1726 Forssa WayCITY OF EAGAN
Addition Ridgecliff F;rct Addn_ Lot L() eik 13 Parce1#11-.0 639.80 lAA 13
Owner streec 1726 Forssa Way ;ffi;illlbbb?-state Eag, an. MN 55122
Improvement Date Amount Annual Yasn Peyment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK 1982 298.08 5 298.08 C007616 12-23-81
SEWERLATERAL 1982 1305.42 5 1305.42 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81
WATER Af{EA 1982 298.08 5 298.08 C007616 12-23-81
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORMSEW LAT 1982 955.45 S 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD LTNIT 240.00 #30368 6-4-82
WATER CONN. 420.00 t? 11
BUIIDING PER. 7315
5AC •
PARK
PERMIT ti
PLUMBING PERMIT RECEIPT # 7/ 7G' ?
ACT PHICE:
Site Address
Lot
CITY OF EAGAN ?,a3/
383U PILOT KNOB ROAD, EAGAN, MN 55122 DATE: s 7
PHONE: 454-8100
q ..j A y
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult. Add-on Lf
Comm. Repair
Other
ONLY - COMPLETE THE FOLLOWING:
RES. PLBG
.
N FIXTURES OTA?
?
?
Water Closet - $3.00 L
C'
Bath Tubs - $3.00
ator
00
f La
- $3
3S .
v
y
/_ghower - $3.00 3• `n'
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
, Water Heater - $1.50
.pp _ J
,pp Whirlpool - $3.00
Gas Piping Outlets - $1.50
.gp (MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S1C:
_lpc/Sub
/
y Name
ro Address
c City Phone
L Name _
3 Address
p cty ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APP
MINIMUM - RESIDENTIAL FEE .
MINIMUM - COMMlIND FEE •
STATE SURCHARGE PER PERMIT , (ADO $.50 S/C IF,PERMIT PRICE GOES
? FOR: CITY OF EAGAN ?? 4:11 3---h-47
GRAND TOTAL• -
CITY OF EAGAN
»ss riioe Kno` a«e Eagan, MN 55122
PNONE: 454-8100
BUILDING PERMIT Receipt #
$53,C
Slte /lddrcu '
Lot Block Sec/Sub. '
Portel #
oc Nome
W
= Address
°L Ncme _
??F
Addreu
F ri...
I hereby aCknowledga that I hove read this applicotion and state thot
the information is correct and ogree fo tomply with oll applicable
State of Minnesato Stotutes ond City of Ecgon Ordinonces.
Siqnofuro of Permittee
Erect ?
Alter ?
Repoir ?
Enlarpe ?
Move 0
Demolish ?
Grode n
Occuponty
Zoni ng
Firo Zone
Type of Const.
# Stories
Length
Depth Sq. Ft.
Fees
Assessment
Water 8 5ew.
POlIC!
Firo
Enp.
Planner
Countil
Bidg. Off.
/1PC
Pennit
Surcharye
Plon check
SAC
Woter Conn.
Woter Meter
Road Unit
Totol
A Building Permit is issued to: on the express conditlon tfim
all work sholl be done in ocaordonce with all appliooble State of Minnesoto Statvtes end City of Eopan Ordinances.
BuildinQ Officiat
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbing ? ,?-
H.V.A.C.
Wdl
W?ter
Disp.
Sowsr
Elsctrie (J p?? ' ?B, ? (y ? ZZ-gZ-
Inspection Date Inap. Other
Footinpp
Foundatfon
Frsminp
Rouph Plbg.
I ?
,Rough HVA f/
Inw lation
Final Plbq. . ?
Final HVAC •'jri ?,/,?
Final
Wetrr D"ai6a Location:
Well
SevNr
Pr. Dbp.
...-
Receipt PLUMBING PERMIT
G1TY OF EAGAN
FrII in numbered spaces
Type or Print legibly
1. Date;V? 5/F3?_ 2. Installation Cost
Permit No.
Fee
S/C
Tot -; ,
3. Job Address 1726 FOrSSa WaJ Lot I?' 81k. ' Tract
4. Owner QRRIN THOMPSON
5. contraccdWenzel Mechanical Phone
6. Address 3600 Kennebec Orive
452-1665
7. Citv Eagan State Mtnn Zip 55122
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New IN Add ? Alter Cl Repair ?
1 10. Descrihe
1 11•
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
r' Bath tubs p
SQptic Tank
?? Lavatory Soft
e
/
Shower n
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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANIGAL PERMIT Permit No,
CITY OF EAGAN
Fee
Fill in numbered spaces S/C Type or Print /egibly
Tot.
1. Date 2. installation Cost '
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor • Phone 7
6. Address -• .i ( -;??? L.?.E'a ,+t.. .
7. City ' . State ? Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ;Q Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauioment BTU - M. Ea.
Forced Air No. Equi ment CFM
Air Handlin
:
Mfg, g
Boilers
Mfg.
Unit Heater Mech. Exhaust
Mfg. Other
Air Cond.
Mtg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
fnspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved __ CtTY OF EAGAN 454-8100
ITY OF EAGAN
795 Pilot Knob Roed
cigan, MN 55122
oning: ...,
tivner.
,ddress:
, fi8
ite Address: ? y
lumber:
Aeter No.:
ize:
;eader No.:
o9roe to eompip witl+ the Ciryr of Eagon
hdiwanea.
{y
PERMIT NO.:
DATE:
No. of Units:
Connection Chcrge:
Acwunt Deposit: _
Permit Fee:
Surcharge:
Misc. Charyes: -
Totol:
Date Paid:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilof Kwob Roed PERMIT NO.:
Eoqoy, MN 55142 DATE:
Za?ing: ? No. of Units: 1
Gwr+er: - i ,
Address:
C? J,7 r T
Site /lddress:
-•,
Plumber: ? ? ,? - `?1 ?4 10;1, •,,?' ;-,i
• ??I.???.? . .?C'. .
1 aqree h oanPhi wiHi tha Cihr oF Ee9oa
Ordinonees.
..,
Date of I nsp.:
CA?111@CfiO?1 Ch0rge:
Account Deposit: _
Permit Foe:
Surcharge:
Misc. Charges:
Total:
RESIDENTIAL
. • BUILDING PERMIT APPLICATION
t
3830 PIL04 KNOB RDN 55'122 ? ?
651-881-4675 A_
I
New ConstrucUon Reauirements
• 3 registered sile surveys showing sq. R of bt, sq. ft of house; an?ll roofed areas
(20% maximum bt coverage albwed)
• 2 copies of plan showiiy beam 8 window sizes; poured found design, etc.)
. 1 sel of Energy Calculations
. 3 copies of Tree Preservation Plan if lot platted after7/1l93
• Rim Joist Detail Options selection sheet (bldgs wBh 3 or less uniLs)
DATE
10B SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
RemodeVReoairRenuirements?Q
. 2 coples of plan V
. 1 sel of Ener9y Calculations for heated additions
• 1 site survey forexterior additions & decks -?-??
. Indicate if home sened by septic system for adddbns-""?
ti, - l -f-d t
VALUA[ION
PROPERTYOWNER^ 7JRP?7-nj 4- t)A,.i /"lc,vr) ??N
TYPE OF WORK /-F bp ?i? ,J Aernooe I/
APPLICANT
ADDRESS
PAGER #
FIREPLACE(5) _ 0 -91 _ 2
_ PHONE# 95(/-GUE,6
ZIP CODE S_S 3 4 7
FAX# 9ti-1903 0?-f0
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOI'A RULLS 7670 CATEC>ORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical Syslem Includes:
Sewer/Water Contractor:
_ Air Condiaoning
_ Heat Recovery System
All above information must be suhmitted prior to processing of application.
Phone #
I hereby acknowledge that I have read this application, state that the infor ati
with all applicable State of Minnesota Statutes and City of Eagan Ordinp es:
Signafure of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _
Water Softener
Waler Heater
No. of Baths
Phone
Iawn Sprinkler
No. of R.I.13aths
Fee: $90.00
Fee: $70.00
?lln ? • n ? n ?
,NcJ lo ,
cnicgirle-e to comply
is correct, a
i-? ----
s'')O _
Not Required _
Updated 1/01
OFFICE USE ONLY
r
J
0 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garege
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
`K 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
* 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation (1L7
4 Occupancy "U4r MC/ES System
Census Code __!1 Zoning (L? City Water
SAC Units ? Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings(deck) ? FinaUNo C.O.
? Footings (addition) - Plumbing
Foundauon HVAC
Drain Tile
Roof Ice & Water Final Other
? Framing Pool Ftgs Au/Gas Tests Final
? Fireplace X R.I. )( Air Test _ Final = Siding Stucco _ Stone
Insulation Windows (new/replacement)
Approved By / Z- , Building Inspector
-------------------- ----------- --------------------------------- ---------------------------- -------------------- ------- --------------------------------
Base Fee ' /? (,.? l{?'
Surcharge - tf ?! X C?
Plan Review S'(o (09
MC/ESSAC
?c
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge Treatment Plant
a
Plumbing Permit
Mechanical Permit
License Search
Copies
Other 'I ,,..,? ? ? 5 r I
Total a`?'r?a?J? „+vv?' ovi'4.D'1.
??.?
rhis renl vmd IA'ZZ,
18 months from "I
Ud 0900
LlD, 6! 3? ?? C_? ( S? 30 (oCo z
3otoO
Request DatP Fire No. Rouqh-in InsUecvon
Re
wretl?
?ReaAy Now ? W,II Noufy Inspec-
? ?
?
Yes No lor When Reatly
91 Licunsed Electncal Convactor 1 hereby request inspecnon of ebove Clawner electrical work mstalled ac
t Address, Box or Route No. , Gty
. j7 aG f?--w• e ? ,
ecuon o. Township Name or No. Ran No. CountY?
ag
OccupnntlPFlINTI Phono No.
G 'T-
Power Supplier Adtlress
Elecincal ConYracmr (CUmpany Namel Contractor's License No.
f,&-,/ c5 , 3 y Yy s?
ner
MmlinO Address ICOntrar.tor or Ow
Makinp Instailavon)
?
/J
/ -/// l: -
Auffiorized Signature IConVectur Owne? Makinp Insfallationl Pho
N
ne
umber
e
Q
y
MINNESOTA STq BOAPD OF ELECTNICITV THIS INSPECTION REQUEST WILL NOT
Gri99s-M,dway dg. - 0.oom N•191 BE ACCEPTED BY TNE STATE eOARD
UNLESS PXOPEN INSPECTION FEE IS
7821 Univers??Y Ave., St Paul, MN 55104 _
E NC LOSED.
REQUEST FOR ELECTRICAL INSPECTION ? EB-00001.03
See insLUCtions }or compla<in9 thie form on 6ack of Vellow copy.
?'+7 900 ? ?..
"X';eYeiouil'Wnrk Covered by This Requesf _ jQ(p (o Z
Ne M,J -Rep. Tyne of BuilAing Appliancas Wired Equipmant Wlred
, Home fiange Temporary Service
I Duplex Water Heater Lightmy Fixtures
Apt. Bwldmg Dryer Electric Heatin
Commercial Bldg Fumace Silo Unloadei
Industnal Bldg. Air Condrtwner Bulk Milk Tank
Farm ouhei oeci v tne, (SUer.ity)
the,r ucnfY Ot er Othnr
Compute /nspeciion Fee Below
P Fea ServweEntranceS¢e q Fae Feadars/5ub(eetlnrs N Feo Crzcwts
/.-o a. 0 to 100 Am s 0 to 30 Am is ? P.noc, 0 to 30 Am
101 to 200 Amps 31 to 100 Amps 37 ta 100 qm s
Above 200 qm s qbove 700_Amps Above 100_Am s
Transtormers ftemote Control Qrc. =.'O Paitiai%Other F
Signs Special Inspecuon $ TOTA
OB
Remarks L FE .
Rouuh-in .
IIIdI
'
(v??"•?n
•l
?
` ??` '.?0
r Oato
"IY.
the Elxetrieal
ispactor, liereby
cer?ily that the xbove
yection has been
mada.
Thic re ec? vnid • . ` . ' _^. 6• =". •y
I8 inonths from
This request void ???*J/e 7
ie rnoncns r.om .
•C 44305/cIv_ pr-3
Requesl Uate
3`"? ????
F F6a No. o'ugh-in In3pection
qurted>"°
Ready Nuw QWill Notdy InsOec-
tor Wh
fl
d
? ?
Yes No en
ea
Y
? Lcensed Electrical Contractor ? I'hereby reqvest inspacLOn of aEOVe
Owner electricel work inslalleO at
Street AtlC
re
ss, Box or Route No. City
?7
`
/?410 APs5 ? W/P P
ecbon o. Township Name or- Ng Range No. C ?ty
f,
Occuoant (PaLNT)
, ?q 6&? Phone No.
ysy z3Sr
Pow SapOb r
> ,?6? Address
Electncal ConVac[or (ComOany Name) Conlrar,lor'S Liwnse No.
MailinB Adclress ICOntrtcror or Owner Makine Ii+stailauonl
2.??f
/7' ?l
Authorized Si at r ontractor/Owner Makme lustallationl Phone Nu ber
y? Z7:;-?
MINNESpT STA BOARD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-M' ay B dg. - Hoom N•191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPEH INSPECTION FEE IS
1ffi7 Un' ersicv Ava., St. Paul, MN 56104
Pn..e 16121 297 2111 ENCLOSED.
3/',l(j/fJ7 flEQUEST FOH ELECTRICAL INSPECTION kift ee-ouooi.ryoa
/ See matrucbans lor comolepne this fwm nn back of yellow copy.
4 Os 1(" Below Work Cavered by This Request
AAA P Type ol8widmg ApDlmncm Wired EQUiumem Wved
Home Range Temporary Service
Duplex Water Heater LighUny Fixtures
ApL Bwldmg Dryer Electnc He2tin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm oMer oeu y ?ner lsper,ilv)
t .r $ucu y ther Other
Compute Inspectlon Fee Be/ow
M Fee ServiceEnlrBnceSize ll Fee Feeders/5ubfeetlera N Fae Cucwts
U to 200 qm s 0 to 30 qm s 0 tn 30 Am us
Above 200 qmps 32 100 qinps 31 to 100 q y
Swimmmg Pool 1 Above 100_Am s Above 700_Am s
Transiormers Irrigation l3oorcis Partial'Olher Fee
Signs SUeciallnspection
`'
?
S 7
TOT
Aem3.ks ?
? FE
iJA.
v'
Houeh-in / Pit,eI,t cvical
d?8 InspaGOr, hereby
certity thet the aEOVe
Final ?`? y? ins0ection has been
? /J D / rreda.
ThIS repuesi vol0 18 montla Irom
CITY OF EAGAN N° 7315
3795 Pllae Knab Raed Eegon, MN 53111 -
?_
' - ' PHONE: 4548100 30
BUILDING PERMIT ? Racei'?t
T. ho uma sa. sr num_/r.nu en_vaiue $53,000 Date June 4 _, ?q 82
Site Addrew
1726_ Forssa Wa
Lot 10 gi«k 13 Sec/S,b.Ridgecliffe lst
Pcrcel # 10 63980 100 13
W Name `?aua aasv?uyn?u ?aw+.va
; Addreas 1712 Hopkins Croeazoad
b 7. Mtka_ 55343 ?___ 549-7333
p Nama _
Address
Nume _
Address
1 hereby ackrowledge thot 1 hove read this npplication and state thot
the inlormotion is corcecf and agree to comply with all applicoble
Stote of Minnewta Statutea ond Ciry ot Eogan Ordirances.
Slpnnture of Permittee
A Bullding Permit Is issued to: orSi
all work shall be done in accordonca with oll
Bulldinp Of4icial
OWReY
Ered ? Occuponcy A-3
Alter ? Zonin9 R-1 (PD)
Repolr ? Fire Zone NA
Enlaroe ? Type of Const. V
Move ? .# Stories
Demolish ? Length_60
Grode ? Depth?SL_Sq. Ft.-
Anororols Fees
Assessment _
Water 8 Sew.
Palice -
Fire
Enp.
Planner _
Council _
Bldg. Off. _
APC -
Pertnit 292.00
$urcFarge 26.$0
Plan check 146.00
SAC 525.00
Woter Conn.4 .O-flA
WoterMerer fin_on
Road Unit 240L-00
Total $1709.50
_ on the express condition thas
City of Eagen Ordinances.
, CITl' OF' EAGrLN
BUIIdJINC PERMIT APPLICATION
SF bw ? 6avr ?^a S?. ?±oo
'ib Be Used For . J_ Valuation ?
Site 7u3dress:
Include 2 sets of plans,
1 site plan w/elevations b
1 set of energy calculations-
_ Date ,$'-a$•..8a-
OFFICE USE ONII.Y
Lot k0 Block 13 Sec./Sub. Erect )(_ Occupancy
Parcel #: 34Tv (? (?j '?-?r zoning ' PO
Repair Fire Zone If/
- Enlarge Type of Const.
Oo.,raer: Nbve # Stories
Pddress: I?eJnolish Front (R o ft.
City/Zip Code: Grade Depth ft.
Phone #:
Contractor: nRRIN TN(IAAPC(1nl unnnre
Address: a Division of U. S. Home Corporation
City/Zip Code: MINNETONKA,MINN.5s'43
Phone # : 5q a -1333
Arch. /fng. :
Pddress:
City/Zip Code:
Phone #:
APPROUAiS rEt'5
Assessmnts Pennit 2 92,
Water/5e,.er Surcharge R G -zo
Police Plan Check?
Fire SAC
Eng, Water Conn. i/gO ?
Planner Water Meter lr0 ?
Council _ r
Bldg. Off. (?. Road Unit ? yp -g
APC
??. ?? 17a C s Q
PERMIT #
??goj
RECEIPT DATE:
8008 RESIDENTIAL PLUM$INH P£RMiT APPLiCl1TION
crrY og RAs"
3830 PaoT xxos ftn
$RBRA. bllV 581 g8
e31-e614e75
Please compiete for:
SITE ADDRESS:
OW NER NAME: :
single family dwellings, townhomes and condos when permits are required for
backflow preventer for irrigation system
r
?R ? 0 U ?
{??j,,;E,IAN 31 2002
TELEPHONE #:
(AREA CODE)
INSTALLERNAME: Btc?o.?Pl?mdina ?r(J. TELEPHONE#:`763 5-3/-a000
--?' (AREA CDOE)
STREETADDRESS: 6-II9 /An5D?G7ur7?
CITY: Cr4 S'hR. ? -?/ STATE: /'h N ziP: SsYa
_ 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:
X Adding flxtures to lower or room additions, excluding water soReners and water heafers. $ 50.00
_ AbandonmeM 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
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
$ 5? • 5 °
Totel
I herebyacknowledge that I have read this application, state thatthe information is corcect, antl agree to complywith all applicable Cityof Eagan ordinancas. It
is the appiicenCs responsibility to no6fy Me Droperty owner that ihe City of Eagan assumes no liability for any damages caused by the City during its normal
operetional and maintenance aclivities to the tacilities constructed under this permit within City property/ 'ght-of-way/ea em t.
-;a
SIGNATURE OP PERMITTEE 1/02
PERMIT #:
CITY USE ONLY
RECEIPT DATE:
2002 ftESIDENTIAL M£CHA1VICAL PERMIT APPLICATION
crrY oe EAs,vv
3$30 PILOT KAOB RD
HAfiAP MN 55122
651-681-4675
Please complete for: ? single family dwellings Dtownhomes and condos when permits are required for each unit N 2 8 2002
Date: ADDRESS: _724L, C<Z? A- ,4T
OWNER NAME: TELEPHONE #:
INSTALLER NAME: ?k2PI`kfF-L, )AIC, TELEPHONE #: SL- 41 • y?I 1_
STREET ADDRESS: ??? "I'? DItiJr?- Q.-{k1 L
CITY: I-.aEIJ Qfl?tf?e. STATE: ? zIP: 553?17
Place a chetk mark next to the permk work type
? Add-on, modification or alteration to existin dwelling unit $ 30.00
? furnace replacement
?.? air exchanger
• air conditioner
• other
Nature of work:1?, iLL a t s ?k? I?1 a?+??v
State Surchar e $ 50
Total
v \ ?'Y_A?
SI PERMITTEE
vo2
2
C. R. WINDEN a ASSOCIATES, INC.
s?? + tA,•tD SURVEVORS Td. 645•3648
FOR:
1381 EUSi15 ST., ST.
PAUI, MINN. 55I08
U. S. HOME CORPORATION
?
?a 6 - A?
0
s6 ?4 p0 w E Scale: 1" = 30'
O Denotes Iron
O?ehh
?
?
0 ?
J
.
\ / 2
4/
\ / ?o (1)
?'? ?• ? V ?
?6•? ? Lot 1.0, Blockl3, Ridgecliffe First
? QAddition, Dakota County, Minnesota.
09 ?.
WE MEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OP TME
80UNDARIES Of THE IAND A60VE DESCRIBED AND Of TME LOCAiION OF All 6UIt01NG5, IF ANY,
TNEREON, AND ALl V15161E ENCROACHMFNTS, IF ANY, FROM OR ON SAID IAND.
Datad this? ??day of M?TA.D. 1981.
G R. WINDEN 8 ASSOCIATES, INC.
by
Surrayor, Minnesola Raqisrrotien No. ?? 6
NTi519
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Software Version 32 Release 16
TIT'LE: Moynihan Residence
COLINTY: Dakota
STA7'E: Minnesota
ZON E: 2
CONSTRUCTTON TYPE: Single Family
DATE: ]]/06/01
DATE OF PLANS: 10/29/1
PROJEC7' 1NFORMATION:
Addition and remodeling
COMPANY INFORMATION:
Moynihan Builders Inc.
COMPLIANCE: Passes
Maximum UA = 183
Your Home = 171
6.6% Better Than Code
Permit Number
Checked By/Date
Gross Glazing
Area or Caviry Cont. or Uoor
Perimeter R-Value R-Value U-Factor UA
Ceiling 2: Flat Ceiling or Scissor Tmss 672 44.0 0.0 18
Wall 2: Wood Frame, 16" o.c. 1023 21.0 0.0 44
Window 3: Above Grade, Wood Frame, Double Pane with Low-E 217 0370 80
Door 2: Solid 20 0.200 4
Basement Wall 3: Masonry Block with Empty Cells, 73' ht/6.0' bg/7.3' insul
380 11.0 0.0 25
Fumace 1: Forced Hot Air, 90 AFUE
Air Conditioner 2: Elechic Central Air, ] 0 SEER
Proposed and Maximum U-Factor Averages
Proposed Mauimum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0370 0370
Includes Foundation Windows> 5.6 ft2
COMPLLANCE STAT'EMENT: 'Che proposed building design described here is consistent with the building plans,
specifications, and other calwlations submitted with the pertnit application. The proposed building has been
designed to meet the 2000 Mi sota Ener Code requirements in MECcheck Version 32 Release lb.
Builder/Designer ? J - ? ?
_ • 1726
? •• I ????/?j?;? ?A?o 45uRVDorts & ?l ASSOCIATES, INC.
1381 EUSTiS ST., 5T. iAUI, MINIV. 55I00
FOR:
U. S. HOME CORPORATION
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? Lot 10, Block 13, Ridgecliffe First
?-' Q' Addition, Dakota County, Minnesota.
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WE MERElY CERTIFY TMAT TMIS IS A TRUE ANO COffRECT REPRESENTATION OF A SURVEY OF TME
60UNDARIES Oi TME IAND A60VE DESCRISED AND OF TME IOCATION pf All 6UIl01NG5, If ANY,
TMfREON, AND All VISIELE ENCROACMMENTS, If ANY, iROM OR ON SAID IAND.
Dolod ibit 261"V der e4 C. R. WINDEN 6 ASSOGIATES, INC.
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Survoyer. Minnowto toOittrafien iVo. T l ?
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirv oF eacAN
C? 3830 PILOT KNOB RD - 55122 ?01 qL _ a- S
L4?J 851-681-4875
1U-l(o
New Conthuellon ReaWremenh •Remodel/Reoolr Reauiremenh
a J reylsferetl alfe wrveys alwwiny sq. ftof lof. sq. M. ol haue 2 coptes o(plan
and gu roofetl areas (20% maxlmum bt aoveraae allowetll 1 sef ot energy calculaHOns for heafed otldlMons
? 2 coplea o1 Plans fahow beam 8 wlntlow sizea; poured fnd deslgn; etcJ 1 aBe wneY fm extedw addlNOns a decks
> 1 sef of eneryy calculaNOnf
> S coplea of tree preaervaflan plan N bt plalteO aMer 711/93
DATE: //)- /_"L' "?-CONSTRUCTION COST: ?• a?
DESCRIPTION OF WORK:
STREET ADDRESS: 6--" u-
LOT: ? BLOCK: I-?) SUBD./P.I.D. i: l
Name: /V / fIdA) Phone
PROPERTY lad Flrst
OWNER ., l. I, ,.
Sheet Address: / ? ?4-r `"S?Lc
ciy x5li%'ilit/ state: ZiP: S53.31?7
Company: ?? r? ? c? /\ o D T ??4 Phone #: ?_ T,?IJ ?? ?CO
(area code)
corrrRAcroe
ARCHITECT/
ENGINEER
,ess:kl-:? &JQa,e'v ZZL4 ucerise *??o?iW3?- Ex p. 3? aoo,
Stafe: ilp: 55.3'3/
Company: Name:
Telephone M: ( )
Sheet Address: Regishailon M:
Cly
State:
Lp:
Sewerlwaterlicensed plumber (If inatallina sewer/waterl: Phone M. (
I hereby acknowledge Ihaf I have read this appliealion, sfate lhaf fhe infortnatbn is cortect, and agree fo compy wNh a0 appAcable StaFe
of Minnesota Staiutes and CNy of Eagan Ordinances.
Signalure of Applicant
Certificates of Survey Received _ Yes
Tree Preservation Plan ReCeived _ Yes
c?pr? O ?Y.uJC
OFFICE USE ONLY
No
_ No - Not Required
OCT 16 2000
CITY USE ONLY
L ? BL I } RECEIPT#: I3aU /?
?/I
SUBD. ? RECEIPT DATE: &-I lJ^ 00
PERMIT# _l (Og D
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT tINOB RI]
EAGAN, hAI 55122
651-681-6675
Please complete for: ? single family dwallings
? townhomes and condos when pertnits are required for each unit
? hackFlOw preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic S stem new/refurbished ' requires MPC lic. 75.00 X = $
Septic System a6andonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under conshuction 3.00 x = $
Underground sprinkler rfexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if exisdng dwelling 30.00 x = $
Water tumaround 30.00 x --- _ $
State Surcharge .50 --> -> -> $ .50
Total -> -? --> --' $ ? SO
Reminder: Call for inspections of alterations, i.e. water hea:"ers, water softeners, etc.
---------------------------------- •-----------------------------------• •------•-------•------------------------------------------------
i hereby acknowledge that I have read this appliption, state that the infartnabon is correct, and agree to comply with all applieable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance adivities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNERNAME:: rW1?X1 { 1{(y i1(ll? F,? I TELEPHONE#: (??!DE)Uk&??q
INSTALLER NAME: ?CI? r TELEPHONE #:
STREET ADDRESS: ' LaULj Lu J
cirv: R\ 1CYl?7l Lw)
-0
SIGNATURE OF
To: roRNA orsoN, vrzLZT^r azLLrrac, =ru< 90 , l3 Rc ?
DATE, PLTERSON, CHIII' BUILDINC; OFFICIAL
, BILL BRANQi, SUf'ERINPL3rIDENT OF PUBLIC WORKS
FROC14: THOFIAS A. COLBERT, DIRECTOR OF PUBLIC WORKS
DATE : NOVFS48ER 17, 1981
RE: RIIX;ECLIF'FE 15T ADDITION - SE[aER AND u7A'I'ER CONNECTIONS
- On Septenber 10, 1981, a neim was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
permits tmtil sanitary se.aer service had been made available_ Because
it is not anticipated that gravity sanitary sewer will be available to
provide service to the affected lots until July/August of 1982, Orrin
Thottpson Hocres has agreed to install a te*rporarv lift station from Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridaecliffe lst
Addition. Attached to this rei?n is a copy of the letter we received
from Orrin Thompson Homes whereby they indicate that they will perform
the installation, maintenance and liability of this temporary lift sta-
tion/force main sanitaiy sewer until such tirre gravity sanitary sewer
can be extended across the future I-35E during the spring of 1982. There-
fore, with this teirporasy system being installed and maintained by Orrin
Thorg?son Hores, the terqx?rasv hold on sewer and water perntits and occu-
pancy for the follewing lots has ncw been lifted:
Lots 1-9, Block 7
Lots 1-6, Block 8
Lots 1-7, Block 9
Iots 18-23, Block 9
Ipts 10-16, Block 10
Lots 1-10, Block 5
Lots 1-4, Block 6
Lots 1-6, Block 12
Ints 1-17, Block 13
This tenPorary sanitary force main tiaill still not nrovide service to
the follawing lots:
Iqt 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Therefare, the restrictions as referenced in my previous menn will still
apply to these lots.
These lots are referenced on the attached map for your information. If
any problerns arise pertaining to sanitazy sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thcsrpson Hanes for the
proNr resolution. If vou have anv auestions to this release of the re-
striction on the building and sESVer/water permits, please mntact me.
Please insure that all personnel in your c'epartirent are aware of these
restrictions.
TAC/jach
cc - Bob Carlson, Orrin Thcnpson Horres
TO: r.oRva oLSON, UPILSTY BILISNr Q,EE2K
DALE PEPERSbN, CHIEF BLTILpING OFF'ICIAL
BIIS, BRANCH, SUPERINPENDENT OF PUBLIC WORKS
Ff20M: THOiyAS A. CbLBERT, DIRECTOR OF PUBLIC RTORKS a?r V
DATE; NOVENIDER 18, 1981
RE: FSDGECLIFFE 1ST ADDITION - SEPIER AND WATER CQVNECTION RESTRICTIONS
On Novenber 17, 1981, a irnrnrro was foraarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occMancy perm.its due to the unavailability of sanitary
sewer. There appeared to have been a duplication of lots that saere refer-
enced for future restrictions as coiTpared to 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:
Lot 1, Block S
Iots 1& 2, Block 9
Ipts 18-23, Block 9
Lots 11-17, Blork 10
Please insure that these referenced lots are not granted any permits that
would allaa their occLipancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as stated
in this iremo.
TAC/jach
cc - Bob Carlson, Orrin Thcxtpson Hcums
Llo ? 1313, ,ec(
RU: IAFSIA OI.SLN. UPILITY n2IS.II4G C7ZRK
BUIIDIZWG IIISPECTICN DEPARL*M3'r
BILL BRANQI. SUPERm== OF PCSLIC FlORKS
F%OM: 'IIiQMS A. COIBERT, DIR=R CF PLBLIC WORKS
. DATE: SEPTIIMER 10. 1981 ? .
RE: RIiJGF.C7..IFF'E 15T ADDI'I'ICN , .
Because the following list of lots in Rid,ecliffe lst Addition does
not have gravity seaer outlet at this tirie, the follouring prooe-
dttres will be initiated tmtil further notice:
VPII.ITY BILLIIM
No water turn-ons wi.ll be allaaed prior to 8-1-82 or tmtil sewer
is available in these arnas, '
BUIID= LNSPELTICN
BuilduxJ permits can he issued for these lots, but the builder
should be infozaed at tirre of pestit issuanoe (perhaps stanping
the builciing peanit wi.th "NO CCCLPA.vCY PRIOR 'IO 8-1-82 OF. U,4'i'IL
SES"1ER IS A`IFIIARTR") the restricticns cn sewer availability.
MkLNTLNANCE DEPARL^= .
See both utility billing and buildinc inspection above.
The lots with these restrictions are as follows:
I.dPS 1-9, BI,OQt 7
TJyI5 1-6, BIGYIC 8
LC7I5 1-7 BIUGR 9
LO'I5 18-23 BLOCIC 9
Lf1I5 10-16 SIACf( 10
IC7I'S 1-10 BIOCiC 5
LU'I5 1-4 B7,OCK 6
717I5 1-6 BItxK 12
117i5 1-17 BIOCEC 13
an@ are also indicated ai the attached maps. :
jac ,
q
Use BLUE or BLACK Ink
I For Office Use 1
I 1
1 Permit 1
of Eap 1
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 OrY staff:
Fax: (651) 675-5694 1 I
L-------------`---
2011 RESIDENTIAL BUILDING PERMIT APPLICATION CVJ l J
Date: Site Address: Unit
1, Name: ~NNZ !A-'~ 1~"/ ~!t-~~ ~q,er✓ Phone: 5l 4118' 5
RESIDENT
OWNER Address t City ! Zip: 6 / "o~ Sl9 ~~~"t7
S ~
i Applicant is: Owner zk-Contractor
3
Description of work: W elk.-
TYPE OF WORK
Construction Cost: G U L Multi-Family Building: (Yes I No
Company: I-10yk I I c , BLS i.C Contact: ~eig~, Fy✓
E CONTRACTOR Address: /0.3 `f Cti~~,. C't city: r- om' , (is&[2 I,Q
State: Zip: '575 2 Y 2 Phone: P ~g!' ( s
0 1
License Lead Certificate n-I "-'cow
If the project is exempt from lead certification, please explain why: (see Page 3 for additional informal "on)
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 classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4544)002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
I 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 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State uilding Code must be completed within 180
days of permit issuance. 7
X 6 v X Vk App rcant's Printed Warne Ap licant's S ture
Page 1 of 3
Y V / /
DO NOT WRITE BEL W THIS LINE O
SUB TYPES
- Foundation - Fireplace - Porch (3-Season) - Storm Damage
Single Family - Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
I -
Multi - Deck - Porch (ScreerUGazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- New - interior Improvement _ Siding - Demolish Building's
- Addition - Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows - Demolish Foundation
Replace - Repair _ Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 6 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% 4} Zoning V~ City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) -.4 Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge l Q
S&W Permit & Surcharge Y,)o /
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153123
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 1726 Forssa Way
Lot:10 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Brian F Moynihan
1726 Forssa Way
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174607
Date Issued:02/07/2022
Permit Category:ePermit
Site Address: 1726 Forssa Way
Lot:10 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-100
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:
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 -
Brian F & Janelle L Moynihan
1726 Forssa Way
Saint Paul MN 55122--265
(612) 418-2528
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature