4286 Valley Forge Pl
. CITY OF EAGAN
~ 3830 Pilot Knob Road, P.O. Box 21-199, Espan, MN 55121
PHONE: 4548100
6UILDINO ~ERMIT Re«ia #
T~'M w~~ he .if' .~'eJt:•, Est. Voiue ~U r t• 0 Dote ~Li~ ' , 19 tiS
Site /Yddrea 4 b Y !'G'A ;E Erect ~ Occupancy
Lot Blxk ~ Sec/Sub. NC-T?THV 1 SFl Remodel ? 2oning
Repair ? Type of Const. t•
Peroei No. Addition ? No. Storiea
~ Move ? Length ~ 0
~ Nanie oemouan ? Dsptn b
Addrea ,34 7 al l. ;
Int Impr. ? Sq. Ft.
Chy Phone ~ L-` : f, ~ 6 Install O
Name 4>5- i.i 2 3 APworeb fws
~ ~ .
Addrm Assessment Permit ` •
City Phone Water a 5 e w. Suro harye ~ 35•00 '
Pollu Plan Review a 71 . 5 0 '
~W Nsme HA'.T..QG !ST Fln SAC 525.00
:
•
13 Address Ery. Watar Conn =i i1 U. 00
~W Citv Prwne ' plonrwr water Meter 63 . 00
~
Cow+cil-~-~~--' Roed UnN 280.00
( hereby ocknowledye thot I how rood fhis application and :tote that 81dg. off. 77~~~T° Tr. PI. 132.00
~
fhe inlormafion Is torrect ond oyrce To comply with oll applicable
A~ ,
Stoh of Minrwsoto Statuta ond City of Eoyon Ordinonus. Var. Dste i
Copiee
Siqnorun of P.nriee.o , 4 _ a._'C"V!": i0',
Kr ~11.lNl1 h 7ota1
A Buildinp Pennit I: issutd fo: ~ on fhe expnas tonditlori lhot ~
oll work sholl be dorw in occordante with oll opplimble State a1 AAinnewto Statutts end Eiry oi Eopon Ordirbnqs.
f Buildinq Officjol ` . .
s
s
~ U ~
p p°
~
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0
1 ~ I
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Receipt PLUMBING PERMIT • Permit No.
CITY OF EAGAN .
Fee
Fill in numbered spacea S/C
TYPB or Print /egiblY Tot.
1. Date 2. Installation Cost
-
3. Job Address'~ Lot Bik. =L Tract ~
4. Owner
5. Contractor , ; • - i -~'x i•L_ Phone ~
6. Address
7. City / F _c / i State i.~. Zip
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New O Add 0 Alter ? Repair C1-
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
8ath tubs $eptic Tank
Lavatory Softner
~T Shower Well
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
Rouqh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved,
Approved CITY OF EAGAN 454-8100
Receipt (/Q MECHANICAL PERMIT Permit No. ` r,
CITY OF EAGAN Fee
Fi/l in numbered spaces S/C 0
Type or Prinr legibJy Tot
1. Date 7~1/6 S 2. Installation Cost ~ 7Q'/
3. Job nddress ya ~ /;F t~Blk. 4 Trac~
4. Owner H0 S
5. Contractor (Kk+t 0 VC iz Phone qq7 - 81 6, Address Irl4 N No r w%a N C(4 I C 4-
7. City f, 0+r' i-A k-AL State 1?1 ; A V1 Zip 3 7 Z
8. BuildingType: Residential,* Commeraat ? Institutional O
8. Work Description: New )6- Add 0 Alter ? Repair ?
10. Desaibe Tl~i r~Sy S4IM Fuel Type !VQ T V fQ.~
11. No• Fquinmenr BTU - M. Ea. No. Eouiament CFM
~ Forced Air ~ S, t~00 Air Handliny:
Mfg. CP1 f r i C V'
Boi lers ~
Mech. Exhaust ~
Mfg.
Unit Heater
Mfg• Other
Air Cond. '
Mf9•
Gas, Piping Outlets
12. 1 hereby ce ify that the a infor ation is true and oorrect, and 1 agree to ~
oomply wi !1 or an d s goveming this type af work.
Signed : for
Rouph F inal
Inspectiona: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remerks
Addition N()RTHViRW MRAi)011tS Lot 19 Blk 4 Parcel AM-52100=190-04
Owner street 4286 VALLEY FORGE PLACB State EAGAN NIIV 55123
Impravement Date Amount Annual Years Payment Receipt Dete
STREETSURF. 76.7 10 61.41 C010288
STREET RESTOR.
GRADING
1981 15.89 .79 20 11.94 C010288 6-8
SAN SEW TRUNK 2157 1981 138.48 6.92 20 103.88 L'010288 -6-8
SEWER LATERAL TkKVP 1 275.22 18. 41r 15 128.54 (r0102$$
1981 22.28 .4 }-x ~es 14.88 c01028$ -6-8
WATERMAIN 1984 70.67 4.71 15 61.25 C010288 6-9
WATER LATERAL 1981 1$.65 'Q$I -g
WATER AREA 1981 138.48 6.92 20 103.88 ('i010288 -8.
WATER T 44 1982 29.52 1Ir$ 20 22.1 C010288 6-8
STORM SEW TRK 19$4 392.32 (~49-.-23 IQ S 2 , Q
STORM SEW LAT
DRAINAGE 1984 33.97 3-.#0 10 17.19 C0102 =
CURB & GUTTER '
SiDEWALK
STREET LIGHT
WATER CONN. 11 n
BUILDING PER.
105 1- 7 11 11
tt n
SAC 525.00
PARK
CITY OF EAGAN WATEit SERVICE PERMR
3830?ilot '-nob Road
P. O. Box 21199 PQtMIT NO.:
Epan, MN 55121 DATE: 8-I-6;
Zonirg: No. of Units: I ~
OwrNr:
drem- T4 Y
5it. ,,dd,o.:
Plw++b.r. ~X' tC. -GAS M.t~r No.: ~ 500.00p ~ ~
Sin: .
Reoder No.: Ptnnit Fee:
I Mm h wpiy rdlb iM 7,tjz/ Surcharpe:
O~iw~, Mlac. Chorp~s. 1`~.i.:1Qr~:i SJC
Torol: . ki3.f10D:i ,;e~t.
BY Doft POld:
Dote of Irup.: lnpp,;
• ~
CITY OF EAGAN S11WER SERVXX PJtMR
3830 Pilot K,ab Rood
P. O. Box 21198 PERMIT NO.:
Eapn, MN 55121 pATE; '
ZoninO: Na of Unib:
QWnlr;
Addrcas:
Si}'1 /,ddIl31: "1?Nfi 'r:j i r•=s P.-,Ytrl '1 {1 i~A
= - -
PItJll'Ibf?C - , 1 ~`.:1 ~
1 Mm hOMNNIv wM dM Cly of iaMs CarwcHon Chorpr. -
OrN"neM. Aaoau,t prpait; ;
Pennit Fw: Surchonpe.
BY MfaC. (~+arpm
Doft of Insp.: Tarol:
, (nsp.: Dbh Pold:
_ . _ _ ,
CITY UF EAGAN N°_ 10 51 7
3830 Pilot Krrob Road, P.O. Box 21-199, Eagan, MN 55121 ~
PHONE: 454-8100
BUILDING PERMIT R«e;pt g
Te M owd fw SF DWG/GAR Est. Value $70,000 pate JULY 9 19 85
SitaA,ltlresa 4286 VALLEY FORGE Erect XD Occupancy R3
Lot 19 Block SeclSub.NORTHVIEW MEADS Remodel ? Zoning R1
Repair ? Type of Comt. V
Parcel No. Addition
? No. Staries
~ KEYLAND HOMES Mave ? Lenytn 50
Z Name Demolish ? Depth t]8
2 Address 3471 W L73RD Int.Impr. ? sq. Ft.
b city JORDAN pnone 492-6646 Install ?
o Neme SAME 435-3323 Aopro.als Feat
OU AddRys Assessment Permit • 0
City Phone WaterS$ew. Surcharge 35.00
Police Planaeview 171.50
~W Nama HALLOUIST Fire SnC 525.00
x~ nddresa 5001 W 80TH Enp. weterconn. 500.00
" BLMTN 831-1875
~u=i City Phone Plunner WeterMeter 63.0
O
Council RoadUnit 280_0~
I hereby ackrqwledge that I havs rcad this opDlication ond stote that Bldg. Off. 7/2I$ 5 Tc PL 1 3 J- 0 Q
the inlormotiOn is correct afid) a9ree fo Comply with oll apDlicabla
$tate of Mlnnesoto Stafute d ry o a Or~yq nces. APC Perks
1f Var. Dete CoDies
Sipnmuro of Permittea rx-"~?~~~
w Buildin Pe'mir Is iuued ro: KEYLAND H ES Total $2 , 049 . 50
9 on ths expraaf Corditlon Ilqt
oll work shall be dons in occordance wirh a Staro Mi ta ute of Ecqan Ofdironcet
Bufldiip Officlal
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE; ALL CONTRACTORS l9UST BE LICENSED 11ITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
-10,c~PO.ao
To Be Used For: ValZat~~ Date: "'-z '~S
Site Address: OFFICE USE ONLY
Lot:zef Bloek ~ Sect/Sub Erect Occupancy ~-3
Remodel Zoning R-~
Parcel fi A/dJeTN a I Pw Repair Type of Const ~
Enlarge of Stories
Owner Move _ Length ~
Demolish Depth
Address ~~~~i 7 3~ o Grade _ Sq Ft
~
City/Zip Code Z----------------------------------
Phone gI
~3s jAP R YALS
Contractor Assessments Permit -343pO
~ Water/Sewer Surcharge 35,°=
Address Police Plan Review 1-71' y'
Fire SAC c,ZS o0
City/Zip Code Engr Water Conn rjpd
Planner Water Meter (D 3. ~
Phone Council Road Unit 28o. t°-
Bidg Off Parks
Arch./Engr. ~ Li I ~ APC J Treatment P1 1'3 2.~
Variance
Address OZ~ Lcl .~d~ TOTAL a o y 9- 5 o
City/2ip Code
Phone IC
2 c~ x 44~ l ~9 cD x s 4° 4 S a 4
Z2x22= 484x << ~324 •
,
~~~08
t ' ' , .
SURVEYOR S CERTIf=1CATC r.EYLANU IIUMES
PROPOSED GRADES WERE TAKEN L
N fROPI THE DEVELOPMENT PLAN ~ ~j
FOR NORTHVIEW MEADOWS BY / .7'o /O
SUBURaAN ENGINEERING, LAST S8 ~
DATED 9-29-83. \ ~ ^
. ~
o g 8 ' eo 00
1
S'213_
~ ~59 , g4"° LOT ~
l9 ' Zsa ~ '
s. , 19
Ag 6.76 o
(~l
J 26.00
^ ym: ~ ) C"•
(40 .
10 O 8tr);' Po~ a y ~v~
~ az.oo 0 0,0 1 1
8 i Q
ca~~a
: c."~.:~°~" N ~ ~ :
j
22.33 2167 r
3 v~ \
46g ~5p6 ~ T~~ ~1 \
/Sts~4 9B 59 1261
s`
h
1~ S /50
20'ge„w
O
--t- DENOTES PRUPUSED SURFACE URAIPlAGE
O DENOTES IRUN MONUMENT SET SCALE: 1 INCI{ _ ;o FEET
• DENOTES IRUN MONUMENT FOUND PROPOSED GARAGE FLOOR = 9~'tb FEET
RUOO.U DENOTES EXISTING ELEVATION PROPOSED L04fE5T fLOUR = 9'74.8 FEET
(OOU.U) DENOTES PROPUSEU ELEVATIUN PROPUSEU TOP UF BLUCK = 9 -7 SS.o FEET
I IIEREIIY CERTIFY TO KEYLAND IIOMES TIiAT TIIIS IS A TRUE AND CORRECT REPRESENTATION OF
A SURVEY UF TIIE BUUNUARIES OF:
Lot 19, Block 4, NORTHVIEW MEADOWS, according to the recorded plat
thereof, Dakota County, Nlinnesota.
QIIU OF TIIE LOC/ITION Of /1 PROP05ED BUILDItJG. IT DOES NOT PURPORT TO SIIOIJ IPiPROVEMENTS
UR EWCRUACHMENTS, IF ANY, THEREUN. AS SURYEYEU BY ME, OR UNUER h1Y UIRECT SUPERVISIUN,
' TIIIS 1ST W1Y OF JULY , 1985.
APPROVED FOR SIENNA 51GNED: JAf . HILL, INC.
CORPORATION
BY: DY:
• DATED THIS ' DAY OF fIRROLU C. PETERSON, LANU SURYEYUR
19-• A LICEIISE 110. 12294
. Pt10JECT NO. 800K / PAGE
JAMCS R. IiILL, INC.
Planners / Englneers / Surveyors
FILH NU. 8200 llumboldt Arenu• Bouth
FOLDER ' aloominoton, Mn. 55431 012-004-3029
'
1 of 4
..~A~~"6Y,rY`::'1• ,
£XTEkIOR ENVELOPE AVERAGC "U" COMPUTATION
r~ _ onTE:
SIT~:AIHlRESS,~: •.t`,: ' • PHONE:
LOMTRACTOR. y;,-z~ ,
...Y y~~~;;.r~{i' c•^5-`- • _
.Oetermine working sQuare footage of each
l.::k7ota~>exposed~ walt area.....
sq. ft. x.11
2. 'fotal roof%ceiling area..... sq. ft.. x.026 =
. •
-'-Tatal exposed wall area above floor= ~oo
.14^~
a. `.Total'*a'il ~window area I 4$
b:.:.,To.tal:door'area
c.;;~:TaCala:slfding glassdoor area 4 O
d. •-to`taTF:fireplace aaT1 area......
e,;.'Tot'sT'~rWaTl fPeming area (average 10%)....... ~ eg op
i-*TotliJotst area..
niral'1" area a6ove floor . . . . . .
.N'area a6ove Ploor I S
xdl l •~area a6ove fl oor. . ~ ~ ~ ~ ~ ~ ~
frame.walt area at founc~tion
. . . . . . . . . . . .
Tota) exposed foundation area= jSR;P 17
k. Total foundation wlndow area ~
1. , .T„oiat; •net`i Loundation area above grade..............
,,,,:',~.f a. ~ ~,f •
' •i:il~yt:~'rzSuHd~~
.,,x,r~,~,~t;•,~~,,~,-,.,,"'; Determfne "uu value of each wall segment
t.~~;,,':.., (e.g. wtndow, deor, each separate wall section)
-5.
„
x U"
( :br`„ 3B ~31
x „u„ I 1. R
L~.0 x iiUH
:`'C:._ r J9 ~ (o
..•)`(~~~:1~1~ ~aµx~; ' •
/1 y IIIUIN •
. t ~ .
. ; e. d00 X 'lull /('o_ • .
_ .
: :jf X aUn .Oq- -
ln,
1
• , _ : `9 7(P . =
/ S x 11UM vs
, . . •h. ~ x "U _
i. x NU„ :
x „u„
;
k• X"U" _ I f t tem i3 i s the sat
as, or less tharn ttem i
1 YOU haYf u6 tfte, i
• _ ; _ ,1. g ~ ~ ~V•~ lntent of SECr 69(l6..(G ~
a r.
~ 3: .~:::.i.ti..r...:.... ...............Total
~ . .t . .••-:s'- f~,...Y"_~._
za.:
5:•. • ~ ~;!!~;~;'i..~
`AivelcPe-7iverago °u" Computatian
:ir: t g~e`2= k~
~y'~~x'f~~'" , t . eU.~'y~;ttq'~~ ~h` ^,ts~~x;f q~~r'
,.t ~ ' . R!s •.~;a':c3~:,re~j t~
Total exposed roof/ceiling axea • ~"'4
^~4 ,:a' t .t; . rr:~5~:rt:~ . ~ , .
,z"
m ,;Tbta1~ skylight area . . . . . . .
Sotal 'roof/ceilin
g freming area (averaye 10i)... ~+,3~+'~'4A ~4~~~;;• f!• '
' 0.~lbtal aot insulat • ~
ed roof/ceiling area...........
' i.. ' . Aj4 A ? : ' t' -D:{.'~~:=: f Na'.~. "~t.".,~, •
Determine "U" val
uo for eech roof/ceiling eegment
' ~ pUu - . . r •t ~}.~f1,~-i'l~y.e~ry,;~,,y'~q l . .
~ 1r ~70• X e r.~~i'•.':'~i. h~~''~~'.~a:l,,jls~a~'~,"~~~:~: ~
,8t;la: ' f~44_ X "u"
a.~o:' ~1~3 % °U" '25,4G
A +_.'y Y . Total
bb ; A;;:: r',~:" •
i ~ . . , . r3`:;•,,=.,~
"~~^If total•oP tent
04 ie the same ae, or leas lhan #2, e met the. ,Y ~i' 4~"~ ~ I
s-- you han in
:s 3~
• ~ C . . "
. ' i' • j 1 ' •
.~~~~r ' i".~1~l~': .
M+~?'. Alternata Huilfling Envelope Desian
..'!;~~°k',.~ . '_-`at,~~;;:~:"a.,:'?;;':j.'_,',, • .
d' `3ize the total envelope'system method, the values establishe¢
by. the -s•sm'of
em3 and #4 shall not be gzeater than the simm of items $1 and 02.'
zas,(.,v + 2. 3z z=~~ ~ .
.t.rx; F=F., •
3. ZIS•~ + 4. 7~1.4 ° a~s• I
';;,::;i
'~4 ~'`i!~~5.; ~ .1 ^Y~•Nt ~c.~:
i ~(x:~ ' • 1•..' ..~~•.~{F1, ,
~A~7.v`:~y ~.s; .t; ~ ~ ,
k'~'
X ySiP~~~~... ' - , ,•;'i' .'i,i,,,i:l'iJ !,y'1i;
7-7
r ' • ~ ; r
A ~ ~ ; ' 1" ' ~
g~i 71; y , . . . ~?l'. t.~.~;
r.~~ N. . . . •1~.4~-~~~~~~ ~
~~~a . . . . • . . - ~ 1
F . '
I ~ ~ . . .
, i
f
l:: . • . . , . -
4
~ -
' i
N+ ~ '
'•;p}`• .~L'*-~."k~,~i:."1.••
..:.`~'wjF~s.r~" II ~`~~a:• Fi3c,: i':'
~`~f'*y
,4{tlr~a'~
1..iME4 t... FT,
EXpoSE D \tVAL L ~ .
A Z'~~ y~]? ~F. ' - I~ . . .
~iC.(,~, : 4Gl t z~ t z~+4~~ t = t sq - . . . .
~E. i~ 2l~+Qq t Z~+qq ~4 = 151
iS.:J~.•v;: . _
LL Ij;;, 44+Z a t ZZ+ iPst --7+7+ fs
:FVI..l..2! : . - - -
h~
• ~I . . . _
- ~ -
..,r,.
StcPoSED WA LL f4ZEA
~~`3Loc'k ; ~ S 9
K
; .
X S= 770
_..W.O. ~c JC 8 =
-,uLL,; X S= ~ a 3z-
i'
I V
• 1 /~i~
- -I~~ -
~
To-tA L. _
aa 33
- - SG1Ft. E1CPOSE-,D GEII.IUq <?jp 7X-j ^ (I
14 4 37
44
r,.._ ; .
I;y • WV 1`I S ~
DooQ.s
?4~3 ~ t+~+ ~ ~ ~q z ~ i 38
Z4q- q i*j 1 9a- 3~ r
ii Zooo i~tl 32--
II Zc3i~ ~~~i CP0 ; .?Xo i0 DRS
. . , . -
F35 M4 Uur.¢-5 C5
_ .
- - FICQ;I/C£ILZ?tC . . .
_ . • - ,
- ' i
' • , Constzuction Ciye'~g..~ ' , - Valuc •
• :
1. Interior air film
4. ~
Yf '`I i f` 7S?~ 3. OSCJ4.
~ 44 1 JlL 4. Extcrior air film (still
tT
~t~ - ~ . .
• ~ Fti,,.•~. ~ . ~
nCed 8ea[ flov ~ 1. Interior air film ' 8.61
up . , 2. S
, . 3. SSf-z5 +I?JSUL . ~D
. ~ ' 4. Extcrior aii filn stiTl~}-~
. 4s' ' ~ • • Tow.
tzc fL ~ 2.0~
~ . • ~ ~ ~ . ~ . ~ - - ~ - ~ 1:F O 3 I
~ . . . . = •
cotiJWevcr..r-- •
0.61
l. Znside air film
~ . 2.
~ 3. ' • ~
~ ~ . 4.
n Outside aiz film 0.17
11'.~ Total
gg
.
~ 1 ~ ! ~ 3 ¢ ' - . ~.r~•~? E' . . . . . .
1. Snsldo air film 0.61
i , 2.
Eect tlou vp • , ~ ;•veated 3. ' ' .
a.
• • , ' • ' ' S. Outside air film 0.17
, lIG. 96.' . _ _ , ' • . ' : Ybtal
. . _ _ _ . • .
• 3 ~ ~ ri l. In3idQ air film 6
, • ` . T J Si{r~~~ Z- .
3-
- r... ~ • l 4.
~ ~ j:.:'- ~'7 '
~~'rl'•:-•'•~ 5. Outside air film 0.17
Total
I ~ ~ . ~ • . .
• , `~J . . , . .
~ , : - , ~ . • ' •
• gQ;7-p~;~ . ' laotes tlse adc9itions2 sheets if morc Cpaco i
' ~ • &eeded foz deGails and calcu!atians.
• .
. •BeaL
• • ~ • IZOV ttp • • , ' ,
? ~ , ~
. • r• ~
~ tIf;. t7
~s4.ii~ r7 •
YVntt, rr.CTIpNS _
•tL^o_l~y of cy~omor, vall ercn for "
CcAU.truCt Son (on_[nwt inu . IhValn,:
~.~1
u• -
•
~V/
I . ~ i ~ " f~ s. _`j.~.W?1~o. - -~Z-
2C. ! , • ^ 6. t:r.Lcriur mir (i,ia - 0.17
----'IZ4 Z.7 .
, i r+ --42)
i. ~ V=•°8
,PIR. 11 T6PVIF,14 OF IN~L•
. PltAttL IiAIJ. 1. intrrl„i• ai,. 'iLn .,----_------O:Gl1
._~.5-...Et~~stt,.._.._...- -----~--~3~
4.
_r~~r!?.~x...... . - --b•O
..__•_..._:Q 5 . ~
....._..~~i?Z
fP.thlb. --.__,•ual_.
Yw~ 6. ExL~~rio;~ air Cili.i--- n.1'1
PIG. 92 t
; ; • - -----0 ~ = .0 6
V
' : ; ,1 } ;
~ ~ ~
,_T, l • 1. Intci ior aic f ilm _--_---,-U.G'I
'
' I 2. kp!rc J_____~(~ 3• _ZXLL?-----._.._.._..----.-------1'$~
~S~FL.•~( ~ ----Q7 ~ S. __~(Q!_NC.---- _-~(oZ
Ihc.-al •
6. l:xCCrfor nic iilm c1.17. .
..._7'otal
U ;`l. ~ ~ J = . 09
' +n• " ~l..i~'
, _
~ ICIi , t.e.°~. 1. - -
o , n • -----t~ ~ 12'.~. ;mr~~:.. .Ec..K [.2~
~ • d• . '0' -_--------'{~j ' -A. ~_j~~5'1`~SJG.. -~y~-
; n • ~-'-'_~noC
y• ,n. , r, - - -
n .~•j~^ G. I..:lorirr .iu_ -'i'~'ii"- ----n.17
, . - r3
• . ~ •
- ~ • ~
04
~ ~ ~ ° , ~ e^ . ~ 1 ~ ly„c, . . ~ ul.i::on•.:••,C c( in".ulation.
vt~
- ' ,
SUFiVEYOR S CERTIFICATC r,EYLANU IIUMES
PROPOSED GRADES WERE TAKEN L
~ FROP1 THE GEVELOPMENT PLAN
FOR NORTHVIEW MEADOWS BY
SUBURQAN ENGINEERING, LAST
DATED 9-29-83.
.oo
ti 5g~, 544; LOT
9 2336" ~ /
.76 19
(10 .
8 I r ~ .~3 ~ 1 )
~ tO ~ y •°~i ,.:c ~h,
o
a
~ i20 Q i ~m ~ ~ C.~•
a
N
40 69'
~
~ 1,~ V• P0,42~~w
i
-i'!' 1 -
DENOTES PROPOSED SURfACE DRA1PlAGE
* DENOTES IRUN MONUMENT SET SCALE: 1 INC11 ~ FEET
• DENUTES IRON MONUMENT FOUND PROPOSED GARlIGE FLOOR (EET
X000.0 UENOTES EXISTING ELEVATION PROPOSED L04lEST fL00R - 9 4-8 fEET
(ODU.U) UENOTES PROPOSED ELEVATIUN PROPOSED TOP Uf 4LUCK = c)o FEET
1 IIEREBY CERTIFY TO KEYLIIND fI0ME5 TfiAT TIIIS IS A TRUE AND CORRECT REPRESENTATION OF
A SURVEY UF TIIE BOUtJUARIES OF:
Lot 19, Block 4, NORTHVIEW MEADOWS, according to the recorded plat
thereof, Oakota County, Minnesota.
IIPID OF TIIE LOCATION OF A PROPOSED BUiLDiNG. IT DQFS NOT !'URPORT TO SHOW IPiPROVEMENTS
OR ENCRUACIIMENTS, 1F ANY, TIIEREUiV, A5 SURVEYEU BY ME, OR UNUER h1Y UIRECT SUPERVISION,
' TfIIS 1ST DAY Of JULY , 1985.
APPROVED FOR SIENNA 51GNED: Jfl . HILL, INC.
CORPORATION
BY: DY:
• DATED THIS ' DAY OF f111ROLU C. PETERSON, LANU SURVEYOR
19_. i A LI~CEI~SE N 12294
PROJECT NO. BOOK / PAGE JAMCS R. 1-IILL, INC.
planners / Engineers / Surveyors
FILE NU. 0200 Ilumboldt Arenu* 8outh
(=OLDER ploominpton,Mn. 56431 012-004-3029
. i
1
2/84
CITY Or EAGAN
m111~~ ~ APPLICATION FOR PERMIT
• SEi4ER AND/OR WATER CONNECTION
(PLEASE PRIHT)
1) PROPEFt2'Y ADDRESS: sZ$6 IIC
A'jk01"4 C
i.Frar. DESG4SPTICV: L I~ JI
(Lot/Block/Si:bdivision or TaY Parcel I.D. NimL7er1
, IF r:L:'=:G S?Tt;CSL':tE, DA^ OF Oi2TGuT1L ui1I.D1 :G F.r_IIT ISjJ.`-..SC.:
P2='SEN?' Z^:]I2~;/PROPOSM, US: ,Z R-1 Si;GLE FFMILi'
? R-2 DU= (7ti0 L'NITS)
? R-3 'IC:•7N14CLTFE ('?'f?o= + L':IITS) ( LNITS)
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? CCZMi1E.°,CZ-+L/RE:ASI,/OFFICu
? L1'DL'ST-tu~I,
? NSTI:T.'TIONAL/GGVERNnT~'P
2) APPLIC.JiT (PIEASE PRllii)
MV'IE= omec
ADDRESS: 'r"
CTTY, STATE, zIP:
PFo-NE: t~9 6 G s<F
3) pLUIBER PLEASE PRINT) ~ FOR CITY I1SE O4lY
NNME_
PLNSE:
,
rw~~ss: 17v9~ S~n~tss czz^r, STATE, zrn: ~r),>r /a,~P~~ 5~7-2: d
PHONE: ~~~cn _1/ N of Necord
PLU4BER IICENSE 6013 ~ ~l ~
a t t [i
4) pOCUpANr/Or.v-pTER NAi"IE: (PLEASE PHiN!)
S ~l"Yl t ~7S' /9~z~
ADDRESS:
CTTY, STA'IE, ZIP:
PHONE:
5) INDICATE [J[IZCH PER'VLIT IS BEItiG REQUESTI:D:
CONNECPION T'J CITY SE4IER
cnNrrEC:ieu TO czTY WATeri
' ? CI"iITR (PI.PASE DFSCftZBE)
6) INpICAM CNE:
? PL: 1SE ESOID P,PPROVID PER+IIT FOR PZCK-[JP BY ONE OF ABOVE
~ PI.FASE ATPSL APPRWID PM,IIT 'ID 1. 2. (r,) 4 A£CJVE
~ (Circle one)
7) SI~v'a'IL'RE: v"~l~ct-?---''~%~-t-'vI/" DATE: X-/ "sl5
f~! .Y.. •
sira~. mlmm~s~r
F 0 R C I T Y U S E O N L Y
PE?2MIT ISSUED
. I
F°rs: $ SU S~iiER ngaMTm (I`ICL~DZ SURC?:?RGE)
$ 10-5-G WaTFa PFRMTT (INCL'JDE SliRC?'.ARGc)
$ ~ ~yvc, WATER METER/COPPERHORN/OUTSIDE REnDE?
$ WATER TAP (INCLUDE CORPORATION STOP)
S SE:•iEB TAP
$
$ _ U ACCOUNT D.F.PQSIT - S•iATEB
$ , ~-UO. UJ WnC
$ .SaS.ca SAC .
5 TRUVK SqATER ASSESSi•1E;:T
$ TRii:JK SEIdER ASSESSiMENT
$ LATEP,iL BEiQEFIT/TRUiIK SE'.•iER
$ LATERt1L BENEFIT/TRUi1K LQATER
$ l3~•~U OTHER '
$ TOTAL
$ AIMOU.:T PAIDjRECEIPT n aG
~
DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGi3T OF WAY?
0 YES ZF YES, THE.7 N"PERh1IT FOR :90R?C WZTHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
~ NO ENGINEERING DIVISION. LZST AS A CONDI-
TION.
SUE.7ECT TO TkiE FOLLO[JING CONDITIONS: '
APPROVED BY:
TZTLE:
DATE:
~ ~ s~ .c~ ~c~ ~ v ~e.~ w ~ w ws~ ~t~ Ra w w:~ ~t ~ sa ~r ~a.~ ~c~ w sr w ~
• .
2 _~D 66 a3, ~_dg
~ fo~r~onioe.usa i
Pertni~
City of Ea~an j tit:
I Permit Fee'd ~
3830 Pilot Knob Raad
Eagan MN 55122 j Date Received? I
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 I Statt: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATIO -J
N
1-7 1
Date: ~ O SiteAddress: 10 'Vez,((Q~J LmLl P/C(C'Q
Tenant: J
Suite '
RESIDENT/OWNER Name: C7ltGt~ ~1l~~~ Phone: l51-o~slo 9399
Address / City / Zip: ~
I
Applicant is: _ Owner J< Contractor
TYPE OF WORK Description of work:
Construction Cost !~6,13/2, Multi-Family Building: (Yel No
i ~
CONTRACTOR Name:
bozhmxad cmi-(d~ License 90
~~~-1~~
~
Address: i
CiTy: ~3ti I IU.~'~I'7I'2r State: mW Zip: S'~J0pj
Phone:0Jl'-I,;I-`1~?O ContactPerson: R~~?~ '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C8te90ry Submitted Submitted
(V 5ubmission type) • Energy Emelope Calculations Submitted I
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? II
_Yes _No If yes, date and address of master plan: I
Licensed Plumber: Phone: I
Mechanical Contrector: Phone: i
Sewer & Water Contractor: Phane:
i
NOTE: Plans and suppoK/ng documents thatyou subrtut arg;cons/dered4o"be putillc In/orr»atlqn. 'PoKio'ns'of .
the information may, be c/assi5ed as,non=public i% you provide "specific reasons that wou/d per`mit the City to- _ '.conclude~ihat~the 'aretrade'seerets:-:"~ -
I hereby acknowletlge ihat ihis informanon is complete and accurete; thal the vrork will be in conformance with !he ordinances and codes of the Ciry of
Eagan; that I understand this is nm a permit, but only an application tor 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 ot work which requires a review and approval ot plans.
/Yj(~.~ I
xL~i~~P / 1 IOro4A x c '-c c d1-
ApplicanPs Printed Nam ApplicaM' Signature ~
Page 1 of 3
~ F6_rOf6ce Use I
I ~
Pe
City of Ea~~ , mnIf:
, C~.~~) ,
I PermitFee: UV
3830 Pilot Knob Road
Eagen MN 55 1 Date Received:
Phone: (651 675-5675 I
i
Fa~c: (651) 675-5694 i Stan:
2009 MECHANICAL PERMIT APPLICATION
Date: SRe Address:
Tenant: Suite
RESIDENT/OWNER Name: Phone:
fwaressicitriziP: ya136 Valle ~ c~ ct' Ia3
CONTRACTOR Name: VA License
Address:
City: State: Zp:
Phone: Contact Person:
TYPE OF WORK - New ReplacemeM _ Addkional _ Atteration Demolition
• escn io of work
NOTE: Bofh roo/ mounted and ground mounted mechanical equipmenf fs required to
be screened by City Code. Please contact the Mechanka! Inspector or orre oi the
P/anrrers /or in/omiation on rmilted screenin methods.
PERMIT TYPE RES/DENTIAL COMMERCIAL
~ Fumace = New Conshuction = Interior Impiovement
Air CoiMiuomr Install Pipirg Processed
Air Exchanger -Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank InstaO Remove)
" When irataliimglremoving tank(s), call tor irspection Dy Fre
Olher Marshal and Plumdrg Irspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or aReration to an existing unit (indudes $.50 Shate Surcharge)
$90.50 Fire repair (replace oumed out appliances, ducrvArk, e[c.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERClAL FEES:
$70.50 Underground tank installatioNremoval OR Comraa value $ x ix,
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Perrnit Fpe is less than $1,000, surcharge is $.50.
- If Permil Fee is > $1,000, sumharge increases by $.50 for each State SurCharge
$7.000 Permit Fee (i.e. a $1.001-y2.000 Permil Fee requires a$1.00 surcharge).
$ TOTAL FEE
1 hereby aUCnox7etlge [hat this infortna4on is complete arb acwrete; that the xork will be in corrtormance vriN the ordinances and codes of the Giry of Eapan; tliat
I urulerstand ihis is not a pertnit, but only an application br a permil, and vrork is rot to start vn[hout a pertnit; that the work will be in accordarice with the approvetl
plan in the case of work which requlres a review and epproval of plam.
x x
ApPllcanYs Printed Name ApplicaM's Signature
FOR OFFlCE USE
Reviewed By: Date:
Required Inspectlons: _Under GrourW _ Rough In _Air Test _Gas Service Test _In-NOOr Heat _Final
6cterior HVAC Screening Inspection
sao ~ 1 Pc4e rsotj
~Q.r V2~ 4'~ JQ
U„ - k
gc~,~,~ , ~le
OS7-- 54T7
IFor Office Use I
City of Eaaau Permit
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122. Date Received: / r L' I
Phone: (651675-5675
fCam'.:
Fax: (651) 675-5694 Staff: l~1
2009 MECHANICAL PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
Name: r1~ 1 i Phone: -.~oO
RESIDENT / OWNER q p ~ / c /
Address / City / Zip: c~ ~D V~ A )i ° \ o L P1 4% C
CONTRACTOR Name: V4 License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
X Furnace New Construction Interior Improvement
X Air Conditioner Install Piping Processed
_ Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
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 plans.
X X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In _Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172896
Date Issued:10/20/2021
Permit Category:ePermit
Site Address: 4286 Valley Forge Pl
Lot:19 Block: 4 Addition: Northview Meadows
PID:10-52100-04-190
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brian J & Brooke M Antl
4286 Valley Forge Pl
Eagan MN 55123--195
(612) 968-6473
Restoration Builders Inc
PO Box 8043
Scottsdale AZ 85252
(612) 804-1189
Applicant/Permitee: Signature Issued By: Signature