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1257 Forest Ridge Tr , CITY OF EAGAN ' 3830 Pilot !Cnob Road, P.O. Box 21•199, Eagsn, MN 55121 PHONE: 454-6100 QUILDING rERMIT Receipt ? To M rwd fe? Est. Volue Date Site Addreas Oxupaney Lot Block Sec/Sub. Remodel ? Zoni ng . ! Percel No Repair ? Type of Const. 1 , . Addition ? No. Stories ? w? ` " W Name -, ,., •. ,.. „ I Y' Move ? ' li ? Length Demo sh Depth ; Addresa b Int Impr. ? Sq. Ft. A Name --iJiLAD "8S}N INC "ProToIN nes ci Addresa Ilssessment Permit ? City Phone Water b Sew. Surcharge - ? Polite Plan Revfew ? - ? pW Name " -tv r. Fire SAC iZ Addresa ' ?•; i 43 E?q. Water Conn. ' CCW City Phone () Plonner Water Meter Council Road Unit 1`•' I hereby acknowladge that I have read this opplicotion ond stote that gldg. Off. ?` .? 1• Tr. pL •'' ? the intormotion is correct ond Cgree to comply with oll opplicable Sfate Of MinnesoTo Statufes and Ciry of Eagon Ordinonces. APC Perka Var. Date Capies Siqnoture of Permittes A Building Pennit Is issued to: on the e x pre s s conditbn Ihai ? ta ' all work sholl be done in accordonce with oll epplicabla Steh of Minnesot+p Statutes ond City oi EaQon Ordinances. ' Buildinp Offidol ^ ? - -'?- - - - -- --- Pwmit No. Pwmft Holda Dste Telephone ik Plumbinp C-o I, lVt H.VA.C. Electric Sa,er.. Irupection Date Insp. OthK FooUngsl ? ?- Footings 11 Foundadon Framing Rooflnp Rouyh Plby. Rough Ht9. - ? Gf Insul. Firoplace Finel Htg. Final Plby. - ?? Finel ? 4216 CWVOcc. wst•r Ooscribe location: WNI Sewsr P?. Dlap. SITE ADDRESS 1257 FOREST RIDGE TR Unit # 5 permit # 10866 TYPE PERM1T# PERMIT CONTRACTOR DATE TELEPHONE?f PLUMBING 67 ? U? g?? Y H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FHAMING ROUGH PLBG, . ROUGH HTG. INSUL ? -z/-??i FIREPLACE FINAL HTG a (,U l FINAL PLBG zo?, UNIT FINAL CERT/OCC SITE ADDRESS 1257 FOREST RIdGE TR Unit # 4 Permit # 1086$ TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER i FRAMING r _ _ ? ROU6H PLBG. . 12 , ROUGH HTG. INSUL 86 a)? FI REPLAGE FINAL HTG FINAL PL6G UNIT FINAL CERT/OCC SITE ADDRESS 1257 FOREST RIDGE TR Unit # 3 Permit # 10866 TYPE PERMIT k PERMIT CONTRACTOR DATE TELEPHONEN PLUMBING t S t' H.V.A.C. ? ?l' ? ?? ,'l ? ; ? . ?? - ?C • ? ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ? - F- 8?? ? ROUGH PLBG. 7 44- ROUGH HTG. INSUL o"ogD-sl6 4 " FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC SITE ADDRESS 1257 FdREST RIDGE TR Unit # 2 Permit # 10866 TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING Cp ^S 0 H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ( - y- F( (.v B ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC SITE ADDRESS 1257 FOREST RIDGE TR Unit fi 1 Permit M 10866 TYPE PERMIT N PERMIT CONTRACTOR OATE TELEPHONE # PLUMBING 'v/ $.5 -97V-Jala? H.V.A.C. C ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING Lv ROUGH PLBG. 13? ROUGH HTG. 4NSUL _a?, FIREPLACE FINAL HTG FINAL PLBG ?0? UNIT FINAL CERT/0CC SITE ADDRESS 1257 FOREST RIDGE TR Unit ?i 8 Permit 0 10866 TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING V-3 Jr2/ H.V.A.C. ;? t ;' " ?- ?? ,1?• ; .._ , ?_'i: ` I L ? ? ? ELECTRIC INSPECTIDN DATE INSPECTOR QTHER FRAMING Lt%_,6, ROUGHPLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC SITE ADDRESS 1257 FOREST !RIDGE TR Unit M 7 Permit # 10866 TYPE PERMIT N PERMIT CONTRACTOR DATE TELEPHONE0 , PLUMBING Co 1'1S C1 Ir H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 6- ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL -;2 CERT/ OCC SITE ADDRESS 1257 FOREST RIDGE Tr4Jnit # 6 'Permit # 10866 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. / ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL y-o?/_?,6 GL.? ,U, CERT/OCC '1'OW?ii:??ilbE BUILDING PERMIT a. r RecNpt # Site Addreas TR ? [, ; s Erect ? `Occupency Lot Block SeclSub. odel g p Zoning Percel No. e ir ? Type of Const. Addftion ? No. Stories Move ? Length W N?e ; Demolish ? Depth Addresa -- - ' ? Int Impr. ? . . Sq. Ft. City Phone Install ? iappro?a?s Neme i I%?.nn , ,ii,? 99 u Address Assessment _ Water & Sew. Name 7 R ASSi iC' Firo - Addresa Eny, _ City Phone - 1 - ' Planner Countil I hereby ocknowledqe thot I haw read this opplicotion ond stote that gldg. Off. the informotion is oorrect and oflree to comply wifh oll opplicable A? Stota of Minnesota Stotutes ond Gty of Eegon Ordinonces. V D t Permit Surcharqe Plan Review ' . SAC Water Conn. Water Meter ?i• l• _ U U Road Unit 00 Tr.PL er. a e Copfea Sipncturo of Pertnittes 777. L Total /? Buildiny Pennit Is issued to: ??,??N ?r1f• _ on ths expresa conditbn thai all work sholl be dorw in occordaxe with o I opplicoble State of Minnesoro Statutes ond City of Eoqon Ordfnonces. CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21•199, Eagsn, MN 55121 PHONE: 454-8100 Buildiny Officfol • Pwmk No. Pwmit HoldK Dau Tslsphone ?t wurnbinw6 b 3" ? a o C'.o?e-G??- ? ??ar I H.V.A.C. ?; ?l ?,t `? i a ? ? (, . I ? i • ? ?- r Ebetric o? V sonm». Intpection Dats Insp. Othe? Footings 1 ? Footings 11 FoundaUon Framing Roofing Rouqh Plby. . ?• 3 Rough Hty. Insul. Finplece Flnal Hty. Flnal Plbg. Final CN'VOcc. Water Describe Loeation: WNI 8ewer Pr. Dlsp. ' 51TE ADDRESS 1261 FOREST RIDGE TR Unit # 8 Permit # 10865 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ? ?U C) ELECTRIC INSPECTION DATE INSPEGTOR OTHER FRAMING 0-- ?-4 w ? 1? j? ROUGH PLBG. Z . ? ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UN4T FINAt CERTlOCC ?-?` .7,. SITE ADDRESS 1251 FaREST RIDGE TR Unit # 7 Permit # 10865 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ? ? ? ts'??G??..2?+C? /O?? ? 8 ? H.V.A.C. It'?o ? U S ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING RaUGH PLBG. ROUGH HTG, INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL G4, CERT/OCC y SITE ADDRESS 1261 FdREST RIDGE TR Unit # 6 Permit # 10865 7YPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ? 65 ? 6-c 1 U47 /? )-j ? H.V.A.C. Q ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING l - y-Y(1 LV ?' ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG Y - .2 /4? FINAL PLBG ?11fp-$` ,)? /* UNIT FINAL CERT/OCC SI7E ADDRESS 1261 FOREST RIDGE TR Unit # 5 Permit # 10865 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ?p O ? 1 ?S I*, H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FlREPLACE FINAL HTG FINAL PLBG UNITFINAL CERT/OCC SITE ADDRESS 1261 FOREST RIDGE TR Unit 11 4 permit # 10865 1'YPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING 161 / j-7 P H.V.A.C. Wo 4-0- ' 1I . . ELECTRIC %of INSPECTION DATE INSPECTOR OTHER FRAMING ? - F- & L4-" ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL c? l_?6 GJ,,?, CERT/OCC INSPECTION DATE INSPECTOR COMMENTS ' "/ SITE ADDRESS 1261 FQREST RIDGE TR Unit # 3 Permit # 10865 TYPE PERMIT # PERMIT GONTRAGTOR DATE TELEPHONE # PLUMBING ?L-,3 H.V.A.C. 5 ?-.c , r ? • ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL .2 -? z? - X FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERTIOCC SITE ADDRESS 1261 FOREST RIDGE TR Unit N 2 Permit M 10865 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING (;? "C. / L/j ! - H.V.A.C. llj 7 ? ?,p • ( 1-? ?? ELECTRIC ' INSPECTION DATE INSPECTOR OTHER FRAMING , ROUGH PLBG. eC ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC SITE ADDRESS 1261 FOREST RIDGE TR Unit # 1 Permit # 10865 i1IPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ?2 " i c c_> H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMIN6 ??- r ROUGH PLBG. Z -lZ, ROUGH HTG. INSUL FIREPLACE FINAI HTG FINAL PLBG I/- UNIT FiNAL CERT/OCC Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fae __ ' / Fi/1 in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost 3. Job Addreu Lot Bik. Tract 4. Owner ,.'.. , ..,... ., . 5. Contractor Phone ' ?f -??•x' 6. Address ' 7. City 8. Building Type: Residential O 9. Work Oescription: New 0 1 10. Describe 1 11• State "" Zip Commercial O Institutional O Add ? Alter El Repair ? 8 Uni C At3t . Blkj. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank ! _. Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray • Floor Drains Drinking Ftn. --- - Slop Sink - Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: ? for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Roaipt MECHANICAL PERMIT Psrmit No: ` CITY OF EAGAN Fee a. Fill in numbered spacett S/C f Type w Prlnr legibly Tot , 1. Date ,k1 2. Inatallation Cost 3. Job Address '*. LotBlk.? Tract 4. Owner ? . . _,, . . .. _ . . -. 5. Contractor ` Phone 6. Address . ., 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New Q' Add ? Alter O Repair ? ? 10. Describe Fuel Type .:,...., 1 11. No, ? F.siuipmeni 8TU - M. Ea. Forced Air -< No. Equipment CFM Air Handling: Mfg. Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other k? Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ; , . ., y. E er for Rough ' Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Roaipt MECHANICAL PERMIT Parmit No. ClTY OF EAGAN • • FN ? )r fill in numbemd svscar S/C ? TYPe oi Print /eyib/y Tot ' 1. Date t 2. Inatallation Cost . 3. Job Address " Lot . Blk. Tract . ? 4. Owner _ ., . ? Ph ne 6. Contractor o 8. Address 7. City State Zip 8. Building Type: Residential El Commercial ? Inatitutional D 9. Work Description: New ? Add ? Alter O Repair ? 1 10. Dascribe .> Fuel Type _ 11. No• Equipment STU - M. Ea. Forced Air No. Equiument CFM Air Handling: Mfg. , Boilers h E h Mfg. Mec . x aust Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outleu 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 : - f for Rouqh `! Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Parmit No. Qd; CITY OF EAGAN Fss Fi11 in numbered spaces S/C Type or Prini /egib/y Tot. 1. Date ' 2. Installation Cost •,-: r'- _, 3. Job Address ?` J-" -•`-`' ? Lot Blk. ? Tract - ., 4. Owner . . . . ._ .': ? , _ , rt3,;??? ._, 5. Contractor - --?" ?. i_Od PI L ... Phone 6. Address 7. City ', i t• State Zip :,33 i 8. Building Type: Residential G] Commercial ? Institutional O 9. Work Description: New CQ Add O Alter ? Repair O .? 10. Describe 1 11• No. ; Fixtures Water Closet Na. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other =, o1t'i=' Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify thai the above information is true and correct, and I agree to compty with atl ordinances and cocles governing this type of work. Signed : for Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved GiTY OF EAGAN 464-8100 CITY OF E AGAN Remarks I1i 1ZiSi0n #161 53 R/RS Addition Forest Ridge o Ea.gan Lot 13 Bik 1 10-27300-130-01 owner street 1261 /1257 Forest RidQe Trailstate Eagan MN 55123 Improvement Date Amnunt Annual Years Payment Receipt Date STREET SURF. ? STREET RESTOR, GRADING SAN SEW TRUNK h f ivi ion * SEWER LATERAL WATERMAIN ?? n n tt n * WATER LATERAL n e? n n n. WATER AREA 1972 17-39 90 STORM SEW TRK STORM SEW LAT CURB & GUTfER ' SIDEWALK STREET LIGHT WATER CONN. 400,00 6 SUILDlNG PER. 0 SAC PARK C1TY OF EAGAN WATER SERVICE PERMR 3830 Piirt Knob Road R: O. Bpx 21190 PERMIT NO.: Eagan, MN 55121 DATE: Zanirg• _ No. of Units: 1'?IS? -- . r, un.?.t ? O+vner• j'axt: t r;= ,zr.??.j_ Md?eaa: Site Addresx?'r? Ll: r,1 ['orest Rde. Wumber: p l s F,,4t+J.Oiipd AAettr No.; 3 ? aan chavo- Size: Reader No.: i. J. v 0 pd _ 1 MM h oomplq wh6 HM w S E? u ? . 5 d ,?g?.oopa ? o.rl..?.?. EQ?,l1R?[??? . 1 Totol• '' ?,eLar 3b0.t?+Jpd By& Date Poid: Qote af Irtsp.: Insp.: CITY OF EAGAN 3$30 Pilot Knob Rosd P. O. Box 21199 Eagan, MN 55121 Zoninp: Ownwr: Address: 5ite Address: Plumber: SEWER SERVICE PERMR PERMIT NO.: DATE: No. of Units: impm !e a=Pyr whb !V Ghr Of iowa Conr+oction aage; OrdiweNem Acaount Deposit: Parmit Fee: Surdwros: BY Misc. CFweges: Dote of Irnp.: Tocal: Inap.: Dah Poid: CITY OF EAGAN 3830 Pilot K?sob Road P. O. Box 21199 21 Ownsr: /1ddrm: SNe Addmas: ,'." . • s L Plumber. . UW Meter No.: Size: P.eodsr No.: Iasm !o oawply wNh 1M Ciry of Eqpn YnMmmem Av Dcte of Ir?sp.: WATER SERViCE PERINIT PERMIT NO.: DIITE: -- lU tIIULB Connection Chorge: Account Depos(t: PermiT Fee: Surcharge: MiX. Cl7Girgm ?• ' -: j,%'. 4 t Totol: Dote Poid: This requesl wid a-ir ? 1 h 6 7 -3 a-2.d-0 70 s97a}? fleque9? ?a[e Frte No. I flough-in Insneclion Reqyiretl, ?fleady Nnw?Will Notih Inspec- ? ?KO ?AYe.s ?NO 1or When Aeatly ? ? Licensetl Elec[rical Con[rac[or I hereby Feqvest insoection ot above Owaer eleclricel work rrmmlled ac Gripps-Yidwev BIAg. - Boom N-191 ec wccerlcu ei lne s'w lc nuneu 18XI UniversiiyAVe., St. Paul, MN 56704 UNLESS PPOPEfl INSPECTION FEE IS Plpm (6121 2972111 ENCLOSED. - REQUEST FOR ELECTRICAL INSPECTION See imvuctions far completing tAis form on beck of Yellaw caDV• TIW ee-ooom`.a ?? J 70 ? 6 6?{? 3 ' "X" Be1ow Work Covered by Thls Request Ada Iteo. Tyoe ot 11u0amp Aooliancea Wired Equiomeoi Wired Home Fiange Temporary Service Duplex Wa[er Heater Liyhtiny Rxtures Apt. Buildmg Dryer Electric Heabn Cortmercial Bldg. Fumace Silo Unloader Industnal Bldg. Air Conditioner Bulk Milk Tenk Fafm Otnr•r Speu y Other ISnzdfyl [her uecify OtOer Other ompule /nspec[ion fee Below q Fee ServieeEMranceSize # Fee Faxders/5ub(eeders N Fert Circu.ts U to 200 qmps 0 to 30 qm s 0 tn 30 Am s Above 200 mpy ?% 31 [0 100 qmps 31 to 100 qm s Swimning Pool Above 100_Am s A6ove 100_Am ' Transformers Irnyation Booms Partial.'Other Fee Signs SUecial lnspec!ion $Re?dks TOTAL F /317 D a E c,,,c,? l.? ? ,h Insoeclor, emby cerUfy that the abov Sl, inspection has been ilYS Fevuem This repuesl vo.d S70 Re?aest Date Fire No. Rough-?n Inspenion fleqwretl> adY N. ? Will Nolify. Inspec- ' Yes ?NO Ior YYhen qeady ?Lice-sed Eleclrical Contractor 1 h areb y r¢quest insoecKOn o1 above Ov+ner electrieel wak i 'mtalled at SVeet Address, Box or oute No. CwUL VE) (A -11a rereqf' ectmn o. wnshi Name or No. Ranpe No. Counb lacDi:Laa?,?' ?? ?-- ? ? ??.??.3??n ? Vtac Namel I nytwqrizeU S?p?ldZUre Ipont-er maKing InsWllaLOnl I ???/ b/¢{„??Q I I V X %? MINNESOTq STATE BOAND OF ELFCTRICITY THIS INSPECTION NEQUFST INILL NOT Gripps-MidwaY Bldg. - Room N-791 BE ACCEPiED 9Y iHE STAIE BOARO 7821 Universiry Ava., St Peul, MN 56704 UNLE55 PROPER INSPECTON iEE IS wI...... fef212972111 ENCLOSED. .a ^ q? REQUEST FOR ELECTRICAL INSPECTION E?'0°°°?? d L? ' Sae instructions tor comoleti`g this iwm m 6aek of yallow wvY- S 9?ay 0 3 6644` "X" Below Work Covered by Thes Request .SQ Sj0 flier Adtl Rep. 7Ype oi BuilEing AOOlianeea W{ra0 EQUipment pired Home Ranye Temporary $ervice Duplex Water Heater Lightiq Fixtures Apt. Bui Idmg Dryer Electric Heatin Cortnnercial Bldg. Furnace Silo Unbader Industrial Bldg. Air Condrtioner Bulk Milk Tank F2fm ther Deu y Othei ISUerifyl t r Syccity Olher Other F?P BFIOW tl Fee ServiceEntraneeSize Il Fae Feedars?SWteeders M fee Cireuits U to 200 qm s 0 to 30 A s 0 in 30 An. Above 2? Am ?v- 31 to 100 Amps 31 to 100 A Swimming Pool Above 100-Am Above 100-A? TransiormeB Irtigation Boorrs Partial: Other Fee I I I Signs Special Inspectfon --- - -?/1 ? TOTA .G pema rks V' t A% flough-m Uate 1. Me .ml Inspec?or, ?1e.eby certiry Nat tAe ahove Final ' ^ inspeccion has been A 4- P io. tOyreQuestvoidt8montlalrom ? This request voiA 1,R/?G/y 4, 18 months fmm p ,?jnL<sY? ( 77770 -r.r-,j? c4??!e i c)I? nn" G- `l/R J`- e?j6. GG' flequest D ?? ?e ., ire No. pouBh-?n Inspection b Required? Catly Nuw Q WiII Nottly Inspec- f ??? ??es ?NO . ?or When Ready ffL.censed Elecvical Contractor I hereby reques[ insoection ot ebove ? Owner _q 07 electrieal work inetalled et: Sdeet AtldreSS, 8ox or Ro [e No. ( City? L -, a ? ecuon o. Towns?i0 Name or No. RanBe o. C nty Occupant NINT) Phone No. Powey$upql i er? OWV?V Atltlress Elect al Contra?j tor IC mpany Neme) ConVacmr's Lic ense No. ? \ ] Mailing AtlJress (COniracmr or Owner Makinq staflauoN ) S?fI MJL Author' d Sipnature I ontractor/Owner Making Installavonl Phone NumEar ti ; 49') MINNESOTA STATE BOAND OF ELECTXICITY THIS INSPECTION XEQUEST WILI NOT Grigpa•Midway Bldg. - Room N•191 0E ACCEPTED BY THE STATE BOAND 1831 Universitr Ave.. St. Peul. MN 55700 UNLESS PqOPER INSPECTION FEE IS ow....e IaIm an2nwnn ENCLOSED. 1d11 4, /S"!p REQUEST FOR ELECTRICAL INSPECTlON es-o4ooo1-os ' See insfruciions for comoleting this form on baek ol vellow coov. ?/,-2 5 7 7 7'] n "X" Below Work Covereo' by Ihis Request ku..4adaj neo ] Tvoe ot aul imns I . AODbonees Wvee I enwumerit w„ea _ J xtures ial BIAa. 1 1 Air p Fee Service EntranceSine d Fee Fentlers/5vbfaeders # Fea Cir wts 0 to 2D0 Am s 0 to 30 qm s 0 tn 30 Am s Above 2 0 qmps 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Amps Above 100_Amps Transtormer5 Irri ation Boort?s Partial.'Other Fee Signs Special Inspectwn S 1D Nerrarks TOTA EE'? nougn-in I.the EI hi ? ' ? Inapector, hereby cerlify Ihat [he abave Final Date inspecdon has baen ' lA ?r?? mde. Tnis reauesa wie ??`A`?9 ??4-?? q6U-04 X4-e`' ?t 3 /,? - e a 6-9-7ay -r s 9s7 o fleqo ¢]te - ?)f \ Fire No. RoupMi n In.sOcUOn Re9uired? DReadY Now Wfll No?i1y InsOCC- ? 1'es No ?or pA?¢n Ileady ? Licensed Eleclrical ConVaclor 1 hemby repuest inspecHOn ef abova ? Owner electrical work inslalled at Sveet Atldress, Box or Route No. a Ciry ? 73,65 1 U Q ect on Township Name ar No fGinge No. Co/m-?ny Occ ? IN f?? ??.? Phone No. d ' 8 A0 Power Suppli¢rI liV "a` Address Ele l Con[?:ta (CO ny Namel ;,tca, ?c,?'r?c.? Con:.acto ?s License No. f 07 3 Mailinp Atldress IContracm or Ow?r Making IreW { twnl ?l 3 4 . +U . 5 e, , nS?, Au zed Sia ICract /Owner Makiny Insfallationl Phone_N1Q??ber??? O ?l YINN OTA $TpTE 6DAPD OF EIECTRICITY Gin,s-YidmeY Bldp. - Room N-191 1821 Univarsiry Ave.. SL Paul. YN 5+704 Phoro 18121 2972111 THIS INSPECTION NEQUFST AILL NOT eE ACCEPTED BY 7HE bTAIE BOARO UNLESS PIIOPEB INSPEGTON FEE IS ENCLOSEO. flEQUEST FOR ELECTRICAL INSPECTION ? ?' See imtruciions for completim ihis fam on beck of Yellow cowr. S J S? O 5 Fj 60•?`??yG"X'" Be/ow Work Covered by This Reqaest GwAAddi Rew. Tvoe of BuilAino _ ADUliomea Mired EOUia.[ pired Farm Mi 0 Fee ServiceEntranceSiie p Fee Feeders/Subleeders IX Fe¢ Circurts O10200 0 10 30qm s Om30M Above 200 mps 9' 31 to 100 Amps 31 to I00 A 4 Swimmirg Pool A6ove 700_Amps Above 100-APII? Irtigation Boo? Partiat:Other Fee 15pecial Inspection ?SZI.Ul ?}, ? xe?.rks c.J O( TOTRL ? ., 0 r ? '? l'7- ? RoWM1-in ? Da?? `J I.[heElectr, l/ I.ooecw. nereny mniri thaa u.e ahove Fi'al "«' ? inspectim has Eaen P tpy myuesTVOitl 16mmlb? This request void , v- ? /,;? .S 18 monihs Irom ( 77769z,3 ° `7/0. 6'0 Fequest pppaaate Fire No. Rough-?n InaVecUOn F?uiretl? v !.'?Ready Nuw ? WiII NoLiv InsOec- Yes No Yw tor When Neetly akicensed ElecVical Convactor 1 hereby re0uast mspection ot a0ove ? Owner electncal work installed ai: Strea[ A ress, Bax or N Se No City ecLOn o. Townshio ame No. Aanee o. Co/un?ty ?k(iOvp? occ ??t ,NTI . Pho?3a PoSu?l iar Atltlress Ele cal Contracr 1 ompa v Name) ConVacmr'S Liconse No. ! 4 -? .?..Pp. ?-? (Lr. , Mail(n9 AdJre9s (COnVactor or Owner Meking Instail ion) ' D R N 6?. o,?vrl? ?x) ??13 AuthVllyd SiB^ature omra tor wner M king Installationl Phone NumOer ? --? / q79V MINNES TA STATE BOARD OF EIEGTqICITY THIS INSPECTION REQUEST WILL NOT Grippe-Midwey Bld9• - Room N-191 BE ACCEVTED BY TME STAiE BOAXD 1821 Universitv Ave.. St. Peul. MN 55104 UNLESS PNOPEP INSPECTION FEE IS vhena16121642-OB00 ENCLOSED. ?REQUEST FOR ELECTRICAL INSPECTION EB ?n-ODOOL05 ? See inatructiens for campleting this ferm on 6eck oi yellow copy. " ?/o1S C 7 7 7 fiq "X" ge/ow Work Covered 6y 7his Request AAtl Reo. " Tyoe oi Bm1Enng Applian[ee Wired Eqmument WIrBA Home Fiange Temporary Servme ? Ouplax Water Heater Lightiny Fiztures Apt. 8wlAing Dryer Electnc Heztin Commercial Bldg. Fumace Silo Unloader IndUStrial Bldg. Art Corxlitioner Bulk Milk Tenk Farm otner oeu v 1he, ISnuuiyl t er Sueci y t er Oth.r ompute Inspection fee Below p Fee ServiceEntreneeSixO M Fee Faedere/5ubfeetlars M Fee C,rcurts 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 700 Am s Swinvning Pool Above 100_Am " Above 700-Am s Transtortriers Irngation Boort,s Pamal-'Other Fee Signs Special Inspection 5, .? TOT FF6 ? Remarks Houph-in D?te ma l I, the I' ' InsOector, her¢hy I ..e.? 1. ?An? el... ?A.... Fina? DqN1e ?nspect.on hes been^ I n ? (6 ' mede. ?+is request vme 18 monina irom TOWNHnUSE CITY OF EAGAN N°_ 10866 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT " I PHONE: 454-8700 Receipr # T. L. ,,,,A fi., 8 PLEX V,,,,,. $323, 000 ,_ AUGUST 26 1e 85 SiteAddreu 1257 FOREST RIDGE TR (UNITS lEiBdt Cl Occupancy Rl Lot 13 glak 1 Sec/Sub. FOREST RIDGE Remoeel ? 2oniny R4 Parcel No. Zg V? Name FOREST RIDGE PARTNERSHIP Addm, 1020 E 146TH ST City BURNSVILLEphone 432-8240 Ne,ne JAD-RON INC Address ?Wcerra JAMES COOPERMAN & ASSOC xddress SAELARD TOWER ?;ty y MPLS pryony 545-0409 Repav ? Type of Const. V l )4R Atldklon ? No.Stories Move ? Length 9 7 Demolish ? OeDth 46 Int Impr. ? Sq. Ft. Install ? Aoorovah Fees Assessment _ Woter 8 Sew. Policc - Fire EI n Pner _ Counc7t _ Permit +> 77U.JU Suroharpe 161.50 Plan Review 4 9 5_ 2 5 snc 3,360.00 water conn 3, 200.00 WaterMeter 360•00 Roaounit 1.792_00 I herebY acWmwled9e ihot I ha read this npplication ond state that BIdg.Off. H/ZF?H Tr. PI. 848_ OO the in{ormation is corrett or gree o tomply with all opplicable A? Pa? Stote of Minrrowro Stot d CY51 Eaqon d?rwnces. ?+??A,y Var.Deta COpies Sipnoturo of Pertnift , A Bullding Permit Is issued to: JAD-RON INC m t? et?re? ?1t? 0?1. 2i oll work shall be dorre in accordonce with all oppli5pt?le jtme of MipF s'?p Statures and Ciry of Eogon Ordiranceti. 8uildirg Official TOWNHOUSE CITY OF EAGAN IV_° 10865 3830 P'Iot K b F? d P i no oa ,.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # J / / / ? To M utad !er S PLEX W,yelue S323,000 pate AUGUST 26 19 85 SiteAddren 1261 FOREST R IDGE TR (UNITS Erect E OccuPancy Rl Lot 13 Block 1 ?ec/Sub. FOREST RIDGE -aelT'odel ? Zoning R4 Percel No ReOair ? Type of Const. V 1 HR . Addltlon ? No. Stories Z FOREST RIDGE Name PARTNERSHIP Move ? ll h ? D Lenyth 97 1020 E 146TH ST s emo Depth 46 ? Address Intlmpc ? gy.Ft. City BURNSVILLFyho„Q 432-8240 Install ? m o Name JAD-RON INC AVVrorals Fees ? - Addreas Citv - Phone ?w Na,,,e JAMES COOPERMAN & ASSOC x? Address SHELARD TOWER ?W ciey MPI+S rnooe 545-0409 Assessment _ Water & Sew. Police - Fire Erq. Planner - Council Permit rJ4 Surcharge 1 61 _ $ 0 Plan Review 495.25 snc 3,360.00 water conn. 3. 2 0 0. 00 WaterMeter 360.00 RoedUnit 1.792_00 I hereby ackrrowledge that I hove read this opplicafion ond state fhaf gldg. Off. $/z f1I $5 Tr. PL 848.00 t? in(ormotion is correry?ply???onces. -1»Iable APC I perk Totel e , StaM of Minnawfo Statut d of Eagn Ordi Ver.Oate Coples Si nature of PermiM 2Q7-.25 A 8uilding Permit Is issued W: _ ,--AIA(J-RON INC on the express conditlon 1hot oll work shull be done in nccordance with oll applic*lp StcQe of snn ta, Statutes and Ciry of Eogcn Ordirances. Buildinp Ofllcial V „ • l 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS HUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CE RTIFICATES OF S URVEY 1 SET OF ENERGY CALCULATIONS To Be Used For; 8 PLEX Valuation: 3Z3, Date: Site Address; k2-rj-1 Fo2ESr P-ip(qE-- IR. OFFICE USE ONLY Fa?C-ST Lot: Bloc k ? Sect/Sub 2iotaE Erect X Occupancy Remodel Zoning F--q Parcel II Repair Type of Const ?NP-. Addition # of Stories Owner Move _ Length L'? "1 Demolish Depth 4(0 Address Int.Impr. _ Sq Ft Install City/Zip Code ? -------------- -------------- ------ Phone APPROVALS FEES Contractar Assessments Permit q9o.sO Water/Sewer r Surcharge ( to 1 s° Address Police ? Plan Review 4q s.z' Fire SAC City/Zip Code Engr Water Conn 32co.? Planner Water Meter Phone Council Road Unit 1q 2.°-° Bldg Off Treatment Pl 8q8.oO Arch./Engr. APC Parks Variance Copies Address iOTAL City/Zip Code Phone.M ? ? --0 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST 8E LICENSED YfSTH THE CITY OF EAGAN g FLE X To Be Used For: Residential INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS ? 323. o00 . - Valuation: Date: August 15, 1985 Site Address: 1261,--*SW Forest Ridge Trail OFFICE USE ONLY Forest Lot: 13 Block 1 Sect/Sub Ridge Parcel S Owner Forest Ridge Partnership Address 1020 East 146th Street City/Zip Code Burnsville, MN 55337 Phone (612) 432-8240 Contractor Forest Ridge Partnership Address 1020 East 146th Street City/Zip Code Burnsville, MN 55337 Phone (612) 432-8240 Arch./Engr. James Cooperman 6 Associates Address Shelard Tower City/Zip Code' Minneapolis, MN 55426 1 Phone # (612) 545-0409 Erect K Remodel Repair Enlarge _ Move _ Demolish _ Grade APPROVALS Occupancy P-I Zoning R-4 Type of Canst g IFaQ. I! of Stories Length Depth d-to Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner 1+later Meter Council Road Unit Hldg'Off Parks APC Treatment P1 Variance TOTAL oicIO 5D I&I '° 3wo • = 8 S 60 1 ? 2/aa CITY OF EAGAN APPLZCAT20N FOR PERiMIT S£WER AND/OR WATER CONNECTIODi 1) PROP?'PY ApDRF.SS: (QkEASE PRIryi) % ?%?L.?'t?Le' 1t?/PEST LF.G.aL, DESGRI_T'TZCN: (Ipt/Block/SL:?Ddivisicn or TaY ?arcei I.D. N?rl ? IF t...`l=::.ir rJ?7,1.?':4t. , DATE OL' Ct2T.Gi cn' j. LUILDl^'-:.^i PP`SL'?' ?.^.`7T:?;/??POS? L•S: ? R-1 Si= FPYSLY ? R-2 BLiPt'`{ (wD CNIITS) ? R-3 M-71'alCUcE ('??T_°= + L^.IITS) ( LNT'='S) ? I:-4 L=fi'v?lT? i : ? l1TTI?l.?:'S ? C11?J? /? ??? T / ? CCl`P'?"-`,C''?.?/ +?G+tu?Y OFFIC?- ? L%Ti'i.'S i"'?-VT..:.L ? 2.`:STIiC,'PIONAi,/Gv'"%,'EP?,nT:?,"P 2) APPLI= (PLEA3E PRLY f ) ??: EiYCa?Y 7/r?i,T1Es acnREss: ?,??d F GDLiirF?? cri^r, sraTE, zZp: PFiONE: ??f?` ?raGO 3) pLU..IBER tPLEASE PN147) FQR CITY I1SE O4LY PDD2ES5: Zr?0 'e?7 4:f`/ FF' Rd PUJ!!BERS LICE4SE: C Active CzTY, sTATE, zrn; 1541vYf'!//LG C, db'/Y ?.?397 C] Expired PHCJIE: 32-G[V PLUMBER LICENSE NlO?y Not of Record ' 3ft nIi13 4) ='p=/CryiTER (f'LtASE PHfNi) rAME: ?"6?Et7. ?P/dCE ADnP=s: Aa ?o ? /W T sT -- ss'?1rE 1.?z CITY, STATE, ZIP: PHO`IE: 5) INpIG"'TE W[-IICH PER;•lIT IS BEZ\G RFX)LiESTiD: 2"C''NNEC.TIO-I 'IO CITY SEWER Q7NN=IC:I 'IO CZTY SVATER ? C717MR- (PLS'11SE DESCRIIIE) 6) li":DIGATE C:SE: ?/?I' .z,SE f?OID r1PPP,OVID PER.'?LIT FOR PZCi:-L'P SY O^IE OF AFGS,'E EPIEtiSE E 2!kLL RPPROVM PER.'`LiT TYJ 1,,J7 3, 4 AFqVE , (Circle one) 71 SZG?.'i[.'RE: DA1r: a4rlay z2lr?- ? R El?iifYA i i b!lJRfv f? t/?t ?i i?a?i? i? i? isii:r a R f?!!lJa? lyf? f???3i?ai?tCf{a/ ? FOR C I T Y U S E ON;,Y PE?MIm '! ISSU°D FDZS: $ 5 S $ $ $ $ $ S $ $ ?_- r` SE}iL.°, nrDMTy (I`_ICL i:.. SU?C:'r.?GEJ WATEr2 PERD4T_T (IPICiuDE SuRC::ARGF) WATEI2 HETER/COPPE4HOFZN/OUTSIDE READER WATER TAP (INCLUDE CORPORATIQ?I STOP) S: ;dER TAP ACCOUNT DrPOSIT - I^IAT°R WAC SP C TRWK WATER ASSc^,SS:?E.:T TRG21K SE[dER ASSESS:i^NT Lr1TEP,AL BENEFZT/TRU?IK SE:dE:: LATERAL BENEFZT/TRUVK SVAT°3 WATER TREATMENT PLANT SURCIiARGE OTHER; TOTAL ANIOL'NT PAID/REC°IPT 4 D0E5 UTILI;Y CONNEC;ZON RE4UIRE EXCAVATION IN PUBLIC RIGHT OF WAY? [ _7 YES IF YES, THEN A"PERMIT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE E'? NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. StiB7EC': TO THE FOLLOWING CONDITIONS: APPROVED By: TIT:,E: DAT°_ : 5%?W wtur f? W?01 w01 Nt= w*W]a W?Pg Ma PrtMw ar w M 12/02/2016 11:11 7207336427 FEDEX OFFICE 1752 PAGE 04/13 Use BLUE or BLACK Ink For Office Use4011/P City Ol Ea � :::: e; . 3830 Pilot Knob Road Eagan MN 55122 Date Received: . . Phone:(651)675-5675 Fax:(651)675-5694 Staff: W 2016 R - L BUILDING PERMIT APPLICATION Date: 12/02/16 Site Address: 1257, 1261 Forest Ridge Trail unit#: Name Forest Ri.ge Partnership Phone 651-454-3352 Reside /;;;flwner Address/City 1 Zip: 500 McAndrews Rd W. Ste. 100, Burnsville, MN 55337 ; ��• Applicant is: owner Contractor '`'' '` Description of work: "emove & replaced asphalt shingles _ ,Type;.ofi�Work`: p ` $ 2000.00 ' Construction Cost. Multi-Family Building:(Yes X i No Company Bulldo" Contractors, LLC contact: Peter Retka ' ''° 21663 I edar Ave Lakeville :v;::.,„$;. Address; City: ; oil 'tr for; MN 5-044 State. Zip: Phone 651-253-8211 pretka@bulldogroofs.com Email: License#: BC63' 635 Lead Certificate#: NAT-F162654-1 If the project is exempt from lead certif cation, please explain why: COMPLETE THI- AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Ea.an Issued a permit for a similar plan based on a master plan? _Yes No If yes,date and addre,s of master plan: Licensed Plumber: Phone: Mechanical Contractor; r Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: :NOTE:P4a s,•and'sgpporting docu ants that you`submit are considered to be public infor tion.:'Portions>of: theinfor�iatior►,may,•be classified s non-public if you provide`specifie reasons that h the City to': . •,: ., >.... .,” ,.,..::. hsacra ;,.:.• . e •.., ;.,. . �. . :; • ,: • , „'� :cooeiud that they are trade..• is •.. ..,. �. .. CALL BEFORE YOU DIG. Call Gopher ate One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of und-rground utilities. www.00ahersttateonecall.oro I hereby acknowledge that this Information is co pieta and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is riot a permit, b t 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 4,rk which requires a review and approval of plans. Exterior work authorized by a building permit ssued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Peter Retka x (7,,gE:) 06vr5 . Applicant's Printed Name Applicant s Signature Page 1 of 3