4215 Valley Forge Pl
CITY OF EAGAN `
3830 Pilot Knob Rosd, P.O. Box 21-799, Eayan, MN 55121 NO 88A8
I PHONE: 454-8100 ~
sU1LDIW0 PERMIT Re«ipt #
Tg M wnd ia SF Dl,1G/GAR Est, Volue ;i 50,000 pOte FEBRUARY 3
Site Ad e 4215 V1ILLEY FORGF. Er«t R3
2 NORTHV:LEW MEAD . ~ Occuponcy Rl
Lot Black SeclSub. Alter ? Zonirg
Parcel No. 10 - 5 210 0-18 0- 0 2 Rapair p Fire Z«±. N A
i ItEY LAi7D HOMES Enlarpe ? Type ot Const. V
~ a; Name' Mova p # Storie
Add?as: 3471 tl. 173RD ST. Derrwtish Length 4 0
~
City JORDAN phora 4 9 2- 6 6 4 6 6rode ? Depth 4 2 Sq, Ft.
Name CLA CONST. CO. INC. Apororals Feas
~ .
qddress 6451 E. 19 0 TH ST. Assessment Vermit O O
~ City PRI OR LK. php~e 4 4 7- 612 8 Woter b 5ew. S~rcho~~s 25.'00
5 0
N~a UENNIS HALLQUIST Pollu Plon check
F~~* SAC 525.00
W SOUTfi GATE OFC. PLAZA
=3 A~~s Erq. Water Conn. 450 . 00
t W City IILMT • Phone 8 31-18 15 Planner Woter Metar ~63.00
~ 0 O
Councll Road Unlf
1 hereby acknowledge that I hove reod this appl{cotion ond state thot Bldq. Off. 50
tha intormation is torred ond ogree to comply with oll oppliceble 1 .
Stote of Minnesota Statutes and City of Eayon Ordinonces. ^PC Total
Sipnoturo of Permittee
A Buildinq Pemnlt is issued to: CLA on the exprsss ca+dition thnt
all work sholl be done i rdance with II ~co • o Minnesota Statutes ond City oi Eapon Ordinonces.
Bufldinp Officfol ~ -41
PKmit No. Permit Holdsr Misc. Pwmit No. Holds?
PMmibinq I G m~~ y
H.VJ,.a ag c
w.n
w.m
Dhp.
SwNr
EbMIc
Inwft-tiwi Datt Irap. Othn
Footi~
FoundKion
Fnmino
pouph Plba !
Rou¢+ HVA
Inwlation 3
Final Plbp,
Final HVAC
Final Cj
Oacribe LocaRion: p
w.o.r
rwu Ssmr
Pr. DimP.
I
I
~
Receipt MECHANICAL PERMIT Permit No. ~
CITY OF EAGAN "
Fse
~
FHI in numbened spacea S/C ~
Type or Prini legibly Tot.
1. Date 2. Installation Cost 1 7~!
%
3. Job Address y211 L~u 1~1 ~ Lot Blk. Tract
fo~~ ~I
4. Owner C_ V~ G hd i
5. Contractor I l~t~'U A` < Phone
~
6. Address "1 `4 01 IJp c c,-,qrjQ~
7. Clty L, Stete 1?1 Zjp
~
8. Building Type: Residential ~ Commercial ? institutional D
9. Work Description: New,g~ Add ? Alter ? Repair ?
10. Describe I~~ ~i S~~ 1yiM Fuel Type t)a' A-(
11. No. Fquip±.*.an*_ BTU - M. Ea. No. Eauiament CFM
Forced Air 7 Sl O JU Air Handling: '
Mfg.
Boilers
. Mech. Exhaust
Mfg ~i
Unit Heater
Mfg, Other I
Air Cond.
Mfg.
Gas, P'iping Outleu I
12. I hereby certify that the above information is true and correct, and I agree to
comply wiih all dinar4es,an codes governing this type of work.
Signed : - ~ - i_
`M for
Rouyh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt c~~ I l~ 1 PLUMBING PERMIT Permit No,
CITY OF EAGAN Fee
1 T~_
Fill rn numbered spaces S/C
TyQe or Print legib/y Tot.
r
1. Date 2. Installation Cost
G/`aLLF'y tc 1 fiL -.tc 1 r~ I'~
3. Job Address VZ~ S LotBlk. ;L- Tract N tl'S •
4. Owner
5. Contractor Phone 5?)-~~G
6. Address 17C'9 C r /QG . _ II
7. CitY State 5 S 372-. I
8. Building Type: Residential [Y Commercial O Institutional ?
9. Work Description: New CY Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Z Lavatory Softner
~ Shower Well
I Kitchen Sink
Urinal/Bidet Other
/ Laundry Tray
Floor Drains
Drinking Ftn.
Slop 5ink
~ Gas Piping Outleu
12. 1 hereby certify that the above information is true and correct, and 1 agree to
oomply with all ordinancesfend co s governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This issrour permit when numbered and approved.
APProved P. _ • _ ~ ' ~ - CITY OF EAGAN 454-8100
.
/
CITY OF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 18 Rlk 2 Parcel
Owner street 4215 VALLEY FORGE PI.ACE State EAGAN MW 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. I 76.75 7.68 10 69.08 A014044 6-12-84
STREET RESTOR.
GRADING
SEWER LAT 981 15.89 .79 12.73 A014044 6-12-84
5AN SEW TRUNK 5 157- 57 9$1 138.48 6.92 20 110.80 it SEWERLATERAL TRK 984 275.22 18.35 5 256,$$ ~ SEiYER LAT 981 22.28 1.11 20 16.36
WATERMAIN $y 1984 70.67 4.71 15 65.96
WATERLATERAL Is-JV 9$1 1$.65 13.69
WATER AFEA 7 $1 138.48 6.92 20 110.80 ~
WATER LAT 1573 82 29.52 1.48 20 23.64 "
STORM SEW TRK 1650,1984 392.32 39 . 23 10 313.86
STORM SEW LAT
DRAINAGE 984 33.97 3.40 0 30.58 "
CURB & GUTTER '
SIDEWALK
STREET LIGHT
250.00 41403 2-8-84
WATER CDNN. 450.00 ft of
BUILDING PER.
SAC
PARK
~
~ CITY OF EAGAN '
'I 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 8808
~ PHONE: 454-8100 /
~ BUILDING PERMIT Reuicr #
Ts be wed fer SF DWG/GAR Est. Value $ 5 0 i 0 0 0 Date FEBRUARY 8 ,1 y_8.4
She Aildress 4215 V~T.LEY FQRrF. Erect It Occupanty R3
Lot 18 Block 2 SOC15ub. NORTHVIEW MEAD. AIter p Zoninq Rl
Percel ruo. 0-52100-180-02 Repalr ? Firo Zone N/A
Enlorye Type of Const. V
W Name KEY LAND HOMES Mova p # Stories
~ Address 3471 W. 17 3 RD ST. per„o~ish ? Length 4 0'
City JORDAN Phone 4 9 - F, 6 4 6 Gmde p Depth 4 2 5q. Ft.
CLA CONST. CO. INC. AvvroYals Fees
Name
u~ Address y dSl F 1 9 p TH ST Assessment Pertnit $ 2 8 3- 0Q
1-- City PRI OR LK. phone 4 4 7- 61 2 f3 _ Water & Sew. Surcharqe 25.00
Police Plon check 141.50
GW Name DENNIS HALLOUTS'r' Firo SAC 525.00
~ SOUTH QA'E '1_ OFC_ PT,A7A
Addresa - Enp. Water Conn. ~Q~~ ~
~ W City BLMT • Phone q31- 1A7r% plonnar Woter AActer 63.00
Council Rood Unit 250.00
I hereby acknowladqe that I haw reod this applicotion and state that gldg, pf},
fF?e informotion is correct ond ogree fo comply with oll applicobls T . 50
Stets of Minnesoro Stututes and City of Eagon Ordinonus. APC Totcl
Sipnoture of Permiftes
A Buildinq Permit Is iuued to: C on tMN expren conditlon thor
Minnesoto Stotutes and City of Eapon Ordinancet.
all work shall be done i rdonce w' IV%
VXEM
Buildinp OfftNol ' S
- - -
CITY OF EAGAN SEIIVER SERVICE PERMR
3830 Pibt Knob Road 6570
P. O. box 21198 PERMIT NO.:
Eagan, MN 55121 DATE:
ZoninO: R 1 No. of Units:
Owrnr. 1eY l.attd
Address:
Stro Add.ess: _ 4215 ValleX Forae L18 B2 ltiorthviex Meadoxs
Plumber: DC echaAica
2-8-34 41403 140.00 Pd
I.sm ee earoy? w11b t6. Cihr ei iap¦ Ca+ntKt+on chorpe: A75 . 0o pisi ~
~ ordi..no... Accomc apodt: 15.00 vd I
, p.rmit Fee: 10.00 pd
Sur+dwrgo: .50 pd I
Br Misc. Ciwr+ps: ~
Dote of Insp.: Total: I
I^sR : Oob Pald: I
4 ~ - - I
I
CITY OF EAGAN WATER SERVICE PERMR I
3830 Pilot Knob Road
P. O. Box 11198 ' PERNtIT NO.: 5380 I
Eagjp,MN 55121 DATE: 4-6-84 I
ZorSinp: F 1 No. of Units: 1 I
pwn.r: ' Key Land I
f0dress:
5l ,/yddress• 4215 Val l Py Fnrge 1.19 B2 i5iarthvi ew ' fenAourc ~
p~ ber; DC Meclianical
AAahr No.: l• (o t( Conrwctlon CFw?ps: x014 5 0_(1Q n~
Sine: " o c fC Accourd Depoait: 15.00 pd
Rsadsr o.: ~ PeRnit Fee: 10.00 pd
r'' I S~ Dd
1 NrN h~ wMb 11N Mp Surd+orps: .
~ ore d1;7r.,n utilitbiisc. a,o?gm 61_nn ;d mPrPr
E..EF; ~E • CT ~AS NO:
sy vow:
DoM of Insp.:
CITY OF EAGAN Include 2 sets o~ plans,
• 1 site plan w/elevations &
' BUILDING PERMIT APPLICATION i 1 set of energy calculations.
Zb Be Used For FOmrCc1 Valuation ~J Date /Q 3 1376'1
uite Pddress (fAm4%~fJ2pcr OFFICE USE ONLY
Lot Bloc]c Sec./Sub.
2 .~frn~w,r Erect DC Occupancy
Parcel /0 ' SoZ / ev Alter Zoning •P/
REpair Fire Zone k
Owner: KG-'"y 4AND 61dYJ~e5 Enlan3e TYPe of Const. _
Address: M°"e # stories
~ Deiolish Front y0 ft.
City/Zip Code: .Tl../JA'-+ /77Grade Depth ft.
Phone -Vf'Z - r6Y(
I APPROVALS FEES
Contractor: Assessments Permit a?83
l4ater/Seaer Surcharge a s- mr
Pddress:
~ Police Plan Check i4// QR-
City/Zip Code: J-X/OYL /,/t,(te' Fire SPL
Phore Eng ' Water Conn. S~so ~
Planner Water Meter 6 3
Arch./IIig.: ~~'~S ~tf~fLG~GIiST Bld council Road Unit q6'0
9• Off.
Address: SOU94 K.~r--- olzr1s dv44 APC
City/Zip Code:
S O
Phone # : =7u. ~ 7 -
SURVEYORrS CERTIFICATE :KEXI:AND:'.HOMES ; MODEL 3256
~
4215 Valley Forye
I /
S85459'00"E 121.91
~
` • ~ t~ 35.48
N
C71 W ~ Nt~ ~~a7.74 ~ '
41 (11 " ~'t`~~ , , ~t 1/0 p ~
'M q~
Aw q
« rnI
18 6 coO'
J m ( p0.1 ~ :?y'°"pRVS` y~ ~ 0~ V-
pl y ? W Oz
i o iv 's~~,.rR ~ .
.p~ C \\0 ¢~F~~r-
/ l N \ vn mmn\ \p
O .P
~ _ ~ \ c, • 2 ~ 6~ _ A `7y3) I I%
J p0 \
;
~ ci~ L •k-''' opL
\ ~e~- y00 \ N
5~m
ln 1
(t~ \ m p1~ / 09~\(~ ~••1
pg3~.,
yy°o
'w ~1 ~
~ fJ
9
~ J
~ ) `
~ PEOPOSED GRADES 41ERE TAKEN
~ FROM THE DEVELOPMENT PLAN
FOR NORTHVIEW MEADOWS BY
SUBURAN ENGINEERING, LAST
` DATED 9-29-83
DENOTES PROPOSED SURFACE DRAINA6E
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DEPJOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = cj73.b FEET
X000.0 DEPIOTES EXISTING ELEVATIOH PROPOSED LOldEST FLOOR = 9 469 .5 FEET
(000.0) DEIIOTES PROPOSED ELEVATIDN PROPOSED TOP OF BLOCK = 5 7 2•7 FEET
I HEREBY CERTIFY TO KEYL,9ND„HOMES, THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
~
LOT 18, BLOCK 2, NORTHVIEW MEAD04:S D.C., accordinq to the recorded
plat thereof, Dakota'County; Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANC ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON SAID LAND. AS SURYEYED BY ME THIS 3eD DAY OF ~ B 1984
APPROVED FOR SIENNA SIGNED: JAMES R. NILL, INC.
CORPORATION
BY' ROBERT ARTHITECTS
BY:
DATED THIZ_.dAY OF HAROLD C. PETERSON. LAND SURVEYOR 19 MINMESOTA LICENSE N0. 12294
PROJECT NO. BooK ~ PACE JpMES R. HILL, INC.
84526
. Planners / Engineers / Surveyors '
~ FILE NO. 8200 Humboldt Avsnu• South
' FOLDER BbotnlnptoN Mn. 65431 e12-884-3o20 .
~ r.
3ezS813TLDING AND INSPECTION DIVIStON DEPAqTMENT OF
CAMMUNITV DEVELOPMENT 2215 WEST OLD SHAKOPEE 4 ~
AT LOSS CALCULATIONS ROAD, BLOOMINGTON, MINfSE50TA.SSb91 eai•3e11
We+t6cntfips Guide Camftrothon Na INSULATJON ploorringtori
do«. Doon Rer«ma an. w.n laLW.u c.eai~ wof Floo, x;od How a ed
I Fio
~ 'e.- ro- -
Fl.J Room l.enQ2h,~// Width I I l ~ight •I c o. Room Length -LWidth ct Height
Windows an Doon-Lnckage aod Arca Windows apd Doorsi-Crackage end Aree
wwtn wiin~ N,. ef um.af es. wwtn x•loat a ot ue..I t4 w...
of D..e Of Dwe Lfhb ef Cn<t M. tl. 1J Mo. ef MN af M" Ils?t/ ot enet q. tL
' O 37- ~ 4
CxF. Bm - Coef. Btu
Itration
41-7 ln6ltntioo g ~ (
Glau b 7 Z -
p. wall (e C E:p. wa0 X B
t e:p. wall Q Net esp. wan /
. waU ' lnt wafl
ling ArA Ceilin6 P 6av~°. ~ .
iOf o? . I -5, F7oor
/ /O /
yl Bta Total Bta.
wuired q. ft. E.D.R. or p. ius. WA. Itader sirea RequirM sy, [L F p.R or P% ms. WA L.eadet uu
Room L.enqth 9 I/L Width 5- Heisht A.I Roem I 1e110t6 vKhh Fkight
Windows and Doon--Crackage and Area WiedoM wd Doo»--GiscUp and Area
wmte x•4et Ne. et Weul h Ar.s ,
er o.~• ee we. ~yea or c..ei M. n w ~ wr..
Na o(pM H as 1 b almaat q.n '
I
hratmc ~ ' I~Itratiou • -
ar ' • CAM
L vra0 p - Ezip, wap • , . ~
CD• MaU . . O 0 Nd eaa. wa0
~ - v2 d-O lut wall ~ r•, • , ~ ~
fin8 O Je Cdmg ' ,
O( o .I
- FloOr .
d &u. Total &a.
yaired sq. h. EDR or p. ms. WA Luder ua Repuieed q. R. ED.R oc p. im. p.A. l.ndar area`
~
L Dr . Room IJengt6 16. Wideh Heigm Fl Roomll.ane6 WAh ' Fki¢ht I
Vmdowi and Doon---Cracka4e and Area W'mdom and poore...~ "d pm
wiatn x•iget ae. x Yeul lt. Aro . IAU w.i L wrn
er wne er p..• uret, ee «.e? p. f1. NP er o..• a e... upu et er.ck .a. m
7i 17. /
Coef. &u ~ Coef. Beu Jtration Infiltntion
w / CJau
p. rvdl ~Z Exp, wau
t ev. va0 / Nd e:p. well
. wa0 ' luL wall
ling a? • Ceiling
br /p~( 9. S S AO Floor
td Bta Twal &a
qv'ved so. h. E.DR et sq. ma. WA Lsader arca Revuind sci. k. ED.R. m aa. ina. WA. lsader area
~
BUILDINa AIVO INSPECTION DIVISION OEPARTMENT OF
r CAMMUNITV DEVELOPMENT 2215 wEST OLD $MAKOPEE
HEAT LOSS CALCULATIONS ROAD, BLOOMINGTON, MIN13ESOTA 55431 8E1-5E21
Wcat6erstrips S' Confibuctioe Na INSULATION amrmirtiertcn (
Guide
Windows I Doon I Refueoce I Out. Wall lot. Ce~7ing Roof Floor Kind Fbw Applied
Yes-No Ya~ 19_
S, Fl • i q ' Room LenQih e? ///ZWiAih "eight B -;V-Fl.) /3PaL Room Lengt6 6/,.Widt6 //,,,Wiuht
Windows and Doors--Crackage and Area Windowi and Doon-CrackaQe and Atea
Wmin NuXnt No. of LInu1 f~. wru wiam X.4ot M. ol Leul IL wrr
No. of pane af o~~r ii~~t• of cr~e4 p ft. Mo. ot p~e~ efp. 14tU e7e.aet q. [4
Q o'2 7~ e7
6 Z Y / •
Y • ..S
Cxf. Btu - Coef. Btm
Inhltration 'L 2 8 (nfiltnlios Q -ILZ Glaas ~ j 7i Glau - - ~ {Lf B 1
Fsp. wall + x 8 Esp. wall IA S-f S 6)
Nec exP. Wau ~ z z 6 Net ezp....n 9 BS
Int, wall (nL wap
Cciling .SJr S Ceiliog „ S X • J ?-U
Floor Floor --17-
Total Btu. o? ToW ghL
Repuired tq. ft E.D.R. or p. ins. WA. l.eader ama RequinA p. (L Ep,R, or p, ioa, WA I.eader arca
Room Lengt6 !-Z ~~t <5 16± Fl.I Y r. Room I Leeat6 Widt6 Hei~&
Windows and Doors-Oacknae and Area Wiodmn and Doon--Cncksgice and Are~
wiate 111.1(Ot n> uew n w... y .u L > et u...i n. A...
Ns ot "ne et mno IIgON o[ enek q. M No o( paw ef Pei lltsb eT eeket M. R.
% t Y.
N 6 8'
Coef. Ben Coef.
lnfiltratioo In6lhatiou 17
Glw Glau
Fxv. W.u S~ 5 [ Fso•••,n
Net e:y. wall ~ NN aµ wafl Y
lnt. wal! - q~- vi oZ O O Int. well
Ceiling o2 5 5 (o ,Q Ceiling / >f ~ ~
Floor e Floor - 6
Total Btu. Total &a - 7 S
Required sq. ft. 6D.R. or p. inw W.A. Leader srca Required q. fL Ep,(S, asq, mti W11. l.eader ues
'-:~tFY. M, 8ptY- Room I Length ) ) //-t-Width 19 i M e- Room I Lefio6 Widt6 B/ HeiQht 8
Windows and Doon---Creckege and Area Windovn and Doors-CnckaQe and Area
wiatn x.ignt so. ee [.io..I n. wiaie x.iget o oe nw~ wn.
Ta. of yan• of Mne Ilffst. e! eneY p. ft. )Ip ef paM Ot p~ne ureu ef c~?ek q. tt
2-~ a 0 S / ~a /D 9
Coef. Btu Coef. Bea
(nfiltretion 946 Infiltratioo IV7 ,S
Claa CJau
Fsp. wall ErzP. wdl '1-L, /
Net e:p. wall NN e:p. w+N /o Z
Int. woll InL wdl
Ctiling Ceiliag P- S ~
~ Floor / N
Floor P ~mc~i ~
Total Btu. 9,5 Toul 8ta.
Rec ReQuired p. k. ED.R or p. ieL WA Leider aeea
~
I. 2/84
i
I .CITY OF EAGAN
APPLICATION FOR PERMIT
' SEWER AND/OR WATER CONNECTIODT
(PLEASE PRIHT)
1) PROPERTY ApDRESS: yz/5 //ALGey
r.Frar DFSCFtiPTION: ,QLoCI(' /!/on7h 1)P't»
(Lot/Block/Su$xlivision or Ta;c Parce I.D. Niu[ber)
IF E.."{I::'_`;G S'I'RUCI?JE2E, DATE Oz' ORIGIidAL 'rtiILLDiG DEI:,IIT ISSJAi\C°: 2~-Zl' CjZ/
P.RESE.,^: ::^„]Ii't;/1P??p11pS=E i'S~_: IN R-1 SINGLE FP,`9ILY .
? R-2 GUPLE~ (7•;0 tTiVITS)
? R-3 ZC7.v'NHOi;SE (TEIF2EE + UNITS) ( IJNITS)
? R-4 APARZt=/C0NID=ICM ( Wi ITSi
p CONMEE2CIAL/RETAIL,/OFFICE
? mUSTRTPS,
? INSTITUTIONAL/GOVERI,=
Z) AppISGA_N'I• (PLEASE PRINT)
ADDRESS : t-c/ 5 T.
CITY, STATE, ZIP: ~p~- jj~y~? //>ti 3 5 35-L
PxolNE: y9a - GG y~,
3) Pm,ffiER PLEASE PRINT) FOR CITY USE ONIY
/~C /97CC/~ ~¢~v. cytL
p PIUNBUS LICENSE:
ADDRESS: [25 Active
CITY, STATE, ZIP: py.,'pr Q Ezpired
A3Tt ~
PHONE Nat_RS T
: yt~j-SZ u/ PIUMBER LICENSE N 0
0~3J%rJ9
a nitia
q) ~pp~/a,.,~~ (PLEASE PFINT)
NALME: _Or/i ce . i.vDe n /7~/~nJ
ADDRESS:
CITY, STATE, ZIP:
PH(}:IE:
5) INDICATE W[ilCt! PEPMIT IS BEING R}]QUESTID:
~ CONNECTZON 'IO CITY SEY7ER
COiVNECTI0.7 'IC) CITY WATER
? 01'['.ER (PLf'.ASE DFSCRIBE)
6) INDICNIi; C.`dE:
? PI.EASE f:OLD APPR(7VID PER,titIT FOR PICF:-UP BY ONE OF ABWE
~ PI,E'15E htAIL APPROVID PER1,1IT 'Ib 1, 2, (D 4 ABWE
(Circle one)
7) SI='IURE: 1~~6iers~~ ? `J~L~~ DATE: ~ ~Z-~1 y
~lROI:~l:aiE.i~i~i~l~:s:~ara~~!st:sa:a... . ` •
. . . , s'
F 0 R C I T Y U S E O N L Y
PERMIT ° ISSUED
FEES: $ ~G. so SEWER oio-MTT (?`iCLi:BE SuRCHP.RGc)
$ ~o S c~ WATER PEI2AIZT (ItiCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
$ WATEB TAP (INCi,UDE CORPORATION STOP)
$ SE:•]E.°. TP.P
~ S $ ACCOUNT DEPOSIT - SEidER
. i ?
ACCOUNT DEPOSIT - WATER
WAC
$ d-d SAC
$ TRUNK G7ATER ASSESSMEP:T
$ TRCNK SES4ER ASSESSMENT
$ LATEP.AL BENEFIT/TRUNK SEI4ER
$ LATERAL BENEFIT/TRUNK S4ATER
$ • OTHER
$ TOTAL
$ AM0liNT PAID/RECEIPT ~9 ~
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG;-IT OF WAY?
. ~ YES IF YES, THE[V A"PERMIT FOR WORK WZTHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
FT7-1 NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLO!9ING CONDITIONS:
APPROVED BY:
TITLE:~(~
DATE:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137666
Date Issued:07/14/2016
Permit Category:ePermit
Site Address: 4215 Valley Forge Pl
Lot:18 Block: 2 Addition: Northview Meadows
PID:10-52100-02-180
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 -
Bart C Williams
4215 Valley Forge Pl
Eagan MN 55123
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155482
Date Issued:05/17/2019
Permit Category:ePermit
Site Address: 4215 Valley Forge Pl
Lot:18 Block: 2 Addition: Northview Meadows
PID:10-52100-02-180
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 -
Bart C Williams
4215 Valley Forge Pl
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159906
Date Issued:01/28/2020
Permit Category:ePermit
Site Address: 4215 Valley Forge Pl
Lot:18 Block: 2 Addition: Northview Meadows
PID:10-52100-02-180
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Bart C Williams
4215 Valley Forge Pl
Eagan MN 55123
(651) 353-8901
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160188
Date Issued:02/21/2020
Permit Category:ePermit
Site Address: 4215 Valley Forge Pl
Lot:18 Block: 2 Addition: Northview Meadows
PID:10-52100-02-180
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.
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 -
Bart C Williams
4215 Valley Forge Pl
Eagan MN 55123
(651) 353-8901
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature