The URL can be used to link to this page

1756 Forssa Way Use BLUE or BLACK Ink r For Office Use I P, I City of EaEd Permit U I Permit Fee: 3 3830 Pilot Knob Road ` Eagan MN 55122 Date Received: Phone: (651) 675-5675 o(A'_25 UL 2 2011 ( ® j Staff: I ~affl Fax: (651) 675-5694 I _ I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: 11 Site Address: I 5 Unit # ~b"y rJ'y ~Q►C~t Name: Phone RESIDENT / OWNER Address/ City/ Zip: 115b Pj9z t AJ N~!J Applicant is: Owner --t Contractor r TYPE OF WORK Description of work: 2-7 b ;A*~j"lV-JQ_AR e__Gk_P . r\c~ ~dO Z_ Construction Cost * Multi-Family Building: (Yes / No ) Company:'i'~(s: Contact: V_, .r,5bee/, CONTRACTOR Address: ~i9ally U c ako_ ~ R iJ--- City: 60zl SA State: MW Zip:'15512--5 Phone:(_(0T; 0 7 7t$-3C),,4CJ License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o pla . I C! x~' x Applicant's Printed Name App n s ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES 6scc - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows Demolish Foundation _ Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation (j c? Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%-Y-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water Final Pool: Footings _Air/Gas Tests Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 (/d POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: Applicant Name: R~k, , ~ O a~1 GENERAL INFORMATION x ¢ o z ¢ _,-Q' ❑ ❑ Applicant name and contact information _--I- ❑ ❑ Property owner name _.Q ❑ ❑ Address of property ,Er ❑ ❑ North arrow, scale (1" = 30' or 40') ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. ,Zr ❑ ❑ Location and name of all streets adjacent to property ,,2' ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing fd' ❑ ❑ House corners ,U ❑ ❑ Property corners ❑ _.,Z ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ Ja' ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ❑ J' ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines ~I ❑ ❑ All Easements on the property Proposed f2' ❑ ❑ Pool J2- ❑ ❑ Pool plus integrated deck/patio ,U ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name Date GTORMS/Pool Permit Checklist/02-13-07 1 i A C. R. '1 EN & ASSOCIATES, INC. i AND SURVEYORS Tot $415-3646 FQR' 1:381 EUSTIS ST., ST, PAUtt MINN. ~51Ctl8 U. S. HO,~- CORPORATION Scale. I" = 30' o Denotes Iron N~ Ly~ C~ mss IoD Ct Cr~/ t}- -21 ® U1-° f~ o X o m ' f~y -~z% n o n -f < ✓ ~ O \ c m I 3 N `J . Lot 4, Blocs 6, Ridaeciiffe First Addition, Dakota County, Mein nesota. tote Proposed garage floor El. 9-46.2-3 { (9ow,,O) Denotes proposed finished ground El. Denotes direction of surface drainage Vertical Dati N.G.V,D. 1929 WE HEREBY CERTIFY THAT THIS IS A TRUE AttL' CORRECT 1 EPRESFNTATION OF A SURVEY OF THE SOUN+DAt1ES Of THE LAND AB;✓VE DESCRIBED t?ND OF THE LOCATION OF ALL 41JILU1NOS, IF ANY, THEREON, AND ALL VISIBLE ENCRC)ACHMENTS. iF ANY. FROM OR ON SAID LAND " ;gt EN Dented this of __A D. 1g,:.a C. V. ASSOCIATES, 1140. : r I~` L CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ' IO1r i?fr'y '?, A W A Y i i. 11?+?1 ? 1 I i I i ? PERMIT SUBTYPE: d 13 itit APPLICANT: ,,; ., ? :, , ,?r?•. ? ? ra? TYPE OF WORK: t,f 1,4 V I P i t IIN ttii i i t1li'+u ??? ?F kAr iiM ( ?'A I I rJ 1?OUk ) INSPECTION ?,? . ?. ? .. . „ ?.. ?. ,... .. I w . ? , . y??u ?a?ii ?d ru?e ? g" ,z; ?'?•. ? ? ? ,? _ - ? ' - --_-_ 4 E?g ?u- c ? ? ... . . . ... . ? .. .> J - - - - - - - - - - - - - - - - - - - - Permit No. Permk Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date tnsp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Flreplace Final Htg. Orsat Test Final Plbg. Plbg. Inspectar- Notify Plumber Const. Meter Engr./Plan Bldg. Final 7.'! LtJ/??A-2 c?3'r/d Dedc Ftg. D ? Dedc Fnal wen Pr. Disp. INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: +'" 3830 Pilot Knob Road Permit Number: 0 00? ? i Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 101, n ,;, APPLICANT: ?;I.? . I nl;:,:;A wA'r rirt ? MhN ? I1 I 1 kt. i 1 ifio I I i I f I t, i 1. ? v.A 4100 1 ? PERMIT SUBTYPE: t'j i t fill T ! Nfl', TYPE OF WORK: F tNAI 1- Permit No. Permit Holder Dete Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapectton Dete Insp. Commenta Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Finel Deck Ftg. , Deck Final - ? wen ? Pr. Disp. CITY OF EAGAN Remarks Addition Lot 4 Blk ? Parcel #1 Q 63480 040 Ob owner street 1756 Forssa Way srate Eagan, MY 55122 Improvement Date Amount Annual Years Paymenx Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK .: 1982 298.08 SEWERLATERAL 1982 1305.42 5 1305.42 C007616 12-2 - WATERMAIN WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81 WATER AREA lg$Z 298.08 5 298.08 C007616 12-23-81 STORM SEW TFiK 1982 638.24 5 638.24 C007616 12-23-51 STORMSEW LAT 1982 955.45 5 955.45 C007516 12-23-81 Services 1982 637.75 5 637.75 C007616 12-23-81 CURB & GUTTER SIDEWALK STREET LIGHT IbOAD UNIT 250.00 36076 6-1-8 WATER GONN. 450.00 is it BUILDING PER. 8083 SAc 525.00 PARK Roaipt Pnmit No. Ffa MECHAAIICAL PERMIT CITY OF EAOAN ' Fill fn numbened wecar S/C Type or Print kgib/y T,.L 1. aate-•{ ?. lnstallation Cost 3. Job Address Blk. tract 4. Owner `i 5. Contractor Phone _ S. Address ? f?, ?.; /- ?,,:r _,•? s:i ?'? t.?? ' J 7. Citv A?.1 Stata Zip - ?? S. Buitding Type: Residential Commercial ? Institutional ? 9. Work Description: New O Add I?f Alter O Repair ? ; 10. Descxibe f 11• Type No. Epyigtlrien: 9TU - M. Ea. Forced Air No, Eauiament CFM Air Handling: Mfg. Boilera --° Mech Exhaust Mfg. . Unit Heater Mfg• Other Air Cond. Mfg. Gas. P"iping Outlets 12. I hereby certifY that the above infojMa ion is true and correct, and I agree to comply with all ordinadoes-end overning this type of work. , , Signed : p 7Z9for pE ! ?/D ?l ? Final hough Ins ctions: Date nsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EA(3AN 464-8100 Reoeipt PLUMBING PERMIT CITY OF EAGAN Permit No. ? Fft ? fill in numb8red spaces S/C Type or Print /egibly Tot. 1. Date , Installation Cost 3. Job Address e.'r :?j, L?tot Blk. Tract 4. Owner 5. Contractor ; ,- ? ?,,? 5--- Phone ~ - B. Address t.•\ 7. City State ZiP 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add O Alter ? Repair ? . . ?, 10. Describe I 11. No, I ' Fixtures Water Closet No. Fixtures Cesspool/Rrainfield 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 infqfmation is true and correct, and I agree to comply wit#t; all ordina`hces, and c ? es governing this type of work. Signed: for Rough P?- Final InspeCtians: Date Ly_-eS Insp.Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 .4 -,I (,, (o 0 - a?p,,L,, - ?. &-t-) -?1ay MECHANICAL PERIINT CITY OF EAGAN ' • • 3830 PILOT KNOB ROAO, EAGAN, MN 55122 Site m Name e3;l,_a...C(rt„„f, ? Address 31??3`12 c Ciry ? Name _ 3 Address 0 Ciry - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Gas Piping Dutlets # Oth BEYOND $1,000) er . '? FEE: S/C: / SIGNATU R TTEE TOTAL: FOR: CITY OF EAGAN BLDG.TYPE Res. X Mult Comm. Other PERMIT # S'. ?e_-_r RECEIPT # J DATE: -1t2-87 WORK DESC[i1PTION New Add-on X Repair FEES RES HVAC 0 00 M BT . -1 U -$24.00 'o ssa A ADDITIONAL 50 M BTU - 6.00 n Phone 4!?4.5,E47- (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ' GAS OUTLETS (MINIMUM - 1 PER PERMI n - 1.50 EA. COMM/IND FEE - 146 OF CONTRACT FEE M BTU M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPL.IES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 M BTU . AlQQS-- M BTU 12 00 CFM REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRIGE GOES - 12.00 - 20.00 - .50 Receipt ? PLUMBING PERMIT Permit No. _ CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 5/31/83 2. Installation Cost I 3. Job Address 1756 Forssa WdyLot L"1 Blk. • ?-" Tract f - ?-- 4. Owner uRRI N THO; 9PSOP± 5. Contractor wEUEL ilECH. phane 452-156S s. Address MUU Kenne5ec Gri ive 7. city Eggan State Mr. ZiP55112 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New tl Add ? Alter ? Repair ? 10. Describe 11. No. _ Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower yyell Kitchen Sink Urinal/Bidet Other S /W ? • Laundry Tray . u; t r I h;r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I 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 Final 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 spaces Type ar Print /egibly t. Date 6-8"=3 2. Installation Cost 1 3. Job Address ?Qr9`;?? Lot 1 Blk. 4. Owner 0=19IN TH?IviPSON MW-.S Parmit No,- Fee - • S/C " Tot. 'G. ?•: )0 .CkO • i TracY4 ? -_ 3_Y G. ?.;'. Phone ?.: "25-66 ? 5. Contractor HT 6. Address 1;b3'] C1]1G;.o 7. City ' State Zip " 8. Building Type: Residential 91 Commercial O Institutional ? 9. Work Description: New Q Add ? Alter ? Repair ? 10. Describe!'-'strM fcrced 3i.r helitint: Fuel Type -If-t gaS 11. No. ' Eau[pment STU - M. Ea. ForcedAir No. Eauipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. i Gas, Piping Outlets 12. I hereby certify that the above intormation is true and correct, and I agree to comply with al?.drdi7ces and codes 9overning this type of work. 5igned : . l?;i i for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CORRECTION NOTICE .... ? ?- ? ?i . DATE: ?% . `? •• ,! Site Name, ? . - . •}-•? '?'' ,???, Telephone ? Owner/Agent Address - '?.= r « >= Ordinance Nos. and Corrections - Correct By ? . , • + .' . . '_ _ . "_ .. {'1` *" t?._. ? _ i. . /, - ... _.4'./` ??<';' Fpr reinspection . Eagan Dept. of Inspection Inspector. ° 3795 Pilot Knob Rd. . . Eagan, Minnesota 55122 454-8100 Dept.: • I . BUIL'aiNG PERMIT CITY OF EAGAN 3795 Pilo! Knob Raod Eogon, MN 56122 PHONE: 454-8100 p 1 ?T a?, l,? t5 u"i Receipt # _-/=, '_ Slte Addrcss - 175 Fnragsa L1ny (F1An 41) Lot 4_ Blotk 1?_ $ec/Sub. Ri rigPr 1-1 f 1 st Porcel # jfl ?, ;?.1:;? ?']i?n 06 W Name 14ompann Lakea n-fSC1slo*+ ? /lddress - 1 f 1') iin! Ir i nn ('rnsinrnnri City'.''tka- `' phone 544-7 131 Name nw,pr ?o U /lddress ? ri•„ 06.,.,. Name Address I hereby ocknowledge that I have read this applicotion and state that the inlormotion is Corrett ond ogree to comply wifh oll opplicoble State of Minnesoto Stotutes and City of Eoqan Ordinonces. $ipnnture of Pem+ittee /1 Building Pem+it is issued to: Thoaq' all work shall be done in xcordance with all 9uildinp Officiot Erect gk Occuponcy R` 3 Alter p Zoning (PD) R-1 Repoir ? Fire Zone 'i1A Enlorqe p Type of Wnst. V Move ? # Stories Demolish p Length ' 1 Grade ? Depth Z 4 Sq. Ft. Approvols Feea Assessment Woter & Sew. Police firo Enp. Plonner Councll Bidg. Off. APC Surcharpe 31 - nn Plan check 1 'q_ 5f1 SAC 5?5nn Water Conn1-5Q QQ_ Woter Meter LQ • ') 01 Rood Unit 251:. ?;0 Totol $1794.50 ? Dlvision on the express conditbn tFx,t P of Minnesota Statutes ond City oi Eapon Ordimnces. Permit No. Permit Holdsr Misc. Permit No. Holder Plumbinp 3? -rj ?Q?'Z? 3 l?J H.V.A.C. 3?( w.u Water Disp. Savrer e??i? we7tYo? Bgt! L?ltc . zs-g3 Irqpeetion Dm Insp. Other Footinpt v Foundetion Fnminp . Rouph Plbp. Rough HVA . Inwlation Final Plbg. Final HVAC • Final c wwwr Descri6e Location: IMell Sewtr • Pr. Ditp. CITY OF EAGAN "' WATER SERVICE PERMIT ?830, Int Knob Road P. b. k3ox 21199 PERMIT NO.: ?? "759 Eagan, MN 55121 DATE: ZO^i^g; "J i " No. of Unirs: ," `-lampsoQ Lekes Div Owner. Mdrcss: Site /Wdrcss: 175 FoTSSa Wqy, Lµ ' Riiz,ze Cii.. e st Plumber. 14Pgzel Plbg & tg Meter No.: Connection Charge: 450.00 pc Size: Acooimt De lt o p : s Reoder No.: Permit Fee: 10. 00 pd 1cgnn M eaaply wiM tba City of Eoyon Surcharga: .50 D? Ordiwaeo.a. Misc. Charyes: o meter Totol: BY Dote Paid: Date of Insp.: CITY .' EAGAN SEWER SBlVI CE PERMIT 3795 rilaF Knob Road PERMIT NO.: Eoges, MN 55122 DATE: Zonirp: j ; Owner: No. of Units: Address: Site Addreu: iT5o ='aress - ?? ?? Li - Plumber. ;'•n'eI Plr ^ I esra to eomolp wilh tiw City of F.aya¦ Connsction Charps: L- Gedinanas. Accoixrt bepoait: Permit Fee: ? Surcharfle: BY Misc. Charges: Dote of Insp.: Total: Insp.: Date Poid: rstQUEST FOR ELECTRICAL INSPECTION ft EB-00001-04 , Sea ins4uctions for cempletin8 this form on back of yellow copy. l?ork ?oLered by This Requesi J?D ?O C7) Add Nep. Type ol BwltlmA P.pplmnces Wiretl Eqv,u'ment Wnetl Home Range Temporary Service Duplex Water Heater Lightiq Piztures Apt. duilAing Dryer Electric Heatin Commercial Bldy. Fumace Silo Unlonder Industrial Bldg. Air Condrtioner Buik Milk Tank Farm Otber oeci y eEher ISUecifyl I P.l SVCCIfy I Cf Olhu, (,onrpute lnspection Fee Below If Fee ServiceEntrancaSize k Fee Fnedxrs/5ubfeeAers b Fea Cvcoits U to 200 qm s 0 to 30 Am s '30-03 0 m 30 Am ps Above 200 qmpy 31 to 700 Amps 31 to 100 Am s Swimming Pool A6ove 100_Amps Above 100_Am s Transiormers Irrigation Booms („ PartiaL`Othei Fee Signs Special InspecLOn 5116?! V Remerks 7 70T ? ? Pouah-in Date , lhe ?cal nsoecmr, neroCv cnrtity thxt ffie abova Final w/_f 'rypecLOn hes been 7` 0(0 0 made. Tnis renuasl voia 18 monfhs Imm ,e?mast vmd (o-zz 18 months from W079408 Cy? gb, p 4 `dlgelrFFL /s± 3(0(001 (1o, o0 Request Oa(iep ?j k3 1? Fire No. Roueh-in insuection p??ed? ? ev No OReady Nu W?or ill NouSy Insuec- Y.?hen ReatlY &Lmensed Eleclrlcal Contractor I heraby request mspection of above ? Owner eleclncal work mstelled at. Streei Address, Bos or Rouce No. 1,15? fov-5% h? COv ?^' tion o. Township Name r No. Range No. CAoumy V" Or,cuP.m IPRINTI ywA?.S%ti \-Aw.` Phone Na. Power Supplier F" Acitl,oss FARt`10-10 Elecbical Cnntrectur ICOmpany Namel ' - Co [ractor's L.icense No. ? 9?S?z BE?.L E?.?.c ? P?- 3 Mailmp AtlJross ICOntrar.tor or Owner Making Installationl IyVI E, Wtf- "An Authorize Sien ure 1 onVac10dOwner Making hnstallduon) Phone Number MINNESOTA STATE BOAND OF EIECTRICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Midwey Bltlg. - Xoom N•797 BE ACCEPTEO BY THE STATE BOARD 1827 UniversilV Ave-. St, Paul, MN 66104 UNLESS PROPEH INSPECTION FEE IS _. ....... ....? ..... ENCLOSED BUILDING PERMIT CITY OF EAGAN 9795 Pllef Nno6 Road Eagan, MN 53123 ' 9HONlt 454-8100 _ SF DWG/GAR $62,000 Site Address 1756 Forssa Way (Plan 43 Lor 4 Biak 6 See/Sub. Ridgecliffe lst Pnrcel * 10 63980 040 06 W Na,r1e Thompson Lakes Division ; Address 1712 Hopkins Crossroad b _ e,r«i... ci.i._?111 o INoma Owner ib Address r:.., Name _ Addrem I hereby ackrwwledge thot I have reod this application and stote that fhe intormofion is correct ond agree fo tomply wifh all opplicoble Stafe of Minnesota Statufes and City ot Eagan Ordinonces. N° 8083 Receipt # „___ June 1 83 Erect MC pauponcy R-3 PD R-1 Alter ? Zonirg Repoir ? Fire 2one NA Enlorge ? Type of Consf. V Move ? # Stories Demolish ? Length 64 Grade ? Depth 24.6 SQ. Ft.- Approrala Feo. Asseument Permit 319.00 Woter 8 Sew. Surcharge 31.00 Police Plan check 159.50 Fire SAC 525.00 Enq. Water Conn.450 _ 00 Planner Water Meter 60.00 Council Road Unit 250.00 Bidg Off. . APC -rora? 1794.50 Sipnnture of Pertniftea T ompson La es 1v15i0 A Building Permit Is issued to: on tha expreu condition thnt oll work sholl be dona in accordance with all oppli Sta - es ond Ciry of Eaqan Ordinances. Building Offlcial -se, ` C?rrtifira#e nf ODrrupttnry Citp of (Eagan Brpttrimrltf n# f?uilDtng J+ ttapPr#iim Tbir Cenifirade ittacd purruant !o the requirrmenu of Sertian 306 o f the Uni form Bui/ding Code certi f yrng tbat at the timc o f ittuarut thit ttru[tuie war in compliance with the variour ordinancct o f the City rrgulating building construaion or ure. For the following: SF DWG/GAR 8083 U. CIWOpE. Bidg. Pemm No. ?wkr'rya R3 TYac.?um V NR? . NA zoN?aaae?? (PD) Rl O.o???a Thomoson Lakes DivIda,n,1712 Hopkins Crsrd., Mtka. ............. 1756 Forssa Wav ....Lot 4.Rlork 6.Rideecliffe er: -- pa?e September 30, 1983 ? .e.. ?. . ?e.,???. ...?E pEQUEST FOR aECTRIGIL INSPECTION EB-00001 UL 7 P+ ? See instruciions far cmpMH?(hia iarm m bnek ol Yellow eopy. .! A nep Q y?pm '"X" Belav Work Cove)ed by This Request NwAAddl AaD.I Tvoe of euileare I Appl:aucas @:red I Equipment Wired I Silo Unloader Bulk Milk Tan Farm N Fee ServiceEMmncaSize N Fee Feeders^ubfeeAars 4 Fee Circurta Uto200Am Om30A Om30Am Above 200 Am 31 to 700 Amps F 31 to 100 A s Swimnin Pool Ahove 700_Mms Abave 100_Amps Transiormers Irtigaiion Baoirs ParLal-'Other Fee L L I Sigis Special lnspection e??SVTOTAI-?? E? Rertarks _/C7?' Insoector, ne.eoy certify thet the ebove rbspection hes been l / ihis reQUes1 void h '.j1 ? / l 18 monihs irom ? d Q A 0796v0 L ?/??? ?_/..r?- I Re est ie ) tl Fire No. 1buyR n I?pection / I?qu red) Dflea0y Now Q Wi ill Notrty In5pec- '1 ? ?g ?y? ?NO ta When Peatly W icensed ?ctrical Contracmr 1 Meby rapuest inspoction of above ner wiectriql wuk imtallod at: Street Addre/ss', Box or Poute No. ? C/-tY ?+ ? ? Q?/T ? 1c ll (? ection o. Townsh?p ame or No. Range o. Counry Oc upant (NtINT) 5osr=P? Phone No. Power suoviie. AAdness Elecvical Contractor (COnipany Name) Cuntractor's License No. Mailin0 Addres5 (Contractor or Owner Maklry Ii60iWtion? f `? F-6&s 4W Authorized ipna[ure (Cqnl ra r Irtbllatiml Phone Numbar 7sa -9 q`Zs- MI NESOT $TATE BOARD OF ELFC7R1 TI TH45 INSPECTION REQUEST WiLL NOT Gri -Mi y Bltlp. - Room N-791 BE ACCEPfEU BY TNE STqTE BOAND 1821 LJil arsity Ava., SS. Paul. MN 56704 UNLE53 PROPEN INSPEGTION FEE IS PIo.- 16121297.2111 ENCLOSED. CITY OF EAGAN P 1 an :?}3 BUII,DINC; PF"RMIT APPLICATION 'Ib Be Used For Valuation _ Site Pddress: XZSb ?oa_std yJ Lot ? Block (m Sec./Sub. ?aicel l0 ? SR. sU C)q0 O ('0 Q.mer: Pddress: - City/Zip Code: Phone #: . contractor: TMOMPSDN LAKES. D;V!SPO{1i Address- 1712 HOPK{NS CROSSRCAD City/Zip Codec Phone #: . Arch. /Etig. : Address: City/Zip Code: Phone #: tk-"i333 - - Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date 5'1ti'ST OFFICE USE ONLY Erect ? Occupancy Alter zoning Repair Fire Zone iq Enlarge Rype of Const. _ Nbve # Stories Demolish Fiont ? ft. Grade Depth rg -? ft. APPIdOVAI.S Assessnents Permit Water/Sewer Surcharge Police Plan Check -='?- Fire SAC S-S" Eng. Wates Conn. ys-o - Planner Water Meter '?"a ? - Council ad Unit o( S- ? Bldg. Off. APC TOTAL 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit ,'F30-' Date /J / V / or ? 7S6 f"'o Y f'J 0. 4G/ Site Address , . ? Unit # PropertyOwner IsPc/ ?? ArLQ-I Telephone#( 6S/ ) •'?JSy? ?QQ J Contractor gry, AICEL( AIRE ? 12253 NI;onet Avehe s" - , . . ? Street Address &Kmft MN 55337 City lftPWO' ? State . 4"= FWJ5 Telephone # ( ) Bond #: S205 6 7 Expires: 9 Lf/ 0 6 The Applicant is _ O wner ?Conuactor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? air conditioner _New 5d Replacement other State Surcharge $ .50 $ '3 °' 5-0 Total I hereby apply for a Residential 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 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. Y 4 - Applicant's Prin ed Name Applic ' Signature -7 i RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWctlon Reouirementa • 3 registered site surveys showing sq. R. of lot, sq. fl. of house; and all roofed amas (20% maximum bl cove2ge allawed) . 2 copies of plan showirg beam 8 window s¢es; pou2d found design, etc.) • 1 sel of Eneqy Calculations • 3 copies of Tree Preservatan Plan i( lol platted afler 7l1193 • Rim Joist Detatl Optlons selection sheel (bldgs wAh 3 or less units) DATE SITE ADC TYPE OF '-7-,-?c7- oc;l APPLICANT )Jl.7 STREETADDRESS LOJJCo 1-1?2? TELEPHONE # /?/a'80'Sl33- CELL PHONE # PROPERTY RemodeUReoair Reauiremenb • 2 copies of plan • 1 set of Energy Calculations for heated additions . 1 site survey for erierior additions 8 decks . Indica[e if hame served by uptic system for addilions VALUATION A,??- ? WLTI-FAMILY BLDG _Y rN PIREPLACE(S) _ 0 _ 1 _ 2 ?STATE /???ZIP 55 5;?? FAX # ?O l1- 2,29- S YSa TELEPHONE# ?SI"!w v? I -------------------------------------------------------- ---------------------°---------------- COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.I;S 7670 CATEGORY I MINNESOTA I2ULGS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor. Mechanical syslem includes: Sewer/Water Conhactor: _ Air CondiUoning HcaL Recovery System Fee: $90.00 -----------° °----------°------------------°-°--------°--°----------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordina SlgnatureofApplicanf !r ,? --_................. --_-------_......... -............ -...._ ___--'------- ----'---- -----.... .._ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softener Water Heater No. of Baths _ Phone # I.awn Sprinkler No. of R.I. Baths PERMIT # RECEIPT OATE: 8008 RUIDERTIlkL PLUM$INfi '?i bI1T APPLICi4T10N crrY og KAeM S$SO PILOT KFOB RD £AHRF, 3i1V 55122 651-8$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for inigation system SITE ADDRESS: 1-7 OWNER NAME: :On If lM rt ? JP-I--F ffz::1 TELEPHONE #: (05 I (vR?- ?+ I( I (AREA CODE) INSTALLER NAME: I?I • rI I' ?eM/Ij'? ?S TELEPHONE #: InS I 3Io5 -' 134-0 (AREA COGE) STREETADDRESS: 3I?? C' 6a1)fl IZb cin: STATE: MAf ziP: 5 23 SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply . MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter'rf needed -$118) Other: _ RPZ: new installation/repairlrebuild $ 30.00 _ lawn irrigation system Replacementfadditional: _ water softener ? water heater $ 15.00 State surcharge 1 ?0 $ .50 sy $ sf sL) Total I hereby acknowledge ihat I have read this application, state that lhe informafion is correct, and agree to complywith alI applicable Cityof Eagan ordinances. It is the applicanYS responsibility to notify U?e property owner lhat the City of Eagan assumes no bilily for any dam ges raused 6y the City during its normal Ui operational and maintenance activities to ihe facilities consWcted under this permit withi Il pro erty/right-of?W ? e. er?e C U SI T RE OF PERMITTEE 1/ . INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozNc 3830 Pilot Knob Road Permit Number: 024077 Eagan, Minnesota 55123 Date Issued: 8 7/ 11 / 9 4 (612) 681-4675 SITEADDRESS: t,or: a BLOCK: 6 APPLICANT: 1756 FORS5A WAY COLEMAN .7EFFREY RIDGECLIFFE (612) 454-4901 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION .. . ., FOOTINGS FINAL -1 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: eurLorNG Permit Number: 0 2 4 0 7 7 Date Issued: 0 7/ 11 / 9 4 SITE ADDRESS: 1756 FORSSA WAY LOT: q BLOCK: 6 RIDGECLIFFE P.I.N.: 10-63980-040-06 DESCRIPTION: B,u3ldirig,Permit Type Building Wbrk Type i ? i \ DECK NEW .,=? .?;•? L. REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - COLEMAN JEFFREY 1756 FORSSA WAY EAGAN MN 55122 (612)454-4901 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L Ile PLIC T/PEFMITEE SIGNATURE PERMIT CA 0--9 1 1-rr-gL( application and state that the with all applicable State of Mn. ISSUED 8ci : IGN TURE I CITY OF EAGAN 1401, 1994 BUILDING PERMIT APPLICATI IF Et-?u 681-4675 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy_of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date fUl?6 / 30 Valuation of work Site Address: Fbg5 /3 IM1fi1y STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. !'N P.I.D. # klO&E L ' S /17 ? Descri tion of work: The applicant is: Owner ? Contractor ? OthOT' (Deseribe) 1 FMAti SEFPQC-yA f/y'FRECCA T Phone y5y- Name Property - IAST FIRST Owner Address 1756 &ASS4 (,JAY STREET STE # City ?H"Al State /j7A/ Zip SJr/aa- Company Phone Contractor Address License # Exp. City State Zip 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 informatian is correct and agree to camply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n Signature of Applicant: v' ?le . . ? ? F'OR: ? U. S. HOME CORPORATION A. , W- Z.` o- ? ?O - ---?? ? L ? ? i •- ?'= 0 y 32 ? I ? I ? Lot 4, Block 6, Ridgecliffe First gz) , Addition, Dakota County, Minnesota. C. R. WINDEN & ASSOCIATES, !NC. IAND SURVEYORS Tpt 643•3646 1381 EUSTIS ST., 5T. PAUt, MINN. SSIOB N Scale: 1" = 30' o Denotes Zron • N '7 5 " o / / 2.? ? . E.. ? -a I -- ? , - -?-- II-- v ? i ?I ? N69 G? L 5? vi- ? ? s WE MEREBY CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME 60UNDARIES OF TME LAND ABOVE DFSCRIEED AND OF TME IOCAiION Of AlL BUILDINGS, IF ANY, THEREON, AND ALl VISIBIE FNCROACFIMENTS, IF ANY, FROM OR ON SAID IAND. Dapod rhis g?+k? day oF_M_e-?4-_A.D. 1983 rLfo,-,se Locc fc- ol /983-teuu C. R. WIHOEN 6 ASSOCIATES, INC. by Survcror, Minnewro Raqislrafion No 7726 ?--- NJi519 INSPECTION RECORD CITYOFEAGAN PERMITTYPE: auiLozNe 3830 Pilot Knob Road Permit Number: 024133 Eagan, Minnesota 55123 Date Issued: 0 7 J 14 / 9 4 (612) 681-4675 SITE ADDRESS: Lo r: a B L 0 C K: 6 APPLICAMT: 1756 FORSSA WAY OL3ETH CON57 INC RID6ECLIFFE (612) 727-3763 PERMIT SUBTYPE: SF (MISC.) TYPE OF WORK: ALTERATION DESCRIPTION (PATZO DOOR) iNSPECTION FRAMING .. . ROUGH IN PLBG .. ROUGN IN HTG FINAL F- 7 L -J PERMIT L? z4,3 z z ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BuiLoxNc Eagan, M innesota 55123 Pertnit Number: 024133 (612) 681-4675 Date Issued: 0 7/ 14 / 9 4 SITE ADDRESS: 1756 FORSSA WAY LOT: 4 BLOCK: 6 RIDfiECLIFFE P.I.N.: 10-63980-040-06 DESCRIPTION: (PATIO DOOR) B'uilding-Permit Type 5F (MISC.) ,!Building WQr_k Type ALTERATION i i" I ? i " D^ UI ?v'QjIj REMARKS: FEE SUMMARY: VALUATION $500 Base Fee $15.00 Surcharge $.50 Total Fee $15.50 CONTRACTOR: - Applzcant - sT. LIC. OWNER: OL5ETH CONST INC 17273763 0008153 COLEMAN JEFF 13220 WEBSTER AVE 1756 FORSSA WAY SAVAGE MN 55378 EAGAN MN 55122 (612) 727-3763 ? I here6y acknowledge that i have read this application and state that the infiormation is correct and agree to comply with all applicable Stats of Mn. 5tatutes end City ofi Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE J(}t119 ??,PA,I' I?? ISSUED B SIG TURE I CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date - Z_ Valuation of work ???f O?,s ou:ugf-s /.?d cQrW Site Address: STREET SUfiE # Tenant Name: (commercial anly) LOT BIACK ? SIIBD. . I ? P.I.D. a Descri tion of work: The applicant is: ? Owner Contractor ? Other cuescr;be> Name Coemo_n &ac 7e Phone Property LAST FIRST Owner Address /73 6 1560Ka Cc?? STREET STE # City State Zip Company Phone 727'32(9'3 Contractor Address f 3a0?0 (?AS'? 0_u _ License # g/,S-3 Exp ?.? ? City S)O State Zip ?-?378 Company Phone Architect/ Engfneer 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 hav ad this ' ation and state that the information is correct and agree to comply wi all e State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1756 ? ?Q C. R. WINDEN 3 ASSOCIATES, INC. y (7090*00q& CJ v?????'wsy l AND SURVEVORS itL 645• 3646 FOR: O 1381 EUSTiS ST., ST, PAUI, MINN. 65108 U. S. HOME CORPORATZON ? Scale: 1" = 30' o Denotes Iron T ., C MEN • 9?j, °J LYT???-rY O 10 ANOIA?. ?9s?; Da 7op? 24.6 E 1.' 995A p ?, o p sz o - ? - l? (? ? ?' ? x rs ln ? h a ? ? ?,-,- ?,• N < Top cI C..rb/4? 10 64 3e \ \ } Lot 9, Block 6, Ridgecliffe First Addition, Dakota County, Minnesota. tiote : . Proposed garaqe floor E1.'998.z3 ? (900,0) Denotes proposed finished ground El. ?- Denotes directfon of surface drainage Vertical Datum - N.G.V.D. 1929 WE MERE6Y CERTIFY TNAT TMIS IS A TRUE AND CORRECi REiiESENTATION Oi A SURVEY OF TNE SOUNDARIES Of TME IAND A60VE DESCRI6ED ANO OF THE IOCAiION OF All SUIIDINGS, IF ANY, TMEREON, AND ALL VIS16lE ENCROACMMENTS. 1F ANV, fROM OR WN SAID IAND. Gerod rAi. ?' der OF R. WINDEN d ASSOCIATES, INC. ?9=??- A. 0. 1v63 C. .. 4--l Ag,:? furvpor, Miewewto Rapurrotiee Ne 772? Mnsn To: LoRNA oLSav, UTzLirr Bri.i.zrac cia:RK , c c ? °!?.. DALG PLTEf2SON, QHIII' BUILDIN(-? OFPICIAL . ., BILL BRANCH, SUPERINMIDESIT OF PUf3ISC WORKS FROM: THOf1AS A. COLBERT, DIRECTOR OF PUBLIC WORKS DATE: NOVD1BEF2 17, 1981 RE: RLDC'ECS,IFFE 1ST ADDITION - SE:IER AND N7ATER CONNECPIONS On September 10, 1981, a mem 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 TholTpson Hotres has agreed to install a teirporary lift station from Man- hole No. 37 to the 4" service line for Lot 8, Block 9, Ridgecliffe lst Addition. Attached to this rrlro is a copy of the letter we received frcm Orrin Thompson Hanes whereby theY indicate that theY will perform the installation, maintenance and liability of this tenpOrary lift sta- tion/force main sanitary sewer until such tim gravity sanitary sewer can be extended across the future I-35E during the spring of 1982. There- fore, with this terrporary system being installed and maintained by Orrin Thom{>son Hcres, the teaTorarv hold on se:ver and water permits and occu- pancy for the following lots has ncw been lifted: Lots 1-9, Block 7 Ipts 1-6, Block 8 IAts 1-7, Block 9 Lots 18-23, Block 9 IAts 10-16, Block 10 Lots 1-10, Block 5 Iots 1-4, Block 6 Lots 1-6, Block 12 Lots 1-17, Block 13 This tetcporary sanitarv Porce main will still not nrovide service to the follaaing lots: ? Iot 1, Block 8 Lots 1& 2, Block 9 Lots 18-23, Bloc]c 9 Lots 11-17, Block 10 Therefore, the restrictions as rnferenced in my previous n-eno will still apply to these lots. These lots are referenced on the attached map for your information. If any problenis arise pertaining to sanitary sewer availability, back-ups, etc., please refer those calls directly to Orrin Thorpson Homes for the proper resolution. If vou have any c,uestions to this release of the re- striction on the building and seaer/water permits, please oontact me. Please insure that all personnel in your departrrnnt are aware of these restrictions. TAC/jach cc - Pob Carlson, Orrin Thcx*pson Homs TO: LOlh'qA OLSON, iTPILITY BIISSNG CS.EE2K DALE PL•TERSON, CHIEI' BUIIDING OFFICIAL BILS, BRALNCH, SUPERIN'PENDENT OF PUBLIC IADRKS FROM: THOMAS A. COI,BERT, DIRECI'OR OF PUBLIC WORKS 6? DATE: NOVII?MER 18, 1981 RE: RIDCECLIFFE 1ST ADDITION - SEYIER AND WATER CCNNECTION RESTRICi'IONS On NovemUer 17, 1981, a rrn= was foraarded listing several lots within the Ridgecliffe lst Addition that had restrictions placed on the issuance of any sewer, water or occuoancy pennits due to the unavailahility of sanitaxy sewer. There appeared to have been a dunlication of lots that were refer- enced for future restrictions as wmpared 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 occupancy permits: Lot 1, Block 8 Ints 1& 2, Block 9 Ipts 18-23, Block 9 Iots 11-17, Block 10 Please insure that these referenced lots are not granted any permits that would allaa their occupancy or use of the sanitary sewer systPm. Please insure that all personnel are made aware of this correction as stated in this nmiro. TAC/jdch cc - Bob Carlson, Orrin Thcaapson Homes L`I i ? (v c F2Ll To: miam cnscrr, vra.rrr naa.INc cr.ERtc BUIIDING INSPFX,TIIN DEPAR1-IENT BIL,L BRANQ-I, SUPERD=IDE?'yT CF PUBLIC TaORKS FlmM: THQM4AS A. ODIBEFlP, DIRECI'OR OF PLSLIC WORF6 d*C-? .. DATE: SEPPIIMIIt 10, 1981 RE: RIDGE'.C7= 1S'P ADDTTICN . , Because the following list of lots in Ridgecliffe lst Addition does not have gravity sewer outlet at this time, the folloHring proce- chses will be initiated imtil further notice: UPILI'PY BILLING No water turn-als will be allowed prior to 8-1-82 or imtil sewPs is available in these axeas. - BUIIDLNG LvSPDLTICN Building pezmits can be issued for these lots, but the builder should be inforned at tine of per.mit issvanoe (perhaps starnping the building peanit with "NO OCCLPA.vCY PRIOR 70 8-1-62 OR IIDITZL SE?JER IS AVALiABIE") the restriCtions rn sewer dvailability. MALVTE`IAN(E PEPAR'I.?= See both utility billing and building inspection above. The lots with these restrictions are as follaas: LC7P" 1-9, BLOCK 7 LO'I5 1-6, BLOCK 8 ' IpIS 1-7 B71XLK 9 • IL7I5 18-23 BLOCK 9 Irn5 10-16 SLCCK 10 LOI'S 1-10 BLOCK 5 Lc7I5 1-4 BLOCK 6 . Lc7I5 1-6 BIlJCK 12 • LC7I5 1-17 BIOCZC 13 and are also inclicated ai the attached maps. : jac , ?7bY3 2007 RESIDENTIAL MECHANICAL rERMiT arrLic.aTIoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please completc foc single family dwellings & townhomes/condos when permi[s are myuired for cach unit '37) & Date J / o2l / 67 Site Address Unit # PropertyOwner 4df_ CG 4 15,,? /i.°/hGe Telephone#(465/ ) yJY^ Y901 Cootractor ANGELL AIRE, INC. StreetAddress ???Me?Av?_So? City State Bumsville, MN 55337 uP # Telephone# ( ) Bond #: QSp f{ 0 7? Falc: 952-746-5202 Ex ires: p The Applicant is _ Owner A Conhactor _ Other Fire repair (replace 6urned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 X furnace _Additional /-Replacement _ New _ air exchanger air conditioner heat pump other State Surcharge $ .50 $ 5 V Total I hereby apply for a Residential Mechanical Pemiit 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 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 p(ans. Applicant's Printed Name Applic Signature Clty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651) 675-5694 ?________________i 1 For Offce Use ? I I Permit #: ? I Permd Fee: ? I ? ? Date Recerved: J?? ? i I I ? StaB, ?a I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ^ Date: ?' Site Address: _ 5?F ic c JL ?- `^' ? Tenant: 1?s?p 14 w .' Suite #: RESIDENT I OWNER Name: ?EjlF CO `e "-?' iA? Phone: Address 1 City / Zip: 14 ? Applicant is wner _ Contractor TYPEOFWORK Descriptionofwork 2C-? F / ? r Construction Cosl: -7 2OeD Multi-Family Building: (Yes No ? CONTRACTOR Name:?P?ee ` v'l' COv r M 5 License #: Zo3 - Address: 7i7 J 7 C >2 ? 7? State: Zip: City: /il 'QlC. Phone: ?v ?Z 72?l- a?t 7 Contact Person: ..v'?'?- ?t? ? t?IL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: PhO°e: Sewer & Water Contrector: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-pu6llc if you provide specific reasons thaf would permit fhe City to conclude that the are trade seciets. 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; thal I understand this is not a permit, but oniy an application for a permit, and work is not to tart without a permit; thal the work wtll 6e in accordance with the approved plan in the case of work which requires a review and approval of plans x ApplicanYs Printed Name Applica Ys Signature Page 1 of 3 J Use BLUE or BLACK Ink I----------------..- ~14y O1 EaLdflrfn Permft#:_1 3830 Pilot Knob Road j Permit fee: j Eagan MN 55122 f j 1 Dee. Received: t Phone: (831) 075-5075 t I_~- Fax: (651) sn-5694 f aloft 1 2011 RESIDENTIAL PLUMBING PERMIT APPLICATI N Date: 31te Address' Tenant: suits t1: RESIDENT/OWNER Narrle: Phone:l ~~.~I Address I City / Zip: vv yVV a COliTRACTOR Narrle: WgERT COMPANY INC.dba CUWd A71R Address• 0150 TM ST EAST cm. D1 M., GROVE,H&iS . 2241 State: MN zip: 55.07' Phone' 65L.45 . ' Contact BYI.Y.,A~IZI.B>'I` x • Email: TYPE OF WORK -New _Replacement -Repair -Rebuild -Modify $Pace -Work h).R.O.W. Daserl tlon of N/orkt, PERMITTYPE REIDENTlAL Water Heater .Water Softener Lawn Irrlgatlgn RPZ P1I8) Add Plumbing Fbdures Maln Lower level) • Septic Systafi ___r Water Turnaround - New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water HdAter, Water Softener, or Water Heateroad Softener (Includes $5.00 State Surcharge) $35.00•Lawn Irrigation (IncIddes $6.00 State Surcharge) $55.00 Add Plumbing Flxtutes, Septic Systerh Abandonment. Water Turnaround' (Includes $5.00 State,Surcharge) ; 'Water Turnaround (abd $155.00 U 511P motor Is requlred) $105.00 i Septic S em 1~ (510.00 per as buM) (Incuudes County fee irb 53.00 Stets 3urcharpe) 583.00 Fire Repalr (replace bumep out oppllancee, ductwoN etc.) (Includes $5.00 State Surcharge) TOTAL. FEES s CALL BEFORE YOU Dfh. Cal Gopher State One Call a1r (es1) 431-0002 for protpctlan agdnet underground ugly damage. Call 48 Flours beforeyou I'hterO to dig to redol4locates of underground ugHges: 1 hereby acknowledge fbat this 14mstlon Is complete and swurats; Ipat to w t.} will be In oordorn.noe wfth the w0nam-so and cease of liar City of Eagan; that 1 understand this le a pwMP. but any on appilci 066 for a permit, and wank Is rot Iffi.stfid without a p1rml0 that the work YA be (n 0 c4ordance ew spprow pl. In the gals of wak-which requlrse s,revlew and approval of /1p ican s Printed ame Appilcant's,S gnature ~qR' ,R1t ~.,Y/ , . PERMIT City of Eagan Permit Type:Building Permit Number:EA125839 Date Issued:08/05/2014 Permit Category:ePermit Site Address: 1756 Forssa Way Lot:4 Block: 6 Addition: Ridgecliffe 1st PID:10-63980-06-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 A Coleman 1756 Forssa Way Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130645 Date Issued:05/06/2015 Permit Category:ePermit Site Address: 1756 Forssa Way Lot:4 Block: 6 Addition: Ridgecliffe 1st PID:10-63980-06-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 A Coleman 1756 Forssa Way Eagan MN 55122 (651) 454-4901 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173646 Date Issued:11/22/2021 Permit Category:ePermit Site Address: 1756 Forssa Way Lot:4 Block: 6 Addition: Ridgecliffe 1st PID:10-63980-06-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey A & Rebecca Coleman 1756 Forssa Way Saint Paul MN 55122--265 (763) 777-7663 Mayday Restoration 6817 Wayzata Blvd. St. Louis Park MN 55426 (612) 868-0680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176682 Date Issued:05/26/2022 Permit Category:ePermit Site Address: 1756 Forssa Way Lot:4 Block: 6 Addition: Ridgecliffe 1st PID:10-63980-06-040 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jeffrey A Tste Coleman 1756 Forssa Way Eagan MN 55122 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature