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4120 New York Ave Use BLUE or BLACK Ink ` For Office Use f 1 t1 I Cif of Eayn Permit#: I Permit Fee: ~I 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 Site Address: d Tenant: Suite RESIDENT / OWNER Name: ~I Phone: Z - Address / City / Zip: d n1 J Applicant is: Owner Contractor TYPE OF WORK Description of work: ~I la~('.Q~iYY1e/Z L / `2 Construction Cost: 30.Cb Multi-Family Building: (Yes / No CONTRACTOR Name: A~ ~,PPDG ,,rV (e-)e License f 7 ~a Address: ' 19.0n /to L City: 120 lb~z'd) State: Zip: 1-1 - Phone:-/ D J - '7LfV (gyp V 1 Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. 'Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or 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_" Gml x Applicant's Printed Name App is nt's Signature Page 1 of 2 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? .' ' PHO N E: 454-8100 BUILDING PERMIT Receipt # To be used for SF +)Wv!GAK Est. Value y? u 10 0 Date ??? ,19 Site Address 4120 NETd Yf)xtK AW OFFICE USE ONLY Lot 4.1 BloCk `t 5ec/Sub. bTAFFORD PLAC1'•. On Site Sewage Occupancy i_ -• -1 MWGCSystem X Zoning Parcel No. S W l ?-•'? On ite e l (Actual) Const FKOtJrIER MZDWEST Hb?1£5 CityWater x (Allowable) ?--'K a Name = Address ?902 CED?V?9 nR PRV Required # of Stories ? City rPhone ???+-G1+3? Booster Pump Length _ Depth 3 C' ? ¢ o Name sAeE S.F. Total . ? Q AddreSS Footprint S.F. ? City Phone pppROVALS FEES ?- Q 0 W W Name Engc/Assess. Permit C??7 • t?' ?+f ! ? ? Z d dresS Planner Surcharge {lsV ? q W C Council Plan Review ? ?S• phone ity 8idg. Off. SAC, City ??• ?? I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 150.%)0 information is correct and agree to comply with all applicable State of WaterConn. 530.M Minnesota Statutes and City of Eagan Ordinances. Water Meter 4 7.? Signature of Permittee ? Road Unit - t? •? ..>...;.. _. A Building Permit is issued to:_ Treatment P1 2,04•00 on the express condition that all work shall be done in accordance with alI parks applica6le State of Minnesota Statutes and City of Eagan Ordinances. Building Otficial __.__.._- _ TOTRL ,?-.. CITY OF EAGAN .' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # Tobeusedtor - •'?"-?nEst.Value $y430oc Date 5Zn "P ,19 Lot ?± Biock sec/sub. gTAYi?ORD P1.ACE. Parcel No. o ¢ Name ??A!!Z . ? Q Address ,?C_ City Phone U? W W Name _ F W ? g Address ?W City - I hereby acknowledge that I have read this applicatlon and state that the information is correct and agree to comply vyith all applicabte State of Minnesota Statutes and City of Eagan Ordin#rices. 4 Signature of Permittee _ ?/ .-_---- ---1 ` f` : ,'.7 -.-?-- rRC7i4"f1V, HYOWL :T i{omu A Building Permit is issued to:. '__ on the express condition that all work shall be done in accordance with al I applicable State o( Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy R"3 *"'I MWCC System ? Zoning A-1 On Site Well (Actuaq Const V__N City Water X (Allowable) li"N PRV Required * ot Storiea Booster Pump Length SS • Depth 36' S.F. Total Footprint S.F. APPROVALS Engr./Assess. Planner Council Bidg. Off. Variance _ FEES Permit Surcharge Plan Feview _ SAC, City SAC, MWCC Water Conn. J50100 47•00 275•00 100.00 550•00 5 50• OID Water Meter 67.00 Road Unit Treatment P1 3L5.00 2C4•00 Parks TOTAL 2' p- 6T.-OO -- , Permit No. Permit Holdar Data Talephone * Plumbing 7,36. H.V.A.C. Electric Softener Inspection Date Inap. COmmentS Footings I Footings II Foundation s,?? ?/ t ' ? /L• i? ?' Framing Roofing Rough Plbg. Rough Htg. Isul. S i, /r[A-lKf4j? C(Qo-is.wC2 d? ? ?i Fireplace ? S ' n S ? F Qe? 12- ze 4? Final Htg. 17/3_ Final Plbg. Bldg. Final Cert. OCC. z p? % u s_ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CONTRACT PRICE: Site Address RC) I ' eu) Lot 81ock- m Name' tU Ze g S = j N[.u N e e. Address c _ _ City ' p Phone Name ? NTi c p Address P! ?l LU Phone Cit y FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - _50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIG ATURE OF PERMITTEE FOR: CITY OF EAGAN ",;; ? ??? PERMIT # PLUMBING PEIiMIT RECEIPT f? CITY OF EAGAN r• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '?''"'? r?f PHONE: 454-8100 ? BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. x New n Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES ? Water Closet - $3.00 - ,TOTAL Bath Tubs - $3.00 :2- ?• ? Lavatory - $3.00 ? Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - 53.00 _ 7-Laundry Tray - $3.00 7Floor Drains - $1.50 2 ZWater Heater - $1 50 1 Whiripool - $3A0 =Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 T-Rough apenings - $1.50 ? . FEE •?? a',GC STATE S/C: GRAND TOTAI: ?`?' ? PERMIT # • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _9-26-88 ICT PRICE: $1700.00 PHONE:454-8100 !Address 41 GU NeW YoCk Ave. 41 Block 4 Sec/Sub ? Name W6NZEL HBATINC 6 ? m ? Address 1955 Shawnee Raad c City Ea i,an Phone Name r"kWN• .W : UM NT :: c Address Ig0R S{ hi ay Namnrp City EAgan Phone E OF WORK ed Air Fin,nnn M BTU !r M BTU Heater M BTU ond. M BTU . , CFM BLDG. TYPE WORK DESCRIPTION Res. xx New X": Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.501 COMM/IND FEE - 7o/a OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONOOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 25.50 FEE: k'?, f a ,? .?' ? S/C: o5,0 SIGNATURE OF PERMITTEE TOTAL• $ 2 f • Ud FOR: CITY OF EAGAN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I f 141146 3830 Pilot Knob Road Permit Number: <+ ii ? n?r Eagan, Minnesota 55122-1897 Date Issued, (612) 681-4675 . . l.. - . ?. ?.i 4? . SITE ADDRESS: APPLICANT: 141 ?A v1,kr AvI AM i N+li. i t nIrF PERMIT SUBTYPE: ;i; , , „ TYPE OF WORK: i?i irl:ariI'ra INSPECTION .. . .A Permit No. Permit liolder Date 7elephone # ELECTRIC ll7I765 lO 97 Q? PLUMBING (Q t? 7 HVAC Inspectlon Date Inap. Commants FOOTINGS FOUND FRAMING 1"1-2?/Q 7 f?OOFING ROUGH PLUMBING % d 4/? ? ae PLBG AIR TEST ROUGH HEATING ? ? GAS SVC TEST INSUL l?fl? 7 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT A.I. BSMT FINAL DECK FfG DECK FINAL ' OF EAGAN Permit No: 1. -?9 Date: 9-21-8E P1lot Knob Road Meter No: 41?,-??Z53 70 giZe. ? oe/( Box 21199 Reader No: 9,996 pate: in, MN 55121 ICI. Prcrua??i'etl`Etdj-n st Address: • ` r Ava--LL 72 a fOrU plBC°f' . Chg: Dep: it Fee: `- ' iarge: ' ,..? . . Zoning: _ No. of Units: 1 agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT wZ-? CITY OF EAGAN Permit No: 1?0 ?` Date: .. 3830 Piloi Knob Road g/ p wo; Date: P.O. Qox 21199 ` Eagan, MN 55121 0 Frlarxt ier Midvest . : t &T Plt2!? CC: '- ()"00p`- Chg: ! 0 ,0. 00nc :. Dep: nit Fee: _ ...`C_ Zoning. r1 ' No. of Units: 1. I agree !o comply with the City ot Eagan ? Ordinances. By ? SEWER SERVICE PERMIT CITY OF EAGAN WpYER SERVICE PERMIT 3$30 Piloc Knob Road P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: Zoninp:. .,„ No. of Unlts: ' Owner, :o:]-dfl 1?0,7.eS i',.' ;;y r re Addross: ? li;ti Site Addrcss: - Plumber. ?/ 8 ? Mttor No.: 3 - _?-Connection - - Charge' Size: " ? ?uF,t bep?,sit? Reade/ No.: 6 b m ?Ia6'4 Pem+it Fee: , I .or.e te eomoy wilh 1fi. c,iry, .f t.o.. su.a?a.ye: ' OrliMnar. Mlsc. Choroes: Totol: , - gy Date Paid: 4 DCte 04 {rKp.: {nlp.: 1 SiTe Addrcss: =? .a ; r??i it iu Plumber: _ - > 1 wrN h esmply wil6 !Iw G!p of Lew¦ OrdiMwlM. By Dote of Insp.: Pilot Knob Road Box 21199 PERMIT NO.: i, MN 55121 DATE: p: No. of Units: OF EAGAN SEWER SERYICE PERMIT ;. i'_i . i :+ rr,- Connection dhwrpe: a Ntcount DeposFt: Permk Fee: Surtharpa: Misc. Charpes: Total: poft paid: This requesl vord?l//p)O? ()!l:?,J'? 18 nnnihs Irom ?l? 0 ? D20276 ?i 3I/ a Fenueaj Date._, FiM Rouph-in InsVerlion - / Peq ired? ?Ready Now/?Will NmifY Inspec- , Yes ?No ?ior When fleaAy censed Elec[rical Conlractor ? I bereby request inspacuon of ebove ? O ner elecirical work installed at: Sveei Address, Boz or R uie No. CHy v ?1144 ection o. Township Name or o. Hqnee Na. C nly Oc yont IP NTI cu Phane No. , , r eJa Fower Su plier Address ct I ? Elec 'cal Cont or (Co ?` Na 1 ? Conlrnr.lor's License No. , T fAa1'li Adyies ICOntracmr or Owner Mak ' p InstailatioN / ?r C Authorrze innature 1 nVactor/Ownei Making Installalion) P h n N o e um b er ? ? ? ? ` ' / ` ' ? / (?•u ` V? MINNESOTq STATE BOARD OF ELECTNICITV THIS INSPECTION qEQUEST WILL NOT Gria9s•Midwev Bldg. - Aaom N•191 eE ACCEPTED BV THE STqTE BOAflD 1821 Universitv Ave.. Sc Peul. MN 55104 UNLESS PNOPEfl INSPECTION FEE IS Phone(672) 642-0800 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECflON ea-ooooi-os, ? Il, Sec instructions for compleling this lorm an bnck ol vellow copy. flQ ?75? ? "X" Below Work Covered by This Request D 20276 7- HAd RP,f+. TyOa o1 Builtling Appliancea WireO En,,wmenl Wired s Home Range Temporary Scrvice Duple.x Water Heater Liyhtinp Fixhues Apt. Building Dryer Electric HeaLn Commercial Bldy. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Omer pecdv Oiner 151 ??x:iN1 t er Suo,ifV Other Olhi:r Compute lnspectron Fee Below p Fee ServiceEnhanceSize B Fee Feedars/Subfeeders # Fee Gircuits ,i 0 m200Am s 0 to30qm s 0 m30Am s Above 200 qmps] 31 to 100 qmps 31 to 100 Am s Swimming Poal A6ove 100_Amps A6ove 100_P,mps Tran5lormers Irrigation Booms Partial.`Other P Signs Special Inspection Remdrks F? ?Q t v Nough-in Date I, the Electrical ? `"? Inspactor, he?eby cerlity that the abova Final /?} Q inspection hes been 4/? fA?.Oor rrede. ¦hie reGUest valtl 18 montlre irom OFFICE USE ONLY This request roid 18 monlhs Fan validarion dote prinle?d rin this 6aa. Y? ? i i•i _' " ?(19-J? 7" ?? ? IIIII IIIII IIII I III I III IIII I II I I III IIII 7'<d????// "' ?-" -" ,? / s0 I * 0 4 7 L 7 5 5 9?K pLEASE PRINT OH TYPE Rcquen Dofe Rwghin inspulian required2 Yea ? N. Inspeciiai Oiher Thon RagMn: ? Ready N. Will Call I (You musl coll the inspecror when ready) Dab Ready: I, ? licensed conhacror owner hereby request inspeclion of the above electrical work ol: lob Addrev (Sheet, Box, w Rouk No.) Ciy Zp Code rI I Za Ne W o 2 k Av,-- ? AG /k n/ STt'Z 3 Seclim No. Tawmhip IJome w No. Range No. Fira No. Cmny x-'- `? N U R ?? 7T ?'- ` Tt \v Pho. No. S/7 Povrer Sapplier Address Eledrical C cmr [Compony Name) Conhacror Lircnse No. Masrer Lic. Nn (%ont Elecl. Onlyl .3e AMilin Address IConhamr or Owner Pcfoimiig Insbllotian) ?Fl Z-o prF-w oKK Arvc Autharized Signahre lConvaror or Perfoimi osbllmion) Phon e N a. . ?+? l / ? ?] PRU - 7'C/? EBOOOOIhI 1 6/96 gTAiE?7SARD COW -SEE INSTHUCTONS ON BACK OF YELLOW COPY ? ? ?7-7 REQUEST FOR ELECTRICAL INSPECTION 471- 7 5 53 1 M g27 Un ersiry ABe, Rm. S 28,'St Paul, MN 55104 Phone (612) 642-0800 ' Home Duplex Apt. Bldg. Ofher:- New 1 Addn Commercial Indushiol Farm Remad 1 Re ir Air Cond. H. Equip. Wafer Htr. Laad Mgm1. Other: . Dryer Ran e Elec. Heat Temp. Service "X" above rhe work covered by ihis request EnMr remorks in this spoce and on fhe back of the white copy only. Calculafe Inspection Fee - TAis Inspectian Requesf will nol be occepted wifhauf fhe correcf fee: Otlier Fee # Service Entrance Size Fee N Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sheef Ltg./TmHic Sig. Above 200_Amps Above 100_Amps Tmnsformer/Generolor / INSPECTOH'S USE ONLY / TOTAL Sign/Outline L}g. Xfmr. ? gK /-/?OT <<-'c CC%1 e'(Qd Alorm/Remofe Conkal ? 1/'/-1 Swimming Pool ?` i hereb cem 11 m i d 16i Ih ? n d?ibed I,erei. on the d?s :to Irrigafion Boom Ro? oa z $peciallns eclion 7q Y p Invesfigative Fee Finnl Dale THIS INSTALLATION MAY HE ORDERED L IF C B MONTHS. CITY OF EAGAN ,; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15622 BUILDING PERMIT PHONE: 454•8100 Receipt # ? '-7 5 t ct To 6e used for SF DWG/GAR Est. Value $94, 000 Date SEPT 20 19 88 Site Address 4120 NEW YORK AVE OFFICE USE ONLY 41 4 STAFFORD PLACE Lot BIOCk Sec/Su6. OnSiteSewaee - Occupancy R-3 M-1 MWCC System X Zoning R-1 Parcel No. V N On Site Well _ (ACtual) Const - a. Name FRONTIER MIDWEST HOMES Ciry Water X (Allowabie) V-N z 3902 CEDARVALE DR Addfess PAV aequired _ # of Stories ° City EAGAN phone 454-0433 Booster Pump Length ' 55 ? Depth 36, a a Name- SAME S.F.TOtai ? Q Address Footprint S.F. a City Phone APPROYALS FEES W W Name Engr./Assess. Permit 550.00 47 ?i Planner Surcharge •00 i- Address a? Council PlanReview 275.00 w a Cit PhOne Y BIdg.011. SAC,City 100.00 I herebyacknowledge that I have read this application antl state that the Variance SAC, MWCC 550.00 iMormation is correct and agree to comply with ai pp'cable State of Water Conn. 5$0.DD Minnesota Statutes and City ot Ea n rdinan s. c WaterMeter 67.00 Signature of Permittee ? .. - -- Roatl Unit _325-._0 D A Building Permit is issued ro: FRONTIER MI_DWEST H_ Treatment P1 204.00 on the express condition that all work shall be tlone in accordance with all Parks applicable State of Minnesota Statules and City of Eagan Ortlinances. .{?????J1 ? J y?? BuildingOlficial!1,1.7S1?L?sLtlrL?._?LI? _ TOTAL 2,668.00 ?b1 RESIDENTIAL ?a BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWCtlon ReouiremaMs • 3 registered sRe surveys showing sq. ft. of bt sq. N. of house; and all roofed a2as (20°h maximum lot cnverage allowed) • 2 co0ies ol plan showirg beam 8, window sizes; poured (ound design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation PYan if fot p7atted after 711J93 . Rim Joist OelaB Options seleIXion sheet (bldgs with 3 or less uniGS) DATE (l_0 - SITE ADDRESS TYPE OF < APPLICANT __ _ ?ec r5;ca ?dd?? MULTI-FAMILY BLDG _Y _ FIREPLACE(S) _ 0 ?1 N _ 2 STREET ADDRESS /-I i aY LjRc. DR CITY &v ,ea -?-STATE V?N ZIp SSyZS' TELEPHONE #qS2- Wy'VDyy CELL PHONE # 6<'l-ZW"474G FAX # 'r/lrC - W y- .0 ?a PROPERTY OWNER O N z- 1<- ? QcNv?R TELEPHONE# lLdo- 75T7 ---------------------- -----------------^-----°----------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Categoty _ MINNESOTA RiJLES 7670 CATEGORY 1 MINNESOTA RtiLES 7672 (4 submission type) . Residenfial Ventilation Category i Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system inclades: Mechanical Confractor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System <&kt4- __I? Fee: :690.00 JUN 2 7 2002 ---------------------------------------- -------------°-----------------------° -----------------------°--°---°--°--- I hereby acknowledge that I have read this application, state that ihe in n mation is correct, and agree to comply i with all applicable State of Minnesota Statutes and City of Eagan Ordces. Signature of Applicant OFFICE U5E ONLY ?? AW l- _ Water Softener _ Water Heater _ No. of Baths _ Phone # L<1wn Sprinkler No. of R.I. Baths RemodellReoair Requiramenta . 2 copies ot plan . 1 set of Energy Calculations for heated additions • 1 site survey (orextenor addiGOns & decks . Indicate if home served by septic sysfem for additioris VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 I, ` 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1A z 2 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINIT3 FOR SALE UNITS ?t OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OE ENERGY CALCULATIONS rnnnMrar r c r INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUHAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?yODU To Be Used For: NEW CONST. Valuation: y' 'B-@fl Site Address 4120 NEW YORK AVE Lot 41 Block 4 Parcel/Sub STAFFORD PLACE Owner RAHMAN, AMINUR & JUNE Address 2g00 SELKIRK City/Zip Code URNSVTI I F 55337 Phone 890-9362 Contractor FRONTIER MIDWEST HOMES Address 3902 CEDARVALE DRIVE City/Zip Code EAGAN 55122 Phone 454-0433 Arch JEngr. PHILLIPS PLAN SERVICE Address 14530 PENNOCK AVE City/Zip Code APPLE VALLEY 55124 Phone # 432-2044 Date: 9/1/88 On site sewage _ Occupancy MWCC system ?Zoning !2- I On site well Aetual Const VN City water Allowable V'I/ PRV required _ U of stories Hooster Pump Length 5 ? _ Depth 3(c.33 S.F. Total Footprint S.F. FEES Engr/Assess Planner Couneil Bldg. Off. Variance Permit Ss-0 Surcharge '519 Plan Review Z ?S' SAC, City O o SAC, MWCC Water Conn SSO Water Meter ;:-2- Road Unit Treatment Pl zby Parks Copies TOTAL ? , ,1 (3arrl:'f¢oH Ga? _.---- 3r :: /?2yS 1S ?' .. _..--- ??ln .?' ''! • !'.J.'%,?'• , ? ? ?. . . , ? fH dlu nd Engineering Services 92a1 East&oominqlonFresway Bbominqlon, Mhtrsota 65420 Surreron Clrll Enylneon Land Plunners Pbone: 889-0288 ' surac?or`s G'ert?f?cat? 1=1,M BO OK - PAGE - JoB No. 88R-486 SURVEY FOR? Frontier l.iidwest IIomes Corporation DESCRIBED A5: Lot 41, Rlock 4, STP..TTOPD PLACP, City of Eapan, naltota. Count,y. Ftinnesota and reserving easements of record. ? B,Yh. ; I f -^i ?? Tq> N,h Hyd. ? I.a? lwe 40 '<, 41 A L/ tW 4 in C..1-ik -5oc. = 890.S4 /+^i ?t ,TOP OF FOUNDATION =8`)Za gbs' GARAGE FLOOR =s9i.c, BASEMENT FLOOR =88 39 /56•66 J?5 SEWER SERVICE ELEV. _ , vy ? f f ERIOSTTNG ELEVATIONS 73s 32 T EASEM PER PLAT DRAINAGE DIRECTIONS IP EN UENOTES LOT CORNERS : 5? pRp?Np6E e UT???TY i DCNOTES OFFSE'f STA[:E: tk, .-, , • ? h 4r M ? w a! L 0 T A'?OVi'DI," /_ ?p ?.d_....:,.:L_f_.VJ ' ? DEP \J? rN 1 \ j I `f) ?3? ? sr• 34 1?6r°y 1' z' i 1 ? R? roR ? q ? ? , s ?•`?'2 ? o? \ '•? ? ,??" , 3 a? ? ? J lo GpR. g,y 2p.6? ? I ? J ' 1 2O A?.. Q ?O np( 0 i ti\\ , 1P'$?d.???- ' ? 1 ^v ?, •l2'02" ??yd. . N W YORK CERTIFICATE OF SURVEY ?.6? AVENUE I honby certify lhof fhis survay.plan or report wos propand 67ma u Urbimy dinct supervisloe ond Ihat I om o duly Reqlstered Land Surveyor under iha laws of the Stat• ot Minnesofo. Doore: at, ?j a v- JeH . LindQren, License No. 14376 * • EX7ERIOR ENU[LOPE AVERAGE._ _U"_.. CUMPIii111 iUN f1l11'f: S-l1-b8 G'?'NL R:??t 1?'lifl( 2 - S?Tt' ?`',DDRE SS: ?E(A) V4P?? PFIONE: ,°' ^!" - FRONTTRR 2 x 6 STUDS CONT RAC?DR : N-r1 E.2 HoM?s - PLPIQ # ?°??R?N?' rorl Determine working square foota9e of each 1. Total exposed wall area.:..- 230(?.?15 sq. ft. x .11 ?_ 7otal roof;ceiling area..... ^ I/ ?3(o _sq. ft, x.026 = 4 3 SA Tctzl exposed wall area above.floor=__ ?C.0 .............. IZ a. 7otal wall window area .............. ............ . ............... ... ?S b. Totz7 ......... door area ....................... . ... .... . . . . z,2 4 - c. Total sliding glass door area .............. . . . . . . . . . . . . . . """"" H. Totzl fireplace wall arez................. ••••• area (averzge 10%) .......... i ••-•" " .................. ? L e. Totzl ng wall fram ............. 15? 3 ;. 1ota1 .............. rim joist area..........•.• ..... .... ? ? ? - '4 g. net wall area above floor ............. . .:. . . . . . . . . . . . . . . . . .......... _ h, wall area above rloor ................ . . . . . . . . . . . .... _ i, wall area z5ove floor ................ . . . . . ..... . . . . . . . ....... _ r on ................. T. 'o?-:ezti ram e wall zrea a ........... - Total zxposed foundation area=_ I?1 > • k Total Toundation window area.................. ..... 5 9 . 1, Tc.al net roundation area above grade ......... ..... 14 . ? Deiermine "u" value of each wall t segment ll section) . (e,y, ivindow, door, each separa e wa Q X 'lul 2 4 ) a. x „U1, ,31 = ??.?8 ?. X d_ X IVI ? . X " J?? , iI =_ 2>sL e. t ',ull 'JI' • 4 •? ?-1 X u U n 105 h. X - i X 11 U., . _ X ?1 V j r „uit r. oa =?, ? 1 {?? ? X 'lu„ ??- 3 . .................................Tctal = 131.?11 ?f item 13 is the san as, or less than iter =1, you have met the intent of SBC 6006 0 . Total exposed roof/ceilin9 area = J(?r3? .. m_ 1bta1 skyligLt area ....... •. a. Total roo`/ce±lia, framing area (;iverage 10%) • - . .. :.. . ., o. 2otz1 net i::sulated roof/cciling nrea....,.:...•.,: . I'Z;'i9 .. ;'., -:..:..;;?.._ Determine "U" value for each roo£/ceiling segnent m _ g ..ull ..:. .. . n. l l.G?.l. %??U?? , G24 = LI . D5 . c- I S 17. 4 x'lDll • , ... Y ........................... Toczi = 34.4 " cotal c£ -3 is the smne as, or less t:han 42, you have met the intent of S,3^_ 50;:5 ic? 1. , r?ltern3te Building Enve?.one Desiga 'Flo -tiiize the total envelope'systeln method, the values estzblished by the s•.un oP.•' it:ns r3 zzd -4 shall not be greater than the sum o£ itens ,1 and -V2. , 1. '2 r? 3,-1c. -r z. q3,3a = 2Oi'I,U 3. + 4. = ,4 !(eL.31 ? . ? ?. ` PLAN# I3AR:2 I NC-ITOh! * LINEAL FEE.T F.XPOSID WALL BLlJCK: 554 25.?34 3•9,1s4 2F?,?3-f.10= 151.3 3QdEE: W.O.. FULI. 1: 25,5 t 77 + II +55+1.54 12- 4 Z3 = 155 rvLL 2: 244 2-7+25.5 4 29.5 = t05 FIREeiACE: RIM= 151.3 = SQUARE FEET FXPOSID WALL AREA . BIACK: ? S I, 3 x . 5 = 75. L, 5 2Q1EE: _ x 5 = _ W.O.: - x 8 e ? FULL 1: x 8= IZ40 F(7LL 2: .195 X g= ? 0 FT IACE: _ X = - RIM: IS 1. 3 x 1= { 51. ; TOTAL ZJo?. q5 * sQLLAM FEer EXPosm cEZi,arc = ) ?, s v 1 it?98 =5•3 zoLo= 8.3 n3= ?1.9 Il 2048= L.Z,7 y2= 13.3? In 2osc,= 5x3-l5 i!IJ11-?'244 5= S x 3 = !f4 )27 ,59 DOORS 30=20 Zg_ f? = 38 PATIO DOORS (,° = 32.9 * &ASII1EDiT UNITS lil 23x/o = ',BK3=5.4 , ? ?•-v- ? ?..?,.? Use o=`oPa4ue Wb( h orea ?r '(Y?tT?C CLY?='N'cYUC?1U(? PP,pr-8 HnLL R=• VAIIJE OONSIRUCTIOt1•- FRAMING 1. INTMIOR AZR FIIM 0.68 2. 2 GYPBD .45 3. 4.. 5. 6. IdET 1. INTERIOR AZFt FILM 0.68 R: `" 2 GYPBD .45 3. 61, . 4 -rHERMoft-y e?qg.,7)+ . ? 5. SIDING 6. R AIR iZIM TOTAL = u.i2 u=- _05 -(D 1. INfER10R AIR £IIM 0.68 2. 6 INS[JL. 1. 00 3. x JO lIfERMO RY SFf64TH 1.89 •2 5. D G 6. D? R FI TUM iz= 22.SL U_. sLocx 1. IA*rERIOfi AIR FIL2d 0.68 2. i 1.28 3. . 0 4. PROTz-CTIVE BARR._TER 5. 6, E=OR A F TOTAL R= 7.13 U= .14 ='?G 43 y ? ?D , --- ? L ? ? ' . SLAB ON GRP.DE FZ.G. Rq ? `, "t ? u S : =/f! 1 f V i? ? p riL ` ? • 1? ' ` ??? !, ? - ? - ? ? 1(( NOTE: INDICA'?'E TYPE, „R" VAU rl,-. DEPTFi ANID PLACEd-IEtdT OF INSULATI02T. , pp? ? / V`?Nf ?200F-CEILING 4 yJ ? VEl?I'Ep I IZ\ I-ff'AT FIX)L] uUP FT(`,, #S CONSTRUCTION ' R-VALUE 1. INTERIOR AIR FILM 0.61 2. 4. ---,?*^- U = .02 FRA44E • 1. IN'Pf:RIOR AIR FIIM 0.61 z. 3. 4. U = 0.024 CONSTRUCTIOId f ? I-= FfAW UP u VEN'PED FIG. #5 ' INSIDE AIR FIIM 0.61 .+ TOTAL U = FRP.ME I, INSIDE AIR FILM 0.61 2. 3. 4. ' s. U _ INSID£ AIR FZIM 0.61 1.. . 2. 3. 4. 5. U = NOTE: USE PDDITIONAL SHM'S IF 2"ARE SPACE TS NEEDID FOR DETAILS AND CALCULAT70NS. 1. 2. 3. 4. 5. ?IG. P7 tvurv-vt.[vir.u ? HEAT FIAW UP CITY USE ONLY L ? BL RECEIPT #: SUBD. RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings ? townhomes and condos when permits are required tor each unit . backflow preventer for underground sprinkler system FIXTURES EACH NQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/5pa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for tlwellings under construction 5.00 X = Water Softener " foi existing dwelling 20.00 x = U.G.Spfinkler 'fordwellingunderconst. 3.00 U.G.5prirtkler 'torexistingdwelling 20.00 = Alteration5 " to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and refurbished syslems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE .50 TOTAL _ILL I here6y adcnowledge Mat I have read this epplicetion, stete thet the iMortnation is cortect, antl egree lo compry with all applirabte City of Eagan ordinanoes. It ia the epplicanYs responsibiliry to notity the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its nortnal operational and maintenence activities to the tacildies oonstruded uMer this permit wtthin City properrylright-of-way/easement - SITEADDRESS: 4l zo Nr?" :Xoltv? f}re- aWNER NAME: ? v f- RA" M A-N INSTALLER NAME: S¢-L,? TELEPHONE #: STREETADDRESS: 4 ? Zo ^1t0l`o2u A?? CITY: 1E te , fr? STATE: _"I ?s ZIP: S? 1?3 SIGNATURE OF PERMITTEE ? ? PI.EASE COMPLETE FOR SIIVGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIl2EPLACE INSERT DATE (// ? 45,4 'kEES HVAC: 0-100 M BTU ADDTTIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACI-) D-ON EMODEL (ExlsTnvG coNSTttuCTloN) STATESURCHARGE TOTAL STI'E ADDRESS: ? e-4-j wiY OWNER NAME: INSTAI.L,ER: T Burnsville Heatin? & $ 24.00 6.00 $ 20.(10 .5 ? ? SD TELEPHONE #: ? gx?-- "l+u+ eNjN 'T ;537E•1122 ADDRESS: 5avag , CITY: STATE: ZIP CODE: TELEPHONE #: (LJAl SIG TUR F PERMITTEE 1994 MECHAHICAL PERMIT (RESIDENT7AI.) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 APFLICATION FQR PERMIT SEWER AND/QR WATER CONNECTION : , ?NC7PE: PAYMENP OF FEE AT TIME OF ; nrrLicaxI«a DcEs Nor coN- : ; sriaUTZ nrracani. OF rERMux. ; . ; uNseHrriaa oe sUM nrm/oR wnIEa . ;. ; irisrnc.raTioNs wA,c. rxyr ee srF=, ; ? [!NPIL PFI+fffT HAS gffiN ppPRCNYD. ?'. dtV ?sat+ttrffMfiwa?t?w»?t?Wwetri+wt?tf++ oF (zclgcin (PLEASE PRINT 1) PROPIIZTY ADDRFSS: 4120 NEW YORK AVE T•FY;AT, DFSCRIPTION: - LOT- 41 BLOGK 4 TAFFOR-D PLACE - - Lot Bloc 17S division or Tax Parcel ID IF EXISTING STRC'CT[1RE, DATE OF ORIGINAL BIJILDING PE2MIT ISSUANCE: N A Nbnt Year PRESENT ZONING/PROPOSID LSE: Q COAM7II2CIAL/RETAIL/OFFICE Q INDUSTRIAL ? INSTITLiT20NAL/(',OVERNNET7T 1:3X R-1 SINGLE FAMILY m R-2 DL?PLEX ('SWO T-Inits ) R-3 TOWNHOC?SE (Three + Units) ( Lnits) Q R-4 APARTNIENT/COPIDUMINIUM ( Onits) 2) NAN]E: FRONTIER MIDWEST HOMES CORPORATION ADDRESS: 3902 CEDARVALE DRIVE CITY, STATE, ZIP: EAGAN. MN. 55122 PHONE: 454-0433 3) NAME: S7AR PLUMBING ADDRESS: 1018 MOUND SPRINGS TERRACE CITY, STATE, ZIP: BLOOMINGTON. MN. 55420 ?ONE= 884-4149 MASTER LICENSE # 3329 4) °?'''" o ?• NAME: RAHMAN, AMINUR & JUNE ADDRESS: 2800 SELKIRK CITY, STATE, ZIP: BURNSVILLE; MN. 55337 PHONE: 890-9362 Active Expired Not recorded StREf Initia 5) s d ' ?' r •a?e .c ?e ? CONNECTION TO CITY SEWEEt FX--? CONNECTION TO CITY WATER O OTHEt 6) 9 ****??*****?*???**?*+*?!?******:?*******rr*******+??***,?**********?*?*****?**********x?****?****vr*??*? * THE GOIa COPY OF THE PII2MIT WiLL BE SENr DIRECTLY TO PUSLIC FARKS TD FACILTTATE MOPER PICK-UP. * ? PLSb1.SE ALTAW TFA WORI(ING DAYS FOR PROCESSING. SOMEONE FROM TfIL CITY WILL CONi'ACP YOU IF 7HERE * * ARE ANY PROBLIIMS. ,*k ?*x*********r**x*,?*???**?****+*?****?,?*r?**??***x***+*?**,t**,e****,t***********??*****+*?+***,rw**?**?i FOR QTY USE 4NLY PERMIT # ISSUED • 99.? 1 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $___ $ WATER PERMIT (INCLUDE SURCHARGE) $ 7 $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ' ACCOLNT DEPOSIT - SEWER $ ? ? ?'^z7 $ ACCOONT DEPOSIT - WATER S $ WAC ? C?'i S?n ' ?fZ7 $ SAC $ $ TRLNK WATER ASSESSMENT S $ TRONK SEWER ASSESSMENT S $ LATERAL BENEFIT/TRUNK SEWER S $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SLRCHARGE S $ OTHER: $ TOTAL RECEIPT RECEIPT DOES LTILITY CONNEC TIQN REQLIRE EXCA VATION IN PUSLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK SVITHIN PLSLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SU BJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE : 2 . ?. ? Z d f `Qi 3830 PILOT IQJOB ROAD VIC ELLISON EAGAN, MINNESOiA 55122-1897 Mwo, PHONE (612) 454-8100 TMpMAS EGp,ry FAX: (612) 45+1-8363 DAVID K. GUSTAFSON PAMEIA McCREA NoVember 15. 1989 1HEODOREWACHIER Counctil Members 1HOM0.S HEDGES ClryMmmishola EUGENE VAN OVERBEKE MR. 8 MRB. AMIN[TR RAHMAN cHy a?k 4120 NEW YORR AVENUE EA6AN, MN. 55123 RE: ?Lot 41, Block 4, Stafford Place Concerns Regar$inq kevised Grading Plan Dear Mr. and Mrs. Rahman: I appreciated the opportunity to meet with you on November 14th to further discuss the concerns that you expressed in your letter that I received on that same date. As Scott Oaks, representing Frontier Development Corporation, and myself, representing the City of Eagan, assured you, we would like to resolve your concerns as quickly and satisfactorily as possible. As a follow-up to that meeting, I wanted to reaffirm our commitment in addressing your concerns. The proposed grading/drainage and erosion control plan that was presented to you and your neighbors at the neighborhood meeting of November 2nd and reviewed by the City Council on November 9th will be revised' as it pertains to your lot to try and maintain a relatively flat backyard area as shown by the grading sketch enclosed that was prepared during our meeting with you. While this represents a concept of the proposed final grading of your backyard area, it shows that it will still retain the terracing in your northeast corner to a comparatively same elevation differential as represented in the original development grading plan: It also shows lowering the grades closer to your northwest property line in an attempt to achieve this relative level backyard area. As also shown on the attached document, you have the written assurance that there will be no liens levied against your property for the work proposed to be performed regarding the revisions for this grading plan. Also, Mr. Oaks assured you that the wooden stoop from your garage to youz entry foyer would be constructed by the end of this week along with the installation of a threshold or door sweep to address your concerns regarding the void between the bottom of your garage service door and the garage floor. THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROVJfH IN OUR COMMUNIN Equal Opportunily/Affirmative AcTfon Employer : '. November 15, 1989 Page Two As we both assured you, a certified check will be delivered to the City of Eagan before work will be allowed to commence on your property. While I still appreciate your reservations expressed in regards to this understanding, let me assure you that I believe the work proposed to be accomplished will not detract from the value of your property. I sincerely appreciate your understanding and cooperation in allowing us to proceed with this work as soon as possible in order to complete this project as soon as weather permits. Please feel free to contact me or Craig Knudsen if you have any concerns as this work progresses. Sincerely yours, Thomas A. Colbert, P.E. Director of Public Works cc: Craig Knudsen, Engineering Technician Scott Oaks, Frontier Development Corp. Enclosures TAC/jf pppp? . . 1-aT NJ, ?Sloal< <f / ?!5 (S 7'b --S?uE 4t a /I-e T7c-E a-.-K.Q ? s5 u?'orc$ 7? ?t o wh ?rs ? G?/ ?- 7%0 ? ???s y'l?.?.? /O/?ofa?T' ?7L 6r-?..s ?•, ?'. s??"iu5 //L-°si..S 7 / . . r /r1Y?T7ii[- L????-?? ?' /?d • ` w _ e lCity OF cCIgA 3830 PI101 KN08 ROAD EAGAN, MINNESOTA 55122-1$97 VIC ELLISON PHONE: (612) 454-8100 M? FAX: (612) 454-8363 MOArt4S EGtw DAVID K. GUSTAF$ON December 15 1989 PAMEIAMcCRFA ? iHEODORE WACHiER Council Mempees 1HOMAS HEDGES ClryMminielrMa JONE RAHMAN EUGENEVANOVER6EKE 9120 NEW YORR AVENUE CHy Qark EAGAN, MN. 55123 RE: Lot 41, Slock 4, Stafford Place Revised GraBing/Drainage Development Pl.an Dear June: Last week, I received a letter from you expressing your concern regarding the results of the grading operations that were recently performed on and adjacent to your propet•ty. You had stated that the end result was not what you had been promised when Scott Oaks and myself visited with you on November 14th. Upon receiving your letter, I requested Craig Knudsen, Engineering Technician to survey your property to determine the degree of conformance to the sketch I drew for you during our meeting of November 14th. Enclosed you will find a copy of that sketch. I have also prepared an overlay showing the elevation contours (in red) as they presently exist as a result of the grading operations that were completed. As can be seen, there needs to be approximately 2 feet of fill removed in the northwest corner of your property to provide a steeper slope adjacent to your northwest property line. However, this also shows that a flatter backyard area above the elevation 888 was provided before the terracinq was performed. For your information, I have also provided an overlay of your property showing the original proposed contours (in blue) that was approved with the original development grading and drainage plan. As can be seen, the original proposal would have provided for a continuous sloping backyard area rather than the relatively flat area being proposed. It is my understanding that you have had previous discussions with Mr. Scott Oaks and have obtained the results of your independent real estate analysis as to any adverse affect to your property and THE LONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY Equal Opportuniiy/Afflrmative Action Employer Page Two June Rahman December 15, 1989 its value resulting from this grading work. I would be interested to know the results of that analysis as I continue to believe that what has been per£ormed is usable, maintainable, aesthetically pleasing and does not negatively affect the value of your property as was previously stated. In addition, from a neighborhood perspective, I feel the resultant work greatly enhances the compatibility of all of the properties in this portion of Stafford Place. . Please be assured that there will be additional finishing touches to be performed as Spring weather permits. I want to reassure you that Frontier Development Corporation and the City of Eagan continue to remain committed in completing this work to an acceptable and professional manner. Again, while I realize this has createcl a significant burden to you, I hope that your continued patien<:e and understanding will help to realize a satisfactory end result. Please continue to keep me informed of any concerns you may have as we continue with this project. Sincerely yours, Zma? A Co1b?.E. Director of Public Works cc: Craig Knudsen, Engineering Technici.an Scott Oaks, Frontier Development Corporation TAC/jf pppl J ? (,' (4 it R c,Ji'" eo ?I "ri ?4 fi?ilp Ll RlgfPl Al f IOOEO POT A 4. 1- o r W l, ?3/o clt ? S T.s?,?,?a 2,? P??4cc?- ?--t?-?C?t,.c.,,?' ,i-.y ?y ?3 g?.? f .a=^ _ ,_ /// ?. ? Residentitd lNhole House Worksheet cusiw,rer.N?e `?•,?d.f.(? r.?l.c.._ . .. . . • -.. . . - ? l.dtlrass . . CrtY State `ip Telephpno Numper . . NIN E:::;naidAD?siynTemp_,_7? _•F_putridoDeuiqnTamp ?-20 •F.HaatinqTompDiNonnco•F SUMMER: Ouiaide Osciqn Tump 'C?r °F-Inaidq Design Tamp 7 -1 ^F . Conlino Te...n o:ffm-em ol-e] •c HEATING ,,COMMON DA7A'&ECTION .? COOLING '-r?t+^• • RT??IILl1e5 ...?NkATINO.'?' f-CMX:.I?' ii•'t7? ' ?C i',a?"- ? LA??L . . :?• t '14'[!' r[C R . CR ' f o .. GROSS WALL / 15,1p / p /va . . .?.yh' v$ ]N RA IITUM ?IN ? . DOORS&WINDOWSITableAorB) 1C?I.2 . NETWALL . 6W7 . I. . f? CEILING ? 9/?l FLOOHS tlu 1 i _ as61 ? Mqlnp ? T.Ms D R lO X I.IIBO % (ca.p?? Wuu? x ..l.l/so' %' OT X?. NMnlcn - 17 ? .0.,tw3 x 9 9G$ 9 G X 0.01e33 xao X.,,? . ? ?/7? •`'+?'+" ?. SUB•TOl'AL BTUH LOSS Ipar 10°FI x 5i;1k , ADJUSTMENT FACTOR ITable C) '. ? ? ? PS3 PEOPL %3006TUHGAIN APPUANCES BTUH . . ` ?.; *?• - SUB-TOTAL BTUH GAIN (room sensiMe only) • ? ' .1200 ` !?? 1 ., W DUCT LDSS/GAIN FACTOR ITable FI :_. , -x/? / SUB•TOTAL BTUH ISensiblu Gain1 ?y ,a . MOlSTURE REMOVAL (sub totalx 7 31 c /(? .iYI(/J . TI1T11 RTI IM 1 ncc in w 1-1 . .?wiXiLtfC3i K1 3 -- TAIIIFA-NEATING-DOORS b WO00 fRpME WINDOW& -- TA84E B- COOUNG - OOORS 8 WINDOWS ` a? -xSb IAEq 10'FI . ,?af •iwMu glau eoors • usn ycton br Me asme tYPe wintlpw Factors auume wintlowshave insida shstlirp py Cnpqries w wnswn c0n501Wbn. blinQSandc4JingyWssaoomanuaateduw'rWows. nJo !i -Grmm?a UoorTyps. V?/oa? T1M Mmal xAros Btuh6oas Smglu P;ne Claar _ 9.9D ?IQ.411i . Cltldf $inqle WouU 3.80 0.39 5.4( .;]1'.( - 5.0 11.07 11.69 12.j 6.65 135 8.7'. 3: _ ,. . wwuauu oawuawu twwµ . . . - Dwe11s? . nrrour. IY YY' i' i nrr.onr, IY b' D' N.q ? nrnoua 1Y w 11 11 1? R..« .•.w,a.,.. `? CJS NFbNW ?Jl 41 ,r l1 'L 1 > >I ? ' . . - E6W -u Y 0 q .M Y ip, iF6fW l1i' 0 il i "?1 Q 31 ll i ?•.aw w ?r m u, 10 14 M wra?J . -.4 i0.f 111 ? ?o. 1] 4? NJ at! .Z. uw? ?il )a If N 1.6 U 10 ? Por.wmaoor..w . . . . ..70TALS Wh?qiwcanm?W Ooa - . . ? fa?uMlw. ca. m.w uov? ': . ' . , . . •. .. .. . ., ? TABLE O - INFILTRATION MUL7IPLIERS Wifl[OfAIfCAAD001Po/MOYr ?•?.'.:;N.. 1.70,. torwLs j y9 TA'JlE C- A0.14STMEiYT FACTppg _ IHEqTIpG) •F.iemWra'?ItDitl. 30 {0 50 6U 70. 9p gp ?a?meniiacnr 4 5 6 T g 9 A.2 & - ?IWU 1WIYZIW oVM2100 Bml .0.4 0.4 0.1 0.3 ?w.?.w - t.2 i.a o.? ; o ? • vo; ' z.s 1.0 Ts . i.o rm «cn r.ew., sao: . ' sn - hwepe ,Paw at o.t os ?/WChr?pppK y flowMs? ? ? ? . ew2W0 a.x aZ ? ? .. . 0.1 ?u• as as u a, ^oo? aa a? u.s. a:s ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 030144 p6fC4/97 SITE ADDRESS: P.I.N.a 710-7250e-110-04 4120 NEsI YORk: AVE L07: 41 [lLOCK: +l 57AFFt1RD AIFlCE DESCRIPTION: BASEMENT FIPdI"SH FiLTERA?70NQ34 t1LT. RESIDENTIAL. 46???6?, REMARKS: SEPflftHTE FEft1+1ITS AftE RF..QUTftED FOR FlMIY Et.ECI"R7CAl OR PI_Uh18IN6 WQIiK FEE SUMMARY: Etase Pee 350a0? Surchar'9e 7otal ;=ea $50.50 CONTRACTOR: r OWNER: - applioant - R A tirt arv aii xN uR 4120 NEW YORK AVE EAGAN MIV (612j688-7597 t o.. 1 Lf?tAfl P.?111? 1l"I.4 I SUE BY: SIG URE ?-'-? , / 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? b ( (qL?? CITY OF EAGAN ? 3830 PILOT KNOB RD - 55722 681-4675 Naw Construetion Reauirementa l:-, ••- __-_`_-_...._.??' S ? 3 rogistered site surveys ? 2 copies of plan • 2 copies of plans (indude beam 8 wirMOw ahes; pcuretl fid. design; etc.) ? 2 ske surveys (exterior aGtlitions & dadcs) ? 1 energy calwlations ? 1 energy eelaiiations tor heated additiona ? 3 copies of hee preeervation plan if IW platted efter 7n193 required: _ Yes _ No ' DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: ? LOT ?1 10 Oew ? s?-ilc 44c ?eke m " 's--t z --? e. ?? BLOCK '/- SUBD.IP.I.D. #: PROPERTY OWNER Name: Registration #: Street Address: City: Sewer & water licensed plumber (new construction only): and lot change are requested once permit is issued. Zip: Penalty applies when address change I hereby acknowledge that I have read this application and state that the infort=is nd a to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?? OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No ?IAY 2 7 1997 Tree Preservapon Plan Received _ Yes i No _ Not Required B?r; CONTRACTOR Name: Phone #: 6 8? 7 „?, .a.. StreetAddress:- 412o Nticz) 11,1 e Ciry: State: M14 zip: ??'z3 ^ Company: Phone Street Address: City: State: License #: Zip: ARCHITECT/ Company: sl-__ q . Phone#: ENGINEER State: 6 5 /o & 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 15,50 Date ?_ /_ar I 0 5/ Site Street Address V D Unit # PropertyOwner Telephone# (?5i)?aK•'???I rT. Contrector ? (10 _?Qc? Telephone # (L510115 4c3 J` ?1 Address C+ty J State? Zip ? The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other. $ 50.00 Water Softener ? Water Heater replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 p??.?,L?,lll'JIS Total ? $1?SD ?1 ? ? cuuY U I hereby apply for a Resident mbing Permit a d acknowledge that the information is complete _ Lbe the ordinances and codes of the City of and accurate; that the work in co with Eagan and the plumbing cod fi understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ?pp-v '5'`f"CIje'YL6 ? ApplicanYs Printed Name ApplicanYs gnature 6516/ 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ??0 P -E) New Construction Reauirements RemodeVReoair Reouire menis 3 registered site surveys showing sq. iL of lot, sq. ft of house; and ell roofed areas 2 copns oF plan mm (2(i% manimum lot cwe?age albwed) 1 set of Energy Calculations for heated additions 2 copies of pian showing beam & windaw sius; ?ured found design, etc. 1 she survey for additions & decks 1 set of Energy Calculations Add?Tlon -indicate it onsne sepGc system 3 copies of T2e Preservatlon Plan R bt platted after 717193 Rim Joist Detail Oplions seledbn sheet (bldgs with 3 or lesg unifs Date 66. o (f SiteAddress y/zo ll Construction Cost ? a0G° - 0 o Ptsi 7`dr-?V_ ? Unit/Ste # Description of Work ? ? ., Lt Guo?S, /A.rr? - 4 f Mul6-Family Bldg _ Y? ? N Fireplace(s) ' 0_ 1 _ 2 Property Owner ? ? RV-A-' V Telephone # ( bS( ) ( l??' - 7 ?¢ 7 Contractor lNGG?Z ?OU?c? ?i??GJ( v'v Address rTL /r City z?-a b? h1 State Zip 3-.1' /Z / Telephone # eoS( ) 3d'9 - 3P5' ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - M?esota Rules 7670 Cate?orv 1 _ Minnesota Rules 7672 • Residential VentilaGOn Category 1 Worksheet • New Energy Code Worksheet (Jsubmissioniype) Submitted Submitted • Energy Envelope CalculaUons 5ubmitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Piumber Telephone #( } Mechanical Contractor Telephone T Sewer/Water Contractor Telephone (D J, I hereby apply for a Residential Building Pernut and aclatowledge that the infor?ion is complete and faccurate; that the work will be in conformance with the ordinances and codes of the Cityo a?gan' anC Zie 5ta'£e of MN Statutes; 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 a;Appl?canft roved lan in the case of work which requires a review and approval of plans. Z L,?r?r:? ApplicanYs Printed Name Si e , -- ? ?? _ :-????- ? ? ? ? Permit #: b ? I City of Eao?n °2" ? 009 ? PertnitFee: 3830 Pilot Knob Road i i Eagan MN 55122 I Date Received: ? Phone: (651) 675-5675 ? i _ _____________j Faz: (651) 675-5694 ?Staff_ 2008 MECHANICAL PERMIT APPLICATION r Date: Site Address: ?1?0 X&? ?' Qtre' ?f?- TenaM: SWte #: RESIDENT / OWNER Name: CLt? Phone: 7517 Address / City / Zip: CONTRACTOR NarAIR MASTERS, INC License #: Add HEAT & AIR CONDITIONING 6915 -- 146TH ST W City APPLE VALLEY, MN 55124 State: zip: Phone: Contact Person: TYPE OF WORK - New ?epiacement , Additional _ Alteration _ Demolition Description of work: NOTE: Both roof mounted and groun mounted meChanical equ+pmeM is rieqniretl to be screened 6y Ciry Gode.Piease contact the hTechanica? Inspec#ororo»e of:the, Planners forinformation on rmitted screenin meihods: RESIDENTIAL COMMERCIAt PERMIT TYPE i,4umace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas _ EMerior NVAC Unit ' HVAC uni[s must 6e screened _ Heat Pump Under / Above ground Tank ? Instali!_ Remove) Other " When installing/removing tank(s), call for inspec[ion by Fre Marshal and Plumbin Ins ctor RESIDEIVTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FirB fBpair (replace burned out appliances, duchvork, eic.) (includes $.50 State Surcharge) y $ S? TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1°k $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less tPen $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$7.00 surcharge). $ TOTAL FEE i hereby acknowledge that this information is complete and accurate; thal the work will be in confortnance with the ordinances and codes of the GTy of Eagan; ihat I understand this is not a permk, 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 ??IZ ?! Krc '? ApplicanYs rinted Name Xc-? JZ-11? _ ApplcanYs gnature FOR OFF?CE USE _ ReviewedBy: Required inspections: Urrder Ground Rough In Air Test Gas Service TesY In-floor Heat =inal PERMIT City of Eagan Permit Type: Building Eagan, Permit Number: EA094895 Date Issued: 07/12/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4120 New York Ave Lot: 41 Block: 4 Addition: Stafford Place PID:10-72500-410-04 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Window World AKA Probuilt America June A Behrend 2211 11th Ave E, = 130 4120 New York Ave N St.Paul NIN 55109 Eagan MN 55123 (61)770-5570 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA103416 Date Issued: 03/23/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4120 New York Ave Lot: 41 Block: 4 Addition: Stafford Place PID: 10-72500-04-410 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Josh McGuire 1424 3rd St N Minneapolis. MN 55411 612-604-4285 Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Benjamin Franklin Plumbing June A Behrend 1424 N 3rd St. 4120 New York Ave Minneapolis NIN 55411 Eagan NIN 55123 (612) 604-428 X61 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 Citv of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA120098 Date Issued:01/16/2014 Permit Category:ePermit Site Address: 4120 New York Ave Lot:41 Block: 4 Addition: Stafford Place PID:10-72500-04-410 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 by law in ALL single family homes . 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 - June A Behrend 4120 New York Ave Eagan MN 55123 Pride Home Solutions 2325 Endicott Street St Paul MN 55114 (763) 767-4444 Applicant/Permitee: Signature Issued By: Signature li� � (.,�� ����----� �,( g pd�B��I�� 1 -i� Use BLUE or BLACK Ink ,-----------------, � For Office Use I ' � g� ' C�t of Ea a� � Permit#: � � � � f� � � � Permit Fee: 1E��• I 3830 Pilot Knob Road � � Eagan MN 55122 I �ate Received:�� � I � Phone: (651) 675-5675 � Staff: � Fax: (651)675-5694 — I —_____ � 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � l � Site Address: � 1 �� !V �(.J� "I ��k ��� .�— Tenant: Suite#: � � � � ����� � �� � �e �nr� v�� Name: V� Q- Phone: �51� ( ^�j�� �J� ,S� 1�@SI#��t1�QWt1�l' ' ' Address/City/Zip: 7��� , !Narpg: Voah.Acqui�tions.LLC License#: 0 ��v 1 � "T U� dNa en}amm ran'm u � � 14_'-1 3rd St 1� ����1'�t'���1` Address �,:,,�..��.,��� n,�x ss.�i i City: ' ��� � � `�-3 � ' � I �� State: Zip: Phone: � , ��.��..:- � Yl /'01 h �� ' � Contact: �)�-�h 1� W EmaiL � Y1Yl���� c��a b�►— . �� !� � �� New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W. i, �af�3f:�?�:��1'�': ' — I '� ,�� „� �__ Description of work: � RESIDENTIAL , Water Heater , Water Softener Lawn Irrigation(_RPZ/_PVB) � ������Y1�� . Add Plumbing Fixtures�Main/_Lower Level) Septic System .�r; — New Water Turnaround � � Abandonment RESIDENT S: $60.00 ater Heate Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 on(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround'(includes$5.00 State Surcharge) *Water Turnaround(acid$200.00 ifi a 5/8"meter is required) $115.00 SeptiC Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) / -� TOTAL FEES$ L-L� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orp 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 Jlnn �`� �°�Gr X ApplicanYs Printed Name � ApplicanYs Sig '` ,-„ �� a � � � � ��� �C�R�}F`FIGE��IS� ' , F�eY�e ed B �4 ' �� 5� � �� Y F = �. _ M„ ��� � � E��quir`etl<�nspect�c�n� ,, i�nder C�rc�ur�� ,�,Rc�ugh'=� �Asr���t ;�,.. ;,-��s T��� `�„,,,a� �na�". , ; v �� �� � � M�ter Relat�d ifem�: ' M�f�r`'��z� �� �� l�adic� f�ea� ���#�f� ��'�?� '�� � . �� ; , �,.... ... , . _,... . w �-- �. �.: Use BLUE or BLACK Ink . . r---------------- . I For Office Use / � � � i ' � Permit#: v� �It� of ���a� � �—��; I Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � I Fax: (651)675-5694 � Staff: I � I _����������������J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � � '� u f� 5 Site Address: —+ ��C '�'����� .'I�- p�� C�`' n�rl ri'�l� �5��'�Unit#: Name: �i,tV1{; ��iV1 r`CVI�. Phone: �.r������-��� I ResidentJ � � �� ��� �wner��� address i c�ty�z�p: �� 4 � � `��;�r I�- �'� �_�� �►�, ►v�� ��i,�v3 '' Applicant is: Owner ✓ Contractor � Description ofwork: ���i�E �„�dVl� �� � �"��`"�'`�� � � � Type of Work ' Construction Cost: �;�� � � ��" Multi-Family Building: (Yes /No`�" ) ' Company: IG 1'��L'C'>�Q Yl���� Contact: if'1 f � ����+� . — GUC1�CaG�OC Address:��� � Y'�'� l-h�-y`1 1 �� c�ty: �`�vVl:�c� � 1��. State:� Zi �55 I Phone:���`�'"+'�(:L� Email: K(a.._(��1���t1-CGi�i;>d���D�+� �-jJ���ti�l '.t�•+-� P:`�.� ' License#: i���'' � ����� Lead Certificate#: ������`� ��� �� If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLI( IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supparfing dacurrterrts thaf you subr►aif are'Gc�nsidered to b��ublic i�fc�rmatian. Portiorrs of #he infarmatiarr may be classif�ed as nan-publie if yau provide,specific reasvns,thaf woufd permit the,Gify#o ' conclutle that the are trade�ecrets.' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work rnrill 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildix►g Code must be completed within 180 days of permit issuanceo x � � 1�1 �,1 S x ` /�����v/ Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r For Office of Use, / C City Eaaau ::::e:' /OS r4 3830 Pilot Knob Road Eagan MN 55122 APR 0 7 2017 Date Received: 11-1-1 Phone: (651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: tuvatiACK4P,°11 g'4, : Name: 1(t \� �� 1d I�l� Phone: (p��_ LfY$)5�7 4 b idle ?O /J `fa ✓I� {At/"'c- E'ai ct r 07*-6,r:, Address/City/Zip: $-S i2 3 0.4111< Applicant is: Owner L/Contractor Type of�Work . Description of work: J 51 `U 01a �$1°6 1115 V Av � Construction Cost: 5• UV Multi-Family Building: (Yes /No -oma tfi4 Company: 14'--17-e 5l .1 v)i ✓3 Contact: lc-- fel') ter , Address: 0 it) /4-1A)%1 I S City: Gu.✓05 c>1 lie x t StateMO_Zip: S sL,J) Phone: q52-7i q-311 0D Email:it-CI- -eg PO/I.5 P✓1J:) M St5i5/ License#: C' 1'37 gc Lead Certificate#:�w Z 2. If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING "1 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: PP*TNOTE l%ans and su a or ing` octr to # o u mi r con is d f+ k x lf% �a� ► ortio a the information may be t lasslfied as Iron-public if tl rov de sp /�fc re on �t� r"oul j t eC ;fir f• �. s,. .{/.. y�+�the„ 4 ,', 411,4 Y a �. 4. *!;^re V de s. crets. r”, `c.... �''m m.. '�.``,'S. ,a', •x:'a ` '?i. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 51u.- - Af)czA„..C.=. _ X Applicant's Printed Name Applicant's Signature Page 1 of 3 �r�© per) L°( e DO NOT WRITE BELO THIS LI SUB TYPES _ Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL I D S L Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA154299 Date Issued:03/12/2019 Permit Category:ePermit Site Address: 4120 New York Ave Lot:41 Block: 4 Addition: Stafford Place PID:10-72500-04-410 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 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 - June A Living Trust Behrend 4120 New York Ave Eagan MN 55123 (651) 688-7597 K Designers 2440 Gold River Rd Ste 100 Gold River CA 95670 (952) 894-3600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160963 Date Issued:04/27/2020 Permit Category:ePermit Site Address: 4120 New York Ave Lot:41 Block: 4 Addition: Stafford Place PID:10-72500-04-410 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 - June A Living Trust Behrend 4120 New York Ave Eagan MN 55123 (651) 387-5450 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:EA162694 Date Issued:07/24/2020 Permit Category:ePermit Site Address: 4120 New York Ave Lot:41 Block: 4 Addition: Stafford Place PID:10-72500-04-410 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - June A Living Trust Behrend 4120 New York Ave Eagan MN 55123 Ruzin Design Build 5600 Maple Heights Rd Excelsior MN 55331 (612) 558-8501 Applicant/Permitee: Signature Issued By: Signature