4072 Pennsylvania AveCASH RECEIPT -
CITY OP EAGAN
_ 1 3830 PILOT KNOB ROAD
' EAGAN, MINNESOTA 55122
DATE
ruECervEO
«ROM
AMOUNT
& DOLLARS
,oo
? ? CASH 'ja CHECK
/
'? ? _..-? L ? G??• . ,, ? c?....
FUND I 09JECT I : G I I AMOUNT
Thank You
ev -
. r ?.;
, Whita-Payers Copy
Vellow-Postirg Copy
Pink-Fle Copy
BLDG. PERMIT NO.
,G.lr, 12 /
01-3210 ' Bidg. Permit 7/ 7 (:'c.i
r ?rY
? ? ?
00
01-3422 Plan Check
01-3445 Surch./Adm.
Oy -3446 SAC/Adm.
01 -2155 Surcharge
71-3860 Road Unit v?`f}d 60
0
°;-
20-2275 SAC ,
20-3865 Water Conn. 010
co
20-3868 Water Trmt.
20-3716 Water Meter L7 otO
20-2252 Acct. Dep. 00
20-3713 Water Permit 6)0
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL ti
CITY OF EAGAN , .
3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100 : . .
BUILDING PERMIT Receipt#
To be used for 5F, Est Value ; 6,),400 Date A'JCL',1j 30 Site Address 4072 FEAINSYLYANIA AVE
Lot 3{-! Block 1 Sec/Sub. STAFpORt' PLAC£
Parcel No.
? Name FRONfIEk MIM'ES7 HMS
z AFddress 3902 CEDARW.:.E DI:
o ?, :.AG,??!'1 Phone ? 14-U4J.?
o Ntme SAHB
a
.
V 6 Address
? City Phone
a
UUy W W
Name
Address
Q W City Phone
I hereby acknowledgQ that I have read this appUcation and state that the
inforRnation is correct and a9ree to comply wit all ap ic ble State of
Minnpsota Statutes and City of Eagan Ofdinan
??Aiy?p?
Signature of Permittee
A ESUiiFiing Permit is issued to: r7[7NE3T IiOMES
on the express condition that ail work shall be done in accordance with all
appiicabfe. State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Slte Sewage Occupancy L'3 W"1
MWCCSystem ? Zoning R-i
On Site Well (ACtual) Const V"tI
City Water _ 1 (Allowable) V-N
PRV Required * of Storiea
Booster Pump Lengih 39 '
Depth 4b #
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permlt 414•00
Planner Surcharge 30•00
Council Plan Review 207•00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 550•00
Water Conn. 550.00
Water Meter 67• 00
Road Unit k5,
Qd
Treatment P1 204•00
Parks
TOTAL 2,447•00
, '?- - -, i
-
BUILDING PERMIT
To be used for '
Receipt #
111160000. Date_
SiteAddress
Lot Bfock Sec/Sub. - r ''071" Lii"`-
Parcel No.
ac Name
3 Address
° City P
,p Name
Address
V q
P City P
a
W
W
z
?
x
w
Name_
Address
City _
I hereby acknowledge that I have read this application and State that the
information is correct and agree to comply witt all ap9lic?nble State of
Minnesota Statutes and City of Eagan Ordinana,? i's.
5lgnature af Permittee
:. 5
A Building Permit is issued to: '
on the express Condition that al I work shal I be done in accortlance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
6uilding Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8104
On 51te Sewage
MWCC System '
On Site well
City Water ?•
PRV Required
Booster Pump
APPROYALS
Engr./Assess. _
Planner _
Council _
Bidg. Qff. _
Variance _
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
5urcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Rosd Unit
Treatment P1
Parks
TpTAL
ISa.$1
,19
:.•?.,
d-
J' ?
4r.
IY.JV
2C 7. t`l,-
??t.
- Permit No. Permit Holder Data Telephone ?k
Plumbing
H.V.A.C.
Electrlc
Softener
Inspection oate lnsp. Comments
Footings 1 ?
Footings II
Foundation
Framing '? : ?i• ? r'
Roofing
Rough Plbg.
Rough Htg. 03 f
Isul.
?s?f
Fireplace
Final Htg. ? 5
Final Plbg.
Bldg. Final
r
Cert. Occ_
Temp. LP
Deck Ftg.
Deck Final
Weil
Pr: Disp.
' PERMIT #
MECHANICAL PERMIT RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE; 9/2-T/$II
TRACT PRICE: ? 1700.00 PHONE: 454-8100 11.30,
Sec/Sub
, Name Wr...A.na. ?,u,? a
?o Address 1955 Shawnse Rosd
c City Eg$8II Phone
Name FRO NTIER N
c
p Address
Gity Raot
n Phone 454-0433
TYPE OF WORK
Forced Air soToaa M BTU '
Boiler M BTU $
Unit Heater M BTU
Air Cond. M BTU $
Vent CFM $
Gas Piping Outlets #
BLDG.TYPE
Res. yi
Mult
Comm.
Other
WORK DESCRIPTION
New YY
Add-on
Repair
FEES
RES, HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION
)
GAS OUTLETS (MINIMUM - 1 PER PEhMIT)
- 1.50
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYQND $1,000)
?
FEE:
S/C:
TOTAL•
?, /.,
25 , 50 ?
t?'T f
.50 SIGNATURE OF PERMITTEE
26.00
FOR: CITY OF EAGAN
v 1+
. • • ?
CONTRACT PRtCE:
SiteAd ress reur:b ivania AV
Lot Block ? Sec/Sub
a Name ,'';F':ZJi ?iechanic ,'
? •
'
?o -959 ha ee Road
Address
c
City ..: r? _
?'-y?; Phone
Name tiumes
3 Address 3'?8? : ib?.e•ISNe?. ti ?
p Ciiy Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAI FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE -
FOR: CITY OF EAGAN
PLUMBING PEHMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT #
RECEIPT #
DATE: -t=4it*t"'- /'?; S'
BLDG. TYPE , WORK DESCRiPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES
? ,TOTAL
?
Water Closet - $3.00 $
?-
Bath Tubs - $3.00
a ? • ?
Lavatory - $3.00 -'? • ? ?%
Shower - $3.00
=Kitchen Sink - $3.00
?• ? -'
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
-
"• ?
TFloor Dr2ins - $1
50
.
ZWater Heater - $1.50
Whirlpool - 5300
?
Gas Piping Outlets - $1,50
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
J?
_
Rough Openings - $1.50
_
FEE:
STATE S/C:
GRAND TOTAL: •'{'C • ? '?
,. . . 4
(gtr#i#irate uf Mrruvanry
titp of (tagan
Mrparbatr»t u# NuHding Jtt,apPrttnn
This Certificate issued pursuanl to tiie requirenienu of Section 306 of the Uniform Bailding
Code certifying thar at the time of rssuance this structure was in compliance wrth the various
ordinances of the City regulating building caurruction or use. For the following.u,? ?d. 'T TJF1G/GAR 15543
OM„p-Y .n,x R3 JM 1 Zoning DOW 7hv COOSL VM
o? 4 euwij'?R A'?Sf E MS ??? 2?l (,?`Z1AfiVA:: ? ? L?T:. :-?C?2a
ewwtnS aaanm 4M "ENN7?1;*',r.N1A A4'E. ??,3$, E 1, STA:? rC'iO Pil?.?
?xY,; kti.?a-n I?, 19n,4
&n7ding Officid
POST IN A CONSPICUOUS PUCE
CIr1f OF EAGAN
3830 Ppoi KnotsRoad
P.O. 8ox 21199
`•Eagan, MN 55121
Owner.
Site Ad
Zoning: -
No. of Units:
Plumber. StaZ Plu:nbing
Conn. Chg: 550.00pd Zoning:
AccL Dep: '! p?? No. of Units: i
• Permit Fee: 10• 0Qrd
' Surcharge: •50pd 1 agree io comply h Cily ot Eagan
, Tr. Plant 204.000
Ordinanc s.
; Meter. F,7 _f?{i?ra
' Misc.: 8Y ?
WATER SERYIC PERMIT
--- . . . _ . .,-r s - _ _.- .? . _. •- -'- . .+. ? _... _ -
Date:
CITY OFrEAGAN Permit No:
3630 Pjlol Ktiob Road B/ P No: ? Date:
P.O. Box 21199
Eagan, MN 55121
Owner.
4CZ?. ^ Pe*?nsylv8r?i.ry !vE ;1ffc)-:? 1'l?ca
Site Address: - _...t-- "
Plumber:
MWCC:
City Chg: +00. .
Acct Dep: igiled
Permit Fee: ? gQVei -
Surcharge: 54E'
CITY OF EAGAN
3830;Pil.oi iEnol:PRoad
P.Q. Box 21199
Eagan, MN 55121
Owner. A
Site Address: L-17?
PermitNo: Date:
Meter No: Y?? T vO254 Size:
Reader No: D 1,9 ? 3 -2-. <Z Date: 1 d
Zoning-
No. of Units:
1 agree to comply with the Clty of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
Permit No:
Meter No:
Reader No:
Conn. Chg: 55C`•ooPc:
- Acct Dep: 15. L
Permit Fee:
Surcharge: • 5fl? `?
Tr. Plant 2 04 • GO
Meter. ' ; "nnd
, Misc.:
B1
Date:
Size:
Date:
^ta.fFOr?:; ' ? ?•:?
?1
1 agree io comply wilh the City of
Ordinances.
WATER SERVICE PERMIT
CITY OF EAGAN. N2 15 5 4 3
3830 Pilot Knab Road, P.O. Box 21 •199, Eagan, MN 55 127
PHONE: 454•8100 r? e
BUILDING PERMIT ?
Receipt # D-3
/
To be used for SF DWG/GAR Est. Value $60, 000 Date AUGUST 30 ,19 88
SiteAddress 4072 PENNSYLVANIA AVE OFFICE USE ONLY
STAFFORD PLACE
Lot 38 elock 1 Sec/Sub OnSlteSewage _ Occupancy R-3 M-1
. MWCC System X Zoning R-1
Parcel No. V-N
On Site Well _ (Actuaq Const
a Name FRONTIER MIDWEST HOMES Ciry Water X _ (Anowable) V-N
W
z 3902 CEDARVALE DR
Address PRV Requiretl it ot Stories
0
City EAGAN phone 454-0433
8ooster Pump _
Length 39?
oeptn 46'
?
0 Name SAME S.F.Total
?a Address FootprintS.F.
r City Phone ppPROVALS FEES
ww Name Engr./Assess. Permit 414.00
3
Planner Surcharge 0.00
z-
?? Address
Council
PlanReview
207.00
a W Cit Phone
Y Bldg. Off. SAQ City 100.00
I hereby acknowledge [hat I have read this application and state lhat the Variance SAC, M WCC 550.00
intormation is correct and agree to comply wit all ap li ble State of Water Conn. 5$0._00
Minnesota Statutes and Cily of Ea an O dinan s.
a,Pi f
WaterMeter
60
.
r
Signature of Permittee ?
^'?4?
Road Unit
329-00
A Building Permit is issued to: FRONTIER MIDWEST HOMES Treatmen[ P7 204.00
on the express cond ition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 447.00
2
BuildingOfficial
._R,pJ„?,.l ?-
_ 70TAL .
This requesl voitl `L/?/?jot pp
78 mon[hs /"m 00
D 3007-p f /_J?'.4Q?.
pe4u°st
? Fire N Rouph-in InsVeaion
Re
A? ?/
i
R
A
N
N
qu e ?
ea
y
ow dlQW
ll
olify, Inspec-
ZDr Wh
R
5 ?NO ?
en
eatlv.
QSJ.Lee.nsed EIe(:Irical ConVactnr L=?K - ?L A"? ?
I heeaby reQUast inspection ol eb ..
? Owner elactrical work instellad et ? :'0
?
Sveel Adtlress, eox or Raute No. City
?-7• Q lv ?
ecuon o. Township Name or o. qan9e No. C my
nnt 1 INT) Phone No.
Su
je Atltlr s
/
, / Y???
Eleclrcal Cont/r??f?ICo?m$/? ^
N mel
?!"i' C'/? +GICGy C?rzr.tor's Lic No.
Maflinq Yess ICOntracmr or Owner MakinB lnslallaiionl
?/ /fzoi? k"VS-4/10
Authorized SiPnature (o9tr ctor Owner Making histallation)
` Phone Number
MINNESOTA STATE BOANO OF EIECTqICITY THIS INSPEGTION REQUEST WIIL NOT
GriB9s•Midwev Bltlg. - Noom N•191 BE ACCEPTED 9Y THE STqTE BOARO
1821 Universitv Ava.. SL Peul, MN 55104 UNLESS PNOVEP INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION . eap-0?00^01-06
1 See insbuctlons for comoletine ihis torm on bnck ol vellow cooV.
D?30077 "X" Below Work Covered by 7his Request ?j??
ABd ne . rype oi euiiaine aoouances wired enoi+ument wirea
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtwes
Apt. Building Dryer Electric Heaun
Commercial Bldy. Furnace Silo Unluader
InAustrial Bldg. Air Conditioner Bulk Milk Tenk
Farm me. oeufv .me. lsnec,Nl
T ar SuecHy Other Oih¢r
Compu[e Inspection Fee Below
0 Fee Service Entrance5ize p Fea Faedars/SubleeAers A Fee Circuiis
0 to 200 Am s 0 to 30 Am s 0 to 30 Am
Above 200 qmps 31 ta 100 qinps 31 to 100 A s
Swinming Pool Above 100_Amps Above 100_Amln
Transformers IrrigationBOOms Partial.bth,ee
Signs Special InsUection TOT
Xeinirks
S A F
?.
r ?
flouBh-in I. the Elac mal
Inspector, heroby
flndl '
DHIC certity thgt the above
jp
e
h
ti
E
?
' gp
c
olt
Be11
d5
RIBd
B.
thla request voltl 18 montha trom T?W'j7,)Id
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New Constructian Reuuiremems
• 3 regislered site surveys showing aq. ft. of IM, sq. R. of Iwuse; and all mo(ed areas
(20% maximum lot coverage allowed)
• 2 capies of plan showing 6eam 8 window sizes; paured found desgn, etc.)
. 1 set of Energy Calculations
. 3 copies of Tree P2servatlon Plan'rf lot platted after 711l93
. Rim Joist Detail Options selection sheel (61dgs with 3 or less uniLs)
DATE Q
JOB SITE ADDRESS HO7 a P'IM,w 1('A t' c? d e
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER r 1?i c,.rc, ?e.' ?
TYPE OF WORK 1"C,- re.-o o? FIREPLACE(S) _ 0_ 7_ 2
APPLICANT •/?a,??.?.a.? 2?0 ?'-.? PHONE#aQ) ? -p46.S'
ADDRESS
PAGER #
ZIPCODE _2;5-'I'06
CELLPHON9V'???'- F?469 FAX#
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNF.SOTA RULI:S 7670 CATEGORY 11n
(check one) - Residential Ventilation Category 1 Worksheet Submittgd` --
- Energy Envelope Calculations Submitted ? 11
MINNESOTA RiJLLS 7672
JL'
- N e w E n e r g y C o d e W o r k s h e e t S u b m i t t e d By
Plumbing Conhactor:
Plumbing 5ystem Includes:
Mechanical Contraetor:
Mcchanical System Includes
Sewer/Water Contractor:
Air Conditioning
HeaL Recovery System
Phone #
Phone #
J
_-?
Fee: $90.00
I+ee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ? ??--.----?-
Certificates of Survey Received _ Tree Preservation Plan Receive Not Required _
Updated 2002
Wa[er Softencr _
Water Heater
No. of Baths
Lr1
RemodellReuair Reauirements
• 2 copies of plan
• 1 set of Energy Calculatlons for heated additions
. 1 sile survey for e#erior additions & decks
• Indicate tl home served hy septic system for addNons
VALUATION 'O
Phone #:
Iawn Sprinkler
No. of R.I. Baths
ff...
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 78-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding S[ucw Stane
_ 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
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMZLY DWELLINGS 16543
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
? i
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGN9TE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLDWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L QNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COIMERCIAL
INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF " ENERGY CALCULATIONS RYTD AU6 2 6 198$
To Be Used For: NEW CONST Valuation: $Fq?,$gg-;g$--- Date: 8/25/88
Site Address 4072 PENNSYLVANIA AVE ??'000r OFFICE USE ONLY
Lot 38 Hlock 1 On site sewage_ Occupancy R 3 M-?
MEJCC system Zoning -1-
Pareel/Sub STAFFORD PLA:. E On site well Aetual Const V-N
City water f Allowable V-N
Owner v,qIL. BARBARA PRV required _ li of stories
Booster Pump _ Length
Address 33? WFSTViFw nRTV Depth y(?
S.F. Total
City/Zip Code W_ ST_PAUL, MN. 55118 Footprint S.F.
Phone 450-1168 APPROVALS FEES
Contractor FRONTIER MIDWEST HOMES Engr/Assess Permit 51q,DO
Planner Sureharge 300
Address 3902 CEDARVALE DRIVE Council Plan Review 709,00
Bldg. Off. Zy SAC, City I00s00
City/Zip Code EAGAN 55122 Varianee SAC, MWCC ISSLO, 00
Water Conn $o, po
Phone 454-0433 Water Meter br) o on
4 Road Unit .:2ZSJ00
'? Arch./Engr. D I C K CHARLIER Treatment P120t/&00
Parks
Address 14103 GARDENVIEW DRIVE Copies
City/Zip Code ApPLE VALLEY 55124
?dxF?? MOD&l. TOTAL
Phone Y 432-5492
. ?
1
.
1 ?
' EXiEw?GR EYYE'tOPE kYE?",GT °U?? COMFU7:.i?0Y 2'xCo _ .
` OYlNER L? CmbAQA-
SITE AODRESS -YO'Z'7 N=g! MS 1110,501'A-AJ6
CON i RACTOR 42 r.??'-eR DAT: S 8- PHOHE yS?/-O?/?
Deternine working square faotage of each.
1. Total exposed wa11 arza ...... l g5-7, ZS sq, ft. x .1 1 s '?.. . 2.
2. Total roof/ceilirg area ,,,, g$O sq. ft. 'x .c;1
Total exaased wa1'I area 2DOYE `7oar = I$5'1,ZS
a. To bi wzil window area ........................... t13
b. Total door ares ................................. 39•C? Z
c, To:ai slidina giass dcor erea ................... y:1
d: Total fireplace wa71 ar=? ....... ... ........... 4 S
e. Total wall firaming area (average l0A)...:........ g
f. Total n_:.•rra?3 zrea above fiaor ....2.1?.?0....... •L •.?
g. Tot:1 rin :oist area ............................ 1 z8.5
Total exposed faundaticn zrea = ZS
h. Total foundation wiadow area .....................
i. 7oa1 net roundaticn area zhove arade ............ ?y, 27-
Det:rnine "U" value o` each wa11 szsment.
a. ? "u"
Il3 .32 = 3??lfo
h. '?•CoZ X "U„ .t(S' = 1"1,52
c. X "U" 143 s9
?,s =
a. ?t8 x °U"
e. 1- '95.13 X "U".,6-7-_ I3
` 13C0,`?{ x uu^
X „U,t
h. X "U" _
i. VA 31u..
3 ...:.......................:..---.....Total = i 1
If item €3 is the same as, or less than itsn f1, you have met the intent
of SBC 6006(c)2.
To ta1 ezposed reorJceil:na area = $ SO
Total 9ross roafi/c:iling are3 =
j. Total skyiignt area .......................
k. 7ota1 rnor/ceilinq framing area ......
1. Total net insvlated roof/c_iling area......: -?q 2.
Oeter-aine "U" valu=_ for e=_ch roof/ceilina sepr.ent.
3•
X "U°
k. $g x "J° , DU ' _ ? ?-?-
1. 7 t 2- ^ n u n ?
4 ..................................Tota1
If total C7 a4 15 tne same d5, or less t5211 aZ, yOI] have met the itlteftt Cr
SSC 6006(c);.
Ta utiltz_d the total enveloDe systcn nethod, the values.estab'tished 6y the
snm of ita..^?s a3 and 744 shzl] noi be greater than the sum of items i1 and a2.
+ z. 22 7117 -
3. I?fo.?-1 fA = 4. `I ?.? 1 = 14?3.
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APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
IV oF aaqcn
t NdPE: PA1MF27f OF FEE AT 1'IME OF
,*k APPLICATION pOFS N(7f CON- ?
t STI1171'E AppR(VAl, OF PERt4T.
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w INSPECPIOI] OF SEF7FIt A!ID/OR WATER <
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x IR11'IL PfRhffT W15 B@I APPROVFD. '
**f4#*iY*'.Y#t ff1;RGff?itf!}frtlMf?ii1/tt
11 PROpsaT5r AonREss: 4072 PENNSYLVANIA AVE
r,F[;Ar, DESCRIPTION; LOT 38 BLOCK 1 STAFFORD PLACE
Lot Bloc S ivision or Tax Parcel ID
IF EXISTING STRL'CTURE, DATE (
PRESENT ZONING/PROPOSID USE:
Q CONIIVIERCIAL/RETAIL/OFFICE
Q INDUST'i2IAL
? INSTITL'TIONAL/GOVERNAlENT
)F ORIGINRL BUILDING PF.RMIT ISSUANCE:
Mont Year
R-1 SINGLE FAMILY
? R-2 DLPLEX ('IWO L'nits)
? R-3 TOWNHOOSE (Three + Onits) ( Lnits)
? R-4 APARTMENT/CODIDOiNINIUM ( Onits)
Z) ? NAME= FRONTIER MIDWEST HOMES CORP.
ADDRESS: 3902 CEDARVALE DRIVE
CITY, STATE, ZIP: EAGAN. MN. 55122
PHaNE: 454-0433
3) NAME: STAR PLUMBING
aDDRESS: 1018 MOUND SPRINGS TERRACE
CITY, STATE, ZIP: gL00MINGTON. MN. 55420
PHONE: 884-4149 MASTER LICENSE # 3329
Active
Expired
Not recordec
Sta Imtia
4) a • • e ?
NAME: VAIL, BARBARA
ADDRESS: 330 WESTVIEW DRIVE
CITY, STATE, ZIP: W. ST.PAUL, MN. 55118
PHONE: 450-1168
5)
[j] CONNECTION TO CITY SEWER Q CONNECTIOLd TO CITY WATER 0 OTfER
6)
*****,r?+?:???**??+,**?F*?*•***,r**?+,,+W*?**?******?***??.*??********?.?:r*****???.?**+?***???*?,.?**.i
*
x*, THE GOLD COPY OF THE PERMffT WILL BE SEL7I' DIRFX`PLY TO PUBi.2C WORKS TO FACILITATE MEPII2 PIQC-UP. ;
* PLEASE ALIAW 1W0 WORKING DAYS E'OR PRaCF',SSING. SOMEOI3E FROM Tfiz CITY WILS, CONPALT YOL IF 191II2E ;
* ARE ANY PROSLII4S. ;
?********:t?*******?***r?***?*?+***?e*?******?*?+,t,t?t,t**+t*+**?*****t**«?**,rt*:c*?********?x+a?**?****x:t>
'. ,?;
FOR CITY USE ONLY ?
PERMIT $ ISSUED .
opl
Pd w/Bldg. Permit FEES:
$ f0 • SZ? $ SEWER PERMIT (I[VCLUDE SURCHARGE)
$ I n••S? $ WATER PERMIT (INCLUDE SL'RCHARGE )
$ (c 7-?? d $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ / S-` cr0 $ ACCOliNT DEPOSIT - SEWER
$ /cS •??? $ ACCOQNT DEPOSIT - WATER
$ ?a .?O CrZ7 $ WAC
s G, ,?b • ?r-o s sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BE[VEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
2- z $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q
NO ROADWAY" MLST BE ISSOED BY THE ENGINEERING
DIVISION
LIST AS A CO
O
. NDITI
N.
SU BJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : / / pn',
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2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
?l.rsv
Date OS ?- - - -----
VAIL, BARBARA
Site Street Address 4072 PENNSYLVANIA AVENUE Ulllt f{
EAGAN, MN 55123 ,
(651) 452-3379 .
Property Owner ? Telephone # ( j
?
NORBLOM PLUMBING C0.
contractor Telephone #( >
Address City State Zip
MINNEAPOLIS, MN?
The Applicant is: Owner ontrac or Other
_
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heaterv-complete next
section iTinstalling these appliances).
_Septic System Abandonment - - ?
? Water Turnaround (add $125.00 if a 5/8" meter is req"uired)
_Other: . ._ , : . , .
Water Softener X Water Heater $ 15.00
_ new replacement.
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 15.570
I hereby apply for a Residentisl Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be, in conformance with the o.rdinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
J?2-tt IVa'fWM
Applicanfs Printed Name
"s Signature ["j F? ? ? j 1Uj LF'
iII JAN 2 8 2005
Awalorss Certificate
SURVEY FOR: Frontier Dticlwest Ilomes Corl).
DESCRIBED AS: Lot 38, Block 1, STAFFORll PLACH, Ci.ty of: Eagan, Dakota
County, A4innesota and reserving easemenCs o[ record.
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PROPOSED ELEVATIONS DCi ^?ZL ?/?`
/- /
ToPof foundatlon ?9?64 Ej?(?gg?j L;:vGI:VtERING DEPT.
Oarape floor ¦4%o(,.o
Bmement Floor 169o3.2
Approa. Sawor Savlw ENv.. e9 4,10-
Proposed Elevaflons 6 Q ?.
Eeuflnq Elwations •_
' •
Drainap• Dlrecllons -8+...-10`
Dsaotes Ol1set Stak• I O SCALE: 1 IncA • 30 Feef
BENCHMARK,
TN HYar. ef' ?'4VjIVANIq
ww"e
IIJL • S{ni-lL AJt LW.- 903.4I
I MIN. SETBACK REOIRBMENTS
Fronf - 36 Houa181M - '°
Reor - 15 OnroqeBWol- s
I MnOy OvNly Ihal IMs wrwY, Vlon a nporl ros PnporeA !r me .IOB N0.7
HEDLUND a unAer my Olnct supNVlitkn anA IAOt 1 am a dulY ReOistereo $8R-414
LonO 8wwya unNr Me lors el Me Blote of Mlnnpeto.
BOON:
P/anning Ertglneennp Sui?+aying
I, 8ix2, B6 ? PAOE:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172188
Date Issued:09/20/2021
Permit Category:ePermit
Site Address: 4072 Pennsylvania Ave
Lot:38 Block: 1 Addition: Stafford Place
PID:10-72500-01-380
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Barbara E Vail
4072 Pennsylvania Ave
Saint Paul MN 55123--157
(651) 452-3379
Advantage Construction Inc
18750 Buchanan St NE
Wyoming MN 55011
(763) 354-8441
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173977
Date Issued:12/16/2021
Permit Category:ePermit
Site Address: 4072 Pennsylvania Ave
Lot:38 Block: 1 Addition: Stafford Place
PID:10-72500-01-380
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Barbara E Vail
4072 Pennsylvania Ave
Saint Paul MN 55123--157
Advantage Construction Inc
18750 Buchanan St NE
Wyoming MN 55011
(763) 354-8441
Applicant/Permitee: Signature Issued By: Signature