1743 Forssa WayReotipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fss
Fill in numbened spaces S/C
Type or PYini 18giblY Tot
1. Date ? 1-ry -9l,. 2. Installation Cost ?ax-, •'s`
3. Job Address 174i''oI's r-c ` Lot % Blk. r Tract
4. Owner
5. Contractor
4637 Chicago Ave. So.
6. nddress MiAneap:tis, MN 55407-3592
7. City State 825-6867 Zip
8. Building Type: Reaidential 21 Commercial 13 Institutional O
9. Work Description: New E1 Add O Alisr ? Repair ?
10. Describe It19tFili heatillg dc AG Fuel Type 'l?it Ga8 I
11.
No•
? Eq;,^mn* 8TU - M. Ea.
Foroed Air 75p OOC) No. Eauiament CFM
:
Air Handlin
Mfg. g
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
1 Air Cond. 22, 840 2 TClZ
_ Mfy. F1_BCtirC
1 Gas, P'iping Outlets
12, I hereby certify that the above informatio,n is true and correct, and I a9ree to
oomply with all ordinances and codes governiny this type of work.
? i
Signed : for
. Rouph Final
Inspections: Date Insp. Date Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 464,8100
Receipt PLUMBING PERItA1T Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
-7
3. Job Address' Lot Bik. Tract
, . ? ?..\ f .?.
4. Owner
5. Contractor Phone
,
6. Address
7.
City
State
Zip •-7
- -
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New [3 Add ? Alter ? Repair ?
10. Describe , ? ? • --'?,f -r? ?
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 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 (nsp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ` f PLUMBING PERMIT Permit No. " )
CITY OF EAGAN
Fee 6,1,-
Fi!l in numbered spaces S/C
Type or Print legibly
Tot
1. Date 2. Installation Cost I
3. Job Address Lot Blk.
.?
4. Owner G/vKinl
5. Contractor ! •J,1_ ,,.. ??. 4- /tii L< << Phone r - 6. Address i + , , , i
7. CitY - State Zip
, 8. Building Type: Residential ? Commercial ? Institutional 13
9. Work Description: New P
10. Descri be
11.
Add ? Alter ? Repair ?
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs $eptic Tank
Lavatory Softner
? Shower Wgll
? Kitchen Sink
Urinal/Bidet Other ? • ? i r
+ Laundry Tray
? Floor Drains
?
Drinking Ftn.
Slop Sink
Gas Piping Outleu
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
. - w
CITY OF EAGAN
: .f .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
Ta be used for Est Velue Date ,19
Site Address ' ' • OFFI(
? r c L 1 "F, - On Site Sewage
Lot Block Sec/Sub. MWCC System _
Parcel No. On Site Well , _
a Name ? ? • `?
W ?
= Address
° City Phone • '4
, o Name
? { Address
1- City ? Phone
Name
City
City Water _
APPROVALS
Assessments _
Water/Sewer _
Police _
Fire _
Engr. _
Planner _
Council _
BIdg.Off. _
APC -
Variance _
Occupancy
Zoning
Type of Const
{Actuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC. City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment Pt
Parlcs
Copies
TOTAL
_ on the express condition that
and City of Eagan Ordinances.
Phone
I hereby acknowledge that I have read this application and state
that the information is coRect and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinancea
Signeture of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of I
Building Officfal
Permit No. Permit Holder Date Telephons ?t
Plumbing
N.V.A.C.
Electric
Softener
Inapsctlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmg. /?Lor
W Bll
Pr. Disp.
CITY OF EAGAN
. 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE: 454•8100
BUILDING PERMtT Receiot #
r„ Le M?Jl S" SF DWG/GAR $64, 000 M.. SEPTENiBER 20 1e 84
Site Addreet
Lot 7 siack 5 cec/s.b. RIDGECLIFFE 1
P-orcel No.
W N?e ORRIN THOMP50N HOMES
z Address 1712 HOPRINS CROSSROAD
? City t? KA Phone 5 - 3 3 3
Erect 12
ReR,odel ?
Repair ?
Enlarge ?
Move ?
Demoiisn 11
Grade ? J
Occupency ll
zoniny
Type of Conat. V
No. Stories
Length 38
Deptn 46
Sq• Ft.
°C Name SAME Apoeovok Fees
ug Assesunenf Permit • 0
? Address Woter a Sew. Surthorye 32.00
City Phone
P 162.50
P
PW Name
W oliu
Firo lon check
5AC 525.00
470
00
I? Address Enp. .
Wote? Conn.
tW City Phone Planner WaterMeter 63•00
Councll Road Unit 260.00
9/
I hereby atknowledgs thot I hove read this opplication ond state thot Bidg
Off 17/84 parks
,
.
the informotion is correct and ogree to tomply with oll appliCable APC Totel s
Stcte of Minnesoto Statutes nd City of Eayon Ordinonces.
, . Var. Date
Slpnature of Permittee C ?-
A Bulldiny Pem,it is issued to: RIN THOMPSON HOMES on the express corWitlon thas
oll work sholl be done in acoo?al cfe with oll oppliaoble Stttl?o nnesota Stotutes and City of Enpon Ordinonces.
6uNdinq Official
Pwmit No. Psrmit Holdw Da"
Plumbiop 9 ' J ? 61i
H.v.a.c.
electdc A
SoftsMr
Impection Date Insp. Other
Footinpt C
?? • ?
Foundation
Framinq
Rouph Plbp. - 6•
Rough HVA n /?/! ? (?r4S I??Pin 1 r?N«i
• l t /!X ? P?I ?Sr
Insulstion ??fJ
Final Plbp.
Final HVAC
Final
Cwt/Ox.
Wmr Desc?ibe Lowtion:
YYell
Sewer
Pr. Difp.
-
CITY UF EAGAN Remarks
Addition Ri daeC1 i ff F i rct Aritin, Lot 7 Blk qS Percel #1 0 63qRa. 070 05
p,,,,ne, street 1743 Forssa Way State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TAUNK ? 1 Z
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1
STORM SEV4 LAT 1982 955.45 S 955,45
Services 9
j_Rj
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260,00
WATER CONN. 470.00 it 11
BUILDING PER. Sl it iT
SAC 525.00
PARK
--------------?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: • ' " ? ? ' ' '?
(612) 681-4675
SITE ADDRESS: `j i 8 " f 0 i5 APPLICANT:
. k,R,sA wav , , t.r::
I 3isFrt;1 If Fl I ssi i6 4.1 H?I:s -?04 9
PERMIT SUBTYPE:
, ,: ;:. ;! ,
liOf 1 f,l
TYPE OF WORK:
I•f pA1;F7
i Ii'lv (. t?. A fdl:RUi1F
?
? '
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING S? pp , `k
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATfNG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
NU ! I li t Mh
0.
Fi i APPLICANT:
. ,0 1 t
+;lt`-'-;A WAY
PERMIT SUBTYPE:
, . ;.j
TYPE OF WORK:
INSPECTION D . D
t r..+?i r, t i??r?d ?, ??? ??t ???? !
MfikK.`i ; "Jf'AliAl IF f>f i;M4:1 1 S Nit} I;1 Uii i tr{ U F"ilfi ANY f`l IiH141 tVt', CEIr t I l( 1{l i VNl. II4110
?
k.`'??'? ,?'`
41
-d nv?
?
r?
. . ,,• . . . . -,.. _ ?. .
., . - _ .. :. ? .
. ? , ,. . '. .. ' ? .. ? ? . y I
J
Permit No. Permft Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC U
ELECTRIC
Inspectlon Date Insp. Comments
Footings I ?r 3
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg,
isui.
Fireplace
Final Htg. i
Orsat Test I
Final Plbg. Pibg. Inspector - Notify Plumber I
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN WATER SERVI R
` 3830 Pilot Knob Road CE PE
MIT
? P. O. 8ax 2,1199 PERMIT NO.:
Eagan, MN 55121 DATE;.
? ZO^'^g: Na. of Units: ?
ner: `-r in ! 3p[Gp Ot1 ? 4mes i
ress:
'te Address• i i;3 Forss3 4id;' I.,/ 113 Ridv2C'1_'f:`. i
iumber.
Metsr No. •?. ?o?'q--n?0atian thorge:
SizB: Q' A,o 0 0 u n tr D e p o s i t: p
;• 1_ J'? ?
'Reode7rNo.: 6 ,3 Permit Fee: - . t r.
1cyrss, te eemVh? wiHh !IN Gtg ef Ea"s Surchurge: ' n" y
, OrJimeeea. Misc. Charqes:
'' L J
4 Total:
?8Y 5 Dote Paid:
Date of Ir}sp.: -? I
nsp.:
,CITY OF EAGAN SEWM SERVICE PERMIT
=3830 Pilot Knob Road .
I.P. O. Box 21199
PERMIT NO.: j1
f"
' -
'Eagan, MN 5 51f 1 DATE:
ZO^i^g'
Orr n No. of Unlcs: ;
:1 :o:nes
Ownar:
Address:
Site Addrcss: 1 or98a ay B FiclveGli e
F
enze ..ec
Plumber.
'.
1?on? 1e eomoy wieh HN qhr ef E,yss Conrbctlon Chorpe: 425.00 pd
??NBOq. ACODIJf1t DEpositI 13.00
P!1'Te F!I • t :
SYrC?1GfQl:
B
y Misc. CFwrpes:
Dote of Irup.: Total:
`r Insp.:
?.
? - -- - Dotr Pbid:
CITY OF EAGAN '
3830 Pilot Kno6 Road VIIATER SERVICE PERMIT
F
P. O. Box 21198
` PERMIT NO
: ,.
Eagan, MN 55121 .
Zoninp: - DATE:
?
'
No. of Units:
Owner; Drrin , ^iiom son liomes
? Address:
Site Address; 1743 Forssa Wap L7 B3 Ri peC .{ L _
Plumber %en;? _1 ie c it
,Meter No.:
Connedion Char9e: P ?
• '
"
'sStze: Account Deposit:
Reoder No.: Permit Fee: '' J) f
1 peM te oomply whh !M Ciey ef Eeyaw $urdmme; ..7 i)
,"nenan. Mtsc. Gwrpes: '• P me
Total:
?
B
Y
` Dcte Paid:
Date of Insp.: 'nsp.; s
CITY OF EAGAN N? 9519
3830 Pilot Knob Road, P.O.,Box 21.199, Eagan, MN
PHONE: 454-8100 55721
? i!
BUILDIN6
PERMIT Rece
ipt 7 y
#_ T T
Te M wad fer SF DWG/GAR Est. Value $ 64 ,000 pate SEPTEMBER 20 19 84
SiteAddreu 1743 FORSSA WAY Erect LT .?i Occupancy R3
-
Lot 7 sl ock 5 cec/Sub. RIDGECLIFFE 1 Remodel ? Zoning Hi
Percel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W N,me ORRIN THOMPSON HOMES Move ? Length3 8_
I
= Address 1712 HOPKINS CROSSROAD Demolish ? oepth 4f;
? city MTKA Pnone 544-7333 Grade ? Sq. Ft.
o Name SAME
V? Address
F- City Phone
Name _
Address
Citv
Phone
Avororab F.es
Assessment Permit 325.00
Water 8 Sew. SurcFwrge 32 - 00
Police Plon check 162.50
Fire SAC 525.O0
Eng. Warer Conn. 470.00
Plonner WaterMeter 63.00
Council Rood Unit 260.00
I hereby ockrawledge ihat I have read this applicotion and state that Bldg. Off. 9/17I84 perks
fhe infarmafion is correcf and ogree fo comply with all opplicoble APC Total $1 ,837. 50
Stnte of Minr+esoto Statutes and City of Eoqon Ordirances.
- ^ Var. Date
Sipnature of PermiMee ?(>
A Bullding Pertnit is issued to: kRIN THOMPSON HOMES on the express cwdition ihot
all work sholl be done in accor wit I applicable"StaN,of Minnetoto Statutes and Ciry ol Eognn Ordinances.
8uildirq Officlol
CITY OF EAGAN rjo 13 71'4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-810b, Receipt #A?a7 Y
?
Tobeusedfor DECK Est.Value $2,000 Date JUNE 3 19 87
Site Address
Lot 7 E
Parcel No.
FORSSA WAY
5 Sec/Sub
RIDGECLIFFE 1ST
a NJOHN PARKER
w
3 Address SAME
° City Phone 934-0188 (W)
o Name PARKOS CONST
?` Address 1010 S ROBERT
? Ciry W ST PAliL phone 455-0031
Name 774-2595 I
W w
FW
z ? Address
aw City Phane
I hereby ecknowledge that I have read this application end state
thattheinformetioniacortectandagreetocompl i allapplicable
State ot Minnesota Statutes a ty of Eaga inancea
Signature of Permittee
A Building Permit is issued to: PARKOS CONST
all work shall be done in accordance with all applicable.$tate of I
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type of Const
Ciry Water _ (ACtuap
(Alloweble)
n of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $37.50
Water/Sewer _ Surcharge 1.UU
Police Plan Review
Fire _ SAC, City
Engc SAC, MWCC
Planner WeterConn.
Council _ Water Meter
Bldg. Off. _ Roed UNt
APC _ Treatment Pt
Variance _ Parks
Copies
TOTAL ?
on the express condition that
Statutes and City of Eagan Ordfnancea
Building Official
5M? 51?2 9 ?7,
_+..
RequecY Date Fire No ROUgh-in Inspeciwn
Re9 NOTCE: Vou Must Call Elecmcal Inspec[or
If H Pough-In Inspection
? No Is Requlred
I 195c?ensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Bax or Route Na ) Cily
17113 f?3/' A ,e?7.4 G.q,U
SecM1On No Township Nama or No Range N. County
y r
Occupant (PRINT) Phone No
l
PowBr SupPlier Pdtlress
ElBClncal Conhacror (COmpany Name) ConVacrorS Lmenae No.
51-1?1149 o1v o
Mailmq Adtlress (Conirector or O.vner Making Installation) ?
ANhonzed SignaWre (COntractoUOwner Makin stallatmn]? Phone Number
??? S9- 9 3 3 ?
??, ?,ye
INRNE Vnie BOF ELECTRICRY THIS INSPECTION REOUEST WILL NOT
Grig IOway Bltlg. Hoam S173 BE ACCEPTED BV THE STATE BOARD
1821 UnlversiTy Ave., SL Paul, MN 55104 UNLE55 PFOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
S/ ? p n? See mstrudions lor compleLng this form on back oi yellow capy
5?y2 J ?"Below Work Covered by Thrs Request
"gee-ooooi-oa
ew Atld Rep. Type of Building AppliancesWired EqmpmentWired
Home Range Temporary Servica
Duplex Water Heater Electr¢ Heanng
Apt. Buildmg Dryer Load Management
Comm./Industrial Furnace Other (Speciry)
Farm Air Conditioner
Olher (specdy) Conttactor5 flamarks
Campute lnspecUOn Fee Below: ?Q.V C?
# Other Fee # ServiCeEnhanteSze Fee # Circuits/Feeders Fee
Swimming Paol 0 to 200 Amps o to ?oo Amps
Transformers Above 200 _ Amps ? Above100 _ Amps
SignS Inspector5 Uae Only. ii" / TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication TXIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MGIPHS.
I, the Electrical Inspector, hereby Faugh-in
certify that the above inspection has
been made. Fin81 ; oa?e r,
?
OFFlCE USE ONLY ? -wr
This request void 18 months iram
TAis ruvuest wid ?4 (,f ??
2 r ?
76 monlh5 (rom (( I ?0 / (;j J
A 083 02 6?H 6,
lb/31,q `f
y a .6c)
Hequasi ate
?V Fire No. Rough-in Insuec on
Beq rteA? ?5
?Ready Now?JWilI Nobty, InsPec-
Wh
? es ?No lor
en Ready
[&Licensed Electrical ConVxctar I hereby Faquest insOecUOn of above
?Owner electricei work inatelletl s1:
Streei Adtlress, Box or flome No. Cny
??`13 ?i?1?55R- W Nit?A^r
ecUan o. Townsh, p Name or N. Range No. Cou
n
ty
e
?
ON"-,-A
Occupam IPRINTI POOne No.
I th'1MP5? V
Power
Su
pplier Atldress
?
?
Electr i?al Conirector (Campany Name) Cnn rar.to?'s License No.
E? El.f?S?-cc ?`3`15ZS-Z
Mailing Address (ConVac[or or Owner Making Insteliatmn)
?? (I L• Wf(- RJAp
AuNor?zed SiB? e 1 onlractor Owner MakinO Installationl Phone Number
8=rassbs
MINNESOTA STqTE BOARO OF ELECTRICITV THIS INSPECTION NEQUEST WIIL NOT
Gri?s-MidweY gldB• - Hoom N•191 BE ACCEPTED 9Y THE STATE BOANO
1827 UniversitY Ave., St. Paul, MN 56104 UNLESS PPOPEP INSPECTION FEE IS
ENC LOSED.
PhpM 1812) Z972111
..cuUEST FOR ELECTRICAL INSPECTION es-o'a/ooi-o?a(
0 See instruetions tor complu;tmt thi% form on baek oi yellow copy. 'O/?y/ 4`(
"X" Belaw Work Covered by Thrs Request
A nwun
P"Rddi Rep.j'erype iil Builtline I AOPlienCB9 Wired 1 Equipment Wired I
p Fae ServiceEntraneeSize # Fea Featlers/SUbfeeders -N Fex C'rcuita
? 0 to200Ams 0 to30Ams 1 30. 0 to30Ams
Abpve 200 qm ps 31 to 100 Amps 37 to 100 A s
Swimmin Pool Above 100-Am s Above 100_E1m '
Transiortners Irri ation Booms , _fd Partial-'Other Fee
Sigvs $pecialinspection
$4p50 TOTA
F E
R¢merks
Bouph-in
i Date a. tha E bical
??f ?•-
••n':A.y
r
?. •? [
?IL(i?
1 toq herebV
rUly tMt ihe above
F'mi
?•,? •? .i- 3t
. y A i? y. ??apection has been
? - ,?, i made.
TNa'spueal YoM /8 monMa irom
p . .
? ALL CONTRACTORS MOST BE LICENSED WITH THE CITY OF EAGAN
. ?Cy INCLUDE Q SETS OF PLANS, ,
/ Q CERTIFICATES OF SURVEY
?p 1 ? 11 SET OF ENERGY CALCULATIONS
Plan Number:
To Be Used For: FValuation4 r?? Date:
Site Address: ?1`'?3 Fe?ss> ?o-y Cv?}',ODO -' • •
Lot: -1 Block: S Sect/Sub:Ridgecliffe
Parcel #:
owner: ORRIN THOMPSON HOMES
Addi'0S5 : e Division ot U. S. Home Corporatiorr
1712 HOPKINS CROSSROAD,
City/Zip Code: FAINNETONKA,MINN.55343?
Phone #: S?1y-l'SS3
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng:
Address:
City/Zip Code:
Phone#:
Erect: Occupancy:
Remodel:
Repair:
Enlarge:
Move:
Demolish:
Grade:
Zoning:
Type Of Const:
# Stories:
Length:
Depth:
Sq. Ft_:
R -3
[Z - I
71
Assessments:
Water/Sewer:
Police:
Fire:
Engr..
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit: 2 O7
Surcharge: 32.°=
Plan Rev.: ?(02
SAC: - 525.9'
Water Conn: ¢-70.a
water Meter 103.=
Road Unit: -
?ri,,P,arks:
? /,837•so
??/(?
PLUMBING (RE9IDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please wmpiete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
d3?5?
Date /0 / A/ / _ d3
Site Address /7h3 4a'6-c? ,?`YGZI??1 U¢it #
?
Property Owner ,F I;) 9LlR-[? Teiephone # ( )
Contras!or 7'1'IYH A
Address /$2230 C:eUiHNlYitJ? -1? /-, CiTy
State 7& Zip SS7i( R_ Telephone# (651) 3 -.3' Z-7D
t i
Th
A
li
O
? C
h
e
pp
can
s _
wner
ontractor _ Ot
er
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes CounTy fee. Additional consultant fees may apply.
Alterations To Esisting Dwelting Unit, Including $ 50
00
? Adding fiMures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
` / . ,?
? Other. .f L?, / n a l, 4A ?? ?. z I ?t?, 9? LLt9 `?.?.?J
.?
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigatiun system
_ Water softener _ water heater 0 CT ?2 2003 $ 15.00
_ replacement _ addidonal
BY
$ .50
State Surcharge
Total $ Sd 5ZJ
I hereby apply for a Residential Plumbing Pemut and aclmowledge that the information is complete and accwate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pernut, but only an applicarion foc a permit, and work is not to start without a permit; that the wozk will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans. , I
LClaVri2 /q . ktt.k-O WiC'X_. ?
Applic t's Printed Name Applic t's Sigiature
58A33
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Singlc Family Dwellings
Townhomes and Condos when pcrmits are requued for cach unit
cz??
°?
I
nate
/
Site Address 3 WaM Unit #
P
t
O B a ""' \ hone # (65() qf`^ - 3I 2-f
Tele
roper
y
wner p
Contractor
12481 Rhode Island Ave. So.
Street Address ?? Mp53???
City
State Zi hone it ( l Sa ) S174- 000-5-
Tele
p p
Thc Appticant is _ Owner jZ Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
? air conditioner
other
State Surcharge ?
$ .50
$ w ' ?-0
Total
I hereby apply for a Residenfial Mechanical 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 with the Mechanical Codes; that I understand this is not a
pernvt, but only an applicauon for a permit, and work is not to start without a pernvt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ^ ?^
i? , ?A?SGY? ? ? v r v ;?i
Applicant's Printed Name A p icanYs Signat e
• PERMIT
--ICCITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 PermitNumber: 023257 ?
(612) 681-4675 Date Issued: @ 4/ 13 / 9 4
SITE ADDRESS:
1743 FOR5SA WAY
LOT: 7 BLOCK: 5
RIDGECLIFFE
P.I.N.: 10-63980-070-05
DESCRIPTION:
B,u3lding",Permit Type SF ADDITION
Building Wark Type NEW
? w
/ `.
?
i ?
,?i•
C??qp i iL
REMARKS:
SEPARATE PERMITS ARE REQUIREQ FpR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
8ase Fee
Plan Review
Surcharge
Total Fee
vaLuwrzoN
$189.0@
$122.85
$9.00
$320.85
$1 V 9{/ 0 V
CONTRACTOR: - Applicant - sT. Lrc. OWNER:
MAROUSHEK ENTERpRISES DAN 14583825 0005547 BACH RICK
7746 HILLSIDE TR 5 1743 FORSSA WAY
COTTA6E GROVE MN 55016 EAGAN MN 55122
(612) 458-3825 (612)452-3994
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply wiCh all applicable 5tate of Mn.
Statutes and City of Eagan Ord'znances.
?
? L -'-?
APPLICANT/PERMI7EE SIGNATURE
I
-4SSUE BY SIGIlATU
J
,. , . ? ' . CITY OF EAGAN - - - --?
1994 BUILDING PERMIT APPLICATION ' - (
681-4675 2 5
A
F' ? ?? ? 6 I
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural & structural plans, 1 set of
specificatians, 1 copy af energy calcs.
Penalty applies: 1) when permit is typed, but nat 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 / A Valuation of work ?d
Site Address: 17 q3 p0 rSG Q W0. c( _.-----
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. P.I.D. #
Descri tion of work: iovr
The applicant is: ? Owner Contractor ? Other (Describe)
Name 0.L L Phone SL. ??9
77
P
roperty usr FIRST
owner I _?'4 3 F
s S4
aaa,-ess _
?2
STREET STE M
City eci4L4Vv State m Vv Zip ( Z.
V
Company Dttv%i L RnNpone #K8- 392S
Contractor Address 7-7440 q,,`{ 54! TfZ•= License #1;5*4:? Exp.3'
City CRaLm! C-o it tliJt State YY1eV Zip '?01 to
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 comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
ct-;?4"L?jz_
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
11 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc.
,0 03 SF pdditian D 08 8-Plex p 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 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
REQUIRED INSPECTIONS
? -Site
? Wallboard
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
?f Footing
Final
j$ Framing
? Draintile
.0" Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veiueciar g 18 Ck*Jo
k
fw? leva/g
.. . :
n;.
L7 16uasement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Baoster Pump
Fire Sprinkler
Census Code ?
SAC Code /
Census Bldg
Census Unit o
Assessments
SAC %
SAC Units
,,,,.wrION
? qu
Ne7•ll' w A? N 35?.0°
52. 41 ?
c
t964 h
o --
?
,
w ? .
A. O
m N
?
O p
-- -? r
1
?
?1) -
? _ l_
?
or -1
2 a??YwM fl
(.g46.8)
PRpPpsED
NavsC'
E.R. WINDEN i- ASSOCIATES. IiJC.-
?wNO suRveroRS r•t 645-36+6
I361 EUSTIS iT.. fi. tAUI, MINN. 6510•
1
v
?
a
3
A
?
P
1 Z .
? s +
0 d' ?
O ?
. N
Scale: 1" - 30'
O Denotes Izon
a Denofes Wooc{ Stake
1 rn
PI2. ? ??? ?a f
4
r46
/
of curb
8? Qp r?- ?PqGG.O
-d ?,?• z2R y,? F1y
ToE(.943
Lot 7, Block 5, Ridgecliffe First
Note: Addition, Dakota County, Minnesota.
, Proposed garage floor E1. 94 7.I3
(900.0) Denotes proposed finished ground E1.
c Denotes direction of surface drainaqe
Verticel Datum - N.G.V.D. 1929
WE MERfSY CERTIf1r TMAT iM15 IS A TRUE AND CONRECT REPRESENTATIOM Of A SURVET Of TNE
BpUNDARIES Of iMf lANO ASOVE DESCRIIIED AND Of TNE LOCATION Of All WIIGINGS, IF ANY,
TNEREON, AND ALl VISISLE ENCROACMMENTS, IF AN1; FROM OR ON SAIO IAND
Deted fAia /O?Ier oi5e.n?t:/+7bcvA.D. 1984 C. R. N;INDEN t ASSOCIATfS, WC.
Sunpor. MieetNfe Rpiumti" No.772G
NA6H ""
.,
, _.. ?
EXTERIOR ENVELOPE AV(E?RAGEf ?"U" COMPUTdTION
OWNER 4- IIGK I?Q1i-+ lUYl IJ CL (. ?l
SITE ADDRESS 1-7y 1F"'^ °IZF Ll.)u. ? F- a B fv-
CONTRACTOfa V,IQ?6- IS'k eI?- p'A F(1' ?4 PHONE 4S?'3P?s
EnfeR-
Defermine working square taatage of each
?
1. Total exposed wali area .... a` ? sq. 11. x.11 = Z?e 3
2. Total raol/eeiling are .... sq. It. x.028 =
Total exposed wall area above 11oor =
a. Tolal wall window area ........................................................ ..
$ /n
b. Total doorarea ................................................................ ..
-
e. Tofalslldlng glass door area ................................................... ..
.""
d. To1al11replaee wallarea ....................................................... ..
0
/a) ..........................................
e. Total wall ireming area (average 10 ..
1?On
f. Total net wall area a6ove Iloor .................................................. ..
?
Z
(
g. Total rim jofst area ............................................................ ..
Total exposed faundatlon area = 1 1?Z
h. Totaltoundatlon window area ................................................. .. ?
i, Total nel loundatlon area above grede ........................... ....... ........ ..
Uetermine "U" value ot each wall segment.
a. z'i `I x°u^
x -U-
` "
n ?
C.
^
V
d. X "U' _
tl VU.. Do
e.
l Quo
f x°u° d r1 `I = 72 .00
.
IC2 x"u, DZ = ?,•Oy
y,
,
h. X "U" _
1. x"U- ,, n Cr = I U,.'3 I
......................:.... Total = 2 0l. ?a
3 . ............................
Ii Ilem #3 is lhe same as, or less than item #1, yau have met the intent of SBC 6006(c02
Total exposed roof/ceiling area IC?"?.V
?. Total skylight area ...............................................................
?s
k. Total rool/ceilfng Ireming area (averege 110a/o) .................................... i 3??
1. Total netlnsulated rooVeeiling area ..............................................
Determine "U" value of each root/ceiling segment.
J .`. x .,U.. - , -.
k. X.U. . o f = ?a. L ro
X.U.
• n"L = 2?.Y?,?
a . ....................................................... 7owi = '>, '3 . 16
II total ol 44 le Ihe same as, or Iess ihan M2, you have met Ihe inlenl of SBC 6006(c)1-
Alternate Building Envelape Oesign
1.
3.
+ z.
* 4. _
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Fagak;-k1innesota 55122-1897
(912) 681-4675
PERMITTYPE: BuzLoznG
Permit Number: 0 3 3 2 6 9
Date Issued: 0 9(16 / 9 8
SITE ADDRESS:
P.I.N.: 10-639$0-070-05
1743 FORSSA WAY
LOT: 7 BLOCK: 5
RIDGECLIFFE 157
DESCRIPTION:
T.O. & REROOF
B.W3ldinq_rPermit Type
r
6uilding Wiz,rk Type
'?Census Code
,
??.
,
.. e,
i
?
{i
STORM DAMAGE
REPAIR
434 flLT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIc. QWNER:
RIGHT WAY ROOFIN6 18530049 00039999 BACH RICK
1200 E. 79TM ST 1743 FORSSA WAY
BLOOMINGTON MN 55925 EAGAN MN 55122
(612) 853-0049 (651)452-3994
?
S hereby acknowledge that 2 have read this
informetion is correct end agree to comply
6tatutes and City gfi Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
applicetion end state that the
with all applicable State of Mn.
"=
SUEDBY: S?
I
1998 BUILDYNG PERMIT APPLICATION (RFSIDENTIAL)
CITY OF EAGAN
• ? ? ?"? ? 3830 PII.OT KNO;RD - 55122
? C?
l
New Conshuction Reauirements
? 3 registerad site surveys
? 2 copies oi plans (inGude beam 8 window s¢es; poured fid. design; etc.)
? 1 energy ealwlatlans
? 3 copies af tree Dreservation plan if lot platted after 711/93
required: _Yes _ No
DATE: "t-ICS-Q.,R
RemodeVReoair ReauiremeMs
? 2 oopies of plan
? 2 site surveys (extenor adtlitions 8 decks)
? 7 energy ealculations for heated adddions
CONSTRUCTION COST; E?-OD
DESCRIPTION OF WORK: I"U K IL 3TQI Y 1 J'
S R?ETADDRESS: I-M Vofsso, IJIJCW
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: I-Id1 VICK Phone#: L IJD 'JGIal']
PROPERTY 1.ast First
OWNER
Street Address:
City EOQGkX) State: lmZip:
Company:
CONTRACTOR
Street Adc
City _
R?GHT-WAY RiiOFINr,
1200 `.79th Street
(6 ';y- )853-0649state:
Phone #:
License # ?boMQq
Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Street
City
Sewer & water licensed plumber (new consWCtion onty):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that i have read this appliqGon and state that the infortnation is correct and agree to comply with all applicab!
State of Minnesota Statutes and Ciry of Eagan Ordinances. n
Signature ofApplicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Registration
State: Zip:
= 14-k
Tree Preservation Plan Received - Yes - No - Not Required
1743
C. R. WINDEN 3 ASSOCIATES, INC.
FOR: lA?rD SURVEYORS ToL 415•3646
U. S. HOME CORPORATION 1381 EUSTIS ST., Si.'?AUI, MINN. 55109
b?
N ,??5•0? q N
ai•Ir'w ,
a N 3? o r a .
s2. 41
1 ?
o Q
O o ? ?g Q
1 P
? Scale: 1" = 30'
, -? O Denotes Iron
1 o Denotes Wood S take
Z C
?--?-? i f 1 ? • -
. erha? ? -+
2 a`' . O 0 CA
z _ --ii •.
_
A ? Cg46.8)
. O . f 5 34
LA N ? PRoP° E D $
4 vAng -?
1\
?1 o m (4¢62g.B-_"? ? l
l
w I ? 0
T9 ?\ f curb
p 8? ?? ,. ?P9GG.0
CJ?
TOEi 943 6%
Lot 7, Block 5, Ridgecliffe First
Note: Addition, Dakota County, Minnesota.
Proposed gazage floor El. 9 4 7, / 3
(900.0 ) Denotes pzoposed finished qround E1.
c Denotes direction of surface drainage
Vertical Datum - N.G.V.D. 1929
WE MEREl1' CERTtfY TNAT TMIS IS A TRUE AND CORRECt REPRESENTATION OP A SURVEY OF TME
SOUNDARIES OF TME LAND A60vE OESCRI6ED AND Of THE IOCATION Of All SUlIDINGS, If ANY,
TMEREON, AND All VI5161E ENCROACMMENTS, If ANV, FROM OR ON SAID IAND
Oatad Mi. ?07'? dur o{Se•°rOmficvA.D. I984 C. R. WiNUEN 6 ASSOCIATES, INC.
?r
SYlv?yyf, M?l1f1?f0?0 Rpwtrotion N9772
?
Nlall
,? e • • ?
? l
1987 BIIILDING PERIIIT 9PPLICATION - OF SAG9N ?
?
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PL9NS, 3 CERTIFICATES OF SQBVEY, 7 S6T OF ENERGY CALCOLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGHSTB WHICH ADDRESS
IS DFSIRED.NO CHANGES WILL BE ALLOWED ONCB BOILDING PERMIT IS ISSOED. „
MOLTIPLE DWELLINGS - RBSIDENTZAL RENTAL UAITS FOR SALE UHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVSY - CHECB FIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C0MMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATZONS,
$2,000 LANDSCAPE BOND
To Be Used For: _J04? Valuation: 2-?•
Site Address 1 74,3 ro/eSS/i (.J?
Lot ? Bloek ?S On Si
a J? MWCC System
Parcel/Sub On Site Well
City llater
Owner Jaµw PARltE2,
Address 1-743 FoR55A WAy
City/Zip Code EA6R1.1 561a3
Phone 45;k-39941 193410i88 pc•+' 10
/FAI4'.
Contractor 6ARw-Of, e?jij,.;; f_ fr?;•?'-?nAi,
Address 8n t3 S V'nPic'R1F
City/Zip Code !Nl?'s SSilB
Phone 41vr)?qca a ? /TIU -259 s?
Arch./Engr.
Address
City/Zip Code
Phone 4!
9PPROVALS
?te : ? `a' ? ?
QSE
e_ Occupancy
_ Zoning
_ Type of Const
(Aetual)
(Allowable)
11 of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Assessments So
Permit
Water/Sewer Surcharge I•
Police Plan Review
Eire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTiI. 3y-
, , , ,.
- i -
.
2/84
% CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PAOPII7PY ADDRESS: / 7`/3 Fr?ss;4 ln/Gi U
r•Frar• DESCRIPTION: i
(Lpt/Block/SLbdi.vision Or Tax Parcel I.D. Nimber)
IF EXIJT_•'•.i ST'??, '%? Q=' Oor==_ -r•-T_v?i? LEFi'1'r 1::....:•:.r.:
PRESENP -.i,i7IPN;/PROPOSED LTSE: R-1 SINGLE FPMILY
? R-2 DUPLEX (TM iJp7ITS)
D R-3 TOFIINMpUSE (TF.REE + UD]ITS) ( UNZTS)
? R-4 APARIMEN'P/CODIDCMINIiM ( UNITS)
p CONIIKEftCIAL/REPAII/OFFICE
p IIMUSTRTAT,
Q INSTITUTIONAL/GOVERZIIVJENP
2) APPZSCANT (PLEASE PRINT)
NAME ?
ADDRFSS:
CITY, STATE, ZIP: %Yl,n;e!Fi-7?n1K?! MN 5?J'?1.j
PHONE:
P?MER N71ME PLEASE PRINT) FOR CITY USE OHLY
. " - -_
M@
PLUHBE
RS LICENSE:
ADDRESS: 3sp0 KENNEBEC ORIVE, EAGAN, MINN. 55142
Active
' CITY, STATE, ZIP: 452•1565 ? Expired
PHO Nat o Record
NE: PIUMBER LICENSE N 001445MZ
a ni ia
4) OCCUPANT/9VJNE2 (PLEASE PRINi)
NAME= ?h'k ie? %F-rom ?soJ
r1DDRE55: -Sm ?7 sil "- ..i?
CITY, STATE, ZIP:
PI-K)NE _
5)
6) IDIDIGITE ONE:
IIdDICATE WIIICH PERMIT IS BEIDIG REQUESTED:
? CONNECPION TO CITY SES^]ER
Q CONNECTION TO CITY WATER
? dPHIIZ (PLEASE DESCRIBE)
? PLEASE HOLD APPRUVED PERMIT FOR PICK-UP BY 0ZZIE OF ABOVE
13 PLEASE MAIL APPROVID PERMIT TO 1, 2,C3-,) 4 AEOVE
(Circle one)
i
i `
7) sz&NATURE: ?, DAxE: 1171u74fV
•a.e w_a?sd. j. a.e Er?. rt y+t i'?i *i?i.?i:a++ii iiii i:r i?:?? ir! ? t!!k n?k..r?;,!!?!r'`-!!?!'??!! f!! r!f iifrssssa v
FOR C I T Y U SE ONLY _ .-• ,
PERMIT ° ISSUED
FEES: $ f p, ?o
$
S
S
$
$
$ -4z 70_ P--?'
$
$
$
$
S
$ -
SEWER PERMIT (INCLliDE SUP.CHARGE)
WATER PERP1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT'DEPOSIT - SEWER
ACCOUNT DEPOSST - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
$ TOTAL . ?,.. , -.
.?: :... . . . . ., 4.
AMOUNT PAID/RECEIPTs•# 1? Cv ln J 0
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG'riT OF WAY?
C? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEEBING DIVZSZOAT_ LIST F,S A CUA'DI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:?L'
DATE : ?7_
0*05=m wi" stwie w!ml" r*wleqp;" WEfll
?.. . .. ??.. . . ?., .. .. ..
L-7 t 35 I j? L I
'P0: IAISIA OLSQV, LTPII.I'I"1 IIIIS.7'QG QERK
BUIIDING INSPDLTICN DEPAftL"MW
BIIS, BRANQi, SUPERL?V'p QF pCZI.IC F7pRKS
F%Yd: 7-ICHW A. COIBERT, DIRECfOR OF P[.BLIC Wt]RKS
_ DP.TE: SEPYIIMIDII210, 1981 .
RE: RIDG'ECS.IFF£ LST ADDITICN ,
Because the follaainy list of lots in Ridgecliffe lst Addition does
not have gravity sewer outlet at this time, the following prooe-
dures will be in.itiated imtil further notioe:
VTII.PPl' BILLING
No water turn-ons will be allaaed prior to 8-1-82 or mtil sewxr
is available in these azeas. '
BUILDN G LiSPECPIIN
Building pezmits can be issued for these lots, but the builder
should be infozmed at time of pernit issuanoe (perhaps stanping
the building perniit with "NO OCCf.'PR*ICY PRIOR TO 8-1-82 OF. U:VTIL
SE,?+7iER IS AVAI7ASLE") the restricticns on sewer availability.
MALNTEIA'VCE PEPP1Zi=
See both utility billing and building inspecticn above.
The lots with these restrictions are as follows:
LC1I'S 1-9, BIACFC 7
- - IL7I5 1-6. BIC)C.'rC 8
I,OTS 1-7 BIA''( 9 -
LC7I5 18-23 BI.OCK 9 '
LO'I5 10-16 BLOCK 10
LC7PS 1-10 BLOCK 5
I.CJPS 1-4 BI,OCFC 6 .
IUPS 1-6 BICCt( 12
ZAI5 1-17 BI,OCFC 13
an8 are also indicated on the attached maps. :
Jac
, -
TO: LORVA orsorr, vrzLZT^r BzLLzNc cLrru; 7- S!>, c, I
^^?? DALE PEPERSON, QIIII' BUILDIM, OFF'IC7AL
BIIS, IIRANQI, SUPERINTINpF1VT OF PITBLIC L90RKS
FROM: THa7AS A. COLBERT, DIRECi'OR OF PUBLIC WORKS TRi
DATE: NOVISIBER 17, 1981
RE: RIDCMCI,IFFE IST ADDITION - SE:+IER AND WATER CONNECTIONS
On SeptemLer 10, 1981, a memo was distxibuted listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
permits imtil sanitary 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
Thonpson Hoires has agreed to install a tenporary lift station from Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridcecliffe lst
Addition. Attached to this ioe?b 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 tenmorary lift sta-
tion/force main sanitary sewer until such tim gravity sanitaxy sewer
can be ezctended across the future I-35E durina the spring of 1982. There-
fore, with this tenporazy system being installed and maintainecl by Orrin
Therpson Hores, the tecrq_?orasy hold on sewer and water permits and occu-
pancy for the following lots has ncw been lifted:
Lots 1-9, Block 7
Lots 1-6, Block 8
I.ots 1-7, B1ocJc 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 teniporary sanitarv force main will still not nrovide service to
the follaving lots:
Lot 1, Block 8
Iotsl&2,Block9
Lots 18-23, Block 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous nero will still
apply to these lots.
These lots are referenced on the attached map for your information. If
any problems arise pertaining to sanitaxy sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thorpson 13emes for the
proper resolution. If you have any cruestions to this release of the re-
striction on the building and sewer/water permits, please mntact M.
Please insure that all personnel in your department are acaare of these
restrictions.
TAC/jach
cc - Bob Carlson, Orrin Thapson Homes
T0: 7ARNA OLSON, U1'IISTY BILISN(I CLERK
DALE PEPERSON, CHIEF BUIIDING OFFICIAL
BILS, BRANCH, SUPERINTENpEN'I' OI' PUBLIC VrJRKS
FROi`'I: THQyAS A. COLBERT, DIRECIbR OF PUBLIC WOFtKS /n?
V '
DATE: NOVENIBER 18, 1981
RE: RIDGECT,IFFE 1ST ADDITION - SET9ER AND WATER CCNNECTION RESTRSCTIONS
On Nove7ber 17, 1981, am-np was fonaarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance o£
any sewer, water or occuoancy pennits due to the imavai.lahility' of sanitary
sewer. There appeared to have been a duplication of lots that were refer-
enced for future restrictions as corrpared to those whose restrictions had
been listed. Please be aware that the follaaing lots only will have re-
strictions plaaed on the issuance o£ sewer, water or occupancy pesmits:
Iot 1, Block 8
Lots 1& 2, Block 9
Ints 18-23, Block 9
I.nts 11-17, Block 10
P]ease insure that these referenced lots are not granted any permits that
wou].d allow their occupancy or use o£ the sanitary sewer system.
Please insure that all personnel are msde aware of this correction as stated
in this npxro.
TAC/jach
cc - Bob Carlson, Orrin Thmpson Horres
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1 866 327 9362
Sep 23 09 10:258 TG 1-866-327-9362 P.1
Use BLUE or BLA K Ink
I
I
401~ Far Office Use
Perm
City of j s#: I.
I I
Eajan
1
I
I Permit Fee: 00
3830 Pilot Knob Road I i I
Eagan MN 55422 i Date Received: }
Phone: (654) 675-6675
Fax: (651) 675-5694 ` Staff:
2009 RESIDENTIAL BUILDING ING PERMIT APPLICATION
7 U► SJC~ 1!V l~~J
Date: Site Address: G q4
Tenant: Suite
RESIDENT ! OWNER Name: Q4 *AKA 4ry%ri Llp k Phone: V51 _ 16
Address ! City / Zip: mo -4 F~ Uual'i l-i r Q,f/~ 15al ;L_
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ~t • ( i [ at C
Construction Cost + ':~1 Qcb Multi-Family Building: (Yes t No
CONTRACTOR Name: tl~ a a ~Yr License Z?A8 Q9
Address: n W i ~ ?
City k1/o o State: r,, )t4 Zip: r r
Phone: Contact Person: ~1 LI t j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit fora 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:
i
NOTE: Plans and supporting documents that you submit are considered to be public informatkwL s of
the information may be classified as non ,public if you provide specific reasons that would permit the Cily to
conclude that the are trade secrets. I
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.popherstateonecall.org
I hereby acknowledge that this intbrmation is complete and accurate; that the work will be in conformance with the ordinances and codes of tt~e City of
Eagan; that I understand this is not a permit, but only an app8cation for a permit, and work is not to start without a permit; that the wo* itl be in
accordance with the approved plan in the case of work which requires a review and app ai of plans.
~Y?yvl`ab - jZe'_C'W' Ap an s Printed Name Applicanf's Signature
Pa 1 of 3
1 o
~ ~ ss3s~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126642
Date Issued:09/04/2014
Permit Category:ePermit
Site Address: 1743 Forssa Way
Lot:7 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Richard K Bach
1743 Forssa Way
Eagan MN 55122
(651) 247-8884
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130287
Date Issued:04/15/2015
Permit Category:ePermit
Site Address: 1743 Forssa Way
Lot:7 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Jennie Wood
5720 International Pkwy
New Hope, MN 55428
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Richard K Bach
1743 Forssa Way
Eagan MN 55122
(651) 452-3994
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150648
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 1743 Forssa Way
Lot:7 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-070
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Richard K Bach
1743 Forssa Way
Eagan MN 55122
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature