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4248 Valley Forge Pl CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagen, MN 55121 N? 9082 PHONE: 454-8100 y~~ S rf dU1LDIN~'j rERMIT R~c~+vr # Te ?o wij fer SF DWG/GAI2 Est. Value $69,000 Dote ^SAY 1 i 19 84 Site A 4248 VALLEY FORGE E,ect R Occuponcy Lot Zwi Black 2 Sm1Sub. NO VIEW MFADS ^fter ? Zoninp Parcel No. 10-52100-280-02 Repair ? Firo Zone Enlorfls ? Type of Const. ~e Name KEY LAND HOMES move ? # Srories ~ Addreaa 3471 t9 173RD ST 4 Demoliah ? Length City JORDAN phone 492-6646 Grode Q Depth 48 Sq. Ft. t~ Neme CLA CONST . Approvals Feu . C' o~ Address Assessment Permit ur Cfty Phone Woter 3 5ew. Surchorpe 34 . 5G 170.00 Police Plon check W Name Pin 5~1C 525.OG rZ o 80 sT 470.00 Addresa Enp. Water Conn. ~ W Gtv BLP:TN P~ne ~ 31-18 7 5 pla~r Wote? Meter 63.00 , Councfl Rood Unit 260.00 I hercby ocknowledpe thot I how rood this opplication ond stote that gldfl, pff_ the in}ormation is correct and ogree to oomply with oll applicable ^PC Totol $M~1572 ~.O 5tote of Minnesoto Stotutes and City of EaQon Ordirances. 5lynaturo of Permiftes /1 Buildinp Permit is issued to: CLA CGiVST on the expron condiNon Ihnt oll work sholl be dona in occwda opplimble 5t~ o nnesoto Stotufes ond City of Euflan Ordinonces. Butldi?q OffiNal L r Permit No. Permit Holder Misc. Pxmit No. Holdor Plum6in9 y e / (,W i H.v.ac. lpo h-tc fi' o w.u w.m Disp. Swiwr ebMic 393 ~w.ne?. b1rj )2 Y q O.~U Iropection Qate Insp. Otha Footinps Foundation i Fnminq ~ ~ ~ • Rouyh Plb4. Rouqh HVA I nwlation Final Plbp. J Finsl HVAC .Y ~ Final Wour DNeribr Location: VYsll ~ Sev»r ~ Pr. Oirp. .-.,Ir Remarks Addition NORTHV7 .w ME WS Lot 28 Blk 2 Parcel Dwne? Street 4248 VALLEY FORGE p14Y' State EAGAN M 55 RiET6WN--R4,AQ-- Improvement Dete EAmount Annual Years Payment Receipt Date STREET SURF. 11-9 1984 76$ 10 69.08 A 14221 7/16/84 STREET RESTOR. GRADING 1981 15.89 .79 20 12.73 A 014221 7 16 84 SAN SEW TRUNK 5 c 1981 138.48 6.92 20 110.80 " " SEWERLATERAL 22 18.35 15 256.88 014222 " 57 1 22.28 1.11 20 16.36 A 014221 7 1 84 WATERMAIN T47 1984 70.67 4.71 15 65.96 A 014222 " WATERLATERAL 1981 28.65 .93 20 13.69 A 014222 7 16 84 I WATER AREA 5-1 (P 1 138.48 6.92 20 110.80 A 014221 7 16 84 13 1982 29.52 1.48 24 2 STORMSEW TRK 1984 392.32 39.23 10 313.86 A 014222 " STORM SEW LAT DRAINAGE I 1984 33.97 3.40 20 30.58 A 014221 7/16/84 CURB & GUTTER ' SIDEWALK STREET LIGHT R 260.00 #43359 5-17-84 WATER CONN. 470.00 ~ BUILDING PER. 9082 SAC PARK CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ~r ~DATE ~7 19 R<COV<O PROM AMOI,INT $ DOLLARS ~ e• ? CASH ? CHECK > v ?"f FUHD CODE AMOUNT G/ t ± ~ G' ~ ~J / V , ~ ~ v~• Tha ou -eY White-Payen Copy Yellow-Poatinp CoPY Pink-File CoPY Receipt ~ r MECHANICAL PERMIT Permit No. CITY OF EAGAN a p c-r ~ ~ y Fee ~ fill in numbered spaces S/C Type or Print legibly Tot r~ 1. Date 2. Installation Cost UrJ 3. Job Address "a `/h Up Lot Blk. ~ Tract . , 4. Owner ~ e y{ aJ• ck \-4 ~ rN\ c 5 5. Contractor 1~ <<+r v A~Z Phone 7 8/)`/ 6. Address ~~~l U 1 /Uvr ~'N q n~u ~c K.~ t. 7. CitY Pt- 5tate Zip 3 71 8. Building Type: Residential ~ Commercial ? Institutional ? 9, Work Description: New ~K Add ? Alter ? Repair 0 i 10. Describe oe44' "1 ~•1 ~~c'i' Fuel Type 4 v126-( II i 11. No. Equi ment 8TU - M. Ea. No. Equipment CFM I ~ Forced Air I(%() o ' Air Handling: Mfg. Cr.r r\c-r Boi lers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. ~ Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply w' all o inan a d des governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ~ < < 3 ~ Receipt PLUMBING PERMIT Permit No. ` CITY 4P EAGAN File Frl1 in numbered spsces S/C Type or Prini legibly Tot. 1. Date 2. Installation Cost 3. Job Addreu y-z Y~ v/7L/E y. /Lpt/ Bik. ~ Tract 4. Owner A 5. Contractor -e Phone 6. Address / / 7. City State A~iNi- 2ip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New 11 Add ? Alter ? Repair ? 10. Descri be 11. No. Fixtures No. Fixtures - Water Closet Cesspool /D rai nf ield I Bath tubs Septic Tank - Lavatory Softner ~ Shower Well ' Kitchen Sink Urinal/Bidet Other ~ Laundry Tray % C ~ Floor Drains c ~ Drinking Ftn. Slop Sink / Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and qpd@s gor~ping this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 ~ r Receipt PLUMBING PERMIT Permit No. ~ J Y? CITY OF EAGAN ' Fse J 6 PiII in numbered spaces S/C ~ TYpe or Print /egib/y Tot 1~ Date 2. Installation Cost 3. Job Address Lot ~J Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? Add O Alter 0 Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory T Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains ~ Drinking Ftn. ~ Slop Sink Gas Piping Outleu 12. I hereby artify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final ' Inspections: Date Insp. Date lnsp. : This is your permit when numbered and approved. ; Approved CITY OF EAGAN 454-8100 ,k IN5PECTIDN RECORD YOF EAGAN PERMITTYPE: 30 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i u 7- re Hi n, h~. ~ APPLICANT: 11 i: ! FAR(3E PE 011f i li'.' f l l i ini Alift1!' r l . . . • ~ ~ , . PE.RMITp4BTYPE: TYPE OF WORK: INSPECTION . DA F -J L Permft Holdar Date TNephona # i I PLUMBING I I HVAC ~ I Inepeetion Oate Insp. Commants ~ FOOTINGS I ~ FOUND ~ ~ FRAMING I fi00FING I ~ ROUGH I PLUMBING PLBG i AIR TEST I ROUGH I HEATING I GAS SVC I I TEST I I INSUL I GYP BOARD I FIREPLACE I I FIflEPLACE AIR TEST FINAL PLBG i FINAL HTG I ORSAT I TEST I BLDG FINAL i DOMESTIC METER I IRRIGATION I METER I FLUSH MAINS conioucnvirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I CIfY OF EAGAN WATER SERVICE PERNIIT ~ 3830 pilot Knob Fload 5526 PERMIT NO.: P. -a. 8ox 21199 D^TE: - - Eaqan, MN 551R] 1 No. of Units: ZOf+"Q' Key Lan Hamee OV/Mr: . •..q r.. /ddross: e , rg p ace I,28 B Northview iIea wB s4, . ~ Sfes Addro ell 4 . 0 pd rl' ~PI`n'~b°r. TG+~Fr~~q,~;'! ~A.p Connecti«, Choro*s 1 jj~j Pd YMster No. Depcmit. , Size; ' 10.00 p permit Fee: p Rsoder No.: • I N~ my of goysn 5urcharfle: 3, o pd metex Misc. U+oroes: ~MO~ ^ Totcl: pate Poid: BY 1nsp Data of I nsp.: ~ - - CITY OF EAGAN Si" SERVICE P~T 3830 Pilet Knob 9oad pE~IT NO.: P. O. Box 21199 DATE: ^ Eagan, MN 5512F 1 1 ~l~: No. of Un1ts: Owner. Key Land Homes 'Add`ess' 24 Va Iey ''orge Place L ~F NoYthview Sit° Addrosm C 2i~echanica MeadoWe Plumber. 3~g • 10 j - ' 425.00 nd 1 M~w [o aNb wuh !he CHY of VMo C«+nectian CharOr . OrllMso». /lcoount DePOsit: . Permlt FM: . Surdwrce: BY Misc. Choros: Dote of Irap.: TOW' Daft Poid: I nsp.: I CITY OF EAGAN 3830 Piloi Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO AOO~f PHONE:454-6100 'L ~ Orr BUILDING PERMIT rteceipt # 335X~ To be uwd fe. SF DWG/GAR Est. Volue $69,000 pate MAY 17 ,19 84 SiteAddres 4248 VALLEY FORGE Erect ff Occupancy R3 Lot z sloct 2 sec/Sub. NO VIEW MEADS Alter ? Zoning Rl ParcelNo. lO-SZIOO-ZSO-OZ Repair ? FlreZone N/A Enlarge ? Type of Const. V w Name KEY LAND HOMES Move ? # Stories Z Address 3471 W 173RD ST Demolish ? Length 45 City JORDAN pnone 492-6646 Grode ? Depth 4$ Sq. Ft.- CLA CONST AVDrorala Feea o Name C -~an ~ Z~ E 9 $T Assessment Permit _-Y 0 oU Addres _ u~ City OR LK phone 447-612$ Woter & Sew. Surcharge 34 50 T police Plon check 1 70_ no ~W Name Fire SAC 595 ?Q tz Address 5001 W 80 ST Enfl• WoterConn. 470 n0 <W City BLMTN phone $31-1875 plonner~,~, WaterMeter n0 Countil~~G Road Unit_~.5~80 1 hereby ackrwwledge thot 1 have read this application and state that gldg. Off. the information Is wrrect and a9ree 1o wmply with all applicoble APC Tota~ ~~1 ~$(z. rjQ Sto1e of Minnesota Statutes and City ol Eagan Ordinances. Signature of Pertnittee A Building Permit Is issued to: CLA CONST on tha express condition thal oll work shall be done in accordanc it Io`p0l1wbl Stoe ~ neso~tatutes and City oh Eogan Ordinances. Buildirp Officiol ~ Cities Di ital 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. D°LE' ' CITY OF EAGAN Include 7 sets of plans, •SivEy420 S Scr6xK (-0wN S',SNOUCO BE 10 1 Certificate of Survey-& 410 Q~~BUILDING PERMIT APPLICATION 1 set cf energy calculations. ~N,cJ ~ , L valuation ~`$&1'~0 Date f~?>t•'% Aqk Zb' Be Used For S Site Pddress YI `'/g OFFICE USE ONLY Lot 2(5 Block ~ Sec./Sub. Occupancy ~-3 Parce1 10 ._r,21 rrv - a~o -o ~ Alter Zoning /Repair Fire Zone N Oaner: ~~1 ~~lKC f+~hlr ~ Ehlarge _Type of Const. ~ Nbve # Stories Deinolish Front q S ft. Ack3ress: 3y71 G.S 173 5f-. oag,c~.~ I7'i,•r 9 t~ ft. City/Zip Code: Grade Depth ..i Phone 'jTL -/~vlye ApPROVATB FEF',$ Contractor: ~sessments Perntit 3 O=`~ T4ater/Seaer Surcharqe 3 Prldress: Lr /1~0 st Police Plan Check -i0=o ~ city/zip coae: lo/?:uK ,4,t9fr ~ge wSAC ater cor,n. 47v~° Phone Planner M7~.P,.Road Water Meter ~3 ° Council D Unit Zroo Alch./F~g.: nL~unn`r ~j$u~SlBldg. Of~Lriyt~ ~ AddYess: po 1 C,1 b-to P.PC City/Zip Code: A~~~,., ' ~S~ T~T~ ~a • S Phone # : ~ i N -Q ~ ~1 N 71~ w Ut U1 v1 J i, n 0 ~ d S kj) 1 (jo~ RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete foc Single Family Dwellmgs & Townhomes and Condos when pemtits are required for each unit Date `U / / Site Address Unit # Property Owner Telephone # ConMactor Burnsville Heating & A/C, Inc. Street Address 12481 Rhode Island Ave. So. City Savage, MN 55378-1122 ~l ~y-~~-- State Zip Telephone # ((~ICZ ) Bond Cr90350 ~ Expires: The Applicant is _ Owner ~ Contracror _ Other Add-on, modifcation or alteration to exisGng dwelling unit FOCT $ 30.00 X furnace replacement 2 7 2003 air exchanger air conditioner New Replacement ~ other State Surcharge $ .50 Total $ I 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 ordwances and codes of the City of Eagan and with the 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 pemut; that the work will be in accordance with the apprwed pl ~ in the case of wotk which requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature COMMERCIAL MECHANICAL Permit Applicatiou City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please 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 (if applicable) Previous Tenaut Name Property Owner Telephone # ( ) Contracror Street Address City State Zip Telephone # ( ) Bood Eapires: The Applicant is _ Owner _ Contracror _ Other Work Type New construction _Install _Remove Underground Tank Interior Improvement Schedule inspecUon during installation or removal of fank Processed Piping Nature of Work: P¢rm1[ Fe¢ $5030 Minimum Fee (includes State Surcharge) Contract Value $ x 1% _ $ Permit Fee • If peanit fee is $1,000 or less, add $.50 $ State Surcharge If pemut fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply fw a Commercial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will be in wnformance with the ordmances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a perrrut, 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. ApphcanYs Printed Name Applicant's Signa[ure Approved By: , Inspector Date: SURVEYORrS CEIITIFICATE KEYLAND HOMES • 4248 Valley Forpe / • I.- N O°07'49"E 80.00 , I / 5 PROPOSED GRACES L?ERE TAKER ~ ~DRAINAGE & UTILITY 7 ~ I30 SEMENT FROM THE DEl'ELOPMENT PLAN 5I f EQL OT P2 pQT <T 10 LU fOR NORTHVIE'd MEAD061S BY SUBURBAN EN6iNEERING, LAS7 I V DATED 9-29-83., ^ ,s.oo ,3 0 --30_00l N a as.oo - ~ r. Q ' I . . i~ / ~1;PR O POSED HOUSE /N p O 22.33 ~ N ~J N,^ i G'°/N I I , `~I O t I y I ~ ~ ~ ~z;i.7o =30.-00-= , p~p Y cn ~ O 5 0 ~6/ ~(7 z o =y3 : IIo 0 g I ~ow' _J M 1 ~ 10 (473.4 ~ 30 ~ S O ° 07 `49"W 80.00 ~ 0 o M M VAL L EY FORGE DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 90 FEET • DEPJOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = q76.3 FEET X000.0 DEPIOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = q13,s FEET (000.0) DEIlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9-7 t,.-7 FEET I HEREBY CERTIFY TO K EY LAND HO M ES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 28, Block 2, tiORTHV?Ek' NEACOlJS, a=corei^a to the recorded plat thereof, Dakota Cour.;;y, Mir.nesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 9TUDAY OF MAY 1984. APPROVED FOR SIENNA SIGNED: JAM RILL, INC. e' CORPORAiION / f BY : ROBERTS ARCHITECTS DATED THIS _ DAY OF BY: 19 HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. Planners / Engineers / Surveyors FILE NO. ' 8200 Humboldt Avsnu• South FOL DER Bbomington, Mn. 55431 812-884-3029 Cities Di ital 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 ~c.cLC>YENt. 22:5 n~T SLD S-FKOGEE _ _ _ • " _ ' _ ' -'V:SICN DEa:.RTVENT OF B J'I:hGT:;Y. M~VVC3p.A 55433 8l13l11 ~ '~'•::=e:~~::p~ S' ~ l9GsIlYCIqO No. I INSULATION - :P.tifere~a -Out Wall In:. W~d Ceding Roof floor ICind . Fiw AppYied :xng;~~'_LLhdtfi tight F1.1 Rmm Leoat6 QTHdt6 I'~egF • , ~ I ._f rachige and ,at., 'winarwi and Doon-CwckaK and Area i ~ ' a[ L,.I il N'ia1n NeItpt No. et Lleul fl Aru _ i~.. I I. ot:ru~ ~y 1~ Yo efp~n• efp~M II'Gb efv.cY q.fL 1 - ~ Coef. Btu Coef. - - - In6ltration lafiltntioa ~ Glsss MW i Fsp. wall N.ap (Vet exy. waU / (~jd e~. wa8 I lnt. waU 7 74-7 ~L ~ ~ Ceiling / S loor k7Z- floor Total Btu. lo Twal Bta. ReQvired sp. ft. E.D.R. or sQ. ma. WA lsadrr aea Required q, (t, EpR a~ mL W.A. leader u ea •'z Room Lengt6 Widt6 Hei~t Fl.l ' RoomILe~6 Qiodown and Qoon--CracEaae and Aeea -~'ez:_.;. ' - Windows and - iaie wsiseo Ho a.~ _.T~"'~ : . ~ m ~Oen--kap tl~/~. No:' er we. er o.e. luw ata.at aa - " . ~°nr S.• , . _ . - l16 Of PiM 49 P~ _ti4,.',~~p~.' ' ~ .._.'~y: - il~~••• !$.~;'.'~.N` ~ ` '-~i3'~_-~ ` _ ' - CaL " Bti Iabltration - 69erstioa Clau 6 G1aa fsp. waU Eip, wap Net esp. well Na exp, wd Int. wall ' (nt. well I Ceiling / ~ . Ceiling ~ Floor S /bZ7 Flaor . " ' Toul Btu. Totil Sea ' Repuired eq. ft. E.D.R.ar iq:aii.:W.4i.I.eeder area' Ftequued cq. k. ED.R er w. im. WA. Leader arca Fl. 'ftocm 11engt6 Width Height fl.) RoumlLen¢eh Width fieia~, ~ Windows and Doon-Crackage and Area Wiedowe and De6rs--CnckeQe and Ana I W~G~n Xelin~ No of Llnullt. Are~ P'iEth N.Ifet Ne.e! Llnulft. Aru __~o, of G~n• af D~n~ Ilth~• Of a~aCk ~0 tl. NO. Of pae~ Of D~e1 11rI1b Of crLck p ft. Ceef. Btu ~ CoeF. Ishltra~ion:: `2:..:'' ' _ ~I fn6ltrotioe ~ G:o.> GIAS. - Eip. way atitzD. wilI Tlet ezp. MtU let. wa11 Iat wd CeiLng CeJmg Flmr o:a: 3tc ~I Tort? &a. r: =.D.R AA. [ta3er an• A Reauin2'a. h. EDR er .a. iei WJl L"der area ~ - - - 3JiLOihG +NG 'VSPEC'ION 'iVi510N OEPAR'vENT OF GMMJNITV GEJELGPMENT. 2235 ."E}T OLD 5-+AKOPEE !OEs C-~LCULATIONS RCFC, 9LVC'AINGTOM. MI11ES074 55<31 883.38I1 Cocitruction No. I INSULATION [~o~niigr.an I.:. 1- do.+s Dx:~ i~ Referecce Out .WaO let. Wall CdinQ Roof ~oor Kiod HorrApplted ; Y.'--'•o ~ Yrs-tio ii 19_ 'I I~~F11 •(jv c~ Roc:n ~ l.enjth' /s' W)dth //.y7 Fieight 8 ~iFl.~ i/i ~ Room Leairth 14 Widt6 Heighl and nc,cts--CtacEagt snd Arra I Wimiows and Doon--Cncka~e aad Area --N-i+ -iln~n~ o~I L~nr~ll~ w.e• N'1al11 NNipt Ne.ol Llnnltl. Area _~e__ _:i. .~ni• M<r~rt ~af~ ry/~ ~ No efWw0 afWn• 1t~4u ater&ct p.ft. 146 6 / a Coef. Btu C«f. Bra In6ltution ~17 1 2 1nLlUaUOD Glau Glau / F.:p. wall 22/f E:p. wdl Net eip. waU 6 .5 `L Nd esp wa Int wall : Iet waB y` ~a~a i s x~ l, 5 S 6 ceains ~6 z Floor / . S. / Flooc 16414 Total Bta - . Taal Bta ReQuired p. k. ED.R. or sq. mL WA Itader uea . ' Requced +v~ (t EDR w~4 m~ WA: leadeia'es~`= / i~l'` Fl~1 ?Bidis. ttoom Length /rj WikL Heit*t6'.: Roo.llan6"~~~~ii ~ Windows aod Doors--Cracka~e and Area -~Q+'.:; ;y;" Wmdows md Doon--Caeiup'a~'y =`u~'. - WIEW Nset Na track As ^ Ma etW" otwa uiW K A.11L ' : ~1':i..•~` r. Nw Htl - Gt mmqw, . ~_`_'it'i'+Ri+. ` .:1:;~,;' f' ~.1 .t ~ ' _g,- _:.r lofiltration - - ' k'Infiltratiom ~ . . ' W cjass Gi Esp. wa0 ExR wa9 ~Ci f~~eSf' x Net e:p. we 97) Nc! esp. wa0 Int. wall /--YCSWV / p-a-0 int wall Ceiline /aX 70 .5 ..3 Ceiline / Floor p d ~--0 = Eloor / S•' ' Total Btu. Total 2ta. ~ ReQuired eQ. ft. E.D.R. or p. ini. WA l.eada arca {t~ired p. (t, Ep,R, or p. ins. WA. ltader etea • Roam lLengt6 1,53 Width Height 9~:n.j RoomlLeoQth % Width /Heieht~j Windows a Doors--Crackege and Area Windows aod piorF-CnckeQe and Area wid,n Hetcht No. ot Llm.l lt. Arn p'idtn N.Iffet No. e[ L1n061 lt. wn, No. of G~'+• of D~n~ ?~~u ot an<Y w f4 Noi ef pan9 sf "e* pth4 ot nack W tl. S. 6_ o,Go 3 0 1¢ / Coef. Btu 4 Coef. E:u Infilirotion 7 a';,- O In(iltration S~ • G:.~s - •,r i rJ- e.L Glau -~ed F Ec- w.e <Zp. w.n N« w...n fnt....H Iet.J • - Cnlme S S?~ Cedins S" F!xr 13 j(/ ,s 6 Floor S- To;a; 3tu. Totd Btn. ~ - a e t..L_ me I "1"_' FERMIT CiTY, OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 4 9 9 (612) 681-4675 Date Issued: 0 9/ 2 8/ 9 8 SITE ADDRESS: 9298 VALLEY FORGE PL LOT: 28 BLOCK: 2 NORTHVIEW MEADOWS P.I.N.: 10-52100-280-02 DESCRIPTION: T.O. & REROOF Building Permit 1'ype SF (MISC.) B,uilding Wbrk Type REPAIR ,Census Code 434 ALT. RESIDENTIAL i . ` i REMARKS: FEE SUMMARY: VpLUATION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CQNTRACTOR: - Applicant - s~'. LIC. OWNER: AL STAR CONST INC 15935325 0003297 DOUGHERTY MIKE 3315 N HWY 100 4248 VALLEY FORGE PL MIf3NEAPOLIS MN 55422 EAGAN MN 55123 (61?) 593-5325 (651)686-5853 t 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 ot Eagan Ordinances. L ~ ~-~}-C~ lJC--ISLJ l ~ APPLICANT/PERMITEE SIGNATURE I ED BY SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) „ . ~ CITY OF EAGAN 3~ i I Qt C~ 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeVReoair Reauirements C1 p- p- ? 3 rcgistered sde surveys • 2 copias of plan ? 2 copies at plans (indude Oeam 8 window sizes; poured fnA. design; etc.) ? 2 site surveys (acterior addrtions d dedcs) • 7 energy calculations ? 1 energy caleulations for heated addRions ? 3 wpies of tree preservation plan A lot platted after 717193 ' required: _ Yes _ No DATE: CONSTRUCTIONCOST; DESCRIPTION OF WORKGQl / ao-iZzoo STREET A~ ss: U p , LOT: BLOCK: SUBD./P.I.D. v ~t v~ C~-~ VY ~~G lti~l Name: ~ XrA Y Phone • ~L~S_J PROPERTY 1-ast Pirst OWNER 1~n ~t~Y CJ p ~ Saeet Address: 7c X7'a D f ~ City RC. C% C` State: Zip: 22S Company:_u1CX C_-_,CCA~ Phone S93- CON7RACTOR - Street Address: 3.~JS_ ...1) ~ /co License # LQ Ciry State: rn11 Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new conshuction onty): . Penally applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply wRh all applicabl State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: " ~ ~ OFFICE USE ONLY 3 ~ Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ` • • BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 .Swim Pool O 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE D 31 New O 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # ot Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance ~ Permit Fee • 75 Valuation: $ .~~DCI Surcharge • 5 O Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ~ia s % SAC SAC Units z/aa CITY OF EAGAN «APPLZCATION FOR PERidIT SESQcR AND/OR WATER CONNECTION (PLEASE P9IHT) 1) PPOPEYIY ADDRESS : C'Z t~ ~ iff~ L L P v ~o ho -e T Fr=,L, DFSC..s°'I"<C:I : ~PT Z~ (Ir~t/Blocx/Subaivisicn or Tai Parcel I.D. N=n:er; 1: ,:C- Ci~..CH---- G-F CPJG1.:r'L 'uVl=D.G Y=-1m ~ FR:S.17- R-1 Si.•i= c?_•~J.TY ? P.-2 DUPL.Ei (?SCO VNITS) ? P,-3 M-,jR."CtiSE ('I'x~ + LTIITS) ( S) p ?_d pn~~*.z~;n~CviT~CiL:IL:l ( LZiI;S; Q C:x-T1~4..'~.C? w/REI':.II?OFFIC'- ? ~~'DCST°.T?S? NSTIT'~TIC:'~S./G:}~~~~~:`T^ 2) i-vnni_G,±r IPLE;.SE PRI9r) Jl0/~9-e ADDR.SS: ~5/~ ~ YD S T crrY, s=, zra: Jo r PIiONIE: 3} p=-iB= IHLcASE PHINi) FOR CIiY USE ONLY rN•IE: Pc ADDFiSS: PIUHBERS lILE45E: I~l/9d SGG ~ Active CITY, STATc^, ZIP: Ezpired Not of Record E-= - PH0NE: 41S/7 --5 Z'v/ PLU,9BER LICENSE N 0071/f'7 7 arr tni[ia 4) OCCUPpia'P/C7'JDI'L'.? tuME: (PLEASE PflI4i) K. aDOREss : CZTY, STATE, ZIP: PIIO`IG: 5) INDIC,TG WlIICti PEP.'~SIT IS BEP:G REQL'ESTED: ~ Ca"1=0V `IO CITY SE?•IER CC^^IECI'ICV 'IC) CITY [JATER ? OTF--,z (PLEASE DESCRI3E) 6) C:.`r.: ? PI;.,SE F:OID APPROVED PER;-IIT FOR PIC:'~-UP BY ON'E OF 1BOVE ~ PLEaSE MAIL r1PPRd%'i PEa~ tIT 'IU 1, 2,(2) 4 i1PO1.7E (Circle one) 7) SICZ.?,=.RE: [A112~~s~ DaTE: f ' ~aal• e FOR CIT'f U S E ONLY PERMIT ISSiJED F7 F°ES: $ 10' 6U $ /0 •5 L) I^7ATER PERPtIT (IP:CL'uDE SUIRC:ARGE) $ ~o3•C)~J WATER METE.°./COPPERHpR.J/OUTSID= REAGER $ WaTE' Ta2 ( Z\Ci.UDE COp?ORaTZON S70? ) $ S°:.~.. ..=.P $ I'S-(}D ACCOUNT DEPOSI'?' - SEF'E? $ /.5,l. CAD ACCOli~]T DE?OSIT - [•i,-„_~ $ ~F7V, W Wr,C S SLS. [lv SaC $ TuaNh ~•:aTcR ass-ss:•+.E.:T $ TRiiNS SEi•iER assLss_•+.:.NT $ LNTE°aL BEPILFTT/TD(iNK SE[:E? $ LATE?2AL BE:IEFiT/T??U.`lK WAT°R $ OTHEP, $ TOTP.L $ Y~-l SV AMOU:IT PAID/RECEiPT ; j2, DOES UTILIT'1 CONYECTION REQUIRE EXCAVATION IN PUBLIC RZGHT OF SvAY? YES ZF YES, THEP7 A`PERMIT FOR lJORK WITHIN PUBLIC ROnDLQAY" MUST BE ISSUED BY THE r.I NO ENGINEERIrIG DIVISZON_ LZST AS el CONDI- TION. SUIIJECT TO TEIE FOLLO?•IING CODIDITIOtdS: , n APPROVED BY: ~ A~_ TT.TTE: IA/)l~(.fli DATE: 7- I ( {-toV-.a- (au ~ 3~83 ~aYg YJe CARRIER [:LltLOAO,,.~~L,~ INFORMATION CENTER METRO AIR 611.2-lgv OLJ- 19401 Normandale Road Eflolf Lake, Minnesota 55372 OPTION 1 1612( 447•8124 OP'f10N 1 OP'*ION 3 1. Summer design degrees . . 5 # ~ (90, 95. 100. 105, 110 or 115) (If 90, 105, 110 or 115, Item 2 N.A.) 2. Dailyrange(0°35°) . 3. Winterdesigndegrees . (PreCede a minus number wrth M) 4 Numoer3f lwi 2 o~ 3. P ltem S S N A.) . . 5. Stormwindows?(YOrN) 6. Windowsweatherstripped?(VorN~..... Z Four window areas starhng wrth N or . I (Ex~NN25N30N20#25N#; Max per sitle. N ~ 999 s9. ft 1 71 r NE 72 E rSE 73 s r sw 74 W or NW B Shadedwindowarea . Q # \~~~0 ~ (0 or sq N. Enter 0 rt not applicable Max- 999 sq it I ~F. 9 Doorarea (0 or sq ft. Maz: 999 sq. ft If 0, ' / Zy Items 10 8 71 N.A.) !7 7 10. Doorweathersbipped9 jYOrN)... ~5 # t 11 Slormdoors9 (YOrN) . . Njj ~M Q ~F~ 12. Firststory perimeter . . . . ~ 5 a tt ~ ~ 73 Seconds[ory penmeter...... . . . . ~ N ~ ~ 14. Thicknessotwailinsulation . (0, 2, 4 or 6" fi6erglas. Enter MA for masonry. R value5, enter R, Ihen value Ex R19) 15. Ooe neatr ftrlf O, tItems 76,17 828 N.A.) IS~ # 16 Basementheated?(yorN) QS fi ~ ~ (Ii N, Item 17 N.A.) 17. Percentabovegrade(Ex:S%=5) 18 Area of root with exposed beams or studioceiling . O pq qq pq (0 or sq fL It zero, Items 19, 20 & 27 N.A.) 79. Woodorhber (W torwood, Fforhber. if W, Item 20N.A., If F. Item 21 N.A) 20 Thicknessoifiber . . #I (1.5, 2 or 3" or R values) 21 Insulation i~ # I pl (Y. N or R values, Y assumes 1.5") - ~J OP*ION 1 OPTIOM Z OPTION 3 22. Area of ceiling under ventetl roof or uncontlitioned space ~ Q H p p (0 or sq. it. II 0 Item 23 N.A.) 23. Thicknessotlnsutation. . . . (0, 3, 6, 12 or 18" ot 6berglas or R values. Ex: R30) ~ 24. AreaolfloorsoveruncondiUOnedspace Q p I yI ~ (0 or sq. it. It 0 Item 25 N.A.) ~-J 25. Thicknessolinsulation 10, 3 or 6" liberglas. or R values) 26 Area of floors over open or vented space, orgarage #a qq (0 or sq. IL Ii 0 Item 27 N.A.) 27.Thicknessofinsulalion (0, 3 or 6" ol fiberglas or fl values) 28 Basement area # (0 or sa. ft. If Item 151a 0 akip thla entry.) 29. Total heated area (sq. fL) 30. Perimeterofconcreteslab . 6 a ~ ~ (0 or linear IL) (It 0, Item 31 N.A.) 37. Thicknessofslabinsulation............ (0. t or 2") 32. Desired summer indoor temperature swing . . 3 pM q# N# (Value between 1 anC 6 inclusive.) 33 Oesiredwinterinsidetemperature 73° N ~ bl ~ 34. Duct location . . . Q. A N O ~ (AT = attic, BA = basement, SL = slab, CR = crawl space, CO = conditioned space) (H BA, SL. or CO, Item 35 N A) 35 Thicknessolinsulation (0, 7 or 2". Use 2 for 1" rigid.) 'REPEATOATA7........ . . e„5 N# NN kq YorN . ,•CORRECTIONS4........................ If there are no corrections required enter uk. If (here are CorBCtions [o the tlata, enter question number, q, the new tlata, and kq. q# p ~p ka p tl no u~r he~r corrections, enterNn only. pa p pa COOLING B.T.U.H. EOUALS ~3 I~ S qT 9J o°f B.T.U.H. AT °F B.T.U.H. AT °F HEATING B.T.U.H. S(a09g _ CJp o, 1140 ZN pv'r 3+V s EOUALS SC-a098 AT °F •7d B.7.U.H. AT °F B.T.U.H. AT °F "REPEATTHEANSWERS"(YOrN). kN pp qg ..SAVEYOURDATA?" pa ap pp Y or N; oi YRCC will save your data and goes to begimmng for new Anatysis, or NRaN wdl not save data but goes back [o beginning lor ' new Analysis. JOBNUMBER ~ If you want ro save your data CLIC assigns ~ Job Num6er "STRUCTURE CHANGES?................. tl ihere are no changes reqmretl eNer If there are changes fo the tlata: enter question number, q, the new data. and kn. N #rt a aa k qg Ez:25NR30#H It no further changes, enter Nq only. ffa gp 'METRO AIR n,v,,, ~19401 Normandale Road ~f~~1C~G~J Prior, Lake, Minnesota 55372 c~n~/ ~ ~~j (6121 447-8124 A, OPPORTUNItt HOME 3-78 P,nced u s n eae-oss RESIDENTIAL PLUMBING S~ I Permit Application S- City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when pemvts are requued for each unit Date// /o ':3 Site Address LJ&//G Unit # i~ Property Owner Telephane # ( ) Contractor Address Xe-OP1 City Apd' State ,~1~0 Zip SS ~ S~-Telephone 6f' SCo The Applicaot is _ Owner X Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes County fee. Additional consultant fees may apply. Alterations to eaisting dwelling $ 50.00 _ Add fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener X Water heater - $ 15.00 ~ replacement _ addihonal S[ate Surcharge 50 N Total B Y I hereby apply for a Residential Plumbing Perntit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordmances and codes of the City of Eagan and with the Plumbing Codes, that I understand this is not a ill be in accordance with [he permit, but only an application for a permit, and work is not to start withou[ T:a approved plan in the case of work which requires a review and approval of plat~t 1"-l G Applicant's Printed e ApplicanYs Signatur 79 (e / 96. e5o- 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reouiremen4s RemadeVReaair Reauiremenls Office Use Onlv 3 registered site surveys shaxing sq. R of bt, sq. ft af house; end all roofed ereas 2 copies of plan showmg footings, beams, joists CeR of Suney Rectl _ Y_ N (20%ma<imumlotwveragealbxed) 1 sefafEnergyCalcula6onslorheatedetlditions SoilsReporl _Y _N 1 Soils Report if proposed building is lo De placed on disWr6ed soil 1 site survey fur addihons 8 decks Tree Pres Plan Red _ Y_ N, 2 copies of plan showing beam 8 wirWow s¢es; poured lound design, efc. Addition - indcefe il wi-sfle septic sysfem Tree Pres Required Y N 1 setof Eneigy Calculahons On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if bt plaQed aRer 711193 Rim Jdst Deteil Optrom selectim sheet (Wildings with 3 ar less umts) Minnepasco mechaniwl vantilalion f(xm Plans are considered ublic information unless ou state the are trade secret and the reason. Date L° / ' / C,w.7 Construction Cost I G C)31 SiteAddress t(Zr-( v U-dtt.L.Y &c4e_ P1• Unit/Ste # Description of Work Multi-Family Bldg _ Y& N Fireplace(s) _ 0 ~ 1 _ 2 Proper[yOwner ZLII.Gk~c.l Zc-pCie~P.C Telephone#(E5I ) c3G~~ 'i~rjU4) Contractor ~\2- ~ i~(.- wi C., Address laC~i r. Ci;~_ K ~io City lc--...e,~v; State _ ZV~v Zip ~5Z>37 Telephone # ((o(2 ) 4 S'-,5 ^ o( 7 S ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Resitlential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submiqed Submitted • Energy Envelope Calculations Submitted In ihe lasT 12 monihs, has ihe City of Eagan issued a permiT for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone#( ) 1 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; f 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 ofplans. C.C ~ ApplicanPs Printed Name A i•anYs Signature I F,o~,:Offce Use I I ~ City of Eapn ; Permit# g9O I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 i starf (.~ZO i i i Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name:GY11,, eN 'kN ~6-0lce? phone: brJI -310 5~`~~ Ba Address/CitylZip: 14 ZLj} 001 1 k I I""0}21 2 Applicant ls: _ Owner 'zContractor TYPE OF WORK Description of work: QAt? b.L2 %Cj I h~aw S ~ 3 Construction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: Lx~e~^%~f 1=vihUn~e~er~3 License#: Address: C% ~00 W Qlonvh"~V~ t=- ekv~' l city:F2Voow.; hcstate' l~ zip: ~SaZ Phone:67A Ti" a" 3%) Contact Person: DI,~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet Cat¢90fy Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered fo be public information. Portions of fhe information may be classified as non-public if you provide spe'cific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that Ihis information is complete and accurate; that lhe work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, 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 rase of work which requires a review and a proval of plans X X ~ Applicant's Printed Name App nYs Signature . Page 1 of 3 r For Office UsePermit#: /54 ' W EAGANPermit Fes: :17'E I VE Date Received: c / 9 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 t (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5 4 , 0 2 2019 Staff: f build i noinspectionsOcityofeaoan.com ^�+Y: 2019 RESIDENTIAL BUILDIN T APPLICATION Date: (O/aq h-45/5 Site Address: I-434/6 VI l,t-E 1 62t<,E P L Unit#: Name: C 014 S j1 Pft (6(2456-14-ER— Phone: (9,1'-,?-) 4"/ lig/ Resident/ Q Owner Address/City/Zip: 9c)"I (J*f 1.1 e'7 6►6 , PA't t- I t'i 53-1 a-3 Applicant is: Owner XContractor i 04:010;t-CD (tn(,aS ? e of Work Description of work: 1,�k'�LatrRooF,r3� '. t 41.4 'Fi►Et se...,�R a ®tsctim E Li ti� ? ypvw Construction Cost: 458"o •1'V Multi-Family Building:(Yes_/No I( ) Company:Anc&ruCO,.1 W Arrea uJ01e.IcS Contact; Lrt nl4E A6 a 17Je i - Contractor Address: S / -44-/ 4 (J/Ls ) Gel/ S1 City: RAJO State: M'`ti Zip: 9516 3 Phone\'M5 /.>V y Email: Get,-0.1 t rgia.n, ,o1-4 `J4(IC 'Cd.'` License#: VC 351 395 Lead Certificate#: n/.r—RPO 4,3 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: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the Information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L,,tjq E 4gGe,Ti**2 x Applicant's Printed Name Applicant's Signature / S9 =L/V c-6-)11_6' 6- -P7 ' . t1121116-1 DO NOT WRITE BELOW THIS LINE SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family. _ Garage _ Porch(4-Season) Exterior Alteration(Multi) _ Multi — Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof — Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation — Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy di .. ` � MCES System Plan Review Code Edition ' 1 (SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final /C.O. Required Footings(Addition) ' +r`, Final I No C.O. Required Foundation Foundation Before Backfill 99 HVAC_Service Test Gas Line Air Test_Hood Roof: Ice &Water _Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour X Drain Tile t — Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick EFIS InsulationWindows Sheathing Retaining Wall:—Footings_Backfill_Final Sheetrock Radon Control — Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: t , Building Inspector 1 RESIDENTIAL FEES Base Fee SurchargeT Plan Review (tj '� 1(1112.j* MCES SAC City SAC Utility Connection Charge S&W Permit& SurchargeCe\13 (1, Lo) Treatment Plant 0...,' / 10 Radio Meter Read `0"` Copies r(e-:, TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA164760 Date Issued:10/07/2020 Permit Category:ePermit Site Address: 4248 Valley Forge Pl Lot:28 Block: 2 Addition: Northview Meadows PID:10-52100-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael & Christina Broeker 4248 Valley Forge Pl Eagan MN 55123--195 (651) 470-5216 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature