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
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? 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
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Scale: 1" = 30'
0 Denotes iron
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Lot 2, Block 6,
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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.
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-'? ?.?/..,-??`-,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