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4224 Valley Forge Pl CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ; PH ON E: 454•8100 ~ BUILDING PERMIT Receipt To be used for BASEWNT Est. Value i1. St1f) Date CKTOBCR 14 ~ g88 Site 4ddress 4224 VA1.L.LPY FilRC$ P'L OFFICE USE ONLY i Lot 2 5 Block 2 Sec/Sub.PORTHV19W HEAVOWs On Sfte Sewaye Occupancy Parcel No. MWCC Syatem ZoninQ On S1te Wall (Actuap Const a Name CUR GqRiS=ZNSEU Ciry Water (Alloweble) 3 Address 4224 kA~.•~Y MCA YL PRV Required ~r or sto?iea ~ 0 City gAGAN Phone 469-0059 Booster Pump Ler,gin - Depth o Name ~w}~'~ S.F. Total ~ ~ Address Footprint S.F. 1- Ciry Phone APPROVALS FEES 1 yVj W Neme Engr./Assess. Permit 34.00 W = n Address Planner Surcharge i•X) i W Clty PhOne Council _ Plan Review BIdg.Off. SAC,City }I hereby ecknowledqe lhat I have ?ead this application and state that the Variance SAC, MWCC ; informetion is correct and agree to comply with all applicable State ot Water Conn. Minneaota Statutes and City ot Eagan Ordinances. Water Meter Signature of Permittee Road Unit 'A Building Permit is issued ro:_ - CLSE _CH - kiSTE - NS" Treatment P1 on the express condition that all work shall be done in accordance with all ~.y applicable State of Minnesota Statutes and City of Eagan Ordinances. "pPy - TOTAL ' Building Official._ Pormit No. Permit Holder Date TNephone Plumbfng H.V.A.C. 00 Electric SoRener Inspoctfon Dste Insp. Comments Footings I Footings II ~ - Foundation Framing T~ re,s Av•n,r- Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Ffnal Well Pr. Disp. CITY OF EAGAN 3830 Pibt Knob Rosd, P.O. Box 21-198, Eayan, MN 35121 11444 ' BUILDIkG PERMIT PHONE: 454-8100 Receipt a To be us~.ior SF t?WG/GAR Est value $64,000 Dete •TANUARY 1 a 19 ~b SiteAddrps, 4224 V!.. .Y FORC Erect OC Occupancy u3 Lot2 92 Block 2 SeciSub. hORTHVIEW NiEADAWr&1el ? Zonina Ri Parcel No. Rdpair ? Type of Const Addition ? No. Stories W Name OL-BERG CONSTRUCTION Move ? Length 45 ; Address 6400 131ST ST CT oemolisn ? Depth ° CiA.Vphone 932-9079 intimpr. ? Sq.Ft tY Install ? Name 5M'f E APProvsls Feea Address Assessment Permit $ 325.00 ~ City Phone Water & Sew. Surcharge 32 UO PoliCe Plan ReviewJL62• 50 Name Fire SAC 575.00 n Address Eng. Water Conn. 500 00 i W Ciry Phone Planner Water Meter63 50 Council Road Unit 280 . 00 I hereby acknowledge that I have read this application and state that the Bidg. Off. 149/ 8 6 Tr, pl. 132.00 information is correct and agree to comply with all applicable State ot Minneaota Stetutes and City of Eagan Ordinances. APC Parks 1 % . s Signature o1 Permittea Var. Date Copie ',~"~6 TOts) 00 A euilding Permit is issued to: OL^BERG CONSTRUCTIOiV on the express condition that a l l wor k s ha l l b e done in accordance with ell applicable State of Minnesota Stetutea and City of Eagan Ordinances. BuIlding Official ~ PremN No. Prnnlt Holder Ooh TMspAorN N Pl„mbing 77 -41 u .3 Pt 3 a -9c17 N.v:n.c. 26 Ewcaft solilm.r ImpoeMon Dab liap. ~ i- FoolNqa n Foundatlon /-~r Gt~ FranYnq ~ Cf/. RooMY ~r zw- RouOh Pon• Rouph Hlp. ImW. Fkeplaa Final N1p. FMuI Plby. - d Bldp. Flnal Grf. Oee. Doek Ffq. G*ck Frnp. YVGM pr. Dbp. ' PERMIT C(TY OF EAGAN FEE ~ MECHANICAL PERMIT 5~~ J v RECEIPT #i 454-8100 MINIMUM RESIDENTIAL FEE -:70.00 + $.50 TOTAL DATF, ~ ~ CO MINIMUM COMMERCIAL FEE - $20.00 +:.50 • 1. Bldg. Type: Res ~ Comm Inst 2. New ~L Add Alter Repair 3. Totel Bid Prlce 4. Job Address ~a)~.4 ? L4-E:, Lot 9(1 ~ Block ~ Sec 09T Hv IEw f' IEj 0Uiw S 5. Owner 9:%d 64 G G~3 %;tvcldd 6. Contractor ~Ajvw±A/~,~wc• 9?20 4l~S7~-~C+~D C~J6i//[I{~,(k. S'"S~r((/ ~ (Name) (5treet) (CitY) (Zip) ~ 7. Contractor Phone # q 3 y'4Q$"'~ E RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction - $6.00 t, RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ~ iC-HEATING --J!VENTILATING HOT WATER STEAM AIR COND. •eIR PIPING PROCESSED PIPING AIR HAND. EOUIP. RtFRIG. ---LLRES. GAS PIPING OUTLETS - $1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. WE - 1% OF T AL BID PRICE PLUS =.50 STATE SURCHARGE FOR EACH S1,000 OF FEE. Signed: for ~ tIH1 r~F- Approved Inspections: Date Rough Insp. Date Final Insp. ~ . . cAtiAN Remarks ~ Addiuon NORTHVIEW MEADOWS Lot 25 Rik 2 PSrcel 10-52100-250-02 Owner Street 4224 VALLEY FORGE P1,ACg 5tate EQGAN NW 55123 lmprovement Date Amount Annual Years Payment Receipt Date STREET SURF. ~ 76, 75 7.41 ~6, lO STREET RESTOR. GRADING ~ 1 15.89 .79 20 SAN 5EW TRUNK 57 1981 138.48 6.92 20 SEWER LATERAL TgK q 15 1 1981 22.28 t.+a # :+1 -g-9 15 WATERMAIN 7 j 84 ']0.(~7 4.']1 15 WATER LATERAL 18.65 I•2'F -}5 •2$IS WATER AREA ~,10 1981 138,48. 92 20 S -73 1982 2 1 .+1 1-48 20 ~ STORM SEW TRK 0 1984 392 . 32 B. S9'.-" wf I STORM SEW LAT nRATNAGE 1 33.97 3-31 3-410- 10 CURB & GUTTER ' SIOEWALK STREET LIGHT Road j7YL1't WATER CONN. , BUILDING PER, 11444 SAC PARK INSPECTIUN RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: +02`.14 1 /v4 • I (612) 681-4675 SITE ADDRESS: APPLICANT: hl~il; IN1+IF I1 Plt i~.l~~ltl , , i . I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. I I'aJ11 f~t hl/11~M !'A1rA11 I'f:k h111Alil i{I QI.IiI2kl1 11111 ANY f'111MfttNii k1I:' 1 I tI 11t11 F11 4Jli; I ~ P.m,n No. Pe.mn ?iowe. nn. Tei.phone 0 s/w PLUMBING fr HVAC ELECTRIC ELECTRIC tr,."etlon oeee lnap. comrnsr?b Footings I Foundadon ~ F?aming F3oonng A°ug" P'bg. Raugh Htg_ 1( A Isul. ~repl8ce 1 , Final Mg. Orsat Tesf Flrkel Plbg. Pln9. lropeda -Nw+N Pk,mbe? Const. Meter EngrJPla^ Bklg. Finel ~v Deck Ftg. Deck Fnal Well Pr. Disp. INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ! t oA ' Eagan, Minnesota 55123 Date Issued: r•~ ' • (612) 681-4675 SITE ADDRESS: I i 1 1) c: a: APPUCANT: , a 'nl i i v FE+ttM P! , PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION . I . ~ ~ ~ aermn ?io. Psrmn Hoaer oate T.Ispnone s I SI1N I PLUMBIN(3 I I HVAC I ELECTRIC I ELECTRIC Inspectlon Daa Inap. Commenb FootlnpB I Foundation Framinp FlooNnp I Rough Ptbg. I Rou9h FIt9• Isul. Ffeplflce Final H1g. Orset Test Finel Plbg. Plbp• lrrepecFO? - NdMy Plumbe? Con6l. Meler En9rRlen Bldg. Flnal I I Deck Ftg. Deck Ffnal ~ I I VVell I Pr. Oisp. I I I 1F EAGAN WATO SERVICE PERMfT 'ot Knob Rosd ; 1 .j. 13ox 21199 PERMIT NO.: - . , ; Ei lan, MN 55121 D/?TE: - } ' T.oninp: . ?1 No. of Unlb: pwrwr; 01-3erg Coast. _ Addnes: gih 4224 V~:llev rorgc L25 B7_ ?:arthview Meadowb Plurib+r: ('ca5t. ~r Wo : Charge; 500. OOpd Sizs: ~rRac~{ ~1~' ~P°'~t: 15.Os~p~? 1 0. 000;1 k.oa.. r,o . 5npa - . h~~ ~ l~1ir~~ ~ isc. ChoroK~ 132. UOnc' Tp Total: 63.50s,d meter gy Dot. PoM: Dnta af Irnp.: IrNp.: t ; CITY OF EAGAN SrWER SgrVICE PERMIT 3830 Pilot Knob Raad : ' P. Q Box 21199 PERMIT NO.: Esgan, MN 55127 DATE: ~ ~ina; No. of Units: ~ pwner; ('onst - , Addren: - SI» Addnss: 4'?/? Vallex Por•:e ^ Z"", T•'! td)dn. Plumber: L1--b~r~ C~iflt I som ft - PIN wier IW Cft of iWO Corrwetion Chorpr. , oai....... Acoount Depai+: Prnnit FN: SurchoMe: gy AAifC. Char'0m ~ Dah of lesp.: Tatd: Insi,; Dots Pald: E ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15723 BUILDING PERMIT PHONE:454•8100 Receipt u bO L , To be used for BASEMENT Est. Value $1, 500 Date OCTOBER 14 ,7 g88 Site Address 4224 VALLEY FORGE PL OFFICE USE ONLY Lot 25 elock Z Sec/Sub.NORTHVIEW MEADOWS OnSiteSewage _ Occupancy MWCC System _ Zoning Parcel No. On Site Weli _ (nctuapConst ~ Name GENE CHRISTENSEN Ciry Water _ (Allowabie) zAddress 4224 VALLEY FORGE PL PRV Requiretl _ n of Slories ; ° City EAGAN phone 469-0089 eooster Pump - Len9th Depth , o Name SAME S.F.Total ~a Address FomprintS.F. : City Phone qppROVALS FEES ~a Engr./ASSess. Permit 34.00 w W Name ti Planner Surcharge _1.9_Q x E5 Address u z City Phone CounCd Plan Review a aw Bldg. Olf SAQ City I hereby acknowledge lhat I have reatl this applicati nd sta[e ihat ihe Variance SAC, MWCC inlormalion is correct and a9r to comply with I pliCable State of Water Conn. Mmnesota Statutes and Ciry Eagan Ortlm c s . Water Meter SignatureotPermittee Road Unit A Buddmg Permrt is issued to:_GENE_CHRISTENSEN 7reatment Pt on the express condition that all work shall be done in accordance with all p~~ COPy .5~ apphcable State of ~Minnes~ota Slatutes anyd yC~ity of Eagan Ordinances. ]5.50 Bwlding OfOCial~~~iLL__ TOTAL ' ~ \ CITY OF EAGAN N 0 11444 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 q ~S BUILDING PERMIT PHONE: 454-8100 Receipt q 0v j TobeusedloP SF DWG/GAR Est.value $64,000 pyte JANUARY 14 1986 SiteAddress 4224 VALLEY FORGE Erect Occupancy R3 Lot 25 Block 2 Sec/Sub. NORTHVIEW MEADQ{~,1~°del ? Zonin9 Rl Parcel No. Repair ? Type of Const. V Addition ? No. Stories a Name OL-BERG CONSTRUCTION Move ? Length 45 z 6400 131$T $T CT Demolish ? Depth47 o Address Int Impr. ? Sq. Ft Ciry A.V.Phone 432-9079 Insren ? o Name SME Approvals Fees $ a Address Assessment Permit • 00 a ' Ciry anone Water & Sew. Surcharge . 00 Police Plan Review"2 50 _ z Name Fire SAC 575' 00 3 i nddress Eng. Water Conn.5 ~00 <w ciry pnone Planner Water Meter 63 . 50 Council Road Unit 2 0.00 Iherebyacknowledgethatlhavereatlthisapplicationandstatethatthe gldg.Oft. 1/9/86 Tr.PI. 132.00 information is correct and agree to comply with all applicable State of Minnesota Stalutes and Ciry ol Eagan O/r~dinances. APC Pafks Signature of Permittee- tp L1 Qa.l' Ver. Dete CopiCs TOtal $2, 070.00 A Building Permit is issued to: ' OL-BERG CONSTRUCTION on the express condition that all work shall be done in accortlance with all applicab e e`te of Minnesola'Statu e nd Ciry ot Eagan Ordinances. Buildmg Official ~~-C- - -~i 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED ~IITH THE CITY OF EAGAN ~~kv~ C0141ERCIAL SINGLE FAXILY DiIELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 7'SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND b 4oce To Be Used For: Valuation: Date: 1'7 Site Address 'Y"j~V vri ~p~o,R ~ OFFICE USE ONLY ~ Lot a5 Block Erect x Occupancy Remodel Zoning 12•I Parcel/Sub I1JOI7)1 l~EK) IYvoh.JS Repair , Type of Const Addition a! of Stories Owner n L 66e-6 C. D+J 5-'r Move ~ Length 5 Demolish Depth Address Int.Impr, , Sq Ft Install CitY/Zip Code QYnfbE ?/aLLy ~S) 'f -r Phone APPROYALS FEES Contractor ~ pot-, Assessments Permit 32j, Water/Sewer Surcharge 37 Address Police ~ Plan Review I~o2 - Fire SAC 5~ . City/Zip Code Engr Water Conn SrJO, Planner Water Meter = Phone Council Road Unit 2EO. Bldg Off f,.q'-96 Treatment Pl I Arch./Engr. APC Parks Variance Copies Address TOTAL i City/Zip Code Phone 0 , ~ ~ ~ ZJ ~ ~~C''i~ ~ ~~j = j8~C7 c, ~ . z2 x 2z ~ 4 0 4 x 12 ~~so8 ~3~~8 Certificate For: • ol-berg Construction • ' 6400 131st St. Court Apple Valley, MN 55124 . DELMAR H. SCHWANZ y~/44 LANp SURVEVpR$ INC APORrr[I Wcfe. Lawf , Tnr SIn1e M Mmneeote r 14750 SOUTN ROBER7 7RAiL pOSEMOUNT. MINNESOTA 55088 YNONE 812 423-1789 00 SURVEYOR'S CERTIFICATE Y~ N., - ~ , ~ ~ z3.~7 N ~ ~ ~ ~ GA~.pQ• 04. 4P\ ' c, - - ~ - /,20.74 - ni - - `5 --&~°52 Proposed garage floor elev, from Development Plan ~ 974,8 Elevationa shown are existing conditiona. . I hereby certify that this is a true and correct Tepresentation of the following described tract of land: Lot 25, Block 2, NORTHVIEW MEADOW3, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location oP a proposed house as §taked tt~qre n~ 'January 7, 1985 MINNESOiA REGISTRATION NO. 8625 6%TGRIOR F.NVL:[APC /1'JIiItAGli "U" C0MPU'1'ATIOfJ Ch1fJP.R ,~iTL ADoRE,, L4a aq vAC.L- EV r6~.6E p4Ac6 - ' coNTrtAcrorc Q~ Za?cy onre [-uoriL Detecmine workiny :;quare footage oC r_ach. 1. Tocal exposed aall area /9~j/n,1- cq. Et. x y 2. Total roof.ceiling arca .......loW yU ::y. ft. x .025 =a;~3:/ Total exposed wall area above Eloor = • a. Total wall window area 9G•3 b. Total door area c. Total sliding glass door arca 3%•~ cl. Total fireplace wall area Q C. Total wall framinq area (averaye loe) ................I /qy,/ f. Total net Wall area above floor /5J6•/ . 9. Tota1 rim joist area tPR-067~CA3,3 : Total exposed foundation area h. Tota1 foundation window arca O i. Total net £oundation area above yrade Determine "U" value oE cach wall segment. ~ a. 3 x ..u'., ..ss b. Y/.s x ..U,. c. 3'•~ x ~,u•• .ss = 17, 7 a. b x„U., e. x u.• •119 = J;3.3 ~ f. /57G•/ _ v ,.u.. ~G •G . 09/ t7 . ~ lC itcm 47 Ls tlic samc as, or lc:::: than ituin Nl, you h"c m'!t rhr. incent ot sEIc 6006(c)2. .9~,„ A3 ~7;? A ~ ~a'~, yJ •nw.F dE~.~ ....~,G.~1.~ S~c. G nn G~J 2 Total exposed roof/cciliny arca = Op j. Tota1 skylight area - v-- - k. 1bea1 roof/cciLiny Eraminy an_a (avcrayu LO"e) 1. ToW L neC insulated roof/ccilimj arca pc:crminc "U" valuc Eor cach rooE/ecilinq suymenr.. j. O x ..U.. p = p x. /oo. y x ,.U., ,03.;x _ .3•3 i. y'03-6 x„U., , oa-/ _%8• 9 1............. ......Total ~ ~~•o'~ 'Cf total of 44 is the same as, or Less than 42, you kiave mct tfic intent o[ tiBC 6006 (c) l.-en,~, .~M[v~ 5/3 4 L. PP G ~C, / U , Alternate Building Envelope Desiqn 'Co ucilize the total envelope system methocl, r.he valuc:: estabLish.d by the ;um of items N3 and #4 sha11 not be greater than the sum of Ltem~ 01 and Y2. ' I + z. ~s./ = a3P•s _ ~ s. + 4. " 3~ y (/993, c~~ p i-t m* iCz a 8-s~ RESIDENTIAL j~ ga 1 BUILDING PERMIT APPLICATION (J CITY OF EAGAN 3880 PILOT KNOB RD, EAGAN MN 55122 ID_~, 3S 651-681-4675 New Conetruction Reauiraments RamodallReoair Reouiromenb . 3 registered site surveys shawing sq. ft. of lot, sq. R. of house, and all mofed areas • 2 copies of plan (20% ma:imum lot coverage allowed) . 1 set of Eneyy Calculatians for heated additions . 2 copies of plan shrnnrg beam & window saes; poured found design, etc ) • 1 site suney for extenor additions & decks . 1 set ol Energy Calculations . InCicate if Irome seneA 6y septlc system fm additlons • 3 copies of Tree Preservation Plan if bt platted after 711193 . Rim Joist Detail Options selec6on sheet (bldgs mth 3 or less unAS) DATE VALUATION °0CD SITE ADDRESS LtZZ" UaWC~l Cc~~-~~L MULTI-FAMIIY BLDG _Y kN TYPE OF WORK ' FIREPLACE(S) K,0_ 1_ 2 APPUCANT C.aka:~;VC~O r- - ' t0C -1 t... VCS . STREETADDRESS 2-qS4 K\(2A S~ _Sl)C,°_ _+O CITY V& STATEKt)ZIP lI TELEPHONE # 1951'~?3--I'~~~ELL PHONE # FAX # ~~~,\-~\P3"021°~ PROPERTY OWNER-I ~\ag~ TELEPHONE # IsS I' ~o~~ ~19~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO"CA RULES 7670 CA"C1:GORY 1 MINNtSO'EN RIiLI•:S 7672 (Jsubmission type) • Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plionc # _ P1untUing sys[cm includcs: _ Watcr Soltencr I.awn Sprinklcr Fcc: $90.00 VVatcr Hcater No. oC R.I. Badis No. of 13adis Mechanical Contractor: Phone # ik[ccli.miciil systcm includcs: Air Condiuoning Pcc: $70.00 Hcat Rccovcry Systcm Sewer/Water Contractor: Phone Ik I hereby acknowledge ihat I have read this application, state that the information is corcect, and agree to comply with all applicable State of Minnesota STatutes and City of Eagan Ordinan es. Signature o} Applica 6 [ - `1 orrIci: usI. oNi.Y ~.iIn o 8~2 ~ Certificates of Survey Received _ Tree Preservation Plan Received _ No Required _ gy - • Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors ? 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) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding S[ucco 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 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT ~-CiTY OF EAGAN PERMIT TYPE: sL D N Gy 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 0 2 3 0 3 9 (612) 681-4675 Date Issued: 0 3/ 11 / 9 4 SITE ADDRESS: 4224 VALLEY FORGE PL LOT: 25 BLOCK: 2 NORTHVIEW MEADOWS P.I.N.: 10-52100-250-02 DESCRIPTION: (BRTHROOM) Building'Permit Type BASEMENT FINISH Building t,lo•rk Type ALTERATION 0 0E, r y ~ • REMARKS: SEPARATE PERMZTS ARE REQUIRED FOR ANY PLUMBZNG OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - CHRISTENSEN GENE 4224 VALLEY FORGE PL EAGAN MN 55123 (612)456-0489 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. StZ and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATU E ISSUE BV:51 NATURE REALTIVATE _ CIIY OF EAGAN _ -I pEkMtT r, 1a9s-BUILDING PERMIT APPLICATION , 51994 , 2 303~ '9q 681-4675 r-- h MULTI-FAMILY 2 sets of plans, 3 registered site surveys,-l-copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of aonth. in which request is made, 2) address is changed or 3) lot thange is requested once permit is issued. Date A / 25" / qLi Yaluation of work _ Site Address: qaa q Ua.l (cu Fo ra e. Place EQav-ki , Min ncsolk- LiYEET fU1TE / Tenant Name: (cortmercial only) IAT ~ B1ACK a Se /~~5 P.I.D. a Descri tion of work: P-xti /d Ixc4hraom ii'1 haSernent- The applicant is: 0 Owner ? Contractor ? Other (Describe) Name ChhiSfenSenGene. Phone ~FS( -Dy-B`l Property LA51 F,ast Owner Address 42-aLf ~ a-1 /Ic,~.+ ForU~ T~la.cc. fTREET cre r City CQao-h State MI nncsnTu-- Zip 575793 Company Phone Contra ctor Address License 8 Exp. C;ty State Zip Company Phone Architect/ Engtneer Name Registration / Address Lity State 2ip Sewer 6 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the tnformation is correct and agree to comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging JO 16 Basement Finish C] 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool O 03 5F Addition ? OB 8-Plex ? 13 Garage/Accessory ? 18 Coam./Ind. O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck O 20 Public facility ? 21 Miscellaneous WORK TYPE ? 31 New Q 33 Alterations 0 35 Tenant Finish O 31 Demolish ? 32 Addition ? 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System SAllowable) lst F1. sq. ft. City Mater UBC ccupancy 2nd F1. sq. ft. PRV Requlred Ioning Sq. Ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code y 3 y Depth On-site sewage SAC Code ~i APPROVALS ° Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' O Site O Footing 0-framing 2 Insulation 0 Wallboard Lk} final O Draintile 0 Fireplace Permit Fee r.iu.ccd+: S~ s+•~` Surcharge Plan Review license " MWCC SAL Lity SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/N Surcharye Treatment P1. Road Unit Park Ded. Trails Ded. Lopies Other Total: SAC % SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: eur~ING Eagan, Minnesota 55123 Permit Number: 021300 (612) 681-4675 Date Issued: 0 6/ 2 5/ 9 3 SITE ADDRESS: 9224 VALLEY FORGE PL LOT: 25 BLOCK: 2 NORTHVIEW MEADOWS P.I.N.: 10-52100-250-02 DESCRIPTION: 8uilding Permit Type DECK .6uilding Wo,rk Type NEW ("Building Length 24 , Building Width''. 12 ~ ~ i 'Oi REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Appllcant - CHRISTENSEN GENE 4224 VALLEY FORGE PL EAGAN MN (612)456-0489 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City o'f Eagan Ordinances. C ~ 4:~~ ~ APPLICAMlPERMITEE SIGNATURE ` ISSU D BY: SI URE REACTIVATE CITYOF EAGAN PEttMI7 ~•1993 BUILDING PERMIT APPLICATION J U N 2 1 1993 681-4675 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date .)L,vl L-- / ;20 Valuation of work Ooc) Site Address: `/.-.2,7 "1 v Loo- .eg l STREET SUITE Y Tenant Name: (commercial only) T~ BIACK oZ SUBD P.I.D. N 2. / ~~7 V rE~ AERC/ocil Descri tion of work: E /cQ oh& ad c~ 2~ The applicant is: Owner ? Contractor ? Other (Describe) Name Phone efsoor. -ou5?? Property LAST FIR:T Owner Address ~aa y LJs~ v ~o.~of /'-'Z SiREET ~ STE f City 1;2.4±a State MAJ Zip 55~~3 Company Phone Co ntra ctor Address License # Exp. City State Zip ArchitecU Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply 71th 11 app licable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: o OFFICE USE ONLY BUILDING PERMIT TYPE D 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish - ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. 0 10 Multi. Add'1. El 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 10 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy IL-3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length 0-1-1 ~ On-site wel l Census Code Depth r?' On-site sewage SAC Code I APPROVALS ~ Planning Building Assessments En9ineering Variance RE(.UIRED INSPECTIONS O Site Q Footing ? Framing ? Insulation ? Wallboard IZ7 Final ? Draintile ? Fireplace Permit Fee v.imctm: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units if For: " (Yondtruation • - ' . lst St. Court - Valleyj MN 55124 , DELMAR H: SCHIIVANZ 9i/~4 LAND SUAVEYOAS WC . wrdarM UM., lew. 0 TM SdV nl Mmneinl~ 1 j1750 gOUiN hObERT TRAIL ROSEYOUNT. MINNEBOTA SSOlY NIONE 612 4211*9 tO SURVEYOR'S CERTIFIChTE .~~A . ~ - ~ V I' ~ M' 23. G' 7 ti °j "N ~ \ /D I i I M N T ~o. I ~ 9~ 77, ~ ~ropoeed ga`rage floor elev, froiif Development Plan ~ 974,8 Elevationb ehown are exieting oonditiond. I hereby certify that this is a true and correat reprebentation of the following dedcribed tract of land: I Lot 25j Blodlc 2~ NORTHtIIENf MEAD(7Y13, acoording to the recorded p181t thdreofp Dakota County; Mlnrieeota. Also ehovling the lbcation of a propoeed house as Itaked tt~qre n. ~ January 7; 1985 y-q,9 MINNESOiA REOISTRATION NO. 8825 USE'tJNL; iBY.° . . 1~: : .........:.:...:.::>:::.>;~~~T~'1' ,~.,...i...:. : . . . . . ~~<-•.;;...,;<:.~~;:: . . ~ . ~ ~ . < . . ~ ...,.v r,... >>s.... .ti':>.:F<,i . ..o.,;....~...: ..x...<a..... • . . : ~ . : . . . , > .,Y,....,.......::... , ..r~pa..:F.ns~~:~,. . . . ,.~.H.~ , 4.`.' ~:.2. . . . . . . ..~i_......•':.~:r:l° ~":rk:~.:.i':;ey~. .~i~~~ . . : : ~ ~ ~ n., r~" _ _ . ~z~;.::..~~:;..-. . ;~'f , . . L'-L~'<.:.. ..,.........~ak..c .._..z..... L:r.o~...........x3:sW'~ERaruX'a~azw....R ~ 1993 PLUMBING PERNIIT (RESIDEIVTIAL) , CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 681.4675 PLEASE COMPLE'TE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIFiED FOR EACH UNTf. - NO. FIXTURES EACH TOT~ SHOWER 3•00 WATER CLOSET 3•00 BATH TUB k ~ 3.00 3.00 .00 ~ ICIT HENRSINK 3 LALJNDRY TR'AY ~ ry~ 3.00 ~ HOT TUB/,SPA 3•00 WATER HEATER 3.00 FLOOR DRAIN 3•00 GAS PIPING OUTLET • minimum -1 3.00 j~ ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cry.lic. 15.00 U.G. SPRINKLER • eome unaa mnsi. 3.00 ALTERATIONS • to ccistin8 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: J0 SITEADDRESS: Ha~~I va.IlcU 1~0rc,c Placc- M,'nnesota, OWNER NAME: ~eYie- N~ hrrstense?~ WSTALLER: ~~~n~ I-~ Ctir~s~fensen (homeoc.)her-) ADDRESS: CITY: STATE: ZIP CODE: PHONE ((of a ) ~FS~-d y~ ~1 SIGNATURE OF PERMITTEE m( ~ TTY;USE:;t3NLY ..~:q~ . ~ i:f:'i %.2`: i'%S:g '3.., ...~sa :P.F::'.'<po~B ::d;,.. s.r...... : ~.....:r .o . o.~..qr cJx.._.u1:q:i~ . ;.J...:..' o r.~:.. ..>t ...:...:<.:_.s.:'::.:?o:.:` _ :..n:e .:a.: .:3::. ~.».i, f ...:.'.n[v~....J.<.nV:::....te~Vy:. ,t,...{,i:tii::.~~'~".`~1.:.4^c` yyi.`.~:. c ' ~ ..n `:...o.n.n..:..:'aV.-.::L ~Z.:......... ....%<.a::brd:~......... ' ...y8:~.,-:. .:`.x.,-.:_ < ::.y.::: , ..~~.,~~?o;:::~., f.L.. ?yi,~'e~~~• . ...w>...,.. .e.. ,,.,;.....~~.,a°... ..,:...,..t....:.,r . o..w....o~„s..;.; a.._..w:.,t.....,..._.,..:x•_~,~>.:,~ .................z.c..~~ > ..<..,:.c,>..:. . . $ .......,...«.,....,.:x:,~s.>:,...y~..:.:~:s,r~.~. " <;¢`w' . ~ ..w...,.._ .....,.t,:::,:,r:...._...v,. _ . ar s ~...~.M.~~w:,.~,...~,.~.:~.~........~.~,~.w..~...~,;. 1993 PLUMBING PERMIT (COMMERCIAL) ~ CI1Y OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL CONIlviERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI..DINGS WI-EN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING Ul::T. _ NEW CONSTRUCI70N ADD ON REPAIR WORK DESCRIPTION: C01v'TRACT PRICE: $ FEE: 1% OF CO1r"CRACf FEE. SfA'I'E SURCfIARGE $.50 FOR FACH $1,000 OF PF.R11SYf £EE M?NIh*Upi FE& $ 25.^w" CONTRACf PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAA1E: STE # OWIr'ER NAIVIE: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR• CI71' OF EAGAN APPLICANT 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 23 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PEAMIT ZS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS li OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: BA50I'1oir TIN/S~~Valuation: Date: Site Address 114 1~~ OBV OFFICE USE ONLY Lot 9~r) Block ~ On site sewage_ Occupancy MWCC system Zoning Pareel/Sub }'~,D1}'~~xnJ Mr dMJ1J On site well Actual Const /J City water Allowable Owner (~Ev~E N C~lP/S~H S6 v1 PRV required _!k of stories Booster Pump Length Address ii Depth S.F. Total City/Zip Code fi9-y,9 i-1 .SS/a 3 Footprint S.F. . Phone L169- ~60 gc/ APPROVALS FEES Contractor Engr/Assess Permit 3 y•v J Planner Surcharge /,o D Address Council Plan Review Bldg. Off. SAC, City City/2ip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Areh./Engr. Treatment P1 Parks Address Copies , Sa ~ TOTAL .3 S .SD City/Zip Code Phone Ik 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. 1 2/84 CITY OF EAG:tiN APPLICaTZGN FOR P°R24IT SEt9ER AND/OR WATER CON:JECTIODT (PIEASE Pf7IHi) i) Pr-.oD= AC:)=.:ss: V f+ i.LQ E'n 2 6 Ek A C~ rFr,L D=-c`T?'?'?CV: LbT4,~'j RLbGy--' a? n/bP`7H v~ fiIv mle AaDu,.Jj (I..LiBlock/Su~c~visicn or Ta:t ~•:Z='~=:C, S='=i:=.:v.. DA71z.' O_° Ci2T_G-'..IAi., / -n-PR=S~.^_ .T:~':/P?OPQ~ C ..S: y~Jp l - _ ~TT • . '\-l SL~.JJ..L. .t1'1~..•~ • • I ~ R-2 C~~=: (7-:0 L„Z_'S) . ~ R-3 ('rc'c. + L~i^.S) ( Lm I^_c) . ? -4 ~.t ( CIi+--~) . p ? ZC::Si_S':i. Z) A~PTTi==T (FL`cNJE rHl:liJ rn_.T: ~ L ~,13L&b c-d pLL REss: c=, S-:=- , Z1-=: 4.1 PF.=: 3) FI'L': (PbItiiJ FOR CITY I15E O4LY I,P?_• , '==S5: 6~'C317 I? 15~ S~I' LZ PLU°9ERS LICE45E: Cf Attive ci:!, sTy=-, zrD: A~~LE lhA,, Expired Not of Record PNC>,-E: ~3-1 -ft)"7Cl Pwyaea uceNsE n_jO03~9 I- rn q 4) (PLEASE PR1Ni) ITrii•fE: A^DRESS: CI?"!, ST~'~,', ZIP' 5) INDIG~Tc, :•,1iZC:1 PEF;IZT IS BEING RFY.UES'I~:ZJ: ? GC:^IEC:IOV M CIT! SES-,'E-t ? CC:.-NFX..TZC-I 'Io CITY S•TATE.R ? ~''~'~.i2 (PLEASE D.SC?SEE) ~ 6) • ??T..--2tiSE E?OID APPP,OVED PERMST FO4 PZCii-LP BY C:,'E OF AECVE .M,~Pr r_SE :.7LIL APP??pV'rD P&z:•LLT TJ 1. 2. 3 4 AECTv-E (Circle one) 7) SICz,,~ZE: DAT£: 4,~ 6" 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. ~ w a ian~.iu:f~ r o nc ~:a~.a .r ~ r+` v sa a ti~~ rFS ~a :a ~.a ~ t~r~ ~yo~ ~-Yi ~ ~~rzp~y FOR C I T Y U SE ON L Y ~ p-?-"Im ISjU°D ~S: n n.tTm ~T~•.."'...-. \ S ~6 SC: I`I?.?TE? PE?.l_T~' (i..C:..l.'L J..: CEi13GL~ / 1 5 (~i3S~ [tiAT.: R MET°R/COpprR:;OR:v/CUTS:D: iZc.nv ;R $ WATE3 TAP (INC:.I.;I`.: C03?ORn7IQ~] STO?) Ta? S /~d liTi _ ~_r~•S_= - n=:.'c~ . AC^:.u?:T D`c:?OSZ^_ - i•i~^__- $ •S-[~`i!` • c'r-C^ SJ?-,C $ •--r-r7S ~ CG S?.C . $ T^L"`S{ S•:nmr7 n5=E:S::_'::'_ $ T3i:?iK SES:=R :,SSE,:S::°:i'^ $ Lr==AL bLC.L[ 1VT_=,:.::K CL! $ LA==-1L BLNLL _1/TRv:.A .1nT= ; $ n?1ATEF TRE4=*:T PL1?:T SL'RCdiRGE $ OTHER: $ TC T?.L $ ?_,,.U::T ?AID! iE~-Z-_ - DCES UTZ:,I:'! C0:^1EC.Z0N REQUIP.E EYC.,VaTI0N Z:I ?USLIC HIGHT OF WAY? Y=S IF YES. THE:: A "PE3MZT FOB :•70F WIT.°.I;1 PUBLIC RO,aDiv,iY" MUST B: ZSSL= By mv? NO EDIGI:IEERZiIG DIVZSIOid. LIST nS COi:DI- ~ TION. ' SLBJGCT- TO TEiv- FOLL0:9I,IG COVDITZO`:S: APPROVED BY: TZ':LE: • DATE_ •~/~/d lv M asi~ r1!~ Rm sle ~ ~ Use BLUE or BLACK Ink r-----------------� � For Office Use � ' � Permit#:/��-/ / �/ j Clty of ��a� � .� — � Permit Fee: � ,� 3830 Pilot Knob Road � Eagan MN 55122 � Date Received:� '� � Phone: (651)675-5675 I � ��., I Fax: (651)675-5694 I Staff:;-7�J I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � '' Date: � J Z-��, Site Address: �2 I -��' � �� Unit#: °'� Name:_ �o N� V�'�'/��.�- Phone: �I�� b�� , ��5��14�1� � �-� I �?y1�1�� Address/City/Zip: ��-� ��t n�,;� W:.�o� �?►J� �'�� (9��}� � � � ��' j ' ' Applicant is: Owner Contractor .� . I! Description of work: - o �� 'V�� ' U�1 - L�'` �� ' Typ+e v�F 1�1/Ork —�— � , � , Construction Cost: � �I� � � Multi-Family Building: (Yes /No Company: Gontact: �Q�11�r1C,�r . . Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: i1�3T�':Pl�ns arrd supp.ar�in"g d�c�traer�t�that,�u�ubrr�i#are cr�rr��red to ke�u#l�ir�rrr�ara. P�i�v#' . ��e irr�orm��r�rr�ay be.�assified:a�s�ron perbiic�f��o�l�e�pecific reast��s#.�at�wr�zalc�jne��t�e Ci�+�v ' c�cf�t�'e,�ia�',�e` are#,�d+s s�c,r�Es i 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.qopherstateonecall.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. Exteriorwork authorized by a buitding permit issued' ccordance with the Minnesota State Building Co_d,�-m}�st be completed w,pthirrl$0 days of permit issuance. ,,,�-�� X �i�� 'li'�� X �� Applicant's Printed ame , Applicanfs Signature Page 1 of 3