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.
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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
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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 ..' .
? ? . _.... .... . „_ .. ,
?,. . . ? . ? . .
?
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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
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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