4129 New York Ave11?1?YL?;'l1Ul?l KLLUKl)
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number;
? Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4fi75
SITE ADDRESS: F.?; ;? :,; ? 4„ 3
??? +? ????c nv?
?: i ??? ? ?.??ti? F?? ?i:?:
PERMIT SUBTYPE:
. ?. ?
t+u ? i 1? t Nf,
(? i??i;??'F
??/? ?/?,a
? APPLICANT:
( <:1 :' ) ti??!? ?L?QiA
7YPE OF WORK:
? I
k
?.. t `?;;??`c ? y3i ?x4
T, :
?. ; ? i.._ _..?.: ...:
??
, _ _ . . ....... . , ? . . . ? > . :._..
? . ? . - : . '? :, , <. ;: . . ` ' _ , ? . ?_ _. . . ., ? 1 _ , ..?. . .x...,.?. ? ." _ ._
, .. _ -< < .3? x
Permit Holder Date Telephone #
PLUM8ING
H VAC
Inspection Date Insp. Comments
FOOTINGS
fi0UND
FRAMING
ROOFING
ROUGH
PLUMBING
PL6G
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
DOMESTIC
METER
Ifif11GATION
METER
FLUSH
MA1NS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ''' •' r% ?='
Eagan, MinneSOta 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
L!it . 4 : t=1 (1v? .
s f. rif ia YORk Avf
PERMIT SUBTYPE: TYPE OF WORK:
i;r,, .I iri 1 r, I : ? 14 1 ft i,i rFRl?tloN.
F ?
L ?
NNFIAHK?T: ANF.F'AFtATP F''CNMiI iS kFO I I lfttD FOIs ANY 1'LUMB1Nfl tOl? L'tE(i'R lt'Ai. WllRl:
Permit No. Permit Holder Uate Telephone N
EIECTRIC
1
PLUMBING
HVAC
Inspsction Dete inap. Commer?ta
FOOTINGS
FOUND
FRAMING • ?(J?-??
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
<<
Au?
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DFCK FIrJAI.
, -- ?--
I
SEWER dc WATER PERMIT ;
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE J,J_lv 1, , 1990
- OFFICE USE ONLY
METER # `3? -s PERMIT DATE -
CHIP # ?L? ?9 7 3 S PERMIT # 1'
METER SIZE ? 9,4- B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE
- PRV - BOOSTER PUMP
SRE ADDRESS ` - 29 " I Aveaue
LOT BLOCK SEC/SUB St4fford Place
I
APPLICANT: Frontier Developm#nt Corparatio^
AdORESS: 1750 Yanir.ee ?oodZe ;:.?<? '.
CITY, STATE ZIP
PHONE:
PLUMBER: Star Plcnnbia,;
ADDRESS: 1078 ?``outtd S^z-ir!gs
CITY,STATE '?loor?in?t.,:? ZIP 5'4
-?
PHONE: '
OWNER: ?•Lller. "`on/Ke11S
ADDRESS:
CITY, STATE ZIP %3024
PERMIT REQUESTED
- SEWER - WATER - TAPS
- COMM/IND '? RESIDENTIAL
? NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL, NOT be qiveg for Deduct Meters.
,?
, •.
I AGREE 01,Y WITH CITY aF
PHONE: `SfGNATURE WHEN METER ISSUED
PLEASE ALLOW TYVO WORKING DAYB FOR PROCESSING. CALL 454-52?OJ00RrIN PECTIO S FN OR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN '•''?? 1$ 164
` -' 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100 . " .,?
BUILDING PERMIT Receipt # 'To be used for 8r M`?? Est. Value $235.000 Date- 1 990
Site Ad4.?ss
Lot Block Sec/Sub.
Parcel No.
W Name - ..... . - ----- .......
? Address ^ .'
Phone
QE:I?E
" LLSE ONLY
R
T
Occupancy a-4-_ FEES
Zoning Vlt-- $ 762,00
(Adual) Const v*- Bidg. Permit
•
(Allowable) - Surcharge
* oi Stories
60T---
P
R
Length lan
eview
?
•
Depth - SAC. City
?
•
S.F. Total _ SAC, MCWCC
-
S.F. Footprinis - ?.
M
On Site Sewage _ Water Conn -qu_00 I
On Site Well 110117- Water Meter ? '
MWCC System
3LX-
ACCt. peppsit ? .
City Water
PRV Required - S1W Permit ?
Booster Pump
_
SNV Surcharge O
?
?-?
Treatment PI •
APPROVALS Road Unit •
Planner
il
C - park Ded.
ounc
BIdg.OK. _
_
Gopies
VarianCe - TOTAL i
Phone
I hereby acknowlege that I have read this application and state that the
inlormation is correct and agree to comply with all a
pplicable State of
Minnesota Statutes and City of Eagarfbrdi,qapces. ,!'
J ?
Signature of Permitee
A Building Permit is issued Io:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota tatutes and Cif ot Ea n Ordinances.
Building Official , ?` ?'•?
WATER
SEWER
PLUMBING
H.V.A.C.
Commmts
Final
Pr.
0
4? qU?f39 ?' ? //?
? r
?s 5, ? 3 ? t5
Re9uest Date
` Fire No. Rough- A Inspe2l'
(VOU musttell I equired
or h¢n reedy) Inspecfion Other Than Rough-In ?p
? Reatly Naw ? Will Notlfy,y?eclor
? Ves N Date Read
I licensed contractor ? owner hereby request inspection oi ab lectrical w D'O
Job Atltlress (Sireet, Box or Roule No.) n City
?
u..) P L
Seclion No. Township Name or No. Range No. County
I?
J? A
Ocau?p?a.(n?l (PRIN? y`} ', } L
1 1\l 1 l G1?C. V'??t (? Phone NoC. ) ?[
L -I ?
Power Supplier Atltlress
rb (A? T ? ??
Eledrical Contractor (Company Name) Conlractors Licenae No.
a ` c,? r' L? 19
Mailing Adtlress (Conhaclor or Owner Making Installation)
"I
33 ? i? w -c_
Ic, lt V,
Authonzed Signamre (ConVacmrlOw r Making Inslalla[ion) Plmne Number
1) .50 Q
MINNESOTA $TATE BOARO OP ELECTFICITY THIS INSPECTION PEQUEST WILL NOT
Gri99s-Mieway Bldg. - Hoom 5-128 eE ACCEPTED BV THE STATE BOARD
1821 Universlty Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 692-0800 11 ( ENCLOSED.
REDUEST FOR ELECTRICAL iN5PECTION #??, . EB-ooooi-os
'C d 'ji See Instmclions for completingthls tQ[[i1 on back of yellow copy. ?R
V? X" 8elow U1(ork Coyered br This Request
795 " .
?
Ne Add y Type of Building Appliances Wired Equipmen Wired
H ?j Home Range Temporary Service
Du lex Water Heater - Electric Heatin
Apc Building Dryer Load Management
Comm./lndustrial Furnace Other (Specify)
Farm Air Conditioner
Olher(specify) Conlrector's Remarks.
Compute Inspection Fee Below; gd ? L? 1 y`
# Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Am s NkOiB>1?0-Am s
SIgnS Inspactar's Use Only: '- ? TOTAL ?
Irrigation Booms Ll :.)? ?-
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MON 1
1, thfl Elactrical Inspector, hereby RO°qn-'" oate
cedify that the above inspection ha6
been made. F??ai oac •
OFFICE USE ONLY ThiS reques[ voitl 18 mOnths tmm
2 7????6 F11
? ? OFFl E USE NLY This reqoestmid 18 monlhs fmm validaflon dale pnnted in fhis b v
9? ? ??
.
PLEASE PRINT OR TYPE
Requesl Date Rough-in inspecnon rpoved2 s IG?No
r? Inspernon Other Than Ro?gh-In: 0 R<ady Now tr1 W11 Call
?
(
? lYoo mus? mll lhe inspecror when readyl D.I. Ready:
I, ? licensed coniractor owner hereby request inspedion of the above eledriml work af:
Job Addrczs ISheep Boz, or Rouk N.? Ciry C Ztp Code
pr G. L- cL
yl,
Seclion No. Townzhi Nome No.
Qfr Range No. Fire No. Co?n
?A LZ
paUparlt
?? Phone No. Q/ D
(O^ 0
A L l!/O
Pov,xr5upp r
?0. OeL Addrezs
Ele lncol Comratlo (Company Name) Comrador banse No. Maskr Lic No. (Piant Elect Only)
Molling Pddrees (Can mdor or O«nar Performing Insmllarian)
AuMonzed Signalu Conho r or er Perfyrmlg Ins ? Phone No. I
EB.OOOOIA-10 6/95 STAT6?AkUCOPV-SEEIN5fHUCTION50NBACKOFYEILOWCOPY
I II I II ?I REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of ElecVicity
? ? 1821 University Ave., Rm. S- 26, St. Paul, MN 55104 02? 3 2 6- 1Ph_?72) 642-0800 ?g 96, 00111
Home Duplex Apt. Bldg. Oiher: New Addn
Commercial Indusiriol Farm Remod Re air
Air Cond. Htg. Equip. Watei Htn Lood Mgmt. Olher:
D er Ran e Elec. Heat Tem . Service
"k' above the work covered by this request. Enter remorks in this space and on the back of the whife copy only.
Calculate Inspecfion Fee - 7his Inspecfion Request will nof be occepted wiihout the correcf fee:
OTher Fee A $ervice EnM1ance $ae Fee 0 Circuih/Feeders Fee
Mobile Home Park Sfall 0 fo 200 Amps 0 to 100 Amps
Sheef Lig./Troffic Sig. A6ove 200 Amps Above 100_Amps
TransformedGenerator INSPECTOfl'SUSEONLY TOTAL ?j
?
Sign/Outline Lfg. Ximr. C
L?? • !y? - -/
Alarm/Remote Conirol (
$wimming Pool I hereb ?em Ihat I ins ecred 1he elearimHn'sm M1 de -<reqn6n +e dain ekted
Irrigation Boom Rough-In ?
ll
di
S
i
TH pec
nspe
on
o
Investigative Fee
IS INSTALLATION MA Final
Y BE ORDERED DISCONNECTE T
18 MONTH . J
? - CITY OF EAGAN NO 18164
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, M N 55127
PHONE: 454-8100 pI
?
-?
BUILDING PERMIT Receipt a I '? "I 1
-
Tobeused(or SF DWG/GAR Est.Value $135,000 pySe JULY 19, 1 990
Site Address 4129 NEW YORK AVENUE
LOt 43 BIOCk 4 SBGSUb. STAFFORD PLACE OFFICE USE ONLY
R-3, M-1
PBfCBINO. Occupancy FE FS
a
FRONTIER DEVEL CORP
Name zoning
(AcWal)Const
Vn
BIdg.Permit
$ 762.00
o Address 1750 YANK.EE DOODLE RD., #202 fquowaoie) Vn h
S 67.50
EAGAN 454-0433
City Phone #o(Stories
- urc
arge
495.00
6W! Plan Review
Length
p Name SAME Deplh 30-L-- SAC, City 100.00
,
?a Address S.F. Tolal - 600.00
m
City Phone
S.F. Footprints
- SAC, MCWCC
625
00
Water Conn .
On Site Sewage _
W w Name on sne weii Water Meter 90.00
s?
0 Address MWCCSystem XX 30.00
?
X? Accl. Deposit
ew City PhOne CilyWater S/W Permit 30•00
PRV Required _
1 hereby acknowlege that I have read this application and slate that ihe Booster Pump - SiW Surcnarge . 50
information is correct and agree to compty with all plicable Stale of
0
252
Minnesota StaWtes and Ci1y ol Eag rdinances. Treatment PI .
0
Signature ot Pefmitee APPROVALS Road Unit 355.00
A Building Permil is issued to: FRONTIER DEVEL CORP Planner - park Ded.
on the ezpress condition that ali work shall be done in accordance with all Council
applicable State ot Minnesota atutes and C? of Ea Ordinances. Bidg. OfE _ Copies
? $3 r 407.00
Building Officiai
Variance
_
TO7qL
3
651 379 1991
-SEP-18-08 08:09AM
FROM-Restoration Professfonals
City of Eaian
' Pilot Knob Roatl
in MN 55122
^
+e: (651) 675-5675
(651) 675-5694 if
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
651-319-I991
T-281 P.001/006 F-305
Date• Site
Tenant:
SuRe #:
/OWNER Name;It:A?uaJ,ac-, ,Phonc•:
Address/Ciry/2ip:AMq iiQw q7r?c_ Ottg.
Applicant is: O_C_ pyrner `COntractor .
TYPE O WORK Descrip[ion of work: =M S?yyc*kgr`
L ConstruetionCaslMWti-Familyl3uilding:(Yes_1No__) ,
Name: Ps-stYsY ' 4„r? i
- itense #: _?,) 3 q ly ? l.? ?
Addr055: : State: ?p:
?'ry?
?G512S .`?
i
Phone: :5I - y ZContactaerson:?SCr?
COMPLETE TH1S AREA ONLY 1F CONSTRUCTING A NEW BUILDING '
_ Minnesota Rules 7670 Cateaorv 1 Minnescita Fules 7672 Etle?g Cod@ . ResieenLiat Ventilatlan Category t Werksheet ~. New Ene`Code Worksheet
Ca gory Su6mlttaa ?`
Submined
(4 Submi ion fypC) • Energy Envefope Caicula[ions Su6milted '
in ihe last t months, has the City of Eagan issued a permit for a similar ptan based on a mastE r plan? I
_Yes No If yes, date and address of master plan:
Licensed PI mber: Phone: ?
0.4echaniCal nfractor. Phone:
Sewer & Wa r Coniracror: Ahone:
;?A1Y07?' P, ns and su poryng documents that you sObm{t are. cobsade?ad to ?be pu6/x ,,g?f??d?takory Porlwns of.?;.
R t?ie 7fefo: Noe itt8 ,6e'crassff{?tl as rion publ(c'if yoY} pro,ylde spea7flc iepsOn"s that wpir/dpe?m(E`the CHy lo ;'t F; ? •f'?' T . _a , G i.
:;?..cona/ude,'th'atthe
.?v:..
I hereby aaeno edge that this information is compiete and accurate; that the wonc win be in conformance with the ordinanaes antl eodes of the Ciry ol
Eagan; tbat I u dersland this is not a permil, but only an app7icalion lor a Aermil, and work is not to stan witbcul a permii; ihat Ih(t woAC will be In
accordance with Ihe approved plan in Ne =se ol work whieh requues a revlsw and approval 01 aans.
x L.aLA L
x
Applicant's P?inted Name APP ant•g i4n re ?
PdgB I O( 3
j Fx' ' - "__7
I
P:rmit p:
? I
? P frtnit %ec:. i5) I
t
? D91e RnCOived: i I
I
1 ?
I ---'------???-- _?
SEP-18-08 08:10AU FROM-Restaration Profassionals 651-378-1991 T-291 P.002/006 F-305
?
DO NOT WRfTE BELOW THIS LINE
SUB TY ES -
? Foun ation O 05-plex ? 1$-plex ? Accessory 6uilding ? Pool .
? Singl Family ? 06-plex O Fireplace O PoreD (3-seayun) ? Ext. AIL _ Multi
? Oi of Plex ? 07•plex ? Garage O Porch (aseason) d Ext
Alt
- SF :
? 02-PI O 08-pleX D DeCk O Parch (sueeNgazeboip:rgola) .
.
? Multi Misc
? 03-P! ? 10-pleX L] Lower I.evei ? S[orm Dalnagg :
p 04-Pi O 72-plex V Miscellaneous . . .
WORK PES ?
QNew ? Interior fmprovemenf O 5iding ? Oemolish Building'
O Additi n ? MovO Building 0 qeroof ? pemolish Interior ;
? Alterat on ? Fire Repair ? WinQOws O Demolish Faundation
C] Repla ment p Egress Window Water Demage
' DOmolition (entire tuildinJ) - give PCA handOUt lo apppcanl
DESCRI ION:
Valuafion pccupancy MCES System
Plan Revie Code Edition A401 2CU:>1 SAC Units
(25% 140%? Zonin9 Gty Water
Census C
e ?
Storles Booster PumG .
#of Unhs Square Feet pRV
# of Buildin 5 Length Fre Sprinkler:.
Type of Co st. Width •
REQUIRE INSPECTtONS
Footi
? (new bldg) Sheetrock
Footi (deck) ' FnailC.O. .
Footi (addition) ? FinaVko C-O.
Foun
? on HVAC -
Draln ^ Other.
Roof: ice 8 Water _
i Finaf , pool: Faotings _AiriGas iesls Fnal
FYemi
? ` Siding: - Stucco 1.2th _Stone Lath Brick -
Firepl :qir Test Fina l Wndows
Insula - Retaining Wall
Reviewed y:
m IA O/Af , Buildina Insoector
- --°---------•-°------•_••-----•--°-----...------...--------------------?------------•--------°----------
E AL FEES:
Bas Fee
Sur harge
Pia Revlew
MCI S SAC
City AC '
Utiiit Connection Charge .
S$W Permit & Surcharge
Trea ment Plant
Copi 5
Tota
Page 2 of 3
PERMIT
CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suzLorNs
Permit Number. 032929
Date Issued: 0 8/ 17 / 9 8
SITE ADDRESS:
P.I.N.: 10-72500-930-04
.:?
DESCRIPTION:
1._, REROOF/ 570RM DAMAGE
Bukldin'?;Permit Type STORM DAMAGE
B,uildingWork Type REPAIR
,6u*rS?su.s Cfrde434 ALT. RESIDENTIAL
? n1
'_
? , ?
REMARKS:
FEE SUMMARY:
CQ?NTRACTOR: -
AZ EC ROQFING
1444 CLIFF RD E
BURNSVILLE MN
(612) 895-0040
4129 NEW YORK AVE
LOT: 43 BLOCK: 4
S7AFFORD PLACE
Hppllcant - sT. Lzc. OWNER:
18950040 20139140 5ALCHERT FAITH
4129 NEW YORK AVE
55337 EAGAN MN 55123
(651)686-4689
I hereby ac:knowledge that I hav2 rsad t'his app7.ication and state that the
informstian is c8rrect and agree ta comply with all applicab7,a 5tate ofi Mri.
Statutes and City ofi Eagan Ord3nances.
APPLICANT/PERMITEE SIGNATl1RE
? ?'?
-?JISSUED BY: SIGNAfURE
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PII.OT KNOB RD - 55122 ?O
681-4675 ? 2 ?
New Construction Reauiremants RemodeVReoair Reauirements
C?
• 3 registered site surveys
? 2 coDies oT plans (inGUde beam & window s¢es; poured fid. design; etc.)
? 1 energy plalations
• 3 copies of tree preservation plan H IM platted after 717/93
required: _ Yas No
DATE:
DE:TADDRESS: PT N OF WORK:
ST I??Zq ? %,- ?U` '
? 2 covies ot plan
? 2 sRe surveys (exterior additions 8 tlecks)
? 1 energy calculatlons for heated adtlitions
CONSTRUCTION COST; 5-7 M •00
ti,C , -
LOT: L 3 BLOCK: i`-?_ SUBD./P.I.D. #: 1?-C-?-
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: JGLI C.h Q'. ?+ rcL1 7,` Phone #:
Lazt Fim
Street Address: Lf / z % ' v Z W YQp-1k ' ? VE-
City State: V Zip: 3517-5
ie #: 7S `7? ?' /D
License #
n? ' V/?
City ? ? / ULJ 1c //Z State: MA) Zip: ?
Name:
Street
City
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the infortnation is correct and agree ta co pry with all applicabl
Sfate of Minnesota Statutes and City of Eagan Ordinances. ? ?
A
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Requir ,.
Phone #:
RegisRation tt: _
State: Zip:
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
027212
03/29/96
, SITEADDRESS: P.I.N.: 1e-725ee-43e-04 APPLICANT:
LOT: 43 6LOCK: 4
4129 NEW YORK AVE SALCHERT
STAFFORD PLACE (612) 686-4689
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH
MATT
ALTERATION
INSPECTION
FRAMING D. .
INSULATION D.
ROUGH IN PLBG FINAL
REMARKS:.A SEPARflTE PERMIT IS REQUIRE? FOR ANY PLUMBIN6 OR ELECTRICAL WORK
? ?. ? ? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
p.I.N.: 10-72500-430-04
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4129 NEW YORK AVE
LOT: 43 BLpCK: 4
STAFFORD PLACE
c/zo 'T?Lg'! 9
BUILDING
027212
63/29/96
DESCRIPTION:
BASEMENT FINISH
ALTERR'TION
434 AL7. RESIpEN7IAL
?6 ?`z% 4,? ?"a?? , ?` ??
',?"n 'ro-'`. ?.u'.,, Ttzis ?u
REMARI(S:
A 5EPARATE PERMIT TS REQUIRED FOR ANY PLWMBSNG OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Rpplicant -
SALCWERT MATT
4129 NEW YORK AVE
EAGAN MN 55123
(612)686-4689
?
h 3!?°
S e?r.€b?r ? ck€io0l?+dc??? ?l?aty ?? ?iyea reati ,?Fris epp??c???c?n ??atd ?.tate ?h???H?
'?irifq`rr?rat3;ttYi s',? etrr?r?c? ?rr_c? ',?g??? ta etinVply +???tth e?l 4pP-1 1-f?b'?? ???Ce afK M.n..
dYV?? `-{'+??? CArf EcFC?i?C'E
( ? ? ?t' 6M1 p§
? . _ ........ [ v ? rcal.. ......... / s a aa?...} ..v. _ ........?.?........._........a. ..... . , t . a = ?
fim Lb4 ( A
ISSUED B SI T R.
?
T.J O°-? O
CITY OF EAGAN ?3r?q
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
New ConstrudioaHeouiremeats RemodaVReoair Reauiremea
? 3 registered site surveys ? 2 eopies of plan
? 2 copies at plans (fndude beam 8 window sizes; poured fnd. design; etc.) ? 2 sRe surveys (exterior additions & decks)
? 1 energy calculations ? t energy calculations for heated addllions
? 3 copies of tree preservafion plan H lot plaHed after 711193
required: _ Yes _ No
DATE: A*G? CONSTRUCTION COST: Aopra&
?
DESCRIPTION OF WORV
STREET ADDRESS:
LOT ? BLOCK
? P l D #- iO]a. So D? 3no'f _
PROPERTY
owNeR
CONTRACTOR
ARCHITECT/
ENGINEER
Name: -'Eso_1 "er o.t+ Phone #:
yg} FIP8i
Street
City: Eo. State: ?.
Company: Street Address:
City:
State:
Zip: SSI013
Phone #:
License #•
Zip:
Cvmpany: ? Phone
Name:
Street Address:
City:
Registration #:
State: Zip:
Sewer 8 water licensed piumber: Iu/i4- Penalty appiies when address change and lot
change are requested once permit is i sued.
i hereby acknowledge that I have read this application and state that the information is corre and agr to ply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. `. j ?A7 4 _
Signature of Applicant:
OFFICE USE ONIY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
6 99; `
No -
No
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS DF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQIIEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
tiOTE:- ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
v? Jllt 18 RECO
To Be Used For: SFD GAR Valuation:
Site Address 4129 New York Ave
Lot 43 Block 4
Parcel/Sub Stafford Place
Owner Frontier Development Corp.
Address 1750 Yankee Doodle Road, #202
City/2ip Code Eagan, hIN. 55122
Phone 454-0433
Contractor Frontier Development Corp.
Address 1750 Yankee Doodle Road, #202
City/2ip Code Eagan, MN. 55122
Phone 454-0433
Arch./Engr. In-House Dave Rysavy
Address 1750 Yankee Doodle Road #202
City/Zip Code Eagan, MN. 55122
Phone ri 454-0433
Date:
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
LengLh
Depth
S.F. Total
Footprint S.F.
R 9 M-i FEES
R-I
\/-N Bldg. Permit ?6Z,OCJ
V_/./ Surcharge
Plan Review ? ?O d
D' SAC, City 00,00
?p snc, Mwcc 6D0- o
On site sewage_
On site well
MWCC System
City water ?
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. 7/jq
Variance
_ Water Conn 26 510
?
Water Meter q0, 00
Acct. Deposit 3D.00
S/W Permit 3D,oo
5/W Surcharge •50
Treatment Pl. 25Z,00
Road Unit 355, OQ
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
fs??
. _, -. VA??j?'?r???,
.
&A
--,
Z4x2Z= SZ'a
4 XR=
_-----°--
?tjta rl
P S
---___
3h x3o =
7ky =
I sr F'LoO 2
It??
Z?
I lo? x ?4 - 15"12P?
13= ?rvq x 51 = SGSZ)d
?
?6?c3os 1c??6D ?r 51 = 550
I 3?12a?
. ,
r' P
Swrerlorts G'ert?ficritc
$URVEY FOFi: Hrontier Companics
DOSCRIBE9 AS; Lot 43? ?lock 4, STAi'FORD F'LACE, t:ity of P,;igan, Dal<ota
(.otmty, linnesata and reservinp e:isemettts of recnrd.
1 1
L 1r; ?
A ?l
8 a
N84'
o' 00'p0"W 141.28
s
? -- - - _ -
- -
?
°`
i I $f -
--
3
?^ I i ?
I g9? 30.00 4'
d
? I . `
Vrepoae0
w J , =
? rszary o
d
C, I •?--,?.._ ?.s
m° „
z I
? ? r
$ o
I 91 NBarig@ n I$
? ?I
m
?1------- ?
- ?
- - - - s
s 22.00
?
_4?
?
112.1 N90' 00' 00' E 162. 13
30, 00
I -P A A
( C-7 T
ro(
"I v
PNOP09ED BLEVATIONS
sO. Foo rArE' =
vX
? ? .
b
Top of FoundaNon ¦ 1012,5
Oelepe flOOr 4$91.1
Batemon1 Floer & gg4.9
Appreji. 9twor Svtles Ekv, a $79•4
Prepesed EIevallen@ I Q
CxuNnp Elwellam .
o.olnaa. oi.•enen• ....;...
Oonefee OHSet Steke r (a
v
m n ??
r+ LL? ?
? `J r
? 66
\ M_
I ?
„
0
, o
,%%.A
A=9. 90
N=20,00
e-2e'zi' 27'
?I
kl
.7OI
?I
? le z
o ?t'' I
'--37.25---- W'
$9p `25
13, 862:?:
Fr
r ? tQ -
. EAGAN
N
SCALE: t Ineh . 30 flett
I1VG DEPT
B NNAFiK- YNH (D QO?qI??
En.loF C?.t - de -See Ple+ ? g90.54
MIN. BE??O±RE?
itent ? 3o HeW? Sld? - fo
p?er ?? S Oataq Sld?- 5
I Mnly extlry Inel MN wrwy. Plae a ryxl xes InpeNd h? Joe NO„
/?IEDLt/IIID w unMr ?ny dtreet suprvbNn an! Ipef t nn 0 Nlr MNolerN 902- 239
le" lurrelar unAu Mo Mn of Mo o1s1e of Mlnn1064141.
Plann/np Enp/nssrrrp S?Irp ?oonr s?o??
?
owe 107
2+.+w wM
oqN 7• 4.9a tAWInl ? 70Dwo. 7CNN:,
R,?? 7'ln•q0 "Im FfIlkC3
,w, r,aMrurnrrarv 3J4" ?uc.?I- ?? 14-
' OWrIER:
nnrr : ?- ?`?= 69 ?SITE AOORE55 /'? aworiE : ;:?ZanJ719?2-
• '1 . _ 1,? ?I S1ArC=?:? 7
R.Ar.?,?
CONTRACTOR: C r-r., ,l-.a *• r PLFN # ?-ra ?i=or?? Z?-Cc
Det:rmine working square footaye o` each
l . Sq• rt. z .11 =
d wall area
s Z? Q
l. Tota ....
e
expo
l . s?. ft. x.026 =
area
eilin
f/ Ti? ,q 1
2. Tota ....
g
c
roo
rotal exposed wall area above floor=_
a Total wall window area ........................................... IZ2.(?
.
b T
l ....................................
ea
d 38
. ota ..............
oor ar 32
c. Total sliding glass door area .................................... .
d l
T
...
.................................
lace wall area
fi 4
.
. ota ....
rep
.
IOS) i$ 55, 4 '7-
e. Tota1 .........................
...
wall framing area (average
f T
t
l ....................................
joist area
i i:1??
. o
a .........
m
r .
1 C
g. net wall area above floor ..................................... ?
h ....................................
ll area above floor
. .
wa
i ...................................
ll area above fioor
. ..
wa
`ouncztior ....................................
ea ar
ll
f
j. _
rame wa
ar
Total exposed foundation area= 3 z+ ?
k. Total foundation window area ....................... ?
l. Total net foundation area above grade ..............
Determine "u" value of each.wali segment
(e.g. window, door, each separate wail section)
a. 1 :2- .c, X „u„
? b. 38 ? x „ul, ?? = -18 ?
,.
? c. 3214 X „V„ 7 = 15,22
X
x??U" ? I I = 2t7.-l3
f. X????? ? 0?'? = 5? Z.
y. X„U„ n 5 = B? .,g
h.
i.
k.
1 . -'> ? ' •
X ?1 V
x 11 u,l
;x „U.,
r 'Ull
3 . ........... ...................... Tuta l
If item --'3 is the
as, or less thar i
21, you have met c.
intent af SBC 60C5
°>:cnrior Envelo0c Average "IJ" ConputaCio?i
?..?_
, Tota1 exposed roof/ceiLinq area
?
• m. ?b tal skylisht area ............................
n. Tota1 rooc/cci.in, framinq arca (avcr.arIc 1W ... 1
o. ^•otal net i.^.sulatcd roaf/eciliaq +xrea...........
Determine "U" valuc for each roof/ceiling segnent
M. X
n. 1 U I?(i' - . --
C;.
?1 I LI, 4
X „U„
4 ........
.............
...... 2bt-al - Zo, '] 3
total cf -#4 is the sane as, oz less t:nan 1{2, you have met the intsac of
ialternate Buildiaq Er.velone Oesign
To _ ilize the total envelooe'system method, the va2ues established by the s:ua of
items „3 a.zd -a sha11 not be greater than the sum of items nl and II2.
LO':j + z. ZCa ? N( = zLf Z, S-
s. + a.
` LSPIE.?L. F'?,T EXP0 5ED WALL
B[ACK: C> ? ?
IQ?i?: ( ? J
w.o.: --
FiLL Z: l3?
FUI.S, z : r
PIAN #
FIR'PLACE; : ? ? . .
RIM.:
^ SQiJARE FE"cT EXPOSE) WP.LL AREt? .
ELOCx:
K4iM; ? j Q x 5= (.a S'_
W.O.: x 8 = -.
FfJLL 1: x 8= ( t? y .
- Ff]LL 2: _ x 8 = --
- ' £IFtEPLACE: L? X q= r--(. ? .
" RIM: x 1= l 3 ?
130 .
TOTAL
l°lco`f,?
? SQUARE FEET EXPOSED CEILING ? o yzm3m ` Dooxs 3 8 -
+ ry r
Z-I 3 C- G> c.. _ ?.; •=' ?
PATIO DOORS 3 Z , q
? ?. . ? , ? • 2. 8
- * aasE= urrrrs
;1?: • , ,r ? o.?
1%?.v
r For Office Use
, i :::;ee'
I
:
/ D-
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsacitvofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
,vQ /
Date: CJ ' ' ( 7- Site Address: V / 2 ! / / d I. irc AO 4 Unit#:
Name: 410,1" t J-64 k'^50-v\ Phone: ( S i 3 - ) S 2.7'5
Resident/ V i Z �
�/0 /1-C 14-()(
Owner Address/City/Zip: j 7Ne.,,)
Applicant is: Owner ,\ Contractor
Description of work: (Z.40 f
Type of Work
Construction
n �Cost:
/� Multi-Family Building: (Yes /No )
Company: 4.4. 7 r�o pct✓r� Contact: /z<7 9 f 7 - 7 I Q - v gg
-71-
Contractor Address: 0 6 0 / 11.n�c.I 2 0 City:
State: ILI NZip:• 5 LO Phone: /CI 11° tI 7/V Email:
License#: 1-DC 6 1 0 " Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of theifonnatipg may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.aooherstateonecall.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
thecaseof work which requires a review and approval of plans.
Applicant's Printed N e pplicant s Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155992
Date Issued:06/11/2019
Permit Category:ePermit
Site Address: 4129 New York Ave
Lot:43 Block: 4 Addition: Stafford Place
PID:10-72500-04-430
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 -
Harold W Johnson Jr
4129 New York Ave
Eagan MN 55123
(651) 373-5995
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature