4233 Valley Forge PlCityofEa�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit#: 4 6 /
Permit Fee: .25.--A 7 ✓;
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7-2 6-20/42 Site Address: 9,233 14 y �or &c ' ,P4.rQ).4,' S-3-1?
Tenant:
Suite #:
RESIDENT / OWNER
65/-21%.-4v +42
Name: pa n Gal 'Al tiviint 07iri t°/,, f;r, Kweifglve Phonnee:bar 7Q,Q i3�?
Address / City / Zip: 2233 Vq //'Q i 'n&0.p Il? e- p, Z. Edi, / kISS1 R3
y
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: -0...b.,0;", 17 OD 72.7-- , ritarklfrg9i�
ep tr Wal f eSke X.0 7 v
Construction Cost: / t O oto,cry Multi -Family Building: (Yes / No x )
CONTRACTOR
Name: 37i° 6,1iiA, to e 'i`b u License #: 2.03 3 2``'7 9
: , i l j 111X 3
Address: , ®lob 321''52 dv ay Cityt--m
State: Zip: 4 -3 --op? Phone: 651-33 7-2 O 07
Contact: ^ !S 1, to j to kW Email:
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of
the information may be classified as non-public if you provide specific reasons.that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X v)
sit Le -v-1 e
Applicant's Printed Name
x
Applicant' ature
Page 1 of 2
Z/ -3 IM1/6- qe-66- Pt.
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
?iSingle Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
T Interior Improvement
ove Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
/140 (,a --Z/ Occupancy
Code Edition
il, & Zoning
C'Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water
VFraming
Final
Fireplace: _Rough In _Air Test
/Insulation
Meter Size:
Reviewed By:
Final
Siding
Reroof
Windows
Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
roc;— I
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
, Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings — Backfill — Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
r vU C-
SL VbC<<
r r
" (A-4 vy.
CVA -1.4^ t
I ,�
Page 2 of 2
! C ~t
CITY OF EAGAN ~^~b
3830 P9 ot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11 J
PHONE: 454-8100 J
' BUILDI~G PERMIT Receipt #
' Tob.usedtor SP OWG/GAR Escvaiue $63,000 pate FF:BTtUARY 18 ,19 §6
.
Site Address 4233 VALLEY FORGE PL Erect u ,...v' Occupancy R3
Lot~6 Block 2 Sec/Sub. NOItTHViEW MEADBemodel ? 2oning R
Parcel No. - Repair ? Type of Const Y
Addition ? No. Stories
Name gURR QAK BLDG INC Move ? Length 4b
11473 ~~OLDENROD Demolish 0 Depth
0 Address Int Impr. ? Sq. Ft
ciry COON ItAW.S 755-9513 Instau 0
o Name SAME Approvah Fees
g~ Addre9s Assessment Permit ~1: ~a
City Phone Water & Sew. Surcharge
~cc Police Plan Review1-6r u U
Name Fire SAC ~ ~
u 0 Address
Eng. Water Conn. 500 . 00
i W City Phone Planner Water Meter 63.50
I hereby acknowledge that I have read this application and atate that the Council Road Unit 290.00
B~d9 Off. 2~ 1$~8 Tr. PI. 1 ~ 6.~ ~
information is correct and agree to comply with all applicable State of
Minnesota Statutes end Gsity ot Eagen Ordinances. APC Parks
Var. Date Copies
Signeture of Permig:~z' Totel ~ ~ U~
A Buliding Permit is fssued ta BU O: BLDG INC
on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City o( Eaqan Ordinances.
Building Official -
- - - -.l_ _ _ . ~ _ . . .
hrMll Na Pwmlt Floldv DeM TNpUaN 0
Pk.00" 51joip
H.VJLC. c- 4 44 3 iv ? G
s el', ~~3a A;dla„d- 36 G S~~
sofww
conwmwa
FaoWW 1 .
Foolkq~ N
Fou^dm*^ !~/zG arJ
Fra"r^y J~o W
Roolinq
Rou9A Plbp•
8 - ~
Fir~plac~
Fhal Htw
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swa• ~ ~v u'll~' ;Eax ~ ~ s - c ~ - ~
c.N. oa. - . Yd #%A- RV '
Doek F1p.
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L I
PERMIT M /
PLUM&NQ PERMIT RECEIPT Ik V U 3
CITY OF EAGAN
3830 PiLOT KNOB ROAD, EA(iAN, MN 53121 DATE:
CONTRACT RICE PHONE: 4544100
Site Addr 13 3 1) LL" e QLDG~'./TYPE WORK DE3CRIPTION
Lot~Block Sec Sub Vii
~ . New
m Name 1-'~- S~'` Mult Add-on
~ Addresa Comm. Repair
c Ciry Phone Other
N . FlXTURES TO A~
Name ~ r~ d ~ ! ~ C ~'-s ~ Water Closet - $3.00 ~
; Addresa Bath Tubs - $3.00
p Ciiy Phone Lavatory - $3.00
Shower - $3.00
FEES zKitchen Slnk - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bfdet - $3.00
MINIMiJM - RESIDENTIAL FEE _$10,00 L.aundry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20.00 ~~Floor Drains -$1.50
Water
STATE SURCHARGE PER PERMIT _ ,Sp Heater - $1.50
ADD $.50 S/C IF PERMIT PRICE GOES ~Nhirlpool- $3.00
~ =Gas Piping Outlets - $1.50
BEYOND $1,000.00) Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE 8/C: ' ~lJ
FOR: CITY OF EAGAN GRAND TOTAL•
,
~~a / ~ ~ ,
PERMIT M CITY OF EAGAN ~EE
GJ 3 7`f ~ MECHANICAL PERMIT giC
RECEIPT # 454-8100 ~
NINIMUM RESIDENTIAL FEE - =10.00 + $.50 ' TOTAL
DATE MINIMUM COMMERCIAL FEE -=20.00 + s.SQ',
1. Bldg. Type: Res,3,gK/ Comm inst 2. New ~L Add Alter Repair
3. Total Bid Price 4. Job Address
'~~1 t r
Lot Block Sec wner;, r L~Q I~f, c~~(-1, .
. 1 ~
6. Contrector th' D 1 ~ 1ro ?o 'r J ~i i ~
(Nams)
7. Contractor Phone# 1 (Streery 4 ~ (City) (Zip)
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each addition050,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or iractfon - $6.00
MODIFICATIONS/ALTERATIONS 410.00 minimum fee
~ HEATING ~ VENTIIATING HOT WATER STEAM AIR COND.
AIft PIPING PROCESSED PIPING AIR HANQ EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./INp: RATE - 1'16 OF TO~TAL BID PRICE PLUS:.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: to?
Approved Inspections: Date Rough Insp. Date Fina1 Insp.
.r....--
G;~ 71111TZ'r'Z - T._7,; 1"'7r • 4 .
. 44" , PERMIT
PLUM&Na PERMIT
RECEIPT M
G77 OF EJIGAN
3a30 PILOT KNOB ROAD, EAGAN, MN 66121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub '
Res. New
.
~ .
~ Name Mult Add-on
Address Comm. Repair
Ciry P'` -i- LtPhone Other
r . : , ~ , ~ i . . . , ~ , ~ G . • ,~r NO. flXTURES TOTAL
~ Name Water Closet - $3.00 $
c Addr i >r' . < Bath Tubs - $3.00
p; City phone ~ 't-; Lavatory - $3.00
5hower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMMIIND FEE - 1%OF CONTRACT FEE Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE - $10.00 _Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 yVater Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00
(ADD S•50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1.000.00) %Softener - $5.00 C_
i Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SI(iNATURE OF P. RMITTEE FEE r
STATE S/C:
FOFt CITY OF EAGAN GRAND TOTAL: ~
CITY OF EAGAN Remarks
,4ddition NORTHVIEW MEADOWS Lot 16 Rik 2 Parcel 10-52100-160-02
Owner Street 4233 VALLEY FORGE PLACE stace EAGAN MN 55123
Improvement Oate Amount Annual Years Peyment Receipt Date "
STREET SURF, ~ 76.75 7.6 1
STREET RESTOR.
GRAOING
7 1 15.89 .79 20
SAN SEW TRUNK 515 1981 138.48 6.92 ZO
SEWER LATERAL 34, fQ-35. 15
1 iggi 22.28 1.48 3--~2- VNs
WATERMAIN 1984 70.67 4.71 j5
WATER LATERAL 577 1981 1$.65 1.Z.4 ;-g--7r -ae IS
WATER AFIEA 57 138.48 92 20
3 1982 29.52 141 1-*8 20
STORM SEW TRK 150 1984 392.32 $,44 ~'-2'5' 10 5
STORM SEW I.AT
1 8 33.97 3.39 3:4$- 10
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: M`'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , 01 : , ,i, h . APPUCANT:
` /Il ! 1fQK!(if~ F'l il~~ht! 1 I~tlnMt 1 Rti lN~: i
if~~i J II`' I I I I t•11 (tl~~~l I', ) ~i i, ~~tr.
PERMIT SUBTYPE: TYPE OF WORK:
i ~ i ri~~ ~ i• r~ai i i~~~
I
I
i1~1/;1•1 ,1 ! ~\I•rill t I t t I~ li ~!I , i~i~ I ~ , li
~ ~
~
wrmn No. asrme Hola.r oate relepl+a» #
S/W
PLUMBING
HVAC
ELECTRtC
EIECTRIC
Inspoct{oa Dow Insp. ComItIMls ,
Footings I O
O
FO~p~tion 2 (J~?a~i , j c. J
Fmn"
~
~
Rough rn9 ~
Isul. a
I v
Fireplace
Rnal Htg.
Orsat Test
Flnal PI6g. Pibg. IrrepeetOr - Noti1Y Pkr?nDer
Const. Meter
EngrJPlan
eidg. FwvW °.?G 10
DeCk Ftg.
Deck Flnal
Well
Pc Diep.
~ GITY aF EAGAN SEVM MVKE pUMr
~ 383t' Pilot Knob Road P-558
f P. O. Box 21199 PERMIT NO.:
Eayso, MN ~5121 pq~; S-Z-E6
' ZmW^0: R-1 Na of Units: ~
~
Owner ~4urr Oek Buil~ers
~ Mdmss: ~
{Sir* Addmm _ 4233 Vellev Forae Rd. Llf; B2 Noritinrierr YdKa
~ Plurribsr. David Shvok
; 2--19-8E 59871 100.00pa
~ 1upM to aeaqIr wllb 00 CMy oi iowa Car+rnettan ChoW: 4 7,_ o c',1,,'
f ai...e... AaoouK o.Poar. - I i _ on~,,a
A.~,nK F..: I n _ ns~ad_
j swd,oMS: Sr,~
~ eY Misc. Choepp; ~
Dah of Inap.: Toeol: '
~ I^sp.: DoM Pdd: ~
- . . - - ~
CITY OF EAGAN WATM sERVICE PERM I
3830._PUot Kaob Rwd 7408
~
P. O. Box21199 PERMIT NO.: ~
Epso, MN 55121 DATE: - - - ' , ,
Zonirg: r 1 No. of Units: 1
~ pM,Mr. Burr Oak Suilders
Addmw ~ yh Addrom 4233 Vall"yff ~ I.lE,• B2 hort*iew Meadows ;
Plunber. ~av . Sho
5{1Q. flOnci
M@h~ No.: ~ Size: ~ 1-`
t:
. Reoder No.: Aul RL I l'• . a(?pd
1 NM hftn!rwN~ !R Sirchorp: - rOpd
p~a - sm M i s t. C? w r+ p m 15u.()r-'pd TT'
Totot: r)' . 5Ovd meter
sY Dote Poid:
Oa~of Irup.: (rq;L•
CITY OF EAGAN 1~'
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v ~ 11524
BUILDING PERMIT PHONE: 454-8700 Receipt # _ / ~c:,/~72~
io be used for SF DWG/GAR Est. value $ 63 ,000 oate FEBRUARY 18 1986
SiteAddress ' 4233 VALLEY FORGE PL Erect L] y Occupancy R3 L'ot 16 alock 2 Secisub. NORTHVIEW MEADStemodel ? Zoning R
Parcel No. Repav ? Type ol Const. `7
Addition ? No. Srories
$ Name BURR OAK BLDG INC Move ? Length
3 ndaress 11473 GOLDENROD Demolish ? Depth
° Ciy COON RFA~S 755-9513 Instampr. Sq. Ft.
i o Name SAME Approvala Fees
u< Address ASSe55m2nt Permit • O O
¢ 31:50
~ City Phone Water 8 Sew. Surcharge 00
~ ~ Police Plan Review_57s~00
F i Name Fire SAC
_Z5 nddress Eng. WaterConn. 500.00
U
iW Ciry Phone Planner WaterMeter 63.50
' Council Road Unit 290.00
IherebyacknowledgethaUhavereadthisapplicationandstatethetthe gldg.Off. 2/18/86 Tr.PI. 156.00
informaUOn is correct and agree to comply wnh all applicable State of
Minnesota Statutes arKf~l Eagan Ordi n APC Parks
Var. Date Copies
Signature ofPerminee a - ~00
SURR 'AK G INC Total
A Budding Permit is issued ro: - on the express condition that
all work shall be done in accordance with all applic~pl St of Minnes ta Statu s and City of Eagan Ordinances.
Budding Oflicial
. ~
• ~ ~ - _
1985 BUILDING PERMIT APPLICATZON - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN
C0141ERCIAL SINGLE FAMZLY DNELLZNGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
- & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND (03r000
To Be Used For: f~ouS~ Valuation: Date:
Site Address 6 3 OFFICE USE ONLY
/ •
Lot _ZL Block Erect X Occupancy (Z 3
Remodel Zoning fG l
Parcel/Sub Repair , Type of Const
Addition # of Stories
Owner Move _ Length
Demolish Depth q(o
Address 73 Int.Zmpr. Sq Ft
Install ~
C it y/ Z i p Cod e C v,i ~i vi ~s /l1w Sy-~"?2
r--
Phone ~S 5-`rT/3 APPROVALS FEES
Contractor Assessments Permit 322.
Water/Sewer ' Surcharge 315°
Address Police Plan Review (o .
Fire SAC S.
City/Zip Code Engr Water Conn 500,
Planner Water Meter (03.$D
Phone Council Road Unit Z90
Bldg Off reatment P1 ISto.
Arch./Engr, pPC Parks
Variance Copies
Address TOTAL .tp
City/Zip Code
Phone
2D K 24 x s8 = Z~184o '
x 44 ' ~Z28
= 167
l I x I '1
~ l14 4'7-,44 ` Co33~
12 x
= 140~
32 x 4-4
S-8os
2 r~ ~ 22 = "fg ~ y 1~- ^s
Coz 4 39
i
i , North Oltlc~ • 11 11
; • 'I~~U~VR~1~N 6875Highway
Mmneapohs. nneWla55432
~f- -~MO~Mit/~IMO IA
South Offics • 890-6510
(lvif. Mumnipa/ d hm u,mmrnral F.nXinrr.mg ` ~12350 flrvo PoUye Blvd.
Bumsviue Mimesou 55337
landSwvninN , ianJl'lunnmg 4 J'uJ I}~~nnR
~ II 1
~•fieicafe o~ Survey for A1orfhv4w Qssoc.
~
~
a ~
~
~
S 89°B2'//' E %%34.75 Iy ' 30
~
G r--h- -------14 y~
o ~ -,,eai,y~~E- f ~y,(~T~tity°-EASEMENT PER i /o'
~ 5~1./~/ J v [7'fY ~9?Z T 6 ' 1.~.
W` 1 I ~ n N ~ ~
1.
.~1 i ; I ~5 I 1 \
G
, .
Zv-
L N----- ~ Q
.589'St'/i E /Zo.oo' 4 .
I
F
I
~I
~
~
~
~
~~LOCI~ 2~ i ao
~ OT 146
~ ~'c~,~~'k't//C~~v" l'~1~A~~~"?b'~
~.~Q~COTA CDUNTY1 lIINNE SOT•4 ,
rroved for Northviev Associates as per Architectural Caritral Committee by
I Oate
~
i
i
~ar~Ey c~rtlfr that this ~urraY, plan or report ras prepared br •e or ¦nder •y dirwt superviaion
+e that 1 as s duly YgqisUnd land Surwror undor the law of e State ef Min utill. ;
q~d ,
~ted tAit d~r ef.-~ . , 1907./ by`~~
Gary N. HatReqiatsrotd Land urreyot
Ninn. Req. Mo. 109431
~ 9nn ~:nrrv.A _
~ 979-4847 . '
. jo
credll 8 euoc4Ms, Inc. ( - -MMMMEEW
!m A ~im., n~. m11.. minn eeno "erchltscluol E~qqmn ol outshn n m~t
EXT&RIOR ENVEIAPE AVERAGE "0" COMPQTATION -rooN.f. SPLIT
OWNER PLAN N0. aLAW l. a~J
SI'fE ADDRESS DATE Z °
CONIRACTOR PVPQ- ri4{L ?,U1LDEZS PHQNE
Determiue vorking square footage of each
i. Total exposed wall area..... . ~4 sq,Yt. x,L =
a__~_LQI1J
2. Total roof/ceiling area...,:.. )D r7 sq.ft, x•!?~ = ~
3. Total floor/cant. area....... sq.ft. z
Total ezposed wall area above floor
8• TOt,81 W8ll WilYdOW 8P98....... 00 .......r.....•
b. Total door area ~
c. Total sliding glass door area................
d. Total firaplace wall area
e. Total wall framing area (average 10%)
~
f. Total net wall area above floor..............
g. Total rim joist area
Total exposed fourdation area
h. Total foundation windccr area
i. Total net foundation area above grade........
Determine "II" value of each wall segment
a. , X „u^ 3,
b. x uUn
a. 440-'o x ^II" Zf .O
d, x "II" -
e x "U" _
E U
gf. 961n, , x n IIn 0
,
h. x D -
1.-7 - • Z x "U" 10 ,
4 . Tota& = p0 .
If item #4 is the same as, or less than item #19 you have met
the intent of SBC 6006(a)2.
~
e~~ -
/
Total exposed roof/ceiling area
J. Total skylight area
k. Total roof/ceiling framing area (aver. (.10016"o/c),,.,,
( .o62y824no/c) ...-=JLLSPI
1. Total net insulated roof/ceiling area ~
Determine "U" value for each roof/ceiling seguent
J. x flUes
k. , x aUn = i!D
1. x nUn Dw =
5 . Total
1 21 ZZ
If total of #5 is the same asv or less than #2p you have met the
intent of SBC 6006(01.
Total exposed floor/cant. area
m. Total floor/cant. framin area (average .10%)..........
n. Total net insulted floorgcant, area
Determine "II^'value for each floor/cant. segaent
M. X °O° -
n. X "U" -
6 . Total
If total of #6 is the same ast or less than #3t you have otet the
intent of SBC 6006('0)3.
wI.TERNATE BUIIDING ENVELOPE DESIGN
To utilize the total envelope system methal, the values established
by the svm of items $4, #5 arrl #6 shall agi be greater than the sum
of items #1, $2 and $9.
1. 14b,23 2. ZZ - 17 3. - o
4. 114~0Y~ s. 6. = 13S,3a
Prepared hy u~l
Date c;-11 t~(,
- - - - - -
../'TgRU 3TIID Int. Air .68 THRII INS. WALL Int. Air .68 .
; x/ S.R. & SIDINfi 1/2" S.R. .45 v/ 3R. & SIDIEiG 1/2" S.R. 45
; Stu3 (y,opiS " Tns. I C(.pD
25/32" Bild. 2.06 25/32" Bild. 2.06
Fxt. Air .17 Ekt. 43r -Z
1 Total "R" _ . Total "R"
Siding , c07 rd-"/ s~~ o"~
l IR = "U" _ 1 /R = "U" THFiO RIM Int. Air .68 BLOC% Int. Air .68JOIS2 .
C.H. Opt. 3tyro.
Itts. O
1 1/2" wOOd 1.89 Ext. AiI` -17
25132^ Bild. 2.06 . Opt. S.R.
:
i • .
Siding Co1 ~ . Opt. sid.
Elct. Air .1~ ~ Total _ ?I~j
Opt. Brick 1/R - „D„ Q ~
TOtal "R" _ 47
1~R = "II" _ . I
_
THRU CLG. Int. Air .61 TfaII CLG, Int. Air .61
MEl43Ai S.R. `~~O INSiJLATIOD1 S.R.
Clg. Memb. Ins.
In'• Still Air .61
still Air .61 L- Total = t 17°O
u
Total "R" _ ~;'~~1.
~j j • -~f ~ ~ , 1 /R = "D" _ . D Z O
1/R uUn 'E`j~
_ . • ryorlh Olllc~ • 5716068
6B)5 HiQhwky No 65 N I
Mmm~pouc. Nmnawu SSQ2
.IMU~Na~wiMo
~ J
South Oltlce • 890-6010
,~~I ~ l~~J. Muni~ip~l tl tmu~nmrmal fnpn~rnng BurrovdsaMi vmtwU55337
. IandSurvrunX ~ lun~ll'I~mm~g • )~~d IrumX
I
~ ~;;'~~~•fi~'~cafe o~ 5urv~y for ~orfh~iFw Qssoc.
,
~ .
~
-H
u~
~ n
S B9°~Z'//"E % /34 7s - ~ • ' M ~ '30.
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r,oveJ for tlorthriaw Associates as par ArcAitectural Coutrol Conitlee by ,
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ntrehy urtiFy that this wrrey, plan or report ws prepared by •e or ¦nder •y direct superritioa
••e that 1am a dulr peViskerad land Surreyor under IAe 1aws of ~a State of.llin ?eta. q
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Gary R. H•~fi;. 8eqisterd`Land urrayor
Minn. P•g. No. 10943
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u i ~ ~ r N ~
Eagan, Minnesota 55123 Permit Number: 021622
(612) 681-4675 Date Issued: 0 7/ 3 0/ 9 3
SITE ADDRESS:
4233 VALLEY FORGE PL
LOT: 16 BLOCK: 2
NORTHVIEW MEADOWS
P.I.N.: 10-52100-160-02
DESCRIPTION:
BuTlding_Permit Type SF PORCH
Building Work Type NEW
~ UBC Occupancy-\' R-3
~ Building Length; 12
~ 6uilding Width _ 12
i
~
C''~,C11~
REMARKS:
SEPARATE ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VALUATION $7,000
Base Fee $90.00 COPIES $1.00
Surcharge $3.50 Total Fee $94.50
Subtotal $93.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
HOME ENHANCERS INC 18846106 0001949 SWEANY JAMES
8609 LYNDALE AVE S 115 4233 VAIIEY FORGE PL
BLOOMINGTON MN 55420 EAGAN MN
(612) 884-6106 (612)688-7104
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 of Eagan Ordinances.
~ J
~~4 AmA I ~
APPLICANT/PERMITEE SIGNATURE I SUED B. SI ATUR
REALTIVATE CITY OF EAGAN
PERMIT M ~«C'~tVED 1993 BUILDING PERMIT APPUCATION
b . J U I. 2 8 1993 681-4675 C.9..ua 9// ~
`i-
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 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 'TvL~t / a-3 /~qcO Valuation of work IDom
Site Address: ~a33 1/a9-LLs; Fy,2GC- PL k cC-
STREET SUITE #
Tenant Name: (commercial only)
IAT BLOCK-L SUBDYL'1i1~" -tti~) "+.I.D. M
Descri tion of work: T"C-c- SC,4-S0n( PolLct-E-
The applicant is: ? Owner ED-Contractor O Other (oe4ortne)
Name Sw 6A4-)r J dlyitc-s Phone (4,88
Property LAST FI RST
Owner Address 4a33 VA-u EY Fyp_e, c Pk- STREET S7E N
City C-A-G?a-q State Md\l. Zip 551a3
Company kaAE &\)ridtrtCc-,2s lo,Lc, Phone
Contractor Address 8[ooq (-~-t~2~~c-F ~C~S• License #Exp.
City I°(.oDMtNGToAC State Wll. Zip 5s,4a-0
Architect/ Company Phone
Engineer Name Registration N
Address
City State Zip
Sewer 8 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 a lication and state that the information is
correct and agree to comply with all applicagRe State of Minnesota Statutes and City of
Eagan Ordinances. t~
Signature of Applicant: K ~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~
O 01 Foundation ? 06 Duplex 0 11 Apt./Lodging O 16 Basemeiit finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition O 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
t04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc.
05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. Lity Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumD
k of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code ~
Depth On-site sewage SAC Code
T~ I
APPROVALS d
Planning Building Assessments ~ Engineering Variance
REQUIRED INSPECTIONS '
? Site 75%Footing ;W Framing PCCfnsulation
? Watlboard $1.Fina1 13 Draintile ? Fireplace
Permit Fee ~QQ"QO v.imc;m:
Surcharge
Plan Review ~
~
License 'Z x I Z~ 'y~l y y,~
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copi es
Other
Total:
SAL %
SAC Units
****#***********#***~~*****#****~}*t
*
~ CITY OF EAGAf~ * E°F~
APPROVAL OF PERMCT.
A
PPUCATION FOR PERMIT INSPDGTION OF SEFIII2 AAID/OR WATER Tnl~'TAi.TATTONS FTIIL DRPl BE SC~IIm---
SEWER AND/OR WATER CONNECTION ~L P~MIT ~ B~
* APPROVID.
*
LM
r
r
**f*f **f #atYrttl*1rf i #*t*t1
Please Print) +
1) PROPERTY ADDRESS : VALL t y j=0 A2 S z
~ '
LEGAL DESCRIPTION: °
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRCCZ[JRE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: .
~
PRFSEPTi' ZpNING/PROPOSID LSE: (Nbn Year)
~ COt111EF2CIAL/REI'AIL/OFFICE ~ R-1 SINGLE FAMILY
Q IDIDC'S2RZAI, F-I R-2 DCPLEX (TWo Onits)
C] INSTIIS,'TIONAL/GOVEEtNg,'NT ~ R-3 'IOWNEi005E (Three + Units) ( Units)
~ R-4 APARTMEN'P/CONIDOMINICIM ( Units )
2) rArE: 'cl n,, wL .E- G a4 ?
ADDRESS:_3zr S9 /97 fh ILvc N-w .tt pi o/C v{
CITY. STATE, ZIP:_A,voKrq /y N ,f,7o 3
PHOrE:_1575-- 3 ~G G
3) • u ia~NAME: D RV % D S2 d 0 l~ For City Use .
Plumbers License:
ADDRFSS _3 3 S 9 1177 "71-h R v z' w. Active
~ CIT"1, STATE, ZIP: /Q N OK p MN ExPu'ed
Not recorded
PHONE:_ 7S S 3?G C MASTER LICINSE# 3 70 3 M_r St~tial
4) • • ~ i~-
NAME:_ 6 "d a o -Ll
_ ADDRE55:11___Y_z3 `=•r! ~,r ~L ~Qo c~ S 7'
CIT1', STATE, ZIP:1irieiv
PHONE: •
5) t:~ v 4 i r: : ai - o~ o-~
~ coNrEcrioN M czz^r sEWER ~ corrNFx.-rioN zn ciz^r wp.TM ~ Or«a .
6) PLEASE HOLD APPROVFD PERNIIT FOF2 PICK-UP BY ONE OF AHOVE
~ PLEASE MAIL APPROVED PEE2MiT TO 1, 2, 3, 4, ABJVE
(Circle one) '
7) r r• u• • ' ' " '
YJI ~I ! 1 ]1 • ~
• 1 1 ~ M/ r.3~ 1 1 1 ~ .f' • 1. 1~
. FOR CITY USE ONLY y~
PERMIT # ISSL'ED
7ya f 3~z
Pd w/Bldg. Permit FEES:
$ $ /e - S ~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 141' S G WATER PERMIT (INCLODE SL'RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP $ $ Ai, D'7 ACCOUNT DEPOSIT - SEWER
$ $ /S,G`7J ACCOUNT DEPOSIT - WATER
$ ~ G O • !~_/J $ WAC . ,
$ f 7 s-er-T $ sac
$ $ TRCiNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ~ S l• D 1~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" M[!ST BE ISSUED BY THE ENGINEERING
El NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 5 /Z /f-
~
lL I`~~ RESIDENTIAL BUII.DING
Permlt Appl(cation ~
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Conshuctlon Reauiremb RemoCe4ReoaiiReauiremenb QI(tie Use OnN
3 registeieE srte eurveys shavirg yq. R of bt sq. ft of house; arM a iaofetl amas 2 mpias of plan Cert of Survey Read
(20% rrwximum bt coverage allawetl) 1 set of Eneryy Cakulations fa MaOad atlOitbns Tree Pms Plan Reod
2 topies of pWn slqring beam 8 vriMOw sim: poured fauM design. etc. 1 ette wrvey lor aCdilbns 8 AeCO _ Tree Pres Not Reqd
t set o( Eneigy Cakula6ons Addidon - intlkate il ahtife septlc system _ Onaite SeCtlc System
3 wPies M Tree Preservatian Ppn H bt pptoed after 711f93
Rim Joal Demil OpAOns selectkn sheet (bldga wM 3 or less unitl
Date / /Ci',~ ~~11r, Constructlon Cwt ~1~ I lJ~ W~
Site Address _ yZ33 U(,( yy{L( A S lJt c?P P) ((I
Unit/Ste k
Description o[ Work
Multi-Family Bldg _ Y_ N Flreplace(s) _ 0 2
Property Owuer * ' i uC swectV&A Telephone # )te
Contractor b (jUV~(l„InX U&A4
Address ~`n,l,_.`h)1 J 1 f,V 1tAU L~ -14 City ~ i 6 oJ j_
State ~v I 1V Zlpl__1- Telep6one #65))
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(J submission lype) • Residentlal Ventilatlon Category 1 Worksheet . New Energy Coda Wakshcet
Submitted Submitted
• Enerpy envelope CalculaUOns S
! 1,~,
Licensed Piumber !~nn~ Telephone )
p 2 Lu.,d
Mechanical Coniractor SC Telephone )
Sewer/Water Coniractor U _Telephone J
I hereby apply for a Residential Building 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 State of MN
Statutes; I understand this is not a pernut, 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.
~~~C~ ~ C;~. ?(1r1 ~~-(~l Y i ~ ~i ~/1~ ~
Applicant's Printed Name Applicant's Signature
OFF[CE USE ONLY
Sub 7ypea
? 01 FoundaUon ? 07 OS-plex [1 13 16plex ? 20 Pool ? 30 Accessory Btdc
? 02 SF Dwelling O 08 OB-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex O 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 ' 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04plex O 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
Work Types
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 M1Aove Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolitlon (Entlre Bldp) - Give PCA handoul to appliwnt
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) _ FinaVC.O.
_ Footings (deck) _ FinaVNa C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Wata _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fmming _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'u Test _ Final _ W indows (ncw/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Pertnit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151181
Date Issued:08/13/2018
Permit Category:ePermit
Site Address: 4233 Valley Forge Pl
Lot:16 Block: 2 Addition: Northview Meadows
PID:10-52100-02-160
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Daniel P Warnemunde
4233 Valley Forge Pl
Eagan MN 55123--195
(612) 720-3873
Advantage Construction Inc
18563 Vermillion St
Wyoming MN 55092
(763) 354-8441
Applicant/Permitee: Signature Issued By: Signature