4278 Valley Forge Pl
• cIrr oF EA"N
• 37:5 ru.r Kwr Raa lloo.n, MN asIu
' - ?HONEs 451-8100
' BUILIVNGr ?ERMIT Receipt
To w~fall SF llWG/GAR Est value $47 , 000 Date October 1' 19 83
Stte Addrcu Va ley Forqe Erw Occu R-3
Lot 22 Black 4 5at/SubPlorthview Meadowa Alter ~ Zoniny ~~Y R-1
. Q
Poroei # Repair ? Fin Zone N
Larry S Krist cliaepp E"lOme 0 TYpe °f C°"n' v
ec Name Mova Q # Stories
i Addross 7407 York Ave. So. peffiolis, ~ Length 3"
ci Ediita Phon» 831•-401$ Grvde p Depth 42 Sq. Ft.
~ Name ran a e eve opment o. Approrab F•e.
~u Addfess 7623 1.11pnt3r 167th ^sseument Permit
vl Cir Lakeville Phone 432-6561 Woter 3 Sew. Surcharpe 1323.50
4 . 5
Police Plan check
~W NO"1Q Fin SAC 525.00
_'I Add?ess Enp. Woter Conn. 450. 00
i W CI Phone Plonner Water Meter y.1 60.170
Countil Road Unit
I hercby ocknowledfle that I haw rood this epplication ond state thot Bldp. Off.
the intormotion is oorrect and agree to comply with oll opplicoble ^PC Totol ~ :1
State of Minnesota Statutes and City of Eayan Ordinonces.
Siynotum of Permitteo t Co.
/1 Buildiny Permit is issued to: on the express condition thnr
oll woric sholl be done in occordonce with all opplicable 5tate of Mlnnesota Statutes and Ciy of Eapan drdinances.
Buildinp Of4icfal ' ' '~'-!1 • ~
L
I
Pamit Na Pamit HoleNr Misc. Pe?mit No. Holeler
Plumbinq 3 o f_( C~dlQ 3
H.V.A.G 40'7(0
WNI
WoHr
Di~p•
Sarr@~
Ekct?io Z U c~ OI~C 1/ ~`g3 I
~
Impwtfon Da" InsP. Othw
Footiop
Foundation
Frominp t y
Rou11h Plba.
Rough HVA ~
Imulation
Fiml PI6q. u/q
Final HVAC
Final
WSW pNeribe Loation:
NNII •
sew"
Pr. Diq.
" Reveipt 3 MECHANICAL PERMIT Permit No. 1 7~
• I
i CITY OF EAGAN F~
~ f
t L I Fill in numbered spaces S/C . .
Type or Print /egib/y _
Tot •
1. Date %fG"// 7r ? 2. Installation Cost
3. Job Address -279 'Vfi I L"ot 2 = Bik. Tract V
4. Owner
5. Contractor ~ i-, : fl : ' I, r Phone
6. Address X'
7. City f , , State Zip
8. Buiiding Type: Residential Commercial ? Institutionai 0
9. Work Description: New ffl Add O Alter ? Repair ?
10. Describe Fuel Type
11. No. Equipment BTU - M. Ea. No. Enuiament CFM
r Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. i hereby certifiy that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved,
Approved CITY OF EAGAN 454$100
Receipt 39 PLUMBINGPERMIT PermitNo. , I
CITY OF EAGAN Fee RO C'Q
Fill in numbered spaces S/C . ' S U
Type or Princ /egibly
Tot. o;70 C)
1. Date ~ 2. Installation Cost '
3. Job Address-1 ;n tva ot
4. Owner ' ' 5. Contractor/~' Phone
6. Address
7. City State Zip
8. Building Type: Residential ,L`7 Commercial O Institutional ?
9. Work Description: New Add ? Alter ? Repair El
10. Describe
11. No. Fixtures No. Fixtures
- -
i Water Closet Cetspool/Drainfield
: Bath tubs Septic Tank
Lavatory 5oftner
Shower Wel I
- Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed for
Rough Final
Inspections: Date Insp. Date Insp.
This is your'permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition NORTHVIEW NEADOWS Lot 22 Rlk 4 Parcel
Owner Street 4278 VALLEY FORGE p State EAGAN MN 55123
~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SEWER LAT 1981 15.89 .79 20
5AN SEW TRUNK 5 19$1 138.4$ 6.92 20
110-80
SEWER IATERAL TRK 1984 275.22 18.35 15
SEWER LAT 9 1981 22.28 1.11 20 16-16 1
WATERMAIN l 1984 70.67 4.71 15
WATER LATERAL ilg 19$1 1$.65 .93 20 It
WATER AREA 19$1 138.48 6.92 ZD ilo-nn of n
WATER LAT 511982 29.52 1.48 20 it
STORM SEW TRK 1984 392.32 39.23 10
STORM SEW LAT
DRAINAGE 81 1984 33.97 3.40 10 2_1 _g
CURB & GUTTER '
SIDEWALK
STREET LIGHT
R
WATER CONN. 00,00 of p
BUILDING PER. 8571
1~ n
SAC 00
PAR K
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. 0 k3 6 6
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
. ~etil l f Y 1 ulri,t !'I i firl~ I~ ~ rll i +~r Mr1 I Iu~.
:;-L i!!VI t I.! M C A p{ltJ : (61:' ) 1
PERMIT SUBTYPE: TYPE OF WORK:
. t r•n~rr
INSPECTION
. I I,;, ~
,
(
F
~
L
~
Parmk No. PormR Holdor Dete TNaphone 8 '
ELECTRIC
PLUMBING
HVAC
Inspectlon DeM Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFINd I
ROUGH I
PLUMBING
PLBG I
AIR TEST I
ROUGH I
HEATIN(3
CaAS SVC I
TEST
INSUL
I
QYPBOARD I
FIREPUCE I
FIREPLACE i
AIR TEST ~
FINAL PLBC3 I
I
FINAL HTG I
ORSAT
I
TEST I
BLDG FINAL I
BSMT R.I.
I
BSMT FINAL
DECK FfG
DECK FINAL I
1w4 " ~
i
i
; _
; CITY OF EAGAN WATER SERVICE PERMIT
! 3330 Pilot Knob Road 5213
; P. O. Box 21199 PERMIT NO.:
' Eagan, MN 55121 p^TE: 12-2-33
'
j Zoninp: R1
No. of Units: 1
! Owner: rta*+d Oake DaY
/lddress: -
siti Aedrm: _4278 Valley Forte L22 SA Northview Meadows ~
pl,,,,,ber McDouald' s Plb
Meter No.: Connection Chorpa: 450. 0 ~
Slu: Acoount Deposit: ~
Reader No.: Pannit Fee: _ 10.00 pd
d
i I ym to eew~ob wuh HM Citi ei toson Surcho?ge: .60
~ ordt.enas. Mtsc. chor¢•¦, _ 60.00 p Maketer ~
Total:
I By Dote Paid: {
Dote of Insp.: Insp.:
i
_ - - - ~
i CITY OF EAGAN WwR SUVM PERM
3830 Piiot Knob Rwd
P. O. Box 21199 PERMIT NO.: 6102
I~ Eagan, MN 5512i pATE; 12-2-83
' ZOfing: R No. of Unib:
i Own.r: Grancl Oaks Dev
i Addrcss:
I Srts Add.em: _ 4278 Valley Forge L22 84 Northview Meadorrs
j Plumber. NcDomId' a Plbg _
~ 10-12-83 39220 100.00 pd
i 1sow ee eew* wW ty CNp oi alen CorrNdlon Chorge: 425.00 24
~ "~"OM' Accbunt DepoNt: ~
prrn* Fe,: _ 10.00 pd
~
B Surdiarpe: - .50 pd 1
~ Y Mitc. Chorgm ~
, Dote of Insp.: Total:
~ Irnp.: Dote Pold.
~
,
CITY OF EAGAN N~ g571
3795 %lot Knob Rood Eagon, MN 53122
PHONE: 454-8100
BUILDING IERMIT Retelpt # '3
To ba uud 1or SF DWG/GAR Est. Value $47,000 Dote October 12 1983
Sire Address 4278 Vallev Forge
Erect Occuponcy R-3
Lor ZZ Bi«k 4 Sec/Sub.Northview Meadows qirer ? Zoniny R-1
Porcel # Repair ? Fire Zone NA
E
Name Larry & Kristi Schaeppi nlorqe ? Type of Consr. V
a
Z Move ? # Stories
~ Addreu 7407 York Ave. So. oemolish ? Length 38
C; Edina phn„e _831=4018 Grade ? Depth 42 Sq. Ft.-
p Nama Grand Oaks Development Co. Avvro.ob Foes
0
o" Address 7623 UDDeT 167th Assessment Permit 269.50
uF- Cit Lakevllle p{one 432-6561 Water & Sew. Surchorge 23.50
GW Police Plan check 134.75
Name Fire SAC $2$•00
~Z
~0 Address Eng. Woter Conn. 150__0.0_
iW Ci Phone Plonner WoterMeter 60•~~
Council Rood Unit 250.00
I hereby acknowledge that I have read this opplication ond stote fhat gldg. Off.
the mformation is correct and a9ree ro comply with all applicoble $1]12.75
Stote of Minnetota Stotutes and City of Eogan Ordinonces. APC Total
Sipnuture of Permittea
ran a s eve opment Co.
A Building Permit Is issued to: on the ezpress condition Ihni
oll work tholl be done in atcordorxe yu(h all apDlicoble t e of Minnesofo Statutes ond City of Eagon Ordinances.
Building Of(icial 0 a~
. • T "e~!''+* ~ - 's~°¢"+'Y' a~"'~_f T f' ~ "f T 'P°m0+~t ~!Rf d'
, '~~.-'-~.~i`-+.~. °1~~°i~o>'~~"--az~...°q~f'"•:~::?y~"..~m,'..,mi-''~°':ae. j!~,,en,,,..~1'~- e~~C•`~,,~.
. MSY.Y- w'i-. a..;v2ew,a~:an3lai~r'n,~,w..~TF~rwibuT~sae"s~'xa•°.,:.'."_,•Iy=4T:^-:~\yi'~ict1~~T.=~T>~~_v_T.y:¢^T~vc::r„L1C<~C~~~. ~`C~ -'T.~.y'r':e.-C~
Mkerfifirtttp of """rrixpaurij
~
Citp of eagan
Dr}rttrtmrtti of Alui1D'mg lnaprrticm F z
Tbu Cereifrrute iuued puauant ta tbe nquirerrsrnu of Sertioa 306 of tlx Uniform Building r %
i~
~
Codr ratifriag tbat ot the tima of irtuana thit ttrutturt wat irs tompliantt unth tin vanout
,p
ordinanrer ol tln Cit7 rr8ttlotin8 buildrnB ronnnution m uJe. For thr foJlowrn8:
r SF DwG/GAR ' . - - 8571
i
p_ Uadfi~ BId, Pemm, No. +f
ooNwar nw R3 TrPC~~ V F-w7~ N/A Rl
z~ w~~
Grand Caks Devel. 7623 Upp~s I67th, I'i11'6i
4278 Vallev Forqe ,m11tY L 22, B 4, Northview Mead _
Br:
Dec
. 12, 1983
ewwmooem.~ D.W.
-
//~g~"`:=~,%~~ .m. i,,. . e ~`Fti'.e .x,r`_rr ~ .-~y
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
-~-J ~ C~ 651•681-4675
New Conatruetion ReauhemeMe RemotleVRenslr HeaulremeMe O~
• 3 reglstere0 site wrveys showing sq. fL of bL sq. IL of nouse; and gp rooted areas • 2 copies of plan
(20°/< mazimum bt coverage albwed) . 1 set ot Energy Cakulatbns lor heated a4AAbns
• 2 copies oi plan showmg beam & wintlow saes; poured found Aesgn, etc.) • 1 stte suNey for eoAerior atlGAions 8 decks
. 1 set of Energy CabuMalbns • InOicate'rf home served by septic system lor additions
• 3 coples of Tree Preservatbn Plan If bt platled atter 711/93
• Rim ,bist Detail Options selection sheet (bItlgs with 3 or less uni5) 0 v~
~
DATE 5 /3 VALUATION e v
~
SITE ADDRESS 7 FSn Vq //e y/G rs -e- PI MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT LF ~~r SG~yeF~
STREET ADDRESS '1r) 7g Illq ~14 V 76a J45 - PL cmr -e95y~ STATE9!V ZIP SS~~-3
TELEPHONE CELL PHONE # FAX #
PROPERN OWNER L y(-ry S!'/~ ti aPv. ~ TELEPHONE #
COMPLETE THIS SECTION FOR ^NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submittetl • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contraetor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
MeChaniCal Confracfor. Phone N
Mechanical system includes: _ Air Conditioning • .00
_ Heat Recovery System
Sewer/waterConhactor: Phon MAY 12002
I hereby acknowiedge that I have read ihis applicaTlon, state thaT ihe informatio , e o comply
with all applicable State of Minnesota STatutes and City of Eagan Ordinances. ~
Signafure of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Ot Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ ptex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvemenl 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Foo[ings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Pertnit
License Search
Copies
Other
Total
CITY OP Pi~G~~li Qr~~•Enc].~xle 2 sets oE plans,
i
-r- 1 sitc plan v:;~cl.evations F,
BUIIDT:'G ?P;ILMC`1 AE'L'TJC'1NI'TON 1>ct of 0:1_^rc'; "aiculati.ons.
4-C~iol.'~ ~
'tb P.e Used Fb: Valt!~Ztion yl l.iate O~ (0-~~
-1 - - - .
5i-te P-Adress .~f~~ ~ZEa d~.~ C'd%IC?'. USf. O:?t;,_
- 0 uJ V
IIlocv ~ ~ _ /.`.:kiYi. d1C~t(xteeJ ~I~.rcr't
-
raroel n: 1Lt:c:- :-,ontnq -
-
- -
f I7.c.paLr rliu 7,one
- TW oc o P Cons t .
O~me r • L:ni an I ~
1~~+ lJ-~ ~ Pbvc _ ~ SLorirs - - -
Fuc3dres,: Dcmnl ish !':CnC ft.
- 3
- -f/~- ---_-c~.
Cit};/'Lip Codc: pl~~-- - Gi:tii3c - 1XI,L11
Pnone Nr : O -3 ~{d - -
- ~ P.PI'kYJVnf S r'P7~S
Contractor.: As seSSnr_ncs - - - Penldt
Watcr/.Sc::cr Suc-ch,iLzje o(3 s~
iK,ELn55: POl.1CC P1<I[l Cflr'C}:
C1LV% A1p G-.)C]..:
tidatrr Corn.
Photx. I` :
- Pl~~nnr.r S'txtcr !detcr
Counci.l. Rrzd Unit
Ot`.
T,ddress: r11L
City,/23.p Cade: - - -
Phone
I
~
SURVEYOR'S CERTIFICATE cRaNO DEVELOPMENT CONPANY
( / 391t0o Q// 7
a
I
so , :
~ o i u c i
N o 07 49 E 80,00 ~y,~
~ U)-----
I I ORA/NAGf B UT/LITY 15 £AS£MENT PER PLAT
LOT 22 N I ~
,
N Q, o ~
~ ' - I30.00 - 3B.00 I r 3
PROPOS£D O ~
^ I ^ HOUSE \ N O
~ ~ b D \1T.33 Iq ~
Z ~ v I N v (979.•;) I~ O r~
I 1.. ~ I r~\b^ ~ ~ I ~ ?l
W GAR. O 0~-
Q: ~ . P \ \ 30.00 20.67 4 Z
Q
30 ' ' :F•si ~ ~
,ol ~ ~~W M1^
~j
' ~ I .Mp3 .r0 q O ~
Q 4i~ N
\ ~ L ,,~^M1~ / ~
, Z
l9 ~ • \
K.. A w
°r~:.~~
,R=60 ~4o2g., \
370. 28 36 3/ ~O
449j VA L L E Y FORGE
M
• \
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMEtvT FOUND PROPOSED GARAGE FLOOR =~-79.3 FEET
X000.0 DENOTES EXISTING ELEVATION °ROPOSED LOWEST FLOOR = Si!~- i FEET
(000.0) DENOTES PROPOSED ELEVATInN PROPOSED TOP OF BLOCK = yg 0,1 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 22, Block 4, NORTHVIEW. MEADOWS, according to the recorded plat thereof,
Dakota County, Minnesota. ( THIS LEGAL DESCRIPTIOtd WILL BE VALID UPON
' FILINq THE PLAT OF NORTHUIEW P1EADOWS.)
AND OF THE LOCATION OF ALL BUILDTNGS, IF ANY, T4EREON, AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR 0N SAID LAIJD. AS SUP,VEYED BY ME THIS 5TH DAY OFAUGUST . 1983.
SIGWED: JAMES P. HILL, INC.
~
BY : ~ ~ U~~?4/?r'-'
HAROLD C. PETERSON, LAND SURVEYOR
PSINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
83342 Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenu• South •
FOLDER Bbomington, Mn. 55431 812-884-3029
• _ _ .
~ ,S4ANCQAkIS WAJkOt1~ s, .
' epM~~ ~ ~~~~OSO 2 OPTaON 3
22. Area of ceiling under veMed rooi or "
unconditioneespace ~3lp
(0 or sq. It If 0 Item 23 N.A.)
23. Thichnessollnsulaiion
f0. 3, 6, 12 0r 78" of fiberglas or R values.
Ex: R30)
24. Area of floors over uncontlitionedspece
(0 or 5q. fL It 0 Item 25 N.A.) --A]]
25. Thickn053 olinsulation r1
(0, 3 or 6" iiDerglas, or R values)
26. Area of lloors over open ur vented space,
orgarage C~ rtq NN kn
(0 cr sq. tL If 0 Item 27'"!.A )
27. Thickn855 olinsulelion
(0, 3 or 6" of IiDerglas or R values)
28. Bnsamentnrea
(0 or sq. tL II itom 151s Onkip thla entry.),
29. Total heateA arna . ~ (a a y, / (p 7a ~ ~
(sq. IL) ~
30 Perimeter of concreteslab O q ~ ~ ~ p
(0 of linear It ) Qf 0, Item 31 N.A.J
31 ThicknessolslaDinsulation......... ..L_.~.~1
10. 7 or 2") .
32. Desiretl summer mdoor temperatwa
swinq ~ pq ~ 7ip aq
Nnlue beiween 1 and 6 inclusive.)
31 Desve4wintermsitlelempereture (/p # 70 ~ ~a
34 Ductlocatwn . . fjb} %
(AT = attic. OA = basement, SL = stab.
CH = crawl spxce, CO = contlitionetl ,
spacc) (tl 8A, SL, or CO. Item 35 N A.)
35 ThicknessOLnSUlation
(0. 1 a 2" use 2 br 7" rigitl.) ,
'REPEATDATA?................ pq y ~p Rp
Vor N
'.CORRECTIONS'1......................
u there are no correclions reqwied anter an. ~
It ihrre are Coirer,lions to the Aata, enter
yueshon number, ji, thr, new Aaia, intl uu.
EA. If no h~tne~ correcuons. enterqq only. yb a a# il# ~ p# ~ pp
COUIING B.T.U.H. ,
EOUALS~3 AT °F 6.7.U.H. a4/,95J AT 9D °F B.T.U.M. AT °F
IiEATING B.T.U.H.
EOUAL55`~~9-~ 7 AT~a °F B.T.U.H.S9S4/'7 qT--]~O°F B.T.U.H. AT °F
"REPEATTHEANSWERS"(YOrN) p!t pp . +~p
..SAVEVOURDATA?.' An pp qp
Y or N. or VRap wdl savz your tlata anA goes
tn Leginning !or new :.nalysis: or NRpp will
not save Uata but goes back to be9immng for
new Analysis.
.lOB NUMBER
tl you want lo savc your date CLIC nssigns
Jou Number
"STRUC7'URE CIiANGESI" .
II tilere nre no crlnnges requirRtl oNer Np.
if inere are r.nanqes to the tlaia, enier
queSUOn numbEr 11. lI1e fIEN' Adtd. 2fiC Nk. N Nk N Aq p pp
Ez~25pR30rtN
If no lurther chanqes, enter as only. aa aa np
!JJ
,
OPPOFTUNIIY HOME aae Pnn1c0 in u.s.a 038-039
-
- r.~aa„'~-~^ • ° - - - k~~
V I~ O Lt'~ 1 ~
EL E GARRIER LG&~
' ~EDGWES
S4aNdaQcl W r~l ko0 ~
~ opyeelm i •PTIa~ ~ ~~~~ON 2
1. Summerdesigndegrees
(so, ss, ioo, ios, iioor ns)
(If 90. 105, 110 or 115. Ilem 2 N.A.)
~~---~y~ .....,...e~....,~.
2 Dailyrenge(0°-35°) I_-_J ll
3. Wintertlesigndegrees /Y~dO a ly)a0 u uJ
(Precetle a minus number wilh M)
4. Number ofwintlowpanes a p ~ p ~
(1, 2 or 3. If 2 or 3. Item 5 N.A.)
5. Stormwindows?(YOrN) N ~ u
6. Windowsweatherstripped7(VOrN).....
~
7. Four window areas starting with N or ~ p p ~
NEOrientation . T /v
x: N025M30k20025NH: M17ax per side:
9 sQ. 1t.1
71 NorNE
72 E or SE C p C ° ~
73 s ar sw
74 W or NW
8. Shadetlwintlowarea
(0 or sp. IL Enter 0 if not appliceble.
PAax: 999 sq. ft)
9. Doorarea
(O or sa. ft. Max:9995q. ft. If 0,
Items 10 8 17 N.A.)
10. Doorweatherstripped?(VOrN)......... " y M y p
11. Slorm OoOr6? (V or N)
12. Firststory perimeter
13. Secondsroryperimeter p p U b ~~_p]
14. Thickne55o1wa11in5uletion y k k ~ k1
(0, 2, 4 or 6" fiberglas, Enter MA for
masonry; R values, enter R, then velue. ~
Ex: F719)
15. easementperimeter /.Z O a /a C a ~J
(0 or linear ft. It 0. Items 16. 17 828 N.A.) ~•~~~t
16. Basement heated? (YOr N) . . l._--~
(If N. Item 17 N.A.)
17. Percentabovegrade(Ex:S%=5) ~p » ~00 n ~pi
18. Area ot roof with e.posetl beams or
stutlioceiling p ap O Ba pa
(0 ar sq. ft. 11 zero. Items 19, 20 8 21 N.A.) ~qI fI ~
19. Woodortiber ..~_J
, (WlorwOOd,FfOrfiber.If W,Item20N.A.,
II F, Item 21 N.A.)
20. Thicknessolliber
(1.5, 2 or 3" or R values)
21. Insulation
(V, N or R values, V assumes 1:5") '
PERMIT
CI7Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 6 6 3
(612) 681-4675 Date Issued: 0 4/ 01 / 9 7
SITE ADDRESS:
4278 VALLEY FOR6E PL
LOT: 22 BLOCK: 4
NOR7HVIEW MEADOWS
P.I.N.: 10-52100-220-04
DESCRIPTION:
(SIDING)
u ng~,Permit Type SF (MISC.)
uild3ng Wb,rk Type REPAIR
,Census Code-~-~ 434 ALT. RESIOENTIAL
rn ~
~l V P/
,
0,0 Li, Li
REMARKS:
FEE SUMMARY:
VALUATION $7,000
Base Fee $124.75
Surcharge $3.50
Total Fee $128.25
CONTRACTOR: - ,qpplicant - sT. LIC OWNER:
PANELCRAFT OF MN INC 17216628 0002179 SCHAEPPI LARRY
3118 SNELLING AVE S 4278 VALLEY FORGE PL
MINNEAPOLIS MN 55406 EAGAN MN 55123
(612) 721-6628 (612)454-5380
, I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- J
~.r~~I 1ltl~
APPLICANT/PERMITEE SIGNATURE Y: 1~`PJ TITRE k
. cmr oF eacaN ~ I • ~
3830 PILOT KNOB RD - 55122
1%L451995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' 681-46T5
New ConstnuGion Reaufroments Remodel/Reoair Reauirements
? 3 repisterod site aurveys ? 2 copies of plan
? 2 copies oi plans (inGude beam & window sizes; poured fnd. design; etc.) ? 2 site suneye (exterior additiona 6 dedea)
? t energy celwlatione ? 1 energy wlwla6ons for heated addRiona
? 3 copies of Vee Dreservation plan H lot platted aRer 7l7193
requirad: _ Yes _ No
DATE: 3- a01>' 97 CONSTRUCTION COST: ~-7 90' CO
DESCRIPTION OF WORK: r0_O I~GQ. Sl GL,C-/7Q 0 QA •
STREET ADDRESS: Zvo~8 V ajLe~/ lrbrq e, 01CCe
LOT ~ BLOCK ~ SUBD./P.I.D. ZDnn tJ }40/lr~l'Glk
PROPERTY Name: SC,L 2.d,0 i L~~~ I Phone y$y " 53 £d
owNeR w,
' StreetAddress- ya7~ ~~Q~~~ ~r9L P~aGe
• City: State: Zip: SS(a'3
CONTRACTOR Company: Phone 2)1"0e, ze
Street Address: .31 l~ .S11 f-111'174 AS License a/-79
Ciry: M f/S state: ff)l~ zip,
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information 's correct and agree to comply with all
applicable State of Minnesofa Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
, Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
~
, w
BUILDING PERMIT TYPE '
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 MuRi Repair/Rem. ? 17 Swim Pool
0 03 SF Add'Rion ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? OS SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE -
? 31 New ? 33 Aiterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code .
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ~O7c;2 0-6rV
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: la 8 a~
% sAc
SAC Units •
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA123992
Date Issued:06/18/2014
Permit Category:ePermit
Site Address: 4278 Valley Forge Pl
Lot:22 Block: 4 Addition: Northview Meadows
PID:10-52100-04-220
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.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Larry J Schaeppi
4278 Valley Forge Pl
Eagan MN 55121
(651) 210-8369
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144270
Date Issued:07/19/2017
Permit Category:ePermit
Site Address: 4278 Valley Forge Pl
Lot:22 Block: 4 Addition: Northview Meadows
PID:10-52100-04-220
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 -
Larry J Schaeppi
4278 Valley Forge Pl
Eagan MN 55121
(651) 210-8369
Home Depot At Home Services
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153042
Date Issued:11/15/2018
Permit Category:ePermit
Site Address: 4278 Valley Forge Pl
Lot:22 Block: 4 Addition: Northview Meadows
PID:10-52100-04-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Larry J Schaeppi
4278 Valley Forge Pl
Eagan MN 55121
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162740
Date Issued:07/27/2020
Permit Category:ePermit
Site Address: 4278 Valley Forge Pl
Lot:22 Block: 4 Addition: Northview Meadows
PID:10-52100-04-220
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 -
Lawrence J Schaeppi
4278 Valley Forge Pl
Eagan MN 55123
(651) 210-8369
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176132
Date Issued:05/03/2022
Permit Category:ePermit
Site Address: 4278 Valley Forge Pl
Lot:22 Block: 4 Addition: Northview Meadows
PID:10-52100-04-220
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Lawrence J & Kristi A Schaeppi
4278 Valley Forge Pl
Eagan MN 55123
(651) 210-8369
J & B Custom Homes Llc
3675 Cavallo Pass
Chaska MN 55318
(651) 775-8955
Applicant/Permitee: Signature Issued By: Signature