4290 Fox Ridge RdCITY OF EAGAN Remarks
Addition SUN CLIFF FIFTH ?? ox5 e oa?` 2 P?1 io ?7z9'79 050 oz
Owner Street State- gan' x
Improvement Date Amount Annual Years Payment Receipt Date
STFiEET SURF. 23-83 - 17-
STREET RESTOR. t986 1b 2. 2?+. 44 ?? 11,3413 I1 r i d"
GRADING
San w Lat OSS 1986 50,2 S 100.52 58 Co 113.?3
SAN SEW TRUNK .?
SEWER LATERAL ,
Wat-pr 03 9 .4 116.49 C'o/
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT .
Storm Sew Lat 1986 739.55 147.91 5 3..S 40 !!r
CURB & GUTTER
SIDEWALK
STREET LIGHT
rvices /0:3 1986 529.15 105.83 5 Sd .? IJ ff
WATER CONN.
SUILDING PER.
SAC
PARK
BUILDING PERMIT
SF DWG/GA2Z
value $66,000
Receipt
13.60ja
19 86
Site Address 4290 FOX K I DC; E Rl7 Erect u' Occupancy k 3
SUN CLII'F
Lot 5 elock 2 Sec/Sub 52'H Remodel 0 Zoning Rl
.
Parcel No Repair ? Type oi Const. V
. Addition ? No. Stories
¢ ?'Kr?Na UAKS DEVEI, CO
N Move ? Length 5n
= ame
1bb 1 SUNP. I S E t;T
Demolish
?
Oepth d u
o Address
Ciry ?.AC;AN pho,e 452-t3334 Int. Impr.
Install ?
? Sq. Ft
Z o Name SRME
? a Address
~ City Phone
CITY OF EAGAN
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
I hereby acknowledge that I have read this application and state thatthe Bld9
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances. APC.
Signature of
A Building Permit is issued to: , GRAiVD OAK;
all work shall be done in accordance with all applicable
Building Official
CO
Var.
Permit +' JJ+ • vv
Surcharge 33. QO
Plan Review 165 . 50
SAC 575.00
Water Conn. 5 0 0. U 0
Water M eter 63, 5 0,
Road Unit 2 9 0. 0 U
Tr. PI. 156.00
Parks
Copies
Total $2,114.00
on the express condition that
City of Eagan Ordinances.
I I PermR No. I PsrmN Moldsr I Daio I TNephone N I
qb9•
FinN
Oce.
Dlap.
PERMIT #
_ IWECHANI CAL PERMIT RECEIPT #
GTY OF EAGAN
L'
/ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address
Lot Bloc
k Sec/Sub BLDG. TYPE WORK DESCRIPTION
R
? N
?
m Name ew
es.
, Mult Add-on
as Address R
i
C
r
omm. ?
epa
c City - Phone
Other
Name FEES
?
3 Address RES. HVAC 0-100M BTU - $24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
? TYPE OF WORK ! ADDITIONAL 6 M BTU - 6.00
• Forced Air
? M BTU GAS OUTLETS -
COMM/IND FEE - 1% OF CONTRACT FEE 1.50 EA.
?- Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. '? M BTU _ STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Oudets #
Other
FEE ' .
? S/C: SIGNATURE OF PERMITTEE
,
TOTAL•
FOR: CITY OF EAGAN
.
PERMIT CITY OF EAGAN FEE
/ PLUMBING PERMIT
RECEIPT# ?? ? 454-8100 S?C S?
/j_ a MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL 1,l 3. S`v
DATE ?y' MINIMUM COMMERCIAL FEE - $20.00 + $•50
1. Bldg. Type: Res 25%-_ Comm Inst 2. New X Add Alter Repair
C?
3. Total Bid Price 4. Job Address y? ?? FOX /Z/?`?C '?C?
Lot -s- Block_2 Sec -S-°11 d 41Fd.` 25.4h 5. Owner G+-N?1cl CN/? L4011-
6. Contractor Y? Lgs/ 1LL+QG-
(Name) ? (Streeq (Clry) (Zip)
7. Contractor Phone #
N0. FIXTURES
.1-Water Closet - $3.00
LBath Tubs - $3.00
Lavatory - $3.00
5hower - $3.00
/-Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXTURES
-Z--Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
-Whirlpool - $3.00
Z Gas Piping Outlets - $1.50
-/-Softener - $5.00
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
..:5-Rough Openings w/o
Fixtures - $1.50
COMM./IN ATE - 1 TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
,
Signed: ?? for
Approved Inspections: Date Rough Insp. Date Final Insp.
OF EAGAN
Pilot Knob Road
WATER SERVICE PERMR
Dx 21 IQ,B ` PERMIT NO.:
MN 55121 OATE:
No. of Untts:
No..
to aawoyr vrMb Iw Citi d Eqp¦
? CITY OF EAGAN
17._P? F0cs41
!
I elr+? !o eowPly wMh !V Ci1?r of iqw•
OrriMnaN.
3830 Pilot Knob Road
` P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE;
?+i?+0: No. of Units:
Ownwr at? ?.: l?;• '.
Addrcss: -
j SiM Address.•290 rox ???.dge '?nts ? 3:? Su,e i:iit?
? Plumber. ?'c:lley Pi.umbi?g
rtnr: -. ..+
? By
Date oF Inap.:
E
C"w+action Charye:
Aowunt Deposit:
Permit Fee:
Surcharpe:
NAisc. CFwroes:
Totol:
Doh Pald:
ConnKtion Chorge:
lltoourit Daposit:
PamiM FN:
Surciwrq:
Misc. Chorpes:
Total:
? CIT" F EA GAN WATER SERVICE PERMIT
38.' .lot l!. nob Road ,
? P. O. Box 21 198 PERMIT NO.:
' Eagan, MN 557121 D/?TE:
Zonlnp:
? ' No. of Untts:
Owner. -
? /lddrosr.
.?h ?1?
.C
._ " . ..
- . ? `
r'
? Plumber. W
Moftr No.: 3 G ? 5 5l S o ' SP(l
? size: .618« R ooH re d i -.;t_ Fa
No.: ? PH ??oi?u
MO WY-IAX :? Qv
j ? s ` Ir?
0?1 ?
? isc. Chorp
6 .aTotal:
By
? Dare Poid:
Dote I . I rop.:
f s -?y-8'6
I / O
This reques'???itl ?r • ? b ?
18 rtpnths ?
C` 1'?954 LS', 8 a , C?-;a Syll-I $y8 -
/ Requved? []Ready Nuw. tlY?ll Notity Inspec-
?"'? U31Yes ?NO Ior When NeadY
YI Licensed Elecvical ConVacmr i herebv raquest insoection of above
? Owner alectricel work inslelled et
Street ddr Boz or No e No.
?"' ?
?:
a
ecboii o. Township Name or No. Ranye.NO. County
O uDanl (PRINT)
danCl ak? Phon¢ No.
$upDlier Address
E c rical ConVatlor any Name)
?J?
f Convar,tor's License No.
0
1
c i
7
Mailin/B AAJrass (Convactor or Owner MekinO In5tailatio
?1G7-!?- Y-la)?Z IS J ?37S
AuMor' i ature (COntracto Owner Makinp Installat on)
? Phone. Number
E9& -?36
MINNESOTA STqTE BOARD OF ELECTflICITY ? THIS INSPECTION pEQl1E5T WILL NOT
Griggs-Midway Rlde. - Room N•191 BE ACCEPTED 9Y THE STATE BOANU
1821 Universitv Ave., St. Paul, MN 55100 UNLE55 PPOPEN INSPECTION FEE IS
Vhone 16121 297-2111 ENCLOSED.
CITY OF EAGAN
3830 Pilof Knob Road, P.O. Boz 21-799, Eagan, MN 55121 N-° 11688
'PHONE: 454-5100
BUfLDING PERMIT Receipt p ? 0242-
Date RCH 27 9 86
To be used ror SF DWG/GAR Est. Value $ 6 6,0 00 ?
SiteAddress 4290 FOX RIDGE RD Erect 6 Occupancy R3
Lot 5 Block 2 Sec/Sub. SUN CLIFF STH Remodel O Zoning
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories O
W Name GRAND OAKS DEVEL CO mtove ? Length
3 Address SUNR SE Demolish ? Depth 48 Int mp
'0 Ciry EAGAN phone 452-8934 Instac ?? Sq.Ft.
i o Name SAME Approvab Feea
? a Address
? City phone
x
F w Name
-z
Address
z
a W
Ciry phone
I hereby acknowledgethat I have read this application and statethatthe
information is correct antl agree to comply with all applicable State of
Minnesofa Statutes and,.Qiry of Ea9anprdinances.
Signature of
Assessment_
Water & Sew.
Police
Fire
Eng.
Planner_
Council _
Bidg. Off. 3?
APC
Var. Date-
' o
Permit
? ? 0
Surcharg
Plan Review 165.50
SAC 575.00
Water Conn. 500.00
Water Meter 63. 50
Road Unit 290.00
Tr. Pi. 156.00
Parks
Copies
-
-
-
TZ
,
r....,i . 0 0
TE4
A euildin Permit is issued to?/ GRAND O1?KS D?V?L CO 9 on the express condition Ihat
all work shall be done in accordance with all applicable S/tg(}?? of Minnesota a es and City ot Eagan Ordinances.
BuildingOfficial AV4 O =
y
REQUEST FOR ELECTRICAL INSPECTION ,. EB-OOU01-
? ? 1 Sae instructions br completing lhis form on beck of yellow copy.
-d.C ? y fol?b,
r H54 'X" Be/ow Work Covered by This Request ?
M.wL{.dei neo.l TVGe of Building I Applinncef WireA ? Equiument WireA ?
ice
umace
q Fee ServjceEntranteSiie H Fee Feeders/5ubfeeders N Foe Grcuits
?`? 0 to 200 qm s 0 to 30 qm s = 0 tn 30 Am s
A66ve 200 qm?s 31 to 100 Arnps 31 to 100 qm s
Swimming Pool Above 100-Am s Above 100_AmPs
Transiormers Irrigation Booms ??6 Partial.bther Fee
Signs Special Inspection? U? t??I
TOTA
Aemerks ' L
/ o J ? I
Hough-in - ?
he
E cal
IetoM1eby
nrD
c
O certifv
that the nbove
Final Dl,. ifISpBCtiOn h8s EeBn
mede.
Tltle reauesl voiC 18 monthe Iro.
It 6 1 OP
1986 HQILDIAG PBRMIT APPLICATION - CITY OF EAGAN
NOTE: ALL COATRACTORS MQST BS LICENSED WITH THE CITY OF EAGAA
??CIAL
SINGLE F9MILY DWELLINGS
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 CALCULATIONSJ -
$2,000 LANDSCAPE BOND
To Be Used For: ?sS ' ^ Valuation: Date:
Site Address 729d .alfn OFFICE DSE ONLY
LOt -,?v Block ?
Parcel/Sub
Owner
Address
City/Zip Code
Phone .
Contractor
Address
City/Zip Code -
v p?
Phone ?e / 3 ?
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect X Occupancy - L.3
Remodel _ 2oning 9.1
Repair _ Type of Const 'SL
Addition # of Stories
Move _ Length 1?10
Demolish _ Depth . 4 g
Int.Impr. Sq Ft
Install
APPROV9LS FEES
Assessments Permit 33 I.
Water/Sewer Surcharge 33.
Police Plan Review I Co5 s°
Fire SAC 5? S,
Engr Water Conn Soo.
Planner Water Meter
Council ? Road Unit RO.
Bldg Of? Treatment Pl 1 S!o'
APC Parks
Variance Copies
TOT9L ? .
NOTE: ADDRESSSS FOR CORAER IATS - CO&TRACTOR/HOMEOiiNSR MOST DFSIGNATE IiHICH
ADDRESS IS DFSISID. NO CBANGFS NILL BB ALLOWED ONCE BDILDING PSRNIT
IS ISSDED.
..
' . .. r . .
, • ,
. :}+ ...?1. • . . •
? EXTERIOR ENVELDPEAVERflGE .'U'-COMPUTATION
GRAND OAKS DEVELOPMENT COMPANY
MODEL Q AREA , U tJ X AREA
?
kE[lU I RED
1. TOTAL WALL AREA 1800 X .11 198
2. TOTAL ROOF AREA 1196 X. 026 31.096
ACHIE VED
AREA U U X AREA
A. WINDUW AREA 186.66 .5 93.33
D. DOOR AREA 39.8 .077 . 3.0646
C. SLIDE OLA55 AREA 13.44 .48 6.4512
D. FIREPLACE AREA 0 O 0
E. WALL FRAME AREA 1B0 .041 7.38 _
F. NET WALI AREA , 1164.1 .049 57.0409
0. RIM JOIST AREA 119.52 .0435 5.213072
H. FOUND WINDOW AREA, 0 O 0
1. FOUND A&OVE ORADE ° 96.48 .135 13.0248
3. TOTALsWALL AREA 1840';' ; 185.5026
. ,,
Y . ,
J. SKYIITE O
, . O':
K. ROOF FRAME' 119.6 .032 3.8272.
L. NET ROOF AREA 1076.4 , :025 26.91 '
4.
TOTAL ROOF AREA '
1196 ? i
30.7572.::..
SUM 1.+2. ;. . 229.096 .
SUM 3.+4. 216.2398
,
w?v .
?p . .
FOR d'
GRAND OAKS DEVELOPMENT
NOTE:
O Denotes Wooden Stake
Proposed Garage Floor E1.= 913.0
01t7 ) Denotes Proposed
Fintshed Ground SI. ?
....4- Denotes Dtrectton
Of Surface Drainage
Vertice2 Datam - N.C.V.D. 1979
Q Drair,ocJe?' Uf?Iity
rr
C. R. WINDEN 6 ASSOCIATES, INC.
lANO SUAVEYONS ial i45-3646
1781 EUSTIS Si., Si, ?AUI, MINN. 6610•
Scale: 1•=30' ?
o Denotes Iron
!lonument
Bearings Are Aasumed
FO52lh 21l f
?
O
(V `I 5 a7°a9•1???E
LC. (9//.L 143.91
W ro
?o
o
ror -
?
Q N
no N
? Q 30_
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Lot 5, Block 2, SUN CLIFF FIFTH ADDITION,
Dakota County, Minneeota.
WE MEREIt CERTIfY TMAT THIS IS A TRUE AND CORRECT IIEIRESENTATION Of A-SUtVEY Of TME
bUNDARIlf Of TME tAND ASOvE DESCRIIEO ArID Of TME IOCAiION Of Alt 6UIlDINGS, If ANY,
TMERfON, ANO Atl VIS1Sl! ENCROACNMENTi. If ANY, 1ROM OR ON SAID tANp.
Doed iAis 14 t/*1 O{_1?JorA.O. 1966 C. t. WINOEN 4 ASSOCIATES, INC.
S?rvMr. Mioeswh 1pistnlioe /Jg 772ln
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*lr********t*********t********##***#*
NCYI'F': PASwNC OF £F.E AT TIlm pg :
* ??=oN mES Nor coNmTum ?
APPROVAL OF PERI-IIT. ?
* INSPECTION OF SEVM A@ID/OR WATER =
* INSTALLATIONS WILL NCYP BE SCHID- * ULED ONI'SL PII2MIT AAS BEEP1 ?
* APPFt(3VID. :
----------------------------------------
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: •-
IF EXISTING SZRCCIL'RE, DATE OF ORIGINAL H[.'ILDING PERb1IT ISSL'ANCE:
i
PRFSENP ZONING/PROPOSID OSE: (Nbn Year)
Q COA'1M432CIAL/RETAIL/0FFICE
Q IDffK,'STRIAL
n INSTI2L'TIONAL/GpVII2AA1EN'r
2) ?
NAME:
awnREss:
CITY, STATE. 2IP:
PHONE:
- ?7 ys?-?,3y
10?
3) • u.?- For City Use
NAME0- 0??+ - Plimibers License:
_ ADDRESS:_(p (1? Cr a<Q ? ?.GY! -f° '- Active
?p
Expired
i CITY. STATE. ZIP: ? b r c+ 6 V\ Mn ? 5'? Not recorded
PxorE:. 9? _,? la l MASTER LICENSE#
s'taff Intial
4) ??• • •
tu?:
. AwnREss:
CITY, STATE, ZIP:
PHONE:
51 ? ?• ? r: ?• : o • a. - a?
gp CONNECPION Dp CITY SEWII2 ? CpNMDC`ION 1U CITY WATII2 ? pMER
6) PLF.AaE HG'LD APPROVFD PEEtMiT FC)R PICK-C?P BY ONE OF ABOVE ---- -
M7 PLEASE MAI APPROVID PEI2MIT TO 1. 2. . ¢. pBM
? p ? • A (Circle one) J
7) r r. t:
? R-1 SINGLE FAMILY
? R-2 DLPLEX (Two Units)
? R-3 20WNHOC'SE (Three + Units ) ( Units )
R-4 APARTMEDPp/CObIDOMINIUM ( ^Units)
-^ - -
TOR CITY USE ONLY ' PERMIT # ISSCED
?j '? ?H
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /D 52 WATER PERMIT (INCLUDE SC'RCAARGE) ..
$ [p.? Sv $ WATER METER/COPPERAORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ f5^'?? $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOCNT DEPOSIT - WATER
$ o?OCJ /J a $ WAC
$ d $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TR[!NK SEWER
$ $ LATERAL BEN°FIT/TRONK WATER
$_ /.Gi? !? Il $ WATER TREATMENT PLANT SURCHARGE
?
$ $ OTHER:
$ TOTAL
651y17
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCA VATION IN PLBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK SVITHIN PUBLIC
ROADWAY" MUST BE ISSOED BY THE E[VGINEERING
Q
NO
DIVISION. LIST
AS A CONDITION.
SU BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
1999 BUILDING PERMIT APPLICATION (RESIDENTIAO? ?-?) ---I e?
CITY OF EAGAN
o 3830 PILOT KNOB RD • 55122
New ConstnucNon ReaulremeMs 651•681-4675 RemodellReooA Reau6ements
? S registered aNe tarveys showMg sq. H. W bf, fq. R. W Irouse
and gfl rooled areas (2046 mmclmum lof eoveraae allowed)
D 2 coples of plans (show beam R window sixes; poured tnd. design; eic.)
? t saf o} energy caiculattons
? 3 coples W kee preaervaNOn plan M lot plaHed aller 7/1/93
DATE: l C7
DESCRIPTION OF WORK: )Oc?-/?? ?
SiREET ADDRESS; 6.a 70
LOT: 6- BlOCK: a SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
EMGINEER
2 coples of plon
1 sef of ensrgy edculaHons tor heated addMioaa
1sIFe survey for exAedor addMlona i decW
COS7: ? _;;6 °O ~
8'E-) _
Wame: . ?/?--A- Phone #: \?SI) `fos- - 891,f
Lail Firn
Sheet Addresr. Y? 17 0 f°X 10,? xb,-?
City State: /`tX'' Zip: S ??aa
Company: ';?-a'SS' Phone #: 6/ °2 f/7y - 41:r-6.P
(area code)
Sfreet Addreu:__.z 8 n C9'e?Yf S2' • license # 350 3 - Exp. j/' C70
City
Telzphane #: area
Shedt
CNy
State: Alf'? Zip: 3-5-33
Name:
a
Regishation #: _
? State: Iip:
?
Sewey? 3 water liCensed plumber [reauired for new conshuction onlvl:
Penaify appiles when address change ond lot change Is requesfed onee permH is issued.
I hereby ctknowledge that I have read this appllcaNon, state fhaf the informaHon is correct, and agree fo eomply wifh all appikabl
Stafe of Minnesota SMlvtes and Cify of Eagan Ordinances.
Signature of Applicard:
OFFICE USE ONLY
Certificates of Survey Receivetl
_ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
RECEIVED
AUG 2 7 1999
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stave ? 45 Fire Repair
? 34 Repair ? 38 Demolish (interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MClES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES 5AC ;.
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
? . sn
Copies
-rotal: 1l'3
?
Valuation: $?
?
i
i'
SAC Units
% SAC
HEAT LOSS'CALCULAT
N?nr
pryr
Orlw ?iiqu tmc.7-
Suwt
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NM up. wdl
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Gilirg
Floor 192 Y•
Toul Btu. Tobl 8tu. I
FI.I_ Fv-)\ ReamILMqM ZO WWth'Z-O INidht I FI.I fAl Room IL WWM FNi?tB
WHdows rd Ouors-Gackeand Atr Wmdom and Ooorr09duw wd Arm I
? ??III? INMM? 1M. M tl?r1 K •?
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"?? 2006 RESIDENTIAL MECHANICAL rERnzrT arrLicnTiorr
?,
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please compleie for. single family dwellings & rownhomes/condos when permi[s are required for each unit
Date CZo
Site Address \rz-A- Uni[#
Property Owner Telephone # ( 6251) Gv ? ? 7-77-f?
Contracror
Street Address 2CQ (O? 1 ?j `?J+-\ City
State Zip 1550(oc-, Telephone ti (C05( ] Z ^(a9 ZE
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional _ Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ G •S
12- 5 C)
I hereby apply for a Residential 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 Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permir, that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
_N l L t_o___ Pl? .A-e. t1 (' ?, ("r-`-
Applicant's Printed Name Applicant's Signature
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax:(651)675-5694
-- - - - - - - - - - - -
? Permit#:
? Permit Fee: ql/ ?
1 I
? Date Received:
j Staff: e ? I
I ------------------ I
2008 RESIDENTIAL BUILDING PERMIT APP
Date: Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: )? Phone:
Address / City / Zip: u
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: l.a?h 0.t?,.+ PW \t O0 Y-"
Construction Cost: 1&0 Multi-Family Building: (Yes No ?
CONT q 1-7 O
T'-
N i^ L
Zd T
RACTOR _
Name:
i
License #:
Address:
City: m"? W? State: Zip:
Phone: AOJ I ZZ Z b T-l 3 Contad Person: tl??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Su6mitted
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 documenfs that you submit are considered io be pub6c iriformation:; Portions of
i the information may be classified "as non public, if you proyide specific reasons that would permif the City to
--? conclude that th'e° are trade''secrets
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 no[ a permit, but only an application for a permit, and work is not to StaA without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ans
x J-.?Ck..,ij 136 ?n 50 k X
ApplicanYs Printed Name ApplicanYs Signature -
e-}-of 3
?-----------------
?
? Permit#:
I Permit Fee:
j i? I
? Date Received: 7 ?
I Staff: I
I
2008 RESIDENTIAL BUILDING P
Date: '74346V Site Address: 1 ZqV Fo/" ?l i
Tenant:
T APPLICATION
Suite #:
RESIDENT / OWNER Name:
Address / City / Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description ofwork: t In?
Construction Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name:'y LCT License #: ZoZqi!9(0
Address: 7 Li l a
City: State: ?Wt-Eip: S7) l
Phone:(Q Z`( (99 t3 Contact Person: buU ltl Th ?01 $O P-f
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 Su6mitted Submitted '
(q submission type) • Energy Envelope Calculations Su6mitted
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 Contractor: Phone:
Sewer & Water Contractor: Phone:
= MOTE:`Plans and supporting documents that you su6mrt'aie considered to be publrc iniormafianj?,'Rorhons oP
the information may be cJassrfied as non pubiic;tf you pro.vrde spgcific reasons fhat would permif?e Ct?-to ;
7
? 4caclude tiiatthe are trade?secrets._ -; ?I;
- °
acknowledge that this info ati mpl te and accurate; that the work will be in conformance with the ordinances and codes of the City of
at I understand this i ot p t, t ly an appliration for a permit, and work is not to staR without a pertnit; that the work will be in
i ith the a v an rk which requires a review and approval of plans.
? ) ? ? ? ?0-?
nt's Printed Name ApplicanYs Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127938
Date Issued:10/20/2014
Permit Category:ePermit
Site Address: 4290 Fox Ridge Rd
Lot:5 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Carolyn J Yeager
4290 Fox Ridge Rd
Eagan MN 55122
Priority Claims Service
206 Broadway Ave N
Rochester MN 55906
(507) 289-3275
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142181
Date Issued:04/18/2017
Permit Category:ePermit
Site Address: 4290 Fox Ridge Rd
Lot:5 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Kraig T Cocker
4290 Fox Ridge Rd
Eagan MN 55122
(507) 250-0557
Home Depot At Home Services
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168958
Date Issued:05/10/2021
Permit Category:ePermit
Site Address: 4290 Fox Ridge Rd
Lot:5 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-050
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kraig T Cocker
4290 Fox Ridge Rd
Eagan MN 55122
(507) 250-0557
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature