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4216 Valley Forge Pl CITY OF EAGAN 3960 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ - PHON E: 454-8100 ' BUILDiNG PERMIT Aeceipt To be used for Est. Value '2?10C' Date ` ,19 S(teAditreas ' ~~~~~'~'r'Y P(.`ii::.~. +'L - OFFICE USE ONLY 1 ;vU&TkiV 1t.W r1F:At1QW i pn Site Sewage _ Occupancy Lot Block S8C/Sub. MWCCSystem _ Zoning PerCel No. On Site Well _ Type of Const , City Water _ {ActuaQ ~ a Name SL:RKE KNlGt?1' (Allowabte) i tiA~'!i: - ' ~ of Stories ; Adclress ' Length 4 4 ~ ``'o73 Depth 0 City Phone S.F. Total °C Name SAr.~• 89U-:s 7uu Footprint S.F. 0 o q Address APPROVALS FEES 1- City Phone Assessmenta Permlt ' ~J ' ~ Q WateqSewer _ Surcharqe ~ • y~ W Nem@ Pollce _ Plan Review , = Z Address Fire _ SAG CRy Enyr. SAC, MWCC ~ i W City Phone Planner _ Weter Conn. ~ Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the informafion ia cor?ect and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan OrdinanCes. Variance _ Parks Copies Sipnature of Permittee TOTAL A Building Permit is issued to: ` on the express condition that all work shall be done in accordance with ell applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Officfal Psrmit No. Permft Nolder Dot* TeIephone ~r Plumbing H.V.AC. E lectric 5chener -AsPsrnc"r Dat* Insp. Comments Footings t I' Footings It Foundation • Framing Roofing Rough Plbg Rough Htg Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Oca Temp. LP Deck Ftg. Deck Frmg. ( ak/ Well Pr. Disp. . . -.4-- . . _ , R .r 9 • CITY OF EAGAN *7 ` /~h , 3830 Pilot Kno6 Road, P.O. Box 21-199, Eapsn, MN 55121 ir ~ 9~I1,! PHONE: 454-8100 BUILDING tERMIT R~+at # , l To w w~d far SF DWG/GAR Est. Value ~'S7, 1100 JUNF 22 19 84 SiteA ~ n 4~1b VALL,F.Y Fi.'?GE E~~ R3 ~4 2 NO V I EW ME1~.D5 ~ ~~u~~ Lot 81oc~ko- 00`24b~-o2 Alter ~ Zoniny Percel No. 1 Repoir ? Firo Zone ec Name BLILIE CONST CO ? Type of Const. ~ SUPERIOR CT_ ? # Stories Addresa N Demolish ? Length_~~ City F' Phone Grade ? Depth Sq. Ft. '~1 , ApProvals F~es Neme . 0 U ~j~ A~~ Asseument Permit u~ City Phone Water d~ Sew. Surchorp~ 2 8. 5 0 Pol ite Plon check 1 5 2. ~ 0 W Name Fin 5/1C 5 2 5. 0 U Address Eny. Water Conn. 4 7 0. 0[1 ~ W City Phone p~o~~r Woter Meter 6 3. 0 U Council Road Unit 2~ D_ Q~I I hercby acknowladqa thct I haw road this opplicotion ond state thot Bi . Off. the informafion Is torrect ond cgree to comply with all opplitabl~ T~a~ ~ . rJ~ Stofe of Minnesota Stotutes ond City of Eag~~ Ordincnces. Sipnatum of Pertniftee A 9uildln~ Permit Is issued ro: RL I L I E CON ST CO on tht express conditlon thn+ oll work sholl be dona in accordancey~}~ ,o pplicable St of"lyli ~fo Statutes ond City of Eaflon Ordinontes. Bufldinp Offictol ` ~ ' ~ ~ - ~1., Pwmit No. Pamit Holder Mitc. PKmit No. Holdsr Plumbiny H.VA.C. w.n Water D'ap. S~vwr inw.Mion wa i???„v. om« . Footinqs Foundation Fnminq ~ ' Roua+i P~bo. .~f y ~ Rouph HVA Inwlation Final Plb~ r• j~y ~ Final HVAC ~ Final 6f W~. Danibo Loeation: YWII Sewar • Pr. Dbp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee . FiII in numbered s,oaces SlC Type or Print legibly Tot 1. Date `r " 2. Instaliation Cost 3. Job Address Lot Blk. c. Tract 4. Owner - 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New ~ Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank ' Lavatory Softner Shower Well ~ Kitchen Sink Urinal/8idet Other ~ Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes i erning this type of work. Signed : for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 / . . ~ Permit Receipt MECHANICAL PERMIT No. CITY OF EAGAN FM ` fill in numbered spaces S/C ; TYPB or Prini leg/bJy Tot 1. Date 2. Installation Cost ~ 3. Job Address Nr- Lot rf Blk.'~ Tract 4. Owner 5. Contractor ' Phone 6. Address 7. City' State - 2ip - ' 8. Building Type: Residential L7~ Commercial 11 Institutional 13 9. Work Description: New E3/ Add O Alter El Repair ? 10. Describe Fuel Type 11. No. Equinment BTU - M. Ea. No. Eauiament CFM G - ` Forced Air Air Handling:~ Mfg. IG. Boilers ~ Mfg Mech. Exhaust . Unit Heater ! Mfg. Other Air Cond. Mfg. ~ Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply wri4h all ordinanqes and codes governing this type of work. 4- Signed: ' for Rough • - Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt PWMBING PERMIT Permit No. l C CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini /egibly Tot. 1. Date ' 2. Installation Cost 3. Job Addrese.~/L 1141141 `LoBlk.0~ Tradt 1`J v~~,~ 4. Owner'4'54'o ~Gc /QK f 5. Contractorc~ Phone 6. Address&~Ia/ ~~,1 ~ ~ ~'?E 7. City`~9. State • Zip~ 8. Building Type: ResidentialJ5 Commercial O Institutional ~ 9. Work Description: NewAJ Add ? Alter ? Repair ? 10. Describe J/V'~Q/i jpf`~~ff 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory ~ Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Fm. Slop 5ink Gas Piping Outlets 12. I hereby certify that the above informetion is true and correct, and t agree to comply with all ordinances and codes governing this type of work. Signed' for Rouph Final Inapections: Date Insp. Date Insp, This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS Lot 24 Rlk 2 Parcel0-0Zh Owner Street 4216 VALLEY FORGE PIACB State EAGAN NW 55123 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF. 1984 76.75 7.68 10 69.08 A014595 9-20-84 STREET RESTOR. GRADING 1981 15.89 .79 20 SANSEW TRUNK 575 19$1 138.48 6.92 20 110.80 n SEWERLATERAL TR R 1984 27$.22 18.35 15 " " SEWER LAT 571 1981 22.28 1.11 20 16-16 it to WATERMAIN $y7 1984 70.67 4.71 15 65.96 rr n WATERLATERAL 576 1981 18.65 .93 20 13.69 to it WATER AREA 7 19$1 13$.4$ 6.92 20 iin.go 11 WATER LAT 573 1982 24.52 1.48 20 23.64 it 11 STORMSEW TRK 1984 392.32 39.23 10 313.86 " " STORM SEW LAT DR4INAGE 1984 33.97 3.40 10 30.58 " " CURB & GUTTER ' . SIDEWALK STREET LIGHT ROAD UNIT 260.00 #44280 6-22-84 WATER COMN. 470.00 " " BUILDING PER. sAC 525.00 " ' PARK ~ CITY UF EAGAN WATER SERVICE PERMIT ' ' 3830 Pilot Knob Road P. O.B..x 21199 pERMIT NO.: -5 7 9 Esgan, MN 55121 DATE: 7-24-84 Zoninp: RI No. of Units: ~ OWMr; I/~1WfOtt1 IRIKOHINb , ~Stt* Addrofi: W 9 V dlurr?bsr: Meer ~9, : C ~+ia+ Chorpe: 470. 00 ~1SL~ ~siu: ~~b~nr o°posit: 15.00 p d Reader uo.• Permit Fee: 10.00 nd i I.or,. te em* wilb eM Ckr .F Lpp. Surcharoet .50 pd ~ Miae. Chorpss: 63_00 metez + f~ Tata1: ~ gy l/<< to Poid: ' Dots of Insp.: Irsp.: CITY OF EAGAN SEWER SERVICE PERNIIT 3830 Pilot Knob Road pERMIT NO.: 670 P. O. Box 21199 -24- Eagan, MN 551 D^TE' 1 Z~ing; No. of Units: ~~r . i e onst Address: 4216 S~ce Address: a-ey ar~e P ace L214 12 tdorthveiw Meadows Plumber. gruckmuPller PIb~; , - ' 425.00 pd I a~ to eoiwpy wNU !io G!p ef feN¦ Conr?ection Chops: . OdlMnca. Accoimt DepOSif: ` . Permit Fee: ~ SuncFwrpe: gy Misc. Chorqes: ! Dote of I nsp.: Total: ' Insp,: Daro Poid: CITY OF EAGAN N_ 1 3 9 6 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt To be used for DECK Est. Value $2, 200 pate JULY 22 19 87 Site Address 4216 VALLEY FORGE PL OFFICE USE ONLY Lot 24 81ock Z Sec/Sub. NORTHVIEW MEADOW OnSiteSewage _ Occupancy MWCCSystem _ Zoning PelCel NO. On Srte Well _ Type Of ConSt Ciry Water _ (ACtuaq e Name SGSAN BURKE KNIGHT (Allowable) W # Of SIOIIQ$ ; Address SAME Len th o CitY Phone 454-8078 pep9h S F. Totel a Name SAME 890-3700 FootprintS.F. zi- ou Address ~a APPROVALS FEES P City PhOne Assessmenis _ Permit 44.50 WateUSewer _ Surcharge 1 _ 50 oW Name Police Plan Review F w - iz Address Fire _ SAC, City oi Engc SAC,MWCC aW City PhOne Planner _ WaterCOnn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationiscovectandagreetocomplywithallapplicable APC _ TrealmentPl State of Minnesota Statutes and City of Eagan Ordinances. Varience _ Parks Copies Signature of Permittee T07aL .00 A Buitding Permit is issued toSUSA BGRKE KNIGHT , on the express condifion that all work shall be done in accordance with all aDPlicab tate of Minnes a Statutes and City of Eagan Ordinances Building Official C - " CITY OF EAGAN ~7 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 l~l ? 9200 PHONE: 454-8100 BUILDING PERMIT Receipt # 6!!k9_d To ba uwd Irtr SF DWG/GAR Est.Volue $57,000 Date JUNE 22 19 84 SiteAddyR.s 4216 VALLEY FORGE Erect px Occuponcy R3 Lot 24 Block Z Sec/Sub, NO VIEW MEADS Alter ? Zoning Rl Percel No, lO-SZIOO-ZQO-OZ RQ N~A poir ? Fire Zone Enlorge ? Type of Const. V w Name BLILIE CONST CO Move ? # Stories Z Address 649 SUPERIOR CT Demolish ? Length 36 ~ cicy EAGAN phone 454-1438 Grode ? Depth 46 Sq. Ft.- $AME AD7rorala Fees o Name Addres5 Assessment Permit • OO 1- City Phone Water & Sew. Surchorge ~R - S0 Palice Plan check 1 S9 nQ GW Name Fire SAC r+9 S 00 Address Eng. Water Conn. _$7(L 0 ',Z„ City Phone plpnner Water Meter 63 ~ Q Council Road Unit~6jG_..QQ I hereby acknowledge that I have read this opplicotion ond state that Bldg. Off. the inlormation is correct ond agree to comply with all opplicable $1 ~$O2. rj~ State of Minnesoto $tatutes and Ciry oi Eogan Ordinonces. APC Totol Signature of Permittee A Buliding Permit Is issued to: BLILIE CONST CO on the express condition tI+ol oli work sholl be done in accordonteyiith~tl~appliwble Sto innesota Statutes and City of Eagan Ordinances. Buildinp Official ~ ck"e"O..' - . , (_ALc5. p~~ ~CTTY OOF EAGAN Include 2 sets of plans, •-~~=0 C~.42 ~ILAB 1 Certificate of Survey 6 ~7•F• pk~G./(aA~Z. BUILDING PERMIT APPLICATION 1 set of enerc, ca].culations. 'ib Be Used For ~ ~~~-s/r~_-.-~a't Valuation DOD . Date ~ Site Pddress: ~(o e- 6 i26 ~ OFFICE USE ONLY Lot 2~_ Bloclc ~ Sec./Sub. y'f{,v,Erect ~ Occupancy R-3 Parcel # : Al.ter zonin5 R - I • Repair Fire Zone N /A O,mer: Enlarge _ Type of Const. ~L. Nbve # Stories Address: Demolish Fmnt 3Co ft. City/Zip Code: Grade Depth 4(o ft. Phone APPPOUAIS FEES p o ~ o0 Contractor: 2 n/jC I . Co .assessrenes Permit ?ic) - ~ Water/Sewer Surcharge , Address: C./ - Police Plan Check I 52 City/Zip Code: Fire SAC 525. Q° wates Conn. Pnone ^`Jl y- 3f3 gi~er Water Meter m °s Arch./Eng.: Council Road Unit ZloO. Bldg. Off. yo Address: APC City/Zip Code: Phone # : ZC7SAL , ~ ~ ~c ?c N --P ~ ~ - ~ N ~ -A 6~ J G~ 03 C N 6 ~ Q ~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: single (amily dwellings & townhomes/condos when permi[s are required for each uni[ Date / 3 / /J Site Address C,L ~/~Unit # Praperty Owoer Telephone k((.~j ) ofb J Con[ractor r Street Address -/6 r(i IL' VF• City )W/4 f State Y~' N• Zip ~2 Telephone Bond Expires: - 1 ~ll,~_~_ 16. ~ln The Applicant is _ Owner ! Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additionai ? Replacement ~7 air exchanger / ? airconditioner _New L 12eplacement other State Surcharge $ .50 Total s .3D p'-u T [ hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is no[ a permit, but only an application for a permit, and work is not to start without a permir, that the work will be in, ccordance with the approved plan in the c e of ork which requires a review and approval of plans. 4 IJ. Applic nt's Printed Name Applicani' Signature I ~ I I I II i ~~n~~~, ~ - - i 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleasc complete for commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (ifapplicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Wark Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, call /or inspection by Fire Marshal and Plumbing Inspector P¢t'mit reCS: $7050 Underground mnk insiallation/rcmuval 550.50 Minimum (includes Smle Surcharge) or Contract Value $ x 1% Permit Fee . If ep rmit fee is 51,000 or less, add $.50 $ State Surcharge If eo rmi[ fee is over $1,000, add $.50 for every $I,000 Qermit fee $ Tatal Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he City of Eagan and with [he Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in [he case of work which requires a review and approval of plans. Applicant's Printed Name Appiicant's Signature Approved By: , Inspecror Date: RESIDENTIAL 521 Cl ~ BUILDING PERMIT APPLICATION ~ cirv oF eacnn 3830 PILOT KNOB RD, EACAN MN 55122 ( 651-681-4675 New Construction Reouiramenh RertrodeVRewir Reavirementa . 3 registered sile surveys shvwing sq. R. of lot, sq. R. of house; and all mofed areas • 2 copies of plan (20% maximum lot coverage alloxed) . 1 sel of Eneryy Cakulatiois tor heated additions • 2 copies of plan showirq 6eam 8 window sizes, poured found desgn, etc.) . t site survey forexterior additiore 8 decks • 7 set of Eneryy Caiculations . Indicale if home served by seDtw system for additians • 3 copies of Tree Preservation Plan if lot OlatteO aRer 711193 . Rim Joist DetaA Options selection sheet (blCgs with 3 or less uniGS) DATE (n-0- - VALUATION 'Al~4"4•Z~ • SITE ADDRESS WZIIn ~-A C`6K-o. ~ MULTI-FAMILY BLDG _Y -YN TYPE OF WORK D -4 ttx0 FIREPLACE(S) V 0_ 1_ 2 APPLICANT (LAA~L,"VS-_0 C STREET ADDRESS 2~~ RICA C~ ~ CITY U\ STATE KO ZIP -I l~ TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER 1-6h TELEPHONE# ~ 1' IoFsl~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI[VNtiSOTA RliL1;S 7670 CA"CLGOI2Y I MINNlSO'CA RUI.L:S 7674 (J submission t}pe) • Residen6al Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phonc # Plumbing systcm includcs: Watcr Softener _ Lawn Sprinklcr Pce $90.00 W;LLcr Heater No. oF R.I. 13aths No. of IIaths Mechanical Contractor: Phone lk MccLimica( systcm includcs: tlir Condilioning C'cc: $70.00 _ Hcat Recovery System Sewer/Water Contractor: Phone # ^ t"~Y~ I hereby acknowledge that I have read ihis application, state ihat the information is c p nd agre~~.tq c ply with all applicable State af Minnesota Statutes and City of Eagan Ordin es., l tS l1L c Signafure of Applica By " ~ 0['PICE iJSE ONI.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteretian ? 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 bidg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addi[ion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stuceo Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , 1987 BQILDING PERMiT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SEfS OF PLANS, 3 CERTIFICASES OF SORVEY, 1 SET OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS ZS DFSIRED. NO CAANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSOED. MULTIPLE DiiELLINGS - RFSIDENTIAL RENTAL UPIITS FOR SALE Od7IiS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For. Valuation: '-Wpp°" Date: 7-2-0g7 Site Address JccY o-z~e /'L.. OFFICE OSE ONLY Lot a y Block °Z On Site Sewage Occupancy MWCC System Zoning Parcel/Sub Ao~--rNdl£eJ /yl£'Oo+..s On Site Well _ Type of Const City Water (Actual) Owner ~,csqu Vr->uRKe ~Sui~-f.r (Allowable) Il of Stories Address 6a~C n-, a,/ ~ Length Depth City/Zip Code sr7.7 3 S.F. Total ~ Footprint S.F. Phone 6~0 1/se/- gon' Ciu/ rFgu - 370 u APPROVAI.S FEFS ` So Contractor S45LC Assessments Permit Water/Sewer Sureharge Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone ~,e~ c.6e-uc CoUncil Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies ~ TOTAL City/Zip Code Phone If Zy 7-a!~l 4nc .2~lo 7b Z~ "orwu.P ~ -,4~:''TcK.Z NorTAe~J ~"lQA9oL-0 S: EIeo ATr•oN5 - - . ' PLOT PLAN R) ' / • . . . .j':' - "".I-:- I._..... ~::~':.'~:.I i.'.:;._1...:. ~ . ~ OC) 13) ~ . . C) 1o2 , =r - - . . 99 ! _ ; _ _ _ r-._ - - - - - , F~ 9`i ~ n, . . . . , . -1 7 ' ^ - i -I - _ - - _ I . : : r_-: - ~ ~J 91 7 _ . . . .b . ~ . , . ' . ..i ~ . ~ _ . , ~ ~ .1" . .I . . . . . . , '7 1::,. . - ' . - _ - :i: t ~7~ , . . . ; • - _ -=:1'. _ _ _ ' . . ' _ ' . . . ....1 ~ -4~. _ . . ~ ~ " " .:.'l * ~ _ :j~ ~ -t:_ - -i. _ _ ;i~ - - - - ~i- : I•~r ~y; ~ _ ~ _ - _ . _ : _ _ . . ~ . _ . , . . ' . .;i: il::l'.. ~ . I. • _ . . ~ . . . i . . . "L ~1.: ~ ~ . 1 . ' .i.. , . : : . _ _ . _ . _ . . ~ . 1 ' ' . ~,1 '~Y I _ _ . . ~ i ..1 . iti: i _ .r.. ~ I~ . ; - -;---i- - ~ -~-i- , : J - _ - - ~ - - - - , , ~ : . ~ ~ . . ~ ' L -I .TI- ' . : . . ; - - _ - - - - - - - - - - - - - -4:... ....I_. f. I - . . . . . . . . . ~ . . r ~ I ~ - - - . . . . . : .1...:~ " ~ . . I.:• ' ~ . ' : - . : w. . ' I-- I _ . - - =r' :n - . - - . . . _ , . i . 1.1ur.r show bcot~on of strcets, lot and proposed buildings, give lot dimensions. (Lr+c ,:nrn,~r. am to oor stakcu ~4efure appraisal is requested.) . ~ . .i , ~ . . E%TER10R ENVELOPE AVERAGE "U" COMPUTATIOM OWNER SITE AOORESS . ~s- CONTRACTORf)Z/L& <O1Z-r7/?vC7/ost/pATE PHONE 4S-v ` I 43~ Determine working square footage of each. 11 1. Tocal exposed wall area g4• ft, x-1--1~ 2. Total rooF/cetilin~~ arca fDFiS-oo _ sq. ft. x___495' • ,v21~ 2g.2~ n . Total expoied ara11 area above floor • f2Cn•pO a. Total wail window area........................... <E6-OJ6 b . Total door area 4 ^ c. Total sliding ylass door Vrea .•,.••o d. Total fireplace wall area..,..., e, Total wall frarniny urea (average 10~):....'......, i,3 t~~ f. Total net walt area above floor 43 B- g, Total rim 3oist area f!2 o D . Total e:<posed foundation area = '134 a h. Total foundation window area...... 2• 7 i. Toal net foundation area above gra.{e _ Detcrmine "U" value of each t:r,ll segment. a. 66'-00 ! X "U" 47•30 b. 37.0/ X 'U' 9/ c. q o. oz. _ z pu^_:,~___-- • _ d l~ r puN e. I3 i.38 X "u° ~~2 • /G.24 r. 045.71 x °u" ~07 . 45~q.a 9. !l2_r) D x Plu° -oG . . n,_ "u„ . 55 4.3 2 83-93 z "u" ` 1/7 a 4 0- 2 . 3........ ~.3 .5.3: .................Tota1 • O~ Z X lf item 13 is the sam2 as, or less than.item /1, you have met the intent of SBC 6006(c)2. ' ~ . . 'otal exposed roof/ceiling area ¦ 4 0 RS 00 j. Total skyliqht area k. Totat roof/ceiling framing area (average lOX)... ' 1. Total net insulated roof/ceiling drea....,......_(OgFav~" Determine "U" value for each roof/cetllnQ segment. , X "U" • k. 1( "U" f' • S~~/•Z f~ x" 1. l O A~ S00 X"Uu .0 4 l.O.~.S,,o o.....,....Total • ~ N4iI' If total of 04 is the same as, ol less than 02, you have met the intent of SBC 6006(c)l. ~ , . . Alternate Building Envelope.0esi9n To utilize the total envelope system method, thevalues established Dy the sum of items A3 and 04 sha11 not be greater than the sum of itertis Il anQ 02. 1. 230'14 * 2._SY'2.) . ° 28~39 s. Zor2a a._~/.~•zl 5804 Melody Lena &963063 Bumsville, Minnezota. WEP]A CO. PLAN SERVICE ED ANDERSON AMCHITHCTURAL D6BIGNIN6 ANO PLANNING 0111CB: I L+orl' ~ 2;0 11l..([h /~(RaGG Oltke' Burnwille, Minrresote e/ K[LG 8964636 , i 1 ~rt. e ?/a4 CITY OF EAGAN APPLICATIOiI FOR PERMIT SE:PER AND/OR SQATLR CCNNECTIODT (PLE,ISE P4INT) 1) P?a'JPE.T2T`! ADDRESS: zIG" ( l' r.Fr=,L DFSCR?="?'rC;I: /t/dsYV d/coG.i (I,ot/3locx/Su.x.ivisicn or Tac parcel I.D. Pi=.ber) lr _='G S'_".-'.i:C~ ,'Tc~., DA'?y 0? O4IGi.:.`-Z `uII ;I.`:G r==.2T FP,=S= c-- n_~ ~•.t-rv - . ~ .~t)?C..::) ? F.-2 DIIr L.Ei t'Iti•:0 U"DIZTS ) ? R-3 '?Cr•1??iC{JSE (TELL'~.c ~ L~rITS) ( iTIS^_S) 0 R_4 ~npr~7*.r.~n~CC,iu.:L:IL:l ( L'iiITSi ? CQ`,n1E.°.CL=,Li~i2ETr1IL?OFFIC:: Q ? PISTI?'~'PIO:•'.`.~"i,/CL~~~~•I~T 2) APPLI= ( ~(PLEASE ?R1hT) NA~,'E c ~FOP C P ~ P.DD?2E55 : G~/ ~v~a Pd/ o s ~~4-r CI7:, STy'?'E, ZI?: Ec.rcl.Ph ' Pxoti~e: 3) PL:.:ffi&? ~ (p~A~E PR1Nj.A/y FOR C?i7 USE OVIY NF:'IE: /~rf/ ~?9LI Pl P/ ADDRESS: PIUHBERS lILE45E: Attive CITY, STATE, ZIP: Expired PHQ~~_ Nat of Hecord PLU,NBER LILENSE # atr initia Q) p=yva;nrER (PLEASE PR1NI) NAt'tE: ADDRESS: ~ - - CITY, ST„TE, ZIP: PFiaIE: 5) INpICA'I'E WHICii PEF7•LIT IS BEP:G RFX~'UESTID: [CJ CCnIECI'ION 'It7 CIT"t SF.?,7m ~ CC:`S~iIEX,'TIGD] 'Ib CIT'i S•!A'IE12 ? (7n--'4 (PLP1aSE DESCRILE) 6) INDIG=1- C:W: ? PLVASE F:OLD r1PPP07&'J PER:•tIT FOR PIC1i-UP BY O\'E OF ABOVE ~?IEASE ~T'.~1IL r1PP??O\,=,) PEn,IIT 'IO 1, 2, 3~ 4 ABO'JE ~ (Circle one) / 7) SIQATT.~E: DA'rE: _i~.--L.~e,~ '~-p ~r~-c~--~~~_~/ • C. ~ ! w ol:aallo:s a a ~c~:t~~ ~ a r~~~sa ~ ~ o ~~:sa:a:~ ~ ~ ~ ~c~ryi ~ ~ a~c.ss:• F 0 R C I T Y U S E O P] L'f PERMIT ZSSUED F°ES: $ -.97-o Cr;.,,' noq%tr: $ iA ._,~`G WATER PEIL`1IT (Ii:CLi;DE SURC?:ARGE) S Co~ WATER METER/COPPERHORN/OOTSZD° R~.~GER $ SJATER m:,2 (Zi:CLiJD:'. COp: GRA1:CN SiC?) $ SC.':tR . =.D . $ ACCOUNT GEPOSZT - ScT.I£R $ ACCOliNT DE°OSIT - ?4aR $ 11i,C $ S=.2S s-4 S::C $ TBliNK ~,:EIT°.°, aSj=SSi-tE't:T $ TRGcIK SEi•iER ASSF_SS:?:.`iT $ LaTE°,r',i BENEFZT/TRU`+iC SE::ER $ LkTERrIL BENEFIT/TRLi`:K :•7,?TER $ OTHER $ TOTAL $ A_%?OU:dT ?AID/RECEZPT ;_~c~C~ Q / DOES UTZLIT'L CONNECTIOV REQUIRE EXC:,VATION IN PUBLIC RIG:iT OF SvAY? ~ YES IF YES, THEN A"'PEBMIT FOR WORK WITHIN PUBLIC ROAD[•rAY" b1UST HE ISSUED BY THE NO ENGINEERID]G DIVISION. LIST AS A CONDI- TION. SUBJECT TO TEIE FOLLOINING CO.IDITIONS: APPROVED BY: TITLE: D.1T°: ~ fr~ w~ m:mw ..m MMM ww w;M w M w w,_M w!v w~ ocw w M.rm MM ft.~ M w~w R w Oe as w m m 6 ,fr'8,44,p /S.Sa 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date _(~o I /657 I [JI `_7 Site Street Address Unit # Property Owner La Telephone # ContractoK Telephone # ( 1S) Address State_LO! Zip,aLjL4e The Applicant is: _ Owner -1Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: __~Water Softener _ Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approv d` ApplicanYs Printed Name pplicanYs re D JUN 1 7 2004 ay 1 6128252303 NOV-07-2005 MON 02:36 PM RAY WELTER HEATING & A,C FAH N0, 6128252303. P. 01 I HOU~SE HEATING TEST RECORD ADDRESS ~ tara~ ~ APT -FLOOR- CI~ SUBURB OCCUPANT OWNER MEAT LOSS pA7E HTG. INST. j s'~ BY INSTAU.ED BY so~o FJedAcal Work By ~ Ges lJre BY TYPE OF MEAT GA FA HW STFAM - SP+4CE FiTR - UNIT HTR ~ D~~ . GAS DESIGN CONVERSI6N MA~ ~ MAKE OF BURNER Model MoEel Senal MOx BN Re11n8 INPUT MAKE OF FuRNNCE Model cowrROts 7HERM05 T ~ eal PWg Venl Size r KiND OF LINER SIZE NONE VeWe RspWator L~t ; I d preR Hood Flhers Slze ~NUmber Limit SetUnB ChfmrmY Locatio" ksida OWa3de Fan Setling Cwmm~ ~apn Pibt Type Pllot Make ~N~g ~ pflot Mmel Smoke Somb Pilot7lming GGp DraR TeslTeg LW. QR Ofl Oow Pressura Li6hb^9 Inst. Prassure • erce C02 ~ PaOe Ta6t0d InpW CFH 19 PeWcent OZ ComPeny TeaGnB - SWGc Temp °2. PerceM Co Name M TaSW 010 ' G7~~. . --For-- Offic-e-Us-e ~ I Clty Of EaiaIl ~ Permi,g: ~ tt I Permit Fee: i 3830 Pflot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 6755675 i sran: i Fax: (651) 6755694 0 S-Z 2 C i i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oete: SiteAddress: '7dI 6 Vf{UC'y 170,e6C YCACC Tenarh: Suite S: RESIDENT/OWNER Name: MftT L-Ur- c~ Phone: Address / City / ZIp: ef a"1(o VAL(.G~ Fo,2 GC Po4-CC Applicant is: _ Owner ~ Contrectar TYPE OF WORK Descriptbn ot work: &M0JE EXt S-Zl NG PA-'(ro e fiEW Pi4 i 10 f DEClL Construction CosL' I ~ ooo Multi-Family Building: (Yes NoZli CONTRACTOR Narne: -AgCOT Out-tE QC)QOVA-norJC , fnK- ucense aOS 192-(o S nddress: /301 E-. (L(F-r P.-Q- SUiTt (1-7 C;ry; 6U4NJSJilc.E sceta: +^rJ zP: ~5337 Phone: &(a' 069'6;5-0 Confact Person: SkSco COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I _ Minneso[a Ruies 7670 Cateoorv i _ Minnesota Rules 7672 ERCfgy COdB • Rcsidcrrtial Vcrrtilation Gategory t Workshect • New Encrgy Codc WoMshcet 1 Category Submitted Submittetl ~ t.yl submissian tT.pZ) • Erw:rgy Envciopc C:ilraitafions Su6mittcd ~ ~ In the East 72 months, h2s rh? Cfiy ot Eagan EssuM a permit loe a sim3lar pl2n hased on a master plan? ~ Yes _No It yes, date and address of master plan: ~ I ~ Licensed Plumber: Phorse: ~ ~ Mechanical Contractor: Phone: Ser:er a iiJaier Coniractor: rhane: NOTE: Plans and support%ng documents ihat you submit are considereJ fo ha public infarmation.. ?ertions of ~ -hs c!assiflad as non-pub!!c !f yoa provlde speGfic reasorts that would perm)t tha C1ry to I ...y r.nnchade lRpe thP arP trr±de cg4rgte. I roraby arUnrnylndna that tliic In(p"otinnIc rrn~r~o{a srJ grvcurg(9: (het lh9 WOfk WIII UB It co o awe with t orUinsr:ces anC co-^_eo or rnP Cih, n+ I cr.dcr;!ar,d thi-i-rt a n^,:rr.::. C:it cn:y ar. :aai::at:oa 7c: a x:r t. arti v ti: i. r.t to totl M. OUi a oC.T,tit: ttt^.t IFC Y:Ort vatl bC In ac:aroance vnm me approvao pan m[he casa m worK wrucn requires a review arro appro - oi ~ - LCf~~ `-v r~~ 15L41 fSYfliB 11 ~`llu,nn PaoG,of 3 v D AUG 2 1 DO NOT WRITE BELOW THIS LINE ' sue rvPes ? Foundatlon ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Famlly ? 06-plex ? Flreplace ? Porch (3-season) ? bct. Aft. - Multi ? Ot of _ Plex ? OT-plex ? Garage ? Porch (4season) ? Fat- AIL - SF ? 02-Plex ? 08-plex 1/- Deck ? Porch (screeNgazebo/pergola) ? Muki Misc. ? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage ? 09-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? IMerlor Improvement ? Siding ? Demolish Bullding' .51 AddNfon ? Move Bullding ? Rerool ? Demolish IMerior ? Alteration ? Fire Repair ?WirMows ? Denrolish Foundation ? ReplacertreM ? Egress Window ? Weter Damage ' Demdition (entlre building) - 91ve PCA hardou[ to applicant DESCRIPTION: Valuation Q~a Occupancy I L~/J MCES System Plan Revlew Code EdRlon SAC Units (250/_ 100°/a Zoning Ci[y Weter Census Code Stories Booster PumP g of Unib Square Feat PRV A of Buildings length Flre Sprinklere Type of Cons[. IT Wid[h REQUIRED INSPECTIONS Footings (rrew bldg) Sheetrock Footings(deck) FInaUC.O. ~ Footlnga (addition) ~ FInaUNO C.O. Foundatbn HVAC Draln Tile Olher: Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests Final ~ Framing _ Siding: _Stucco Lath _Sione Lath _Bridc Ftreplace:_R.I. _Air Test _Final Windows Insulatlon Reteining Wail Reviewed By: Building inspector RESIDENTIAL FEES: Base Fee Surcharge f ~~`j/~/lC- //TI Plan Revlew MC/ES SAC City SAC UUIi[y ConneCtion Cherge S&W Permil8 Surcharge Treatment Ptant Coples Total ' Page 2 of 3 ~ . ~ ;;a,~ra . . ~ ~ . . . . . . . , ~ ~ . _ . . ~L > - . . - . . . . - . ; .V . . \ o s 75 . ~ a. ~rru.51 X-3 ~ ~ . .1.1 : ~ . ~ 7 ~oh - , . ~ ~ . ~ ~ ~ . , . . . • . . . ~ . ~ : ~ _ "~~,-y' . : - . ~ . . _ - . . . : . - - . . . . n-~ ~ w ~C~r?d/I ~r-eh City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4216 Valley Forge P1 Lot: 24 Block: 2 Addition: Northview Meadows PID:10- 52100- 240 -02 Use: Description: Sub Type: e- Siding & Windows/Doors Work Type: Siding & Windows /doors Description: SEE COMMENTS Census Code: 434 - Zoning: Square Feet: 0 Fee Summary: Valuation: 9,000.00 Contractor: Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (9523 746 -3046 Pictures are not acceptable in lieu of inspections. Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $9K Surcharge - Based on Valuation $9K - Applicant - Construction Type: Occupancy: $177.00 $4.50 $181.50 Owner: Matthew S Luker 4216 Valley Forge P1 Eagan MN 55122 -1950 Permit Type: Permit Number: Date Issued: Permit Category: Comments: 10/3 Customer pulled the permit originally for roof, siding & windows. The roof was not replaced. Only the siding & windows. pf Per Chad 612 - 868 -0250 0801 9001 Building EA085732 09/02/2008 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155154 Date Issued:04/30/2019 Permit Category:ePermit Site Address: 4216 Valley Forge Pl Lot:24 Block: 2 Addition: Northview Meadows PID:10-52100-02-240 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 - Matthew S Luker 4216 Valley Forge Pl Eagan MN 55122--195 (651) 283-4938 Advantage Construction Inc 18563 Vermillion St Wyoming MN 55092 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature