1722 Forssa WayCITY OF EAGAN
„ '• =795 Pqef Ksob Reed Eaoew, M!1 ai122 '- 7 q
' PHONEi 4544100
BUILDING PERMIT Receipt #
To be wed ior Est. Value Dote - , 19
Site Addrcss Erect 0 Occuponcy
Lot Block Set/Sub. Alte? ? Zoninq
pQrcel Repoir Q Firo Zone
E
nlorpa ? Type of Const.
oWe Name
Z Address
?
.-:?.
w
z°
Ou
u?
?
Narra
Address
Ctty -
Nome _
Addreu
1 hereby acknowledfle tlwt I have reod this opplication and state thot
fhe informotion is torrect and ogree to tomply with oll oppli[oble
Stata of Minnesota Stotutes and City of Eagon Ordinonces.
Sipnoture of PeRnittee
A Buiiding Permif Is issued to:
oll work sholl be done in accordonce with oll appliwble State of Mir
Buildinp Officiol
Move ?
Demollsh Q
/lssessment _
Woter 8 Sew.
PoHce
# Stories -
Firo
Enp.
Plonner
Countil
Bldy. Off.
APC
Ft.
Permit
Surthorge
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
Total
' on the expross condition thnt
Statutes ond City of Eaflon Ordinonces.
Psrmit Na. Permit Hoider Misc. Parmit No. Holder
Plumbin9 3a t 5 ?£yl Z Z-f
H.V.A.C. J (N ?, 3
Wall
Water
DisP•
S?wer
Ekctrie WO(oSYSIo iBU[ EE T
Inspection Dats n,, Other
Faotinyt
Foundation d
Framiny f
Rouyh Plbq.
Rouyh HVA
Inwlstion ?
Final Pibq. ?? -,j 9,
Finel HVAC
Flnal .1,p
- ?
W?r Dascri6e Location:
YYsll '
5ewer
L
Pr. DisP• .
Receipt PLUMBING PERMIT Permit No. % CITY OF EAGAN
` Fee
Fill in numbered spaces S/C
, TyRa or Prini /egib/y Tot
1. Date ????? • -. 1?? 3 2, Installation Cost ?T
3. Job Address
4. Owner OIZR1^! THUMY50rJ !;OMES
5. Contractor ' Phone
I --?' Tract
452-1565
6. Address 3600 Kennehec Pr
7. city Eacan stete M n Z;p 55122
8. Building Type: Residential 1@ Commercial ? Institutional O
9. Wark Description: New b
10. Describe
11.
Add ? Alter O Repair ?
No, Fixtures
Water Closet No. Fixiures
ool/Drainfield
Cess
? Bath tubs p
tic Tank
Se
Lavatory p
Softner
Shower Well
Kitchen Sink -- -
Urinal/Bidet Other
( Laundry Tray - - --?
! Floor Drains
;
•
r ;
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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt 7t MECHAI
CITY
Fill in r
1. Date '??'-?3 2. Insta
1 U[t
3. Job Address 1Pn.,.?.' FOY' clSr:. ?
4. Owner
5. Contractor 7 `r
6. Address 4,637 CYIICSQ°O =.CF
PERMIT Permit No.
GAN - ? ,
Fee , .?.
-d spaces S/C . : '.
legib/y
Tot.
Cost
Blk. ? Tract4
Phone
7.
City '
'- '•
x n.y
State - ? • ~f;'r,(
Zip •??:•
8. Building Type: Residential M Commercial ? Institutional ?
9. Work Description: New ED Add 0 Alter ? Repair ?
10. Describe IZ1sfi,a11 bI`Ced 8iI' hc:, c..t 'ng Fuel Type Mat ga5
11.
No,
? Equioment BTU - M. Ea.
Forced Air lLpsnoo No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wi?i11 o(?+pances and codes governing this type of work.
Signed : -? '?' ` for
RougA Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
?
CITY OF EAGAN
,addr«on Ridaeclif.f FirSt Addn. Lot o Rik 13 ParcelJt.?.Q 63980 non ?
owner Sireet 1722 Forssa Way " stBte Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 1982 298.08 5 298.08 C007616 12-23-81
SEWERLATERAL 19$2 1305.42 5 1305.42
WATERMAIN
WATERLATERAL 19$2 1260.79 5 1260.79 C007 6 1-2 -8
WATER AREA 1982 298.08 5 298.08
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-8
STORMSEWLAT 1982 955.45 S 955.45 C007616 12-23-81
Services 1982 637.75 S 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 420.00 ts it
BUILDING PER. 7779
SAC 525.00
n
n
PAR K
?TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
, , rl 4•f H Y
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
"° 1, "'" 1 `'' APPLICANT:
? Kts)r:?;- ? t ci E, l) r, r; r? ?1
TYPE OF 1NORK:
!)! ,, i: : 1,I t i iq
FiFI) 1 t1'# H I;
to ;1 3119
A<? 104 /9ti
1'Aillilhll
rvti %f
t M s t tl1ik", fif l
tAM E:}vtrwf:O HY WAvo+f-, Mrot cu.. r.Att 44t?..2840 ft(tiAl4111 lf#c; F 1EC,IiZtCAI Pr.rraI r:
pl f? tM';0l-t: f l'0 N':,.
Permit Holder Uate Tetephone #
PLUMBING
H VAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEA7ING
GAS SVC
7EST
•
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
M ETER
fRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYQPOSTATIC
TEST
8SM7 R.I.
BSMT FINAL
DECK FTG
GG
DECK F1NAL
C17Y OF EAGAN SEWER SERVICE PERMIT
8796 Hot Knet- Roed PERMIT NO.:
fc9en, Mi: 55122 DATE:
Zoning:
No, of Units:
-
'i'Owner: :•:? T'i ,
Address:
Site Address: *
, Plumbar:
? oyrea M eomphr with Nm Cft of Eagae ConneCtion Char+fle:
Ordinances' Actount DeposiY:
Permit Fee:
B
Y 5urcharge:
Dote of Insp.: Misc. Charges:
Insp.: Totnl:
Dote Poid:
CITY OF EAGAN WATER SERVlC E PERMIT
3795 PiPot 1(np¢ iteod PERMIT NO
:
Ea90n. 1r1l+! 55122 .
Zoning; ' dATE:
4wner, No. of Units:
Address:
SiYe Address• ? . : Y'ssn
Plumber:
hAeter No.:
Connection Charge: , . ..
Size: Account Deposit:
Revder No.: Permit Fee:'
1 agree to eompiy wifh the Gry of Eogan 5urcherge:
Grdieaneea. Misc. Charges: " - .
By Total:
Dote of Insp.: Date Paid:
Insp.:
REQUEST FOR ELECTRICAL INSPECTION « Es-ooooi-on
u,
' See instruchons for completing Ihis torm on back of vellow covV•
' X" 4IO0 Wbrk ?ove?r?'ed by 1his Request _ ?S t S^Q
e Ado Rap. Type ot Budtling . AppliSnces Wvea Equipment WveA
Home Range Tempoiaiy Service
Duplex Water Heater Lighting Pixtures
AUt. Building Dryer Electnc Heann
Commercial gidy. Fumace Silo Unloader
Industrial Bidg. Au CondiLOner 0ulk Milk Tdnk
Farm otner peci v Q?her (5ucuty)
Iher Suecrty Oiher Oth.r
Compute Inspectron Fee Below
b Fee ServiceEntrence5ize k Fee Feeders/SUbfeeders p Fee Cirewts
0 to 200 qm s D to 30 Am s 0 to 30 Am s
Above 200 qni 5 31 ta 100 Amps 31 to 100 qm
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigavon 8oorc?s '(,? Pdrba?-'ee
Signs Speciallnspection IS3050
T qL
EE
?
emark
s
?
.Q
V
Hough-in Oate
? ? ectncal
? ? sOectoq hereby
certrfy thet the aLOVa
Final pAt n=aact,on na= baan
s made.
rlun.wmmet vniA 18moNna imm
This request void -$
18 nwnths from
W065865
-zd •t 3, L9 , 613 , 2, d, ps L 351 8'O
.3-?s".0 CD
Requas Da?e
? Fire No. FouPh-in In.pecNon
Re??Vred?
?fleady Now
?Will Noufv ???speo-
I ?
No [nr When Featly
icensed ElecVical CnMractor I hereby repuest inspection ot nbova
? Owner electncnl work mstallad eC
Street Atltlress, Bux or Route No. Ciry
17.,' -L-
ecuon o. Township Namn or No. Rango No. Coun`7y ?
{T 1G?)
Occapnnr(
PF
I
N
T) Phone No.
p
?
^ ?
Q
C
??17f Jt3? ?...?Wl
Pow¢r Supplier Atldress
REA ?RMi?1tfftw
Ele ical Contractor (Como+?ny Name)
? C Rntractor's Licanse No.
Z
jE"., E1..&TRi? M?SLS -
s (Contrector or Owner Making Instailn[ioN
Mailm9 /a
ddres
c
i
i\ I 1.+. CLAff- FO!'W
Authonzetl $igna re ( nhactor/Owner Makmg InstallatioN Phone Numbor
91 o:55oS
MINNESOTq STATE 90AND OF ELECTHICITV THIS INSPECTION pEQUEST WILL NOT
Grig9s•Midwey Bidg. - Noom N-191 eE ACCEPTEO 9V THE STATE BOAPO
1827 Univarsity Ava., St Peul. MN 55704 UNLE55 PROPER INSPECTION FEE IS
... ...........- ..... ENGIOSFII.
CITY OF EAGAN
7795 Pibf Kneb Rond &.yan, MN S511=
PHONis 454-8100
Erect )13
Alfer ?
Repoir ?
Enlarge ?
Move 0
Demolish ?
Grode fl
BUILDING PERMIT • ' Receivr #
SF DWG/GAR Est.vaiue $62,000
Site Aedress 1722 For sa Way fPlan 43)
lor 9 Block 13 Sec/5ub. Ridgecliffe lst
pa,rei # 10 63980 090 13
W Name Thompson Lakes Division
? Address -1712 Hopkins Crossroad
,.;,,, Mtka. 55343 544-7333
J IName OwneT
ou Addreu
ra,, oL..__
Nome _
Address
I hereby acknowledge that I hove reod this applicotion and srate thot
the inlormution iz wrrect ond ogree to wmply with oll opplicoble
Stote of Minnewto Stntutes und City of Eogan Ordirwnces.
Sipnaturo of Pertnittea
H Building Permil Is issued fo: T}lOttIp50II
all work sVwll be done in accordante with all
Assessment -
Water 8 Sew.
Police -
Fire
Eng.
Plonner ?
Council _
Bidg. Off. _
APC
N? -7779
occupanc R-3
Zoning ?PD) R-1
Fire Zone NA
TvVe of Const. V
# $fories
Length 64
Depth 24 • 6 Sq. Ft.-
Fea+
Permit J17. UU
Surchorge 31.00
Plon checkl$9.50
SAC 525.00
Water Conrf.?20 . nn
Water Meter 6n . nn
Rood Unit 240 - Ofl
Totol $1754.50
V1510ri o S. HOme on the expresa condiNon Ihnt
Ne of A4in to Staigfts ond City of Eogon Ordinancea.
Buildinp O{ficial
CITY OF EAGAN Include 2 sets of plans,
? .. 1 site plan w/elevations 6
BUILDINC; RY.'RNIIT-APPLICATION 1 set of energy calculations-
$' GQY- ?
Zb Be Used For Valuation ? Date 1-?$ ^$'i
Site Pddress: O22 F.?sso, W•.•? -?"•?';? OFFICE USE ONLY
Lot 1 Bloc7c I3 Sec./Sub. RG (s?- Erect x Occupancy 3
Parcel # : '/ ? ? ? T? D Q D ( 'aj ?ter Zoning /
FZo
Oaner:
Pddress:
City/Zip Cocle:
Phone #:
Contractor:
Address: $ Division of U.S. Home Corp.
L/LZ op ins rossroa
Clty/Z1FJ COCle: Minnntonja Minn_ 55949
Phone # : S ?'} - 1333
Arch./Ehg..
Pcldress:
City/Zip Cocle:
Phone #:
Repair ire ne
Enlarge _ 'Ihpe of Const.
Nbve # Stories
Deimlish Front lo?/ ft.
Grade Depth ? y (o ft.
APPROVALS FEES
?
Assessments Permit
WatEr/Sewer Surcharge ?
Police Plan Check J?9
Fire SAC ?
rng, Water Conn. 20 °"
planner Water Meter loiJ
Council Road Unit e2 yd ?
Bldg. Off. ?-zs-qa
P.PC
?TAL ? 5 r SO
RESIDENTIAL BUILDING
Permit Application
? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
(o3
New Consiruction Reauiremenis RemodeVReoair Reauirements Otfice Use Onlv
3 regislered site surveys showing sq. fl. of lal, sq. fl. of house: and all roofed arnas 2 copies ot plan Cert of Survey Recd
(20% mazimum bt coverege allowed) 1 set of Energy CalculaUons tor heated additlons Tree Pres PWn Racd
2 copies of plan showing beam 8 windovr sizes; poured found design, etc. 1 site survey for addifions & decks Tree Pres Not ReQd
lsetofEnefgyCalcuWtlons Addifion-indicateifon-sitesepUcsystem _Oo-site5eptlc5ystem
3 copies of Tree Preservafion Plan rf lot platted a@er 711193
Rim Joist Detail Op6ons seleqbn sheet (bldgs vnih 3 or less uniLs
Datec? / Ok_ / 03
Site Address l`I A9, ?
o r 55 k Construcdon Costkg 0o O
W ?.J Unit/Ste #
Description of Work D2? c,k cW g? a" n.e,
Multi-Family Bldg _ Y )C N Fireplace(s) _ 0_ 1 _ 2
ProperTy Owner Telephone #(Ies 03 1.3
Contractor
Address ?c,"._
State 9 City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 ^ Minnesota Rules 7672
. Residential Venfilatlon Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted 5ubmitted
. Energy Enveiope CalculaGoos Submitted
Licensed Plumber I?II Telephone #(
Mechanicai Contractor ? MAY 0 2 2003 Telephone #(
Sewer/Water Contractor L I Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed ame ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex g 17 Garage O 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
)4 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof q 46
? 34 R2p12C2m0nt 'Demolition (Entire Bl dg) - Give PCA handout to applicant
Valuation a p p Occupancy V t• MC/ES System _
Census Code q g Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length ? Fire Sprinklered _
Type of Const U l?. Width
? Footings (new bldg) F I ol°f+i r19
_ Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Au Test _ Final
,?X Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Mul6
? 33 Ext. Alt - SF
O 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinaVC.O.
X FinaUNo C.O.
Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (newheplacement)
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review -
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
j 0 xlyy / y = 35'?- 8
Total
Tax Report
DAKOTA COUNTY COMPLETE TAX REPORT
Page 1 of 1
PID # 106398009013 PLAT PROPERTY TYPE: R- Residential TAX YEAR: 2002
Property Information
PropertyAddress 1722 FORSSAWAV EAGAN MN 55122
Legal DesGription RIDGECLIFFE 1S7 ADDI710N 9 13
Subdivision(Addition) RIDGECLIFFEISTADDITION
Year Built 1983 Aeres 0.31
School District 196 - ROSEMOUNT/APPLE VALLEY Lot 1 Block 09 ! 13
Plat Propeky Type Cotla R - Residential Parcel Size 0 X 0
Cnty Prop Type Code A Hmstd Cotle Y- Full Homes tead
Mpls Prop Type Code Hmstd Code Last Yr Y- Full Homestead
OwnerlTaxpayer Information
Owner SHERRIE R& MICHAEL ENGST
Owner Address 1722 FORSSA WAY 5AINT PAU L MN 55122-2658
Taxpayer Name SHERRIE R$ MICHAEL ENGST
Taxpayer Address 1722 FORSSA WAY SAINT PAUL, MN 55122-2658
Market Values / Taxes I Subrecord
MarketValues Taxes Subrecord Status
Land: $40,500 BaseTax: $1,588.76 Watershed G
Building: $111,900 AssessAmt: $0.00 DelinquentSWtus
7otal: $152,400 TaxwlASmnt: $1,586.76 GreenAcres/G.A.SqFt N!
Sales Information
Most Recent Sale Date 6/25/1998 Previous Sale Date 4/111992
Most Recent Sale Priee $143,000 Previous Sale Price $111,500
Most Recent Sale Code W- Warranty Deed Previous Sale Code WD - Wartanty
Deed
Detailed Dwelling Characteristics
Gross Bldg. SqFt 1104 Building Style ToWI Betlrooms 0
Livable SqFt Num6er of Stories Total 8aths 0
Firet Floor SqFt 8uilding Shapa 0 Famlly I Living Rm 010
Second Floar SqFt Bullding Conditlon Dining I Other Rm 0/ 0
BasemantSqFt BuildingConstruction Kitchen 0
Garege SqFt Garage Type 1 Capacity 10 Fireplaces 0
Deck 1 Patlo SqFt / Roof lype! Caver / Heet
Porcb SqFt Exterior Walls 0 Alr
Pool I Pool SqFt N! 0 Interior Walls ToWI Rooms
Lot SqFt 13503 Lot Width I Depth 1 Lat Zoning
Room Schedule
Room 7ypa Basment 1st Floor 2nd Floor 3rd Floor
8edrooms 0 0 0 0
Baths Full, 316, Half 0, 0, 0 0, 0, 0 01010 0, 0,0
Family Room 0 0 0 D
Living Room 0 0 0 D
Kitchen 0 D 0 0
Other Room 0 0 0 0
Fireplace 0 D 0 D
Report Date. Mon, Apr 14, 2003 09:18 AM Information is Believed To 8e Accurate But Not Guaranteed
Wi'?katLtrx? Soflware Copyright b Marketlinx Solutions, Inc 1997-2003 All Rights Reserved
All information contained herein is for the exclusive use of aulhorized MLS Subscribers
Copyrighl0 2007-2003 Regional Multiple Listing Service of Minnesota, Inc. All Rights Reserved.
For NorthstarMLS problems or suggestions please contact the Help Desk or call 651-251-5456.
http://www.northstarmis.com/TaxIScripts/Anoka/Prt.asp?pid2=D106398009013&szCounty=D 4/14/03
? • ? _l? ` ??Q?? C. R. WINDEN 3 ASSOCIATES, INC.
LANO SURVEYORS T@l 645•3646
FOR: 1381 EUSTIS ST., ST, PAUI, MINN. 5310E
U. S.? HOME CORPORATION
U
QRA?NA?? AND 11L1TY
N ??? 12: F-
i3o.
-- d
O,
?
--, -,-- ?
L_?`l
\
?
, Q? O ?
Q O
V
EpSEM?Nj
- W a
Un
'
° ? ? lP
32 `? y
---? N
S /
N > „ 1 D y
?
? ` 50 30 s
N
" V
Scale: 1" = 30'
O Denotes Iron
Lot 9, Block 13,Ridgecliffe First Additon
Dakota County, hiinnesota.
WE FiEREBY CERTIFY THAT THIS iS A TRUE AND CORRECi REPRESENTATION OF A SURVEY OF THE
60UNDARIES Of THE IAND ABOVE DESCRI6ED AND Of THE IOCATION OF ALL 6UIlDIlJGS, IF ANY
THERfON, ANO ALL VISIBIE ENCROACHMENiS, IF ANY, FROM OR ON SAID LAND.
Dotad ihi, IArif dar oF-d=wQ9z- A. D. 19 83 C. R. W-LNDEN 8 ASSOGIA7E5, INC.
Nouse Locnfxd Fab.16, 1983-e'fw br
5 _ Surrayor. Minnosota Ruqiaerotien No.77P-e-l
411519
PERMIT# S / 11'
RECEIPT DATE:
8008 WISIDENTIAL i'LUM$INfi PEiMTf APPLICATION
crrY og E*sAv
3$80 PII.OT KNOB RD
$AfiAA, LS1Y 55122
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:
OWNER NAME: : S?lerY"I TELEPHONE #: (V'?J? QG L1-NCO4
(AREA CODE)
INSTALLER NAME: TELEPHONE #: ?I (- -ISS'G?4CQq
GAVIC & SONS PLUMBING (AREA CODE)
STREET ADDRESS:
CITY: COON RAPIDS, MN 55448 STATE: ZIP:
_ 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 UNtT, INCLUDING:
_ Adding fix[ures to lower levefs or room additions, excluding water softeners and water heaters. ? $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenVadditional: _ water soRener IZ/water heater $ 15.00
11
S
h : 50
State
urc
arge P
TOtal -
I hereby acknowledge that I have read this application, state that the information is correcl, n gree [o wmplywi pplicable Ciryof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assume o ability for a mages caused by the City during its nortnal
operatlonal and maiMenance activities to the facAdies constructed under this permit wi Ci1y /r'?r. t-of•wa fea ent. .
??? ?'o.V ti c-
IGNATURE OF PERMITTEE 1102
PERMIT # 5 / & / RECEIPT DATE:
8008 MIDENTIAL PLUbI$INfi PEiM1T APPLICATiON
CI'fY OF EAfiAN
S$SO PILOT KftOB iiD
EALsnx,lxrt 55122
651-68t-4675
Please complete for:
SITE ADDRESS:
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
OWNER NAME: : sherrI U )ClSt
INSTALLER NAME: ?I aaUl C-
STREET ADDRESS:
CITY:
12725
COONI
TELEPHONE#: CS
(AP,EA CODE)
TELEPHONE #: -Ap3 -J SS- Lp q(PB
(AREA CODE)
STATE:
ZIP:
_ 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 UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water soReners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: naw installat;on(repair;rebuild $ 30.00
_ lawn irrigation system
?_ -
SEP 0 6 2002
placemenU dditional: _ water softener ? water heater 15.00
State Surcharge $ .50
TOtal $ /5.-Sb
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicanl's responsibility to notity the propeRy owner that the Clty of Eagan assumes no liab' ? r any damages caused by tlie City during its normal
operafionat and maintenance activfties fo lhe fsoill6es construc[ed under this pertnB within City p lright-of-wayleaseT9jA..--
SIGNATORE OF PERMITTEE 1/02
f?' l.l,l.( dG01C'
RESIDENTIAL
5Q,[[ C.? BUILDINC PERMIT APP4ICATION
( CITY OF EAGAN ? / ? •
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New Construction Reouvements
• 3 registered site surveys showing sq ft of lot, sq R of house; and all roofed areas
(20% ma:imum lot couerage allowed)
• 2 copies of pian showing 6eam & window srzes, poured found design, etc j
• 7 set of Energy Calculations
• 3 copies of Tree Preserva6on Plan if lot platted afler 711193
• Rim Joist Detail Opnons selection shee[ (bldgs with 3 or less units)
DATE ')b- ?L1 -oa
SITE ADDRESS l aa For?sw c.?a MULTI-FAMILY BLDG _Y N
TYPE OF WORK_ FIREPLACE(S) _ 011 _ 2
APPLICANT
STREET ADDRE t? aa F orSSF v.1 aj CITY E? STATE 1'A 0 ZIP 5 1-%a
TELEPHONE?\'s` ?r`b?- 031,3 CELL PHONE po-aia3 FAX # US
PROPERTYOWNER?,?t???? TELEPHONE?"J LctL `030
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ytINNE5(Yt':A RUI,L.S 7670 CA"fL.GORY 1 MI\ VLSOT_1 RULL:S 7672
(d submission type) . Residential Ventdation Category 1 Worksheet SubmiHed • New Energy Code Worksheet Submitted
• Ener9y Envelope Calculations Su6mitted
Plumbing Contractor:
Plumbing systcm includes:
Mechanical Contractor:
Mcckiwiicsd systcm includcs:
Sewer/Water Contractor:
.r1ir Conditioning
-- Hcat Rccoccry Systcm
Phone #
Phone #
Ccc: $90.00
I'cc: $70.00
----°-----------°-------------------•--•--°---°--°------....--------------------------------°....----°--------•--°
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Siatutes and City of Eagan Ordin c
Signature ot Applicant/6 ?
----°---°°----------------------°---------------°--------------------------------..._°--------------...
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Receroed _ Not Required _
Upda[ed 4102
_ Waccr Softencr
Water Heater
-- No. oF Baths
RemodellRepair Reouirements
• 2 copies of plan
. 1 set of Energy Calculations for heated addifions
• 1 site survey for extenor addihons 8 decks
• Indicate rf home served by sep6c system foraddihons
2?
VALUATION
PIlORC # ,
Lawn Spankler
No. of RI. Balhs
FERMIT
CITY OF EAGAN
38V PilotKnob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-63980-090-13
1722 FORSSA WAY
LOT: 9 BLOCK: 13
RIDGECLIFFE 1ST
PERMIT TYPE
Permit Number:
Date Issued
BUILDING
033114
09J04/98
DESCRIPTION:
, INCLUDES DECK
fi Yjjxta.
B?t?:?=°?.6K(j, Permit 7ype SF PORCH
6 Ald;$ng,14ork Type NEW
434 ALT. RESTDENTIAL
?? .
3; eh
mai.,e
P?t i?`8 ^R t&tU. v i6
a?E1Wi_PU' dif
F? imP ?ta? N. ? e°.n u Ei6
.^?I,vi &'A
REMARKS:
PLAN REVTEWED BY WflYNE MTLLER. CflLL 445-2840 RE6ARDIN6 ELECTRICAL PERMI75
AND INSPECTIONS.
FEE SUMMARY:
VALl1ATI0N $10,000
Base Fee $isz.zs
Surcharge , 5.00
Total Fee $167.25
CONTRACTOR:
OWNER: - Applicent -
ENGST MICHAEL
1722 FQRSSA WRY
EAGflN MN 55122
(651)686 03G3
I ?r,ere?fay.???knQw#?4'dgs tn?Bt 'I r,.ave; sn:d !?'tf&te th6 C:th t
3nfarm,at?.cttt;i,? ?,?i,ri`?Ct"an!d..a.gr'e? tir cottip?,y ?:i??.h; ?I"?; ap.p?,°.icabke Sta'te cr'F' M;n; .
5tatiultes ttr?f C?t'y-?-of E.& ga? -0rd1?nance 5.a,:
AP LICANTIPEFMN IGNATUFE UEDBY.SIGNATU E
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
I I- CITY OF EEIGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Cnnstruction Reauirements RemodeUReoair Requirements
• 3 registered site surveys ? 2 copies of plan
• 2 copies oi plans (inGude beam & window saes; pourad fid. tlesign, etc.) ? 2 sile surveys (exterior additions 8 decks)
? 1 energy wlculations ? 7 energy calwlatlons for heated atldftions
? 3 copies of tree preservation plan if lot platted efter 711/93 -
required: _Yes _ No
DATE: C)?o - '? 1 - `6 CONSTRUCTION COST;'?
DESCRIP ON OF WORK: PdJ'^? b- ?- a^? ScYe^ ?a} ?
STR?'f ADDRESS: 1? Z'Z ?o a55 q
LOT: ` BLOCK: ? SUBD./P.I.D. #: _Sc
Name: E^ 5 J M, ??ae I Phone #: 0 3103
PROPERTY 1-ut First
OWNER
SfreetAddress: 1,'1ZL- ?oa55q ?G,
City Eaq?•• State: 1'?)•,. Zip; ?i S J 27-
Company: -50,v-17- Phone #:
CONTRACTOR
Sveet Address: License #
?
City
State:
Zip:
ARCHITECT!
ENGINEER Company: Sa....?. Phone
Street
City
Registration
State: Zip:
Sewer & water licensed plumber (new construction onry): . Penalty applies when address dhang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to comply with all appfipbl
State of Minnesota Statutes and City of Eagan Ordinances. , ---\ ?
Signature of
Du?
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No ?`
Tree Preservation Plan Received _ Yes _ No _ Not R ?
M
OFFICE USE ONLY ' - ?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
O 02 SF Dwelling O 07 4-plex
? 03 SF ?iddition ? 08 &plex
? 04 SF Porch ? 09 12-plex
13 05 SF Misa ? 10 _ plex
WORK TYPE
?/31 New ? 33 Alterations
JR 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
14 Fireplace ?
15 Deck
? 38 Move
E3 37 Demolition
Basement sq. ft.
? Main level sq. ft.
? sq. ft.
? sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Building Engineering
Variance
?
r
1Z
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
,IP
,
Valuation: $ _ !1'?
7? ? r'f?'C1?
0-b
?
1??GK`'?/,200 ?' 'i) vv0
16 Basement Finish
17 Swim Pool
20 Public Faciliry
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
°!o SAC '
SAC Unfts
C7 • . -- ?
?FO?:
U. S. HOME CORPORATION
,pRAINAGE
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`950: 30 6
N
C. R. WINOEN 3 ASSOCiATES, INC.
IAND SURVEYORS Tel 645•3646
I36I EUSi15 SL, Si. PAUI# MINN. 63100
1 ? -11
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0?
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Scale: 1" = 30'
p Denotes Iron
Lot 9, Block 13,Ridgecliffe First Additon
Dakota County, Minnesota.
WE MERElY CERTIfY TMAi THIS IS A TRUE AND CORRECT REPRESENiATION OF A SURVEY Of THE
6pUNDARIfS Of TNE LAND AlOVE OFSCRI6ED AND OF iME IOCATION Of All 6UIlDINGS, If ANY
TNEREON, ANO All V15I61E ENCROACMMENiS. If ANY, FROM OR ON SAID LAND.
Darad tAio J.ArO day oF -,) r,??,,,,,,,,,r,-A,O. 1983 C • R. W NDEN 8 ASSOCIATES, INC.
House -Locaf¢d F,2b. f61 1983-eiew
70 =s4- Survaror, Minnosora Raqiitwtion Ne. 772G
-
AND UTIO7Y
Nr
13 l?
r. _? ?? 5 1 1
? ? Z4
? ` i
1722
•,???' ' ??Q?? C. R. WINDEN d. ASSOCIATES, INC.
?J LAND SURVEYORS TOL 645•3646
, FOR: 1381 EUSTIS SL, ST. PAUL, MINN. 55108
U. S. HOME CORPORATION -
pRq?NA?E
?aqi.ol ?
C11
,o
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?
(938,5)
EASEM" T
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Scale: 1" = 30'
? U) O Denotes Iron
N
?
A
-0
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? - --r'
?
aQk \0
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rtf?g,\
\7q ??
Lot 9, Block 13,Ridgecliffe First Additon
Dakota County, biinnesota.
lV ote : ?
Proposed yara9e;loor EI., 947$3)
(e00.0) Denotes Proposed-4tnishe4 ground E1.
-? Deno-fes direc-}ion o-V su,4nce drnmoge
Ver+ical Dwturri- NGVD 1924
WE NEREBY CERTlFY TMAT TMIS IS A(RUE ANO CORRECT REPRESENTATION OF A SURVEY Of THE
60UNDARIES OF THE LAND A80VE DFSCRIBED ANO OF THE IOCATION OF AlL lUIIDINGS, IF ANY,
TMEREON, AND All VISIBIE ENCROACNMENTS, IF ANY, FROM OR ON SAID IAND.
Dorad this 18TO_dor eF Js_A.D. 1983
C. R. aEN ASSOCIATES, INC.
bY ? i.?..? _
Survayor, Minnowia Ropistretien No 77ZG
NT.tl 19
zn: r?RNA oLSON, vrzLZZY BzLLzrrc ci.cPZ,
DALE PLTERSON, CfIIEf' IIUII,DIM, OFE'ICIPL
BILL BRANQi, SUPERINTENDIlVT OF PUBISC WOFtKS
FR(ati1: THOh9AS A. COLBERT, DIRECIUR OF PUBLIC WORKS ?
DATE : NOVES13F12 17, 1981
RE: RI=CLIFEE 1ST ADDITION - SE;9ER AND WATER 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
permits tmtil sanitary sewer service had been made available. Because
it is not anticipated that gravity sanitasy sewer will be available to
provide service to the affected lots until July/AUgust of 1982, Orrin
Thompson Hoirns has agreed to install a taTporary lift station from Man-
hole No. 37 to the 4" service line far Ipt 8, Block 9, Ridgecliffe lst
Addition. Attached to this mer!n is a c.noy o£ the letter we received
from Orrin Thompson Hcmes whereby they indicate that they will perform
the installation, maintenance and liability of this temporary lift sta-
tion/force main sanitary sewer until such tizre gravity sanitasy sewer
can be extended across the future I-35E during the spring of 1982. There-
fore, with this teirporary system being installed and maintained bv Orrin
Thoi*g>son Hores, the termrarv hold on se:ver and water pennits and occu-
pancy for the following lots has naa been lifted:
Lots 1-9, Block 7
Lots 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
Iots 1-6, Block 12
Lots 1-17, Slock 13
This temporary sanitarv force main iaill still not provide service to
the following lots:
Lot l, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous iremo will still
apply to these lots.
These lots are referenced on the attached msp for,your information. If
any problems arise pertaining to sanitazy sewer availability, back-ups,
etc., please refer those calls directly to Orrin ThotTson Hcares for the
proper resolution. If vou have any c?uestions to this release of the re-
striction on the building and sewer/water permits, please wntact me.
Please insure that all personnel in your departrnent are acoare of these
restsictions.
TAC/jach
cc - Bob Carlson, Orrin Thcrpson Homs
T0: IAR'VA OISON, UPILITY BILLINr CLERI:
DALE PETERSON, aIIIEF BUILpING OFFICIAL
BIIS, BRANQI, SUpERINPENpIIVT OP PUBLIC f^ORKS
FROM: TAOMAS A. COLBERT, DIRECTOR OF PUBLIC FDRKS /?n?
v
DATE: NO=ER 18, 1981
RE: RIDGECLIFFE 1ST ADDITION - SEf9ER AND WATER CQVNECTION RESTRICTIONS
On Noverber 17, 1981, a me,tro was fozcaarded listing several lots within the
Ridgecliffe lst Addition that had restxictions placed on the issuance o£
any sewer, water or occuoancy perniits due to the imavailability of sanitary
sewer. There appeared to have been a duplication'of lots that were refer-
enced for future restrictions as compared to those whose restrictions had
been listed. Please be aware that the follcaing lots cnly will have re-
strictions placed on the issuance of sewer, water or occixpancy permits;
Ir>t 1, Block 8
Lots 1& 2, Block 9
Iots 18-23, Block 9
Ints 11-17, Block 10
Please insure that these referenced lots are not granted any permits that
would allaa their occtpancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as stated
in this memo.
TAC/jach
cc - Bob Carlson, Orrin Thcapson Hcms
L-t i 15 131 f?- cl
T0: IAFiTla. OI.SCN, iTPII.I'PY BIIS.LVG C=
BUIIDI:IG INSPE(,TIIN DEPP,RMA=
BII,L BRANCH, SUPERn7PFSIDE,"?'i' pF pGBI;IC I+1pRKS
E'RaM: ZHCMAS A. COLSEKS, DIRECIOR OF PlMISC WORF<S
.. DATE: SEPraMBER 10, 1981 " .
RE: RIDG'ECI.IF'FE 7.SP ADDITICN
Because the follo.ring list of lots in Ridgecliffe lst Addition does
not have gravity sewer outlet at this time, the following proce-
dises will be initiated imti.l further notioe:
LTPILITY BILLING
No water turn-ons will be allcwed prior to 8-1-82 or imtil sewer
is available in these areas. "
BUIIDLNG L`iSPECIZCN
Buildir.c7 permits can be issued for these lots, but the builder
should he inforned at time o£ permit issuanoe (perhaps stanping
the building pen[tit with "NO OCC.L'PANCY PRIGR 'IC) 8-1-82 OP. LTJTZL
SE?4ER IS AVAIIABLE") the restrictions cn sewer availability.
MAITNTMIANtE DFFPA=FP
3ee both utility billing and builciing inspecticn above.
The lots with these restrictions are as follaws:
LdPS 1-9, BLOCK 7
LC7I'" 1-6, BIC)C!< S
IAlS 1-7 BIOG'{ 9
LaP5 18-23 BLOCK 9
I.CrI5 10-16 BLOCK 10
rars 1-10 sr,oac s
LdiS 1-4 BI= 6
IL7I5 1-6 BIL.CK 12
LlJZ'S 1-17 BLOCK 13
an8 are also indicated on the attached maps. :
jac
rrtifirttfriaf vvrrtt?ttnr?
? ? -
_. .: ?..?Citp of eagan
3@rpttrfinmi n# Builbhcg Jn,spedi,im
. . . , eM ....5. . . ,
Thir Ccrti firatc isrued Purtaqnt w tbe nquiremrnir o f Seuion 306 0f the Uniform Buildrng
Coda rrrti f ying tlxtr or thc time of rtsuann ebit itrutlan iuat in ramplianrr with tix vafiouJ
ardiuunrrt of tix City rrgulatisg 6uilding rnnrtnutiaa oi ure. Far the following: "
_ -:. t: .)°:•;,;-- .,
:?:?R,.t
SF DWG/GAR ' ' : + - e + -'; _ ? = f ? _ 7779
Bldg PemritNw
'0.warTM R3 'h»c?u? V rKZ?. NA z?yw?? PD R
,...,....,.......Thomnson Lakes Div. ...._1712 tIopkins Crsrd., Mtka.
e?wai„eoV?-aPS??'?' May 13, 1983
_ .o..'?.. ?...??...:,n ' ' • , -
LI.Ia" U 5 a
t5 M9y
Use BLUE or BLACK Ink
c/0
• Far Office U J~ 1
fka j permit 0: pity of Earn ,~5-
I Permit Fee- i
3830 Pilot Knob Road
Eagan MN 65122 i Date Received; j
Phone: (651) 675-5675 I I
1 Staff;
Fax: (651) 675-5694
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:. _ re-1 ? site address: Fcvrssc -
Tenant: 7 ►dC Suite
RESIDENVOWNER Name:LI" )~e 5F 4'1 dI`r'• ~ 1 Phone: 1 -
Address / City / Zip:
J 12 2_ f'
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
„J
Construction Cost;. GNU Multi-Family Building: (Yes /No
CONTRACTOR Name: FO w r d'/7117` License cls q F'q `
Address: ~..Wr1 1~ c City. G.~.^A Qi } ~
State:, ~r) Zip: ~y Phone: ' 2c3
Contacta&) Fd'W) al Email: T O L+3~CW` d"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes ,_No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of
the Information may be classlfled as non-public p you provide specific reasons that would permit the City to
conclude that the .arse trade secrieM
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against undo round utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.0ra I
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a perms 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.
} -
a
a %'j
Applicant's Printed Name Applicant's Signature
Page 1 of 2
T001 2 aU0d 09909CZZ26 XVa C9: 9T 0TOVLT/£0
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168327
Date Issued:04/19/2021
Permit Category:ePermit
Site Address: 1722 Forssa Way
Lot:9 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Sherrie R & Michael Engst
1722 Forssa Way
Saint Paul MN 55122--265
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179291
Date Issued:09/27/2022
Permit Category:ePermit
Site Address: 1722 Forssa Way
Lot:9 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-090
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Sherrie R & Michael Engst
1722 Forssa Way
Saint Paul MN 55122--265
Crown Exteriors Inc
8673 Eagle Point Blvd
Lake Elmo MN 55042
(651) 236-9227
Applicant/Permitee: Signature Issued By: Signature