4319 Fox Ridge RdCITY OF EAGAN Remarks
Addition SUN CLIFF FIFTH
pwner $treet -
Lot 13 Rik 3 Parcel 10 72979 130 03
9 Fox Ridge Road C,- Eagan, N?.V 55122 s<
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1985 357•37 23• 3 5
STR E ET R ESTOR. 3G
GRADING ? ?? Zp ?•r ? /? ? ?
San Sew Lat O? 1986 502.5 100.52 5 O G'o
SAN SEW TRUNK 1970 49• 4 2•00 5
SEWER LATERAL 1985 257-00 •4
Wa r L ter 1 03 ? 198 582.46 116.49 68? .( t?e
WATERMAIN a 19 5 4•55 4•31 15
WATER I.ATERAL
WATER AREA 1973 68-60 4.58
r 1985 1.94 7.13 15
STORM SEW TRK ? 1971 214.60 10. 7
STORM SEW LAT ? ig 5 • 5 5.80
Storm Sew La 10,39 1986 739.56 147.91 5 (o e03 7
CURB & GUTTER
SIDEWALK
STREET LIGHT
Services 4-3 7 1986 529.15 0
WATER CONN.
BUILDING PER.
SAC
PARK
`
- A1 9
3830 Pll
b R
d' P
t K
O
B
2G
E 121 N2
12240
MN
? o
no
o
.
.
ox
-
agan,
, _
55
' PHONE:454-8100
BUILDING PERMIT ReceiptM "
To be used for 5F DWG/(;AR Est value $ 60 ,000 Date JULY 8 19 $ 6
SiteAddress 4319 FOX RIDGF RD Erect EF Occupancy R3
Lot 13 B1ock 3 Sec/Sub. SUN CLIFF 5 Remodel ? Zoning Pp
Parcel No Repalr ? Type of Const Vn
. Addition ? No. Stories
a tvame LJESL -Y GONSTRUCTION N?ove O Lengtn 38
9401 h?« LO?I AVE SO Demolish ? Depth 4- f
o Address
BL?ITIV 944-7092 Int. Impr. ? Sq. Ft.
City Phone Install ? i
Z o Name SAM
U Address
?
~ Ciry Phone
Assessment
Water & Sew.
Police
Fire
I hereby acknowledge that I have read this appl ication and state that the
information is correct and agrea4o comply with all applicable State oi
Minnesota Statutes and Ciry ol`Eagary.Or ances.
Signature of Permittee -'( j)_
A Building Permit is issued to: WESLEY
all work shall be done in accordance with all
Building Official
Planner
Council
Bldg. Off. 7/8/86
APC
Var. Date
and City of
Permit '? "? • w Surcharge 30.00
Plan Review 156.50
s,ac 575.00
Water Conn. 500.O0
Water Meter 63. 5 Q
Road Unit 290.00
Tr. PI. 156.00
Parks
Copie
Total $2 • 0$ . 0
he express condition that
II I w?mn No. I r.rmn Had.. I oat. I r«.nm. # 1
?ity
Plbp.
Dlsp.
\ o
BUILDING JP6RM
Site Address "
Lot 13 Block
Parcel No.
? Address
? fty -
'(`
saa-s392
Zp
cc Nal11A SAMS
0
Address
? citY ZP
Phone
8 Lioense #
I hereby acknowiege 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 ol Eagan Ordinances.
Signature of Permitee
A euilding Permit is issued to: JEFF REDING
on the express conditian Ihat all work shall be done in acCOrdance with all
applicable State o( Minnesota Statutes and City of Eagan Ordinances.
Bui{ding Official
_a
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r,. 20083
PHONE:681-4675 , . -- - ?
, Receipt #
A
FOX RIDCB ltD
? Sec/Sub. 51
REDING
EAGAN MN
Occupancy
zoning
(accuaq consl
(Allowable)
# of Stories
Length
oepm
S.F. Total
S.F. Footprir»s
On Site Sewage
on site weli
MWCC System
city water
PRV Flequired
Boosler Pump
APPROVALS
Planner
Countil
Bldg. Ofl.
Variance
OFFICE USE ONLY
FEES
Bwg. Pe,n,n 35.00
- Surcharge • 50
- Plen Reviaw .
SAC, City
SAC, MCWCC
Water Conn
Water Meler
ncct. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Patk Ded.
Copies
TOTAL
_ Sn
so.ao
Permit No. Permit Holder Date TelepFrone N
S/VV
PWMBINCi ?
.
FIVAC
ELEcrRIc 9;?
ELEcrRIc
Inspecnon oace lnap. commeMa
Footings I
Foundation
Framing
aoofing
Rough Plbg.
Rough Htg.
Isul.
Fireplaoe
Final Htg.
Orsat Test
Futal Pibg. Plbg. InspeCtor - NoGfy Plumber
Const. Metar
Engr./Plan
BId9- Fuiai fa- .2J
Deck Ftg.
Dedc Final
Well
Pr. Disp.
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?
Site Address 5` :: /
Lot _ZL? Block
- Name
? Addr
c Ciry
L Name
3 Add
p Cit,s
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
sec/sub
?BJ M BTU
M BTU
M BTU
M BTU
CFM
BLDG_TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
RDD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE 1
MINIMUM - RESIDENTIAL FEE - 10.00 ?
MINIMUM - GOMM/IND FEE - 20.00 j
STATE SURCHARGE PER PERMIT - .50 i
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) j
FEE
S/C:
TOTAL•
TURE OF PERMITTEE
FOR: CITY OF EAGRN
PERMIT #
r
• PLUMBING PERMIT RECEIPT #
' CITY OF EAGIW
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _
Site Address `
Lot %
m Name
? Addre
c City _
? Name
; Addre
p CitY -
Phone
FEES
COMM/INQ FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New _
Mult Add-on
Comm. Repair
Other
N9' FIXTIJRES TOTAL
water cios? - ?.oo $
' Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00
=Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50
'
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
' Rough Openings - $1.50 '
FEE
STATE S/C:
GRAND TOTAL•
INSPECTION REC4RD ?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
aID6t, kn
i I P? i# 3 F 1 !? I li
PERMIT SUBTYPE:
1111 1 i 11 1 Hi+
U}:i 44')';
Ql<? /.'fi /9H
; APPLICANT:
i i?, 1 ! ?14tt•
TYPE OF WORK:
',; .. Ii I i i 11:j
f t'Alli
TlttNo
F
L
l
?
?
Permit Holder Date Telephone #
PLUMBING
H VAC
Inspection Date Insp. Commenta
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
CONDUCTIVITV
TEST
HYDROSTA7IC
TEST
BSM7 R.I.
BSMT FINAL
DECK FTG
DECK FINAL
' CITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesata 55123
(612) 681-4675
SITE ADDRESS:
'I PERMIT SUBTYPE:
CTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
i { ? r ,?, ?, . APPLICANT:
TYPE OF WORK:
,. , , J,,
4wM(, / 1 t / ,I "
?
..
?
?
Permlt No. Permit Holder Date Telephone li
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Commerns
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Fireplace
Final Htg.
Orsat Test
Finel Plbg. Plbg. Inspector - NotHy Plumber
Const. Meter
Eng?JPlan
Bldg. Final
Deck Ftg. fjp w!S Ar '
Deck Final yJ, Af
J rn
weu
X?AyG S 777 NG-
Pc Disp.
C. ?
I
CITY OF EAGAN
WpTO SERME PE RMR
3830 Pilot Knob Rosd
P. p, gox 21199 PERMiT NO.:
Epan, MN 5512'1 ` - DATE:
Zonirq: u i No. of Units:
OWMf:
Addfilff:
131:: Fnx ri-:?. Site /lddreo: ; -
? Plun+b?r. !.rtic::•z?:?f ? : c.? _ _
I Mater No.: Connection CFarpa: '
t Siu: Acaamt Deposit:
Reoder No.: Permit Fee:
1 MrN !e eeylf wm !W Cihr of Eww Surdwrps:
Orilpwor. Misc. Charos: i ,
Totai:
?
By
oors Pold:
? Oote of Irap.:
l Irop.:
CITY OF EAGAN SWO sERVI(E PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE;
Z°"r"0: No. of Unih:
Owrrr: L
Address:
$if! Add?QSS: ? ' 1, r•nY ? ?, , {?' -
PlUfl1blf: ' ? -
I?/fM lO Nth wo ? rft of Rowe CAfttNCtiOf1 UfOfge: -
ai &MIIOM. ACODIlItL Deppi{h .
Psrmit FM:
Surefwrpe:
By Misc. Charpes;
Date of Irop.: Total:
I^sp" Dob Pald:
artr a, EA N
3830 Pilot Knob Rosd WATBt SERVICE PERMR
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 D/1TE:
Zoninp: 7
'
No. of Units:
h
cslev ?'ons t
Ownwr;
llddeeu:
Sfh Addross: 431.FOX tilcir:'
' I_ i . I'
Plumber. Hr>>Ch;,t,,j
Mete, No.: 7 r1 S Z. 7. Z ?^
Sise: '
Reods? No.: S
i pnit F i?? ? t4=
??
. ., ,
.sne ro ?.wy ? ehe cr? ? ?bte d
ordh...... TU rgm . t ;
? ? T - -
B
Id:
Daee of I nap. • I rup.:
CITY OF EAGAN
N° 12
3830 Pilof Knob Road, P.O. Box 21-799, Eagan, MN 55121 - ZYo
PHONE:454-8100 /
BUILDING PERMIT Receiptri_f d
7o be usad im SF DWG/GAR Est Value $ 60 ,000 pate JULY 8 , . 1g 86
SiteAddress 4319 FOX RIDGE RD Erect CN Occupancy R3
Lot 13 Block 3 Sec/Sub. SUIV CI,IFF $ Remodel ? Zaning pT)
Parcel No Repair ? Type of Const. y.n
. Addition ? No.Stories
a WESLEY CONSTRUCTION
Name Move ? Length 3R .
i
9401
XYLON AVE SO Demolish ? Depth46_ .
p Address BLMTN
Cit 944-7092 Int.lmpc ?
? Sq. Ft
y Phone Install
o Name SAME
i
r0j a Address
?
City Phone
?Q
F W
Name
m j5 Addre55
i W City Phone
I hereby acknowledge that I have read this application and statethatthe
information is correct and agre o comply with all applicable State of
Minnesota Statutes and City aga r Ees.
Signature of Permittee
A Building Permit is issued to: WESLEY CONSTRUCTION
all work shall be done in accordance wi[h all appliSabl late of Minn so
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner_
Council
BIdg.Off. 7/8/86
APC
Var. Date
Permit ? -31J.VV
Surcharge 30.00
Plan Review 156. 50
snC 575.00
Water Conn. 500. 00
Wacer Meter 63 . 50
RoadUnit 290.00
Tr. PI. 156.00
Copies
I Total 52.084.00
on the express condition that
and City of Eagan Ordinances.
Building
CITY OF EAGAN
3830 Pil
K 11o20086
ot
nob Road, P.O. Box21-199, Eagan, MN 55121
PHONE: 687 -4675 /J -
?
BUILDING PERMIT
7I ?
o J
?l
Receipt #
BASEMENT
To be used for EINISH Est. Value Date FEB 6 , 1992
Site Address 4319 FOX RIDGE RD
SUN CLIFF STH
Lot 13 Block 3 Sec/Sub OFFICE USE ONLV
. FEES
Parcel No. occupancy -
Pertnh 35.00
Bldy
Zoning _ .
N2file dEFF REDING (AcmapConst e .50
Stnchar
W
Address 4561 SCOTT TR -
(Allowable) - .
g
plyn ReWew
Q' EAGAN MN Z 55122
? P # otstories _ ??
O length -
PhOriB 688-2392 Depth - SAQ Cily
N8ffl0 SAME S.F. TOtal - SAC, MCWCC
0 S.F. Foolprints -
F AddfQSS Water Conn
? On Sile Sewage _
Cily Zip On Site Weil Water Meter
? =
Phone MWCC System
Ac
l
De
o
il
Cit
Wa1er .
p
c
s
? Vcense # _
y
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SAN Suaharge
inlortnation is correct and agree to wmply with all applica6le State of
Minnesota Stawtes and Ciry of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Parmit is issued to: JEFF REDING Planner - park DeO.
on Ihe express condilion that all work shall be done in accordance with all Council SO
applicable Slate of Minnesota Statutes and City of Eagan Ortlinances, gidg, pff_ Copies
Building OHiciai ol1 (,?,?yf t Y
., Variance TOTAL . . . .. 36. 00
„/?/?? :EQUESToFURQEP ECTRI?CALbINSPEICTION
?r
"X_ Below Work Covered by This Request
EB00001-OB
ewi A§Pl ii: . Typeof8uilding AppliancesWired EquipmentWiied
1
1
?
I
-
i
Home
Duplex
pi. Building
Comm./Induslrial
Farm
OmerlsyecifY,
ange
I Water Heater
?Dryer
?Fumace
Air Conditioner
ContraQOr'sRemalfli _
Temporary Service
Electric Heating
Other (Specify)
1
Ca
mpule
Insp ---
ection Fee Below: a
n Other Fee # SarviSize ? Fee # Grcuits/Feeders Fee
Swimming Pool -j 0 to 200 Amps 0 to 100 Amps
ITransformers IAbove 200 _ Amps Amps
SignS -? Inspecmrs Use Only. we? OTAL S'?
Irrigation Booms ? ??Q
I Special Inspection
?Alarm/Communication THIS INSTALLATION MAY B ECTED IF NOT
-}-
Other Fee I COMPLETED WITHIN 18- H
1. the Electrical Inspector, hereby Ro°9n"" oaie ? D y
ceriifythattheaboveinspectionhas
been made. oa+a,/ ?2
i? ?
OFFICE USE ONLY
Tnis request voia 18 months IrOm
I ?M 3CIA 9 3L ? ;V?
r33? Repuesi Date ?/ ra No. .RO in Inspemion ,?/
?A ? R - tl? ? Reatly Now(;xWill NotPily Inspxtor
V ?Yhen eatly
? ??
'
.
?
Yes
_; No
17 licen Fo tractor owner hereby request inspection of above elechical work at
?
Joe A?aar s
?rea Boe No.) ? Ciry
'
?
Secnon N
o, Name or No Range No. Covnry
I
OCCU?PRINT Ppon¢ No.
J??; n
g
T--_
\ qdd?pss
P
owe, Suaa??er
?
v
.
__ _--- - ___ _--__-_L - - -
IEiecnical Conbacwr IGOmpany Name, Comreetork License No.
?lo!m? ?_ ------- -
Maiimg qddrass IConbactor o, Owner Making Installaro,
?
?
?
N
orrze iqnaWre IC
rv
e
qnq Instalia n? -? Pnone umbae
? ?..,. ?Qr,., I 2
-- ------
MINNESOTA ATE BOARD LECTRICITY THI$ INSPECTION PEQUEST WILL NOT
Grigqs-MlEway Bldg. - Room 5-173 BE AGGEPTED BY TNE STATE BOARD
1821 Univerelty Ave.. 51. Paul. MN 55104 - UNLESS PPOPEF INSPECTION FEE IS
Phone(612)64P-OB00 ENGLOSED.
IIII IIII P2! I 119 REOUEST FOR ELECTRICAL INSPECTION MinnesoW State Board of ElecVicity ?
? 1821 University Ave., R??8, $? aul, MN 55104
* 0 1 9 6 phone (672) 642-0800 ? j ?
ome
I Duplex Apt. Bldg. F;?ther: *- New Addn
C mercial I
Industrial farm Remod ir
ir Cond. Htg. Equip. Water Hir. Lood Mgmt. Other:
Dryer Range Elec. Heat Tem . Service
"X" above }he work covered by }his request. Enter remarks in this space and on the back of the white ropy anly.
?4-
Calculote Inspecfion Fee - 7hit Inspedion Request will noF be accepfed without the mrred fee:
OHrer Fee # Service Enharice Size Fee # Circuih/Feeders Fee
Mobile Hame Pork Sfnll 0 to 200 Amps 0 fo 100 Amps
$ireet Ltg./Traffic Sig. A6ove 200 Amps 10 Amps
TransformedGenerafor INSPECTOR'SUSEONLV
00
$
ign/Ou}line Ltg. Xfmr.
(
Alorm/Remote Conird f
'
Swimming Pool ?
i h
nih, hm i m: d the eieen?oi ??:rouano? d«odbed herew on flha dats.:mred
b
Irrigation Boom e.e
oe
Rough-In oax
Speciai Inspection c
Invesiiga}ive Fee Fin ?a
THIS INSTALLATION MAY BE ORDERED DISCONNECTED F NOT COMPLETED WITHIN i8 NTHS.
?flEQUEST FOR ELEC7RIGAL inbrtciiurv
, Sea instmetions br completirq lhi% fwm on betk of vellow coOV
aQ 11 "X" 8elow Work Covered by 7his Request
ot auilein9
? Industrial Bldq. Air Conditioner I I Bulk Milk Tnnk 1
6om
p pure rns
Fea pecuvn ree oelurv
ServiceEntrenceSiie
b
Fee
s
Faeders/5
1?
Circults
• U to 200 qm s a l0 30 A ro 30 Am >
Above 200 qm )s
V
31 to 100
E
31 to 100 A s
$winvnin Pool Above 100m s Above 100-A?nPS
Transiormers Booms
Irrigation Partia6Other Fee
Jigros °N°`?,°?•°°•••,•• 47 . O V TOTALIFEE
flemarks - / r [c y&-,j
t
flou0h-in
D7
icri?
I. the"EEIttvi,
• nspectoq hereby
cerliiv that the above
Final 1e inspection hes been
? made.
thle repuaet vo1C 18 monitia trom
This request voiA ? _C)
18 rtqn[hs trom
C 16 811N- . S J' Z? -
He uest Date Pne No. Rough-in InsVe'?li rt
n He urted? ?Ready Nuw?] Will Nmily, Inspec-
?y 7/14%8b .]Ves ?NO torWhanReatlV
u Licensetl Eleclrical ConVactor I hareby request ineoaction of abova
? Owner . ele<tricel work inslalled at:
Streei Atltlress, Box or Roure No. . Ciry
4319 Foxridge Road, Eagan
ectron o. Township Name or No.
HaneQ No.
Countv
I Dakota
Occupnm IPPINTI Phone Nn.
Wesley Construction 944-7092
Power Supoher Address
Dakota Electric Farmington
ElecGical CoMractar (COmpany Namel Contractor's License No,
Master Electric 040748-3
Mailing Address (ConVacmr or Owner MakinB Insiaila[ioN
12467 Boone Av . S. Sav ge f•9N 55378
AuNorized Sie mra (Con cxor/Owner a ng 1 tallatioM Phone Number
890-3555
MINNESOTA STATE BOAHD(.?OF ELECTqICITV /l THIS INSPECTION flEQU[ST WILL NOT
Gripes-Mitlway Bldg. - floom N-191 1 BE ACCEPTED BY TME STqTE BOARD
7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phnw 1812129].2111 ENCLOSEO.
3 21- 596A
OFFlCE SE ONLY This request void 18 monlhslrom volidotlon dok pnnkd in Mis 60?.
'
?y? G a??
?5
PLEASE PRINT OR TYPE
t, -
R Rmgh.cn inspectian required2 ? Yes Insp<dian Other Than kaugh-In: y Now Q WIII Call
? 'Yoo mosl mll Me inspetlor ?.hen ready) Doh Ready:
I, E14fcensed conimdor Q owner hereby request inspection oi ihe above electriml work ai:
lob drns (Sfreet, Box, or Rouk N? ^
-+ C Zip Code
k
Seciion No. Towna ip Name or No. Range No. Fire No, nry
O t
? (Ph?j?' ?)Noc. ? . ,
I??,J
Powar Sopplier naa,es.
EI 'ml
C
onnoaor lCompony Nama) Confim
cror
lice
nse Na. Masror Lic. Na (Plant Elee. Only)
?
y
(.{. : CrC y
?
?
71G,K,i
Mailing Address (Conim m or Owner Pe ormin Insbllatio
AuManmd SignaNre (Contmcror or wner Pedormi InslallaHOn Ph e Na.
?
EB-OOOOIA-10 6/95 5iATEBOAROCOPV-SEEINSTRUCilON50NBACKOFYELLOWCOW
PERMIT
CITY OF EAGAN
3830,'rOot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: su11-ozNG
Permit Num6er. 0 3 3 4 9 3
Date lssued: m g t 7 g J g g
SITE ADDRESS:
P.S.N.: 10-72979-130-03
B
DESCRIPTION:
4319 FO?C RIDGE RD
LGTe 13 BL.OCK: 3
SUN CLIFF 5TH
SIDING
ermit Type STORM DAMAGE
dTk Type REPAIR
F?? 439 AL7. RESIDENT.IAL
E
dR ?
? Trz
?
I` ..c- ' . . . ..` ° ?: . . ...-.
ALn.
.?.m. . v}R aw?ucH}' ....
12 ?
S?? L R 9 M
l&
?fwx ae iw$ CdI9
REMARKS:
FEE SUMMARY:
i
?vn'
?a}
p I?l4
9@¢mS}y
*?w %. SI TS SF3Dii R^?rs tit
¢Nrvp_ . v ffiT VE "w Ye' x ,
CONTRACTOR: OWNER: - APplicant -
RasE nEREK
4319 FOX RIDGE ft[l
EAGflN MN 55122
(651)405-9633
I Q,SUED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EA(iAN
,: .
3? l I e1 ? 3830 PII.OT KN?O 7RD - 55122
?1 1
New Construction Reauirements
? 3 registeretl sde surveys
? 2 copies of plans (inGutle beam Q window s¢es; poured ind. design; etc.)
? 1 energy calculations
• 3 copies of tree preservation plan if lot platted after 7/11/93
required: _Ye5 ,_ No
DATE:
DESCRIPTIONAF WORK:
ST ADDRESS: g'
RemodeUReoair Reauirements
? Z copies of plan
? 2 ska surveys (ezterior adAitions & decks)
? 1 enargy wlcuWtions Por heated add'Rions
CONSTRUCTION COST; ES?- CyaGOU,-
,:? +T w\- 3-Q?--w?-?-e ,
LOT: I? BLOCK: ? SIfBD.lP.I.D. #:
J
Name: Z Pa ?L
Phone#: f7L/rJ'1?710M
PROPERTY 1.ast ?
Firsc ?
OWNER n ?
q /? ,// '
StreetAddress: `??1
I EK I ?;p?C(p ?[..a
City C State: MQ- Zip:
Company: ? Phone #:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registratian #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construcfion only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this applicaGon and sfate that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofApplicank 612L
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No r Not Required
CITY OFbEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
? ?
BUILD NG
020915
05/13/93
SITE ADDRESS:
P.I.N.: 10-72979-130-03
4319 FOX RIDGE RD
LOT: 13 BLOCK: 3
SUN CLIFF STW
DESCRIPTION:
slxiel s
16'X12'
DECK
NEW
BLfilditfq ?,Permit 7ype
Betiltling ld,grk Type
``.
r
f
? .?
-??"' 0?uS3
REMARKS:
FEE SUMMARY
ease Fee $25.00 COPIES 1.50
Surcharge 1.50 Total Fee $27.00
5ubtotal $25.50
CONTRACTOR:
OWNER:
REDING
4319 FOX
EAGAN
(612)452--7156
RpplicanY -
JEFFREY
RIDGE RD
MN
P I
3 hereby acknowled-g-e thatC I have read this ap•plication and statt ChaC the ;
in#ormatiart is carract and agree ta comply with a21 applicahle State of Ma). a
5tatwxes and City of Ea.ga.n Ordinances.
L ?
APPLICANT EflMITEE I NATURE ? ISSUEDBT. 51 NATU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: GoT: Zs BLOCK: 3 APPLICANT:
4319 FOX RIDGE RD REDING
SUN CLTFF 5TH (612) 452-7156
PERMIT SUBTYPE: TYPE OF WORK:
DECK
DESCRIP7ION
BUILDENG
020915
05J13/93
JEFFREY
NEW
8'X16' & 16'X12'
INSPECTION .. . ,.
FOOTING FINAL
..J
l)? ). 14 .. J.1 "\ `.".'. .I :i?' k9'.
'l7V CII I E i.lh
: 7:; EtiOCK: 3
•.r:t a 1.0`t V loer Kn
NP`?IR\r73
NSi9uJ?
Ft(t l ([ilU?i
` ?+
X
X
?
x
REAGfIVATE _,?
?ERMIT #._ +
ao?ls
cinr oF ?aGaN
1993 BUILDING PERMIT APPLICATION
681-4675 ? ) tC npy?
! o?'
??? ?
SINGLE 8 MULTI-F,4MILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued. '
Date ? // ? / `?_3 Valuatian of work
5ite Address: ? Ar?? ?" A? '?-?? i`?c_?
STREET SUITE t
Tenant Name: (commercial only)
IAT ? SLOCK ? SUBD. ?,,?_ (?' ?? Y.I.D. M
Descri tion of work: l?c-= •_
The applicant is: f?Owner O Contractor ? Other (Describe)
Name ''??- c?,,.-,? ?e ?? r? ?-'c Ph?ne S?S-3? 7???
Property ??ST FIRST
Owner Address ????! ? ?,x ?? ???= 1' ?
, STREET STE /
City ?? State ?''? ?v 2ip ?? IZZ-=
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration ?
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I herehy acknowledge that I have read this application and state that the information is
correct and agree to comply with all applica47e-5tat of Mlnnesota Statutes and City of
Eagan Ordinances. ?
5ignature of Applicant: ?--- ? `? ?' r
OFFtCE USE ONLY
BUILDING PERMIT TYPE
13 OI Foundation
0 02 SF Dwg.
O 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
32 Addition
? 66 Dupiex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
? 15 Deck
? 35 Tenant Finish
E3 36 Move
GENERAL INFORMATION
Const. (Actual)"
(Allowable)
UBC Occupancy 2 -3
Zoning
N of Stories
Length
Depth 16 z 12
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
1:1 Si te
0 Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint 5q. ft.
On-site well
On-site sewage
Building
Variance
C footing
p Final
0 Framing
0 Draintile
q,3N
T
0 Insulation
O Fireplace
Permi t Fee UO vatuac;m: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other '
Total:
Y
f .
? 16 Basement Finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
,(?! '•- ?? C.0, WINDEN 3 ASSOCUTES, INC.
IAND SUtvEYOMS T1l 940-3646
I381 EUSTIS STy ST. MULp MINN. 55109
FOR! WESLEY CONSTRUCTION ,
HOTE: +
? O Denotes Wooden Stake
Proposed Gazage Flour SI.= 9f9.1
(918•g) Denotes Propnsed ?
Ftntshed Ground 91.
-!- Denotes Direct:ion Sc81e: 1'=301
Of Surface Drainage D 1 p DenotEB IiOR
' Vertfcal Datun - N.t..V.. 929 Honument
Bearings Are Assumed
?r0ir
y Eos?ry???f
• f916.9?
b N
N74e4 4 ?
? ?
?O b = i `?d) = Iq
? l9 h ?'? X lo? ? ? o O
h /f N r o Q P^opose /?O ??o `i?
? tO (916•7) "' '°4se
30
? ? Op?? V
l ? a
, . N
?? ti ??. nho t0 ,?
?68o?.gQ ?9ic.9)\ 6f' .
6•06,?
h ?
\ x
1 O
0 ?
\
Lot 13, Block 3, SUN CLIFF FIFTH ADDITION,
Dakoka County, llinneaota.
Wi NtfEIY tE111fY THJ1T iMIS 13 ATRUt ANb COARECT RE/RESENTAiION Of A SURVEr 00 TNE
rOUNDARIEt 01 TM! LANb AWV! DESCRIIfD ANO Of iHE IOCATION 01 Alt WIIDINGS, If ANY,
TMEIEOH, AND Alt VIEIiIE ENCROAGHMEN1i. 1? ANII, FROM OR ON SAID IAND.
bHri IAb j*?' 1?y N M?+4ch A.p. 1t 8& C. R. WINDEN & ASSOCIATfS, tNC. .
. fVfY??f, Mi?e?wl? M?Nlra?iM No. 772G .
1992 BUILDING PERMIT APPUCATION ;?; • ? U.F
CITY OF EAGAN
F
?V???? ? aJREQUIREMENTS: p • 50
35•DO
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVE
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVE.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
FN1sK
To Be Used For:?oS?,.?e-o-k- Valuation:
Site Address q3 ?
Lot ? Block D _
Parcei/Sub
Ovmer .,eFp c t 0 ?
Address ?/SG/ 7?c
City/Zip E,o ,Qn wl iJ SS/ a a
Phone ? _ Z3SZ
Contractor Sq,-.E
Address
City/Zip
Phone
License
Arch./Engr. _
Address _
City/Zip Code
Phone # .
-A 4H- A4 A
Occupancy
Zoning
Actuai Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprirtt S.F.
On-sfte sewage
On-site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Councii
Bldg. Off.
Variance
Date: A?4.? 4?- .2
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penafty
Lot Change
TOTAL
259z 4S
Sewer/WaterLicensedContr. . Processingtime
for sewer/water permi ' o ays once area as en approve .
agrees that all work shall be done in accordance with
ign t o ittee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1986 BIIILDIBG PEFaiLT APPLICATION - CITY OF EAGAN
NU1'E: ALL COATRACTOAS MQST SB LICENSEp BITH TSB CITY OF BAGAA
32AGLE FAMIILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCIILATIONS
MOLTIPLE DiiSLLIRGS - RffiIDENTI6L
INCLUDE 2 SETS OF PLANS? CSS'
1 SET OF SNERGY CALCULATIONS
COt4SERCLAt
BENTAL Q9IT5 FOR SALS DNITS
OF SORVSY - CHECg 6iITH BLDG. DSPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: ia*/' 'Valuationi: Date:
Site Address 1-J.3 Lot ? Block ?
Pareelf3lz ?? ? ?
Owner
Addreas
g"-
City/Zip Code
Phone
Contractor' ? 49 Address ry
City/Zip Code _ ? S??!
Phone 2?xc/
Arch./Engr.
Address
City/Zip Code
Phone #
:
6/
Erect ? Occupancy fS
Remodel Zoning
Repair Type of Const 3tv
Addition # of Stories
Move Length ?
-
Demolish Depth
Int.Impr. _ Sq Ft
Install
9PPBOOA[.S FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC 5'7
Engr Water Conn 5('2U
Planner Water Meter C?
Council ?.
L? Road Unit D
,
Bldg Off
7? Treatment P 1
1
APG I 1 Parks
Varianee Copies
iOTAL
HOTE: ADD88SSSS FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DBSIGN9TS WHICH ADDRESS
IS DSSIRED. NO CHANGFS UiZI.L BE ALLOiiED ONCE BUILDINCr PERMIT 13 ISSDSD.
?00
2 /(
5,?-?2710- G?o
t.R. WINDEN 3 ASSOCIATES, tNC.
LAND SUIVEYONS
?Tel AUI ` MNN+`
138I EUSTIS ST., ST. 80108
FORz WESLEY CONSTRUCTION -
NOTE: +
? O Denotes Wooden Stake
Proposed Garage F2aor E1.= 919.1
(918,B) Denotes Proposed
Fiqished Gmund E1.
--*- Denotes Direction SCSle: 1•=30'
Of Surface Drainage p D¢nOt@B Iron
' vertica2 natum - K.G.V.D. 1929 Nonument
Bearings Ace Assumed
Oi-D?h
09?
f916,9)
? N
4 ?
46
142 S2o6..?
.Q !7?
va ?C I-I'' 0
0? 19 y ?? ?? tn ? v
Jrt?c
10 (916-7) "! 4104s
h \ 1 22 / 0 W
I S? 2S 0Q1? ?
nOf
, .N
ti
/y6?tf ' g0 9`•9l\ d: / (0(? ?
606..? ?. \ ?/ OQ'
? O
X
? p --
_ q
? ?
?
Lot 13, Block 30 SUN CLIFF FIFTH ADDITION,
Dakota County, Minneaota.
WE NERESII CERTIFt iNAT TMIS 13 A iRUE AND CORRECT REtRESENTATION Of A SURvEY Of TME
WUNDAlIES O/ iME IAND AWVf DESCRIIED AND Of TME IOCATION Oi All WItDINGS, If ANt;
TNERfON, AND Atl VIStSIE ENCROACHMENTS. If ANY, fROM OR ON 3AID LAND.
Oote1 IAi? Z$*?' ?r o1 MvCc`i A G!. WINOEN i ASSOCIATES. INC. .
?, -
• SwIV"NI. M111MN1s lMiurot:ew Mo. 7726
tt_, ?„ ',* r 5
jl$
?y?c ']
f?`Y'GRNY?
Coo?XI:/? rf? e yr .."?.:, {.QI p yp? i , ??
7 [t71YC?,Y
.
? 04lNER
SITE ADORESS`
CON'fRACTUR, •rry'-'? 41 OA7E .??" ----- '?
P1itN?iE
tN
014,
• `---'"'---==-?"=? . ?:
Deterinlne working square footage of`each. M ?
?` . Total ex ased . ., ?
- ? P M?.all ar?a.?. .
ft. x ._..13?
g
Z.. Total roof/cei 1:i.n
__026 ;F? _eE
? . . . • ° ??____- =`-?- sq. ft' x
?
Total exp,qsed ws71=area aGnv? fioor
? `. ,.
-°"
?
a. fiotal wall winiiow area
b. Total • ?? ?O F
door area. '
4
Tatal slidin '...... ...?: . . . ?? 7_r?'• ? ;
g;glass door area.
# d. Total fireplace wall area .............. .. `s
e. Total wall framing area (avera e)0% . ? ?-
? f. -Total net wall area above floor ? ??? ?
:
g. Total rifi joist area ... ..................... ,
Total exposrd foundation area = gZ,-
40 w
h, iotal foundation windnw arr.a,,,,,,
i. Toal net foundation area at;cve grade ...........
• _-e;2?e? .
Determine value cf each aall segment.
td. $
- -?_"---- ? a5 «... _ ?..• S . '
,?:. ~ --- -
ull
b.
? l( "
., c. y
^ n11u / ? ?- _ 4. .
d. ? X ?iti 11
.4..
s, C
, e.^
l( OUp
X
? -- --- - ---- ?. , :
r;..: h.
g',ull 1.?--- ----
<<
? 3 . ....... ....... ...?,. . . . ......Total = J , .
. .. , ,- `.
.:If,item #3 is the same as, or less than item p1, yoa have met the intent
of SBC 6006{c)2. . :-
?'?ip.. . ? . . ? . ' . . . -
4., .. , ? . .. .. - . . . .. . .- ' . _ . *'-+'-
?'`
f
? ??'?
p?;
?"
l
,
?
6
" u
te 15? ,.9f
` ti
11?i
.+ucs;.? ?
6
y
?
,?r?? ?
?p
•
? rs
?
?
?x,; y" 4
?
n
? s.:
?
.
r
}? ? m
`.
3. ?;neTNrs ao c ?.eod
'
"'
4 ? ??s• '
IC
R ..
?,?lcl:i , Br, at.. ?i?q lLlm
6. -? 6.17 ;x
4
? lY.
FIG. A1 1"6PVZSW Q8':
? FRi?IE 1ixLy,'; 1. n rior'air fil? O.be
?` ..
pti . ' ' e
. I• f /? IH "J..
. - (in - . ?/J?s '
? s
g+
?• !R? ? ?'
q,
?
,
s
i
?
. ,
?
l . ?.,
6. 7,t1^?a 0 17
..FIG. NZ
.
•???
? `
:'
r 5 w.n? .. i I
1??i
?
?
.:. a.?.Q... . . ' . .. . ' -?
. i
., +,/
2 .
3, .
041E:al }^ *„• ?.""'."_Q " 5.
?
?
?. _ •??? ,•?
l' ? "-
?
A ' ??? u ?•? ??? ' • ?.
A Y . '.'"O
" .:)
.' •
. ?
:{.r' I `?t
?
"
.
r
?- ?? "?^----?--Q
1. Interior air film
0.68
?.1T1011 ?A o••
' 2 4?e7.L'/:s`'
.
? . ??
.
. '
I' • '
? . 3
. / ' ...?"i!'r',!i'??7?r . ' 6. - . ?:.
?
0
. 4. ,
5 .
?' ??. ? '•?'%?`' ' G. Exlerior air film 0.17
?i ---?
. • . . Tota ?
,
i.
r ?
r
SI,AB ON GRADE
;L
r..,
.. ?v
'
? .Y
" R"
? .
?'•"t ` ? ?''
, 1??
?
= /ij,?-
_
?-
? , '
i ?
'
...
..?
? ^ •
6 tr
?
? -
- ??? . Y
,? .
.
. . ? .. ` - ? ...
._ . rr
t+ F3G. 14
( X ? `? ? - ?ll
? 43' 1 ? D
..?
.
'
• o. _` ti, • NQTE: Indicate ;,t.yoey ."R„ vplue, depth aiid:
. ? ?
? . . ; • _ • ? ,
• .
` acar.ient ef 'insulax
; .,
?' 1 ..-1•11A v?..F*'? K ? ??4 1 "-.
. . . .. ? ".uY?
. .:_- _--.. _.. . :. .j-? _ i
. .. . .
...
. . ..
,.1':?i?'
.
?
e s
.r
, .
?
.
+
.
1 #' :. x kt ? di u
`
?? ?
?? . sa
+u
1 ?
-
?
fiotai= axpose'il roof/eeilin?
.
J totai skyliqhC area . ..... .,
? k. T?:taa r./?y1Tin
c,? fr?ring ara4?.(avrregi 10%)
,
1. ?'otal rre insulate&'rdbf/tieiiing area..: .......
? ?-?Na
_ , <F
? :i?terrnine "U" value far each r?oof/pei??iaig segment.
,
,
x
-
'
,
,
, .
.. ---------?--•-----
,.
.,? ,
??
k. x liult
;
X OU"'' 'ITs?r
A ; .:rota
? ?
If toxal of
44 is tMe same as, or less ttian.#2, you Mave m?t the inteot of :
s@C 6006(6lI. ,
?
. '
Alternate Buildfi?tg Envelope aesign ?
'fo ut17 i2e t'he totat eavelope sy5tem method. Che valuss estabifis'hiM hyt Y,?
{
sum of
items #$ and #4 shall not 6e greater than the sum of iteins a:id $? - 5?
, ,
} 2. '.ti.
.
?
?. 3. ??C`o {•C> + 4,
z. . ,
. ' ?, , I ? ?. ' • . _ . . q
?" ?`% r,?.•?!?'!!
(ld` C`?''
' s
4
r
a?7B}r4 .
,? c'
!
;. .
r
;
..
?. . , . •. ' .. . . . .?. ,..
:.
f
? . ... .. . .
" . . ' .
. .. . ... . . .
.. .. . . ?v'?.
??
.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*TOTE: PAYMF'Nl' OF M AT TIME OF
APPLICATION DOES Wr CONMTM
APPROVAL OF PERMTT,
INsrEx.-riorr oF sEWM Arro/cat MUM
INs-rnrIATTOrrs wIra, Nar sE sc.HED-
ULID UNIZL PERMIT AAS BEIN
APPROVID.
. x,. Wxx,.xWWWxxW,.,.xW,.x,.,.wx=xxxx:xxx,.?x
P ease Printa
? 1) PROPERTY ADDRESS: L/3/9 LEGAL DESCRIPTION: Z -
-3 Sele, e- J/ ?? s ,
'Subdivision or Tax Parce
IE' EXISTIWU STRL'CZS7RE, DATE OF ORIGINAL HIIII,DING PERMIT ISSUANCE: .
i
PRESENt ZONIi?/PROPOSID C'SE: rbn earJ
? COVERCIAI./RETAIL/OFFICE
? IAIDL'STRIAL,
? INSTI'I[PI'IONAL/GOVERN,4ENp
2) ?
? R-1 SING7,E FAMILY
? R-2 DLPLEX (Ttoo Units)
R-3 'R7WPIIi0DSE (Three + Units) ( Units)
R-4 APARTMENT/COPIDOMINILfi1 ( Units )
NAME: .4Ve°?fC'% Cc,rs,r/- _
ADDRESS: X oe
CITY. STATE. ZIP:?/ ??oo?ri/e9art?H
pxor?:_y Y4r - 7? 9 ?
?
3) u ?:?'• NAME: /J/`l/G?fj?ylG/e°l/Pi P1LUnbers1Li y , lor cense:
ADDRESS: G ;7 y J'.?r_? Active
cixY, s?xE, ziP: 55l1 ? r?t r?oraea
PHONE: ? - S ? - MASTFI2 LICENSE#
ta Iraitlal
4) •• ? r?-
NP,ME:
. ADDRFSS: CITY, SPATE, ZIP:
PAONE: -
5) ?? a. , ?, : a • o? • ??
CONDIF.CTION T0 CITY SES+]II2 Cpp7NECTION TO CSTY WATIIt 0 p7,MM . .
6) '? •' •' ? PLFA.iE HOLD P,pPROVFD PERMIT FC)R PICK-UP BY ONE OF ABC)Vg --- ---
PI,EASE MAIL APPROVID PERMLT TO 1, 2, 4. ABO7E
(Circ e one)
7)
7 •ni ¦ i '3t*ER'-:a : : ? -. --
FOR CITY USE ONLY
PERMIT # ISSLED
?
Pd w/Bldg. Permit FEES:
/v, $v
$ $
$ $
i o. Sv
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SCRCHARGE)
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?S CC' ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ 56t) , t.z: $ wac
$ "J7S. OC? $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRDNR SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$?? $
TOTAL
?-
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
L r BL CITY USE ONLY
SUBD.
RECEIPT#: C-'K- ? -?) ) llnA.
RECEIPTDATE:
PERMIT#
1999 PLUMSIN? PEfiMIT (RE.SI)ENTiAL)
CTl'Y OF f.AfiAN
S$SO PILOT KNOB iiD
ERfikN, ht1V 55122
(651)8$1-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ges i in outlet * minimum - 7 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alteretions to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S sfem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3,00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construcGOn 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
7ota1 --> --> ----> ----> $ ?0.50
Reminder: Call far inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------- ------------ - ------- -------- -------
I hereby acknowledqe that I have read this applicafion, state that Ne information is correct, and agree lo comply with all applira6le City of Eagan ordinances.
It is the applicanCS responsibiliry to notify lhe property owner fhat the City of Eagan assumes no liability for any damages caused by the City during iLs
normal pperational and maintenance activities to the facilities conshucted under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :oPj(ei{L 9'2'? U TELEPHONE #: SI 40s-9?D3-s
(AREA CODE)
INSTALLER NAME: Se l? TELEPHONE #:
(AftEA CODE)
STREET ADDRESS:
CITY:
STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
L ? _ BL ? RECEIPT #:
1995 MEGHANICAL PERMIT (RESIDENTIAL)
?Ubjl?a CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
? Adcf-on air conditioning rirepiace oonversion (io exisiing firepiace)
Date:
--,
FEES
? Minimum Fee: Add-oniRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Q$3.00 each) 7•?
? State Surcharge .50
TOTAL _2D1 56
SITE ADDRESS:-
OWNER NAME: T
INSTALLER NAME:.
STREET ADDRESS
CITY: Cliii',Lt'1
PHONE #: ((o<-D
PHONE #:
STATE:N-,-n ZIP:
n t- (
F /? ?-9G
??
RESIDENTIAL
? Ilgiac? BUILDINC PERMIT APPLICATION
`? CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
New Constmction Reauirements
• 3 registered site surveys showing sq. ft, of lot, sq, ft. of house: and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing heam & window sizes; poured tound design, etc.)
• t set of Energy CalculaGons
. 3 copies of Tree Preservation Plan if lot platted aker 711193
• Rim Joist Detail Options selection sheet (61dgs witlh 3 or less units)
DATE I/ 1W n ?
JOB SITE ADDR
IF MULTI-FAMILY BUILD?IN?G, ?H
PROPERTY OWNER ??SiJCQJP,
TYPE OF WORK ?t MOI.J(
APPLICANT
ADDRESS 7
PAGER #
' ANY UM.T$?_
?? .
t
? WIhK /
CELL PHONE #
IREPLACE(S) _0 _1 _2 3
_ PHONE # (PCi ( -W? `Jbqrb
ZIP CODE !5?6 91
FAX# Q }7S " ?
VALUATION (EXCLUDING LAND)
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 Fnll? ?'I ?
?(check one) - Residential Ventilation Category 1 Worksheet Submitte - Energy Envelope Calculations Submitted p?v 11+.+ abUl
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plutnbiiio Sys[ctn Includes:
Mechanical Contractor:
N[echauical System Includes:
Sewer/Water Contractor:
_ Water Sottener
WaCer Heater
-- No. oF I3aths --
Air Coiiditioninn
Hcat Recovery System
RemodellReoair Reouirements
. 2 copies of plan
. 1 set of Energy Calculations for heated additions
. 1 site survey for exterioraddiGons & decks
Phone
Iawn Sprinkler
No. of R.I. Badis
Phone #
Phone #
gy'7 S
D"'"
I'ee: $90•00
Pee: $70.00
All above information must 6e submitted prior to processing of application.
i hereby acknowledye that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature ot Applicant
c/
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1lOt
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Fora
Permit #:
Permit Fee:
Date Received:
Staff:
q12&3
%d OU
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��' Site Address: T l ) /AC ,a(
Tenant:
RESIDENT / OWNER
Suite #:
Name: W/X2,--z-",_<-Z`Z.//;"4,../1-....-" Phone d- r7 ' 77 f
Address / City / Zip:1'7/9 ,. /4,71'
(L //
Applicant is: Owner contractor
TYPE OF WORK"1"/ 77;09/e2 4/:
Description of work: f -
Construction Cost: ��(;0$W
Multi -Family Building: (Yes / No
CONTRACTOR
Nan
447 /7
Address:? �("2 f:Z //o-'
City://p
Phone:lbb 711l'76'6 ' Contact Person "Y 79,a,„47
G r License #: J‘P/?)
/t/
State%t/
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:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information.
the information may be classified as non-public if you provide specific reasons that would perm'
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conform
Eagan; that I understand this is not a permit, but only an application for a permit, and work ' of t. s
accordance with the approved plan in the se of work which requires a review and approv .fplan
�4"j4
pplicant's Prin
X2,00 -
ed Name
e ordinances
ithout a
d codes of the City of
at the work will be in
licant's Signature
Page 1 of 3
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PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105082
Date Issued: 06/25/2012
Permit Category: ePermit
Site Address: 4319 Fox Ridge Rd
Lot: 13 Block: 3 Addition: Sun Cliff 5th
PID: 10-72979-03-130
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Window Concepts MN Alan Schuleman
990 Lone Oak Rd #114 4319 Fox Ridge Rd
Eagan MN 55121 Eagan MN 55122
(651) 905-0105
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
~ For Office Use--------- ~
Eap Cit:jy Of l I Permit _t 6,6. C c~
1 Permit Fee:
3830 Pilot Knob Road t l
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
-----------------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: `7` 31G _I T' eV /ti L` Unit
ResIclent/ Name: 4ma SC A V l rro AA,,, Phone: jOS• 91r'~" q7ff
Owner Address/ City/ Zip 4 3 /5 F R; d4E Rd E-iA GA 12 2
i
Applicant is: Owner Contractor
Type of Work Description of work: R,
rr~~ bo
Construction Cost: GOQ = Multi-Family Building: (Yes No X
Company: ~iY geicEO y Nh E ~ivpr ov~,~
Erh
h 7S contact 57EPWelO LYo~$
Contractor Address: /~01~/ OAkB Qoo/~E u~oq Y city.
State: Zip: S 12 Z- Phone: Co Jam/ " Itz - 7 4:::)/
License ly 3 8 14 iv Lead certificate 7 6 3 b -
It the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a pennit 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 end supporting documents that you submit are considered to be public informadon. Portions of
the information may be clessified as nonpublic if you provide specific reasons that would permit the, City to
conclude that #tey 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. vY gol2hhgrsttit2o,J2!J0ll.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' Code must be pfeted within 180
days of permit issuance.
x S-rcPN eti A• L yati5 x P -
Applicant's Printed Name Applicants Si nature
Page 1 of 3
' Use BLUE or BLACK Ink
_ � r————————————————�
I For Office Use ��
I �
C�} O� nn n� j Permit#: ��
ay L�a�u � Ca� �� �
� Permit Fee: �
', 3830 Pilot Knob Road � �
', Eagan MN 55122 � Date Received: I
, Phone: (651) 675-5675 � �
' Fax: (651) 675-5694 L Staff:--------------i
2015 RESIDENTIAL PLUMBING PERMIT APPLIGATION
� �.. ;� �
� �� -.,.w.
Date: ,%.�"rti.a.:� �Site Address: `- �
, r:
, ,:
Tenan�: � E �C.�-2�L,�. Suite#:
v�
��_�,
` ��` '¥` Name: Phone:
fi � � . wl1/IIE�� �
�����-='��x . � ,
���x, ', _
µr r,x������ , ���' Address/City/Zip:
��.���¢� � � :
� � f � �
�� Name: � 1�2... �rCs ' License#:�j� ���
y��
,� �
� ' ���� x� �� � /
C.�Sr����c�+D�' � �•
Address. �� �lQ/� � City: ,���(
�������{� � �' State:���Zip:��'-s�j'� Phone: l�L' ��-�`� 6���
�����t� �
����������; = ���?: Contact`""T��a`e"`„rC Email:
�.�..„,#
� ��M;..
�������; �;`
New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
x T��!�,Df H�or���� — —
�� `
� vr Description of work:
��t�`.
�
�� ��F� ��� �� RESIDENTIAL
�
� Water Heater
� x����� � ' Water Softener
�'��� ° � Lawn Irrigation(_RPZ/_PVB)
_ P��'n1�#Type �
°` Septic System Add Plumbing Fixtures(_Main/_Lower Level)
� � ���
�'��� 5 ` New Wafer Turnaround
� —
�;.:�� �.,.; � Abandonment
RESIDENTIAL FEES:
$60.OQ Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes State Surcharge)
"Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic Svstem New(includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
� ,�----��,�.ti.�. - �? �--__ n �_. �
. X �; � �_ �
�-� ----- --
ar� �-.. ---�.�,_, � --------.-w.� �......
pp �nt's Printed Name ApplicanYs Signature
�<:x i .. �..s,� �"=�i s,��..� �.. � ..w.: �.. n` _ „�,,:. .� ;
�������l:Et���E � � � R@#r�@Wec�����r' � � b ;
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< � �
�� ` y � ��;� � s ���� � ��: ��� � ��.K,��.��� y r � �.�.
�t�q��#-�d'tnspeetic��� 1�nder�rour���� . ��t��� �� ��r���� .�,,.^Gas Tes� ��� ��w' ��
, � #� ° # ". �� � ; ���� ,
Meter'Rela�d lt�a�i�` �eter Si�� � R�c�ir��� ad . �l�������'�, �� �� ��'���� '�� � � ��� x
�ffr:.. � � M:: ��
,
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156475
Date Issued:07/01/2019
Permit Category:ePermit
Site Address: 4319 Fox Ridge Rd
Lot:13 Block: 3 Addition: Sun Cliff 5th
PID:10-72979-03-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Alan Schuleman
4319 Fox Ridge Rd
Eagan MN 55122
(651) 994-9799
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature