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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