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4275 Valley Forge Pl ~ . ~ w~ 3830 Wbt Knob R a~ P.O. Box~2GAs9, Eagan, MN 55121 N2 12696 BUILIfNYG PERMIT PHONE: 454-8100 Rece;pt # ro,bi uaed tor $ F DWG/GAR Esc. value $ 6 7, 0 0 0 pate 3EPTEMBER 29 , 1 9 86 Site Address 4275 VALLEY FORGE Erect L5 Occupancy R 3 Lot 15 Block 4 Sec/Sub. NORTHVIEW MEADO446model ? Zoning PD Repair ? Type oi Const Mn Parcel No. Addition ? No. Stories ~ Neme A PLUS CONS'1'RUCTION INC Move ? Length 40 ~ Address 7216 PAULSEN DR Demollsh ? Depth 4-5- 0 FDEN P r~IE 937-2617 Int Impr. ? Sq. Ft Ciry F~e Instell ? = g Name SAME Approrals Fass 00 $ cc Address Assessment Permit S 33700 ~ Ciry Phone Weter 8 Sew. SurCh8rge 34 C Police Plan Review 16 7• U ~ W Name PALENKOPF DESIGN Fire SAC 575. 0 Addresa 505 MILBERT RD ou 5Q0.0~ = Eng. Water Conn. g W C;ty MTKA phone 545-8256 Planner Water Meter 63• 5C Council Road Unit 290.00 Iherebyacknowledgethetlhavereadthisapplicationandstatethatthe gldg.Of(. 9/23 a6 Tr.PI. 156.00 information is correct and agree to comply with all appcable Stete of Minnesota Statutes and City oi Eggan Ordinances. / APC Parks Var. Date Copie 5ignature oi Permittee ' • ' Total $2, • 00 A Building Permit ia i9sued to: A pLUS COP1STRiJCT ION on the expresa condwon thet all work shall be done In accordence with all applicablelState of Minnesota Statutes and Clty of Eegan Ordinances. Building Official . • PNmN No. Prmrl NddN DNo T~one N Pluon" 77 9 3 HMA.c. ' ~'j'7 95 P~. PI ~ t~J 1o i-1/h mocift e so~anK ln.pec+?on o,a Imv. comm«M. F°°d"p I lO~ ~.6 [c.~ ~ ' FootlW 11 Foundatb^ Q ~O Fran*ny ~ • ~ RoolkM n«*I v"• RoMph HIW lnar. Fkrp"m Final Hi¢ . . ~ FNyI PIAp. _ S. Sldq. Flnal C«t.0oc. Doelc Ftp. Doek Frmp. Ylldl Pr. DMp. ~¢-•5,~6 i ?r ~s;1,,.. . . . . . . _ , 4 ' PERMIT # 229-3 PLUMBING PERMIT RECEIPT k ' - ' CITY OF EAGtAN , • 3a30 PILOT KNOB ROAD, EAGAN, MN 56121 DATE: C-- CONTRACT PRICE PHONE 454-a100 ' Site Address j'~'' ,•"r- BLDG. TYPE WORK DESCRIPTION ~ Lot Blxk ` Sec/Sub f - ~ 1 ~ dRea ~ New v _ m Name ? ~~~r~ ;Y ( f r. Muft Add-on Address 4 310 Comm. Repair c Cny Du L Phone 72 ' 676 Other u s ( FIXTURES TOTAL ~ Name ~ Water Closet - $3.00 t ~ ~ Address , ~Bath Tubs - $3.00 p City Phone Lavatory - $3.00 ~Shower - $3.00 ~ FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE T-Urinal/Bidet -$3.00 MINIMUM - RESIDENTIAL FEE _ a1p,pp ~ ~undry Tray - $3.00 ~ MINIMUM - COMM/IND FEE _~,pp Floor Drains - $1.50 Heater -$1.50 STATE SURCHARGE PER PERMIT _ .50 -l-W~r Whirlpool - $3.00 ~ (AOD $.50 S/C IF PERMIT PRICE GOES =Gas Piping Outlefs -$1.50 - BEYOND $~.000.00) Soitener - $5.00 weu - $10.00 ( ` _ = . _~Private Disp. - $10.00 Rough Openings - $1.50 31(3NATURE OF PERMIITEE FEE STATE S/C: " FOR CITY OF EAGAN ORAND TOTAL: ~ FVX".KWVV S . ' . . ..-j,".~+ .y.. ~ . . . 1 I , ' ± • . ' . . • ` • ' PERMIT # TI 9.S MECHANICAL PERMIT RECEIPT 0 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 65127 DATE: ~ r`• I CONTRACT PRICE PHOne: 454-aioo Site Address Yod s Q r• ° G BLDG. TYPE WORK DESCRIPTION Lot Block Y Sec/Sub ~l ~ , 1 ` - ea ~ RdS. New m Name y Mult Add-on AddCess City L Phone `Comm. Repalr Otlter L Name c.~ S vn` FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 Forced Air M BTU ~ OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000.00) Other i FEE S/C, SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN Remarks II Addition NORTENIEW MEADOWS Lot 15 Rik 4 parcel 10-52100-150-04 Owner Street 4275 VALLEY FORGE pjAa State EAGAN MAI 55123 Improvement pate Amount Annual Years Payment Receipt Date STREET SURF, $P 1984 76.75 7.(0'1 ;-.-66' 10 STREET RESTOFi. GRADING SEWER LAT 5 1981 15.89 .79 20 SAfV SEW TRUNK 5 75 1981 138.48 6.92 20 SEWER LATERAL TRK 1984 275.22 f8•3+ 1 FF~ $ SEWER LAT 511 1981 22 . 28 1.48 ~ -2els WATERMAIN $y) 1984 70.67 4.71 15 WATER LATERAL ~ 1981 8.65 1,2¢ Gf WATER AREA 1570 19$1 138.48 6.92 ZO WATER LAT 513 1982 29.52 .4Z k48 20 STORM SEW TRK 1984 392.32 16.*A S STORM SEW LAT DRAINAGE CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK f._._..,._..~ ' INSPECTION RECORD. I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. ~ Eagan, Minnesota 55123 Date Issued: ` (612) 681-4675 I 'i SITE ADDRESS: , ~ . 11,1 Hi 011 F . APPLICANT: 'vi t't' F'aFr(I E PI. i nNak1? ~ ` f•li~l• I II`.' I! I I MI A1II)!J`- ` . ~ PERMIT SUBTYPE: TYPE OF WORK: PII 11 INSPECTION D. I ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - I Permn No. Pwnn Hower at. releplwra r I S/W I PLUMBING HVAC ELECTRIC ELECTRIC qapoqior, Daa Insp. commwts Footings I I Foundation I I F~ ~ Flouo P" Raigh Ht9• Isul. Rreplaoe ( Find Htg. I Orset Tesl Flnal Plbg. Plbg. Inspector - Notily Plumber Conet. Meter EnprJPlan I Bidg. FuW I I Deck Ftg. 30 9 I Deck F,nal 1,2AgAY ~ weli I P?. oisp. I I i CITl ,aAN WATER SERyICE P,ERMR ' 3830 heu,.Knob Road ~ P. S. Box 21199 PERMIT NO.: Epan, MN 55121 DATE: I i Zanlnp: No. of Units: Owrwr. Addrom ~ Site 11ddrus• 42T' ,r3t1`'y pot -''_ace 7:~s i..ort v e::~ :~+s ~ ~uWnr ~ neinc. Plumhing t Meftr No.: : ) . U p: Size: jqiv- ~~X . J r ~ p Rwd~r No.: • \ . ~T] 4 Q~ I ~ ~ ~ ~ ~.E~~ ~ • ' ' p ~ , 53. SOpd meter , ej, Da. Pob: Dor* of Irnp.: CITY OF EACiAN 5~~~ P~ 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eapn. MN 55121 pATE: Zoninp: No. of Units: A. Owrwr. - ; u ~ Addresa: Sih Addrps: y 7 75 y '^.v ,S 1'C'i.E1< `it> Plvedwr. ~ Mm b@"I1! wMr W CRT oi Mo= Conrweilan ChaMp: Ailmenam Aooount p,wiih PrmdM Fie: SLxchor0ea 8Y Miac. Char~ DoM of Imp.: Totol: I^sV6: Oalr Poid: CITY OF EAGAN A' p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Iv- 12696 BUILDIAIG PERMIT PHONE: 454-8100 Receipt # / s-i SF DWG/GAR $67,000 SEPTEMBER 29 ~ 86 To,be used lor Est. Value Date 19 Siteqddress 4275 VALLEY FORGE Erect ~ occupancy R3 Lot 15 Block 4 Sec/Sub. NORTHVIEW MEADOW&model ? Zoning PD Repair ? Type ot Const. Vn Parcel No. Addition ? No. Stories w Name A PLUS CONSTRUCTION INC Move ? Length 40 z 7216 PAULSEN DR Demolish ? Depth 4S 3 Address ° EDEN P 7n IE 937-2617 Int.lmpr. ? Sq.Ft City ~Orte Install ? o Name S~ME Approvals Fees nddress Assessment Permit $ 334.00 " Ciry phone Water&Sew. Surcharge 34.50 Police PlanReview 167.00 Fw Name PAGENKOPF DF.RT,N Fire SAC 575.00 = Address SOS MTT$FRT RD Eng. WaterConn. 500.00 aw city MTKA phone 545-89 6 63.50 Planner Water Meter Council RoadUnit 290.00 Iherebyacknowledgethatlhavereadihisapplicationandstatethatthe gldg.Off. 9/23/86 7r.pi. 156.00 information is correct and agree to comply with all ap icable State of Minnesota Statutes and Ciry oi gan Ordinances APC Parks Var. Date Copies SignatureofPermi e Total $2.120.00 A Bwlding Permit is i sued to' \ A PLUS CONSTRUCTION on the express condition that all wor9shall be done in accordance with all appl' le te of Minneso ta ~ n Cian Ordinances. Buildin Official - -~-'--v-= ~Z . 1986 HOILDZHG PERIiIT APPLICATIOH - CITY OF EAG9N AOYE: ALI. CONTRACIORS MOST BE LICEtiSfiD iIITH THE CITY OF EAG6N SINGLE FANIILY DiiE[.LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DNELLIAGS - RESIDENTIAL RENTAL 09ITS FOR SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQftVEY - CHECB iRTH BLDG. DEPT., 1 SET OF BNERGY CALCULATIONS COMIlMERCIAL 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: J rGtE ry~'mkv korValuation: -70&j?'^-- Date: / Site Address yaM- 11116tE9 rpn~Lr OFFICE IISE ONLY _ Erect Occupancy Lot --7- Block I/ _ Remodel Zoning Parcel/SubA)cW~NV)Fuj /y/A_Vpnws 40p~po,- Repair Type of Const Addition # of Stories Owner j~v PL ~S G'ov5 sl2v cT~o.v, ~vc . Move _ Length Demolish Depth Address -7a/t, )19ALSFj j0R)vz Int.Impr. _ Sq Ft Install City/Zip Code Phone 937" APPROVAiS FEES Contractor Assessments Permit Water/Sewer Surcharge • Address Police Plan Heviex Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Treatment P1 j Bldg Off - - /r Areh./Engr. ,0:F5A6iu APC Parks Varianee Copies Address SQ3 / t 6~/~f /S ~ , TOTAL ~ '9-O . City/Zip Code yh I~.'A} Mr) Phone # 6 S~i~ ~o~S ~o NOTE: ADDHESSES FOR CORNER LOTS - CONTRAC20R/HOMEOWNER MIIST DESIGHATE WHICH ADDRESS IS DESIRED. NO CHANGFS HILL HE ALLOiIED ONCE HDILDING PERMIY IS ISSUED. CERT/F/CATE OF SUQWY ~ z I S 89°S2 ~1 I'~~ I Zd o I I Zp,0o I o ZO ~33 ~n- `n ~ J N s zs,6~ ~ 6Ae w~s N ~D > mowsEU ; PiTTa. ° I m ~ 2,oU L 30' I { N o ~ ~ 433 I ~ ~ W ~ f o ` t ~ ~ ' f ~ ° 4l ~ 24,00 ~ I _p' NJ Gl S,s/ /ps ID - /S8~ ~q3pc,t3 / b3/~DD r ~ / Scale: 1" = 30' DESCRIPTION • Lot 15, Block 4, NQRTHVIEW P1EAD041S / M£RfBY C£F71FY TNAT TH/S SGPVfY, PLAM A9 R£PLYtT Dakota County, Piinnesota WAS PR£PAREO BY ME OR UNAER MY D/RECT S14°fERV1S/Qy AND rHATIAA/ A AULYRFG/STERED LANO SURYEYp4 Plat bearinas shown UNCER THf LApS OF E SrieTE a- dnNNfSOrA, c Denotes iron monument DAT£ 91-* liM ACJ, 8140 brandt anginaaring ta furvaying 2705 woodt traii , , buinivilla, minnarota 55337 (612) 435-I966 xz.~^~r'~x':-.r.s.r'.r.: . . . . . . . . . . . ' . - ' . ~ / . . 4 ' . . . . • ' . ' . . ' 1'" " . , _ , ' • . ' . . . • ; LY.TERIOR HHVliLOPE AVEt2TiGE "U" COMFIITAT'IO[l / . '•.-r", o:•nzerz w)py ' Z2 ~ SITE ADDfiESS Y~7S UHCLE,~ Fo2eE E4CAN MN coNrMcroR . Coasrnucrivly nnTe rEiotm 37 - ZG /7 ,Determine working square foota9c of each. 1. Total er.posed r;all area I% G7, 9$ sq. ft. X~~~ 2. Total roof/ceiling area (G$•~;G sq. ft. X ~0 ZG - I 2, j• A. Total wall 4rindoca area . . . . . . . . . . . . . . . . . . . . . . . . . /M ' 9 ~ B. Total door arca.......... . . . . 37• S C. Total sliding glass doorarea ¢ a, o D. Total fireplace wall ar.ea E. Total wall fsaming area (average 102) /¢7 •,j Z P'. Total Rim -oist area............................. //3 • 2 8 - G: Total Net wall area above iioor................. J3 z 7• 72 Tot-al exoo.sed foundation area - 9Q• 7 H. Total fcun3ution wi,doa.area ~ 1. Total ret Pouridation area above grade............ 74F•7 _ . . . . . " ~ ' , • . Detex7nine ."U" value of each: wall segment. , a. f I o,.91 ~ x;,~U" . 4l =`f.s `f7 0e, b. 37.9 X „v, ,137 = 5,17 . 0 ; •~p ~ c. 4 0-~a x"U" , SS = zz , oa ~ ' . . ~_..,._.....,X.~~U,~. _ _ . e. 19- ,o Z 13,57 0 4J-, g.'! 3 27: 7~7 `a-„v„ , 0 435 = 5-7 . 7.t ' h. {`~?;'u°;;t.tUrL~c:K„ nUar.: r:. _ • ~ . If-, 3s 3..................................... Tot1i. , ~ ^ j a4i:LL iKC~ , ' . • ' Yf it.em ;I3 is Lhc.samc ns, or less thin ilcin 1l1, yru tiavo icoC Chc intent ot : bC GOpG (c) 2. S . . , 'Total cr.poacd roof/rciling arca = f Gg. G~ j: Total skylioht arca Y.. Total roof/ccilir.g irami.ng arca (averagc 109)...... Z:g'G 1. Total net instilatcd roof/cciling area........... Determine "U" value ior each roof/ceilin, se9ment. j, X 'lU.l _ . . . r.. 9G SG x ..U,. i•_ 87/, ~ x„u., a .....................................Totai a Z G:. 9 Z If total of ;!4 is the same as, dr less than 42, you have r.iet the intent of SBC 6006(c)i. Altcrnate IIuilding Envelope Design' . To u;.ilize tiie total er~velouc systen n:etliod, the 1=aluPS lcstwlished 1-•• ':Y._ sum of itcms =3 arn r4 s'.-,ali r.ot be 9reater thin the sum of ;;1 and' rt2. 1•__ + 2. - , ' 3. ' +4. _ , . , \ , . ' . f ` , , ,>Y _ ...w . . r . .,x . GS•w••'~a.,,,r ' ' _ ~.~?~~-'.~[c+Y<-r c..- : . . ~ . . : . - , _r - ~ - ~ - r]nLt, SfCT;G:JS • . :n'pe:: Us~ l,e• uc oj»qua N11i arca Sor . • ~ fz`ainc couutruction Conslruction F.-V,Luc ~ ` /1 1, i t rior Zir f.ilm 0•6n -v 2. 2Gyp. Board .45 , 3. 5-ir)ches sofr. wnn1l • 7 • ~ • 5. ~ Sheathin ' 7 Siding .67 EASIC 6. Extcrior. .zir film = 0-17 S•tALL ' Total 10.85 U = .092 . ~ . , . FIG. I'rl ..TOPVIES'7 OF 'PFAtis iIALL 1. ?~ni:crior air fi.lm 0.68 - 2. z Gyp. Hoard --45 3, " Fiberglass Insul 19.00 q, Sidin eathing ~ 0.17 6. L•'xLcrior. air Liln ' 7'otal 22.98 FIG. #2 --°-----0 ~ u = .0435 ----v 0 ~ ~I' , • _ 1. 7ntcrior air filn 0.68 __.~_y_-~ Z. " Fiberglass Insul ' 3• W(Y Rim Jst. 1.89 ~ r~ _ eat ing 2.0 ai--r ___b,~ '~ir t;:,,L I~.~-:1i,•~-~1 ~ S. SidinS-- 'ilm 0.37 r ~ J b. Er.lcr.i.o:r ''a.l 1`'~% Tt~tul. v- 24.42 ` U = .041 1. Int-c?:ior air f?.lm 2. ~ Insul ~G ~ R 1. Fiberglass ~".`ITICI °°----~7 3. -5TStuds ls' O.c. •.rts. - --:9 . • a. ~14~ - Ti~A7~v_P~fivaoo- y4 Poly V. . 8---- I:>:Y.L•7:]OlC allr film _ 0.)7 • . i ~p-; 79 , . . . . U = 04 F SIAn oil c.Rnne ~I , -p . ? . t. ~.-tzr-711 • L_ ` ~rr ~ . " • s-- . y - ~~~t~~ . _ _ 1'!•.- : . • ' f' • ; ' ~ ; ~ ' ~ ~ ' ~~I! I y - . ~ i . ' . . ~ ~ ~;I' _ ' • . . ' / . ~I r~c C~ Iri ~ o ------•-~y'I r~ ~'V^~- r~ / ~%i Iti ~ ` (ir`-. j I::1'i'li: ln.li~:.~i.• 1•;;:~~, `.',~iU••r 2.~•:~t?: :kn:l . 1 ~ . i. ' ~~1;._..,.:•nt ~.,..~,1 ic,;i. , r . ' CITY OF EDF,N PRAIF2IE ENERGY CALC. . Cow;trucLio)i H_V:iluc . (UcC foY IL'r_tn L) Inlcrior air film 0.G1 2. _ 579;_ Gvp. Board ---~9 , ,r 3. - 4. T:xtcrior .~ir filr,i (:;t.i)1) Q,7i1 l~11Total z U _ ~ L $ L~D ~ ' . ~ CLG. I'PJ+MlYG (USe for Item K) ' Vcn~ea tlc~e flow 11~ uP 1. Int-crior Tir film. 0.61 2, 5/8" G,yp. &oard .69 ~ 3. Inch^s soft wood 3 z° 4•38 FIG. n5 ~ ' ~ 9. Inchas insu2 above framina ~5~ 5. Tir Film 0.61 • . ' . ,~at~l -~3,~~ ,~,.~.1~ _~,«J,~<~~ • U 026 _ ~T : .~~.~~-~i-.~~-~/ .1 1. In4 ,erior air filn 0.61 2. ' - - 3. ,1/L~'+;! i:~1~1_l~L~~L•`~_?V~~~t.!=_='~ 4. E>;terior air ;ilm (si:ill) 0.61 r Total ~ ~ 1?eat :lov up . venCed• ' FIG. 91G - 3 J o. . air film 61 2. ~ .n7(.^S:ys.~:. : :i. f~•~~~Ci~~ ~i,~ '~~`~.~1-~~1 _ rr-= , • 5. Oijt:;icic f.il:n 0.17_ 1~~ ` i i, s 'Po L'.l1 .~.y~ t:,~..::0~:; };0:;-\'i:::I'ED ~ hotc: l~::c :i 1.3~ _~on~l shcat:s iz ini i i.- drlnil:: in(l cttlcu!:itiun.^.. ~ . liCnC ' . - • . , , Clo;r up ' CERT/F/C.eTE oF stnvEr L I S g9°sz'i i'`~ ~ 30 z o IZO,OU I o ' O 6Z0,33 N. ~ -,jN S~ _ 25,67 v.13k5U~g N I ID 6~ ~ 4Z PROf.bSED \ N NOvSF ~ ts,i~ b- r~ f o ~ ~ ~'rj a. 43s I ~ o w ~ i_ Vi ~ 24,00 1 -Zar- rv G) I ss/ OsQ, Io - Scale: 1" = 30' DESCRIPTION Lot 15, Block MORTfaVrFW h1EA0O41.5} / NfH£BY CfR77PY THA7 TN/S SUPVE'Y, PLAN A? R£PO/1T ~_-Dakota Gounty; P1innesota N'AS PREPAREO BY A/£ OR UNP£R MY D/RfCT StA9ERV/S/QM ANO rNAT I AM A DULY REG/STEAED LAHD SYlRVErq4 Pldt b2drina5 ShOWn UNAER rHE LAWS pF TNE STArE Q'' AI/NNES07A. 0 DenOt2S i ron monument OATE pf AM ,yp 8140 breand~ anginacring P. ourvay3ng 2705 wogde trail ~ . buin,rvi9le, minnaeota 55337 (612) 435-1966 CITY OF EAGAN PERMIT Vec~, 3830 Pilot Knob Road FERMIT TYPE: a u i Lo z N e Eagan, Minnesota 55123 Permit Number: 021847 (612) 681-4675 Date Issued: 0 8/ 2 7/ 9 3 SITE ADDRESS: 4275 VALLEY FORGE PL LOT: 15 BLOCK: 4 NORTHVIEW MEAOOWS P.I.N.: 10-52100-150-04 DESCRIPTION: B~u31d ni gr_Permit Type DECK 6uilding W'ork Type NEW UBC Occupancy\ R-3 Building Length 25 Building Width ~ 14 ~ ~ Q~~~ ~~g(zfln REMARKS: FEE SUMMARY: Base Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - APPlicant - HUONDER LEONARD 4275 VAILEY FORGE PL EAGAN MN 55123 (612)681-9296 I hereby acknowledge that I have read this application and state that the I information is correct and agree to comply with all applicable State of Mn. Statutes and City ot Eagan Ordinances. L-- - - - - - - - - - - --J APPLICANT/PERMITEE SIGNATURE ISSUE Y: SI )FRITIRE REACTIVA7E n~~E~~ED CITY OF EAGAIV wEw~iT'r 1993 BUILDING PERMITAPPLICATION ILI t 1-1681-4675 ' SINGLE h MULTI-FAMILY 2 sets of plans, 3 registered slte surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty appliPS: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2} address is changed or 3) lot change is requested once permit is issued. Date l / 23 /..1L.'73Z Yaluation of work~ S1te Address: `{2.75 V(II I2F6I"42 6' IC~,ICC,J~ riaan,N1 551 fTREET fUl7E 1 Tenant Name: (commercial only) IAT /5 BIACK ~ FSUBD. ~r~71VI~w P.I.D. M Descri tion of work: dC'C The applicant is: P Owner ? Contractor ? Other (Deccribe) Name r Lien M 1 F A Phone (ff I Property LxST FIRST Owner Address 4~?5 VGII' u f0i'G1P PlCtCP) STREET ~ iTE Y City -E_nCaYI State ZiPJr~~I ~.3 Company Phone Co ntra ctor Address License N Exp. City State Zip Company Phone Architect/ Engineer Name Registration i Address City State Zip Sewer 8 water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree'to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~~AChlf.(~mL~~~ OFFICE USE ONLY _ . BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition O 08 8-Plex 0 13 Garage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. 0 10 Multi. Add'l. ? 15 Deck O 20 Public facility ? 21 Miscellaneous WORK TYPE ? 31 New 0 33 Alterations ? 35 Tenant Finish 0 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Mater UBL Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Lensus Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' O Site ? Footing ? Framing O Insulation O Wallboard ? Final ? Draintile ? Fireplace Permit Fee v.imci«+: S Surcharge Plan Review license M41CC SAC City SAL Water Conn. Mater Met.er Acct. Deposit S/W Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: SAL % SAC Units 1 ~ i .I` . 1 i I S89°sz'i?"s ~ 30 IzD,ov ~ o zo,330. _ ~n o ~ S~ _ 25.67 v~ 6~~SfAg N ~,D ~ 41 s~~l~ ~ ?RO f~7SE ~~~ER ~ R-1 , IN,r- \ ~ Z,ov ~ NOuSE Is,il Dr~ ~ ~'rj ~ 43a I ~ o 'W ~ ~ SS% pSQ, /j lD ,N g`0 ~ / Scale: 1" = 30' DESCRIPTION Lot 15, Block 4, ._NORTHV?F.W IdEADnW.5 / NER£BY CFR77PY THAT TH/S SU4YFY, fi.AH AT R£POR7' Dakota County, Plinnesota q'AS PR£PAREO BY NE OA UHAER MY O/qECT S1A9ERV/S/m AND rHATlAM A AVLYREG/SrEREO LAND St/RYFrO4 Plat bearinas ShOWn uNAER THE LAwS AF THE STA7E AF AI/NHESOTA. o Denotes i ron monument oarE p~ 'N4 RM nb 8140 . ~r bl/~E4~~ A~LL~L~A~A/IAw r i~~i~~es¦.=,n~ 2000 BU1LD1NG PERM1T APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 651-681-4675 New ConshucNOn ReaulremerMS \ --Z' -6c) ~ Remodel/Reoair Reauirements ? 3 registered sife wrveys slwwing sq. tl. of lot, sq. N. ot house 2 coplea ol plan antl 2LI roofed areas (20`X maximum lot coveraae allowad) 1 set of energy calcWONOna for heated atltllflons ? 2 coples ol plans (ahow beam 8 wintlow aizes; pouretl fnd. tlesign; Bfc.) 1 We wney lor exfeAOr atltliXOns 8 decka a t aet of enerpy calcwatlon: ? J coples of hee preservation plan M lot plaMed aRer 7/ 1/9J DAiE: CONSTRUCTION C05f: ~7 i D op DESCRIPTION OF WORK: i/I`N DI nJ b- AGc~M ~°N u~`'L T2; .M STREET ADDRESS: 1/2 7S U A LL,"Y ~6JE LOT: I S~ BLOCK: LA SUBD./P.I.D. p: C) w-~ 4 l~. CY Vl(~. Name: WU o.cj L P-!v Phone 0/8l' PROPERTY ' Wst Flrot OWNER / / /J Sheet Address:_ 7 '2 ~S V~} LL Q` v f L- cny ~~A 6 QnJ state: /v Zip: S s~a3 Company: Q r•-J,ES 60 /N Dac..J Phone t,/ -72 (area code) CONTRACTOR M / Sheet Address:. ~ '.3 ~ N N~h LlCense # 0 ~Fxp. City m state: /1)/J ziP: .~Sya,6 ARCHITECT/ ENGINEER Company: Name: Telephone ( ) ' Sfreet Address: Regishaflon , Clty Stafe: Zip: Sewer/water licensed plumber (ii installina sewer/waterPhone I hereby acknowledpe thaf I have read Mis applicafion, slate mar ma i,romwran Is coReot, arw ogree ro compN wnn an apprcable srore of Minnesota Statutes and City of Eayan Ordinances. ~ Siflnature of Appitcant: ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservafion Plan Received _ Yes _ No _ Not Requ'rred OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 lfrplex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 02 SF Dwelling ? OS 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti 0 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? 05 03-plex ? 11 10-piex Plbg _Y or_ N? 25 Miscellaneous ? 06 04-Plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg. WORK TYPE O 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition pertnit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buiidings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee ~ yl Valuation: $ Surcharge Plan Review License ~ MC/ES SAC ' City SAC ~ Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: LD SAC Units % SAC _ . ********t##>******#*tt~**+*if#}#*#*t C I T Y O F E A A f~ ,*t *~F' PAYMF'Kl' OF F'F~E AT TIME pF * APPI,ICATION DOE:S D10rP C011S'1ZNIE ~ ;C;'•,' . * APPROVAL OF PERMIIT. APPLICATION FOR PERMIT * * INSPDLTION oF SE.~+gIt ADID/C2 FIIOM ; ~ - , ,*t a,b•~raTTONS WIIS, NOT SE SCF~- ~ SEWER,AhlD/On WATER CONNECTION ~ inID UN~II. PERMjT HAS BF9 ; ; AnPxwm. ; * **x,.~******x~+*......******:**.~**.~ , _ P ease Pr1nt) 1) PROPERTY ADDRESS: ,LEGAL. DESGRIPTION: Lo 7` jS- ~'/o-k _ Lot Block Subdivision or Tax Parcel ID ) IF EXISTING SPRCCIL'RE, DATE OF ORIGINAL B[,'ILDIN:, PF.RMiT ISSL'ANCE: ' ~ (Mon Year) PRFSEDTI' 7ANING/PROPOSID L'SE: ~ CA''A9ERCIAL/FZEI'AIL/0FFICE ~ R-1 SINGLE FAMILY r--, ~ ~ IDIDCSTRIAL . Q R-2 DL'PLEX (1t~ro Onits) ~ INSTITCTIONAL/GOV~12DAgfNT ~ R-3 'NWVIIOL~SE (Three + Units) ( Units) R-4 APARTMENT/CODIDOMINIL'M ( Units) z) : T~rxC a~-~ ~i%,, ADoRESS:~CeLlS- CITY. SPRTE, ZIP: -r v cx- C r'c r t- AK r-r~ /1,/'Ji~ ,-r-J`l7 7.r- , PHONE: SC0 For City Use . • 3) • u r. NAI~E:_~%',P.n V ~'~,.c.n.~ {i! 1 Plumbers License: ADDRFSS: 1~41 y Active ~ CITY, STATE, ZIP: Pired c r~.t i~ c, Not recorded PHONE:' el 3^ er3 J MASTER LICENSE# d St~itial 4) • • , i~• _ ' NA"E:: A- f' f o1 f T _ P;DnRE'ss:` CIT1'. STATE, ZIP:_~ !'Q i' S`-S3 5/ye pxorE: 4 3.2 ~ G/ 75) v • o • o~ U• wra. (~C'ONPIECrION 'ICCITY SEWII2 ~ CpNNECTION TU CITY WATER ~ pT(-gSt ' . r 6) PLF1aSE HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF ABOVE - ~ PLEASE MAIL APPROVFD PERMIT ZU 1, 2, 3,0 ABOVE " (Circle one) 7) r . ~K ~ •.~~~f ~ / 9 ~-6 J' 9" • Y ~:IC M ~ 1~' • I' N' 7 I?• i~ P Y~I• • Ji•! IYI: • • S• •~IJ~:a~V 1~ I .i r•. LYlT7 ' o t .A 1~ 11 r. 7V . . FOR CITY USE ONLY , PERMIT # ISSL'ED fS'C G G' Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE ) $ lP3•S~ $ WATER METER/COPPERHORN/OUTSIDE READER • $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ /So-a ACCOUNT DEPOSIT - SEWER $ $ ~S•~ ACCOL'NT DEPOSIT - WATER $ 5 D 0- U U $ WAC $ 5 7S-•a-D $ sAc $ $ TR(?NK WATER ASSESSD7ENT $ $ TRC'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRC'NK SEL9ER $ $ LATERAL BENEFIT/TRL'NK WATER $ $ WATER TREATMENT PLANT S[!RCi-IARGE , $ $ OTHER: S ~ Z y 4' S~ $ 71 G-e TOTAL 7 G 7~2- RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGZNEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: 1 APPROVED BY: TITLE: DATE : /Q /t /f o 12, ~10 .00 t93 6(o 0 ~ ~o~ o_ffice Use I 41,p City of EapIl I Pertnit# I Permit Fee: • ~ 3830 Pilot Knob Road i I i Eagan MN 55122 ~ Date Recerved: Phone: (651) 675-5675 Fex: (651) 675-5694 1 Stam I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L U SiteAddress: `~fi--F-s \/ci,~~~ PL Tenant: Suite RESIDENT/OWNER Name: C\/f~-1~~/- ~'I )~~C~ifl~Phone:l0-`~' l0(2_>( ('1,~ ~-I~qG Address / City / Zip: Applicant is: _ Owner VContractor TYPE OF WORK Description of work: -r-t--W F or'( 4-- tz~prcr)4: ConstructionCost: Multi-FamityBuilding:(Yes_/No V) CONTRACTOR Name. cthcgv Cy 0n*(dk License#: ~~~)RgLGLI Address: r ial City: &H1I(1.WE'r State: ~~V Zip: S r'Jopo Phone:lOJI'-1,9)I-`12,9-0 ContactPerson: KnCe11 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Ca[eaorv 1 Minnesota Rules 7672 Energy Code • Residenlial Ventilation Category 7 Worksheet • New Energy Code Worksheet Cat090fy Submined Submitled (q 5ubmission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting docurnents7hat you sabmit are:cogsldered_=to'be publlc`Infoimatlon. Portions of fhe info'ririatiori may~be cla"ssified as.non-putiliciif yowprovidespecific'ieasons that would peimit theClty fo - - - , conc/ude,thaf the are trade §ecrets ~ _ ~ ' I hereby acknowledge that [his informatian is complete and accurate; iha[ ihe work vnll be in contormance wi[h Ihe ordinances and codes of the Ciry of Eagan; that I untlerstand ihis is not a permit, but only an application for a permit, antl work is not to slart xnthoul a permit; ihat the work will be in accorUance with Ihe approved plan in the case of work which requires a review and approval of plans. x~ l~'1~f I~l • I~ I`Cr l~1 x~~Y.~ App'~ficanYs Pnnted Name App~ant's Signatu ,15 Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119002 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 4275 Valley Forge Pl Lot:15 Block: 4 Addition: Northview Meadows PID:10-52100-04-150 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - Cynthia A Huonder 4275 Valley Forge Pl Eagan MN 55123 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143523 Date Issued:06/19/2017 Permit Category:ePermit Site Address: 4275 Valley Forge Pl Lot:15 Block: 4 Addition: Northview Meadows PID:10-52100-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description: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 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 - Cynthia A Huonder 4275 Valley Forge Pl Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165848 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 4275 Valley Forge Pl Lot:15 Block: 4 Addition: Northview Meadows PID:10-52100-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Cynthia A Huonder 4275 Valley Forge Pl Saint Paul MN 55123--195 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature