4270 Valley Forge Pl
~ CITY OF EAGAN If 50 .1
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ~s.~ Est. Value = i.500 Date
9--~.--t-
Site 4dress 4270 YALLEX FORGE PL . '
Lot Block 5 SeC1Sub. ~KT~Y£iJ ?%F~1uJt. OFFlCE USE ONLY
Parcel No. occupar,cy _ MEs
Zoning - r
W Name ~'ATRIG": & C1tERYI. !~!C[!tlLI.E:3 (Actual) Const _ BIdg.Permit '6.00
.
; Address 4270 YAI.LEY PURGL PL (Albwable) - 1.00
° Cj LAC.Al\ _ Surcharge
ty Phone 681-9542 r of sto~s
Length _ Plan Review
Name WC
Depth - SAC, City
Address S.F. Total _
City Phone S.F. Fap~~ _ SAC, Mcwcc
On Site Sewage - Water Conn
~
~ W Name on Sae wen - wacer meter
U~ Address MWCCSystem _
<W City Phone ciry waier _ A`xl. oep°sit
PRV Required - S/W Permit
I herehy acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
irrtormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. Treacment PI
Signature of Permitee APPROYALS qoad Unit
A Building Permit is issued to: :WnILEt OR CjiERYI, MCTtiL r1 Planner - Park Ded
an Ihe express condition that all work shatl be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pH, _ Copies
BUildirg Offi0iel Variance - TOTAL 3
~ • ' `
ParmR No. Permit Holder DMN TNwphwm #
Wi4TER
.
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ~y sD +
Inspxqpn Dafe Inap. Conumnb
Faotings I
Foundation
Framing (O-'11 1
Roofing
Ragh Plbg•
Rmo HV•
Isul.
Fireplace
Final Htg.
Final Plbg. ~
Canst. Meter Plbg. Inspectw - Notily Plumber
Engr.lPlan
ebe. Fnai 3-aq- 3 D•
Deck Ftg.
Deck Fnal
We0
Pr. Disp.
J
ti-. .y,:..C_ , . -~.,.,;r . . .
. , . . ' . • . . , - . .
! ~ . • PERMIT #
PLUMBIN(3 PERMIT RECEIPT ll
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: 513119?
CONTRACT PRICE PHONE: 454-8100
Site Address - BLDG. TYPE WORK OESCRIPTION
lot LIL~ B(ock SeciSub Res. Jf_ New
Mult. Add-on
4) Name Comm. Repair
:g Address Other
~ . .
c City phone - RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
~ Name -j-Water Ctoset - $3.00 ~
3 Address Bath Tubs - $3.00
~ ---I-Lavatory - $3.00
O City hone _J-Shower - $3.00
Kitchen Sink - $3.00
FEES UrinallBidet - $3.00
COMM/IND FEE -1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPIIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.pp Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .gp (MINIMUM - 1 PER PERMin
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGN UR F PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL: • 50
. . . : _ PERMIT 0
MECHANICAL PERMIT RECEIPT #k
CITY OF EAGAN
F~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
I CONTRACT PRICE: ~r'JU PHONE: 454•8100 For Office Use Only: '
3ite Address • / ~ • ° = BLDG. TYPE WORK DE$CRIPTION
Lot Block s S ub r 7 7 Res. New
' m Name Mult Add-on
.q Address Comm. Repeir
c City r ,.j ~ Phone Other
FEES
Neme FiES. HVAC 0-100 M 8TU - $24.00
c Address ~ ADDITIONAL 50 M BTU - 8.00
; (RES. HVAC INCLUDES A/C ON NEW
p City ? Phone
CONSTRUCTION)
GAS OUTLETS (MIHIMUM • 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES -
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES ~
Gas Pfping Outlets # BEYOND $1,000)
Oth6f
FEE SIGNATURE OF PERMITTEE
S1C:
TOTAL• FOR: CITY OF EAGAN
3830 Pilot Knob R df P.O. BaEAGA89, Eagan, MN 55121 N2 j2v84
PHONE: 454-8100 .
BUILDING PERMIT Rece;pt
' v
To"be used ior SF DWG/GAR Est value $68,000 Date SEPTEM$ER 26 19 86
Site Address 4270 VALLEY FORGE Erect I~ Occupancy R3
Lot~-Block 5 Sec/Sub. NORTHVIEW MEADO"odel ? Zoning RI
Parcel No. Repair ? Type ot Const V31.
Addition ? No. Stories
W Name CORPORATE CONSTRUCTION INC Move ? ~ength 4 S.
~ Address 4466 WEDGWOOD DR Demol~sh O Depth
° EAGAN 454-0644 Int Impr. ? Sy. F+
Ciry Phone Install ?
o Name SM$ Approvak Fesis
ot Address Assessment Permit $ 337.00
City Phone Water & Sew. Surcharge 34.00
Police Plan Revlew 68. 50
Q~l ~ Name Fire SAC 575.00
~ n Address Eng. Water Conn. 500 . 00
g~ City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that 1 have read this epplicalion end state that the B~dg q Z 6 $ 6 Tr pi 156.00
information is correct end agree to comply with all applicable State of
Minnesota Statutes andrdinances. APC Parks
Signature of Permlttee M Var . Date Copis
Total $ 2 ,12 4 . 00
A Buildin Permit is Issued to: CURPORATE CONSTRUCTI~N INC
9 on the express conditlon that
all work shall be done in accordance with all applicable State of Minnesota Statutea and City of Eagan Ordinances.
Building Otticlal , ~ -
PwMt Mo. Pw"dI MoldK Dab TiNphoM 0
PkuWWM
H.v.n.c. '78 ~ A'/i L-l S
EkwW Ll7- C ~
• ~ L t, o .2 ~/.~E /C'> o ~
son.e..
Imp-etlon DaM Imp. ComnwMs
F°°d^p. I .75 ~I z
Footlnp.11
FaundaUon Q- ~
F,.,,iing
RooMO
Raw"Pma•
Ra+O miY• O
I^wl. ° S
F,?.p,.-~
Frw Nq.
F"W Pbg. r s .lK .a- ',c/ 94*.N
ewg. F" I rO ~ Sti,!A,
"
c..t oeC.
Dock FW
Dock Fnnq.
Wdl
Pr. DMp.
PERMIT #
PLUMBINQ PERMIT RECEIPT #
dTY OF EAGAN +
3630 PILOT KNOB ROAD, EAGMI, MN 55121 DATE: ~~~Q
CONTRACT PRICE PHONE 45-A100 , . i
Sitc+ Address a l t-C" v c bC t l. gLpp.1YPE WORK DESCRIPTION
Lot ~ Block c 1Sub
' : r V Ne,n, ?
m Name ~ bY • c~ iti1' Mult Add-on
~
Addf~SSS " ~ Comm. Repalr
~ City~`. Phone '(OZT Other
Nam rO. FIXTURES TOTAL
water closet - $3.00 3 Addr Bath Tubs - $3.00
O City Phone k ~-Lavatory - $3•00
~_Shower - $3.00
FEES Kitchen Sink - $3.00 • ~
COMM/IND FEE - 196 OF CONTRACT FEE I Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE _ $10,00 . ~ L.aundry Tray - $3.00 • ~
MINIMUM - COMM/IND FEE Floor Drains -$1.50 1
SU
ter Heater - $1.50 1,
STATE SURCHARGE PER PERMIT - =Wa ~_Whirl
(ADD $.50 S/C IF PERMIT PRICE GOES PooI -$3.00 V
BEYOND $1,000.00) Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
GOF P RMITTEE , FEE z Z. ;V
STATE S/C: ~ > v
FOR CITY OF EAGAN GRAND TOTAL: ~ ~ L~
+ • PERMIT # V
MECHANICAL PERMIT RECEIPT #k
GTY OF EAGAN 10- 8b
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~
CONTRACT PRICE PHONE: 454-8100
Site Address 4270 a e or e
BLDG. TYPE WORK DESCfiIPT10N
Lot Block SeclSub /
Res. V- New V
Name Y.leve Heatin & A C Inc.
~ Address 13075 Pioneer Trail Mult Add-on
~
c City Eden Prairie Phone 941-4211 Comm~~. Repair
55344
~
Name Co orate Construction FEES
c Address 4466 Wed ood Drive RES. HVAC 0-100 M BTU ~_$24.00
~ Ciry Eagan, MN 55123 phone 454-0644 ADDITIONAL 50 M BTU - 8~
ADD-ON A1R COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air M g-r~ GAS OUTLETS - 1.50 EA.
COMM/INO FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M g'rU MINIMUM - COMMIIND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
V@nt (ADD a.50 S1C IF PERMIT PRICE GOES
CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other "
i
FEE
S/C: ; ~GNATURE OF F~RMITTEE
~ TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN 17499
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512~
BUILDING'PER PHONE: 454-8100 Receipt # ~ ~ /P ~
I~~~I~
Tobesedfor S'L'OVE Es1.Value $1,000 Date fAD 7
Site Address 4270 VALLLY FORGB YL
OFFICE USE ONLY
Lot 10 BlaCk s Sec/Sub. ~R~i~ MZAMS
P2fCel N0. Occupancy - FEES
Zoning
W Name PAT 6 Ci18Rri t4Ct~NLLEH (AquaQ Const - Bldg. Permit 25•00
~ Address 4270 VAL1.EY FORGB PL (Albwable) -
•
0 Cit Phone 681-9542 N ol Stories _ Surcharge ~
y Length _ Plan Review
~o Name $ANZ oeptn - snC. Ciry
Address S.F. Total - SAC, MCWCC
City Phone S.F. Foolprinis -
On Site Sewage _ Water Conn
~ W Name On Site Well - Water Meter
Addf9SS MWCC System - Acct. Deposit
i W City Ph011@ CAy Water _
PRV Fequired _ S!W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SnN 5urcharge
inlormalion is correct and agree to comply wilh all applicable 51ate of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
5ignature ot Permitee L APPROVALS qoad Unit
A Building Permit is issued to: CHEIZYL MCMITLL.6H Pla^^er - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State oi Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies
Variance - TOTAL 25.50
Building Olficial
Permit No. Permit Holder Oate Telephone k
WATER
SEVYEFi
PlUM81NG
H.V.A.C.
ELECTRIC
MspeeNon Oafe Insp. Comrte?ts
FoWings I
il
I
FoWndelan I
Framing
Roofirg
Rough Pib9• I
Rough Htg.
Isul.
Freplece
Finai Htg.
Final Ptbg. ;v/I T -J Q= •v 7,0 l
Const. Meter 7-'t,
Engr./Flan
Bldg. Final .,l . J Gva1
Dec9c Flg.
Dedc Final
Well
Pr. asp. I,I
I
I
~
CITY OF EAGAN Remarks
I Addition NORTHVIEW MEADOWS Lot 10 Rtk 5 Parcel 10-52100-100-05
' Owner Street oY' State EP?GAN MN 55123
' Y FORGE P
4270 Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 7. i7 76-75 STREET RESTOR.
' GRADING
57 79 20
SRN SEW TRUNK 5 1 1 138.48 6.92 20
SEWER LATERAL te•3+19--3~5 1$
SEWER LAT " 7*1
22.28 I.~ 4-, +1 H S
WATERMAIN W 1984 70.67 4.71 15
WATER IATERAL $ 18.65 (•?A' :}3 -HIS
WATER AREA Z 20
~ 1982 29.52 -1,48 20
STORM SEW TRK 1984 392.32 70. "r23' -1$ S
STORM SEW LAT
DRAINAGE 1 33.97 •3 3r-419 10
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
8UIl01NG PER.
5AC
PARK
~
CITY OF EAGAN WATE SERVICE PE'RllAtt
3830 PU ' KnoH Rosd
P. n Bbx41199 PERMIT NO.:
Eagm. MN 55121 DATE: n-•
Zoninp:. P 1 No. of Units: Z i
pw,f,; CorpurUte Const. ,
IWdrar ~
~~W 4270 Vatlev Foree Placc 1,11 B5 I3ortliview dws i
pruwber. F,a =mon3 E . (
AMftr No.: .9748lv/ r((v . 500.00pd ~
c#ere-di1U*&C14&A 15 . aova ~
vni Road~r No. Q ~1
~€...s""WF
1agM h N.rlr wili ev ~i . 50 d q
o~....... R i 56. oo.~ ~ ~
~ 'rprol; 63 _ 51!pd me_ter ~
By CaR. Pbfd:
I Dote of Imp.:
/D-)0-96 ~
~ CITY OF EAGAN sms SERVlCE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
I
EaW, MN 55121 DATE: 9-10-86
Zadnp: No. of Unfh: ~
' Owrxl: Cn'!~r. af Cnurat_ _
Addt m: ~
Sltf Addrfii: _3- - - r'urge YI r 1
Plurrber.
1.2Q.0E7p4
I 1.em horw* wllr Iiw C11y of B.s.• Cor+?aaton Chao•: 7 S.Oas c~
Otdkwnem 11COO4RM DlpOdT: 1a-Q"Y' ~
, Rarenlt Fw: 6i .
Surchwrget
By Misc. Choron:
' Dale oF Insp.: Total:
Irop.: Dab Poid:
CITY OF EAGAN 'N? 16513
3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # c aI ac o
To be used for REMODEL Est value $1, 500 Date MAY 23 ,19_$-9--
Site Ad'dress 4270 VALLEY FORGE PL
oFFICE uSE ONLv
Lot 10 Block 5 Sec/Sub. NORTHVIEW MEADOW33
Pareel No. occuPaney - Fees
Zoning _
w Name PATRICK & HERY M MI N (AcmaqConst _ BIdg.Permit 36.00
o AddreSS 4270 VALLEY FOR • P (Aliowabie) - Surcharge 1.00
City EAGAN Phone 681-9542 xofStories -
Length _ Plan Feview
o Name SAME Deplh - SAC. Cily
0,04 AddfBSS S F Total - SAC, MCWCC
~ City Phone S F. Footprints -
On Sita Sewaga `Nater Conn
Fz Name On Site Well - Water Meter
AddfBSS MWCCSystem _
aw CllY Phone Qty Water _ Axt Deposrt
PRV Reqwred _ SNJ Permit
I here6y acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge
intormation is correc[ and agree to compty with all applicable Siate of
Minnesota Statutes and City ot Eagan Ordinances. pp 7reatment PI
Signature ot Permitee `f ~~[.lX AQxJ APPROVALS qoad Unit
A Bmlding Permit is issued m: PATRICK OR CHERYi. MCMUL , g Planner - park Ded.
on the ezpress conditwn that all work shall be done in accordance with all Council 50
applicable State ot,/Mmnesota Statute1s antl Cny ~o,(f Eagan Ordinances gl~ Qff, Copies ,
8uiltlinq Official ~1~1 AQI (p,l I/ I Variance - TOTAL 37.50
CITY OF EAGAN p c
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12684
BU14DING PERMIT PHONE:454-8100 Receipt N
7abeueedfor SF DWG/GAR Est.value $68,000 Date SEPTEMBER 26 1986
SiteAddress 4270 VALLEY FORGE Erect C~ Occupancy R3
Lot 10 Block 5 Sec/Sub. NORTHVIEW MEADOH413nodel ? Zoning Rl
Fepair ? Type of Const Vil
Parcel No.
Addition ? No. Stones
a Name CORPORATE CONSTRUCTION INC Move 0 Length d
z 4466 WEDGWOOD DR Demolish ? Depth ¢7
o Address Int Impr. ? Sq. Ft.
ciry EAGAN Phone 454-0644 Install ?
a Approvals Fees
o Name SAME
$Q Address Assessment Permit $ 337.00
~ Ciry Phone Water 8 Sew. Surcharge 34. 00
Police PlanReview168,$0
Fi Name Fire SAC 575_00
Address Eng. WaterConn.50Q.90
aw Ciry Phone Planner WaterMeter 63.50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatihe gldg.on.9/26/86 Tr.PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and of ga Ordinances. APC Parks
Var
Signature of Permittee ~ . Date Copies
Total $2.124.00
A Building Permit is issued to: CORPORATE CONSTRUCTION INC on the express condition that
all work shall be done in accordance with all appl~icaF~/ State of MipnesetZ .S-tYa~tutes and Ciry of Eagan Ordinances.
Building Oflicial u w~ ~~_~d~~[/A-~- ~
L-
CITY OF EAGAN N0 17499
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~
BUILDINGPERMIT PHONE: 454-8700 Receipt # 1-7
WOODBURNING
To be dsed for STOVE Est Value $1,000 Date FER 7 , 1990
Srte Address 4270 VALLEY FORGE PL
Lot 10 Block 5 SeGSub. NORTHVIEW MEADO S OFFICE USE ONLY
PafCBI N0. Occupancy _ FEFS
Zoning _
w Name PAT & CHERYL MCMIJLLEN (ncmaq const _ eidq. Permit
25.00
3 Address 4270 VALLEY FORGE PL (qllowable)
o - Suroharge .50
City EAGAN Phone 681-9542 aotsmnes _
Lenglh Plan Review
io Name RAMF. Deplh - SA0.City
00¢ Addfes5 S.F.iotal _
~ City Phone S F Pootprints _ SAC, MCWCC
r On Sne Sewage _ Waler Conn
Name
Fw On Sile Well - Water Meter
AddfeSS MWCC System _
a W City Phone Ci1y Water _ AccL Deposit
PRV Reqmred _ SiW Permit
I hereby acknowlege ihat I have read this applica6on and state lhat ihe Booster Pump - SIW Sureharge
inlormahon is correct and agree to comply with all applicable State of
Minneso[a Statutes and Qty of Eagan Ordmances 7realment PI
i
Signature of Permitee ~ APPROVALS Road Unit
A Bmiding PermR is issued to: HERYL MCMIJLLEN Planner - park Ded.
on tha express condition that all work shall be done in accordance wnh all Counnt _
applicable State ot Minnesota StaWtes and Cny of Eagan Ordinances. Bldg. OtC Copies
BmldingOfhcial .N1fi Qi, r rn~ Vanance - TOTAL 25.50
~ RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. single family dwellings & townhomes/condos when permits arn required for each unit
Date 1 / Z6 / L) G,
Site Address t"i 27 O vc~l 1k`y ~L2 rq c- Unit #
Property Owner 3)t. b6i c_ Telephone # ( 65 1 ) E) .'39 2 C,
Residential ~Ieating &
Conaractor
Ailr- , ine.
Street Address 1815 East 41 st Street ~ity
State (612) 724-1599 Zip Telephone# ( )
Bond 6 9 5 9 Lt C1 °J Expires: c( - 11 - C.) (:2
The Applicant is _ Owner _)4 Contractor _ Other
Add-on or al[eration to existing dwelling unit s 30.00
_ furnace _Additional _Replacement
air exchanger f
'1(- airconditioner _New )4 Replacement 'y/ ~
_ other
-
State Surcharge $ 50
Total $ 3c)
I hereby apply for a Residential Mechanical Permit and acknowledge that the informafon is complete and accura[e; that the work will
be in conformance wi[h [he ordinances and codes of [he City of Eagan and wi[h the M chanical Codes; that nders[and this is no[ a
permit,- but only an application for a permit, and work is not to start without a per5that he 7wo ill in accordance with the
approved plan in the case of work which requires a review and approval of plans.
- Dlc-c-~ r, ~ ILa ti~~ '
Applicant's Printed Name Applicant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complele for. commercial/industrial buildings
multi-family buildings e•hen separate pertnits are not required for each dwelling unit
Date
Si[e Street Address Unit #
Tenant Name (itapplicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bontl Expires:
The Applicant is _ Owner _ Contractor _ O[her
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing Inspecfor
Pennit F¢05: 570.50 Underground 1anA insialla[ion/removal
550.50 Minimum (includes Smie Sureharge)
of
Contract Value $ x I% _ $ Permi[ Fee
• If pe rmit fee is $1,000 or less, add $.50 ~ S State Surcharge
If ermit fee is over SI,000, add 5.50 for
every $1,000 ep rmi[ fee $ Total Fee
I hereby appty for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that [he work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand [his is
not a permit, but only an application for a permi[, and work is not to start wi[hout a permi[; [ha[ Ihe work will be in accordance wi[h
the approved plan in [he case of work which requires a review and approval of plans.
ApplicanPs Printed Name Applicant's Signamre
Approved By: , Inspector Date:
-I 133 910 . . ~
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date f'-f l~! oS-
Site Street Address UA-h-Q.AA UYC ~ Unit #
Property Owner~~~, Telephone # ( (0S%)
Contractorr7sX li2c'-> Telephone # ((pg"O 90L~ - l07 /
Address City State" 1,~ Zip5SQ0~
The Applicant is: _ Owner Ycontractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If vou are installinp onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation ~-RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 2 • S('1
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in-aesor.dance with the approved-plaf -i5
the event a plan is required to be reviewed and approved. (l I ~ IP I~
r
~ ~~zk V,s~( , ~ ~aur t ~ zoos ,
ApplicanYs Printed Name Applicant's Signa 0re - i
1986 BOILDING PERMIT APPLICATI09 - CITY OF EAG99
HOYB: ALL C019TRAC?09S MOSY BE LICfiNSSD WITH THE CITY OF EAGAN
SIAGLfi FAFIILY DHELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DiIELLINGS - RffiIDENTI9L REN7AL ONZTS FOR SALS UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECH iiITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COl4lERCIAI.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: t- Valuation: (o g1(qex~~ Date:
Site Address yZ-70 VJe, OFFICE QSE ONLY
~
Lot la Block S Ereet ? Oecupancy R 3
~ ~~n~ p Remodel Zoning
Parcel/Sub p~ 2tio~~, Repair _ Type of Const 2Z
y Addition 0 of Stories
Owner n (_,Q~pOlo~"lt l.. /~a?s~. ~ Move Length 45
Demolish Depth
4"1
Address (4L(4 6 W~.~o«~.~ Q, znt.impr. _ Sq Ft
SfIZj Install
City/Zip Code d,~
L
Phone `Sq-& ~ '4 APPROVAIS FEES
Contractor Assessments Permit 337
Water/Sewer Surcharge IJ4.
Address Police Plan Review j(.af~.sO
Fire SAC S"IS,
City/Zip Code Engr Water Conn SoO.
Planner Water Meter (o3.
Phone Council Road Unit 2q O.
Bldg Off5KljTreatment Pl 1 S(o.
Arch./Engr. APC Parks
Variance Copies
Address TOT9L ~
City/Zip Code
Phone #
, NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MUST DESIGNATE AHICH ADDRESS
IS DESIRED. NO CHANGES fiILL BE 9LLOiiED ONCE BOILDING PERMIY IS ISSIIED.
q88x 58 = 'S-73o¢
-7 2 x 4 4~- 31 cD g I ,
ZZx `~-2 = q~{- x 12 = s60?
(oxi~ - loo K g _ 80~
(o-7 oSo
SURVEYOR'S CERTIFICATE CORPORATE CONSTRUCTION
~_\J i I I
N 30 I I
120.00 S89°52'II"E M
~ .30.00 46.83 'v
, in ,-5.00
' . W /22.3 v
~ ~ 24.50 1a.~ g
DRI
~W r 4 h I
O 22.813 °
~ ~
tq~ /o= ~n
~ ~9. ~ LOT m
~
~ ~ WC~ O \J
} Z i a/ a / a lo i~ Z I
W z4.o
~ o
o
> ~ 10 L-,10 o~ s ~
- - I
30 ~ o '1 ° 1
3 `'30.00 " 46.83
; 120.00 S 89052111"E ~
i Z
0
M M
MACLAREN PLACE _
DENOTES PROPOSED SURFACE DRAINA6E
O DENOTES IRON MONUMENT SET SCALE.: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 979.y FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 474-6 FEET
(000.0) DENOTES PROPOSED ELEI/ATION PROPOSED TOP OF BLOCK = 979•8 FEET
1 HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
' Lot 10, Block g", hORTHV:EI•! P~EAD04JS, 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 30?H DAY OF APRIL , 1986.
:.PROPOSED GRADES WERE TAKEPJ SIGNED: JAMES R. HILL, INC.
FROt4 THE DEVELOPMENT PLAN
FOR NORTHVIEW MEADOWS BY
SUBURBAN ENGINEERING, LAST
DATED 9-29-83. , BY:
NAROL'D C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JpMES R. HILL, INC.
" 86598 Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Arenue South
FOLDER Bbomington, Ma 55431 612-e84-3029
Cities Digital Quality Control
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Door area A -7 ft.~ 'J door area • -~~3 U x q•~,~~
Fireplue area A C~-- f::.z J iireptace U xA•
y Exposed foundation A_ f!.- J foundation • U r A~_
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' Framing area A Z\O. Q~ ft.' `raning.area 09 U x A
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x 0.23 (a-2 other resiCenti;'.;
x .23 'O[her Duildings'
A .2E (Over 3 stor;e:)
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~1. G?oss ceiliog aree • SL) 4(o x(~.~ --L~ ' \Zb'7 ft.
:~3t Joist area (Af) ' 10" ceilfng area ft.2
Nf! CQilinu area (.4c) (15A - 158) • ' rT_ ( _ ft.2
U ceiling x F C¦ x_1~:-~~(~. 3_ ~ "Z3.Co2~
U framirtg x A f• , O Z~o4 x__
reTaL u x a ~ 7
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x O.C33 (A-2 otner reside^:ial) x O.C6 (other) .
BaUH Must be larger than 150 (aDove)
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lnslde air film .59
int.:ior •+sit .45
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" - Lnstae air f?!m R• :68'
2ND VALL Int er wr va i 1 .45
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In[erior atr [f ir .63
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,It L ` i ~.r't•~~~1
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~a.: ' •~'.m Lnsula.lor.
~"6L" FounJat iuo z- o (Fdn. ) U
b~° xteTior air filn ti• .11 '
F TOTAL
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' • ;SG, 1 . „ ' 'Te,~~tiY?t 'i1~=til.
;6:• cY,; ..';...ei: _ , T' . . .y. e.,,` i,` Y
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sutld9ng Classltiutton: Ty" A1 (5ingie fa:nily 8 Duplex) ? Type A2 (aesidentiat
- (3 stories or ess
" ;(Other) (Over 3 stories)
'sENEr1Al INFORMi1TI0N
8u11dinq Ptrtineter ft. t,..
t-.
Wall height (grouna to eave) `Dwe-: P S ft.
z
; t. x 2. (aoove) 9ross watt oreo z\o2~s rc.
t. Buildln9'dfinensions (L) •(u) \~O~] ft.2 roof s floor area,
S. Square fcot area of rim Jotst - Floor joist slze (2 x \o ?
l O7 x Perimeter = Rim o St srea ft2
ppprs - ArN . ~ .1 .
Th1t nts~ a_ n. actor
Type of' COnstruCt on trimeter~,~•~Z~ ft.
Manufatturer ea s e
Total daor's peria»ter --L Z ft
NinOoti+s: IYeulacturer 1~ 0 Z- c o Stata appraved
U tattor ~ 150
TYPE SIIE AREA (Ft.2) VUMBER OF TOTAL FEET 2
EACM UNiTS
39,.\0
,
5040 ~4.;g. 5 Z3.-70
%-'t .'7"7
30 ~Cli
,i
Totai ft.2 Glus
Flrepleu area: Wdth x heioht • ---A F-3- • E~33-- Ft.2
11 . Exposed foundaNon: Neight x Perlmeter x (~::k ~ • ~~l Ft.Z _
:1lIaLfTION OF TM1S fONM IS REQUIRED FOR All NEw CONSTRUCTION. MM1JOR REMOOElIN6 ANO BUiIDi!G5 OEIN
(;rED MMERE ENER6r. OTMER TNA~1 THE MINIMAI CODE ALLONANCE, t5 uSED. '
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: s:..;x
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.
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Ceiling
.
O.E1 Air Rilm 0.61
3'1 .9 3 total a
.oz(.4 u = A o~ +8 Lfv
F!.4i ROJF ~OR CaTHEOM CEIL,IN6
ul e ° R YAL.UE
~ I FRAMING CfiILItiG
0.61 In51de air fi1,m O.6i
Cei i ing 1
JOiSt (StUd' -
Insulation
Atr SpaC4 ~ '
I I . . , Roof' d*tkinq
Inaulatlon
Bw1i,tTup roQt . :1.
'~i:cp{d.:Fr;~•r,,.n4,F~._~~k('.~'.i~ O. 7 QI1T.iibe aiI' f? 11{
TOLIII R ' ~'•'r,',:
u
Aindow tnfittroticn .5 cfm/1lneal foot of crack
f•tRfidentiat door infiltration 0.5 cfm/sQuare foot or dcor and mtnlnue code regulremltnt
71c4i-resfdential door infiltration 11.0 cfr/lineat foct of crack .
1p 11" conu•ete Dlotk no insu1ation =.47 R 2.1
•:^,lp .12" concrete block insulqted cores =.26 a 3.8
,.i~Stt" lightoioight`Slotk • .32 R 3.1 ~ ~i;~:'•~`<i~;~
lp 12" liyhtwil9ht b1oCk irisulated cores - .12 R 8.3
flngle glass 1.13; i4th stom winCoa .54
",111 exterior w11t and cNlings must have a vapor barrier (C.10 perm iraz.).
,e <<,
,.,.00'r Oarrier.muRt:,,h~e on„the inslde (heated side) of wall. ,
ppr tiarnter;:Ql~',thR ~1yoLbelens. tMn film have no a va1ue. ~
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. :
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) S'170 YY1f
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~/U 6
3 L 4 o 651-681-4675
New Consfroction ReaWremenfs Remodel/Reoalr Reaolrements
D 3 regisfered sNe surveys showtng sq. H. of lot, sq. R. of house 2 copies of plan
and all roofed areas (207A maxfmum lof coveraae allowed) 7 set of energy catculaffons for heated oddttions
? 2 coples of plans (show beam 3 window shes; pouretl fnd. design; efc.) 1 sHe eurvey lor exferlor addMlons d decks
? 7 set o1 energy calculafions
? 3 coples ot hee preeenaflon plan M lot platfed aMer 7/1 /93
/~~`z R~ O ~
DATE: LO ? Z/ CONSTRUCTION COST: `7 ~lUcJi
DESCRIPTION OF WORK: I rYY~ ~?K.
STREET ADDRESS: 7D I.
LOT: ~ BLOCK: 5 SUBD./P.I.D. ~V ~C1Y't~U O'A d l.J
Name: Al L /YIUA.2u Phone
PROPERTY Lan Fint
OWNER Slreet Address: 170~ 7Z) UQ I(-Q-t, rO/@ P-, P/,
~ity Eaa" sfate: ZiP:
comPanY:_~--ov 04"4hone#:
(area code)
CONTRACTOR ~
Street Address: L icense # ,fS Exp. 000
City State: J Zip: 6-5319
ARCHITECT/
ENGINEER Company: Name:
i ` .
TcI..np..4.n..n I!: .".:E'C =
\ 1
Street Address: Registration
City State: Zip:
Sewer 3 water licensed plumber (reaulred for new construcfion onlvl:
Penalfy applies when address change and lot change ts requested once permR Is Issued.
I hereby acknowledge that I have read ihis applicatlon, state that ihe informatlon Is cortect, and agree fo comply wNh all appltcabl
Stafe of Mlnnesota Statutes and City of Eagan Ordinances.
Slgnafure of Applicant:
OFFICE USE ONLY
REGF,1V r!,ID
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OB 6-plex O 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level 0 24 Storm Damage
? 05 3-plex ? 10 8-plex 0 15 Lodging 0 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. O 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' 0 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 RProof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC1ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMTT
Date: Permit #
Date
Receipt #
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit wijl be required, as well.
V E)dsting residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, p3umbing permit, WAC, and water treatment
plant fees.
(Address t e sprinklered)
Homeowner/Plumber:
Phone Ola - ~
Street Address:
City, State, Zip: ~G c SSY~'
Owner Name:
Street Address: ~y~,V~
Phone
Irrigation Contractor: 22&1~
Phone / 3 ~ - Q ,Qileg-1
17~ p z.
I hereby aclmowledge that I have read this application and state that the information is
correct and agree to co ply with all applicable City of Eagan Ordinances
, ~ -
cc: Engineering Department
/ CITY USE ONLY
L ~ BL RECEIPT 1? ( r//p/S
S RECEIPT DATE: ~ ~1 6
i 1998 PLUMBING PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3830 PILOT KNOB RD
EAGAN, NN 55122
(612) 681-4675
Please complete for: ? single family dwellings
D townhomes and wndos when permits are required for each unit
? backflow preventer for underground sprinkler system
- Y ^ ^ ' ' -
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
°ath Tu5 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot T b a 3.00 x =
~ ?at, e 9eater -J 3.00 x =
~FloorBrain - 3.00 x
Gas Piping Outlet "minimum-7 3.00 x =
Rough Openings 1.50 x =
Water SoftenOf ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 X =
U.G. Sprinkler `fordwellin9underconst. 3.00 =
U.G.Sprinkler `forexistingdwelling 20.00 =
Altefations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and returbishetl systems)
Private Disposai Systems `Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 500
5
TOTAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I hereby acknowledge that I have read this application, state that the infortnation is coneG, and agree to comply with all applicable City of Eagan ordinances.
It is the appliwnt's responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
nortnal operational and maintenance activrties to the facilities constructed under this pertnit within Ciry propertylright-of-way/easement.
SITE ADDRESS:
OWNER NAME: c~~A ,/~/~~f~Lr/-~~•f/
INSTALLER NAME: ~o%<`~ OGGmCdi.?G TELEPHONE
STREETADDRESS:
CITY: 04L,o17;;d STATE: ZIP:
GNATUR F PERMITTEE
CDlPERMIT FORMSlRPLBG PERMIT (RES) - 1998
7989 B[TILDIAG PEAMTT APPLICA2ION
CTTY OF EAGAN
I 4513
M GLE FlMILY DiiE(.LIBGS FIITLTIPLE DNELLIHGS COlB'IERCIAL
.ETS OF PLANS 2 3ETS OF PLANS 2 SEPS OF ANCHITECTURAI.
lEGISTEAED SITE SORVEYS EEGIS2SBED 3ITE 30H9EZS - 3 STdOCTORIL PLANS
I SET OF ENERGY CALCS. (CHECH 1TITH SLDG DIV.) 1 SET OF SPECIPICATIONS
1 SET OF ENERGY CALCS. 1 SET OF EIiERG1 CALC3.
M)LYIPLfi DtiELLINGS AENTAL ONTTS FOR S9LE DNTTS 1 OF Q6TTS
60TEt ADDRESSFS FOR CORNER LO?S - COPTAACPOA/HOMEOiilTER MOST DESIGNA7E iiHICH ADDRFSS
IS DFSIRED. HO CA6NGFS AILL HE ALLOWED ONCE HDII.DIAG PERMIT I3 ISSQED..
0
SEHER 3 WATER fEAMIT £EFS AAD ACCOUNT DEPQSIT F6FS idILL HB INCLUDED WIT9 THE BOILDIN6
PERHIT FEE. PROCESSING TIME FOR SEWEA AAD ii9TEA PE14lITS IS THO DAYS ONCE A PEAMI}' HAS
BEEq COMPLETED INDICATING A LICENSED PLOMBER.
To Be Used For: tjitEP_1141Q012) Valuation: frt;4_g9&&Z) Date: S- 23- 8q ~
Site Address L{~70-J/~I~Ev Fb~r- Pkrc ~ OFFICE OSE OliL1
/Soo
Lot 10_ Block ~j Occupaney ~FS
Zoning
Parcel/Sub Actual Const Bldg. Permlt
Allorrable Surcharge /,00
Owner R2L-F21cK. + l`.Ff-Ee~~L rnW.~bDe,._1 t of stories Plan Reviev
Length SAC, City
Address q 1o JadlC vFozqE Pixe Depth sac, rn?cc
S.F. Total ilater Conn
City/Zip Code E "N~ SSIa3 Footprint S.F. Water Meter
Acet. Deposit
Phone On site aevage S/W Permit
On site well _ S/Yl Sureharge
Contraetor ~5x}~ MWCC System _ Treatment Y1.
Citq vater _ Aoad Unit
Address PRV required _ Park Ded.
Booster Puinp _ Copies r U
City/Zip Code SIIBTVfAL
iPPROVAI.S Penalty
Phone Planner iOTAL
Council
11r ch ./Engr . Bl dg . Of f.
nariance
Address
City/Zip Code
Phone 9
1
'
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
ck 11y91
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WkiICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: _Sfotle_ Valuation: Date: -9,0
-T
Site Address 70-V21/E 6~ G~IGC OFFICE USE ONLY
dd;f,.
Lot 10 Block FEES
Occupancy
! r Zoning
Parcel/Sub ~~„C'~,\6?1j M.Rftlt,mU" Actual Const Bldg. Permit
Allowable Surcharge
Owner GH,:!F.e;/C 1'Y7c>YJu //Gti # of stories P1an Review
Length SAC, City
Address P/u-Depth SAC, MWCC
(
S.F. Total Water Conn
City/Zip Code 67/-l~~O" SS/z3 Footprint S.F. Water Meter
Acct. Deposit
Phone On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
*f*f***********###*f**i******#**#**!
Y
C I TY O F E A A iV ~F~, ~~TIMEIV,IEF ;
,*t APPROVAL OF PII2NIIT.
~ APPLICATION FOR PERMIT * •
. . nvsrncriota oF sEWM Arro/ox MkM
~ ,*f TTtm`AT.TATTONS WIIT I30if BE SQm-
SEWER AND/OR WATER CONNECTION ~ ULID []Nl'7L Pmt'IIT HAS BEEN
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1) PROPERTY ADDRESS: _
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRCCIURE, DATE OF ORIGINAL B[IILDING pERMIT ZSSL'ANCE: '
' PRFSEDTP ZONING/PROPOSID CSE: (1-bn Year)
~ Cc7t,1MECtCZAL/RETAIL/0FFICE R-1 SINGLE FAMILY
r7 IDIDC'STRIAI, Q R-2 DCPLEX (74,o Onits)
ZNSTITL'TIONAL/GOVERNN~.Np ~ R-3 7nWNiOC~SE (Three + Units) ( Units)
~ R-4 APARTMENT/CODIDbMINIUM ( Units)
2) NAME:
ADDRESS: .
CITY, STATE, ZIP:
PHONE:
3) • ~ ~:7• For City Ose .
NAME=__ IteYMOND s NA r p pr iti Plumbers License:
~DRESs: 7226 Csdar Ave. So. Active
CZTY, STATE, ZIP: ~WOK MN. 55423 Expired
i Not recorded
PHONE:~ MASTER LICII9SE#
' St~initial
4) o~• • • ia/~
NIiME' L~C? ~Chr a_to . ( ' Dvl n ~r '
ADDRFSS: CITY, STATE, ZIP: ~ . ~
PHONE:
5) vi i r: • a~ :,ti
ro~1[~(.TZON 1U CITY SEMR~ION TC) CITY WATII2
6) v ~ i• ~ PLEASE HOLD APPROVfD PERPIIT FOR PICK-UP BY ONE OF ABOVE -
~E MAIL APPROVED PERMIT TO 1, 2, 3, ABOVE .
(Circ e one)
7) r n u• • ~ n
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. ' 7• ~ Y:I: Y • • ~ ~ ~ I' • ~ D I:a• ~ /YJI' • }•1 IU " • S• • • D•
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.FOR CITY USE ONLY PERMIT # ZSSUED ` .
Pd w/Bldg. Permit FEES:
$ $ 56 SEWER PERMIT (INCLCDE SURCHARGE)
$ $ WA'I`ER PERMIT (INCLUDE SC'RCHARGE)
$ (p 3-.S 0 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ IS "G-6 $ ACCOONT DEPOSIT - SEWER
$ ~S,Q O $ ACCOC?NT DEPOSZT - WATER
$ ,J Q'Z' r U~ $ WAC
$ h 7 S, O--b $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFZT/TRC'NK SEWER
$ $ LATERAL BENEFZT/TRUNK WATER
$ 15-~•O O~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTBER:
$ $ TOTAL
9
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RZGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~n-eJ
TITLE: .
G /d b
DATE : % / 3
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HEAT lOBSCALCUlAT10Nf
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/AOOn 30
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11•
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NO. W W t u oi rnck q.lv No. dM Or+ l' n of rn[t M. h.
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. INA"w:on 6l0~ 71 In111,,niow Slpeen 71
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COOLItdG LOAD SNEET Dete: K' f',r •i
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Nams rJ Addrau
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Plan # ~ . Time: <PM
Oetign Conditlont: Outside : Ory 8ulb 89; Wet Bulb 75 Insida: Dry 8ulb 78: Wst Bulb 68
AREA QIENSIBLE IATENT
ITEM DIMENSlONS SO. FT. U TD HEAT HEAT '
CONDUCTION NEAT GAINS ~
Exterior wall, qrou - - ,
Exwrior Qlau - .66 11
Extorlor well, net .0$ 11
jf~tk
Total wells end windows A .17 > > - r ~
Flooi .08 11
Ceiling or roo} U .OB 11
EXCESS SOLAR OAINS
WAlL8 (dlrection taud)
Wett ~ .08 28
Roof v .08 64 ~
OLASS (direction faced)
.65 ~ 6J
w~t
Skyiifiu .66 1 te
SOUY HEAT GAINS
Eomibla No. of o le z 225
,
Latent ' No. ot people x 230
EOUIPMENT HfAT GAINS
Elocuic motori 3 HP x 36M P Tu c,
Inliltretion • Sentibie 1.085 x CFM x 11 ~
Intiltration - Lntent "L MF x.87 x 30
TOTAL HEAT GAIN (SENSIBLE)
TOTAL HEAT GAIN (LATENT)
TOTAL HEAT GAIN BTU PER F
TONMAGE EOUIVALENT OF COOLING LOAD ~°~-{¢~G'~'_ Ta+t
. i
#tD2 i
DEC -16-2011 14:52 FROM:TSCHIDA PLUMBING 6514892461
41' City of Eaaaff
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 676.5694
T0:6755694 P.2'2
Use BLUE or BLACK Ink
1
For Office Use
� c
Permit # /o 7�
:
Permit Fee: �✓
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dato: /O/10k/ Site Address: gp2 7D � f/. E
Tenant:
RESIDENT / OWNER Name:
•
Address / City / Zip: �� 7.) 1 -
CONTRACTOR Name:
Suite #:
Phone: L!4- 7d) - /-4/3
License #:
Address: _la C! �f44,_ City:
State: /r%/1/ Zip: SritiO ? Phone: <D ‘-r/— 7' ,Z(9
Contact:
Email;
TYPE OF WORK
PERMIT TYPE
ew Replacement _ Repair — Robuild Modify Space _ Work in R.O.W. K
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water
Softener
Add Plumbing Fixtures L Main / Lower Level)
Water
Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater Dag Softener (includes $5..00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is requirod)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State Qne 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. :,.n11 22pi1F:r r g li :!.: li.;.;ar..;
I hereby acknowledge that this information is complete end accurate; that the work will be in conformance with the ordinances and codes of the City of
Eager; that I understand this Is nota permit, but only an application for a permit, and work i4 not to start without a pemtit; that the work will be in
accorddta with the approved plan In the case of work which requires a review and approval of pi ns. r+rw''
^,e,e;4:
% 4
Applicant's Printed Name
x
Applican si Signa re
FOR OFFICE USE Reviewed By:
Required Inspections: ^,Under Ground _Rough -In Air Test
Date:
Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144635
Date Issued:08/02/2017
Permit Category:ePermit
Site Address: 4270 Valley Forge Pl
Lot:10 Block: 5 Addition: Northview Meadows
PID:10-52100-05-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michael L Wittine
4270 Valley Forge Pl
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171314
Date Issued:08/10/2021
Permit Category:ePermit
Site Address: 4270 Valley Forge Pl
Lot:10 Block: 5 Addition: Northview Meadows
PID:10-52100-05-100
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Michael L Wittine
4270 Valley Forge Pl
Eagan MN 55123
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174603
Date Issued:02/07/2022
Permit Category:ePermit
Site Address: 4270 Valley Forge Pl
Lot:10 Block: 5 Addition: Northview Meadows
PID:10-52100-05-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michael L Wittine
4270 Valley Forge Pl
Eagan MN 55123
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature