephone #
P???inq ?3 ? s ?V I', ? 9 Y-
H.VA.C. ?? ? ? ? , ?, • ? -"? ?-'i , i ???`J ?C ? ?
6betric
$aftener
IrqpWion Date Insp. Othar
Footinys 1
Faotings 11
Foundatlon
Framtinp
Roofing 27 6 [c',!Y
Rou9h Pibg• I/-
Rough Htg.
Insul.
Firoplece
Final Htg.
Finai Plbg.
Final
Cwei/Occ. a
Water D+seribe Location:
YYeil
Sewor
Pr. Dlap.
Receipt ? MECHAI
cinr
: r fill in n
Typs a
1. Date i?-? 2. Inati
3. Job Addreu -' %'7?? ^ ^ x :tlti p-
Permit No.
Fee - ,f1
S/C
Tot
Cost
BIk. Tract
4. Owner ?
5. Contrsctor Phone ?
6. Address
7. G"ILY $teTe Zip i.• .'?ri
8. Building Type: Residential C7
9. Work Desaiption: New 0
Commercial O Institutional ?
Add ? Alter O Repair ?
10. Desaibs ? Fuel Type
11.
No. Fqyjpment 8TU - M. Ea.
Foroed Air • No. Eauiament CFM
i
H
dli
Mfg. q
r
an
ng:
Boi lers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
' Gas, Piping Outlets
12. 1 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
Aough • Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Rrasipt ? PLUMBING PERMIT Psnmit No. CITY OF EAGAN
FM
fill in numbered spacss S/C
Type or Print /eyibly Tot
1. Date ' 2. Installation Cost 3. Job Address Lot Blk. Tract
4. Owner "
?
b. Contractor Phone ?
6. Address
7. City
8. Building Type: Residential fl
9. Work Description: New-tO
10. Describe
State ? 2ip
Commercial ? Institutional ?
Add ? Alter O Repair 0
11.
No. Fixtures
Water Closet No. Fixtures
i
l/D
C
Bath tubs esspoo
ra
nfield
S
i
Lavatory ept
c Tank
f
S
Shower o
tner
W
Kitchen Sink ell
Urinal/Bidet h
O
1
Laundry Tray er
t
- Floor Drains
Drinking Ftn.
! 51op Sink
Gas Pipiny Outlets
12. I hereby artify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Fiouph F inal
Inspections: Date In:p. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EA(iAN 464-8100
PLUMBING PERMR
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
I G C? G.-" PHONE 454-8100
Site Address 'L-'
Lot?^ Block
m
?
?
?
c
? Name
; Addres?
O C?, 9
?
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
PERMfT #
RECEIPT # ?
DATE
BLDG. TYPE WORK DESCRIPTION
New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
-77- ?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: • ?-,? ?'
-
GRAND TOTAL: ? S r'
I -
CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
I' i7 I ci o. ' - 1-. c;
SITE ADDRESS: APPLICANT:
:?,:. ?; ? u??i t<?? ?. ? f,i? I i s:; ; P o 1?1 1. r4[;
i-0049
PERMIT SUBTYPE:
I h (trt+ 3I4fi
TYPE OF WORK:
Ir!, '.;E f; 1 P 1! :,H
4{t1 T l. (! I No
;0:3
!.'c+/9 H
R FPA I P
ki E IT, n 0 1-
I ! ! mA42h: S,: Rt'ft00P Atlv 1 i1 :70ftM [?AMRl3F .
-1
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFWG
t7
ROUGH
PLUMBING
PLBG
AIR TEST
AOUGH
NEATING
GAS SVC
7EST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
F1NAL PLBG
FINAL HTG
ORSAT
TEST
8lDG F1NAL
OOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDROSTATIC
TEST
BSMT A.l.
BSMT FINAL
DECK FTG
DECK FlNAL -` -I
1 -
I
CITY OF EAGAN ERHICE PERMR
WATER S
3830 Pilot Knob Road
P. O Box 21199 PERMIT NO.:
Eagan, MN 65121 DATE:
Zoninp: No, of Units:
Owner:
Addross:
sn. Ade??: ,.? i; ?? r ??. .
5 ' . 7. . u
P1umber _;
Abeter NO.: Jut- .1. p
ConnaCtion Churpe:
15
SIZe: . :.? ?G
?1COOU? DE?t:
?
?
Rsoder No.: Permit Fss: •
?*±c?
• C
1 pme fo eomplp wMU Iw Ciry of Eqpu Surcharye: •. i? ?":?
pC
Orliw?mer. AAlsc. Chonpes: ?
Total: b . s<;.4.teT
BY DaM Poid:
Date of Insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zonirg;
Owrnr.
llddross:
Site Address:
Plumber:
SEWER SBtVICE PptMIT
PERMIT NO.:
DATE:
- No. of Units:
1 gee'M ft eewv1! wNr 1w Cih? of Eo"n Cannsdion Chaege:
OrdIMnea. Atcovnt Deposif:
Psrmit FN:
Surchome:
BY Misc. Charoea:
Dcte of Insp.: Total:
InsR: Dah Pald:
' OF EAGAN WqTM SOVICE PERMIT
Pilot Knob Road
Bax 21199 ,
PERMIT NO.:
s, MN 6"21 D/1TE:
-ITY No. of Units:
omes
/lddress: ox r,i ge u. ,_ 15Z .. , _ . ?
Q1GfQl:
No.:
Tofal:
?7??' ?
By Doto Paid:
D of insp•: Intp.:
CITY OF EAGAN N° 1 1 17 3
3630 Pilot Koob Road, P.O. Box 21•199, Eagan, MN 55127
ir
BUIL"bING '
PERMIT PHONE:454-8100 ???
ReceiPt
To M ated 4w SF DWG/GAR Est. Value 62,000 Date O CTOgER 25 iy__U
SiteAddren 4278 FOX RIDGE ROAD Erect m Occupancy R-3
Lot 2 Black 2 SeclSub. SUN CLIFF S RemoAel ? Zoning R-1
Parcel No. Hepair ? Type of Const. V
Adtlition ? No. Stories
g
Name RSM HOMES Move ? Lenytn ?_
;
Address
14486 UPPER
GUTHRIE CT Demolish ?
t I
?
l De th
46
P
a Citv APPL VALIp"e 435-8858 mpr.
n
? Sq
Ft.
Install
? Approvals fees
o Name ??
V qddrms Assessmenl Permit 319_ OQ
?
? City Phone Woter 8 Sew. Surcharge 31 _ OO
Potice Plan Review 15()- S O
Name Fire SAC 59r, _ OQ
'?
Z Address Enp. WeterConn. S00 _ OQ
?u
i City Phone plonner WaterMeter 6-4 fIQ
Council _
I hereby ocknowledge tFwt I have reod this oOClicotion ond state thaf Bldg. Off.
fhe informotion is tArrect and ogree fo comply with oll npplicable AP?
Stcte of Minnewto Stat tes ?iry o?Eagon Ordinanus. -
Sipnature of
A Building Pertnil is issued to:
all work sholl be dorce in acco
Buildinp Officlol
RoadUnit 9Rl1 nQ
Tr. PI. l Z 9 fl 0
Parka
Var. Date I Copies
Total 2,009. 50
on fha express condiflon Ihat
wta Sfatutes and Ciry of Ecpan Ordinonces.
l""
x. L
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
FERMIT
PERMITTYPE: BuILoznG
Permit Number: 0 3 2 7 0 3
Date Issued: 07/29/ 9$
4276 FOX RID6E RQ
LO7: 2 BLOCK: 2
5UN CITFF 5TH
P.S.N.: 10-72979-020-02
DESCRIPTION:
REROOF
BuaJ:#I hrg,Permit Type
Buil:t?ing,14o rk 7ype
c ?q
?1?"CensUs Cods ;
a F- a
? a s
=1; r :in
a^ ?r
aei ?
w
STORM DAMflGE
REPAIR
434 ALT. RESIDENTIAL
e ?
^t ? ?'3 ?'.IS lYSy ?I?c 5 E£ fid 4?? :`??IC 's? ?ry e?l? ? ElE tl¢
REMARKS:
RERQQF 6UE 70 5TOi2M DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. Lzc OWNER:
RIGHT WAY ROOFING 18530049 0008999 MCDANIEL KATHY
1200 E. 79TH ST 4278 FOX RIDGE RD
BLOOMTNGTON MN 55425 EAGAN MN 55122
(612) 853-0049 (651)688-6312
.
._, . ._ , .,. ? ,. ..
. _ _ . . . ._, e . .? ,, .
? ?1=he?,ebY, ack,riawledcje thiaC;'I havd r`eatt°"tfrris.apjrl?petilbn arfei stat'i °ttyalt`tkre .
in f,srrm'atiori . ie `cor_r0 d t an;d =aq re;e to eamp.l.y wxCh a??y apPlac?l??.?,St?t? cs:?- Mn.
5?tcit?:es and"`fx?y'cr?f Ezxgz,i? 4rc??rian?es,? ? '
APPLICANT/PERMITEE SIGNATURE
+ L
1498 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauiremants
? 3 registered sde surveys
• 2 copies of plans (inGude beam S window sizes; pouretl fnd, design; etc.)
? 1 energy plwlations
? 3 copies of tree preservation plan N Ipt platted after 771193
reauired: , _ Yas _ No . . _ .. ..
DATE:
RemodeVRaoair Reauirements
? 2 topies of plan
? 2 ske surveys (exterior additlans & decks)
? 1 eriergy ralculations for heatad addftions
CONSTRUCTION COST;
STREETADDRESS: V-U I CUC .
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: , Phone
PROPERTY Last First
OWNER
Street Address:
City State: ry\ ? Zip: ?
d
Company: U?JI ?? y? U ? Phone #: O QS3 'bQ 1 ?
CONTRACTOR /?? Q(',G
Street Address: ? c . License # lJ? ? -l "l I
City a dc` Y, State: m Y 1 Zip: s-s 4 as
ARCHITECT/
ENGINEER Company: Phone
Registration M:
StreM Address:
City State:
Sewer & water licensed plumber (new construction onty):
and Iot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
Penalry applies when address chang
is correct and agree tQ wmply with all applicabl
?'-- 7 ;;!?
Tree Preservation Plan Received - Yes - No - Not Required
. .. .?. f ?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CON]'RACTORS MUST BE LICENSED NITH TNE CITY OF EAGqN
INCLUDE 2 SETS OF PLANS
1 l? ? 3 CERTIFICATES OF SURVEY
1\ 1 SET OF ENERGY CALCULATIONS
To Be Used For; Nr iv?. Valuation; 69Z, DoU Date:
Site Address: i? ?va? OFFICE I1SE ONLY
Lot: ? Block ? Sect/Sub5??''
-Y'?rect
? occupancy 3
Parcel !1 ? Remodel _ Zoning ?•I
Repair Type of Const
Owner `?/?j ??„ . Enlarge ? 11 of Stories
Move _ Length
?. ? .
Address Demolish ` Depth
P?,..?ade _ gqFt ?O
City/Zip Code _s--S/
Contractor APPROYALS
Address Assessments Permit
31q.
Water/Sewer Surcharge
City/Zip Code Police -
y Plan Review ? Sq. so
Phone A 3!9?j 8J'e $ACnr? 525.
T!?°.Br -Watrer Conn oo.
, P nner,.,.,, ..
Arch./Er?gr ?/?l C?OUricil. ,,,?:IRO??i??i{N
Bldg Off
Address APC ???. Parky..i .i..
'9en,t
Phone 0 Variance
?..
u o ;,
J+
1 9^_ +
. • ., b
;+
6=,= _+
2?",9??Om
i, ? ..?.
? .. ' N` ?'.,?
.. . ..
a
-. w _ __ .. -- _-
4278 Fox R??
W, ' Ai0• o/ /??
?ys,??
?i
FOR: R.S.M. HOMES
C. R. WINDEN & ASSOCIATES, INC.
LANO SURVEYORS Ttl 845•3849
1381 EUSTIS SL, ST. PAUI# MINN. 85109
Scdle: 1"=30'
e Denotes Iron
Monument
Bearings Are Assumed
n
Draino9e E Ut?;;`? Eas emeh?
O ? ? pl ti?
r.le7°23'a3°E a?ti• ?,??
a
`
140.00
?
`-
La
°Q
Ln -• -
_C3?=3L- ? ,
L' , - r ?
?-
'?
L? _
.
f(? r? 30 a ti o I ? ?
'`'J o ?p ^ ..p/'oposed v Q
, v Housa
o
LL Z
to ?
i ?.2'Ovcrho??
? ' ? -
? L11 ? ti?-
1
n q ?40•00 1 I
NOTE:
O Denotes Wooden Stake
? Proposed Garage F1oor E1.=9i3.4
(913,0) Denotes Proposed
- Finished Gmund EI.
--4- Denotes Direction
Of Surface Drainage
Vertical Datua - N.G.V.D. 1929
Lot 2, Block 2, SUN CLIFF FIFTH ADDITIONt
Dakota County, Minnesota.
WE MERESY CERTiFY TMAT iHIS IS A TRtJE AtID CONtECt REPRESENTAiION OF A SURVEY Oi iNE
WUNDARIES Of TNE IAND AbOVE OfSCRlSEO ANO Of iME IOCATION Of All WItDINGS, li ANI;
TNEREON, ANO Atl VISISIE ENCROACHMENTS. If ANY, FROM OR ON SAID IAND.
.
oafe/ IAis 4t-A day st1 Oc'fe6er A.C. 1985 C. !. W DEN A ASt? INC.
is
Eurwyer, MinMNle Rayiuroliee No.77z/g
NMM
ti
2/84
CITY Or EAGAN
APPLZCATION FOR PELMZT
SE:4ER A.ID/OR WATER CONNECTIODi
(PCEASE PNIHi)
1) PROPER'?^I ppDR:SS_
rFraI. DF.SCp-T?TICV:
S_^.=.i::.'^..*;'tE, DA2:.,' 0_° CnIGZAI, t`ti2mSC:G
lc =_ ?.,-t=_
P°ESL'= LS: R-1 SZ;c'w."-., FP_^eSLY
? R-2 CLTPi...."{ ('P%C) L;NITS)
? R-3 'IC:,.,NII?CIISE ('I=- + L':IITS) ( L?':'S)
? ic 4 APa.'?T'^.:TM'^:T/C':DCi.m7r?,1 ( GtiI=51
? CCm1%4MCLAL,/RE:AII,/CFPIC
? L1'CL'S i RLAL
? LVSTIM'I'IOJIAL/G=,?r•'E:;^
2) APPLIG=--T (P/L.E?ASE PRItiiJ
Nrl•?: ?C?.?1.(1? .,7-j' `?Y ? 1.??? 1? ?? ?
P.CC4=55: 1_?D? ?Z (}?1?iV ?
CTT". S:r:^, Zip:
PF:vNE: k'
3) PLL:'.E&'p,
i-LCzc.SS:
CITY, STA'!'E, 2IP;
PECVE;
PLUHBER LILENSE N
47 OC-'C[+'?iPN:/C!Z:M .,
,,Z: ASE PRINi)
AUDRESS:
. crrr, sraIM, zip:
PhQNE:
ic
?l 1I`7DIG,'I'E :QHICii PERtiLLT IS BEINC; REQ[7ESTm:
? CO:RVECP20N 'IO CITY SETr7II2
? NN:9FCrZG:1 M CITY WATER -
? diEMR (PLrA-CE DESCRZBE)
I .
7) SIGN-IZ,-RE:
? PI-'-'%SE f?OILI APPROVFD PER.MIT £OR PICIi-UP BY pNE OF AFiR7E
PLFASE pRiL APPFaGVm PFIZlIT TO 1,2y 3, 4 AF;pvE
(Circle one)
r)
DATE:
FOfl CITY USE OYLY
PLUHBERS LIC:kSEx
of Rexord
?ROfiL+wf?JSi?rl eal?:af?a?a?s/+rp •?` •. .
FOR C I T Y U S E ON;,Y '
PER.`1IT '-` ISSUED
F.r..yS:
$ ? ..
S.F,:':G.D. nD4;1rT (I`ICLUDE Sli.°.CH?aGE)
$ iG yL' WATEZ PE:211IT (IL1CL'u'DE SliRCHARGr
)
,
$ ?: io- c- WATER M$TER/COPPERHORN/OUTSID : REi,DER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE:vEF TAP
$
l- -
ACCOUNT DEPOSIT - 4IATt'3
$ ?C: cJY- W:,C
$ S1S???-' SP_C
$ TRtiVR WATER ASSLSS.?E:;T
$ TRliNK SEIvER ASSESS:•?ENT
$ LaTERP,L SEivEr^IT/TRUNK SiS:'?'R
$ LATcRAL BENEFIT/TRUNK t•7AT°R
$ WATER TREAT1,1ENT PLANT SURCIiARGE
$ OTHER:
$ TOTAL
$ AIs10[J::T PAI?/RECEIPT
DOES UTILITY CONN ECTZON REQUIRE EXCAVATION IN PUBLZC RIGiiT OF WAY?
YES IF YES, THEN A "PERMIT FCR TWORK WITH7N
PUBLIC ROADWAY" MUST BE ISSUED BY TFiE
NO ENGINEE RING DIVISION. LIST AS A CONDI-
TION.
SUSJECT TO THE FOLLOS9ING CONDITIONS:
APPROVED BY:
TITLE:
OAT°_:
?+e s? w? w? s? ? wt? ra ? r? ? w? w sia ws? R+ ?? w?? ws? ?? wE ? sa ?a? Ra ?c? ?a ss? ??
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Aug 07 13 03:06p AA Garage Door 651-702-0838 p.1
City of EaLan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit*:
I Z3 Z2
Permit Fee:
Date Received: l) -T- is
Staff
2013 RESIDENTIAL BUILDIN
G PERMIT APPLICATION
Site Address: L07QKC' unit #:
nn6t-- lAnceer Phone: / —0—f -
Resident/
Owner
Name:
Address l City l Zip: 4371? FOX RI d Iii} &liar) ' !/ "
J
Applicant is: Owner V Contractor
Type of Work
Description of work: `?l6 �C� P f h �)Ve�! IPQ C� garay.dooConstruction Cost 4 & Tv CU JMulti-Family Building: (Yes / No l•Z°
Contractor
Company: TIlZ3 63ra.
Dor
Address: LJ / V
State: pi\.1 Zip: .(5-56-71
Contact: t. -->b (J a Se )Cl�
city: St Paai �rid rN..
Phone: 651- � / ^ 7� 2 / Q
License*: Lead Certificate #: 1—S — ! L/7 U 9?
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 8 Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classed as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. CaII 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 aop!Zerstatecnecall.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.
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.
r
x i ,00Or ah 14aSencl2 X QiQdi1)1
Applicant's Printed Nam& Applicant's Signature
Page 1 of 3
Aug 23 13 12:38p American Home Remodeling 6514393912 p.1
1 I -
AUG/23/2013/FF1 12:37 M City of Eagan FAX No.651-975-5694 P.001/001
Use BLUE or BLACK Ink
r-----------------
I For Office Use 1
I /
Eap Permit*: 2-q
41~ t
City of I5
Perms Fee: I
3630 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675.5675 I I
Fax: (651) 6755694 1 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 21 Site Address: 4 4 G~2 Unit*
Name: 11 t \ ~~Cl P ~1 Phone.
Residil l
0Mfnter Address I City /Zip: Y, co rA
Applicant is: Owner Convector
Type of Work Description of work: VT, ( 4
Construction Cost. ^ Multi-Family ~Building:~(Ygss _
_/_f~ No
Company: i'1Y V 1 L AIV O-z 1 ~ 0 ontact' p J `J Cf - ~Z
Contractor Address: ,~yf% ,j Pte- T `City: ~~1~1~l I~ Y fi~
e~~ I ici ! s
tik =C-11a Phon l
State: Zip; License*
RC, lead certificate o:
11 the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS ARI=A ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the city or Eagan issued a pelmet 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 documentsitial'yoatubmit are considered to be.publfc Information.. Portians of
the information way be classfffed as nom=public JT you proWdle specific reasons that would; permit the:Clty to
concittde that the are-made secrets.
CALL BEFORE YOU DIG. Call Gophor State One Call at (661) 464.0002 for protection against underground utility damage. Ca11418 hours
before you intend to dig to receive locates of underground utilities. www oooherstateonecall.om
1 heresy 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 t understand this is not a permit but only an appl.cadon for a permit. and work is not to start withou' a permit, that the worK will ba 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 100
days of permit Issuance.
x N of 0
Applicant's Printed Name Applicants 518nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132180
Date Issued:07/29/2015
Permit Category:ePermit
Site Address: 4278 Fox Ridge Rd
Lot:2 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Scott R Sundeen
4278 Fox Ridge Rd
Eagan MN 55122--225
(651) 964-9444
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
City ofEapf
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
AUG 292016
Use BLUE or BLACK Ink
For Office Use ll�
Permit*: / 3(40/
Permit Fee: (110 - 0 0
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
D Please submit two (2) sets of plans with all commercial applications.
Date: 8/16/2016 Site Address: /lc?? L3. i ?<
Suite #:
Tenant: Dean Tran
Name: Dean Tran
Address / City / Zip: 4278 Fox Ridge Road
Phone: 651-239-3453
Name: K & S HEATING AIRCONDITIONING & PLUMBING INC License #: 43689
Address: 4205 HWY 14 W
State: MN Zip: 55901
City: ROCHESTER
Phone: 507-361-2332
Contact HEIDI BROWN Email: hbrown@ksheating.com
New ✓ Replacement Additional Alteration Demolition
Description of work: Air Conditioning Replacement
NOTE Roof mounted and ground mounted mechanical oqutpmant'is required;to be screened+by City,
Code.: Please contact the Me..chanlcal lnspaofarforinformation on:;permlttedscreening,methods
RESIDENTIAL
Furnace
7 -Air Conditioner
_ Air Exchanger
Fleet Pump
Other
COMMERCIAL
_ New Construction -__.... Interior Improvement
Install Piping — Processed
Gas Exterior HVAC Unit
_ Under/Above ground Tank C_ Install / Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge = $ 60.00
TOTAL FEE
J
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
_ $ Permit Fee
_ $ Surcharge
= $ TOTAL FEE
1 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.
xBRIAN KEEHN
Applicant's Printed Name
iA pltcant's Signature
FOR OFFICE USE
Required Inspections::;
Underground RoughIn ';_Air Test . y Gas Service Test . -'`_ w,. In=floor Heat= , :Final HVAC Screening