4312 Fox Ridge RdF0. TY OFEAGAN
dition SUN CLIFF FIF`PH
ner
Remarks
Lot Blk
street "312 FOx Ri rigP Rnar3 5tate_F3g3L1. MN 55122 2C
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1985 357-37 ,
STREET RESTOR. ? 4 5
GRADING
Q S
SAN SEW TRUNK
SEWER LATERAL , .
d ?
WATERMAIN
1985 04-55
WATER LATERAL '
WATER AREA
S 7.13
STORM SEW TRK
STORM SEW LAT
/f? :zf?
CURB & GUTTER
SIDEWALK
STREET LIGHT
J037 1986 999-15 105-83 5
WATER ONN, 500.00 91 "
BUILDING PER. 11434
sAC 575.00
PARK
. ? . . ,
CITY OF EAGAN ?. *,?
' i 3630 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I
"f t ?
' PHONE: 454-8100
BUILDING y VRMIT Receipt #
To be used for BASElZNT li1HTSN Est. value ;1 .S00
Site Address 4312 F0X ilIDGE RD
lot 12 Block 2_ Sec/Sub. SilN C1.IF! STH
Parcel No.
y Name SRL1N 6 1CAtEN Slli iEQ
t Address 4312 !O]I RIDaz RD
° City L'I?('?l?1i Phone 456-9647
Name sAIME
Address
Phone
Name _
Address
Clty _
I hereby acknowlege that I have read this appli tion and state that the
information is correct and agree to comply wit?l applicable State of
Minnesota Statutes and City o( Eagan OrdinaAce,
Signature of Permitee .-t-?d.; , . C -? -
A B
uilding Permit is issued to: BR;? ?R KAM SUTTZA
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
?-
S
OFFICE USE ONLY
Occupancy - FEES
Zoning - '
(Actual) Const - ?t M
Bldg. Permit ?s0?
(Albwable) - SurCharge 1.00
+Y ol Stories _
Length _ Plan Review
Dep1h - SAC, City
S.F. Totat - gp,C, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Sile Well - Water Meter
MWCC 5ystem -
_
City Water Acci. Deposit
PRV Required _ S/W Permit
Booster Pump - SNV Surcharge
Treatment PI
APPROYALS Road Unit
Planner -
Council park Ded.
-
BIdg.Off. _ -
Copies
Variance - TOTAL 36.00
Permit No. Permit Holder Date Tekphone #
WATER
SEWER ,.
PLUMBING
H.VJIC. o
?p 2
0? DO
EIECTRIC
Nnpection Date lnsp. Commeots
Footings I
Foundation
Framing ,3;
Rooting
Rough Plbg. ?
Rcwgh Htg. 9 s
Isul. _ g
Fireplace
Final Htg.
Orshat Test
Final Plbp. Plbg. Inspeda - Notify Piumber
Const. Meter
Engr.JPlan
Bldp. Final
Deck Ftg. 2
Dedc Fnal
Well
Pr. Disp.
CITY OF EAGAN '
• LL' "-?' 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, PHON E: 454-8100 $T0,000
is ks6
SiteAddress 4312 FOX RTDGE RD Erect Of Occupancy R3
SUN CLIFF 5TI
Lot 12 Block z Sec/Sub i Remodel ? Zoning Z21
.
Parcel No. Repair
ti ?
? Type of Const. V
N
St
i
Addi
on o.
es
or
:ti.c:YLA:dU I?OMES
N Move ? Length 44
W
ame
s 4 71 t?J ]
7?RD
; .
Demolish
?
Depth d Q
.
Address
? Ciry '70hDAN Phone 435-3323 Int. Impr.
Instau ?
? Sq. Ft
Name JA!''1E
~ City Phone Water & Sew.
? Police
? Name HALLQU I ST Fire
a Address Eng.
W ??? BLMTI4 Phone 831-1875 Planner
i hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordjnanc s.
Signature of Permittee / L j^?
A Building Permit is issued to: KEYLAtJD ;i0r:E5
all work shall be done in accordance with all applicable State of Minneso
Council
Bldg. Off. 1/9/86
Var.
Permit $ 343.00
Surcharge 35.00
Plan Review 171 . 50
SAC 575.00
Water Conn. 500 . 00 'I
Water Meter 63.50
?
Road Unit 280.00
Tr. PI. 132.00
Parks
CopieS
Total $2.100.00
on the express condition that
and City oi Eagan Ordinances.
Building
1 I a~ No. I P.m,n Haa.? I o.t. I r.i.Pnon. K 1
oce.
Okp.
PERMIT # CITY C
?- (1 ? ? J MECHANI
RECEIPT # 454
MINIMUM RESIDENT
RESIDENTIAL HEAT?NG - 01-1.00,000 BTU's -
RESIDENTIAL COOLING - 01-24,000 BTU's - $
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
AGAN
. PERMIT
00
FEE-$10.OO+S.50
. FEE - $20.00 + $.50
New X Add -
`i 3 ! ?. ?o.x
??
5. Owner
vU
FEE ? y
? C
70TAL ?'? ?
Alter Repair
(Streeo (City) (Zip)
4.00. Each additional 50,000 BTU's or fraction -$6.00
00. Each additional 6,000 BTU's or fraction -$6.00
? HEATING ? VENTII,ATING HOT WATER STEAM AIR COND.
oIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. Y
_L RES. GAS PIPING OUTIETS -$1.50 TANKS: L.P. UNDERGROUND OTHER ??
COMM./I?ID. RAT - 1% F T =TALBID PRICE PLUS ?.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. `?
l ? "a
Signed: for
DATE MINIMUM COMMERC
1. Bidg. Type: Res ? Comm Inst
3. Total Bid Price +?..
4. Job Address
i .?
Lot Block Sec
6. Contractor
(Name)
7. Contractor Phone#
Inspections: Date Rough Insp. Date Final Insp. `
.:
__.. . .__.__.?.._.. _...? .. . ._...., . _. _, ._. ._:A
, ,.
PERMIT # CITY OF E/kGAN FEE
?- -- -7 , PLUMBING PERMIT ?5 a
REGEIPT # 454-8100 S/C
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 +;.50
1. Bldg. Type: Res ? Comm Inst 2. New ,?( Add Alter Repair
3. Total Bid Price 4. Job Address
?v
Lot ? Z Block ? Sec 5. Owner
6. Contractor
(Neme) (Sheet) (City) (Zip)
, 7. Contractor Phone # Z77 ,q'
NO. FIXTURES
1 Water Closet - $3.00
?Bath Tubs - $3.00
-C.avatory - $3.00
-Shower - $3.00
?fCitchen Sink - $3.00
_Urinal/Bidet - $3.00
COMM./IND. RATE - 1%
NO. FIXTURES NO. FIXTURES
r Laundry Tray - $3.00 -Well - $10.00
-L-Floor Drains - $1.50 Private Disp Syst - $10.00
J--Water Heater - $1.50 =Rough Openings w/o
_Whirlpool - $3.00 Fixtures - $1.50
-Gas Piping Outlets - $1.50
-Softener - $5.00
OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT #
PLUMBING PERMIT RECEIPT #
qT1f OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot I - Block r ^"^ Sec/Sub
,
? j i'- Res. New
?
m Name7'
K
}4
? Mult Add-on
g Address,'? -?'l `?'
• Comm. Repair
. '
P
° ?'
c City
Phone 3 - 6• r p.
7 !• ,.?- ;? + Other
^? NO. FIJ(TURES TOTAL
Name ? Water Closet - $3
00 $
3 Address `?.? Z, ? - ., - ?? ; .?• .
Bath Tubs - $3.00
p City ^ I' " "J Phone'f= Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE L-aundry Tray - $3.00
MINIMiJM - RESIDENTIAL FEE _ $10,pp Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heatef -$1.50
STATE SURCHARGE PER PERMIT _ ,50 N/hirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Oudets -$1.50
BEYOND $1,000.00) ,
X
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - a1.50
SIGNATUFiE OF PERMITTEE FEE
STATE S/Q
FOR: CITY OF EAGAN GRAND TOTAL: `?
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE: "I[ t Ii I Nt3
3830 Pilot Knob Road Permit Number: 4049 1 '
Eagan, Minnesota 55122-1897 Date Issued: 1 1?"
(612) 681-4675
SITE ADDRESS: APPLICANT:
, ; ? ??x ?: iu??? itn ? ?., ? „RNf:(t rra?.
?
PERMIT SUBTYPE:
TYPE OF WORK:
Nr 1.,
tca<;i
t,e1.cpi p ettorl
i I i-niitm IN
fEN nI
xfit ' ?
y'
z ' 7t ,b ?a i iy T?
??. ? ,: i ?.•t ? ?r: r 5?..'rsS? o;F'.F'f???''..????t?.?.?3.4:e-?',5z
- ? ? ... . . .. ., _ . ? ? ? J
-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
?
I
?
Permk No. Permit Hoider Date Telsphone #
ELECTRIC
PLUMBiNG
HVAC
Inspactlon Date Insp. Comments
FOOTiNGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE 7-0- -1.7 ^40?
FIREPLACE
AIR TEST r C? 7-1L1- Q'7 I"F? .4l T Fc, Irt
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSM7 FINAL
DECK FfG
DECK FlNAL
CITY OF EAGAN WATER SERVICE PERMIt
3830 Pilot Knob Road
P. O. Box 271e9 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoniny: _ Na. of Units:
Owner.
Address:
5 /lddross:
Flumber.
Meter No.: Connection a+arye:
Size: Acaount Deposit:
Reoder No.: Permit Fee:
1 prN to oonllr wilh tlw Ciyr of Eayrn Surchor9e: ,-
OnOM„om Misc. Chorfles:
T
t
i: ' -i
o
a
B Qata Paid:
Y
Date of Ir+sp.: lrop.,
OF EAGAN SEWR SERVICE PERMR
Pilot Knob Road
Box 21199 PERMIT NO.:
i, MN 55121 aATE:
y; PIo, of Units:
:;. -- . . .?i:tr' . ..i•=.,
Addross: '112 Fox Ri3p;e Road i.12 By St1n r1 f Ff
• to eemolp wNh NM CRp ei hoas f.onnoction Charoe: -?eas. AecouM Deposit:
Pem+k Fea: ,
Surchorpe:
Misc. Gwroes:
of Insp.: Total:
Dah Pbid:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIZ
P. O. Box 2;189 PERMIT NO.: '
Eagsn, MN 55121 DATE:
Zoniny: . No. of Units:
Owrnr: =:e•: i ??? :', ':or .?s
Nddmss:
Sits /lddrcss: 4?1' %x 71dc'e Road L12 BZ `,i:r. C'liff 5th
Wumber:
MeMr No.• •? ction Chorge: 500.00
d
Sixe: *011ARAIII,sit: 1• p
dRM
Reader N0.01N a511 «
1 il, 0opd
1 cgne [o oo.rpy ?.tU? tt4?s' e;
u r . S Qpd
g
o.r?..a..
1RcD - i ?? . ?opa ?
RE?l Totol: ? '1 SOpd metg;
.
gy r? Aw 01"
P
id
G
:
DOYQ Of If1fp.: I
nsp.:
CITY OF EAGAN No . 19142
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
'
PHONE: 454-8100
R
BUILDING PERMIT Receipt #
t 1 ? t
? o
7o be used for BASEMENT FINISH Est. value $1, 500 Date P1AY 30 ,?g 91
Site Address 4312 FOX RIDGE RD
Lot 12 Block z Sec/Sub. SUN CLIFF STH OFFICE USE ONLY
Parcel No, occuvancy - Fe es
Zoning _
w Name BRIAN & KAREN SUTTER (Actuap Const Bldg. Permit 35.00
o Address 4312 FOX RIDGE RD (Allowa6la) - 1
00
Surcharge .
City EAGAN phone 456-9647 x oi srories -
Plan Feview
Lergih _
o Name SAME OeDth SAQ Cit
a
00Q
AddfeSS -
S.F.7ota1 - y
SAC, MCWCC
? City Phone S.F. FoatO/ints -
Water Conn
On Site Sewage _
r
ww
Name
On Site Well
W
t
M
i?
AddfOSS -
MWCCSysiem a
er
eter
gw CIIy PhOnB Ciry Waler _ AccL Deposil
PRV flequiretl _ SM1N Permii
1 hereby acknowlege ihat I have read this application and stale that the Boosrer Pump - gM! Surcharge
infortnation is cortect antl agree to comply with all applicable Stale of
Minnesota Statules antl City of Eaga
n Ordina
nce
s
. 7reatmanl PI
?
?
1-
?
-
SignaWre of Permitee J? 6AA+A `? ?? 1vtP APPROVALS Road Unit
A Building Permit is issued to: BRIAN OR KAREN SUTTER P1e^"a' - Park Detl.
on tlie ezpress condition that all work shall be done in accordance with all Councii
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ofl. _ Copies
Building Otficial (Nln .I11!'? ' ?/ ?LJ
Variance
-
TOTAL j6.00 ,
CITY OF EAGAN N 0 11434
_
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5517
PHONE:454-8100 5°5?/
BUILDINIG PERMIT rteceiptp ,
7obeusedfor SF DWG/GAR Est.Value $70,000 Date JANUARY 10 19 86
SiteAddress 4312 FOX RIDGE RD Erect Occupancy R3
Lot 12 elock z Sec/Sub. SUN CLIFF STH Remodel ? zoning Rl
Parcel No. Repair ? Type of Const. v
Addition ? No. Stories
' a KEYLAND HOMES Move ? Length 44
Name
471
3 W 173RD
Demolish ?
Depth 6R
3
° Address
JORDAN ph
435-332
ci
. O
lnt Pr
3
Sq. Ft
ry
one Install
?
o S?E
Name APProvals Fees
$¢ Address Assessment Permit 3 3.00
? ciry phone Water&Sew. Surcharge 35.00
171
50
` Police Plan Review .
? W HALLOUIST
Name
Fire
SAC 575.00
?? Address Eng. WeterConn. 500.00
`W ??ry BLMTN phone 831-1 75 Planner WaterMeter 63.50
I hereby acknowledge ihat I have read this application and siate that the
information is correct and agree to comply with all applicable State ot
. Minnesola Statutes an ity of Ea a Or ' an es.
. Signature of Permittee .40?
KEYLAND HOMES?
A Building Permit is issuetl to:
all work shall be done in accordance with all applicaple State of fvlinne
Council
Bmg.On.l/9 86
eor
Road Unit 280.00
Tr. PI. 132.00
Vac Date Copies
Total $2,1100.00
on the express condition that
$tatutes and City of Eagan Ordinances.
Building Ofl
^! 3.CF>4 REQUEST FOR ELECTRICAL INSPECTION
w:
See instructions (or completing this form on back o1 vellow coov.
"X" Below Work Covered by 7his Request ?
oti ?A
AAtl BeD- 7Vpe of Builtlin0 AOPliances Wired - Equiument Wired
Home ftanye Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otner aecHv tnerlsper.ify)
t er Sueofy Other Other
Compu[e Inspection Fee Below
M e?Fee ServiceEntronceSize p Fea Feeders/Subteetlers k F p Cirouits
0 to 200 qm s 0 to 30 qm s .? 0 to 30 Am s
Above 200 qmps 37 to 100 Amps 37 to 100 q y
Swimming Pool Above 100__Am s Above 100_Amps
Transiormers Irrigation Boorr?s 1-3 Partial-'Other Fee
Signs SUecial Inspection a
S
TOT?
Remarks / }
--'.i
flough-in uate 1. tp lectr'
Inspecloq heraby
teriity that the above
i Final ? Dnte --
? . / y Dection has Eaen
.tf,??) ?r iv aaa.
n
This reeueal vaid 18 months irOm
ThiS repuast wiA /? ? ? +v /.`1 ?[J
78 rcwn[hs iwm ? l <j,?
B 0 8 fi 4A 6 f4-I a, 19a, c?L?e-ZW 5'Y-' S 9 77s
Re?uesr Date. Fire No.
RouBh-in oecti
6ii
? I ReAUir ?Neady Now ill Nniity, Insoec-
p es ?NO ?ar Whyn qeady
u L'cenZElecval Contrecmr I hereby request insoection ol ebove
? Own r . electNCal work inatallad at
Street Atldress. Boz ar Roule No. Citv
ection o. Townshio Name o. RanBe No. Cou?
Occupant lP ) Phone No.
? r
Power SupDli Adtlress ?
Electri I onVac[or (Company Na el s
l!Knu -ce
e [?y
J
N .
?
?
M li 8 Atl?ress ICO
M
ractor or wner Maki Instailation)
(
?
O J, p ?
Aut orize S' mre 1 tr tor/Owner M i stnlla[ionl Phon Number
MINNE Tq STAT OAPD OF F?yBCSNIGTY THIS INSPECTION NEQUEST WILL NOT
Gri Midwev 9- - Room N•191 gE ACCEPTED BY THE STATE BOARO
1821 University Ave., St. Peul. MN 66106 UNLESS PROPER INSPECTION FEE IS
Phone (6t2) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E8-0C0001-08 ov
?
I ? ? S. insimqions for completing tnis torm on betk of yellow wpy,
3B442 BePow Work Covered by This Request
e Add Rep: TypeofBuiltling AppliancesWiretl EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
COmm./Industrial Furnace
Farm Air Conditioner
Olhar (specily) ComrattOrS Remads: ?
7
Compute Inspection Fee 8e/ow:
k Other Fee N ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100'Amps
Trensbrmers Above 200 _ Amps o e-100 Amps
Signs. inspecmr§ Use Only: `? .?? TOTAL ?
Irrigation Booms
Special Inspection -
Alarm/Communication THIS INSTALLATION MAY B ERE 1 OMNECTED IF NOT -
Other Fee COMPIETED WITHIN 18
1, the Electrical Inspector, hereby Raig°""
cenity that the above inspection has
been matle. Final o?a
• t
OFFICE USE ONLY '
This repuest witl 18 morMS hom
O/ay/Yr C?/S/?7
a 38442
? ? ??`
s??QOa
p
Repue910a?e ,re Ka. Rouph-in Inp
Re9uiretl7 y
f?Reatly N. ? WNI Notiiy Inspeqw
? Yes G No When ReaM7
I O licensedcontractor gowner hereby request inspection of above electrical work at:
Joe aotlrass (streeL Box w Poute No.) Ciry .
w 3»- x k "F,bl, ? ppi
Seclbn No. TownBhip Name or No. Range No. . Couny
'b
AYpTqC
Oceupam (PRINT) PMaie No.
vot, -c aKG.? kZC 459 `r'1(vK 7
Power $upplier PCtlress
ElecVical Conlractor (Company Name) COMrecror§ LleenSB No. .
Meiling AEtlress (Conhactor 0 Owne>' kirg Instellaiion)
ANhorizeE Sgnatora IConUactorlOwner Ma ing InsWllalbn Phone Number
l +S"4-964
MIINNESOTA STATE BOABD OF ELECT ITY THIS INSPECTION REOUEST WILL NOT ..
Gr1p9WlMway Bltlg. - Poom S-173 BE ACCEPTED BY THE STATE BOARD
1821 Uniwnlry Ave., St Poul. MN 55109 . ' UNLESS PROPER INSPECTION FEE IS
Pho. (612) 862-0800 ENCLOSEO.
3 ,
4q I
DATE:
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
651-4675
DESCRIPTION OF WORK:
CONSTRUCT NIEW FIREPLACE
INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTfER:
STREET ADDRESS:
?31Z ?0 K4521d4?
3JO•J.?
PERMIT FEE: $50.50
_ ALTERATIONS TO EXISTING
LOT 13- BLOCK ?. SUBD./P.I.D. #: A" (h k ? ? M
vii
APPLICANT: (circle one only) OWNER CONTRACTO
I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
eAnl C n°r.5 / x) (.rk/1 nfai
PROPERTY Name: 'B Q TLjqL Uliw,(, Phone #: 4,
OWNER
Signature:
Street Address: )4?' K1,046 &'Q
City: State: Zip: ?Sl ? L Z'
FIREPLACE Company: r!/L I Phone #:
INSTALLER
64co u/ -
'/vt 13 License#:Z°0?0
Cit3J tz#j6,Y/C,C. 6r State: ?l N
GAS LINE Company:
INSTALLER
Name:
Signature: _
Street Address:
City:
zip:Z25-33 17
Phone #:
State:
Zip:
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE:
Eagan, MinneSOta 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
gUILpINCr
030491
07122197
SITE ADDRESS:
4312 Fox RxoGE Rn
LOT: 12 BLOCK: 2
SUN CLTFF 5TH
P.I.N.: 10-72979-120-02
DESCRiPTION:
(GAS)
B?u?ildLriq%,Permit Type FIREPLflCE
?ui14Tng V4,rk Type NEW
434 A'LT. RESSDENTIAL
s
_ I$ em ? ?
A4&}?{p$Y"' I J^!??,5
? h p
_ r ?
s
ore
p?e ? n z R - 4?m'
._ ,r.i .... . ri'A
REMARKS:
§a ' ?f ?' r&.y?PHt pLL
., d% RPt3 _ . .
? g,,? ? ?? B
ce 3. . ??,.? ? aat ?? ? tt? ?i ?'PP ? ' . ?
ma?g } alw ?? ?o- ?
FEE SUMMARY:
Base Fee $60.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. Lzc OWNER:
FIRESIDE CDRNER INC 16332561 20090911 BUTLER EDWARCI
274.0 N FAIRVIEW AVE 4912 FOX RIDGE f2D
RO EVILLE MN 55113-0847 EACAN MN 55122
(6?2) 633-2561 (612)890-2106 _
a S hi?r?#ty+ ?cls?iawl'etlgLe tt??t a
. i i x iN u_x ai mA .
°?n??1^tn??trtr i? cocr??? arud b??
y}.1 ,?yv a(+ y. ?{ q : x ?hr{y.???e p? ySy E. ei r ?, s ? x ? mi s s: a .
L a?? ?.reva .? rvat msud4 ». c?zf ?n ?.a . F 34f31 KP E ?{ ?
kP?'€?? m"a'asxti??
APPLICANT/PEFMITEE SIGNATUFE
,-?Mn R?„p ?r?
;ISSUED SI A U E
?
,
1985 SUILDINC PERHZT APPLICATION - CITY DF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED NITN THE CITY UF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERCY CALCULATIONS
?^ -lOO p00
To Be Used For1 f"/7Aqi8,Uation: Date:
Site Address; Ed-x(F/ D (ff OFFICE USE DNLY
Lot: /C)- Block Sect/Sub cfza Erect ? Oceupancy
Remodel Zoning ?
Parcel # ? /` Repair _ Type of Const ?
Enlarge I! of Stories
Owner Move _ Length 4 4
Demolish Depth 4e'?S
Addr`ess L(J Grade _ Sq Ft
City/2ip Code ?-S+?i??A --------------°°----------------
Phone APPROVALS
Contractor Assessments Permit 143.
Address
City/Zip Code _
Phone
Areh./Engr.
Address -
WaterlSewer Surcharge 3e
,
Police Plan Review l"1 1. 5D
°
Fire SAC S -7S,
Engr Water Conn SOO,
Planner Water Meter (93, s'
Council Road Unit Z. o.
Bldg Off /- - Parks
APC Treatment Pl '
132,
Variance
City/2ip Code ?Ttzr?.Cf? ,
fhone i! d3?
TOTAL 1 4- () U
2? ?c 4-? = lo?2x ?8 ? C?333?
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4342 s-?
C. R. WINOEN i ASSOCIATES, INC.
lANO sueveroes r.t s4e-3646
v 1781 EUSTIS 5T., Si, ?AUI. MINN. 5610s
NOT$r
O Denotes Wooden Stake
Proposed Garage F2oor E1.-920.7
(420.4) Denotes Proposed
Finished Ground E1.
--.*- Denotes Direction SCdle: 10-30'
? Of Sarface Drainage p DenOteB ICOn
Yertical Datum - N.C.V.D: 1929 Monument
Bearings Are Assumed
proinone ?[//:/ fy Eosement
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,
,
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S 65
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4a
Lot 12, BloCk 2, SUN CLIFF FIFTH l,DDITION,
Dakota County, Minnesota.
WE MEREIY CEl11fY TNAT TNIS IS A TRUE AND COlRECT RE?RESENTATION OF A SURV[y OF THE
SOUHDARIES OF TNE lANO AWV! DFSCIISEO AND OF TME IOCATION OF All iU1lDIN0S, IF AN1;
TNEREON, ANC All VISISIE ENCROACMMENiS. If ANY, fROM 04 ON 3AID IAND.
afd tAb 3f 15? C. R. NDEN j ASSOCIATEk INC.
Sww"w. MinneNN RNiproeien NN. 772G
«wu.
P
OWNER:
ezrFaioa ENVELorc nveRnrr "u" cor,rur
nn rr :
SITE ADDRE55: PIIONE
CONTRACTOR:--geAIAhJ/
? `? r??
Determine workin9 square fnotaqe oF each
1. Total exposed wall area..... tt, x.I1 •-? .
2. Total roof/ceiliny area..... ?Q?p sy. fl, x.02G 7--l
Total exposed wall area alibvc I'lo or=___j?ite
a,
b Total
Total wall window area .........................
door . . . .
..............
-1
.
c. Total area ...............
sliding glass door area..........? .
..... .
........
d.
Total .
fireplace wall area ........... .......... .. ....
.
. ?
?
e. 7otal wall framing area (average ]ON) .......... ..........
f.
Total
rim joist area...........................
.... ?
g.
h
net
'
wall area above floor ...................
wall ..............
.................. ??_
. area ahove floor ............
.
i• •
J ..
wall area a6ove floor....
? ????????
J. fr
wall area at fourukatiot?..'?.
.................. ..................
Total exposed Foundation arca=__ _S,?(Q_` ,
k. Total foundntion window erea
1.
Total ...................
net foundation area above grade .......... .... .r
:...._?e ?a
determine "u" value of eacii wall
' segment
(e.g, window, door, each separate wall seclion) •
a.x 4. u,?-
b• 3 8 xllu"? .31
C. 4o X„u„ 19
?
Ae
d, g "U.,
e• 1?7_ x „U„ 4
X
x „u,l . DS
h. X 1.ull _
i. X 'lu„
j. x „U„
k [f item 03 1s tiie son:
• as, or less than ltem
•
?,.-.r(o(p .___ X"?° --_?Q?--
-•__???. X1, you have met,the
Inlent of 5DC GdOG (o
3 . ..... ............................rotui
rioY Lnvalopo Avernge "U" Compul-aL•ion Pago 2 oE 4 .
,. ' < . . . • •
9'oL•al exposed rool/ccilinry nrea
i
m. Totul skylLght nren .......................
n.'TOtal roof/ceilingFramin9 area (,ZVeragc 104.)... .. ,
o. ToL•nl nut insulaCed roo.C/ceiling nrea........... ?q zj
-/.
`-
I7etermine "U" value foc each roof/cciling segment
M. x nU° ---.-
n. -?Cl_ g ??U. . --1c..??
o. -0X „U„ oL l?
. '
d ................ .......... Toeaa. = Z?, Z
Tf tola.l of tIA is the stune as, or less I;han 112, you have toel- the inCenL• of
SHr.6006 .(c) 1.
,. _Alternate Buildin F.nve]ope Desiqn :
'lb ,ukilize the total enyelope 'system method, the values esL-ablished by Clie s-am of
i-tems 03 and gq shall not be greater t1ian Uie swn of items 111 and p2.
„
•1• 2. 3. ---L?_? + 4..
ZI .Z = ? .t to. ? '
_...-?,
. ? V1A1.1? ,f,l:r,'I'10N9 I'.?qn 'C?.•n
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U=.?g
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Motc: Usn additionnl sheets if more spaco :
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2/84
CITY Or EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
. (PCEASE PRIN1)
1) PROPE.RT`! ADDRFSS _
LEGar. D:SG4I_1TZCJ2:
....;?/n?cx:x/z)u:c-.ivlsicn (Dr '£ax Parcel I.D. Ntu[;
SPG.CC^*:2E, DtlTb' 0?' Oi2TGi AL `iIT?^.L:G =_•?I: ISS.:??:G
PDFSIT ^
.?- L.. ..:...MF:/PlOPOS? L'S• 0 R-1 SI?NGL: FPMSLY
0 R-2 C•(7P7_:..'`{ ('IStiO UrIITS)
_ ? = C7 2 3 :CtJSE (?T?D? + L':]ITS) ( S)
LZ-4 APyLCT_"??/CCiT?/i'SNIL:'1 ? UNI=j)
? CCL`7?'?.C.=??i.??y ??1?
Q T.TiLS
p L?:STI:'[,TIOJLA I,/GG=ng„1r
G1 APPLI=
(PLEA$c PRIVi)
NAi•]E: ??.yLf1.?,t5 /i?cs/J?P?
i
ADD."v°.SS: Z2'7/ L%-" l7.3'>^i> ST-
CTT`!. STr?'=:, z2P: XUr%JA?
PxoLNE: 419z - G
3} PLL;IDER (PLEAsE PNiNr?
CITY, STATE, ZZP: S 5 T7V
PHOD7E.
? E0y `?7,75?" PLl1;IBEH LICENSE k?
4) a-'CL'pAN'I'/CT•vTIE'Z.t (PLEASE PRINr)
NPME: ?SA-/J7 c' .9S .¢qa `
ADDRFSS:
CITY, STATE, ZIP:
PfiaNE:
FOR CITY USE DNLY
PLIIXBERS LICEYSE:
= Active
Q Expired
Q Not of Recard
arr nitia
?l iNDIGATE L'IfIICH PERMTT IS BEPiX', REQUESTm:
[Z CL''JINECPION 'IO CITY SETn'ER
? CONNFCrIGN 'M CTTY TvATER
? GIVER (PLL•'ASE DFSCPSHE)
6) L":DIG?.? C::t:
? PT..EA.SE f?OL7J APPRpVID PER++ST FOR PICF-UP BY ONE OF AP.OVE
?i PIFl'1SE "T'r1IL APPRf7Vm PEPMIT TJ l, 2,Q 4 AG(7VE
(Circle one)
7) sicaTLRE: DATE: orn ?B-g'G
?. . . . ..., -- - - -
?! /101i1.MflJS i? rl e? l?:f?tftf? y?t r4f ?a?Y?# a?l s?a ??aa:? a a[ f.llaJ?aFjfi? f.l eva `je t s?=sr
.. . . . . .. , ?=J
FO R C I T Y U 5 E ON:,Y
PER'4IT °- ZSSUED
L
FrrS: $ A?
$ l(; .
c C? r D nc ?RT
WATEi2 PER14r"'
S
$
- -CC:i'?' .,??GSI= - o-:,=?
S ?-
AC^OtiNT DFPOSIT - WAT°_R
WAC
o SPC
$ TR[iVK S4ATER ASSESS:iE:dT
$ TRli?IK SEWER ASSES5:3EDiT
$ LATEP.AL BEAIEFIT/TRU:IK SE?TER
$ LATE:2AL BENEFIT/TRU:IK WATER
$
WATER TREATMENT PLAIQT Sl7RCEIARGE
$ OTHER:
$ TOTAL
$ c Ab10C1NT PAID/RECEIPT 7
DOES UTILZTY CON;IECTZON REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
?YES IF YES, THEN n"PERAIIT FOR 'AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
[_f NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOS4ING CONDITIONS:
APPROVED BY:
TI:LE:
DAT°:
aa
(I?ICL=_ SURCy?RGL)
(INCL'uDE SURCHARGn)
WATER METER/COPPEBHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATIOD] STOP)
SV;JEQ TAP
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN MN 55122
PHONE (612) 454-8100
xmmnm
WORK DESCRIPTION
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILx ?WELLINGS a.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------- ---------
NEW CONST
ADD ON
REPAIR _
OWNER NAME: C?7Yt?R*? °? lk?xP-e.S
SITE ADDRESS: N3\l.. Mk KiNi- P?-cx
LOT:A-) BLOCK ? SUBD.
INSTALLER: S?LP _
COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
ADD-ON MINIMUM 15.00
I SHOWER 3.00
L WATER CLOSET 3.00
BATH TUS 3.00
? LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
J HOT TUB/SPA 3.00
J WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
TOTAL
lS"ou
?r
ADDRESS: _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #: ! `°o
? . SUBTOTAL SIV
ST. SURCHARGE So .50
SIGS3ATURE OF PE[2M TTEE ?
TOTAL: sIS
0 I, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRYAL BVILDINGS AND
MULTI-RAMILY HUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLACK _ SUHD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FOR CITY USE ONLY
PERMIT # A
RECEIPT #
DATE :
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
S1'A'rE SURCHARGE $
TOTAL:
(SIGNATURE)
??I'I? = J
1991 BUI ING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
D°SIRED. NO C!LADIGES [.T?LL BE ALL04TED OL7CE EUILDING °E.^,HIi iS ISStiED.
PROCESSING TIME FOR SEWER & WATER PERMII'S IS TWO DAYS ONCE A
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation:
Site Address `{3la- 'nfiF Y-uX4F
Lot 11 Block L
bU1Y 1 51991
Date:ILllll,'i,
Occupancy
Parcel/Sub p
1#1A Zoning
Actual Const
Allowable
Owner tt of stories
Address 431'i
r-bX fIu"'?
.- ?D Length
Depth
Ci
Zi
C
d ? ?? S.F. Total
ty/
p
o
e ?,
' Footprint S.F.
Phone On site sewage
_
On site well _
Con*_ractor _ ?MF t+rc7CC S; srem _
City water
Address _
PRV
Booster Pwnp _
City/Zip Code
APPROVALS
Phone Planner
Council
Arch./Engr. Bldg. Off. S3 17.5,1
Variance
Address
City/Zip Code
Phone #
FEES
Bldg. Permit 3.5. OD
Surcharge , D O
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
5/w Permit
S/W SurcMarge .
Treatment P1.?
Road Unit
Park Ped.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL 6 Q?
?L 14, 4id.u --a dtz, agrees that all work shall be done in accordance with
(Signat e of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
7 q `,? o C) "r
oF
3830 PILOT KNOB ROAD, P.O. 80X 21199 BEA BLOM9UIST
EAGAN, MINNESOTA 55121 nnQyo,
PHONE: (612) 454-8100 THOMAS EGAN
.lAMES A. SMRH
August 25, 1987 \nceuusoN
iHEODORE WACHiER
. Cnuncil Members
n+oroaas r+eDGes
Re: Maintenance of City Boulevards cMAdmi^lrlc+o,
ReCOnVeydnCe of Excess Public Riqht-of-Wdy EUGENEVANOVERBEKE
CM Crek
Dear Property Owner:
Recently, several of you have expressed concerns regarding the
maintenance (or lack thereof) of the public property portion
between the west curb line of B]ackhawk Road and your east
(backyard) property line.
Many of you have been informed of the City's ordinances requiring
adjacent property owners to maintain pub'ic boulevard property
similar to your front yard areas from your front property line to
the curb on Fox Ridge Road. However, several of you have felt
that the existing bou'evard section of Blackhawk Road is
excessive.
This public right-of-way was acquired by the State of hlinnesota
to facilitate the construction of I-35E and the Blackhawk Road
overpass. Now that these road improvements have been completed,
the excess right-of-way required by the state has been reconveyed
to the City. Correspondingly, the City could consider vacating
and turning back this excess right-of-way to the adjacent single
family property owners along Fox Ridge. This would provide each
of you with greater property ownership and flexibility to perform
whatever landscaping or other similar improvements would be
desired on an individual basis.
If this process were to occur, it would require a public hearing
before the City Council. Each of you would be so informed by
mailed notice of that public hearing.
In the meantime, under existing City ordinances, it is still the
property owners responsibility to maintain all property between
curb lines. We are aware of your present concerns and would
appreciate your patience, understanding and continued maintenance
of these areas while the City pursues the various alternatives
discussed in this letter.
Sincerely,
// i-??"`,?i'
Thomas A. Colbert, P.E.
Public Works Director
TAC/af
THE LONE OAK iREE.. THE SYMBOL OF STRENGiH AND GRONRH IN OUR COMMUNITY
: - ...?
DAY/DATE:
ADDRFSS: /Y 3/a
TIIME:
_ ETG _ FINAL HTG.
_ DECK FTG. _ FINAL PLBG.
_ FOUNDATION _ FINAL/C.O.
_ FRAMING _ FINAL/DECK
_ ROOFING _ ADDITION
_ INSULATION _ FIREPLACE
_ R.I. HTG. _ POOL
_ R.I. PLBG. _ GARAGE
? OTHER li(J .IG
w) S5/- /lo 00 FOR V??`
. -?
RECORD OF COMPLAINT
DATE: COMPLAINT TABEN BY:
NAME:
ADDRESS:
PHONE N0. :
-------- =s =1???
COMPLAINT:-- ---
U
ACTION TAKEN•
-- - ?
-------
CO[MSENTS :
- -- r.'Zt.LiY.
??,Alr.Z ,
LEG9L DESCRIPTION:
I
--- --
---- _ ---
$IGNED
-? F 9
??-???_ ?
? - /G? -- /-??..__-------
TYPE OF BOILDIOGe ~------? -
--- ? {_-? - -
. RESIDENTIAL BUILDING
' Lo 03 2? Z, Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
;,r?lu.llJi_ 15 ZGG?
.0 359. ZS
New Cons4vcfion ReouiremenLS RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft of lot, sq. N. of house; and all roofed areas 2 wpies of plan CeR of Survey Reod
(20% maximum lotcoverege allaxed) 1 set of Energy Calculations for heafed addNons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found dasign, elc. 1 site survey for addifions 8 decks Tree Pres Not Reqd
1 set ot Energy Calculations Add'rtiar - irdicate Non-sile septic system _ On-sHe Septlc 5ystem
3 copies of Tree Preservation Plan if lot platted ailer711193
Rim Joist Defail Options selection sheet (bldgs wilh 3 or less units
Date ? / ? /
OJ? ;g- /? n v U
Construction Cost ,?} .3,
Site Address I,(oLi / ??_ /72/V 950&9te #
Description of Work k ec['012L ? ? ??J [/7dOLc? 4y(.f ?? IIo
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Property Owner ? /,( ),_??m,a,l??. . ,?lT LCf'fj, Telephone # ( w) f/?QIY ' ? ?
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Contractor
Address City_
State Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mnmesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) ' Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
0a
?? ?: ?UL 's. 6 [uo? , ?•
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I hereby apply for a Residential Building Permit and acknow?e that the information is complete and accurate;
that the work will be in conformance with the ardinances an codes of-the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, but only an applica Y'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
approva] of plans.
?l?.h- ? ? - V(?
Applicant's Printed Name
? S
I
Applicant's Si, ature
72-'??3
2006 RESIDENTIAL PLUMBING PERMITAPPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residentiai dwellings.
%S. 160
Date L6
' Site Street Address /rk ?,i? 1?0,? ?NG' P (Y Unit #
1e Telephone # ))
Property Owner
Tele
phone # B??`)
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?/?
i
Contractor ia YYl
Z
?() ?? City /?N.oA1S?l/-ZP S#ate?. Zip?2
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7Sr
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Address
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1
The Applicant is: _ Owner ? Contractor _Other
Refurbished Su6mit 2 sets of plans and MPC license
New
Septic System fee
Include$ ?
_
_ OO.OO
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes instaliation of a water softener andlor water
heater at the same time. !f you are insfalling on! a wafer softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment .
Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Heater $ 15.00
Water Softener
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
$ 50
State Surcharge
$
Total
..io +o anri acniraia' ihat the
I herebY apPIY 9 ?,? ...,,
for a Resi en ia um in9 ermi
work wili be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accorda ce with the approved plan in the event a pian is required to be reviewed and approved.
1 Ap ic nYs Printed Name / App' an's Signature
Use BLUE or BLACK Ink
r
For Office Use
Permit 1 v j
City of EaEd I Permit Fee:
U~
3830 Pilot Knob Road _
Eagan MN 55122 Date Received: Z
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: 17 )
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: k~ Site Address: 6 c7 Q J` ` 1 <J ' Unit
Name: Phone:
F Resident/ J )
Owner Address/ City/ Zip: ~ry X24
Applicant is: Owner ,Contractor
Type of Work Description of work: ~ f~
Construction Cost: 6 Multi-Family Building: (Yes / No )
Company: Contact: Q
Contractor Address: City: ,
State: Zip: Phone:
License 564' Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Xk-r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci
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 Stale Building Code must be completed within 180
days of permit issuance.
x
x L2C
Applicant's Pri ted Name Applica s re -161 Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119386
Date Issued:11/26/2013
Permit Category:ePermit
Site Address: 4312 Fox Ridge Rd
Lot:12 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-120
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 -
Edward Butler
4312 Fox Ridge Rd
Eagan MN 55122
(651) 686-0597
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
------------,
� For Office Use I
I �
�i� Ul ��� ���� �/ � , i Permit#: l� I
3830 Pilot Knob Road � Permit Fee: �� �
20fi4 �
Eagan MN 55122 I�U�j z � j Date Received: �/ I
Phone:(651)675-5675 �
Fax:(651)675-5694 �=�--_. � I
S�: � Staff: �
�����������������J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 8�6/14 SiteAddress: 4312 Fox Ridge Rd, Eagan, MN 55122
Tenant: Suite#:
Resi�lent/l'�wr�er
Name: Edward Butler Phone: 651-686-0547
_ _
Address/City/Zip: same
Name: K&S Heatirtg, Air Conditioning & Plbg LLC�icense#: MB5216
� � ����,�,�� : address: 4205 Hwy 14 W c�ty: Rochester
State: MN Zip: 55901 Phone: 507-282-4328
contact: Heidi Brown Emaii: hbrown@ksheating.com
New xx Replacement Additional Alteration Demolition
,TypedfWork Descriptionofwork: replace furnace and air conditioner.
�N4`C�:Roof motrn��d�antl ground rr►oun�ed�`mec�ranicaf sq�ipment is�qufi�d t����scr�eerred.by City ���
CQd�� F�lease con�ctt�e Me��anical Ir�spe�tc�r for in�'arma�fien on;permi�ed�� nf��mief��ds. "
I _ - — . .
RES/DENTIAL COMMERC/AL
X Fumace New Construction _Interior Improvement
������ ����;�T��� X Air Conditioner _Install Piping _Processed
� = � _ � � Air Exchanger Gas Exterior HVAC Unit
- _Heat Pump Under/Above ground Tank (�Install/_Remove)
Other
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
100.00 Residential New includes 5.00 State Surchar e =$ 6�•0� TOTAL FEE
$ � $ 9 )
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Perrnit Fee
"If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"'
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
"*"`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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.
r-
X Rick Keehn X
, �� --
Applicant s Printed Name Applicant's Signature
�FC�Ft t7�FFtCE l!�"a`�-�� � _ �'� a� - � - �
- ��
�teq�ired tn�spec#i4ns: = Revi�w;�d4��: , 17a#e`,��,,,
�
Un�erground ' Ro�agh ln; � Air Test : ° �as��rc�ii�-1'est i � In'-floo�H�� �,„,��i��l ;��lAC Ser��ning�'��r��r!
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126939
Date Issued:09/16/2014
Permit Category:ePermit
Site Address: 4312 Fox Ridge Rd
Lot:12 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Kathy Will
2609 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Edward Butler
4312 Fox Ridge Rd
Eagan MN 55122
(651) 686-0597
Airic's Heating Llc
2609 Highway 13 W
Burnsville MN 55337
(952) 345-0032
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143500
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 4312 Fox Ridge Rd
Lot:12 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-120
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 -
Edward Butler
4312 Fox Ridge Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature