1753 Forssa WayCITY OF EAGAN Remarks
Addition Ri g._1 i ff Fi rSt Adrln Lot Blk -r+ Parcel # 1(1 fi39Af} ilf?n nS
Owner Street 1753 Forssa Way State F g3I1., MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUfiF.
STREE7 RESTOR.
GRADING
5AN SEW TRUNK 1982 298.08 5 298.08 - -
SEWER LATERAL 19
WATERMAIN
WATERLATERAL 1982 260 - -
WATEFi AREA 1982 9
STORM SEW TRK 1982 638.24 5 638.24 07
STORM SEW LAT 1982 955.45 5 955.45 C00761 12-23-81
1982 637.75 5 637.75
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 420.00 11
6UILDING PER. 7774
SAC n
PARK
Receipt.-`
i
.,
1. Date ?-•?-Y 2.Instal
-?
3. Job Address 1753 :?o:
4. Owner 5. Contractor
6. Address 4637 GhiOt3gr3 r"?p+B. ,SO.
Phone 7. City ? `' • State - ' Zip % _.. ,
8. Building Type: Residential E Commercial ? Institutional ?
9. Work Description: New 13 Add ? Alier ? Repair O
10. Describe : nbt: •..i:_ zoi CEd ;:1a ''ac:atitfUel Type . _t
1 11.
No,
1 Equioment 8TU - M. Ea.
Forced Airi.' r`0t-)0 No. Equiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boiters
Mfg. Mech. Exhaust
Unit Heater
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 ocdinances and codes governing this type of work.
i
Signed: for
? Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
PERMIT Permit No.,-
GAN .
Fes
d spaces S/C
Tot. ,
Cost
t'll Blk. S Tract ?
Receipt
?
PLUMBING PERMIT Permit No.
C1TY OF EAGAN '
Fee
Fill in numbered spaces S/C
Type or Print legi6/y T
ot.
1. Date 1/26/3:; 2, Installation Cost
3. Job Address 1753 Fors s a „ayLot Blk. rJ Tract
4. Owner Orrin Thampson Hor;es
5. Contractor Wenrel Mech. Phone 452-1565
6. Address 3000 Kennebec L-T
7. City _ Eddsln State ;.9n Zip =,5127
8. Building Type: Residential QK Commercial O Institutionai ?
9. Work Description: New 13 Add ? Alter 0 Repair ?
10. Descri be
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
llsinaUBidet Other
Laundry Tray , _ -
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
F
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. DateInsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
s
.?
BUILDING PERMIT
cirr oF FAGAN
=795 rNof Knob Reed Eogsn, MN ssl"
PHONEs 454-8100
?i?4
Receipt #
Site Addrcss Erect
O
Occuponcy
Lot Block Sec/Sub. _ ^?' ,,
/11ter ? Zoninq
Porcel # Repoir ? Flre 2one
Enlorqe p Type of Const.
W Nome - Move ? # $tories
; Addren "D35roac' Demolish p Length
b Citv - - Phene -- -5E4•-7"; > Grada p Depth S4• Ft.
a Nome _
?? Address
?- r?...
1 hereby ocknowledge thot I have read this opplicotion und stote thnt
the intormotion is correct and ogree to comply with oll opplicoble
Stafe of Minnesoto Statutea onE City of Eo9on Ordinances.
Siqnaturc of Permittee
A Building Permif Is issued to: '
oll work shall be done in occordance with all applicabla St
Buildirq Officiol
Assessment Permit
Water 8 Sew. Surchorps
Police Plan check
Fire SAC
Enp. Water Conn.
Plonner Woter AAeter
Countfl Rood Unit
Bldp
Off.
.
APC Total
on ths express condition thm
Minnesota Statutes and City of Eaqon Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 -3?V(GJ `Z 0 -P
H.v.A.c. l a? ? -Z3-
W.,,
?.?
W
D'ap.
Sewer
Electric Yvt 2-r?-$3
Inspection Date Insp. Other
Footinyt -
// g3 Skt6
Foundation
Frsminp ? ?
Rouqh Plbp.
Rouph HVA
Inwlation
Final Plba fl.4 ?
AC
Final HV
6
Finel ?
Wmr Dsmi6e Location:
Well ?
Sewer
Pr. Dhp.
. . ,
INSPECTION RECORD
G CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot KnOb Road Permit Number: ? ? c+ `? e? i
p Eagan, Minnesota 55122-1897 Date Issued:
I' (612) 681-4675
• t 47
SITE ADDRESS: APPLICANT: I
, .,
PERMIT SUBTYPE: TYPE OF WORK: I
INSPECTION .. . ..
? ?
Permit Holder Date Telephone #
PLUMBING
HVAC
InspecUon Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
-z
,dJ?ry
?s?.0
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DaMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucnvirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
-
eader No.:
agroe to eomPip wilh !he Cifp of Eayan
WATER SERVICE PERMIT
Connectfor+ c:horpe: -
Acoount Deposit: ?--
,
Permit Fee: -
5urchorge:
Mfsc. Charges:
Totol: -
Dote Paid
SEyyEtt SBtVICE PERMIT
cin OF FAaAN
8795 Pilof Kweb Roed PERIVIIT NO.:
Eoyon, MN 55122 DATE:
,
Zonirg: No. of Units:
Owner:
Addreu:
Site Addreu: ,
.?
Plumber. .
I
I egree h aomPly wkh the CItY of Eagaa Conneetlon Charfle:
Ordinanps. Acwurrt Deposit:
Permk Fes:
Surcharge:
gy Misc. Chorges:
n.,re „F Total:
(Lrrtifirtt#r nf (Orrupttnry
Citp of Cagan
3lr#rttrtmpnt nf iguilbing 3nsprrlinn
Tbit Catifirate ittued Purrxant to the requi+rmrntt o j Seaion 306 of the Unifarm Building
Codc catif yrng rhrtt at the trme of irraann tbrt rtrurture was in romPliana with tbe va+ioru
ardinancrr af the City ngaloting bailding ronnruttion ar ute. Fartix fo!loiving:
u.cwer O. SF DWG/GAR &dyPommNo. 7774
0-?1Ye- R3 TYpc.wcwo V F?Az, NA zo,oumci(PD) Rl
Q,,a„fm?iThomnson Lakes Div. Aea.1712 Honkins Crsrd. Mtka.
? J lst
By
.7une 24, 1983
IRK_ Wu:
w, ?x . mw•ncuw. .uc?
9.oaa ?e.
REQUEST FOR ELECTRICAL INSPECTION
, See inctructions for completing this torm on back of yellaw copV•
19 063451
""X" Be/ow Work Covered by This Aequest
y Ee-00001-04
ti.
3uq ?f FS
Add Hep. Type oi 9uiitlmg APOliances Wrted Eqmument Wved
Home p(, Range Temporary Service
Duplex Water Heater 91 Liyhtinq Fixtures
Apt. Bmldinq Dryer Electnc Heaun
Commercial Bldg. Fumace Silo Unloader
Industnal Bldg. Air Condrtioner Bulk Milk Tenlc
Farm otnx, on.l v ther ISOeuryl
t er Sueufy iher Other
Compute Inspectlon Fee Below
p Fee ServiceEnhaneaSixe tl Fee Faeders/Subfaedere N Fee Cirewfs
I 1tL00 0 ta 200 qm 5 0 to 30 Am ps ZA.(7? 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimmuig Pool Above 100-Am s Ahove 100_amps
Transiormer5 Irrigation 8ooms S ,?o Partial.'Other Fee
SignS Specialinspection ?r
$3O
Q
TOTAL F E
Remarks .7 dQ
Rough-in e/.1?Q I, the Elachical
? ?y-lv Inspectoq hereby
certity thet the abova
Final "?@ pection has been
;m6da.
rw,..e....ea.-n Ia mnnnha frnm
This request void
18 months hom
W063451
L b rS 5, ,C i'el?£c( i fFc I s1-
3q ? q 9
30 , o a
Request (late ?
I
2
? 3 Fue No. Rouphed Ins?cbon
P
? ?qeaAy Nowg Will NoLfy InsPec-
to
Wh
R
? es No
? r
en
eady
K-licensed ElecVfcal Convactor 1 heraby repuesi inspacbon of above
? Owner eleeVicel wmk mstalled et
reet Address, Box or Roure No. C rty
t'?53 f?RSSp Ws Mc?
amn o. Townshi0 Name or No. flanBe No. Cnunty
l LMIV"M
cupin?tplPfl?(NT) p-,,?(
OI"?-aYJ ??JIJ" ?iVl??f Phone No.
u
p
piier
pa.e,
S Address
)(
.
{?
(
l`eeo o f:Ag-MVq(j4lw
Elect zi Contrector (COmpany Name)
-
? Contracmr's License No.
?3?i5z5"
z
kc
?u- fi;4EG •
Madinq AAdress ICOnv
actor or Owner Making Ins[allation)
/?
1?11 c. 1.?.4 ff- P.
Authorrz
fC ntractodOwner Makine Installationl Phone Num
ber
?T y
MINNESOTA STATE 90ARD OF ELECTRICITY TMIS INSPECTION REQUEST WILL NOT
GrmBS-Midwey Bldg. - Noom N-191 BE ACCEPTED BY THE STATE eDAflD
UNLESS PROPEP INSPECTION FEE IS
1821 UnivarsitY Ave., St. Paul, MN 55104
_. ,..- .... ..... ENCLOSED.
BUILDING PERMIT
Site Address
Lot 6
Porcel # -
SF I7hTG G
3 Forssa
CITY OF EAGAN
9795 Pllef Knob Road Eogan, MN SS723 N? 7774
PHON[s 454-8100
Receipt #
u ?? .._.._ eQn nnn .._. -r?...,?,.., on .,, o?
Bloek '' Sec/Sub.
10 63980 060 03
s Name '1nORWSOTI LaKeS ll1v1S1011
; Address 1712 xoAkinS CY'OSSYOclCl
b r:.. Mtka. 55343 e..___ 544-7333
o Nome
?
?u Addre
Noma _
Address
I hereby ackrwwledge that 1 hove read rhis application and stote that
the in(ormotion is correct ond ogree fo comply with all applicoble
Stote of Minnesota $fotutes and City of Eagnn Ordirwnces.
Erect 4 Occuponcy R 3 ?
Alter ? ?PD)
Zoning R--1'.
Repoir
? {
-
Flre Zore
Enlorge ? Type of Con}t. V \
Move
?
# Sturies ?
Demolish ? Length 68
Grade ? Depth 42 Sq. Ft.-
Avororals Faea
Assessment -
Woter 8 $ew.
Police -
Fira
Eng.
Flonner -
Council _
Bldg. Off. _
APC
Permit "•"•."
SurchorBe 40.00
Plnn check 1$6.50
SAC 525.00
Water Conn420.00
Water Meter 60 .00
Road Unit 240.00
7ora1 $1844.50
Signofure of Permittee I
A Buildin9 Permit is issued to: ThcnpSOri Ix'1]CPS I)V1S10T1 Of U.S. Hcnleon tha express wndition Ihnt
olI work shall be done in accordon[e with all? ?A?clicable u of Minnewto Stafutes ond CiTy of Eoyan Ordinances.
Buildinq Officiol
-?-
, " crrY oF EAcaN?
Q/ BUILDING PERMIT APPLICATION
' S? pwU LC a !'? ?iUaO
Zb Be Used For Valuation ?
-r
site A3clress: 1153 t-e?ss•- \A)O.W CX,,,,,_ ^11 ) OFFICE USE ODII,Y
Lot 1._ Block 5 Sec./Sub. Erect ? Occupancy
Parcel #: 10 (p '?q 8-v v Co v c? ? A1ter zoning /<f D?
Repair Fire Zone h
Ovmer:
Pcldress:
City/Zip
Phone #:
Enlarge _ 'Iype of Const.
Nbve # Stories
Demolish Fmnt ft.
Grade Depth y? ft.
Cocle • -
APPROUALS FEES
CO1'1trdCt.OT: Thom=cnn TakPC nivicinn Assessrtents
Address: a Division of U.S. Home Corp. W3ter/Scmar
L/iZ op ins rossroa Police _
Clty/Zlp COC12: MinnrtnnkA? Minn_ 55343 F112
Phone # = 5 ?+} - 1333 Eng'
Planner
Arch. /E1ng. :
Address:
Gity/Zip Code:
Conncil
Bldg. Off.?_ -
APC
Include 2 sets of plans,
1 site plan w/e]evations &
1 set of energy calculations.
nate l- lz- `!sTA
Pennit 3 7 3 ?
Surcharge y0
Plan Checlc / R?(o
SAC =? S ?
Water Conn. ?O
Water Meter
Road Unit oZ VLO
Phone # : J ??' ` ` I S
rcr-C . ? M7.? ? .? l w PB OF)b- • le?
NewConsWctionR uiremenis
3 registered site surveys showiRg sq. ft of lof, sq, ft of house; and ag roofed areas
(20°/, maYimum fot coverage allmvedI
2 copies of plan showmg beam &window sizes; pou2d found desgn, etc.
1 sef of Energy Cyicufations
3copiesofireePreservafbnPlan'rf10tplattedafler711193 Rim Joist Defail Options selecEon sheet (bldqs wifh 3 or less unHs
5`-? (),C) 6
RemodeVReoairReg 'r=menLs '
2wpiQSOfplan
1 set of Eneyy Catculallons forheated additions -
1 site survey for additions & decks -
Add'Aion - indirate ifon-site sepflc sysfem
Cj\--e. Jc , 3 -I ?S
Date?/
i ? ?? Constructian Cost
Site Address () ? S Sa ?
UniUSte #
Description of Work
1
Mulii-Family gldg _ y _ nr FYreplace(s) _ 0_ 1_ 2
I
Property Owner
? Telephone # ( )" '
Contractar
naaress city
?
State M?
Zip ?,u wn Telephone # (1tg-?))
&,011111rLETE TNIS AREA ONLY IF.' CONSTRUCTING A NEW BUILDING
Enevgy Code Category '- MhMesota Rules 7670 Cateeorv 1 Mivnesota Aules 7672
(dsu6mfssion type) ' Residenfial VentilaSOn Category 7 Worksheet ,
. Submitted . New Erjergy Code Woricsheet
• Energy Emelope Calculations Submitted Submitted
Hpve you previously constructed a buifding in Eagon with a similar plan?
fee applies. _ Y
Licensed Piumber
Mechanical Contractor
Sewer/Water Contrpcfor
N If so, 25% plan review
Telephone #( )
Telephone #(
Telephone #(
'-s N Til ?r
: hereby apply for a Residential Building permit and aclnowledge that the infomiation iS u?ple?d-?c?grate;
hat the work will be in confoimance with tlie or co
dinances and codes of the City of Eagan and the State of MN
'tatutes; I understand this is not a pemut, but only an application for a permit, aud work is not to start without a
lermit; that the work will be in accordance with the approved plan in the case of work which requires a review and
pprova fplans.
v q
beAPPIrcants ''' fed Name
pplicant's Signatute
2004 RESTbENT7AT, BUILD7NG PERNL[T AppTSCATIOIV
Cify Of Eagan
3830 PiIot Knob Road, Eagan MN 55122
-- ---Telephotte #- 651=675=5675- - --FAX #- 651-675-5694- ---
Pelta W'mdows 8[ Doors - Tcvin Cities, Inc. `
??.
Wd9N 1.8 •uop amil paniaaay
15300 25THAVL. N. S'tE. 0100
PL'YMOi77Ti, MN 55447
7631745-1400
WATS 1-806-462-5359
FAX763f745-1401
7ume 8, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear 7an:
Elder Jones Corparation is authorized to pull building permits for Yella Windaws &
DooTS - Twin Ciries, Inc. Please allow their representative fo provide fhat service for us
in Eagan. Tliiss authorization shall be valid until suah time as the division manager
axpressly revokes ie, in writing to the City.
I request that this authorizatioa be accepted expeditiously, so as to not delay the
processing of our building permits any further. Please catl me if theze are any questions,
I canbe confacted at 763-745-1432.
Your iuimediate attention to tBis mafter is appreciated.
' cerely,
~ :t?s ?ANEfTEW.
Bryan . May. NwryP?6o
Replaceulent Sates Manager
cc: Kara-EldcrJones
Denua Krafly - ReplacemenY Sa1es Process Coordinator
Windows, Doars,
8t Sky.L'ghrs
7nnFeh cWrrr? urur-Mu.r sixr rtxi zrn oo.. 11.,.r =.-.
RESIDENTIAL
BUILDING PERMIT APPLICATION
( CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 i I_
651•681-4675 ?
New Conatructlon Peauirements HemotleVHeoelr fleauirements
• 3 reglstered stte suneys showing sq. tt. 01 l06 sq. }t, of house; and AII roofed arees • 2 copies of plan •d `a?
(20% maAmum bt coverage albwed) . 1 set of Energy Cakwlatbns for heated addmons
. 2 copies of plan showing beam & winUOw slzes; poured found design, elc.) • 1 stte survey for ea1erior atltlaions & tlecks
• 1 sat of Energy Calculaibns . Intlicete if home servetl by septic system for addttbns
• 3 copies ot Tree Preservation Plan If lot platted atter 7!1l93
• Rlm ,bisl Detall Optbns selection sheet (bWgs with 3 or 1e55 units)
DATE '1P10 L
SITE ADDRESS
TYPE OF
APPLICANT
STREET ADDRESS
0
MULTI-FAMILY BLDG Y N
FIREPLACE(S) _ 0 _ 1 _ 2
TELEPHONE # W`73?- 3WIP CELL PHONE # 46/- TZLo ' 3W
_STATE_&ZIP ZY
??1-Z3t- 837Z
PROPERTYOWNER A? -1, (tl;S ITELEPHONE# ?i1v " 7337
-------- -------------------------------- --------------------°------°-----°-----
COMPLETE THIS SECTION FOR -NEWm RESIDENTIAL BUILDINGS ONLY
Energy Cade Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Cotle Worksheet 5ubmitled
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phoae #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contracfor. Phone Y
Mechanical system iacludes: _ Air Conditioning F
Heat Recovery System Sewer/Wa
ter ConhaCtor: Phone f------°°°°-------------------------------°---------------------------------°--°--I hereby acknowledge that I have read this application, state that the informaton
imply
with all applicable State of Minnesota Statutes and City of Eagan OrancQS, F
Signature ofAppllcant ? µCV?
------ ?,_ ? .....? ...... ? -------------- -------?________._......_..----------------------._........-•--------
?. OFFICE USE ONLY
Certificate5 of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
VALUATION J?.aD'
OFFICE USE ONLY
O 01 Foundation
O 02 SF Dwelling
O 03 01 of _ plex
O 04 02-plex
O 05 03-plex
? 06 D4-plex
O 31 New
),C 32 Addition
O 33 Al[eretion
0 34 Replacement
X 20 Pool
? 21 Poroh (3-sea.)
? 22 PorchlAddn. (4-sea.)
O 23 Porch (screened)
0 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repalr
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation
Census Code
SAC Units Y? 7J ? I
Nbr. of Units ?
Nbr. of Bldgs
Type of Const --f /I
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
RooF Ice & Water Final
_ Fremmg- -
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy MClES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
D INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
? Pool ? Ftgs ? Air/Gas Tests ? Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
? 07 OS-plex 13 13 16-plex
? 08 06-plex O 16 Fireplace
? 09 07-plex O 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
O 12 12-plex Plbg_Y or_ N
Building Inspectar
?c; OL, l `?, 62L;-o
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
?
.? GENERAL INFORMATION
U
o z ?
Ccy ?? Applicant - name, address, phone & fax numbers, signature
C1? ? ? Property owner name
?? ? Legal description and address of property
??? North arrow, scale (1" = 30' or 40') and date
??? Location and narne of all streets adjacent to property
Ci ?? Site P1an drawn to scale showing location of house, pool and other existing or proposed
structures
?? Directional drainage arrows (existing and proposed)
ELEVATIONS
Existina
? O ? House corners
?/ ? ? Pmperty corners
Q/?? On pmperty lines at point of ineasured dimension to pool (see below)
m?? If applicable, ground elevation at each end of retainuig walls and at wall's greatest height
Pronosed
Q"/ ? 0 Finished pooi deck comers
f? ?? Top of retaining walls (if any) and at each different elevation (if it changes)
? ? ? Pool bottom (or max. depth)
DIMENSIONS
Existina
FEAuAN
? ? All property/lot lines
Prooosed $1'
/ DATE _
f? ? ? roal
0 O Pool plus integrated deck/patio BUILD:i3,l IAl6f'ECTiQn1S GLPT.
f? ?? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name
,i ? ,
Date
G:/fECFVJR 2002/Pool Pemtit Chccklist
1753
? ' • • ? ? ? ) ?
FOR:
U. S. HOME CORPORATION
5 1 LT'
?
i?r1G? N 15^ 22.
r ? ?Q•°0
?
-?0 1 ? PfoPo d
se
?l 1 ? A.
? 11
?
?
Z,
TP10 ?
? o
\o
bb
NoµSe
?N ! e ??-
C.R. WINDEN 3 ASSOCIATES, INC.
1AN0 SURYlYORS Te! {43•361{
1791 EUSTIS ST.. ST. ?AULo MINN, 55100
N
?
0 a
1 ?
O W
? Scale: 1" = 30'
O Denotes Iron -
.. = RE'VV?' '
h pP?,?
J `o 13y
1; P
? Q EAGAN
?? b REVIEWED
? v BY '
'
0?0 ?y
' ? • D.?qo DATE I?'`?I •• 4?
?J
F?
,
?'° N65 °° E
J SR,?•
? ?• ? .•t??
? N ?15gERCr
?
1e110 /? 2
WE NEREl1' CERTlfY TMAT
60UNDARIES Of TNE IAND
TMEREON, AND All VISI6lE
Lot 6, Block 5, Ridgecliffe First
Addition, Dakota County, Minnesota. -
3:1 A#axWM S;DW
or Rftining IHIall WWII
Be Required
THIS IS A iRUE AND CORRECT REPRESENTATION Of A SURVEI' OF TME
A60VE DESCRISEO ANO OF TNE IOCATION Oi All 6UIlDINGS, If ANY,
ENCROAGMMENTS, IP ANY, FROM OR ON SAID IAND.
Ooead rAis..12?M dor oii-Gia-?A.O. 1983
Reviytd Ja.+.eory Iyld, 1983
C. R. WINDEN d ASSOCIATES, INC.
br L" Vl
Survysr, Minniwio Rpilirefien Ne 7724
Mm1,
8
m
y
0
7
Q
LL
Z
¢
?
0
g
a
Ln
cq
n
a
z
¢
r
?
i.
?J
.,
Pl
i4
\
P
?
h-/?ov
s
BRACS D$PAIL
?L POOL PAMWOL
MOGM ?
iCafER
?
YMYYIW
2
94 5
.nl Y
_
'
?
f
?,3•h
L
I
I'"_'
F Hw i
L
6w
7 7 ?'f f0
0
POIX. SQE A B C O E F C H J K L' M t1 P Sl S2 S_7 54 NSPI fYAE
16'K 39'-7' ifi' 36'6 S 4'-S 5 B" 14' •? 24' i5 28'-6" 3Q'-tt 1 " 27'-2 1 2' 19'-5 1 4• 16'-i 7 8' II
-- 43' 2? 1 1 4' Y 1
joRg-
ilUS aoollYEM 16 FOx N1US71WIVE RWP06ES O11LY.
ww wiw
r. s???nc?Pqwa?ir.srn?r
1? A? eR 1n - m4 ?• ? ?? me?as
LAZY-L 2'RAD. SPECIFICATIONS
aiu?
n
0E
? ?r[ 1t ?AlY ?? ?
RM 1R
r
1a?a
1
0
etls? v?ild ???-?IYIr A
? s?wrw?e a?uw? s w rwws? s ? i111R g?s
a 1e wr ?? v?s aw ??r?ro a sr? ? s?w KH 2-5-02 ?P l-2R 5PEC
e r?s. ??e?rv we r wr wwrra5
M?r 11O x?? ??Y ?r
lMt l01? ?1! wliri Iw Y? Y?wlww/?1? JiIRT m s ?wrl
??
f11G?N?1 I?OIF4 iuw dll?si nR 1W s aWrlr w?#u ?r Ieres s
?M f[ fmwqwm? s Ilt ivwlLlMs Rt6? POOL P?Q?W? WCY?M? ?-71
r. ?w ??wn M o V?.
> uar M t' w w 1aa o iwa ? rso 1?1? af[
ov Y? os.LIL nd us l2M/ 9M Yp?y1? r? Iaol I?s??Wpp?
w? ?MII IpMR? ? N? i0 O?m ? W S Isr
m
E SlU
1UB? (,U,4 '4200
7Ak14 4BF-1]G
PA(.E 13
q
? coo
??? Ci17?wmm
?? nw
?
CDMP
O
NEN
S
T
. .?..? ?.. ? ?.?. ..d. 0w?wsra.?esNCnn
•••s ?
?
4
4
?
89 c??R??Ke
?
[n ?
..
w
u
LAZY-L 2'RADIUS PANEL LAYOUT
51
4'-6' ?
B' s
? 6'a B i 31'
.
x
¢
LL
Z
?
G '
LL
ffi
a
fi
N
D
a
w
}
¢
3
rx
O
LL
4'
i
.^ g
20' 44'
6'K B'x 14Y
. •
1 ?
s
3\7'
incnrtoN ov wnmmnc vBEL ?INS--rwuTwyn. ?
l7N6 ?Err? IS FOR ILLLSIRA7NE PUqP65E5 ONLY.
ra?c.a I?Y-i1??w?O?IK?
d ? I 11?F? ?1N?IIO?V A
ri .s?mO1N.IL
?J VaWIWfluopao?iU?x
y ?.?? ! MiPI W?C e?Mf?l V O?L.
?] ? 1? BOVq N 1?? ??61a[ O?
?
.. . ...., ? w..... n..e.
? ?is?sxwnrwwsr.?arra
m • ?l wl ? IPf?Oa? I?R
a•
w
uat ruc
LALY-L 2'RAQ. PANEL LAYOUTS
p m?ouw E r.isP ooa i?e?Wm uvar?Vot? L-ax
euw (mc9 aw-aro
..Y. PAGE 1? ESP POOL COMPONENTS
°"°` 6930 GEfIYSBURG PIKE _ fT. WAYMIE, 1N 46804
PERMIT
GLTY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1753 FORSSA WAY
L07: 6 BLOCK: 5
RIDGECLIFFE 1ST
P.I.N.: 16-63980-060-05
DESCRIPTION:
REMARKS:
??.
i
?
f
i" - -
t
?
PERMITTYPE: euzLozNe
Permit Number: 0 3 3 0 4 0
Date Issued: 0 8/ 2 7/ 9 B
T.O. & REROOF/STORM
Bu-i'ldinq`"':Permit 7ype STORM DAMAGE
B,Gilding W6'rk Type REPAIR
pensus Code 434 ALT. RESIDEN7IAL
i
FEE SUMMARY:
CONTRACTOR: - Applicant - sr. Lzc. OWNER:
RIGHT WAY ROOFING 18530049 000399.99 YpHN JEFFREY
1200 E. 797H ST 1753 FORSSA WAY
BLOOMINGTON MN 55425 EAGAN MN 55122
(612) 853-0049 (651)
?
T hereby acknowledge that I have read this
informatian. is correct and egree Co comply
StaCUtes'and City c5t Eagan Ordinance$.
APPLICANTIPERMITEE SIGNATURE
application and statie that the
with all epp,licable State ofi Mn.
IS D BN SIGNATUR
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
(\ ?? 3830 PII.OT KNOB RD - 55122
661-4675 c7 ?
U
New Construction Reauiremmts
? 3 registered site survays
• 2 capies of plans (inGude beam & window sizes; poured fid. tlesign; etc.)
? t energy calculations '
? 3 copies of trae presenation plan rf lot plattetl after 7/7193
required: _ Yes _ Na
DATE:
7fON OF WORK:
ADDRESS: _
_ q
17 ?5- 3 r? o
RemodeVReoair Reauirements
• 2 copres of plan
? 2 sife surveys (exterior adtlkians 8 decks)
? 1 ene,gy caleulations for heated add'Rions
CONSTRUCTION COST; 5? 6q
LOT: ?o BLOCK: SUBD.lP.I.D. #: U?J?-
PROPERTY
OWNER
CONTRACTOR
ARCHIT'ECT/
ENGINEER
"u ?_? v ?\ n
Name: rSE V-F t; et Y-Q?I 1V z Pbone
Last First
Street Address: 175- 3?aQ csa. uAY
City •E ? 6 xt .) ' State: 1nn I.1 Zip: ss /a
Company:_I?_?:sc. e+-t tk-3 A?t Phone #: 8 '53 - o In`lcj
Street Address: Qcr- e 1147Lb S4? License # es c3e '3 4 4j
City RY)-% State: 1«A1 Zip: 5 5 ?oZ 5
Company: Phone N: _
Name: Registration #:
Street Address:
City State:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address cha%
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all app?icab
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _
Tree Preservation Plan Received _ Yes -
175I
jr 0, Of ?I C. R. WINDEN 3 A550CIATES, lNC.
IAND SURVEYORS ' Tol 645•3646
FOR: ? ??`?? 1381 EUSTIS ST., ST. PAUL, MINN. 55100
U. S. HOME CORPORATION
,
N ?5a 00
?
L
?
?
, PfoPpSed
\Vi-? : 1 <'' F-
? ?
? 5L
? •o
yA„
I
-o,
(v?
Hoµse
` Z
O a
O °
w
1 O?
?
1
? o
P?
N
Scale: 1" = 30'
O Benote5 Iron
EAGAN
R E V I E W E D
BY ;-•.
DATE
?o op ?P
?50 zo
N
'?-
?
Yr f .? ;i
r ,
o?
Z Qt
O l?
C-01
-A
?
Lot 6, Block 5, Ridgecliffe First
Addition, Dakota County, Minnesota. -
WE MERElV CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME
60UNDARIES OF THE LAND ABOVE OfSCR16ED AND OF TME LOCATION OF Atl 6UILDINGS, IF ANY,
THEREON, AND ALL VISIELE ENCROACMMENTS, lF ANY, FROM OR ON SAID IAND.
Derad t6is j2'LN doy eF ')anuarj A,O. 1983 C. R. WINDEN 8 ASSOCtATES, INC.
Re..ised Je,,.,nry Iy£N, ?9B3
? a. t
br
Surraror, Minneioto Ropisirotion No 7726
L(o < <35? R? (
'!U: IAFSIA OI.SCId, (TPII.PPY IIIIS.ING CLF..'?iR
BUIIDING INSPDCIZCN DEPAIZL•`9?'VT
BIIS, BFANQI, SUPERINPRIDENT CF PUBLIC f+JORKS
FROM: 7FiQMAS A. OCI.SIItr, DIRE(.?R OF RBI.IC WORKS d44--?
_ DATE: SEPTIIMffiER 1D. 1981 "
RE • RID=.IF'FE 1ST ADDI'I'IIN , .
Because the follaaing list of lots in Ridc,ecliffe lst Addition does
not have gravity sewer outlet at this time, the follwrisig proce-
dures wi.ll be initiated timtil further notioe:
[1fILITY BILLING
No water turn-ais will be allowed prior tn 8-1-82 or timtil sewer
is available in these azeas. '
BUIIDLNG rISPELTZCN
Building pernuts can be issued for these lots, but the builder
should be infozred at time of peanit issuanoe (perhaps startping
the building peunit with "NO OCCC.'?AtiCY PRZOR 70 8-1-62 OP. [,?"1TIL
$F.?'1ER I$ AVATTARiF.") r]72 S25triCt10IlS Ql S2W2S dVdlldb111Cy.
N?NCE L1EPARD=
See both utility billing and building irsPection above.
The lots with these restrictions are as follows:
L(7t5 1-9, BI,O(IC 7
LCltS 1-6, BIGClc 8
IpPS 1-7 BIfJCK 9 .
LC7I5 18-23 BLIJCfC 9 LC7I5 10-16 BLOCK 10
LOI'S 1-10 BL,CQC 5
Lc7I5 1-4 BLOCR 6 .
IL7I5 1-6 BIGCK 12 •
Lc7I5 1-17 BIOCSC 13
and are also indicated on the attached maps. .
jac
TO: LORvn orseN, urzzzTY nrLLzrIc cLERK (? -s
DALE PLTERSON, QIIEP BUIL,DINr, pFPICTAi•
BILL BRANQI, SUPERIN21a'?]DENP OF PUBLIC WORKS
FROM: THQTfAS A. COLBERT, DIRECI'OR OF PUBLIC WORKS T3k?
DATE: NOVf:S1BER 17, 1981
RE: RIIXMCLIFFE 1ST ADDITION - SEWER AND PIATER CONNECPIONS
On September 10, 1981, a nnmo was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
permits 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
Thompson Hon-es has agreed to install a teniporary lift station frcn Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridgecliffe lst
Addition. Attached to this rero is a cony of the letter we received
from Orrin Thompson Hcxnes whereby they indicate that they will perfozm
the installation, maintenance and liability of this tez[porasy lift sta-
tion/f'orce main sanitary sewer until such tiure gravity sanitary sewer
can be extended across the future I-35E during the spring of 1982. There-
£ore, with this tenporary system being installed and maintained bv Orrin
Thor.gson Horres, the terporary hold on sewer and water permits and occu-
pancy for the follawing lots has naa been lifted:
Lots 1-9, Blcck 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, Block 6
Lots 1-6, Block 12
Lots 1-17, Blodc 13
This temporasy sanitaiv force main will still not nrovide service to
the folloaing lots :
Lot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Slock 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 information. If
any problems arise pertaining to sanitary sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thorpson Iiomes for the
proper resolution. If you have any cruestions to this release of the re-
striction on the building and sewer/water pennits, please mntact M.
Please insure that all personnel in your departmnt are aware of these
restrictions.
TAC/jach
cc - Bob Carlson, Orrin Thcacpson Hores
TC: IARIVA OLSON, LTPILITY BILLIN(; Q,ERFC
DALE PEPERSpN, QIIEE' BUIIDING OFFICIAL
BILS, BRANCH, SUPERINPENDIIVT OF PUBLIC S^X)RKS
FR??4: THQMAS A. COLBEF7P, DIRECTOR OF PUBLIC NXJRKS 64-1
DATE: NOVEMBER 18, 1981
RE: RIDGECLIFFE 1ST ADDITION - SE11ER AND WATER CQyNF,CTION RESTRICTIONS
On November 17, 1981, a ireno was fonaarded listing several lots within the
Ridgecliffe lst Addition that had restrictions plaoed on the issuance of
any sewer, water or occuoancy pennits due to the imavailability of sanitesy
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 following lots only will have re-
strictions placed on the issuance of sewer, water or occulx-uicy pezmi.ts:
Lot 1, Block 8
Ints 1& 2, Block 9
Lots 18-23, Block 9
IAts 11-17, Blor]c 10
Please insure that these referenced lots are not granted any permits that
would allcw their occupancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as stated
in this menn.
TAC/jach
cc - Bob Carlson, Orrin Thapson Hcms
?35(p`? 2004 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 3 I S 1 ??
Site Street Address 3 ?or-SSQ wQ Unit #
O 05- jo?l o
K Telephone # 40?;_h
wner
Property -
? 011
?? r
t
t
C Telephone # ((0)
rac
or
.
on
Address -(.?70 Q City ?Q!aa !-1 SWtepn_ Zip S?1 a3
The Applicant is: _ Owner C-6ontractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener `Water Heater $ 15.00
L/"?replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
50
$
State Surcharge .
luy ? Jv
Total I
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 required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122033
Date Issued:04/22/2014
Permit Category:ePermit
Site Address: 1753 Forssa Way
Lot:6 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Audrey Flattum
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 -
Jeffrey P Yohn
1753 Forssa Way
Eagan MN 55122
(651) 686-8211
Pro Tech Restoration Inc
1355 Geneva Ave N
Suite 210
Oakdale MN 55128
(651) 776-8324
Applicant/Permitee: Signature Issued By: Signature