1746 Forssa Way. cirY oF E?GAN
.? + 3795 Pllst Kno` Road Eogan. MN aS1n
PHONEs 454.8100
BUILDING PERMIT Receip
To be wed for Est. Value . ' DntP
51te Addrcss ? f,10del ! Erect ? Occuponty
Lot Block Sec/Sub. Alter ? Zoning
parcel # Repofr ? Firc Zone
Enlorye O TYpe of Const.
W Name Move ? ?jt Stories
; ^ddress Demolish ? Length
Grode fi Depth Sa. Ft.
? $ Nome _
?
vU Address
? ?:...
Nome _
Addross
1 hereby acknowledga thot I hove read this opplication and stote that
the inlormotion is torrect ond ogree to comply with oll opplicoble
State of Minrusoto Stotutea ond City of Eoyon Ordinonces.
Assessment
Woter a Sew.
Polite
Fire
Eny.
Planner
Countil
Bidfl. Off.
APC
Permit
Plan check
SAC
Water Conn,
Woter Meter
Rood Unit
Totcl
Sipnoture of Pertnittee I
A Building Permit is issued fo: on the express tondition tlxar
cll work shall be done in acoordance with all appliwble State of Minnesota Stotutes and City of Eopon Ordinonces.
8uildinq Official
Psrmit No. Parmit Holdsr Misc. Permit No. Holdar
Plumbing
H.V.A.C. (o-
w.u
W?ter
Disp.
Sswar
ENctric
Impeetion Date Insp. Other
Footinps
Foundetian
Frominp i?3 ?• ?
Rauph Plbp.
Rou¢+ HVAC
Inwlation
Final Plby.
Final HVAC
Finsl -?.
Wa"r Daacribs Location:
VUell
Sftwr '
Pr. Dfsp. .
I
?
Recaipt PLUMBING PERMIT Permit No,
CITY OF EAGAN
Fee •' ?
Fil1 in numbered spaces S/C
Type or Piini legib/y ,
? Tot.
Date 2. Installation Cost
Job Address r?? ??a^ Lot' Blk. Tract
3.
4. Owner
5. Contractor ? %t- 1 'Phone
6. Address _ ,_ (c r ? !? 1? ? ? , ? r ? ??' -
7. CitY State Zip ??--
8. Building Type: Residential C) , Commercial ? Institutional O
9. Work Oescription: New CY Add ? Alter O Repair ?
10. Describe
- I
11.
No,
s-
- Fixtures
Water Closet No.
- Fixtures
C
f
l/D
i
:--
Bath tuhs esspoo
ra
n
ield
i
T
k
S
; Lavatory ept
c
an
S
f
Shower tner
o
W
ll
Kitchen Sink e
Urinal/Bidet h
O
?
Laundry Tray t
er
5
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby oertify 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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoeipt MECHANICAL PERMIT
CiTY OF EAGAN
Fill in numbered speces
TYpe or Print /eqibly
Permit No.
Fee
S/C
Tot. - °
1. Date ?- ??- ' 2, Instaliation Cost
? / i
3. Job Address '``6 -`??'?' ? Lot ? L' Blk. f -Tract i
4. Owner
5. Contractor - `? ' .,::i•?. : " ' _ Phone ? C7
6. Address
4637 Chicagn I-:ve. L.o.
7. City ?'?' ?• State '?• Zip --` '
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New Z Add O Alter ? Repair ?
10. Describe --•; `„'-L?_ ;'«i ceci ii' - .. Fuel Type
1 11.
No.
? Eauinment 8TU - M. Ea.
Forced Air 1 r` ?`Y No. Enuipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby
comply,
5igned :
Inspections: Date
This is your permit when
Approved
above information is true and correct, and I agree to
:es and codes yoverning this type of work.
- for
Final
Date Insp.
approved.
_ CITY OF EAGAN 454-8100
CITY OF EAGAN Remerks
Addltfo?n, Ri dge cl i ff Fi r,?,t Ar?rln , Lot l?l eak 13 Parcel 910 539ti(L14Q lz
OwnerT`?4, 111Lti'l' ?u) 5treet 1746 Forssa Way - State Eagan, MV 55122
u (o
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK ? 2?23-91-
SEWER LATERAL
WATERMAIN
WATER LATERAL
WA7ER AREA 1992 298.08 S 9 $
STORM 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
CUR@ & GUTTER
? SIDEWALK
STREET LIGHT
Road Unit 185.00 26694 9-11-81
WATERCONN. 335.00 r? ??
BUILDING PER. 6866
SAC
PAR K
INSPEC
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 551 22-1 897
(612) 681-4675
SITE ADDRESS:
. ?AY
I ?. 1liI i I I i !'1
i PERMIT SUBTYPE:
II 'Efm tN
4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
'n'° 11-"°- 1 ' APPLICANT:
14 FJ I.nr?r
TYPE OF WORK:
l:l ,1 a: E; 1 ?..,,
f 1MA1
N r• w
(,aS F[Hf i'!A(?F
I M AItK`.:;: ',F•:PARATF PifyMl l I+fUilI ixt l1 j•wt f 1fCCitlfAl II0141
PermR No. Permk Holde? Dste Tekphone N
ELECTRIC
PLUMBING
HVAC
Inspsction Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINu
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
CiYP BOARD
FIREPLACE 7,,/, 197 ?
FIREPLACE
AIR TEST ?t !I
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
oN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' 'o ' '? ? ?
ti? 1 ;
oaSsn wAY
f lt!it t t i{ f E i 5]
PERMIT SUBTYPE:
f 1z0 1 ! 1lt,,
PERMIT TYPE: r s uI I Dt NG
Permit Number: " ' `t 1 34
Date Issued: °7 ` /0`' /96
a..v 4 'r.r ¦ ?•
14 Fi i i, VIK. , I APPLICANT:
4f,;f Niii;
( 8, t ?' f 4 4 N-:3I+2 0
TYPE OF WORK:
lt+ .,1 1 I 110H
F' 3 N A I
I 14AitKS: IA !? ! F'AtiAi1 Pf=kM1 f T`; I?i'POIWt!) FfJR ANY t I Ff; IRJfA! WtlF7K
IInvI t,
N F- W
t ABnvE nRniiWn )
?- ?
Permit No. Permit Holder Data Telephone #
ELECTRIC
PLUMBING
HVAC
InspecUon Dah Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING ?CIA?
GAS SVC
TEST
INSUL ?? t? •',?
GYP BOARD I y N? 6??
FIREPLACE 4 {? . :.,. ?
~
FIREPUICE
A!R TEST O
FiNAL PLBG
FINAL HTG Pp0 v
ORSAT
TEST
BLDG FINAL
BSMT R.I. i
BSMT FINAL
? '
DECK FTG -
7/s/??
? I -- - -
DECK FlNaL
P %3?fQ?
?
!
-
;
No..
M oomply wilb lhe Clw of Eagea
WATER SERVICE PERMIT
Connectian Chorge;
Account Deposlt: _
Permit Fee:
Surthorge:
Misc. Chorpes: _
Totol:
Date Poid:
CITY OF EAGAN SEWER SERVICE PERMIT
"? Nlar Kneb Roed PERMIT NO.:
Eayen, MN 35122 DATE:
Zoninp; No. of Units: 1
Owner: "f?ll 'a c;
Address:
Site Address: '
'-' ?'•?."•7
?.,?'t ?1 , .;7.C.' .,l:i: ... .. .
Plumber.
? aYns to eosplp wilh !M Ciyr oi Eayon Connection CFwrpe:
Ordlnonpa, AccouM De
poslt:
Permtt Fee:
Surchorpe;
BY Misc. Charpes:
Date of Insp.: ToMI:
Insp.: Data Paid:
CITY OF EAGAN N? 6 8 6 6
9793 Ptlot Kneb Reod Eegee, MN 55122 -
PNON[: 434-8I00
BUILDING PERMIT - " Recelpf #
re ee uba far SF DWG/GAR Fsr. vaiue $88, 000 Date Sevtember 10 1961
Site Address +r?v 'vaooa ..aJ ?rvwuci 'w' ,
i.or 14 ei«k 13 sec/sub. Ridgecliffe lst
Pa,cei # 10 63980 140 13
W Name Orrin T130IDA80n AOIDQB
? nddreu 1712 Hopkins Crosaroad
_ v+? SS11111 _. S/./._7121
p Name _
F
Address
Nnme _
Addreu
1 hereby atkrwwledge thot I have read this oDPlitation and stofe that
the informotion is correct and ogree fo comDlY with oll opplicable
Stote of Minnesota Statutes and City of Eagan Orduances.
Sipnature of Permittee
A Building Pertnit Is issued to: Or'ri
oll work shall be done in accordanee with
Buildinp Official a
Erect Q Occupancy R'-3
PD M-1
Alter ? Zoning
Repolr ? Fire Zone NA
Enlarga ? Type of Const V
Move p # Stories
Demolish ? Length 50
Grade ? Depth-3-k-Sq. Ft.-
Approrols F.ea
Assessmenf _
Woter 8 Sew.
Police
-
Fire
Eng.
Plonner _
Council _
Bldp. Off. _
APC _
Permit ?7 f •uv
Surcharge 44.00
Plan check198.50
snc 525.00
Water Conn335.00
Water Meter 60.00
Rond Unit 165.00
Total $1744-50
_ on the expreu conditlon thnt
ond Gty of Eeyan Ordinonces.
27 3?^-7 ?
,c ? ? OFFIC USE O LY This mqvest void IB momhs (mm mlidahon dok pnnhd in lhis box
???
PL SE PRINT OR TYPE
Request Daro Ro?gh-in inspeqion reqmred2 Y ? InspMmn Olher Than Ro?gh-In ? Ready N. ? Will Coll
(Yov mosl mll Ihe mapecior when modo Date Ready
I, 0 licensed conhador wner hereby requesf mspedion of the above elechicol work of.
Job Mdress (Stren, Bor, or Ra
l ?y? Na )
S? lx , Gry
E? ? Ip Code
s ?_
SMion No.
7 Tip Name or No. Ranga . Fire No Caunry
lbc,- k,
pccopam p
0.V i d
a?( YK O Phone No. `
I-I 414T02 V oZ
Power upplier ress
Elxkical Conhacror (Company Nam<) Conlrador Lume No Moskr Li< No (Plant Eled Only)
dCMc
Mailing Addrees (Conhocbr ar O»ner Perbrming Insbllalion)
AY 'xe Signowre (Co dar or 0i orer Pedormnq Insmllalion) Phone Na.
.1"
E8?0000IA-10 6/95 STATEBOAIiOCOPY-SEEINSTflUCTONSONBACKOFYELLOWCOPY
IIIUN?i III? J? REQUEST FOR ELECTRICAL INSPECTION ?l ,,-.
MinnesoW State 8oard of Electriciry =
* 2 7 3 2 7 5 g* 1?1 Universily Ave., Rm. 728, St. Paul, MN 55704 ?i
Phone (612) 642-0800 7?,,?j (? ?-
Home Dupiez Apt. Bldg. Other New Addn
Commercial Indushial Farm Remod Re air
Av Cond. H}g. Equip. Water Hfr. Load Mgmf. Other:
D er Ron e Ele< Heat Tem . Service
"X" above fhe work covered by fhis requert Enter remarks in fhis spore ond on fhe back of the wfiile copy only
Cafculate Inspechon Fee - This Inspection Request will nof be occepfed wifhout }he correct fee:
Other Fee 3F Service EMrance $rse Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sireet Lig./TmHic $ig Above 200 Amps e 100 Amps
Transformer/Generatar INSPECTON'SUSEONLY TOTAJ?
Fj'
Sign/Outline L}g. Xfmr. - O
?? Q
'1
Alorm/Remote Contml P , G •
Swimming Pool
I h.re arh ?af I ms ected the eleckiml Insbllmmn d cribed hereinan Ihe dohs sMted
Irrigotion Baom Rough-In ?1e
ection
S
eaal Ins
p
p
Inves}igatrve Fee Final _ ??
THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF ETED WITHIN O HS.
This request wid 11/G
?gn'57021 /
L14i?,131 P-.ci,l
z742, 3(?
est Da[e Fire No. Rnunh-in Inspection .
7 Rxq etl? . [JRCatlv No ?II No?ifv InsDec-
Ves ?No tar When RentlY
U L¢enseA Electnr.ol Contractor Lhereby request inspaction of ebove '
? Owncr . elecvmal work mstalled at '
Sveet AtlAr)e?ss?Y 1' ?1??,-BOx ?or lia"u[e Nn.
"Mok I?'{ N W Gry
al:Jh?
ion o. Townslnp Name o, No. . RanBe No. County ^
?
?+P
Occ pant (PRINT) , I?-N?(?
,1?Ij ??/? ?y? ?'-"••? Phone No.
Power Supolier AAtlress '
? GTW?
Elec ncal Contracmr ICOmpany Name) . . ? Com?ar.tor's L.ocense Nn. -
tAs C,i?l.r(L4i..
Mailing AtlJress (COnVactor or Owner Mabng Irrstailauonl
yll [?-• C" ff W
Authonzed SiB?? re 1 ontmctor Owner MakinB ins[allaLOn) '
' 7??i PhoneMUmber 1
1?9& 5&-oS
-MINNESOTA ]TqTE:YOARD OF ELECTRICITY THIS INSPECTION REUUEST'V11LL MOT"'.
Griggs=Mitlway lldg. - Iban N-101 - , " BEACCEPTED BY.THE STATE BOABD .
, 1821 University Ave., St. Peui, MN 66104 - - , UNLESS PflOPER INSFECTION FEE IS' .
an,...e IR111 297.2111 .ENCLOSEO.
/1 REQUEST FOR ELECTRICAL INSPECTION ,?;, ee-ooooi_oa
??7.,0 / 1' See inslruc[ions lur comple?in9 this torm on hack of yellow copv?
L 1
Below IKork Covered 6y This Request a7?.??0
Add Hep. Type of Bmldin9 Appliancns Wired Equiyment Wired
Home Range Temporary Service
Duplez Water Heater Liyhting Rxtures
Apt. Bwldinq Dryer Electnc Heatin
Commercial Bldg.
Industnal Bldg.
Fypn Fumace
An Conditioner
otnei ncci v Sflo Unloader
Bulk MiIk TaN<
otnor Isumaifvl
t n.i ISGBCify Othor Other
Compute InspecLOn Fee Below _n
N Fee' SarvicaEntrence5¢e II FeA Feetlers/Subfee.tlers tl e 1 Qrewis
'? 0 to 100 Am s 1 0 ro 30 qm s tn 30 Am s
10fl"f> 200 Am?s, 31 to 100 qmps 37 to 100 Am Is
n ?nnd eZqO Amp- A6ove 100_Amps Above 700_/airiPs
RemoteControl Circ. Partial/Other
? 1 5i{7ns Special Inspection g l? T
Heniarks OTAL F 3V .
?i
Nough-in Date/ 1, iha Elactncal
? /1?/ InspactOr, hereby
? rfrty [Iret tpe ebuve
, Final ?,Rl.?/ G sp.cUOn has boen
( J de.
This repuest void
C?rrtif irttft uf (?9rr??ttnr?
Citp of Cagatt
Orpttrfmrut n# Building 3usyrrfintt
Tbir Crrtifitate itcued purtuant to the nyNiremtnu of Sertion 306 of rfx Uniform Building
Coclt cati(yrng that at the trmr of iarrutrue thit Jaurturr war in tom pliunre with the variour
ordinunca o f the City ngulating btdlding conttrurtion or ute. For the foUowisg:
? pp?/? 6866
U. Ciamik+fim BId6. Pemm? N.
R3 Zam Dutric? ?'D ?1?
o?.,,?yrra ?rv?c?.w?am V e??u r? ?s
a.=.ore„o?6 Orrin Thomson ,,,,,.1712 Hopkins Crsrd., Mt3?.a.
1746 Fbrssa Wav IAt 14 Rlock 13 Ridgecliff
lst
? A •????' By De cember 7 1981
o•u
e?oer? ?
CITY OF EP,GAN Include 2 sets of plans,
rn ?•? • 1 site plan w/elevations 6
BUIIDINC; PERNIIM APPLJCATI ? 1 set of energy calculations.
To se osea For Valuation Date 8- 3l - g 1
Site Pddress: V714 6 'FnRSSK tA1K4 ( 0p OFFICE USE ONII,Y
I,ot I/-,_ Elocx _J-?>_ sec./sub. Erect X occupancy
T Alter Zoning O (X91 Parcel #: gQpair Fire Zone
Owner: En7-ar4e Zype of Const. ?- _
Mve # Stories
p;jdre,cg: e Division of U. S. Home C Deiiolish FYOnt SO ft.
KINS CROSSROAD GTdC?2 D2pY?l 3 ! ft.
City?Zlp COC12: MINNETONKA_ MlPdnl c?qo
Phone #: 5`44-1333 APPROVAI-S FEES
Contractor: BRRaN T nnoS9RHOMES?-
Addt2S5: a Division of U, S. Home Corporation
\ JJI(
Clty/Zlp CodO: MINNETONKA, MINN. 55343
Phone #:
Arch./f7-ig. :
Fddress:
City/Zip Cade:
Phone #:
Assessments
Water/Sewer
Police _
Fire
En9 •
Planner
Council
Bldg. Off.
APC
Fermit 3 9 7 ,
Surcharge Y ?/
Plan Checic J g g ?
sF,c s as?
Water Conn.
Water Meter (a p ?`?
Road Unit
RC)TAL ? ? c S d
CITY1OF EAGAN PERMIT 3830 Pilot Knob Road PERMITTYPE: BuzLozNG
Eagan. Minnesota 55122-1897 Permit Number: 0 2 9 s 8 5
(612) 681-4675 Date Issued: 0 5/ 0 2/ 9 7
51TE ADDRESS:
1746 FORSSFl WAY
LOT: 14 BIOCK: 13
RTDGECLIFFE 1ST
P.I.Pd.: 10-63980-140-13
DESCRIPTION:
GAS FIREPLACE
Yuildin,.g.,Permit Type FTREPLACE
'IBwi Wprk Type NEW
f-Census Gpde 434 AIT. RESIDENTIAL
,/
?•` , ,.'`t
:.'P?'. yt{?4. y:?? ??:1?`..? -'"'??Yt•_
!
i
,,,.? ,.J ?`t ??? 1 ° ._ .i (?' I _•t,'--
zf
41
1
REMARKS:
SEPAftATE PERMIT REQUIREO FOR ELCCTRTCAL WQRK
FEE SUMMARY:
Base Fee
Surcharge
Totel Pee
$50. 00
$.50
$50.5@
CONTRACTOR:
OWNER: - Applicant
NRRMON DAVID
1746 FORSSA WAY
ERGAN MN
(612)452-8728
S hereby acknow-ledge tNatI have reazi ?his
? intormatian a.s'oor?recfi and &gree ta compZy
?L Statutes and ei,ty af Eagan ¢rd'znahces._ APPLICANT/PEFMITEE SIGNATURE
?ppiicati?¢n dnd €cCa-?e thaC the
?jfCh, al2 _,ppP1icabis=SCate of Mn.
ISSUED B . IGNATURE
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTION OF WORK: -L!`CONSTRUCT NER' FIREPLACE
INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTI-IER:
PERMIT FEE: $50.50
_ ALT'ERATIONS TO EXISTING
STREET ADDRESS: I?`? Co Fbr 5 S cs L{ ) a?!
i
LOT BLOCK 13 SUBD./P.I.D.
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: I-?a d^ VvLO Y1 1 I G1 V I('X Phone #: q:52
OWNER
Signatwe:
-
StreetAddress: 1-74/(9 L OrSSCA l.l)C&v
City: State: Mu_ Zip: -SS/;;z,;L
FIREPLACE Company: Phone #:
INSTALLER
Signature:
3lreet Address: License #:
City: State: Zip:
Gas LINE Company: Phone #:
INSTALLER
Name:
RECEIVED
1
BY:
Signature:
Street Address:
City:
State:
Zip:
? `CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
028134
07/02J96
SITE ADDRESS:
1746 FORSSA WAY
LOT: 14 BLOCK: 13
, RIDGECLIFFE 1ST
P.I.N.: 10-63980-140-13
DESCRIPTION:
r-.? (ABOVE GROUND)
uildi?ng Permit Type SWTM POOL
uilding?l; ,,?prk Type NEW
?
I4
`
? t..
i xPoL: e w
? - ry1J
% hC
'a
REMAFiKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELfC7RSCAl WORK
FEE SUMMARY:
VALUATION $2,000
Base Fee $62.25
5urcharge $1.00
Total Fee $63.25
CONTRACTOR:
OWNER: - Applicant -
HARMON DAVID
1746 FORSSA WAY
EAGAN MN 55122
(612)948-3920
I hereby acknawladge thatT Haue read tFris'applieati'on antl state thmCthe
information is correct end agree to comply with all,applicable State ofi Mn,
SCaCutesand C3ty of Eagan 0'rdinanices.
10aJ AuaA?p-
APPLICANT/PERMITEE SIGNATUR??
? qw Rm"tl I_
ISSUED BVrIG TURE
CITY OF EAGAN
16134 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeUReoair Reaufrementa
? 3 registered ske surveys ? 2 copies of plan
? 2 copfes of plans (include beam 3 window sizes; poured fnd. design, etc.) ? 2 site surveys (exlerior additions & decks)
? 1 energy ealculations ? 1 eneigy calculations far heated additions
? 3 eopies of tree preservation plan H bt plaNed afler 7/1J93
required: _ Yes _ No
DATE: (o I;Zri 1gL-. CONSTRUCTION COST:
DESCRIPTION OF WORK: I" ? ` ? ? -
STREET ADDRESS: LJOL-? 1
LOT ? BLOCK ? SUBD./P.I.D. #;
PROPERTY Name: Ma- f vn O V1 a ti L
?r ,?.
owNeR
StreetAddress1??? ?o c-s 5r'kl
Ciry: f(Z-'U fn_ State: #1_
CONTRACTOR Company: Street Address:
City:
ARCHITECT! Company:
ENGINEER
Name:
Phone 401p- i?$79?
worK c)41,?-3sa o
zip: J'557azz
Phone #: -
License #:_
Zip:
Phone #:
Registration #:
Street Address*
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and lot
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.
Signature of Applicant:
OFFICE USE ONLY
Certificates oF Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No
Se(-(
State:
RECGOMEDD
JuN 2 s s9ss
OFFICE USE ONLY .?
qp . •t
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accesso ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
,W--31 New ? 33 Alterations ? 36 Move
fl. 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
U8C Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. tt.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
ivii,ivVS 8ysiern
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
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/
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L?yBM
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SIW Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
% SAC
SAC Units
1746
?'' C.R. WINDEN 3 ASSOCIATES, INC. i
IAND SURVErORS i*l 6as-3s4s
FOR: 1361 EUSTIS SL, ST. PAUIP MINN. 63104 ?
U. S. HOME CORPORATION ?
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Lot 14, Block 13,Ridqecliffe First j
Addition, Dakota County, Minnesota. ?
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WE HEREBY CERTIfY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
60UNDARIES OF TME IAND A80vE Df5CR16ED AwD OF TME IOCATION OF All 6UILD1NG5, If ANY,
TMEREON, AND All VI5161E FNCROAChiMENTS. IF ANY, FROM OR ON SAIO IAND.
Dalad fhii-24/"(doy of '??6?/? A.D. 19V C. R. WINpEN 8 ASSOCIATES, INC.
, br l??l_.L'QC ? 7/??i
Survaror, Minnesote Ropi?trolien No
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?
3830 PILOT KNOB RD - 55922 L( _";)_ c,_?
651-681-4675 /
New Construcfion Reauirements
? 3 regisiered aMe surveys showing sq. N. of lot, sq. fl. of house
and all rooted areas (207. maximum lot coveraae allowed)
: 2 copies ot plans (show beam 6 window sl=es; poured fnd. deslgn; etc.)
: t set ot energy calculations
> 3 copies of tr e pre ervatlon plan H lot platted aHer 7/1/93
DATE: l?342 ?
DESCRIPTION Of WORK: Jt e`00
STREET ADDRESS:
LOT: ' `1
orSSo,- ujc?.
BLOCK: 13 SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: t'Ycui mw ?o?viol Phone#: L`i/ y??-??a$
Lan FUsT
Street Address: 1? y? 1- 6 r S?? VJ Cx-:-?1
City C ?LG 0. til State: IM &t Zip: S5,1 oZ D,
Company: ?;e 14 Phone #:
(area code)
Street Address: Ucense # Exp.
City
Remodel/Reoair Reauiremenis
2 copies ot plan
1 set of energy calculations for heafed additions
1 sNe survey for exAerlor addNfons S decks
CONSTRUCTION COST: C? YD O. 0C)
State:
Company: Name:
Telephone #: area code ( )
Street
City
Sewer & water Iicensed plumber (reaulred for new conshuction onlv):
State:
Penalty applies when address change and lot change is requested once permit is Issued.
Zip:
Zip:
I hereby acknowledge that I have read thfs applicat(on, sfate fhat the Intormation Is conect, and agree to comply w8h all applicable
State of Minnesota Statufes and City of Eagan Ordinances.
Signature of Applicant: C3?i 1?Yf1A?'1
OFFICE USE ONLY
Regishation #:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Uq ?9 15iR.O
2n: IAFdVA OISCN. UfII,ITY BIIS.IId(' CiF..'RK
BUIIDING INSPELTICN DEPART4'g21T
BIIS, BRANQi, S2A?EVi TCF Pf.BLIC WORKi
FTvbM: 'IIiQM4\S A. CtMBIIa', DIRECIUR OF PC:BISC FARFf5
DATE: SEPTFS'BER 10, 1981 -
RE: RIDGEQSf'FE 1SP ADDITICN , .
Because the folloaing list of lots in Ridqecliffe lst Addition does
not have gravity sewer outlet at this tire, the follwring prooe-
dures will be initiated imtil further notiae:
UPILITY BILLING
No water turn-ais will be alloaed prior tn 8-1-82 or imtil seaPs
is available in these areas. "
SUIIDLNG L`iSPECPIIN
Building pennits can be issued for these lots, but the builder
should be informed at tine of permit issuanoe (perhaps stamping
the building peanit with "NO 0(S.LPAVCY PRIOR 4o 8-1-62 OP. []NTIL
SF.:+lER IS AVAtLABLE") the restrictions ai sewer availability.
.M?I?IANCE OEPAftI.?4NP
See both utility billing and buildinc inspection above.
The lots wi.th these restrictions are as follows:
71yP5 1-9, SLACfC 7
IC7I5 1-6. BIDCIC 8
IOfS 1-7 BLC)GR 9 -
L(7I5 18-23 SLC)CK 9
LC'/ii5 10-16 BIOCK 10
LCIi'S 1-10 BI?OC'1< 5
Lc7i5 1-4 B= 6 .
IOPS 1-6 BIGCfC 12 •
UJIS 1-17 BIIJCSC 13
an@ are also indicated on the attached maps. .
jac
? TO: LOruMA oisal, vrzLZrI BzLLzrIc cLCiu; 9?(- 13 ?c j
, DP.LE PLTEFLSON, Q3III' BUILDINC; OFTICIAL
BILL BRANQI, SUPERIN'PIIVDIINT OF PUBLSC WORKS
F'F20M: THOf-]AS A. COLE3ERT, DIf2ECIbR OF PUBLIC L40RKS
DATE: NOVEZ7BER 17, 1981
RE: RIDCMCLIFFE LST ADDITION - SE;9ER AND PIATER CONNECTIONS
On September 10, 1981, a nnrm was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
perndts tmtil 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
Thot[pson Hoires has agreed to install a temporary lift station frcxn Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridaecliffe lst
Addition. Attached to this me= is a cony of the letter we received
from Orrin Thompson Homes whereby they indicate that they will perform
the installation, maintenance and liability of this ten-porary lift sta-
tion/force main sanitary sewer until such tiire gravity sanitary sewer
can be extended across the £uture I-35E during the spring of 1982. There-
fore, with this tengDorazy system being installed and maintained by Orrin
ThorTson Homes, the terporarv hold on sewer and water permits and occu-
pancy £or the following lots has nocv been lifted:
Lots 1-9, Block 7 --
Lots 1-6, Block 8
Ipts 1-7, Block 9
Lots 18-23, Block 9
Iots 10-16, Block 10
Iqts 1-10, Block 5
I.nts 1-4, Block 6
Lots 1-6, Block 12
Lots 1-17, Block 13
This tenporasy sanitarv force main wi11 still not nrovide service to
the follaaing lots:
Iot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Bladc 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous mem will still
apply to these lots.
These lots are referenced on the attached map for your information. If
any probleins arise pertaining to sanitary sewer availability, back-ups,
etc., please rnfer those calls directly to Orrin Thoi*pson Homes for the
proper resolution. If vou have anv auestions to this release of the re-
strictian on the building and scwer/water permits, please mntact M.
Please insure that all personnel in your departrTient are aware of these
restrictions.
TAC/jach
cc - Bob Carlsen, Orrin Tha^pson Hores
To: 7ARNA OISON, UPILITY BIIJINI", CLERIC
DALE PEPLRSON, CHIEF BUIIDING OFFICIAL
BILS, BRANC,H. SUPERINTIIVDEDPI' OP' PUBLIC i^ORKS
FROM: THOMFIS A. COLBERT, DIRECTpR OF PUBLIC VURKS aK
DATE: NOVEMBER 18, 1981
RE: RSDGECLIFFE 1ST ADDITION - SE[^IER AND WATER CY;NNECTION RESTRICTIONS
On November 17, 1981, anntro was foraarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occuoancy perniits due to the unavailability of sanitary
sewer. There appeared to have been a duplication of lots that were refer-
enced for future restrictions as ccrrpared to those whose restsictions had
been listed. Please be aware that the follcwing lots only will have re-
strictions placed on the issuancze of sewer, water or occupancy permits:
Lot 1, Block 8
Lots 1& 2, Block 9
I.ots 18-23, Block 9
Lots 11-17, Block 10
Please insure that these referenoed lots are not granted any pezmits that
wvuld 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 rierrn_
TAC/jach
cc - Bob Carlson, Orrin ThcxTpson Hcms
1746
?,,/? C. R. W INDEN S A550CIATES, INC.
L?' IAND SURVEVORS T!L 645-3646
FOR: 1381 EUSTIS ST., ST, PAUI, MINN, 55108
U. S. HOME CORPORATION
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Lot 14, Block 13,Ridgecli£fe First
? Addition, Dakota County, Dlinnesota.
WE MEREBY CERTIfY THAT TMIS IS A TRUE AND CORRECT REPRESENTAiION OF A SURVEV OF TME
60UNDARIES OF iHE IAND A60VE DFSCRIBED AfJD OF TNE LOCATION OF All 6UIlDINGS, IF ANY,
THEREON, AND Atl VISI6lE ENCROACMMENiS, IF ANY, FROM OR ON SA10 IAND.
Dotad this 62 6 1?4( doy of ^';/G VS-L A p 19 K/ C. R. WINDEN 8 ASSOCIATES, INC.
br
Survayor, Minnesoto Ropiatrotion No
NTSS19
2005 RESIDENTIAL BUILDING PERMIT APPLICATION 4-? pd
City Of Eagan ? -
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consfruction Reauirements RemodeVReoair Reaulrements Ofilce Use OnN
3 registered site surveys shovring sq. ft. of l04 sq. fl. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y _ N
(20% matiunum lot coverage allaNed) 1 set af Energy Celcula6ons for heated addttions Tree Pres Plan Recd _ Y _ N,
2 copies of plan showing beam 8 window si zes; poured tourW design, etc. 1 site survey for addHions 8 decks Tree Pres Required _ Y _ N
isetofEnergyCalwlations Add'rtlon-irWlcateNon-sifesepticsystem OnsifeSepfkSystem _Y _N
3 copies of Tree Preservation Plan d lot platted aRer 711r93
Rim Joist Detail Optbns ulection sheef (buildings with 3 or less units)
Date 16 / oZ G O S Construction Cost „1' Jd 0,O G
Site Address /'7 q4L I:n-0 /'SS U., kAJ G.Unit/Ste #
Description ot Work h,2 WtoU G 04 Crc..S 1i vZ4ZO(r.? L-¢ ' ?- I n. C?( f?J?? ov?2
Multi-Family Bldg _ Y ?( N Fireplace(s) _ 0 K_ 1 _ 2
PropertyOwner ? r,_?\_A R?c1 l?vt,hv? Telephone#((?5'J ) 4jj5;1.S-7a-S
Contractor /{ G)+ % P6 t 1 n
Address 1-7 K
State 6 Fo f S SCL.- L.J
-1- City e C`,; 2/i!
Telephone # (forj"() Y5 a u 7 -_2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
?
? FqeQffice;Use ---------, I
; Pertnit ?? qc)
I ? ?VV I
Permit Fee:
? Date Received:
I ?
I Siaff: I
I________________?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1746 "? o ilr- ss A i....?Y
Tenant:
Suite #:
RESIDENT / OWNER Name: T1A?E 14 /;?L 0-0n1 Phone:
Address / Ciry / Zip: 17 Y6 'FOrt-SS4 4J A- Y
Applican[ is: _ Owner __)['Contractor
TYPE OF WORK Description of work: < i`fl OV1
Construction Cost: / Z?c4qD Multi-Family Building: (Yes No ?
CONTRACTOR Name:t-I c51++Ei?,%CC i3uL12c-nS: TnC Licenseu:ZC?37t44'?Z
Address: 3?">3 Ci'IZ ptz 1/e
City: LA,-j f}r? State: P14h1 Zip: SStz 2
Phone: 6e2 Y[q 6961 _ContactPerson: &SC ??+W/???r?5 f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planT
_Yes _No If yes, date and address of master plarc
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: P/ans and supporting documents that you submlt are considered to be public information. Portions ot,
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:
I hereby acknowledge Ihat this information is complete and accurate; that ihe work will be in conformance with ihe ordinances and codes of ihe CiTy of
Eagan; ihat I understand ihis is not a permit, 6ut only an application for a permit, and work is not to st?t without a ermH; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl s. /// `
x Q u SS C"N D&h. 1,Yi
Applicant's Printed Name Ap canYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138725
Date Issued:09/19/2016
Permit Category:ePermit
Site Address: 1746 Forssa Way
Lot:14 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-140
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David A Harmon
1746 Forssa Way
Eagan MN 55122
(651) 452-8728
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
• + 0 •, For Office Use I
i
•�`. .�.� Permit#: /-5- / / )/I
..... ....
`• 'e Permit Fee: q
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinginspectionsa.cityofeagan.com Staff:
Commercial Plan Submittal:eplans(S citvofeadan.com L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Site Address: ' /`462 f';')/S Sir Li)C‘'
Tenant: -Dayl'ii( '4 /.4:1r on tp in Suite#:
Resident/Owner Name: bat,v't6{ NO.,-4/ -(.V) Phone:
Address/City/Zip: - 0SVC 1-4-
Name: 2 Tic/c_, ta.„2 taivV1 License#:
Contractor
Address: 1 O Ul (9 NA. t. 0 y-- City: 4 "1^r''vAi 1-7- --
State: JV.Al Zip: ---C-0O2-4-1 c Phone: K2 2.31 " //7
?-
Contact: Email:
RESIDENTIAL
X ,Furnace
A Air Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
New Replacement Additional Alteration Demolition
Type of Work
Description of work:
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeaoan.com/subscribe.
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 whicchrrequires a review amend approval of plans.
x 4vy
(,,,r44)- -- "' �--.f
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final