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4148 New York Ave.k- - • CITY OF EAGAN ,. 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt? To be used for • Est. Value Date -? Site Address ? Lot Block Sec/Sub. Parcel No. a rvame _ W 3 Address ° City- ,o Name ? 4 Address ?'_ City Phone Name_ Address City _ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express cond ition that all work shal I be done in accordance with all applicable 5tate of Minnesota Statules and City of Eagan Ordinances. Building Official OFFICE On Site Sewage USE ONLY dccupency -1 MWCC System Zoniny On Site Well (Actual) Conat cny wete? X (auowaae) PRV Required # of Stories Booster Pump Length ' Depth S.F. Total Footprint S.F. _ APPROVALS - Engr./Assess. -fErS Permit !.?• ' Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC ' Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL . Permit No. Parmit Holdar Date TeIephone ik Plumbing c/ / , H.V.A.C. ?- /C /o /k E lectric Softener Inspection Date Insp. COmmenta Footings I Footings II Foundation Framing Roofing Rough Plbg. l? Rough Htg. .10?3 4 ?•t ??r Isul. i OS Fireplace Final Htg. HS- Final Plbg. Bldg. Finai Cert Occ. f? i S '?fl ,rF i ? ?? Temp. LP DeCk Ftg. Deck Final Well Pr. Disp. PERMIT # . ' ? PLUMBING PERMIT CITY OF EAGAN RECEIPT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 u? BLDG. TYPE WORK DESCRIPTtON Res. New Mult Add-on Comm. Repair Ciry ? Name 3 Addre o CiH - Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPUES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PAICE GOES r.. ,? SIGNATURE OF PERMITTEtr' OF EAGAN Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES ?Water Closet - $3.00 TOTAL t Bath Tubs - $3 00 • . =Lavatory - $3.00 ?Shower - $3.00 Ki!chen Sink - $3.00 Urinal/Bidet - $3.00 -7--Laundry Tray - $3.00 - 7 Floor Drains - $1.50 Water Heater - $1.50 ' ..:?? Whiripool - $3.00 `' Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -FL-Rough Openings - $1.50 ?FEE [-'u STATE S/C: 1S0 GRAND TOTAI: N'Sn •rt' . . . PERMIT # , MECHANICAL PERMIT RECEIPT # CITY OF EAGAN • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE $1700. 00 Site Address 414E Naw York Lot 34 Block 4 Name wlurz.Et. nLnrurki i ? Address 1955 Shawnee Raed c City Eggan Phone BLDG. TYPE WORK DESCRIPTION Res. xx New '01 Mult Add-on Comm. Repair Other FEES Name FRONT IM FX S RES HVAC 0-100 M 8TU -$24 00 ? . . c Address i HW ADDITIONAL 50 M BTU - 6.00 p Ciry ??? Phone 4 - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS QUTLETS (MINIMUM -1 PER PEkMIn - 1 50 EA TYPE OF WORK COMMlIND FEE - 19h, OF CONTRACT FEE . , Forced Air 80 - 000 M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: 25.50 k • . S/C: SIGNATURE OF PERMITTEE ?Z6.00 TOTAL• ?A FOR: CITY OF EAGAN r-.--°-? CITY 4F EAGAN 2 17979 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT M FM PHONE: 454-8100 Receipt # . 7t?,^,K/t?0a!'c? 42txN! JtJNE 8 40 Te be used ?or Est_ Value Da(e-_ , 19 Site AAess 49a~° Naw svIM wV¦ Lot Block Sec/Sub. OFFICE USE ONLY Parcel No. occupem - FEEs Zoning - ;25*00 W Name (Actuat) Const - Bidg. Permit -sms o AddfBSS (Allowable) - $urcharge ? Ciry Phone # or siories ? Length _ Plan Review , p Name Oepth - SAC, Cily Address S.F. Total - gAC, MCWCC ? Clty Phone S.F. Footprints - On Site Sewage _ Water Conn ? ? W Name On Sile Well - Waler Meter W = MWCC S stem - U= Address y Acct. Deposil i W City Phone City water _ PHV Required _ SAN Permit I hereby acknowlege that I have read this application and state thal lhe Booster Pump - S/yy Surcharge infwmation is correct and agree to compty with all applicabla Stale ol Minnesota Statutes and City ot Eagan Ordinances. Treatment PI Signature of Pemlitae --? APPROVALS Road Unit A Building Permit is issued to: Planner - Park Ded. on the express Condition that all work shall be done in aCCOrdance with all ?uncil -- appiicable 5tate of Minnesota Statut and City ot Eagan Ordinances. gWj. pry, _ ?OP18S -?- TOTAL - Building Official ?" F•?-?yaria^ce Permit No. Permit Holder Date TeNphone ?k WATER SEWER PLUMBING H.Vd.C. ELECTRIC Inspsction Dste Insp. Comments Footings 1 FoundaGon Framing Rooling Rough Plbg. Flou9h Fffg. fsul. firepl2ce Fnal Htg. Fuial Plbg. Const. Meter Plbg. Inspecta - Notify Plumber EngrJPlan Bk1g. Final Oedc Ftg. Deck F?l ?1/443 ztv 4 k r ? M/?? a f???, ? weli 4 e ?s Pr. oisp. a 3-- / 9 2 `H Oef r"?"??F.-..--?,?y.i'i?7!???f.1S'Pi,x?;:,9:1?sr!g..•,I'jel?+'.'.',nr..q..- . ..:.?qF'?§a•:'?1 .4 . CITY OF EAGAN 1757d ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P HO N E: 454-8100 BUILDING PERMIT Receipt # ,- ' 11 f •? To be used for ' BASeMF-NT Est. Value s 1+5w Date MARCH Z , 19 ? Site Adclress 4148 NBV YDRK AVE Lot 34 Block 4 Sec/Sub. s7AFFORD PLACE Parcel No. W IName ? HCUYEN o Address 4148 NEW YOR1C AV$ City VIWIAN Phone Name _ Address ? 0, Name _ ? ; Address z iW CIty- I hereby acknowlege that I have read information is correct and agree to c Minnesota Statutes and City of Eagan Signature of Permitee A Building Permit is on the express coni appiicable State of I Building OfliCial Phone Phone this application and state that Ihe omply with all applicable State oi )rdinances. ic NGMN hall be done in accordance with all and City of Eagan Ordinances. Occupancy Zoning (Actuap Const (Allowable) +Y ot Stories Length Depth S.F. Total S.F. Footprinls On Site Sewage On Sile Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Of1. Variance OFFICE USE ONLY - Bldg. Permit - Surcharge Plan Review - sac, city - SAC, MCWCC Water Conn - Water Meter ? Acc1. Deposit S/W Permit ? SNV Surcharge Trealment PI Road Urnt - Park Ded. i C - ap es TOTAL FEFS 35.00 1.00 •50 36.50 Permk No. PermR Holder Date Telephone k ^1TER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Da/e Insp. Comments Footings 1 foundalion Framing Roofing RoughPlbg. Rough Htg. Isul. Z ? fireplace ? Final Htg. Fnal Plbg. Consl. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Oeck Fig. Ueck Final Well Pr. Disp. CITY OF EAGAN CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE PmANE d5d.R1 AA Site Address Lot 3 y Block ? Add c Cliy ? I Add ? City Phone FEES COMM.IIND. FEE - 1 % OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 SLC PER,EACH $1,000 OF PERMIT FEE) v BLD(3. TYPE WORK DESCRIPTION Res. K New MuR. Add-on „>< Comm. Repair Other RES. PLBG. ONLY - COYPLETE THE FOLLOWING: NO. FIXTURES TOTAL Waler Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3-00 IGtchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpod - $3.00 Gas Piping Oudets - $1.50 (MINIMUM -1 PER PERMI7) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: 1 z . °? STATES SlC: ' s'> GRAND TOTAL: ? ? S? CITY OF EAGAN Np ? ?5?0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 BUILDING PERMIT Receipt # c & & 1 To be used for BASEMENT _ Est. Vaiue $1, 500 Date MARCH 2 ig 90 Site Address 4148 NEW YORK AVE Lot 34- Block 4 SeGSub. STAFFORD PLACE Parcel No. W Name DUC NGUYEN 3 Address 4148 NEW YORK AVE 0 City EAGAN Phone , o Name -S AMF ?a Address UQ ? City Phone W W Name Address aW City Phone I hereby acknowlege ihatl have read Ihis application and state ihatthe intormation is correct and agree to comply with all applicable State ot Minnesota Statules and City a@aqan J)rdinances. ( SignaWre of Permitee v A Building Permit is issuad to: DU UYEN on the ezpress condition that all work shall e done in accordance with all applicable Stale of Minnesota Statutes and City of Eagan Ordinancas. Building Otlicial OFFICE USE ONLY Occupancy Zoning (ACtual) Const (Allowable) M of Slories Lenglh DBpth S.F. Total S.F. Footprints On Site Sewaqe On Site Well MWCC Syslem City Water PRV Require0 Boosler Pump APPHOVALS Planner Councii Bldq. Ofi. Variance Bldg. Permit Surcharge Plan Review SAQ Ciry SAC,MCWCC Water Conn Water Meter AccL Deposit SM/ Permil S/W Surcharge Trealment PI Road Unit Park Ded. Copies TO7AL FEF.S 35.00 1.00 .50 n? cn CITY OF EAGAN NO 17979 3630 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454- 8100 (1 s?'1 -Z p BUILDING PERMIT FTS FOR Receipt # To be used for ? DECK/PORCH Est. vaiue $1000 pate JUNE 8 1990 Site Address 4148 NEW YORK AVE OFFICE USE ONLY 34 Block 4 SeGSubSTAFFORD PLAC Lot E . Parcel No Occupancy - FEES . Z i ?i. N2me Dy.. NGITIEN on ng - (ACtual) Const - $25.00 Bldg. Permit W ; Addf2SS SAME (Allowe6le) - Surcharge • 50 ° 688-2194 City PhOnO # of Stories lh L Plan Review e(y - p Name SAME Depih - SAC, City , ?a AC1CJf2SS S.F.TOtal - MCWCC SAC . ? City Ph0110 S.F. Poatprints - S O Si Wa[er Conn ewage _ n te w W Name On Sile Well - Water Meler sz Address MWCCSystem - Acct. Depasit iw City Phone cityWater - i PRV R d S/W Permit I hereby acknowlege that I hav read is applic tion and state thai the re - equ BaosterPUmp - SNJSurcharge inbrmation is correct and agre to m ly wit ?II plicahle State ol Minnesota StatNes and City of an a I Treatment PI Signature ot Permitee APPROvALs Roatl Unit A Building Permit is issued.to: DW. NGU Plannar - park Ded. on the express condition ihat all work shall be in accordance with all Council -- Copies applicable Sta1e ol Minnesota Slatut and City Eag Ordinancas. gldg, pry, _ $25.50 8uilding Ofticial Variance TOTA S 311?-15 v ??-- P 66439 Request Date ' ? i No. h-in Inspection uiretl? / ? Reatly Now 9J Will Novty InSpeaar j c 3- L - ?.," 0 No ? Whan ReaCy? I p licensed contractor 5? owner hereby request inspection ot above electrical work at: Job Atltlress (Strceq Box or Route NoJ -+ M Ciry EA-151K Section N0. Township Name or No. pange No. Couny ? J ?, Occupant(PRINnet ?DV? x,/gj Phone No. Power Suppller A?K ?Al Adtlress Elecvkal Convaaor (COmparry Name) Contractork licensa No. Mailing A?C{dre!ss7 (C ?Uwi?tyra?cla w O?w/ner Making InstaiWUOn) ??? _ . /" V/ Y i J l7'03 G? ?" 'V" 11 `/ : r r . Ta Y.. Mnhorizetl Signefure (CO?phanorlOwner Meking Installation) Phorre NumEer /_cXJ fJJU l MINNESOTA STATE BOAND Oi CIfY TiIS INSPECTION REOU2ST WILL NOT Grigga-Mltlway BWg. - Room BE ACCEPTED BV THE STATE BOAFD 1827 Universlty Ave., SI. Paul, 55 UNLESS PROPER INSPECTION FEE IS Plrone (614) 042-0800 ENCLOSED. .3/,?/s0 P 66439 REQUEST POR ELECTRICAL INSPECTION ? Sae in9lructions lar mmpletiig ihis fortn on beck ot yellaw copy X"Velow Work Covered by This Request ? EB-0OOOI-07 y C'(?lo/3 e A- - TypeotBuilding AppliancesWired EquipmemWired Homa Range Temporary Service buplex Water Heater Elec[ric Heating Apt. 8uilding Dryer Other (Specify) Comm./Industrial Furnace Farm Air Contldioner Other (speoty) ConVaclor5 flamarks: CompufelnspectionFeeBelaw: Bp`???T F1NISH-?OUL-N•II,I C{.?LY # O[her Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above200_Amps Abo _Amps SignS Inspec[ar8 Use Only: Irrigation Booms ? Special Inspection Alarm/Communication O[hef Fee I, the Electrical Inspector, hereby i R°uyn-in oa?e cert fy that the above inspection has been made. Flnel OFFICE USE ONLY This requeat witl 18 momhs imm ?p This request vold /?-j?"?? 18 nwnths fmm D 30080 Qf gyia.-'a I7dLicensed Electrical Convacmr 1 hereby request insDection of ebove ? Owner electrical work installed at: Street Atldress, Box or Rout / C.1v e mn o. Township Name or o. Aaa9e No. Coumy Occu 1 (PH 1 T/e/E ? Phone Na. Pawer Suppller .4ddress ElepTrica rl C7 actnr om anv Name) C1111tractor's Licen e No. Mailin (I Jress IConVactor or Owrrer a ing InstailatioN Auffiorized nnlure C tmcior Owner Making Installation) f Phone Number MINNESOTA STATE BOARD OF ELECTNICITY THIS IN PEGTION HEQUEST WILL N07 eE A CEPTED Griggs-Midwey BIAg. - poom N-181 C BY THE STATE BOARD 1821 Universitv Ave.. St. Peul. MN 55104 ?N?ESS PROPEN INSPECTION FEE IS Phone1612)642-080a ENCLOSED. OR ELECTRICAL INSPECTION Ea-oooai-os "WI"lactiuns for complatin9 Ihis lorm on back ol yellow coOV. X'" Below Work Covered by This Request Add nea. •yoe oi 6uildina ' Aoolorncea wtred Enufunieot wked Home Range Temporary Service Duplex H'ater Heater Lic ghtiny Fixtwes Apt. BuilAing Dryer Electric Heabn Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank F2rm Other Pe, Y .???F?r (Specifyl t ?r Pecifv Othor O?he? C/ImnblP IIISOPCIfO/1 fPE HBIOW N Fee ServiceEniranee5ize tt Fae fexders/5ubleeders tl, Fee Circults U to 200 Amps 0 to 30 Am s 0 in 3 Ani)s A6ove 200 q?nps?. 31 to 100 qmps 31 to 1 Swiiol Above 100_-Amps A Above Transformers Irrigation Booms Pertial Signs SVecial Inspectfun TOTAL Nemarks flouBh-in / .?,;i; ?._w )?e1Se? I, the EI xl C?" ?'' ?l? / ? , "?`(J (a Inspectoq hereby ertily thxt the above Final G?? ,? / ("C /? (?1e insVaciion has been metle. i Thls repuest voiU 7B montha irom CITY OF EAGAN N! 15 512 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 g? ga BUILDING PERMIT Receipt# To 6e used for SF DWG/GAR Est. Value $98, 000 Date AUGIIST 23 ,1988 Site Address 4148 NEW YORK AVE Lot 34 Block 4 SeGSub. STAFFORD PLACE Parcel No, a Name FRONTIER MIDWEST HOMES z Address 3902 CEDARVALE DR 0 City EAGAN phone 454-0433 °C Name SA14E I Address u ? City Phone Name City I hereby acknowledge that I have read this application and state that the iniormation is correct and a9ree to compty with all $pplicable State of Minnesota Statutes and City qf Eagan Orq,i?iance;. ? Signature of Permittee /I "1A'cA Al/a^PA A Building Permit is issued to: FRONTIEIZMTDWBST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building ONicial8 1(1 R PA (- 1 N. 1 OFFICE USE ONLY On Site Sewage - Occupancy R-3 M-1 MWCCSystem X Zoning R-1 On Site well _ (ACtuep Const V-N Ciry Water X (Allowable) V-N PRV Required _ # of Storles BooSterPump _ Length 64' Depth 281 S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permi[ 566.00 Planner Surcharge 49.00 Council Plan Review 283.00 Bidg. Off. SAC, Ciry 100.00 Variance SAC,MWCC 550.oo Water Conn. 550. 00 water r.neter 67.00 RoadUnit 325-00 7reatment Pt 204.00 Parks TOTAL 2,694.00 RESIDENTIAL 55S 10;t BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConatruMion ReauiremenM • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% mazimum lot coverage allawed) • 2 copies of plan showing 6eam 8 window sizes; poured lound design, etc.t • 1 set of Energy CalcWations • 3 copias of Tree Preservatlon Plan if lot platted atter 711193 • Rim Joist Detail Oelection sheet (hldgs with 3 or less unils) DATE SITE ADDRESS / I TYPE OP WORK? APPLICANT STREET ADDRESS ?Or-f c7 / lf'l1Tll?.d?ir' TELEPHONE # ?Q- IG2?? CELL PHONE # PROPERTYOWNER vUG N TELEPHONE#??-?3S-?b4d COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"I :A RliLES 7670 C:\'l'LGORY 1 MINNI:SOTA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanicat Controctor: Mcchanical system includcs: Sewer/Water Contractor: _ Air Condilioning Hcat Rccovery Systcm I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eage Signature of OFFICE USE ONLY Waccr Softener _ Water Heater _ No. of Baths _ Plionc # Lawn Sprinkler No. of R.I. Baths Phone # MULTI-FAMILY BLDG _Y ?N _ FIREPLACE(S) 40 _ 1 _ 2 RemodellRenair Reauirements • 2 copies of plan • 1 sel of Energy Calculations for heated additions • 1 sAe survey for exledor additions & decks • Indicale if home served by septic system for addi6ons VALUATION 016170 If 140. fis I Yy/ v ;l,_ Fee: $90A0 rce;-? uv s SEP 18 7002 ?-?I Phonei LR y - - mation is correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 FAX # r ? 1988 BUILDING PERMIT APPLICATION - CITY OF EAG9N 3INGLE FAMILY DWELLING3 1.6 5 I rk INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUAAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS g??ooo To Be Used For: NFW ['[1NST. Valuation: Date: 8/15/88 Site Address 4148 NF Lot t Hlock [ Parcel/Sub STAFFORD P Owner Nr,iivFKi nrir Address 2939 COHANSFY RLVD_ City/Zip Code ST_ PALJL 55113 Phone Ayn-t47r,,; Contractor FRONTTFR MTDW ST HOM Address 3907 CFf1ARVAIF DRTVE City/Zip Code FAC;AN 551 ?2 Phone _ 454-f1633 Arch./Engr.PHILLIPS PLAN SERVICE Address 14530 PENNOCK AV . City/Zip Code APPI_F vAl_I.FY 551 4 Phone # 432-2044 -- OFFICE USE ONLY --- - On site sewage_ Occupaney MWCC system Zoning On site well Actual Const 1/N City water ?Z Allowable (//}/ PAV required Ik of stories Booster Pump _ Length _ Depth z .33 S.F. Total Footprint S.F. APPAOVALS FEES Engr/9ssess Permit Sb G Planner Surcharge 519 Council Plan Review 2 3 Bldg. Off.'??? B 11 SAC, City /D? Variance SAC, MWCC 5'O Water Conn 5 SD Water Meter (17 Road Unit 373 Treatment P1 7o'f Parks Copies ? TOTAL St1RRNJ ? - ? G/ ? 1 L/`'/° k/y = !? l?4 y?Sa^ t ....---- ?ga Pyi? vg = ??/?za9 -----?- ?. t? ? iM q M. 1 ! r , EXT`_RIOR ENYELOPE AVERA6c_"U" CQMPllTATIDN_ S u-JZ R?I OWNER; NGUYEN DUC SITE ADDRESS: 4148 MEW vnau LU FAf;AN CONTRACTOR: (Impal-&65 nnrr PHONE: 454-0433 FRONTIER PLAN 9 SU/?_.12C-_1-1' P,L??c.l A ?. .` Determine working square footage of each 1. Totai exposed wall area..... 233°i sq. ft. x.11 = 2,S'7.Zr1 2. Total roof/ceiling area..... 353 sq. ft. x.026 = Z Z•i-1 a Total exposed wall area above.floor= Z024 a_ Total wall window area .:................................. .... I 48.?1: b. Total door area ....................... . .......................... 3't ? 40 c. Total sliding glass door area .........:.......................... d. Total fireplace wall area ........................................ ?Oa) !'tq . 151 e. Total ............................ wall framing area (average f. Total rim joist area ...........................................:. 9 5 3 i8:29 ( g. net wall area a6ove floor ...............:..................... I ? .` h. ................... wall area a6ove floor .................. ' i. wa11 area above floor ...................................._. ...d. ? ' ..........................• frame wall area at foundation....... Total exposed foundation area= ?p2- - k. Total foundation window area ....................... K? `- 1. Tota7 net foundat9on area above grade .............. S 3 Determine "u" value of each wall segment . (e.g. window, door, each separate wall Section) q Xv 4-7 = Loq.,3 83 148 . a. b 3-7 X ?lull ,37- = tl.84 c. Q6 X liu?? , qG = Ict. Co : . d, ' X Mu,l I X"U° .C19 = 1(o.f82 e. 1-Iq.?l f. 253 xilu.. . 04 /401 8•z9 x „U., o¢ y. , n. X „u„ _ . < ?- - ;. X Hull z _ . ? x "U'l If item 03 is the s c? x"U" .48 = 4, 32 k as, or less than :it ' , 01 , you have met,, .tti X"U" . Ib = S•3 - intent of 58G_6D0,?.. :":, ? 3 . .................................Total = X. ' Y y-.t^rior Eaveiape Average "ti" CO:':?LLdt10II Page 2 0° 4 Total exoosed mof/ceiling area = 6 S3 m. 1bta1 skylight a=ea ............................ ? a. Total roof/ceiling franing area (aaerage 10%)... o. Total net i.^.sclated roo£/ceiling azea........... r7(wf • ? • Dete:-mine "U" value for each roof/ceiling segnent r,.. X "U" _ n. , P-5^.3 x "U" ? OZ? = Z.04-1 ?. 24)7-7 x„Ut, . oZ = IS. 3s4 4 ........................... Total = I-7• 401 _f total cf `4 is the satne as, or less ihan N2, you have met the inteat of SBC 5006 iC? 1. ylter::ate Builci^a Enve_ope Design ?b ut=lize the totzl eavelope'system method, the values established by the s-.ua of items -3 a.zd -4 shell not be greater than the sum of items n1 and n2. 1- 25`7 . 2-9 t 2. Z2. l 7 S = Z'i9. 46$ l = t'1. 4-7 7 3. ZDZ. 0'7 (o + 4. «. 4-0 2 PLAN # 5 ueR-e'( ? LIAff'AL F::r.T EXPOSID WP.LL BIACK: KNEE: . W.O.: FULL 1: FLTLZ 2: £IR...?LACE: RL*1: * SQUARE = FXPOSID WALL AREA gLOCK; x .5 = x5= W.O.: X B = FULL 1: X $ _ FULy 2; x 6 = FT PLP.CE: X = gIM; x1= =AL * SQUARE FEE.?' FXF'OSED CEILJNG i? ,Jjm",?ry,'S ° DOORS * PATIO DOORS * BASIIMENT UNTTS T"S'LfLT, FEf'f E7POS?.?. 4LALL Bz.ocx: 34-r i l+?+?-? + 13 + 4+ i St ?A = l Z? KNEEE: ?j A w.o.: NA :vu? : 34t3+ it-??+?-?+-13+4-t-ts+ 24= ?? F'[,'t.t, 2: 34-t- 14.5+ 40 t lS+ / 3t4t /St ZS.S =/ 2? _F_Rt."?LACE: apTl°PAJ- 1Z.TM: I Z& 7-1 Z'l = Z6 3 = SQUARE FFET EXPOSID WAILL AR£A BIACK: 124r x .5 = !02 r,E--; x 5 = K W.O.: X 8 = 7rJLL 1: l 2b X 8= l oog Zoz r:.L 2: (2'1 x B= 101(0. ?" FTRE,PIACE; x PLAN # sv ?e?Y RTM: ?S3 x 1 = 253 TOTAL * SQUARE FEET EXPOSM CEILING 'l I 4 t 8'7 t$2 = g5 3 DOORS 3°- l - Zo \? i u.oo?uS z& - ? ? 3'7 PATT_0 DOORS -- 244$--r4-H Itl - 64 * BA5IIMENT UxTTs w45- i - (0 •(V Z46o - t I 1 - 30 Zocoo -Iltl - 33•3 1?8.? W?U- -? W, l.u? . 1Jc"?,: Use ; %; C= c;pnQUe :,?cl { area fbr • ? .. {yame Ga'Wtr?tGe??o? P(jqt-e HREL R- VALiJE CDNSTRUC?TOI,L=- FRA.lING - ' 1. INI'ERIOR AIR fIIM 0.66 2. 2 GYPBD .4 3. 5 2 SO WOOD 6.87 4. 25/32 2.06 5. SIDING •a 6. OR AIIt FILM 0G.IT- TOML = 10.S U= .09 NEf 1. 1. INTERIOR AIlt FiIM 0.68 31_" 2 GYPBD .45 3. 4. 25732 5HEAThTNG 2.06 5. ID.6 6. EMRIOR . FILM . u= .04 S?LL 1. INTMOR AIR £ILM 0.68 2. 6 IN 19.00 3. 0 4. 5. S 6. R 0.17- U= .04 {?hTICYk WALL 73 -_l L' /•`? I o- u„ * BLOCK 1. INTERIOA AIR F'ZLM 0.68 2. 3. 5.00 4. PROTECTIVE BARRIER 5. 6. TOTAL R= 7.23 U= .14 SLP.B ON GRADE FzG. RA ? + P. Ti I fl3t . ?.' !r? I U ' a UL IS? ?l''_° 1!f !if ? jt! = If? ? S , • ? ? *t ~ : • ??? ?Er ^ 11t ln ? r?r ? NO?'E: INDICA'?'i: TYPE, „R" VP.IIJE. DEFI-:3 P?iD PLACr`'?..'i'tiT OF IIVS[.nATION. : . ?1T RoozTLZxc CONSTRUC sON ' R-V?j.,uE, ? y :3). ? 0.6& 2. INTFT?IOR AIR FIIM 2. 4. U = .02 p_r?c? ; L ' FEAT FIX)47 U Up PIG. #5 L RAME 1. INT'ERIOR AIIt F'IIM 0.61 3. 4. U = G.024 CONSTRUCTION 1 INSIDE AIR FILM 0.61 2. - 3. 4. 5. ----- U = FRAME ?+11+T FLpW W :-_.AT_ FLoW Lp ? ? 1: INSIDE AIR FILM 0.61 2. S. u = 1. INSIDE AIIt F'ILM . 0.61 2. 3. 4. _ 5. ,n7I,AL U = NOTE: USE AD?ITIONP.L SH£EfS I?' MORE 5?P.Cr' IS DIEEDID FOR DETAILS HND G4LCULA-'rZONS. -_G• =7 '? NON-4'-P1T=-T? =zc. #s . :He.diund Engineering Services 9201Eaat&aominqtonFraeway Bbominqton, Mnnesota 55420 rLanG Surr?yora Clvll En9ineers Land Plannars Phone: 888-0289 ? surve#or?s G - BOOK_ PAGE _ - JOB NO. g$r•443 SURygy FpR: Frontier t4idwest Homes Corporation GESCRIBED A5: Lot 34, Block 4, STA-PFORD PLP.Cc, City of Eagan, Dakota County, P?innesota and reserving easements of record / 2s i 8?n,1 ? ti0A ?zb p? co ? o , QQ^ ''? ` / 992 b /C) ?e ? , - TOP OF FOUNDATION = a'fs.b GARAGE FLOOR = 095.2 BASEMENT FLOOR = Is,.5 SEWER SERVICE ELEV. = PROPOSED ELEVATIONS EXISTING ELEVATIONS : DRAINAGE DIRECTIONS :?--? DENOTES LOT CORNERS : o N}?d DENOTES OFFSET STAKE : o . = 89,04 i i «? .... - r / 6a?? Ao / ? i Jy -IO P z_??d 3s"-?) ? ys? io ? % . Ln - -- - -1- - I Z° +? 7- C_ ? ? n ? ?. /76. 28 FIAG? DZM .CERTIFIGATE OF SuRVEY I here6y certity that ihis suney , plan or ?eporf woa prepared by ma or under my direct supervision ond thaf I am a duly Rayistered Land Surveyor undar the larrs of th• Stats of Minnesota. Date: 3 / -3 / 88 W ? 889,1 / ? O is N ,. I Z T ,Q/ Z ) pQ w, . License No.14376 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN ? rri C. r) 0 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LQTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRE?. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For Site Address kl7i?/? T ??Q.5N.//4-Valuation: 414 A lWw YORKAiC F Lot ',34 Block 4 Parcel/Sub Owner ??VICi A??`?11) Address 414 9 f)? Al)j:? 4??J Y City/2ip Code ?LIW 3 Phone Contractor -7sC1-F - Address City/Z Phone Arch./Engr. Addres City/Zip Code Phone # ; S 0 C, Date: -fi2 ' , )1167 OFFICE USE ONLY 'Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pwnp _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 35-.0v (, o a ,SD -3 C^r5c L cirir use oNLv ? Q ? BL ? RECEIPT #: L SUBD.?4??,d?a?C DATE: /0I 7996 MEGFIANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace y Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? 5tate Surcharge TOTAL SiTE .50 ?D Sw ? OWNER NAME: 1)Lt('i PHONE #: g?9? INSTALLER NAME: ?NOj1Ie.f'S .?tN?S??Ip? STREET ADDRESS: 7?? j `+'S? ?t • CITY: STATE: ft!) ZIP: ? PHONE #: ( ) ?3I"'?dq? ??J? 7 ??d?` /- 7,? ? ?? ?? 4 2 y 1990 BUILIlING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL iTNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESIED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. f?f ?s / To Be Used For: ,J7?}(,} PpQL?( L`?yaluation: (?G() Date: At? 7?4 fqq0 '°+d site Aadress 414A Nryt1Y62F( fWi?- Lot 34 Block 4 Parcel/Sub 5rf+F:F0Rb PLAC&; Owner DY1fi Ppx(,tye'N nddress 4148 W'In7 YBklC AUE City/Zip Code $"$'(23 Phone 65?q-2r94 Contractor -.SFp - Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFZCE USE Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. qop;Tes SUBTOTAL Penalty TOTAL ?-) -5,- .4?'?7 APPROVALS Planner _ Council Bldg. Off. !%W$ Variance '(He.dljjnd LanO Surveyon Engineering CIWI En9inters Services LanA Plannera 9201 Eaat 6loaninqton Froawq Bloominqion, Minrrwta 55420 PAone: 888-0289 ? surve?or?s G'ert?,f "?cate - - BOOK _ PAGE _ _ JOB NO. 88?-443 SURyEY FpR: Frontier P4idwest Homes Corporation QESCRIBED AS: Lot 34, Block 4, STAFFOFD PLP_CS, City of Eagan, Dakota County, Minnesota and reserving easements of record / Zs / gft.t ? ti0A ?tb Q ? / o, ?.<t TOP OF FOUNDATION = a'(=.b GARAGE FLOOR = 895• Z BASEMENT FLOOR = ga'.5 SEWER SERVICE ELEV. = 9,34< PROPOSID ELEVATIONS : Q EXISTING ELEVATIONS : DRAINAGE DIRECTIONS :?-- DENOTES LOT CORNERS : o DENOTES OFFSET STAKE: o o. % 69l.34 - lzcWa P. 2. ??d ?s..? .; ^,?• ? ?r Q ? 693.D ? --- Z6 ?3 7? C i- ? ., , EAGAN ? i d ? ?• D&PT CERTIFICATE OF SURVEY I hereby cortify ihot this survey, plan or reporf vras preparad by me or under my direct supervision ond thaf I am o duly Reqisiered land Surveror under tAe laws ot ihe State of Minnesoto. Dote: 38 k 41 41 Z Z ; License No.14376 APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION , .*t PXri'E: PAYF]fSlP OF FEE AT TIME OF * ; npPLxcATIoN oors NoT cnrr- : ? . STI1Sfl8 APPR('iJAL OP PE3IMIT. : R ? INSPF7CPION OF SEWEIt HNID/Oi FR,TII2 I ?*.. ? iNsrAL[.r.Tioxs wIU rCfr ee SCFnnEn y w LN1ZL PERMIT HAS HfM APPROVID. ,'. oF eCiqton (PLEASE PRINT 1) PROPERTY ADDRESS: 4148 NEY YORK AVE EAGAN. MN. 55123 LF7GAL DESCRIPTION' . P Lot B ock Sub ivision or Tax Parcel ID ) IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING P..RMIT ISSIIANCE: PRESENT ZONING/PROPOSID USE: Q COM?IERCIAL/RETAIL/OFFICE Q INDL'STRIAL Q INSTITUTIONAL/GOVERA]h]ENT Mbnt Year I? R-1 SINGLE FAMILY ? R-2 DC?PLEX ('1t,e Units) ? R-3 'I+OWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENr/CODIDOMINILM ( Units) 2) NAME: FRONTIER MIDWFST HOMES ADDRFSS: 3902 CEDARUALE DBIVE CITY, STATE, ZIP: AE GQN • MN. 55122 PHONE: 454-C1433 3) NAME: STAR PLLIMBTNC; ADDRESS: in7 R Mf1llNfl SPRTNGS TFRRAGE CITY, STATE, ZIP: ginnMTNGTC]N. MN_ 55490 _ PHONE: 88.4-4149 MAS'PEft LICENSE # 3329 4) NAME: 1JGUYEN. DUC ADDRESS: 7?39 COHANSEY BLVD CITY, STATE,.ZIP: ST. PAUL_ MN. 55113 PHONE: < on_ie?,< ij Active Expired Not recordec StEff Initi 5) ? CONNECTION 1C) CITY SEWER Ex-4CONPIECTION RO CITY WATER O OTHEF2 6) ***,r**,?***?**+***W *? +«+******?.******,r*********?***********,r*****,r**+*****************?**+*+******? * THE G07D COPY OF PERNIIT WILL BE SENr DIRFXTLY 7O PUBLIC WORKS 7O FACILITATE MEPIIt PZQC-UP. .*k PLEASE AIUOW Z40 WORRING DAYS FOR PROCESSILVG. SOAIDONE FRIXH Tm CITY WZIS, CONPACi` Y00 IF THERE * * ARE ANY PROSLENIS. *w ?***?***+**?****+?**?****?***+*?+r***?*?****??***********?***********?*****?*?***?****+***?*********; FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldq. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ lO "7 U $ WATER PERMIT (INCLUDE SL'RCHARGE) $ (p 7• ? a $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLDDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER S 5-5? • Crl7 $ wAc $ (pS2 • (? $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ;20 $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQDIRE EXCA VATIO[V IN PDBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHILV POBLIC ROADWAY" MLST BE ISSLED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: ? DATE : `fz f ?...?=_ Cuuanr?'c N?tr . r _'?-._._?_ A4drKS . .'• Cny --.?....?,,,.,, .:. _ . . . . . Sua Zip 7elePhorwllwnOqr_,?,,,,,_... ,:. W 1NTEH; Insiag Drr,iQn Temp ?_ .p_Ou[citla Dosi n Tem ? - /? SUMMER: Ouuide Drsipn TOmp ?? . ? P "F w M??4np TanP D?f4r? ?b ?7,?!,. •p . - F-IrtxidrDesiBnTamP ?..F ` w CYOlirvp Tatnp.:DdMrimme -p : nlbmpFF ;.... ?•4.' .,.. .C. .f,.yi... .v IwCIOR'.. 4?M'? . . . tOi ' GROSS WALL f Ly - OOORS&WINOOWSITableAorBl • (0G3 ?(c0 NETWALL/7?7 . ` -- ?gfi .dY FLOOPS . ? a20 1{ 10 % 7 Sy ? M j /a ¦ % ?? r o oi u * ? x ? y SU?9-TOTAL BTUH SS (Par 10°FI . -;;, AOJIISTMENT FACTOR ITablu C) 5? 6 01 _ ? , TOTRl. BTUH LpSS PEOPLE_.,{Z x 300 BTUH GAIN APPLIANCES BTUH .. ? .. . .. ' ' ,. . . . SUB-TOTAL BTUN GAIMIroom sensbleronly) p DUr7 LQSS/GAiN FACTOR (Table FI ? e,-+ ? SU6•TOTAL BTUH (Sensible Gain) -.. Pq - ,. .. MOISTU.. aEMOVAL,(sub ioial x 7.31 . iHULt A-IIEATING-DO IPEq 10°F) DRS 6 NfQ00 FRAME WINOOWS rw ai,auyi yWss aaprc • 46c 4cwrs lor tha wme q'W windpw ,, •,i?.???,?,?,. ?..---,--- l Ir.dl ?IVJ?l?C N?IyT Wllfl tiIV11T ? J?JI au?pc u ?._?L? .v'>IJm I?uubb.? •'^ Y6uua U•,.y Ntwuw .i. ?. dl W w..ioim wo IM- W yl xAlea . dwhloss 9.90 10.45 11.55 . 4 7- 9.25 n.SU . 6.9e a.?s' 7& ov1 _ 41 '.NS .90 3.i10 4.35 5.46 ' . 12, 9? . 4.Gp 3.20 - - 1.9p - - 1.70 TO TAIS ? a l ? 6 y lAlItEi- :AOJGSTMENTFACTOHS {hCqflNGl ? Iemr '?wn D I( 3Q Ap 70 80 `XJ w_ 7 q --'LA •Y - 3ro x iAtlLE B -C0041NG.= DOOHS ,:.? . ? ? '?FaC10f5azluOldWlfttlpYy???yY?y?jq??yQMQ??A a!nrrytMn w?nd? an4 lwuinu qwu a s . ca ,Ia u . uw A. . ? srcuw+r mur?m.w rww.r . . ?? ? ? '' •\?wGUw ' c..?r? .. ir ar ? m v ?r w a7! s• . ? ? :M L` i N Y y 11 .'17 4 ???+?lV ' i • .?:..r?/(-j. x:w u ?.u ?a. w a - ... . . • ' " ? ii i4 ? .T. L q ??il l? .. wwrw ?M 10 In w w w w. ?s w . : . . rr?? u ?a? ?Y a? wa y3 W wa W ??. . .?.?+w >. .., ? .. = >. 4.6 ?. a? ... .. ya " /P . OO tww«www?s.?w?? . , '.iQiAL$ ywmwwr.u.nwiM.Yu,Y6 ?. ' 7ABlG D .. INFIlTN,4T10N MUlTIP41E(i$ . ? WinwrMr¢Arnqu For. Mour Fbo^--? r A'--".,?° 900 ur Was 90(l?-1500 1 50p2100? . 0w1 - ?am2100 . 0.4 p.A.: d ' .7 bYnp, ' 1.2 "'T...1.0 . ? .. C.8 .-:? pJ- .. ruw ? .. ._:.14 ..1.2 ?- $p . FwwchWu . . . ? _ 00 $Yrornar?Ait Cdaq9N P1l?Ncue ? < Fww l.,w 9W a 1?si yU4, 4?500 1 •s 54121W ' 4w? w . o..r 2101.- Aw Y.7 r ? 42 . .,yY t' O.f .?.0.5 • Yi y oII ,J.f_.. , -, 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtion Reauirements 3 registered site swieys slawirg sq. R. of Wt sq. ft W hause; and C roafed ams (20%maxmum lot caverage allowed) 2 mpies of pkn showing Geam 8 wmdow sizes; poured found design, etc. 1 set oi Energy Calcula6ons 3 copies of Tree Preservatim Plan rf Id pladed afler 711/93 Rim Jdst Deltil Opboris selecfion steet (6uildings wifh 3 or less unils) Minnegasco mechanical ventilarion foan RemodeVRemir Rewiremen6 2 mPies of plan shovrin9 footin9s, beams, ]aists 7 set of Energy Calculatiom for heated addNOm 1 site survey for additions d decks Addrtiar - irMhate i( on-site seplic syslam -?,- 99. 2 s office use 011 rv CerlofSurveyReod _Y _N Tree Pres Plan Recd _Y _ N. TreePresRequired _Y _N OnsfeSepticSystem _Y _N Date O 6 I COOSt[IICtiOII COSt e ,, Site Address ylq8 , V°L W ?'! 1 CJ,((L- `qo`t . UnitlSte # DescripHon of Work c C WAlAtL\q . Fr'om Pl? in \2Av-. Multi-Faroily Bldg _ Y Ftireplace(s) _ 0 Property Owner Telephone # ( (0$'1) 2.y 7 - 3 -O p 5 ?r r 'k? i l :?-7 u rl d A Y1 cP caormecor d,rs v v c r nn c 1 I c• n - Address?D 5 23 =`l cc? t• City (fe4S'Ei?? State ??n V " `t ?JlJ ?SD `,I Zip s$CS 3 ?? Telephooe # ((p51) K1Y5 - 3Y00 - Zo3 0 03? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Cate??9?\ Minneso[a Rules 7670 Categorv 1 _ Minnesota Rules 7672 submission type Residential Ventilation Categary 1 Worksheet • yl Ene Code Worksheet Submittad / Submitted Energy Ernelope Calwlations Submitted In the last 12 months, has ihe City of Eaga ' ed a permit for a _ Y _ N If yes, date and addre masteLj* Licensed Plumber Mechanical Sewer/Water Contractor based on a master plan? Telephone #( Tele e #( J_ Telephane #( I hereby apply for a Residential Building Permit and acknowledge 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 Statutes; I understand this is not a permit, but only an application for a pemut, 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. -RE'.1APf- ? U ? Applicant's Printed Name Applican Signature s C4 tl dlq,-7 cIE, ll?? ?i?r `141-Z i-7o 2 0, o W Gl?.?- js ,C?c? l?e ?sh ?alh ?;7, .? 7-C? /ct.1 ?, I'?J r-,,?. b in5 R/? 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: � i 0 Misc.: By /� r� G '77G WATER SERVICE PT ,cap) C CITY•OF EAGAN Permit No: Date: 3830 Pilot Knob Road B/P No: Date: 1P.0. Box 21199 Eagan, MN 55121 Owner: Site Address: Plumber: MWCC: Zoning. City Chg: No. of Units: Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.. By SEWER SERVICE PERMIT • PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109835 Date Issued:04/08/2013 Permit Category:ePermit Site Address: 4148 New York Ave Lot:34 Block: 4 Addition: Stafford Place PID:10-72500-04-340 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Kenneth And Jill Kozemzak 4148 New York Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Shelly M Smith 4148 New York Ave Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 L Use BLUE or BLACK Ink For Office Use Permit #: I l'O0 L („n u3 Date Received: , (i Permit Fee: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ' } Site Address: ?P-t`f> kiorL > U< Tenant: Suite #: Resident/Owner Contractor Type of Work Name:b e —' Ko-Ler-IlAt Phone: °( Address / City / Zip: Li/Li Name: fvr:rti License #: Address: City: State: Zip: Phone: Contact: Email: New _ Replacement _ Repair Rebuild _ Modify Space Work in R.O.W. Description of work: /Ov'li. Permit Type S,nlc 1Ft RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener K Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. se Z �.oLe_rn7s.'tiK Applicant's Printed Name x Applica s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough -In Air Test _Gas Test Final V * r 411111 City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 1`2013 Use BLUE or BLACK Ink I For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION d - 1 1) Site Address: '7 1 V Q U.1 Ciotic FV„ ic ki z, Unit #: Resident/ Owner Name: (C1.., ® R — 4. Phone: °‘S. a` ta.C1-\ l O Address / City / Zip: '4 14 A IV ? Cl.i KW .- Applicant is: ,jf;__ Owner Contractor 11141011.0011 Type Of Work (::, '1f J��onstruction ‘, c.si Description of work: dY'Q.. fi1e,11 C"�- Vsek(10 iii !v�t* c�Y1C\ Y+t..,2 W►fih c .,tos -d • w new W t tici o w5 ° ` "'� Cost: Mutti-Family Building (Yes / No k ) Contractor ompany: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (R--1 VIA In the last 12 months, _Yes _No If COMPLETE 'THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the , an isstjed a permit for a similar plan based on a master plan? yes, date and address of master pla Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: 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 (661) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates Of underground utilities. www.aooperstateonecall.ora 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 s! 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 Buildin• ode must be completed within 180 days of permit issuance. Appl cant's Printed Name Applicant's Signature Page 1 of 9 Ll I O NRI T WRITE BE OW THIS LINE 110105i SUB TYPES Foundation Single Family Multi 01 of _ Plex _ Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Pian Review (25%i 100% Census Code # of Units # of Buildings Type of Construction — Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement _ Move Building Fire Repair Repair V I) REQUIRED INSPECTIONS _ Footings (New Building) _ Footings (Deck) _ Footings (Addition) Foundation Drain Tile _ Roof: _Ice & Water _Final Framing Fireplace: _Rough In Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Siding Reroof Windows — Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior — Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: — Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Other: Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings — Backfill — Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL kvitiontivni goo (1hPNon.C. it4-C 3)4° 7 L4 0*(0 q(5--zio Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA127862 Date Issued:10/16/2014 Permit Category:ePermit Site Address: 4148 New York Ave Lot:34 Block: 4 Addition: Stafford Place PID:10-72500-04-340 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Kenneth D Kozemzak 4148 New York Ave Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature