1265 Forest Ridge TrCITY OF EAGAN
, 38:30 Pilot Kaob Road, P.O. Bax 21-199, Eagan, MN 55121
PH ON E: 454-8100 ,
QUILDtNG PERMIT Receipf
Te 6o wed For Est. Volue 2 ,'' Dote •', 19
ite Address Erect ? Occupancy
Remodel ? toning
ot Block - Sec/Sub. •?r,
Parcel No.
Name
,.,
; Address
? b City Phone 2 epair
Addition ?
Move ?
Demolish ?
Int Impr. ?
Install ? Type of Const.
No. Stories
Length
97
Depth ! 4 6
Sq, Ft.
?
O Name "
o
Address Approvols
Asseument Faes
Permit _ 99 ? . 50
?
v
City Phone
Water E, Sew.
Surcharge -161•S.
- f)
` Police Plan Review_???
3
??j
0
Name
W Fire .
SAC ,
?? Address I G' Eng, . ; i .. . ;
Water Conn
CCW City Phone ???' Plnnner water Meter _35 Q. Q{1
?
? Council Road llnlt -?
1 hereby oCknowledgs thaf I have read rhis opplication ond state that gldg. 4ff. Tr. PI.
the information Is torrect and ogree to comply with all applicubfe
? $tcte af Min,xsoto 5totutes onb City of Eagan Ordinances.
' APC I
Pa??
?. Sipnoture of Pem+ittee Var. Date C???
-$?l , 207.25
h Buildinq Pem?it Is issued to: 7ota1
on ths expross tonditlon thot
oll work sholl be done in occordance with all oppliwble State of Minnesoto Statutes ond Clty of Eoqan Ordinonces.
Buildfrp Offkial
R
-?1a
H.VA.C.
I Inspettion Date I Insp. I Other I
Htg.
l.c)
Water u I ? Wscnbe Loeation:
SITE ADDRESS 1265 FOREST RIDGE TR Unit # 1 Permit #. 10911
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING (p I D ? I?t? Q--< d-e? /%' I l B O1 -
H.V.A.C.
ELECTRiC
INSPEGTION DATE INSPECTOR OTHER
FRAMING _ E?
ROUGH PLBG.
ROUGH HTG.
INSUL -
FIREPLACE
FINAL HTG
FINAL PLBG ?
UNIT FINAL
CERT/OCC
SITE ADDRESS 1265 FOREST 3t'V)GE TR Unit # Z Permit # 10911
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING ?p Q ?iQl't-56?? e4 166110 6 yy- ?t?q?
H.V.A.C. ? q S ?1 ? '? ??'lb/
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING / - j fj -Fv (.v 9,.
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCG s-? a - 8? (,v. ,?
SITE ADDRESS 1265 FOREST RIDGE TRUnit # 3 Permit # 10911
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING WQ .3 C.?>\S d '061185 eq V, ,3
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMIN6
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG _ 24,t?
UNIT FINAL
CERT/OCC S'- a ? -?6 CQJ,,O
SITE ADDRESS 1265 FOREST RIDGE TR Unit # 4 Permit # 10911
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONF #
PLUMBING CphSvl "G(azt- r?1j( I g'j
H.V.A.C. 3 .iSb
ELECTRIC
{NSPECT1dN DATE 1NSPECTOR OTHER
FRAMING -86
ROUGH PLBG.
ROUGH HTG. ,
INSUL
FIREPLACE
FINAL HTG S'-a 0
FINAL PLBG
UNIT FINAL
CERTlOCC
51TE ADDRESS 1265 FOREST RIDGE TR Unit # 5 PeRnit #
10911
TYPE PERMIT # PERMIT CONTRAGTOR DATE TELEPHONE #
PLUMBING r 45 9 f
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG.
ROUGH HTG.
INSUL
.
FI REPLACE
FINRL NTG Lt,
FINAL PLBG
UNIT FINAL
CERT/OCC -v?-? a. •?? ZU,U
SITE ADDRESS 12 65 FOREST RIDGE TR Unit # 6 Permit #
j0911
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPNONE#
PLUMBING ? Q (Q I,' /0/4- ??9-5
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH P48G. a
ROUGH HTB.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/aCC SS^aa - ?? ?,? ?
SITEADDRESS 1265 FOREST RIDGE TR UnitN 7 Permit# 10911
TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING ?(1 r D? SO f l 61- f! a S
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PL9G. _a
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERTlOCC -2
? ??
v??
SITE ADDRESS 1265 FOREST RIDGE TR Unit # $ Permit # 10911 -
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING cp r1,s0 Ir OkQic-C, ! 6f,at 0 0 .1 (/-3
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING /- ?p •.. ?6
ROUGH PLBG.
ROUGH HTG. 3-3 4(m
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL -
CERT/OCC ?
sUlLDING PERMIT
?O9 1i,
Receipt #
TO w w?d 1e? g` UI`' ''• . Est. Vnlue •?' 3 2 3, U Q U p? e '-; N B-: ; , 19
Site Addrea Erect ? accupancV i
Lot - Block Sec/Sub Remodel ? Zoning
Parcel No. . Repair ? Type of Conat. y. i
Addition ? No. Stories
W Neme
• ' : l)!.. .". ?'A; ?' ? Move ?
? ?ength
Demoliah Depth
; Addres s Int Impr. ? Sq. Ft.
b City -- ' Phone - - - - Install O
? Name
ou
Addre
F Citv .
Water b Sew.
Police
F,; Name ??c'C K•?;tilv 6 re:±?? ., Firo
?? Address Eng.
t Z. City . Phone .' 4.? r Plonner
Council
I hereby ocknowtedye thot I have read this oppliwtion ond state thot gldg. Off.
the information is correct and o9ree to comply with oll opplicobte A?
Stote of Minnesoto Stotutes and City of Eaqon Ordinoixes.
Va D te
Permit
Surcharge
Plan Review ?
$AC y
Water ConR
Weter Meter
Road Unit
Tr. PL
Parks
r. e Copies
5iynoturo of Partniftee I Total "
A Building Parmit Is Issued M: JAD-RON INC ??express condit+? that
all wo?k aholl be dona in occordonce with oll applicoble Stote of Minnesotu Stotutes ond City of Eaflon Ordinonces.
CITY OF EQGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagse, MN 55121
PHON E: 454-810
0
8uildinp Offlciol
Pwmit No. PwmK Holder Oate Tolephone #
???ing y- rr KA-r-e; e.?.=?...?e 14 fgf
H.V.A.C. t
Ewctria. V
Softonr
Irupection Dste Insp. Othor
Footfnps 1 ??- ' c -
Footinps II
Foundstion
Framiny
Roofiny
Rouph Pibg. j
Rouyh Ntg.
Inw1.
Finplace
Final Ht9. s?
Final Plby. ? 8'(6
Final '
C*rVOcc. ..t
W?.? Dacriba Loestion:
We11
Sawor
Pr. Dlsp.
. w4 ? ,•?r a b/
.?
3 4r?o,? -
PERMIT # " CITY OF EAGAN
` -` MECHANICAL PERMIT
RECEIPT # J f ?A ? 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.SO
DATE MINIMUM COMMERCIAL FEE - $20.00 + $•54
1. Bldg. Type: Res -- Comm Inst 2. New "' Add
--l•?---
?de UU
FEE
S/C
TOTAI 7 ???4"?
Alter Repair
3. Total Bid Price Y 4? tl o( y 4. JobAddress ` -?
Lot _T. Block ?- Sec 1-?' ?5. Owner
r,-
6. Contractor rdlur I c k I-?fA ? u G 16 v/
(Name) (StreeU (CitY) (Zip)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fractfon -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
?HEATING ' VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
%? RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGRQUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp
SITEADDRESS , 1269 FOREST RIDGE TR Unit# 1 Permit # 10912
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING gq v
H.V.A.C. c. . G j?? - P(p 5?.,.
ELECTRIC
INSPECTION QATE INSPECTOR OTHER
FRAMING
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG u",
FINAL PLBG
UNIT FINAL
CERT/OCC
SITE ADDRESS •1269 FOREST RIDCF. TR Unit M 2 permit # 10912
TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHUNE #
PLUMBING Wl o t_.phSb r U1 l)-7lg5'
H.V.A.C. 0A e-.4 GJ! •
ELECTRIC Li T
INSPECTION DATE INSPECTOR OTHER
FRAMING ? - .,3,? - r& Gc>, e,
ROUGH PLBG. , ?
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC S - a? --
SITEADDRESS • 1269 FOREST RIDGE TR Unit#
Permit# I0912
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPH0NE tk
PLUMBING bI I I li0 YI S O ImGi.j---(L 1U1c3 /1g ?? ? -::,
H.V.A.C. b 5,e?jkwde-
ELECTRIC Li
INSPEGTION DATE INSPECTOA OTHER
FRAMING ?- 3?, _ x,,-
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERTIOCC
4
SITE ADqRESS •1269 FOREST RIDGE TR Unit # 4
Permit # 10912
TYPE PERMIT N PERMIT CONTRACTOR DATE TELEPHONE M
PLUM8ING Co nSoI - - G-A-? !G(d !/g 31rl?
H.V.A.C. GS/ (?IG Y d jo
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING /-- ?? .- ?i
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG S a? ? zo ?
FINAL PLBG
UNIT FINAL
CERT/OCC ?? o?? - ?(o Gt? ,[>
SITE ADDRESS -1269 FOREST RIDGE TR Unit # 5 Pertnit #
1.U91L
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING 0113 Cp jh S bI
H.V.A.C. Q ' L T ? l?p
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMIN6
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/0CC
-o??_?6
6
j?,?
SITE ADDRESS -Z269 FOREST RIDGE TR Unit M 6 permit li 10912
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING ?p t Cp ti SO Iidp-T,a( 16447
l o
H.V.A.C. l w., 7 S?O
ELECTRIC
INSPECTION DATE iNSPECTOR OTHER
FRAMING l - ye- y(? Ld, ,6,
ROUGH PLBG. 6, W.
ROUGH HTG.
, W.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC
4-. •
SITE ADDRESS - 1269 FOREST RIDGE TR Unit # 7 Permit # 10912
TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING 164 1 rg5--
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING 1-.3v -f,6 W4,
ROU6H PLBG.
ROUGH HTG. ,?j -3
INSUL 3 -3 cAoc
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERTlOCC
SITE ADDRESS - 1269 FOREST RIDGE TR Unit # $ Permit #
10912
TYPE PERMIT # PERMIT CONTRACTOH DATE TELEPHONE #
PLUMBING CQA ,S6Ii??, 6 ?? OCj ? ?'iJZ)
H.V.A.C.
`p ?O T
W fCXG
l5e?6
( ? ?C?
?Y ? ?/
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING LUl..
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG T? 0 a
FINAL PLBG
UNIT FINAL
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
?
Receipt " PLUMBING PERMIT Permit No. CITY OF EAGAN
? . Fss
fill in num,asred spaces S/C
Type or orint /egibJy TaL ,
1. Date 2. Installation Cost
?
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone . "
- - - - ;9 '..c' •
6. Address • '
7. City
State
8. Building Type: Residential 0
9. Work Description: New ?
10. Descrihe
11.
MN
Zip
Commercial O Institutional ?
Add O Alter ? Repair ?
8 ilttlt As>t. Blciy.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel l
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Qutlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with al.l ordinances dnd.Cpdes governing this type of work.
5igned: for
Rough Final
Inspections: Date Insp. Date Insp.
This is ynus pesmit when numbered and approved.
Approved _ CITY OF EAGAN 454$100
?
?
Receipt PLUMBING PERMIT Perr?iit
No
-
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y Tot
.
1. Date 2. Installation Cost
( ?
`
d Bik.
3. Job Address Lot Tr ct
i
?
???
4. Owner --- - •_ -:?f? .' i i r .. --
5. Contractor '- 'i'-?'?l iuate? PItL.w. •, Phone
6. Address V. 7. City
State
S. Building Type: Residential ?
Zip ,
Commercial O Institutional O
9. Work Description: New O Add O Alter O Repair ?
10. Describe i J', _ i
1 11•
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower Well
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
Hough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
CITY OF EAGAN Remarks bivision # 16153 8/85 _
Addition forest Ridge of Eagan Lot 12 sik 1 Parcel 10-27300-120-01
Owner Street 1269/1265 Forest Ridge Trailstate Eagan MV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ? 1981 423.90 42.39 10 Paid befo e division
STREET R ESTOR. 1077 1986 1122.05 224.41 5
GRADING
SAN SEW TRUNK 1 71 . 0 15.24 20 Paid befo e division
EWER LATERAL , 1 0477.60
WATEFMAIN • . 1981 17.?0 11 . 73 10
WATER LATERAL 1981 1
WATER AREA 92 1 7 7 .HO 17.39 20
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
5TREET LIGHT
3 584.00 55744 9 9 85
WATER CONN. 6400.00
BUILDING PER. 911109],2
sa,c 6,720.00
PARK
?30 r'ilot Knob Road
IA ?'IN O F.EAGAN
P. o. sox 211ss
Eagan, MN 55121InO: QwrR?: )rE't; L !{ 1d^ ddress:
ti Mdresa: i 2 6 5''
Ufl'Iblr rr? =i :; i:
f NO.:
? Ic --LL ? oZ
r No.. ?-
•MM h mm*
w6-r?
warER sERVicJ PERMrr
PERMIT NO.:
DAI'E: T - ' -? -?
- No. of Untts: '17ISE - nn ts ?
"ncon T,r i it i.2s j
I-orest r ic -e
?
r
C
By??/? Totol: -.Reter
- ?" Po
Dote of Ir?sp,; ? ,
--- a FZ
CITY OF EAGAN
3830 Pilot Knob Rwd
P. o. Box 27199
Eegan, MN 55121
Zontnp; ,- _
vw+wr.
Mdress: ?_
Stte Acld,r.ss3 2 5 5,?;
Plumber.
?? ??ps M16 N» Cihr ef yp¦
Gonrnetion Ohoqe; _2. 4 40. OOtxl
Pen»it Fes: ?-- ? _
gy SuRfwroe;
--------------- -
MFsc. Qar,pp;
Doft of Insp.:
I?ap.: Totcl:
Cblr ib1d: -
srwER SQtVKE PERMR
PERMIT NO.:
DATE: ?- ?- -
t - No. of Units: ??'
- :`Ci?.1L e9
This requesl void
018 ?rron[hs frOm
n?.. ?(? ?' 3
LJ d'-Lf?I 7' J? J J-
Reques' ate ? Fire No. Rouph-in InspecUon
Raqufn:tl?
?Reatly NnwII Nolity InsUeo
es ?No lor When Ready
LicenYed Elec[ wa ConVacmr I hereby reGUest inspuction ot above
? Owne, electncal work installetl aP
h
or oy[e Ny
Sveet Addr?s, Bo Cit
'
??
?
ecUOn o. Townshio Name or o. Range o. Cow ty
l?
'RINT)
J P?,
?
J
Power oP/lier
hW Addre?ss
Elec ical onVact (COmpany Namel Cuntrar.tor's Li cn3, No.
?
??
.
y?
Mailin AAdrass (Cont?tor o Owner Making Instail ioN
S
5& AlU
511
Au zed Siyna ure Con actor Owner MakIny Inetallatiun) Phone Number
7- 'JD
MIN SOTA STATE BOARD OF E?LECTRICITY THIS I'JSPECTION REQUEST WILL NOT
Griggs-Midway Blde. - Aoom N-191 gE ACCEPTED BV THE STATE BOARD
1821 UniversitV Ave., St. Paul, MN 56104 UNLESS PflOPEH INSPECTION FEE IS
Phone 16121 2972111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION E13-000G7-04
' See instmctions for completing this fwm on back o/ Yellow capy.
B, X" Below Wark Covered by 7his Request
Hdd 8eo. Type ol Bmltlmg Aoolinncea WireE EquiVment WvaA
Home Range Temporary Service
, -CdMex Water Heater Lighuny Fixwres
y ?
Apt. Bmlding
Dryer
Electric Heatin
Canmerual Bldg. Fumace Si!o Unloade.r
Industri2l BIAg. Air Conditioner Bulk Milk Tank
Farm O+n, nrci v Oflhe, Isuer.ifvl
thrr yCC??Y OIhC, O1M1e,
Compute InspecUan Fee Below
p Fee ServiceEntranceS¢e 4 Fee Fexdars/5ubleedere b Fee Cucwts
0 to O Am Ps 0 to 30 Am 5 0 tn 30 Am>s
Above 200_qrnps? 31 to 100 Amps .03 31 to 700 Am s
Swimming Pool Above 100_Am s Above 700_ArnPs
Transiormers Irngation Booms Partial,'Other ee
Signs Speciallnspection
S
TOTAL F
?
Remirks C-S
?
NouBh-in O:rte thn Electn
nspector, her¢by
certity that ?he above
Finel / ? ?^?'- insuection hes baen
made.
Thia request vo1E 18 moMOS irom
This rea,,est vmd p ? / `.3 3?^?
18 rtu?nths from -Q ? ?U /
' 13 3--
flequest ate 1
? Fve No. Req RouGh-?n Inspe.ction
wred?
?ReatlV Now
?Nill Novty Inspec-
lor Wh
R
d
Yes ?No ?n
ea
y
KLicensed Elec[ncal ConVac[or I hereby request mspection ot above
?Owner -?auj'r-t lcL? ? electricalworkinstalledat.
SVee[R ddress, Box or Route No. Is? QtT^
/%'??
ecuon o. Township Name o o. Raagc No. Coun y
GeC?O?-
Occypa?:t n( ,PRINTI?
U Phy3a?p ???./
Power $up li?
?-1 ?y Adtlress
Ele cal Conhac[o (Company Name)
?,?, • (L . ?..L Contrar.tols L,?en_? No,
L ?7V
MaJing Adclress (COnh ctor o Owner Makin Instail onl
30!f? ?'?r,z?.i ?? , • • ! ryl ? J J / /.
Aut o ized SiBaA?p:e on actor Owner Makmg Ins[allatmn) P?G qurt;b? ^
Q )
MINNISOTA STATE BOAND OF ELECTRICITV THIS INSPECTION HEQUEST WIIL NOT
Griggs-Midway Bldg. - Room N•197 BE ACGEPTED 6Y THE STqTE BOAflD
7821 University Ave.. St. Paul, MN 55106 UNLESS PflOPER INSPECTION FEE IS
Phone 1672) 297-21'11 ENCLOSED..
? REQUEST FOR ELECTRICAL INSPECTION « EB-00001.,,
See instruclwns for comole[ing [his form on back oi yellow copy*
p Q7.9432 " X"' Below Work Covered by This Request ?D --? 3 /7
Ne,v Add Xap. Type ol Builtling Appliancns WneA Eqmumenl Wved
Home Ranye Tamporary Service
Dupiex Water Heater Lightiny Fixtures
Apt. BwlAing Dryer Hectnc Heaun
- Commercial Bldg. Fumace Silo Unluader
Indusinal Bldg. Air Condrtioner 8u;k N1ilk Tdnk
Fyrm ther SPeu v Othei ISnenlyi
t t er SPecifV thm Othui
Compute lnspectron fee Below
k Fpe $erviceEntrance5me k Fee Faeders/Subtendere K Fac Cvcwts
0 to 0 Am s 0 to 30 Am s 0 to 30 Am s
Above 200_Amps J 31 to 100 qmps 31 to 100 Am s
Swimming Pool Abave 700-Amps Above 100_Ainps
Transrormers Irrigation Booms Paitia6'Other Fee
Signs Speciai Inspection S
L
OTAL F
Rem?rks ? ? ? 0
Rou. h-in
!?7?,Z the Elect
pactor, hereby
cert?ty that the nbove
Final ?? ? p,?
`?/ ns0ectimn has been
made.
This requeat volE 18 moniRV irom
BUILDING PERMIT
Te M wsd for $ UNIT M.D
N° 10911
Receipt #
$323, 000 Date SEPTEMBER 9 19 85
SlteAddrest 1265 FOREST RIDGE TR
Lot 12 slock 1 Sec/Sub. FOREST RIDGE
Parcel No.
W Name FOREST RIDGE PARTNERSHIP
= Address E 6TH ST
9 City $URNSVILL1kane 432-8240
Name SAD-RON CORP
?? Addresa 1020 E 146TH ST
? Ciev BURNSVILLEphe„a 432-8131
?w I Name JAMES COOPERMAN & ASSOC
x? Address SHELARD TOWER
?W City MPLS Phone 545-0409
I herebV ackrwwledge that I hove reod this opplicofion ond slafe thot
the informotion is correcf orAQ ogree fo comply with all opplicoble
Srote of Minnewta StotuteVdnd City,of Eagon Orduwnces.
$IpnaNrc of Permitt " ' °
A Buiidin9 varmir is iss?,ed ro: JAD- ON CORP
all work ahall be done in accordance with oll ap bla StaM ofWi-i
Buildlrq OfHcial 7/
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121
PHONE: 454•8100
Erect I$ Occupancy R1
Remadel ? Zoning R4
Repair ? Type of Const. V 7 HR
AddRion ? No. Stories
Mwe ? Leng[h 97
Demolish ? Depth 46
Int Imvr. ? Sq. Ft.
Install ?
Avororols Fees
Assessmenl Permit ?_ -99Q.$0
Woter 8 Sew. Surcharge - 161 .50.
Police Plan Review 495.25
Firo snc_ 3,360.00
Enp. waterConn.3,200.00
Plonner Water Meter __3 b o . o o
Council Roeaunn 1,792.00
BIdg.Off. 9/9/8 5 Tr.PI 848.00
APC Parks
Var. Date Copiea
207.25
$11
'
Tofal
on tha express conditlon tMt
rwta Statutes ond City of Eogon Ordinonces.
TOWNHOUSE
• • CITY OF EAGAN N ° 10 912
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PNONE:454-8100
BUILDING PERMIT Re«ipt g
Te M uwd Fer $ UNIT M.D. Est. Volue $323,000 Dote SEPTEMBER 9 19 85
SiteAddress 1269 FOREST RIDGE TR Erect 19 Occupanty Rl
Lot 12 Block 1 Sec/Sun. FOREST RIDGE Remodal ? 2oniny R4
Rapair ? Type of Const. V 1 HR
Parcel No.
Addftion ? No. Staries
FOREST RIDGE PARTNERSHIP Move ? Lengeh 97
W Nar^e Dem0liah ? Depch
; Address 1020 F. 146TH ST intlmpc ? Sq,pt 46
b City BITRNSVTT.i.F. phone 432-8240
Ins[all ?
JAD-RON AvYrorola Faes
g Name
gb Add,ess 1020 E 146TH ST
u§
I- c;ty BURNSVILL$+none 432-8240
?w I Name JAMES COOPERMAN & ASSOC
x,?-? Address SHELARD TOWER
?W City MPLS Phone 545-0409
I hereby ackrowledge that I have read this ovDlication and state that
the in(ormotion is correcr ond ogree to comply wiih oll opplicoble
State of Minnewta Statutes and City of agon Ordinonces.
Sipnmurc of Pertniftee &- -?
A 8uilding Permit Is issued to: JAD-RO
oll work aholl be dona in accordance wVth cll,bcoliwble ot5f e-o/'Mh
Assessment _
Water & Sew.
Police
Flre
Enp.
Planner
Council
Bldg. Off. 9/9/8 5
APC
Var. Date
Permit J 77U.7U
Surcherge 161 . SD
Plan Review 495 _ 25
snc 3.360.00
water conn 3. 200.00
watarMeter 360.00
Roadllnit 1.792.?0
Tr.PL 84$.00
Parks
Cooies5
Tn1nl
on the axprcas CondiNOn Iha+
Statutes ond Ciry of Eapen Ordinancea.
Buildirg Official
'4 A) ?- `/
1985 BUILDING PERNIT APPLICATZON - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED KITH THE CITY OF EAGAN
COt91ERCIAL SINGLE FANILY DifELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLIJDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
3Z3,cb0
To Be Used For: Residential Valuation: $231,A40,48 Date: Aupust 15 z 1985
Site Address 1265 Forest Ridge Trail ( OFFICE_USE ONLY
Lot 12 Slock 1 Erect Occupancy
Remodel Zoning
Parcel/Sub Forest Ridee Repair , Type of Const
Addition II of Stories
Owner Forest Ridee Partnership Move ? Length
Demolish Depth
Address 1020 East 146th Street Int.Impr. ? Sq Ft
Install
City/Zip Code Burnsgille, NIN 5533] --°--°--° -°'-------°°
Phone (6 12) 432-824Q 9PPROV9LS FEES
Contractor JadRon Cornor,att{n,
Address IQ20 East 1?§,th StreeK
City/Zip Code Burnsville. ME 55"}3]
Phone (612) 432-8131
Arch./Engr. James Coouerman k Associates
Address Shelard Tower
City/Zip Code Minneanolis.MN 5542fj
Phone 0 (612 1 545-0409
Assessments
? Permit -
Water/Sewer
? Surcharge -
Police Plan RevieiiL-
Fire SAC ?
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT6L ?
6-1-- 990. -Isi
tv?- /6/1 51
r1F-F q 45.4<
O-D
0-z-?
Q-C
00
0L)
?
S
/
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACrORS MUST BE LICENSED AITH THE CITY OF EAGAN
C0141ERCIAL SINGLE FAMILY DiIELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
3Z3,ooU
To Be Used For: Residential Valuation: $43+-,48ft-700 Date: August 15, 198 5
Site Address 1269 Eorest Ridge Trail OFFICE USE ONLY
Lot 12 Block 1 Erect Occupancy
Remodel Zoning
Parcel/Sub Forest Ridge Repair ? Type of Const
Addition lt of Stories
Owner Forest Ridge Partnership Move Length
,
Demolish Depth
Address 1020 East 146th Street Int.Impr. ? Sq Ft
Install ?
City/Zip Code Burnsville, MN 55337 ----------- ----------- ------- --
Phone (612) 432-8240 APPROV9LS FEES
Contractor JadRon Corporation Assessments Permit 17/ 0 • 0
Water/Sewer ? Surcharge / L,7
Address 1020 East 146th Street Police ? Plan Review c S, S'
Fire SAC 3 O P
City/Zip Code Burnsville, MN 55337 Engr Water Conn ?? (? D 1) 0
Planner Water Meter O (J Q
Phone (612) 432-8240 Council Road Unit
Bldg Off Treatment P1 U
Arch./Engr. ,Iames Cooperman & Associate APC Parks
Varianee Copies
Address Shelard Tower TOTAL ?y
City/Zip Code Minneapolis, MN 55426
Phone I1 (612) 545-0409
?
C
2/84
CITY Or EAGAN
APPLICATION FOR PERiMIT
SEt,aER rluD/OR WATER CONNECTIODT
X?? S? ( EASE PRINi)
'
G'`?-
-c.?? •:?
`
a?
1) PP.OP= ADDRESS: .
,?
?? E
?.GZ,?!
? ?/? T
T.FraL. DrSCRItil'ICN:
(Lot/Block/Si::civisicz or Tati ?arcel I.D. Ni..^tioer)
' IF W'SS:'=:G S77RCC'.^.,:cE , DAi:. OF C:IGi.?L, cuIL^.L:G _.r_-,:I: IS??:-:?G.•
PDZSL.r ?r•71;,;?:/???5? L'S'r.': 13 R-1 Sz;GL: rP_sSLY -
? R-2 DUPT-= (T:a L'mI:S)
? R?3 TGS,.tir:Crcg M_cW + L-TI•rc) ( UNI"_'S)
? r-a u.;l_s)
Q CCi.1%=.C?AL,/F2ET'"I?OFFICE
? ?c us?r: L
? y.sls:t,?rza?.ar.;c.??.-?=?1,y-?^r
2) APP*,I= lrLEaSE rfltnr)
r?-IE: 7?T/G / ? Er
AMMEss: 1r?61 27 G°?/F` ?fJ
cr^Z, s:ATE, zIP:
PHONE:
3) PLL:`?E? (PLE«SE PHiHT)
° FOA CITY USE O4lY
NA`E• _ G
ON??L 9 D.9T? ?l1L/??
, PDc?ss:
? PLJHBERS LIC£tiSE:
C Act??e
CITY, STATE, ZIP: Ezpired
PHDVE:
PLU7tBER LILE4SE N lO?'f/ Q Not of (ietord
e
' df? ItIIC11
4J OC;(...'[.PFu?]T/CS•rTIER lr?cnan YN1N1)
rmME:
FwoREss :/a 2a E. /" sT -- SviT ,2?Z
cr:^Z, sraTr-, zzP: JU?P?VS'liILLE /7fiYif? ?5 ???
PEiOVE: 8/r'l/
S) INDIC",TE IVHICH PERi•LIT ZS BEItG RECLIES'I'ED:
b " Ek'CO%i4ECtIG'I TO CITl ScTi1E3
.-I/ (a' CO\?IECTIZC:I 'IC) CITY T%*AT&R
? U'iTER (PI,LA-cE DFSC?SBE)
? PLMSE f?OID r1PP??= PER.`7IT FOR PIC:-L'e BY O:IE OF r15CVE
g?-P-I£:+SE >?AIL APP?MJ--D P&P. LIT TJ 1a 3, 4 AFiC7VE
_ (Circle one)
7) SIca:t.-R:.: _?f 4? ? DATE: /% T 1 f'
??-K
A
??l aia.ilUS.se s i a?c?:aflJa a? ?a rasa ia?a +? a ? t?.sai .a a?!! Ea:f??sa : f? ??c ??sal?r ?
FOR C I TY U S E ONi,Y
PERMIT '-` ISSLTED
rrrs:
$ c
G
SEL'iGR PEBM2T (I?ICL.:DL JURC'?.FCCG)
$ rU'SU WATE? PERP4IT (IPICL'uDc SliRC3ARGE)
S WATER METER/COPPERHORN/OUTSZD : R: r^,DER
$ WATER TAP (INCLUDE CORPORATIQ?I STCP)
$ SE,vER TAP
$ ••.??' .'T .,?_s1__
.._ ?_._ _-?•_ -
$
$ AC^OUNT DFPnSIT - P]A':ER
WAC
$ SPC
$ TRGNK WATER ASSESS:!E:;T
$ TRliiQK SEtdER -?SScSS:IZDiT
$ Lr1TERaL BE:IEFIT/TRU:IK Sc:dE?i
LATERrIL BENEFIT/TRU:.K WAT2R
$ /?f? ?C
WATER TREATMENT PLANT SURCHARGE
S OTHER:
$ TOTAL
, $ Ar10U:v'T PAID/REC°IPT
DOES UTILI:Y CON:IECTION REQUIP.E EXCAVATION IN PUBLIC RIGi-IT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TI?E
? NO ENGZNEERING DIV:SION. LIST AS A CONDI-
TION.
Si;BJEC: TO THE FOLLOS4ING CONDITIONS:
APPROVED BY;
TS.Lc: •
DATr:
Mlsi? n"@ .? ? ? S"s R ='t 4*w
CASH RECEIPT
?
CITY OF EAGAN
P. 0. BOX 21-198
? EAGAN,MINNESOTA 55121
? DATE a --a ? ,o
wsenvsn
AMOUNT $ /?? y???
I
[) CASM ? GNECK
/.;? & .51 /'
4;? 3 ?O ? 56 S D
WJm , n
ruHO cooa •MOUnT
p
r l^ ??v0 [r ?
my9' 9
7
9
Thank You ?
B?
N_ 60047
wnic.-v.von coov
Vellow-Pottina CoDY