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4264 Valley Forge Pl CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-189, Esgan, MN 55121 PHON E: 1548100 ~ eUILDING ~ERMIT Rece+a # - To, w siN/ hr Esf. Volue 1 r, ft r Dare Erect ~ Occupancy r. SiteA4ddrep 4ot I_L Bixk Sec/Su6. i9(IRTAV7 N i4 ' 1:JaCf.~Remodel Zoning Repair ? Type of Const. Psrcel No. Addftion ? No. Storia Move ? Langth - f s Narime ; ~ Damolish ? papth n ~ Addras~ Int Impr. ? 5q. Ft. City " Phone -~2- 893 4 Inatall O Avrrov•h i••s ; Neme - ~ A~~ Assessment Permit ~ ~ 0 City p~~e Woter & Sew. Surcharge 1-, Q' Poliu Plan Revlew ~ - I 5 [1; Ile W Name Fin SAC 001, vx Addrea E?p. - Water Conn. i ri 00: ~W City Phone Plonnwr Water Meter -F? ~ Q Ci Council Aoad UNt o ~ Q Q; I heeeby atknowlydpe that 1 how read thls opplicotion ond stots thot gldg. Off. 6,1 f fi ~i Tr. PI. 00 tM iniormafion Is corrcct ond oqree to comply with all applicobl* qPC Parke Smte of Minrwsoto Statutas ond C iry of Eo9on Ordinar~us. , ~ Var. Dats C~i~ , Siqnotun of Pennitta Total 5(~ A 9ulldinq Pennlt Is isswd ta r`A.r.L; - on eh0 expris caditian thoi 1 adl work :1w11 be dorn in aco0rdonuJwith oll opplimble Stotr of Minnesoro Stotutes ond City o} Eapon Ordinonaea. i 8uildinp Officiol ~ Pamit No. PKmk HokMr Dsa ToIoahons s Plumbifq lu H.'V.A.C. 5 ~ Ebetrie Sottww Irapaetion DafA Imp. Othw Footlngsl f Foottnps li Foundition Fnining RooHnp ROUqh Plbp. .7 - Rou9h Hty. Insui. ~ Finplace Final Hty. 7 Final Plbq. Flnal 7 c.wocc. l~ Water Dfteribe Loeatlon: WNI Sswsr Pr. Dlap. R"aipt MECHANICAL PERMIT PKmit No. CITY OF EACAN ' ' Fw fill in numbentd Waces $/C 7YPe ar Pr/nt MyibJy Tot . . 1. Date 2, Installation Cost 3. Job Addrass Lot Bik. 1'ract 4. Ownar i 5. Cor+tractor Phone 6. Address 7. Gh State i- 2ip ~ f 8. Building Typa: Residential 6p Commercial ? Inttitutional 0 ~ 1 9. Work Desciption: New Q Add ? Alter 0 Repair 13 I { 10. Dacribs • Fuel Type ~ 11. No• Equopffmnt 8TU - M. Ea. No• Eauioment CFM Foroed Air Air Handiing: Mfp. Boi len Mach. Exhaust Mfg. Unit Fleater Mfg' Other Alr Cond. Mfp. Gas, Pipiny Outlets 1 12. I heroby certify that the sbove inforrtwtion is true and oorroct, and I aqree to oomply with all ordinancas and oodes governiny this typs of work. S'iyned : for Ra+ph f IMI Inspections: Dste tnsp. pste Insp. This is your permit whan numbered and approved. Approvad CITY OF EAGAN 454,gipp f ~ l . Rraipt PLUMBING PERMtT Pwmit No.~ - CiTY OF EAGAN , . FN Fill in numbend spaces S/C Type or Print lepibly Tot' 1. Date 2. Installation Cost i~' l' 3. Job Address ~4 - L ! 1 4; r Lot "k Blk. ~ Tract - ' .1 ~ 4. Owner C -1 c.' " ~ 1J 5. Contrador l~- H . Phone 6. Address L i l. C: < i~ L• 7. City _ T , . i State + + Zip 8. Building Type: Residential Commercial ? Institutional O 9. Work Uescription: New E] Add ? Alter O Repair O ~ 10. Describe j ~ ~ 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Orainfield ~ Bath tubs Septic Tank Lavatory Softner _L Shower Well I Kitchen Sink ~ Urinal/Bidet Other ; Laundry Tray ~ Floor Drains ~ Drinkiny Ftn. ~ Slop Sink ~ ~ Gas Piping Outlets ~ 1 ~ 12. I hereby certify that the above information is true and correct, and I agree to ~ comply with all ordinances and s ovcrning this type of work, i Siyned : iL ~ ,.lcs ~ ~ l = for Rough F inal ~I Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EA(;AN 4644100 CITY OF EAGAN Remarks Addition NORTHVIEW A+IEAI?OWS I.ot il Rik 5 Percel 10-52100-110-05 Owner Street 4264 VALLEY FORGE PLACS State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1984 76.75 '7;L-" 10 61.41 L'010 2$ -2 STREET RESTOR. 1 GRADING ' SEWER LAT 1981 15.89 .79 20 11-94 C01052 7-29- 5 SAN 5EW TRUNK 5 1981 138.48' 6.92 20 103. C01052 7-29- 5 SEWER LATERAL TRK~ 1984 27$.22 18-54 ~$~J~ 15 2 Ci~l~ 2 -2 - SEWER LAT 1981 22.28 1 48 26 IS 1.$$ " " WATERMAIN 1984 70.67 4.71 1$ 61.25 t~ WATER LATERAL 19$1 1$.6$ 1.24 r~ -20 LS 12.45 WATER AREA 19$1 138.48 6.92 ZO 10 1 t IWATER LAT ; 1982 29.52 1.4-r I-r48 20 22.1 - STORM SEW TRK 1984 392.32 76,46 49-.-H 1452 . 0 " STORM 5EW LAT DRAINAGE 1984 33.97 3-34 2.1 " " CURB & GUTTER ' SIDEWALK STREET LIGHT Road Uni WATER CONN. 500.00 of 9UILDING PER. tt sAC 525.00 PARK ~ /lq:~1:O9FA:~~ ~!~_l~~~Sllasa:ia ~ Os~.ss:~:~~ ~lfJ~:~yi~~ s!l~~s~i•c F O R C I T Y U S E O N L Y PEBMIT - ISSUED pnr.5: $ ~~.57U crc.,~~ nr~~trm (=`iCT_.:;:D° S'vRCFi: P.C,7) S D (J WATER PEi2i`tIT (IiICLUDE SURCF!ARGE) S WATER METE°/COPPEBHORN/OUTSIDE REAuER S R',aTER T.-`,? (I„CLi.iDE COa?OR.yT=0.7 5'?'C?) $ SE:•iE3 mpn $ accoovT DEDoszT - $ ~S.d-CJ ACCOliNT DEDOSl`?' - j•jhmrR $ SOO. G~ WHC $ SAC $ TRliVK ~dAT°p ASJESSi`::::T $ TRliNS SEi~ER ASSESS_•?E?iT $ LaTE°AL BEtIE:'IT/TRU`iK SE-v:E: $ LATERr?L BEP?EFIT/TBU.7-K SdATER $ OTFiER $ TOTAL vU $ A~10[i:7T PAID/RECEI2T ' DOES UTILITI CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGiIT OF WAY? YES IF YES, THEN A"'PERMIT FOR 540RK WZTHIN P_U,BLIC ROAD[dAY" MUST BE ISSUED BY THE c~6I6-_ENGZNEERID]G DZVISION_ LZST AS A CONDI- TION. SUIIJECT TO TIIE FOLL0I.9IDIG COAIDITIONS: APPROVED BY: TITLE: DAT°: (J'~ mm aa="a wk-+wwwlW:w w" wa2t~w~~~~~~W*ms~ar+w.aMcM Madoww= . CITY OF EAGAN N~ 10320 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 551T7 BUILDING PERMIT PHONE:454-8100 Receiot # / ~ Te M uiod !a SF DWG/GAR Est. Value $70,000 Date JUNE 3 jy 85 Sitej.ddrest 4264 VALLEY FORGE Erect 6a Occupancy R3 NORTHVIEW MEADSRemodel ? Zoning R1 lot 1 L Btock 5 Sec/Sub. Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? Length 50 Nerrme GRAND OAKS Demolish ? Oepth 4$ = Address 1$$1 SUNRI$E CT Int.lmpr. ? Sq.Ft. ~ City BAGAN Phone 452-8934 Install ? $AMF Approrala Feas o Name .Q~ =u Asussment Permit o qddress u~ City Phone Woterd5ew. Surcharge 35.0( Police Plan Review 171.5( U. Neme Fire SAC 525.0( Address Erp. waterConn 500.0( < "'City Phone Vlonner WaterMetar 63.0( Council Road Unit 2$ 0. 0 C I hercby ackrwwledga thot I hove read this epplicohon ond stote that eid9. ox. 6/3 $5 7r. PI. 132.0( fhe inlormotion is corrett ond ogree to comply with oll applicable . Sfate of Minnewro Stotut ond City of Eoqan Ordinonces. APC Parks { Var. Date Gopies SipnMUre of PermiMee~ Total $ 2. 04 9. 5~ A Building Cermif Is iuued to~ GRAN ~ OAK$~Z- on tha ezp'esa conditlon thoi oll work sholl be dorro in ac rdance wifh all opplimbti rjate of Min esota afutes and City oi Eopon Ordinuncea , Buildirq OfFlcial 4-1' 4040)n L- / 1'l. -7 S 2--72lp RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OP EAGAN 3830 PILaT KNOB RD, EACAN MN 55122 651-681-4675 New Conslruchon Reauiramenta RBmodellReoair ReQUirements • 7;egisterea site surveys showing sq of lot, sq tt. of house, and all mofed areas • 2 cooies of plan (20°6 maximum lot coverage allowed) . 1 set ol Energy Calculations for hea[ed addihcns • 2 copies of plan showug beam 3 window srzes; poured lound aesign, etcl . t vre survey `or zztenor adddions S decks • 15et of Energy Calculauons . Ind¢ate d home served by sephc system for addiftns • 7 copies of Tree?reservaticn Plan rf lot platted after 711193 . Rim Jorst DelaA OpUOns selection sheet (blCgs wtlh 3 or tess units) DATE VALUATION 0 A ZS ~ 00 SITEADDRESS yZ~q UqI(¢.r F^s.e_ I'/. MULTI-fAMILYBLDG _Y /r N TYPE OF WORK &~rcLe~ fIREPIACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS 56y_7 d4Qiii t4ch_• CITY STATEM ZIP SO TELEPHONE # (oSl-q39-4432-0 CELL PHONE # fAX # ~5!- 351- ?_C~S ~ PROPERTY OWNER :j;,rr[ TELEPHONE #~SI - qSy-Jo7Tf COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVN!~F:SOT.A R[iLF.S 7670 C:ATHGORY 1 N(IVV'GSO"f:A RCLlis 7672 (d submission type) . Residenhal Ventilation Cate9ory 1 Worksheet Submitted . New cnergy Code Workshee[ Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone ft' Plumbing systcm includes: _ Water Softencr Iawn Sprinkler Pce: 590.60 Water Hcater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # NIccli>uiical scstcm include_~: _ :Air Condfuonmg Fcr. S70.00 r--- Hc1l Rccovci}'Scstcm ~ f117 f2 ~ LI IS Sewer/Water Contractor. 'uUon~~j' 0 4 z~~? U u ---------~~v I hereby acknowledge ihat I have read this appiication, state that the information-is corree3, and- gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ofApplfcant~~ ~ OFFICE USE OtiLY Certificates of Survey Receroed _ Tree Preservation Plan Receroed _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation O 07 OS-plex ? 73 16-plex O 20 Pooi ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea ) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(1-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 70 OS-plex ? 18 Oeck ? 23 Parch (screened) i7 36 Wulti ? OS 03-plex ? 11 70-plex O 79 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 72-plex Plbg_Y or _ N ? 25 titiscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? da Siding ? 32 Addition ? 36 Move 81dg. O 42 Oemolish (Foundation) ?45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water ' SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width , REQUIRED INSPECTIONS _ 'Footines(new bldg) _ FinaVC 0. _ Footings(deck) _ FinaV?fo C.O. _ Foonngs (addition) _ Plumbmg Foundation HVAC Drain Tile Other Roof _ Ice R: \Vater _ Final _ Pool _ Ftgs _?,idGas Tzsts _ Finaf _ Framing _ Siding Smcco _ Stonz _ Firzpface _ R L _ Air Test _ Final _ Windows (nzN%/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total d /V ~ ~f / ~i • a o 29. yyl-6 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATZONS To Be Used For: Valuation: Date: --T-- Site Address: v OFFICE USE ONLY Lot: Block ~ Sect/Sub _ ,Atc.l Erect X Occupancy ~-3 Remodel Zoning Q-1 Parcel II Repair Type of Const $ / q.. n n ~.,.d,t,..,, Enlarge _ It of Stories Owner Move Length 50 Demolish Depth 4-8_ Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor A_,n,~o (3a44,d Assessments Permit 2~4V! Water/Sewer Surcharge 35'°O Address Police Plan Review 1"l l.`-''° Fire SAC 5215,°O City/Zip Code Engr Water Conn oo. V Planner Water Meter (0 3.°' Phone Council Road Unit ?.~50. Bldg Off 3 ks Arch./Engr. APC Treatment Pl Address Variance TOTAL 5 o City/Zip Code Phone # 1 . ( • J I.DR~IEYOR9S C IERTIFICA.TE`! GRAND OAKS DEVELOPMENT C0. _ VZ7b 30 , M 1 /l -1- ( r' 1 "7- . ~ LI ic~ , Lf. • 120.00 N89052'11"W --30.00 ' 48.00 10 ~ 22. 3 0 I i~'it0 OSEb'c~ 0 0 O 25.67 -L0~5 l. LL I a.GAR. l l1! ^.'.n:~`: W „OR EWAY`"~_ . . ' 22.0 O D l ~ . O , ~ ~ t(-nj\°~ 0! Ra p • . $\o I ~p ' ~ a o x a~ e~ 0 0. , Op O I ~N .a wW ~ ~ O . 00' io ~ I P I tp s N N i h W !e o ' - 30.00 - - 48.00 - - • J a, 120.00 N 890 52'1 t" W~~~ ~ ..i 30 . . . DENOTES PROPOSED SURFACE DRAINAGE O DEN6TES IRON MONUMENT SET SCALE: 1 INCH = 30, FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 79.4 FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST F100R = 9 76•5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9 74.7 FEET I HEREB9CERTIFY TO GRAND OAKS DEVELOPMENT.CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: lot 11, Block 5, IJORTNVIEl7 MEADOt9S, according to the recorded plat thereof, Dakota County, Piin:-esoLa. 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 DAY OF , 198 . PROP05ED ELEVATIONS lJE2E TAKEti SIGNED:. JAM R HILL, INC. FROM THE DEVELOPp1ENT PLAN FOR NORTHUIEIJ 11EADOWS BY SUBURBAN ENGINEERING, INC. LAST DATED 9-29-83. BY: HAROLD C.,-PETERSON, LAND SURVEYOR h1INNESOTA LICENSE N0. 12294 PROJECT N0. BOAK / PA(iE JAMES. R. HILL, . INC. ' 85578 • ' ` , Pianners / Engfneers / Surveyors • FILE NO. , . • . . .K.-;3 • 8200, Huenbold! Avonus South -;P FOLDER : . sloomtngton;iwri:~ 55431;,.812-8e4-3029 ` : , 'EXTERIOR ENVFLOF'E AVEFAGE 'U' COMPUTATION GkAND CIAI::S DEVELUFMENT COMFANY MODEL D AREA U U x AREA REQUIFtED 1. TOTlaL WALL AREA 180C> X. i 1 198 2. TOTAL ROOF AREA 1196 X.026 31.096 ACHIEVED flFEA U U X AFtEA A. WINDOW AREA 186.66 .5 93.33 B. DOOk AREA 39.8 .077 7,.0646 C. SLIDE GLASS AREA 13.44 .48 6.4512 D. FIRF_F•LACE AREA 0 i> E. WALL FRAME AREA 1847 .041 7.38 F. NET WALL AREA 1164.1 .049 57.0409 0. RIM JOIST AREA 119.52 .0436 5.211072 H. FOUND WINDOW AREA U D U 1. FOUND AFOVE GRADE 96.48 .135 13.0248 TOTAL WALL AREA 1800 1E35.5026 J. Sr;YLITE U U C) K. k00F FRAME 119.6 .C)32 =.8272 L. NET ROOf- AFtEA 1076.4 .025 26.91 4. TOTAL ROOF AREA 1196 30.7372 SUM 1 . +2, 229.096 SUM 3.+4. 216.2398 ~ z/aa p-m. CITY OF EAGl,N APPLICATION FOR PERDIIT SELdER aND/OR L4ATER CONNECTI0.1 (PLEdSE P9IHT) 1) PP.OPERIY ACDRESS: ~12 67 L-( UA IL1 7- d Y 9 F F q G 4 y/ r_Fr=,L DESCtI°TIC:I: ~j 1,64 P ar! (Iot/31ock/Sutiaivlsicn or Tax Parcei I.D. Nin;er) u ru~-7:c, sr :cMTR:., eaT cF oRIcl :AL =UzLer:c F.°'~....,. ~ iSE. ~ a~.iv,T ~ R-1 Si.iG',~:. _ Y ? R-2 GUPI.EZ. (?Tr;O UNITS ) R-3 ZC;v-l\aIGY;SE (THFtE;" + Ti'NITS) ( [JVImc) ? R-4 r1DAR'IS"TM'`T/CJiII)CiIN IU.°S ( [NZTS) ? C(~^-+1,1E.RCLAi.,JRL.'TAI?,/OFFICE . ? LNDL'STP,IAL ? INSTI2LTIONI'.L/GGVE.R~~TML~'rV'P 2) F~PPLIC_`:P (PLEASE PRL4iJ rrWE: ~ 1^ ~ n al Q a~ S : ADDRESS: crrY, srATE, ziP: 9 4 n J~'I h r~ 1~~ -PHONE: GI _ ) pLU,.IBco ((PaLIAtSEGPRIIit) fOR CITY IISE ONLY NAiySE: - ADoREss: l0 (D G~_e eQ vi p PlUH6 N~ActiveCITY, STATE. ZIP: l0 t' ~ O Yl xp' ed " La~ ecord PHODIE: pL1J,98ER LICENSE ci~ ~ 3ft Ipltlal 4) OCCUPAn]'j`/('J,•T]ER NFlitE: (PLEASEPR1N!) + • ADDRESS: CITY, STATE, ZIP: PHONC: 5) INDIC,'i'E WHICii PEPhLiT IS BEZtG RDQ[1ESTID; 9 CCZNECTZON TO CSTY SETi1ER ~ CC:]=IGN TO CITI SJATER ? C7I'['G..'4 (PLFrISE DESCc,IBE) 6) LNDIG,;:: C:E: ? PLEASE F?OLD A,PPROVID PERLIIT FOR PICi:-UP BY ONE OF ABOVE ~°T..Fi1SE ti*'LiL APPR(T,^ED PIIZNLIT 'I17 1, 2. P, 4 11FQ'JE , - - ~ (Circle one) ~ ` 7) SICZ'v11L:~E: Dr1TE: cirY oF EnaaN WATER SERVICE PERMIT . ' ?830 °11,Ge Koob Road 6 2 " 3 P. O. Box 27199 PERMIT NO.: . 61185 , Eapn, MN 55121 DATE: - - Zanirg. R1 1 I pN,r„~; Grand Oaks Dev ~ u~~ ; I llddratt: ' S1ti Add as 4264 Valley T'orge I'lace L11 B5 Northview Mesdotas, Va 1 Iev P 11~ MNer No.: 5~10. RQ pd ~ PLL I Stu:3~~~~~ _ i Acoount Depoait: No.: Peni,it Fe.: 10. 00 pd i ~~w e..yy wMb Ir. Ctti of r~ . 50 p d ~Cha?pes: - 132.00 pd i k. Tota1: 63.00 Rd Tn?rPr ~ Poid: ~ Insp.: Insp.: 6/!~/S S CITY Of EAGAN UWER SaVa PEmR ' 3830 Pilot Knob Road P. U. Box 21199 PERMIT NO.: Eaqan. MN 55121 DATE: . Zonirg: ~I No. of Units: ~ Ownwr. Graud 4aks Dev Address: Sta Addross; _ 4264 Va.2.2ev Fc,rike I'I;ce L12 E5 'iorts;view Plumber. P V T' - r, . s ~ ! ' r 7 ± ; . . PiT- I or" t+ OWN1r wlh !v phr ot i"" Canrwetion t?weq: 425.00 pd O"di"""m /1ooo,w,t pepait; 15. JO : PrnNt FM: ;1Y_ Surcharge' By Mlsc. Chorpes; DoM oF Insp.: Totol: I"sp" DaM Pald: Use BLUE or BLACK Ink . " I For Office UselIrr~~ 1 i1V~h$ ~j Permit Cityo of EaEd I Permit Fee: 4 • I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 5 ( 3 1 Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 1 Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: m I d Place- Unit Name: eLr~ Pe I e ("s C) (I Phone: (0 _ y5 7y Resident/ Owner Address / City / Zip: -a (oq Valley Fo- fge P I ac t Applicant is: Owner Contractor I Type Of Work Description of work: I 2-0 ( 0 i~ Construction Cost: S~On ° Multi-Family Building: (Yes No Company: Contact: Contractor I Address: City: State: Zip: Phone: 11 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) T C) 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: 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 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.aopherstateonecall.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. 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. X_ e-y- petecson x Applicant's rinted Name Applicant's g ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE Q Cn SUB TYPES I~ API - Foundation _ Fireplace _ Porch (3-Season) _ Sfdrm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level _ Pool Miscellaneous 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 yob Occupancy MCES System Plan Review Code Edition AOO? SAC Units (25%_ 100% J/) Zoning ;Do City Water Census Code u3y Stories Booster Pump # of Units / Square Feet ,L YG PRV # of Buildings > Length /.Z Fire Sprinklers Type of Construction Width ,gyp REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/ C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES /b e 3fo~ Base Fee /8 3 Surcharge Plan Review 7-_- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies '7 @ TOTAL Page 2 of 3 7 Y URVEYOR'S' dERTIFICATE ' GRAND OAKS DEVELOPMENT CO. ~ - #-`276 30 + t -t- t t~ -z- 120.00 N 89 0 52' 11 "w )er-30-00 48.00 p...._ us ! p~. § - 8 • _ 22.3 - 0 0 25.67 Lor LL ,af. L'+! • ~ N%G~ ~ f 5 14 • + . . ` K ~ W aia Ewar~ 22.0 w K 0 d' ~ ~ a fl r a 4 r O4•. O Q: i' w.w f , OD O OD I . \.o Z ro N G , l.U a~ o 30 -00 1, - - 48.00 120.00 N 89° 52,11" W 1 M •L_LJ 1 ~~,a i L~ .30 MED DATE: ,..-1 NS DIVI a10N . ' DENOTES PROPOSED SURFACE DRAINAGE 4 DENOTES IRON MONUMENT SET SCALE: 1 INCH = 313. FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 79.4 FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - `T 7(•S FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - nj 7`1.7 FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT.CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 11, Block 5, NORTHVIEW MEADOWS, according to•the recorded plat thereof, Dakota County, Minnesota. 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 DAY OF 198 . PROPOSED ELEVATIONS 14ERE TAKEN SIGNED:. JAM R HILL, INC. FROM THE DEVELOPMENT PLAN FOR NORTHVIEW MEADOWS BY SUBURBAN - ENGINEERING, INC. LAST DATED 9-29-83. BY: HAROLD C.,-PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK /PARE JAMES R. HILL, INCO 85578 - Planners-/ Engineers' Surveyors FILE NO. + j 8200. Hu iboidt iisnuo south-;:, FOLDER Biootnlngton;Mn.~ Ss~83i;: 612-88$-3009 1 ~ ,y d0os 12- Use BLUE or BLACK Ink For Office Use 1 i t ~R Permit L1 I Permit Fee: 3830 PM Knob Road Eagan i 0113- Phone: MN 55122 Date Received: Phone:(651)675-5675 I I Fax: (651) 675-5694 1 Staff. - I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: s Site Address: D (P C 0(1(,e , Unit i Name: Phone: 'sL - Resident/ 7 Owner E Address / City / Zip: Applicant is: Owner Contractor (i , ~S.c1 Type of Work Description of work: 1°GIC -2 _ Construction Cost: (6 1 S~ 50 Multi-Family Building: (Yes No~ E Company-WaAhem - , C Ccrn+ U TnC Contact: 1 I w l { Address: 5G q i Contractor M4isn cyi d-1 19ye..~ City: s~ State: 1►IN Zip: SSQ~l Phone: 6051-099-913W0 . !License #:a,P L4'4 Lead Certificate #:~7~ I y - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1-11 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: j~a NO PP g e information may be classified as non-public ouif submit are considered to be public information. Portions of y you p easons that would permit the City to conclude thatthey are trade secrets. 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.oopherstateonecall oro 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. 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. x Applicant's Printed Name Ap is Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA129942 Date Issued:03/25/2015 Permit Category:ePermit Site Address: 4264 Valley Forge Pl Lot:11 Block: 5 Addition: Northview Meadows PID:10-52100-05-110 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Teryl Peterson 4264 Valley Forge Pl Eagan MN 55123 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163110 Date Issued:08/17/2020 Permit Category:ePermit Site Address: 4264 Valley Forge Pl Lot:11 Block: 5 Addition: Northview Meadows PID:10-52100-05-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Teryl Peterson 4264 Valley Forge Pl Eagan MN 55123 (651) 454-9074 Weatherguard Construction Co. Inc. 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173516 Date Issued:11/15/2021 Permit Category:ePermit Site Address: 4264 Valley Forge Pl Lot:11 Block: 5 Addition: Northview Meadows PID:10-52100-05-110 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, Pete DeGrood at (507) 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 - Teryl A Peterson 4264 Valley Forge Eagan MN 55123--195 (651) 454-9074 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature