4141 New York AvePERMIT
City of Eagan Permit Type:Building
Permit Number:EA148711
Date Issued:04/17/2018
Permit Category:ePermit
Site Address: 4141 New York Ave
Lot:46 Block: 4 Addition: Stafford Place
PID:10-72500-04-460
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: 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 -
Roger Garcia
4141 New York Ave
Eagan MN 55123
Spotless & Seamless Exteriors
8715 Jefferson Highway North
Osseo MN 55369
(763) 428-1111
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I For O#fi(s/-J~/-/---- I
` 200710 j Permit l 7
City of EadR h
f/
E I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694 I I
2010 2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ` W\ i t') c>s Y'_
Tenant: Suite M
e
RESIDENT / OWNER Name: qr- ~C \gPho :
Address / City / Zip: c)~
Applicant is: Owner Contractors
TYPE OF WORK Description of wo :
Construction Cost: Multi-Family Building: (Yes / t
CONTRACTOR Name: icensee C4~'
Address: , l City: T_
State Zip:`~i f Phone: 60
Contact: ~ 11 Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public'informatign Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 w rk will be in
accordance with the approved plan in the case of work which requires a review and v f plans.
x\, 40
Applicant's rinted acme- licant's Signature
Page 1 of 2
?rp `????•. " ".. ^ ?v?.... _ - ?-?r.x .. -. r ' ? ' . T If"W7 TWpR TT•..
, . . . CITY OF EAGAN •t? ???7?
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF UNJGAlt Est. value t80+000 Date sEPTZNWR 25 , ts !-,
Site Address 4141 uw YORK AYELWI6
Lot 46 Block 4 SeclSub. gT?MRD pLNX OFFICE USE ONLY
P2rCBI N0. Occupancy R'3 M-i FEES
A
t
??5?=?? B?E? 2oning
-
? s???
W Name (Adual) Const Y]
L BIdg.Permil
3 Address 785 gUNSET D (Allowable) _
? 4pi?
0 456-9125
?N Surcharge
City
Phone
N of Stories
dl
Plan Review
.
3s7 ?
gAM length 100
00
F Name oepm ? SnC
Cit .
t ,
y
c
) ¢ Address S.F.Total - 6?.?
. SAC,MCWCC
? City Phone S.F. Footprints -
Wat
C
6???
? On Site Sewage _ er
onn qs
?
W W Name onsite weli W
t
M
t •
xx a
er
a
er
_= Address MwCCSyscem 30•00
a W Cit PhOfle
y City water ? ?t. Deposit
30.00
I hereby acknowlege that I have read ihis application and state that the PRV Required
Booster Pump _ S/W Permit
. 5C
_ S/W Surcharge
intormation is correct and agree to comply with all applicable State of
i 276.0C
M
nnesota Statules and City of Eagan Ordinances. • Treatment PI
Signature Of Permitee ?. "A" e:"t ?'?•_ ? : -:? ??J '' .' -c r` APPROVALS
Road Unit 370 . 0C
A Building Permit is i5sued 10: MIMiATAEDlr BROS• Plenner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable Stale ot Minnesota Stal tes and City of Eagan Ordinances. gldg, pN, _ Copies -UJW. 5c
BUilding OfliClal Variance - TOTAL
s
• Permit No. Parmit Holder Date Tebphone #
SB-Cp `
5
OUIIL? ?
avff -
?
H.V.A.C. r 1014AI S
ELECTRIC 0 ?O / f
Inspection Date Insp. Comments
Footings I ?1A,6191 ,Q
Foundation
Framing [6 ??
Roofing
Rough Plbg. ???
Rough Htg.
K /Q
Isul.
Fireplace
Final Htg.
Orsfat Test
Final PI
b9. °
Plbg. Inspector - Notily Plumber
Const. Meter
Engr.lPlan
Bldg. Final , 2. f S
Dedc Ftg.
Dedc Final
Well-
Pr. Disp.
SEWER78 WATER PERM{T
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE SEPTEMDER 25, 1991
OFFlCE USE ONLY
METER #V7 2n2??-511 PEFiMIT DATE C'9/27f g1
CHIP # 0.:? f 3 9V6 -S PERMfT # 1::318
METER SIZE T/ff ° Sus g.p, RECEIPT #
ISSUE DATE ! f- S' FL B.P. RECEIPT DATE09 25 /Q1
- PRV - BOOSTER PUMP
SITE ADDRESS 4141 NEW YORK AYENLIE
LOT 46 BLOCK 4 SEC/SUB STAFFORD PLACE
APPUCANT: MZTTEL5TAEDT BROS
ADDRESS: 785 SUNSFT DR
CITY, STATE EAGAN Zlp 55223
- PHONE:
PLUMBER: M%'JDOWALU PLUMDZAIG
ADDRESS, 18271 KENWOOD 'fR
CITY, STATE LAKEVILLE ZIP 55044
PHONE: 435-3334
OWNER: SAKE AS APPLI-r"d?NT
ADDRESS:_
CITY. STATE
ZIP
PERMIT REQUES7ED
X SEWER x WATER - TAPS
- COMM/IND X RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
t AGREE TO COMPLY WITH CITY OF A
EAGAN OROINANCE$Q A /) _
PHONE: ' ?bI?"ryA' Ili - .- /; . ,,t / ,- , ?1 ? .
PLEAS? ALLOW 71A/0 WORKING DAYS FOR PROCESSING. CALL 454-5220
SEWER PERMITS, CONTACT ENGINEERING DEPT.
INSPECTIONS. FOR STORM
?? i
1,0117 9j /0 3 11
0 4 887 4 6 N oo
Reques7 Date Flre No Rough-In Inapaction ???,,,[[[''''''
G Reatly Now ?/+vill No91y Inspector
RequireWl
/ When Reaoy?
s - No
e
licensetl coniractor J owner hereby request inspection ot above electrical work at:
Job Aoaress (5(reet Box or qoute No.) City
I<
Section No. Township Name or No. Range No. County
OccupanllPRINT?
- phone No.
?- z?-
PaW2! $Ilppll2l A(1(1lB66
,9f
Eiecincai Gontractor iCompany Name) Contraolors License No.
M9iling Atltlre551COntredor or Owner Makinq In519llaLOn)
aulnonz?ed SignaWre iGonvactonOwner Making Instailation)
`?7? Phone Numter
fll?iPI '-y5?P"Gl7
MINNESOTA STATE BOAHD OF ELECTRIQTV THIS MSPECTION'FEOUEST WILL NOT
Gtlggs-MiUway 91ag. - Foam S-173 ., BE ACCEPTED BY THE STATE BOARO _
1821 University Ave., SL Paul. MN 55104 UNLESS PROPER MSPECTION FEEAS
Phone J612) 642-0800 ENCLOSED.
1 ?7/9? CEQUESTFORoE?LECTRICA?LbINSPECTION
QAnR R 7 "X" Below Work Covered by This Request
EB-000p1-08
ew 0dd Ren. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial FurnaCe
Farm Air Conditioner
O[nerosyemtyl CaNreotorsRemarks.
Compute Inspection Fee Below.
4 Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Ampi 0 to 100 Amps f?
Transformers Above 200 _ Amps Above 00 _ Amps
Signs Inspector's Use only: TOTAL
Irriya[lon 8ooms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ;P)VNTHSe.V
I, the Elechical Inspector, hereby RO°qn-'" v.
f ?J
certify that the above inspection has
been made. Finai oal
? 71
OFFICE USE ONLV
This request voic 18 momhs (mm
Address: 4141 NEW YORK AVENITE Lot 46 Blk 4 Sec/Sub gpAFFM pl,A,r-g
These items were/were not complete at the time of the final inspection.
11/21/91 Yes No S
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish v
Deck
Please verify with the builder the removal of roof test caps from the plumhing
system and-the shut-off of water supply to the outside lavn faucet be£ore
Ereeze potential exists. ?
HC?EDMR4
White - City copy Yellow - Resident copy Pink - Contractor copy
, CITY OF EAGAN N2 .19728
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454- 8100 /3
BUILDING PERMIT Receipt u l?
. ?
Tobeusedfor SF DWG7GAR Est.Value $80,000 Date SEPTEMBER 25 ?g 91
Site Address 4141 NEW YORK AVENUE
Lat 46 Block 4 Sec/Sub. STAFFORD PLACE OFFICe uSe ONLv
Parcel No. occupancy R=3 M-1 FEES
s Name MITTELSTAEDT BROTHERS Zoning
(ACUaI) Const R-L
\Cp
BIdg
Permil $ 550.00
w
3
° 785 SUNSET DR
Address (Allowa6le) __
.
9
Surchar e (y
0.00
City EAGAN Phone 456-9125 qotstories 357
00
41 Plan Review .
length
o Name SAME oepm 48
sac
a 100.00
f _
.
ry
g:
? Address S.F.TOtal _
SAC, MCWCC 650.00
City Phone S.F. Footprinis -
W 660.00
On Site Sewage a1ar Conn
_
F
ow Name onsiawau 95.00
?w - wetar Maie?
?CE Address rnwCCSystem XX 30.00
aw Cit
y Phone
Cirywater Acct.Deposit
XX_
30.00
PRVRequired - SM/Parmit
I here6y acknowlege thal I have read this application and state that the Booster Pump - SNJ Surcharge • 56
information is correct and agree to comply with all applicable State of -
Minnesota Stalutes and Ci y ot Eagan Ordinances. • Treaimanl PI 276•00
Signature of Permite ?J APPROVALS Road Unil 370.00
A Building Permit is issued to: MITTELSTAEDT BROS. Pianner - park Dad.
on ihe expreu condilion that a11 work shall be done in accordance with all Co+mit --
applicable S1ate of Minnesola Stat es and City o
i
,?a
g
an Ordinances. BIdg.Ofl. Copias
?
/
,
, y3,158. 50
Builtling ONicial Variance -
TOTAL
5-3 3 (o L RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registereo site surveys showing ;q. ft. of IoL ;q. ft. of house; and all roofea areas
(20°6 maximum lot coverage allowea)
• ? ccFies of plan show:ng beam S windew ;iz=_s; poured (ound aesgn, efc.)
. t set of Energy Calculations
• 3 copies of Tree Preservation Plan if bt;latted aNer 711193
• 4im Joist De[ail Optians selection sheet (Eldgs with 3 or tess units)
DATE
_ 4Vater Softener
Water Heater
No. of Baths
SITE ADDRESS "? l-t! 0Cw Yor K Av'n,,'? MULTI-FAMILY BLDG
Y N
TYPE OF WORK - ttG (' Qff +. 9c-14,6 ?C _
FIREPLACE(S) _ 0_ 1 _
_ 2
APPLICANT ?aSf ?qcr? C.6u'?ilr?c'?0f?
STREET ADDRESS Kjrn, I,a J1.L CITY L,'fkn Ca "k,STATE MMZIP ?S(f 7
TELEPHONE#r,57'CELLPHONE# Q?_-30-«'(x, FAX# 4V'`1R`1'0T7f
PROPERTYOWNER ?I 1 ? ?xt`C(eo? TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ %jIV'NFSO"C.A R[iLES 7670 GV'CEGOItY I 'VIIVNrSOT:A 12i "Ll:ti 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Su6mitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
tilcch.uiic.il systcm indudc,:
Sewer/Water Contractor:
_ 1ir Conditioning
Hcal Rccoccny S,
??? ? ?•?•?
???? 18 2002
Phone #
113 ??
ree: s9aoo
Pcc: 570.00
..---•-----------------------------------------------------------=-------------- •---------------------•-------------
I hereby acknowledge that i have read this application, state frt the i formati is corr ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inancesC?J? \
Signature of Applican}
------------------------------------- -------- ._--- --------------------------------------• "---------°------- --_.r
Y OFFICE USE ON'LY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4102
RamodellReoair Reouiraments
. 2 apies of plan
. I se[ cf Eneryy Calculations for heated additions
. 1 site survey lor extenor aoditions 8 decks
. Iridicate J home served by sep[ic system for atlditions
VALUATION -? ?IIDo •OcJ
Phone #
_ Lawn Sprinkler
_ No. oF R.I. Baths
. Jf gy 1 B UILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS .
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQIIEST IS MADE.
LAT CHANGE IS REQUF.STED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED DNCE 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.
?o Be Used For: ,Cj(oL a.i L? Valuation: `LDate:
Site Address y( y? ?j/G4/ ??(?
I.ot Block
Parcel/Sub G 76/FCF./M 0L4t,6
50??0 ow
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
R-3 M- I
R-1
V- N
V-N
FEES
Bldg. Permit .550r00
Surcharge D, DD
Plan Review 3$7,00
SAC, City 160,00
SAC, MWCC GS0o 0o
Water Conn. 601 w
Water Meter 95? 00
Acct. Deposit 0,00
S/w Permit 30.00
S/W Surcharge 15'0
Treatment P1. R6,00
Road Unit 00
Park Ded.
Trail Ded.
Copies
Owner
Address
City/Zip Code
Phone
Contractor /•?? ?E`G,T/?Ed1T ? /!?
Address 7?.i
City/Zip Code Z?
Phone ?Z'5' (y-l"iZ.S
Arch./Engr.
Address
City/Zip Code
Phone #
4!'
y$/
On site sewage_
6n site well
MWCC System ?
City water ?
PRV _
Booster Yump _
SIISTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL ?
Bldg. Off.
Variance
?? UJ
Sewer ter Licensed Contr.
Z'? ?_ agrees that all woCk shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GA1ZACaE
?At?AT?QN
zLtX2o7-! 4%0 XlS= 7,Zoo
BSM?
r----
?++ x Ho = °I&D
Iq?N s '7 (a
.r---
???
E6yy)'r = 10 3/
Zx ?- !W
ZIfb: ZD
I ? 19
= I°l
10e01 x53= 5 7'7r7
yZ? -oA.
1
'?
<'6 ? o-O
layelul4
? • EXTERIUR ENUELOPE AVERRGE "U" COMPUTATION e7L9L
OWNER: DATE:
SITE ADDRESS: q/y/ w PHONE:
CONTRACTOR: 1'Y1111'EL 4j'?FMsr
. Determine working square Footaqe of each
1. Total exposed wall area..... Ig43 sq. ft. x.11 =
7 ?j
7-I21
2. 7ota1 roof/ceiling area..... ??13 sq. ft, x.026 = Z-7' I
Total exposed wall area above floor=
a. Total wall window area ........................................... ?1Q.39
?i 6. Total door area .... ........... ,...............................
c.
Total
sliding glass door area .................................... -?
¢
i- d. Total fireplace wall area ........................................ -.-
? e. Total wall framing area (average 10%) .......................
..... if 140-
f. Total ,
rim joist area ................................... ... . ?3q
? g. . net wall area above floor .....................................
h. wall area a6ove floor .....................................
i: wall area above floor .. ...............................
j. frame wall area et fouiidation ............................ ..
' `- r'Total exposed foundation area= CO 7
k
Total ,•
foundation window area........................
' ? r, ' ';:. ,,
1 , Total net foundation area above grdde .............. (?-? ? `, ,' •
hetermine "u" value of each wall segiiient
{e.g. window, (loor, each separate wall section) '
a. Il9•3?I x --u,- .4q ' = 58S
b. stz x „u„ .31 = 13•?'L
C. 4L x ?lull •4q = ze•SS
.,
d. --- K ( [lull •__. _ ?
- e. 197•to x
- f. 131 x
g. 13q'fe.01 X
t
„u,l ; , 0 9 = IL • g
,iu„ at = 5.S`
„u,. .ot = 53,g
r
,J
:
I h. X lluii _
f i.
? X "up, _
I
?.
i
x
„u„
_
1 L
_- x '
- . nua
-
?
? . c. ? x „u„ .ob2 = 9
: 3 . ........................ ...... ....rotal ?7388'
t^
If item 03 is the sam
as, ar less than item
#1, you have met the
intent of SBC 6006 (c
ior L•'nvelopc nveruye "U" ComputaCion Page 2 cE q?"
I I I I ?
T
t
l
o
a
exposed rooi/ceiling area
II
i
?
I
?
I'I';• I
?
M. !bL&1 skyli.yht area ............................ I ?
I I
n. Total roof/ceilinry fianiing area (aver.aga lOB)..._ I .
'
.
. o. Total net insulated roof/ceili.ng .irca...........
Determine "U" value for each rooP/ceiling segment
I
?- _ X „U..
. M. ?
, I i II i '
n. ?u? ? "u" •OL4 s L'?`$ ; ? i I ??, ? ?,?I
?
?
o. 9(A s•3 X „?„ .ot ?q•3? ; ,
1bL-
4
l
..........................
a
, If total of 114 is tlie same as, nr less 1:han 112., yo iave m et the inCent of
SHC 6006.(0) 1.
Aiternate Building EnveJ.ope Desiqn
To utilize the lotal envelope'system method, the values est-ablished by the snm of
items N3 and t19 shall not be greater Lhan tfie sLun of items II1 and I12.
?. , ?. + 2. _
3 + 4. -
? ? .. .
1.
(
I4f I
'
i
? '!
-------------- ----- --------
SEF'-L-"31 THII 14:?3 ID:Sa11ES R HILL ItdC TEL N0:612 090-6244
?
`+3G
+7UT7r15YVR'S CEFiTIFICATE MITTEL5IAEUT BHOS. CONST.
_ fVEW _ -_RC___ All?
090.1
{ 91. 9
?
N 0
090.7 NOR 001.0 a121?'
?H __ ? - ?
882.3
(340) /
/
BlNCH M4RK n
ToP oF PIPE
fLCY. • 895.29
?
W
3
?
I .??-11- LY t
092.6
in
tD
?
o a?
5 ?+ m ??
e iya -_
095.2
G
/N
•?16.1?-•
- S
B93`
I '
?
? o
1 l ?-7
B9l.ZS? _? ^ ? ?
? J
(g?ra,o) I
??? ..
PROPOSED
. HOUSE
?
I 093A (SjcT?Q-,G}
? t3?t3,5?
V?
? I
?118.IB?
LOT 4 6 I
?-DRAVNAGE Bt UTILI
?FASEAEPIi PER Pl
? n --
?;--
? i' FS45.0) e95.0 SB.r
H l
I 1- L' l
l.-l./ 1 i
? ?l
?
? fiHl.]
3
0
;I0^?
1\
?9ENCH MARK
TOP OF MPE
EllV.- l02.40
KW}
S \
Z R ??
e94.6
693.9
N
h
,
';?? s ??rsgs`?ir
#2=2 F02
7:7.::.:• x
r
z
NOTE: NO S'l1:iIC 90tL5 INVESTGAT40N HIJ BEEII GOMPI.ETEP
ON THIS LDT BY THE lUItrE7p11. TFE lUTApI{.ITY OF
SqLS TO SUPPC71tT THE ti1'W?IC MOUlE PROPMEO IS
NOT THE RESroN51SLITY 0/ THE lUIIVEYOi!
• DENOTES PRDPOSED SURFACE DRAlNAGE
O bENOTES IRON MQMUMEN7 SET
0 DENOTES IRON MONUMEN7 FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
ND7E: BUILDIHC W40YSIONyS? SNOWN?RR,p?E
f011 p0111Z01f1'IL FLM? 01N.Y.'i!E
ATlON OF iTllllCT
. ARpIf1ECfWL ArMll 1{1R{U tL61NG
a 1'OI11JpAT10M OWC'1O10Nl.
SCALE 1 INCN - 30 FEET
PROPOSED GARAGE FLOOR - Qi9A,3 FEET
PROPOSEP Lt]WEST FLOOR - 0qt,,? FEET
PROPpSEO TOP OF BLOCK - 91147 FEEf
WE HEREBYCERTIFYTO M17TELSTAEOT BHOS. CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTA7ICUN OF A SURVEY OF THE BOUNDARIES OF
LOT46, BLOCK 4, STAFFpRD PLACElACCORDING lt7 THE
RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESO7A.
1T DOES NOT PURPORT TU SHOW IMPROVEMENTS OR ENCROALHMENTS, EXCEPT AS SHOWN. AS
.
SURVEYED BY ME OR UN4ER MY DIRECT SUPERVISION THIS 17TH DAY OF SEPTEM6E R , 1991
PHDPOSED 6RADES SFIDMM WERE TIXEN
FIqM THE 6RADNG, d1ANiAtlE R lf1DS10N
CONTIKX, PLAN PGh STAfF011D PLAGE,
WiEPAREp BT HEOLUNU ENGIFEERING,
LAST DA7Ep 9-31-87
?
m p? ?a y0 < ao cn>
^ r m cr m ` x
Z
a z Q () v O m
? ? O C^ p z t0
O m ? (
?
JOHN C. LARSON, LAND SURVEYQR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 9 eURNSVILLE, MN. 55337 • 612•890-8044
R. HILL, INC.
C
GAR.
7/
- CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
YHONE: (612) 454 8100
?4?C1?P.NICt1I.; .
UMWIM;'
FOR CITY USE ONLY
PERMIT #
RECEIPT #?
DATE: /O/V ly
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TDWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST X-
ADD ON _
REPAIR _
FEES
OWNER NAME: /nfT"7`,,- LfFrperPr
SITE ADDRESS: y'1 (G( ti&-j L'°&K 'PL&
LOT: 14C BLOCK q SUBD. 5 r?%?e??.D PGp9r.?
INSTALLER
. L3urnsvilia E-;eat;n? 4 p,/p ?nC.
ADDRESS: 124R} RhB?@lelslm-? ? Vw--5U.
Savage, PviN 555??1122
CITY: -
PHONE #
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM L?c 3.00
OF 1 PER PERMIT
c°
SUBTOTAL: $30 ?
STATE SURCHARGE: .50
TOTAL: $ 3 G
SIGNATURE OF PERMITT 9
CS7MMER?TIc#./?IDiTST&IAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUIL?INGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
lis OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED YIPING = $25.00
$25.00 MINIMUM FEE.
CDNTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
( S IGNAT[IRE )
CITY OF EAGAN
. CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-6100 RECEIPT # C. 1
noommmm DATE: /O a? 9
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
w>.:.....: _.,..,..
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR
EACH UNZT.
----
-----
------
----------------------
WORK DESCRIPTION -- -------°----------------- ---- ------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST % ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00 3 '
? BATH TUB 3.00
? L IAVATORY 3.00
OWNER NAME: . KITCHEN SINK 3.00 ?
LAUNDRY TRAY
' 3.00
3
00 ,'Z
SITE ADDRESS: UB/SPA
HOT T .
?,(
/U
A L WATER HEATER 3.00 3'
BIACK 7 SUBU
LOT:
? . FIAOR DRAIN 3.00 L
/?
??, GAS PIPING OUT.
J
INSTALLER: f/
`?r?
"" (MINIMUM - 1) 3.00
_? ROUGH OPENINGS 1.50 19.5-1
ADDRESS: Z17? _ OTHER _
CITY: ?
ZIP: WATER O
PRIVATEDISPER 5.00
15.00
U.G. SPRINKLER 3.00
PHONE #:
SUBTOTAL S ,? ??S'• 50
ST. SURCHARGE .50
TOTAL: $ 4 oa
GMERGiALfINDIISTRIAL'PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
s' ? M[ILTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
--------------------------- _____------------------- __----°---°
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
$
(SIGNATURE)
Use BLUE or BLACK Ink
I For Office Use I
I ~ I
Permit j
City of Ea Ed ~
sl Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: j
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDiIN~hG~ PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
_1A A M4
Resident/
Owner 1, Address / City / Zip: _ / 7~ V
Applicant is: Owner Contractor
Type of Work Description of work:
U~~
Y
0/1
Construction Cost: op, W
Multi-Family Building: (Yes / No
. a
Company:/ Contact:
t~ Sj 1W, NI At
Contractor Address: WW sr, City:
State: _-J Zip: Phone:` 10154K
} /
License (a~~ Lead Certificate l-r-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x lV t,4~ x •
Applicant's Printed Name App cant's ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142056
Date Issued:04/13/2017
Permit Category:ePermit
Site Address: 4141 New York Ave
Lot:46 Block: 4 Addition: Stafford Place
PID:10-72500-04-460
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
Tito Garcia
4141 New York Ave
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147690
Date Issued:01/26/2018
Permit Category:ePermit
Site Address: 4141 New York Ave
Lot:46 Block: 4 Addition: Stafford Place
PID:10-72500-04-460
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 -
Roger Garcia
4141 New York Ave
Eagan MN 55123
(651) 955-3695
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148498
Date Issued:04/03/2018
Permit Category:ePermit
Site Address: 4141 New York Ave
Lot:46 Block: 4 Addition: Stafford Place
PID:10-72500-04-460
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 -
Roger Garcia
4141 New York Ave
Eagan MN 55123
(651) 955-3695
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166306
Date Issued:12/29/2020
Permit Category:ePermit
Site Address: 4141 New York Ave
Lot:46 Block: 4 Addition: Stafford Place
PID:10-72500-04-460
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Roger & Liv Garcia
4141 New York Ave
Eagan MN 55123
(651) 955-3695
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature