4204 Valley Forge Pl ~w . , , , • - ,
' CITY OF EAGAN 18749
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUI NG'PERMIT Receipt #
To be use For N~SIDI~ Est. Value $a'~ Date 28 19 91
Site A ess 4304 V/1LI.SY FORGE PI.
Lot BloCk Sec/Sub. OFFICE USE ONLY
P2fCel NO. Ocwpancy - FEES
W Name `~Zl?FEY SiiAitD Zoning = 63.00
(Actual) Cons1 81dg_ Permit
p Address (Albwable) - Surcharge 2'~
CIty Phone # ol Stories _
_ Plan Review
& i11lBRICAM R~lDDSLIIiO Length .
o Name oevln - sAC, city
Address ~~ML;$ ~ S.F. Total - gqC, Mcwcc
~ Clty PhOne 4 S.F. Footprinls -
On Site Sewage _ Water Conn
~ W Name On 5ite Well - Water Meler
t= Address MwCC sygceo,
, 62 Acct. Deposit
11 W City Phone City Wa~er
i` i
PFV Required _ 51W Permit
I hereby acknowlege thal I have read Ihis application and state that the Booster Pump - S1W Surcharge
Information is corcect and agree to comply with all applicable Stale ol
Minnesota Slatules and City of Eagan Ordinances. Treatment PI
Signalure of Permitee APPROVALS Road Uni1
~~~i~~ ~~+Y~ Plenner - park Ded.
A 8uilding Permit is issued to:
f on Ihe express condition that all work shall be done in accordance with all Cou^cil -
I applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldg. pff, _ Copies
1 4 . - Variance - TOTAL 65.00
Building OHicial -
Permk No. Psrmit Flolde? Data Teleplwrw #
WATER
SEWEA
PLUAABItdG
H.V.A.C.
ELFCTRIC
titpwtion Date Inap. Conrne?ts
FooMp I
Foundation
Framing
Roofny
Fiagh PIb9•
Ragh FI~B•
IaA.
~
Final FtEg.
FinW PI6g.
Const, Meter Plbg. lnspector - Notity Plumber
EngriPlan
8{dy. Final r" U[-p
Dedc F1g.
Oedt.Fnal
WeUI
Pr. Disp.
a
Reaipt (IAECHANICAI PERMIT Pwmit No.
, • CITY OF EAG~AN j ,
pN
fill Jn numbsrod tprcee S/C ~ -
_ TYVe or Prin[ legidly TOL
t. Oate 5-I3-85 2. Installation Cost $ 4,190.00
~
3. Job Address 4204 Valley FazmT_81k. TraM
4. Owner Cornorate Coatgtructio:. ~
5. Contractor rtmm w" i= & aIC 7r..-_ Pha?e 941 -n ,11
8. Address 13075~._i;ic~~z 7'~•= i 7
7. Gty Edcn Prairie State !-'iz:nesota 2ip 55344
8. Building Type: Residsntial Q Commercial O Institutional ?
9. Work Desaiption: Nsw Q Add ? Altar O Repair ?
10. Dascribe Force~A aiz ueatfnq r, aJc Fuel Type Natural Gas
11. No• EQUWapi 8TU - M. Ea. No. Equiament CFM
Foroed Air Joeano?c Kc,uel
Air Handliny:
wg, G1403-$0 Pell ne ace
Boilen 8()' Oon 13TU Mech. Exhaun
Mfq.
Unit Heater
Mf9- Other
L Air Cond. !A-iz:,ox 21~ Ton
Mfg, Hr1',' 33.1
1 Gn, Pipiny Outlets r't:.rnace ly
12. I heroby eertify that the above information is true and conect, and I apree to
oomply with 411 ordinanoes and oodes goveming this type of work.
Siynsd : for
.
Rouph Flml
Inspections: Date Insp. Date tnsp.
This is yodr pennit when numbered and approvad.
Approved CITY OF EAGAN 46"100
CITY OF EAGAN Remarks
I Addition NORTHVIEW MEADOWS Lot 22 Rik Z Parcel 10-52100-220-02
I Owner Street 4204 VALLEY FORGE PLACE State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1984 76.75 74-;-:66 ZO
STREET RESTOR.
GRADING
SEWER LAT 1981 15.89 .79 20 O/ 5 9/ 9 - 7- 5
5AN SEW TRUNK ~ rj 19$1 138.48 6.92 20 / p~ O''9 /4J - 7"40$
SEWER LATERAL TR 1984 275.22 15 c~ 5 U 159 ~ 7' S
SEWER LAT 1-7 9 1981 22.28 1.+9 49 Is 8
0 O
R 1 S 9/ - 7'?5
WATERMAIN 7 1984 70.67 4.71 is (p/, 3$ f} O/ S 9! -7 -,?S
WATER LATERAL fi& 1981 1$.6$ 1.24 -93 2$1/o?, S O/5 / 41 -7- S
WATERAREA , 19$1 138.4$ 6.92 20 03 8,P 015919 - 7 - e,5
WATER LAT 1982 29.52 IM 4-:45- 20 .t.?, /7 O/5 91 9 - 7- S
STORM SEW TRK 19$4 392.32 19,4.6 39':'H 5, y0 Q/$'r'j / 9 - 7- Q S
STORM SEW LAT
DRAINAGE 1984 33.97 10 0I59/9 - 7-,?S
CURB & GUTTEH '
SIDEWALK
STREET LIGHT
WATER CONM. 11
BUILDING PER, 1101150 r~ el
SAC
n n
PARK
- I~1S~Z~0YI~~~~~ _ _
CITY OF EAGAN PERMIT TYPE: 1
3830 Pilot Knob Road Permit Number: ~4 f) 1.4 7 ~
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
. .
SITE ADDRESS: r. APPLICANT:
~ ~ ~ ~ ~ FliR(iE PL
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .A
<<i ~•If.l'i l~f~di i t I(;I ti~l I I I 1 h.l .~•f 1 11 : ~;~~t~ ; 1' I 1~'J~.
~ ~
Pwmk Holdsr Da% Tslsphone * ~
SErvEw I
WATER I
PLUMBING ~
HVAC
trropection Dste Inop. CanmsrMs ~
FOOTINGS i
FOUND I
I
FRAMING I
ROOFINO
ROUGH
PLUMBING
PLB(3 I
AIR TEST
ROUGH
HEATING
ans svc
TEST
INSUL
GYP BOARD
FIREPLACE 3 ~q
/
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
MEfEH
IRRIGATION
METER
FLUSH
MAINS
coNOUCTIvirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
F DECK FINAL
Receipt PLUMBING PERMIT Permit No.
- CITY OF EAGAN
~ Fee
Fill in numbered spaces . S/C Type or Print /egiWy .rot.
1. Date r/14/8
4204 5 2. Installation Cost eq Forge Place tw
3. Job Address 4104 Vslley Forgfl Placeglk. Tract ~Qj~~S
4. Owner Corporate Conatruction
5. Contractor Richfield Plumbing Phone 869-75I7
6. Address 305W. 7 7;1 St reet
7, City Richfield State MN• Zip 55423
8. Building Type: Residential [3 Commercial O Institutional O
9. Work Description: New M Add ? Alter O Rep2ir ?
10. Describe
11. No. Fixtures No. Fixtures
3 Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
3 LayaiOn' Softner
2 Shower
Wel I
1
Kitchen Sink
Urinal/Bidet Other 1-Disposal
1 Laundry Tray - Ss er
1 Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
1 Bar Sink
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances a nd codes governing this type of work.
Signed :
. ~ ,
Rough Final
Inspections: Date Insp. Date lnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~
REACTIVATED FOR DECR 6/86 CITY OF EAGAN
~ - 3830 Pilot Knob Road. P.O. eox 21•189, Epan, MN 55121
eUILDING rERMIT PHONE: 4648100
To, M wed fM Eat. Valw ' Dote 19
Sht Add?ew Erxt ~ OcwpencY ft.:
Lot Black c..,tic..b, IE6~! :~lN:~.~~ RNnodel ? 2oninq I.j
R~ir ? Type of Const.
Presl No. Enlsrps ? No. Staia
r;.C'f' CUN, 'i l<.UC `i'IO17 1.14 Movs ? Lerqch
I N~rne D.molish ? DWh
Addnss l~i'.
t;~'?' LIC; CK C Grade ? Sq. Ft.
City Phone IS 4-- t7 6@ 4 Install ?
Appmveb iNs
~ Name
J . G
Addrm Assesu++ent Permit
WoMr & Saw. Surchwrge 3
C1ty Phone
~ Poliu Plan Review 1/1 t1
~ Nam Fln SAC ' 7 5 .
A d drou E n p, Wafer C o n n. _ f: 1~.00
F CitY Phone Planew Water AAohr d
Councll Rood Unit
rh.,
, 1 henby ockrwwlodps fhot I hov+ nod thi: opplicaNon and staro thot Bidp. pff. b:'
the inlornwtion is torred and oyree tp comply wlth o!I opplicAWt A~ Total
Stoh of Minno~oto Statutes ond Gty~ of EoQon Ordironces.
, Var. D~t~
Slpnahx~ of PtmnittM
A Suildinp Ptrmit Is Issued ta: { . + • . i on tM ~xprm tondFtion Ihat
di work shofl be dorw in acaordona with atl oppllooblo Stah of Minesoto StatuNa and CJtp of Eopon Ordinorwra.
duiidln0 Offlcid
Pwmft No. Pwniit Ho1dK eNhone
Plunobh~ ~ 7t:tk, ~
H.v.A.C.
EMeMe
Softwm
ImpWion Ds" Imp. Othw
FootinW I
r
F ~d~tbn
Fnminy
.
Roofiny
Raugh P039. 21, 14,
.
Rougobe HVA ~
IMUtation
Final PIbq,
Final HVAC ~
Fiml 7/3/
c«vooa.
w.t., a~.re. Loc.cion: ~
tiwn
s.wa.
P?. bhp.
CITY OF EAGAN WATER SERVICE PERMIT
383o4 nob Road
P. Q-~ 199 PERMIT NO.: ' -
. •~-~'~:-85
Eagen,MN 55121 &W7~a
zoni,~p: Tt 1 o nits: 1
Owner: 2'1?OY<.2tc3 [r ~SL
I
/1dd?esX • , ~ p c
L.Lci
Site Addreas: Fc;rve 'T,22 PE .:?'bjt.r'iview
Plunber.
Met.r No. pSJ'"' ~ r~ .~.io,.. ~,;,.;,o~ 5~~n . 00 n ~1
Si=Q: - 4G/r AOOOUnt DlpOalt; ~ ' • i
' Raadar Na.: 10 W cP 7 0[~ Permit Fee• I{. n~ ~n 1 I
~ Mm ft eempll willi llw Cihr of Emyr¦ Surdhor9s: . 50pd
i OrUMopa. Mlsc. Chorpes: I32 . n!lnca 5 C
Total• 63•1110nI' "letei'
! B '
Doh Pcid:
~ o
Irnp..
-
CITY OF EAGAN gEWpR SERVICE PERMIT
3830 Pilot Knob Rosd 7'i t~ ~
P. 0. 8ox 21199 PERMIT Np
~ Eagen, MN 5512~ ~ 4=_.. ZO^in0: No. of Units: 1 I
~ pwrnr:_ CorPOrate Conet.
~ Addrcss:
I SIN Addmsa• ` ~
' `tapmon E. aer um 51np
~
~ ~s1~ fo ~sa~plp wllh tw Cihr o1 M~w CoixNCNon Choryt: 425 .~J~+d ~i
/1oaount peposlt: •
~ Permit FN: . , p Surchorpr ' p, II
` BY Mise. Ciwrpas:
~ Daft of Irup.: Toeoi:
Irup•: Da1e Poid: ~
I
~
~
CITY OF EAGAN No. 18749
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt x
To be used for RE-SIDING Est. value $4, 000 Date FEB 28 , 1921
Site Address 4204 VALLEY FORGE PL
Lot 22 Block 2 SeGSutNORTHVIEW MEADOWS oFFICE uSE oNLY
Parcel No. ocaPancy - vees
zo
a Name JEFFREY SWARD rn~q _
(ACNaI) COnst _ Bldg. Permil 63 - O(1
; Addr2SS 4204 VALLEY FORGE PL (Allowable) 2.00
0 City EAGAN Phone 454-9289 xof Smnes _ Surcharge
Length _ Plan Review
o NBmC AMFRIGAN RRMODFI.INQ Depth
ii~ - SAQCity
uQ AddreSS 3700 ANNAPOi.7S T N S.F.7oial
-
~ City PT.YMOIITN PhOne SS3_pp70 S.F.FOOtprinis _ SAC,MCWCC
~ On Site Sewage _ Waler Conn
wW Name on saewen
- WalerMeler
1-1
Addfe55 MWCCSystem _
<w City Phone Cnywater _ AuLDeposil
PRV Required _ SNJ Permit
I hereby acknowlege that I have read ihis apphcation and state that ihe Boosier Pump - SNJ Surcharge
informahon is correct and agree lo comply with all applicable Slate ol
Minnesola StaNtes antl Ciry of Eagan Ordinances. 7realment PI
Signalure of Permitee APPROVALS Road Uni1
A Bwlding Permit is issuetl to: AMERICAN REMODELING Planner - park Ded.
on the ezpress contlrtion that all work shall be tlone m accordance with all Council
apphcable State of Minnesota Statnutesan~tl Cryiryy~ o~l Eagan Ortlinances. OIdg.Olf. Copies
BuildingOfficial r~ if1 n°T 1lA.! I111J 1 Variance - ToTAL 65.00
CITY OF EAGAN N°_ 10150
' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
' PNONE:4548100
BUILDING;?ERMIT Receipt ;Ik
Te M urd fer SF DWG/GAR Est. Value $70,000 Date APRIL 26 19 85
siteAdd. 4204 VALLEY FORGE Erect 17 Occupencv R
Lot •'22 elock z ~ec/Sub. NORTHVIEW MEADSRemodel ? Zoning Rl
Percel No. Repeir ? Type of Const. V
Enlarge ? No. Storiea
Move ? Langth 50
W Name CORPORATE CONSTRUCTION INC Demolish ? Depth
z Aedress 4466 WEDGWOOD DR Grade ? S°' Ft. 48
EAGAN 454-0644
City Phone Install ?
~ Name SAME AvOrora4 haa
Addrese Asussment Permit 341-37oo
Water 3 Sew. Surchorye 35 . 00
~ City Pnone 171.50
G~ Palice Plan Review
Neme Firc SAC 525.00
~u '4~r~3 Enp. WoterConn. 500.00
~W City Phone Picnner WaferMeter6.3..00
Coundl Road Unil 780 _ 00
1 heroby acknowledpe thot I hova rcod fhis ep icotion ond arote tMt gld9, pry 4/2 S/H S T. P. 132.00
the inlormation is correct and gree to com ly wifh oll opplicabla
Sfota ol Minnesoto Stotutes Ciry ~f an Ord,nanua. p`PC Total ~,2, 049 _ 50
IL OL, var. oaee 1-3u-w
57qnotum of PermiMea
w Buildinq Dermit Is issuad ro: COR ORATE CONSTRUCTION INC m~e axpmy 5'6
ull work sholt ba done in eccordonce with oll limbla Sf~f In esoto Statutes and Ciry of Eapon Ordinancea.
Bufldirq Officlal / =~F~ ~
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED IdITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be l)sed For: `aFDWC-l A11412• o0
Valuation: ~O,DOO - Date:
Site Address: Fo~r
q-/ I OFFICE USE ONLY
~ M~ANdV~1
Lot: Block ~ Sect/Sub orT~v,a, f' Erect X Occupancy R-3
Remodel Zoning R-I
Parcel fl Repair , Type of Const ~
~ Enlarge ft of Stories
Owner rQ? oQ.rp,~ Move Length r-~p
KY~b WL°~~~JU ~v' Demolish _ SqpF~ ~
Address Grade _
City/Zip Code d4 AAV'1 Jf~1-3
Phone q APPROVALS
Contractor o0
/.L?1~-1 Assessments Permit -
Water/Sewer Surcharge 3 S.°~
Address Police Plan Review l-1I so
Fire SAC L~-, 25
City/Zip Code Engr Water Conn 5c)o.`r
Planner Water Meter Co3.
Phone Council Road Unit
Bldg Off . ' Parks
Arch./Engr. APC Treatment P1 I3 Z.°=
Variance
Address TOTAL 0- 9- 5 (D
City/Zip Code
Phone !1
_ .i \ L \ ~ \ w •
l • ` 1 ` .
i
\
\
\
\
~
~
\
~ I \
I
I 22~22` 4a4r ti = `~3z~
6`l ~08
;
'.-SURVEYOR'S CEFtTIFICATE cORPORATE CONSTRUCTION
6
es--?-I
N0007~49"E I'03.57
I , 10 ~ pAAlNAG£ 9 1%T!LlTY £ASEMENT PER PL'AT
Q ~
~ co ~Ne L_
Q o LOT 22 °o
M o, _
W a x
O -
~ ~ • ~ m
10
~ ~ ~ • o~ m
ss 3 ~ . ?y, c
/O
m
I CS q
sy~ y I 'n.
O so 2. , • ~ a ~ %
F` • s~ ra•i.Q~y'~~:; o
``?~i y u~~',l •p~
/6O
. ~p
. I \ O~ •
I Jp~ :
DENOTES PROPOSED SURFACE DRAINAGE.
O DENOTES IRON MONUMENT SET SCALE: 1 INCH 30 FEET
* DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 974-0. FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 97l-3 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 974•S FEET
I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
' REPRESENTATION OF-A SURVEY OF THE BOUNDARIES OF:
Lot 22, Block 2, NORTHVIEW MEADOWS, 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 BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 22ND DAY OF APRIL , 1985.
PROPOSED ELEVATIONS WERE TAKEN SIGNED: J HILL, INC.
FROM THE DEVELOPMENT PLAN FOR ,
NORTHVIEW MEADOWS BY SUBURBAN
ENGINEERING, INC. LAST DATED
9-29-83. BY:
H ROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85575
I16 / 29 planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenus South:
FOLDER ebomin9ton, Mti 55431 812-884-3029
P;" , . . . yi „ 4 'y:..~.r ~ti . t~ t.-, <f:
:~:?,t~l~'•,'~'~ . ' I"6)'~ .1`"y 4• . ' : v^O '~"~i~,."]_' 'SJ ie . , [
r,1 :
~{b a . , e- :~i~rk. : v i gy.:(;• ~ (y" .~759' ~ i•,;r ~~4 ' - •;i - +
+Y v~.!l." H. ~~1. • r.Naori;'.
' ' M1'1" ` ..i Y~~' . •~Y ~ ~~-~r•'=t f ''~~'y ~ •'1 ~V
EXTERIOR'ENVELOAE,;AVERAGE`,'."U"'COP1Pt1TATtQN ~ ; . " • ~ ~ '
041NER Jf3,f?f~/ f ~l~+Pi7iiYl~ S(~fJ.e~C:~ '
k ~ Lf1J
SITE ADDRE55 : o. d/: %~,~,,rf~//~,,•a,~r~~
CON'fRALTOR _ C~i7~t~g~Er~ (~~1ST DA7E ff~3~T PFIONE' , .
-
y.;
" Determine working square footage of each. ~
r„
~ 1. Total exposed wall area sq. ft. x_i1 _ 22 ~
~
, 2. Total roof/ceiling area %PB7 sq. ft. x_026
'k'~ Total exposed wall area above floor
a. Total wall window area /7ZuY
b. Total door area 1Z
_ c. Total sliding glass door area .
d. Total fireplace wall area.........................
-
e. Total wall framing area (average 10%)...:........ 19,7:87f~'~ ~ f. Total net wall area above floor
g. Tatal rim 3oist area
. . . . . . . . . . . . . . . . . .
~ .
' Total ezposed foundation area
h. Total foundation wiridow arca..........
- '
. i. Toal net foundatioii area a6eve grade 9
° Determine "U" value cf each wall segment.
a. 5'v g louli 32
b. 3".4 77? x IOU..
, C. yp X ,.u„
~ d, -X liuil
~ e. x "u" , 0,9 _ /735
~ f. x„u„
y. 7s x.,u„ s, i/
h. - x „u„
33 z „uli
s..................................... Total = a/ , .
, If item q3 is the same as, or less than item til, you have met the intent
~ of S8C 6006(c)2. .
_ . . _ - ~ . ~ .
. . . . „ . . , ~..~-,.~~-r:,,a'-. . - : _ ~ ~ c . : r.~::r.n,r rnr t
~^r,, , ' , ; r,-V~
, : ~ . ga~~~;~ ~ P.. ~ r, ~n,: 1
WALL SL"t:T16N8'.
~•r'~NnrB: one~15t of.,opequc wall:area for.
7- lrame construction Qonstruction R-value •
l. ~ ir'film 0.68
b f
. 2
in-~c,h~es s,o~ft wood G~
' . 40 ~
RY
S.
BASIC Si0/NG .LZ
Exterior air film = 0.17
WALL ,
1bta1 ~
ia91
FIG. N1 TOPVIEW OF
FIWtE FIALT, 1. Interior air film 0.68
2.
a. • ' l9.oB i
• ' ~1. 06 '
g • ~~l~'/z - L~ti jgi?G , G~ !
,~r•° 6. Exterior'air film ' 0.17 1
Fic. x2 zrotai 23.fI3
~i>`. - ' ~
~ . ~y ;
t.• ~ ~
1. Interior air film 0.68
2.
,..~....,.f~,r._ V._._.~.~j 3. / ~ lv k
S~C[ 1 ScRL~( 4. r%s TF ~ y
Pc:ip,ie.-al ~ 3 5. /,y,xl? Tsriai?< •67 `
film 0.17
~
, .
7ota1 n
~ , ~I 1yS~
~
u a .o y
•
1. Intcrior air film 0.68
. A•~ ~
` 2.
600tiil?~TICN • ~ o •
~ iIALL C ' . • 3. / OClC. 1,2 ~i
'~o~ r. • • a. 11 l, b+ s-1L
u
G. Exterior air film 0.17
, .
' ...~I1 . . . Tota 7PJ
i. x . 4/'
' SLAH ON GRADE
~ ' ' , • . r . • • ~ I. '
~ ~ • • ~,Le~+'~'?~ rr `F . , , ~ , ' ' ~
~ ~ y ` • ~ A
' o'' f~' ' v~ ; ~ \ v ' p • , I 1 ! =
/1'
/n +
' • . r FIG. 04 /
~ f!l ~ .~6 , v ~ k
' FIG. M3 ' . /
? ~
• . X X
l!f
' , oF~ ; NOTE: Indicate tyge, value, decth and
placenent of insulation. ,
. O - . • • ~ .
,
,
.-..i.d' . .-cc~-•:'•--~-n'.z~-_ u ...-"T"_.-.- .w
..a. ? ¢ .~i'.-~•-_ - :~'.!i..~F .!r . i~. • . . i.ifi ~ . . Y:•I...r_r.~ :T. . . . .
.r.. ~ ' ~
- • - vrvl~ ~ - .i :i"' t ai~.. . . . , . .
pBQd'~~lBQ?.ry
~ . . . ~ , , 1.. ` . ~ '
.eVf`'. . . . "~.'~~f 'i ~~~i~
ROOF/CEZLING . , , t .
• ' . ' ' T • • .
Conal•ruction A-Value
:u~ ~ : •
1. Intorior air film 0.61
, , ~~z-' I v rt 2. •
• ~%,oo
~i;`: A(~} 1 ' ?li(.lm s
4. Extcr.ior air film (still 0.61
-
('~It1~ Total
VEtiT
,
R?
rr,= .
Venced Heat £lov
.
uP -
FIG. NS .
i.
!+f.. . ' . • . . .
.Ni .
Interior a film 0.61
Z.
_
4. Exteriur air sti 54,
Total
.
I'A
rvM. { ~ •
: Neat flow up ven[ed
.FIG. A6 . .
3---'i u 1. Insi.cle '.r film 0.61
~ v
2.
• ~•~•1••• 's.
on 4.
. o!„i. ~ ~..~~~•'y'r' ,
:-~'.'F:,~1'•`. 5. Outside a~ m 0.17
- Total
. . . .
NON-VL~NTED. ~ Note: Use ndditional shecta'if more space is
. needed for details and calculations.
' . Hnat • ,
, Elow up ~
FT.q. !7 '
_ . - ~ , . T . . . . ~ , r... e. . ' .-n...~,{ ~ . . .u,r. . .
- - - : - - - -
Yt" . , . . _e• . *,...is ..yy;F:yi.t't 4`"~;:m."`,. ~
.,:V• . ' _ ..ty:~..i, .C 'y,. 'rr.,,ti::Nl~-i~ . 'C
, ` • , ' ' " '
jLLp ,
,l.
• Total exposed roof/ceiling area
1
J. Total skylight area -
k. Total roof/ceiling framing area (average 10%)...-i=0.7
i` 1. Total net insulated roof/ceiting area............ /jj&_& .3_
Determine "U" value for each roof/ceiling segment.
1111 ~
{ . V 11Y
, l1
~1
' . k. 7 X,lull. ~ g~~
, .
1: /obG•3 x fluli . Bza =
4 ..................................Tota1 = 7. O
.
r.
If total of N4 is the same as, or less than #2, you have met the intent of
SBC 6006(01.
• Alternate Building Envelope Design
• To utilize the total envelope system method, the values established by the
sum of items N3 and d4 shall not be greater than the sum of items #1 and d2.
.22 9. %FT + 2. 31, 38 - J6o- ?b
s. + a. ~ 4`
r
r^ ~ %i ~ j
~ ' /R*`
8 " _ '.f .-n.~.+. "v, ro:::,. .......,r~:r....
.
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
Date:_~fAV, A\ 12"6S~r `r/ v
Dzscription of Work: Construc[ new tireplace _ `Ilterntinns to existing
Jl Install Lac ii+serl oirlv _ Install _,,ns line nie/v
rt~
Other
Job address: `1'xV ~V CAq F() Iro
? ~n 1(~
Lot: Block: a' Subdivision/P.I.D. --I\O
Applicant (circle one only): Owner Contractor Per»iit Fee: 560.50
y~ rn 6~~5f _
Name:~ri Y~ po V Q i't- Phone R: ~JCCJq
PROPERTY Last First
OWNE2 Street Address: V:I l lw--h)?~Q Q.
?
City Stare: 11% Zip' J.~
Company: E,~ nfM QrI/!'/I l Q~ Pi {-Phone !S(l
FIREPLACE ,
1NSTALLER Strezt Address: L{Jl
y~e yt~
Ciry ln {rJ'lSJ I 1 I ~ Stare: I~~ r Zip:
Company: Phone
GAS Llir'E
INSTALLER Street Address:
City State: Zip:
[ hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable State f vlinnesota Statutes and City of Eagan
Ordinances. ~
r
Sig aN[e
r
. ~
OFFICE USE ONLY
13UlLDING PERA7IT TYPE
? 14 Fireplace
\VORIi T1'PE
? 31 \'ew ? 33 Alterations '
? 32 Addition ? 34 Repair
GENER>L 1\FORDIATION
Census Code. 434 ,
SAC Code 01
REN-IaRKS
Chimney/flue must be inspected befare concealing.
1991 'qtltto
4989 BDILDING PERMTT APPL CA ON - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, q CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRFSSFS FOR CORNER LOTS - CONTIiACTOR/HOMEOiiNER MOST DESIGNATE itHICH ADDRFSS
IS DFS IAED. AO CHANGFS iFILL BE ALLOWED ONCE BIIII.DING PERMIT I3 ISSDED.
MULTIPLE DWELLINGS REIVTAL QAITS FOR SALE U6ITS # OF ONITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SURYEY - CHECg HITH HLDG. DEPT., T SET OF ENERGY
CALCULATIONS
COMAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AN 1 SET OF ENERGY CALCULATIONS
To Be Used Fora,16,t2ze6,~j Valu~~on: Date:
Site Address ~
OFFICE QSE ONLY
Lot 99Hlock F02ccupancy FEgg
Zoning
Parcel/Sub n, N ~hm { Actual Const Hldg. Permit
~Allowable Surcharge (fl
ff of stories Plan Review
Address ~j Length SAC, City
c.° Depth SAC, MWCC I
S.F. Total Water Conn I
City/Zip Code CCO,5?~C Footprint S.F. Water Meter
Acet. Deposit ~
Phone Y` On site sewage_ S/W Permit I
'On site well S/W Surcharge I
Contractor MWCC System Treatment Pl.
/ City water Road Qnit
Addrerts~D"jl PRV required Park Ded.
Hooster Pump Copies
City/Zip Code TOTAL
Phone C~~eoz U ApPROOALS
Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address Council ~
City/Zip Code {
Phone 0
NOTE: Sewer & Water Permit fees and account deposit fees crill be included in the building
permit fee. Processing time for sewer and water permits is tcro days once a licensed
plumber has applied Por a permit at City Hall.
2/84
GiL
CZTY OF EAGAN p
~'11111 APPLICATION FOR PERMZT
SEWER AND/OR WATER CONNECTZODT
(PLEASE PRIHi)
1) PP.OPEf7I'Y ApDRESS:
rFraI. Dr.,C2i°TICN_
t o'tBlock/Su: ciivisicn or Ta;t Parcel I.D. Ni:rber)
~ u_:G S'?'4L'C7--'i'cE, DA'f' 0_° OiZTGuAL cuIL:L:G ISSu:"'NC::
pnrcL.•r ::r••T'L'T'/'p??OPOS= L'S: SL~GL:. rF-"iSLY .
? R-2 DL'PL{ ('IT:'0 [,^!ITS)
0 2-3 2C?:~II?CLSE (mr_o= - L-12TS) ( 1171J2TS)
0 P-4 t-.~rei.~'?~n•;T/CC:IDG:trili,~i ( IJNITS)
p CM~1E.?CL=iL/Rf.':AII,/O=C::
? L'CliSTc2Iu
? L~:STI'I'LTIO.~]AL/GGVEp,~:AI-~:T
2) APPLIC.NiT (PLExsE PatNr)
NA['1E: 0-nroOCo:te-
ADDRESS: 4qIe C., ~ 6~C~ P Yk'N~ LQl% Q-
CTTY, STI:'°, ZIP: ~ LA-C~
PHO-NE:
( 737 _pu;_y~nEF~ FOR CITY I1SE 04LY
-NAME==Qaarv~~=~~ r-1=vkc-c~ -Du~c~ ~
- - - -
PDD?2ES5: C PlU ERS LICEHSE:
Z ~ , ~ Active
CITY, STATE, ZIP: E= Ezpired
~H~Ir. ~ ~ No o Record
PfiONE: buo.(o0c-Z pLUNBER LICENSE tlQ
afr nttta
4) OCCf~'pPJ'j'/G?dPIETt (PLEASE PRINf)
NAME:
ADDRESS:
CIT"f, STA'IE, ZIP:
PEiONE:
5) RNpIG'1TE ;1fIZCH PEi~1~R~/IT IS BEIr:G RFXLiESTID:
a(~CL~:NECI'IOV 'Ib CITY SEWER
Cb :'NFrTIO:] 'Ib CITY Z9A'I'Eft
? 071ER (PLPA-QE DESCF2IBE) 6) U1DIG,::
. ~ PLE`SE f?OID APPROVID PER.tiLiT FOR PZCi:-L'r BY (DNE OF tIEGVE
~!PLE\SE APP.RWFr7 PER'•1IT 'I~"J 1, 2, p AEOVg
(Circle one)
7) SIC„-,TL"RE: DATE:
M"~!
F 0 R C I T Y U S E O N L Y
PE?ZMIT ISSUED
Frrs' $ SE:-iE.°. D~nMtrT (I`ICL:i~: Sii°C:i'r.:?Gc.)
$ WATER PEiU1ZT (INCi.JDc Sli?CHARGc',)
$ WATER METER/COPPERHORN/OUTSiD° RErIDER
$ WAT°_P, TAP (ZNCLUDE CORPORATION STOP)
$ SEE:•ic4 TA?
$ -_~~'i::i'?' ~_?C•Si=' -
$ nr';;puNT DFPOSIT - WATER
,
$ wAc
$ sac
$ TRGNK WATER ASSc.SSt!E:iT
$ TRli:dK SEI•lER ASSESSi•iENiT
$ LATEP,:`,L SEi4EFIT/T3UNK ScidER
$ LATE:2t1L BEVEc IT/TRU`:K WATER
$ WATER TREATMENT PLAn'T SURCHARGE
$ OTHER:
$ TOTAL
$ AbfOU:dT PAID; FECEI?T R ~S B~'g
DOES UTILZTY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
YES IF YES, THEf] n"PERh]IT FOR :90RK WITHILN
~ PUBLIC ROADWAY" MUST BE ZSSUED BY THE
NO EIdGIidEcRZi•]G DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLO[JING CONDITSONS: •
APPROVED BY: ~C_o •
DAT° : ~ Z9~ g~
so isw
o¢ 1Cin.~L~ _vl.n C1~_ate
/ ~-HEAT LO88 CALCULATIONS
ot i Heot Loss C - S i O 'Total 8~f Input I All wlndow, 8 doon are MotMrrtrlppd
FI. Roan ~ l9th. Wth. Ht. ' fl. Roan 11 Lpth. WM. O' " Mt.
NO: 'am N.ppt ' No.ol Llrvsl fi. Mu 41n Mequ No.ol LInW16 AM •
igh u ol ~Y W. f1. I
ai w~v ol prr f t1 01 cnek wJt. No. ol ol qne I
ff' a O ,
~
r d' ~eoon 777/77
~Epp~
~ ~1. !TV
Cwl. BTU ~ IOoon 9~ j /
~4lvqbn WiMOw~ Q INNtntbn WlrMOw~ ~
d~~ut1w W/DOOrt 718 In111tmlon W/DOOn 11B
71
,inuqtonS/OOOn » In111~n~1on3/Oaon IZZ
.p.wMl E~p. Wdl
~1w 6 Ooa" Gln' S Doan ~
7
4tW41 N*,Ew.W@n
:.iii~a Z4 6 amro
Q T`
4 ~
:,op ~~~p Gbor 7 1
fOI1I BtV. TOI~I BIY.
Fl.y- P Roan LCth. ~ ••Wth. • ••Ht. ' FI. Roan LYth.~ • ••VYM. "Nt '
W4M N.Wht No.ol Llrr.l m WIAtn No.ol ~IrrN t rr
NO. OI M M I [a OI cnck q.lt. NO• OI ol pNw liah q OI cnek 1. fl. d ~U pint, lEpon MaM
/doon CM. BTU /Own Cal. OtU
nlltlqtlonWlnGew~ 38 In111vnbnWlMOwn
1~B
In~llvi~imw/Ooa~ 1/B In111tnUOnW/DOOn
IMilv~lbn 6lDoon 77 In111vniOn 61Daon 71
E.p. WMI Ew. WaII • v 1
Glar6Doon . 3 GboeOov,
e ~
NnEw.Wtll 4 Wtl 4 6
~
4 Gllirp 2 . ,
GiYrq = vpg- ~
Floa
10
Fbor ) 10
To,a em. TotN eN. v 2
Fll( p Room L9tA. "Wth. Ht. ' FI. Room LpM• ••Wth . "Ht
. W'~~ N~pM No.ol L~rr ro WWt~ ~qM No.el UrrY11. n,
No fl.
ql wM ol Mo I b ol enct q. t6 No• el ot I N ol cnt\ ,
~
'doo.. 44 ~aoa.. A
4 ~y~ti CoN. BTU
Cwl. BTU
/AOOn
In1AV~~ionwirdavt 38 InliltntlonWiMOw~ 38
Inm~mim WlDOOn _ /18 Inllhnuon WIDnOn 118
IMHVnionSlDOOn 71 inlii~mion5lDOOn 71
E.D. WMI Exp. W41
a
cw~ a oa«. ~y
Nn EW. WMI Nn Exp. W41
(9{0
• 0
GILM Q =4 6 O Gillnp KE iloo, 7 10 Fbor 7 1
iw, Bw ~ - ~ TmY BN.
Y w t . " ° f( a
~ _ neerw L>. vm~
L08S CALCUlAT10Ns
nat Las °Total Bt nput I AllNEATwindow~ S dow~ Bn ~othwnrippOd
~fl. Y Raan I L9en. Wfh. I "Ht. Fl. Roan LOm. • Mt. '
Wd~n Mdpn Ne.ol Llll. Mu NO. W'iEth aNo.ol Llnwllp n~ •
NO. OI qM OI P. ' I t\ OI Cl,ck p.ll. ' OI M Ot • 1 ts el CrKM
Idppr~
Co.L BTU ;y~" Cad. !TV
IOOOn 30
~LlunbnWinOOw~ ~~i In111vnbnWlydow~
1/8
nbh~abn W/OOa~ 118 Inlllvnim W/Doon
71
nLhrnienf/Oows 71 In111tMlonSlO00n
:.o. WMI FYO. Wdl
3648
36 cw s ooor. a~
;W 6 Oow~
JnEw.W4l a 7 fMtEw.Well 4
8
s a
amA 2• awnw -2
O O
~
vooo. 7 io vb„ > >
'rolM ew. 7oul aw.
F!. Room LQth. • ••Wth. , Ht. ' Fl. Room LQih. • ••Mlth • » Nt. '
WEth MaLyn No.ul LInaM11. n. WWth X,{y~t No.ol IItiY t. ~
Mo. ol 01 1 n of erecY q. lt. Ne. pf pf 1 b ol rnct . n.
fepp~
. ~TU
CON
CO41. BTU l000ft
/AOOn 38
In1illnlbnWi~ M 38 In111tn~lonWlrWOw~
118 In1111ntlon W/Doon . 118
Inlinn~wn WlOoon
71
In1ilbn'wn6l0oon 71 InllhntlonSlDow~ E W. WMI
EwWWI 3"
cwaooo., 3 cm.eo~~~ `
NnEm.WMI NrtEv.W41
4
0 2 45 GIlinV
Gilirq
iba 7310 Fhoo,
ToW BW. Tou1Brv.
Fl. Haom L9th. "Wth. " Ht. Fl. Room Lpth• •••VM Ht.
Wdm Nnpht No.ol lim. lo. Mu NO. ' WiOM i I~pl~t No.ol lii+Mlt. ~M
NO. olyrw Olpen 1 t. o1cr~CY. p.fl. O/ M ot IM 1 ts OICKI q.lt.
O 0
G O O
,~n .0 1910 Ima,.
coO. eTl
/doon twl. BTU /tloon
36
InhitntianWiMOwn, 38 InlilvelonW.ndown,
17B
inietvaum W7Doon, 178 Inflinnion W/OOOn
I Infhwtbn 4/Oow" 77 lnlil~mlon SlDOOn 71
~ E.p.wWl - EaV.WNi 36
JB1
G4h 6 Dov~ G1m a Doa~ e. l~~
WOI n., ew.wai
Mn E w. d
• 6
GNirp ] OIIInY 23.1
1
~ fiao, 7 3 1 Floa
i
Tmo 0ow Toul !W,
COOLIN(i LOAD SHEET
Nmns Addntt~lD~ d¢>}',~ r•re~
Plen # Time: - 1PM
Detign Condittom: Ounide : Dry 8ulb 89; Wet Bulb 76 Insids: Dry Bulb 78: Wet Bulb 88
AREA SENEIBLE LATENT
ITEM DIMENSIONE SQ FT. U TD MEAT HEAT
CONDUCTION HEAT OAINS
Extsriw wall, gross - - ~
Exterior glm ~ .66 11
Ezterior wall, net •08 ~
Toul wslls and windovin .17 11 ~
F loot ~ .08 11 Cellinq or roof . ( .OB' 11
' -
EXCESSEOLAR OAIN8 WALl3 WbeeNon taad) ~
w..c .oe. ze a
. ~ Roor .os 64
S
ou?as ta+..ctio„ i,ae) .
Wnt .B6 -
~
~
Skylighu .66 118
. . ~
BODV HEAT OAINS /
$snsible ' L No. of peopla x 226
Lnent ' p No. of peopk x 230 - 3FO
EOUIVMENT HEAT GAINS '
Elocvic mown HP a 22-pIB~ _ ~o-o
Inliluatbn • SoroiWs 1.085 x/ Q CFM x 11
Infllpation - Latent ~ CMF x.87 x 30 -
TOTAL HEAT GAIN (SENSIBLE)
TOTAL HEAT GAIN (LATENT) ~ - ~
UTAL HEAT GAIN BTU PER HR
TONNAGE EUUIVALENT OF COOLING LOAD •~Q~-~ ~ 1(7 Tau
# 102
Cities Di ig tal Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: rz u i L o r N c
Eagan, Minnesota 55122-1897 Permit Number: 03 q 54) i
(651) 681-4675 Date Issued: P, / A 1/ 9 q
SITE ADDRESS:
4204 VALIEY FORGE PL
LOT: 22 BLOCK: 2
NORIHVIEW MEFlDOWS
P.1.R.: t0-52100-2 20-02
DESCRIPTION:
GAS INSERI
(3u-' iI i, i,~ 'Purmit Tvpc FIREPI ACF
nLI J-t-k Type AL7ERATION
434 ALi. RES101=NTIAI
/
1
\ J
. ,
i ' i.. , -
REMARKS:
t I'1i11dPY/t LUF. i1U5i RI INSPECTEU BFFORE CONCFAI ING.
FEE SUMMARY:
Daco lar $60.00
Surch, ro:- $.50
Tot.al Fce $611.50
CONTRACTOR: -APuJir.anr - sT. I_zr.. OWNER:
FIREGIOF. CORNER INC 16331042 20090911 SWARD JEFF
2700_ N FA7RVIEW AVF 4204 VALLEY FOH6E PL
ROtiEVILLE MN 55113 LAGAN MN 55113
(612! 633-10q2 (651)454-9289
i I,r ,i ,J ~i I.Ilii,i „c~n,• ~ iii ' ii../, I:l. t: ~ il . , l „I 1,
~ J
APPLICANT/PERMITEE SIGNATURE UED BY. SIGNA UR
Use BLUE or BLACK Ink
r
For Office Use 1
1
City of Ea n I Permit
R~ I I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 ,
I _ j
Fax: (651) 675-5694 Staff:
I ,
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: "l y UC (l-¢-,/ Unit
Name: 7e w 5k/" J Phone: CAS I ESL(- g~~g
Resident/
Owner Address / City / Zip: 41^^~ 4
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost:5 C~ Multi-Family Building: (Yes / No
Company: ~o t ~ ~cx.S Contact: k4
i s cq
Contractor Address: 1(~i~~( -1 ~~~,~r,~ C; t - Sv. ~E' (f City:
.
State: M Al zip: 15-5-5-5o Phone: oo_l -C4 3
License j~Cl3o Lead Certificate M /t/~44 - O -
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
1
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.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 authorized by a building permit issued in accordance with the Minnesota State wilding d ust be completed within 180
days of permit issuance.
X_ k6r_~ R~rdleoc"t X_
Applicant's Printed Name Ap i ant's Signature
Page 1 of 3
!"
#$%&'()' *+*,
-./$%'"&0-1 -EO*,$E*2
-./$%'53/4-.1 67889Q7
<*%-'!==3->17:?8:?@:7;
-./$%'#*%-+(.&1- -./$%
A$%-'6>>.-==1''L@:L''U*22-&'F(.+-' 2''
00#$ %& ''0())* * + ''E . KW*9P',9-) P8
/12 !34"0!334304003'
789
<-=E.$0%$(,1
:;<'=>?9 @98*)9+ *-$
A .&'=>?9 @9?$-%9
298%.*? * + Q;.+-%9
`;98 * +8'.9G-.)*+G'9$9% .*%-$'?9.F* '.9O;*.9F9+ 8'8K ;$)'<9')*.9% 9)' ': - 9'X$9% .*%-$'1+8?9% .^',-.&'(+)9.8 +'- 'HU"0J'
#(//-,%=1
55"40V53L
M-.< +'F + N*)9')9 9% .8'-.9'.9O;*.9)'P* K*+'!3'D99 ' D'-$$'8$99?*+G'. F' ?9+*+G8'*+'.98*)9+ *-$'K F98'H,*++98 -': - 9'
,X'4'/9.F* 'Q99'H@9?$-%9F9+ 8JT"UL33'3V3!L53VV
F--'A3//*.&1
:;.%K-.G94Q*N9)T!L33'U33!L0!U"
"(%*21GB:H::'
#(,%.*E%(.1IJ,-.1
4''(??$*%-+ ''4
B-$9>'M FD . ':>8 9F8a9DD.9>'(':P-.)
!00'\[.)': 'A5035'_-$$9>'Q .G9'/$
B-8 *+G8',E''""3\[\[X-G-+',E''""!0\[
HI"!J'5\[643\[\[VHI"!J'5"54U0VU
1'K9.9<>'-%&+ P$9)G9' K- '1'K-W9'.9-)' K*8'-??$*%- * +'-+)'8 - 9' K- ' K9'*+D .F- * +'*8'% ..9% '-+)'-G.99' '% F?$>'P* K'-$$'-??$*%-<$9': - 9'
D',*++98 -': - ; 98'-+)'M* >' D'X-G-+'Y.)*+-+%98L
(??$*%-+ S/9.F* 99 ':*G+- ;.9188;9)'#> ':*G+- ;.9
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142059
Date Issued:04/13/2017
Permit Category:ePermit
Site Address: 4204 Valley Forge Pl
Lot:22 Block: 2 Addition: Northview Meadows
PID:10-52100-02-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jeffrey A Sward
4204 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