4045 Pennsylvania AveCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for 5F DLJG/GAB Est. Value $63 ,0(1
Site Address 4045 PENNqYLV&NTi A AYE
Lot A I Block ? Sec/Sub. 6Ta-°FORD pLACE
Parcel No.
W Name f,.?C?ItTIBA K-IDVE$? HMS
o Address 1?2 Ct'?/?.&VAT F, i?fi.
City t ACtX Phone 454-0433
. o Name Z'R`.?.
pU
Vq Address
? City Phone
U¢
WW Name
Q ; Address
a W City Phone
I hereby acknQwlege that I have read this application and state that the
intormation is correct "and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to:
on the express condition that all work shall he done in accordance with all
, applicable State of Minnesota Statutes and City of Eagan Ordinances.
' Buiiding Official
r` 16464
.? ..
Receipt # i )
Date = `-AY 15 , 19 ? u
OFFICE USE ONLY
Occupancy R"'3 M- I FEES
Zaning A i
(Actual) Const Y'-. ? Bldg. Permit 4 7 4• C 71
(nuoWabla) v-N
Surcharge 31 ?
• L -
# of Stories 231 .?`,n
Length 5=? ? P?an Review
Qepth 281 SAC, City 100.00
S.F. To1al - SAC, MCWCC 5 73 r 22
S.F. Footprints
5600co
On 3ite Sewage Water Conn
On Site Well Water Meter 90• IDC
MWCC Sys[em xx
30.00
City Waier Xp Acct. peposit
PRV Required yx S'W Permit ?-j . 00
Booster Pump - SrW Surcharge
Treatment Pl ???• ^?'
APPROVALS Road Unit 340.00
Planner - park Det(J
Councii - ast? 20.(?C,
Bldg. Off. ?
Variance - TOTAL
Permit No. Permit Holder Date 7elephone #
i11fATER
'
SEWER J
PLUMBING
H.V.A.C.
ELECTRIC
Inapection Date In . ? Commenta
Footings I S?l6 ?q L? ?
Foundation Z?
Framing ,Q
Roofing
Rough Plbg- ?• -/'? C! 4
Rough Htg.
isui.
Fireplace
Final Htg.
Final Plbg. - Q?
Const. Meter Plbg. Inspector- Noti(y Plumber
Engr./Plan
B{dg. Final
Deck Ftg.
qeck Final
Well
Pr. Disp.
?--. •?+•
_ ? .?.•
(ter#tftratit uf (Orrupttnry
titp of (f agan
igp#1artUlPltf Df l1tilbTrig I1tBpPi'tiA2t
This Certi, ficate issued pursuant to the requiremenu of Section 306 of the Uniform Bui/ding
Code cenifying thar at the time of issuance this structure was in compliance with the various
ordinances of the City regulating buitding construction or use. For the following:
Use Clexsi6cation SF MCV rE Bldg. Fb[mit No. 16464
ox„p.ay rra lO/Ml zaning nistna R1 Tyre c,om. VN
owwr or auaa;ng M? MIIM fYrES Addrem3902 a]ARVA F. I]R, .A['_
4065 ERDPIV
L11, B4, STAF'M PLAM
.][II.Y 12, 1989 --
' , a„ddi off,.
,
POST IN A CONSPICUOUS PLACE
SEWER & WATER PER1111T
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PER T# 1043 ? SEWEFi PERMIT #
METER ? ?19 B.P. RECEIPT # 1- 1() 59
R# B.P. RECEIPT DATE 5/ 12 / 8 9
METER SIZE
ISSUE DATE f- Z$-1'9 X-Y pRV _ 8006TER PUMP
SITE ADDRESS 4045 Pennsy 1 van i a AvQ. Eagan .^;N rrl%31 pERM1T REQUESTED
LOT'IBLOCK ySEC/SU6 Staffc?rd Plare i 11-1
APPUCANT: ;3?"??n?,l,:r ?'??d'`2SC HOmeS Cor?;. SEWER ?WATER ?TAPS
ADDRESS: ?'? CEdarvale Dr. - ?>
-
CITY, STATE "Lican, ZIP COM?uI/IND - RESIDENTIAL
:' - ? //
PFiONE: - -' ' ??NEW _ EXISTING
PLUMBER: '?"T3r Plumbing
AdDRESS: '018 M0UndS Sprinas T?=rY ,
CITY,STATE g-GO'fl1nc7fi0t1, i-i ZIP ??2 o
PHONE:
OWNER: M00!1, Dennis and Robin
ADDRESS: 8ag 23rd Ave. S.E.
CIIY,STATE Minneap lis> MN ZIP ;54114
ounkic. 454-U433
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
S JE TERISSUED
ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORY SEWER PERMITS, CONTACT
:RING DEPT. ?--`
. - s:._ _..
:
BUILDING PERMIT
CITY OF EAGAN N9 16464
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 Receipt # ?y / ri sr?
To be used for SF DWG/GAR Est Value :
3,000
Site Address 4045 PENNSYLVANIA AVE
Lot 11 Block 4 Sec/Sub. STAFFORD PLACE
Parcel No.
w Name FRONTIER MIDWEST HOMES
o Address 3902 CEDARVALE DR
City EAGAN Phone 454-0433
Name _
Address
City _
Phone
?w Name
Address
aW City Phone
I hareby acknowlege that I have read this application and state that the
information is correct and agree to comply with I applica6le State of
Minnesota Statutes and City of E 9an Or .
?
Signature of Permitee - "'J [ ??'
A Building Permit is issued to: FRONTIER MIDWEST HOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota StaNtes and City of Eagan Ortlinances.
Building ONicial
OFFICE USE ONLV
Occupancy R-3 M-1
Zoning R-1
(Actual) Const V-N Bldg. Permit
(Allowable) V-N
Surcharge
# of Sbries
Length 55 '
Deplh
S.F. Tolal -
S.F. FoOtprinls -
On Site Sewage -
On Sita Well -
MWCCSystem -XX
City Water xX
PRV Required XX
Booster Pump _
APPROVALS
Planner -
Council _
Bldg. Off. -
Variance -
Plan Review
_, 1989
FEES
474.00
31.50
237.00
SAGCity 1nn-nn
SAQMCWCC 575.00
WalerCOnn 580.00
water Meter 90 _ 00
Aat. Deposit 30.00
SNJ Permit 20.00
SIW Suroharge 1 • 00
Treatment PI 228.00
Raad Unit 340.00
R ty 20.00
TOTAL 2?725'50
" ?,--? 5 3 po ? RESIDENTIAL
*5 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConaVUetbn ReauftemeMs
• 3 registered stte surveys simwtng sq. ft ot tot, sq. fl. W house; and IIJ rooled arees
(20% ma)umum bt coverage albwetl)
• 2 copies ol plan showinp heam 9 whdow sizes; pouretl found tlesgn, etc.)
• 7SetofEnergyCalWlatbns
• 3 copies of Tree Preservatbn Plan 0 ht phdttetl atler 7/1193
• Rim Jolst DetaJ Options selecllon shaet (bltlgs witli 3 or lass units)
DATE ' `! (I i b
SITE ADRE O S r[
TYPE F RK_ re- ^rc
RamodelRiepph ReguUemenis
• 2 copies of Plen
• lsetofEnergyCalculatlonstorheatedaddAbns
• 1 sBe survey tor eAarbr a0ditions 8 decks
• IMkate B hane senred 6y septic soem for addHbns
VALUATION t5_I ?n -`2D
A+l-e-
APPLICANT T1lW?rt 66w. J7J& I l0`"^5,
STREET ADDRESS I0?9) 1U -\ca )Ie-- Aw
TELEPHONE # 15a-I4a95"i CELL PHONE #
PROPERTY
MULTI-FAMILY BLDG _ Y C?_N
_ FIREPLACE(S) _ 0 _ 1 _ 2
uinSvAL$TATE 171L-ZIP 55:33rJ
' FAX # ?'S1 4?7_R"
TELEPHONE# &51-q5d ' dS(" `'J
------------------------------------------- -------------------- ^----------°-------------------
COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDIN6S ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINN S7I6 1 11
(J submission iype) . ResideMial VeMilation Catagory 1 Worksheet Su6milted • New C? ark§het 3ubiri' d
. Energy Eirvalope Calculations Submittetl ?
n? .ii?i 15 2oaz ?
Plumbing Conhactor:
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
PMone #
Fee: $70.00
I hereby acknowledge ihat I hdve read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applican j
.... °.... -......... ..._-_............ _......_...-----
OFFICE U5E ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4)02
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
_ No. of R.I. Haths
OFFICE USE C1NLY ' '''
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 OB-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 F(re Repair
? 33 Alteretion ? 37 Demolish (Bldg)* ? 43 Reroof O 46 WiqdowslDoors
O 34 Replacement •Demolition (EMire Bldg only) - Give PCA handout ta applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof: _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Fina1
_ Framing _ Siding SNCCO _ Stone
_ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Suroharge
Plan Review
MGES SAC
City SAC
Water Suppy 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copie5
Other
Building Inspector
Total
• ' 1989 BUILDIHG P8R[IT APPLICASION - CISS OF BAG9N
SINGLE FIMII.Y DiiSLLI9fi9
I (viVi
INCLODE 2 SEfS OF PLANSP 3 CERTIFICATES OF SORVEYp 1 SET OF ENERGY CALCOI.ATIONS
BOTSs ADDHE33ES FOS OOHNSH LO'iS - CONfRAClOH/8WOiiZiSH l103T DFSIGBATE USICH ADDBBSS
S3 DESIRED. 90 CHANGES iiII.L BE ALLOWSD 0NCE HOII.DING PSffiM I3 I330ED.
lULTIPLS DWEI.LI9G4 HMAL OBI?3 F06 SAL6 OBIi3
r OF mms
INCLODE 2 SEfS OF PLANSp CEBTIFICATE 0F SIIBYSY - C.HECB YITH BLDG. DBPT., 1 SEf OF ENERGY
C6I.COL9TIONS
C014ERCI9L
INCLODE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANSp
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C6LCQLATIONS -APR 2 fr 19e9
To Be Osed For: new ConstruCtion Valuation: $F9Tb89- Dates I-a `1 -e9
Site Address4045 Pennsylvania Ave.
Lot 11 Block 4
Pareel/Sub Stafford Place
OwmerMoon, Dennis and Robin
Address899 23rd Ave. S.E.
City/Zip CodeMinneapolis, MN 55414
Phone 454-0433
ContractorFrontier Midwest Homes Corp.
Adaress 3902 Cedarvale Dr.
City/Zip Code Eagan, MN 55122
Phone 454-0433
Arch./Engr. 1 G
AddreSB 11095 Viking Dr. Ste 380
Citq/Zip Code Eden Prairie, MN 55344
Phone i 942-0955
!0 3, ooc? - oFxicE oss oN.x
Occupaneq -Ni-I FSS3
Zoning
Actual Coast R_i
V-N
Bldg. Permit
Allowable V-N Surcharge 31,50
# of stories Plan Review 2 , 00
Length -IC9 _ SAC, City I O O,DD
Depth ZS' S6C, MHCC =00
S.F. Total Water Conn
a
9010
Footprint S.F. Water Meter 4040 O
Aaot. Deposit 04oO
On site sewage 3/W Permit 20,Do
On site well _ S/W Surcharge t,oo
MifCC Syatem v Treatment Pl. 22e.00
City vater li Road Uait 3y0•00
PRV required _k- Park Ded.
Hooater Pump _ Copies
iOTAL r,? I(?lo . i "Q
1PPBOVAIS
CounQil 2;( 2(..h0
? .?
Bldg. Off. ; 5/4
Variance
Couneil
I Dov?2, )ooVEL
60TE: Sewer 6 Rater Permit fees and aooount depoeit feea vill be included in the buildiug
permit fee. Proaesaing time for aever and vaEer permita is tvo days oaoe a lioeneed
plumber 6aa applied for a permit at City Hali.
VALL?41-?oN
L?ARAGE ? ?; ??
2 b Xa2,b9_ L4 53
, .-
G,??1? 5
?J?? ;? rs= ??l ?.v
yTir
1 11 611( x r? ?
aAxID? _ r? ?- k4
?Sb n
x ?y = 5_-
6-z5?o
Jov?e ?'io?ct- .
. ?? 00 VE12
, . ?--
OWNER:
CITY OF EAGAN:
EXTERIOR ENYELOPE AYEBAGE 'U' COHPUTATION ID MAY 4 p?y?
n w?
.?1 `rlo.,?,c SZTE ADDRESS: 'CS P?'I Vl I U CLhCe.. +T?-- L v? ?rr 23
CONTRACT R• I,f ?
":f(DATE: S I
?
g?7
PHONE:
N -?43 3
Determine srorking square footage of each:
1. Total exposed wall area .. X6/?-' sq. ft. x.11 = 177
2. Total roof/ceiling area ... 9111M sq. ft, x.026 = 2?2-
Total exposed vall area above floor
a. Total wall window area ........................... ;F3
b. Total door area .................................. '-'??-?"-?---
c. Total sliding glass area ..........................
d. Total fireplace wall area ......................... e. Total wall framing area (average 10%)•............. f, Total net wall area above floor ...................
g. Total rim joist area .............................. And
Total exposed foundat3on area - ?h. Total foundation window area .......................
i. Total net foundation area above grade ..............
Determine 'U' value of each Wall segment:
'U' JrJ = 0/-
a. x .
?---
_ I t
_
c . ??
x
' U'
d •
X 'U,
f. O x ' U'
g. ? x ' U' _
, h. - x 'U' _
i. -^ x 'U' -
3 . ................................................... Total = -ZC2 8
If item Ik3 is the same as or less than item I11, you have met the intent of SBC
60o6(c)2.
Total exposed rooffceiling area =
051-6
j. Total skylight area ...............................
k. Total roof/ceiling framing area (average 70%) ..... 1. Total net insulated roof/ceiling area ..............
OVER
U1'Z
?.,arx??, . lJQ.
: .......,..:... .... . .. ..... ... .
?t
? ?total of l?the same as or less than i2. You hade met the intent of SSC
.. Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items A3 and #4 shall not be greaterthan the sum of Items 1!1 and #2.
1. + 2.
3. + U. =
2
?
?
. ? ,C?l
• ?':" . ' y' I /VM?E ? Add-On £t Rep/ec?ment
Who% House Worksheet
Cwtomer'sNeme " nn"s i?
. . Addresa,SiV-e GddjQSS ? 71Jr? ?"?A3 ?vulcw G4F?c?K__
Chy El'`
Slate Zip TelephoneNumber??D-h?Yfti -C?,Sy-073
WINTER:Inside DsslpnTemp °F-OutaIdeDee{pnTemp °FeHeatingTempDitference °F
SUMMER:Outdds0ealpnTemp °F- InsldeDealanTemn =c
c
'1.
?
. HEqTINa -
eruHwse ?E?T?na
rAc+oa
• ,
3
69 160
7t
2
7Y COMMON DATA SECTION
.
.. . SUBJECT:;_
-
GflOSS WALL
.
DOORS B WINDOWS (Teble A or B)
NETWALI
l41T. . ?
7a COOLING
r
coouna
F0.CTOP BTVf10A1N
07 0
. ?
y
z z , 2;1? CEIUNG 6 9 v?
zn S
?
fam , a y FLooRS w r6 --- ---
n
fon
Btu/b ?
Z/ Nafinp
TeGMO
x10x t-1/ap x Wlume
ICU.FO X
?.?
?6U
Coofnp
X OT % TedaO
mldnnon
= BtWM
? ? xo.isa33 X// SY //98 s' x 0.01833 x /%x • = zOS 7
SUB-TOTAL BTUH LOSS (per 10°F)
ADJUSTMENT FACTOR (Table C)
s TornL eTUH wss
o« badmoml
APPLIANCES BTUH / z00
SU8-lOTAL BTUH GAIN (room sensible only) 12?
DUCT LASS/GAIN FACiOq (Ta61e F)
SUB-i'O'TqL BTUH ISensible Gain) x
MOISTURE REMOVAL (subtotal x 1.3)
TOTA1 N7I IuLOSS x
For sliding Bfeee dooro • uae tactore tor the sama rype wlndmy
conftruction.
DOORS 6 WOOD FRAME
/GAIN
'WS TABLE B- COOLING - DOORS & WINDOWk
Fectors assume windows have inaide shading 6y drop
. 6Andsand gliding glass doors pre trealed ea windows.
TIIN e x nrea . 8tuh Los,
8.80 10.45 11.56
5.25 6.50
6.61 8.09 7.26 12L. ?y
•B5 O.
3.Bp 4.39 6.46
6.0
11.07 11.69 12.92
? nww v
i ooo.r ..
Inple ne
Clear
W,Th Storm
ouble Pona
- Cleer
Wi1b 5rorm
Tripb Pory
C.lBBt
B OVlIB
? inp e w aton
v ie t.
single
Doubb
? oor
Wood Only
. woodw/ntom
Vrothene Core
Urethene Com
.'? IF-61w/ttorm
h
1.e0 1 - I - ` I YL
'
wi..ca
x EM
oounaouu
RMROIFf.
1e• ar ie•
u u1e
nnneouu
T[MP.OIif.
?e• ar u•
n ix n
,%Ar?? .lTUNOIIIN
HE6NW # ]1 36 fp n n
F B W IJ 1?
9EBSW 41 tl 1t il Y
v To n
IO M 111 I]! ftl
ee io.? n: ae ?a.e u.:
M?+?L a.a ?.e u ?s ?a e.? xe ?s a?
?I Fw Mvod doa. ?nd j?r/?LS
COMIVR cntiin???lAn.. / v ? ()
_
QV FOfUMMbMCplrtietpld.
TABLE U- INFILTHATION MUL7IPLIERS
Winter Alr Chenges Per Hour
FloorAree 9IXIn.1... orr..?rn,.
- 1.A
,mAL s ?? y 9 3 ?7
TABLE C- ADJUSTMENT FACTORS - IHEATINO)
'F.7emperaturoDiH. 30 40 60 60 70 BO 90
Adjuetment Fectw 3 4 6 8 7 8 9
4D Amaricen Stendard, Inc. 1986
enl 0.0 0.1 0.3 0.3 W
Avenga 1.2 1.0 0.8 0.7
I
PO°r
- I -.Z 1.8 1.2 1.0
For each flreplace ede: '
Bes1 Averepa PrIor
0.1 0.2 nR
Summor Alr Chenges Per Hour
FIaor Aeae 9pporlany 900-1500 150D2100 over1100
Bee? 02 02 0 2 1 0-2
.e.vye 0.5 0 6 0 9 0 1
PoOr 0.8 0.7 0.8 n c
Pub. No. 2248020.9 P.1. (l)
4D 6
zoos RESIDENTIAL PLUMBING aeRnniT aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
,
l5?
J 0
0 ?
?
e
l I
at
1
Site Street Address l? S ? Unit #
PropertyOwner J`" r x Telephone# (v?_)Z?L vv0?
Contractor H? ?k,WtoD( kS Telephone # (0I ) &C,5- { sq 0
AddYess 3?0-iO City ? StateliLL Zip 5Sl?j
The Applicant is: _ Owner ?Gontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ SO.DO
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are instaNing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5!8" meter is required)
Other:
'PW
t
W
S
ft $ 15
00
er
o
ener
a
ater Heater .
_ new ?replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation is complete and accurate; that the
work will be in conformance with the ordiFlances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
n) , „ i 1 -r--- .. .-
ApplicanYs Printed ame Appli nt's Signature N [E
OCT 6 2006
??(e
?i .
slirvcwr?s Certificate
SURVEY FOR: Prontier Plidroest [lomes Corp.
DESCRIBED AS: Lot 11, Bloclc h, S'I'AFFORD PL,ACI:, City of
County, Atinnesota and reserving easements
p pn ` 00
oplPr a°"
"e
nI)
86+,
A?NN sy
? "f? q `
8(.5.z, -' S-Do,
a
1 Y
?6 ~ (/ `
m•
1T,
n
i i
. ?i
?
?
875.8 Sy? \ ??
?
SS9. ? \ \ ? / /
004
F ?j \ y J
ss
PROP05ED ELEVATIONS
Top of Foundatton ? 811.8
6araQe Fioor . 0l l.4
Bastmanf Floor ? 868.?
Approx. Sewar 5ervlce Elev. ¦ 850.9 =
Proposed Elevo?lons i O '
Exiffin0 Ehyallons 0!
Drolnoqe Dlnellonf I ...,.._..
Denotes Offsel Staks 1 O
1??EDL?lIV'D
P/aroirng EnglnesNng Surneying
nei e.n.w?+m r?.....*.?pa. wx?.w.Wx
in.p?wPlnwa»?
. (
IJ
?. ,
r
Eagan, Dakota
of recor?l.
?
fw,??,?.?i,l??T EY?TGII3EERIPdC? DEP?'
, poRmVo ? 0 E
BENCNMARK;
ToP Ni+ k-yd. C? l04 1..,-.e
E\cv. = 81o.e4
? MIN. SETBACK REOIREMENTS
Fronf - s'b
Ro6r - I5
SCALE: 11neA s 30 FasT ,
I hueEy eortlry IAaI thls survey. plan or nPOrt was pnpared !r me
or ondv my dlrecl supqrvlslon and Ihol ! am a duly Hopbterod
Lond 9urroyor under Ihe laws of thf 9to1• af Minnesela.
D Ca1s7 9 119 ? a`I
\
\ \
9a? s 1 e .
p J ?
0 . 03 elo.?
? S
?
?So
?
\ ? ,ph•
9
?
Nouse Slde - 16
Oarape 8ldo - 5
JOB ND.;
8`1 1?- I a I
BOON: vaGE?
CADO TILE I
FnLiC
r ~
• Use BLUE or BLACK Ink
RF'cr- F-----------------
°=i For C>ffice Use.,t
APR 1 2011 i Permit ('o
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City of Ea I o
1 S"" Permit Fee:
3830 Pilot Knob Road ~
Eagan MN 55122 J ` I Date Received: j
Phone: (651) 675-5675~~~ I I
Fax: (651) 675-5694 j staff:
2011 2011 RESIDENTIAL BUILDING PERMIT APPLICATION CA
Date: l Site Address: Y7 w S ~}N t Unit
Name: :~t R4Lq L Ye-9q-r./ Phone: W 2.202-- 9`191
RESIDENT / 111&1 ~1 2-Z
OWNER Address/ City/Zip: ~ ~~l ~~~C.~,p~✓ Ave- , ~t- 4' "f /
Applicant is: Owner Contractor
Description of work: _ O L_0 y-e-
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TYPE OF WORK - 7~
Construction Cost:I / / Multi-Family Building: (Yes / No X)
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
Does this project require Lead Remediation? ❑ Yes [~%0 (see Page 3 for additional information)
If no, please explain: K, LcJ I Cd w5 of 74
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 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 no tart 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 o ans.
x
Applicant's P ted Name Applicant's gnature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE •
SUB TYPES
- Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
- Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
k
DESCRIPTION
Valuation 2 Occupancy MCES System
Plan Review Code Edition SAC Units
0 0
I~ (25/0_ 100%Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final/ No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock G Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee Surcharge Dot
'1 44,
n Review jA#eAC IV
Pla
MCES SAC [L
City SAC
J
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
dor
l~rwe o►r`s Certificate
SURVEY FOR: Frontier Hidivest Homes Corp.
DESCRIBED AS: Lot 11, Block 4, STAFFORD PLACE, City of Eagan, Dakota
County, Minnesota and reserving easements of record.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161212
Date Issued:05/13/2020
Permit Category:ePermit
Site Address: 4045 Pennsylvania Ave
Lot:11 Block: 4 Addition: Stafford Place
PID:10-72500-04-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
Pennsylvania Rental Llc
3801 Riverton Ave
Eagan MN 55122
(612) 202-9981
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature