The URL can be used to link to this page

4053 Pennsylvania Ave?\I CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ., OATE nVArveo FROH 1 , 1.• 14 ' .? ? ) c? AMOUNT S DOLLARS 100 ? CASH P-dHECK r 1 % /st'7 'V ' l' -;, w„ I-;1% ?? • `f - , > . ? f3rc?dJdckTry?'IZ?t % ? ? in,, e., ?14, , 430 4147G OeA .44,v 41 _?n. sh. FUNU OBJECT I T r AMOUNT Thank You BY - `? C 13353 Wh"--P?? ? Ye1ow-Paedny Gapy Penk-fib Copy ? t ''?Y DATE: MAY 14, 1991 4053 PBNNSYLVANIA AVE (GARDNSR BROTHERS) s% • fiE: X Your 5ewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer 8 Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance, WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. • • . -,. .. +?^rv?w.?r.??. ?.+.- • .. . ?i{'- r? CITY OF EAGAN ??4 ? ?? 0 4 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 _ BUILDING PERMIT To be used for SF DIiC/GAR Est. Value ;81 ,OQI Site Address 4053 PENN3YLVANIA AVII Lot 13_ Block 4- Sec/Sub. STAtFOED PLJICE ? 'ti Receipt # _ 1991- W Name ?? g ?MBS t Address 450 B COUNTY ROAD D ° City 1.ITT1.E CAIiADAPhone 481-9600 o Name SIU4E ? ¢ Address , ? City Phone W ? ?¢ Name ? ; Address i W CitY Phone I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all applicable State ot Minnesota Statutes and City ol Eagan Ordinances. SignaWre of Permitee A Building Permit is issued to: ?RMMA BROTHM on the express Condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 8uilding Ofticial ? OFFICE USE ONIY Occupancy FEES Zoning (Aclual) Const ?? Bldg. Permit 554¦? (Allowable) -Y--N Surcharge ?* 50 # or stories th L _ "• Plan iieview g?•? en 9 DePth 501 SAC. City 100,00 S.F. Total - SAC, MCWCC 6?0 ? S.F. Footprints _ ?A On Site Sewage _ water Conn ?! 00 on sila weli weter Meter 95.00 Mwcc syslem ? Ci W ?? ??'? 30.00 ater ty 3o'oo PRV Required _ S/W Permil Booster Pump - g/yy Surcharge • 30 Treatment PI 276.00 APPROVALS Road Unit 370•00 Planner - park Ded. Council -- BIdg.Off. _ Copies 1.00 VarianCe - TOTAL 3,167.00 • Permk No. Pei mit Hoider Date 7elephone #t WATER 1 SEW6H PLUMBING H.va.c. ' o":4/o ELECTRIC O ?tion DO. ?nsp. com,mmu Footings I V?--O,?/ L!J Foundation Framing Roofing Rou9h PIb9. Rough Htg. 4/ lsul. ??-?0 9 D s Fireplace Final Htg. Orstat Test Fnal Plbg. Plbg. Inspector - Notify Plumbe? Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Flnal Well Pr. Disp. INSPECTION RECORD CITY QF EAGAN PERMlT TYPE: 3830 Pilot Knob Road Permit Number; ?'•7 Eagan, Minnesota 55122-1897 Date issued: t 146 (612) 681-4675 SITE A 05:3 p rhl N `. I A I f flV t+ f'1 f5f I PERMIT SUBTYPE: ? Yl VAN7A RVF , APPLICANT: I tll,!#VIri F. NI1 1' f 1 f P TYPE OF WORK: Ri T 1 ?}Ai 7 (iN INSPECTION DA • DA Permit No. Permit Holder Date Tetephone # ELECTRIC gop PLUMBING HVAC Inspection Date insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING 4 PLBG AIR TEST ..-!? ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FiNAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL COntral INSPECTION RECCIRD No. CITY OF EAGAN PERMIT TYPE: 3830 Pilot }Cnob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1.01 : 13 s t, o c K: q APPLICANT: 4063 PENMSYLVANIA AVE !1F_AT-N-611.0 FTREPtACES SXAFFAftD pLACE (C>ix) $90-t7?se PERNjl?FgYPIYPE: TYPE OF WORK: NLIa Pwtnit Mo. Permft Ho{dw Date TNephone # SIW PLUMBING HVAC ELECTAIC ELECTAIC Inspectlon Date insp. Commertte Footings I Foundatan Framing Roofing Rnugh Plbg. Rough Htg. ISW. Flrepiaoa ?9Z 21 - Z 7 XJ Fnal Fltg. 107 Orsat Test Final Pibg. Pibg. Inspector - Noti(y Plumber Const_ Mefer EngrJPlan Bldg. Final Dack Ftg. Deck Final weli . Pr. Disp. i'?? . .iw, (gtx#tfira#t of (Orritputtry Citp of Cagan Depatow a# Bux[ding -Inwrrtim 79ris Cemfuale iuued pursuanl fo the nquiremena of Sectian 306 af the Urriform Build'rng cocte cernfyi,rg rhar ar the rimme ofissuQnce rhr:rsrrucrure was tn Qo,?rptiance wirh tJ,e mrious , ardurances oI the Cit}' reguladn8 building onxtdxclion or use For !he following. I the SF DWG/GAR sL4 EW=k xo. 14043 R vN ?r'iYnC aqmm ??Szo°ms °i?'a ,.. - 450 E. T?J?V1Y ROP?D D, LITIIE r..APIAM 8/ 13/q 1- POST M A CANSPICUOUS PLACE SEWER & YIATER PERMIT CITY OF EAGAN METER # - Pib 383Q t Knob Rd. . Eagan, fO N 55122-1897 CHIP # - METER SIZE ISSUE DATE DATE t1AY c. 11c, G t SITE ADDRESS 4053 PENNSYLVANIA AV6 LOT 13 BLOCK !? SECrSUB STAPFORD PLACE APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PLUMBER: PLYMQUTH PI.UHEINC INC' ADDRESS: 4290 ZACHARY LN CITY, STATE M"LE GROVE MN Zlp 55369 PHONE: 493-2474 OWNER: GARDNER HKOTHER3 ADDRESS: 450 £ COUNTX ROAD i) CITY, STATE LITTLE CA2iADA MN ZIp 55117 PHQNE: 6 61 - 'ton L PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF E4GAN 3830, Pilot Knob Rd. Eagan, MN 55122-1897 DATE "iAY 9, 1991 OFFICE USE ONLY METER #??? a? /Z 9 PERMIT DA7E U5/14191 cHiP #6 e5i 3 3 5?2 17 PERMIT # 11989 METER SIZE S?g S??'?SKS B.P. RECEIPT # C 13353 ISSUE DATE B.P. RECEIPT DATE 05 11 91 _ PRV _ BOOSTER PUMP PERMIT DATE G 5/ 14/91 PERMIT # 11989 B.P. RECEIPT # C 13353 B.P. RECEIPT DATE 05 11 91 _ PRV - BOOSTER PUMP PERMIT REQUESTED X SEWER k WATER - TAPS _ COMM/IND ?- RESIDENTIAI. R NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. . -f I AGREE'FO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED SITE ADDRESS 4053 PEN-NSYLVANIA AVE LOT 13 BLOCK 4 SEC/SUB S'i`AFFORD PLACE APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PERMIT REQUESTED X SEWER x WATER - TAPS COMM/IND X RESIDENTIAL ZIP I X NEW EXISTING Lawn Sprinkler Meters are to be Installe . PLUMBER: PLYMOITTH PLllMBIIJG 7NC' Ahead of Domestic Meters on Water Line - ADDRESS: 9290 2ACHARY LI? Credit WILL NOT be given for Deduct Meters CITY, STATE ?'ApLE GROVE MN Zlp 55369 493-2474 ' PHONE: .: k'-AGREE TO COMPLY WITH CITY OF OWNER: GP?F.[)I?`Ek BRCT1iERS EAGAN ORDINANCES ADDRESS: 450 E COUttiTY ROAU U STATE CITY LITTLE CANADA MN ZIp 55117 , 481-960C SIGNATURE WHEN METER ISSUED PHONE: PLeASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STOR SEWER PERMITS, COMTACT ENGINEERING DEPT. ? _.. ? CITY OF EAGAN No .19043 3830 Pflot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ( 1 3 3s 3 Receipt # _ - To be used tor SF DWG/GAR Est. Value $81, 000 Date MAY 10 , 19 91 Site Address 4053 PENNSYLVANIA AVE Lot 13 81ock 4 SeGSub. STAFFORD PLACE OFFICe USE ONLV PefC@I N0. Occupancy R- 3-ff--1 FEES Zoning R-1 w Name GARDNER BROTHERS (qcwaqConst V-N BId Permit 554.00 g. ? AddresS 450 E COUNTY ROAD D (Allowabla) V-N 40 50 City LITTLE CANADAphone 481-9600 r of stores _ Surcharge . ? ' Pl R i 360.00 Length 4 i an ev ew F Name SAME Oaplh 501 SAQ Ci 100.00 i ry g Address S.F. roial _ ? SAC, MCWCC 650.00 CIlY Phone S.F. Foolprints _ 660 00 On 5ite Sewage water Conn . ?W Name onsnewen 95 00 ?w - WaterMetar . R 30 AddfeSS MwCCSystem x ' ?cL Deposit ?QO a W City PhOne Ciry Waler 30 00 PRV Required - S?W Permil . I hereby acknowleqe that I have read this applicalion antl slate that the Boosler Pump - SNJ Surcharga . SO information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci[y of Eagan Ordinances. Trealment PI 276.00 Signature of Pefmi[BB APPHOVALS RoatlUnit 370.00 A euildin9 Permit is issued to: GARDNER BROTHERS Planner - park Ded. on the ezpress condition that all work shall 6e done in accordance with all Council applicable Stala of Minn?esota Statutes and City ( of Eagan Ordinances. Bldg. OiL Copies 1.00 J I 1/?llh 01 ! ?/J Building Olficial Variante - TOTAL 3,167.() o rf%C'i / r/ I III * IIII? 0 i? ?I REUUEST FOR ELECTRICAL INSPECTION%2d?e`i I MinnesoW State Board of Electricity 1821 Universiry Ave., Rm. S- 28, t. Paul, MN 55104 2 7 3 2 ?. 1 8* Phone (s+2) sa2-osoo / <j' ^ Home Duplea Apt. Bldg. Oth°?'"? I . I New Addn Commerciol Indushial Fartn VS ? T ?r1 ? S N. Remod Re air %Yir Cond. Hfg. Equip. Water Hfr. Load Mgmt. Olher: D er Ran e Elec. Heaf Tem . Service 'k above fhe work mvered 6y fhis request. Enfer remarks in fhis spoce and on fhe 6ack a{ the white copy only. s Caiculate Inspection Fee - This Inspecfion Request will not be accepted without fhe comeci fee: Olher Fee # Service Erdmnce Sae Fee it Circuils/Feeders Fce Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sfree} L}g./rroHic $ig. Above 200 Amps Above 7 00 Amps Transformar/Generafor INSPECTOH'SUSEONLY To ? $ign/Ou}line Lig. X(mr. Q ,? Alarm/Remote Conirol $wimming Pool I hem ce ' nn<ol in:mlla ?o cribed Mrein on the dare: amted ?ffl9Ofion Boom Rough- ?b i l Ins cfion $ pec a pe InvesNgafive Fae oore dhzzl? THIS INSTALLATION MAY BE O ECTED IF NOT COMPLETED WITHIN 18 O THS. 2???`f? ?+ ? ? G G O FIC ?E?LY_This request void 18 monfhs Irom wlidonan dok pnnidd in fiis box.? r? s- PLEASE PRINT OR TYPE 4 ReWesi Dore Raugh-in inapetlion reyoired Ym ? N. Inspection Oiher Than Rau9h-In: [2 Reody Now ill Call (1'ou must mll Ihe inzpeeor <n ready) I I Do2 Ready: I, ? licensed conTrador 2ewner hereby request inspeciion of the above electricol work at: Pddrtss (Skeef, B. r Ro?h Na.? Job 4 %i ! Crly E t 1 ,P?Code / 1 ? k oS3 e/l/? 5 va ?? a Section No. Townehip Nome or No. Ronge No. Fire No. Caunry oa? o? l?'/ dG?.n '_ ? n,No6 e" ' Power Supplier Pddresa Elecviml Conkvdor (Campony Nnme) Contmtlor license Na. Nw?br Lic Nn ?PIaM EIecL Only) S .re. a acC? an Mailing Pddrmz (Canimclor or Owner PeAo ?ng Insmlla'an? 5 ++-c_ c4,S ? A lwMori:ed Signafure (Conf or wner P Inswlle@bn) 7}ronSMp,/ /M` ) 6 ? // ? E8-WOOIA-10 6/95 TEBOAfiDCOM-SEEINSTNUCTIONSONBACKOFYELLOWCOVY r0/C? ? REQUEST FOR ELECTRICAL INSPECTION .,,''.q eeooom-oe $ee msimc0ons Im complaling Ikib lorm oo back oi yellow copy yl F?-? 4/?24?!9 ' ?) "X" Below Work Covered by This Request "ti? ??;???" e tld Rep' TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heatinq Apt Building Dryer Other (Specify) Commllndusirial Fumace Farm Air Conditioner Other?syeciy) ConVacior'S Remarks: Compufe Inspectran Fee Below: # Other Fee # Service EnVance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps Signs Insvector's Use Only. T ?lC 00 Irrigacion eooms (J? i Special Inspection ? ?Alarm/Communication THIS INSTALLATION MAY BE OR CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 6?!'THS. f I, the Electrical Inspector, hereby Rouyn-m ate ' certify ihat the above inspection has been made. Final ' Date p ?- OFFICE USE ONLV --Tnis repuest voitl 18 months irom ? o 8 23262,C/? Reouest Dat ? // Fire Rough-in Inspeclion ea ' gpp ? Ready Now ? II Notih' Inspedor j _ f? s ? No W?en Reatly? I4censed contractor ? owner hereby request inspection of above electrical work at Job Adtlress (SVeeL Boe or Rowe No. ? Ly.?-??, ?? Cpy Secti No. Township Name or No. Range No. County Occu n? R?INT?)? ?,f/ '?f?? C (J??,vCl? J PM1One No. Po er Sapplier ?A'?a Atltlress Elecnical Comractor IConparry Namal . ConlratlorS Llcerzse No- 4eM ; 2OE AE?L4?& 72 4 C-?- ?4 -o ya? s -? Mailing Adtlress fCOnVatlory,Owner Making Installation) /3/ u/ /C° z2 • i a2 edieu/ /Yli? • ? ?.z? Amnon d ignamre iConva<IOCVw r Maxing Inslallation) Phone Number ??7 ? %ba - MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlOway 81dg. - Poom S473 BE ACCEPTEO BY TME STATE BOARD 1821 Universiy Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Vhone(612)6GY-0800 ENCLOSED. Address: 4053 PIIa15YLVANIA AVENUE Lot 13 Blk 4 Sec/Sub gpAFFpRp mAM These items were/were not complate at the time of the final inspection. D t : $/13/91 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway t? Permanent gas ? Sod/seeded grass Trail/curb damage Porch A? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off oE water supply to the outsida lawn faucet before freeze potential exists. ? .E?o...?. White - City copy Yellow - Resident copy Pink - Contractor copy ? Y6, R I 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3$30 PILOT KNOB ROAD, EAGAN MN 55122 659-675-5675 Please complete fflr madifications to existing residential dwellings. -?1S.Sb Date ? I Site Street Address ' P ? Unit # Propeity Owner ' Telephone # ( ) ` ? Contractor Address City - Telephone # (; ? ) ?j ? -?• `l ? State ' Zip The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling _ Add plumbing ffxtures (exctudes water softener and/or water heater-complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (acld $125.00 if a 518" meter is required) .Other: $ 50.00 Water Softerrer _ Water Heater _ new _ replacement $ 15.00 _ Lawn irrigation _RPZ _PVB _new repair ? rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residentiaf Plumbing Permit and acknowledge that the information is compiete and accurate; that the work will be in conformance with the ardinances and codes af 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. .._....---- ? Applicant's Printed Name Applicant's Signature ; ?,= h• ?? 6 2005 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55124 J? 2•^-7 ? 651-681-4875 / J ? 1 Naw Constructlon Neaulremenro • 3 regMered site surveys showing sq.ll. ol Wt, sq. fl. of house; and al( rooletl areas (20% maxlmum lot coverage allowed) • 2 wpies of plan showing beem & wlndax sizes; poureA found deslgn, atc.) • lselolEnergyCalculatbns • 3 copies of Tree Preservation Plan H bt platletl aner 7/1/93 • Ren ,bisl Defail Optbns Selection sheet (6Wg5 wNh 3 or less uniis) DATE HemaleUHepetr Reaulremenm . 2 copies ot plen . 1 set of Energy Cakul9tiaf5 for he9led adtlitbns • lskesurveyMrextenoradd'ffiOnsBtlecks • Indirate N home served by septic system for addilbns VALUATION 5 Od(-) P? SITE ADDRESS 4-n S-.-s :PFNN SU I V,4 N 1 A AVE MULTI-FAMILY BLDGj" Y?N TYPE OF WORK f`?E w 2C?C7? FIREPLACE(S) ?/0 _ 1_ 2 APPLICANT STREET ADDRESS -6S U 1 W1 l2 wl TELEPHONE # / d2 3 -&O0CELL PHONE # PROPERN FAX # axi ZIP,,,s:f yo TELEPHONE # zw ------------------- -------------- ---------- ---------------------------------- ------ °--------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672 submission lype) • Residential Ventilalion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations SubmifteE Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this applicatton, state that the wffh all applicable State of Minnesota StaTuTes and City of Eagan Ord Signature of Applicant OFFICE USE JUN 14 agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _(BNOt Required _ I pdated 4102 _ Water Softener _ Water Heater _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? Ot Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Poroh (3sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch (screened) ? 24 Storm Damage O 25 Miscellaneous ? 30 Accessory Bldg, ? 31 E#. Ak - Multi T ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplacemeM •Demolition (EMire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. ofLnits Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Building Inspector Total '??4.3 w •` ' 1991 BUILDING PERMIT APYLICATION . ' CITY OF EAGAN SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 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 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 LATS - CONTRACTOR/HOMEOWNER MUST DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PE PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. 0 J-o? To Be Used For: Valuation: Date Site Address St 100G7"` OFFICE Lot 13 Block Y Parcel/Sub S?a/" Owner v ?? Address City/Zip Code Phone Contra Addres City/Z Phone Arch./ Addres City/Z Phone # Occupancy R'3 m-? Zoning R^1 Actual Const V-N Allowable V -N # of stories - Length Depth ,??T S.F. Total Footprint S.F. On site sewage_ On site well M`dCC System 6.11 City water ? PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. S-G-9y Variance HAS MAY FEES Bldg. Permit 5541,0 0 Surcharge ,50 Plan Review 3&O0 SAC, City l_ 0 DsOt7 SAC, MWCC 5'D,A7 Water Conn. IGo Water Meter 95iOo Acct. Deposit " 1341200 S/w Permit 3a10a S/W Surcharge i50 Treatment P1. 200 Road Unit 370,00 Park Ded. Trail Ded. Copies a? SUBTOTAL Penalty Lot Change TOTAL ?-. r es that all work shall be done in accordance with e of Contrac all applicable State of Minnesota Statutes and City of Eagan Ordinances. • ?' ? i?+V.6.? i?.t?'?. olJ • G'??ie•4 e zz x2z_= y 84 x 15= `lZ(oo ?5 nnT, 'I N o s Is-- Fi-L?m PNK2g = 672 ?y ? •20 = 45fo (,:PX 9Y2 ? 57 ? 1-5 Y. I s3= GN2sq ?o5s7 ?rz ?Sl,?v?- ',- ?-?-G I . ?>;Sc --- ? S:T? " G: '- ? "?-7 • -^ i R ?• T zi?)? 6 ? ?DS?\VGL7D \`? t ' PraN # ? CONTRAC O : / R . - kNEG \VRLL ? c,???,`, sp? Oetermir,z wc,•king square foo *_age of each 1'75"7 x 11 ft 1. Tc_al sq. exposed wall area..... . . /25,5 sq. ft. x .026 ?. To-?al roor/c_ilinc a^ea..... ictzl expose' w-7:I area a5ove floc rI 533 : ? 55 • 7 S .. L. TC=3' Wdli window area .......................... ................. h Tc:al dcor area ., ....................... ................. _ c. Te_a' slidirg g?ass dcor aa ................... ................. ? c. Tc:t' I `irepizce rra'.1 a-e .......... ............ ................. ? e. T_.31 wali frz.-inc ares .......... j D• Z ................. ........ f ,'. Total ri.-n jcis? ares .... .................... ... .... ..... ? ? ? r ^o« ?ddll c,^_3 ?tC•;d ................... - .... _............' 1 ?• h W3ll 3"2! d]c'ia 'lGC' ................... .... " -........... . i. W3il d-e3 d'DC.v2 `,']C^ ................... .................. I. =rzme wall ares az ................. . ...... ....... ' ' / ? . . 23 ., _3l c x, .+?' L7C^ d: e - -a1 ................... founda:.a? w=n??•+, a c ` r ... "o'ai z .......... a ne. ? ... „ l' ?_:.. 'n3•. . ;e,,,-?? ..? ..? _ sepa?a'tc C^ :rzil sec*ion1 Z' ? ?V? _ ?J•? ir? . - I1 ' . . b . c . 2 ,:D ,?: ., d, e. I30•S^` „ 5 i r_• \ ( (-7 ?.J = ?.?•..,..v \ u•+?n ?• _ ?f item 13 is the as, or 1255 than You hzve?wet inten: or SBC 60( l l ? . ....................... .......... r-ts ? rocr/ceilir.q area... ..... I 2? ?> sq ft ? j) Total skyliah; area.. ...... ? sI ft x"U" k) Total roo.'Jceilinq fr (A V)2) aminG l sq ??5• i ft x "U" . area verage • • • • • . 1) To:al ne[ ins-.;lated f/ i i i I I 32?Z s `C x"U" r? nq arez.. soo ce q .... TO.:,L j) chru 1 25• ? L I` ;o;al o` 4F4 is Lhe same as, or iess [har, d2, you have me: the in;ent o, 2•:::.' : 1. 1500& :. a..--' 0. A'_77-R`i,=-= ?GIL'!NG E"I4'EL0'r=- Dc51;ti To _tiliz? ,ne to[al envelcPe sys:..T?e[ncd, Che values escaolis^?ed :y t`e sum o' „±:-s ='3and:'1 s.`.a:l rc: !:e _?...,?_. :ian the sum of iter:s iil and -2. . , 2 .'1 7 . :,^ _-.:. L.Jr(?-f-??wG_G2=1 G, Kv?... 22t 23 f ? " ?f I WALKOU2: N ? - EULL 1: GL?'+'?t?. i Z-_-?- " ? . ? ? J: J.. 1,??- w', ??f <o-t-?+22= 14141 FULL 2: t-)f- cI3E?LacE: t?r a zM: l ?!o BLOC{: KVEE. . :..K V 4 T : r_L i: Lr 2: : IRc?LAC:.: RyM: = SQ[).13E FEET EXPOSED WALL x .5 ?G x s X O x : :: £? _ :C = L TCl TaL AREA ?? jf - SQU?RE cEET E:;?OSEu Cc=LENG Y cai:veows: . Dooas: S ?? Z?k> ? -'t?-{?1. - i ? • _ , PATIO GOORS: (aG-? -4o Fcf13- ?oZb - I - IZ BASt`".c.VT L'NITS: s{Y' _c, :TS: . J ? i . ? pR,rE Nr:? < i 0 I T ?`i,l`•? J - - ! ? --- -- i?.. --, ? - --- _ ,, ? ? ?. . ? ? •+, . . 68 2 V. =J .I.L,ti 3. 5 1 2 SC:T 4,CGD p_ 87 w?f 4. , IC,e..ntr,iN .. ' ' - 5 ? SiD_TNG "? 6_ r°J..'ERiGR A:.< :I "t p. _a_:. = cj, 8?r U' NEi - . I. ih': F'220R fU.'R F?L`? C_ 6g` ? . Y. ' i 2 G`!?BD .4 = •? 3. 0 1: „VL. '- ? 4. 2 32 SI-S.P'"FT`iG 2_ p S. SIDZtiG 6. -! R r.! R__ ll'4 42.98 U= _Ok: : a 1. =1:^=?TC= =_TR --_I' -- .08 ? ?? ?,,sUT ,C oo ? . . . 3. ?1G RIX JCl _ _ '- k q 2 : rE- ? 1_; vC: 2- ^ 2.06 S. SIDiN6 .6 6. _-R-OR P:?. 7_1 0.1 U- '04 ° r • _ . ... . . . "-Y Ci? C. C =S _ •"a T_:v:?wT-'R n-K = :_I': 0_08 2. ,? 1.28 .. 3. ZXtSTCioSw ?/z F .?. ?••s:: • 4. 1 ? .' i `.• , ' 5 . ? p4 k 6. A_ F_.: _ ' ' TC?'P?. R= • . U= ? y - ? y ? •?, . ? ?- L . > -."; ? 43 ---...-.-...,.,-,- -< ?' • ' ( -- - Y 1? ? , ?• l • ? ?? r? I,?i?i `S• ' ?? j???( lic:=: 1'`I.Ti_i1A....:- ZVSJTS.?^vN. o?.=- ?--= G7 • - ?( i„? `?\ '-• FVTERIOR 4r? Fri_M n c{ • /?? ?1 ? J 1?/ \ 2.5/8" GYP. Bn_ co ni" -' ?3• INSULATIny r. '+• EXTERIOR 4*? F7T_M luf"-' U 45 . 30 .O2 y ? FRAME . 1. IVTERLOR AIR cILM 0.5t v=r'?'-J 2. ?/g" r,va . nn 5 ?3 I - I L? 3 [X1"iI? LATIGV ? . 3Q -35 4. EXT-ERI R AIR rILM 0.51 FIG. #5 40.15 . u = 0.02 r r„w,n .,+p I ` ? C eti= ' I - 't 06 i ?••?:?, •,• 1 ? r " ; NGN-Vj'v? _ IitAT : LC'.J LI? CCrVSTRUCTIO[v 1. ItiSIDE AI4 FILM (1 ?i 2. 1 - 4. ?. 1 IDc AIR FILM 0.17 ryN : ItiSIDE AIR Tfht ?'OTar. u = • .61 2. 3. 4. S." "0[]T T(1F d TR ; 7 M I 1. ItiSIDE AIR"r'ILM lA1+ U = '- ?. ,,. 'u _ut. A eLLM 0.17 U = ::0? =' : US= FDDTTIOPi=... StT.i1'S T_F I?":t. 5?F?= : °OR Dc""_.=?IS PhD C.aL.._?=-TQNS. _':l. _ _'! VLX7=... CITY OF EAGAN ,. 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 imGk?7??'?>??': ??. ;.»: , : : > : :. .: .. ... . . :. . ?,:,.>:: ,:.: ::. : RESII3ENm FEES NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: G/QRDIJM ?cS? fFOY.?,6? SITE ADDRESS: LICS S-3 P_44i?J L,J lA LAT:115 BfACli 4/ SUBD. ? INSTALLER: d- C., , ADDRESS: I/'IL G, C1-tFF Iek- CITY:?&A.(SV6La-t ZIP: J-X377 PHONE #: P/r- 03 I0 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. P:CCF.SS°D ?IPING - $251.00 $25.00 MINIMUM FEE. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: _ WORK DESCRIPTION PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: FOR CITY USE ONLY PERMZT # RECEIPT DATE : a?lP 9 FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT $15..00 24.010) 6.00 3.00 SUBTOTAL: $ z7.6?1 STATE SURCHARGE: .SO TOTAL : $ Z7• ? ?i SI ATURE OF PERMITTEE $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "muNGimm FOR CITY USE ONLY PERMIT # RECEIPT # i ? z Cn? DATE : 7 / PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS & TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ WORK DESCRIPTION NEW CONST l ` ADD ON REPAIR _ OWNER NAME: SITE ADDRESS: LOT: If BIACK INSTALLER: Pk mv ADDRESS: COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 o? WATER CLOSET 3.00 BATH TUB 3.00 ? LAVATORY 3.00 ? KITCHEN SINK 3.00 -o? V`S ?ICN YC?' ?? ?Ai/ LAUNDRY TRAY HOT TUB/SPA 3.00 3 00 ? O ? WATER HEATER . 3.00 ? V FIAOR DRAIN 3:00 3"U U 1'/? ?' (? L GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 CITY: ZIP: _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $? ST. SURCHARGE .50 TOTAL: ?? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS Wk1EN 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: (SIGNAT[TRE) ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55 7 22-1 897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 027729 06J11J96 SITE ADDRESS: 4053 PENNSYLVANIA AVE LOT: 13 BLOCK: 4 STAFFORD PLACE P.I.N.: 10-72500-130-04 DESCRIPTION: Building-,Permit Type iBuilding O'p_rk Type ?r Census Code ?. 1 ti .._ „ . r n ? •? ?. - . ?-'r- ?\? r(? BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL 0,L .i^+? ?. ., _ . . . REMARKS: A 5EPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: ? I hereby acknowledge that iMformation is corrsct a L Statutes and City Ea cusf1i1?, ?? X OWNER: - Applicant - TOWNSEND PETER 4053 PENNSYLVANIA AVE EA6AN MN 55123 (612)681-1371 I have read thas application and state that the aqree to cemply with all appk,icable State of Mn.- Ordinances. J ATU ? ISSUE4B, CITY OF EAGAN -1-6 V0 0 3830 PILOT KNOB RD - 55122 ?^1 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RnmodelReosir ReaUGements ? 3 registered ake surveys ? 2 capfes of plans (incNde beam & window aizes; poured tnd. design; etc.) ? 1 energy calculatbns ? 3 coDles o} hee preservation plan H lot platted efler 7/7193 mquhed: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: _ LOT J 3 BLOCK PROPERTY owNeR CONTRACTOR ARCHITECTI ENGINEER }`i ?f is ? LOw? / ? SUBD./P.I.D. #: ? 2 coPies ot plan ? 2 slte surveys (exterior addWions 8 decks) ? 1 energy calculaUons for heated add'Aions COST: ? O? U e.s{7 D f-- O 130 O Name: %aL,?nSe?? V ?eie ? Street Address* Ciry: State: m'/ Phone #: b,?l -I3-71 zip: -ST-1a-3 Company: Ca rlj? ' Phone #: Street Address: City: State: Name: License #: Company: Zip: Phone #: Registration #: Street Address• City: Sewer & water licensed piumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that 1 have ?ead this application and state that the infortnation is cortect ag e to comply with all applipbie SNate oi Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE . - .- ?. M - ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging --a- 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 IJew ?!?--33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. R. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MCNVS SAC _ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unk Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance 3? _0_ °k SAC SAC Units ? CIT.Y OP EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT e? Control No. 0827 PERMITTYPE: suiLoiNG Permit Number: 001082 Date Issued: 0 7/ 16 / 9 2 SITE ADDRESS: 4053 PENNSYLVANIA AVE LOT: 13 BLOCK: 4 STAFFORD PIACE DESCRIPTION: =8uildrng Permit Type FIREPLACE Building-,Work Type NEW ? ? `;:- , ?. , , ?`7 ' !v REMARKS: ('?0 Ptc59 FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - APPlicant - sT. I.ICOWNER: HEAT-N-GLO FIREPLACES 16900758 0602960 70WNSENO PETER 3850 W HWY 13 4053 PENNSYLVANIA AVE BURN3VILLE MN 55337 EAOAN 19N 56123 (612) 890-0758 (612)681-1371 I hereby acknowledge Yhat I have read this application and state that the information is correct and agree to comply w3th all applicable State of Mn. Statutes and City of Eagan Ordinances. I ?lrx?n ? APPLICANT/PERMITEE SIGNATURE IS ED V: IGNA R INSPECTION RECORD Control No. 0827 CITYOF EAGAN PERMITTYPE: BuiLoxroG . ,. 3830 Pilot Knob Road Permit Number: 001082 Eagan, Minnesota 55123 Date Issued: 0 7/ 16 / 92 (612) 681-4675 SITEADDRESS: Lor: ia BLOCK: 4 APPLICANT: 4053 PENNSYLVANIA AVE HEAT-N-GLO FIREPLACES STAFFORD PLACE (612) 890-0756 PERIIIi SEy BAC?pE: TYPE OF WORK: NEW F ? '?i : liu• ,? .,, ? Y PERMIT # REACTIYATE ?_ ? ? ? . CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty.applies Nhen typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Uate _7 / /? /% a Yaluation of work Site Address: O?f9/Yl ?./[,/JQ/{?,LG,,-6t?l'? Q,x . STREEi SUITE M Tenant Name: (commercial only) LOT I3 BIACK P.I.D. # Descri tion of work: Firc (acc The applicant is: [I Owner Er-Contractor 11 Other (Describe) Name Q Phone Ml- 1371 Property LA51 FIRST Owner /? ? ? S3 2 Address ??ua D wlae? ' STREET . STE M City l?das) 5tate Zip Company 67tb = GLG Phone 75 Contractor Address 3 SD W• ?> License NExp?3? State ? yU zip Company Phone Architect/ Englneer Name Registration # Address City 5tate Zip Sewer 8 water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is carrect and agree ta comply with all applicable State of Minnesota Statutes and City of " Eagan Ordinances. t. ? Signature of Applicant: t, i 1? ? (/ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Dwg. 11 03 SF Addition ? Oa SF Porch ? 05 3F Misc. ? 06 Duplex El 07 4-Plex ? 08 8-Ptex ? 09 12-Plex ? 10 Multi. Add'1. WORK TYPE 0 31 New 0 32 Addition O 33 Alterations ? 34 Repair ?. O 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace q 15 Deck 0 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. ist F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well 0n-site sewage Building Yariance ? Footing ? Final ? Framing ? Draintile t ? Insulation ? Fireplace Permi t Fee v,i,,,t;,,,, g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter . Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units M- - 9 . ? 16 Basement Finish ? 17 Swim Pool D 18 Cortm./Ind, ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC 5ystem City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments L IA BL All CITY USE ONLY SUBD. , RECEIPT #: DATE: ?11?? 1996 PLUMBING PERMIT (RESIUtiV I IAI.P CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos whEan permits are required for each unit FIXTURES EACH Shower 3.00 x Water Closet 3.00 x Batt: TLb 3_QO x Lavatory 3.00 x Kitchen Sink 3.00 :t Laundry Tray 3.00 ;c Hot Tub/Spa 3.00 ;c Water Heater 3.00 ;< Floor Drain 3.00 :< Gas Piping Outlet * mtnimum -1 3.00 :c Rough Openings 1.50 :c Water Softener 5.00 x Private Disposal ' Dakota Cty. license 65.00 (new and refurbished systems) U.G. Sprinkler • home under const. 3.00 .AlierationsibtoYeidstirigl W01Q:Of Water Turn Around 20.00 STATE SURCHARGE TOTAL .50 aD-sU SITE ADDRESSS OWNI INST/ STREET ADDR' CITY: ??-a9n STATE: ZIP: PHONE #: TOTAL ?d & K to L SUBD RECEIPT #: DATE:- 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 / (612) 681-4675 Please mplete for: * all commerciadindustrial buildings. . multi-family buildings when separate permits a e IlQt required for each dwelling unit. DATE: e>Nd/ / b CONTRACT PF WORK TYPE: W CONSTRUCTION X ADD - ? . DESCRIPTION OF WORK: a5e'"'`Y^ ?JS IS WATER METER REQUIRED9 YES x NO. IF SO, WATER FLOW: GP ARE FLUSHOMEI FAILURE TO PROVIDE THI5 INFORM TION WILL RES WILL YOU BE INSTALLING A METER FOR A`F' IF SO, YOU MUST APPLY FOR A SEPARATE I FEE: $25.00 minimum fee or 1% of contract p $1,000 of geauit fee due on all permits. CONTRACT PRICE x 1°k STATE SURCHARGE TOTAL SITE ADDRESS: O n'? TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: " L ?!'? cirY: PHONE #: - 3 _ REPAIR r SE PROVIDE THE FOLLOWING: ,? TO BE INSTALLED? _ YES _ NO. T IN A DELAY OF METER ISSUANCE. U.G. SPRINKLER SYSTEM? _ YES A NO. RINF:LER PERMIT. is greater. State surcharge of $.50 per ,71 ?-L STE. # n ? UQ n 1 ?( J'? . ? STATE: ZIP: SIGNATURF: ? APPLICANT OFFICE USE ONLY BL OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: - y33 r ? m ? -CER'TIFICATE OF f0R. ?? . Lticans a.tr?sert ? au?rtKrtiwa ?c? *o+s ??erw?so iltf4i11 tl?M* WKCt fYKIIHl?Mi MI?TIYR ??? 01R7 ¦ o e{'? uio? nt uM r srirre or mmrnarA. \1 AEINmES4TA RE6 TIOH NO. lfo\13 ? ,e??_3•, v l.c-c ST+4.F?OR? ??LC - ?l? • ti PRGPOSEO GRAOES aARAGE SLAB • S9q'Z' TOP OF ltOCK • ?....?? BASEMfEtIT FLOOR• $$* t v I ? `f7 A.Ko',c?A... CA ? ? ?1? • . , ?. ? ` 0?. ??? V,? • .e ?? ? 0 • ?? ?C ?'. • ' ? ???j / ? ? l ,?'1 6?r?t4? o ?.acv J,? ..•i ? io _. _ _ (8eq r • V I r" , ?? ?.. )y ? ?y g ? M t t, ? , i t ?' ? .{ roq• :_. v?? Co ,. b .. °`L= 8? . i ? -- _ ? ? ? :aue -- li Cp i:0t, ? ??.1'•. ?1 O "Y y ? N y- a r 5 ' t?wj ? e c-- rvEe,a C?1 4Ato. dj.Q?Vt. SURVEY Kl)R'Tt1 SURVEY{NG IHC. 4002 sEFPe?son sreecr n.e. tOLVMBU HEIONTi H1NN6SOTA 35421 u??r???mf OA7E 4 '`S q R' SCAI£ 1., LO s?t AKC17 ?r?2?9t o-pios MMenraNs rota+o 11EI.RWCS ARE ON I?N •ssvMEO oATU?e- • • so a soIxe seT t:)• 400T ELEYATIOIt ( )• TROlOS60 FLEY. --T • DRAl1U?CE ARR4W ? Use BLUE or BLACK Ink r-----------------+ I For Office Use � � � Permit#: � �� Clt� of E�� ; . � ; Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � `"(�-��Site Address: �°�J �t=��syc.v�a,��,9 �l'V� Unit#: d , , :� = °�'� �. : ;' Name: V ° � � �Z � / � Phone: ��Residen#I � � (`�� 3 � � '�w�l�t` ',' Address/City/Zip: 7 �"i^'`./��V�'•FJ o�v� • � / �, Applicant is: Owner "� Contractor µ Description of work: 2�S�� Type c�f Work � Construction Cost: � ��, S�� Multi-Family Building: (Yes /No� ' Company: �V�L•9 sTIN� �jC?-�ttc.,� Contact: `J <r� , Address: �5 ��r.,.�7trfa9 ¢1�, ..� Y City: �.�71�+.�� Li�� COI'1�t'�G�QC ' � � / � , :"'. State: M� Zip: �✓��5 Phone: GS��rZZ�lZ� Email: i�'� ��.e,��^ [�S�cn;��C�'�w�v o� „� : License#: 1�C�3�33� Lead Certificate#: 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: NUTF:Pl�ns and supp��tir�g�fc�cum�nts that�yc�u submit are ct�nsider�ed tr�be publi��nforr►�atiqn. �'ort�c�ns qt' ' #he informa�fion may be cl�ssi�ed as nvrr putilic�f�vu prc��ide specific r�asc�ns tha�w4ufd permit the Gity to ! concl�rde#tt�t they are tra�le�e�ret�.: 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. wvuw.qopherstateonecall.orq 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 Buil ' e must be completed within 180 , days of permit issuance. ' /( X 1 / ��' �i�Vl'� .SV/`� X ApplicanYs Printed Name Applicant's nature Page 1 of 3 I—For Office Use / 2 / % % 4 : 0' Permit#: EAGAN Permit Fee: ado' RECEIVED (C Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 0 8 2019 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinainspectionsacityofeagan.com ___ 2019 RESIDENTIAL BUILDING PERMIT APPLICATION v_c),f Date: U 1 Site Address: V053 �^'^'s'1r-��Ni'9 Unit#: Name: L.7 Z 4i11 i C. Phone: Resident/ !4n '53 .avv$yc.vq-�r4 Ave-. owner Address/City/Zip: Applicant is: Owner k Contractor Type of Work Description of work: NIA/19()(-9 $ Construction Cost: I its Multi-Family Building: (Yes /No ) Company: e Z-A-M �1'0flS Contact: fr'^ Contractor Address:( 7Z(B PR /, 17NC�- State:mt' ci City:i Zip: , 5 33 Phone: G'5(-77e--R Email: /1;4 �erl s��1.cam.•-r License#: Pc-63733 4 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans supporting documents that you submit ere coniidered to be public ktformation. Portions of the information maybe classified ss ni b s ifYogi provide*teak reasons that would pennft the City to conclude that they are Wade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.000herstateonecall.orq 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 s a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap• • al of plans. x� )�4iv►e,s v 101ss1 x v Applicant's Printed Name Applican Sign- re PERMIT City of Eagan Permit Type:Building Permit Number:EA169117 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 4053 Pennsylvania Ave Lot:13 Block: 4 Addition: Stafford Place PID:10-72500-04-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Joseph J & Elizabeth L Amic 4053 Pennsylvania Ave Eagan MN 55123 (612) 597-8133 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature