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4209 Valley Forge Pl
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-188, Eagsn, MN 55121 N~ 8821 PHONE: 454-8100 • BUILDING PERMIT R~~~~ # ` ' T~ M„~d ie, S F llWG/GAR ya~1e ; 7 5, 0 Q 0 pae FEBRU11FtY 16 ~ ~ 9 S 4 4209 VALLEY FORGE - - ~3 ~ Site Add~ea Erect Occupancy ~ot 19 Block 2 ~/Sub. NORTFiVIE~V .''TEADS.^~ter p Zonirq Rl Parcel No. 1(I - S-1 Q(l -1 9 0 2 Repair Q Fire Zons N~A Enlorp~ Q Type of Const. V at Name C++IESLEY COI`ISTRU~TIO,I Mow O # Smries ~ Address 9 4 O 1 XYLON SO . pe„w~~~i, p Length 4 5, City ~LO~MINGTOT~hone 9 4 4- 7 0 9 2 Grode p Depth ~6 ~ Sq. Ft. S~E ApProralt F~e~ a,ddreu Asseumenr Per,r,~t $ 3 5 8. 0(} ~ City Phone Water b Sew. Surchorye 3? . 5~ Police Plon check 1? 9. 0 ~ G°W` Neme Ffn S,~,C 525.00 i? Addres: Enp. wote? Conn. 4 5 0. 0 0 ~ ~ W City Fhone Plonnar Woter Meter 6 3. ~ 0 Countil Rood Unit 2 5 ~ n t hereby acknowledpe thot I how rcad this opplication and stote that Bldp. Off. the inlormotion is correct and ogree to comply with oll opplicable , rjQ Stat~ of Minrxsoto Statutea ond City of Eayan Ordinonces. TO~O~ ~ Siynoture of Permitte~ A Buildinfl Pennit is issusd to: W on tl?~ txpress condition tha~ all wcrk sholl be dona ~n occordonce w~ 1 e oo ~ Stat~ of Mi~newto Statutes and City of Eapon Ordinance~ Bulldi?q Officiol • ~ : _~:_~~c . f : , _ rmit Na P~rmit HoItMr Mitc. P~rmit No. Holdkr Plumbiny Ml ~ /~r 3 p L H.~.~?.~. 3 ~ ~ s•~-. w~.~ Dbp. S~w~ , e'.eftric Irap.aeion nm lnsp. otn.r Foodn¢ ~ Foundttion Fnmino Rough HVA ~ Inwlation Final PI6o. ~ Final HVAC Final ~ ~ / . zh-a I6y w.e.. bescriffis Location: rwii s.w.. Pr. Dhp. i Receipt MECHANICAL PERMIT Parmit Na CITY OF EAGAN Fes Fill in numbered spaces S/C Type or Prini /egibly Tot. 1. Date ' 2. Installation Cast 3. Job Address LotBlk. Traci _ 4. Owner 5. Contractor ' : Phone 6. Address 7. City State Zip 8. Building Type: Residential LE Commercial O lnstitutional ? 9. Work Description: New EJ Add ? Alter 0 Repair O 10. Describe ~'•.c-~sc...• Fuel Type 11. No, Enuioment BTU • M. Ea. No. Equipment CFM ~ Forced Ai r ~ - _ Air Handling: Mfg. ` Boilers Mech. Exhaust ' Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Qutlets 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. Sgned : • for . Rough Final Inspections: Date ` Insp. Date Insp. This is your permit when numbered and approved. Approved + CITY OF EAGAN 454-8100 ~ ~ Receipt / PWMBINGPERMIT PermitNo. ~ ~ CITY OF EAGAN M Fee fill in numbered spaces S/C cJ ' TYpe or Print legib/y Tot. a v•~ J1. Date _r 2. Installation Cost ; 3. Job Address WtBlk. '7_ Tract - TT 4. Owner 5. Contractor~94"j-jh11-L4,,0 ? cA-/All Phone VS- 6. Address ~2 7~ 3 -+-4>! 7. City~J~.F o-TC ~ State Zip 1-~---~'-lL- 8. Buiiding Type: Residential ~ Commeroial O Institutional ? 9. Work Description: New ~ Add O Alter ? Repair ? 10. Descrihe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank ~ Lavatory Softner Shower Wel I ~ Kitchen 5ink Urinal/Bidet Other ~r- ~ l.aundry Tray r ~ ~ ~ `1 L r n 7 ~ ~ ~ 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 complywith all ordinar,ces and codes goveming this type of work. Signed :L X7 Jy !1 <<. t" ~l f for Rouyh F inal Inspections: Date • Insp. Date Insp. This is your eitt whe0 numbered and approved. Approved '7~ CITY OF EAGAN 454-8700 . ~ CITY OF EAGAN Remarks Addition NORTHVIEW N+EAI?OWS Lot 19 Blk 2 Parcel il;\ IL-0;gs210~ State fEAGAN NIN 55123 Owner St~eet 4209 VALLEY FORGE pI,pr Improvement Date Amaunt Annual Years Payment Receipt Date STREETSURF. -9) 1984 76.75 7.68 10 69.08 A014027 6-11-84 STREET RESTOR. GRADING SEWER L 1981 15.89 .79 20 12.73 A014026 6-11-84 SAN SEW TFiUNK 5 1981 138.48 6.92 20 110.80 A014026 6-11-84 SEWEALATERAL TRK 9184 275.22 18.35 15 256.88 A014027 6-11-84 SEWER T 7 1981 22.28 1.11 20 16.36 A014026 6-11-84 -Oft WWATERMAINFI-I qy 1984 70.67 4.71 15 65.96 A014027 6-11-84 WATERLATERAL 1981 18.65 .93 20 13.69 A014026 6-11-8 WATER AREA 5 710 1981 135.48 6.92 20 110.80 A014026 6-11-84 WATER LAT -7 3 1982 29.52 1.48 20 23.64 A014026 6-11-84 STORMSEW TRK 50 1984 392.32 39.23 10 313.86 A014027 6-11-84 STORM SEW LAT DRAINAGE 1984 33.97 3.40 0 30.58 A014027 6-11-84 CURB & GUTTER • SIDEWALK STREET LIGHT 250.00 41528 2-16-84 WATER CONN. 4SO.00 It SUILDING AER. 8871 SAC PARK CITY OF EAGAN WATM SERVICE PERMR 383^ Pilo: Knob Road P. O. Box 21199 PERMIT NO.: Esgan, MN 55121 DATE: Zaninp: `Z 1 No. of Un1ts: 1 Owner_ -}`csl@y CariSt llddross: gift Addnm; 42n9 Valley Forge L17 B2 Northview Rieado,;,; pI~r ",ruckmcieller PIbg i~J1M1~tfr No.: ~ b Connectlon Chorpr: 430.00 nd Size: " 15.00 pd /?ooo~w+t Depostt: ibod~r No.: 0 3 IL ~j~,~n it Fes: - 10.00 pd I .,n..fo ...~l~~~?i~1E u 'll TurSdharp.: .5e pa ELtC i RiC - GACt,orgss: o3. 00 pu nietc>r By ~APacd: Dcte of inup.: Irnp.: CITY OF EAGAN SEMIER sERVICE PERMIT 3830 Pilot Knob Road 6540 P. 7. Box 21198 PERMIT Np.: Eagan, MN 55121 pATE; 3-22-84 ZO^i^o: Na of Units: 1 Owner. -iesley CorSt llddress: gih Addmn; 4209 Valley Forge LIJ BZ ;lorthvier. `feajows plurnber. Eruckmueller PIbg ~-16-84 415%3 100.00 pd lMmft~- pb wMr tIN Cltyof aMm Conredlon (hame: r p-I ~ OraMSam Aooount Deposit: 15' Pomnit FN: P Surehorp: ' 8Y Mtsc. Chorom Dete of Irap.: Total: Inap.: Daft PoW: - CITY OF EAGAN ND 8821 3830 Pilot Knob Road. P.O. Boz 21•199, Eagan, MN 55121 . PHONE: 454-6100 BUILDING PERMIT Receipt g Te M utad for SF DWG/GAR Est. Value $ 75,000 DO1e FEBRUARY 16 I q 84 SiteAddress 4209 VALLEY FORGE Erect -u Occupancy R3 Lot 19 elock Z Sec/Sub, NORTHVIEW MEADS.AIter ? Zoning Rl Parcel No, , 1 0-571 00-1 90-09 Repolr ? Flre Zone N/A Enlarge ? Type of Const. V m Neme WFSLEY CONSTRUCTION Move p # Srories Z Address 9401 XYLON SO. Demolish ? Length 45 ~ ~ City BLOOMINGTOI~hone 944-7092 Grode ? Depth__56 Sq. Ft.- SAME ADVrovala Faet o Name Address Assessmenf Permit $ 358. Q~ 1- Cicy Phone Water & Sew. Surchorge 37 . 50 F Police Plon check 179.00 WW Name Fire SAC 525.00 ~Z QrJ~.~~ x~ Address Eng. Water Conn. u 'W City Phone Planner WoterMeter 63.00 Councit Road Unir 250.00 1 hereby acknowledge that I have read fhis oD0licofion ond state ihat gldg. Off. fhe inlormation is correct and ogree 1o comDly with all apvlicoble APC Total i$ 6 Z. 5~ State of Minnesota Statutes and Ci1y of Eogan Ordinances. $ignoture of Pertniftee A Building Permif Is issued ta: w on the ezDress conditlan thm oll work shall be done in accordance wi I appic e Sfyta-ef Minnesoto $tafutes ond CiTy of Eoqan Ordinances. Building Official ~ - ~ ~S CITY OF EAGAN Include 2 sets of plar,s, 1 Gertificate of Survey b BUILDING PERMIT APPLICATION 1 set c£ energy calcRilations. Zb Be Used For Valuation Date o~"'~'r sy T' y Site Pddress ~ ~j~ OFFICE USE ONLY I.nt ~ Block ~ Sec./Sub.72tg.~'~' Erect ~ Oc:cupancy 11,3 Parcel l(Z_ S~la -(5n ~ 0 2%lt FAp A1ter Zoning Repair Fire Zone Owner: En1arge _ Type of Const. ~ 1lddress: M°ve # Stories Derolish Front 416- ft. City/Zip Cocle: Grade Depth SG ft. Phone APPROVAIS FEES Contractor: Assessments PeiiTtit ?aater/Secaer Surcharge 3 7 Pr3dress: Police Plan Check 7 City/Zip Code: Fire SAC sa S Phone Eng. Water Conn. y5 0 Planner Water Meter (03 ~ Council Rnad Unit Arch•/Eng• : Bldg. Off. Adclress: APC City/Zip Ca3e: Phone TOTAL , . . , . : ~ ~ : c. , , `!A, QQ b 1' ~ ° ~ J RESIDENTIAL ~ • BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 1 I-2,'~ S 651-681-4675 NewConatrudianReauirementa RemodeVReoairReouirements ~-I • 3 regatered sfle surveys showing sq ft. of lot, sq. ft. oF house; and all rooted areas • 2 copies of plan (20%mazimum lol wverage allowed) . 1 set of Energy Calculations for heated additions • 2 caples of plan showing beam 8 window saes; poured found design, etc.) . 1 sBe survey tor exterior additions 8 decks • 1 set of Energy Calculations . Indicate if home servetl by septic syslem faradditions • 3 copies ol Tree Preservation Poan if lol platted after 711193 • Rim Joisl DeWO Optioris selecGon sheet (Mdgs wilh 3 or less uniLS) DATE VALUATION SJTE pADyD' MULTI-FAMILY BLDG _Y ~N TYP~F W 00. ~ FIREPLACE(S) 41 0_ 1_ 2 APPLICANT \ ay*R,r us STREET ADDRESS '~.ay~ IV ~cG`~Q~ VP ~ CITY ~itV~SU~I`e STATE ~MN ZIP SS37_ TELEPHONE # 5a 07- S CELL PHONE FAX #~9.Sa~~Z07-~L~lh PROPERTY OWNER TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO"I'A RLTLGS 7670 CA'17EGO12Y 1 MINNESO'I'A I2ULFS 7672 (J submission typa) . Residential Venlilation Category t Worksheel Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Confractor. _ _ Phone # PlmnUing systcm includes: Water Softencr Lawi Sprinkler ree: $90.00 Watcr Hcatcr No. of R.I. Baths No. oC 13aUis Mechanical Coniractor: Phone # Mechanical system includes: _ Air Conditioning Pee: $70.00 Hcat Rccovcry Systcm Sewer/Water Contractor: Phone # ; -i:--------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagar}-Qrdinanc ' 41~ ` C/ Signature of Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors . ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement) _ Insulation _ Retaining Wal] Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total f~.*.~y ~'ii ~ ' . . -f'!' , ' . . y. .,J . - r • ~ . ~o :~7~-~:~';. .~r.. yIESIEY CONSTAUCTION INC: ' D,. . v k~~~ . . . . . (~~y•sf ' *ii Ia - (yLI'~-~~ ~ i . ; L02' 19 BIACK 1 NORTHVIEW MEADOWS . (97. o) ~ , ~(97. y) / Elevations: Existing (00.0) Proposed 00.0 , Street 100.0 , : ~ • ~B / Top of Blocks 102.0 • ~ i~ ~u?.o , ~ / 0OG,O) F \ r t . • i.~`. : ~ ~ . (lQa.a~ (JOU.O t i,. . `f' S l . ,..1Y~ . ~ 'Ir.:.f~. f'.. ~ 1nT~ ~::'tr ~ 'PA~'.'qj~ 1 . _ r c . . . ~ • ~ tI, ~3: '.•Y ..A. .{.y4•ba~~ 1 •~Y . f:..:.1 . ~f . . ! . ~ : . . . '-fXTERIOR EIiVELOPE AVEP.AGE "U" ICOt4PUTATION . ~ ' Ol•1NER . . . . ~ . . ~ SITE ADDRESS • CONTRIICI"OR ~//~'SL~!/ ~/YST DATE ,-2-24' PHONE J~Y- 709Z ~ ' Determine i~~orl:ing square footage of each. ' l. Total exposed. wa11 area /99,Z . sq. ft. x.185 = 3Gb3~1 , 2. Total roof/ceiling area . sq. f.t, x.04. _ ,/,Z , . ~ Total exposed wall area above floor = ~7 a. Total wall window area........................... b. Total door area 37,77 ` - c. Total sliding glass door area S1p d. Total fireplace saall area - • e. Total wall framing ar•ea. (average lOn)...:........ 7 , ` f, Total net wall area above floor 1395,2 : ~ g. 7ota1 rim joist area . /:?O - 7otal ezposed foundation area = 96 ~ h. Total foundation window area........:............ - i. Toal net foundation area abcve grade z` . Detcrmine "U" value of each wall segment. • ~ a• x"u" , 55 = 79.. 96 . b. ' 37,'?7 x -,u,, ,1.23 (o S C: YO ~x l.ull , Sf = ~3,ZG d - x liull e. /77,60 X lou~~ f. /375, ?S X ~~u" 9• /~d X l,~e , ~G = 7-,79 h. - X u~~, " 96 x „u„ .v~ = ysiz . 3 .....................................Tota1 If item #3 is the same as, or less than item Fl, you have met bNe, intent , of SI3C 6006(c)2. , . ~ _ .eay 4.:. . ~ . - . ,.,.~i.':... ~:c ;_,..i • , . l._... .,e . . ..e~ '4. ..i~.iic, . ..4y` . . ; ,1 , . , .,a; 1. , : • „ . ; . ; Fs''; ~ "e~`• WALL.LC[,`T,:ONS~ ' ..g., • .,t ~:.;r`- . 'a.;..' . : i:,,e. , . :,,~r•.:. usO 15i''of oPpquo'wa~Tl~~area;'Por,s. ;t:,~.. `4'. 'frame eons'truction: ~ ~;'CtitiSErucY.'ion . ° ' • 'R_VaPuc''tM° ~ 2.' • • ~ ' 3. S~1ircFc'9 sofk w~-7.9 .G[_C~3C_ . , ' - 4. S -~//GYi _ iD • 67 BASIC ExLe'r:Ur<iic'.ilr.. - 0..17 , . WALL ~ ' ' . , , ~ . ~7bca1 FIG: M1 '1'nPVIEfJ OF ~ . ~ . ' ~gMiE Wpr.y 1. Zntcrior air~ fi] rr. _ • - O.GB s, „ ' . . 3. 4. c7~Pl1lr a.OL 5~' ~t~io:~ Exterior air f31n • 0.1.7 e2c. k2 Total • ~ ~Q ' 1. Interior air' film 0.68 ' _ i ,._-_~1 . 2. 3v y ~/6G~7'1 ~'.$~LL 1 SfFL 4. , PL B/Gr TC r ~ .21 e4 ---Q ~ss.r~ F a .G 7 Pc~i,~;ie:al ~ ~ 5. 6. Sxterior air film 0.17 ,G1II1' r Tota1 ~ • / 1. Intcrior air fil.m 0.68 ~ ~ • . ` 2. FOO:J~TICN . A o S.,P.I.I. . . n ~ A ~ • 3. A'~'7~ ll.~ll ~ / ' ~0~ r . • 4. u a G. Exterior air film 0.17 y ~r ~r~ ~1 -'•~~j ' • . ._i~ . , . rocai r. • ~'7 SLAB ON GRADE A. , , ~ , , ~ ~ • . ~ / ~1) ~ I:: . . . ~ • . _ ~ ~ / `i , ~ ~ /r, . . /(1 • ~ 1 I d~. . . ~ FIG. 04 = ~ . • ~ :r,. ~ !(1 ~ ~ - ~.PIC. M3 , ~ ~ ~ k X ~ l( ~ ~ ~ ~ . X},. NOTEt Indicate tyoo, avalue, depth and ~~f! , ~ ~ • . ~ I ; ;;?'t,. ~ placenent OI Si15U13t10O. C. P . • ~ . b ~ . ;.ic:,i:-s,i"~ _i~ ' ~ ~a. .;l+~r . ~ . . ; -'.`ei~'~:iy,~LO.~~' x..~ : . ' ~ • , ' n ~~zI~~,t"L s-.'. x:,~.• ~ i.,; :.t~^ r..'~ ,-r., c ;,r-~r„~.jx4r _ ~.t ~ . ~ ~ ~ ~ ,w JY; . • .Le~' • )'.r , ~ 'i%i' . , . . , , . - _ . . , `ROOr•/c,Eir:iNC- . _ , ~ , ; . . . . . . . • . , , Canatruct.ion R-Valuc . . Intcrior air film ' 0.61 ' 2. AlG!r/ ' ~ i a. /2'~elt `/3-z0 I I 4 III 4. Fxtrtior air film (5till) u.ufL vEil~~l~~l Itl~~~~l`~`1111~ , ' , • Total ~ tl 03 Venced Heac flov u P. . , FIG:. NS . ~ ~ ,i - . . . N ' . . ' . • . . . • • ' • • - 1. Interi~o^a film 0.51 ~ ~f. ~n.:t.•~..,ev. ~..i•n :`r/.n..~An~v.1n~L.tR.1 Z• 3. . 4. Er.teriu ilm sli _Zs.i~r jftT-r '~X . . Tutal - , ~.r: . x' ~ ``LJ 3 ¢ ' ~4` ~ • Heat flow up . , ven[ed FIG. N6 ( v v 1. In,' c air tilm 0.61 2• - j, . ; _ • _1•,0..:! ' 4. ' . ~ .i'l. ' r.l::;~"`.:~','....;:•.^ S. Outtide .ir film 0.17 ~ , . . 1 : gpp..pi;NM~ ' Nol•e: Usc ndditional sheata if more space is ' naoded for details and calculuCions. ~Pr;.., . , . Naac • . tlow up , • • . . ' ~ ~ ~ . ~ ~ ' ~ • , ' - FT.R. ,.07 . ~ . ~ . • ; .t~. . : . %J • . Ce~l.. . • . .r ~ . ,1~A . ' ~ ~ .t ' . ~ t[.• :J: . . , . . :Y ~ :~•!{.'i..V . . • , . . . ' : ~(.''i • • i 1. ~ t< "F 4~at W ; rft ~:~`u~'~' ~.a . ~ . ' •~:2~8? _.).'.i:6°1 'P ..•.t,.. . _ . , ..'f.,. . . . .:-1 _ . . . . . _ . . _ .n _ . . . _ . _ . . ry'~i",'S g;~ mr'tx • e`k 1.., y .&'j~'',~ ~i,,,,'~ n~1,n '.i'~ >?~:,.~..W . . s ' ' y:.f~' . ,~Sa;@~ r; • ~ , . . Y~ ; ' . . S ~ . . . ~ ~i:~ ~ . . .v' ' • • . . . _ . ~ ' ~ . ~ . . ' ' , ' . . . . . . . . Total exPosed roaf/ceilin9 area = ' . . //2f•J TotaT skylight"area............................... - , k, Total,roof/ceilin9 framin9 area (average l00).., 12, ~ 1. Totat net insulated roof/ceiling area........... /D/S. <s ; . . Determine "U" value for each roof/ceiling segment. ` x liuii k. X ~lull „u„ . 4..... v. .......:.......:......To~al. ~s?~ • ' . , • . If total of.#4,is the same as, or less ttian „2, you have met-the intent of ' ,r,. . SBC 6006(c)1. Alternate Building Envelope Design. 7e tt&ilize tha.total envelooe system retiod, the values estabTished by the ~ swn of items 113 and ;-'7'4 shall not be greater than the sum of items 70 and xZ. 1.__ 3le0' .S.Z + _~/_13•6y 3. .231• /iZ + :3.`~ i~ ~~a jq~~d • ' ~.Y,l~ryitl' ~6 CfA'1ILL ' 0. h. ~ . t•~', `I - . . 4 ~ ' lt..: ~:L.:~ . • . ~ . ~~~I[.i~ ~ ~ . . u . . . . . . . T-'.-- rx:..; ~ n ' ' • n ' 'n.. . . . .:n - . - . . _ . , 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 / C~;- 651-681•4675 ( b ~ • S New Conshuction Reaulremenis Remodel/Reoafr ReaulremeMs D 3 regisiered sMe surveys showing :q. H. ol lot, sq. N. of house 2 copies of plan and Q roofed areas (20% mazfmum lof eoveraae allowed) 1 set of energy calculationf for heated addNions ? 2 coples of plans (show beam d window sizes; povred fnd. deslgn; etc.) 1 sMe survey for erzterior addMlons 3 decks D 1 set ol energy calculaNons ? 3 coples of free presenation plan H lot plaHed aHer 7/1/93 DATE: 4/ z ' c( ~ CONSTRUCTION COST: DESCRIPTION OP WORK: _fleck STREETADDRESS: 4`20C'L Vu~\,e Fc~, yt l::1 . IACRt~, ~r'._ IOT: ~ BLOCK: ~ SUBD./P.I.D. k: \I , f ) V Y~oJ O W~ Name: PhoneN: ~SI -4SL.-L1\77 PROPERTY Larf~ Fint OWNER StreetAddress:qloci 'toCq2 ~R1- City ~a4~ti State: "+j Zip: SS123 Company: Phone k: (area code) CONTRACTOR Street Address: License N Exp. • City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheel Address: Regisiration k: City State: Zip: Sewer 3 water Ilcensed plumber (reaulred for new conshucflon onlv Penalty applies when address change and lot change Is requesFed once permM Is fssued. I hereby acknowledge that 1 have read this application, atafe fhaf fhe Information Is cortect, and agree fo comply wBh all applicabl State of Minnesota Sfatutes and Clty of Eagan Ordinances. Signature of Applicant: ( . OFFICE NLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-ptex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex /~'d 18 Deck O 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units ~ Zoning sq. k. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building G~ Engineering Variance Permit Fee ~S Valuation: $ ! 7 Gv Surcharge .,rv Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other ~ Copies i 76, Total: 27 SAC Units % SAC . , . xSSLEY CONSTI?UCTI ~0 (9v.s> ~ i IAT 19 BLOCK 1 ~ NORTHVIEW MEADOWS (97.0) j !97, y) - R I u p~.~.r~,, w Ibi~ q ~p / p.r ~To I Elevations: Existing (00.0) ~v Proposed 00,0 Street 100,0, ~ Top of Blocks 102.0 loo.o) 0OU.O ) ~ . _ t , . - 2/84 CITY OF EAGAN APPLICATZON FOR PEFLMIT Jf ~ SE;vcR ?,ND/OR WATER CONNECTIODi (PLEASE P3IHT) 1) PF.OPERT`! ADDRESS: r.Fr,i, nESCR?nrrcN: (Ir~t/Block/SubcLivision or TaY Parcel I.D. NuNber) ST'RL'=7;'2E, De`:'I E G_° ORIGi IAL EUILCIi:G D~ ~ST ZSSU?INC°: ! PP.=S~- ~..••]-I•i~/~:~.C°CS~, L;SE: G(1 R-1 SLiG'LEE rp:AiLY , ~ ? R-2 GLPL= ('ISCO LNITS) ? R-3 `ICiv~i]FICYJSE (TF= + [PdITS) ( Wi I'^S) ? K_q ii?: ,gqr,T-;T/C=CS LT~iIL~~I ( Wi ITSi ? CQ^•=CLaI,/REi'AIL,/OFFICE ? L~.'DUSTRrar ? INSTI'IUTIO`:AL/GG,vE%\.nE:L\IT 2) APPLI= (PLEASE. PRIYi) ruuME: ADDRESS: 7VO / i'ltiYGO-~./~ CITy, STnTEi 7.ZP: PaoNE: 9L1`f- 7092 PLEA E PRINT) 3) PLG:fBE.°. FOR CITY USE ONIY NA,~tE: / ~ ADDRESS• ~j7'~ ,Y,y~/ ~~7/~ 7LU!!BERS LIC~NSE: . ' ~ Active czTr, sTATE, ziP: 17el- r C] Expired Aaitr, y~ 0 Not of flecO d PHOVc: ~''S -7-,2WPLUMBER LICENSE I! 3~ _ ar ~nitta 4) OCCLTpNT/CryiER NAhfE: (PLEqSE PPINf) ADDRESS: CITY, STA'I'G, ZIP: PFiO.`IE: 5) INDICI,TG S'7HICH PEf?>•lIT IS BEPr REQUESTID: ~ CO,uIF.CPION 'IU CITY SEWEF2 ~ COt`I~IF~PIOV TO CITY SvATEit ? dPF~~R (PLEASE DESCRIBE) 6) r:DZ= C`E: ? PLE'SE E?OLD APPP,OVID PEfLMiT FOR PICiC-UP BY ONE OF ABOCT ~ PI.E-lSE :,'AiL APPRdVm P=,LiT 'Iq 1, 2,30 4 AECTIE (Circle one) 7) szG!~.~~n.~: DaTe: q;~~A:A:A i~ l~:t]!~ 1r ~ f~ ~:iaa i~ Y f~:fi:i:~ f~.r~;~! f~ l~ S t~~L• FOR C I T Y U S E OIVLY PERylIT = ISSUED FEES: $ cr;.,rD nsD%iTm (T_'iCL:iD= Sli~CH~=G~) $ ia. -ro j+IATER PERfIIT (Zi:CLUDE SURCFiARGE) $ ~ -~--"-d WATER METEP,/COPPEREORN/OUTSIDE READER $ 4:ATLR TAP (ZNCi.UDE COR?ORATIO.i STOP) $ S°;•7ER T`,P $ i~" ACCOUVT GEPOSIT - SEP:ER $ ACCOliNT DE?OSIT - idAT°_R $ caac $ sac $ TRliiIK I9AT°R ASS°_SS?-?E.`:T $ TRONK SE:4ER ASSESSME.IT $ LATEP.Ai BENEFIT/TRUNK SE:•iER $ LATERAL BENEFIT/TRUi•IK IQATER $ OTHER $ TOTAL $ S ~ AMOUi7T PAID/RECEIPT ~"r~.~a DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RZGiiT OF WAY? C YES ZF YES, THEN A"'PERMIT FOR L40Rh L4ITHIN ~ PUBLIC ROrIDSJAY" MUST BE ISSUED BY TNE NO ENGINEERING DIVISION. LIST AS A CONDI- Tiviv. SUBJECT TO TIIG FOLLO!9ING CONDITZONS: APPROVED BY: ~B ~U TITLE: DATE : ~ • ~ ~ - $ y t W.O Nt40 w W w W~~W wfQ w.4W w OF ig qp fq JW-~ M ~ fe aJW* wa fcM M w ~ ~ ifitfr City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / 03S- I Permit Fee: /Os Date Received: Staff: 3-Z74 A9 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: S , ftp eA/ phone:57— 775 Address / City / Zip: % ? 0 9 /4 //e/ Applicant is: A Owner Contractor Description of work: c/ V')-15 Construction Cost: / f'/ v„ Multi -Family Building: (Yes / No )( ) Company: /4$/riyf Si o/,i f As-iveY Contact: Ci�e(C� i Address: f i a42 --S 7/J 5 7 City: ry State:/17/( Zip: �J 32 Phone: 6S/ y 3 2 — 701G License #:.-D/ .-ah/.30 yo'� Lead Certificate #: 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and the information rr t you submit public if you pro conclude that the are Irat torr, .Portion: re Cdt' 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.gooherstateonecatl.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. /� f � D ewc/( App ants rim Name Applicant's S Page 1 of 3 City of Ea aIl (.5.S.45) 3830 Pilot Knob Road 1p11 Eagan MN 55122 Phone: (651) 675-5675 01 pg Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit* l! OV Permit Fee: �Q Date Received: AS -Pi 2 - Staff: INFLOW & INFILTRATION PERMIT APPLICATION X Plumbing / Sewer & Water Date: M &t, Site Address: 4-2© v a\ 1 sek Qri P S. Tenant: e ,/� � +Mi 1�T" �✓1 Suite #: Name: i'a Q. -S. S i e h f I i. ,M h; n3 L I-",, c.: License*: P C (,� I 353 Address: P• U B c y. r7 'a City: 9 3` ire State: i` Zip:. .S i Phone: S i - (r ! -' 2 S Contact: m s t) �- Z PLUMBING (Within the building envelope) XSump Pump Repair Other. SEWER & WATER (Outside the building envelope) Repair Other: FEES S pq r q e Ch c t v. ^t-4 $60001 Each (includes $5.00 State Surcharge) *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 111 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaoan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.aopherstateonecall.orci 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 i r:47- Applicant's Printed Name Applicant's Signature FJCE U. ns: ,-, Under Grund M _Rou -In Fin �yc PERMIT City of Eagan Permit Type:Building Permit Number:EA157430 Date Issued:08/20/2019 Permit Category:ePermit Site Address: 4209 Valley Forge Pl Lot:19 Block: 2 Addition: Northview Meadows PID:10-52100-02-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - James E Hengen 1120 - 2nd S Apt 1002 Minneapolis MN 55415 (651) 775-2288 Advantage Construction Inc 18563 Vermillion St Wyoming MN 55092 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166658 Date Issued:01/26/2021 Permit Category:ePermit Site Address: 4209 Valley Forge Pl Lot:19 Block: 2 Addition: Northview Meadows PID:10-52100-02-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - James E Hengen 211 Jackson Ave N Hopkins MN 55343 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature