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4133 New York Ave CITY OF EAG AN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 KA"Ir. PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for 5r' Est. Value ;h;, p(+(? Date SiteAddress t 133 NHW YC1.-4F' AVL:. OFFICE USE ONLY FLAi::" Lot Block ? Sec/Sub On SiteSewage Occupancy . MWCCSystem ? Zoning ParcelNo. OnSiteWell (Actua1) Const ti-N " ^ ,? •; r ?r ctiM : ?'IDRP CityWater X_ (Allowable) V"'N a , , ?, : .. Na me W z ) •:. ?? ?.?.r • ?E , Address i ,.:?. PRV Required # of Stories ? City ' PhOne `•c?s?4?? BoosterPump Length -? Depth 3c) a Name S.F. Total , ? ` Address Footprint S.F. City Phone APPROVALS FEES ? a y? W Name Engr./Assess. Permit ??. ? W _ z Address Planner Surcharge a a Z W Cit Phone Y Council Plan Review . i1(] ` Bldg. OH. SAC, City i.0n.-? I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC 5 5A_QQ information is correct and agree to comply with all applicable State of Water Conn. --Rk? ? Minnesota Statutes and Gity of Eagan Ordinances. Water Meter Signature of Permittee _ Foad Unit 'i?4k;. A Building Permit is issued to:_.?^-`?,??_T_I?"?._?'?f Treatment Pt on the express condition that all work shall be done in accordance with all Parks 1 applicable State of Minnesota Statutes and City of Eagan Ordinances. `N. ' )4b6 „ BuildingOfficial TOTAL _ . : Permit No. Permit Holder Date Telephone # PSumbin9 H.V.AC. C ? ,1./' Electric ? Softener Inspection Date iosP. Comments Footings I Footings II Foundation Framing Roofing >?2 toc?SS o -.Cf?v iw Rougn Plbg. 7-?y Rough Htg. Isul. ?Q Fireplace Final Final P ? Bidg. cert o f Temp. Deck Deck - Well Pr. Disp. . ' ` PERMIT # ' PLUMBING PERMIT RECEIPT # ? +CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: " CONTRACT PRICE: PHONE: 454-8100 Site Address AV l Lot Block Sec/Sub ? Name - ?-. ?l?L'l,•i+?l???,` m Address c Ciry /V Phone Name ?? ?t'L?ill ,c /L. c Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPUES TOWNHOUSE & 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) . ? SIGNATURE OF PERMITTEE r ?`. FOR: CITY OF EAGAN BLDG. TYPE ; WORK DESCRIPTION Res. New ? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO• FIXTURES T?TAL Water Closet - $3.00 Bath Tubs - $3.00 - ` Lavatory - $3.00 T? r^D Shower - $3.00 j Kitchen Sink - $3.00 - - ! ' Urinal/Bidet - $100 -7-Laundry Tray - $3.00 ? Floor Drains - $1.50 • - ->?? =Water Heater - $1.50 << •'^? ??' Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 ?G (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 -,-Private Disp. - $10.00 Rough Openings - $1.50 ? FEE: STATE S/C: GRAND TOTAL: r- ? ? .:. . PERMIT # -- ' MECHANiCAL PEAMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: l I???sy :ONTRACT PRICE: $1 700• 00 PHONE: 454-8100 " ?-'Site Address " ? - Lot 4 4 Block ? Name ' m Address 1935 V (n Clty 'r':4yan PhOSl@ 452-1565% L IName FRUNTISR COMPANIE c Address 3 d$ Sible M jjW. p City EA?ran Phone 454-04-33 SQ,04Q M BTU M BTU M BTl! FEE: S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. xx New X-Y 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 PEFiMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS, - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL AaD-ON 8 REMODEtS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 ?,?rx*t2 ?` , / SIGNATURE OF PERMITTEE FOR: CiTY OF EAGAN TYPE OF WORK Forced Air Boiler Unit Heater DATE: 5/21/91 RECEIPT: 101480 SITE ADDRESS 4133 NEW YORIC AVENUE Unit # Permit # 13019 L 44 B 4 SeCt.ISub. STAFFQRD PLACE WENZEL HTG. & A/C - 452-2665 AiITITN(t 2-T(1N A /!: INSPECTION INSPECTOR DATE COMMENTS U - CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1 F{ j : i:t1 yEittb. i:5} i:iI i r'1 PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 14 Ei l rwl? - APPLICANT: . 2 } W, i - 1 000 _ TYPE OF WORK: F *W?: ? Permft Na. Parmit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Flreplace Final Hlg. Orsat Test Final Plbg. Plbg. Inspector- Noti(y Plumber Const. Meter Engr.lPlan Bldg. Final Deck Ftg. Dedc Final Weil l h ?O/,.,,,1 h Pr. Disp. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? r 651-681-4675 1]0, 00 NawCanatructionReouiremeMs RemodeVReoalrReauiremanla ?a???n? • 3 registered siie surveys sl?owing sq. R. otlot, sq. 8. of house; and ail roofed areas • 2 cnpies of plan w (20°k maximum lot coverage allawed) . t sef af Energy CakWaUons for heated additions 2 copies of plan showing beam 8 window saes; poured found design, etc.) . 7 sile survey for exterior additions 8 decks • 1 set of Eneryy Calculalions • IndicaM il home served by septlc system for addiGons • 3 copies of Tree Preservation Plan If lot plaCed aRer 711193 . Rim Joisf Defml Options seledian sheef (Wdgs with 3 ar less units) DATE JuKC I,5-, ZOO/ JOB SITE ADD IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER S?h EII+?/?_ VALUATION S'DOO b-l9-ol firr' TYPE OF WORK Pin is 1? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT SAvCn N^1Ib714- PHONE# 6436-7231? ADDRESS 413 3 tisr ork A,.c ZIP CODE SS%2 3 PAGER # FAX # NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Warksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. All above information must be submitted prior to processing of application. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord;?ipa/ices. r1.r- Signaiure of Applicant CELL PHONE # _ Water Softener _ Water Heater _ No. of Baths Phone # Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths _ Air Conditioning Fee: $70. _ Heat Recovery System ? IUl Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated t/07 510"s-11-91 ? /a/sas' p 00 53 ReVuest Dale S? ?? Fire Rough.in Inspedion RequiretlP ? Feetly Now ill Notily Inspector When Rea0y9 - Ves N I"41ensed contractor J owner hereby request inspection of above electrical work at Job Atltlress (SVeeL 8ox or Route No ? ? C,ty L q-Nj i e7 -y Sedion No. Township Name or No. I Range No. G nry A'K-D i? Occupam iPRINT) Phone No. Pawer Supplier AOeress Elecvical Con!ractor IC`o'npany Name1 e. I ? Cantracror§ Llce?ns(e No. .? ?l I rJ Yi- Mailiny ntlCress iCOnrtactor o//r ??Owner Mnaking In allalionlr T Y^/ ?? C ? ^ ? I l ?? V" 1 , 1 [ Aulh eC Signutule ICOnlract0'/Own r Mdk ng In5 1811d1i0nj I PhonB Num Bt ? ? V n Nh ? MINNESOTA STATE BOARD F EIECTRICITY " THIS INSPEQION REQUEST WILL NOT " Griggs-Mitlway 61dg. - Room S173 BE AGCEPTED BV THE STATE BOARO 1811 Ilniversity Ave., St Paul, MN 55104 UNLESS PROPER tNSPECTION FEE IS PM1One(61])6dPU900 ENCLOSEO. S? r-'.."'SEQUEST FGR ELECTRICAL lNSPECTION i See msliuctions for completmg tM1is lorm on back ol yellow copy. P n n"X° Below Work Covered by This Request EBOOOOt-08 I ew Add Rep. Typeof8ullding AppllencesWired EquipmentWlretl Home Range Temporary Service DupleK Water Heater Electric Heating Ap1. Building Dryer Other (Spacity) Comm./Industrial Fumace Farm Air Conditioner Otherlspaciry) onVactor's Remark5. Co mpute lnspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool D to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps 00 Amps SignS inspemor's Use Omy: TOTAL IrrigaCion Booms Special Inspection Alarm/COmmunication TMIS INS?ALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, [he Electrical Inspedor, hereby Rou9n-in oate certify that the a6ove inspection has 6een made. F;,,ai r 172 oaie [ OFFICE USE ONLV ? This request wia 16 manlhs irom This requesl void n ? i/>p Q 4)/-y2 y' 2 18 montl's from CIV D 2 0 2 9 t2? Feques? Dala Fire No. l Rouqh-in InsUrr,tian Heouired? E]Ready Nu Will NntifY. lnspec- es ?No r When Ready ??censed ElecUical Conlractor I hereby reVUest inspection ot ebove wner electrical work installed aL Sveet Address, Box or No. C.Iv l33 at 0 4 ecuon o. Townshi0 Name or No. Ranye No. 1 Occupant IPqINT Phane No. ??? Power Su00?er/ 'T v o .n Elact -cal Co/r? /iemr 1F om/I p ny N/am'el Con[rar.mi's license No. ?j .?h+? I Mailmg Mdress IContractor o Owner Makinp I tailationl O ???r v?ws v. ? al Au[honzed S or/Owner Makine Installationl Phnne Number ? 1 s/Yd- 4 Y3 MINNESOTA STATE 80AND OF ELECTpICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Midwav Bld9. - Noom N•191 BE ACGEPTED BY THE STqTE eOARD 1821 Universitv Ave.. SL Paul, MN 55104 VNLESS PNOPEP INSPECTION FEE IS Phone (612) 642-0800 ' . ENCLOSED. n/?°` .,/k? . REQUEST FOR ELECTRICAL INSPECTION AM% ee-ooopoi-?ojs dj' a, See instruetions'fo. compie6rp this iQrm on eack of yellow may. 9ij2 //- D 20299 X'* Below Work Covered by 7his Request Adn ReD. Type ot Bailtling Applipncan Wired EquiVmen[ WiraA Home flange Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt BuflAing Dryer Electric Heabn Commercial Bldy. Fumace Silo Unbader Industrial 81dy. Air Conditioner Bulk Milk Tank Farm Dine. Peciry Oiner Isnac,fy; t ,r Sneclfv ihor p, her ompute lnspection Fee Below N Fee Service EnVenceSiza N Fee Fenders/Subleeders N Fne Circuits U to 200 qm s 0 to 30 Am s 0 in 30 Am s Above 200 qmpy 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Ahove 100_Amps Transiormers Irrigation &ooms Partia6Other F Signs Special Inspection S 1 Remarks ? .?;/? Q? Rough-in ( U?1e I ? 7 he Elec • P' ? I sPactor, herebv Final Oate _' fY that the above ' ? ?? II soaction hes been de. Thle requesl va1018 montha hom CITY OF EAGAN " 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 1/ 15995 PHONE:454-8100 P BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value ; SiteAddress 4133 NEW YORK AVE. Lot 44 Bbck 4 Sec/Sub. STAFFORD PLACE 000 Date pECEMRFR 27 .198&- Parcel No. d. ?FRONTIER MIDWEST HOMES CORP. W z A3902 CEDARVALE DRIVE ity EAGAN phone 454-0433 o Name_ ?a Address ? City_ ¢ W Name _ Z Address u w City_ I hereby acknowledge that I have reatl this application ntl slate that lhe information is correct and a9ree to compl with all a licable Sta[e of Minnesota StaWtes and Cit o Ea an Or n n i Signature of Permittee A Building Permit is issued ro:_F?r]TIER_MIDWEST-HOLIE3- ontheexpresscondition[ ataliworkshallbedoneinaccordancewithall applicable Stale of Minn s ta Statu an? City o agan Ortlinances. Builtling ificiaL__ OFFICE USE ONLY On Site Sewage _ Occupancy MWCCSystem X Zoning On Site Well _ (Actual) Const Ciry Water (Allowable) PRV Required _ # ot Stories Booster Pump _ Length Depth S.F. iotal Footprint S.F. APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, M WCC Water Conn. Water Meter Road Unit Trealment P1 Parks TOTAL R-3/M-1 R-1 V-N V-N 59 36 $-?o _ _...31.50 -2t3-Q0 -1 OD ..AO 55(1 DD --3-?rY.-8O 9114.00 424bfi.. `.0 2004 RESIDENTIAL BUILDING PERMIT APPLICATION L r7 v / City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 NewConsWctionReauiremenGS RemodeVFieoairReouirements 3 regislered site surv eys showirg sq. ft. of lot, sq. R ot house; and aIlroofed areas 2 copies of plan ? (20% maximum lotcoverage allowed) 2 cropies of plan showing beam & window sizes; poured found design, etc. 1 set oi Energy Calculations for heated additions 1 site survey for additions & decks ?if8a 00 M& IA11,1 lsetofEneqyGakulafions Addition-indicateifonsitesepticsystem i?t M 0 3 copies of Tree P2servation Plan'rf lot platted after 711(93 Rim Joist Dekil OpGons seleclion sheet (bldgs wiN 3 or less unils Da[e J5/ s / 04 Coustruction Cost a, SiteAddress ? ?eco YQrk ig lte UniUSte # Description of Work ? GtLi (Lq ?j j? 7 GpQ('S Multi-Family Bldg _ Y_,?ON Fireplace(s) _ 0 _ 1 _ 2 PropertyOwuer5+eVPn i KUfLA Telephone#(G$! Con[ractor 6ed2r ???? r-yfnrinrc Inr address y 1700 931'd L8I1e NE City state Biaine, Minnesota 85449 Z;p Telephone#(7(a3)`7 5. - Q aaj COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissianType) Su6mitted Submitted . Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor #( N If so, 25% plan review ULl ....,, v 4 2j I hereby apply for a Residential Building Permit and acknowledge tha e informatiolete and accurate; that the work will be in conformance with the ordinances and codes 't of Ethe State of MN Statutes; I understand this is not a permit, but only an application for a permit, an 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. _ ?, L cAs i C.'_?as dar?, vvo? 404=' Appl ant's Printed Name Ap ant's 5ignature Telephone #( RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWction Reaui2ments RemodeVReoair Reauiremenls Offce Use OnN 3 registered site suneys showing sq. R. of lol, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20°k maximum kt coverage allowed) 1 set of Energy Calwlations for heated additions Tree Pres Plan Recd 2 copies of plan showing 6eam 8 windax sizes; poured faund design, etc. 1 site survey for addi6ons 8 decks _ Tree Pres Nal Reqd 1 set ot Eneigy Calwlatlons Adddion - indicate Bon-sife sepfic sysfem _ On-site Septic System 3 copies of Tree Preservation Plan if lat platted aRer 711/93 Rim Joist Detail Opfans selection sheet (61dgs with 3 or less units Date ?. / 3 f / Site Address /v sLW i Construction Cost ?? 3 b_ c, r? y? --k Unit/Ste # 0 Description of Work ?-? Z`a) \ Multi-Family Bldg _ YYN Fireplace(s) _ 0 _ 1 _ 2 Property Owner JL_ .v r ?? ?7 J 17 Telephone # Contractor ? Address (7 State /U..k ? Zip _S??D? City i ? Telephone k 4113-75 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven8laUOn Category 1 Worksheet • New Energy Code Worksheet (J suhmission type) Submittad Submitted • Energy Envelope Calcyiptions Submitted Licensed Plumber APR o i 2003 Mechanical Contractor rl _ Telephone # ( Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acimowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but only an application for a permit, arld-wodcts not to start without a permit; that the work will be in accordance with the approved plan in the case weFk,\which equires a review and approval of plans. 7:::S? Q ?k????? ? Applicant's Printed Name A ' anYs Signature INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: LOT: 44 BLOCK: 4133 NEW YORK AVE STAFFORD PLACE PERMIT SUBTYPE: DECK ? PERMIT TYPE: Permit Number: Date Issued: APPLICANT: 4 BARROWS TERRY (612) 853-1000 TYPE OF WORK: NEW BUTLDING 020809 04/29J93 ? PERMIT CIT.Y OF EAGAN `3830 Pilot Knob Road PERMIT TYPE: euzLoi/iv Eagan, Minnesota 55123 Permit Number: 020809 (612) 681-4675 Date Issued: 04 j29 /93 SITE ADDRESS: 4133 NEW YqRK AVE LOT: 44 BLQCKe 4 STAFFORD PLACE P.I.N.: 10-72600-440-04 DESCRIPTION: B"uiltlin:g..Permit Type DECK Building Wqrk Type NEW Bui7.ding Length 18 Building Width ' 12 ? -2J REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 7ota1 Fee $25.50 CONTRACTOR: OWNER: - BARROWS 4133 NEW EAGAN (612)853-1000 Applicant TERRY YqRK AVE MN T hereby acknowledge th-at T have read this applicatinn end state tha•t Ghe infnrmation is oorrect and sgree to comply uith all applicable State af Mn. Statutes and City of Eaga-n Ordinances. ? APPLICANT/PERMITEE SIGNATUflE ISSUED 8Y: GNATURE RtACI1YqJIt -77 h L ((; Ih VVLL U %wi i T vr va%ar?m PEwMii #' 1993 BUILDING PERMtT APPLICATION APR 2 7 1993 681-4675 AJI ,,,??'?"?a S?l 'a6?? --------------- ? SINGLE & MULTI-F1UIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when per.mit is typed, but not picked up by last working day of manth. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date &; ,;'/ Yaluation of work Site Address: l?'ic) Yotic- A&4 STREET SU1TE 0 Tenant Name: (commercial only) IAT BIACK L? FsuSD. P.Z.D. M Descri tion of work: /K The applicant is: ZOwner ? Contractor ? Other comcr;ee> Name 194w?? Phone 'lod 7-6*??perty LAST ?IRST w 3 -1o0 C) Owner (13 ?? ? ? ' • 6 ? , ? Address 1 _ i,) ? STE kf SiREET City State /o`?/"' Zip Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architectl Engineer Name Registration # Address City State Zip Sewer & water licensed plumber '.`' . Processing time for sewer & water permits is two days once area haS been aqpraved. 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. 5ignature of Applicant: ,r' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 5F Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 11 Apt./Lodging ? 12 Mu1ti. Misc. ? 13 6arage/Accessory ? 14 Fireplace JEI 15 Deck ? 16 Basement Finish O 17 Swim Pool O 18 Cortm./Ind. O 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous WORK TYPE q 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Ylater UBC Occupancy ? 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length re, On-site well Census Code 4. gy Depth /Z On-site sewage SAC?Code? ? APPROVALS -- Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ' ? Site $ Footing ? Framing ? Insulatioo ? Wallboard $ Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 2S,vG I v.tuec;an: .5v SAC % SAC Units • 4LIn d E n g i n e e r i n g S e r v i c e s 9201 Easr Bloominaton Freeray Bbamirptan, Mnnasota 55420 _Surveyors Clvil EnQineers Land Plannero Ptiona: 868-0289 , ? AW surve?or`s G'ertrf "r?te - _ BOOK - PAGE _ J_ JOB N0. 2 SURV£Y FoR: Frontier `?idwest Homes Cornora.tion OESGRIBE'J A5: Lot 44, Block 4 S"_'AFr!`FD PLACr, Citv of F.agan, Dakota County, 'tinnesota and reser:riag easements of recorr. ^ ? ? '- ? ? wESr 132.12 I T ?n wxd ? i ? ? N SP.t• I 1r) SC ' zt I t ? )O ' 19 I 21 22.3? ID "I y ti) ' i 7? 4G'" I 89a.t I r....' ? TOP OF FOUNDATION = 89a.s GARAGE FLOOR = ag _. 4 '0 BASEMENT FLOOR = ?g?•? ?y SEWER SERVICE ELEV. _ = ' ? PROFOSED ELEVATIONS ? EXISTING ELEVATIONS DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o DEYOTES OFFSET STAKE: o , -p ?.,- ?r .i..d .-. _ . . . . . - .. . - . . .. , 25 k '3? I ? - I P.j..,.. ` ?I o? a I 384 l Yo 25 I GERTIFICATE OF SURVEY I hereby cartify ihat thia survey,pian or report was prepared by me or undar my direct suparvision ond tnot I am a duly Reyisfered Land SurveYor under the tavra ot tha Sfate of Minnesota. n .? ..? . „ =0ate: 1O / °i / $-, License Nb, 14376 'Hedlund Engineering Services 920IEaatBloominptonFreawvy Bioominatan, Mnnaaota 55420 l.antl Survtyora Clvil Enpineers lund Planners Phane: 888-0289 IIAN urve#or?s G'ertlf "?cate s 800K _ PAGE J08 NO. 2 `4-''" SURV£Y FOR= Frontier ?tidwest Homes Cornora.tion DESCRIBED A5: Lot 44, Block a, --'"AF"nFD ?LdCE, Citc of Fasan, Dauota County, ZTinnesota and rese:vinQ easements of record. • ,-, -r- L_ + ??? •' SNEST U) 5?-- - j ? I . ? ?6 I ? I / k W ? ti ti c?=; T... 162.12 - - ?- ? a? I _ `?11 d Propased Spl.f. ? SG ?S4.S.11? 91. 6 ? W I I ? ?94 6 i ::`-? - ? i o ??. 3YE.1 A I I m I Z ? 4'71.2 I 3111 ( IZ n s O^?K ?. ea,-. 0 9x.a N ? 1.!] I I'DI ;,, wEST 154.35 ' - 7? TOP. OF FOUNDATION = 89z.s GARAGE FLOOR = a9 =. 4 BASEMENT FLOOR = r ;? ?n r• r-? SEWER SERVICE ELEV. ='g? ? ? PROPOSED ELEVATIONS :CD ?`- E%ISTING ELEVATIONS : DRAINAGE DIRECTIONS :-..?- ;: , ---- -- •° DENOTES LOT CORNERS : o DENOTES OFFSET STAKE: a "'-7q? 7?y Y?- ar .1?c1 ,-I3?.7sg.Fll LbVt.:i.?S?tkiif?rLVG DIEPlm -.o E _.,?-'o.i- ?.__. Cleu. = a9o.54 2S I i , - , J I 2 II S I v1 II 884,1 LL) qk I z5 CEE7TiFiCATE OF SURVEY. I hereby certify ihot This survey, plan or rsporf was prapared by me or under my direct suparvisioe aad that I am a duly Reyiaterad Land Surveyor under the laws of tha State ot Minnesofa. n .? -) . „ =Date; 1O / 'k / $% Litense N6.14376 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ANITS FOR SALE UNITS lk OF IINITS INCGUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECS WITH HLDG. DEPT.j 1 SET OF ENERGY CALCIILATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,' 1 SET OF SPECIEICATIONS AND 1 SET OF ENERGY CALCULATIONS ggC 13 1988 To Be Used For: NFW f.(1NSTRIICTTON Valuation: $5 2:2= Date: 12112188 Site Address 4131 NFW Yf1RK AVF Lot [t}?_ Block 4 _ I Parcel/Sub STAFFf1Rf1 PI Af.F Owner CMITH, THFRFCfl Address 3rg()F IIP7nti nUF C? City/Zip Code MPI S MN FF41(1 Phone g76_1757 Contractor FRf1NTiFR MTf1WFCT F!l1MFG rnRa Address qqn9 rFnnasrai F nnnrF City/Zip COde ?:pr,AN, MN 5S;199 Phone _4,54-(143.3 Arch./Engr. PHTIITPS PIAN SFRVTf.F Address 14530 PENNOCK AVF City/Zip Code APPI F UAI I FY _ 55124 Phone # 4q2_2QQ4 6?3r DDDr, oFr-zCe vsE UNLY On site sewage Decupancy M-k MWCC system J? Zoning R-1 On site well Actual Const V-N City water , / Allowable U-N PRV required il of stor3es Eooster Pump _ Length Depth S.E. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit q2 ko0 Planner Sureharge 3I4S0 Council /-}- Bldg. OPF. 11lO ?z,/(¢ Plan Review SAC, City Z13.C?J 00.0 Varianee SAC, MWCC $SD,OD Water Conn S' , Water Meter ??T) , aa Road Unit ,oD Treatment P12 .On Parks Copies TOTAL .4 Q LXL.? ?I L-'v? EXTERIOR ENVELOPE_14VERAG[ "U"_COMf`UTA7IQN ?3 88 pWNER; SMITH, THERESA nnir: 7- SFTE ADDRESS: 4+33 NrW vnRK A11F PHONE: ?r naii FRf1NTTFR CONTRACTOR: FPy1JMrclZ F-OMES PLAN 0 '5H'srFy1&D Determine working square footage of each 1. Total exposed wa71 area..... )S38 sq. ft. x.11 = ZOZ,Z 2. Total roof/ceiling area..... ?LS LP sq. ft, x.026 = Total exposed wall area above.floor= QC,p a b c d e f 9 h i J Total wall window area ........................... .. ............... 111 Total door area ................................. ................. 5-0 Total sliding glass door area ................... ................. 90 Total fireplace wail area ....................... ................. - Total wall framin9 area (average 10%) ........... ................. IS 4 Total rin joist area .......................:... ................:. 3 ne* wall area a6ove floor ...............:... .................. 13)3. wall area a6ove floor ................... .................. wall area a6ove floor ................... .................. frzme wall area at =oundation ................. .................. Total exposed foundation area= k. Totz1 foundation window area ....................... l. Total net Toundation area above grade .............. Determine "u" value of each wall segment (e.g. window, door, each separate wail section) a. 3 X liui, b. s? x ,Lu„ c. qo x „U,l d. - z liu„ e. !a? ' X tiull 1lD,lD T. i3z x NIS g. X liui, p4 = ?•S h. X ?Lull _ i. X tiull _ . ? X "U" _ x liui, _ 1. X 1. u 1. _ 3 . .................................7otal = I lafo.? If item 13 is the s; as, or less than it, sI, you have met tfil intent of SBC 6006 PLAN # 5j4L;rr-FiELD * LIITFAL r"EET FXPOSID WALL BLOCK: KNM: 39-?3?,-2c?fizLe = ?30 w.o.: FrL.t, i: 3°t+3°1+2.1 +7-1= I 3Z FJLL 2: F'IREPL,ACE : RTs-r: 13 "L * SQtu,xE FEer EXPosID wAU AREA BLOCK: x .S = 1QdEE: t3o x 5 = (cSa W.O.: x g _ FULL 1: 13Z x s= ?C?SLp FUU 2= x 8= F?,t'PLACE: X _ R--`: 13 t X 1 = 137- TOTAL - i83 * SQUARE FEET EXPOSID CEILING ?I Co?Q ^ ,3,7EM3M * mp 1+++a-Z93t?=3?a u Z? 3 1111 Zo3 (. --ZD ? PATIO DdORS 1111 L49a = 3 ? `U Zou O- 2.5? ?°=q0 ?3 * BASIIIMT UNTTS Totai exaosed roof/ceilzng area = 1? m. To'-zl skylight area ....... ..................... r. Total roof/ceilinq f2-aning area {zverage o. -ota1 r.et.i.^.sulate3 roof/ceilinq :irea........... Determine "0" value for each roof/ceiling segnent M. X "U" _ n. Oi1 a "Ull c. SIAF? x 4............................ 7.bta1 " to:al c•` -#4 is the samz as, or less Lhan 82, you have met the intent oi SisC 5006 ic) 1, Alternate Building Enve'_ope Design To utiliza the total enyelope'system method, the values established by the s•.un of ite*ns.n3 and -4 sha11 not be greater than the sum of items n2 and n2• 1. 70Z,7. + 2. 3. IloLo-8 + 4. ?1,0 ? NoTt:' Llse I tg, cT opa4ue cw? 1 area fvr • . ' '(Yat*v2 C:YlStvuGE?Un WA"i. F2G. 'S}- pS3,qr1E NnLt =. l2 NET 1. INTERTOR AIR FILM 0.68 R:_, GYPBD .45 3. 4. 25/32 HEATAWG 2.06 5. IDING .61 6. =TOR AIR FILM . U= «Ok S?LL IS?h?R fd.xo&rlc* Wkl-L ,;i U', o A ? p •.i k? ?---- = o ? ?r„•• e' s +? . ?-j z. ? 3. 4, 5. 6. 1. IId'PER20R AIR FIIM 0.68 2. 19.00 3. J 4, 5. SIDING .94 6. OR R 2 U= .04 aLOcx uVVTERIOA AIR FILM 0.68 1211MOCK 1.28 ill STYRO 5.00 PROTECTIVE RARRI"F.t 0. EX=OR R FILM TOTAL R= 7.13 U= .14 SLAB ON GRADE ? ? j-= ! . ., •? , ? . '• ,- ° ., Ilf ? ' ? ? D- 4 , ? ...,, ? Al D? -= : Fz.G. stA ?? . A3 i -- ' y ? NOTE k Y Q ? 3.. ? R= VALiTE CONSTRLICTIOIS =- FRAhffNG - ' 1. INTEtIOR AIR FILM 0.68 2. BD .4 3. 5 1 2 SQFT WOOD 6. 4. 5. 6 .6 6. EXTERIOR R FIIl4 0.1 TOTAL R= 10.85 U= .09 /F( f1I o = - , ? n ? u s • + s ti V ' , •. ? I •, -. 7 tC ? '' %t l? 1 =^ ? zr,DZCATE TstPE, ^R^ aAuE. DEPx Aam PLACEhffNP OF INSULATIOPI. ? I-FAT f'IX)t.I uUP FIG. #5 . I I ?+E4T F'LO4i W u FIG. ? • ? i? ? ? • . ? ? ?'? _ - ? r ? . I • i . ? ? ? NON-VENI'ID HEAT FIAW CTP 'FIG. 97 VENTID ? .. ?!? CONSTRUCPSON ? R-VAiUt-, 1. IIdT'ERIOR ATR FILM 0.68 2. 3. 4. U _ .02 fRAME 1. INTf,TtIOR AIR FILM 0.61 z. 3. 4. 0.61 u = 0.024 CONSTRUCTIOM 1. INSIDE AiR FIIM 0.61 2. • 3. 4. 5. u = FRA 1, IE INSIDE AIR FII.M 0.61 2. 3. 4. S . ? U _ r 1. INSIDE AIR £IIM 0.61 2. ? 3. ? 4. • mrL U = NOTE: U5E ADDITIONAL SHEETS IF' MDRE SPACE IS NEEDED FOR DETAILS ANU CALL.'fJLATIONS. ROOF-CEILING APFLiC?ATION 1=0R PERMIT SEWER ANDlOR WATER CaNNECTION .',."]OTE: PrIYME.T4P OF FEE AT 1'IME OF `. APPLICATIp[J DpFS PCYP CpC1- ; ? STS'NPE APPRGVAL OF PERhIIT. ? a ? INSPECCION OF SEFIIER 7SID/OR WATIIt ? INSTALiATIODLS WII.L NOT BE °CFINn.Fn Y ? [!NPSL PERFffT HAS BEFId APPROVfll. oF CCBcRan (PLEASE PRINT 1) PROPERTSt ADDRESS: T'FY;AT' DFSCRIPTION; IF EXISTING 51RUCTC'RE, DATE OF ORIGINAL BLII1]ING Pz..f'2MIT ISSOANCE: N/A Mont Year PRESENT ZONING/PROPOSID ('SE: Q CODM'lET2CIAL/RETAIL/OFFICE I1ji R-1 SINGLE FAMILY Q INDL'STRIAL E]R-2 DUPLEX ('iWO L'nits ) Q INSTIT[JTIONAL/GOVII2NMENT ? R-3 TOWNHOC'SE (Three + Cnits) ( Onits) Q R-4 APARTMENT/COPIDOMINIUM ( L'nits) z? ?NAME: FRONT fR MIDWEST HOMES CORPORATION ADDRE55: 3902 CEDARVALE DRIVE CITY, STATE, ZIP: EAGAN. MN. 55122 PHONE: 454-0433 3) uc 2: NAME: ADDRESS: 1018 MOUND SPRINGS TERRACE CITY, STATE, ZIP: gL00MINGTON. MN_ 55420 PHONE: _ 884-4149 MAS'1'ER LICENSE #3329 _ ij Active Expired Not recordec Sta Inital 4) NAME: SMiTH.THERFSA ADDRESS: 5905 IIPTON AVF SO_ CITY, STATE, ZIP: MPIS_ MN_ 55410 PHOPIE: . 926-1757 5) a CONNECTION 'Ib CITY SEVER a] CONDIECTION TO CITY WATER E] ClTHII2 6) ?**??:?*,r****?*+*?*.x.*:???+?.,k.??***+**+*****??********?****?*****?+.**v?*+?**+*«*****x*.***,r*?++*?*****; * TIIE GOID COPY OF TIIE PEE2MIT WIIS, BE SEW DIRECI'LY TO PUBLIC WORKS 7t7 FACZLITATE ME1ER PICK-OP. * PLEASE ALIAW ZWO WORifild6 DAYS FOR PROCFSSING. SOP'IDONE FROM TfECITY WILL CONPACI' Y00 IF 7HERE ; * ARE ANY PROSLENIS. .; ?#**?,?***?**?+*??***?**,r:?:*++#****??*?***?«**?*:r****:r*****+*+**,r****x?***x***********?*+***?*?***+*; ._ .....?c...,A- ` .....?:??s >:,>?? FOR CITY USE ONLY PERMIT $ ISSCED I i Pd w/Bldg. Permit FEES: $ ??b $ $ $ $ $ SEWER PERMIT (INCLL'DE SL'RCHARGE) WATER PERMIT (INCLDDE SC'RCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ? ? S ACCOONT DEPOSIT - SEWER ? $ ?S $ ACCOONT DEPOSIT - WATER $ $ wac $ ?CJ JZ? $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC•NK SEWER ' $ $ LATERAL BEN°FIT/TRCNK WATER $ C73? 0 / $ WATER TREATMENT PLANT SIIRCHARGE $ $ OTHER: $ $ TOTAL 9?5 /4 RECEIPT RECEIPT DOES OTILITY CONNECTION REQOIRE EXCAVATION IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC • Q ROADWAY" MUST BE ISSQED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ? December 28, 7988 FRONTIER MIDWEST HOMES ,p--W 3902 CEDARVALE DR Y?H. T EAGAN, MN 55122 RE: 4133 NEW YORK AVE., L44, B4, STAFFORD PLACE WARNING: BEFORE DIGGING, CALL LOCAL OTILITIES - TELEPHONE, ELECTRIC, G9S, ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SDRE TO CALL PtIBLIC WORSS (454-5220) FOR YODR PERMANENT WATER TURN ON. ? Your Sewer and Water Permlt for the above property cannot be eompleted for the following reason: i Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or oceupancy allowed until further notice. Sineerely, ? Jan Severson Secretary JS CITY OF EAGAN 3830 PILOT KNOB ROAD , EAGAN, MN 55122 PHONE: (612) 454-8100 . 01M FOR CITY USE ONLY PERMIT # /30 / 9 RECEIPT # O U DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR _ OWNER NAME: SITE ADDRESS: y/1.? ?''yr?/?'/?? LOT:? BIACK // SUBD. INSTALLER: L???2/+?/ /???''?'JG ADDRES S : ? ?'?S ???^???? ? . CITY:ZIP: ,. PNONE #: FEES ADD-ON MINIMUM HvAC 0-100 M BTU ADDITIONAL 50 M BTU GAS DUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.OD 24.00 6.00 3.00 $ /T?G. .50 $ /s--3-b IG yl(E OF PERMITTEE /? .?? ? ??iT ? ? PLEASE COMPLETE THIS PORTION FOR ALL COMMEERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MIJLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQtJIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 nF °ERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN „?,c,:• .y?. , ,C S!? ?? /.?.?G??orc? ???-e? EF' F ? e L? Who% House Woiksheet Cuslomar'cNe'M ' ' • . . . .,.?..?:q?.. . aadless Cy - Swce 2iD TelaphoneNUmber WINTEfl: Insid? Desipn Tamp . ?S °i-Ou?rida Daaiqn Tamp p - . ` '..^ .. ..,' ?'?- ° Mretinp Tsmp Difforonc ep. . . 5UMMER: Outaide Dssipn 7emp -F-Inside Design.Tamp ? 2S oF .% Cooling•Tamp Di?ffem " w? ,:... .F HEATING cnnnKAnwrnnT..'•.?:-........ . .. . . . ........ UtUn?n!S: i I I .. NEAi1NG. sarme : GROSS WALL , DOORS Q WINDOWS (Table A or B) NET WALL I 54? CEIUNG FLOORS n,.M r. x 10 x i.i/eo x c, P: x0.18333 x SUB•TOTAI BTUH LOSS (por 10°F) ADJUSTMENT FACTOfl (Table C) . g a `I TOTAL BTUH'LASS ? PEOPL x3008T1IN GAIN 0"".,2; APPLIANCES BTUH . ??????" y? DUCT IASS/GAIN FACTOR (Table F) k ?.,? e'! ' SUB•TOTAL 8T11N IC-:1.1e M - .--?. yCjb?' ( 7 / .. I . Y.. . .. _. .6 H9 _. . x _`-'!w x c1T x i?3 . x 0.01833 x -?,, x , 'r- ? ??. rvwis I UNE REMOVAL (sub total x 1.3) ._,_; .. . a 1.9 - 70TAL BTUH LOSSlGAIN IAUIE A IIEATING DOQftS 6 WOOO FflAME WINOOWS TABLE B- COOLING - DOORS B WINDOVYS IPER 10°F) - ? ul >i?mn:? ylass aoors - usn laciors for tho ume t1'Pe wiodow GI nds ranG sliU ng biuss o oB oiesrdeated as 9 wi Y rWpws. Gsrip or v?natiyn cuialrpUiun, NnWo.. C --Framus '__ u.cucwi oou?uauu iwuawc Dunr Types Wo d TIM • pied ..J?nylaPd??tl --Y- Mtl ?Bluhlq55 . 'ifM?.qfEITEMlDpQLTWEOIF. 11/vu •smwcwi. Clrer -- 9.90 10.45 •11.56 wnn sio,n ? a.7E s.?5 s DuuLIC YenC . :.iva, --- . 7.25 / Wilfi ?Ib2O .41 3.85 4 90 . ;.?•,u 3.J0 4.35 5.46 1ujlc " - 1?.0 ? n?Lv: f1J?T ? -" 11.07 11 .69 12.92 bwU.. _ "--' V fi.6S ).95 875 l ?uo? WuUJUn!Y 4.60 . .. Umm.;ne Corg "• - - 1.? ?O IN_S) w,>mrm - - 7.70 TOTALS ?' /O $3 7iwuLi C -. Ap}UgTMLNTfqCTOR$ - IH&ATING) h len.?ca?un Ddf 70 60 70 BO 90 a:Ur„r.l F:?i[M 3_?? ? $q0 .16 Mf 4 Nw [b W 9[ S S`/a s neoaa, ?a o.r ?o? ?.sl?a?lu?lu?ia.? w ?? ipp QIFnrwpptlJeon?nJ TOTALS /?? WIY?IyiYM [4ry 1M?HJqW ? y! fpfYN11MM(pI?IfIJ111pqf TAIIL[ O - INFIL7HATION MUL7IPLIEqS Wimur Air Changes Per Hour FbDr Aiea 900 pr Ixcs ' 90U. ISOp 150012100 8est 0.4 0.9 0.7 Awfa(?Y ? y Yw. t.1 Fu? wcn IuryNcu a?E: ? 7 D ? x ?,2140 0.] LI ?tA I ' ' ' tlqt Av?ny? ? L--?___ 0.1 0 2 0 6 Summar qir Chenqas P*r Nour FIUUr A,ua 9irJ or lyy, SUp- Iypp 15Q] 21{p ?usi o..,Y104 ? U2 4.7 JI n?r_'°• n s o s _ u? ?. o.a .?.. . ."..' U_,..?... u?J? PERMIT # U L O"? u - RECEIPT DATE: ?- t U -C) WISIDENTIiAd. PLUbI$IRe PERM1T "PLICATION CI'fY OP £AcGA1'i 3$30 PII.OT KAOB t{D EkBAP, MN 551EE 681-8$1-9675 Please complete for: SITE ADDRESS: OWNER NAME: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system 4I 3-? NP , lOri'z S?e?eh ?"ll?J INSTALLER NAME: S? e''_ STREET ADDRESS: c n-r: G 6k5 " ti Place a check mark next to the nermit work tvDe TELEPHONE #: (AREA CODE) STATE: M N ZIP: Z-? TELEPHONE#: &S I 686-7238 (AREA CODE) New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to exi tin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • fawn irrigation system • waterturnaround Nature of work: Qhs2^?^r 1?7?fsX - ??'+?0°/?"1 Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ ftx? Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the in(ormation is correct, and agree W complywith ali applica6le Cilyof Eaganordinances. It is the applipM's responsihility to noti(y Ne property owner that the City of Eagan assumes no liability foJ an amages us?l by the City during its nartnal operational and maintenance activities to the facililies consW ctetl under ttiis permit within City pre?y/r of e nt. ? SICaNATURE OF PERMITTEE Updated 1101 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4133 New York Ave Lot: 44 Block: 4 Addition: Stafford Place PID:10- 72500- 440 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - 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 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Steven P Elliott 4133 New York Ave Eagan MN 55123 $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 with all applicable State Issued By: Signature Building EA084520 07/21/2008 ePermit ê ÿÿ þýüüûû úþþÿÿýôïîí ÿóóù ÿù ÿþýüû ú ùø ù úùüû ÷ ö ú ùø ù õ ùÿô õ ùüû õþóþù ÿ ù÷þòý ò ÷þòý ÿô íù ö ÿ øöÞú þùã òÞÞ äîæ ùòí èçæçæ øú ÿþùðù íå èçäçä ÷ö ùõô ûû á ô þòý ëø ÿ ã ú ÞÞ÷ öÜùã þùã õ÷Þ ìäéî ð ù ýö ððã ù ðûû ðð óùòùù ù òûöðûûý ÿ óõ ÿþ ïó âù ç ûûê ùò ÿ þù þ ÿ þù PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105543 Date Issued: 07/18/2012 Permit Category: ePermit Site Address: 4133 New York Ave Lot: 44 Block: 4 Addition: Stafford Place PID: 10-72500-04-440 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, Comments: 952-445-2840 Michelle Hansen 308 SW 15th St. Ste 25 ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Upland Heating & Cooling DBA Aspenair Steven P Elliott 308 SW 15th Street, Suite 25 4133 New York Ave Forest Lake MN 55025 Eagan MN 55123 (651) 982-2626 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Permit No: Date: 3830 Pilot Knob_ Road Meter No: Size: P.O. Box 21199 Reader No: Date: -- Eagan, MN 55121 Owner Site Address: Plumber._ Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: Misc.: By h / / 7- WATER SERVICE PERMIT (0?) • 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: _ Surcharge: Ordinances. Misc.: B SEWER SERVICE PERMIT PERMIT City of Eagan Permit Type:Building Permit Number:EA170190 Date Issued:06/23/2021 Permit Category:ePermit Site Address: 4133 New York Ave Lot:44 Block: 4 Addition: Stafford Place PID:10-72500-04-440 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Steven P & Karen M Elliott 4133 New York Ave Saint Paul MN 55123--158 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature