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4282 Fox Ridge Rd Jul 13 2011 9:05nM HP LRSERJET FRXBRUCKMUELL 6516882160 page 1 Use BLUE or BLACK Ink i I 0C10 C11Y of Eagan Permit 00 I Permit Fee: e ,o o 3830 Pitt Knob Road I oaoe Received: I Eagan MIN 55122 J U L 1 3 2011 1 Phone: (651) 67541675 t -J Fax: (651) 675-5894 !_ff_ INFLOW & INFILTRATION PERMIT APPLICATION I/ Plumbing / Sewer & Water Date: altsAdare ,ss: 44at8~ 1~OX Kralge /-?oCtCW 11 Tenarrt• Suite 0: RESIDENT !OWNER Name. C3 n L~F~ ^ Phone: (05(' Address City /zip: F6>1 p~ C. 40920t.; G 0qf. n Ir 55/ Name: 9,raa ma 1e-r ~/LG br!?~f t lcanse f~~ / ~~~-pm CONTRACTOR Address: 399 A Aen~►n5ul van l4 ~i. City: AgState: _ In Iv Zip: :5/c Phone: 6 67/" 1~Q'lA QCs RLo Contact: 6ro6 or ~LL/r G Email: , 41) PLL OIB/NG (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: ~n Sit / ~te~k' va 111e, sm( aje) /i -e-4y d r ,p FEES 555.001 Each (includes $5.00 state Surcharge) TOTAL FEE X5.4 O *Perot fees will NOT be:nWmbursed by the City of Eagan.' if you plarti to!submit 1111repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A `list of contractors can be found by visiting www.gkyofeanan.com/inflow, or City Hall at 5834 Pilot Knob Rd. CALL BEFORE YOU 010 Call Gopher State One Call at (651) 454.0002 fbr protection against underground utility damage. Call 48 hours before you intend to dig to receive kmtas of underground utilities. www.gggherstat ll.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the can of work which requires a review and approval of plans. Applicant's Printed Wme Ap cant's Signature . la~l7$~d ~ 11 i t rtlr r...,Phial r a 7 5 r C17Y OF EAGft CZIFF FIFTH Addition Owner Remarks 10 72979 030 02 76 Lot Blk Parce4 Street 42$2 Fox Ridge Road State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, a? ? 1985 357.37 23.83 5 30.71 O/ s 9/4; STREET RESTOR. ?Q39 1986 1622.20 324.44 5 l GRADING D 02.58 100.52 5 eS'a? .S CIO / 3.2 a i ? 5AN 5EW TRUNK 14141 1970 .84 2•00 5 e6 SEWER LATERAL 1905 25 • (rm If WATERMAIN 1985 •55 •31 5.7 ,2 S Ly0 f- S c ld'rv WATER LRTERAL WATER AREA ^ 7 19-3 68.60 44.5-87 15- cle 11f Al CX& ^ 1985 106.94 7•13 15 70 dP?ie,(l 7 s STORM SEW TRK 1,2 1971 214.60 10. 73 2 STORM SEW LAT 1985 86-95 , 15 7S3 Q 739 47.91 5 CURB & GUTTER SIDEWALK STREET LIGHT ??37 3 5 f WA7ER CO N. 500.00 n n 13UILDING PER. 59709 SAC 575.00 PARK . ' ? CITY OF EAGAN 3830 Pilot ICnob Road, P.O. Box 21-199, Eagan, M 121 PHONE: 454-8100 BUILDING PERMIT Recei # To be used for `-F D"WG/GAR Est vaIue $74,000 pAt?, 'FEBRUARY 10 19 86 SiteAddress 4282 FUk RIDGE RD Erect Occupancy K3 Lot ? Block 1 Sec/Sub. SUN CLIFF STH Remodel Zoning Rl Parcel No Repair ? Type of Const . Addition ? No. Stories W Name WESLEY CONSTRUCT ION Move ? Length 42 Add 9401 XYLON AVE SO oemolish ? Oepth 0 o ?esg Cjty BLM TN Phone y Q a- 7Q92 Int. Impr. ? Install ? Sq. Ft L--- a r "- _w? ???? Name SA?I`?E ? ? Approvals Z ? o¢ Address Assessment ~ City Phone Water & Sew. ? Q Police ? W Name Fire ? ??-y Address Eng. i W City Phone Planner Council 2/4/85 I hereby acknowledge that I have read this application and state that the gldg. Off. 2? b information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Fmagan Ord' ances. APC Signature of Permittee ?t?i?!- Var WESLEY CONSTRUC'I'ION A Building Permit is issued to: ail work shall be done in accordance with all applicable State of Minnesota Stati Building Official 4___ t .:_ ?- Permit S 355.00 Surcharge 37.00 Plan Review 17 7. 50 5AC 575.00 Water Conn..500• 001 Water Meter 63 • SO Road Unit 290.00 ? Tr. PI. 156.00 Parks Copie . 0 0 Total ' on the express condition that of Eagan Ordinances. 1 - I wrmc No. I ft.ms Maa.. I na+• I reiennon. # I vibg. tny. Plby. FMsI Occ. Dbp. Reaipt MECHANICAL PERMIT Pernnit No. CITY OF EACAN FM Fil1 in numbsred apacRt S/C ? „ TYPe or Print legiWy Tot 1. Date ' 2. Installation Cost .. ' " ? . a... y _ `; ? . 3. Job Address ' Lot ' Bik. - Tract 4. Ovmer ? 5. Contractor - t • ` Phona ' 6. Address j - - 7. City , • State Zip > i 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Destxihe Fuel Type 11. No. Equipulent BTU - M. Ea. Forced Air - ' No. Equiament CFM Air Handling: Mfg. Boilers h Mfg. Mech. Ex aust - 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 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 QF EAGAN 454-8100 ?. _?.:?.:?. ? ? _.•_ - _ ;_....?r:c. -?- .._ .- Reotipt PLUMBING PERMIT Pennit No. CITY OF EAGAN " Fes ' fill in numbered spacst S/C Type or Print IsyibJy Tot ,. 1. Date 2. Installation Cost -? 3. Job Address ' Lot Blk. Tract f 4. Owner 5. Contractor Phone 6. Address 7. City State Zip ? 8. Building Type: Fiesidential O Commercial O Institutional O I 9. Work Description: New ? Add 0 Alter ? Repair ? 1 10. Describe 11. No. Fixtures Water Closet No. Fixtures i fi C l/D Bath tubs esspoo ra n eld S i T k lavatory ept an c f S Shower o tner W ll Kitchen Sink e Urinal/Bidet h O Laundry Tray er t Floor Drains Drinkiny Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby ceriify 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 Rouyh f inal Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approvad CITY OF EAGAN 464-8100 I??PECTI-ON- CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ? SITE ADDRESS: ? . ? ????:- r , HN E t t i I I, t» ! PERMIT SUBTYPE: : i j; i c,'. e 3/1 44ci H:r/ly/olc? I APPLICANT: TYPE OF WORK: i-i , I ? ? fi.j! { t,????r i? INSPECTION TYPE .? DA • i D• iil11?11 111 I I f'?i I 1 I?.I i i? I!' 1 J{ i? iI•F Mfti I I ifl- i? ••? ?'f.t :li{1pl fllt?i t i S? ra 1 ? 1'I uM ? ? i?•? E?f c??? ??rE ?, r r??: I ? I i? f F Vrr,r,r r# 14.'1.1, E M-i 1 11 ( f fiA 1 1 0" f Nr l 111tr<? I IFt( 1'I Af I N i' 1' 1 ltMft 1 N1. 1 t. I IMFtI Ihl ? I ? Psrmit Holder Date Tslephons # SEWER/ WATER PLUMBiNG HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ? FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTwirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 3L4 at "?- Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: t PERMIT SUBTYPE: TYPE OF WORK: ['it%r: p i f, 1" i n n? 1 4 INSPECTION .• . .• RE'V li-tJf () RY GIAYNf MI E i t I IF -1 iL I 3 Xj Permit Holder Date Telephone # EWER/ WATER PLUMBING HVAC ' Inapection Date Insp. Comments , FOOTINGS %s FOUND 1;1.6 FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ! ? GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCrniTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55127 Zoning: Owner, Addr+ess: Site Mdress: Pitxnber: Meter No.: Siva• Readar No.: 1 ym te aswplr with Nw Citi oi Eqqpa OrdbNow. By Dote of Inap.: C.onnection Charge: Account Deposit: Petmit Fce: Surcharye: Miac. Chorqes: Totol: .? Dote Poid: ? FOfagan, ITY OF EAGAN SEWER $?VICE PERMIT 830 Pilut K nob Rosd . O. Box 21199 PERMIT NO.: MN 55121 p^?: oninp: No. of Units: 1 wnsr: "'' ? •. - ? :. • 1 . Address: 5tte Address: -201 plid2e Roa.;'. ' Sun c:lif f 5t':i - Plumbe+r: ;Eiler F'luLbin; > t.1) _ r 5')7 ?7+9 1 Mm te esin* widi iW Cihr oF iegen Oraiwnca. ' BY i Date of Insp,; i ._- _ Co+?necria, choros: 475.0C`?d Account Deposit: 15.400 Psrmtt Fee: Surchorpe: Mfsc. Charpex , Total: Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilat Knotf Road P. O. Box 21199 PERM(T NO.: Eegar, MN 55121 DATE: Zoninp: No. of Units: Owner: llddresa: Tf? Sit! AddflSS: 7(1 / Pl ?ber ..,:vtAofrp.? gtQ t-s?tl to? uft ? Meter No.: 36ITG1 EP4lf1N + G _ E???j?? • T -? /? rcc rv 5ize: Reader No.: a. . ?? I Nme to ompiq wiNi llw City o# Ea"¦ Surcficrge: ? OrJIMneM. ?,- Mix. Chorpes: Totai: 8 Poid: Dote of I nsp.: I r?sa.: WA1'ER SERVICE PHtMR PERMIT Nfl.: DATE: No. of Units: 14 - LS-$(o CITY OF EAGAN N2 11516 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 S BUILDING PERMIT Receipt k L/j 7 SF DWG/GAR $74,000 FESRUARY 10 86 Tobeusedtor Est.value Date 19 SiteAddress 4282 FOX RIDGE RD Erect 29 Occupancy R3 Lot 3 81ock z Sec/Sub. SUN CLIFF STH Remodel ? Zoning R1 Parcel No Repair ? Type oi Const V . Addition ? No. Stories ? Name WESLEY CONSTRUCTION Move ? Lengm d? z 9401 XYLON AVE 50 Address Demolish I I ? ? Depth-? Ft S o City $LMTN PhOne 944-7092 nt mpr. Install ? . q. o Name SAME i $ o Address ? City Phone a w w Name ?a Address a w Ciry Phone Fees Assessment Water & Sew. Police Fire _ Planner Council 2/4/86 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.off. 2/6/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry o ga r fi' es. APC <-?'"'--/l?? Var. Date Signature of Permittee WESLEY CONSTRUCTION A Building Permit is issued to: all work shall be done in accordance with all Permit $ 355.00 Surcharge ? / • vv Plan Review 177 . 50 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Copies?0 0 Tot21 ?L?154 on the express condition that Ciry of Eagan Ordinances. Building This requas[ void ? ? / ?? :?l -? ?{nonths from 6 b ?6 1 ?y. e? ?' 0 9 910 2 z- 3, 8 a i J4 ilJ l..s i.. / F/r s? r Request qate Fire No. pouqh-in Inspection ReQUired? ?Ready Now Will Notify, Insvec- 1'es ?NO ??r When Ready ,??&licensed'Elecvical ConVactor I hereby request inspection of above . ? Owner elechlcal work installad ar Street Address, Box or Roote No. / . City ? D r id ? ER cc •?- ec ion o. Townshi0 Name or Ranee No. Cnunry ZR !Ed / a..- OccuOantlPRl T) • wysl? Phone No. 670y- ?0 9a Power Suppijer E?! c AtlAress • Elechic Contra Companv Ne 1 ? Condoctor"s Licen?e Nu. ?G ric. d. -519 Mailine Addre ss (Comracto or Owner MakinB Insralla[io n) ' / ??( `? /) ! J Author' ed Sign Wre (COnttac//O ner Makiny Installalion) Phone Number 89435?5 MINNESOTA STLTE 00ARD OF ELECTqµ;ITY THIS INSPEGTION flEQl1E5T WILL NOT Grig9s•Midwef ?Bldg. - Noom N-191 // BE ACCEPTED 9V THE STqTE BOAFD 7821 University Ave., SL Paul, MN (g6100 UNLESS PROPEP INSPECTION FEE IS Phona (612) 297-2111 ENCLOSED. a-Ibs-jo(a REQUEST FOR ELECTRICAI INSPECTION es-ooooi-oa ' See inatmetions for wmOlelin9 thia torm on back of Vellow copy. ?p ".ncfq 1 n, "X"' Below Work Covered by Ihis Request ff'1ew1(l4IWbp.I .. TyOe ol Building I Appliancea Wiwd I Equipment Wired I Silo Unloader Bulk MilkTank M Pea ServiceEntranceSize tt Fee Feeders/Subleeders 4 Fex " Circuits ?- U to 200 qm s 0 to 30 qm s 0 m 30 Am> Above 200 qmpy, 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_Am)s Transiormers rrigation Booms $ Partial.'Other Fee L? I Signs L I ISpecial inspection ? L TOTAL EE Rem3rks .. $ ?QiO6 pectoq hereby ertify that the aAove ?e . , insoeclion has been ThiBrepuestvoid r .: 4 RESIDENTIAL BUILDING '?js-?,y Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4 5 I•L4S New ConsWCGon Reauiremems RemodeUReoairReauirements Office Use OnN 3 registered site surveys showing sq. fl. of lot sq. @. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (200% maximum lol caverage allowed) 1 set of Energy Calculations for healed additions 7ree Pras Plan Recd 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 sde survey for addNons & decks Tree Pms Not Reqd lsetafEnergyCalcugtions Adddion-indicateifon-sitesepticsystem _On-siteSepticSystem 3 coples of Tree Preservation Plan 'rf lot platted after 711193 Rim Jois( Detail Optlons selectlon sheet (bldgs with 3 orless units Date '7 / 0--1 / U3 Construction Costs?j 12- -78 ,'?-"- Slte Address Unit/Ste # Description of Work Multi-Family Bldg _ X? ri FSreplace(s) _ 0 _ 1 _ 2 Property Owner Zrzan /,rC_e Telephone # ((95j ) q,52 ? OJZ3 RMA HOME SERVICES INC. Contcactor _ Home Deopt Installed Sales Address 3200 Cobb Galleria Pkwy., Ste. #200 City - Atlanta, GA 30339 State _ 763-542-8826 ? Telephone # ( ) BG20268257 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (J submission type) .. ' Residential VentilaUOn Category 1 Waksheek Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Coniractor IC A NEW BUILDING Minnesota Rules 7672 . New Energy Code Wodcsheet Submitted Telephone #( I hereby apply far a Residential Building Permit and acknowh8dge that-the-4nr?tpn is complete and accurate; that the work will be in conformance with the ordinances and codes ol City of Eagan and the State of MN Statutes; 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 appro ofplans. lG%!? Applicans rinted Name ApplicanYs Signatur-e ? ? ; .:. Installed Siding and Windows LIMITED POWER OF ATTORNEY c:uuN i Y ur wBs STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot InsYalled Sales loca*ed at 660 Mendelssohn Avenue North, Gole'.en Valle;=, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Powe: of Attorney are limited solely to the express powers delineated herein and appl_y solely to the Work. This Limi*ed Power of Attorney shall expire and automatically be revoked on the 21 st day of ?Vlay, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI'I"NESS WIIEREOF this Limited PoK?er o_fAttorney is ?;ceci.ttc3 this 21 st day of May, 2003 ` . i David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200? Q- Notary P? c in for the State o eorgia N2y Commission Expires: January 21, 2006 3968f6.v3 - Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT 4;zt° ? ?l C) New Construction Reauiremants . 3 registered site surveys showing sq. ft. of lol, sq. R. of house: and all roated a2as (20% maximum lol cove2ge allowed) • 2 copie5 of plan showing 6eam & window sizes; poured found desgn, etc.) • i set of Energy Calculalions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Op6oris selection sheet (bldgs with 3 or less units) RESIDENTIAL BUILDING PER MIT APPLICATION CiTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 DATE (P /I 7 ?O Z- VALUATION SITE ADDRESS TYPE OF WORK Fo APPLICANT ? &( C)t-? MULTI-fAMILY BLDG _ Y _ N _ FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS 42SI2- Fv x 10, ?cQc1t. j2&,( CITY STATE ?+^ti ZIP SS I ? TELEPHONE #(o s' L(S 2S3a3 CELL PHONE # FAX # PROPERTYOWNER LP,;Z TELEPHONE#CoS/ 42'a- F?zi,;-3 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNESOTA RULF.S 7670 CATEGORY 1 VIINVESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer(Water Contractor: _ Water Softener Water Heater No. of Balhs RemodeURenair ReauiremeMs . 2 copies of plan • 1 set of Energy Calalations for heated additions . 1 site survey tar e#erior additrons 8 decks . Indicate if home served 6y seplic system for addi6ons _ Phone # I.awn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Pee: $70.00 ..--------°-------------°-----------------------------------------------•--------...°---------------------------------- I hereby acknowledge that I have read this application, state that the information is c ect, and agree t omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ` Signature of Applicant ? --------- ___----- --------- -------- -------- ___.._----------------------------------- ---------- --------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Air Conditioning Heat Recovery System Phone # PERMIT CITY C3F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: BuI L oi:NG Permii Number: 03423.2 Date Issued: 12i 3 Q/ 9 ii SITE ADDRESS: R28,'. (=C1X 3I06E" RI) LC)T: 3 BI.OCK: 2 SUIJ CLIFF 5TH P.I.N.? 10-.72979-030---02 DESCRIPTION: ?? i? x 20 I3uIX1din4?Permit Type Bp?ildinq W-o-r`k Type &'JeiI3ta2 Codo A ,_. 5F FlOC7I1'ION NEW 434 ALT- F?E57:DEN'71.A1_ -„- ; REMARKS: PLAN RFV.TEWFD BY WAYNE N71.lFR. SEPERATE PERM;[T REQUTRED FqR F1NV PLl1MBI"NG WORK. CALI_ q[I5-2'r3AG1 I2i'_GpR07:IVC E- EL:TId7ClaL FERin7:1" FiPJb 7NSPECT""IaNS? _ FEE SUMMARY: VflLUATTON $12,060 Base Fee 1157.25 CoPiES 41.00 Pl.an Revi.ew $121,71 Tota.l. Fee $315.96 Surcharqe h,0 0 ------ --- _....$._ . Subtotal $'114.96 CONTRACTOR: - A np,I ic.ant - sT. I_TC. OWNER: PLUMBLINE 6LORS MRLS INC 19332493 0002933 LFE BklAN I! yTki AVE N 4252 FOX RT.DGE R11 I'1i7PKINS MN 55343 EA(3AN MN 55122 f46121 933-8493 (651)452-8323 ? hereby ackndwledoe that. T have read this application and state that Che inturmatinn is correci: and aqree to comply with all applscable State oi' P4n. Stat.utes ancf CitV a'Y Eacsari Urdinaric:es... L '0APPL//?'NT/PERMITEE SIGNATURE ?UED BY: SIGN UR? ? pjwc?- O.1u? I ?, 2r3 9FS- co rvv:.? -?,--X?drCL ? ? IH1(? Uv'? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? cirsr oF R?aAx ssao rn.ar xiNos xn - 55122 ? 3 I?5 681-4675 Naw Construction Reauirements ? 3 rogistered site surveys ? 2 copies of Dlana (inGude beam S window sizes; pouretl fnd. Eesign; etc.) • t energy nlwlationa ? 3 copies of tree preservatiapi Man if bt plaked aRer 717/93 required: _ Yes f Np DATE: /;> ? l? DESCRIPTION OF WORK: STREET ADDRESS: 122 LOT: 3 BLOCK: ?-- SUBD./P.I.D. #: S V,- vl- Name: L t-- (:::- (?2 D%..U -t- Phone #: LeZ5 4/ 572 -,F 32 3 PROPERTY [.sst First OWNER Z12, ? StreetAddress: Z ?-Ut- ?l,r? City 5?tqo State: "v Zip: Company:I ov?10 ? Gv--- CONTRACTOR c?af eAA...?- 7_ CJ f'" ctry "/?Tjvs swco: Phone#: 1?12 '733 License# i ziP: ARCHITECT/ ?'' ENGINEER Company:_ ,_?,?{-4,e X4 Phone #: Street City RemodeVReoair Reauirements c-0"V-`-'9 I D" fq' ?d • 2 wpks of plan ? 2 site suneys (exterior additions & dedcs) ? 7 enargy calwlations for heated addkions CONSTRUCTION COST; lle?> 3 d p ? )Ct>`?O 4-?W' Regisaation #: State: 5ewer 8 water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this appiiqtion and state that the infirtnation is oorrect and 5tate of Minnesota Statutes and Ciry of Eagan Ordinances. SignatureofApplicantO ?. ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required to compty with all applipbl Zip: 9 1 998 -? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 i( SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. 03 ) SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 04 5F Porch ? 09 12-piex ? 14 Fireplace ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New 13 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNYS SAC City SAC Water Conn. Water Meter Acct. Deposit SiW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: V N Basement sq. ft (/ A-? Main level sq. ft. A 3 sq.ft. sq. fit. sq. ft. sq.ft. Footprint sq. ft. Building ?.o p lal.?l /,Bl7 3 i S . `9 (o , '? 7 . ? ? 16 Basement Finish ? 17 .Swim Pooi ? 20 Public Facil"ity ? 21 Miscellaneous MCNNS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Valuation: $ / ??,Z5o0 191?2?=,?g°X90! !A60 y3y oi b/ ? °k SAC SAC Units N 0 a ro m N W M M T N M ? m m m? ro? ro a m J N ? ? W z .. J W E D J d E ? -- OD N '.: 9 M OD m ? U W G 1-2 Posroifp Raikso6ml Baildag fixTvmE+w.aee U-V ou,urs WoxK=wff AWeo. w?: Qlom Iwe- Q':;?m c. r,?M:?i??9i3-5'l`13om?: /2-/0,9? • naswo.g i.: ?r z awa? [mas,?r awe fix b .sgro.?.a Mme.a,ne?.i ?euuna ?w w,m=„maudwe aocwc? a aewler rilYde he'YFR plrc nR+e. 7-?94" /)vLSo I ?'CLri15 tl v`N oaAprI eo?.cie?.uaa?rz R?v??.?.... SYAMJ : y?r?.+roaee?wan?. .a.uC ?..?a?. The popomd 6uldi?j ialea #f Iped b itt1 dle sqsOlll?b Adr.s: orrm ..n ee asg..,&.a.e:.r+oe- .,? .Y:em ma ao, u.+r..ae J?w.oe ? e?e?ses. aik Eapro& Aee?El - ' " Ma R LLVae . tYVY¢a Ma . Ce.: f adl'?m sdlmlaimMu i Ce.? ml ' ad iwlaiw Arm) Touls Q 2SSO ? ,rj . A U-V.??0s4t m z? ?:veu-v,?a??c«? m,aZ4 +O o.oz? M? -•- ' A? U-Vnr LLYms a Am ! N?: ISkA and 1? Wed M'x: YqppuWed Fy-^JAa1YYl Hr kiv wrmvs a.rs ?.,. ? ?. .?? L W Fnsd?oo? Windows r"?` 441 A uvr.0 i.3 + v 4`?l RmiwAU-VgueianPawpCaar: . ? O,t10 II? 6 poBerrr l&.n0 's Peam d?s e. ienioc thedap x nae}v7r o," nMoyeCrie+ia dse Fnap C-4. if We wul of m a? islae iw w O*w w4kpld0 + 0.1ei6e - mms Caae. Here's the U-vatues Worksheet. ? A u N C're1 rNh R A/KW !) -'A-"eM Lb L-(b (Pl? I y.,;r*daz A:e cs4 r? , 6 f x)/Z s kce+ eoc +? . ? b Z 3 38 L?.. tH rea ze,x Am Fstn . bl $. 12" t6? ?,87 ( , 3/c4 Dsb st4e? t xood Eue„ med fmne. muauY U-Veluet ae fonnd on i0c Wrt11?VaArs Ta41ee. CakvWim eqLuima are m pp.l 1-1 5 d abe oodc. -1'I• ?v ?j 2 L'-Vaqe (ot @yl* d wisdow arvs[ Ee deenuei„eA py He Nµionul Feaewation RariujCamcil Sundud 10091 or ASt1RAE 1993 Hwboat of FwdammWc. C7upori 27. Table S. u _ , ,. v . • • • ? 9" FOR:WESLEY CONSTRUCTION, INC. .--? W `•J LI.. W V ? O it ? NOTE: - p Denotes Wooden Stake prpposed Carage Flooz S1.= 90-0 (911.7) Denotes Proposed Finished Ground E1. _,,*- penotes Direction Of Surface Drainage Vertica2 Datum - N.G.V•D. 1919 n v ?y C1 N? Q Z Rood .. - C. R. WINDEN b ASSOCIATES, INC. 1AN0 SUQVEYONS Tol 643-3646 1181 EUSt15 SL, ST. YAUI, MINN. 55108 SCd1A: e Denotes ILOn Monument Bearinga Are Assumed proira? ? Ul;li}? ca5er„enf ` ? r?e?°z3'k3??E 9\16?1s? \ l ?9 p O qnvl}4000 ' Ln ? .?-- ? IL 10 a 2t. 5 N ? .? J /3.5 ? .? 1 N Proposed p l ' -t-- 30 ? / o, I Ho?se E I '? l2 m , ? s 4 r --?. T ' Z4 I / ??IOL _; r- A?. -?-_ o' 4; ?q/l•8) -'-+- vl ; ' ?1tO.15 ? N BB°21'A3" E siope 4:1 0 llti ? -m No N ? 41 Lot 3, Block 20 SUN CLIFF FIETH ADDITION, Dakota County, Minnesota. WE MERE&Y CERiIFY TMAT TMIS IS A iRUE AND CORRfCi RE/RESFNTAiION OF A SURVEr OF SNE WUNDARIES OF TME lANO ASOYE DESCRISED AND Of THE IOCATtON Of All 6UIlDINGS, If AN?; TMEREON, AND ALl VISItIE ENCROACHMENTS. If ANY, fROM OR OPr SAID LANO. Dolod fAis ?5+h der of ?0"'ober A.D. 199S C. R. WINDEN 6 ASSOCiATES, INC. `, tZJ4.0 A l26 Surv"pr, Mineewta Roqiilrotion Ne..'I ? IL ? CITY OF EAGAN 3830 Piiot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: PERMIT 4 <'8 ;.' FOX RlUrL RD LOTt ? £31_0 i:K: ? SI.JP,I CL:Ci=? FTN P.I.IJ. : 10-7 297 9 .._0 347-0 2 DESCRIPTION: ?? ir?ctt?ocs , ?iu;,'ldincF,°rarmir.. 1ypc? ytFi,LdinQ 4Jtsi,,k 'f"+;pe t3r?F,;t?, CncJc? ?. ; ; / t i ; fi PERMtT TYPE: b U _t L 0 1: N G Permit Number: 0 34 ; q 0 Date Issued: Ln 2/ 1 9/?? 9 f`zl3r_t'Lr;c;c 6 ASf:iP1EiV'iFCN7:S1-i NI.Y,r_'ftA7Ii)h 43 4 ALl". RESI(Ji:NI"-CF11 - „ ? i .. . ,. .. ,, . . .. - a. -_ r . g•. .:.; `:_ ` Y REMARKS: FLAN R E`J1EI4 ED 6.`r I,!AYIit fRJ:I_Lff?. g sP{'RiNf.i" 11434 29.2. CON7RAC10 h? IS WI.Uf4FiL71oc- FUR ftGOM pppj:710Ne SEFERRTE PFF,PlISIIdkl.lUSfiED fQR AP.t'!' F I_LIIq ,`J1 hJ6 bd0 fl FEE SUMMARY: ea.=.e F ?'c SurCharq= ? __._..___. ._.. _...._..•.a?... lot"n.L F;3? ?i:iGi.5C' COP3TRACTOR: . OWNER: - i_EE 4 2 8 ? Fa ( 6h.I. / 1C)c.-u3.r.C1 F? r) 4, r. i ?'. n r_ _. B fzzA iv x RtinGE ao rIV 5 57.V1 Iierebu acknsawledqp Lhat T hava i^--ad Gh1?3 apul,fcatiun ?',rid sT.ate 4haT: Yhw triharmation As ccri°sc.t 4ind ac{re*,.'CO enmp;Ly taa.th a.lL aPGlicahle atate KxF MEr. Stateitas anc) Ci tv of Eaqan nr-cJinances. L ? 1-p n APPIICANT/PERMITEE SIGNATkTRE ?ESIJED BY: SIGNATU ? y ? ? UILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB 7RD - 65 122 New Construc.tion Reauirements RemodeVReoair Reauirements ? 3 registereE sRe suneys ? 2 copies of plans (InGude beam & window sizes; poured fid. design; etc.) ? t energy wlcuWtions ? 3 copies of Vee preaervation plan if lot platted after 7/7J93 required: _ Yes No DATE: f 2-131 I 9i DESCRIFTION OF WORK: STREET ADDRESS: -l Z 12- Fox R 1 Lj eg LOT: BLOCK: ?- SUBD./P.I.D. A PROPERTY OWNER Name: A=.- e' 1J ? lQ n Phone !i: lo S/ `E S 2 ?.J? 2? LaSt First Street ?Z?SZ F-'D " CONTRACTOR ARCHITECT/ ENGINEER City ?C< q ri .n State: WI h Zip: Company: V ?1 t ?Phone #: Street Address: City State: Company: Phone #: Registration tl: Street City Sewer & water licensed piumber (new construction ony): and lot change is requested once pertnit is issued. Zip: Zip: 2 'Z Penafty applies when adtlress chang I hereby acknowledge that I have read this appliCation and state that the infortnation is correct and agree ta comply with ali applicabl State of Minnesota Statutes and Cily of Eagan Ordinances. 1 1--? , I Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes ei ?C- ? V?,d _ No _ No _ Not Required ? 2 oopies of plan ? 2 sfte surveys (eMerior additions & dedcs) ? 1 energy calala6ons for heated addkions CONSTRUCTION COST; State: License # --- -:-- ,, ^ A BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ?6 33 Afterations ? 32 Addition O 34 Repair GENERAL INFORMATION Const. (Actuaq (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNNS SAC City SAC Water Conn. Water Meter Acct. Deposit 5!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi RepaidRem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public F'acility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ MC/WS System Cfty Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance ? o/ o? ?- % SAC SAC Unfts f1 • ? 1985 BUILDING PERNIT APPLICATION - CITI[ OF EAGAN NOTE: ALL CONTRACTORS MUST BE LSCENSED WITH THE CITY OF EAGAN COM4ERCIAL SINGLE FANILY DYIELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS; 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For; Valuation: 1+1000 Date• ?`Jo 6 ' ~ Site Address 4!? 4t f OFFICE USE ONLY Lot Block 2 _a_ Parcel/Sub?t?e.v? S ? _+?.r ? Owner _v Q?,s Address % //f/ x-q4y?A,-e City/Zip Code ??+?y4??,?y? SJ y3d7 ? ty ?h Phone 7 Contractor ?!? Address City/Zip Code Erect x Occupancy Remodel ? Zoning Repair ? Type of Const Addition ' # of Stories Move ' Length Demolish '- Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council 2,b(o Road Unit Bldg Off 2-L-a? Treatment P1 APC Parks Variance Copies TOT6L Phone Arch./Engr. Address City/Zip Code Phone # ? 24 ? 2o 58 - 2?dv x?- 4` 12 3 2c? ' ?, 2D K 14 22 x 22 "484 x(2= S?08 2o n(cp =-??o K 4g-? 140 S, 6 22. ? 308 1? ?FCG ? ?--- '13(O0o _ y,---.,.-_-?- , ? FOR:WESLEY CONSTRUCTION, ZNC. :--? cl: ? W V ? W O )-I NOTE: - ` O Denotes Wooden Stake Proposed Garage Floor SI•= 919.0 (9/z.7 ) Denotes Proposed Finished Ground E1. -?- Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1919 G. R. WINpEN & ASSOGIATES, HVC. lANO SURVEYORS Ttl 645•3646 1381 fU5T15 SL, ST. PAUI, MiNN. 36100 Scale: 1"=30' e Denotes Iron Monument Bearings Are Assumed .? proirag¢ ? Uf? fi!y Ea52men+ ` p N87°23'43"E `914j18} V ?`I p ? 9iza) llto00 ' - ` t9 ?1 `P' N Proposed ?n ?` -'` ! / m ?Q _.30 N h+o?se ? ? e Z` I / ry0C, I Q 0. 15 y ?? N 88°21'4 3" E V, ? ? ? NI , M t0 N o N Vl Lot 30 Slock 2, SUN CLIFF FIFT9 ADDITION, Dakota County, Minrsesota. WE MERESY CERTIFr TMAT tMli IS A iRUE ANO CORRECT RE?RESENTATION OF A SURYEr Of THE WUNDAlIES Of THE IAND AlOVE DESCRIIEO ANO Of THE IOCATION OF A/l 6UILDlNGS, If ANY, 1MEREON, ANO All VISIBIf ENCROACMMENTS. Ii ANV, fROM OR ON SAID LAND. pole/ eAi. 15+h dar o{ Qe^}Obet A.O. tgQ3 G R. WINOEN i ASSOCIATES, INC. - Sur.?r. Minn?wre Ro;iurol{ew ti?. `{ ? Zb - \ M 4.;: pv, • 5 J ? 1 . ?` I `" ? ? ?xt ' SF,T E A OEiR£55 a ? ? , C0?1(`RIACT0t :' .rT DATE «7 ' . Nt?(3?tE '?''q4????Df'?•?-:. : ?: Det6emtne working;quare footage,:of each. Tatal expOSed ?kall ar.ea ...:. ?373. sq. ft. 'x ?L ?f ??; ? , - y r?adf/cellfng area ... /,r.? sq. fC: x . . - +Q?i - - ? , • r , ' . .To`tal ex po'sed wa111 area above floor = A. Totat,wa11 window area............ ... ............ b. Tota1 door area• ? ,. ? ? ?? ' s is c;` T?OtB?I sliding glass door area ' ' -? „ ? ._... d: 'Cbtd.l:fireplace wall area".... .p . ' e': Total. walt f,raming area (average 10%) : f.: Tt??a1 net wa11 area above floor . . .... ....... t gT40tBT rim joist arca ....._... . : ' . .. . .. ........ 7otal expused foundation area ? .Tota?i foundation window area........ .. : t `? r- s` T4?11; Ilot foyndation area above grade ...._.. ". ?Detenqiqe "U" value of each watlsegment.? ? ? . ,.. ? e.__ X IOU„ i? S: b'--- ------ X liU" , Cx flu., ` d'. X uun ' i e. 1c „T„ 09 : ; .m5'.. 41 . .. ' . . ' . - ... f. /? ?;=,G*3 x flull 3 g X louit lX J ; h 42 /11 . ? x "U" 13 . {?? 1 3 " ' . .., . . .. Total . . .. ..... t = . i ? . . : /,Ts ? i' it ? . . . ess or less tfian ixqm 01 ? yQU tr?tu? ?t?tk'4,?i ? . , ? St ? !' S ?P I k p t i t , ?? ? ir ? ? "?,.. `a' "• t r ' ?x? F ; ? ? s Wte; 3'4 4?kA ?xlYl?`.:? , ., r ? ?'?3 .; 9ASiC WALL sia. e: FIG. 92 Se:al { ,t ±11 • y o?.li.. , • ? •? .- .oT-..:.. . ?t a •. d ? ?0• , tnu? .? • ' F ' ?, _ .. `??ti, -A.--A ? '• ? ? . ) ?• ? . • . '1. 3. i. 4. S. 6. 1. ? 2• .Ld S. ? 6. Exi 4 I • 2• 3. 4. S. 6. ? r f t rt? 1. Interior air film 0.68 2. 3. d. J1 5-16 6. Exke=ior air Pilm 0.17 Tot al 7, ?<J 4-1:? „3 c . ?- /1!f .... . n. r . . ? ry' : ?0. M3 ' A,_ . ? . , ? . . ? ? . ? , ? ? . . . ? ., ', • ? ? SLAB ON GRADE : '????1(I rr • ? ?? ' /` !? ' Y' ` ? . ' e , • II! '? . . !ll' . ' • . ` / 1 ? $zd....#4.. . S'? . , ... _._i ?// . -- ? f ? 1xY" : T`ndicata tg", 'PR" . palue, depth and p3scenent.o?' ?§ulation. s . 3? i m_ .. ? a d.'?v,.?"?'ip`.3W'??"c?QM7?°N6R!:'?i?w,i?: _ " -f? •qs'!'.''-.xc ?' ; B`7 ee; r h?J^' 'iF' v' s'??' T*e ..FIG. 06 . vented 1. Interiox a film 0.61 2. . -r---.• 3. 4. Extcriur a r s Y?y ' . . ' . v91 :.. M .1 ` 1. 3. 5. I Reat flow up i WA ^? ? ? ?N A r`W ?' ?rT ?t ?T„f)1i¢ Ri N h ' t ? ?• _ - . ,. , k?{rKd??@ M > ? . ,.,. . n- ? . . . f. ... ' ' ? A..? ? . . .. . . . .. . ? . ..? . . . . ?.. Total exposed roof/ceili.ng area J. 7ata1 skylight area............................. k. Tatal roof/ceiling framing area (average 10%)... /: 1. Tatal net insulated raof/ceiling area.............a9u Deterlhine °U" value for each roof/cei}ing segment`. ,. J'--- ? X HUIS r ? k-- x-u° 0.;2 G - .?. Qv X "U" 4 ............. ... ............... JetBT tf ta.tal of p4 is the same as. or tess than #2. you have aiet the #ntant of SBC 6006(c)1. Alternate Building Envelope Oesign To utilize the total envelope system method, Lhe values established by the sum of items N3 and N4 shall not 6e greater than the sum of items #1 a-id V. + 1. + 2. 3. + 4. ? : .:,y'J?`?ii?t ?n?J, ff?.fT.x ?lc'?,'JlFf.CJf•? ?U ?.. "?,?d? . / 1?91 if ;' .n5. DS m-..2,VO 1 9z r, y i •.• ? • i ?• o i • ? n ?• ?• ??• i ADMZNSSIRATIVE,,COSTSc CITY OF EAGAN APPLICATION EOR PERMIT SEWEE2 ADID/OR WATER CONNECTION 1) PROPII2TY ADDRESS: T,FY:AT, DESQ2IPTION: C ? 1 / u y /T/G Lot Block Subdivision or IF EXISTING STRCCTY.'RE, DATE OF ORIGINAL BLILDING PERMIT ISSC'ANCE: (Month Year) PRESENP ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX (Tt.ro Onits) R-3 TCXaNE30L'SE (Three + Onits ) ( Lnits ) R-4 APARTMENT/CODIDOMINIL'M ( Dnits) COD'A'ERCIAL/RETAIL/OFFICE IAIDC'STRIAL INSTITC'TIONAL/GOVII2NAIENT 2) [VAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) N?: For City L'se Pl b i AonREss: wn ers L cens: i CITY, STATE, ZIP: red PHONE: MASTII2 LICENSE # t R or( :;j aff I itial 4) ?a r ia• NAP7E: • ADDRESS: CITY, STATE, ZIP: PHONE: 5) i? a • ?• • • ?? Pf CONNBCTION TO CITY SEWII2 ? CONNECTION TO CITY 4ATII2 Q OTfiII2 (Please Describe) 6) ? u • • i ? PLEASE HOLD APPROVID PERI•ffT FOR PZCK-L'P BY ONE OF ABpVE PLF.ASE MAIL APPROVID PERMIT TO 1, 203 4, ABOVE (Circle one) ,----- F O R C Z T Y U S E O N '" Y PEDHIT °- ISSUED F°L'S: $ /O. .?u $ A) - .fD $ ?j•.iC ' S S $ $ o $ ?7 C Z 0--r? $ J 7S $ , $ $ $ $ $ SE:•:E.°, n?RMrT (I_`ICI.liD: SURCH?.RGc.) WATER PE?tIT (INCLVDL SlinC:?1RGE) WATER METER/COPPERHORN/OL'TSZDV REACER WATER TAP (INCLUDE COR?ORATION STOP) S:'.•i[.3 TA? ACCOli\T DFPOSIT - FIATER WAC SAC TRGNK WATER ASSE55:!E?:T T4u:1K SE:•iER ASSESS:iEYlT LATE?.AL BEivEFIT/TRUVi{ S?:•i?:c LATE4AL BEVEFIT/TRUNK S1AT°-R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AIflOCI::T PAIDj$EC°I2T iar j ,5 l6 S`.3 DOES UTILITY CONNECTIOV REQUIP.E EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES. THEN ;y "PERMIT FOR WOR:: WITHZN PUBLIC RbADWAY" MUST BE ISSUEO BY THE Q NO ENGINEERING DIVZSION. LIST AS A CONDI- TION_ SUBJECT TO THE FOILOS9I:7G CONDITIONS: APPROVED BY: TZ:LE: DATE : ?? ? ?, PERMIT City of Eagan Permit Type:Building Permit Number:EA117623 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 4282 Fox Ridge Rd Lot:3 Block: 2 Addition: Sun Cliff 5th PID:10-72979-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Dan Lahr 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 A Lee 4282 Fox Ridge Rd Eagan MN 55122 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140664 Date Issued:01/11/2017 Permit Category:ePermit Site Address: 4282 Fox Ridge Rd Lot:3 Block: 2 Addition: Sun Cliff 5th PID:10-72979-02-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian A Lee 4282 Fox Ridge Rd Eagan MN 55122 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173584 Date Issued:11/18/2021 Permit Category:ePermit Site Address: 4282 Fox Ridge Rd Lot:3 Block: 2 Addition: Sun Cliff 5th PID:10-72979-02-030 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 - Yee Ray Chang 4282 Fox Ridge Rd Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179158 Date Issued:09/20/2022 Permit Category:ePermit Site Address: 4282 Fox Ridge Rd Lot:3 Block: 2 Addition: Sun Cliff 5th PID:10-72979-02-030 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: 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, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Yee Ray Chang 4282 Fox Ridge Rd Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature