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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 I Ina 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- C 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. 86.5.2 • _ r drr 1'p 0 Q,ll, \ i 8"10,`1 ° 0 V to "0 366 / +4, / / s cd s ~ 4~ 00 / sse, . ^490 ^ 7 i / .9 Y V O ski 1,8 !°°O yoo ij~e ~J r 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