4132 New York Ave?. . ??.-...:?.? . . ? .?ym.'?• . . . r . _ ?v}.: R`" . . ??y
_ qf
. CITY OF EAGAN ;42 18000
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-81 00 '
, / }J
BUILDING PERMIT Receipt # t
:-=
DIM
$1,000 Jun 1: ?
To be used for
Est. Value Oate , 19
ss AVZPM
Site Ad
fo OFFICE USE ONLY
Lot Block Sec/Sub.
Parcel No. occuvancy - FeEs
A Zoning :Z s.?
W Name (Actual) Const - Bldg. Permit
3 Address S$M
(AOowable)
-
5urchar
e
so
?
° City
Phone ?Y oi Slories g
-
, Plan Review
Length _
o Name Depth - SAC. City
,
?Q Address S.F. Total -
C *
N=Nz SAC, MCWC
? Clty
Phone S.F. Foatprints -
Water Conn
On Site Sewage _
?
F W
Name
On Site Well
- Water Meter
? AddreSS MWCCSystem -
v A?? Desit
P0
a W City Phone City water -
SNV Permit
PRV Fequired -
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W gurcharge
information is correct and agree to comply th all applicable State of
Minnesota Statutes and City of Pagan Ordies.
, ? " Treatment PI
.?
,-?r. : .,. 4' ' " ••-•??
Signature of Pertnitee '
APPROVALS
oad Unit
A Building Permit is issued to: _??S CONS_ Planner - Park Ded.
?
on the express condition thal all work shall be done in accordance with all Council - ?
applicaWe State ol Minnesota Statutes and City of Eagan Ordinances. Bldg. Otf. _ ?OP'? ?-
Building Official Variance - TOTAL
, ,,... , ..?. .
• Permk No. Permk Ho1dK Date Telsphone N
WATER
SEWER
PILIMBIWCa
M.V.A.C.
ELECTRIC
Mspection Date Insp. Comments
Footings I
Foundation "
Framing
Roofing
Rouo Plb9-
%+9ti m9-
Isul.
Freplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspaclor - Notify Plumber
EngrlPlan
Bidg. Final
W
Deck Flg. A?
Deck Fnal
Well
Pr. Di5p.
CONTRACT PRICE:
Site Address `/ '' % ?
Lot Block ?
. ,•?, l " '+
? Name
a?
? ?
m Address •"
''' °"
c City 1 "1? Phone
Name
c Address ' ?? • ' ?F. ' ?
p City Ph ne
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - FES. 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)
_ ?' i? `i • ? ; .f r%!.'??'
SIGNATUfiE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT t? y 12 ?- f
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PFIONE: 454-8100
?- ?' ' BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. ? New ?
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES -TOT,AL
?Water Closet - $3.00 ?
Bath Tubs - $3.00 ?
Lavatory - $100
EShower - $3.00 ? • ? -
Kitchen Sink - $3.00 ?'• n
- 13.00
?Laundry Tray - $100 ?
Floor Drains - $1.50 `
Water Heater - $1.50
Whirlpool - $100
? 7- Gas Piping Outlets - $1.50
(MiNIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 _
?Rough Openings - $1.50 `
FEE:
STATE S/C: `
GRAND TOTAL• ??` ` ?
r7 ,
i..
CONTRACT PRICE
Site Address ' %3
Lot Block SeclSub
• ? ;.;/ ?.?t{i, ?,
IName
? Address ? ? ? { ' ? ?,V.? " t? ' ? •
c City £FiGt),J Phone
D
Name t P ti rli E; ?I
t c Address /D1
?? v i; L?• 1 £r":'
0 City ? .,)
?,,;,.,/ .
Phone ?
TYPE OF WORK
Forced Air v,=J M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets # '
Other
FEE:
r S/C:
TOTAL
PERMIT # /?? 2G? y
MECHANICAL PERMIT RECEIPT # 2
CITY OF EAGAN
3830 PI
LOT KNOB ROAD, EAGAN, MN 55122 DATE PHONE: 454-8100
BLDG. TY
Res.
Mult
Comm.
Other
WORK DESC}1PTION
New _1.N
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
? `. ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT)
COMM/IND FEE - 19'o OF CONTRACT FEE
? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
$24.00
6.00
1.50 EA.
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
_ra (ADD $.50 S/C IF PERMIT PRICE GOES
BEYONd $1,000) .G; ?:•
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN 1, '1 Ari
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value ; 14, 0;h • Date _tI S.. 119 ..-
sz'Ar-FCRn eL1?ce
N o.
City
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 Ciry of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:.
on the express condition that all work shal I be done in accordance with all
applicable 5tate of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official _
On Site Sewage OccupenCy
MWCC System Zoning
On Site Well (Actual) Const '
City Water (Allowable) V"
PRV Required at of Stories
Booster Pump Length
Depth
S_F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge 41 • ` ' `
Council Plan Review -- 7 5•'•
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn. `
Water Meter -
Road Unit
Treatment P1 ??^?•iii?
Parks
TOTAL
• F?•' •`1
Permit No. Psrmit Holder Date Tslephone it
Plumbing C?,1-2?
H.V.A.C. L U
Electric
Softener
Inspactfon Date Insp. C01Y1m@nts
Footings I ? 41-)k
Footings II
Foundation ?-
Framing
Rooting
Rough Pibg.
Rough Htg. s
IsuL
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Finel
Well
Pr. Disp.
q_ . •w?,:t._;F,..'F' _
PERMIT #
t PLUMBING PERMIT
• CITY OF EAGAN RECEIPT tt
r 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE:154-8100
BLDG. TYPE WORK DESCRIPTION
ress 1 r ' 7
Site Ad?
?
Lot Block SeclSub
Name r?
? Address
c City _ '' ? ? 'x?• Phone
Name ?
?
c Address
p Ciry P h o n e
?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAI 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)
Res. New
SIGNATURE OF PERMITTEE
Mult. Add-on ?
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Ic (MINIMUM - 1 PER PERMIT) ? -
Softener - $5.00 .
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CtTY OF EAGAN
BUILDING PERMIT
`
To be used tor DECK
CITY OF EAGAN N2 1800'0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 C+/_ /'1 ,
? Receipt # ( - Zs(L ( o
Estvalue $1,000? Date 1UNE 12 79 90
Site Address 4132 NEW YORK AVENUE
Lot 38 Block 4 SeGSub. STAFFORD PLACE OFPICE USE ONLY
P8fC81 NO. Occupancy - FEES
s
MIRE 8 PATTY GLASS
Name zoning
(Actual) Const
- Bldg. Permit
25.00
?
o AddfeSS SA14E (alowable) - Surchar
e .50
City Phone 6AA-7942 aotStories g
_
Plan Reviaw
Lenglh _
o Name STAN' S CONST Depth - SAC, City
oa Address 3315 92ND LANE S.F. Tolal
-
C
WCC
?ity BLAINE phone 786-1105 S.F. Footprint5 , MC
_ SA T-
Water Conn
On Site Sewage _
? W Name On Sile Well - Water Meter
Addfess MWCC System -
o? Acd. Deposit
iw City Phone Cirywaler -
i
R
R
d S/VJ Permit
re
P
Y
eQu -
I hereEy acknowlege that 1 have read Ihis application and state that the Booster Pump - SIW Suroharge
information is comect and agree to comply ith all applicable State ol
Minnesota Stalutes and CitY Ea9an Ordi es. 7reaxnent PI
Signalure ol Permit@e 0/A?rLDN^? APPpOVALS Road Uni[
A Building Permit is issued t0: STAN' S CONST Pla""ar - Park Ded.
on the express condition that all work shall be done in accordance with all Council - 1.50
applicable State of Minnesota alutes and City of Eagan Ordinances. Bldg. OII. _ Copies
$27.00
Building Oificial 24, ?t'.i?_ Variance - 707AL
?
This reQ?est voitl?l/ /.??
18 momhs from O O ?? ?P 4
E 45239,C3?../??_. ????..,?? ?'?"?°?
Re. t Ua
/
r, S' g ire
? Flough-in InsVection
Nequrte ?
? ,..,?'?,?/
OReatly Now y?+Ti? N
n?itY Insuec
1ur Wh
R
-
?NO en
eady
[y.CiCenseC Elecvical Conhacmr I hereby requast inaDaction of abova
? Owner electrical work installed et
Street dr ss oz or Rnute No. Ci1Y ? 9)"
ecti n o. Townshl Name or No. ange o. Cnunty ,? /?
% ll
\7 -/
/ L /
-'?`^
OccuOant (PRINT)
' Phone No.
.?
-a ,t33
PO r Suppli,``GM? /
% %? Ai
? :/K/ "V AAdreSS
EI c i c (1 Cgnva??s License No.
Mailine s t or w er a me nstailationl
APPLE VALLEY, MN 55124
Authorized SiAnamre IConvaclodOwner Makiny Installation) Phone Number
MINNESOTA STATE BOAXD OP ELECTRICITY THIS INSPECTION XEOUEST WILL NOT
Griggs•Midwey eldg. - Noam N-191 BE ACCEPTED BY THE STqTE BOAflD
1821 Universitv Ave.. St Paul. MN 55104 UNlESS PROPEH INSPECTION FEE IS
Pnone16121642-O80a ENClOSED.
?/i8f8g
45239
REQUEST FOR€LECTRICAL INSPECTION EB-00007-06
' See instwction4.lor comDleting this form on back of Yellow copy.
-- "X"-Below Work Covered by Ihis Request
Tvoe ot 8uiltling Apolinncee Wired 'Epuiumenl Wired
Home Ranye T orary Service
Duple.x Water Heater Liyhtiny Fixtures
Apt Buildino D er Etectrii; Heabn
Commercial 81dy. urnace Silo Unloader
Industrial Bldg. Air Conditioner Butk Milk Tenk
Farm +ner Pcci v nme,
1Mr SpecifY Other Olh.r
Compute lnspection Fee Below _
p Fee ServiceEntrenceSiae H Fee FyAtlers/SUbfeeders # Fee Ciralts
0 to 20O Am s 0 to 30 Am s to 30 Am s
Above 200 qmps 31 to 100 Amps 31 ta 100 Am s
Swimming Pool A6ove 100_Am s Above 100_Amps
Transformers Irngation Booms Par[- ee
Signs Speciailnspection S
OTAL F E
Nemarks ?
Rough-in me
al
Q nspeclor, hem6v
c iitv inet +na aoove
F1nal DA1e nspection has been
, /G -IU
mie reyuast voltl 18 moniM from
: CITY OF EAGAN N2 15 3 4 2
3830 Pilot Knob Road, P.O. Box 27 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDINGPERMIT Receipt# QZ) ILI //
To be used for
Site Address 4132 NEW YORK AVE.
Lot 38 glock 4 Sec/Sub. STAFFORD PLACE
Parcel No. .
a Name FRONTTFR M DWFST HO FS ORP
w
; Address 3902 CEDARVAL.R DRTVF.
° Ciry F.AC.AN phone 454-0433
FD/GAR Est.Value $94,000 Date .)rri.v 14 ,19$$__
¢ Name_
0
?Q Address
City_
1- ,
U w
wW
?Z
x?
a=
aw
Name_
Address
City_
1 hereby acknowledge that I have read this application and ate [hat the
information is correct and agree t/ with all a0P c le Sta[e of
Minnesota Stetutes and City of Ea n O inan
Signature of Permittee
A euilding Permit is issued to:__FRQNTIER-MLDydEST--HOMFG
oniheexpresscontlitionthatallworkshall6e oneinaccordancewithall
applicable State of Minne o Statutes and y af Eagan Ortlinances.
8uilding Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSyatem X Zoning
On Site Well _ (ACtuap Conat
Clry Water X (Allowable)
PRV Required _ # of Stories
Booster Pump _ Lengfh
Depth
S.F. Total
Footprint S.F.
APPROYALS
Engr./ASSess.
Planner
Council
Bldg. Off. Variance
FEES
Permit
Surcharge
Plan Review
snc, cty
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3,M-1
R-1
VN
VN
$559•99-
47•.QQ
275.nn
1nn"pp_
-55(1 _ fln
5 S0_ pQ
-67-.AO-
In..88-
224.QQ_
$26 ^4
? i
7988 BUILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
1,5 ? +)--?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT6L ONITS FOR SALE UNITS 0 OF IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.0
1 SET OF ENERGY CALCULATIONS
COhIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?,-
To Be Used For: ?(?? ?N37nUfT101? Valuation:-09"'?B? Date: 6?/ial g?
Site Address 13a I1F-IA) Ypi2K AyF
Lot At Block 4
Parcel/Sub STRFF02D PLRGE
Owner L-RSS, Nl iCWR E t- f P{}1-R IeG!}
Address I aa5 TCFFEiesoN AdE .
City/Zip Code ST• PA L'1.1.;,pg/IIJ 55105
? l? pp o OFFICE USE ONLY
On site sewage _ Oecupaney
MWCC system ? 2oning JZl
On site well Actual Const I/IY
City water _
v Allowable 1/41
PAV required # of stories
Booster Pump _ Length -t7r_
Depth 3 el
S.F. Total
Footprint S.F.
Phone I 699 -a(o43
Contractor Frontier Midwest Homes Corp
Address 3902 Cedarvale Drive
City/Zip Code Eagan, Minnesota 55122
Phone ? o5?33
Arch./Engr. Phillips Plan Service
Address 14530 Pennock Avenue
City/Zip Code Apple Valley, MN 55124
Phone # 432-2044
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge Y
Couneil Plan Review
t?
Bldg. Off. 7/(2SAC, City /00
Varianee SAC, MWCC SS9
Water Conn SS`o
Water Meter ?
Road Unit z S
Treatment P1 z?
Parks
Copies
TOTAL ? a $•00
20
?-?Z
•'t?X /?
B?S,r 13
?st
&?f dGS
3/
?'9<
Z h 0?
Z y?-
?
c/j ?oy
.?.----
? S ? V2
1
wn ?'
Nedlund Engineering Services 9201 East8loominqronFranway
8loominaton, Minnasoro 55420
Land Surveyors Clvil Enqineers Land Planners Phone: 888-0289
AV surre#or?s ?ertlf "?cate
JAVI BOOK _ PAGE JOB NO. 69L
SURVEY FOR: Frontier Midwest _T?omes Corporation
QESGRIBED AS: Lot 38, Bloclc 4, S'I'AFFORP, PLACE, City of Eagan, Dakota County,
?Tinnesota and reserving easements of record.
24.
I v 25
1
?
? a
?
25
TOP OF FOUNDATION = 3'Za
GARAGE FLOOR = 8°?
BASEMENT FLOOR = ? a =•'
SEtiYER SERVICE ELEV. =
PROPOSED ELEVATIONS
EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS :-.--?
DENOTES LOT CORNERS : o
? DENOTES OFFSET STAKE: o
qa.: s
I I = _ ' ? ?
I f??'?- I M P"?aa I
( Q90.b N
113 ? iZC -i? m
o a.s I i
y 383.3 I ? ? ?
I DllJL
k- 22.33 .
1 ?
k
v.3 I ' ? O
? ?? d ? IS
aao.?' O?j0 ?.F' ? 7I n,
? -
- ?
L_ ? ? / BTT ?
i
CERTiFICA7E OF SURVEY A?7 F? ??p ?7??r 7???p?+
I hereby cartify that fhis survey,plan or 'e??t"`Wo3"p?"iit?e°d?°rhl?'°br°QrYCaf my diroct
superrision and lhat I am a duly Repistered Land Survarar under the laws of iha
State of Minnesota.
= oate: _ ' / " / 5?
Iqren , l.;cense No. 14376
7-
?
93 6
aa< -
T ?
x 38 2.'
?
EXTERTOR ENVELOPE f1VER_aGE_"U"_CQMf'iiii111Utv
v?'N?R: r?F}SS, MiCH?EL l4NrD eiA nnrr: S-+? O71a.?$8(
NFW ?D?K l"rUrr-NU? - : G54-(1443 - FR(1NTTFR
$? I ? A:)cRm : 4 13 a PNONc
-
. zgbszvns
COYT2ACT02: F¢?*?-r?E?' H?r?`5 • PIPSI'? ='.n12R??1r232l
Determine working square footage of each
1.
Total
30l0•q5 sq.
exposed wall area..... 2
•ft. x .1 = 5
2 2
?ds
2. Total roor;ceiling area..... / r?!o sq. ft. x .026 = 4 3 8q
Tctzl exposed wall area above.floor=_ '7C.C
.
.
.
..
.
.
.
. .
.
.
.
5 4
Z2.
I
a. Total wzll 4indow area ................ . . . . . . . .'. . . . . .
.
.
.
.
..
.
.
.
.
. .
. . ?S
5. Total door arez ...... .....................,.... .....
........ ?2 4
c. Total sliding glass door area.................. ..........
.......
c. Total fireplace wall area ......................
10%)
••• ...........
••••••••••••••••.. ' L
e. Total •••••••
wzil framing area (average ........•
f.
Total .......
rim joist zrea...........••••-•• . . .........
-
7 34
g. net wall area a6ove floor ...............:... ..................
.......
. . . . _
h_ wall area a6ove rioor ...............: . . . . . . . . . . _
i. rrall zrea t6ove floor ...................
? ..................
.
.
-
.
_on . . . . . . . . . ........
?rame wall zrea at. :oanc-at
.
...............
Total exposed foundation area= IE1 3 , . ?
k_ Total roundation window area....... ....•••••-•• •••••
9
5
l. Total net foundation area above grade ......... ..... 14
. •
Detei-mine "u" value of each wall
each separat
d segment
e wail section) .
.
oor,
(e.g. window,
1-72 45A X ?l U„ .41 = 5?.59
a.
? ?n X 1,Ull ,31 _ 111-215
?
?..
32.11 g 11 U., .q9
c = l5,R8 - •
. .
d, x I.W.
X lluil
7? r
e
e
.
X „Ul, .aq•
r
.
?„ ? X„U„
.05 g. _ r
.
X liuil
h ,
-
! X [lull " _ -
i.
• ?? ll
j, ? K ?
^
If item 03 is the ?
?
5
?`? as, or less than ii
U 1•?4
k_ 5,A X? --
? al, you have met tf
?.
,?
14 2o.43
=
- intent of SSC 6006
? -
?
,
1. I?I5 • 9 x ?--- •.
3 ............................Tctal t I• ? -
. ... ..
- - ._.?.?R.?,.,...e?. .-... -- ....
.;.
PLM # ?3AREINCiT01`l
* Lltd££AL FEEP EkPOSID WAIL
BIACx: 55-}25.,734 3q, Cef 25,53-f,10- 151.3
W.O..
F[lI.L 1: y5,5 + 2-7 + II k 5 5t 1.5+ 1Z+ Z3 =155
= 1 Crj .
£UU 2: 24 .{ ?'7 { 25.5 -F 2 3.5
FIREPLACE:
RIM: t51,3
* SQUARE FEET EXPOSID WAIL E1REA .
BIACK: 151.3 x .5
= 75. L 5
KNEE: - x 5 = -
W.O.: - x 8
£In.i. 1: :55 x 8= 124 0
FULL2: 105 x 8 =
54?
FT_REPLACE: - x = -
RIM: I5!.3x 1.= {5I.3
TOTAL 23o(a.95
* SQUARE FEET FXPOSED CEILING = )(.8 &
ms
? ?c,48 =5•3
111 zof'o= 8.3 7,3=
) 1 2048= L.v7 K2= ?'>•5'?
111 203`= 5X3=15
irJ.11-? Zaas= s z s = ?a
* DOORS
3°=zv
Zg_ 18 = 38
? PATIO DOORS
(>° = 32.4
* BASIIMD1'f UNITS
I11 23x10 = i.Src3 =5•?
e2se tt-s C= oPa4ue twf 1 orw S?r
fYame.. L?truGe?on
6a5?C
C SG. '3-
sG. =.1
FCJ.NDhTT...C9
WhLL
p" NwCi
?
--- 3
t n ? " --"--?
?r.• ' ? ' ?=
x-• vt+wt
CONS7RUCTION- FRp,MING
1. INTERIOR AIR FIIM 0.68
2. 2 GYPSD .
3.
4..
5.
6.
xEr
1. IN'TERIOR A'It FiIM 0.68
Y:`' GYPBD .45
3.
'+ 7}FElZmo pLY sWSAm+ ?
5. SIDITIG .B
6. OCERIOR
= 2l-I2
U= .05
1. IIdTER20R AIR FILM 0.68
2. 6 SIJI.. 19.00
3. JO
4 7?FEKww RY s1-?F?crN • 2
5. S D G
6. EXTMIOR R
!z= 12SL
U_
BIACK
1. INTERTOA P.IR FZI2d 0.66
2. I
3. • 0
4. PROTECTIVE SARRTII2
5.
6.
TOTA L R= .13
U= .14
SLAB ON GRP.DE
y -,
;? = ? ? -; •? t. ir`?
.
?t
D: y r
_ ,.
.?G 43
?
-- ` i
{!f'
0
?.. ,
0 = +
r
. ,
I ? • v
?
_ p •?.
' r-
?S,
e _ -
.
, ? •? ? t
J f! } .
v
I!-t ? .
-
, NOTE: IDlIDICATE TYPE, "R!' VAIIJE. DFM ANID
,r a PLACIIgNf OF INSULATIOt(.
1=ltt
l 11 i ?
lF?
It!
Fz-C. a4
.
ti Y
C •
k
a a
,.\
/
--???. -
, p
.•? ?
? CONSTRUCTION ' R-VALLTE
J 1. ?IOR P.2 FIIM 0.65
4 z.
--? 3 . . IMUIAUlUll
4. . iwrAL
U = .02
y/ t- r7
VENTED1 I ` ' FEAT £lbW
L__e?_ uUP .
FIG. #5
£RAME
•
1. INrERZOR ATR FIIM 0.61
z.
4.
U = 0.024
CONSZRUCTIOid 1 INSIDE AIR FIUM 0.61
2.
3.
4.
5. •'
U =
fTt9ME
1_ INSIDE P.LR FILM • 0.61
`I ?EkT FLOW UP
FIG. #E
2.
3.
5.
U = ._.
1. IAIISIDE AIR FIIM 0.61
2. .
3.
4.
5. TOTAL
U =
NC1N-VBTPED
FEAT FLOW
iJP
NOTE:. USE ADDTTIONAL SFEETS I? MRF SPACE IS
NEIDID FOR DEfAILS AAID CAI.CUSATT-ONS.
rTG. $7
.
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS,
MULTIPLE DWELLINGS
?j
?
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF 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 REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FQR SEWER & WATER PERMITS IS TWO DAYS ONCE A FERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
/ ?f-? p
To Se Used For: Valuatio</ d Date:
Site Address 4ll3a JJFNJ
Lot 39 Block _?/
Parcel/Sub '!?TAF?ry4Z puCq-
Owner /Vj/tL * PA-n-Y lTL4 s.s
Address ?j'3.2 Nie-w `I OP2k )Q(/c
City/Zip Code EC-91?
Phone M?? 2P-ya
Contractor S7AnJ ?S C0111 S 1+
Address 3315- J?72? 1-#q/ve
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
YRV _
Booster Pump _
APPROVALS
Planner
Council ?
Bldg. off. 11
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
O
/,S`5
`p
Phone #
?l tzpn d E n g i n e e r i n g S e r v i c e s 9201 East Bloommqron Fraewoy
Bioominqron, Minnesoro 55420
CanO Surveyors Gv(I EnQineers LonC Plonners Phona: 888-0289
JAWIZ surve?or`s G'er?lf "rcate
BOOK_ PAGE J08 N0. ba4"
SURVEY FOR: Frontier R?idwest ?Iomes CorDOration
OESCRIBED AS: Lot 38, Bloclc 4, STAPFORP PLdCE, City of Eagan, nakota County,
Plinnesota and reserving easements of record.
TOP OF FOUNDATION = 6'2.--
GARAGE FLOOR =
BASEMENT FLOOR =
SEWER SERVICE ELEV. = ae"? =
PROPOSED ELEVATIONS
EXISTING ELEVATIONS :
DRAINAGE DIRECTIQNS :-.?--
2Q 90 DENOTES LOT CORNERS : o
Q-71°2O%3" DENOTES OFFSET STAKE: ?
I R•20.00 34=1
?lv ''
?
0 0
rr,
xaeZ? n I I ?? a s.s ?
?#,? ??? I a+i.5 N Ga? u i aaa.c i I ? h ?
zz.3s
I ? ri.3 I
I.. I I1-10? >1
? ? ?? -° ? ---- ----- IS
I -? -^? - Ln
sa:
7- --
zs i $y
I?a e-
CERTIFICATE OF SURV Y 7?? 3
I hereby ceriify that this survey, plan or 'r?p??WaF3'?pY ?Fb?r7(army direci
auPervision and that I am a duly Repistarsd Lond Surveror under tAe taws af ihe
State of Minnesota.
= Date:
Jerfrey/ ?:'L?tlaren. License Ne 1437a
!
• L .5x BL ? CITY USE ONLY RECEIPT #:
SUBD. S7`9CY? uo? RECEIPTDATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CtTY OF EAGAN
3830 PILOT KNOB RO
EAGAN, MN 55122
(612) 681-4876
Please complete for. . single family dwellings
o townhomes and condos when permits are required for each unit
New constnaction Add-on fumace
c/ Add-on air conditioning Add-on air exchanger, i.e. Vanee svstem, etc.
Date: °l ?
FEES
? Minimum Fee: Add-onlRemodel (existing residence only) $ 0.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
SITE ADDRESS: q/ 3 ?
.50
OWNERNAME: Ivl(LI?fA'?r.L$ ??}'I'7/LLC-f? (?(A??S PHONE#.
INSTALLER NAME: / preferr8d heating & a1C pHONE
7643 Logan Avenue South
STREET ADDRESS: _ Richfield, MN 55423
Bus:866-7611 Fax:866-0125
cirv:
ZIP:
? SIGN URE OF RMITTEE
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
8 J13LocK 4
xk S vision or
oF (zC1gaa1
(PLEASE PRINT
1) PROPII2TY AODRESS:
T•FY;AT• DESCE2IPTION;
sr?a r-Fogr) Pc-ACE
IF EXISTING STRL'CTURE, DATE OF ORIGINAL SLILDING PERMIT ISS,UANCE:
PRESENT ZONING/PROPOSID USE:
Q CONA'7ECtCIAL/RE,TAIL/OFFICE
Q INDUSTRIAL
Q INSTITUTIONAL/GOVERAP4E19T
;
N7PE: PAYPffNf OF FEE AT TIME OF xi* R?
; aPriscMrzoN ooEs Nar cvN- ;
? SfI10TE APPRGVqL OF PE[7hIIT. '.
i ?
; inLSencriaa oF sr.-VM aaa/ox wnTEa ;
; xrisrnt.v,TTaas wIIa. Nar as scmcn.m ;
? IRTl'iL PfRMffT HAS BEFS] ApPRUVID. *w.
4ifliff4if4l44>}4fitift4#fLf#?tlfffiff
Mont Year
I? R-1 SINGLE FAMILY
? R-2 DCPLEX (3tao L?nits)
? R-3 TOWNHOTISE (Three + C?nits) ( Units)
Q R-4 APARTNIENT/CONIDOMINIL'M ( Onits)
2) NAME: _FBaNr7F,Q Mia LcJF-ST h'omF_s 09Po,eHn01V
rDDxFSS: 390a (i.ED"vF}LE 1RjVF
ciTc, STATE, ziP: EjqC?n N, M N 55 i a a-
PxoNE: 45 0- O4 33
For City Ose
3) NANIE: jm2 _PLl,Lm3/N6 Plinnbers I.icense:
AwDxESS: 10 I g MouN D SP pr N G S-IE,2et4C..' E t+ctive
Expired
CITY, STATE, ZIP: --a LOOM I M G TbN I F,Q n1 "rJ`?J0aO Not recorded
PHONE: ga!} -4I 4q MASTER LICENSE # 3 3?9 sta m?it?iai
•?.a e,.?
4) Mal#
NAM= GLq SS i CN Ar-L- RN D T"RT(Z IC_IA
ADDRESS: 5 ;J-F- FFF(2 So N 04 VlEE NLLE,
CITY, STATE,. ZIP: _?25'j" Pp u.Lj N\ N 5`?JI O S
PxoNE: Lo9 9- a lo43
5) ? a •?• n .? a.e
[?CONNECTION TO CITY SEWEFt E?a CONNECTION TO CITY WATEEt a OTfIER
6)
D'7/, a/8 S/
:r*******.****?***,???****************?***********?*?*******?**************?**?*??******?***+********
*
THE GOID COPY OF THE PERNIIT WILL BE SE6TP DIRDCTLY TO PUSLIC WORKS ZO FACILITATE METER PICK-UP.
,*t PLEASE ALJAW 7FA WORKING DAYS FOR PROCESSING. SOMIDONE FROM TM CITY WILL COD1PACf YOU IF TIIEE2E *
* ARE ANY PROSLIIM. ?
FOR CITY USE ONLY
PERMIT # ISSUED
r-l 7 ZA ?
Pd w/Bldg. Permit
FEES:
$ / o • :? -$
c //J - c
$
$
$
$ ?S • G) "c?
$
S _S?D•?
$
$
$
$
$
$
$
$ ??ZZ?CJ
?
S
c
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDE SORCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
$ SEWER TAP
$ ACCODNT DEPOSIT - SEWER
$ ACCOONT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL SENEFIT/TRLNK SEWER
$ LATERAL BEN°FIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
RECEIPT RECEIPT
DOES OTZLITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGI[VEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIO[VS:
APPROVED BY:
TITLE:
DATE:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4132 New York Ave
Lot: 38 Block: 4 Addition: Stafford Place
PID:10- 72500- 380 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Susan M Groskreutz
4132 New York Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA088700
04/13/2009
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4132 New York Ave
Lot: 38 Block: 4 Addition: Stafford Place
PID:10- 72500- 380 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
PERMIT
City of Eaan
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Susan M Groskreutz
4132 New York Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA089751
06/18/2009
ePermit
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
ù
ÿ
þýý ûüîûü
úýý üðñäé÷
ñ þ éé
ñ
þýö
þýüûúù ø
÷
ò
ý ûúù
ûúù ø
÷
öø÷õùô
ù ó ý
ò
ý
ò ñíýùú
ð
þïý
î
ôù
ìô
ëë ô
ïý
ô
ü
ô
ê
é
ø ø ù
ÿé
é
ô
ý
ù êòé
é
ù é
ê
ò
ü ô è
ïý
üúø
éôúë ô
ê
îæñåæêê
õú
þý
ë
çý æñåæêäêä
çý ñÿê
ôó
ö òñ
ùù
õø
þý
ãÜ
ý Û
äò ý úõ ò
ñöøÖ
ì
õ
ìãöñ ãöñ
áàßà
ë
üú ø ë
ëì
ë
ùù
ë ëé
ô
ôùúø ëùùüþ
éã
þ ý
ò ú é í
ê
ùù ÷
ô þ ý
ýú þ ý
ùû
þ ý
ÿþþ ýüüýûû
úþþ ùû ýòêìð
ä ü éé
ã ä
ÿ
ÿþ÷
üûúùø÷
ÿ û ùø÷
õ ùø÷
õ òÿê ÿà
òê
÷
ß ûÿ
ÿûÿ
îû÷ø
ð
üïû
ö
÷ í
ÿ ì
ì
ïû
ÿ
ÿú
ÿëé
ò ò ÷
ÿýé é
þ
ÿ÷
ëé éÿ÷
é
ÿ ë
ú
è
ÿ
ïû
úøò ÿ
é
øì
ÿë
ÿ
ö
æääëãäëäã
öú
üûì
ÿ
æëãâëâã
çû ýë
õô
÷ óò
÷÷
ò
ÿ
üûÿôÝ ÿ
û Þ
â û ø
õ
à
òÚ í
ÿ
í
þ ôàãã
óãñ
ì
úø ò
ì ìí
ìÿ÷÷ ÿ
ì ì
é
ÿ
÷øò ì÷÷ú
ü
éô
ÿ ü û
ÿ ø éþ î
ÿë
÷÷ ê
ü û
ÿÿû
ø ü û
ùóù
ò
ÿÿ þ ýüüûû
úþþÿÿ ýûôïîí
Þæ ÿ óó ù
Þæ
ÿù
ÿþýü û
íþù
ëùï
ù
ú ùü û
÷
ö
íþù
ëùï
ù
àþ
ù
ù
ùû
ùò ù
ßþù
ò
ð þý
ù
õù
ù ÿ
ùû
ù ìäé
ÿ
æ
õ
ùò í
ì
û
ò
èçæçææ
øú
ÿþùðù
íå
èçäçä
÷ö
ù õô
ûû
ÿ ùø
ÿþõáù ù
þ ô
Þ ò þ ðã
Þ÷
öÜ ùã
õ
õ÷Þ
ìîéæîî
ð
ù
ý ö
ð ðã
ù
ðûû
ð ð
ó ùò ùù
ù
òû ö ðûûý
ÿ
óõ
ÿ þ
ï ó
âù
ç
ûû ê
ùò
ÿ
þù
þ
ÿ
þù
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
17 1-erlt4n. - '
Owner:
Site Address:
Plumber.
Conn. Chg: Zoning:
Acct. Deb' No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter:
p
ByAi ( p 1 A- Y0
Misc.:. /
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:
Plumber:
MWCC: Zoning
City Chg: No. of Units:
Acct. Deb: I agree to comply with the City of Eagan
Permit Fee:
Ordinances.
Surcharge:
Misc.. By
SEWER SERVICE PERMIT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109783
Date Issued:04/03/2013
Permit Category:ePermit
Site Address: 4132 New York Ave
Lot:38 Block: 4 Addition: Stafford Place
PID:10-72500-04-380
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Amy Jilk
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 -
Susan M Groskreutz
4132 New York Ave
Eagan MN 55123
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126359
Date Issued:08/21/2014
Permit Category:ePermit
Site Address: 4132 New York Ave
Lot:38 Block: 4 Addition: Stafford Place
PID:10-72500-04-380
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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: 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 -
Susan M Groskreutz
4132 New York Ave
Eagan MN 55123
(651) 797-4420
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
« ` � ForOfFceUse---------� }
/�-., � ���
C' j Permit#:� .i�l�)�� j���
�ty of E���� � Permit Fee: �L'�� ` � � ��''�
3830 Pilot Knob Road � � /��
Eagan MP155122 i Date Received: ��� /� j
Phone:(651)675-5675 ���.;� � "� I I
Fax:(651)875-5694 " I Staff: I
I I
L��__��__������__J
2U15 RESIDENTIAL BUILDING PERN4IT APPLICATION
Date: <�,/�-/S Site Address: �/�,� �o,/ J r�i � - v���. Unit#:
�,..�.�...�,.�,�..�...�.w..�.,,.�,m.�.�,,.. �.��. .�.�,�.. ,�N,..��, .�,�.,� �..we�e, _�d.�w.� .�w �. .�.,,�...n,...� n,.�....m.u.�.�.a..�.���,,,�,.��.x...�.��.,�_.��..,�.�.,��,...�,.�..,���
� � Name. �s� � e�i:r � � , 7� Phone:��SJ-7�'�. 5�`�`•�� �
� ResidenU `
OWner � Address I City I Zip: � � ,�• �✓ �c�.. �
� Applicantis: .Owner Contractor ��A. ������M�� ,�� ry �
.�...� �.m,��_.�_�,..�..�,�..� ..�.....�,..�,�..�,,.,..�...�,.#w...�:�.,�.�,����.m. ar.�.�
Type of WOrk Description of work:��,�1�'� �,X�`St�✓� Cl� ��'/ �%���GI% ���ir"���i.'yS �
�--- � s--
, Construction Cost:_�� ��� Mullti-Family Building:(Yes /No�� )
Company: �.�i'!��'S t,v�✓�s•�r�fG-��C�rv- _Contact: �` dSY� �� i 1
Contractor Address: ��� C�aS ,�,,c,�� ('�� _c�ty: �����✓%r7 _
� State: �� Zip:� Phone: ���7�"/��J Emiail:�• �a �� c ,c:�»L..
� �ycs� @. r.ls t3 �
� �, :/ �/
License#: �(��y(��� �T� Lead Certificate#kR 1v��5�8�.�7��� �
� If the project is exempt from lead certification, please explain why: (see Pagie 3 for additional information) �
� �
�,..���.�,b..�..�.w.e.�a....a..� �..��.,�.�..� �...�..m_,a,._..�
� COMPLETE THIS AREA ONLY IF CONSTRUCTINIG A NEW BUILDING �
� In the last 12 months,has the City of Eagan issued a permit for a similar plan b�ised on a master plan?
� _Yes _No If yes,date and address of master plan:
�
� L�censed Plumber: _Phone: �
i �
� Mechanical Contractor: Phone: �
y
� Sewer�Water Contractor: Phone: �
NOTE:P/ans and supporting documents that you submit are consider�ed 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. �
�...�,�...�..,.�.»��.�.�.,�..�..�....m.,..�.�...�.�.t�.���.,..,o.��..,.�....�... ...,�.,.� _
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection egainst underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro
I hereby acknowiedge that this information is complete and accurate;that the work will be in coinformance 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; tMat the wo►k will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Ezterior work authorized by a building permit issued in accordance with the Minnesota St��te Building Code must be completed within 180
days of permit issuanc�
� �.����- � S ��, �,���
X �� Jr�l X
ApplicanYs Printed Name Appl' anY:�Signature
' Page 7 of 3
`�
�-�I��� f�1G—c� bc�� ��-r,�� �
,� -
DO NOT WRITE BELO TH�� L:INE ���C> ��7
� suB TYP�s
_ Foundation _ Fireplace _ Porch(3-Season) _ �x3erior Alteration(Single Family)
Single Family �arage Porch(4-Season) Exterior Alteration{Muitij
_ Multi �' Qeck _ Porch(Screen/Gazebo/Perc�ola) _ AAisceilarieous
01 of_Plex l.ower Level Pool Accessory Buiiding
WORK TYPES
New lnterior Improvement Siding Demolish Building*
� Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windowrs _ Demolish Foundation
_ Replace _ Repair _ Egress Windovv _ Water Damage
Retaining Wali "Demolition oi entirE:bu9lding-give PCA handout to appFicant
DESCRIPTION
Valuation � ��� Occupancy � MCES System
Plan Review Code Edition ���,�J��'' SA►C Units
(25% 100%�) Zoning �a` City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1!� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Fc�otings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_:5tucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining 1Afa11:_Footings_Backfill_Final
Sheetrock Radon Conitrol
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Comtrol
Other:
Reviewed By:_ �, Building Inspector
RESIDENTIAL FEES
Base Fee ��"�''t
Surcharge �i
Plan Review
MCES SAG /i� � ! � � �� �
C ity SAC � �,� J
�
Utility Connection Charge
SS�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
/ �s t�� �- j
� � ' � � --� � �-�I�� -� I��� ���Aa�.�- ��'�� - .
�;�.A�s
�e li��V n� �I�$j IZ�,e�I I?g S e�V I C e S 92Q�Eost BloomN►9ron Fraawoy '
8loominqton,MinMwtu 35aQp
l.and Surv�ro�s Civll �nqln���s lond Pionners Phone: 888-0289
�' �urvca�or�� �'ert�u�a��
� � � BOOK_,. PAGE
.
� d08 N0. ��3 a8
StiRVEY FCR: Frontier 114idwest womes Corporation
DESCRtB£D AS= Lot 38, Block 4, �TAF.T'0� PLaC�, Citq of Eagan, �akota County,
ltinnesotA and reservine� easements oY record.
TOP OF FaUNDATION = ��Z•�
� GARAGE FLQOR = B''��
. SASEMEI3T FLOOR = �3=�
• SEWER SERV ICE ELE V. = e$'•�'
PROPOSID ELEVATIONS : �
- E%ISTING ELEVATIONS :
� " DRAIN.AGE DIRECTIONS :-�•��
24 9p DENOTE3 LOT CORNERS : 'o
d'�'/"�%3" DENOTES OFFSET STAKE: o
� R•PO.Op � a•.i• —
� �a.ii�+.� `�� �Le�a��.
� �K.L � Y.N.�;�o. �.. �v�-C.i �:.s. _ 3�0.�,
<� .-�
i •a •
y�'- �� i�
�� _ '�t'^ 4�`-�. ` ;y� •
i ! ?� :..
W ^�i �'�` o � e` o� ,` �¢?,8�Sp.�'�� .
M � /
, 1 +�� a�� ro� `�� .
� � rf �,` �� � �
��
� G;: 1_ 3'14^ t�
k....,. �` I � �.1� + 5� ��.a • '�'��y t�
I c�...,.�►..� aa,: � iS �
I ~"`~`-'I � P^,�"°.d ,•;;�°:.x -''1� n
r�c. � Q
� � � z'`.�'.� �' + ,, , ..�[,� / E ,j� ' �
� 1�3 � 1'LG �.1�0 M +Gi M .G l qJ� ��
" �t' l.i �'�1 � v� n
� � � 8 q \``-,`k'.�. �� D • l t
� f�L.� � n 83'4 e �� U
�a ``0 �.3 � C�a� 'L +.� �' I �h �
� � ' D.4_++t 9 �'r� " I N�. , �,,
� ii.i) ( �
�1 _I ��.�..�c t ''=j� Vt O
t,� t���.a � 1 Ji l `
v b i L�� � _—r �S
� —�.�._.. _ ....^ _ �.�.-_ _ _
� � � �� � 302. '
�9��= aqo_:� -- l50.0 • _
� -� �- •-
z5 �- � $Y ' " • .
'�� j �, ,�
�` Da e
� �ERTIFICA7E OF SURVEY y fi
Z hereby certify thai ihis survay,plon o i���f`�a�� yi�������my dirocs �
supervision o�d that Y am a duly Reqistared Laod Survoyor und�r tha la�s of the
Stoto of Minnasoto. � I
= Q a t e: ' ! " / �� �„� �.�t.�.�;�.�.---
� �
Jeffrey� �J. L�dqre:n* License Nc. 143?6
� i
Scanned by CamScanner
' �-----------------i
� For Office Use �
i I
City of E���Il � i� ��� � ;
� Permit#:
I 1
3830 Pilot Knob Road � �
Eagan AAN 55122 , � Date Received: �
Phone:(651)675-5685 I
------------------
Fax:(651)675�694 '
Email:planninp(�citvofeas�a�.com
ZONING PERMIT APPLICATION
p Please identify improvements on a scaled site plan drawing that shows lot lines, structures
and existing conditions.
PfO�el"�y Site Address: '' �I �� �� �d r� �. � W �� ���
InformStion Owner Name: ��r Q,�{� �,�� l�i ro ��
Name: �V' �IJU��Z Phone: C. � �� � �
Address: �`� City/State/Zip: ���J.J�
Contact
Applicant Signature: � Date: � �4
Email address: 1�.� ���il����,��l�tll-��� �
❑Retaining WaN<4 feet ❑Driveway �Other: �G'� X/O s�tv�
�''Patio ❑Sport Court
Type Of W�1"k ❑Sidewalk ❑Fence
` b� cu-�
Description of work: �f'.�� ��(� ���Q., ��
Plannirtg Setbacks, hard surtace coverage,shoreland aoning,bluff zt�ne/setbacks, etc.
..�'"
.
ro nied Date: �L�"��"�� Staff: J >2l x'� ��✓��.
^
. -^ ( �, .� - ,
NOtes' � �t � y
S lL—���c:�C.�� ��t: �:" �� r �61� �C,4 Gs..�v.C�\ L���� %'t-��.Lc:J/uy j �f--l.�{i..IP ���.C:.�{ ,
Revised Plans
Approved: Yes/No , Date: Staff:
Engineering Grading, drai�age, ufility easements,wetfands, eros"ron controi, improverr�nts in the Right-o�Way,etc. '
Approved/Denied Date: Staff:
Notes:
Revised Plans
Approved: Yes/No Date: Staff:
Gommen#s
CALL BEFC?RE YOU DIG. Ca�l Gopher State One Call at(651)454-�2 far protection against underground utility damage. Call
48 haurs before you intend to dig to receive locates of underground utilities. www.popherstateonecall.orp
G:16uilding InspectionslPERMIT APPLfCATIONS
, . . ' rc ��/ ���
. �.�,.-� -� � �k- �i� � ,
-� -� �
�;,.Ags
Hedl.und Fngineering S+�rvices ���°�'�°°�'°�'��, r •
�o�wron.�n�+..aa ss,Zc
i.oad Surv�rors Gvll Ed9����� �ond Ptann:rs Phoas: 888-0289
�' vu� or�s ����e
� ��
� � - --_ ._.._�.. B44K_..,. PAGE,..�
,
�
s� t�. �.,.�
SURYEY F'QR: Frontier �[fd�nest Hc�tes Corporation
QESCRIBED AS= LO� 38� B10Ck $� $TA�R,D pLA(,`Ey Cltp of Ea�an, AtLkOtA COu1I1ty�
ltinnesata aad reservia� easements of record.
TflP OF FOUNDATION = $�i.a
. � {3ARAGE FLOOR � ea�.�
' SA$E�[ENT FLQC3R = 3 9�.a
• 38WER SERVIC� ELEY. =eeti.a=
PROF03ED ELEYATiONS :�
- EXISTING EZEVATi�iTS :
� " DRAINAGE DZRECTIONS :--�-�
2�g�p DENOTSS LOT CORNERS : o
i R 7'�/'�Y3" ', 3�is _ DENOTE9 OFF3ET 3TA8E: a
1 '
�►�..a+ ;—�.�I �J $awe.� ���
� �a.4 ^ t u•'�6. ... •�v�-Ca -'s.ae. a 8to.,�,:.,
�.�, t .� .
� ,i'`� � .-
�
��zs _ O� '' ,`1 � �'�9
� �( �'�,. o � . a� �'�'.8��'pti `' �� .
°I � Kt
� 1 +;� ';,,� pi 1 `-..,., �' j�. l
� � e ,f'' µ x __ � ^
� � Ca•Y 1 d7(.,^
` �
Lr... � � 4 � (q �' �
•� � r
� ' a�i .. .. 5 �; , , ` �
�� � �� ��
� ��i N 2� �`���3 � E ' f] � �r�
� � �) tit v�M !µ.`::�: �4 V \ �
�.J �:,t a
� � �. N� s.s ��`?"'`� � � � ` �
� �. ^ ;-'� � z �
�� �� � o„�� Ga� 'L 1� . �Y � 0�}� �,
� � �— ai.s� g K 1 ! V v ti
� � .
� ���b � �_�� � _—, .r .� � _.�s �
� � ---,fi+�-_... _... ....�. r.�.
__ � St:.� •
�•3 9q�:=a'',, l50.O ' =�
. �� ,
2S � ��, %��'� �" �..'
�� Da e ~ .
� �s�n� oF s� �
I hereby certiry thdt fhis stttvey,Pian or F�1"t'�Wo3' �'thi��pr�tt+�ssrafr diraet
supanrislon and that Y om a duly Reqf:te�ed Land Snrveyar uAdar tha laws ot iha
Sra�e af Min�esota. �
- Oate: � / " / �� � � �•---
.C�
�..,,.�.,.� ��� .
JaMrej✓ �!�l.� dqran, L;cense Nc. 1�1376
. ' f
Scanned by CamScanmer
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168100
Date Issued:04/09/2021
Permit Category:ePermit
Site Address: 4132 New York Ave
Lot:38 Block: 4 Addition: Stafford Place
PID:10-72500-04-380
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Susan M & Corey A Groskreutz
4132 New York Ave
Eagan MN 55123
(651) 797-4420
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172281
Date Issued:09/23/2021
Permit Category:ePermit
Site Address: 4132 New York Ave
Lot:38 Block: 4 Addition: Stafford Place
PID:10-72500-04-380
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Dryer
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Susan M & Corey A Groskreutz
4132 New York Ave
Eagan MN 55123
Visionary Plumbing Llc
11944 100th St S
Hastings MN 55033
(651) 769-9267
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172282
Date Issued:09/23/2021
Permit Category:ePermit
Site Address: 4132 New York Ave
Lot:38 Block: 4 Addition: Stafford Place
PID:10-72500-04-380
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Adding Washer Box &
Sink - Main Level
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Susan M & Corey A Groskreutz
4132 New York Ave
Eagan MN 55123
Visionary Plumbing LLC
11944 100th St S
Hastings MN 55033
(651) 769-9267
Applicant/Permitee: Signature Issued By: Signature