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1762 Forssa Way -= ??er???ir?t?P uf (?rr?t?ttrcr? ?Citp of eagan Dp.pMl`#riTPlt# i1# B1ttXbTltg j1tspPtftDri 7'hu Ccrti f icatt iaaucd pur.rr+gnt to tbc rcqurrcments o f 5ectioM 306 0f the Uni f orm Building Codc cati f ying that at rix ti»ie o f issxaxce tbis structura was in com pliartce uritb tbe variou.r ordinarueJ o f the Crty ragulating building contt?uction or usc. For tbe following: nucrkt pn S?-'l OaeeroEButl? ?mr?n •i•nr^rrx?o?_Addees-1 eaa* Aaamu 1752 Forssa WW z.«.ury_I2.,Hfit_RidcpeCII ffP 1 u.K: BUILDING PERMIT Sit! AddfESS '' . Lot Block Sec/Sub. Porcel # ae Name ? W z AddYQSS ^?- o Name z? oU Address u? f' C"itv Phn- Nome _ Addrcss I hereby ecknowledfle thot I have read this opplication and stote that tF?e intormotion is wrrect and agree fo comply with all opplicable Stote of Minnesota Stotutes and City of Eogon Ordinonces. Assessment _ Woter & Sew. Pol ice Firo Eny. Plcnner Council eia9. off. - APC Permit Surchorye Plan check SAC Water Conn. Water Meter Rood Unit Totol Slpnoture of Permittee I A Bullding Permif Is issued to: on the express tondition thoi oll work sholl be done in ocoordonce with oll opplicoble Stata of Minnesota Statutes ond City of Eapon Ordinonces. Buitdinp Official cirY oF IEAGAN 3795 Wot Kwos Read lo9ew, MN 55122 PHONEs 454-8100 Recelat # n TO 7fi[: L1 Erect Q Occuponty Alter ? Ioninp Repoir 0 Fire Zone Enlorpe Q Type of Const. Move ? # 5tories Demolish p LengCh Grnde p Depth Sq, Ft. Approvois Fees Psrmit No. Permit Holder Misc. Permit No. Holder Plumbing y\ L? 1 2 H.V.A.C. E o: lD ?l £.Ir ?j -?I '}? weu Weter . Cisp. Sewer Ekctric L I Inspeetion Date Insp. Other Footinyt p Foundation Frsminp v-,?,Z Caq 13s-j Rouph Plb¢ ? y. Rouyh HVA • Q ? Inwlatian . Find Plby. ' Q (,V Final HVAC z Final J . 6 • .? ?? ? Water Wtcribe Location: YWII Sewsr • Pr. Ditp. • 3830 Ppot Knob Ro di P.O. Box 2G-A1 9, Eagan, MN 55121 ? A ??`?88 PHONE: 454-8100 BUILDING PERMIT Tobeusedtor ADDITIOs: Estvalue $16i000 Date AUGUST 20 19 86 SiteAddress 1762 'r'C1it:iaA WAY Erect ? Occupancy Lot 2 Block 6 Sec/Sub. YZSI3G;?Ci .IFFE ISTRemodel ? Zoning Parcel No Repair ? Type of Const ' . Addition No. Stories W Name C'liZ7S l7uf'iY Move Demolish ? Length Depth Z o Address Int. Impr. ? Sq. Ft City Phone 452 -9a9 5 Install ? s :,Inr r n XIn r,unc nn?.:c m ADDrov els Fen Phone I.- c F W Name ? z E5 Address i W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to compiy with all applicabie State of Minnesota Statutes and City ot Eagan Ordinances. Signature of Permittee • ? A Buiiding Permit is issued to: Pi)Li,1i itl BRU:; CUNS'1' all work shall be done in accordance with all applicable State of Minnesota Assessment Water & Sew. Police Fire Planner Bldg. Off. APC Permit Yasv • -0 . Surcharge • Ot Plan Review` SAC Water Conn. Water Meter Road Unit Tr. PI. Var. Date I Copie Total , j 'd . on the express condition that of Eagan Ordinances. Building Official Permlt No. P~ Nolder Dab TaNphone k Piumbing H.Y.A.C. EIectdc I%`?IB? senener InapseSon Dete Inap. Commenb FooNn{p I Footings II Foundatfon 4 ^ Fnminy Roofing - Rouqh Plbp. Rouyh Htp. Insul. ? Flrsplace Final Htq. Flnal Plbq. &dy. Final CeA. Occ. Dock Ftq. Dock Frmy. WMI Pr. Dhp. El CITY OP EAGAN Remarks AdditionRl.dgPc7 i ff Firci- AritiA, Lot 2 Blk 6 P?rcei #L._fi.348(LD?0 Ob Owner Street 1762 ForSSn Way Stste F,agr3n, MA1 55122 Improvement Date Amount Annual Years Payment Rec:eipt Date STREET SUR F. STREET RESTOR. GRADING SAlV SEW T'fiUNK SEWER LATERAL 19$2 1305.42 5 13 .' 2 - - I WATEFiMA1N WATER LATERAL 1982 1260.79 5 1260.79 C007616 12-23-E WATER AREA 1982 298.08 5 298.08 C007616 12-23-81 STORM 5EW TRK 19$2 638.24 $ 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 CURB & GUTTER SIDEWALK STREET UGHT Road Unit 185.00 #28700 2-1-82 WATERCONN. 335.00 tt ?? I BUILDING PER, 7069 I SAC PARK i 11111111 ilot Knob Roa MN 55122 No.: eo eompy with Hhe City of Eagan WATER SERVICE PERMIT DCD?AIT AIA . Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Mfsc. CFwryes: - Total: Dcte Paid: I nsn.. C'TM ?`c?N SEWER SERViCE PERMIT ' 3795 Ptlof Kwob Road PERMIT IVO.: , Eaean. MN 55122 DATE: ' 2oning: ?,??. No. of Units: Address: Site H,ddress: ' 7• Plumber: • t - -.. . 1Og:w to oanPlq wkh Mw City of Eagon Connection Chorne: -' Ordlnanees, -- " ^ccount Deposit: Permit Fee: B Surcharge: Y Misc. CFaroes: Date of Irup,; Totol: I nsp.: Date Paid: BUILDING PERMIT cirY oF Fr?cnN 3795 PIIM Kiro6 Rmd Eegan, MN 55122 PHOHE: 454-8100 Ta M mad fer SF DM/GAR Est. value $47.01 Site Address 1762 Fbr85d Way (P]an100) Lor 2 Biock 6 5ecisun. Ridcrecliffe lst Porcel # 1 n 639R0 020 06 W Name Or=lIl ThUmSOII HO1leS Z Address 1712 HOAk1T1S CYOSSYOcZCl, 9 ,-,_Mtka. 55343 .,?___ 544-7333 o Name O`7ner ?? Address fM.. G6nnn . . .._ . Name _ Addren I hereby acknowledge that I hove reod this opplicotion ond sfote that the information is correct and ogree to comply with oll opplicoble State of Minnewta $totutes and City of Eogon Ordinonces. Sipnafure of Permittee A Building Permit Is issued to: 0' all work shall be done in acwrdance wlth all olicable ? e of Buildinp Official N° 7069 Receipl erecr U4 occupancy R-3 Alter ? Zoning PD R-3 Repair ? Fire Zone NA Enlarye ? TYVe of Const. V Move ? # Stories Demolish ? Length 60 6wde ? Depth 34 Sq. Ft.- Aoerevals Fees Asseument _ Water & Sew. Police - Fire Enp. Plonner - Council - Bldg. Off. - APC - Pertnit "'?•-"' $urchorge 23.50 Plon check 134,7$ SAC 525.00 Worer Conn.335.00 Water Meter 60.00 Rood Unir 185 0(1 Total 51532_7S _ on the exDrea condiHOn Ihnt ond City of Eo9an Ordinonces. CITY OF EAGAN A' p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v - .- 1Z 4 S8 BUILDING PERMIT PHONE: 454-8100 Receipt # 6411 Tobeusedfor ADDITION Est.Value $16,000 Ddte AUGUST 20 1g86 SiteAddress 1762 FORSSA WAY Erect ? Occupancy Lot 2 Block 6 Sec/Sub. RIDGECLIFFE 1ST Remodel ? Zoning Parcel No. Repair ? Type of Const. Adddion No. Stories Name CHRIS DUFFY Address SAME Ciry Phone 452-9295 Move ? Length Demolish ? Depth InL Impr. ? Sq. Ft. Install ? Aoorovals Fees o I Name POLLAND BROS CONST $i Address 205 E LAKE ST ? City MPLS phone 822-0435 wW ?i u? aw a Assessment _ Water 8 Sew. Police - Name Fire Phone I hereby acknowledge that I have read ihis application and state ihat the informaUOn is correct antl agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signatwe of Permittee! °//,j &S. A Building Permit is issued to: POLLAND BROS CONST all work shall be done in accordance with all apDlicable Sfate ot Minnesc Planner Council Permit +'ilo.?v Surcharge 8.00 Plan Review 58.25 SAC Water Conn. Water Meter Road Unit BIdg.Off. a/cu?oo Tr.PI. APC Parks Var. Date Copies 7otal $182.75 on the express condition Mat City of Eagan Ordinances. Buiiding • ?? ?-I ?(Q ? CTTY OF FtAN Include 2 sets of plans, ? 1 site plan w/elevations 6 P? BUI IN(; PERMIT APPLICATION 1 set of energy calculations. 4 0=o 1b Be Used For tl?,enc? Valuation Date Q Site Address: ?5OL (,Ua.,r l p? dn (Chj) OFFI(E USE ONLY iAot 'z si«-x b sec./sub. R,aee ? ? ,tce I`?? Pazcel # : ? (J ?o ??y ? O Zo O (O ?? -? Repair ?wner: Enlarge - Nbve Address : De?mlish Grade t'ity/Zip Code: • hone #: (bntractor: 5r9dress: a Division of U. S. Home Corporation 1712 HOPKINS CROSSROAD .'i_ty/Zlp COd@: MIfvNETONKA. A11NN 55744 'hone #: Sqq-?333 1. rch. /IIng. : :ddress: 'i_ty/Zip Cocle: Occtq)ancy Zoning •/,d /P3 Fire Zone 7ype of Const. # Stnries FYOnt (,n ft. Depth ft. APPRC7VAIS FF.rS Assessrents Perniit 0 l., water/Sewer Surcharge a 3 Polioe Plan Check Fire SAC Eng. Water Conn. 3 3S- Planner Water Meter /e0 431- Council Road Unit / $S49- Bldg. Off. APC ;ione #- WrAL 5F (53?,2?? S `z(r ? 1986 BOILDING PERIQ? APPLICA?ION - CITY OF EAG9N NOYS: ALL CAPTRACIOBS MQSY BE LICENSSD iTITH THE CITY OF SAGAN 3I9GLE FAlQLY DWELLIBGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY? 1 SET OF ENERGY CALCULATIONS M[TLTIPLE DTiELLING3 - R&SIDSNTIAL INCLUDE 2 SETS OF PLANS, CEB 1 SET OF ENERGY CALCULATIONS CONAIER('rsr" RE1iTAL D9ITS FOH SALE ONITS OF SQ9VEY - CHECg iiITH BLDG. DSPT.p INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: ?(o,Dod Date: A-rB- u6 Site Address 17u?2 )r-rss Lot ?2- Block ?p Pareel/Sub Owner Address ??G2 orsse? Wxi/ !- City/Zip Code 46L,4. Phone ?4S2 - 92 9s Contractor Address ,Z?vr o?-- 4,k.L S ?^ City/Zip Code ;W- Phone g.22 - bvis Arch./Engr. Address City/2ip Code Phone # Erect _ Oceupancy Eemodel Zoning Repair Type of Const Addition ? ll of Stories Move _ Length Demolish Depth Int.Impr. Sq Ft Install ArPxovALs FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatmentc.P APC Parks Variance Copies TOTAL SO 8. Sa.?s NOTE: ADDBESSES FOR CORNER LOTS - CONTR9CTOR/90MEOftNER MIIST DESIGNATE i1HICH ADDRESS IS DESIRED. NO CHAAGSS i1ILL Bfi ALLOWED ONCE BQILDING PERMIT IS ISSiTED. , .. ? • • ? ? A • • FORc U• S• HOME CpRppgAT20N 1762 C. R. WINDEN 3 ASSOCIATES, INC. LAND SURVEYORS Ttl. 643-3646 ` 1381 EUSTIS SL, Si, PAUI, MINN. 55108 N 10? -? . ? ? ; EASEf`0ENT. ? 1 Scale: 1" = 30' 0 Denotes Iron ? `lA 11 ? ? Lot 2, Block 6, Ridgecliffe First Addition, Dakota County, Minnesota. WE MEREBY CERiIfY THAT TMIS IS A TRUE AND CORRFCT REPRESENTATION OF A SURVEY OF THE LAND iOREONR'ANDFALMEyI51B E ENOCRO CMME'NTS, AIF ANY, fROM OCATION OF qLL BUIIDINGS, IF ANY, //?? OR ON SAID LAND. Dorpd rhis?doy of?c.rjpyg'T{? A.D. 19,?z C. R. W DEN 8 ASSOCIATES, INC. Survoyor. Minnesora Rapistrotion No IZZE NM19 Daf'`'NA?? ! _. 1 O N ? )>o 0 ANIDQ ?o? Y ? 0 12 -:p ? / c) -7S 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 New ConsWctron Reauirements 3 2gistered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas (20°k marzimum lot coverage allowed) 2 capies of plan shovring beam 8 window s¢es; poured found design, etc. 7 sel of Energy Calculetions 3 copies of Trce Preservation Plan N lol platted after 711193 Rim Jo'st DepU Options seledbn sheel (buildings with 3 or less uniGS) o i /0 RemodeVReoair ReauiremenGs ORce Use Onlv 2 copies oi Dlan CeA of Survey Recd _ Y_ N 1 set of Energy Calculations Tor heated addAions Tree Pres Plan Recd _ Y_ N. tsdesurveyforadditions&decks TreePresRequiied _Y _N Addition - indicate i(onstte sspNc sy m On-slte SepUc SysMm YN (.,6?.-e-? l n I I 1 J??F Date 1()_ Construction Cost ? 3:100. °p Site Address 1-7 4 2 q WA?1 Unit/Ste # ss 22 Descriptian of Work A)[J`g. ('LFDPrk) Multi-Famity Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner J F.?r? An?o T0.mr1l O nA 1*J Ej Telephone #((,.5 I) Contractor )vF /1fo'TCI4 Bui [?DEl°S Address g09 futNMD.eE S72 City uiPnr5 yILLC' State /?IN ZiP S57306i Telephone #((g/ ) 738 -$]SS ? z0y y _1"i3 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculalions Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ 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 applica6on 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. ffm LVm()Q,(/GS7' 2005 Applicant's Printed Name App ant's Signature ?? ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower l.evel ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 A 32 Addition ? 36 ? 33 Alteretion ? 37 ? 34 Replacement Valuation Plan Review 100% or 25% Census Code SAC Units # of Units # of Bldgs Type of Const ? ^ .r ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. AIt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building` ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applieant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Final/C.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tesu Final _ Siding _ Stucco _ S[one _ Brick _ Windows _ Retaining Wall ?/ ? Appraved By: 1 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 06t41 ?I laa;D 1762 C. R. WINDEN b ASSOCIATES, INC. ? • • ? ? '?`???' ' LAND SURVEVORS TOI. 643•3646 FOR: 1381 EUSTIS ST., ST. PAUI, MINN. 55108 U. S. HOME CORPORATION N O ? v\ V ? ? O ? D UTt o Y AN 0 i ? - ? o? z'5 0 z > ?G z ? IG ? ? 0 z N ? ? ? EAS?t??NT. J l L ?I ? L_ 1 Scale: 1" = 30' 0 Denotes Iron QD ? 1 ? ? ?? n ? 10 .y L ? ? Lot 2, Block 6, Ridgecliffe First Addition, Dakota County, Minnesota. NT151y MiE HEREBY CERtIFY THAT iH15 IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE ION BOREON,1ANDFALLEy1LAND 51BE ENOCRO DESCRIBED ANV, FROMOORTON SOAIDALANDfLDINGS, If ANY, Dorad rhii-'ZL&-doy oF-Jc ?-A. D. 19aZ C. R. Wjf•1DEN B ASSOCIAIES, INC. br Survayor. Minnesota Ropistrotion No.77,?C '? ?? 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleaze complete for. single family dweltings & townhomes/condos when permits are required for each unit Date s l I(, l O(P SiteAddress 1 o,SSti Lijy Unit# Property Owner J e-?? ??r-? + vt? Telephone #( 65"1 ) b81- b5_c:1 y Contractor 12253 Nicollet Avenue South Street Address City ??eph0?e: ?52-746-5200 ZiP state -f?'?e-952•34 =528 - Telephone # ( ) Q r ires: Ex =a C ?(0 p Bond#: S >) The Applicant is _ Owner V Contractor _ Other i? Add-on or alteration to existing dwelling unit $ 30.00 ?furnace _Additional _Replaceme nt _ New air exchanger air conditioner Sz? heat pump other State Surcharge $ 50 $ 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. Applicant's Printed Name Applicarit's Signature 5a ???'` zoos RESIDENTIAL PLUMBING PeR?niT aPPUCAriort CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date S ! ;? :?- ! Q ?O Site Street Address z ? ?o a ?o Unit # I Property Owner V 0 Telephone # ( ) Contractor ?eve?o 12242 .$er?ice? .1?cc Telephone#foSl)?8I-8zS"Z Address P ?- City State_,-1-"W Zip Ss?a2 The Applicant is: _ Owner ?ractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 i Alterations to existing dwelling $ 50.00 _ Add plum6ing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onl a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment ? Mqy 2 3 2006 _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 _ new _N1 replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ Total r S" S° I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete antl accurate; tnat tne 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 ed and appr ved. accorda w the approved plan in the event a plan is required to berevie 7 plica Ys rinted Name ApplicanYs Signature _ • 2007 RESIDENTIAL BUILDING rERMiT arrLicnTiorr City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construdion Reauirements RemodeVReoair Repuirements Office Use Onlv 3 regislered site surveys showing sq. ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan showing footings, 6eams, joists CeR of Survey ReW _ Y_ N (20°h maximum lot covera{ge ailowed) 1 set of Energy Calculafions for heatetl addifions Soils Report _Y _ N 1 Soils Report ii proposed building is to be placed on disturbed soil 1 site survey for addNOns & decks iree Pres Plen Recd _ Y_ N, 2 copies of plan strowing beam & windax srzes; poured found desigq etc. Add'Rion - indicate i(onsife sepNc system Tree Pres Required _ Y_ N 1 set of Energy Calculations Onsite SepUc System _ Y_ N 3 copies of Tree PreservaUon Plan if lot platted after 711193 Rim Joist Detail Op6ons selection sheet (buildings with 3 or less uniffi) Minnegasco mechanipl ventilation iorm Plans are considered public information unless vou state thev are/trade secret and the reason Date L9(?l _/y 16 77 Coustruction Cost 5 y ao FA"`-' Site Address ?&C2 ?jrsj¢ UniUSte # ` Description of Work 27, (15Y" Q [)()v e- C}'Q1 ,1)Ct P U O) C-? '`G?rr- • Multi-Family Bldg _ Yx N Fireplace(s) _ 0 _ 1 _ 2 Property Owner MU44 Tetephone # (6s71 j A Contractor 00 Address P, City r1 ` CY State RN Zip 512 Telephone # (!'1v) 9?J 7-?vG?70 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaGOn Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submilted In the last 12 monihs, has The City of Eagan issued a perrnit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master pian: Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor 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 wark which requires a review and approval of plans. V. (D E 4w IF D J G??? ? ??MrN1?- r l7r Applicant's Printed Name App t ure i 1 DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazeba/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvqes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ?, 37 - Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant DBSCI'iption: Water Damage _ Yes , Vaiuation ~ Occupancy MCESSystem Plan Review 100% or 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump, • # of Units Sq. Ft. PRV # of Bldgs Length F.ire Sprinklered Type of Const Width , . REQUIRED INSPECTIONS _ FooCings(new bldg) Sheetrock _ Footings(deck) FinaVC.O. _ Footings(addiuon) FinaUNo C.O. _ Foundation HVAC _ Drain Tile Other Roof Ice & Water F inal ? Pool Ftgs 1?, Air/Gas Tests Final _ Framing _ _ Siding Stucco Lath Stone Lath _Brick _ Fireplace R.I. Air Test Final _ _ Windows _ Insulation _ Retaining Wall Approved By: Bu ilding Inspector Base Fee Surcharge Plan Review J/ Mo!/ ?L?- MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge ? Treatment Piant License Search Copies , Other Total POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: Applicant Name: U G ? GENERAL INFORMATION r U x o ? z ? a ? ? ? Applicant name and contact information ? ? Property owner name ,B ? ? Address of property ;W ? ? ? ? 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. p ? ? Location and name of all streets adjacent to property ?d ? ? Directional drainage arrows (existing and proposed) ELEVATIONS Existin 21 ? ? House corners ;A ,Fdr ? ? ? ? Property corners If applicable, ground elevation at each end of retaining walls and at wa1P s greatest height Proposed ? ? 8 fd ? ? Finished pool deck comers Top of proposed retaining walls (if any) and at each different elevation (if it changes) ,F41 ? ? Pool bottom (or max. depth) DIMENSIONS Existinq ja ? ? All propertyllot lines ,;a ?? All Easements on the property Proposed ? ? Pool ? A ? Pool plus integrated deck/patio ??? Shortest distance from outside edge of pool ck to lot lines and house Reviewed: 6 Nam '. Date U`.FORMS/Pool Permrt ChecklisV02-13-07 . , 1762 J CR• WINDEN 8 ASSOCIATES, INC. ' FOR: ??C??? •V . tANp SURVEYORS T0L 646•3646 U. S. 1381 EUSi1S ST, ST. PqVL HOME CpRpORATION 0 MINN, 55108 ?erm, ? ?/1 lns,rccrti? C2bove ??bvND X ' x s '' ?Oep? ? Q p ? 0 Pov / Yf LJTY U CE p,N?QS po ? -_ f- ,ov? ? ?AS?M?NT LV L lJ ? L_ ? a ? ?,a a s? ` G .?1? •? ?V 4r+? ? ? 1 ? 0 ? ? Scale: 1" = 30' 0 Denotes iron ?r?adiv?ts (Sq ° im° _ VL? Ivi? krA'L?- eyWNem ?- Retm;h,W, viag 32 " 4;3?n jzo I r+?cr•x ?2" i++??coc 1 Lot 2, Block 6, -?, I?? ?AdditiZ Dakota 3y )a[e EAGAN ENGINEERWG DEPf. 'OVE MEREBY CERTIFY THAT BOUNOARIES OF THE IAND THERfON, AND A(L YISIBLE Dorad th'r?.?day oF?.lcn? A. D. 19?y2 NTjylv OF A SURVEY OF TME AlL BUILDMGS, IF ANY, L AND. C• R- Wj1VDEN 8 ASSOCIATES, INC. br lJL? . -'? ?.?/..,-??`-,ti Surroyor. Minneaota Rayisfrofion No.77?C Ridgecliffe First County, Minnesota, r"15"S4 THIS !5 A TRUE AND CORRECT REPRESENTATION ABOVE DESCRIBED AND OF TME LOCATION OF ENCROACHMfNTS, IF ANY, FROM OR ON SAIO PERMIT City of Eagan Permit Type:Building Permit Number:EA126706 Date Issued:09/08/2014 Permit Category:ePermit Site Address: 1762 Forssa Way Lot:2 Block: 6 Addition: Ridgecliffe 1st PID:10-63980-06-020 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 M Deming 1762 Forssa Way Eagan MN 55122 Sunrise Remodelers 5976 Hobe Lane White Bear Lake MN 55110 (651) 762-9295 Applicant/Permitee: Signature Issued By: Signature