1765 Forssa WayINSPECTION
CITY OFEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
1CURD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS. G3
' ? 111 ? a 14 1 c?? 1(
I ,?:,•.•:tt i.tA'r
PERMIT SUBTYPE:
r + i-: ?, C R I P 1 i Cl N ( ?? ?? ?; r W; ER] ?
INSPECT)OH .. . .A
APPLICANT:
? i? rc i! 1? i? f TYPE OF WORK:
Permft No. Pertnit Molder Date 7elephone N
ELECTRIC
PLUMBING
HVAC
Inspeetlon Data Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFINO
ROUGH
PLUMBING
PLBG
AIR TE5T
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addi=jon_ Riasecu??E i-xst naan- tot 4 8lk 5 Parcel -410 6398U 040 L05
Owner street 17b5 Forssa Way `_ _ I State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK '7 19$2 298.08 5 298.08 C007616 12-23-81
SEWERLATERAL 1982 1305.42 --12--23-81
WATERMAIN
WATERLATERAL 19$2 1260.79 S 12-23-81
WATER AREA 19$2 298.08 _ 81
STORM SEW TRK 1982 638.24 $ ,?'$. 24 C007616 12-23-81
STORMSEW LAT 1982 955.45 5 955.45 C007616 12-23-
Services 1982 637.75 5 637.75 C007616 12-21-81
CURB & GUTTER
S4DEUVALK
STREET LIGHT
Raad Unit 185.00 27746
WATER CONN. 335.00 " 11
BUILDING PER. 700$
sc,c 525.00
PARK
Raceipt
PLUMBING PERMIT
CITY OF EAGAN
Fi1l in numbered spaces
Type or Print /egibly
Permit No.
Fee
S/C
Tot. ? (J
1. Date 2. Instatlation Cost
/ --
3. Job Address /?`Ok"_> ,Lot Blk.
4. Owner h?? ? ? 1?,i 1?. ?.? ?C ? I 1
5. Contractor
-5 Tract
Phone
6. Address ??? ( .?? I'L ? ? 1 t I t jJ ! ?. .?J : ??? .
7. City ," State l Zip
8. Building Type: Residential 13. Commercial ? Institutional ?
9. Work Description: New (3. Add ? Alter ? Repair ?
10. Describe
11.
No.
" s- Fixtures
Water Closet No. Fixtures
C,esspoal/Orainfield
? Bath tubs Septic Tank
?;-^ Lavatory Softner
Shower Wel I
i Kitchen 5ink
Urinal/Bidet
Laundry Tray Other
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
I 12. I hereby certify 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
Raugh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
BUILDING PERMIT
Ts 6s ruA isr
Site Addreu
Lot Block Sec/5ub. "
Porcel #
W Nome • L" ,. .
; Address ''I'o:;.. ,
A Name
?? /lddress
H r:.., oL,.--
1 Fxreby ocknowledge that I have read this opplication and stare that
the intormotion is Corrett cnd Cgree to tomply with oll opplitoble
Stote of Minnesoto Stotutes and Cify of Eagan Ordinances.
Slpnature of Pem?ittee
A 8uilding Permit is issued to:
oll work shoil be done in occordonce with
Bulldinfl Officfol
cirr oF E?c,AN ?
'. 3795 Nlot Kwo? Rood Ea9on, MN 55122
PHONE: 454-8100
Recefpt #
Date 19
Erect ? Occuponcy
Alter ? Zoninp
Repair ? Fim Zone
Enla?ys ? Type of Const.
Move ? # Stories
Uemolish ? Length
Grods ? Depth Sq. Ft.
Assessment
Woter 8 Sew.
Police
Firo
Enp.
Planner
Councl I
Bidg. Off.
/1PC
Pennit
Surchorye
Plon check
SAC
Water Conn.
Woter AAeter
Road Unif
Totol
on ffie express tondition tFxat
oppliooble State of Minnesoto Statutes ond City of Ea9an Ordinances.
Permit No. Permit Holder Misc. Permit No. Holdar
Plumbing 2(p(Q ? ??nZ?? `(r?
Z
H.V.A.C.
Wsll
Weter
Disp.
Sawer
e?Mre -?3L? ?Il r-zt?.
Intpection Date Insp. Other
Foot?ngs 00,
-
7
Foundation
Framinq
Rouph Plbp.
.`
Rough HVA
Inwletion
Final Plbg.
Final HVAC
Finsl
Water Doseribs Locetion:
VYell
Sevwr
Pr. Ditp.
(grr#ifirttte nf (Orrupttnry
Citp of (eagan
lop#tMl'tmP1tf ii# Bltilbttt J 3ttS}1Pt#Tirit
Tbu Ccrtrf icato islrrul pursrraat to tJx nqrusemenu of Satron 306 o f tbc Uni f orm Buildrng
Code cnti f ying that at the timt of itstranut tbit ttrralurr was in rmplianct wrtb tlx variotu
OflltftllfiC[10f thc City regulating btalding construcrion or utt. For tht f ollauing:
Ur CIalldBntiaa SF DWG/GAR &AF hcmit No. 7008
Omff-cr'row R3 Tya comwcewe V FUe zon. NA zoj;.ga.,.,,( PD ) Rl
BY=
Dtla: June 14, 1983
?T IM A COMNI4MI0IM KAtt
--?
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee
Frll in numbered spaces S/C _'1n I
Type or Print legib/y Tot I
1. Date 2. Installation Cost 1'`?'` •` I
3. Job Address Lat 1-4 Blk. --=- Tract i
4. Owner •' . .
4
5. Contractor •if ti, alEL3'L'.. 1
Phone •25"6867
6. Address , ''37 ChiC•3;`C, ve.
5/ (lr
7. City ? State - Zip `i.•' f
8. Building Type: Residential 15 Commercial O Institutional ?
9. Work Description: New Llt Add ? Alier O Repair ?
' 10. Describe - I• Fuel Type
1 11.
No.
? Eauioment 8TU - M. Ea.
Forced Air '- No. Equipmeni CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
t Gas, Piping Outlets
12. I hereby certify 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 464-8700
oF EAGAN WATER SERVICE PERMIT
Pilof Knob Rood PERMIT NO.:
MN 55122 DATE:
i: No. of Units: '
:?'I'1 : ',hOClp30fl --
eader No.:
agree to eompir wllh tha City of Eogon
Connedion Chorge:
Account Deposit: _
Pertnit Fee:
Surchorge:
Misc. Chorges: -
Totol:
Dote Poid:
cirir oF EAGaN SEWER SERVICE PERMIT
3795 Mlat Kwob Rosd PERMIT NO.:
Eogun. MN 55122 DATE: ,
Zoninp: iNo. of Units:
Qwner: _ "' „• .
Address:
Site Address: ` ?7c
Plumber:
I ayirw M aompy wiM the Ciryr of Eagen
Ordinanees.
Date of Insp.:
Connedton Charpe: .
Atcount Deposit:
Permit Fee:
Su?d?arpe:
Misc. CFwrges:
Total:
Th,.sw4??Sl. „old r/Z f Lq r 8 S1 P- -C Zl?"Sc? L(
18 months fonS
7 93292 3p<00
Request Uate
? o 1
1
?? Frte No. Rough-in Insnection
Re eA>
?
?Reatly Now?Will Nouly InsOec-
ior Wh
n R
I 1 CS ? No ¢
eatly
?Wensed Elec[nc:il Cuntraclor I hereby reques< inspection oi above
ner elecincxl work insfelled aD
et Address, eoz or Route No.
Cl 6 kRSS ka t4N Citv
g.Ai,Ak(4
et-uon o. Township Name ur No. RanUe No. Cnu it
y
A
.? ? Q
?NI-??rJ
OcwGaot IPRINTI
Cp-Ij? -M0hP9'* ltoh?-s Phonn No.
Pawer) -S_uyplier Atldress eA ???1
T?1", l? b I 4N
Elec ncal ConVactor (ComuanV Name)
?`
L-
?? Conva tor s Lir.mnse No.
LS-z
pa.c_
?u
- -
Mading AdJress IConVacmr or Owner Mabng Ins[ailauonl
C-1-4Ff W.l6uf'-NSUiwe'
Au[horiz 5 nat ?e ICOntractodOwner Making Ins[allationl Phone Number
- n.? (g9 o SS?S
MINNESOTA STATE 80Afl0 OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
BE ACCEPTE? 6Y TME STATE BOARD
Griggs-Midway Bidg. - floom N-791 UNLESS PROPER INSPECTION FEE IS
1821 Unuversity Ave.. S[. Paul, MN 55104
ew,..._ ieiv, vol?iIi ENCLOSED.
REQUEST FOR EIECTRICAL INSPECTION ,i? EB-00001-03
T- g J 2 9 2 ? See mstructions (or completing this form on back of yellow copy ?J !
""X'" Below Work Covered by rhis Request z$S p -( (/
ew Add Hep. Type ol euiidmg Apvli++tir.es Wiretl EqviUment Wired
Home Ranye Tempor2ry Service
Ouplex
Apt. Bwiding
Commercial Bldy. Water Heater
Dryer
Fumace Liyhting Fixtures
Electnc Heatin
Silo Unluader
Industrial Bldy. Air Condrtioner Bulk Mill<Tank
Farm otl,er perifv OcborfsuomW)
ther SPecify Ot er 01her
Compute lnsper.LOn Fee Below
p Fee ServicaEntrance5ize N s/SuMeetlers p Fee Cirewls
0 to 100 Am s qm s U.(Y 0 to 30 Am s
101, to 200, qmps? 00 qmps 31 to 100 Am s
r?? A'h¢ve $OOILA, s 00Am 5
MAbove nnove 100-Amps
Tr'ansi r'rpU? Control Circ. Partial%t e
ic?ns " Inspection $
0
5()
TOTA
30
Reni.?rks ,
3 LE1
-
v
Rou9h-in I, the Elnctncal
Inspector, hereby
cerbty thet the abovu
Finul
? Odte r
,f? J ii?s ctiun has been
made.
Thic vn¢I
18 mmrths liom
CITY OF EAGAN
3795 Pllet Knab Rmd Ee9en, MN 55122
Np 7008
PHONEs 454-8100 - /_ BUILDING PERMIT p - Receivt # )?2?Y
To bs wee ro. SF DWG/GAR est. volue $56, 000 oure November 10 iyA1_
Site Addreu 1/07 rotssa V18,V ( r18I1 lUH J
Loe 4 BI«k 5 Sec/Sub. Ridgecliffe lst
porcel # 10 63 980 040 OS
s Name 03-rin Thompson Homes
qdd,B„ 1712 Hopldns Crossroad
_ lfl.i _ • hlAnn
p Name Owner
???
Addreu
H r:.., oL.._- .
Name _
Addmu
1 here6y acknowledge that I have read this applicotion and state tFwt
fhe inlormation is CArrect ond ogree to comply with ull applicable
State of Minnewta Stotutes and Ciry of Eaqan Ordinances.
Erecr IN Occuponcy h-j
Alter ? Zoning PD R-1
Repoir ? Ftre Zone NA
Enlorye ? TrPe of Const. V
Mova ? # Stories
Demolish ? Length.44
Gmde ? Depth 26 Sq. Ft. -
Aoorovab Fees
Assessment _
Woter 8 Sew.
Police -
Fire
Enp.
Plonner -
Council _
Bldg. Off. -
APC -
SiOnoture o! Pertnittea
A Building Pertnit Is issued to: OrT37. T110 80 HC
oll work shall be done in accordance with 1 opPlicabl ate of
Buildinp Officiol
Pertnit 3V1.Vv
Surcharga 28•40
Plan check 150.50
5AC 525.00
Water Conn. 335.00
WaterMeter hn_nn
Road Unit 185 - nn
Total R3584 5f1
on the express Cordifion thm
Statutes ond Ciry of Eagon Ordirwncea.
CI'I'Y OF EAC'Y%*1 Inciude 2 sets of plrins,
1 site plan w/eJevations 6
BUIIDINC; PF.iNtIT APl,'L7CAT10N 1 set Of enc.rgy cilNlations.
b (C
?" ?
..?
S? pa ,
..}f .
118l
(
'Ib BF? USC'd FoY Vd1UaClori Date ^inti
v_;
Site Address: Wa? cp\an_lo°i) OFFI(E USE dNI.Y
, - - -- ?.
Lot A_ -'BlocJc s Sec./Sub. iR?anedt_? (Ge
Parrei #: jo (P 33? ko o((D a?
Qaner:
Pc3dress c
City/Zip Code:
Phone #:
Contractor:
P[3(jTeSS: B Division of U. S. Home Corporation
1712 HOPY,INS CROSSFpqD
City/Zip Code: NnI::KErOnKA n'irA rsaeq _
Phone #: 5qA-T333
Arch. /II-ig. :
Pddress:
City/Zip Code:
Phone #:
Erect OccuF'an-'Y /e----
Alter Zoninq 'e1 "
Ptepair Fire Zone IV?-
Enlazge ` 'IYpe of Const.
rbve # Stnries
Dennlish Front ft.
Grade Depth ft.
APP1X7t7AIS FEES
Assessnents
W3ter/Sewer
POLiCe
Fire
En9 -
Planner
Council
Bldg. Off_
APC
Perffdt 3a i 4a _
Surcharge
Plan Chec]c?
SAC ?l a7S?
Water Conn.
-
Water Meter ?
Road Unit / frS ?
qm? -4 1 S" g "S-6
g os ?4
16: ?
2007 RESIDENTIAL PLUMBING PeRnniT APPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do nof combine inside and outside
plurnbinq on the same application; separafe apolications and permits are required.
Date L" // '?F' /
Site Street Address 176 S FOrSSf1 Unit#
Property Owner ?/fiNP (?(q 1'-ri b`S Telephone #( )
Contractor('%?eez< Telephone# (?51?335"-y?C1
Address qll!f? City? /U Statelit/v Zip 2Z
The Applicant is: iF-Owner 8 Occupant X Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level _ lower level. This fee inciudes
installation of a water softener and/or water heater at the same time. N you are
installing only a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appiiance(s) you are
installing.
_Septic System Abandonment
_ Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
?Water Softener V Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total ?L
I hereby apply for a Residential Plumbing Permit and acknowledge that the infomtation is coi
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes;
only an application for a permit, work is not to start without a permit and w? will be in accoyt
?plan is requjceC=tp be reviewed and approved. i ?
and accurate; that the work will be
mderstand this is not a permif, but
?th the approved plan in the event
PERMIT
k' CIl`Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE: auzLosNe
permit Number: 0 2 9 4 6 2
Date Issued: 0 2/ 0 8/ 9 7
1766 FORS5A WAY
LOT: 4 BLOCK: 5
RID6ECLIFFE 1ST
P.I.N_: 10-63980-040-05
DESCRIPTION:
(GAS TNSERT)
ermit 7yps FIREPLACE
a,rk T y p e NEW
-. -3""
il .. 4
uwa?vO
434 ALT. RESIDENTIAL
w'
c¢„S,"s?
REMARKS:
FEE SUMMARY:
Base Fee
Swrcharge
7ota1 Fee
r
$50.00
$<50
$50.50
CONTRACTOR: -. ppplicant - OWNER:
PRACTIGAL 5Y57EM5 14252826 RYAN PAT
14226 NORDEN AVE 1765 FORSSA WAY
ROGERS MN 55274 EAGAN MN 55122
(612) A28-2826 (612)452-4149
0'? i .att A`
` I k±ereby .ack?awl?`sl?? ???? • ? ha?ie? ?w?ad.th?s li?ii tk??x :Ch? informat?ori:?? ?grce trs
. t _.
? statut0'? f? ?a9an 2.,
APPLICANT/PERMITEE SIGNATURE ? I E BV..4?IG A RE
ki CTl'Y OF EAGAN
3830 PILOT KNOB RD - 55112
lA 1997 FII2EPLACE PERNIIT APPLICATION
681-4675
DATE:
DESCRIPTION OF WORK: _ CONSTRUCT N W FIREPLACE
? INSTALL GAS INSERT ONLY
INSTALL GAS LINE ONLY
OTfER:
STREET ADDRESS: I t v J
LOT ? BLOCK ??
r- 5?. wl?
SUBD./P.I.D. #:
4-?' cl, ?0
PERMIT FEE: 5 .5
ALTERATIONS TO EXISTING
APPLICANT: (circle one only) OWNER CON-ULAWTOR. ?
I hereby acknowledge that I have read this application and state that the informatioa is correct and agree to comply with
al] applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: Phone #:
OWNER
Signature:
StreetAddress:
City: State: Zip:
FII2EPLACE Company: ('c.c-T,?C,, Phone#: 19 2 Y)G
INSTALLER
GAS LIIVE
INSTALLER
Signature: ? `? r??•v`?"
StreetAddress: ? V `VofU,e" ?"
City : L ? r? State: /M y
Company: 4 5 `I? buv'-c
Name:
Signature: _
Street Address:
City:
License #:
Zip: J ? -7 7
Phone #:
State:
Zip:
1765
? ? ? C'R. WINDEN 6 ASSOCIATES, INC.
v IAND SURVEYORS TaI. 645-3646 0/ ?FOR: 1381 EUSTIS SL, ST. PAUI, MINN. 55108
U. S. FiOME CORPORATION
Scale: 1" = 30' ?
? O Denotes Iron
?. Aj?
A ?o ? ? ?o T1
30
O
? A? ?
- L? J i L r ? y _°1?
, ?, M1 1
` b
j2
o I C
0 t ,
D
Lot 4, Block 5, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE NEREBY CERTIFY THAT THIS IS A TRLE AND CORRECT REPRESENTATION OF A SURVEY Of THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE IOCATION OF Atl BUILDINGS, IF ANY,
TNEREON, AND AlL VISIBIE ENCROACHMENTS, If ANY, FROM OR ON SAID lANO.
Dorad this 4 4 h dor eF Nov A.D. 198/ , C. R. WINDEN S ASSOCIATES, INC.
Survayor, Minn*wfo Ropisnaeion No,7726
NTS519
1999 BUILDINC PERMIT APPLICATION (RESIDENTIA,L)
1
CITY OP EAGAN .5?.!? y?/-IK>"
3830 PILOT
651 ?j1
•68/46 5. 55122
N uction R meMs Remodel/Reoalr Reauiremenfs
3 registered sRe suneys showing sq. H. of loi, sq. tt. of house 2 coplea of plcn
and all roofed areas [20? maximum loi eoveraae cllowed) 7 se1 of energy catculaHons tor heafed oddiNons
? Y coples of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 sBe survey for exterior oddMions S decW
? 1 sef of energy calculations
? 3 coples of hee preservation plan X Iot plaNed alfer 7/1/93
DATE: CONSTRUCDON COST: A-9, reD?
DESCRIPTION OF WORK: ?ns3 7
STREET ADDRESS: LOT: ? BLOCK: ? SUBD./P.I.D. #: -? c?? i
Name: ??-??iJ'? lT ? Phone #:
PROPERTY " tast Pirst
OWNER
?70--
StreetAddress:
City Sfate: Zip:
• Company: ? ? ta d?'?C- Phone#:
? (area code)
CONTRACTOR License # ?Exp. Q. ?rD
Sheet Address:
City 4)/ ar
/ State: Ll"l?LJ Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: RegistraHon #:
City State: Zip:
Sewer 8 water Iieensed plumber (reautred for new eonshucNon onN):
PeialFy applies when address change and lot change is requested once permM Is tssued.
1 hereby aeknowledge that I have read lhis applicaNon, atate thaT the InformaNon is eortect, and agree to comply wRh all applicabl
Std:e of Minnesota Sfatutes and Cify of Eagan Ordinances. .
•
Certificates of Survey Received _
Tree Preservation Plan Received _
Signature of Applicant:
OFFICE USE ONLY
Yes No
Yes _ No
- Not Required
? 18 1999
OFFICE USE ONLY
BUILDING PERMIT TYPE
•
01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ piex ? 08 6-plex O 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only _;EI 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert O 44 Windows/Doors
Demolish Bidg.* ? 41 1Nood Stov ? 45 Fire Repair
Demolish (Interior) ?, 42 Reroof ?
* Give PCA handout to applicant for demolitron permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
Variance
•
Permit Fee -,.)-5
Surcharge C) C)
Plan Review
License
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V11 Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: d?s?J?
Valuation:
•
SAC Units
% SAC
Cq , Bs, P-C 1
za: ioMA oi.sIN, vra.rz^i BuLTOM cMRtc
BUIIDING II9SPELTI(N DEPAFM"IFNT
BZIS, BRANQI, SUPERli`7rIINIDENT pF PLBLIC WORKS
ERCM: RFiUMS A. ODISEFQ', DIREC.?R OF PLBISC WORFCS
. DATE: SEFPIIIBER 10, 1981 -
RE: RIDGEQ,gP£ 1SP ADDITZCN
Because the folla.ring list of lats in Ridgecliffe lst Addition does
not have gravity sewer outlet at this tii!ie, the following proce--
dures will be initiated Lmtil further notice:
VPILPPl' BILLIING
No water turn-ons will be allaaed prior to 8-1-82 ar imtil sewer
is available in these areas. '
BUIIUitG L'35PDCI'ICN
Building pernuts can be issued for these lotsP but the buil@er
should be infosred at time of permit issuance (perhaps stanpinq
the building peanit with "NO OCQ,PA.tiCY PRIOR 70 8-1-82 OP. UNTIL
SEwER IS AVAIIABLE") the restrictions ai sewei? availability.
?i1TEQANCE DfPAK=
See both utility Hilling and buildinc inspecrion ahove.
The lots with these restrictions are as follows:
IL7f5 1-9, BLOCK 7
- LCIIS 1-6, BIACSC 8
I,ClIS 1-7 BICk.'?C 9 -
IL7PS 18-23 BLOCK 9 '
LO'I5 10-16 BLOCK 10
ZOPS 1-10 BIJOClc 5
LOTS 1-4 BLOCK 6 .
IC7I5 1-6 BIDQC 12 •
ICJIS 1-17 BLOCK 13
an@ are also indicated cn the attachad maps. .
jac
TO: LORVA oLSON, UfzLZ2^r LiLLrr:c crEI?Y cl_.5 c? (
DALZ PEPERSON, azzEr svzLDzNa oFFzcIAL
szLL sRAvaH, suP?RINTcnronvT or PusrJc woRxs
FRON1: THOr1AS A. COLBERT, DIRECi'OR OF PUBLIC WORKS Tk(??
DATE: NOVLA'BER 17, 19$1
RE: 12IIXMCLIFFE 15T ADDITION - SEI9ER AND F7ATER CONNECPIONS
On Septen-ber 10, 1981, a memo was distributed listing several lots in
the Ridgecliffe lst Addition which caould not be issued sewer and water
permits tmtil sanitasy sewer service had been made avai.lahle. Eecause
it is not anticipated that gravity sanitary sewer will be available to
provide sesvice to the affected lots until July/AUgust of 1982, Orrin
Thonpson Hoires has agreed to install a temporary lift station from Man-
hole No. 37 to the 4" sexvice line for Lot 8, Block 9, Ridgecliffe lst
Addition. Attached to this i?em is a copy of the letter we received
from Orrin Thompson Homes whereby they indicate that they will perform
the installation, niaintenance and liability o£ this tenporary lift sta-
tion/force main sanitary sewer until such tirne gravity sanitary seaer
can be extended across the £uture I-35E during the spring of 1982. There-
fore, with this tenporary system being installed and mauntained bv Orrin
Thotcg>son HaTes, the teruorary hold on se:aer and water permits and occu-
pancy for the follawing lots has naa been lifted:
Lots 1-9, SlOCk 7
Lots 1-6, Block 8
Lots 1-7, Block 9
Lots 18-23, Block 9
Lots 10-16, Block 10
Lots 1-10, Block 5
Lots 1-4, Block 6
Lots 1-6, Block 12
Lots 1-17, Block 13
This teyrporary sanitary force main will still not nrovide service to
the follaainq lots:
Irot 1, Block 8
Lotsl&2, Slock9
Lots 18-23, Block 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous immo will still
apply to these lots.
These lots are referencecl on the attached map for your inforniation. If
any problems arise pertaining to sanitary sewer availability, back-ups,
etc., please zefer those calls directly to Orrin Tha*pson xomes for the
proper resolution. If you have anyiquestions to this release of the re-
striction on the building and seaer/water permits, please cnntact m .
Please insure that all personnel in your c:epartsnent are aware of these
restrictians.
TAC/jach
cc - Bob Carlson, Orrin TYrarPson Hores
J , ..
TO: TARNA OLSON, UPILITY BILLSNC; CI,II2K
DALE PEPERSON, QIIEF BUIIDING OFFICIAL
BILS, BRANCH, SUPERINI'IIVDFNP OF PUBLIC [^DRKS
FRCI`4: THOMAS A. COLBFJZP, DIRECPOR OF PU3LIC WORKS 41 V
DATE: NOVEMBER 18, 1981
RE: RIDGECLIFFE 1ST ADDITION - SEP7ER AND WATER CONNECTION RESTF2ICTIONS
On November 17, 1981, amim was foxwarded listing several lots witlun the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occuoancy pernii.ts due to the wiavailability of sanitary
sewer. There appeared to have been a duplication o£ lots that were refer-
enced for future restrictions as corrpared to those whose restrictions had
been listed. Please be aware that the following lots only will have re-
strictions plaoed on the issuance of sewer, water or occupancy permits:
Lot 1, Block 8
Lots 1& 2, Block 9
Ints 18-23, Block 9
Iots 11-17, Slock 10
Please insure that these referenced lots are not granted any pesmits that
would allow their occupancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as stated
in this meiro.
TAC/j ach
cc - Bob Carlson, Orrin Thrnpson Homes
Farrr?,, ity oF eac]an
3930 PILOT KNOB ROAD, P.O flOX 21199
EAGAN, MINNESOTA 55121
PHONF. (612) 454-8100
File # T-9899
V1C ELLISON
Mayor
iFK)MAS EGA1V
DAVID K. GUSiAFSON
PAMELA McCRFA
7HEODORE WACHTER
Councll Mambers
n+ornns HEOCEs
CiN Admmsirator
EUGENE VAN OVERBEKE
special Assessment Search
Date; April 18, 1988
Requested Sy:
Ciry Clerk
Re; 10-63980-040-05
_
Land Title, Inc. ?L4 BS.,,Ridgecliffe lst 7
: _ ------ - 1
on the attached form
request on the is the
identified propertlty.5 response to
original amount of the y• The information includesathe YOur
assessments on the assessments and the
included for Parcel. In addition payOff a?ounts of the
installed b improvement projects ' pending assessments are
y the City Council that have been ordered to
as they maY affect this be
The levied and pendin Aarcel.
use or zoning, Certain reflect
ebasedaupon the not ,
complete aPPropriate rate assessmenper t theobligationBarcels have not s current
Parcel
review the assessment i the
r zonin been assessed at the
obli 9/use. The City's policy is to
ting, re2oning, waiver ofgation of parcels at
conditional and s Platting, and Platting, replat-
and in ot Pecial use permits prior to the issuance of
the her unique situations, and certain buildin
parcel to assume its A condition of a g permits
have not previousl additional assessment oblyqations4uires
gineerin
ofethisy,s En y bg
you eD desireivision can existing public improvemethat
nts.
policy, if . provide further clarification
WAIVER DISCLP,IMER:
Neither the City of Eagan nor its
accuracy or completeness of the employees guarantees the
information required by the person or personsindicated.provided
or its employees assume Which was
thereof. In consideration anY liabilit NOr does the City
attached fo of receivin y for the correctness
whatsoever ?Q and for all other consideration offaation on
the therefrom l any °laim against the Cit Y nature
is hereby expressly denied. Pendints employees
be paid until levied, rising
OF EAGAN, Levied assessments g assessments cannot
can be paid to the CITY
Very truly yours,
?
&IC
SPECIAL A SESSMENTS
Attachment
THE LONE OAK TREE. ..THE SVMBOL OF STRENGTH AND GROWfH IN OIJR COMMUNITY
If-irah:SHLT1Ul`d 1:C): 1;:%68 :iYEL"1fiiL HSJL'_S:JI9ENT!i
SFk?:Cli3L_ FaLi',iiF'.551°IE:h.ITSi aE:AFiL"H 5UI°II"IFRfvY
PRui-'EHIY I.D. 1'f]uHYS Dei'fL;, 04l.Lt3/88 ---SPLCTAL hLHVS----
1.
---?--'-'-'-------------------?------------_._-----------'-'-------"-' -------------'----
S.A.Fk F,ciSE:SSh1F::NT' DE=SCI'i. vf2 YF@f3 IiAT[_ TLfAL itiNN.F-'fiTl'd. I'AYfJI=h= i]UP11`1L-=N(
70u,005 SHld SE.kJ l_Ff 00 0 „00"/. 1305.42 1305.42 .00 CI_O;aEEll
IAciOn_!El WATlcR L_Fil- 00 t) .00% 1260.79 1260.79 .UO GI_USEi.T'i
100001 l.Jr1TL-.Iti Fll-?EF, CiU 0 .007. 298.08 298.0E3 .00 CLDSk:I)
1oCi[?lo ST(]h':P1 Ei1=U.1 'll=:l:: i,)tj 0 .00% 638„24 63E3.2=6 .00 CLLSLD
100011 1;1i]Rt'i 3GU.! LF,T 40 U .CrG"/. 955.115 955.45 UU C.LOSED
100012 SE:ItV1CLf_i i:)ii u 637.75 637.75 .00 GLGSF.':I)
100706 i`r:[7J 014 S:rCi ii .iiti"/. 296.OG 298.08 .tip CL(:15EI:i
#r.wwxx SUMMAf•;Y t_i'r ACTIVE .fiV .(iCl .iiii
t?s3=??.m II-I:tS YF:FaF;'ti IIJf P'r..'[ .GQ
I'r,-=;•s F t nr 1=2 0-IEaadei° f-orm) cir 1=7' (Ro:ask;art IZ762)
Jan. 29. 2014 3:02PM
Date:
€ity otBaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
No. 3278 P. 1/1
Use BLUE or BLACK Ink
For Office Use '%,/�
Permit It / 00300Permit Fee: (00 , O)
Date Received: ( / 2o//
Staff:
2014 RESIDENTIAL PLUMBING T�PER��MIT APPLICATION
4:t. Site Address: / 7L 5 5.5. 14 4
M',#,c� Dll�i✓r�2 / Suite #:
Tenant:
Name:
1A 4144/c %irrr..a. 0./ Phone: 9 44/_ 3t /*7
Address / City / Zip: _
Name:
./11/11 ii .-11
11.11: ! 1.
Address: 409 COUNTY ROAD 11
State: BURNSVILLE, MN 551137
License #:
City:
Contact: q3 .Wf) 0)4, -ritail;
New Replacement Repair .ebuild _ Modify Space _ Work in R.O.W.
Description of work: �' ' 44r... " "!/� 1;:i. 4 Mat elk �- fiJ
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
_ Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater end Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) �j� 0D
TOTAL FEES $ Loo
CALL BEFORE YOU DIG. can 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.riopherstateonecall.orq
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 of plans.
x
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
,Required Inspections: Under Ground Rough In`- Air Test ' Gas Test Final
Meter Related Items: Meter. Size Radio Read Staff...
401/ CityofEaaaii
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN t 2 2014
Use BLUE or BLACK Ink
For Office Use //��.,,
Permit #: 1'a V a 95
Permit Fee: j 5 0
Date Received: 1
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION,
jy Site Address: /766 Fa -SSA 'tij `I f►4 t,F''t'N Unit #:
J
Name: JANE /V 4e-r)NS
Address / City / Zip:
Phone:
1'765 roe SSS W4Y , UttAN ►Mnt SSIZZ
Applicant is: Owner )( Contractor
Description of work: VATE.g PAOli4(,£ �E?Al2
Construction Cost: $ 5051:73
Multi -Family Building: (Yes / No X )
Company: - fl1W(ffiA(ZK ' fSTt kTtOiV Contact: Et lt. DEgitvz.zi
Address: /Z2.37 N1(o[-t-ET AUE. S. City: $oSV‘tt, .
State: AIN Zip: 55331 Phone:
License #:13 . (AS 0510
GIZ c1 - 3g{Z
Lead Certificate #: NAT — c to (j'j !. Z - 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1
1 •
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:
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.00pherstateonecall.orq
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 of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
50C i7EINIJZ-Z.1
Applicant's Printed Name
x,
Applicant's Signature
Page 1 of 3
11 5 1 YSsc1 tjal
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace
Single Family Garage
_ Multi Deck
_ 01 of _ Piex Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ✓)
_ Porch (3 -Season)
Porch (4 -Season)
Interior Improvement
Move Building
Fire Repair
Repair
5A ocr2
Census Code '13q
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In _Air Test
4- Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
_ Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
_ Demolish Foundation
- Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV..
Fire Sprinklers_
Meter Size:
Final / C.O. Required
N Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159825
Date Issued:01/22/2020
Permit Category:ePermit
Site Address: 1765 Forssa Way
Lot:4 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jane Martins
1765 Forssa Way
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature