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4203 Valley Forge Pl CITY OF EAGAN ~ ~ 6 4 7 ~3830 Pilot Knob Rosd, P.O. Box 21•199, Eaqan, MN 55121 ~ ' PHONE: 4548100 ~ eUILDING rERMIT Receipt ~t ' ~ • Ti M wo/ iw Est. Volue - . j r t! ~ Dare 193s...~,_ Site Addrem Erect Ocn+P.aY c . l);pmodel ? Zoniny ~ Lot ~ Blxk ~ Sec/Sub. n't :iI : R.A,~ Puwl No. Aepefr ? Typs of Const. AddMion ? No. Storin Move ? Longth ~ Name f DemoUeh ? oMh Addrasa Int ImPr• Cl Sq. Ft. t f~ City Phone ~ ; ~ n c• ~ Inatall ? Name IL" }11Wb AVMuveb FNs qddrus Assssunent Permit ~ CitY Phone Water 3 Sew. SurCharye:: Poliu Plen Revfew a Nsma Fin 3AC 2 5 . ZZ ~ Add,,a Enq. Water Conn. 30C_~.: W City Phone Plonnwr Weter Meter 6- s•''6 Countil Road Unit 260. 1 hereby xknowlodpe that I how road this opplication ond sto» thot Bldg. Off. 7/2 5/ R.5 Tr. Pl J. 3 2. U C~ fM iniormation It torred and aqrea to comply with oll upplicoble Sfab ot Minrwtoto Statuhs ond Gty;of Eoqon Ordironus. APC Parks 5ipnotun of PennittN -"1 1 ` Copies ;h =t1,;?''/ -i s;; V,sr. Ost~ Total f i d r G 8ulldinq PtAnlf {s isstwd fo: - ' on fMN lxprlu condltbn Ihot dl wwk "it be doro in acaordance with oll applioable Stob of Minnwsoto Statutea wd City oi Eopan Ordinanas. Buiidinp Off{dd Puenit No. pKmit Hold~r DuM ToNphons ~ J P11111~11~ H.vA.C. ) E»ct.~e A s t~ ~r s~ sorcw,.. Imp~etion D,a Imp. onh« Footlnps I S r' Footinps 11 Foundadon Framfng Roofinq Rouph Plbp. ~ Rouyh Hto. Insul. Firopkp Flnal Ht9. -6_ Flnal Pibg. Final CatJOcc. Water Wse?ibo LoutFon: WNI Sewer Pr. Disp. R~wipt PLl1MBING PERMIT PKmit No. T~~ CITY OF EACaAN FM fill in nuinbarsd wum S/C Type w Print /piWy Tot. -71, ~17~ ~ 1. Date 4;'1V`~ S 2. Insqllation Cott a 7 C L! ~ .rr-xnv. • ~ 3. Job Address~ Lotl Blk. a Trsct ~!c 4. OvYner G(G., JI C>-k`s ~1 - 6. Conusctor C,. I 'r ~ ~ - Phone, { y ~ t 6. Address U ~ t~'~ L~ • 7. City T_~ t c(&.; Snte Z4S 31- S. Building Type: ResidentialCommercisl O Institutional O 9, Work Description: New 10 Add O Alter ? Repair O 10. Describe 11. No, Fixtures No. Fixtures ~ Water Closet Cessppol/Drainfield ~ Bath tubs Septic Tank Levatory Softner Shower Wel I l Kitchen Sink Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinkiny Ftn. Slop Sink ~ Gss Pipin9 Outlets 12. 1 hereby certify that the above information is true and correct, and 1 apree to oomply with =or an e s anoca~s governing this type of work. Siy??ed : K ~ for Flouph f iml (nspections: Dau Insp. Date Insp. This is your permit when numbered and approved. Appro+rad CITY OP EAGAN 46"700 MEcHuwIc.AL PEwMrr P.ooc No. - r ~ cmr oF EAG?n ` FN fNl 1n /iwtlbNMdWww • ilC 1yp w Prbit NpfdY . - Td. 1. Daa 1~TQS 2. InplWdon Cast + ~t-,_ x.. ~ - 3. JobAddraall: Lot Blk. Tr~t~,:iy!t 4. Owrm L Ci0111fNxOr LA 1C/ P10f1! ~ T v. Addrew 'a?T l._I Ii ?`Y i C A'CGC / ,1 7. City ' . i 9pta ;\AK zip / 9. Buildiry TYpe: Residbntial A Commerpsl O Institutional O a. Wark Oesaiption: New"Q Add 0 Altn O Repair O 10. Describe `s-L r r~ r r- Furl Trw C~r~ ~l,t tC-4 111 ti 11. No. FqyjpWpi BTU - M. Ea. No• Eauiwnent CFM Forotd Air Flandlirq: Mfil. BoiNn ~ IYMeh. Exhaust lJnit Heatsr Mfg. ptMr Air Cond. Mfq. Cu. PiP&p Outlnt ~ 12. 1 Mnby certify that the sbove inforrmtion is true and oomect, and t apree to ~ oomply wlth ali ordinsnces and codes pawmirq this t1?Pe of work. SipMd' ..j 1 ` i for ~ Rough FInM Irapeetion:' Dsu Intp. Dm Insp. + This is your pKmit whsn numbered and ppprowd. I Approved CITY aF EAOAN 46"100 E ~ ~ - ~ Recaipt J ~ 3c PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Frll in numbered spaces S/C ~ Type or Print legibfy Tot 1. Date 2. insialtation Cost , 3. JobAddress Lot~% ~Bik. Tfact ~ ~ 4. Owner ~ 5. Consractor Phohe ~ - 6. Address 7. CitY State Zip Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New O Add El Alter O Repair ? 10. Describe ~ 11. No. Fixtures No. Fixtures ~ - - Water Closet Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet pther 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 i comply with all ordinances and codes goveming 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 I ~INSPECTIONR-EC-URIj CITY OF EAGAN PERMIT TYPE: 1) 1!. II[ Mri 3830 Pilot Knob Road Permit Number: 41 111IL. Ea an, Minnesota 55122-1897 Date Issued: o - N`~~ (612) 681-4675 ~ ~ rr i ~f l ci~1 .'c564 S+ ' SITE ADDRESS: APPLICANT: ~ o . •;,I I t)RGE Pi r ~ cJra+ ~ I r, ; • . , i i rs~ PERMIT SUBTYPE: TYPE OF WORK: i rr•,~•,, ~t ~;,~i ;~r{~ INSPECTION DA • DA I j ! I ~ . . . . . . . ' . ~ ~ ~ Pertnit Holder Data Telephone N PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ~ ROUGH I PLUMBING I PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL i GYP BOARD I FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER I FLUSH I MAINS conioucTivirv TEST HYDROSTATIC I TEST j BSMT R.I. I J BSMT FINAL ~ i DECK FTG ~ ' - DECK FINAL I INSPECTION RECORD OF EAGAN _ PERMIT TYPE: /3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . DA I ~~tkF, 1 k i'!: i; PI ! I l:t oft f I'i It l~tv'i 1 l t'Ptt11 MI, l1110 . ~ J Psnnn Holder oace r.lspnon. r SEWER/ WATER PLUMBING I HVAC ~I Inspectlon Dole Irap. Commsnls I FOOTINOS I FOUND ~ FHAMING ic i ' ~ ROOFIN(3 'ROUGH ~I •9 I PLUMBING I PIBG AIR TEST ROU( H HEATIN(i (3AS SVC I TEST I INSUL CiYP BOARD FIREPLACE FIREPLACE AIR TEST I FINAL PLBQ FINAL HTG ORSAT TEST BLDCi FlNAI. DOMESTIC MEfER IRRIGATION METER FLUSH MAINS coNOUCrrvm TEST HYDROSTATIC 7EST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I ~ . fY OF EAOAN WATER SERVKE PERMR 3830 Pilo~ Knobi;~ad ~ P. O. Box 21199 PERMIT NO.: Eppn, MN 55121 DATE: -i •'ll No. of Unin: 1 ~ ~ Grand Addmm i Sltr Addn~ 2 C 3 Va,- Plumber. ' M*W NO.: J ~ EOf1 Cf101Q0: , O,,t~ 51u: Reaclor/ No. ~ MiM lo ww~~l/ • 11 ~rMD M~. . 132.00P,! `lI' o ' a~llMww~. I Total: f 3• ~Q~c~ : j By Dob PioM: a+Vte, Of Insp.: r Iflw• ~ CITY oF EAGAN SEWBt SERVICE PERMIT 3830 Pilot Kiwb Rosd ~~~T ~ ; ~ P. d. Box 71199 Emgan, MN 55121 DATE: - .2 1 No. of untts: ) Zoninp: Owrnr. Addnm: 5it. Add.a.s: _ 4203 l~iltely rbrQe tl? 71nV'r--2 k - ~ Plun+b~r. Vd1I.. P1:L'~:~lil 7-25-55 53179 I esr., to w.r1s wllr tr. Gey rf Ip.a cor+rnctlon Charo.: 1425.40rld Of i..M.. Aocment popodt: Porn-at Fw: Sundwrye: BY AAise. C3+oroa , Doh of Imp.: Total: Ir"F6: Doh Psid: CI'TY OF EAGAN N~ 10647 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 S2G,,)` ~ BUILDING 9ERMIT PHONE: 4548100 R«~ipt # J/ Te M wd lar SF DWG/GAR Esf. Value $63,000 pare JULY 26 , 19U SiteAddreu 4203 VALLEY FORGE Erect ?X Occupancy R3 • Zp odet ? 2oninq Fl Lot elock 2 Sec/Sub. NORTHVIF.W MF.AnOOgn Repair ? Type of Const. ~ Percel No. Addition ? No. Stories Move ? Length 44 GRAND OAKS DEVEL CO & Name Z Demolish ? Depth t] $ ,nddress 1881 SUNRISE CT Int.impr ? Sy.Ft. ~ City F,AGAN phone 452-8934 Install ? SP.ME ADwovels hes O Name Zu Asussment Permit $ 322.00 s~ Address 1- Cicy Phone Water 3 Sew. Surcharge 31.50 t Valica Plan Review _161 -00 ~Z Name Firo SAC 525.00 Address Enp. waterConn. 500.00 ~W City Phone Plomror WaterMeter 63.00 coumil Roed Unit 280.00 I hercby acknowledge thot I hove read this op0licohon and stote fhof Bld9. Off. 7 2 S 8 S Tr. PI. 132, O O the inlormafion is cortecf and ogree 1o com0ly with all applicabia APC Perks State of Minnesota Sturut ond Gry f qan Ordi ances. IlUz, Var. Dete COQ1eS Sipnaturc of Permittae Total fl l d 5 Q A 8uilding Permie Is issued ro: GRAND j6AS D V' L on the sxproas conditlon ihat oll work sholl be dona in accordance with ol li ~la St Mi aota ta fes and Ciry oF Eapan Ordlrantes. Buildinp Offlcial 1 . ( • • / Q~ . 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACiORS NUST BE LICENSED WITH iHE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATZONS To Be Used For: S~ Valuation: ~~MV Date: ~~Q 5 Site Address: OFFICE USE ONLY Lot: ,O Block Sect/Sub /UUA ea,` ect k Occupancy ~-3 Remodel _ Zoning ~-I Parcel f/ Repair _ Type of Const ~ _ Addition ft of Stories Owner ~'~.'uJY~ Move _ Length 44-_ Demolish Depth 48_ Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPROVALS FEES Contractor pssessments Permit (~p Water/Sewer Surcharge 31• ~ Address p~Jw~ police + Plan Review = o° Fire SAC 525. City/Zip Code Engr Water Conn Soo.'° Planner Water Meter (03.°~ Phone Council Road Unit Bldg Off%'1{fg~'Tte ment Pl 132.~ Arch./Engr. APC /-T Parks Variance Copies Address ipTpL ~n/Lf 's ~3 City/Zip Code Phone 11 - a5 . . . ,.~,..,.,,n;^ n ~u. ~.T B},o: ,~,~,.y, ~ :..'h~ ; i ' V~•vm'Il`. y..;. . . ~ ' ~v , ~'r•"r, r.,t •F:' e'r_:1. ysy'~.Q;ti.~ j: 4~ 7 ~ ~ : t{ .~.1 i:~, ~i~v.~~~~,~:i. ~ ~a~a, ~.~~.~8~~'!•i . . _ ~"ry' . • • ti~ = i.t:k.~ .t y~~ tir . ~ EXTERIOR 'Ek~LO~?~~AV S RAOE~:`.`OM tfJTILN , i fi, ' ;K: ~ ,~I. ~ l,i~ ' YV i'`il'yK~~P.-i.da,^.:~' ~p:tv.,~ ;n`, . . . • . GRANDY: QAK$r.VffVELOPMENT ' CbMF'AldY , ,J.•` ' . • " . ' • . ' t;k; '~1.°`4°.. ' ~,,.;..yc'f:,"'~~' R,~.L ,f.a~ • .r . ; i': >ti~ .i ~t ~ ' ' ~ . • . ~ MODEL, U X AREA , , ; . v. . a: ~'t I^ "`l, qr ~y'a.M'~.o..y.y ,Z 1`". r e. ~ .~ru.y~.•° .l • . . . ~ ~•G~' .~f:, ~'{ti ~ ~~~wly ~r',j"' ' ~ ~ • REQUIRED'' 1. • TOTAL .WALL~''RREA : 198 ' . ' , > ' r. t i~{:~;:;n~ , ~z ~i,, . ~ , . 2. TOTAL,ROOF F4REA :•y.;~. 14.961 It.02.6' ' 31.096 • • ~ ~ 1:~ISb. 1 ? • 1N; . . . i. a.. 1 ~ • ''..'l . • ~ . ' ' . ...,..'ti ~ , . ACHIEVED ~ i ; - . T x; ~ i ~ 'ti'' REA U U X AREA . A. W I NDOW AREA11". ~ ~ 186.66 ~f ~ . . . 5 93.33 B. DOOR AREA `•?f ,r.,a. ~%4N" -•..39.8 " ~:1077 3.0646 C. SLIDE'OLA88;.AREA... 13.44".~;•.; .48 6.4512 D. FIREPLACE"AREA"Ai . • . z O • . 0 0 E. - WALL'FRAME:,AREA''~~s:,~;•~;....380„; .041 7.38 . . ~ F. . NET WALL' ' Ri~EA ...1164: 1 r' 049 F 57. 0409 0. ~RIM»JOIfT.•AREA•' • 119.52s'• .0436 5.211072 H. FOUND WINDOW AREA • ~ , . . , 0 0.- 0 ;y 1. FOUNA ABOVE ORADE •~j-';96. 48.'• .135 13.0248 . ? f ~ . . ' 4 ~ . ~ ~ . 3. TOTAL! WAILAREA . 3800 ~ , ~ , 185. 5026 • . r. ~ . J. "SKYL.I fE• 4 O K: ~ R00F FRAME'; i • ' 119.6 .032 : 3. 8272 . L. NET RDOF~ AhEA 11076.4°~ .'025 . 26.91 . ~ . . , , 4. TOTAL ROOF~ AREA '1 ! 9b 30.7372 , . . , • ' . _ . • . " . SUM 1 . t2. •~q: ' ~ ~ r~ : V • 229.096 ' . $UM 3. +4. , , ~ • ' 216.2398 . . . . ' . . ,,.1 ~ ~ , . ' . .v . ' ' Yv J' Y..L^ . 4 i ? . r ' ' . ' .5 . Y SURVEYOR'S CER'TIFiCA'TE ' cRAWU OAKS DEVELOP~'ENT C0. . . ~ VAUE) FORG I , I , • i ~5'li•° ~ i0O~~E, _3491 ^ , ~0 ~ 1057 33 50.6 Z CA ~ j44'53 ~ 26.06 10 T O, Qq O ~ y J o ob~ N i 0 LU 0 Z6~° ~ 'o ~ N LOT 20 % LL, 6) cp, ~ ~ • Qp ~ LU) . o .35.66 - 33 ~ S. 2°56'40"E„ \ ~~ii . i ! - SHEET 2 OF 2 SHEETS PAOJECT NO. BUOK / PAGE JqMES R. HILL, INC. . g5747 Planners / Engineers / Surveyors FILE NO. 0200 Humboldt Avenu• 6outh FOLDER, eloomineton,?Na 55431 812-884-3029 ~ SURVEYORyS CERTIFICQ?TE GRAND OAKS DEUELOPMENT C0. -d-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 3~ FEET s DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9'13•3 FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 4'l0.!~- FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = FEET I HEREBY CERTIFY TO GRAND OAKS DEYELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 20, Block 2, NORTHVIEIJ MEADOIJS, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED 8Y ME, OR UNDER h9Y DIRECT SUPERVISIQN, THIS 23RD DAY OF Jut`I , 1985. SIGNED: R HILL, INC. BY: ~ HAROLD C. PETERSON, LAND SURVEYOR SHEET 1 OF 2 SHEETS PIINNESOTA LICENSE N0: 12294 PROJECT N0. 800K / PAGE JAMES R. HILL., IIVCe• gs7~r7 . Planners / Eng(neers Surveyors FILE N0. 8200 Humbold4 Avenus 8outh~ FOLDER Bbomington, Mn. 56431 e12-8e4-3029 PERMIT CITY OF EAGAN e~=~o=N~ 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 032195 (612) 681-4675 Date Issued: 0 6/ 0 5/ 9 8 SITE ADDRESS: 4203 VALLEY FORGE PL IOT: 20 BLOCK: 2 NORTHVIEW MEADOWS P.I.N.: 10-52100-200-02 DESCRIPTION: ~ RESIDE Buildinq Permit Type SF (MISC.) BuildingWOrk Type ALTERATION , Census Code` 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: - APPlicant - sT. Lrc OWNER: MINNESOTA EXTERIORS INC 13915514 0002877 BLEY KIM 9600 JEFFERSON HWY 4203 VALLEY FORGE PL 0'SSEO MN 55369 EAGAN MN 55123 (.612) 391-5514 (612)683-0849 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 Mn. Statutes and City of Eagan Ordinances. 1044(an.j4-A APPLICANT/PERMITEE SIGNATURE ISSUED BY: SI NATURE 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ 3830 PII.OT KNOB RD - 65122 681-4675 New ConstruGion Reauirements RemodeVRecair RequiremenU ? 3 registemd ake surveys ? 2 copies of plan • 2 copies of plens (inUude beam 6 window saes; pouretl tnd. Eesign; etc.) • 2 ske suneys (exterior eEEitions 6 dedcs) • 7 energy ealeulations ? 1 energy calwlations for heated adddions • 3 copies of tree proservation plan if lot platted aRer 711/93 required: _ Yes No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: r STREET ADDRESS: LOT: ' V V BLOCK: ~ SUBD./P.I.D. ' tMIA'-V EAIx)w~ Name: Phone PROPERTY Lest ' First OWNER (~1D~ ~ff7~~ Street Address: City State:~~/CJ Zip: Company: Phone t7: CONTRACTOR p -7 Street Address. ~ /t~ vlo G License # Ciry L/ State: Zip: ARCHITECT/ ENGINEER Company: Phone €l: Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infurtnation is coRect and agree to comply with all applicabl State of Minnesota Statutes and City oi Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required . . . ry ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. O 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move O 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq.ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review ! icer.se MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ~ °k SAC SAC Units 2/84 CITY OF EAGAN ~ APPLICATZOV FOR PERMIT IUn SEWER AND/OR WATER CONNECTION (PLEASE PRINi) 1) PROpFRTY ACDRr'.ss: rFraL, DrsC'UryrTm L.o. g a~) 1 .4 (In.t/Bloclc/Su:divisicn or Tat Parcel I.D. Numner) ST?S:"^C.T.,TiE, DATE 0_° Cit?GMAL `u;I?.UZ:G ISS:~;-\G.: e P?.=5EN?' IIS': 9 P.-1 SL;= rP'nSLY ' ? R-2 DU?L{ ('IL:'O L^?ITS) 0 R-3 ^.CI.•ti.'?C{TSE (?T-'?R^ + L':IITS) ( Wi I^_S) ? 2-4 t;c~Rmt~;m~CC_~Ct-.ISIILtiI ( UTii'?'S-5) Q C9,n1E?CZ-`.L/72E7AII,/0FF'ICc: ? Z1'CCSTRI.=iL ? LtiSTI:LTIOVAI,/GGVERNtiM7 2) AnPISG.~T (PLEASc PRI;iI) ~-IE: G ra 6 cr t,s acoREss: IeYi SL) kv vis~ e.f• cr:^!, sr~:T--, zzP: fi~~., Pxo~m: 193S' 3) pu,;.tgE? (P dSE PRiNi) , FOR CITY USE OHLY NAME: YV!!~~f ~ BERS LICE,YSE: , AGD'RESS: ^ 1° (f ! Active CZTY, STATE, ZIPj Exp' ed af Record PxaNE: pLUMBER LFLE4SE N ' ~~t nict~ 4) 0CCI,BAAJ'f/Cr,;;iF12 (PLEASE PRINI) IU1ME: 10, ADDRESS: • CIT"l, STATE, ZIP: 6 P}aTE: 5} INpIG,TE ?7HICH PERh1IT IS SEINC; RE7QUES'I'M: [D CL.;NECrION 'ICJ CITY SF.Ti7ER OE C0.^R=ICN 'IO CITY T,iATER ? 0`71ER (PLFr15E DFSCRIBE) 6) C:.c: . • E] P='%SE I?OID APPF?OVED PERMLIT FOR PZCi:-[,'P SY ONE OF }1BOVE PI.FASE +~'„aIL APPRC7VID P :-LLT 'PJ 1. 2, if. 4 F1BOVB 'rcle one) 7) SIC.-%TL'RE: DAzy: 7 FOR C I T Y U S E OfVLY PER}tIT ISSUED F rrrs: $ ~j~O SE7'.7c..°, nE?:.trT (I~ICTL.:3E JU~C-I~GL~ S JO.S U L4ATz'R PEiUlIT (I:iCL"uDc SuRr!:nRGE) S ~oG WATER METER/COPPEBY.OP,N/OUTSZ^= RE?.DER 5 WATER TAP ( ZNCLUDE CORPOR.^-.TiO?I STO? ) $ SE:dca T.a? . $ /~oa -_..~•ti:i'T ~...?C•c== - ac:.c~ S -~/x.o o ACCOli::T DEPpSIT - I•iAT=3 $ WAC $ Sar.~~ sAc $ TRii`IK i•IAT°R ASSESS:jD_:iT $ TBi.i::?C SEDiER ySSESS:iEi•iT $ L`nTERAL BEivt',:IT/T.°,li`Iri S=:•iE= $ LaTERyL BEVEc IT/TRU::K r,•7AT°a $ ~Q-~ o U [dATER TREATMENT PLANT SLRCHARGE $ OTHER: $ TOT 'IL G $ aMoUNT DazD;"RECVTOT DOES UTZLZTY CON:IECTION REQUIBE EXC.aVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEii A "PERDIIT FOR :dORti WZTYIN PUBLIC ROAD'AAY" MUST BE ISSUED BY THE ENGINEERIPIG DIVISION. LZST AS A COiN:DI- TION. SUEJECT TO THE FOLL0WIiIG CONDITIOD:S: " / APPROVED BY: TITLc: . / . DATE: •3~ ) s~ W~mm~w R omw fr i. ~ ~ GioY OF EAGAN , , PERMIT 3830 Pilot Knob Road PERMITTYPE: sulLozNc Eagan, Minnesota 55122-1897 Permit Number: 033891 (651) 681-4675 ~ Date Issued: 11 / 05/9 8 SITE ADDRESS: 4203 VALLEY FORGE PL LOT: 20 BLOCK: 2 NORTHVIEW MEA(]OWS P.I.N.: 10-52100-200-02 DESCRIPTION: Buildinq_permit Type BASEMENT FINISH Buildiriq Wbrk Type ALTERATION Census Code 434 ALT. RESIDENTIAL i ~ i % i _ . • . A . _ . - . . ii ~ REMARKS: PLAN REVIEWEO BY CRAIG NOVACZYK. SEPARFITE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 495-2840 REGqRDIN6 ELECTRICAL PERMIT AND INSPECT7'ONS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Appl.icant - , SLEY KENNETH 4203 VALLEY FORGE PL FAGNN MN 55123 (651)683-0849 Y hereby acknowledqe t.hat T. have read this application and state that the informUtiori is correct and aqree to comply with all applicable State ofi Mn. Statutes ai7d City of Eaqan Ordinances. ~ ~ ~ 79/ja// . " &~@ PPLIC NTlP MITEE SIGNATURE ISSU~ ED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) }1~ CITY OF EAGAN 3830 PII.OT RNOB RD - 55122 681-4675 New Construction Reauirements RemodeVReoair Requirements ? 3 registered site surveys • 2 copies ot plan • 2 copies of pians (inGuCe beam 8 window sizes; poured fiE. desiqn; etc.) ? 2 sRe surveys (exterior atltlitions 8 decks) ? 1 energy calwlations • 1 energy calculations for heated additions • 3 copies of trea preservation plan it lot platted after 7!tl93 required: _ Yes No DATE: 10-30-qa~ CONSTRUCTION COST; DESCRIPTION OF WORK: F1111 Sli I~C~Sp C~~mbi~1 rez~~~~f1Gt, LI~L~IC~QI , Rdc.I~>SQIf ~ STREETADDRESS: qZD3 l/G4WL4 Ey?4 NGQL.P ' c~-~~~;ti~l~~e,lr~ l~'~rUC) t~.~/1 LOT: 2 c) BLOCK: SUBD./P.I.D.#: ~Y\ Name: Vleu {~Pnn~Y 1 Phonetf: C.(J12-~~~3-DS -1`~I PROPERTY Lw~'~ First oWNER Street Address:4203 Uc~kP la Sav~ 26CE_ City State: Zip: Company: Phone CONTRACTOR r Street Address: t License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correc d a e to pl with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY =BY- Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required ' 4Ij- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex p 11 Apt.JLodging O 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 17 Swim Pool ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex p 15 Deck WORK TYPE ? 31 New /1333 Alterations ? 36 Move ? 32 Addition 0\34 Repair ? 37 Demoiition GENERAL INFORMATION Const. (Actual) ~I Basement sq. ft. MC/WS System (Allowable) 5- N Main level sq. ft. City Water UBC Occupancy tZ- 3 sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump r Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code a f Census Bldg ? Census Unit G APPROVALS ' Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SIW Surcharge Treatment PI. Park Ded. Trails Ded. . Other Copies Total: % SAC SAC Units PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA118748 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 4203 Valley Forge Pl Lot:20 Block: 2 Addition: Northview Meadows PID:10-52100-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Jamie Rippel 12850 Chestnut Blvd Shakopee, MN 55379 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Kenneth A Bley 4203 Valley Forge Pl Eagan MN 55123 (952) 892-6253 Appliance Connections Inc 1313 Danita Circle Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature • n , r For Office Use 1 , , eaa , � c P t Permit#; 70,E Permit Fee: FECEI Y E� 3830 PILOT KNOB ROAD I EAGAN,.MN 55122-18.10 Date Received: '�` ' (651)675,5675 I TDD:(6.51)454-8535 FAX: (651)675-5694 JUL 2 4 2018 Staff: bulldinglnspeclions a(�.cilyofeagan.com L • IA_ J tt .2018 RESIDENTIAL PLUM = ING PERMIT APPLICATION Date: `1��k� Site Address: 4-,,,,,_ V. / t • P ry ' I5 Tenant: �cLJ �� 1 v ',,"MAT 'M M-9 h , Name: s t eiiii'lk K ,�v Phone: .-� Ii'„ r7 ., Address/City/Zip: r fr �, /"� ► 11;'ft�T !OP II .'A I, t Name: MILBERT COMPANY dba C 'LIGAN WATER '''10451rLicense#: WC641376 t - � ,N �: "; 1801 50TH STREET EAST sus, Address: ' 161. 0p 1��j�( . • >'"f{ City: INVER GROVE HEIGHTS f• r r,rj �t�4 State: MN Zip: 55077 Phone: 651-451-2241 tstAtit-- ~ai r ,; • ?,T Contact: BI-LL MILBE,RT Err._ loria.abas ©culligan4water.comp"a� �f ��� . ypi0 ite,'of Qk _New _Replacement _ Repair _Rebuild Modify Space Work in ROW,14i 0rw `t t{` -in a4,4 , Description of work: • i. ^ _ . _ .A # ( ' Itzr) RESIDENTIAL Wt45} t ' tt 1J ':'4•110,041'3.V . y r j0111\ , _Water Heater = t- 4> , ,44 X Water SoftenerR ' ,k*. i, } „ Lawn Irrigation( RPZ/ PVB)Tr!ItrTypF . io,,, t SAdd Plumbing Fixtures ( Maln./ Lower Levei),.i:, tTt ` _ pysem f J lx ` Water Turnaroundr /h Flcltxt( K Newµa t y ) c ; Abandonment• .r!r` FiT :•p :l,.. ; { -- w _RESIDENTIAL FEES: $60,00 Water Heater,Water Softener, or Water Heater and Softener(Includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State surcharge) 'Water Turnaround(add$280.00 If a 3/4"meter Is required) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES$ 60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage;CaHHII48 hours before you Intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You maysubstribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's websito at www.cilvofeactan,com/subscribe. 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 cordanc lh the approve p In Duff ase of.w rk which requires a review and approval of pi ns, at Applicant's Printed Name x ' Applicant's Signature i- j l;f f.e- y . 3{04,1fk 'hsv;;: t,x "t1c1.`•f<r•.t�r + {llC\r-q k ( �9 kR ,, t ,,4� ��:i,Wh � r�, " ikl • .y - .nqp.[ ft, tiAt' to s4W.,,,, ,4ir %fipt � ,;j , ,-. iii: " ,, pr 1A � o �J fi8OQ FICE USETF4t � v { 5.:(0 � VY ,, S, .' f �, , v �F vF� Jt� rn rcs ('��v•skt'�1� �i �� 4I�t` 34 5 t s< c f ,tkt . J : . 4 . aae,, ow '1:•,y,1�Ni�°yi ,fzpY4t�_) ,�f�l' i�'•trflOvFrJfh ��Y �tt ' AtFts{ GsfJ,otiv :r;<Av�Cy�'r} " c Z7GReqUled�lip+ t�o t1 14Jd1ei aG'? ,f.l 0,,,iftRfgi�rni-}l�,;t i { ^ta virRNt ,,q {g3d fi. , y �-ctg� � "1� V�Cta� W6 /% °:1 F FM1i/ 1 $t �;. 1 £ 4 o 4163 ,){emS,rF btrSy .K . i ,b. , 7 c0,, t,# } hitmJp9 .41F,kw, ;,„ ; J4c'�'.3�(� ad'" ._ . � ..?:aeL : }t ., A_=>, ,,oRa ;,, Lmanornee,44-v Sta1MAg ° PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155646 Date Issued:05/28/2019 Permit Category:ePermit Site Address: 4203 Valley Forge Pl Lot:20 Block: 2 Addition: Northview Meadows PID:10-52100-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kenneth A Bley 4203 Valley Forge Pl Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164177 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 4203 Valley Forge Pl Lot:20 Block: 2 Addition: Northview Meadows PID:10-52100-02-200 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kenneth A Bley 4203 Valley Forge Pl Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165583 Date Issued:11/09/2020 Permit Category:ePermit Site Address: 4203 Valley Forge Pl Lot:20 Block: 2 Addition: Northview Meadows PID:10-52100-02-200 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kenneth A & Bonnie J Bley 4203 Valley Forge Pl Eagan MN 55123--195 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature