1739 Forssa Way
FROM :DH PLUMBING FAX NO. :9524473327 Dec. 27 2010 04:05PM P1
Use BLUE or BLACK Ink
---..--y------y--------t
P
ermit A
of Ealan
U I 11~
I Permit Fee:
$830 Pilot Knob Road I
Eagan MN 56122 Date Received:
Phone: (661)676.6675 I staff
I
Fax: (651) 676-6694 I I
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 12/27/2010 SiteAddress• 1739 F'orssa Way
Tenant: Suits
RESIDENT I OWNER Name; TOM Thomas Phone: -.624-8086
Address/CityrZip; 1739 Forssa Way, Eagan
CONTRACTOR Name; DANA HAOGLAND PLUMBING INC. License: 06218OPM
Address: 21061 prairie Hills Ln City; Prior Lake
State: MN zip; 55372-9217 phone. 952-4473326
Contact; Kathy Email: Kathy aHPINC@integra.net
TYPE OF WORK _ New X Replacement _ Repair - Rebuild Modify Space _ Worts in R.O,W.
Descri tionofwork• Install New Elec. Water HEater
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ ! PVB) Add Plumbing Fixtures Main Lower Level)
Septic System ._.WY. Water 1umaround
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $166,00 if a 5!8" meter is required)
$105.00 Septic System _N= ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$96.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooharstateonecall_ora
I hereby aeknomedge that this information is complete and accurate; that the work will be in conformance with the ordlnanoes and oades of the City of
Eagan; that I understand this is not a permit but only an application for a permit, and Is not to start without a permit; that the woork will be in
accordance with the approved plan in the case of work which requires a review and a a! of ans.
X Dana Hoagland r
Applicant's Printed Name ApplicanWs S gnatu
FOR OfICf USE Reviewed By:, [fate:
'Re qulmd Inspections: Under Gmund Rough-ln -Air Test Gas'Test -Final
PLEASE CALL FOR CC INFO.
Use BLUE or BLACK Ink
r
For Office User 1
~ Permit
City of Ea oa~
d b I Permit Fee: qD_ 001
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: I
1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l ID Site Address: / l ✓ ! / Jrf fy ~Gr1~
Tenant: Suite I
RESIDENT/ OWNER Name: - /0"IiJ Phone:fl~/
Address/ City/ Zip: ! / !-~''r~y
Applicant is: Owner Contractor
TYPE OF WORK Description of work: O/r 71~>Or'as
Construction Cost: Z~, Multi-Family Building: (Yes No.X-)
CONTRACTOR Name: Akzm//i 6XfC"7a-1 , uc. License 090 7-90Y
Address: 7l0„7U jly! 51' f~ OW, city: odfl J l1
State: Zip: ) 3r-7 Phone:/il
Contact: eo c~ z4j-J-1 Email: ~l'~LLOgjl ► lM~'1 e i l~'3, e, ^s-7
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 G•~~ L~G~J7~, x
Applicant's Printed Name Applica s Signature
Page 1 of 2
Receipt PLUMBING PERMIT Permit Na
CITY OF EAGAN •
Fee
..
Fill in numbered spaces S/C
Type or Print legib/y Tot. '
1. Date 5.1,211/23 2. Installation Cost
3. Job Address =7 14 Forssa kd,yLot r? Blk. Tract ' ?-
4. Owner ORRIN TNOMPSUN
5. Contractor 4JENZEE MECH. Phone 452-1565
6. Address 3600 Kenn bec OrivP
7. City _ Fazgr1 State Mn ZiP &-1.:E2
$. Building Type: Residential &
9. Work Description: New XD
10. Describe
11.
Commercial ? Institutional ?
Add 0 Alter 0 Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink -
Urinal/Bidet Other 'S/W
•
Laundry Tray ,? .
'Nt!^/4t1" _
Floor Drains
Ji
h
/
^
h
Drinking Ftn. S
w3S
_f
s.
.V
r
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
CITY Of EAGAN ?
.
.?, •' 3795 PIlot KwA Raed Eogan, MN 55122
PFtONEs 454-8100 '
BUILDING PERMIT Rece;pr
Te M uiwd for SI' DWG/GAR Est. Value $62,000 Date MLa y 16 19 ti3
Site AddKU 1739 1'orsss Way (Plan 43) Erect XX pccuponcy R"3
lot Blak 5 Sec/Sub.Ridgecliffe lst Alter ? Zoninp (ry) R-1
par«l # 10 63980 080 05 Repolr ? Fire Zone N!t
Thompeon Lakes Division
oc Name Enlarne ? Type of C.orKt. ??
Move p # Stories
; ^ddrcss -1712 flopklns Croearoad Demoiish p Length 66
? C; :?ttka. 55343 • pfio,, 544-7333 Grnde ? Depth ?4•6 Sq. Ft.
? o Name Gw17er ApProvals Fee@
ou Address
u1 Assessment
Woter & Sew Permit '
31. 00
h
S
Cit P?? . urc
arfle
Police Plan check 159.50
?W NO"1e Fire SAC 525.00
?? ?feu Enp. Water Conn?'5 0.00
<W Ci Phone Plonner Woter Meter 60.00
Council Rond Unit 250. 3V
t hereby ocknowled9e that I hove read this application and stote that gldp. Off.
the intormotion is correct ond agree to tomply with all opplicable
State of Minrusoto Statutes ond City of Eagon ardinances. A? -??o? M94.50
Slprwture of Pennittee
Thomp sc
A Building Permit Is issued to:
oll work sholl be done in xcordance with all
8uflding Officiol
_ on the exprcss condition thni
City of Eaflan Ordinances.
Permit No. Permit Holder Mise. Permit No. Holder
Plumbiny ?
H.V.A.C.
WNI
Water
Disp.
S?wer
Electric awnqp7 GjFC ? (/'??-v3
Irtspection Date Insp Otha
Footings
Faundation
Framina
Rough Plbp.
Rough HVA
IA?latiQA y y J I
Finel Plbp.
Finel HVAC
Final
WeMr Detc?ibe Location:
Yft11 .
Sevuer ?.
Pr. Disp. .
6-
Receipt .?-
. ?
1. Date 7-13--?-"? 2.
3. Job Address TIjy ?','oI'uS.? •:
4. Owner t: N Tf?.'. i?_: _J;I
. x N . ;%ZLrA1r-- :t
5. Contractor
6. Address 4
• `? ,18
7. City - •
8. Building Type: Residential IN
-?
PERMIT Permit No.
GAN -
Fee •
d spaces S/C .-
Tot Cost
'-? Blk. Tract f ` -
Phone ?`
Zip ,.
? Institutional ?
9. Work Qescription: New Lf Add O Alter ? Repair ?
10. Describelri-,A2L7.. iox'E-d Fuel Type ..at
11.
No,
1 Epuiliment 8TU - M. Ea.
Forced A008,000 No. EQUiament CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg.
Unit Heater Mech. Exhaust
Mfg. Other
Air Cond.
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 464-8100
ClTY OF EAGAN
Addition R,Zdaecliff-First Add.n Lot $ R1k - ri Parcel#1 fl 61980 (]R(l 05 _
Owner Street 1739 Fo7.'ssa Way w State-E.agaIl? hQ1 55122
Improvement D.
Amount
Annual
Years
Peyment
Receipt
Date
STREET SURF.
STREET RESTOR.
GRADING
A
SAN SEW TRUNK '? 298.08 12-21-81
SEWER LATERAL
WATERMAI
N
' WAl'EF LATERAL 1982 1260.79 12-23-81
WATER AREA 1982 _
STORM SEW TRK 1982 638.24 --
STORM SEW LAT 1982 955.45 5 955.45 12-23-81
1982 637.75
CURB & GUTTER
SIDEWALK
STREET LIGHT
[IT 250.00 35868 -i 3
WATER CONN. I?50.00
n
H
BUILDING PER. 807
SAC n °
PARK
L1 • g 5 , el ?- ? ?-?-
^ORRECTION NOTICE
? Address r/f
Owner/Agentr
Owner/Agent Ai
l +'
Gf t_
?-- f'
DATE:
i-
,
Site Name YOF
?
I Ordinance Nos. and Corrections - Correct By
v ed a?- / 1:5? 14 ?? / C-1) A__4sf0
l `
e ar
For reinspectiOn
Eagan Dept. of inspection
- 5 Pilot Knob Rd.
n, Minnesota 55122
A_AV_*_
Dept.:
CITY OF EAGAN PERMIT TYPE:
( 3830 Pilot Knob Road Permit Number: ??•{?'
Eagan, Minnesota 55122-1897 Date Issued: ? •''?'
(612) 681-4675
;
, SITE ADDRESS: APPUCANT:
i f i'•, 1 I !, ri. 1 ;'f }?,1, ? .,.
PERMIT SUBTYPE:
TYPE OF WORK:
? rAIr.•
sI r I ; ; ! i I i,iti , . IM f1F /;i 1 (I FrM UAl1AlrI
t ! i?i 7 ! _ ,. 1 ` i,.'th11iF, 1
Permit Hoider Date Telephone #
PLUMBING
HVAC
Inspection Oate Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFING
RQUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING ?
GAS SVC
TEST
INSUL I
GYP 80ARD
FIREPLACE ,
FlREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDflOSTATIC
TEST
BSMT R.I.
85MT FINAL
DECK FfG
DECK FINAL
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612)681-4675
SITE ADDRESS: 1_ 1 +
i . . , f itw,',?? ?lw"
iCORD
PERMIT TYPE:
Permit Number: - ' " ' '
Date Issued: o 4 / yf-' / 414
ia MOc K : ? APPLICANT:
1.1 riw I ri,
' PERMtT,$VPTYPE: TYPE OF WORK: 141- 1 ?
INSPECTION .. . ..
1 PI p 1
I iil MAKh ', : A'yF t'ARAI F t'i icMl 1 1`+ itp 4U I kFU i• H/t AN1' t I f f I lt f r: AI I.ltMt
-1
PermR No. Parmit Holder Date Tetephone #
S/W
PLUMBING
HVAC
ELECTQIC?
ELECTRIC
Inspection Date Insp. Comments
Footings I
f [7 4 J ?
Foundetion
Framing 411224 9
Raofing
Rough Pibg.
Rough Htg.
I5ul.
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final G
Deck Ftg.
Deck Final
Weli
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
, (612) 681-4675
SITE ADDRESS'
•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
4 ? I 1IR;i?-A WaY
' PERMIT SUBTYPE:
?, ,..
14 111111 1 N
APPLICANT:
, I 1 , j fl? i iII; tl{ . 1144
( t. i r' 1 f. 3:S - 1 0=1 r,
TYPE OF WORK:
N I 61
I?t ?.? i+ 11? t) uN (l,a', )
f A N A 1
14 1) 1 i fi 1 M1.l
b. ib
Ht, /:'! Jy4
J
?
Permk No. Pertnit Holder date Telephone !k
SMf
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Oate Insp. Commerrts
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Rnal Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finai
Deck Ftg.
Deck Rnal
Well
Pr. D"isp.
SEWER SERVICE PERMIT
GTY OF EAGAN
3745 Filot Knob Rood PERMIT NO.:
MN 55122
E DATE:
o9sn,
Zonirg: No. of Units:
Owner
.
/lddress:
Site Address:
Plumber.
I o- n? fo eon+ply wkh ths Citp of Eaoa• Cannoction Chcnpe: ''-
OrdiMnao. Acwurtt Deposit:
Permit Fee: .
Surcharge:
gy Misc. Chorpes:
Date of IrKp.: Total:
Insa.: Dote Poid:
r oF Fr?caH WATER SERVICE PERMIT
9°ilof Knob Roed PERMIT NO.: is, MN 55122 DATE: ' -
nq: - No, of Units:
er:
ess:
Address: ' ?'nr ^ .
. . ,. ,..i It e??
a r : r
iher.
r No
:
Connection Charge: 1, .
.
s
Account Deposit:
kr No.: Permit Fee:
w to aoiaplp whh tiw Ckp of Eegon Su?charge:
naness. Misc. Chnrnes:
Total:
Daite Paid:
u m 19 5 - ? °v
Request Oate Fne No ROUgh-ln
Ough-I ection ReQwretl Inspedion OIM1er T
4-11
94 ?
('IOU p? call inspeclor when reaEy) ? Ready Now Will NotMy Inspeclor
- yy Yes ? No DateReatly
IiN hcensed comractor ? owner hereby request inspection of above el al work at, o-p
Job Atltlress ($treel. Box or Routa No I Ci[y
1739 Forssa Wa
SecLOn No TownsM1ip Name or N. Range No Cou
Dak a
Occupanl(PRINT) Pp ne No.
Thomas Kunz
Power Suppher Atltlress
Eledrical ConVactor (GOnpany Name) Cont2c?or5 License No
City View Electric . CA00384
Marbng ACtlress (ConVactororO.vnerMaking Installa0on)
19 2 St Clair Ave ST Paul MN 55150
noIDOnzeo nai re IConvaa n r akin9 InstallaLO
, 1 • ° . Pnone Number
1- 4
MINNESOTA STATE BOAFD OF TqICITY THIS INSPECTION qE0UE5T WILL NOT
Griggs-MiEway Bldg - Poom 54 3 BE ACCEPTED BY THE STATE BOARD
1921 Universrty Ave, Sf. Peul. MN 55104 UNLESS PROPEP INSPECTION FEE IS
Vhone(612)86Y-0B00 ENGLOSEO
y/? REOUEST FOR ELECTRICAL INSPECTION
??/? ? ? See mstrucimns ior complennq this form on back of yellow copy
?
? 'X" Be/ow Work Covered by This Request
E&00001-08
ewl Adtl Rep. Typeoi6udding ApphancesWued EqwpmentWired
Home Temporary Service .
Duplez ter Elactric Heating
Apt. Butldmg t Load Management
Comm./Industnal Othet (SpeciTy)
Farm AirConditioner
olne"acec°Y, °o°„"orsRema`kP0#70094 - Wiring for Three
ComputelnspechonFeeBelowS03S0? Porch
# Other Pee # Serwce Entrance Sae Fee # CirwdS/Feeders Fee
5wimming Pool 0 to 200 Amps 0 to 100 Amps 4.00
Transtormers Above 200 _ Amps Above 700 _ Amps
Signs Inspector5 use only ?? _ 1 OTAL
??
Irrigatwn Booms jj r-0
. SO
Spectal Inspection + /)•', c
Alarm/COmmunication TNIS INSTALL N M OR6ERED DISCONNECTED IF NOT
Omer Fee COMPLETE IN
I, the Elecirical Inspector, hereby R°°9n,n r ?
? o?e ?;
cemfy that the above inspection has
been made. F,nai oa?e
OFFICE USE JNLY
This request vaitl 18 montbs imm
This request void (0- 2 Z
18 months trom
W079407
Lgt 8S, (?tdqe?t?FFa fs± 36601
0
qO, aO
Fequest te Rre No. Rouuh-mInspcruon
He iredl
? ?p
?Re:itly Now?Will Notrty Insaec-
??!y],ur Wh
R
s ?N? en
eaQy
MLicenyed Elec[ncal Contractor I herebV request inspection of ebove
Cj Owner electncal work installed a[.
SVeet AAdress, Box or Foute No.
M' w?s? ? CrtY
ecuo?? o. Township Name o No. Rana?! No. Counry
Dfa?
O.c-c?upa{n?t?(pPRINT) Phone No.
Power u plier Adtlress
Ele- n(ca?l? ContrGar.tor ICompnny Nama)
Gk- C-??R'LC- Cnntracmr's License No;
?? I57ZS- Z-
ess (ConVacmr or Owner Making Instailacion)
Madin
Addr
e
!
?
j `
? 111 C. ' CA-iff- OY
xor Owner Making Installationl
Auffionzetl Sig mre om
rec Phone Number
.
/
y • '
W` ?j???'fr'??
MINNESOTA'STATE BOAFD OP ELECTflICITY_ THIS INSPEGTION flEQUEST WILL NOT
Grigps-MidwaV Bldg. - Noam N•191 BE ACCEPTED BY THE STATE BDAPD
1821 UniversitV Ava., St. Paul, MN 56104 UNLESS PROPER INSPECTION fEE IS
_. ._._._..?_... ` ENCLOSEO.
REQUEST FOH ELECTRICAL INSPECTION EB-00007-04
' Sae inslructions for completing this form on back of Yellow copy. -?_079407
X'-BelowWork Covered by This Request
Nep HAtl Bep. Type ol Bmldmq Apvlmncns Wiretl Equ,umant Wved
Home Range Tempor2ry Service
Duplex Water Heater Lightiny Fixtures
Apt. Bmld(ng Dryer Electnc Heatui
Commeraal Bldg. Furnace Silo UnloaJer
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Olner peei v Orh?er Isueufy)
t nr Sueufy ther Oihe,
Compute lnspectwn fee Below
p Fee SarvroeEnvanceSiie H Fee Feedars/SUbioetlers N Cvcwts
0 to 200 Am 5 0 to 30 Am)s 0 tn 30 Am s
Above 200 qmps
37 to 100 qmps t
31 to 100 Am s
Swmvning Pool Above 100_Amps . Above 700_Amps
Transtormers Irriyation Booms PartiaL'
Other Fee
Signs SNecial inspection S u C V TO L
E
RemTrks
?ar, E?
E
?1??
n
BouBh-in te
th
I,e Electrical
?/-Y ??soe??o., na,oev
certify that the a
?F,nal ?e nspection has baenbove
E ? ?I? ? made.
Twle ?en??nvl ?nIA 1Y mnnfM l?nm
T
Tntiftrtttr of (Ocrupttnry
Citp uf (Eagan
3grpartmrnf n# BuilDing 3neprr1iun
Thir Ccrtititate irtued purruast 1o the nguinmenu of Sectiaa 306 af the Uniform Building
Code mtityrng tbat ut tbt timt af itauanrt thi.r ttrutture was in complianct with tix vuriout
ordinancu o f the City rrgulatrng building tonnruaion ar un. For the followinK:
SF DWG/GAR 8037
Blde. hemn No.
?? rrw R3 rywcoo.w«V? F,2z.. NA zo,o,m,mn(PD) Rl
o„M„fB„am,sThompson Lakes Div. Aaa.1712 Hopkins Crsrd., Mtka.
??eAd?„1739 Forssa Way ?tyLot 8,Block S,Ridgecliffe
lst
p e September 9, 1983
a or1 .e.
CITY OF EAGAN p 9795 Pile! Knob Road Eogen, MN 55133 ?T lr ? 8037
rHONE: 434-e100
BUILDING PERMIT Receipt #
To ba wad Iw SF DWG/GAR Est_ Vel.e $62,000 p?te May 16 i0 83
Site Address 1739 Forssa Wav (Plan 43
Lor a Bi«k 5 Sec/Sub.Ridgecliffe lst
parcel # 10 63980 080 OS
rc INa,. Thompson Lakes Division
z Addreu 1712'Hopkins Crossroad^^^
o Name _
?? Addreu
Name _
Address
I hereby ackrwwledge thaf 1 hove read this applicotion and stote that
the information is correcf and agree fo wmply with all applicoble
Stote of Minnewto Stotutes and City of Eagon Ordirwnces.
Erect $g Occupancy R-3
Alter ? Zonirg (PD) R-1
Rapoii ? Pire Zone NA
Enlorge ? Type of Const. V
Move ? # Stories .
Demolish ? Length 66
Grade p Depth 24 • 6 Sq. Ft.-
Aporovols Faes
Assessment -
Water 8 Sew.
Police _
Fire
Erg.
Planner -
Council -
BId9• Of4. _
APC
Sipnuture of PermiMee
A Bu{Iding Pertnif is issued to: ThOmPS<
oll work shall be done in accordon[e with oll
Pertnit ?+g•vv
Surcharge 31.00
Plan check 159.50
SqC 525.00
Water Conn.450.00
Worer Meter 60. 00
aoad unir 250.00
Total $1794.50
_ on the exprese cordition thm
City of Eogon Ordinances.
Bulldirq Otficial
CTTY oF F-AGAN ff-0-5?7
,,LPlan :-l 3 _ BUI?DING PERMIT APPLZCATION
S4¢ W$-I-4'j('000?
To Be Used For ;?--Valuation
Site Pcldress: W? OFFICE USE ONLY
Lot 8 siocx.53 sec./sub. R.d .?1, 1eect occ.,pancy
Alte zonin ----
Parcel #: Ifl fd 3"C7 O?'O cD a
Qaner
Pddress:
City/Zip Code:
Phone #: -
Contractor: - THOAAPSON LAKES DIYtSi{)N
a .
Address: 1ri2MONdNSCR05SR0AD
City/Zip Code: _-
Phone #: _S?{`?'-1
Arch./Eng.:
Ptldress:
City/Zip Code:
Phone #:
r g
Repair Fire Zone
Enlarge _ '1ype of Const. ?
Nlove # Stories ?
Descnlish Front ,(9 ft.
Grade Depth .?,4?•? _ft.
Assessrients
WatQr/Se.er
Police
Fire
Ehg.
Planner
Council
Bldg. Off. {?
P.PC T
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date 5-Iz.-b3
Peimit
Surcharge-
3L.?
-
Plan Check /59 ?''
SAC
Water Conn. y,S-p ?
Water Meter (o- O ?
Road Unit
? ? ? 4 ? s?
TOTAL
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
,.` . -
SITE ADDRESS:
1739 FORSSA WAY
LOT: $ BLOCK: 5
RIDGECLIFFE 1ST
P.I.N.a 10-63980-0$0-05
DESCRIPTION:
rz
? i
REROOFJ3TORM
6wi1din?f':_Permit Type
86iS.ding Wir,r k Type
t,Census Code 434
r. ?K
£ . .
3.
REMM?: oamAGE.
PERMITTYPE: euzLozNG
Permit Number: 0 3 3 0 3 2
Date Issued: 0 8/ 2 7 J 9 S
OAMAGE
STQRM DAMAGE
REPASR
ALT. RESIDENTIAL
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FEE SUMMARY:
CONTRACTOR:
RIGHT WAY ROOFING
16475 45TH AVE
PLYMOUTH MN
(612) 557-8678
- Applicant - 5T. LIC
15578678 0003999
N
65446
OWNER:
KANE TOM
1739 FORSSA WAY
EAGAN MN 55122
(651)452-0628
T hsreb,y aqknawledgQ thatI have read thir applicatiao and state that Che
information is correct and agree to comply with a11 applicable State ofi Mn.
SCatutes and City QF Eaqan;Qrdinances. ,i
IL
APPLICANT/PERMITEE SIGNATURE
°-q? /
IS D BV: SIGNATURE `
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
- CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 ?
33 0?? ?a- 681-4675 g- a-? - 9
New Construdion Reauirements
? 3 registerod sde surveys
? 2 copies oT Dlans (InUude Deam 8 window saes; poured fnd. design; etc)
? 7 energy Cakulations
? 3 copies of tree prexrvation plan if bt platted after 7/7l93
required: _ Yes No
DATE: F'S ?'[ K
DES RIP N OF WORK:
?
RemodeVReoair Reouirements
? 2 oopies of plan
? 2 sRe surveys (exterior addkions b decks)
? 1 ene1gy calculations for heated addkions
CONSTRUCTION COST; 4 7`i !?- . °?
STR T ADDRESS: E 73t-> A. LOT: ? BLOCK: ? SUBD./P.I.D. C
Name: Phone #:
PROPERTY ?.ast Fvst 44 5A -o C. _-2 g
OWNER
Street Address: ?? QC
Ciri ? dN Sta«: tA N Z;p:
Company: ?ts-`7 Phone#: ?c3--6rn 'lR
CONTRACTOR
Street Address. 11Qa P? S[ License # 6rsc+ 349 `f
City Z'e--rh State:
ARCHITECT/
ENGINEER
Street
City
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
i hereby acknowledge that I have read this appliq6on and state that the intortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes
I._
m, M
Zip: <-.s- 4(?? S-
Phone #:
Registration #: _
State: Zip=
Tree Preservation Plan Received - Yes - No - Not Required
? CSTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT co?o?,-'
PERMIT TYPE:
Permit Number:
Date Issued:
41739 FORSSA WAY
LOT: 8 BLOCK: 5
RIDGECLIFFE
BUILDING
023990
06/27/94
DESCRIPTION:
' ?(GAS)
Building P,ermit Type FIREPLACE
Building Wdr.k Type NEW
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REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
;
CONTRACTOR: - Applicant - sT. LzC. OWNER:
FIRESIOE CORNER INC 16331042 0001068 KUN2 TIM
2700 N FAIRVIEW 1739 FORS3A WAY
ROSEVILIE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)452-0628
P
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
? Statutes and City of Eagan Ordinances. J
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APPLICANT/PERMITEE SIGNATUFE -?SITED JY. 5 NA G?E
? -qq '9y
CITY OF EAGAN
1994 BUILDIRG PERMIT APPLICATION
13990 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date /_ Valuation of work 2 3a ?/ll
Site Address: 9 ) lAha
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. • a Y.I.D. #
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
j ?e- Phone tlS?
Name if) 7
Property -
LAST RST
Owner Address 173? Hhlld6u' 4u1
STREET STE #
c
J V Z-
l!/!L1 ? State Zip J
City ?
?
Company d - ? Phone R9-4A?
Contractor Addres ;17dd N ?[)LCCJ 41e- License #`d6 Exp.
City State Zip -? 3
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comp with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. , ,
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Signature of Applicant: kT?
'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1,6 ? ?
? r
'8UI DyN G
023221
04/05J94
SITEADDRESS: 1739 FoRSSa wAv
LOT: 8 BLOCK: 5
RIDGECLIFFE
P.I.N.: 10-63980-080-05
DESCRIPTION:
(3-SEASON)
Buildin`g-permit Type 5F PORCH
Building Wark Type NEW
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REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEESUMMARY: vaLuaTroN $9,000
Base Fee $108.00
Surcharge $4.50
Total Fee $112.59
RMTpe/?T?p? - HPP11CdIlL - S I. Lll.. OWNER:
Li'?t?i?r ?iF MN INC 17218628 0002179 UNZ TOM
3118 SNELLING AVE S 739 FORSSA WAY
MINNEAPOLIS MN 55406 AGAN MN 55122
(612) 721-6628 (612)452-0628
S hereby acknawledge that I have read this applicatio,n and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
IL
APPLICANT/PERMITEE SIGNATURE
fi,_rx.p,? 1 m9
? SSUED Y GN TU E
. ? ? . - .
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
"D U 1ri 4 _ r
?1i.2•r? -_..
I
,
2 8 i?? t
. ;
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot chan9e is requested once permit
is issued.
Date Valuation of work
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BLOCK ? SUBD.
? P.I.D. #
? 4
-
Descri tion of work: ? Ser,svn or??..
The applicant is: 0 Owner Eg Contractor ? Other (Describe)
Name KL)NZ `ronl Phone
Property LnsT FIRST
Owner
Address 1739 WAY
STRE T STE #
City F;_A?-A q State MFI. Zip fSIZZ
3s'
Company Phone
Contractor Address 2?ti1R S'NE?uW4r,41J.'50 • License #<nfnzl'rj Exp. 3 95
City 1-1aLS State .?n> Zip S57/l6
Company Phone
Architect/
Engineer Name Registratian #
Address '
City State Zip
Sewer & water licensed plum6er . Processing time for
sewer & water permits is two days once area has been approved.
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
Ea9an Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary
P 04 SF Porch ? 09 12-Plex ? 14 Fireptace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
r- ?
r
0 16 Basement Finish
0 17 Sw9m Pool
13 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
y3 y
?
? .Site Q Footing C3• Framing ,0 Insulation
0 Wallboard JZI Final ? Draintile ? Fireplace
Permi t Fee vea,atia,,: g ? Gpa
Surcharge
Plan Review
License
l??x?6Xyo =
d??0
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sac %
SAC Units
??? ? ?iC. R. WINDEN a ASSOCIATES, INC.
V IAND SURVEYORS TaL i46•3646
FOR: 1381 EuStIS 6t., ST. ?AUt, MrHN, 65109
U. S. AOME CORPORATION
?999.:1 N 32.78
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FIP.942.Y9 ?= 30' 42' SS A
R= 11333 F?R
Lot B, Biock 5, Ridgecliffe First
Addition, Dakota County, Minnesota.
Note:
ftbposed qaiSqe floofr t1s946,83
(900.00) Denotes propoaed fin3ahed ground E1.
-.0-- Denotes direction of suzface drainage
Veztical Datum - N.G.V.D. 1929
WE MEAEl1' CERIIfP THAT iHiS IS A iRUE AND COINECT iE?RESEN1Al10N Of A SURVEf OF TME
DpUNDARIES OF TME LAND AlOVE OFSCRiSED AND OF IME IOCATION Of All tVIlOINGS, IF ANY,
TNEREON, AND A,ll VIS16lE ENCIOACMMENIS. If ANY, fROM OR ON SAID IAND.
Dated tAis JL_dey o{ Maj?-A.C. 19,?L3 C. R. wINDEN L ASSOCIATES, INC.
.. CL.a" U).
5vrvy"r. MieMSo1a tpislrotion No ]72G
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Scale: 1" = 30'
O Denotes Iron
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Ei: 94?/ ?2 E
N?5
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NTS119
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 P 55122
651-681-4675
lo
New Conslructte'JteaulremeMs Remodel/ReoaB ReautremeMs
D 3 rMisfered :Be surveys showing sq. fl. of lof, sq. R. of house
Znd QII rooled meas (20% maxfmum lof eoveraae allmved}
? 2 coples of plaro (show beam d window sizes; poured fnci. &oxign; Mc.)
? 1 sef of energy cakulaNons
D 3 eopiea of hee preservafion plan C lot plafFed affer 711/93
DATE: 11/2/99
Street Address: 1714 Fnrcqa way_
DESCRIPTION OF WORK: Basement Bath Remodel - new shower stall, re-tile walls, floor and
shower ceiling, new drywall ceiling with an access door, new vanity and top
STREET ADDRESS: 1739 Forssa Way -
LOT: o BLOCK: Jl SUBD./P.I.D. #:
PROPERTY
OWNER
Kunz, Tan
last
Ftrst
Phone #: 651-452-0628
CONTRACTOR
ARCHITECT/
ENGINEER
City Eagan
2 copies W pian
1 set of energy cakulaflons for heafed addMbns
1 sMe survey for extefla addiHons 3 decb
CONSTRUCTION COST: $6000.00
State: m Zip:
55122
COmpany: Hrxrw?rare, Tnrn -paratPA Phone #: 619 RRd_d7 A7
(area code)
Sfieet Address• 9301 Bryant Avenue South Ucense # 2116 Exp 3/37 /00
CNy Rl mmi nrii-nn State: nma Zip:
Company: Name:
'o::phor.e *: araa cad? ( )
Sheei Address: Registration 8:
City
StaFe:
Zip:
Sewer 3 water Iicensed plumber (reauired for new construcNon onN):
PEnalty applies when address change and lot change ts requested
I hmreby acknowledge that I have read thts applicaHon, stafe thaf Ihe
Sibte of Minnesota Statufes and Cify of Eagan Ordinances.
Signaiure of
OFFICE
Certificates of Survey Received _ Yes ? No
Tree Preservation Plan Received Yes _ No
is Issued.
- Nof Required
55420
to comply wNh all applicabl
BY:
Nov o s 199s
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-s=a.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-piex ? 13 76-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION " Give PCA handout to appiicant for demolition permit
Const. (Actual) ?YL) Basement sq. ft. Census Code ?-2) N
(Allowable) rd Main level sq. ft. SAC Code C2
UBC Occupancy 01-14 sq, ft. No. of Units
Zoning ? sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
APPROVALS Fire Sprinklered
Planning Buiiding Z,?r" i_ ii ?IAngineering Variance
/ -
Pertnit Fee Valuation: $ D7?17
Surcharge
Plan Review
Licanse
MC/ES SAC ?
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI. Park Ded.
Trails Ded. ;
Other
Copies
Total:
SAC Units
% SAC
CITY USE ONLY
L _ BL RECEIPT#: ? i q a6 (
SUBD. RECEIPTDATE:
PERMIT#
1399 PLUM$INfi PEiMIT (RES1DEIRTIAL)
CI1'1' OF EIfiAN
3830 Paor [civos itn
EAsAv, Mx 55t 22
(651)691-4675
Please complete for: ?--single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH N TOTeL
6ath tub $ 3.00 x = $
Floordrain 3.00 x = $
G85 I i!1 Outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x - $
Laund tra 3.00 x = $
Lavato 3.00 x = $ ?
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/reoair 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total -> --> ----> .... > e
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------•------------------------------------------------.... _..--------------------•--------------------------
I here6y acknowledge that I have read this application, state thal the infortnation is conect, and agree to wmply with all applicable City of Eagan ordinances.
It is Me applicant's responsibility to noti(y the property owner that the City of Eagan assumes no Ilability for any damages caused by the Cdy during its
nortnal operational and maintenance activities to the facili6es constructed under this permit within City property/rightof-wayleasement.
SITE ADDRESS:/ ?ri2,d,A o Lc
OWNER NAME: : TELEPHONE #:
(AREA CODE)
INSTALLER NAME:,?`?'I?`?t<i?r? f?/ur? f7i?? ? ?< TELEPHONE #: (?/? -R(c? ??l1? 7
n -T (AREA CODE)
STREET ADDRESS:
ciTV: STATE- d'?1 vi,- ziP: ,5.522L?
OATURE OF PERMITTEE
? To: rAnNA ozsorr, vrzLiz^r crLLzrrc crrizr, S?S R?c (
DALE P=RSO[V, QHIEf' IIUILDINC; OFFICIAL
, BILL BRANCfi, SUPERINTIIVDIIVT OF PUBLIC WORKS
F'ROM: THONfAS A. COLBERT, DIF2ECI'OR OF Pt7BLIC WORKS
DATE: NOMIBER 17, 1981
RE: RIIX-?ECLIFFE 1ST ADDITION - SEh7ER AND WATER CONNECTIONS
On September 10, 1981, anpjm was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
permits imtil sanitarv sewer 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
Thoapson Hocres has agreed to install a te*iporarv lift station from Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridqecliffe lst
Addition. Attachecl to this t*.e*io 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 tesioorary lift sta-
tion/force main sanitary sewer until such tirre gravity sanitary sewer
can be extended across the future I-35E durina the spring of 1982. Therr
fore, with this tercporasy system being installed and maintainecl by Orrin
Thor.{>son Hcues, the tergorary hold on se:aer and water peYtnits 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, Bloc}c 6
Lots 1-6, Block 12
Lots 1-17, Block 13
This temporaxy sanitary force main will still not nrovide service to
the following lots:
Lot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Bloc]c 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous memo will still
apply to these lots.
These lots are referenced on the attached map for your inforniation. If
any probleJns arise pertaining to sanitary sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thcx*ipson Homes for the
proper resolution. If vou have anv auestions to this rnlease of the rr
striction on the building and sewer/water permits, please oontact m.
Please insure that all personnel in your departrrent are aware of these
restrictions.
TAC/jach
cc - Bob Carlson, Orrin Thacpson Hores
TO: TARNA OLSON, LIPILITY BIILiNI', CI.EEtK
DALE PEPERSON, CHIEF BUIIDING OFFICIAL
BILL BRANQI, SUPERID]TIINpIIVT OF PUBLIC WORKS
FI2ClM: TI-IG1MAS A. COLBERT, DIRECIbR OF PUBLIC S^DRKS
DATE: NOVENIBER 18, 1981
RE: RSDGECLIF'FE 15T ADDITION - SEI4ER AND WATER CYXNNECTION RESTRICTIONS
On NoveTrber 17, 1981, a*ro was £orwarded listing several lots within the
Ridgecliffe 1st Addition that had restrictions placed on the issuance of
any seaer, water or occuoancy pennits due to the imavailability of sanitary
sewer. There appeared to have been a duplication of lots that were refer-
enced for future restrictions as conpared to those whose restrictions had
been listed. Please be aware that the follaaing lots only will have rr
strictions placed on the issuance of sewer, water or occupancy permits:
Lot 1, Block 8
Iots 1& 2, Block 9
Iots 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 imsro.
TAC/jach
cc - Bob Carlson, Orrin Thrng>son Hotres
0^,BS,P-(Ll
zu: rpRMA or.saa, vra.rrY nua.L14c CIEPtt
BUIIDZNG INSPE(.Z'ICN DEPARLMNT
BZLL BRANQi, SUPERINPfSIDM OE PGBLIC HIORKS
F'%M: THQ-7AS A. CCI.BERT, DIRECIOR OF PLBISC FARE6 d14---
. DATE: SEPI'E.*'BER 10. 1981
RE: RIn'F'CLTF'F'F 1S'P ADDPTICN ,
Because the following list of lots in Ridqecliffe lst Addition does
not hav2 gravity sEwer outlet at this tire, the following procri-
dtses will be initiated tmtil further notiae:
VPII.ITY BILLING
No water turn-cais will be allaaed prior to 8-1-82 or imtil sewer
is available in these azeas. -
BUIIDmG LNSPECI'ICN
Building pezmits can be issued for ttwse lots, but the builder
should be infozmed at ticm of peanit issuanoe (perhaps stanping
the building peanit with "NO OCC[.'PANCY PRIGR TO 8-1-82 OP. [r"VTZL
SES?IER IS AVAIIABIE") the restrictions ai sewer availability.
N?NCE DEPA=ffNT
See both utility billing and buildirxJ inspection above.
The lots with these restrictions are as fol].ows:
IOPS 1-9, BIOCX 7
I?'1PS 1-6, BLOCK 8
I.c7I5 1-7 BIIJG'C 9 L17I5 18-23 BLOCK 9 '
Lc7I5 10-16 BLOCK 10
I[7PS 1-10 BLOCK 5
ICYI5 1-4 BLOCK 6 .
LOtS 1-6 BIJJCic 12 •
I[7I5 1-17 BIlJQC 13
and are also indicated on the attached maps. :
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FOR:
U. S. AOME CORPORATION
N 3Z.78
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C. R. WINDEN 3 ASSOCIATES, INC.
lANO SURVEtORS ieL 64E•3646 _
7381 EUSTIS SL, ST. VAUI, MfNN. 35100
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TEI?42.9?° 30"q2' R55A
R= ?a3,?3 ?O
Lot 8, Slock 5, Ridgecliffe First
Addition, Dakota County, Minnesota.
Note:
Proposed garage floos E1.946.83
(400.00) Denotes proposed finished ground E1.
- me Benotes directian of surface drainage
Vertical Datum - N.G.V.D. 1929
WE MERElY CERTIf1' TMAT TMIS iS A TRUE AND CORRECT REPRESENTATION OF A StJRVEY OF TME
WUNDARIES OF TME IAND AlOVE DESCR11E0 AND Of TME IOCATION OF Atl WIIDING3, If AN1;
TMFREON, ANO ALl VISIlIE ENCROACMMENTS. OF ANY, iROM OR ON SAID IAND.
Der94 OAi.J)_day ofm Q?'A.0. 199-3 C. R. WINDEN & ASSOCVATES, ItaC,
r, eL.4,? 6?V,;J? m.
Surveyer. MinMwto tpestrotion Ne 772G
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Scale: 1" = 30'
p Denotes Zron
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Tof> of C_s6
Ei.9G3? ;
/ 22 E
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6 -?Q 4
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date -,21_ / / ! ?
Site Street Address Unit #
Property Owner Telephone #(6.57} aZ
Contractor lephone # (? ? )
r
Cityr?
d State ?/tJ Zip
ress
Ad
The Applicant is: _ Owner j? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is requjred to be reviewed and approved.
App Prinfed Name ' ApplicanYs Sj?aYur
?/
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150909
Date Issued:07/30/2018
Permit Category:ePermit
Site Address: 1739 Forssa Way
Lot:8 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-080
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas Kunz
1739 Forssa Way
Eagan MN 55122
(651) 452-0628
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179200
Date Issued:09/23/2022
Permit Category:ePermit
Site Address: 1739 Forssa Way
Lot:8 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-080
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 -
Thomas & Melonae Kunz
1739 Forssa Way
Saint Paul MN 55122--269
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature