4271 Valley Forge Pl
CITY OF EAGAN WATER SERVICE PERMR
~ 3630 Pilot Knob Road
P. O. Bow 21199 PERMtT NO.:
~ Eaw; MN 55121 DATE: t
Zonlnp: Y1 No. of UnNs:
OwMr, r.evland :.Iames
llddnss:
Sift 4271 ~*alle For e Place L14 n4 Plorthview *kiws
Number D C ?'echanical
Mehr No.: -EI 10 ~rp~: 50~J.4t)pcl
Size, a~ 15 . 00 d
/ r
` N°" 10. OOnd
50nd
1 Nrw le wMP1p rrllM ev Gie~r . 5 6. C
s n.~ TE'
tc.
r
BY Date PoM:
Doa of Inap.: Irap.:
~ CITY OF EAGAN SEWO SERVICE PERMIT
3830 Pilot Knob Rwd PERMIT NO: 712
P. O. Box 21199
Esgan, MN 55721 DATE~
~ina: Pl No. of Unlts:
Owner. F.e land Iiomee ~
AddflSf:
Sit@ Addma: 4271 palle tor g,~ r- ace i.. Plunber P. C Kecbanical .
~ ~
c;~ i' t ~ , ;?t?pr'
1 Mm NawA* w11U dM ChI of MM• Ca+rocttan OaW: ~ S'~~d
Aec»ur~t DspOdf:
10, 00n'!
Pramit Fw:
Surdwrp:
BY Mifc. ChorOa:
Doa of Irop.: Totol:
' Inap.: CoH Pdd:
, CITY OF EAGAN N r~ 11776
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE 454-8100
BUILDING PERMIT Receipt#i
To be used for ~/CAR Est vaiue $67,000 pate AY R I L 11 i y 8 6
Site Address 4271 VALLEY FORGE Erect IJ Occupancy '23 •
Lot 14 Block 4 Sec/Sub. NORTEiV I EW Remodel ? Zoning Rl
Parcel No. idEADOSJ:a Repair ? Type of Const V
AddlGon ? No. Stories
a Name KEYLAND I1UMES Move ? Length 49
W Demolish ? Depth d A
0 Address Int Impr. ? Sq. FL
ciry 30kDA1$none 435-3323 Instao O
= o Name :;`V-~' Approvds Fees
0
0.4 Address Assessment Permit 334 . O+U
~ City Phone Water 8 Sew. Surcharge 33.50
HALLQUIST Police Plan Review 167.00
~s
Name Fire SAC 575.00
500.00
0= Address Eng. Water Conn.
a~ W Ciry BLi~iTN Phone - Planner Water Meter 63.50
Council Road Unit 29U.00.
I hereby acknowledge that I have read this application and state thatthe ~dg. OTr. PI. 156.00
information is correct and agree to comply with all applicable State o1
Minnesota Statutes and ity of Ea n Or ~ an APC Parks
- Vaf. Date COpi@
Signature of Permittee 4 i • V 0
KEYLANll HOMES TO~a~
A Building Permit is issued to: on the express condftlon that
all wark shall be dane in accordance with all applicable State of Minneaota Statutes and Cily of Eagan Ordinancea.
Building Official
' Ponell Na PWnMl Nolda OM" TMephaw N
Pkm*lng - -
H.K11.C.` C
E;ocW 0/5
Softrwr
Inspselloe DaM Imp. CannmMa
JFP41bg.,~ nougn ?nW ~
FN~pbc~
Fkial M1p. .
FkW nroq.
Bldp. FInM
CM. OeC. r
Dock Ftp.
D*ck F?nq.
Wdl
Pr. Dkp.
. ~
FSERMIT # r CITY OF EAGAN FEE
i ' MECHANICAL PERMIT C I '
' ~
RECEIPT # 454-8100 .j
' MINIMUM RESIDENTIAL FEE - =10.00 + $•50 TOTAL
DATE ~ 10 MINIMUM COMMEFfiCIAL~ FEE - $20.00 + $.50
' •
1. Bldg.Type: Ress~.Comm Inst ;12. New Add Alter Repafr
3. Total Bid Price 17"~ °w-, a. Job Address y,27
~ Lot Bfock Sec ~4._ 5. Owner
~ 'r.. n ,
6. Contractor Nqto 14~ 2_ 1C1+#O I Il,~~:'w?*p1~.~t 72.
• (Name) f5tree0 fCityi (ZiP)
a. 7. Contractor Phone # ;
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.OU. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fractlon -$6.OD
MODIFICATIONS/ALTERATIONS -$10.00 minimum fes:':,
~.'x'HEATING X VENTILATING HOT WATER STEAM AIR COND.
IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS:' L.P. UNDERGROUND OTHER
COMM./I D. RA - 1 F TOfAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
~ .
Signed: f for
r
Approved Inspections: Dao Rough Insp. Date Final Insp.
,
i
PERMIT #
• , PLUMBING PERMIT RECEIPT # ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAa{AN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site A~ddr BLDG. TYPE WORK DE3CRIPTION
Lot~Block S /Sub ~ _4~ W Res. New
~ Name PC, PL-hAV; Muft Add-on
~ Address L 3~ ~ y~ ~ Comm. Repair
~ City SvQ!/Af G f'lI uf.~ phone Y~Y'07791 Other
t~ p r NQ. FIXTURES T0~1L
~ Name ~ Water Closet -$3.00 "s 3
c Addrees =Bath Tubs - $3.00 ~ • ° °
p Cityr -10r'VA- __!2L'A*Phone y J Lavatory - $3.00 e-o
Shower - $3.00
_LKitchen Sink - $3.00 ~ c
FEES Urinal/8idet - $3.00
, COMM/IND FEE - 1% OF CONTRACT FEE _LLaundry Tray -$3.00 3, ~ o
~ MINIMUM - RESIDENTIAL FEE - $10.00 ~Floor Drains - $1.50
' MINIMUM - COMM/IND FEE - 20.00 _~__yyater Heater - $1.50
! STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $50 S/C IF PERMfT PRICE GOES 7-Ga,q Piping Oudets - $1.50 71 -7
BEYOND $1,000.00) Softener - $5.00
wen - $10.00
Private Disp. - $10.00
-1-Rough Openings - $1•50
SIdNATUM OF PERMITTEE FEE -1
STATE S1C:
FOR: CITY OF EAGAN GiRAND TOTAL:
CITY OF EAGAN 175 4 1 ~
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING.PERMIT PHONE: 454-8100 Receipt #
To be usQd fl~*t wismM' Est. value =1 S00 Date FEIS 22 , 1929
Site Addfess 4271 VALLSY tQRGB FL
LOt 14 BloCk 4 SBGSub.~~ OFFICE USE ONLY MZADOWS
PafCBI NO. Occupancy - FEES
Zoning
W Name MARK SHEAMOR (ACtuaq Const _ Bldg. Permit 35•00
~ Address 4271 VALZ.EY FORGS PL (/Ubwable) _ i,Qp
Surcharge
City EAW Phone 454-7518 r of Stories -
Lenglh _ Plan Aeview
o Name JBRRY WAG$ZlAN oepm - sAC, c+iy
~i Address 1301 RtrsEMM aR S.F.Total -
City ~VIL1.E Phone 432~•0965 S F. Footprints _ SAC, Mcwcc
On Site Sewage _ Water Conn
~
W W Name On Sile Well _ Waler Meter
tz= AddreSS MwCC System
52 Acct. Deposlt
<W City Phone cirywatsr -
PRV Required _ S/W Permit
1 hereby acknowlege that I have read ihis appiication and state that the Booster Pump - SNJ Surcharge
information is oorrect and agree to Comply•with all applicable Stale of
Minnesota Statutes and City of Eagan Ordinancls. Treatment PI
Signature o( Permitee APPROYALS qoad Unit
A Building Permit is issu4d to: :`jZRY VAGOLiM Planner - Park Ded.
on the express condition",that all work shall be dane in accordance with all Co+ncil
applicable State o( Minnehota Statutes and City of Eagan Ordinances. gldg_ pff, _ Copies
Vanance - TOTAL gb' 00
Building Ofticial
' Permil No. Permit Hotder Date Tslaphone #
WATER
SEVYER
PLUMBING ~,3r~0 .L•tf. ' ~TiC. %~C ~ ~7~~
H.V.A.C.
ELECTRIC 90 hnpectlon Date In p. Com~ts
Footings 1
Foundation
Framing ~
~6N
R.* Ptg- - D Rough Hre. ~
ls,l.
Faeplace ~Final Htg. ;c j a
Fin01 Plbg. '
Const. Meter Plbg. Inspecta - Notify Plumber I
EngrJPlan I
~
Bldg. Final -p~- ~
Deck Ftg.
Deck Final
WeII
Pr. Dlsp.
. PLUMBING PERMIT For Offke Use On
CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 56122 RECEIPT #
PRICE PNONE 4548100 DATE: ;E//(
Site Addre s BLQG. TYPE WORK DESCRIPTION
a Res. New
Lot Bbck _ S ub Muft. Add-0n
~ r
Comm. Repair
N e
~ Other
~ Address
c Cit Phone - RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURES TOTAL
4- Water Closet - $3.00 $
~ Name ~ 4 Bath Tubs - t3.00
_ - - ~ Addre ss - - Lavatory - $3.00 ,
Shower - $3.00
City . p one wtchen Sink - $3.00 `
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00
COMM./IND. FEE -1% OF CONTRAC7 FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50
TOWNHOUSE & CONDO - RES. NATE APLLIES Whiripool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIn
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) wen - a10.00
Private Disp. - $10.00
~ Rough Openinps - $1.50
SIGN1tTURE OF PERMITTEE PERMIT FEE: a0
STATES S/C: r.,5:1
FOR: CITY OF EAGAN GRAND TOTAL: ~.5;-n
4.1 t Y DF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 14 Rlk 4 parcel 10-52100-140-04
Owner street 4271 VALLEY FORGE PI.ACS Scate EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1115 1954 76.75 -1•61 4:E7$ lO
STREET RESTOR.
GRADING
SEWER LAT 1981 15.89 .79 0
SAN SEW TRUNK 55 jg$j 138.48 6.92 20
SEWER LATERAL TRK 1984 275.22 le.~ 16-.-.7Pb 5
SEWER LA 57 1981 22.28 1
4a 4n-14- -29ls
WATERMAIN '341984 70.67 4.71 15
WATER LATERAL 5)kj 1981 1$.6$ 1,y4 It
WATER AREA 1981 138.48 6.92 20
WATER LAT 1 1982 29.52 14~ ~9 20
STORM SEW TRiC 1984 392.32 ~8,46 39-~3- 5
STORM SEW LAT
DRAINAGE / 1984 33.97 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-p 11776
//2v
BUILqING PERMIT PHONE:454-8100 Receipt k ~U
7obeusetlfor SF D%U/GAR Est.Value $67,000 paie APRIL 11 19 86
SrteAddress 4271 VALLEY FORGE Erect Occupancy R3 '
Lot 14 Block 4 Sec/Sub NORTHVIEW Remodel El Zoning Rl
Parcel No. MEADOWS Repau ? Type ot Const. V
Adtlition ? No. Stories
W Name KEYLAND HOMES Move ? Length 42
Demolish ? Depth4~Q
; Address 3471 W RD
o Int Impc ? Sq. Ft.
Ciry JORDANphone 435-3323 install ?
a SAME Approvals Feea
o Name
0 a nddress Assessment Permit 334.00
` City Phone Water 6 Sew. Surcharge 33 . 50
. Police Plan Review 167.00
Fw Name HALLQUIST Fire SAC 575.00
Address 5005 W SOTH Eng.
gw c;ry BLMTN Pnone 831-1875 planner WaterMeter 63.50
Council Road Unit 290.00
Iheiebyacknowledgethatlhavereadthisapplicationandstatethatthe Bidg.OK. 4/9/86 Tr. PI. 156.00
mformation is correct and agree to comply with all apphcable State of
Minnesota Statutes an i ot Ea~an O~dina APC Parks
~ U Var. Date Copies~.~r~~
Signature of Permittee
Total
A Building Permit is issued to: KEYLAND HOMES on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official "
CITY OF EAGAN N2 17541
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ,I
BUILDINGPERMIT Receiptu C
To De used lor ' BASEMENT Est. Value $1, 500 pyte FEB 22 g90
Site Add"e'2ss 4271 VALLEY FORGE PL
Lot ~ Block 4 Sec/Sub.NORTHVIEW MEADOWS OFFICE USE ONLV
PBfCBI N0. Occupancy - FEF.S
Zoning -
w Name MARK SHEANOR (ACIUa1) Consl _ Bldg Peimii 35.00
o Address 4271 VALLEY FORGE PL (Allowa6le) - Surchargo 1.00
City EAGAN Phone 454-7518 xotStories -
Length _ Plan Review
~o Name JERRY WAGEMAN Depth _ SAC,City
Addfess 1301 RUSAMORE DR SF.TOIaI - SAC,MCWCC
~ City R IRN V Phone 432-0345 S.F Footprints -
On Sne Sewage _ Waler Conn
r
ww NdmB On Srta Well - Water Meler
s~ AddfBSS MWCC System _
<`w City Phone Ci1y Water _ Acct Deposit
PRV Reqmretl _ SNJ Permit
I hereby acknowle e t at I have re thik application and staie that ihe Booster Pump - SiW Surcharge
information is corr t a d agree to ompl tlh all applicable State of
Minnesota Statutes d ity of Eagan rtlinanc 7reatmem PI
SignaWre of Permitee APPROYALS Road Untl
A Building Permit is issu to: JERRY WAGE Planner - park Ded.
on Ihe express contlition t t all wo ( shall be done in accordance with all Council
apphcable State of Minne t~a S,tpatu~tes and G.yiryol ~Eagan Ordinances. gla9 pff, _ Copies
BuiltlingOfficial ~ I/}lA( ~,,~f Variance - TOTAL 36.00
RESIDENTIAL y~~3
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Constructlon Reaulremente NemoAeVHeoalr Reaulrementa
• 3 registered sAe surveys showing sq. It. of bt, sq. fl. of house; and ~II roofed areas • 2 copies of plan
(20Ya maximum bt coverage albweU) • 7 setof Energy Caiculatbnsfor heated adtltlion5
• 2 copies ot plan showing Deam 8 winaow sizes; poured tound Uesign, etc.) • 1 sAe survey lor eMerior adtlAbns & decks
• 1 setof Energy Cakulatbns • InUicate B home served by septic system lor add'AWns
• 3 coDies of Tree Preservatbn Plan B bt platled afler 7/1193
• Rim Jolst DeteN Oplions seleetbn sheet (btdgs wilh 3 or less units)
DATE 2 VALUATION
SITE ADDRESS 2o~` 7 I c,%.Ilec l~csl~ {"1 MULTI-FAMILY BLDG ^ Y ~1V
NPE OF WORK ~ Rn•n crf'~- FIREPLACE(S) 1_ 2
APPLICANT /~A _k/ r2S
STREET ADDRESS ?Z I CIN~;/_%n~ ~,nrp STATE~ZIP SZ3 ~
TELEPHONE #i I SA-,~~?L-&2XELL ONE tt FAX # 9.6^SV-g6/1
PROPERTYOWNER Je-c>t~ 04cvrtd TELEPHONE# 6,S/-6$(0-0230
° ° °
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(q submission lype) • Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhaclor: Phone p
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Conhacfor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. nn
Signaiure of Applicant - f ~
_.-.._..111L--- flu..2002 OFFICE USE ONLY
Certifcates of Survey Received _ Tree Preservation Plan Received _ LRequiretl _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) O.31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 36 Oemolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (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. af Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing - Siding Stucco Stone
_ F'veplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
aase Fee ~I 7. /z ff
Surcharge d_00
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
v
.
7
~
1985 BUILDING PERMIT APPLICATZON - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED IlITH THE CZTY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET 0E ENERGY CALCULATIO~N'Sy
To Be Used For.,
( luation: Date:
Site Address; OFFICE USE ONLY
Lot: l~ Block T Sect/Sub ,yU~ rect X Occupancy
Remodel Zoning P -1
Parcel !I Repair _ Type of Const
OU.~?~C~_d/ • Enlarge _ 11 of Stories
, Owner /VIL Move _ Length L/ Q-
Gradeish p ye
y7( ~ 4J ~7j~ _ ~
Addr`ess Sq Ft
City/Zip Code , c~3 S
Phone 33 d-3 APPROYALS
Contractor Assessments Permit
` Water/Sewer ~ Surcharge
Address Police Plan Review ~/(07,
Fire SAC
City/Zip Code Engr Water Conn 300.~"
Planner Water Meter fs& ~
Phone Council Road Unit
Bldg Off q Parks
Arch./Engr. APC Treatment P1
Ad dress Variance
TOTAL
City/Zip Code i~~j~teMep
Phone ll .2/ 7 _S
~ . 1
SURVEYOR'S* CERTIFICATE ` KEYLAND HOMES
VALLEY FORGE
N.O°07'49°E.
60.00 ~
(9~"l•9 l 11.3)
o W Q
o g
0 0
nf O o ~ ~ p m
4i °1~ a o ,9,s ^ W
N
U) ~N~/ c9~~•e) L ~ ci I~l
o -
~ o S2.00 ~2200
o .
~ ,
PROPOSED GRADES 4fERE TAKEN FROM OD°~ ~ ~.~PROPOSED m ° W
, THE DEVELOPMENT PLAN FOR
NORTHVIEbJ NEADOWS BY SUBURBAN
ENGINEERING, LAST DATED 9-29-83.
40.00
17
, -+~C918.81 C9'18•9)~ . .
V
o ~f LOT 14 ° o
N lV
' 4 DRAINAGE 6 U71U7Y \ EASEMENT PER PLAT ~
N h
_ i
~ C97~o)
(9"+S•~) 60.00
N.0°07'49"E. ,
DENOTES PROPOSED SURFACE DRAIPlAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 3c7 FEET
• DENOTES IRUN MONUMENT FOUND PROPOSED GARAGE FLDOR = 9-19•~ FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED L041EST FLOOR = ql`.g FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = q~q.S FEET
I HEREBY CERTIFY TO KEYLAND NOMES THAT TH1S IS A TRUE AND CORRECT REPRESENTATION OF
A SURVEY OF THE BOUNDARIES OF:
Lot 14, Block 4, NORTHUIE4J MEADOWS, accordina to the recorded olat thereof,
Dakota County, Minnesota.
{1ND OF TIIE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SNOIJ IPiPROVEMENTS
OR ENCROACHMENTS, IF ANY, TIIEREON. AS SURYEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
` TfiIS ii1uDAY OF ,1utvE . 1985.
APPROVED FOR SIENNA
.,.JA S . HILL,
SIGNED: INC.
CORPORATION
B Y :
(3Y : ~
DATED THIS ' DAY OF HAROLD C. PETERSON, LANU SURVEYOR
19 MINNESOTA NO, 12294 '
,
. PROJECT NO. 800K / PAGE JAMES R. HILL, INC,. !
SS~-74
Planners / Engineers / SurveyQrs ~
,
, FILE NO. 8200 Humboldt Arenu• Boulh FOLDER ' ploominflton,Mn, 55431 012-e04-3029
' _ ~
Cities Di it~al Q~uality 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.
.
EXTF.It1011 ENVEL01'
. , L. AVf.flllf,E
' . ~ 'h ~i I ~ ••4,.~y,K.
OWp p rr..u~~$. • g1~,• 7k'. .
~ I1ERi•
~ nn rr
SITE ADDRESS• riioNe•
CONTRACTOR:
Determine working square fnotaqe of each
1. Totat exposed wall area..... 141q` Sq. Ft. x.11
2. Total roof/cetllny area..... 'QAp s(l, fL. x _026 Total.exposed well arca albvc floor=__ l71(,,_
a. Total wall window area. '
b. Total door area c. Total slid'1ng glass door area g-- ~
d. Total flreplace wall area..........................
~
e. TotAl'wall freming area (average lOx).............. f.' Total rim folst area................................ , g. net rrall area above floor .
h• wall area:above floor.
1. wall areaa6ove floor.... ~
J. r~ ame wall area at fowufatiun •
Total exposed foundation arca=
k, Total foundation wlndow arca........................ 1. Total`net foundatlon area above grade .............._~~~e _
. Determine "u" value of eacii wall segment
(e.g, wlnJow, (loor, each separa[e wall section)
- a• ~ ISI. x UUI._ ~ a 74 . .
1~ • •
b. . x „u„ , 31
v
_.._1L.1 .
~ C.
. 4o x ,.u„ , q~_-'-_I9•~ . .
a. x „u„ ~ .
~
. e, J'~ _ X
E
x „U„
Q = r, .
9._~315 z °u° •05 0~~
n, x „u„
a
1
A V 11V 1111 .
1 •
e
J. x „U„ • •
k. ~ 1f X "U" item IJ 1s the sam
as, or lcss -than Item
~ 1• X01• You havq met,thc
~v~ - __._~Q$~_•- 5•~3 . lotent of SDC.600G (o
3 .
_ , • . .
.~~rior rnvoloPo nvorngo "U" Compul•nl•ioll
Puqe Z oF 4
. . . .
. . 9'nl•nl expo:ted rooE/ceiling aren
M. 7bta1 skyli.yht aren 'i
n.'Total roof/ceiling•framing aren (nvornya•lOt)... ~ o. Total not insulatod rooP/cciling nren........... ~~q z~j --r'~+•r•- ,
~ Uetermino "U" valuo Eor eacli roof/cailing segment
M. X "U" o
. n. -f~ x fouli
v
, o
x OL ~8 ' . .
4 . 7bl•al
.
If toL•a.l'oF 94 is.the aume ns, or less l:linn 112, you htive roet the'inl•ent o!
Sbr..6006 .(a) 1. .
• . Alternatu euildin F.nvc)ope Desiqn '
I'. . . .
To ukilize the total enyelope'system metliod, the valuos esl•ablislie4 by.tlie s•am oF
itema pJ and 44 sha11 not be qreater l•Iian tha swn of iteme tll and 02.
+ z. ~7 e 23Z ~ ' • . ' . '
• 3 : _-L9 S + 4. .-~L•~ _ ° ' . .
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1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLZNGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
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 ENERGI 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 WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
[iOTE: 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 COPIPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
¢Eg 2 0 RECo
-
To Be Used For.tG~S~1-vv'~-Wv ~~auation: ~ Date: Vo, -LoIgR
I
Site Address I\'JuX~ Cor cL. OFFICE USE ONLY
~
Lot l.~ Block ~ FEES
Occupancy
I+ Zoning
Parcel/Sub ~AYC~l~1N14) ~1e0UAf~N~ Actual Const Bldg. Permit .3.5.L) 0
Allowable Surcharge t7 0
Owner SY\QO.v~or # of stories P1an Review
Length SAC, City
AddressH~~l~~~~ 4 Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~~c,~r Footprint S.F. Water Meter
r Acct. Deposit
Phone S On site sewage_ S/W Permit
On site well S/W Surcharge
Contractorj MWCC System _ Treatment Pl.
13 ~I ~ City water Road Unit
Address ~ ~~ck'VLN'pez ~Y PRV _ Park Ded.
Booster Pump _ Copies
City/Zip Code~vrv.~y\~e YV\V~r SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone ik
. • *****************k****ii*****##**f*t
*
• CITY OF EAGAiV ~o ~~E~ ~ TIME °F ;
APPROVAL OF PERhIIT.
~ APPLICATION FOR PERMIT *
. * INSPFZTION OF SE.FM ADID/OR FUITER :
~ ,*f ncrar.rzTTONS WIIS, NOT BE SCHED- :
SEWER AND/OR WATER CONNECTION *ULID O[TrII. PII2MIT HAS BEFS7
* APPROVID.
?
•
r
_ . *~x****+t**t*,e+.,~w+.+**+tr~*,tx,ir~,t,r*t*,t:
Please Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: /-O% f f~ L~t
Lot Block Subdivision or Tax Parcel ID#)
IF EXISTING STRC'CIZ.'RE, DATE OF ORIGINAL BLILDING PE.RMIT ISSL'ANCE:
~
PRESENf 7ANING/PROPOSID L'SE: Obn Year)
~ Cq"R,ERCIAL/REI7IIL/OFFICE ~ R-1 SINGLE FAMILY
r7 ZDIDOSTRIAI, F-I R-2 DL'PLEX (Tuo C~nits)
n INSTI'IL'TIONAL/GOVERNME[Sp ~ R-3 ZUWNIIi005E (Three + Units) ( Onits)
~ R-4 APARTMET]'p/COAIDOMINILfi1 ( Units)
2)
. NAME: l1 w~ >`/cs~cs
ADDRESS: .
CITY, STATE, ZIP:_.~Orf7f~.l~
PHONE:
3) ' For City C~se .
= /~eGl7A.uic.4L P1iunUers License:
ADDRFSS: Active
CITY, STATE, ZIP. ~Pired
~ '_SW/si-9c 7S Not recorded
PxorE:_ MASTER LIC;EtVSE# 3~~,25jm'7
StaTE-~, tal
4) ~.«u•:.~ .:,.i~+:
[VAME:
ADDRFSS:
CI'I^l, STATE, ZIP:
PHONE: -
'S) 1 v 1 a• • ~1' • ~ • U' YYy~
~ CONNECi'ION 70 CITY SE4dIIt f~' CONNfX,`I'ION TD CITY WATER ~ p~'I;EE2 ' .
.7~~
6) ~ v r ~ PLEME HOLD ApPROVFD PERMIT FOR PICK-L'P BY ONE OF ABpVE -
PI.EASE MAIL APPROVID PERMIT 1O 1, 2 3. 4, AHOVE
(Circ one)
~ ~ 6?
. ' ~ y i ~a 1~ i • i~ xl~~~ 7a
~ iu rr~
~ I:r. ~ M 1 NJI 1 ~ 1 ~ J 1 1
,
FOR CITY USE ONLY PERMIT # ISSC'ED
YS r`
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE )
$ G 3- S-D $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~S a-a ACCOI)NT DEPOSIT - SEWER
$ $ ~p '6- 0 ACCOUNT DEPOSIT - WATER
$ SO CJ • d O $ WAC
$ 57. ~ O $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /S 4;Q O $ WATER TREATMENT PLANT SURCHARGE
, $ $ OTHER:
$ ~a c7 ys--L) $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC}BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWI[VG CONDITIONS:
APPROVED BY:
-rCe~
TITLE:
DATE:
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA098801
Date Issued: 04/27/2011
Permit Category: ePermit
Site Address: 4271 Valley Forge P1
Lot: 14 Block: 4 Addition: Northview Meadows
PID: 10-52100-04-140
Use:
Description:
Sub Type: e -Siding & Windows/Doors
Work Type: Siding & Windows/doors
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
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.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
Fee Summary:
Valuation: 6,000.00
BL - Base Fee $6K
$132.75
Surcharge - Based on Valuation $6K $3.00
0801.4085
9001.2195
Total: $135.75
Contractor:
Owner:
Scott W Ohland
4271 Valley Forge PI
Eagan MN 55123
- Applicant -
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 4
,RECEIVED
APR 1 3 2012
Use BLUE or BLACK Ink
For Office Use /�
Permit #: / 0 -7 `! ✓ 7
Permit Fee: /1"/ ! r J
Date Received: v 1
Staff: _a I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
17 Site Address: 42 7 /
Unit #:
Name:Co id C C,Q� t l� Phone: 66-7 -1-Y2-tel
Address / City / Zip: 4 2-7 Fre-326---e" / L.. E4 C--.q-A+ SS7 23
Applicant is: / ( Owner Contractor
Description of work: 1)t2.,rc.,
Construction Cost: 34)=)0`
Company:
Address:
State:
License #:
Multi -Family Building: (Yes / No X. )
Contact:
City:
Zip: Phone:
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 XC No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
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.aooherstateonecall.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 p - ns.
Exterior work authorized by a building permit issued in accordance with the Minnesota to Buildin • • • be compl -ted within 180
days of permit issuance.
.., 0141 alft
.Frr_an
Applicant's Printed Name
Signature
Page 1 of 3
;alt TUUt k-cf Rae
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
Accessory Building
- DO NOT WRITE BELOW THIS LINE
/6? 37
_ Fireplace
Garage
4 Deck
Lower Level
WORK TYPES
New _ Interior Improvement
Addition_ Move Building
Alteration _ Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation 3~ 4°
Plan Review
(25% 100%j(
Census Code y 341
# of Units /
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
.t Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
14 ?
/6'
/2.
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final 1 No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: — Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/(1a / ° 2Li
777cyvia_44,
Page 2 of 3
/0:3-7- ;7,
SURVEYOR'S. CERTIFICATE • KEYLAND HOMES
VALLEY
I I 7
L_1...J I 1 `/
(911.9
PROPOSED GRADES WERE TAKEN FROM
THE DEVELOPMENT PLAN FOR
NORTHVIEW MEADOWS BY SUBURBAN
ENGINEERING, LAST DATED 9-29-83.
kli/tV/'Z/ r�
5
.C40* M4.4�
BY:
0
0
M
s
0
O
v
FORGE
N.0°07149" E.
60.00
0
0
O
0
o
0
918,9) •^ —
20:00
M
N Q N
N,
�N.2.00 /22.00
i•-/ PROPOSED
G978,0
N HO SE/
740/C:0
`r .913.8
DATE:
O
0
X000.0
(000.0)
12
o0
OT 142
N)
N
(918.3)�Y
1
DRAINAGE 8 UTILITY
EASEMENT PER FEAT
I0
60.00
N.0°07`49" E..
ONS DIVISION '
DENOTES PROPOSED SURFACE DRAINAGE
DENOTES IRON MONUMENT SET
DENOTES IRON MONUMENT FOUND
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
t
0
L
tV • 1 l f
CO
)
L7
I
97(0•b)
SCALE: 1 INCH =
PROPOSED GARAGE FLOOR = 5-i4•\
PROPOSED LOWEST FLOOR
PROPOSED TOP OF BLOCK =
FEET
FEET
FEET
FEET
I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF
A SURVEY OF THE BOUNDARIES OF:
Lot 14, Block 4, NORTHVIEW MEADOWS, according to the recorded plat thereof,
Dakota County, Minnesota.
QND 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 111.4 DAY OF J+arae. , 1985.
APPROVED FOR SIENNA
CORPORATION
BY:
DATED THIS ' DAY OF
19
SIGNED: . JAJS/ . HILL, INC.
))1,49-6.1)(C-?
PROJECT NO.
FILE NO.
FOLDER •
BOOK / PAGE
BY•
HAROLD C. PETERSON, LAND SURVEYOR •
MINIIESQTA LICENSE NO, 12294
JAMES R. HILL, INC:.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South.
Bloomington, Mn. 55431 012-804-3029 •
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA140687
Date Issued: 01/13/2017
Permit Category: ePermit
Site Address: 4271 Valley Forge P1
Lot: 14 Block: 4 Addition: Northview Meadows
PID: 10-52100-04-140
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
- Applicant -
Owner:
Scott W Ohland
4271 Valley Forge PI
Eagan MN 55123
(651) 442-9235
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.
Applicant/Permitee: Signature
Issued By: Signature