4284 Valley Forge Pl
CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21•198, EapM MN 55121
PHONE: 4648100 "
iUILDING fERMIT RK•+at # .
~ M~wo/ he Est. Valuw pote
Skr Addrws 4? i i 4 Ersct l~ Occupncy
Lot Block ' ub. J~!~^adsl ? Zoniny . ~
ParcN No. Repair ? Type of Const. ,
Enlaqe ? No. Storiu
MOW ? LfflqLh
~ Nam , • . : - ' Owmoflsh ? Dspth 4 9
I:IJ~i: ~'i)•' t~,
Addross Grade ? Sq. Ft.
cicy Pnoee rU F d Q tratali ?
, Apprw"k F"s
~ Nam .
A~~ /1sa~ssment Permit .
City PhoM Wa»r 6 Sew. Surchorpe i0
Poliu Piqn Rsvisw
iName Ffee S/!C
u3 Addna Enp. Woter Conn. u U.
City Phons PIOnrNr Wohr Mehr
Countil Rood Unir
I heroby otknowledye thot I haw nad this oppllcation ond sroN thot Bldp. Off. Parka .
fhe Inlormotion fs oorrect and oqret to tanply with all applicablo APC TotN ,
Stoto of Minrnsoro Stotutes ond City of Eoqan Ordinonus.
Ver. Date Stpnotun of PennHtM
A Bullding Veernlf It issued to: ' : ~ ` _ ' . ~ - , . ,r,_ on fM expnm condition fhoi
dl work shdl bt da» fn ocoordonp with all oppliooble StoM of Minntsoto Statuta ond City of Eopan Ordirwnas.
Su11dMq Offidd
~ g w w w ~ a s*~ x s
A ~ Ir
A
~
~
~
rt
y, `u
~
i
~
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Receipt PLUMBING PERMIT Permit No. L/'
CITY OF EAGAN Fee
~ _ • ,
Fill in numbered spaces S/C
Type or Prinf legrb/y
Tot.
1. Date 2. Installation Cost ~ .y
/J,Sy
3. Job Address Blk. Trac~
4. Owner
T
5. ''-j,1hone
6. Address
7. City State Zip
~
8. Building Type: ResidentiaVCJ Commercial ? Institutional O
9. Work Description: New-4!r"' Add 0 Alter O Repair r
10. Describe . U
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
.
~ Lavatory 5oftner
~ Shower Well
-T Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray
~ Floor Orains '
Drinking Ftn.
E Slop Sink
Gas Piping Outleu
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 ot work.
Signed , ; J • -
~ for
Rough , t ' Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY UF EAGAN 454-6100
CITY OF EAGAN Remarks
Addition NORTHVIEW MEADOWS Lot 20 Blk 4 Parcel
Owner Street 4284 VALLEY FORGE PI,AICB 5tate EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 84 ']6.']$ 7.G7 ~S ZO C~l. C01029
STREET RESTOR.
GRAOING
SEWER T 1981 15.89 .79 20 11.94
SAN SEW TRUNK ,1 1981 138.48 6.92 20 1.0 .8
SEWER LATERAL TRK R 1984 275.22 I ?A':'M iS 238.54
1981 22.28 1.4e f -.14 -2e IS 14.88
WATERMAIN l+c/ 1984 70.67 4.71 15 61.25
WATER LATERAL rj 19$1 j$. 6S -}3 ~e 1S 12.45
WATER AREA 1981 138.48 6.92 ZO 103.88
WATER LAT r'373 1982 29.52 1.41 1-:48 20 22.1
STORM SEW TRK 150 1984 392.32 18,4fi&)-~ le S 235 46
STORM SEW LAT
ii
DRAINAGE 1984 33.97 ?.39 3.40 2.19
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
n rr
BUILDING PER, n n
SAC 525.00
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 PiMt Knob Road
Pt O. Box 21198 PERMIT NO.: 5 0
Eagan, MN 55121 e, n
Zoninp: - R1 No. of'fth~ts: - i
or; Corpor-~QefrQoml~ I-~.I`ia.i~teS I
~'/lddross: rn r u r_ • F~,~--°-E-r--- ; r-=,
oits Addrcis: 2 'V
; \~Plumiber. _ R<lY Ha _ U
~
' NAstor No.: _.Ty/ 92 5'N S`) Connection Charpe: 50f1.00 ~
' S1ze: SfL.Q I• AftL• AcacuM Depoalt: 15000 pd
; Reoder No.: 42 ofa /X Permlt Fee: _ 10.00 Dd
j 1 pne to , anpip wNh No Ciyr oi E4ws Surchorgs: .50 n i
i, OrNMner. Mist. Chcrpes: 112_ i 1(1 n.l
L Totol: 63.QO nd mPrerl
Dote Paid: i
j Date of . Insp.:
5 7/8's
~ _ - - - - _ - -
i .
CITY OF EAGAN
3830 Pilot Knob Roed SlWER SERVICE PERMIT
'
I P. O. Box 21199 PERMIT NO.: 7234
; Eagan, MN 551~i pATE: S
Zonirq: 1 -7
?rporate onst Na of Units:
OwrNr:
Ilddress:
S1te Address: 4Z84 a ey orpe Nort view _ eadows ~
~ Plumber: RaY liaeg Plbg . I
I I MMe to @Ora* wa fM Cihr ef MNw CorxNetlon Chorpe: 425.00 pd I
1
Acoount apodr: pC I
PermM FM: ' P
Surdwnpe: ' • P
~Y Misc. CMry~
I ~te of Insp,: Totol:
r
f I^sp" Doh Pcid:----- - - - _ _
I
• _ I
CITY OF EAGAN Nd 10 0 5 7
3830 Pilot Krrob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receiot #
Te M drd {er SF DWG/GAR Est, Value $69,000 pate APRIL 9 , 19_-aLL
SitqAddreu 4284 VALLEY FORGE Erect CK Ocwpancy R3
Lot?2Block 4 eec/Sub. NORTHVIEW MEAD0OPS`"odel ? Zoning Rl
Repeir ? Typa of Conzt. V
Parcel No.
Enlarge ? Na. Storim
~ CORPORATE CONSTRUCTION INC Move ? Lenptn 50
= Name Oemalish ? Depth q g
~ Aadress 4466 WEDGWOOD DR Grade ? Sq. Ft.
Citv EAGAN phone 454-0644 Install ?
SAME Approralt iees
ffi Nama
Assessment Permil • o~
Address _
u~ City Phone Waror 3 Sew. Surchorpa 34 5(
Voli<a Plan Review 170.0C
r'W Neme Fire $AC 525_OC
~W
4~ Addresa Enp. WoterConn. SOO.OC
u
~ W City Phone Plonnar Woter Meter -63-OC
Gouncil Road Uni1280 - OC
I hercby ockrowledge that I have rcod this cDGlicari and ztate thaf Bldg. Off. 4 9$ S ~rlj~ _ p_ 132. 1M Informalion is correcf ond ree'to wmpl w i oll opplicoble A~ Totel S2, 044 _ SC
$rote of Minnesota Statutes Ciry of Ea inms.
Var. Date
Sipnafun of Permittaa
A Buildinq Pnmit Is iuued ro: CORP RATE CONSTRUCTION INC m the expran cadinon thot
oll work shall be done in accordance with ull la Stofe of nn a Starutes ond Ciry of Eapan Ordinoncea
Buildfrq Olflciol
~
7985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS KUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS op
To Be Used For: S,F•DW(~.~(ap~„ Valuation: ~,0t7D.- Date: ~
. s
Site Address: '1ZUU ~O~~~C M7,,,M~erect 12. OFFICE USE ONLY
Lot: Block Sect/Sub X Occupancy
Remodel Zoning R_I
Parcel # Repair _ Type of Const ~
~C Enlarge - !t og Stories ~
nTrCkt
Owner ?0 ~'l Move Len th
L $ Demolish _ ~pFt
Address JP ~ G-~
City/Zip Code
Phone ( Sq` ~6~Gf APPROVALS
Contractor ~~ynvP Assessments Permit 540
Water/Sewer Surcharge 3 4,5;
Address Police Plan Review \'jp_
Fire SAC 525
City/Zip Code Engr Water Conn 500.°=
Planner IJater Meter (03.
Phone Council Road Unit
Bldg Off Jj~!1/-g-g'Parks
Arch./Engr. APC ~a Treatment Pl
Variance
Address TOTAL ab kic/.
City/Zip Code
Phone Il
pis.,., 54Ow s 2-+~4,
t~~ac~ y ~ s. srv~ ~
Zx~_ - ,
Z(~X 42-' 1~12x 54' So`i
~ix8 - 72 x 41 - 2q52 ~ .
Z 4- x 2 q_ = 5~ c~ x i ~ 33 4~
Co82S6
~s
h~jY~
SURVEYOR,S CERTIFICATE • , CORPORATE CONSTRUCTION
N 0°07 4g'E
io•ZE393~~, ';,r. r.' .
~
~ r~?s I
~ / A qGF\ /O'~
„ \ ` ~~T \ • 1~
~ LOT
~k y 20 S~~ ~r\
00
, ,\00
~
•33 ° ' vo °o .i
° -
~
G) 6
C)
hQ , ~J~~~~ ~ ^ ~R~3•~ 59
~
, e
TC'
~ ~
4~~: " o S ia ~ o
O
A 96~ 7 ~ 974. .C. ~ `
4LLF R
~
VFORGE
1
,-4_ DENOTES PROPOSED SURFACE DRAINA6E
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = S FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = FEET
(000.0) DENOTES PROPOSEO ELEVATION PROPOSED TOP OF BLOCK = 9?'7•8 FEET
I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT ;
REPRESENTATION Of A SURVEY OF THE BOUNDARIES OF:
Lot 20, 61ock 4, NORTHVIEW MEADOWS, according to the recorded plat thereof,
Dakota County, Minnesota
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 4TH DAY OF APRIL , 1985.
SIGNED: JA R HILL, INC.
BY:
C OHAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
PROJEC7 NO. BOOK / PAGE JqMES R. HILL, INC.
Planners / Engineers / Surveyors
FILE NO. I~SI43
8200 Humboldt Avenus South
FOL DER sioomtngton, Ma 55431 612-884-3029 •
~~"j ' ' • • ~ • ' . . ,
.i~.~ . • \ , . _ . • ' a. ' . . . ~ . . . '
. EXTERIOR ENVECOPE AVERAGE "U" COh1PUTATION '
; 041NER ~
' . SITE ADDRESS f33e ~ tiw~! L~T
CON fRAGTOR DATE 3 7/,j~ PFIONE
Determine working square footage of each.
1. Total exposed walt area „2psq. ft. x~L
2. Total roof/ceiling area . 11.2;~2 sq. ft. x_026
„ Total exposed wall area.above floor
a. Total wall window area........ 1S!'-96
b. Total door area, . 37 ~ 7
' c. Total sliding glass door area eo
: d. Total fireplace wall area -
e. otal wall framing area (average 10%)...".....,... ze, p
f. Total net wall area above floor /36-7
g. Total rim joist arca . 1-:7/_
Total ezposed foundation area
h. Total foundation window arca -
i. Toal net foundation area abeve grade
Determine "U" value cf each tiall segment.
a. /Sy X ~~U" _ 53 = b.Z,./.3
b. 7X ~,U., .1.23 = `f.GS
c. A~ X "u" , S8
d. X oluit
e. /&/.60 ~ X --ul, , 09
f. x„U„ , ay = ss: '
g. X„U-1
~ - - - ---f-.
n. - x „u„
x liu,i , /3
3 _
.Total S
If item q3 is the same as, or less than item #1, you have met the intent
of S8C 6006(c)2.
~
'k. . iMLL SECTSONS ' f .
NM'E: Uce lsy of opaquc wail.area'ifor
trame constzuction ColfetrucYion R-Value
,1. r i f 0 6
2~
, inches sof* woori t
L.
~
q, 2 •s i'F ~.dG
s ic
6. Extcrior air Eilm = 0.17
WALL Total a/
0~j
''Kf' •
f
FIG. A1 TOPVIEl9 OF
FRAlfE WAIIL l. Intcrior air film 0.68
2• .~:r'
, 3. . /p,a0
• , . 4. z
5. LZsliaY~?d G7
6. Exterior air fllm 0.17
` • FIG. M2 Total 11?
_ . , .
, I~ 9erior air Eilm ~ 68
3.
c.. . .
LIL
$~LL 15'GFLJ( 4.
- ----Q3 , /.C,x
2sri~N~ 1
Pc:1phe:a1 5.
- • ' -
,F~r~i,~,~ i•~ --.4 6. Exterior a 'ir fi'lm 0.17
1bta1
' ~ r"`~. • i' I , ~J"/
• U v .
`c~~ ' n ~ 1. Interior air film 0.68
, FOO:i_l.1TICN pA Q.,• • g, , T` r - q~((
WAL3 i, 2;
5-16
' tl' •'0~ . • d. gog~rl
:
~ P G. Exterior air film 0.17
j~ , , . _ Total -I
t
n, 'I
4
~
SLAB ON GRADE .
. ~ ~ 1 . ~fzAZ? r
F w
`
R .
• ' .
s' - /J ~-A2f~
p' • p' • Vs ~ _ t ~ ' ; y . , ~ I 1 J ~
• = - ; . , _ /1~
/h •
, • ~ " .
. r FIG. N4 fft X:'6• . o
'.FIG. 17-7 ~
` . . ' /L!
NOTE: Indicate tyoe, value, denth and
placenent of insulation.
, , • • _ .
° _ • ~ • I
_
. r Pago Three
' s~` , . . , •
ROOF/CEILZNC ~
ConsCruction x-valuo
1. Interior air film 0.61
~ . I ~ 2. '
3. <Gf1CS1'.: u~~o4
I( jt ~11~}I ~ 4. F.xtcrior air film (still 07
~g./jT /.~11~ I.,~.• 1 lI~ i Il Tocal 4~1 I-V
•-LJ
. i .
Venced }3eat flov
up . ! .
FIG. AS I . .
I' 1. Interior a film 0.61
sn.rJ,•..a~±~~.~~_±f•:l?__,`.".Ll.~__!~o,~ a~-ta~ Z.
_ - 3.
4. Er.trriur air iL sti
i I • . . . ~ Total .
~}:eac flow up vented FIG. N6 . • I ' .
3 ~ 511 1. Insi.de '.r film 0.61
2. .
6.~. . _
. ~ ,~n~ . ,1;-•.. _ 3.
:~1.="•:. 4.
t„-.. , 5. Outside Diy.- ilm 0.17
Total
+
. 1 Z
. .
, ~ H0~1-VL'NTEp I Nol'o: Use additional shects if mora space is
• neec?ed for details and calculaCions.
' . Heae • . . . flow up ~
Fr.a. 07
y~''~ . . . ` . •
iw. • •
Tatal exposed roof/ceiling area = /a 72
Total skylight ar~a -
k. Total roof/ceiling framing area (average 10%)... /.:~7. 2
l. Total net insulateid roof/ceiling area........... l/~r/,
Determine "U" vallue for each roof/ceiling segment.
J, X ltuii _
,
k. X°ull . ozG = 3 3;
X liull , o2z = 2s,
4 .....Total
lf total of p4 is the same as, or less than #2, you have met the intent of
- SBC 6006(c)1,
Alternate Building Envelope Design.
To utilize the total envelape system method, the values established by the
sum of items k3 and p4 shall not be greater than the sum of items ;I1 and #7.
i. z. 33. 07 =-2s7-s6
s. :2 22. 3s ~ + a. ab-s~ = aso-Frs
;
~ ___..~-•'~~.reGC .
1999 BUILDING i ERMIT APPLICATION (RESIDENTIAL)
3830 PILIOT KNOB RDN 55122 ~SL
651-681-4675
New Conehuctlon Reauiremenf; Remodel/Reoalr Reavlre`menN~
* 3 reglsfered sHe aurveya showing sq. fl. of lot sq. R. of house 2 copies of plan
and all rooled areaf (2maximum lot coveraae cllowed) 1 sef of energy calculaflonf for heated addiHOnf
> 2 coples of plans (show beam S window slzes; poured Ind. design; etc.) 1 sMe survey for exferlor addBlons 6 decks
i 1 sef ot energy calculallons I
> 3 coples of hee preservaHOn plan B lot plalted afler 7/1/93
DATE: (O ` / / CONSTRUCTION COST: `OGYJ~~~o
DESCRIPTION OF WORK: STREET ADDRE55:
LOT: a"U BLOCK: ~ SUBD./P.IIiD.M: Y~"U
I
Name:~/)G /1 vl~i/"l Phone o006
PROPERTY Last I First
OWNER Street Address: Tf<0~1 Ufl~~~l ~~~9i
Ci1y State:Zip:
~
Company~~^/~~~GC/i~b~JC~ l+'J/GE"'L Phonelk: Fa'~
I (area code)
CONTRACTOR aD /
Sfreet Address License Ik ~F-xP F/
City 01f I State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( I )
Sheet Address: Registration N:
City State: Zip:
?ewer. R wafer Iicensed plumber (reauired fa new construcHon onN
r±nalFy applles when address change and lot change Is requested once permk Is Issued.
r
I hereby acknowledge fhaf I have read ihls applicaflon, state thaf t ~ on Is conect, and agree fo comply wNh all appllcabl
State of Minnesota Sfatutes and CMy of Eagan Ordinances.
Signature of Applican
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Requi ? I
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 ? 08 6-plex 0 13 16-plex O 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas InseR ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' 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 8 I. a5 Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter ~
Acct. Deposit
S/W Permit • ~
S/W Surcharge t
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
i
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
Date:
Description of Work: Construct nerv tireplace _ Alteratioies to existing
i Install _,,as iirserf oitlv _ Install ~,as line nnlv
I O[her
i
Jobaddress:
Lot ~D-0 Block: Subdivision/P.I.D. -'(~o ~-A+ U , -c
Applicant (circle one only): Owner Contractor Perntit Fee: S60S0
Name: Phone
PROPERTY Last First
OWNER ~ I~ V`
Street Address:
r~ --t- ~
City Stare: Zip:
O
Company: '1 \,re ~~hj ( rwk1)..l GreS'Fhone #u~
FIREPLACE s- r"
1\STaLLER Street Address: W
City (AY V1 S U l I`~ Stare: Zip: 5.3 3
Company: Phone
GAS L[NE
INSTALLER Street Address:
City State: Zip:
I hereby acknowledge that [ have read this application and state that the information is correct
~ and agree [o comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
R~.-:`EIVED' ~ ~
Signa re
OFFICE USE ONLY
RUILDING PER~IITTYPE
? 14 Fireplace
WORIi TYPE
? 31 -New ? 33 Alterations '
? 32 Additien ' ? 34 Fcpair
GE\ER4L iNFOILMAT10\
Census Code. 434
SAC Code 01
RENIARKS
Chimney/tlue must be inspected before concealine.
~
~ll I
~
L /a c{
CITY OF EAGAN
APPLICATION FOR PEP.idIT
SEWcR AND/OR 6'7ATGR CONDIECTION
(PLE„SE P9INT)
i) PT=op= wDREss: ~~e)4 -
iF(-21L Dr.sC7JFr>c'q: ge
(ict/31ocx/SuCdivisicn or Ta:{ Parcel I.D. :iLrzer)
l: E-:ZS=:G S':";i:C:?i: . O_° O.'ZLG_ :AL EiuIi:L:G : ?cS-'._.,'r-^.
~_•S_~^
I /=.--C?C~:~ UjE: ? R-1 Sy= cp_.=
? R-Z GUPL.Ei ('?~•:0 U??ITS)
0 R-3 'ICi.'-T-NECZSE (TI-EE + L?]STS) ( iJP;I'=S)
? R-4 PPAR=^_'/C=Ci~~1I't,:1. ( G='_: i
Q CO'1vff P,CT=.'Li''MA.ST?OFFT_CE
? IIED[:Si?.:.a.L •
p PiSTI7L'TIC::."-~L/CL~j=-?•~::
2) APPT_.7C.= ~PLE;.SE PR[9iJ
HUDRESS: 4 ~~.?dt46P ~ Q-.~~
C= ST.=. ZIP: ~ 5-^l Z~
PFiOiZ: - l
3) (PLEdSE PRfIiI) fOR CiiY USE 09LY
NFi•E: RAYMOND E. HAEC7 PO3. `NIC.
, . r~D~ss: 7226 Cedar G.ve. So. ' ~~~~ERS lIL:95E:
~ active
' czT^r, sT.Z.Te, zzP: Richfield, MN. 55423 ~ Expired
'yN~~L". ~ Nat oi Record
PHOi~7E: ~~~,boqZPLU.".BER LICENSE tf(p441
_
drr lnltldl
4) pccLpa;,Vc.,-z ;-rR NN•1E (PLEASE PF1NI)
:
ACDFtESS:
, CITY, ST'ATE, ZIP:
PHOVE: -
5) NDIC.TE ;v'HICIi PEF'lI IS BEP:G REQUESTED:
C':.^iIEC?'T_GV 'Ib CIT`i SE?•IER
!LJ LM'•~IFX'I'ICN 'It7 CITY WATER
? GT!R.2" (PLGISE GESCIRSEE)
6) L`:DiC=1Z C:--:
? PI;.7~$c E:OLD rPP!?OVn ?gR;.uT gpg PICK-UP BY Oti'E OF AWJE
i-`aSE XAIL APPR0I,'c7-) PE_?'IIT ;O 1, 2, 3, 4 iiBC77t
(Circle one)
7) SIGZATL:~E: DAT'::: ~ ~ ~5~
.
FOR C I T Y U S E OPILY
PER.'•1IT ISSliED
F°ES: $ (_`1CI.,:-- _'~-.iJ:....._?.!_~)
$ ~a WATcR PE:tMIT (Ii:Ci_.i;DE SUitC::yRG~)
WAT°R METER/COPPER?iORN/OUTS_DE REAuER
S WtiT::R T:tP (li:CLUl.7E CCp_'^'JRa.l:.r.:1. S^CP)
S SE.':iR .=.P
ACCOU\T uEPOSIT - SEi•IER .
ACCOli\T DE?OSI^_ - [,IiyT°_:2
Wac
Y
$ SHC
S T3iiVK ?':AT°_3 a55=55.''•iE::T
$ TRutiS Sci•iER ASSESS:iEciT
$ LeilE°AL BENErIT/TDU`iK SEi:E3
$ L:.TERAT_, BE\P.FIT/TP,U:dK IvATz'R
$ OTHER
$ TOTAL
d ~
$ ~s rlMOU:iT PAID/RECEZPT
DOES L'T?LITY CONDJE~TION REQUIRE EXC'~VATION IN PUBLIC RIGiiT Oc WAY?
C YES IF YES, THEN A"PERIMIT FOR [JOR{ :JITHIN
PUBLIC ROADWAY" MUST BE ISSGED BY THE
NO EPIGZNEERZ.]G DIVISION. LZST AS A CONDI-
TION.
SUBJECT TO TFIE FOLiO?9ID7G COPIDZTIOidS:
APPROVED BY:
TT_TT E: ~
DAT°:
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%sn # Time: 1PM '
Dnipn Conditiom: Ouaide : Dry Bulb 89; Wet Bulb 76 Imide: Dry Bulb 78: Wet Bulb 88
AiiEA bEN318LE LATENT
ITEM DIMENEIONf BQ FT. U TD HEAT HEAT
CONDUCTION HEAT OAINS
Exurior wsll, prou - - '
11
Erurior p1au - .65
Exterior wdl, net .08 11 -
Totel wslls and windows .17 11 ~
Floor .08 11
Gilfnp or roof d .08 11 -
E%CE88 SOLAR OAINS
WALIE Wlnctlon f~wd)
West .09 28
Roof C1 .OB 64
OLASS Wlrectlon faad)
Wnt .66 ~ -
Skyli¢us •66 116
BODV HEAT OAINE
.eniible No. of people x 228 d
Latent No. of peopN x 230 ~
EOUIPMENT HEAT OAINS
Elocvk moton 11j HP ¦ -~~1, ar1U •
Inliltrstion • SendWe 1.085 x CFM x 11
Inliltrstion - Latent MF x.67 x 30 -
TOTAL HEAT GAIN ISENSIBLE)
n
TOTAL HEAT GAIN (LATENT) -
~
TOTAL HEAT GAIN BTl1 PER 1
TONNAGE EQUIVALENT OF COOLING LOAD •°i-~-~ ~.~Z Tons
.
# 102 "
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4284 Valley Forge P1
Lot: 20 Block: 4 Addition: Northview Meadows
PID:10- 52100- 200 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Krech Exteriors Corporation
5866 Blackshire Path
Inver Grove Hgts MN 55076
(651) 688 -6368
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Paul T Hooyman
4284 Valley Forge P1
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA083362
06/04/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature