4320 Fox Ridge Rd
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4320 Fox Ridge Rd
Lot: 16 Block: 2 Addition: Sun Cliff 5th
PID:10- 72979 - 160 -02
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc.
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
PERMIT
City of Eaan
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.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Suresh S Rajadural
4320 Fox Ridge Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA088302
02/25/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122 U
? 651-681-4675
, Qq-w l0-`?_ G (
New Constructian Reouiraments RemodellReoairRevuirements
• 3 registered sife surveys showing sq. ft. of lot, sq. ft. of house; an?ll mofed areas • 2 copies of plan
(20%maximum lot wverage albwed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additlons 8 decks
• 1 set of Energy Calcula6ons . Indicffie if home served by seplic system for additions
. 3 copies ot Tree Preservation Plan ii bt platted aker 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE r'Ct 3 , () 1 VALUA[ION CD,, V00 ?
JOB SITE ADDRESS ?3 ;-D 1,-?ox2/4eV
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER veC ?
TYPE OF WORK r?
APPLICANT _??veC na/?r
ADDRESS
PAGER #
PHONE#
6 7?C jq"? ///jZ4//1%? ZIPCODE
CELLPHON E # ;51d -_mr=-2 7.-2c2 FAX# W-D
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mcchanical System Includcs:
Sewer/Water Contractor:
,Air Conditioning
Heat Recovery Sys[em
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone #
i:
I
d C-r" Oq ?m
Pee: $90.00
P'ee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that ihe info9/47--
with all applicable State of Minnesota Statutes and City of Eagan Ordin
Certificates on is correct, and agree to comply
Signature of Applicant
of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
MINNESOTA RULES 7670 CA"1'EGORY
- Residential Ventllation Category 1 Worksheet S
- Energy Envelope Calculations Submitted
_ MINNESOTA RiJLES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Iawn Sprinkler
Water Hcater No. oF R.I. Baths
No. of 13aths
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
A02 SF Owelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) x 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
93
C30 K_3
Valuation
/ Occupancy MC/ES System
Census Code Zoning PD City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Foorings (new bldg)
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
-X Foundation X HVAC
Drain Tile
Roof x Ice & Warer X Final Other
? Framing
Fueplace _ R.I. _ Air Test _ Final
Insulation
FinaUC.O.
?
Approved By
Base Fee `?
Surcharge -S?
Plan Review ?o ? ti. CJ °]
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
Building Inspector
r2-/ f7 `Go 6G
« 7
Total I (, O ?. 3 1-f
CITY OF EAGAN Remarks
Addition lN LT FTFTH Lot 16 Rlk ,Z Parcel 1(1 7,T??]j?l fl?_
owner Street 4320 Fox Ridge Road statie Eap-an, NN 55122 A
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSURF, 1985 357•37 23.83 15 3oy.73 Co/ ??? 6
STREET RESTOR. 1986 1622.2C 324.44 S q? ? a0 •?/I3? ( ? ,?
GRADING
Snn w L t O 1986 502.5 100.52 5 0.,5 0
SAN SEW TRUNK ? 49.84 • ?(o •D C?O ? o?
SEWER LATERAL , -2- o
Warpr L ral/O 198 582.46 116.49 5 ? f d d Ir (t`
WATERMAIN 195 4. 55 4.31 15 '.9S (10 // /
WATER LATERAL
WATER AREA i> 1973 68.60 , $ 1 • (pz
4(
C Q // 116
/
?. ?0 eO /
STORM SEW TRK , 1971 214.60 10.73 20 cp /
STORM SEW LAT ? 1985 86.95 5.80 15 5-3 ("6 // i
orm 5ew Lat fJ 1986 739.56 147.91 5 ol r
CURB & GUTTER
SIDEWALK
STREET LIGHT
Services 03 1986 529.15 105.83 5
1/ ur
WATER CONN.
8UI'LDING PER. 11189
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PH O N E: 454-8100
BUILDING PERMIT Receipt #
? To be used for Est. Value 111-1 Date Lnc ;??
., „
Site Address
Lot Block Sec/Sub. ?
Parcel No
c Name '
W
3 Address _
0 City _ Phone
¢ Name _
.o
? Q Address
? City_
City
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.
Signature of Permittee
A Building Permit is issued to:
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
dFF ICE USE ONLY
On Site Sewage OccupanCy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
i:41-2.3
19
APPROVALS FEES
G•Of
Engr./Assess. Permit
'50
Planner Surcharge
Council Pian Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
?
TOTAL
Permit No. Permit Holdsr Date Telsphone ?
Plumbing
H.V.AC.
Electric
Softener
Inspection oate Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final "
Well
Pr. Disp.
, CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING rERMIT Receipt
She Addreas (j
Lot Block `- SeclSub. '
Parcel No.
W Name
? Address '
City Phone
?9
u
u
?
Phone
?W Name '
?? Address ,
tW City Phone 1
Name
Add ress
I hereby ocknowledpe that I hove reod this applicotion and state that
the inlormation Is carrect ond ogree fo tomply with oll applicable
Stcte of Minnesota Statutes and City of Eagon Ordinonces.
5lqrwture of Pertnittea
N Building Permit is issued to:
oll work sholl be dona in accordonce with oll oppliwble 5tate of Mii
Permit
Surcharge
Plan Review
SAC WaterConn.
Weter Meter . ?
Road Unlt ? • I
Tr. PL _ i r
Perks I
Copios ?
Total on the express condition Iho+
and Ciry o# Eopnn Ordinonces.
r.tn 11180
Erect LJ Occupancy
Remodel ? 2oning
Repalr ? Type of Const.
Addition ? No. Stories
Move ? Length ,
Demolish ? Depth
Int Impr. ? Sq, Ft.
Instalt ?
Appeorak feas
Assessment _
Wafer 8 $ew.
Police
Fire
Er?q.
Plcnner
Courxil
Bldg. Off. ' APC
Var. Date
Pwmk No. Pwmk Holder Dsb Tslephons
Plumbinp r c u ( U r,)
H.vA.c. to 5 33 YlK? A r ?i o(?s S ?f Y ?-8?1
,
Saft«».
Irapeetion Date Insp. Other
Footinys I
Footln9a 11
Foundnion ?
? ;t7 S
? ? ??
Framiny
RooNnp
Rouyh Plbg. ?-7 L i' /!1- _•Y ,
Rouyh Hty.
Insul.
Finplace
Final Hty.
Final Plbg.
Flnal
Gan/Occ. ?--
Water Dsscribr Location:
WNI
Sewsr
Pr. DIGP.
Receipt MECHANICAL PERMIT Permit No.
. CITY OF EAGAN Fee
?711?'? Y Fill in numbered spaces S/C
Type or Print /egib/y Tot
1. Date BS 2. Installation Cost ? 7G0?
3. Job Address Lot?Blk. Trac['"
4. Owner e" 3?^-? { ?'??"'`?.?- -,
5. Contractor Phone yy 7
6. Address y0 1 /JbY Kv-.4 ?.+cUl << ?•
7. City State Zip
8. Building Type: Residential,4_ Commercial ? Institutional D
9. Work Description: New)< Add O Alter ? Repair ?
10. Describe ??' ry S.YS4 vs'' Fuel Type Kk '(-V '(j
11.
No.
? Equioment 8TU - M. Ea.
Forced Air S/« No. Equipment CFM
dli
Ai
H
Mfg. da rr ; eY' an
r
ng:
Boilers ? ?
Mfg, Mech. Exhaust
Unit Heater
Mfg, pther
Air Cond.
Mfg.
Gas, Piping Qutlets
12. I hereby tcentiiify that the above nfomation is true and correct, and I agree to
comply inan a codes governing this type of work.
Signed : for
Rough F Inal
Inspections: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT • Permit No. '
CITY OF EAGAN Fee I
? FiII in numbered spaces S/C ? I
Type or Prrn[ legibly Tcyt. I
1. Date 2. Installation Cost
3. Job Address ' Lot ti Bik. . Tract
4. Owner
5. Contractor - Phone
6. Address
7. City State + ' Zip
8. Building Type: Residential ?
9. Work Description: New ?
1 10. Describe
I 11.
Commercial ? Institutional ?
Add O Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Tank
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray -
Floor Drains .
Drinking Ftn.
?
Slop Sink
Gas Piping Outlets -y
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ? I for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
.? .
LAI
?.. we,
1)?
.
_ -- - -- - ; --- ME-TR0 A+R-- -
?19401 Normandale Road
M+ntesota 5537?
, (612) 447-8124
- ---- -- ?
--
3 ---
?
_ -- - ? --- -- -- - - --- -
__ _ ?..
CITY OF EAGAN
3830 Pilot Knob Road
P. 6. Box 21199
Eagan, MN 55121
Zonirp: . :
O1NRlr: :? eyls'iYlu
WATER SERVICE PERMIT
PERMIT NO.:
DNTE:
. No. of Units;
AddmS3:
$it! AddPlSS:
PluI1E1Ql? -
MetOf NO..
Size:
Reader No.:
1 yns fs eanoly wkb !w CiM of byaw
Ordiae?.
A..
DOfQ Of II1Sp.:
COIHI@C'ti011 Cf1OfQE:
ACGOunI D@pOSit:
Permit Fee:
Su?cficrge:
Misc. Choryes:
TotaL•
DoM Fbid:
------
3830 Pilot Knob Road
P. U. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: Zoninp: No. of Units: "
Owner.
Address:
Site Add
?lumber:
I.oe.. ro oaepy w116 th. CNr ef E.4s¦ Ca+n.ction Chorpe: 4 2 5.00nZ
OrNwwaw ? ? 5
Accaunt Depodf: -
Parmit Fae: .
Surchorye:
By Mist. Chorpes:
Date of inap.: Tctol:
I nsp.: Doh Pald:
! CITY OF EAGAN WATER SERVICE PERMIT
? 3830',°it-A Knob Road ; „
i P. C'? Box 21199 PERMIT NO.:
? Eagan, MN 55121 bATE:
i Za+ing: - R-1 No. of Units:
OwMr: i{ey and 2ioraes
?Address: fa320 Poa Rir.lge Rd. 1,16 R?_ Sun Cliff t.
I Sita Address:
Plumber.
Meter No.: -62 ? 1 ?k+1
Siu:
Reader No.:1 n/?'1 9 ''^ E, i ?
? I yr? fo oan? wilU IIw Ci +?F?I ?E •
` Or?lsen9N. D t? I 11 K3 ;
lOt .
BY Date Po7d:
Date I
of I nsp.: I
nsp.:
rZ? 2-7-
? S ?
CITY OF EAGAN N°_ 1 1 18 0
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT rtecelvr * _?
Te b. wed hr SF DWG/GAR E?r_ vai,.. $59, 000 r,,,, OCTOBER 28 85
SiteAddress 4320 FOX RIDGE RD
Lot 16 glock z sec/sub. SUN CLIFF STH
Parce l Na.
W Name KEYLAND HOMES
= Address 3471 W 173RD
? c;tY JORDAN Phone 435-3323
o Name SAME
Z Addresa
? City Phone
G^ HALLQUIST
wW Name
1 W OTH
_ Address
?W City BLMTN phone $31-1875
I hereby acknowledge rhot I Fwve read fhis application ond srate thaf
fhe inlormofion is correct agree to comply wiLin all opplicable
Stata of Minnewto Srotu s o d City of E an r in S.
c
Sipnuture of Permittn
A Bullding Permit Is issued to: KEYLA HOM' S
all work sholl 6e done in oewrdonce wilh all oppl' le Stote of inr
8uildinp Officfal
Erect QSI Occupancy Kj
Remodel ? Zoning Rl
Repeir ? Type of Const. V
AddRion ? No. Stories
Move ? Lenqtn 49
Demolish ? Depth 40
Int ImPr- ? Sq. Ft.
Install ?
Approralf Fees
Assessment Permi-t?+ 310.00
Water 8$ew. Suroharge 29.50
Police PlanReview 155.00
Fire SAC 52$.00
Enp. waterconn. 500.00
Planner Water Meter 63.00
CounNl Road Unit 280.00
81dg,Off. IQ ZS $ TcPI. 1_32.00
APC Parks
Var. Date Copies
rotal $1,994.50
on tM exprcss corditlon that
ao Q Sfatufes ond Ciry of Eoqon Ordinancet.
CITY OF EAGAN No
-
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? 4$ 2$
BUILDING PERMIT PHONE:454-8100 Aeceipt ??s ;:4 ?s 2 J-':')
To be used for nECK Est. Value $1,000 Date APRTT. 14, ,19-8B--
Site Address _
Lot 16 Block
Parcel No.
2
Sec/Sub. SUN CLIFF STH
: Name JEFFREI W. BAKER
z Address 4320 FOX RIDGE ROAD
o City EAGAN Phone 55122 452-3688
o Name SAME
?a Address
w
i- CityPhone
?¢
w w SAML'
Name
?
z
_
a I
Address
a w City Phone
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 ane Cny of ag n O i ances. ?
Signature of Permittee '
A Building Permit is issued t¢_ J F Y . BAKER
on Ihe express condi[ion that all work shal I be done in acwrdance with al I
applicable State ol Minnesota St/atu?tes and? City of Eagan Ordinances.
Building Official-,a
161"f?7?Y?/?- -
4320 FOX RIDGE ROAD
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ (ACtual) Const
Ciry Water _ (Allowable)
PRV Requiretl _ # of Stories
Booster Pump _ Length
Depth
S.F.Total
Footprint S.F.
APPROVAL5 FEES
Engr./ASSess. Permit 24.00
Planner Surcharge .50
Council Plan Review _
Bldg. OH. SAC, City
Variance SAC,MWCC
Water Conn.
Water Meter
Roatl Unit
7rea[ment P7
Parks
TOTAL 24.50
REQUEST FQP EL.ECwTRICAL INSPECTION
? See InsVUciions br completing IDis form on back of yeUOw copy
X" Below Work Covered by This Request
EB-00001-08
ew AW Rep.. TypeofBUilding AppliancesWired EquipmentWired
Home ' Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fur ce HiEiH
Farm ir Conditioner
Omer ?spentyl . ConVaccor's Remarks'.
Compute Inspection Fee Below:
s Other Fee # ServiceEnirance5ize Fee # Circuils/Feeders Fee
Swimming Pool . 0 to 200 Amps O to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspectar's Use Only' TOTAL ?
Irrigation Booms ? 5
Special Inspection
Alarm/Communiwtion THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby RO09n-'" oa?e
certifythatthea6oveinspectionhas
been made. F;nai D _?US?•
OFFICE USE ONLV '
Tnls reouesl voio 18 rtwnihs from
Requesl Date
/? ? Fire No. Roughin Inspection
RequireC? ?`
Ves
eaay Now ? Will NobiY Inspector
When Reatly?
I-Gi'censed coniractor ED owner hereby request inspection of above electrical work at:
Joo Atltl/r?ess 2(Street. Bov or RwteNo.) Pty
ISeaion No. I TOwnsM1lp Name orNO. - Range No. County
OccupanliPRl T) , PhOnp No
??? •
w (Suppiier Aodress '
Eiednc ont? or ?COmp ?y Name)
III CoNractors License No.
MaJing Atltlress IGOnVarl woar Mak?ing In/5tallaLOn)
W .???W(/L
Autnonzetl 5? ure I nVactort ne: Makinq Installati Ppone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION RENOT
Griggs-Mitlway BItl9. - Aoom 5-173 ' BE AGCEPSED BV THE STATE BOARO
1821 Ilniversiry Ave., 5t. Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 , . [NGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION /'. Ee-"°"",_°a
w
- , See instmctions for completin9 this form on back ol Yellow copy. 16
AMI E "X" Below Work Covered by Thrs Requesf '
NO, A. 'a. 7vpe oi e.ilahns Appliances Wired Enuiumenc wi.ea
- Home Fange Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAing Dryer Electric HeaLn
Commerciai Bldy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tnnk
' Parm Orhei Specilv oiner ISUOdty>
tha,r Suecify Ot er Olher
Comnute Inspection Fee Below
% 'Alee Service EntrenceSize # Poe Fyeders/Suhfenders # Fee Cirmits
rv 0 to 200 qm s 0 to 30 Am ps L' - 0 to 30 Am ns
A6ove 200 qi??pyi 31 to 100 Ainps 31 to 100 Ai s
Swinvninq Pool Above 100-Amps Abave 100_Amps
Transtormers Irrigation Booms i(J Partial,'Dther Pee
Signs Specialinspection S ?
TOTAL FEE
Remvks ?
J
floueh-in the Electric.?l
Inspeclor, herebV
cerlify thet the abpve
Final spec[ion has baen
1 meda.
ThlsreQUealvo1d 18monlRalrom , p
?S gO"77 REQUEST FOR ELECTRICAL INSPECTION Ee-oomim
, see imtruetions far coeoietiTe_tnis fam m Eaek of ysllwr capv-
"'X'" Selow Wbrk Covered by 7his Request
?
Ad ev. TYPe ot eui Winy Appliancss NirW E4uipatient Wired
Home flange Temporary Service
Duplex Water Hrater Lighti Fixtures
Apt. Building Dryer Electric Neatin
Conmiercial Bldg_ Fwrece Silo Unloader
indus[rial Bldg. Air C.aditi? Bulk Milk Tank
Farm O[Iwr lSpeulfv) ther 15ceciryl
t r ecity Onher OtM:r
Compu[e lnspection Fee Belaw
p Fea ServieeEnt'eoeeSixa A Fae Feedees/SuMesders C Fee Cieeuits
0 to 200 Amp5 O co 30 Amns 0 to 30 Arrivis
ve 200 Amps
b 31 m 100 A?s 31 to lOQ AnVs
?A
?o
i Pool Above lOD Above 1
fofiners Irrimtion Boort.s Partial•`Otlier Fee
Sigis Special Impection S
n TOTALPE
Bemarks /
?? .
E
r
RouBh-in Oa? 1. tM Elactriol
he.m,.
?tify thsx iha above
Final ( Dxte i?r.peeliop Ass beeo
??3•kJ ??.
,
nhrrequest wW ,afficmn.m,a,
rnis .ea"esc wia
18 monMs lrom
I-?•Sy
?equegt Oa1 Fire No. Wo.qh
,.?? --n Insoee[ion
?11eadY N. Qtld:ll Ha,:?,. ?MPec-
. ?Ves ?No tor When ReadV
?icensed Electrical Contracto+ (?jy " 0 µ?v 1
1 AereAy requast impaetim oi abova
? Owner , 8 Tr? ? I elecbical w00k imtalled at
Sveet Address, eoz ar Roure No.
?
'
U
r G:tv
C
C
J J
0Xr1 Q 2 R d ccot - [_ 4f ti
ection o. Tovmship Name w No. Ranpe _ Cau ?
O Q.,
Occu nt IPPINTI
? O
?
' Phme Na.
a rl a
?
a
Power Suppl'
e ey.
pdd?
Elacn' mtract r !C rry timne) ' GmbacWr
Licrsse No.
"s
l
'
V -Ft-3
Maflinp A Jr/? s(Con[ ctor w Ownel Maki?q I??ilatim)
,p
?
Au izetl Sig ture ?Co clor r Nakinp I?cpllatiml Rnne N?n?Aer
D -355
MINNESOTA $LAE BOAIID OF EIEClA1GIT' 7Mt5 TNSPEGTION REUU6?TwILL NDT
Gripgs-Midwev Bidg. - R. M.791 BE AGGEP7ED BI! iHE SfA7E BOA11p
1827 UniversitV Ave., SL Paul, YN 55100 UMlE55 PROPER INSfECTON FEE 6
Vtqm 16121 2972111 ENCLOSED.
lhis request vaid
18 nwn[hs trom
Penuest Date Fire No. RoaBh-rn In ion
Fequir
Hteatly Now Notity InsVec-
?
ro .
os ?Nu tor When RcaAy
Licens ecUic ConVector I heraby request insoaction oi nbove
?Owner elaclrical work installed aY
S[reui Atl ress, Box or F te No. CitY
' J
4 ? I-
ecuon o. TownshiD Name or N qnnge No. Cnuuty
Occupent IP Phone No.
-"
Power 5 ier Addmss ?
?
Electrical C Vactor tCompany Namel
C ?{J
I
e o.
, ???
Mail' A ess IConvactor or Owi a inG In ila[ion
?
i ?' f-
Authprizetl S?g e ICOnt h wner Ma Mnd nsta la oN ho e ber
MINNE50T STATE eOF EIECTf(ICITY TMIS INSPECTION REQUEST WILL NOT
Gri89s• tlway BldO oom N-191 BE ACCEPTEp 8Y THE STATE BOAflD
I821 University Ave., St. Paul, MN 55104 UNlESS PflOPEfl INSPECTION fEE IS
Phone (612) 297-2111 ENCLOSED.
*dtV oF eegan
PATRICIA E AWADA
Mayor
PAUL BAHICF,N
PEGGY Ct1RISON
C7NDEE FIELDS
MEG TILLEY
Council Members
THOMAS HEDGES
CityAdminisvaror
Municipal Cencer.
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone:651.681.4600
Fax: 651.681.4612
TDD: 651.454.8535
Maintenance Facility:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.681.4300
Faz: 651.681.4360
TDD: 651.454.5535
www.cityoEeagen.com
THELONEOAKTREE
The symbol of screngch
and grsowth in our
communiry
February 13, 2002
BRUCKMUELLER PLUMBING
3992 PENNSYLVANIA AVE
EAGAN MN 55123
RE: REFUND OF PLUMBING PERMIT 47756
TO WHOM IT MAY CONCERN:
On October 17, 2001, a permit to install plumbing fixtures at 4320 Fox Ridge Road was issued to
Bruckmueller Plumbing. A representative of Janecky Plumbing advised us that your company
will not be doing this work and a plumbing permit was issued to them. As a result, we are
forwarding a refund to you under separate cover in the amount of $50.00. We are unable to
refund the $.50 state surcharge that was collected.
This letter is also meant to advise you that eFfective January 1, 2001, the City of Eagan Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
courtesy, we are informing contractors of this policy and issuing a refund, minus the state
surcharge, for a cancelled pemut on a`bne time only" basis.
If you have any questions, please feel free to give me a call at 651-681-4695.
cerely, ?
an Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
PERMIT# Y-4 f 3A 9 RECEIPTDATE: OC j2"vov
2002 RnIDENTIAI. PLUM$INfi PE{iMiT APPL1CATION
CITY OF £A6AN
3$30 fILOT KAOB iiD
£1k8kN, MP 551EE
651-691-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: f?? (D ro x Ri u 9e- fCo 4'cl
OWNER NAME:
TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: ?J'7 ' !2 ! (
(AREA COOE)
STREETADDRESS: 7,1U V0tA I QL Pt 02 (2
CITY: t?,-OA.L7°' CT Il STATE:
vVtl-
ZIP: C)
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING NIT, INCLUDING:
?e??oC? -T?y?cvc
_
Addi fixtures to lower levels or room additions, excluding water so eners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
? Other: -f?; Y e- a r l- - o mt
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
T
l
t $ -
a
O L
I herebyacknowledge that I have read this application, sfate thatthe information is
is ihe applicanPs responsibility to notify the property owner lhat ihe Ciry of Eagan
operational and malntenance activities to the facilities constNCted under this per
comply with al I applicable Ciry of Eagan ordinances. It
or any damages caused by the City during its normal
SIGNATURE OF/PEj[MITTEE / 1102
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: BRUCKMUELLER PLUMBING
ADDRESS: 3992 PENNSYLVANIA AVE
EAGAN MN 55123
LOCATION: 4320 FO?X RIDGE RD
RECEIPT #/DATE: #18555 DATED 10/17101
REASON FOR REFUND: JOB CANCELLED PERMIT #: 47756
TYPE OF REFUND:
Plumbing Pemut 9001.4087 $ 50.00
Mechanical Pemut 9001 4088 $
Building Permit Fee 9001.4085 $
P1anReviewFee 9001.4222 $
SAC(MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 92203865 $
SewecPeresrit 9220.4532 $
Water Permit 9220.4507 $
Account Deposit 9220.2252 $
Water Meter 9220.4509 $
WaterTreatrnent 9220.4685 $
Surcharge 9001.2195 $
Overpayment 9001.2250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 9220.2254 $
O[her $
TOTAL $ 50.00
I declare under the penalties of law that Uiis account, claim, or dem and is just and that no par t of it has been paid.
?-
SIGNATiJRE DATE
PERMIT #:
? y5yq
CITY USE ONLY
RECEIPT DATE:
8002 RUIDERTIAL 14IECHARICihL PERMIT APPLICATION
crrY og eaeniv
SSso PaoT KNoe Ru
E?s,ax suv ss i as
651-691-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: J - 7- C) 2
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
INSTALLER NAME: /cp?r -4 /'tL TELEPHONE #:
STREET ADDRESS:
CITY: aS ? ' Ac STATE: ? ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existina dwelling unit $ 30.00
• furnace replacement
• air e er
• ' conditioner
• o
Nature of work: -z
State Surchar e $ .50
ratal $
3o•Sc?
?????
S NA -OF PERMITTEE
1/02
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMERCIAL MECHlkMCAI. PERE1T APPI1CATiON
CITY OF EAkfiRN
3$30 ?ILOT KNOB gD
EksM, MN 55 122
651-8$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: D -O(L
SITE ADDRESS: 1/a)L C) F ?oo(
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
_ InteriorImprovement _ Remove U.G.Tank
_ Processed Piping
SpecifyNahue of Work
When insta[ling/removing underground tank, cal! 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removallinstallation = mivimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $ _
SIGNATURE OF PERMITTEE
Updated 1/02
PERMIT # RECEIPT DATE: l U ` I ? ` 6 l
US1DEN7LAL PLUM$INf Pf"IT APPL1CATlON
CI1'lt OF £AfiALN
SSSO PD.OT KA08 RD
F-A6AA, 6iN 5518E
651-691-4675
Please complete for: % single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: } 520
OWNER NAME: :
INSTALLER NAME: RQJ6
STREET ADDRESS: _
3A
CITY: 5;? ,Z? /-A
Place a check mark next to the permit work type
S i1 2,7
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, induding: $ 50.00 !
• abandonment of septic system I
• new installationlrepair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Natureofwork: -?Fly2g
5eptic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge 50
,
Total
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowled9e Mal I have read this application, state that the informa[ion is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the appliranYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused 6y the Cily during its normal
operetional and maintenance aclivities to the facilities constructed under this permit wiNin City propertylright-of-way/easement.
SIGNATURE OF PERMITTEE
TELEPHQNE #:
(AREA CODE)
Updated 1l07
f . i . .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SSNGLE FAMILY DWELLINGS l • A g
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESZRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SURVEY - CHECK WITH SLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COh4tERCIAL
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Oe tValuation: ? Date: t-? '0-X Y
Site Addreas
Lot Va Hlock z _
Parcel/Sub
Ormer ? Q rrr ?e?E ?N. `d o k??
Address -?J, 362 ? Ex.? ?os Ry?
City/Zip Code N,S'( ,2?
Phone - 3 /
Contractor Lt., n r r
Address
City/2ip Code.
Phone
Arch./Engr, 1) c,,, ? e?
Address
City/Zip Code
OFFICE USE ONLY
/t300-
On site sewage _ Occupancy
MWCC system _ Zoning
On site well _ Actual Const
City water _ Allowable
PRV required ll of stories
Booster Pump _
_ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit ,? Qv
Planner Surcharge .?p
Council Plan Review
B1dg. Off. 13 SAC, City
Variance • SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone d
///YO
1985 BUILDING PERIIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
? 5`i,ooo
To He Used For• "'?j?[J luation: -.<? :`T=zr Date: 17 1u - .? - ?>
?-
Site Address:
?OFFICE USE ONLY
Lot: Block ?- Sect/Sub Erect ? Oecupancy
Remodel Zoning Q,I
Parcel !f Repair Type of Const
_
Enlarge ?t of Stories
Owner Move Length
_
Demolish Depth [?p
Address '2 C/ l?r Grade Sq Ft
City/Zip Code :;--
Phone ? `• ? - f
Contractor
- ?
Address
City/Zip Code
Phone
Arch./Engr. c?
Address
City/Zip Code
APPROVALS
Assessments Permit
WaterlSewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Ro
aQ Unit
,
Bldg Offj D 2fg?Tarks
APC Treatment P1
Variance
TOTAL
3 lo.
Z9. ?
'? 25•
500.
?3.
2?.
:
I 3z.
L9?? S U
Phone A
22 x;
'1? 7 Y ??- SO Co `? (2- - (00 ? 2
??2.S6
16 ? Y"
FOR: REY-LAND HOMES
l
Q
O?
?
1c/ -
t% mMO
.?
ur? (1'
Nq .
\q?/
C. R. WINDEN & ASSOCIATES, INt.
LANO SURVEYORS T*I. i45-3646
1381 EUSTIS ST., ST, PAUL$ MINN, 53100
l
i
Scale: 10=30'
o Deaotea Iron
Monument
Bearings Are Assumed
1
,; -• ,
s-
?, 9 Q
lO/?
R ? 2t'
o?ze
?
6?
e ' ?
?t?h'e
/
h
/Q
4 q
i `
a ? ?f
? /60o.
rroTE: S 6535'? ? ` ?Nao?
O Denotes Wooden Stake 47?
Proposed Garage Floor E1.= 9/8•2 ? \? "/Q ?f?
(917.9) Denotes Proposed
Finfshed Groond E1.
.r4- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D.
1929
1
?a
Lot 16, B1oCk 2. SUN CLIFF FIFTH ADDITIONF
Dakota County. Minnesota.
polo/ fAis /5 t,dey ?1 ?fo?r A p, ??g5 C. R. WINOEN 3 ASSOCIATES, INC.
b, 040_? a &?
- Surraqer, Minnowle RaoisVafion Ne.7726,
WE MERESY CERTIFII TMAT TMIS 15 A TRUE AND CORRECT IE?RESENTATION Oi A SURVET Of THE
6Ot1N0AR1lS Of THE lANO A60YE DfSCRIlED AND OF THE IOCATION Oi All WIl01NG3, li AN1;
TNEREON, AND Atl VISIBIE ENCROACHAIFNTS. If ANY, fROM ON ON SAID lANO.
MAf N
r .
ExTCrttort ENVEi__or-E nvrrinr,r °n° coMruTnrIoN
OWNER; y
I I(1 I I :
-- -------
SITE ADDRESS;
ruori
CONTRACTOR;? ?--'-
? ---
Determine working square footaqe of eacY)
1. Total exposed wall area..... ? ?4. sq, ft, x.11 =
12 4-
2. Total roof/ce9ling area.,...
?---sq. ft.. x _026-
• Total exposed wall area abovr. floor=
--1? 5 &
a,
b.
c.
d
e.
f.
9•
h.
J •
Total wall window area.,...,....
.......
Total door area ...........................................
.....................
Total sl9din
7ota1 fireplace wallaoeaarea ::::::.......
......................
d
Total wall framin area ????????" " " " " " " '??••
Total rim joist area ..,,?aVe1.`?ye 10;;').......
.............
.........
net wall area above floor ....................... ....
wall area a6ove floor ......... ....................
wall area above floor ....... .. . .. . . . .. .. .. . ..........
---
?" "
frame wall area at foundation ..............
Total exposed Foundatinn ,,,a- . i
' T -
k, 7ota1 foundation window area ....
.........:
1. Total net foundation area above gradc,,,,,. .. ?-
----?-?P _
Detei^mine "u" value of each wa)1 ;eqnierit
(e•9• window, door, each separatc wa11 sertion)
X
b. X
C._x
a
U"-----`-}-(-
U„-- ?-3l_
„u?? _
---•-4?----!?5 8
e._._(2z
f.? x ,??„--•-?-?____ 5'z 2
9. u,? _ ? -
?-?-- - -'?-?_
h._ X 'lull
i. K r -
? •_____ x u?? -
k . X ?? un --- -----
1. ???---- X
3. . . . . . . . -??--- -? ??
..........................Total
,
Tf item 1
k3 is the sam1
as, or less than:jtem'
#1, you havemetintent of SBC 60
10110 Tvorn?JO •'ll" i:onipllCrtrlon
l wga
Total exposed rooL/cciling area
/m. Total skyli:yht area ............................
n. Tota], roof/cciling fxvning arca (nvcr.ayc 102)...
o. Total nct insul2ted roaf/cciling nrea...........
Determine "U" valuc t'or each roof/ceiling segment
M. X "U" _
n. a lu,l 42,
o. .?CP, F3 x lu„
a ........................... Total If total oi 59 is the same as, or less 1:han 42, you have meL• hhe intenL- of
SBC 6005 (c) 1.
AlternaCO Dulldinq EnveJ.ope Design_
7b utilize the total envelopo 'system meehod, thc: values esLablislzecl by tlte sun of
i.tens 03 and 49 shall not be greater than the swn of items Ikl and I12.
1 • + 2. .2.'7 , /.5 0Z-= z?.?'J! ?
s. + a• /gi
?• (
;.:
`i
;,, ...._•?.?:?,,...,.,_... .,. . . .... .... ,.,.. r. ? .r:.,nroxi. my:aann.ronnaeon?.nmrarxwen
,
? C..iruE4L FT, 2XposED
5LOG k-"- 3,5 -r x4 + 36 -r- z9 f?s ? I3 z
?
\N, O
T:ULL
F v L. L 2
PL.AQ ji:
W,4LL
??-1 38
Sa. P-r, r=ki?'oSED wA LL
?3Locl?'? 13 ? x S -
, &??
k.N EE k 5'
=-
PVLL. I x a = ?oSCP
' -
? ,
?-----
--?E--Qj _
, ---- - --=
; To tA L
?.
W DWS
'7- z43<?
z4 44
EKaosp,D
z? ?C 3g =
?
C,Ej L G
7i z,
-7-D
= ? ?9 33
- zs
I?i•33
95,?
AZEA
D o0?5 ?1
_3?
z
?ATlO D? ?
F35M4 Uur+S
?
? :_
%cExLZtic
znted
Hear f1ow
up
I'IG. 95 •
l/,?
?Y.ecc flov up • , e I?vxnted
YSC. 96.: . _. . ... . . :
-? . • • ls ) t't ?1 ) r-i 5 J
? „?otytl?-_..:':..•'•::"'.-%-
•
.... ,r.?°? ..:?..? .
J???;?i'(•...,..;?: '.?./' /. ???
J .
• ' ? ? '???'•.• .
i • .' ? .
• _ hQ:J-Vm :L20
? - , -
? . ? }ient ?
- ; _ • 11av up • •
. . • . . .
' $z,. #7 . .. ?•
Con?tructlon R-Valae
1. Tntcrior air film
44?
4. Extcri.or air £i1n (still) 6.61
-- Total (Z i1 S pO
'"f O
V
F?.R+rt o? . .
1. Interior nir filin 0.61
Z
3. li4su1.
Z- 38.35
d. --
-
I;xtcrior z,.ir f'iln (st,Ll
-
-:-?-------- •1'otat 2 - P. 15
. . _ . ' V = . 0
[o?.sT.?'?tri my.--
? 1. Tnsidc air film
0.61
2-
.
3. . .
? q. .
?• 5. putsidc , ir. filin 0.17
• Total
??.?.., ? . . . . . . .
• 1. rnssae 1s.z filin 0.61
Z. .
3_
. A_
5. Outsidc aiz filra 0•??
-?
Total -
v 1. Ynside air film • ?•??
2. ` • -
1 3. J ?- _-----
4
'
-? .
,. -?
Outsi.dc aic filin
o.17
,
.
. TO t3l
..
•
.
. . •
.
' tlote: Usa additional sheets if more cpaco i
' . 3necdecl for details and calcu?ations.
. ? ? • .
'iwn
•i
. m, r,r,r,iv)un
u( vi,a(iuq aall nrcn !or
m•` c.cdit;l?ruct.lun Connlu?r:l (r?n It-Vnlu,:
It I li?ni (1.?(,II
?.:? ?. i . . . .. . . .. .
. ? 1. in?:hir; :w(r. ' ?••.I .._???5
NL. _
\ ?.1- . r U1?.-T /? I T.?
?\ . ? ''
^ __- --? -
G. }:r.lt:rii,r .i4i. (i;m r• 0.17
_...---_-_'.....--------- -
I
FIG. 11 TOPVIESl OF
? F[UU16lVALL 1. inCrrLur nir :ilin (I.GIf
z. Yi...L7rcP._bp _. .. . .--..?__.45
. , ?. y
- -__ _----
--- ? - ? ----? --.- --.. __ ..._.. _ ---. . .._ ,
6. Es-eeloi:Nbtn.r
FIG. 92 7z-011
. C--? - ---------0 ? V C oa
? 4 2
t r t i u
. 1
z f i Iin
?/ ? G!
• .• .-i ..-_._..? ??r-..... ... • -- ------... __ .
. --.... 3 s . _. _ ...._.._... _ .1 ? ,SGA?!J( 4. _.?-t7?LL..?t.l'??.'_'...._'. _'..-.___;.•O.SI
6. };xt(nlo[ nir film - 0.1.'/
J' I',,; y o', 0 1 "•' ' 1.?? 'OeEC
I n g l i l ' ) ? h i r f i l i? 0. 6R
1
)1TICll .•? ? ?1. _?_?...?._._?,? ?. ? •------- -
. ,
. , ??, , Q• ?.____....?°- . ' A.
Q .. ._ ..
? ky\ ---------..-----....-
?Y
? P .:.?•?.?"? G. l::tl?u?ii?t' .?ir_:_?.?.??_._ -._.--_0_lJ
?. ?' 1• • UC . ?44
St.11ll ON ,INUI:
..... .?
• . ? -- - •. . ` ..
, . ? .
4 r' ?• ` ? •
`: ..
C. 13
.?
.• ? : ? ? ? ?`.R j?
r
r
n . ?.
{w? 1?A17_?•_'
- rr?-=- . . • • ?;- ;
r'r v ? ? • ?? ? ? ?:
i n ? . • ? • - ? ? `.
? ? ' !ll
04
,ri ? • :> ? il r =
? ? • _, • ?' ?
Ilcrl'C: Indlru[e.ty`r, ?'q,..ValuI!, dcoCh And
CITY OF EAGAN
APPLICATION FY)R PERMiT SEWER ADID/OR WATER CONNE]CTION
1) PROPERTY ADDRESS:
LF]GAL DESQ2IPTION: /G, jeir 9 s;,nnl.Cl ?l-h
or 1'ax Yarcel l.ll. M]iilbET)
IF EXISTING STRL'C24.'RE, DATE OF ORIGINAL BUILDING PERNIIT ISSL?ANCE: on&z
(Nb it Year)
PRESENT ZONING/PROPOSID LSE: R-1 SINGLE FAhffLY
R-2 DL'PLEX ('Pao Onits)
R-3 'IbWNEiOL?SE (Three + Dnits) (Aw^Lnits)
R-4 APARTMENT/CODIDOMINILM ( Lnits)
CONIIMEE2CIAL/REI'AIL/OFFICE
IAIDL'STRIAL
INSTI'IUTIONAL/GOVEEtNMEVT
2) DIAME: ? ? )rY1(°S
aoDxESS: 3 71 ti).1'`7&.d sT'
CITY, STATE, ZIP: TO ir7 t-77,.e7S,S.:95Z
PHONE: CL?I Z- ?.F? ?z
- PHONE:
5) ? • ?• • ??
?C0101EX.TION-TO CITY SEWEEt .?rCONNIDCTION '!O CITY WATII2
Q OTfERR (Please Describe)
6) i? • •
? PLEASE HOLD APPROVID PEE21,1IT FOR PICK-UP BY ONE OF ABOVE
7)
F 0 R C 2 T Y U S E O N L Y
PERMIT °: ISSUED
F°ES: $ -_ 16- U
$ l0-5"v
$
S
S
$
$
? S?p U
$ Cuu uG
$
S-af?o
--
$
$
S
$
$ u .
$
$
$ /y-? t?
SETiER nEB??IT (INCLuLL JUP.Cf';ARGL)
WATER PE;2Mrm (INCLUDL SliRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:vER TAP
?r???i::i•r ?_'=C,g-'- _ _
. 1- ..._..=?
ACCOUNT DEPOSIT - P]ATER
WAC
SAC
TRUNK WATER ASSESSt•?E:1T
TRli:TK SETNER r155ES5i1E:IT
LATERAL SENEFIT/TRUNK SEP7ER
LATE2rlL BEDIEFIT/TRUNK G'7AT°R
WATER TREATMENT PLAftTT SURCHARGE
OTHER:
TOTAL
AMOG'::T PAID.'RECEIPT
DOES UTILITY CONNECTZOIV REQUIRE EXCAVATION ZN PUBLIC RIGi3T OF WAY?
F-7 YES IF YES, THEN A"PERb7IT FOR 'rlORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
F-7 NO ENGINEERING DIVZSION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: /
DATE: Q
ec
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
Moom
FEES
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR _
OWNER NAME:
SITE ADDRESS: /?DX i06e /rO,
LOT: BLOCK _ 5UBD.
INSTALLER: 2ei-Q?jO? /ieCH- ?G'/UiG es
ADDRESS: 17l1 /j.
CITY: ZIP: -??-?--?
PHONE #: ACL-r/`//
18 OF CONTRACT FEE.
STATE SURCIiARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED FIPING = $25.00
$25.00 MINIMUM FEE.
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRZAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLZNGS &
TOWNHOMES/CONDOS WHEN PERMZTS ARE REQIIIRED FOR EACH UNIT.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
FOR CITY USE ONLY
PERMZT #
RECEIPT #
DATE:
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ zs?
STATE SURCHARGE: .50
fiOTAL: $ °
??.? ..' ?2 s??
SIGNATURE OF P ITTEE
$
( S IGNATITFtE )
CITY OF EAGAN
(e 1/9 i'6
2004 RESIDENTIAL MECAANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemuts aze required for each unit
30 -s-6
Date 05 ,
Site Address ? a _C?Z' V,
?OC 0 ??X l `f ? ? ?? •
Unit #
Property Owner U r ?
C? U
K
AZ f Telephone #((Q S! )? d?(CJ k
Contractor /lqoi
Street Address ? ? S I'"7 S? St • L? ' City
State M Zip S Telephone # (&S/)
Bond #: Expires:
The Applicant is _ Owner IL-£ontractor _ Other
Add-on or alteration to esisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? airconditioner _New eplacement
other
State Surcharge $ .50
Tota? .1UN 1 g $ an - so
8y?
I hereby apply for a Residenpal Mechanical Pernrit and aclmowledge that We information is complete and accurate; that the work will
be in nFomiance with the ordinances and codes of the City of Eagan ancl with Mechanical Cades; that I understand this is not a
ermit, t only an applicarion for a permit, and work is not to start wi a ermit; that the work will be in accordance with the
app o d plan in the sg of work w'ch re es a review and approv of pl .
pplicant's Printed Name ApplicanYs Signature
-- -----------i
? Permit#:
I ? I
I Permit Fee:
I ? I
? Date Received:
? Staff:
I
2008 RESIDENTIAL BUILDING PERMIT
Date: '?? J? Q? Site Address: L4 C-0
` eS " ' Aq??u
Tenant: ^
RESIDEN
O GG
T /
WNER Name: Phone:
Address / City / Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description ofwork: 1'('C. K00 F
Construction Cost: Multi-Family Building: (Yes_! No ?
CONTRACTOR Name: LC _, License #: ZD ?? I Y D?_
Address: ??? O ?? ? 4 1A1 ?? {J r
City: state:-V^ zip: SS'lI?
Phon6S L Z
??f C
ct P
rson: ? g d ?
t
.
on
a
e
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 Submitted
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:
?NO7E: Plans and supporting;documents that you submit.are consideied to be publoc informatron, Port+orrsaf
' the mformation ma
be classffled as non=
ric reasons fhaf would
ermit the`City
#o
blic?if y
'r
vid
'
_
y
p
,
pu
ou p
o
e
spea
; i!,,N4?,1,;! conclude that the aie tratlesecrets irr
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance
Eagan; that I understand this is not a permit, but only an application for a pe nd work is not to
acwrdance with the approved plan in the case of work which requires a review nd appro of plans. ?l"
X
Applicant's Printed Name
LICATION
Suite #:
ordinances and wdes of the City of
?%a permit; that the work will be in
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157583
Date Issued:08/27/2019
Permit Category:ePermit
Site Address: 4320 Fox Ridge Rd
Lot:16 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Suresh S Rajadural
4320 Fox Ridge Rd
Eagan MN 55122
(612) 207-0722
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174935
Date Issued:03/02/2022
Permit Category:ePermit
Site Address: 4320 Fox Ridge Rd
Lot:16 Block: 2 Addition: Sun Cliff 5th
PID:10-72979-02-160
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Derek Alan & Stacy Marie Hensche
4320 Fox Ridge Rd
Eagan MN 55122
(952) 681-2615
Bws Plumbing Heating & A/c
7251 Washington Ave S
Minneapolis MN 55439
(952) 681-2615
Applicant/Permitee: Signature Issued By: Signature