1719 Forssa WayCITY OF EAGAN Remarks
Additlon Ridgecliff Loi 1 Mk $ Paroel #1(L6398(1 01() (15
Owner r a'Street 1719 FOrSSa Wa}r StateEagan- MI1i 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK - 14; 1982 298.08 5 298.08 C007616 12-23-81
SEWERLATERAL 1982 1305.42 S 1305.42 C007616 2-23-81
-
WATERMAIN
WATERLATERAL 1982 1260.79 S 1260.79 C007616 12-23-81
WATER AREA 19$2 298.08 5 298.08 C00 616 I2-23-81
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORMSEW LAT 1982 955.45 5 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C00761-6 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 27467 10-27-81
WATER CONN. 335.00 it
BUILDING PER. 6974
5AC .?
PARK
?
Receipt PLUMBING PERMIT Permit No.
j ? CITY OF EAGAN Fee
?
Fi/l in numbered spaces S/C ?
Type or Prinf /egibly Tot.
? 1. Date r, 2. Installation Cost
3. Job Address ?c-t Lot / Bik. Tract
4. Owner ?I'N 6'r1
?? •' 1
5. Contractor
ti 1 Phone ' ? - ' - --
6. Address
•i
7. CItY State ZIp
8. Building Type: Residential C] Commercial C] Institutional O
9. Work Description: New 11 Add ?
1 10. Deseribe
11
Alter ? Repair ?
No.
! Fixtures
Water Closet No. Fixtures
Cess
l/Drainfield
o
Bath tubs p
o
Septic Tank
; Lavatory Softne
Shower r
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
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGA1d 454-8100
CITY OF EAGAN
, 3795 Pilof Kiwb Rood Eaqoa, MN 53122
? - . PHONEs 454-8100
BUILDING PERMIT Rrceipr #
Site Addreu Erect ? Occuponcy
Lot Block $ec/Sub. Alter ? Zoning
pamal # Repoir ? Fire Zone
Enlorps ? Type of Const.
W Nm^a Move ? # Stories
; Addross _ : ?1•o?sx'o??;: Demollsh p Length
? riw, a- Grode rl Depth Sa. Ft.
? o Name _
?
/lddross
? r?...
Nome _
Address
i hereby acknowledge thct I have reod this opplication and state that
the intormotion is correct and agree to comply with cll appliWble
State of Minnesoto Statutes ond City of Eogan Ordinonces.
Assessmeni
Woter & Sew.
Pol ice
Fire
Enp.
Pianner
Council
Bidg. Off.
APC
Permit
Surthorye
Plan check
SAC
Water Conn.
Woter Meter
Road Unit
Totol '
Slpnoturc of Permlttee I
A Buildinq Permlt Is issued to: on the expreas condttion tMt
oll work sholl be done in accordance with oll opplioobla State of Minnesoto Stotutes ond City of Eapon Ordinonces.
Buildirp Official
1
Permit No. Parmit Holdar Misc. Permit No. Holder
Plumbing
H.V.A.C. We 'i- t-Z74Z-
WNI
Watsr
Disp.
Sewer
Ekctric "r'7 -7
Irapeetion Dats Insp. Other
Footings
Foundation
Fnminy ?
Rouyh Plbp. .Z3 W
Rouph HVAC
Inwlation
Final Plbg. ,
Final HVAC
.
F{nal
Wat?r Deaaibe Loeation:
YVell
Sawsr
Pr. Diip.
Receipt ? MECHANICAL PERMIT
CITY OF EAGAN
Permit No.
Fee
fill in numbered spaces S/C
Type ar Print legibly
Tat.
1. Date ?"•??-?? 2. Installation Cost
3. Job Address ? ?'????? ' ? ? • Lot ? Blk. ? Tract r
4. Owner '?MN Tli()t'C aOTT M
5. Contractor Phone ??25?? -
6. Address !.637 G';iG_^..:^r_ ,,.
7. City 5tate ?.,". Zip
8. Building Type: Residential [] Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
I 10. Describe _ 'Fuel Type ? .
1 11.
No,
1 Eauiament 8TU - M. Ea.
Forced Air No. Equipment CFM
dli
Ai
Ha
Mfg. r
n
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
i Gas, Piping Outlets
12. ( 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 Final
Inspections: Date _ Insp, Date Insp.
I This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
arr oF EA aaN WATER SERVICE PERMR
379! Pi` Rnob Rood PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: - No. of Units: "
Owner:
1lddress:
Site Address:
Plumber.
llAeter No.: Connectian Charfle:
eoder No.:
a9rN to eomplp wifh the Ciey oF Eeyon
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Totol:
Date Paid:
arr oF ''AGAN SEWER SERVIC E PERMIT
3799 Pilot Knob Road
Eogan, MN 55122 PERMIT NO.:
DATE:
Zoning: No. of Units:
Owner
.
Address:
Site Address:
Plumber:
Is9ree to eanplp whh Hha Ciryr of Eagoa Connection ChorQe: .
Ordinenoes. Acoount Deposit:
Permit Fee:
Surcharge:
By CFwrges:
Misc
.
Date of Insp.: Totcl:
BUILDING PERMIT
N° 6974
Recelpf # ' ' " 7
Site Addreu 1719 FoT868 WaY ( Plsn 109) Erect ? Occuooncy R-3
Lot 1 Blxk 5 5acisue. Ridgeeliffe ZSt Alter ? Zoning 1"L R-1
Porcel # 10 63980 010 05 Repair ? Fire Zone NA
E"ioroe ? Type of Const. v
s Name Orrin Thompson Homes Move ? # Stories
Z
9 Address 1712 Hopkins Cro asroad Demolish ? Length_44_
Z. Mfikw_ 551IL4 m___ 5l.L-7441 Gmda fl Depth_26 Sa. Ft.-
o Name _
Address
r:...
Nume _
Address
I hereby ocknowledge that I have read this application and state ihat
the mbrmotion is correct und agree to wmply with all opplicable
State of Minnesoto Statutes and Ciry of Eogan Ordinonces.
Sipnature of Permittee
A Buliding Permif Is issued to: _
oll work sholl be done in accordnnce
Buildinp Officiol
CITY OF EAGAN
3795 Pilee Knob Naad Eayo,+, MN 55122
PNON[s 34-8100
I opplimbla
Assessment _
Water S Sew.
Police _
Fire
Enp.
Planner _
Councll _
Bldg. Off. _
APC
Pertnit /"i•"v
$urcharge 28•00
Pian check 150.50
snc 525.00
?
Water Conn. 335.0
WoterMeter 60•0?
Road Unit 185•00
Tocol $1584.50
_ on tha exprass condition thnt
and City of Eagcn Ordinancas.
Thisreque?lvo?A ?I'z?l Li? CJ?? J?- ?'•. ( ??
yS nx?1 7 919 ' 30/oa
Rxnuns[ Date
`z ??? F?re No. qouph-in Insperunn
fle? ired?
E]RUadY Now) Will NotrtY Insnec-
Wh
I
Ye: ? No ?r
en Re;ady
(?-?.LicenseA Electn?.il Coiarai.m?
/u 1 heroby request rnspecLOn nf above
' Owner e lectnca I work i ns ta I I ed nt:
6 [ Address, Box oi Roure No.
llg T-og?sA 1nr Gtv
fXAA
ectmn n. Townshin Namr; ur Nh. Ranee No. CqyQuy
V'V, .,• ' ..
Ocropant (PRINT)
l?,?A 7kbhQ5oj MOW6 Phone No.
Pawer Supplier Address ?M•???
??-y IU'j
EI V?cal Contractor (COmpany Namo)
??.1:._ ?5.?-O~(?-6t? Conudpr?.tr'sr Lroense No.
t?t.7f7ZS"?
Matlmg AAJress (Conhactnr or Ownor Making Instailation)
.
m
rt0
Q e• ui"
I
Au'sth?.or'¢ed $iena[ ICo vacwr Owner Mabnp InsmllaLOnl
1 Y C
-41112 Phonr? NfumbeLr
L
?'? J 7?
MINNESOTA STpTE 90A0.0 OF ELECTRICITY THIS INSPECTION PEQUEST Wlll. NOT
Griggs-Mitlwny 81tlg. - Boom N-191 . BE ACCEPTED BY THE STATE BOARO
1821 UuversitY Ave., St. Paul, MN 55104 UNLESS PROPEft INSPECTION FEE IS
oh....e Ifi191 199.2111 ENCLOSED.
-.,caT FOR ELECTRICAL INSPECTION w? EB-onooi-oa
J ,.
?J A See instrucLans tor completuig lhis iorni on baCk 01 Yallow copy. ???? ?
""X" " Be/ow Work Covered by This Request
N Atld Fap. Tvne of Bmldin9 Appliances Wnod Equ.ument WireA
Home Range Temporaiy Service
Duplex
Apt 8uildlng
Commercial Bidy. Water Heater
Dryer
Fumace Lightiny Fixtures
Eloctnc HeaYin
Silo Unluatler
Industrfal Bldg. Air Conditioner Bulk Milk Tank
Faim oine, oeu v om,, tsuo,,rv)
me" (sua?irv omo, ou,,,,
Compute lnspection fee 8elow
A Fee SefviceEntrenceSize k Fee FaxAers/Subfertlers 11 Fee Circwts
0? 0 tu 100 Am 's 0 to 30 qnt ps `.5 a ta 30 Am s
I 01 20 PPIPs,\? 31 to 100 qinps 31 to 100 qm 5
"Ab v 0 1 Above 100_Amps Above 100-FlmPs
?- ,Traps`fori)e} / Remote Control Qrc. .ss 'Othei,-,EQ
-
? Signs U`? Special InspecLOn
$ -Z
?
Fema.ks ? Z? TOTAL FE D.
t _
Houqh-in /. 1? Date che Elecnical
nspector, liereby
Final
• 1 !/? / :
v
/'?
'
!i'
D +iR"/3?
Y•
san
cer4ly thnt[he shove
in on has been
,
1 ,
r mada.
This ronuest vond
18 mmriths from
?? ? ?q?? CITY OF E?Cr'W
',? e
C
6UIIDTNC; FEl-I?j 'APPi.IGaTION
?4, 04 O
'ib Be Used For ? Valuation '$A ?'^^ ^^•
Site Pddress: %nRS
-r ;
LOt 1 E B1IX'3C'. S S2C./
Parcel # - I C? 0 3? ?-C)
O.mer:
Pddress
City/Zip Code:
Phone #:
Include 2 sets of plans#
1 site plan w/e)evations 6
1 set of encrgy c-ilculations.
_ Date C) dnke,C 20 10.91
OFFI(E USE dIdLY
ub: Sr Erect occuPWICv
o/v d ? Alte'r zoning ?/?/. •,?/
Repair Fire Zone Ai 4
Enlarge _ 'Iype of Const. 37-
Nbve # Stories
Dennlish Front y ft.
Grade Depth ft.
Cnntractor:
.,
AddZe55: r?? a Division oF U S. Hom^ Corporation
? ' 1712 HOPK!?S C?iCSSROAD
City/Zip Code: ,?b? MINNETO?KA 1?11NN FF?4?
Phone #: S q q- l 33 3
Arch: /Fng - :
Pddress:
APPFd'TTlALS r rr-Ij
Assessments
Water/Se.aer
Police
Fi re
En4 •
Planner
Coiincil
Bldg. Off.
APC
Permit ?n / 4tv
Surcharge
Plan Clieck >s0 ??
sAC s a s ?
Water Conn. 4:9
Water Meter ?
'=
Road Unit / g5'?
City/Zip Code:
Phone # = TOTAL H
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
851-881-4675
New ConsMucnon ReaWremenh
a 3 regiafered aNe wrveya showinp p. iG of lot, sq. H. of house
and gff roofed areas (20% maxlmum lot covemae aliowadf
? 2 coplea of plans (show beam & wlndow sizea; poured tnd. design: efc.)
> 1 set W energy caicutanona
? 3 coples of lree preservallon pian If IW platled aHer 7/1/93
DATE: Z-'X, ,L4,Q - 00 .
DESCRIPfION OF WORK:
STREET ADDRESS: ? /?
LOT: --- L BLOCK: SUBD./P.I.D. i:
/ AI Phone M: & ? l,H
Name: L?,?WI_41)l ?ZEV
PROPERTY Last Fbst
OWNER ??? FDl?r,????Y
Sheet Address: ?s= a
Ciy a 41 State: j2!]Z,_ 21P:
ComPanY J , /'i Phone M: 61; /L. ?? 2 2.
(area code)
COMRACTOR
Sheet Address: ??l`?? '- Z-.6 A"//G• ?O Ucense QD?ExP•
Ciy state: /'?N • zip: 4"S"`70 46
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Sheet Address: ReglshaHon #:
CI1y
I q q`? ;
1
2 copies o( plan
1 sel of energy cdeulaMons lor healetl addiflons
1 site wrvey lor exleAOr addiliwu a dec W
CON5iRUCT10N COST: -;;T d_'"-
State:
Zip:
SeweNwater licensed plumber Qf Iristallina sewer/waterl: Phone #: C---?
I hereby acknowledpe Ihat I have read this applkation, afate that Ihe Infomation is cortect, and agree to comply wilh aU applicable State
of Minneaota Slahdes and CNy of Eagon Ordinances. ^ __ ?---- -
Signalure of Applicant:
OFFICE USE ONLY/ ,.
Certificates of Survey ReCeived _ Yes _ No ?pR?a
Tree PreservaUon Plan Received _ Yes _ No _ Not Required '
1 ily
C. R. WINDEN 3 ASSOCIATES, INC.
?J v LAND SURVEYORS iel, 645-3646
FnR: 1381 EUSTlS ST., ST. PAUI? MINN. 55108
U. S. HOME CORPORATION
GO 9 y.?a
/
?
O/
D ?
?O \
\
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?
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-J
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? ?
?
?
?
d ?
L ?_ 1 ! !
0 .?
1 ?
,
1 N
r,o
N
Scale: 1" = 30'
O Denotes Iron
,< o
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I
o 'J-
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V
ta '(
P
Lot 1, Block 5, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE MEREBY CERTIFY TNAT THiS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY Of THE
BOUNDARIES OF TME LAND ABOVE OESCRIDED AND OF TME LOGATION OF AlL BUIIDINGS, IF ANY,
THEREON, AND All VISIBLE ENCROACMMENTS, IF ANY, FROM OR ON SAID LAND.
Datod ihis 29?h doy oF(Dcf. A.D. 1981 C. R. WDEN 8 ASSOCIATES, INC.
br. ?
Survoyor. Minnesota Ropittrotion No77EC;
r
f
i
NT3519
L 1 ? 652 2O--(
T(7: IOFS]A OI.SLN, CTPII.I'PY BILLLNG C7.?..'?K
BUIIDNG IIEPECI'ICN DFPATrI^'lE:7T
BIiS, BRANQH, SUPERLYmIDENT OF PC'BLIC 14ORKS
£f3aM: 7-IC1M5 A. C028EpT. DIRECIUR OF PCBISC Wl7RK5 d44.--
_ DATE: SEPTFI-IDER 10, 1981 ' ..
RE: RIOGECISF'f'E 1ST ADDTTICN ` . .
Bec'-ause the follaainy list of lots in Ridgecliffe lst Addition does
not have gravity sewer outlet at this tirie, the following proce-
dures will be initiated i.mtil further notice:
UPILITY BILLING
No water turn-ais will be allaaed prior to 8-1-82 or imtil sewer
is available in these axeas. '
BUIIDDIG I115PEL'PILN
Building pezmits can be issued for these lots, but the builder
should be infoirmd at tiiTe of per-nit issuanoe (perhaps stamping
the building pezmit with "NO OCcf,'PANCY PRIOR '10 8-1-82 OP. UNTIL
SEWER IS AVAIIABLE") the restrictions m sewer availability.
PFkL`1TMArICE pEPAM1fS1P
See both utility billing and building inspectiCn ahove.
The lots with these restrictions are as follaas:
LUP" 1-9, BIL'Q( 7
- I(7I5 1-6 r BIfJQC 8
IL7PS 1-7 BILX_. 9 -
I[7I5 18-23 BLCCIC 9 '
IaI5 10-16 BwCK 10
LOPS 1-10 BLOC{ 5
IC7C' 1-4 B= 6 .
IAIS 1-6 BIC)CtC 12 •
IL7I5 1-17 BI,OCTC 13
and are also indicated on the attached maps. .
jac ,
zo: rpR[vrs oisoN, vriLZZr nrzt.zNc crERx L(
DATZ PL'PERSON, CHIE]' BUILDIN(-, OFFICTAT,
BILL BRANQI, SUPERIN'IMDIIVT OF PUBISC WORKS
FRCM: THaIAS A. COL6ERT, DIRECTbR OF PUSLIC WORKS Tke--
DATE: NOVISIBER 17, 1981
RE: RSIX,ECLIFFE 1ST ADDITION - SE[9ER RND FIATER CONNECi'IONS
- On September 10, 1981, a rmim was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
pennits tmtil sanitazy soaer service had been made availahle. Because
it is not anticipated that gravity sanitary seu7er will be available to
provide service to the affected lots until July/AUgust of 1982, Orrin
Thompson Hoires has agreed to install a terporasy lift station from Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridgecliffe lst
Addition. Attached to this rerto is a copy of the letter we received
from Orrin Thpmpson Homes whereby they indicate that they will perform
the installation, iraintenance and liability of this teniporary lift sta-
tion/force main sanitazy sewer until such ture gravity sanitary sewer
can be extended across the future I-35E during the spring of 1982. There-
fore, with this tenporary system being installed and maintainecl bv Orrin
Thor.pson Hoi*es, the teraxirazv hold on sewer and wate'r permits and occu-
pancy £or the following lots has now been li£ted:
Lots 1-9, Block 7
Iots 1-6, Block 8
Lots 1-7, Block 9
Lots 18-23, Block 9
Lots 10-16, Block 10
Lots 1-10, Block 5
Lots 1-4, Block 6
Ipts 1-6, Block 12
Lots 1-17, Block 13
This temporaxy sanitarv force main will still not nrovide service to
the follaaing lots:
Lot l, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Therefore, the restrictions as referenctd in my previous rmnn will sti11
apply to these lots.
These lots are referenced on the attached map for your information. If
any problerns arise pertaining to sanitaty sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thcr.pson Hanes for the
proper resolution. If you have any cxuestions to this release of the re-
striction on the building and sEwer/water pexmits, please mntact me.
Please insure that all personnel in your departrent are aware of these
restrictions.
TAC/jach
cc - Hob Carlson, Orrin Tharpson Hcm--s
TO: LOILVA OISON, Ui'ILITY BILLSN(; CC,II2K
DALE PLTERSON, CHIE[' BUIIDING OFFICIAL
BILL BRAIVQI, SUPERINPFNpENT OF PUBLIC 4CRKS
FROI"1: THOMAS A. COLBERT, DIRECIbR OF PUBLIC WORKS atV
DATE: NOVENIBER 18, 1981
RE: RIDGECLiFFE 1ST ADDITION - SE[-1EFt P,NC) WATER CCNNECTION RESTFtICTIONS
On November 17, 1981, anrno was foiwarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occumancy pennits due to the unavailahility of sanitary
sewer. There appeared to have been a duplication of lots that were refer-
enced for £uture restrictions as conpared tn those whose restrictions had
been listed. Please be aware that the follaaing lots only will have re-
strictions placed on the issuance of sewer, water or occupancy permits:
iat 1, Block 8
Lots 1& 2, Slock 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Please insure that these referenced lots are not granted any pernlits that
would allcw their occupancy or use of the sanitary sewer system.
Please insure that all personnel are mde aware of this correction as stated
in this mem.
TAC/jach
cc - Bob Carlson, Orrin Thccapson Homes
ZONING - NOTIFICATION OF INTENT?{;? ???? ? ?
?ev
?
Foster Family Homes
Day Care Homes '
or
T0:
N-
DAK 544
S
357 9th Avenue North
So. St. Paul MN 55075
nrtn.icaNx: t n( p r) n e-
SS
K?
FROM: Bakota County Social Servicea
Number of Nstural Children under 18 ia home: 0 102 4 5'
DATE OF NOTZFICAT20N: O? c?7 -Yc?
(circ e nvmber)
N?ber of Foater Children iacluded in licease:0)1 2 3 4 5 6 7
`?ircle number)
N?ber of Natural Preschool Children in Hame: 0 13 4 S
(circ e nwuber)
Numbar of Usy Care CHildrea included in license: 0 1 2 4 5 6 7 8 9 10
(c3rc e nwaber)
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when permits are requued for each unit
Date Lp / v I
Site Address? Unit #
Owner
P
t o O vJ _ l 3 10
Telephone #&S () C
roper
y -
Contractor Vr)
StreetAddress City
State Zip s?3?? ? Telephone #&?5 ? =3?-
Bond #: Expires:
The Applicant is _ Owner 4 Conuactor _ Other
Add-on ar alteration to eaisting dwelling unit $ 30.00
? furnace _Additional Replacement
air exchanger
X air conditioner _New X Replacement
other
.50
State Surcharge
D $30. 56
T°tal JUL 1 5 2004
I hereby apply for a Residential Mechanical Permit and acknowledge that th ?tfe e e and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
?`'l. a,?n "n?% r.) nlapp C:???
ApplicanPrintedName ?-- Applic Y 'gnature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126044
Date Issued:08/12/2014
Permit Category:ePermit
Site Address: 1719 Forssa Way
Lot:1 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin M Frawley
1719 Forssa Way
Eagan MN 55122
(651) 686-9310
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
�----------------�
� For Offic�Use + ` ,�
�-7 I M')�
_ ' i Permrt#: ,��� / � � i���
��� O�����11 � ����
� � Permit Fee: � � �� .��
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: j
Phone:(651)675-5675 ��;= t �.;t _;�% i r�.� 1
Fax:(651)675-5694 � staff:�d �
.��� �3 � L�i� �-_-._---------
---��
2015 RESlDENTIAL BUILDING PERMtT APPLICATIt�N '
Date: Site Address: 1�1q �o�`iScw L�1f.� Unit#:
4 �
`a a:"'Y�," Y �.
r ; Name: 1�1'��ti,� �rn5devr � Phone: 612-7..b3�6�3z7�.
��
�� Address/City!Zip: I�1�1 Ftit�°�r:�. �� . E.c, .� 'J$512.Z
�
r� , z f,:�} �� ,' Applicant is: Owner Contractor
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,������� � Description of work: '��C�c,
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� `� h Construction Cost: �3,a0t� Multi-Family Building: (Yes /No��
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� Company: Contact:
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� ' Address: City:
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5 State: Zip: Phone: Email:
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�, � �. � License#: Lead Certificate#:
If the project is exempt from lead certification, pfease explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a simitar 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:
Fire Suppression Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-OQ(�for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoahetsta�eonecall.ora
1 hereq�t acknowtedge that this information is complete and accuraf�;�at the work wi{1 be in conformance with the ordinances and cod,es of the City of
Eagan;;th8# I understand this is no#a permi�, put only an appliqfii�A 1br a p�, and work is �at to start without a permit; that the work wiA be in
aacordance with the approved plan in the caep p�work which requit��reviewand approval of pl�ns.
ExteHor work authorized by a buildf�g lssued{n accord8nce with the NI(n�l�pts Stat�Eluilding Code must be+Gompleted withln 18Q
days of permit issuance.
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Applic�t's Printed Name ' Applicant's Signature
" Page 1 of 3
� ��G/ ��,�,5,� Ul� DO NOT WRITE BELOW THIS LINE � �/���
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SUB TYPES
_ Foundation � Fireplace � Parch(3-Season) � E�cterior Alteration(Single Famfiy)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck � Porah(ScreeMGazebo/Pergola) _ Miscellaneous
_ 01 of_,Plex � Lower Level � Pool _ Accesgory Butiding
WORK TYPES
�O New � Interlor Improvement � Slding _ Demolish Building*
_ Addition � Move Building � Reroof _ Demolish Interior
_ Alteration � Fire Repair � Windows _ Demolish Foundation
_ Repiace � Repair y Egress Window ` Water Damage
_ Retafning Wall "Demolftlon of entire bufiding-give PCA handout to applicent
DESCRIPTION G
Valuation ya v�•Q!� Occupancy .��'t MCES System
Plan Review Code Editlon �✓t 20�" SAC Units
(25°/a_100%�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppresslon Required
Type of Construction �� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
� Footfngs(Deck) Final I C.O. Required
Footings(Addltion) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water eFinal Pool:_Footings _Air/Gas Tests _Finai
x1 Framing Drain Tfie
Fireplace: _..�Rough In �Air Test .TFinal Siding:�Stucco Lath _Stone Lath eBrick
Insulation Windows
Sheathing Retaining Wall:,Footings�Backfill_Final
Sheetrock Radon Control
Fire Walls Flre Suppression:lRough In_Final
Braced Walls Erosfon Control
Other:
Reviewed By: I �� Yh� k�Y l� , Buiiding Inspector
RESIDENTIAL FEES
BaseFee ����Z�� �1S.�a _
Surcharge
Plan Review
MCES SAC
City SAC
;Utllity Connectian Charge
S&W Permit&Surcharge
Treatment Piant
Copies
TOTAL
Page 2 of 3
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� Acldition, Dakota Gounty, Minnesota.
wE �ERESY CERTfFY t�IAT THiS IS � TRUE ,�NO CORREC� REPRESENT�T�pN OF A SURVE1r �f TtIE
6QUNflARlfS QF THE LAND AaQYf �ESCRl6ED AND Of 1H€ LOCATION CF All ltUtLDINGS, IF ANY,
THEREON, AND A1l VISI6tE ENCROACMMENTS, t� ANY, fRpM OR ON SAIA LAND.
ba�od �bi�..�`�f 1�_dQr oF ����-• A.O. )98� C. R. W DEN & ASSQCIATES, iNC.
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152757
Date Issued:10/30/2018
Permit Category:ePermit
Site Address: 1719 Forssa Way
Lot:1 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kristin Amsden
1719 Forssa Way
Eagan MN 55122
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature