The URL can be used to link to this page

1766 Forssa WayCITY OF EAGAN Remarks Addition R].daec Iiff Fi rcx Addi1. Lot 1 -ftF}lk_ ,- E+ Parcel # 1() 639Rn (110 015 streec 1766 Forssa Wa:X 5taie Eagan, 55122 Improvement Dste Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUPVK 1982 298.08 5 298.08 C007616 12- 3-81 SEWERLATERAL 1982 1305.42 5 1305.42 WATERMAIN WATERLATERAL 19$2 1260.79 5 1260.79 WATER AREA 1982 298O$ STORM SEW TRK 1982 638.24 5 638.24 C007616 12-2 -8 STORMSEW LAT 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 LIGHT Road Unit WATER CONN. 335.00 ? ?? BUILDING PER. 7007 SAC 525.00 PARK . BUILDING PERMIT Receipf # Site Address 1 1011 ) lot Block SlC/St1b. parcel # W N? Z Address ? Ci phone Erect [3 AlfB? C] Repair [3 Enlarpe ? Move ? Demolish ? Grode ? Occupanq Z0171t1g Fire Zone Type of Const. ?F Stories Length Depth Sq. Ft. °C Nome 0 APVrorals Fees uU /lddress Assessment Permit ~ Cit pha e Woter & Sew. Surcha?ge n Police Plan check G °C Name ?Z Firo SAG ?,? Address Eny. Woter Conn. --W Plcnner Woter Meter Council Road Unit I hereby ocknowledge that I have read this application ond stote that g?? Off. the inlormotion is torrect ond ogree to comply with oll applicable 5tate of Minnesoto Stotutes and City of Eagon Ordinonces. APC Totol SiynMure of Permittee A Building Permit Is issued to: on tha axprcss condition t1at all work sholl be done in accordance with oll applicable State of Minneaoto Stotutes ond City of Eapon Ordfrwnces. Buildiny Offlcinl cirr oF EA"N , 3745 Pilet Kno6 Road Eogon, MN 55122 PHONE: 454-8100 ' Parmit No. Permit Holder Misc. Permit No. Holder bin9 [ Z(p ?p ?' WF K Z8 H.V.A.C. Wall Disp. Sowsr ew M?ic -r 3 zY3 S:- [? ?- Zl - Irapeetion Date Insp. Other Footinps 1" Foundation Framiny 2 Rouph Plbg. Rouph HVA Inwlation Final Plbp. Final HVAC Final _ .? Zj Water Dowibe Location: Well Se1A1e1 1 ?J P.. oisp. `1 ' _ (gtr#ifirtttt u# (Orrupttnry eitp of (Eagan srpartlnrnt of laitbircg iprr#inn Tbis Ce?ti f icate is.cxad pwcrsxout to tlx rrqxircaatrrst af Satian 306 o f the Uni f om Bxilding Cade artifYing tbat at rix tim o f is.rua„a tbit urxcturc uas in com pliaxcc with t& ystiew ordirrauua o f tht City ngxlatixg bxildmg connractiex w rsc. Fer tJx f ollwuixg: r+n rr.r /nA n 7f1(17 ? my: wb: Aptil 28, 1982 ?.s... ? Receipt MECHANICAL PERMIT Permit No. ' CITY OF EAGAN • Fee ? FiJI in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 2. Installation Cost ?=' •?" 3. Job Address • Lot ? Bik. ? 7ract i - 4. Owner 1 - - 5. Contractor ' Phone 6. Address - 7. City t,.t ? • State ? • 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New 0 Add ? AI#er ? Repair ? 55407 I 10. Describe ' Fuel Type , ...?? ?.7.: t lij.._ ' 11. No. I Equipment STU - M. Ea. Forced Air ''y'-?'-'-' No. EQUipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ' Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all 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 " P 5-£-„S6 7 : 7---=____ Receipt 1=- , PLUMBING PERMIT CITY OF EAGAN I Fill in numbered spacea Permit No. ? Fee S/C Tot ? ? Z Type or Prrn[ legib/y 1. Date ?/ ? 2. InstaHation Cost <-- 3. Job Address 0? LotBlk. 4, Owner 5. Contractor & Tract ' C I Phone 6. Address ? 7. CitY State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New C3, Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures opl/Drainfield Cess i Bath tubs p 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 information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 WATER SERVICE PERMIT E?GnN ciTY of 3795 Pilor i(nob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zaning: No. of Units: . '???• -_ Owner; ,.?*?t?s Address: - 1 Rfi R?.dS>P_C?S Cit? i Site Address: Plumber: Meter No.; Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agrea M eomply with Hhe City ef Eagan $urcharge: Ordinenees. Misc. Charges: Totol: gy Dote Paid: Date of Insp.: Insp.: i CITY OF EAGAN SEVIIER SERYICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagrin, MN 55122 DATE: Zoning: No. of Units: ? Owner: Address: Site Address: 31J , .. _ _ _ . _ .. _. Plumber. . . . ? .?? I eyreo M oanplp wnh fbe Cky ef Eagar Connection Charye: Adinaneas. Atcount Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Totot: Insp.: Date Pcid: This request void i/z? L' (-8 6 ( 7 ?18 bai J3fc93 ? 3a:oc? Request Date FirF• No. Hooqh-in Insuer,[mn Req rt?d> [:]ReaAY Now N'ill Nnirty Inspec- ' ??I`?? es ?NO or When Peadv icenseA hlectncal ConVac[or I heroby reyuest inspecvnn uf above ? Owner elecincal work mstalled at et AdJiess, Boz or Roure No. M&?, ???s5a uOy Ciry ? Nctmn o. Township Name, ur No. Rnnge No. ? {n ty C ` M ?t??? Vq N Occupnnt IPFINTI URR?N 71;mPxa Mok.&-s Phmie; No. Powe?r Spupnplier Atldress (.? f? ? p? 1,i? ` ?\ I to ?J?r Elec ncal Convactnr (COmpany Name) ` ' ? Cnn rier.tor?s LncBnse No. ?3?i5 tS-v _k- L c? titc. Mail/i?n9 A.dJress IContracmr or Owner Makmg Instaila[ioN ??1 1 - N 1 L. C-1if k O Autho ¢etl $?gn turv Convactor Owner Making Installa[ion) ` _V(,., Phone Number $9 O" MiNNESOTq STATE BOAHD OF ELECTflICITV ' THIS INSPECTION qEQUEST WILL NOT Griggs-Midwey 81dg. - floom N-197 BE AGCEPTED eY THE STATE BOARD 1821 University Ava., 5t. Paul, MN 55104 UNLESS PROPEH INSPECTION FEE IS n1 ___ mrot ao, o'll ENCLOSED. ^ REQUEST FOR ELECTRICAL INSPECTION „-„ Ee-ooooi-oa `; 3 /93' See instrvctions lor wmpleLny this lorm on back ol yellow copv. 1 L X'" Belaw Work Covered by 7his Request ZFSsl? Atld Rep, iyoe o1 8uildmg Appliances Wiretl Epaipment Wiretl Home Range iemporary Scrvice Duplex Apt. Building Commercial Bldg. Water Heater Dryer Fumace Lightinq Fixtures Electnc Heatin Siio Unloadei Industnal Bldg. Arr Conditioner Bulk Milk TaNc F&fm Other peoly Othci (SUCCity1 t er pemty Othci 01hi•r Compeite fnspection Fee 8elow a Fee ServiceEntreneeSize !I Fee F¢pders/Subfeeders k Fee Circuits Q? 0 to 100 qm s 0 to 30 Amps fS 0 m 30 Am>s 101 to 200 qu?qy - 31 to t DO qmps 31 to 100 Am s _&6ovef2 0 l'?ri?s \ Ahove 100_Amps Above lU0_/amps T aiisi?ii?s Remute Control Grc. Partial.'Other 6igns' Special Inspection TOTAL F G3G•w R?mn rks , f ftouqh-in Final ij" /i/? ( \ ?F lAi% ?ate L L7??e?,? ?b T W I.the Electrical nspector. hereby certity tha[ the abpve inspecbon has baen e. This request void 18 months fiom CITY OF EAGAN 3795 PUa! Kne6 Reed EGyan, MN 53142 N0 7007 PNONt: 454-8100 ??? BUILDING PERMIT - - Receipt # -??77f`=3 Siro Adaress 1766 Forssa Wav (Plan 104) Lot 1 Blotk 6 sac/Sub. Ridgecliffe 1St, Pareel # la 63980 010 06 a? Name Orrin ThOIItpSOII H016eS z qddmm 1712 Hopkins CrOSBTOSd ci Mtka. 55343 phone 544-7333 E,ecr Alter Repuir Mo°ro0 Demolish G.aeo ? ? ? ? p ? ? p«„ro,Ky R-3 Zoning PD R-1 Firo Zone NA Type of Const. V # Stories Length42 Depth-41--Sq. Ft.- ? Name O7IIer Avvrorols faea o ~ Assessment ? Permit 238.0 ` ' Address ul Woter & $ew. Surcharpe 20•0 0 ?.? ?M Police Pian check 11 • 0 ?W w Name Firc SAC 525.00 Address Eop. Water Conn. 335.00 <W CI Phone Plonner WnterMeter 60.00 Council Road Unit 1$5 _(1() I here6y ocknowledge that I hove read this opplication and stote that Bldg. Off. fhe inlormation is torrect ond ogree to comply with oll opplicoble AP? T?o? $ILF??.n(? State of Minnesoto Stotutes and Clty of Eagan Ordirwnces. SiOnature of PermiMee A Bufldiny Permit Is iuued to: OTTiII ThOIIIpSOII H ES on the expren conditlon lhnt oll work sholl be done in accordance with oll o i oble State o ewf tau tes o nd City of Eogan Ordirwnces. Buildinp Officiol '`L'e? /? °?y ? ( CL.TY OF &VVIN Include 2 sets of plans, -A ? O v--7 - ' 1 site plan w]evations a BUIIDINC: PF:itMIT 7V'PLICAT70N 1 set of energy G71N1at1VR4. ?[Cn0.,_ r 1b He Used For ? Valuation ??-ax? ?? Kbu? ?9 1481 Site Pddress: FprS.Cq ?cP?4r I04) OFFICE USE d.dL.Y Lot"-B1orJc_ (j $ec./Sub:, R?ct??Se Erect OccuPan? Pascel (?73 (?C? O+O O(D F S? ' Rgpair Fire Zone N)a Enlarge 2ype of Const. - Oaner: MoVe - q Stories Pddress: Demolish Frnnt .2 ft. Grade Depth ft. City/Zip Code: ' Phone #: Contractor: vrtnirv i nuI.ir,)viv nviwto Adc3ZeSS: a Divisicn of U. S. Home Co-portion 1712 HOPIi;VS C,?CISROAD Gty/Zip Code: n•i• :-r -^ ?E ri?;? F??aa Phone #: 5qq-?333 Arch./Eng.: Pddress: City/Zip Code: Phone #= APPf3?VALS F? Assessments Permit o138'=- water/Sec.7er Surcharge e?p ? Police Plan Check ( /9 =a Fire SAC ?v2S ?- gng , Water Conn. j3.5 -m Planner Water Meter (oq =2L Council Road Unit J ecs` Bldg. Off_ APC TOTAL q ( (-I $?? t a O , 2005 RESIDENTIAL MECHANICAL PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single £amily dwellings & townhomes/condos when permits are required for each unit ?'3CD ? Date 9 / ? / U5 Site Address 1( IQ o FU K a. A. Unit # Property Owoer ??th-t M avs hk l I TelepNone #(?? )?f05- D?F43 Contractor BURNSVILLE HEATING & A/C, INC. Street Address 3451 yy, g, -msville ParMiAray C'ty State BuFnsVi SUItB 1205r^'7 Zip Telephone #(?Sa Bond t#:? 41 gS 171, Z 1AA Expires: D 16,5 The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling uoit $ 30.00 furnace _Additional _Replacement air exchanger I?L airconditiorter _New kReplacement other State Surcharge $ .SD Total 50 s 36. 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. 3? Nic,l??vson Applicant's Printed Name Applicant's Signature Au11 o ti 20a9 1 /bb ?' ? ? ??Q???r?? C. R. WINDEN d, ASSOCIATES, INC. ?,J IAND SURVEYORS ToL 643•3646 FCQR: 1381 EUSTIS ST., ST. FAUt, MINN. 55108 U: S. HOME CORPpRATION N Scale: 1" = 30' p Denotes Iron ? O? ? o ?o 0 L-ANE MEN WE NFREBY CERTIFY THAT TNIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME BOUNDARIfS OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION Of All BUIIDINGS, IF ANY, THEREON, AND ALl VISIBIE ENCROACMMENTS, IF ANV, FROM OR ON SAID LAND. Dnrad rhis4 4 dar oF N<=+' A.D. 198/ C. R. Wy? DEN 8 ASSOCIATES, iNC. br Survoyor, Minnewta Ropisrratien No. 772G GoV ? ? ?JT ? a NTi51D Lot 1, Block 6, Ridgecliffe First Addition, Dakota County, Minnesota. L1 I p,?t 9 C 1 70: IIJIM QISLN, (Il'ILITY IIII.LING QE.RK BUIIDING IlVSPFxTICfI DF.PARL^'IE.'VT BII.L BRANCH, S[JPERII=IDFI9TT OF PLBISC hORKS FR(YM: TfiQ021S A. COIBEKP, DIl2F.C'IOR OF PGBI.IC WORICS ?Cr _ DATE: SEe'IEMIDER 10. 1981 ` RE: RID=SFFE 1S'I' ADDITSCN ' , . Becaiase the followi.ng list of lots in Ridqecliffe lst Addition does not have gravity sewer outlet at this t9ne, the following prooz- dtres will be initiated tmtil further notioe: VPILI'I'Y BILLING No water turn-ans wi12 be allowed prior to 8-1-82 or emtil sewer is available in these azeas. - BUIIDN. G LNSPECTIQd . Building pezmits can be issued for tlhese lots, but the builder should be inforn-ed at tune of peanit issuanoe (pertiaps stanping the building peanit with "NO 0(SU?A.vCY PRIOR 7D 8-1-82 OP UNTIL SE."4ER IS AVAIIABIE") the restricticns cn sewer avai].ability. N1AD7'IT-NMCE DEPAFM1fSJP See borh utility billing and buildicx- inspection above. The lots with these restrictions are as follaas: 717I'^ 1-9, BLOCSC 7 ` Lt7I5 1-6, BI,OC'K 8 LC7I5 1-7 BLOGK 9 - LC7I5 18-23 BLOCK 9 ' IpiS 10-16 BI.CCK 10 Il]tS 1-10 BI,CCFC 5 LO'I5 1-4 BLCM 6 . UJIS 1-6 BIGCfC 12 LCYI5 1-17 BI.LYM 13 an@ are also indicated cn the attached maps. . Jac T0: LOILNA OISON, i7PILITY YILS,I^1C; CLERY. 1- (p C k ? ?? . DALE PEPERSON, QiIES' BUILDINC; OFFICIAL , BILL BRANQi, SUPERIN'IMpIIVT OF PUF3LIC WORKS " FROtit: THOh9AS A. COLBERT, DIRECIOR OF PUBLIC WORKS DATE : NOMiBIIt 17, 1981 RE: RICrECL= 15T ADDITION - SE[^IER AND NIATER CONNEC.Z`IONS On Septerber 10, 1981, aireffo was distributed listing several lots in the Ridgecliffe lst Addition which would not be issued sewer and water permits mtil sanitazy 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 Thcnrrpson Hoires has agreed to install a temporasy lift station frcxn Man- hole No. 37 to the 4" service line for Lot 8, Block 9, Ridaecli£fe lst Addition. Attachecl to this nenb is a copy of the lettex we received frcn Orrin Thompson Homes whereby they indicate that they will perform the installation, mintenance and liability of this tenqDorary lift sta- tion/force main sanitary sewer until such tiure gravity sanitary sewer can be extended across the future I-35E during the spring of 1982. There- fore, with this terrgoraxy systen being installed and maintainecl bv Orrin Thormson Hores, the tes!mrarv hold on saaer and water permits and occu- pancy for the following lots has naa been li£ted: Lots 1-9, Block 7 Lots 1-6, Block 8 Iots 1-7, Block 9 Lots 18-23, Blcck 9 Iots 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 teraporasy sanitary force main wi1Z still not provide service to the follocaing lots : Lot 1, Block 8 Iots 1& 2, Block 9 Lots 18-23, Blodc 9 Lots 11-17, Block 10 Therefore, the restrictions as referenced in my previous mem will still apply to these lots. These lots are referenced on the attached tm3p for your infornmtion. Zf any problems arise pertaining to sanitazy sewer availability, back-ups, etc., please refer those calls directly to Orriri Thcr,.pson Hcanes for the proper resolution. If vou have any c?uestions to this release of the re- striction on the building and sewer/water permits, please contact ms. Please insure that all personnel in your departrmnt are acoare of these restrictions. TAC/jach cc - Pob Carlson, Orrin Thcupson Homes TO: LORVA OLSON, UI'ILITY BIISSNG CLII2K DALE PETERSpN, CHIEF BUILDING OFFICIAL BILL BRAD1Ck3, SUPERIN'I'IIVDL'NT OF PUBLIC SqORKS FROI"I: THOMAS A. COI.BERP, DIRECibR OF PUBLIC SAU}2K5 DATE: NOVMBER 18, 1981 RE: RIDGECLIFFE 1SP ADDITION - Sh74ER AND WATER CQNNECTION RESTRiCTIONS On Novenber 17, 1981, a rrem was Ponaarded listing several lots within the Ridgecli£fe 1st Addition that had restrictions placed on the issuance of any sewer, water or occuoancy perniits due to the Lmavailability o£ sanitary sewer. There appeared to have been a duplication of lots that were refer- enced for future restrictions as conpared to those whose restrictions had been listed. Please be aware that the follaaing lots only will have re- strictions placed on the issuance of sewer, water or occupancy permits: Tnt 1, Block 8 Ints 1& 2, Block 9 Lots 18-23, Block 9 Ints 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 system. Please insure that all personnel are rade aware of this correction as stated lri t115 IIY'1['O. ? TAC/]dCh cc - Bob Carlson, Orrin Thcsrpson Hoires 1,b° City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use i Permit #: 1 Lf.�C1( 1 Permit Fee: 1 C i / ` 5 Date Received: 5 3 9„ Staff: 3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: �vIij'l0✓S///4 Address / City / Zip: :1-76, e(j,6,-74 �Ct Applicant is: Owner )( Contractor Description of work: Construction Cost: r'nz�v ct Phone: Multi -Family Building: (Yes / No ) Company: / D foo Fr -Ai 6- Contact: .30 e 7/7044=. S Address: O (� YO fr/K fvwh leu i4 City: 11(��`14,vf t, State: /AY Zip: .C5 �� . Phone: 6/)-/o- ?a 6 License #: (--6 31/0u Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Ai,f D(511)/ In G,✓%/ 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: Mechanical Contractor: Phone: 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.000herstateonecall.org 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 auth ized by a building permit issued in accordance with the Minnesota Statuilding Code must be completed within 180 days of permit iss ance. _)t -e /lUWlcr x � Applican/F Tinted Name App ' ai1t's Signat re Page 1 of 3 � UseBLUE or BLACK Ink �� r---'-------------� � - I For Office Use � � /�� ' � Permit#: � Clty of ��a� � �y �, �� r� � Permit Fee: � I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: ' '�7 � Phone:(651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � Site Address: �✓1 it#: � Name: �L�NII.�e� JJL��/L�"/LS�A"L� Phone:��."�!�L�� x �� ` � � �d 7'L f� �' � �� Address/City/Zip: S S�. 1��'I� ��/��- � ' ` �� =�aa �� Applicant is: n Owner Contractor r r'� �q.�,�' . e.� , . � ` Description of work: 1��t L-� ��G�- T��k � �� , p L+ � �� '� ��;�� r, Construction Cost � "� � �Multi-Family Building: �Yes /No ` Company: �� Contact: ;� �i+/� /� � � Address: �f��j'� (,C�1 L-U�L�lrl d�/'�� G�� City: ��1-� /�3/✓ �'r��' � � � `� . r State:�Zip: �S/�3 Phone: � ' �mail: �ilt , �� L+r�� J'? ,�/V�� , �� r � '� '.- License#: ��(a'S�`�� Lead Certificate#: /4 If the project is exempt from lead certification, please explain why: �rn �ER-(� P�r�rt ��v �-oLVED �`� 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 8 Water Contractor: Phone: Fire Suppression Contractor: Phone: 1��`)"� l�l�r��r��y��o�t��r��t��er��sd��t�'�a1 tc��?�'��_��l�� ?'o�� .��at�or�r►��r i ��Sd�s r�r��t��;�;��s�+��r��s��a�t t��t��`��r��y tc� � � , � � � � _,. ; ,.....; �,< , �. , :iE'�C��B'�` �:�!'�iit9��+�� K ; ,: � �.. , '� � -� , ,: �- ': __ _�,,,-�.e. �. � ., v.. . . -,. ._,. ... ._.. 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 utilRies. www.qopherstateonecall.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. X �N �/'� Ap IicanYs Printed Name Appl n 's ign ure Page 1 of 3 �� Q ' n DO NOT WRITE BELOW THIS LINE � ��'�` � SUB TYPES � � _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool 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' � Occupancy �� MCES System Plan Review Code Edition ��°� SAC Units (25%_100% ) Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No CA: Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:elce &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other• Reviewed By: �,� , Building Inspector RESIDENTIAL FEES � Base Fee �� Surcharge Plan Review MCES SAC �� . Clty SAC r � Utility Connection Charge � UI �� --- �� ,�- S&W Permit&Surcharge � � Treatment Plant Copies TOTAL Page 2 of 3 L �, • • ��,� C. R. WiNDEht �, ASSOCIATES, 1NC. �ANa suRvfro�s Tel 645-3646 F{�R: 1381 fUSTlS S?., ST. PAUt, MINN. 551pg U: S. HOME CORPORATION � �� l �� o�� Scale: 1" = 30' p Denotes Iron ___. __ ._... ____ ------ ._.�,_. l� ' _ � � �AN� �, .:� O`�/1 � -�-�e�8 - . C, , 6 0 .�_----- ----- -� . -��_ ._- ,o __.._ _r.�..�— _.,... .,_...._._.� _-,�-� �,- -_--- I fl .�--�� tiQ � � i �,+i ! � �_LJ ► � {� O .,��L Z�� N J �� ' �� (.7� � •1\ _. ,J r ,� � v G . 1 i�� n !, � �, OE� 3c�''�'', 2��., 2�- �i � t '` `�--� � + `� � � � 1 � � ' �� c� \ � `� \ � ', � � ti � \ �"�� t � �., �-� ..., �� -�.- o� �f,,�;��N' � �,�. ��, �� , i-� � �''� �/ V �� C�� `� � ��` _ L� � � Lot 1, Black 6 , Ridg�cliffe First Addition, Dakota Cour,ty, Minnesota. WE kEREBY CERTlFY Th1A� TN15 t5 A TRUE ANd CORRECT REPRfSENTATION OF A SURV£Y OF TME 60UNDARIfS dF THE LAND A8t7YE DESCRIBED AND C�F i'ME IOCAT4t�N O� All BUIIDINGS, IF ANY, TFiEREpN, ,iND A�ll ViSfBI£ ENCROACMNtENTS, If ANY, FROM QR ON SAiQ ll1ND. Do�od fhis��„dor oi �t� � A.D, 198/ C• R. W DEN 8, A554CfATES, INC. . by �� Survvya►, Minnesota Rr�p;sr►otian No. 772� N7�19