1738 Forssa Way
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - -
I For Office Use I
Permit
City of Ea a~
I Permit Fee: r~r
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / ld Site Address: /7~dZ~rfS y"" I
Tenant:
(~~t dgr_& Suite
RESIDENT/ OWNER Name: Phone: a/Irl
Address / City / Zip:)
Applicant is: Owner Contractor
TYPE OF WORK Description of work: J2G~e
Construction Cost: Multi-Family Building: (Yes / NNQ~
CONTRACTOR Name: XV5~ License 1A.0 ~a
Address: fel~U ~5 All r City:
State: ✓m Zip: V Phone: 7!?f
Contact: U/L Email:&Ite ak& Aj,#," LAI,)
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
x 16wi1 r, C + x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
1 I
_F 0-T O-ff 1-0
q
l I
~t O Eaja11 _ j Permit
I Permit Fee: 4~ r 1
3830 Pilot Knob Road I I
Eagan MN 55122 a _ Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 j S j
V___________~~. .J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:?~ a/~ I~~~S GJ~ J~~~
Tenant• ~/e V" T~ e y oed-e lc~ Suite
RESIDENT / OWNER " Name: 2) a le tf TR c y LA,e r-4 / Phone:
Address / City / Zip: 7.J r vrf• !'1/~ dt AA
Applicant is: Owner ontractor
TYPE OF WORK Description of work: "Y' fP~ Tpn ~d~'
Construction Cost ! (Jt;JC / Mufti-Family Building: (Yes / No
CONTRACTOR Name: ffW Ao ~~e,-5-4 bi c Ucense i9o C~ ~
Address: .9C Y~ 6 5 (iv e City: O G SV t"O . n'~` /nA
State: Zip: 506 Phone:
Contact: ?-n s n A Email: .~21jmn CD/'✓\--
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 1 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.
ra
x ~ ` 11 /~~`s`an x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) Storm Damage
_ Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi - Deck _ Porch (ScreerdGazebo/Pergola) r Exterior Alteration (Mufti)
01 of _ Plex _ Lower Level _ Pool Miscellaneous
_ Accessory Building
WORK TYPES
_ New Interior Improvement _ Siding _ Demolish Building"
Addition T 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 Occupancy MCES System
Plan Review Code Edition &"2ttjj SAC Units
(25%_ 100%j Zoning 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) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile. Other:
Roof: ' ice & Water .//nal Pool: -Footings Air/Gas Tests -Final
Framing Siding: iStucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
= Voigt & Associates, Inc.
STRUCTURAL ENGINEERING SERVICES
4635 NICOLS RD. SUITE 204
EAGAN, MN 55122
- PH. (651) 686-7727 FAX. (651) 686-8444
November 5, 2010
Mr. Brian Nelson
Builders
2242 140`h street West
22
Rosemount, MN 55068
Dear Mr. Nelson,
At your request we have reviewed the following item on the drawing that you provided to us on 1115110 for the proposed 14' X 16'
addition to the residence located at 1738 Forsm W* Eagan; AM
Wail Bracing Design Requirement per IRC 602.10
In lieu of prescriptive braced wall panel requirements, we have calculate the shear resistance based on principles of engineering
mechanics and have found the structure to be stable and adequately designed to withstand all code mandated lateral wind loads.
Please include the following in your construction methods for this project
a. At the floor level, the wood floor sheathing is to be continuous to the inside of the home and fasten to the existing floor
system and the newly in filled sunken floor
b. At the roof level, fasten either the first truss or 2 ledgers (following the roof line and ceiling line) to the existing studs or rim
board w/ (2) 1/4 x 4" screws at I6" oc.
c. At the roof and floor, fasten the plywood or OSB sheathing with a minimum fastening pattern of @ IT' oc in the field and at
6" oc at edges and boundaries, no structural blocking is required.
d. Provide 8d nails minima at the roof. At the floor, provide screws having shank equal to or greater than a 8d nail
The information and opinions contained herein are based upon the limited investigation described at the beginning of this report. No
warranties are expressed or implied regarding the existence of other unknown conditions not specifically addressed. Our work is in
accordance with generally accepted engineering standards and is not intended to be relied upon or transferred to individuals other than
the addressee. Should information or conditions become known which differ from the discussion herein, they may alter the opinions or
conclusions of the undersigned.
Please call if you have any questions.
Sincerely,
Al Malecha, PE
Paul W. Voigt, PE
Enclosures: None
j that this per, ificstion,
me or under
R-WOMOnal Engineer -,Mder
t~e state of Lo3 Ste.
w' `qw F
4 :n &4 $
1 /-Stf
C. R. WINDEN & ASSOCIATES, INC.
10 0 09" LAND SURVEYORS Tel. 645-3646
FOR• 1381 EUSTIS ST., ST. PAUL, MINN. 55108
U. S. HOME CORPORATION
N
FOR-55A
G5.80
O
0
W
C Scale: 1" = 30' i
15 O Denotes Iron
1'oy~rllGn U
} m, ~'rcpos~ rlousF ~
a• ~
5D '
0
i
Fri
1 33' 8~
Lot 13, Block 13,Ridgecliffe First
\ Addition, Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doted this day of JUn e A.D. I95~/ C. R. WINDEN g ASSOCIATES, INC.
j
by
Survoyor, Minnesota Registration No 7pc
N73619
CITY OF EAGAN
Addition , Rl
Lot 1? 81k 13-Parcel #10 L63980 L130 13
State Eagan, NIlV 55122
Improvement Dete Amount Annual Years Payment Receipt Qate
STREET SURF,
STREET RES70R.
GRAOING
5AN SEW TRUNK 1982 298.08 5 298.08 C007616 12-23-81
SEWERIATEFiAL 1952 1305.42 5 1305.42 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81
WATER AREA 1982 298.08 5 298.08 C007616 12-23-81
STaRM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORMSEWLAT 1982 955,45 5 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
51DEWALK
STREET LIGHT
Road Unit 185.00 25745 7-13-81
WATER CONN, 335.00
BUILOING PER. 6754
sac 525.00
PARK
Receipt%' ?
PLUMBING PERMIT Permit No. i
CITY OF EAGAN - -
Fee Fill in numbered spaces S/C '
Type or Print legibly ?? •T
Tot. ?
1. Date 2. Installation Cost
3. Job Address ? ` % JIX. y ? Lot •' ? BI k. ? - ? Tract
4. Owner
5. Contractor 'J-•`i_ I il i;. ;i ?. Phone
6. Address -'?- ? : ? i ; : •: } _
7. City 1?- State Zip .
8. Building Type: Residential Commercial ? Institutional O
9. Work Descriptian: New 6. Add O Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic Tank
Lavatory p
Softner
' Shower
Wel I
; Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Orains
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.
5igned :
Rough
for
Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recaipt MECHANICAL PERMIT
CITY OP EAGAN
Fill in nur»bered spaces
Type or Prini legiWy
1. Date 2. Installation Cost ?
3. Job Address ? Lot - Blk.
4. Owner -'=m
5. Contractor -• =
6. Address %1637 ?
7. City t ?)ls.
Permit No. .
•?n ? ,- .
Fee •'"••,
S/C ?
Tot. '• '? ??
C" • Phone C.'??867
Zip r, r,/? (?''?
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New 13 Add ? Alter ? Repair ?
10. Describe Fuel Type
I 11.
No.
1 Eauinment 8TU - M. Ea.
Forced Air C,= No. Equiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond. •.?,?'"1?, v? ?
Mfg.
+ Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your.permit when numbered and approved.
Approved CITY OF EAGAN 454$700
PERMIT# 99&Z
MECHAjdICAL PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address 1- Y BLDG. TYPE WORK DESCRIPTION
Lot - - Block Sec/Sub `
• , ,?
Res. New
,
: . ? Mult Add-on ..
m Name ,
A ._. ,,
t Comm. Repair .
? Address
c
City , .
Phnne Other ?
?
? ^ .. FEES
Name . HVAC 0-100 M BTU
RES -$24
00
c Address .
ADDITIONAL 50 M BTU .
- 6.00
p City Phone (RES. HVAC INCLUDES A1C ON NE1N
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERM1T) - 1
50 EA
- . .
TYPE OF WORK COMM/IND FEE - 146 OF CQNTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
" TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boile7; M BTU M?NIMUM RESIDENTIAL FEE - ALL ADD-ON &
'
Unit Heater
Air Cond. M BTU
? M BTU REMODELS
MINIMUM COMMERCIAL FEE - 12.00
- 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
?
Gas Piping Outlets # BEYOND $1,000) ?
Other
FEE
.,
.'
S/C: 'ScJ O
SIGNA
17 EE ?, , i17.>%%/ •:?
TOTAL: ?()40 1 1
?
,.
FOR: CITY OF EAGAN
Receipt ? PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fse
? i Fill in numbened spaces S/C '
Tyae or Prini /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address ?'? Lot?Blk. /2 Tract
4. Owner ?
5. Contractor `Phone
?
6. Address J •
7. City ' State / Zip
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New ? Add ? Alter O Repair 0
1 10. Descri be
1 11,
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop 5ink
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 Ffnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
, 3745 Pilot Knob Rood Eogan, MN 55122 N0- 6764
• PHONE: 454-8100
BUILDING PERMIT Receipt __-
Te 6a urod for Est. Value Dote , 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. -- Alter ? Zoning
Pareel # Repair [] Fire Zone
Enlorge ? Type of Const.
Nome Move ? # Stories
W
Z Address Demolish ?
? Front ft.
City Phone Grade ? Depth ft.
? Name 11--.-
0
??
Addreu
Assessment -
Water & Sew.
I" Ci Phone
Police
W Name Fire
?
?o Address Eng.
i W Cit Phone Planner
il
C
1 hereby acknowledge thoY I hove read this opplication and state that aunc
gldg, pff, _
the infomwtion is correct and agree to comply with all opplicable
Stote of Minnesota Statutes and City of Eagon Ordinances. APC
Fees
Pertnit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in cccordance with oll opplicable Stcte of Minnesoto Stututes ond City of Eagan Ordinances.
Building Officiol
??k # oah bwW pawdtfw
Plumbing S 3 3 ct - -T-
Mechonical 2 -( (P -g (
?
ElF-c, S R(Q_7 4-rCo-ss ?cll ???c,
INSPECTIONS DATE INSP. Rouflh-In F' I
Footings ?
-b'-?-?- Date Insp. Dote Insp.
Foundation Plumbing •.? E / % -
iFrA'me%in?
final
Mechenical
- 1
, v t
Remarks:
PERMIT
PHot Knob Resd
MN 55122
T .'
. rrin TY
PERMIT NO.:
DATE:
No. of Units:
Address:
tO 00mply Wkb 1he City Of EO4O11
of I nsp.:
CiTY OF EAOAN
3795 P'ilot Keob Road
Eegan, MN S5122 _
Zoning: ? .
Owner . ? r i:1 "'hM.ipsun
AddTess:
.,
Site Address: ? - • ` ' ` ` ..
Piumber: ?
Aheter No,:
Size:
Reader No.:
1 egmo W caePhi whh the Ciryr oF Ee9on
prdinenoa.
By
Date of Insp.:
lat
COfIf1ECtiOr1 C}iGf'Q2: ? 7 ? r••.r1 '
{'
Account Deposit: ;.
Permit Fee: ?
Surchorpe:
Misc. Charges: ?
Total: `
Dote Pcid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
_ Connection Chorfle: V
_ Acoount Deposit:
_ Permit Fee: -
Surchcrge:
Mfsc. CF+orges:
Totol:
_ Date Paid:
_ Imp.:
cirr oF E+c,wN
3795 Pilof Knab Boad'y Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Site Address ti.>o rvrssa nny _
Lot 13 Block _13_ Sec/Sub. RidgeCliffe lst
Parcel # 1f1 6 398f113D-13--
, Name vi-i-lll auvmyovit nwuecs
z Address 1712 Hopkina Crossroad
3:
o ..?._ «.,... ?..
o Name ?ner _
?
?? Address
~ Ci Phone
bm'w Nnme
?
_? Address
I hereby acknowledge thot I have read this opplicotion and state that
the information is correct and agree to comply with all applicable
SMte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Buliding Permit is issued to: -
ail work shall be done in accordance
Ng 6764
Receipi #
Erect ? Occuponcy R3
Alter ? Zoning PD
Repair ? Fire Zone MA
Enlarge ? Type of Const v
Move ? # Stories
Demolish ? Front 50 ft.
Grade ? Depth 34 ft,
Aporovals Fees
Assessment _
WoTer & Sew.
Polite -
Fire
Eng.
Plonner -
Council -
BId9. Off. -
APC -
Permit 3C)7-00
Surchorge 44-nn
Plan check 198.50
snc 525.00
Water Conn.3 5.00
WuterMeter 60•00
Road Unit 18$.00
TaQi $1744.50
on the express condiNon that
Statutes and City of Eogan Ordinances.
Buildirg Officiol
w ?f
p? ? CITY OF EAG7aN Include 2 sets of plans.
'
(? /„ ? _ ` ' 1 site plan w/elevations &
BUZIDINC; PERfR'P APPLICATION 1 set of energy calculations.
Zb se vsea For R sic N v valuation pate (? 81
Site Address: `73j?_ FORSZg_VJRY CPl11NSOGF? OFf'ICE USE OrII,Y
Lot sloclc _13 Sec./sub. ?oc_?ci.?FF? Erect X
Parcel #: (C 30 l? k? ?
r
Owner: Enlarge -
Move
pddresg; a Division of U. S. Home Cnrnnrjfjiin DHi1D11Skl
1112 KINS CROSSROAD GldCle
City/Zip Code: MINNETONKA MrJN FrgAa
OcCUpanCy
Zoning .D
Fire Zone A/i4
Zype of Const. -7f
# Stories
Front ? ft.
Deprh 3y _ft.
Phone # : 5'4 `A- 133 3 APPROVATS FEES
Contractor: ?pini Tunnnocnni unp?T??
AddreSS: a Division of U. S. Home Corporation
1712 F? WW??iIUAU
Gity/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch. /Eng. : _
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police
Fire
F1'xJ •
plannar
Council
Bldg. Of?
APC
Pes,nit ? 97 ?0
Surcharge
Plan Checic I 9$
sre s- a s
Water Conn. ? 3 S
Water Meter ? o
Roaul Unit J pS
TOfIAL -i:? q L1c sa
This request vof?/?O
,?]8 months fromc
ii 5 6 Q 9j,'T
L13 t 513, 'p- L C? t
3Q I SO
ac9 £s3 0
klenu IJate
?
? 'pL 1
O
10 ? Flre No. flough-in Insue,.bon
Re9 redl
QReaAV No ill Nnblv InsPCC-
lu
Wh
R
,
?
? ?
es No r
en
eadV
Licensed Electn,al Contratlor I hereby request inspectmn of above •
?Owner eleclncal work mstalled aY
Street A
tldress, Box or Route No. CiN
^
1 1 6"'if
ion n. Township Name ar No. RTngi• No. Counry?' ?? -
ON• „",.
Occupam IPRINTI
C) Fp.-rN J ?.? Ef-o µ? S Phone No.
Powc(r? S?upplier . .
l `-A A?fArnss gAn,w /?7
1 f`?fTF??VIV?
EI ctny cal C??vactor ICOmpany Na?mel .
?e?.a"? ??t_"" " Co [racmt+e's? (Lcense No.
?7L7
. Mailing AdJress ICOntractor or Owner Making Instailatfonl .
tql 1 t t-u ff PimD
Author¢ed Sie^at e IC Vactor Owner MakmB Ins[allaLOnl Phnne Number'
1?
c „ t7 -ST43J
MINNESOTA STATE fOAM Of ELECTIIICIiY THIS.INSPECTION YEOUEST MIIL"NOT
Griqes•M,Cwev BI09! - Ro. N-797 ' -'-BE AGCEPTED 6T THE STATE SOA110 1821 LLniversitY Ave., St.?Peul,- MN55'106 .-- ' UN4ESSPROPEfl INS!'ECTION FEE IS
ENCLOSED. - ,
/? ?+ ?yREQUEST FOR ELECTRICAL INSPECTION
~ ? y? Q y? /. See mstructwns for complelinq thts form on back ot yellow copv ?
tJ ?J 5J I' c
"
"X' " 8?/nw W ork Covered by Thrs Request .?CQ O? O
N Add HeO. Typg of 8wldmg Appliance5 W,red EquiUment Wved
Home Hange Temporary Service
Duplex Water Heater Ltyhtiny Fixtures
APt. Building Dryer Electric Heabn
Commeraal BIAg.
Industrial Bldg.
Farm Fwnace
Art Condrtioner
OH,ni necifv Silo Unloader
Bulk Miik TaN<
oiher 15oeoityl
ther Spcufy OIhCr 01her
Compu[e lnspection Fee Below
r Fee Service EnhenceSiie k Fee Fonaers/5ubieedels p Fea Crrcuits
0 to 100 Amvs 0 to 30 Amps 0 to 30 Am s
?701 taZ00 A ips 31 to 100 Amps 37 to 100 Am s
AboVQ?,' F?mps Above 100_Amps Above 100-/amps
? J Zr nsr?r{riGr Remote Control Grc. 5tL J Partial: Other ee
r Sigris Speciallnspection S
Q
TOT
'
'
'
se?.rka? 33o AL
F
L
V.J
I Rouyh-m Date
[he Electncal
? Inspector, hereby
cxridY that the above
?i Final D; '?P
, mspection has been
l- lj aa.
18 monihG fiom
This reo?es? void &/?-C
18 nwmhs (mm O ? ? •?'
E 25098??:?? ,l -
Renues Dace ?^
J'
°? a Fire No. ? ph-in?fi ueclion
R?qmretl
?Yes (?No ,.y
?/?NCady Nuw Q WilI Noufv ??soec-
?° o?r When ReatlY
IYLicensed Electncal ConVactor
? Owner
i hereby repuest inspection of above
elactncal work installed ar.
Slreet Address, oz or Floute No.
? ? ?e :z
ecuon o. Tow hio Name or No. R nBa No. oun y ?
OccuOdn (P NT) Phon No.
Power Supoher Address
Elecvical Convacto, ICOmpany Name) Comrar.tor's license No.
Harrison Electric Inc. 421867
Mailmp AdJress ICOntractor or Owner Makinp Inst ilauonl
Mor Avenue Nor h. Mpls. MN 55412
Auth iz d SiB or/Ow mp I s IlaUnn) P one Number
521-0520
MINNESOTA STATE BOARD OF ELECTNICITY
Griggs-Midway Blde. - Room N-197
1827 Universitv Ave.. St. Paul. MN 55104
an- (e191 aaa-oeoo
THIS INSPECTION PEQUEST WILL NOT
BE ACCEPTED BV THE STATE BOAND
UNLE55 PPOPEH INSPECTION FEE IS
ENCLOSEO.
o
4,1REQUEST FOR ELECTRICAL INSPECTION es-o5??
, See inslrvctwns for comOlBbn9 Ihis tarm on back ol yellow copy.
? a5 0 9 8 "X" Below Work Covered by This Request
FAd
R.P. TVOe ot Bwltlmg Applmncne Wrted Equiument WveA
Home Range Temporary Service
Duplex Water Heater Lighnnp Rxtures
Apt 8uilding Dryer Electnc Heatin
Commercial Bldy. Fumace Silo Unloader
InAustnal 81dg. Air Condrtioner Bulk Milk Tank
fdriTl Othrvr Pe?.i Y n?her ISpe?.ilvl
t nr Vc,r1Y ther Othor
.mmiute lnsner.uon Fee Relaw
p Fea ServiceEntrencaSae tt Fee faxders/SUhfeetlers k Fex Grcwts
Oto200Ams 0 to30Ams Otn30Flms
Above 200 Amps 31 to 700 Amps 31 to 100 Am s
Swimming Pool Atwve 700_Am s Above 100-Am s
Transformers Irngauon Booms PartiaL'Oth Fee
Signs I I ISpecial Inspection I S /? S
noua?rn? I__'_ I I. e? E cal
InSpec?or, hBrBEy
cerL(v thei ihe Tbove
Final insvection has baen
reQuealvmG
(?.er#iftrtttp of (Orrupttnrp
Citp of eagan
lgrpttrtmenf nf +uilhing "+Jnsprrtimc
ThiJ Cntificatt ittued purruant to the requiremenu of Section 306 of the Uniform Building
Codt cati(ying that at the time of istuancc thir thuclure wut in tompliann with tbt va+iout
ordinanca of the City ngulating building ronttrurtion or utr. Far thr fo!loudng:
SF rJW/GAR
Bidg Pemnt
6764
PD
o=M?Tra R3 7rwcMw?? V eircz? ? zaNrom.Mct
OwaroEBaduig Orrin Thom.son A,,,,n 1712 Hopkins (Ysrc?, Mtka.
Bu8div6 AdL[e?ss •? _ -
8wldin80F5cw
rost ix .
By:
Dote hTC9_ ifi?r 9/ 19PI
.e? ? u.Hmx us
1738
?(^QC. R. WINDEN 3 ASSOCIATES, INC.
v IAND SURVEYORS TeI. 646•3646
FOR: 1381 EUSTIS ST., ST. PAUI, MINN. 55108
U. S. HOME CORPORATION
N
FO RS5A
G5.6?
?.
0
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Scale: 1" = 30'
O Denotes Iron
?C, ?
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N
} ? ?-; Prcposed 'rlousP z
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0
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? 15
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133"??
Lot 13, Block 13,Ridgeclif£e First
\ Addition, Dakota County, Minnesota.
WE MEREBY CERTIFY TMAT TMIS 15 A TRUE AND COARECi REYRESENTATION OF A SURVEY OF TME
60UNDARIES OF TME IAND ABOVE OfSCRIlED AND Of TNE tOCATION Of ALl 6UILDINGS, IF ANY,
THEREON, AND All VISIBLE ENCROACXMENTS, If ANY, fROM OR ON SAID lANO.
Datad this ?41? doy of JLn e A.D. 19,5/ C. R. WINDEN d ASSOCIATES, INC.
?.
Survoyor, Minnnoto Ropiurelion No 772(?
HMIv
Li3 ?'?,O r P- c- l
zv: LOFava oi.scrr, trru.rrsr nua.INC cr.M
BUIIDING INSPFxTSCN DEPAEMENT
BILL BF37NQIs S(JPERP,R'&?IDIIVT CF P(.BISC 14012K5
F'FCM: T-IQVIIaS A. COIS=, DIRECIUR OF PLBISC WORKS Q44--?
_ DATE: SFPPaMffiER 10, 7981 '
RE: RIDGEQ.IFFE 1ST ADDI'I'ICN
Because the following list of lots in Ridc;ecliffe lst Addition cbes
not have gravity sewer outlet at this ti*ie, the follaaing prooe-
dures will be initiated imtil further notice:
tTPIISPSC BILLIIIG
No water turn-cns will be alla,aed prior to 8-1-82 or imtil ses«er
is available in these areas. "
BLTIIDNG LVSPDCPICN
Building pezmits can be issued for t*iese lots, but the builu'er
should be infoxmed at t.ime of peanit issuanoe (perhaps stanping
the building ;pTm; t with "NO OLC[,'PAVCY PRIOR '1C) 8-1-82 OF. UNTIL
SET+tE12 IS AVAZL4BLE") the restrictions on sewer availability.
P?NCE DfPA=tfNP
See both utility billing and building inspection ahove.
The lots with these restrictions are as follaas:
LC7I5 1-9, BIACIC 7
ICyIS 1-6. BLOCK 8
LClI"' 1-7 BIC."?C 9 -
717I5 18-23 BLCC'K 9 ID'I5 10-16 BLOCK 10
I17PS 1-10 BLOCK S
LOTS 1-4 BUJQ{ 6 .
IaPS 1-6 BLOCK 12 •
IfJP" 1-17 BIfJQ{ 13
an@ arn also indicated o[s the attactied maps. .
jac
To: toruNA oLSON, vrzLZTr BzrLzr:c cLERr,
, DALE PLi'ERSON, QIIEF' BUILiIINf: O}'FICIAL
. r BILL IIRANQI, SUPERINTIIVDIIVT OF PUBLIC LQORKS '
FRChM: THOf]AS A. COLBERT, DIRECIOR OF PUBLIC S90RK5
DA'IE: NOVFSS9BER 17, 1981
RE: RIIXZCLIFFE 1ST ADDITION - SEWER AND PIATER CONDIECPIONS
On September 10, 1981, a irezro was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sew2r and water
permits imtil sanitary sewer service had been made availahle. 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
Thorrpson Hoires has agreed to install a te*qDorary lift station from Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridgecliffe lst
Addition. Attached to this rp,mo is a copy of the letter we received
frcm Orrin Thompson Homes wheseby they indicate that they will perform
the installation, maintenance and liability of this tenporary lift sta-
tion/force main sanitaxy sewer until such time gravity sanitary sewer
can be extended across the future I-35E during the spring of 1982. There-
fore, with this tenporasy system being installed and maintained by Orrin
Thor.pson Homes, the terpx?rasy hold on se?aer and water pertnits and occu-
pancy for the following lots has noca been lifted:
Lots 1-9, Block 7
Lots 1-6, Block 8
Lots 1-7, Block 9
Lots 18-23, Block 9
Iots 10-16, Block 10
Lots 1-10, Block 5
Lots 1-4, Block 6
IAts 1-6, Block 12
Lots 1-17, Block 13
This temporary sanitary foroe main will still not nrovide service to
the follawing lots:
Int 1, Block 8
Lots 1& 2, Block 9
I,ots 18-23, Blodc 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous imm will still
apply to these lots.
These lots are referenced on the attached map for your information. If
any problems arise pertaining to sanitztxy sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thcr.pson Homes £or the
proper resolution. If you have any c?uestions to this release of the re-
striction on the building and scwer/water permits, please mntact M.
Please insure that all personnel in your departrrent are aware of these
restrictions.
TAC/jach
cc -&>b Carlson, Orrin Thaupson Homs
TO: IARNA OISON, UPILITY BIISSNr, Q,EtuC
DAI,E PEPERSqN, QIIEF BUILDING OF'FICIAL
BILL BRANQI, SUPERINPENDENT OF PUBLIC VORKS
FRCh1`I: THOMAS A. COLBERT, DIREC'I'OR OF PUBLIC WORKS a* V
DATE: NOVEMBER 18, 1981
RE: RIDGECLIFFE 15T ADDITION - SEfaER AND WATER CONNECTION 1;ESTRiCTI0N5
On Novenber 17, 1981, a iremo was forwarded listing several lots withj'n the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occuoancy pesmits due to the unavailability 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 follaaing lots only will have re-
strictions placed on the issuance of sewer, water or occitpancy perntits:
Lot 1, Block 8
Lots 1& 2, Block 9
Iqts 18-23, Block 9
Lots 11-17, Block 10
Please insure that these referenced lots are not granted any permits that
would allaa their occupancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as stated
in this irnno.
TAC/jach
cc - Bob Carlson, Orrin Thanpson Hones
i3a i3
639 8v
:ity of eagan
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122•7897
PHONE; (612) 681-4600
FAX: (672) 681-4672
December 17, 1992
TRACY BOEFF
1738 FORSSA WAY
EAGAN, MN. 55122
RE: Water Pressure
Dear Tracy:
MAINTENANCE FACILRY
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (612) 681-4300
FAX: (612) 681 •4360
THOMASEGAN
Mvyor
PATRICIA AWADA
PAMELA McCREA
TIM PAWLENTY
THEODORE WACHTER
Councll Members
THOMAS HEDGES
Clty Adminlnsfrotor
EUGENE VAN OVERBEKE
City Clerk
As per your request, I have found on the City's Water Distribution Map that the
approximate residual water pressure in your area is 70 p.s.i. and 68 p.s.i. static pressure.
Please contact me at 681-4646 if I can be of further assistance.
Sincerely,
, --
drl? ? ?-
Craig E. Knudsen
Engineering Technician
CEK/jf
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR GOMMUNITY
Equol Opportunity/AfNrmative Actfon Employer
q/?'?' .-•REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
IF Sae msryucpony Ior comDlaLn9 thls brm on back or vallew copy.
Ei-0, 19 8 "J(" Below Work Covered by 7hrs Request
A?J Rep. TVUe ol BwltlmB ApOlianten WuaO Equiymenl WveJ
Home Range Temporary Service
DUVlex Water Heater Lighting Fiamies
ApL Bwldmg Dryer Electnc NeaLn
Comnercial Bldy. Fumace Silu Unlo:,der
Industnal Bldg. Air Contlitioner 8ulk Milk Tenk
Farm omr. unci v e11.v Isocri1vl
? .r Suculv Othe, Omi:r
N Fee ServiceEMranceS,za b Fee FextleFs/Subfeatle'e A Fee Grcu.ls
U to 200 qm ns 0 to 30 qm s 0 to 30 Am
Above 200 Am>a 37 to 100 Amps 31 to 100 Anifxi
Swimnnny Pool Above 100_Am y Above 100_Amps
Transtormefs Irrigation Booms Par[ial. Other Fee
Signs Special Inspeaion -a
5
5
Rei.ylks?
UC ? Q` TOTAL FEE
flouph-in Dntn
I. t?e Elactncal
InsDaclor, hereDy
Final certdy tlwt the xbove
mspectiolf Aes been
moAe.
This repuesl void
18 nqnlhs Irom 4 J
E?, ri q q
RequesJJJ Dale ttt111 rIFue No.
I ?q gh-m ` ap¢r,iwn 1
OmreO?? 01R.
atlY Npw OWill No?ifV InsGec-
,??? a ?
?Yes N. Lor When fleady
LV Lwensea Eiectncal ContractoF
? Owner
I herebv mauest mspection ol ebove
electncal wark inslelled at
Svent Atldress, ox or Poute No. C.•
?
eclmn o. Tow h.p Nemn or Na. ny¢ No. ow";
0ccu4an IP NTI Phon No.
sa-
Power Suppher Addres5
Elec?ncal Contractor ICOm4any Nnmel Convar.tol's License No.
Harrison Electric Inc. 421867
Mailin8 Atld,ess ICUnVactor or Owner Mak my Inst Ilauonl
Mor Avenue Nor h. Mpls. MN 55412
AuN ¢ d 5?0 a? ba odOw ?ny 1 is Ilauon) one Number
521-0520
MINNESOTA STATE BOAXD OF ELECTXICITV
Grigas•M.Awnv BItlQ. - Xoom N•191
1821 Umvers,tv Ave.. St. Peul. MN 56106
Phone(6t2) 642-OB00
THIS INSPECTION NEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOAND
UNLESS PPOPER INSPECTION FEE IS
ENCLOSEO.
Use BLUE or BLACK Ink
I-----------------,
• pPR 0 g to lu I
Permit -
~~of Eajan I
I
~ Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
j Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 staff: j
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: J, v 626%1h-
Tenant: ~'~ls Suite
RESIDENT / OWNER Name: Phone: J -0.4 - 01810
Address/ City-/ Zip: C
Z-V
CONTRACTOR Name: hen 3 License h~~-wY1
Address. City: l s
State: Zip: Phone: `5'aI U-1 ' f OU)
Contact: eAAtJ4-!lA Email.' On
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
fidOTEt'c~f maid 9.: , ~tt(ca1}ui -
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping -Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.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 a approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed ffam'ie
USE,
tired 1nspAOtions, Unt)e_~Gmwi s r Jrt ti A l ~p ~ t m
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155627
Date Issued:05/28/2019
Permit Category:ePermit
Site Address: 1738 Forssa Way
Lot:13 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Dale V Boeff
1738 Forssa Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178334
Date Issued:08/11/2022
Permit Category:ePermit
Site Address: 1738 Forssa Way
Lot:13 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-130
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 -
Dale V Boeff
1738 Forssa Way
Saint Paul MN 55122--265
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature