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4068 Pennsylvania AveCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 21?73 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4- Z! ` If Site Address: 4e,SYL. VAAli A A / Cit#: Name: IGEN ♦ DISE C04,119 Phone: v5/. -60g-29 7' Address / City / Zip: 6,9 PE,vNS,I L i A th 6 A tom' & AGAie Sr/ 23 Applicant is: Owner X Contractor Description of work: ICOQ on. -rtoetir Q.f /(o u C Construction Cost: ¢,voU • dG Multi -Family Building: (Yes / No oX ) Company: Gini -Ccer /14.4e „vivtiifzevf'Meilontac 5TCp#t t' /6.9/ OIA/Lg kewee' WAY` City: 6-A6/9t1" Address: State: IMN Zip: SS/ 2 License #: 8 t - to. 3e /46 Phone: toil- 4S-2 -1l Gtr/ Lead Certificate #: #411,17- D 7!O 3t ' — 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting, documents that you submit are considered to be public informationPortions 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 secret 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.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 St B Rd' ; Code must be completed within 180 days of permit issuance. 5%'Pti bet, A . Ly�vvs Applicant's Printed Name x Applicant's '' gnature Page 1 of 3 t• . ? r- .. CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for '?" `? k''r? ?r'??'•?L Est. Value 7 ?,000 Site Address 406P PEttiNSYLVA`IIA Ab": LOt BIOCk Z Sec/Sub. ST?FC,"T "-A"E: Parcel No. W Name r''fV1Yi1GlS P1Li1116'f«? ? Address 3402 GrAAZVALS 1 ? City r A'-,° Phone Name , Address City Phone Name _ Address Clty - I hereby acknowlege that I have read this application and state thal the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee :.GI??.n)T }1K]G$ A Building Permit is issued to: ' on the express condition that atl work shall be done in accordance with all applicable Siate of Minnesota Statutes and City of Eagan Ordinances. Building Official Receipt # ` -? OFFICE USE ONLY Occupancy R-3 M-Z FEES Zoning R"'1 (Actual) Const 1 f Bidg. Permit '?32 •o(: (Allowable) V-N Surcharge 3fi S. # or stories ? 4 Plan Review 265?.. . J • length Depth 49' SAC, City 100 •0C S.F. Total - SAG MCWCC )7 J' , S.F. Footprints S 8?` On Site Sewage _ water Conn On Site Well Water Meter ?? •?'?? MWCC System ? 30 - `' Ciry Water - qcd Deposit - • PRV Required _ S,NV Permit 20' Booster Pump - S!W Surcharge i•? t? Treatment PI ? ?'E' • ?' J APPRQVALS Road Unit 340• Planner - Park Ded. Council Bldg. Off. Copies 1 ? $? ? L? Variance - TOTAL ' Permit No. Permit Holder Date Telephone # yVATER r).3-3J 9EWER PLUMBING H.V.A.C. 119/ / ELEC7RIC Inspeclion Date Ins Comments Footings I / c B Foundation Framing Rooling Rough Plbg. , - j' Rough Htg. 2y 41 Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: . I ? i•IM'.}'IVt1N 1 A FiVf ; 1; . . _ . ,. ?INI I Uk 1t 1'1 A1 f { 1:1.'t r,.t.: I0.{.. " ? ..: PERMIT SUBTYPE: TYPE OF WORK: . . 1.11 i? .?I t i I aiM (?iW. ) Permit No. Portnit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inepection Dete Insp. Comments FOOTINGS FOUND FRAMINCi ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAI PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTIQN RECURD CITY OF EAGAN PERMIT TYPE: 3834 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LoT , sa 19toc K, l APPLICANT: +1060 PEMNSIl1 VAMTA AvE A i l. EMTERPRISE STAFF4AD PI.ACE (612) 446-0530 PERMIT SUBTYPE: bASFMEM7 FIM29h TYPE OF WORK: Control No. surLotNa •*18T2 12/0?/97 PwmR No. Pwmit Noldw DaLe TNophanwf S/VU PLUMBING HVAC ELECTRIC ELECTRIC fnspection Oale Insp. CommWte Footlngs I Foundation FiBmirty / Ropfing Rough P1b9. Rough Htp. Isul. Firepiace Final Htg. Orsat Test Flrtu1 Plbp. Pb9. Inspector - Na1i1Y Plumber Const Me1er Engr.lPien Bldp. Flnal ! G APY Deck Ftg, Deck Fnal Wetl Pr. Dfsp. y,. „ .?+w (ler#ifiratr of tOrrupanry titp of (Eagatt arprimrttt of guilding jwPttimt This Cerlificate usued pursuant to the require?nents of Section 306 of the Uniform Building Code cer7ifying that at !he time af issuance thrs structure was in complrarrce with the various ordinances of tire City regulaling building constnrction or use. For the following.• u. a.iIj.tk. SF DWG/GAR mag. Perm;t No. 16233 pcwpaocy Type R3 IM I 7omnQ Disnicy R 1 Type Comt. VN Owner ot Building FR"TII:R MMWEST Fa'F.S Addrew 3902 aMMAIE DR, EAGAN Building Addrm 4068 PFT1dSSYLVANIA AVE. ?lity L39, B 1, STAFF ORD PLACE MAY 30 , 1989 Bw7ding OIFi ' POST IN A CONSPICUOUS PLACE SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFlCE USE ONLY PERMIT DATE 4; 41 84 WATER PERMIT # 1`"-= - f SEWER PERMIT # METER # B.P. RECEIPT # c ') k3som# QD ?9_? D/. 3G B.P. RECEIPT OATE 3 31I ? i METER SIZE ISSUE DATE Z- 9?- PRV - BOOSTER PUMP v- -f SITE ADDRESS .' EN'ti S'11 , AN I A AU F L4T n BLOCK 1 SECfSIiB SrAFFORD pLaL"' APPUCANT: FRQPJTFiR -A1DWEST F'01'j-`? CL ApDRESS: 2 CEDARV E D VF CITY, STATE ?? MN' . ZIP -:? PHONE: 4`4-0433' P4UMBER: STAR PLUMBING ADDRESS: 101 Mf`1SND SPRINGS CITY,STATE Rf_QOy?NGTT,i. MN. ZIP PHONE: PERMIT REQUESTED x SEWER X WATER - TAPS X - COMM/IND - RESIDENTIAL X NEW EXISTING I AGREE TO.yGOMPLY WITH CITY OF EAGAN ORDINANCES: ? . ?-'y- .y QWNER: ? I?GA, RL N i AM T N it ": ".!= ADDRESS: 7FQ1 K`iOX AV'? So. SIGN HE ER ISSUED CITY, STATE RiCf-!F IEL.P ?IN. ZIP ?'?'?;?- PHONE: PLEASE AILOW T1N0 WORKiNG DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, GONTACT ENGiNEERING DEPT. r? i - ' - '?4 - ? ? ' ? . ? ? ?? Z • - . I •, . . a _ ?S . . 'l. ' `i_ . . I . . ' . _ . ? • ' . ' ? .. ` : . ? . ? - . .• ? ' ? . ! . ? . . l . Jv.. S M, e,J. . . . T . . • ?_ . ' ' , ' , 3?5._ .y,?.`? _ . 3 . _r CITY OF EAGAN N9 16233 , 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE:454-8100 7 /??1? ? BUILDING PERMIT Receipt # ? To be used for SF DWG/GAR Value $76,000 Site Address 4068 PENNSYLVANIA AVE Lot 39 81ock 1 Sec/Sub. STAFFORD PLACE Parcel No. w IName FRONTIER MIDWEST HOMES e Address 3902 CEDARVALE DR City EAGAN Phone 454-0433 o Name SAME H. Address ? City Phone Name _ Address Gliy - Phone I hereby acknowlege [hal I have read [his application and state thal Ihe informafion is correc[ antl agree to comply with all pplica6le Staie of Minnesota Statuies and City ?of Fag?n Ordiq?? fi /1 ( ( Signature of Permites ?Y ?.-G ?4/ ABuilding Permit is issued ro: FRONTIF.R MTDWF.ST HOMES on ihe express condition Ihat all work shall be done in accordance with all applicable State of.Minnesota Statutes antl Cityo(f Eagan Ordinances. Building Official 19-89-- OFFICE USE ONLY Occupancy R- 3-R-1 FEES Zoning R-1 (Adual) Consi V-N Bldg. Permil 532.00 (Allowable) V-N Sumharge 38.00 # of Stanes - 266 00 Length 401 Plan Review . Depth 48' SAC, Ciry 100.00 S.RTOtaI - SAC,MCWCC 575.00 S.F. FootpriMS - On Site Sewage Water Conn 580.00 On Sile Well Water Meter 90.00 MWCCSystem xx qccLDeposit 30.00 City Waler PRV Required _ S!W Permif 20.00 Booster Pump SlVJ Surcharge 1. nn Treatment PI 278_ O(1 APPROVALS Road Unil 340.00 Planner - park Ded. CoUncil Bbg ary Copies 2 $00•00 Variance - TOTAL > REQUEST FOR ELECTRICAL INSPECTION ea.oonom?-o7a? K ? See insimaions lor compieting this form on back of yellow copy. ? dLJ 4 510 2 ?X" 8elow Work Covered by This Request ??•? e . -:rBuilding ApplianceSWiretl EquipmentWired 7X T Home Range Temporary Service Duplex Water Heater Electric Heating Apt Builtling Oryer Other (Specity) Comm./Indusirial FurnaCe Farm Air Conditioner Other (syttity) ConVaclor5 RamaMS: L Compute Inspection Fee Below: ?5 m? n 1 S•" # Other Fee # ServiceEMranceSize Fee # Cimuits/Feetlers Fee Swimming Pool 0 ro 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Amps Siqns Inspeclor5 usa onN: ? TOT/?. Irrigalion Booms d(% Special Inspeciion Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 MONTMS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in r Final " i>.?. oa?a y f ?ate OFFICE USE ONLY This request witl 18 months Irom ;c d;1 fl g 11-7 ?? C?oaao5?? ? Request Date / '/ ? ? ne No. ough?in Inspedion g?7 ? Reatly Now'?ill Notity Inspector W R 7 / ? y,ag C ? hen eatly I El licensed contractor Arowner hereby request inspection of above electrical work at: Job Pdtlress ?Stre C B o oNe No.) Ciy D? ? 9/7ns IUan? ? SecHOn No. Township Name or No. Range No. Counry ant(PRINT) ( Phone No. oh q ( n j i PowerSupPli Atltlress EiecVicM onvactor(COmpany Name) ConhaMOrS Lkense No. ztt nigO Maihng A ress IContratlor or Owner Making Installatqn) ' Autlhy jftqSignature I nvacti /O er king Inslanationj 4 Phone NumOer. . J `l MINNESOTA STl1 OA OF ELEGTflICITY TMIS INSPECTION REQUEST WILL NOT Gdggs-MlNVay BI g. - oom S113 BE ACCEPTED BV THE STATE BOARO 1821 Univarsity Ave., St Peul. MN 55109 UNLE55 PROPER INSPECTION FEE I$ Phome(61f) 802-0800 ENCLOSED. RESIDENTIAL BUILDtNG PERMIT APPLICATION CITY OF EAGAN ?/? 1 2 S ? 3830 PILOT KNOB RD, EAGAN MN 55122 J 651-681-4675 Naw Constructlon Reaulremente • 3 registered sile surveys showing sq. tt. of bt, sq. tt. of house; and jg rooteG ereas (20%maxlmum lot coverage allowed) . 2 coples of plan showing Geam & window sizes; poured found deslgn, etc.) . 1 set M Energy Cakuia(bns . 9 copies ot Tree Preseroetan Plan 9 bt platted atter 7/1fA3 . Rim ,blst DefaU Optbns selectlon sheet (blGgs wM 3 or less unMS) DATE 6, -// " O Z- NemaleVPeneir Beoulremente • 2 copias of plan • 7setWEnargyCakulationsforheatedaddltions • isilesurveytore#erloradeMfonsBtlecks . InOicate N home served by septk system for addNOns VALUATION SITE ADDRESS Y06 P? NN ! a.? 4 MULTI-FAMILY BLDG Y TYPE OF WORK e?-` -o c- Rf-S,n f FIREPLACE(S) _ 0_ 1 APPLICANT .t" _N _ 2 STREETADDRESS -D<'NVaIc /31v? SurTE 13a CITY EDFNP?pR,Rrf STATEIIIY ZIP,;z:.S 3Y? TELEPHONE # S,2- %?V-Sb3S' CELL PHONE # FAX# 73a-47y-/58L/ PROPERTYOWNER &f l? C'o/oaAvA TELEPHONE# I -------- -------- ----- --° ----------------°----° °---°-°-------°------------------------°- COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNE ?stie uh (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • NeEw E W cN . Energy Envelope Calculations Submitted JUN J 2, LUOZ Plumbing Conhactor: Piumbing system includes: Mechankal Contractor. _ Mechanical system includes: Sewer/Water ConhacTor. _ Water SofCener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone 0 Fee: $70.00 -°-------------°------------°-°----------------°----------------°---°--°------------°---------------------------- I hereby acknowledge that I have read this applicafion, state fhat the informatlon is correct, and agree to comply with all applicable State of Minnesota Statutes and Cfty of Eagan Ordlnanc? Signalure of Applicant OFFICE USE ONLY Certificates of Suivey Received - Tree Preservation Plan Received - Not Required -? Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex O 20 Pwl ? 30 Accessory Bldg ? 02 SF Dwelling 0 08 06plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Muki Q 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4sea:) ? 33 Ext. Alt - SF Q 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair 0 33 Alteration ? 37 DemoVish (Bldg)* D 43 Reroof ? 46 WindowslDOOrs O 34 Replacement 'Demolition (EMlre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV N6r. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS , Footings (new bldg) _ FinaUC.O. _ Footings (deck) ? FinaVNo C.O. _ Foo[ings (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 Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Suroharge Treatment Plant Plumbing PeRnit Mechanical Permit License Search Copies Other Total Building Inspector , ,. .? 1989 HBILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE F9MILY DWELLING3 j G 1-3.3 INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCIILATIONS NOT&: ADDRE4SES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA MQST DESIGN9TE WHICH ADDRFES ZS DFSIRED. NO CHANGES BILL BE ALLOWED ONCE HIIILDING PSRMIT IS I330ED. MOLTIPLE DiiEL.LINGS RfiNTAL ONITS FOE S9LE UNIRS # OF Q8IT3 INCLODE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COI+MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCUL9TIONS - - "e?) (? Ooo To He Used For: NEW CONST. Valuation: Date: 03/14/89 Site Address 4068 PENNSYLUANIA AVE OFFICE IISE ONl.Y Lot 39 Block 1 Parcel/Sub STAFFORD PLA Owner COLONGA, BEJAMIN & Address 7601 KNOX AIIE SO City/Zip Code RICHFIELD. 55423 Phone 869-0970 Contractor FRONTEIR MIDWEST HOMES CORP. Address 3902 CEDARVALE DRIVE City/Zip Code EAGAN. 55122 Phone 454-0433 Arch./Engr. DICK CHARLIER Address 14103 GARDENVIEW DRIVE City/Zip Code APPLE VALLEY. 55124 Phone # 432-5492 Oecupancy ? Zoning Actual Const Allowable I/N # of stories Length yp Depth Yd'. 3 ? S.F. Total Footprint S.F. On site sewage On site well MWCC System City water ? PRV required _ Booster Pump _ APPROVAIS Planner _ Council Bldg. Off. 'R5-30S Varianee Council FS$S Bldg. Permit &M Sureharge ::;w Plan Review Z&& SAC, City /0 0 SAC, MWCC S?S Water Conn S 80 Water Meter 9D Aeet. Deposit 3 0 S/W Permit z O S/W Surcharge Treatment P1. Z Z Road Unit 3 YO Park Ded. Copies TOT6L NOT&: Sewer & Water Permit fees and account deposit fees srill be ineluded in the building permit fee. Processing time for sewer aad water permita ia two days oace a lioenaed pltffiber has applied for a permit at City Hall. .., ! ?sw * /aw ,h iY = ( 3 Jz? o a -c ??o u C ll p Q' .r S6 ? S?5/oa 6O „. ? , ;, ? .. . EvATE3IOR EYVELO?E HYERAG"c "U" COMPUiaTiON KNfPW0.11 ZX(o 04lNER COLONGA, BENJAMIN & DIANE SITE AODRESS 4068 PFNNSYLVANIA AVE CON7RACTOR FRONTIER MIDWEST HOMES CORP. DATE 03/14/89. PHOYE 454-0433 FRONTIER Deter,nine worlcing square footage of each. 1. Total exposed wall area .... .. Z z$S.??o sq. ft. x 2. Total roof/ceiling area .... I US R sq. ft. x Total expased wa11 area ahove floor =?2 a. Total wall window area ..................:........ 1 a5.1; b. Total door area ................................. ? 9. LA c. Total stiding giassdoor zrea .................... . ya d: Total fireplace wall area ........................ 140 e. Total wall framing araa (average lQp)...:........ a a S,R/o f. Total ne:.wa;t area above fiaor ................. t(sSL.88 ' g. Total r:crt joist area ........................... t,4 8 Total exposed foundation area = "15.33 h. Total faundation window area ..................... i. Toal net foundation area above arade ............ 15.'33 Detaraine "U" vatue of each wall szgment. a. X"U„ ,?s = Y?.SS b. 39.?a X??un ..y5 = i ?. 83 c. y? g ??u. d. yg X „U,. e. r3 a11.9G X IIU„ Lf- l6 5(a.$1Z x°u" 03 = Col.? g. I ZI 8 x°u"'; .o3(e = S 3:S h. x nUn i• '15. 33 x "u" .1q = 6.5 3 ...................................... Total If item f3 is the same as, or less than ite-n B1, you have mat the intent of SBC 6006(c)2. . • . •/ . . % • Total e:cposed roof/ceilina area = 108? . Tota] gross rcof/ceilirtg area = ., j. Tota1 skylight area ............... k. 7ota1 roof/ceiling framing area .... 1.0;,,,. -? 7. Tata1 net irtsutated rocf/caiiing area....... q -Iq, 2 Oeternine °U" value for esch roof/cailing segment. J• X "U" k. ?bR.$ X lsull ,07-1` = 2.Zv 1. ?-f `l.2 X"U" 10 I cl = l S, la 4 ..................................7ota1 = 2 . S If total ef a4 is the same as, or less t5an J2, you have met the intent of SBC 6006(c);. Ta utitized the total envelope systrn method, the values.established hy the svm of items a3 and 14 shall not be gre=_ter than the sum of ite:n 01 and 42. 7. i5 l,7.1?- + 2. 2$.Z7, = 2<30,n:?. MATMIALS 3. 147t\. oS { 4. ZO???G = z 11 .93 Thera. 3esistance "R'• Ezteriar A:r S idi: g.Mat erial l?2 Sheathing 3/4" Zkn Ins ulation a Sheetrock 5'S ,. Interiar Ai.r .(s1 Studs 2sr. L .8 "1 Rita I.gq Conc. Blks. , L??; t?! ? Lr L F i . Sv-pos_o WA, LL. BLOGK ; se,c,c. -i ao +- E ?; ??tZ4 ± sz,w • , , " ? ? ----------- PULL . _... .... ? - ?1M= `!"Fso+S Z-?-tto k1A LL.. AZEA i3LocsC ; i?•" K, S = 7 S. 3 3 ? a(, 5 = 8 3 ;. 3 • , ,Y.? - ?:ULL..j : 14:5 v s = q ? . Rt M:? ?! 48 y? f' ! 46 ?f ., L = .Z G? ??K?oS?D GE.1L.fUC{ : wD?us :: Zal3?= z.= io ZS : L7 0o QS n ' ? zF 6--- z= f t o _ D25 . LI r • -- _ '-"i . . r , ? r t • ?. ( `s• I . . CITY OF EAGAN 3830 Pilot Knob Road Eagan; Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-72500-390-01 PERMIT PERMIT TYPE: Permit Number: Date Issued: 4068 PENNSYLVANSA AVE L07: 39 BLOCK: 1 Sl'AFFORD PLRCE Gzo49.5a(P Bl1IL(JING 026652 10/30/95 DESCRIPTION: (GAS) B.i}ilding permi.t 1'ype FIREPLACE ?uilding W61rk TypE NEW , l ..' . ? ? . _.... .... . „_ .. , ?,. . . ? . ? . . ? ` ??1,?'?._ ? .. . . ,. ,... .. - . . ... , _?. REMARKS FEE SUMMARY: Base Fee Siarcharye Totai Fee $25.00 $25.59 CONTRACTOR: - APpl.tcant - sT. Lzc FIRESIDE COf2NER TNC 16331092 0001068 2700 N FAIRVIEW AVE ROSEVSLLE MN 55113 (612) 633-1042 OWNER: COLON6A BkN 4062 PENNSYLVFlNIA AVG EAGAN MN 55122 (612)688-6541 T hereby acknowlec3ge that I haue read thSs applacaCzan and state that the informaCitrn is correct and agree to comply with sll applicabXe State of Mn. 5tatutes and City of Eagan Ordinances. -OtB.?- APPUCAN /P MI IGNATURE J) (N1a UA I Ynk ISSUED BV: IG URE I INSPECTION RECORD CITYOF EAGAN PERMITTYPE: gulLolNG 3830 Pilot Knob Road Permit Number: 025552 Eagan, Minnesota 55122-1897 Date Issued: 1 m/ 30/ v 5 (612) 681-4675 SITEADDRESS:P•1.M.' 10-7250e-39e-01 qppLICANT: LOT: 39 BLOCK: 7. 4058 PENNSYLVANIfl RVE FIREST.DE CORNEf2 tNC STAFFORD PLACE (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLNCE NFW DESCRSPT.ION (GFlS) INSPECTION D. . .A ROUfiH-IN FTNAL ? J -'.S ot(;(XI . CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: I q,r DESCRIPTION OF WORK: 2-INSTALL NEW FIREPLACE: _ WOOD BURNING _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GA5 LINE ONLY IN EXISTING FIREPLACE AREA TO BE INSTALLEC STREET ADDRESS: LOT U- BLOCK SUBD./P.I.D. # ? d?.? •?Q y GAS APPLICANT: (circle one only) OWNER CONTRACTO 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. PROPERTY Name: ?oNS4+ a?, ib?? Phone #: lO?? ?s OWNER ? ""' `"" Signature: Street Address 40 ?- City: State: ? Zip: ZLFIREPLACE Company: Phone #: IN5TALLER Signature: Street Address: re License #, ?a60 City: ? State: 4'1ilS Zip. ,5 J /3 GAS LINE Company: eb dznn:? Phone #• INSTALLER Name: Signature: Street Address• Ciry: State: Zip: OTHER: OFFICE USE ONLY BUILDING PERMIT TYPE pif,_ 14 Fireplace WORK TYPE ?, 31 New ? 32 Addkion 0 33 Alterations 0 34 Repair GENERAL INFORMATION - Census Code. SAC Code REMARKS: Chimneylflue must be inspected before concealing. 1,i?l rr ?-°a &Vv D c'7FL ".ifo ? 1 ? FEES Permit Fee Surcharge Other Copies Total: ? CiTY OF EAGAN ?I 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: f3A5EihENl' FTNZSH RLreRaTloN R-3 / r ( .. V ,.... ... PERMIT PERMIT TYPE: Permit Number: Date Issued; 4068 PENNSYLVANIfl AVE LOT: 39 EI.OCK: 1 STAFFIJRO FLACE "6'ui],a.ti'ng Aerm.i.t T.Ype Suild'3nq'-?ork Type IJBG Qccu}aanc.y >--? .? ? ,.._. ...,. . . ? ._ t.? \` _ b ?6 w f? 8 U]'I_DTNG 007.872 1'1_/02J92 REMARKS: RECEIPT # CO0I30 FEE SUMMARY: E3ase, Fee „35 .0 P Surr..hn rqa_ $.5[? Lic> Searoh Fe2 ?Sa¢6 T'ot'a1 Foc .._......_...._...__. ??lA.6m CONTRACTOR: - appls.oant -- sr, LzcOWNER: n sL EivTERPRIsE 148e053e 004917 ceLONcR BEN 2570 JflCKSQN Si 4068 3EPdiVSYLVANIA L7TTLE CANA7A MN 55517 Ef1GAN MN 56123 16121 qa^6-063G (612)688-8647. I hereby acknawletigs that Z have read this applisation and stake that the informatzan is cprrect and agree ta cqmply with a11 spplicabla StaY.e c,f h1'n, L StatuCes ancJ City of Eagan Oru3inanc2s, ? (Al ti f ??--?='N n??n R.o?:? ? ?vf APPLICANT/PERMITE 16 ATURE ?fl BY: SGNATURE Control No. 1354 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 6814675 SITE ADDRESS: 1) BLOCK e I APPLICANT: qF3?:.;a PEiqNsvLvraNIA RVE r7 & i_ ?-iarERPRSSe STRFFOriD ^LAGE: (6.L':JI 41?fi_..tryi34i PERMIT SUBTYPE: RRSENFNT FxN tiSMi 1- ? RECEIPT # TYPE OF WORK: Control No. -1 ? (? ? .? ,. I 1 u; l. ?a r v)2l'32 flL 'rE R ;,rror. ? ? J. &-.. PERMIT N zfAG,tyATE _ '%Aft CITY OF EAGAN $4 O. 1992 BUILDING PERMIT APPLICATION 681-4675 Nov a 1 aEco SINGLE 6 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 when typin g of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date _ 12 2 Val uat ion of work 14000 Site Address: ?(?G?? _P -??SV? h,.•i i'w Aue- STREET SUITE ! Tenant Name: (commercial only) IAT A BIACR SIIBD. ?? -p?-?Ur7',U! P.I.D. M Descri tion of work.__Bs -{ • Sk The applicant is: 11 Owner M Cantractor ? Other coe9crtee> Name ?' lnn a , (-?n-) Phoiie r,499-e5y1 Property LAST , F,RST Owner Address ? Z??, ? Jo9 fi' ???? S I SiREET STE / City State Mil Zip ??/vZ2 Company i, J Phone .11rr6-0Y30 Contraetor Address 2S !W 7c7 St, License 7 Exp. City 4 id-? , _ ;?-oFQ(, State lM? Zip 5-5//7 Architect/ Company Phone Engineer Name Registration A Address City State Z;p Sewer 3 water licensed plumber . Processing time for sewer 8 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 correct and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Appl icant: f OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition O OS 8-Plex ? 13 Garage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. O 10 Multi. Add'1. 0 15 Deck WORK TYPE •0?31 New ? 33 Alterations ? 35 Tenant flnish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION . 4 3 •4246 Basearentfinish ? ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster PumP N of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code ? Depth On-site sewage SAC Code APPROVALS G ? -- G o. Planning Building Assessments Engineering _ Yariance REQUIRED INSPECTIONS ? Site ? Footing ;3? framing ? Insulation ? Mallboard Cinal D Draintile ? Fireplace Permit Fee Yalmtim: $ Surcharge -? S-? Plan Review license MWCC SAC City SAC Mater Conn. Mater Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Cop ies Other Total: . SAC % SAC Units Sufflellori's Certificate SURVEY FOR: I7rontier Pl:i.dwes? lloi.ies Cori). DESCRIBED AS: t,ot 39, Alock ], S'I'APFORll PLACH, City of l:agan, llakota ? County, Plinnesota and reserving easements of record. 903.4? `IoL,S ? S I,QT?S io N _ 15'pp'W ?? ' ?28 0l ? 25 -4 I R:20 `l o v ° . .?NRI 7 1?j2 s?o 010? 40 ?- ym« ? ?? 3 ?y ro ? Q ? ?30 °^a, ' ic ? ' S Q w v? .°• ? ? ? ?-- '123.1 S?fT VI O ? ?y "1 EAJr, oRIVE? GogR, ; , °5• yo I _I„ rc ? zs roIF` zz ? ?. ?^L ?- ,'?o,??? , z`•s? ??^J m s F in ?5.. 30 1 °Q , ti l?? IV 0 W ? SJ5 z3 •7 ; 1 ? Kr% . . ??? E W? y __.... Date --_..___?_._ EAGAIV EYUGITVEERI-.TUC DEF'l E?iCFihiAFK: B PROPOSED ELEVATIONS j4? Top o! foundation `J66.6 7?N•HYa. iN?RoNroFGor?S Ooraysfloor .906.2 Ci?oc.k y EL.='?o3,4/ Boaamsnt Floor ? 9e3.4 ? MIN. SETBACK"REOIREMENTS ApproA. Sewsr Servlee ENv.. N/1- , Propoud ElsvoNona ? ExtsNnq ENvatlons . F?onf -;O NouN Slde -/O Orainape Dlroelions ?..-_. Reur -15 Garoqe SIM- s Denolas Offasl Staks . O SCALE: i lneA ¦ 30 Feef I heaby eMiy tIwt Hda wrwY, Olan er reporl Mas pnPSn! !y me aoe NO.: HEDLUND or wder my dlnel suMrvlslen onA Ihof t am o duly Reqlslared jj0 /? 0&?' Laoa e?,rv.ra una•r me b¦r oe ro. 81ob of Minnuola. ???? BOOK: Planning Englneedng Surveying ??w M+a w mN ? vaoE: J Or?n, LIc?nN Na14378 ? PERMIT City of Eagan Permit Type:Building Permit Number:EA155132 Date Issued:04/30/2019 Permit Category:ePermit Site Address: 4068 Pennsylvania Ave Lot:39 Block: 1 Addition: Stafford Place PID:10-72500-01-390 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Benjamin J Colonga 4068 Pennsylvania Ave Eagan MN 55122 (651) 357-6338 Pch Construction Llc 7327 Borman Avenue Inver Grove Heights MN 55076 (507) 340-7491 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164675 Date Issued:10/05/2020 Permit Category:ePermit Site Address: 4068 Pennsylvania Ave Lot:39 Block: 1 Addition: Stafford Place PID:10-72500-01-390 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jay & Lainanne Pagaduan 4068 Pennsylvania Ave Eagan MN 55123 (651) 438-0881 Advantage Construction Inc 18750 Buchanan St NE Wyoming MN 55011 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature