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4076 Pennsylvania AveCASH R jc„EIPT ? CITY OF EAGAN . ? 3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 i DATE I ? I 79 RECEIVED FROM -- AMOUNT $ - - _ _ ? & DOLLARS too ? CASH ?I CHECK ra, ?? ? ? 1 1- ??. `c - V ?l ?'•_ ?. .•( k VYhite-Payers Copy Yelbw-Postfng Copy Pink-File Copy Thank You , - BY f ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt -- To be used for ? F LNC r GAK Est. Value x ? 3.. 'Ctl Date =19 ,19 ?b Site Address 4076 PZ llaN$YLVANU A1B Lot 37 Block I Sec/Sub. STATFOAD PL.ACG Parcel No. a Name n.ONTIER 1iY1yW6$T HdlZ6 3 Address 3902 CEDAScV!?i.!' DR 0 City EAW4 Phane 454-0433 , 16 Name SAM ? y Address ? City Phone ¢ W Name _ ,= Address . W CitY ? I hereby acknowlerdge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota 5tatutes and City of Eagan Ordinances;' Signature of Permittee A$uilding Permit is issued to: VR'.ATZER itixDfelEjT on the express condition that all workshall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On 5Re 5ewape Occupency MWCC System n Zoning On Site Well (ACtual) Conat V-= Ciry Water x (Aliowable) PRV Required * of Stories Booster Pump Length 4r, P Depth W S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 4b6•00 Planner Surcharge 36•50 Council P?an Review 733.00 BIdg.Off. SAC,City 100•00 Variance SAC. MWCC 550•00 Water Conn. 55Q. GO Water Meter 67.00 Road Unit 325.[l!) TreatmentPt 204•00 Parks TOTAL 2,5.31•5c CITY OF EAGAN =?.??? 3830 Pilot Knob Road, P EO. Box 21-199, Eagan, MN 55121 `? " BUILDING PERMI7 PHONE: 454-8100 Receipt # To be used for giallM ppga Est. Value ;4aQQp Site Address 4076 PldOt3YLYAMIA AVl4 tot 37 Sfock I_ SeclSub. S?!?MAD iK.J?CE Parcel No. W Name DIQ MIK08 ; Address 4076 PENMBYLYANIA AVE ° City dJGAN Phone 454-3$04 , o Name J? ?ANRt_ o ? Address 1&A9 RAI-TM ST U? City Phone 6I?2_012 U¢ W W Name W ? ; Address <W City Phone i and state that the applicable Sta1e ol Signature of on the express condition that all work shall be dQne in accordance with all applicable State of Mirmesota Statutes and City of Eagan Ordinances. Building Ofticial Occupancy Zoning (Actual) Consl (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCG System city waler PRV Required Booster Pump APPROVALS Planner Caincil Bldg. Off. Variance OFF4CE USE ONtY j -? FEES _ Bldg. Parmit 61-oo_ - Surcharge Z-m nl Pfan Review ?-? SAC, City = SAC, MCWCC _ Water Conn - Water Meter Acct. Deposil _ S!W Permit - S/W 5urcharge Treatment PI Road Unit - Park Ded. -- Copies 1000 - TOTAL 66.00 Permk No. Permk Holder Dste Telephone # WATER SEWER PLUMBING H.VA.C. ELECTqIC Mspection Date Insp. Comments Footings I 71/el &, Foundation - Framing Roofing Rough Pfbg. Rough Htg. Isuf. FireplaCe Final Htg. Otstat Test FinaJ PJbg• Plbg. Mspector - Notify Plumber Const. Meter Engr./Pian Bidg. Final Deck Ftg. aedc Final Well Pr. Disp. BUILDING PERMIT To be used for BASEMENT F Value Site Address 4076 PRbiqSY],VtNI• iVH Lot _3_2- Biock _L Sec/Sub. !S7'AFFORn I?LCE Parcel No. W Name RICHwRn MIYQS o Address 4076 PEx?t?re_v?? AVp City EnGAN Phone 4541..3gpp ?? Name JOE HAt?EL g? Address 1489 ?LTON ? City ST PAitt_ Phone 662...Q128 ?W Name ? =o Address CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipi # Phone I have read this application and stafe that the agree to comply with aq applicable State of Occupancy Zoning (Actual) Const (Allowable) # or stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System C'dy Water PRU Required Booster Pump APPRQVALS A all Building Official r Pianner Council Bldg. Of1. VarianCe OFFICE USE ONIY ?? ?' 19J J r? ?'t w Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unil Park Ded. Copies TOTAL 1991 _ FEES ss.so Permit No. Pemdt Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC ? 00 Inspection Oate Insp. Comments Footings I Foundation Framing 9l ql !? Rooting Rough Plbg. ?1111q Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final Decfc Ftg. Decic Final Weil Pr. Disp. ..._: .. :., CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 • PH O N E: 454-8100 ?BUILDING PERMIT Receipt Tobeusedtor SF DWGrC4R Est.Value ?73,OGQ Date SEFt tS Site Address 4076 pS"SYLVANIA AYL Lot 37 Block I SeGSub. S7AFFGRD P1.AGE Parcel No. W Name _ ? Address 0 City _ ,o Name 5? ? ` Address ? City Phone ¢ W Name _ W z Address v W City - 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 Slatutes and City of Eagan Ordinances. 5ignafure of Permittee A Building Permit is issued to:- IrRVfi`?I Ei? lelLifEST on the express condition that all workshall be done in accordancewith all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial._-.--.-? --.----- OFFICE USE ONLY On Site Sewage Occupancy a 3 MWCC System x Zoning R,-1 On Site Well (Actuap Const Y-", City Water X (Allowable) Y-s' PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROYALS FEES Engr./Assess. Permit 466.00 Planner Surcharge 36.50 Council Plan Review ?33 •09 Bldg. Off. SAC, Gity ! aQ . 'w Variance _ SAC, MWCC 11,50.00 Water Conn. 5 50• OC) Water Meter 67.00 Road Unit 325. Treatment P1 204•00 Parks TOTAL ii531.50 ti Permit No. Permit Holder Date Tstephons ? Plumbing qqcw H.v.ae. Electric JC Softener Inspection Date Insp. Comments Footings I /r Footings II Foundation =i/.. Framing ° ? Q S Roofing Rough Plbg. py?? Rough Htg. Isul. 4,?.? ? 42 Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. MECHANICAL PERMIT CITY OF EAGAN $1700.00 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Add7 ss "?" `' Lot 3 Block - Name _ ? Address c City - PERMIT # RECEIPT # DATE BLDG. TYSE WORK DESCRIPTION Res. New ? Muft Add-on Comm. Repair Other Phone Name rnVNl ir.ic Wr c Address 3908 Sibley 0 C;ty Eap,an TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 80.000 M BTU M BTU M BTU M BTU CFM 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 PEkMIn - 1.50 EA. COMM/IND FEE - 1a;UU OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDaS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S!C IF PERMIT PRICE GOES BEYOND $1,000) 1 , FEE 25.50 . ?._ S/C: SIGNATURE OF PEfiMITTEE TOTAL• '25.00 FOR: CITY OF EAGAN ? CONTRACT PRICE Site Address ? Lot - ? ? Block .: : . , ? Name 44'e Address ? y s .S c City ?/'~` ? Name 3 Address .? yc o C'N ' ! FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF PERMIT # RECEIPT # IS !?U ? S DATE: PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 BLDG. TYPE WORK DESCRIPTION Res. ,l New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: q. FIXTURES N , TOTAL . Water Closet - $3.00 $ :JtBath Tubs - $3.00 ' Lavatory - $3.00 16' C ?Shower - $3.00 ' Kitchen Sink - $3.00 -3- ? Urinal/Bidet - $3.00 =Laundry Tray - $3.00 ?Floor Drains - $1.50 ' Water Heater - $1.50 ?50 Whirlpool - $3.00 -.LGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?Rough Openings - $1.50 `j FEE: FOR: CITY OF EAGAN STATE S/C: GRAND TOTAL• 2?' _Z_ ? . . 01rxtifiratp uf Mrrupttnry titp of eagan loqrgrimW n# ibeing jmwrrtum This Certiftcate rssued pursuanl to the requiremenu ojSecdon 306 of the Uniform BuJlding Code cenifying that at the tirrre of issuance this structure wns in compJiance wiih ihe variaus ordinarrces of the City regulaleng building construction or use. For the fo!lowing: u.e caamsnom S8 Liri:: GLR Mda. Rnnit tao. ! S" Occuwar TYvx R3/M9 I z,,;s Dwia p ? rype eow VN owna d e„ad;os Mf1TIIER tffDG1ES'T H(IWS Addm 3902 (MARVAIE DIt, F.4C?A,N B„u;ns .dd,. 4076 PPI+HNSYLVMU AVE L,,r .h?y 137, S I, STAFPM PIACE Dak auilaing oer,a.i , POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pil(rt iCnob Road P.O. Boz 21199 Eigan, MN 55121 Owner. .' ' Permlt No: Date; q-?n-tr B/P No: Date: Site Address: -."„? . ?,.,?6v1 ?r, •.?y :? ??a....,.? «...? - Plumber: ??tar PZt?nbin, MWCC: 5' 5 0• DoAd Zoning• City Chg: ? t?'? • af-?r? No. of Units: ?- ,._. Acct Dep: T 5 d()pd ??Fn I agree to comply with tha City of Eagan Permit Fee: Ordlnances. , ??. Surcharge: . ey CITY OF EAGAN SEWER SERVICE P Permit No: 9212 ERMIT Date: 9-2048 3830 Pitiyi Koob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. rrouti Cr' ''idwest Site Address: 407,S p enn=ylv nia Avr_ L37 E1 Staf fard Place Plumber SLar P IiriablInQ ? Conn. Chg: Acct Dep: 10 Permit Fee: ' ' Surcharge: Tr. Plant ' Meter. E7 • 0?•'-, d Misc.: Zoning: RI ? No. of Units: - ? I 1 agree to comply with the Cily of Eagan Ordinances. By WATER SERVICE PERMIT CITY'OFEAGAN PermitNo: 99-)() Date: 9^20'88 3@30 Pifot Knob Road Meter No: ? ,0X ? Size: '? o P.O. Box 21199 Reader No: Oate: ,L! -3'9? Eagan, MN 55121 Owner. 'r'ronzier M.tdwest Sile Address:?7f, pemnA3(IvaniA AvP 7.37 S1 Stafford Place Plumber- gtnr pi++m}+iT:g Cann. Chg: SSO.OOpd Zoning: _ Acct Dep: 15. OOpd No. of Units: Permit Fee: 10. OOpd 50 " R1 Surcharge: pC I agree io comply with the City ol Esyan Tr. Plant 204 • 00Pd Ordinances. Meter. 67 _ (lCips Misc.: kk-ct WATER SERVICE CITY OF EAGAN N. . 1 g344 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? I fY l BUILDING PERMIT Receipt # a?3 ? ? T To be used for SCREENED PORCH Est Value $4 000 Date .11IN 97 ,199j- Site Address 4076 PENNSYLVANIA AVE Lot 37 Block 1 Sec/Sub. STAFFORD PLACE OFFiCe UsE ONLY P2fC9I r10. Occupancy FEES Zoning - w Name DICK MIKOS (Actuap Const Bldg Permit 61_ nn 3 Address 4076 PENNSYLVANIA AVE (qllowable) _ . - 2 00 0 Cit EAG? Phone 454-3800 Y k ol stories surcnarge _ 12, Plan Review length o Name .TOE HAMEL Depih 14, SAC Cit , y AddreSS 1489 HOi.TON ST S.F. iotal U SAC, MCWCC ? Gly RT PAiIT. PhOne 642-012$ S.P. Faotprints _ 'N t C On Site Sewage er onn a ua w Name on sna wen W ? aterMeter - 23 Addf255 MWCCSystem aw City PhOne City Water _ Awt. Deposit PRV Required - S/w Permil I hereby acknowlege thal 1 have read Ihis application and state thac the Boosfer Pump - SM! Surcharge information is correct and agree to comply with all applicable State of Minnesola Statutes and iry of Eag n 0 di nc s. 7reatment PI Signature of Permitee APPROVALS Road Unit A Building Permit i issu t. JOE j? Planner - park Oad. on the express con 'on t all work shall be dsoa n accordance with all li Gouncil 1 OQ app cable State of Min ota Statutes and City of Eaqan Ordinances. g?, pry. Copies . , BuildingOllicial Lruin R.a;[141?j( Varience - TO7AL 66.00 CITY OF EAGAN N2 19655 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-810o C Receipt # To be used tor BASEMENT FINISH Est. value Date SEP 9 , 1991 Site Address 4076 PENNSYLVANIA AVE Lot 37 Block 1 SeGSub. STAFFORD PLACE Parcel No. w Name RICHARD MIKOS ? Address 4076 PENNSYLVANIA AVE City EAGAN Phone 454-3800 tF Name JOE HAMEL Address 1489 HOLTON ? City ST PAUL Phone 642-0128 WW Name Address aW City Phone I hereby acknowlege thal I have read this information is correct and agree to comp Minnesola Stalutes antl Ci of Eagan rdii Signature of Permitee A Building Permk is i ued [o: JOE on the express conditio at I work shall applica6le State of Mi nesota Slatutes and Building Official ? application and state that the ly w?th ?y applicable State of i?d?s./1 _ IIAMEL M! I be done in acCdrdance wi City of Eagan Ordinances OFFICE USE ONLY Occupancy - FEES Zoning (Actuap Const - Bldg. Permit (Allowable) - Surcharge - Sn M ot stories - Lergth _ Plan Review Deplh _ SAC, City S.F. Total - SAC, MCWCC S.F. FoOlprinis _ On Site Sewage _ Waler Conn On Site Well - Waler Meter MWCCSystem _ Acc1. Deposit City Wa1er _ PRV Requiretl _ S^N Permit BoosterPump - 5/WSurcharge Trealmant PI APPROVALS Road Unil Planner - park Ded. Countil BIdg.Ofl. _ Copies Variance - 7pTAL ?5 • SU 1 BUILDYNG PERMIT Tobeusedfor SF DWG/GAR Receipt# ??? 6,2L Est.Value $73,000 Date SEPT 19 ,7988 Site Address 4076 PENNSYLVANIA AVE Lot 37 Block 1 Sec/Sub. STAFFORD PLACE Parcel No. rc Name FRONTIER MIDWEST HOMES W Address 3902 CEDARVALE DR o City EAGAN Phone 454-0433 ¢ Name SAME O ? Q Address ? City Phone a uw W Name ?W i? Address g w City Phone I hereby acknowledge that I have reatl this applica(ion and state that ihe information is conect and agree to comply with all plicable Sfate of Minnesota Stetutes and City o Ea an Ord? an s SignaWre ol Permittee A Building Permit is issued to:_ FRO13TLER- MII,Z4IE,ST. on the exOress condition ihat all work shall be done in accordance with all applicable State of Minnesota StaWtes antl City of Eagan Ordinances. Building Official--A0A9??.,_I -mlc_._ _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15608 PHON E: 454-8100 OFFICE USE ONLY on site sewage _ occupancy R-3 M-1 MWCC System X Zoning R-1 On Site Well _ (ACtuap Const V-N Ciry Water X (qllowable) V-N PRV Required _ # of Slories BoasterPump _ Length 401 Depth 481 S.F. Total Footprint S.F. APPROVALS FEES En9r./Assess. Permit 466.00 Planner Surcharge 36.50 Council Plan Review 233.00 Bldg. ON. SAC, City 100.00 Variance SA0.MWCC 550.00 Water Conn. _55-Oi09 Water Meter -61-" RoadUni[ 395_00 Treatment Pt 204.00 Parks TOTAL 2,531.50 BLDG. PERMIT NO. ??}-- ?, ? t? I n n k I S-F-?, ?k?To rcL f?' 01-3210 Bldg. Permit A1 Lc(s UL. ? 01-3422 Plan Check ? 3 3 O O J U 01-3445 Surch./Adm. ? ? 01-3446 SAC/Adm. ? 50 ? 01-2155 Surcharge 3l0 15 7 75-3860 Road Unit ? 06 ?P20-2275 SAC J ? So ? 20-3865 Water Conn. 5 S O 00 y 20-3868 Water Trmt. ? 20-3716 WaterMeter (00 `J- 20-2252 Acct. Dep. 30 OC5 20-3713 Water Permit ILD 00 0 20-3743 Sewer Permit 10 co ? 79-3866 Sewer Conn. I ob OO 28-3855 Park Ded. f ; TOTAL ctZ This request voitl 18 nwnths from D-3 0 0B 9,? 1 hareby requesl inspection of ebove Owner elecvical work instelled ar . Stree[ AtlAress, Box or oute No. Citv ? ection r No. ? ???y Ocw ilz Phone No. Power Supolig? (? AAtlress '??I! ? Elec[rical Co t c[or 1 om y Nama) Conlractor's License No. G ? Mai ing AJre (COnuactqr or Ow er MaklnO Ine lation) a G ,,? r Autho eed Si0 re IComractor/Ownar Makinp Installa[ion) L Phon Number ? MINNESOTq STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GriB9s-Midwey Bltlg. - Room N•181 BE ACCEPTEU 9Y THE STATE BOAflD 1821 Universily Ava., St. Peul, MN 55104 UNLESS PflOPEfl INSPECTION FEE IS Phone (672) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oaooi-oe ' Sao inshuctions for compleling this lorm on back ol Vellow coPy. L gsaU Ci "X" Be/ow Work Covered by This Request oi BwICin9 I APVliuncne WireE i E9uiument Wired Range Temporary Service e:x ce Fixtu I I I I InAustrial BIAa I'1 Air Conditioner I I Bulk Milk Tank I W p Fe Servica EnVence Size k Fee Feeders/SUbieeders N Few _s Cucuits V 0 to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qmps 31 to 100 Amps 31 to 700 Am s Swimming Pool Above 100-Am s Above 100_Am ? Transiormers Irnyation Boortis Partial.Other Fee signs 1 I IsneciailnsuecLOn nouan-m " /Y" / ? V/11e tha El?b?rrCl?l ?? IG l Inspectaq hereby artify Nst tha above Final r Date ?gpeetion hes been rY" . TMS requosl void 1B y s ?isa 38384 ? ? . • op Re[ry951 Date ?j Fre Rough-in Inspaclion R? IspWor ? ReaEY Now dl NoVy R ? No n e fL] licensed contractor. 0owner hereby request inspection of above electrical work at: . Job AGOress (Street, Box or Roula No.) L y0 % Ciry - E eNns 7 - ?li ve ez ah g SeUion Na. Township Nertre or W. Rarge No. Couny G(KOC OeCUpant (PR INT) PM n e No. / iC/tA v d i ? ccGt"i ?r b / l 71 Pawer Suppliar Adtlress o EG FleeZfs 06 ? A5601 Elecnical ConiracWr (COmpany Nama) . ConVactor5 License No. omE wnc Meiling /WEress (Canbac1w or Ownx Makirp InSiallatqn) . e- Auttio' etl Sgnalure (ConVaclodOwner Maqng Instenation) Pooiro Number 3 r0- 3 MINNESOTA STATE BOARD OF ELECfRICRY ' TNIS INSPECTION FEOUEST WILL NOT Orlqps•MIEwaY eldg. - Raom S173 BE ACCEPTED BY TME STATE BOARD 1831 UniveraM/ Ave.• St. VaW, NN SSt00 _ UNLESS PROPER INSPECTION FEE IS Plwne (61=) 612-0800 . ENCI.OSED. REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-oe ? See insnuctions lor comple[ing ihis form on back ot yellow copy. S 'X= Below Work Covered by This Request e d Re * Type of Building AppliancesWired EquipmentWired Home Range Temporery Service Duplex Water Heater ElecVic Heating Apt. Building Dryer Other (Specily) Comm./Industrial Furnace /,' " Farm Air Conditioner Otner (speciy) Compute Inspection Fee Below: CoMrecta§ Femarka' ?S/N?• `}{/?/C? # Other Fee # ServiceEnlranceSixe Fee # Circults/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps TranSformers Above 200 _ Amps 0_ Amps SignS Inspechor9 Use Only: [ ?_. TOTAL Irrigation Booms ?? ?? Special Inspection ? Aiarm/Communication ECTED IF NOT THIS INSTALLATIONMAY BE ORDERED ? Q?JN Other Fee ? COMPLETED WITHIN 18 MONT :- I, the Electrical Inspector, hereby RO1g""" oa ? certity that the above inspection has been made. F;nal P pare OFFICE USE ONLY This repuesl wb 18 monihs hom ? C? _ ? ? 7/ S/ ?/3 cY a 38446 ?`jo o 3 NeWestDate?/ / . Fire Rou9hinlnsped'pn R ired? - ? ReaOy Now Nolity InsPectoy Willh R as ? ? en eatly9 19 licensed contractor. ? owner hereby request inspecNOn ot above electrical work at: . Jab Adtlress (S1 t, Box or Roule Na.) ? i J070 ? - Ciry f A- ulft u?s Section W Rwnship Neme or No. Range No. Counry OecupaetPFINT) I,.A'?, ` ,L{^ ? ? PhoneNO. ' ICVIYT? ? ?LYS 1: Poxer Suppliar Atltlress ElMrcal nVaclor.(Canpany Name) ConVeciwb Licensa No. mIEownE r Meiling Adtlress (Contractor or Owntt Makmg Installalion) v? 24 Au1M etl Sign re oniratt Maki Ins Ts? Pliane NumWr ?s y?3C MINNESOTR STATE BOAN ELECTflICITY - THIS INSPECTION REQUEST WILL NOT' GtlppoMlEwny BIEg. - Neom BE pCCEPTED BY TXE STATE BQARD 1021 UnWerNly Ava., SL Paul. MN 55106 UNLESS PROPER INSPEG?ION FEE IS . PMmro(812)'6dP-0B00 ENCLOSED. &?/;7/gi a 38446 REQUEST FOR ELECTRICAL INSPECTION ? See instrucnons lor compleling ihis form on Eack of yellow copy "X" Be/ow Work Covered 6y This Request -`4? C 5B.00001-08 ew Rtltl Rep. TypeofBuiiding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elactric Heating Apt. Building D?yer Otlier (Specity) Comm./Industrial ' Furnace Farm Air Conditioner OVier (specily) CoMraclor$ Remarks: S'ert?nf c??rc ? Compute Inspection Fee Below: 8 Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool D to 200 Amps 0 to 100 Amps TCansformers Above 200- Amps Above 100 _ Amps Signs Inspecror§ use only: Sf7 TOTAL ' IrrigationBOOms ?.fJ h v ? Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED.IF NOT Olher Fee - CAMPLETED WITHIN 18 MO HS.. I, the Electrical Inspector, hereby Ro"gR'" 7/3 °flte ?aZ certirythattheaboveinspectionhas been mada. - -?L OFFICE USE ONLY This request vdtl 18 monMS irom . RESIDENTIAL BUILDING PERMIT APPLICATION ? ? ? WTY OF EAGAN 3830 PILOT KNOB RD, EAGAN AAN 55122 651-681-4675 New Construction ReauiremanU • 3 registerea site suneys showing ;q. fl. ot:ct, sq. %. of house: anG all roofed areas (20% maeimum lot coverage allowetl) • Z coples of plan showing 6eam 3 window ;rzes; poured ,`ound desgn, etc.) • 1 ;et uf Energy Calculations • 3 copies of Tree PreservaUOn Plan if lot clatted after 7IL53 . Rim Joist Oetail OpUOns selection sheet (hlCgs wNh 3 orless units) DATE 7- is-va RBmodeVReoair Reuuiramen[s . 2 copies of plan • 1 set of Energy Cakulaticr.s `cr heated additions • 1 site survey kr extenor add1ions 8 cecks • Indicare f home served 6y SeFtic system for addi[ions / ? VALUATION ?1.600 SITE ADDRESS 10 769 MULTI-FAMILY BLDG Y N TYPE OF WORK ?L?tn+/Y- f y- lr_gxi? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS ,KiD6L' r%/[_ CITY_Ai?&LKJh?j STATEmN'ZIPS,f? TELEPHONE # 95-) /4/9 CELL PHONE #?o ??-?d9?77G 7 FAX # PROPERTYOWNER ??h""y`^'L I/OracrJG TELEPHONE# 651-q5Z-0111 ------------------'------------------------------------------------------------'--------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUIIDINGS ONLY Energy Code Category _ )II\ VF:5p1'A RCLES 7670 GCCEGORY 1 N[I\\LSO"1':\ 12I1.1:5 7672 (v submission rype) . Residential Ventilatlon Category 1'Norksheet Submifled • New Ener9y Code WoAcsheet Submir.a: • Energy Envelope Calculalions Submitted Plumbing Contractor: Plumbing system indudes: Mechanical Contractor: Mcch.uiic.il sc_stcin includcs: Sewer/Woter Contractor: Air Condiuonin; Heal RccovcR' 5vstcm Phone # Phone # -----------------• ----------------------------------- I hereby acknowledge that I have read this application, state ihat the information is cor with all appiicable State of Minnesota Statutes and City of Eagon Ordinances., Signature oF Appllcanf OFFICE USE ONLY _ Water SoFtener Wa[er Heater No, oF Baths _ Phone # Iarm Spnnkler iVo. of R.I. Baths Fee: S9(}.00 Fcc: S70.OU ?Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated J1C2 OFFICE USE ONLY ? Ot Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-ptex ? 31 New ? 32 Additi0n ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr, of Bldgs Type of Const ? 07 05-plex ? 13 76-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y ar _ N ? 20 Pool ? 27 PorcY ? 22 Porct ? 23 PorcY ? 24 Storrr l ? 25 Misce ? 35 Int Improvement ? 38 Demolish ? 36 Move Bldg. ? 42 Demalish ? 37 Demolish (Bldg)• ? 43 Reroof 'Demolition (Entire Bidg only) - Give PCA Occupancy Zoning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS _ Footings (new bldg) EinaUC.O. _ Footings (deck) FinaUVo C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Icz & Water _ Final _ Pool _ Ftg _ Framing _ Siding SN _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/rer _ Insulation _ Retaining Wall ----------------°• Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 58,W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By ? 30 Accessory Bldg (3-sea.) ? 31 ExL AI[ • Multi 'Addn. (4-sea.) ? 33 Ext. Alt - SF (screened) ? 36 MuYti Damage laneous ? 44 Siding on) ? 45 Fire Repair ? 46 WindowslDoors to applicant MC/ES System City Water Booster Pump PRV Fire Sprinklered _ Air;GasTests _Fina] Stone i Building Inspector 1988 BDILDINP PERMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLING3 /ff ? O t INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS U OF UNITS T INCLUDE 2 SETS OF PLANSt CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAtERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: NEW CONST. Valuation: $-?,? Site Address 4071 PENNSYLVANIA AVE Lot 37 Block 1 Parcel/Sub STAFFORD PI_ACE Owner MTKOSF C1AUf1TA & RTCHARD Address [47 f'I FVFI AND AVF Sfl_ City/Zip Code ST _ PAlll ? 557 1 F, Phone 698-7598 Contractor FRONTIER MIDWEST HOMES Address 3902 CEDARVALE DRIVE City/Zip Code EAGAN, 55122 Phone 454-0433 Arch./Engr. DICK CHARLIER Address 14103 GARENVIEW DRIVE City/Zip Code APPLE VALLEY 55124 Phone 4 43?_5499 Dats g v lmo- ? 31 DOU ` OFFICE [ISE ONLY On site sewage _ oecupaney R-3 Nt_1 MWCC system .? Zoning R-I On site well Actual Const V-N ' City water r Allowable V-N PRV required _ ll of stories Booster Pump _ Length !1p' Depth H8' S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit y66,Dv Planner Surcharge .So Council Plan Review .233, 00 Bldg. OfP.G?/9/?3 SAC, City /oO.OD . Variance SAC, MWCC SSb,00 Water Conn ,SSD>oo Water Meter LO,i>0 Road Unit 13?51co Treatment Pl ,2o&4.oo Parks Copies TOTAL , . • ;3' 'EXT'cR?OR EYVE_O?E kYERAG"c "U" CDMPUiATiON KNfe-WA11 ZX/o 1 OWNER MIKOS RICHARD & CLAUDTA . SITE AODRESS 4075 PFNNSVIVbNrA AVF 1?1 tON7RACTOR Qqn„k.ioR OATE ? 9/7/88s PHDNE 454-0433 FRONTIER Deternine working square faotage of each. 7. Total exposed wall area ......7 z88.4p& sq. ft. x .i 2. Total roaf/ceilinq area .... ? U8 R_ sq, ft. x_ Total exposed wall area above flaor =?2 g,( (v a. Total wall windaw area ........................... 135.? b. Total doar area . ..... ........................... z 9. ?a c. Total slidina giass dnor zrea ................... ya . . d: Total fireplace wall area ........................ y 8 e. Total wall framing araa (average 20A)...:........ g,R[e f. Total ne:_wa?7 area above fioor ................. t[.SG.88 g. Total r:m Joist area ........................... 1145 Total exposed foundation area = '1S.3 3 h. Total foundation window area..................... . i. Toal net faundatian area above grade ............ -1g,-j3 Oet=raine "U" value oix eaca waTl segment. a. I GL5,-S X"U" ,-SS = y3.as 5. 39.(4a X„v„ ..y5 = i -1.83 c. ya z"u" , Y3 = d. yg X „u" .'3l0 = 1 8 e. X iiur, .o-l = 1(0.0 2 `- t(, 5(a.8r< x"U" p3 = Col.-Z> 9- i?I $ X"U" e o3(e = S 3:Sl h. X "U" x °u° . ty = b.S 3 ..................................... Tota] If item 03 is the same as, or less than item 01, you have met the intent of SBC 6006(c)2. Total exposed roof(ceilina area =! O 88 Tota] grass roof/ceiling area = j. Total skylight area .................. .. . k. TotaI roof/ceiling framinq area ....10?9,,,. 7. Tota1 net insuIated roof/ceiling area....... q -Iq,^Z Deter,nine "U" value far each roof/ceiling segment_ . J x nU° v k. (h43 .R X nu° oZ 1 - 2,Zh ]. Cl1`l.2 X"u" .019 ' I g' 6 4 ..................................TotaT = 2 . '371 If totai af A is the same as, or less than a2, you haae met the intent of SBC G006(c)3. To utilized the total envelape systrn method, the values.establishr3 by the sum of items a3 and 14 shall not be greater than the sian af itew #1 and 942. + 2. 217 .ZR --? s. 1ak. os + a. zo???G = z I f? -- MAT z'.3IAL3 M4erm. HE513'CdI1CE "R" Exy e: irr Ai. _ l-1 S id::.g }tat eri31 • 42 Sheathing 3/,q" Tkl(L"'M 5- Insu13;t i oa 5o Sheetrock , ,5"9 Interior Aia .(e1 Studs 2rt. L.S 1 iRia 1, g °I Conc. Blks. i. D .4.5 =.`__`5 sa=•`. wr.c3 "-- ' (p S7 <. TH?^'IRY. _ .4.y. 5. 51D1N G •G? ' • Total 9. ? . . . V - *o7. 7.. Eat_-Ic- ai= =?a • o.sa'. 2.. ? 3. ? lo" T ty?sa 1 _ I q. O . 4 ?T't4?sLwV?? _ s.y 5. . ?1 vlNr, e& Z a. z=7.a 0.17 Total • • Z. •Illt.'e??0? d,'= r!19 ? 0.6Li Su L. „" l 9.o 3? ZY10 __3 01 ST _ 1•S d 0?99AA1A4 .ri. 5. ?OIUG •`Z. 6. Extar?or rw .zl? 0.I7 _ . Total ? . ? u=:o? ' i. Intar'_cr ai: ej ? ' 0. 68 2. 1 R1GID t ( .Qo s 3, - • 4. GONC II L.OG'4. 5. ? • b. Fxte__or a::.= :i!.n • 0.17 ? . . To:al • ? .t3 A 'Gs?? DE • ? . • ` ? ? . • 'r ? • • ' , %4 . : ? r ? ? ???? t ?? 1 ? + • , ? ? ??6 ? ' ` •l • ? ? V • • ?. ? t i . . ' ' . . . ? ) ., . ??1 .? • . ?{? $4 . /1( = ? I13 - ? . ! • ? (C! X X X ? 1 ?rl ?+_,? °? /I( c ft! c trr ? ? '-: ?«?C1:2 ?L• ??? Vi??Lr ??`~ 3^L NC+- j ? ? ? ? ' ? _? ? = I ? i,lIIG:C_ ?`C' ?".SL?3?._?.^.• .. • Wn1.b ?:Cr•?:;;;:.^, ? J:r ??1 JI t`lolIU" 4d01 ACl•4 C0t' Cbw.lTUCI Sun ? i i { ? ? I ? c ---?.??-Q ----•--{7 • _,?•/.. Uj C)IOU t' 1 FZE r La? ('t•?r.t rnrt i:.n ?. ,axy R (I =Ns?l - _ .I l.fl ,. ?XLt,s 4. 5. _?i.?C.rc .EKiGIL • - ^ •- •. ..._ .._ ...ll 6. Fxturii.r alk W.m ? U.17 - -------- -- •-- ? ;?,??. ?iK= fb?.4? 058 v- ? 1. 1 n t r r I nr a i r_ i I m.. 2. ,_--'--'--'- --' •- '-??. _._ _... ]. r?_ .-"?-••-'» -•-^' • 4. ?--?.._._ ... .. ----..?.._...f_. S: 6. Extcri.?r 0.17 ?-? Tul'il 1. lntccior Aic_Eilin------------?;??? 2. ---_......_.. _. _--- J. .-?---- -.__°-------.?" 4. --_-_------ 5. }xccric%r nir I'ilm ?0_17 - •••--1'o t a L. - 1. tn?o" ;•,c .,fr_fiI m---------•°--n.Gn 2. 3. _ .__.._...__' .... .. ... .-- ---..._? 4. s. _...._-----•--- G. 0.17 ,_?_.__._.-._._.. '-"?•al:tl? S(?VI pH I:1NllY. '•. ,. ' ?; ? I I j ?r • ` '?. G. 13 ? `•. •„ i ' p . ? n. I . i ` . . ? TGPVItti OF F1tTttK NALI. . • . • : ? ?'i ,t _.. .f ? • • I` ' ? / t i1? ? . ' • ' /ff ' ? } • ? - ? /? ? i?r .. ;?, FIC. AA Ni s• ' . ?/^'i/t ? . ^ ? J •\ •\? •i j ?{? '?.?. - !u ' 5?--?_• -- ? . . u?rt't:: lndi?:ac: t;???r, ^(+.^ ?:e+.;u, denth nnd ° ' i?l.t::rn?:•il' nf in:::?l.??inn. ' . PL:A K! = ? i ? Lt r.r = t? F i. Ev,-pos`o W,cLL. . ?Lo G(t. ; S z,`c. -i b'a f-.te = IS0 - `6 . I ^ ? . ?:U L L I - 3Lock' I?. ? c K S x S- _ WA ! L. ..4` ZEA 15. 3 3 833.3 ? x, r= ?-r---?- t'-?- - ---- F. VN 46 i:: . ?IDrnL = olmn r: : 4V Dxl? ? ?.: Z`?`?g s4 = Z9. 3 ?. Z`f3e= ? ZS i z5, 3 :2 zZ VB.G L I c58 Doo?.S n ?` 3°1 zi ?.-- z' = Ph i "? o Dl?S . II `t .. -??---- ;. GE.I Liuq , . . 1? Q-V1?12C , • • ? ? ? Gnn3? =-_?°n . I:+te''== air tila 0.61 . . . • ' i' ? ' (} 2. S? / ?(r? r'?D ' • . ?.. ??,???1??r,:,-?:? 3. ,,)SUL. ? I1+t?? 4'I'? =??\\?j ? .? . • - : • . • . . '? _ . - V= .OLg . . I . . ' ' . . ' ?,t..? ? • . ' . . 1 • E_1C g7av .'. I. Snterior air fila ? 0.61 G-r . SO- - • . ? ?p . 3. Zxy_ 11.15ttL . ?s i . • ': • . , • . d. Sstciiot ri: fil? (sc:1 ?si TotaL ; . , . . ? • • FIG . 15? .' • . • ' - ? ' • .(,1 = ?s • • . . " ? " ' • . . ? . • - ? • I ? • ? • . ' . - COd.Sa'R.?CT/ e???• • . . , _. . ; 1. Znsidc air f'_lm 0.61 . . . 3. . . ? 4• ? . t. g. GR?:side air FS'_m O. 17 Total Vz Vf fiz • ? . ?.C?g? ?' . . ' . - •- 1. Iasidc a3r L'ia 0:6= Flov up . , ? j•veaiz3 . •. ? ?: ? ? . . • . . _ . , . • 5? Cutsidc aiz filn+ a.l ' ' • • , , -'. ToCal . . TSC_ 36... . .... . . ? . ' . ? . I •. -.---'. • ?- 5 ? ;v 1. Iasic''e air film ..• ' ' 0.£ , : J It.,,•: ? 2_ I • .. 2.Sy??.?i??'.?' -.,5_:.._'tt? ' ?? ? - ? ' ? ?'r.'r???-r????! •..'•:? ?• 5. Gut:idc ?ir Eila o. 1'??'., . ? Tata1 ?? ' . ? / , • • . ? ... • • ? ? \J • `/ ? ' ? ? - ;'..? . i: ^- ? I • ' ; ?•' ? .• • • ?• • • ? • Xota: iSsa addit3arul s:sezGa ?a=^ - . • w?C•i? L:a:? • •• ? ? .3SCCLLt1 fOr t?Gt311± Si1d CSIC.:l3•-- I• ?? ? •• ?? • • • . . . • ? . . . xu= . . • . I • , `• • _ f'_zv up _ • :.,: . . . . . . a ? ..? ? ' • ? ?r? ?7 • ?? t• . . . • I • _ ? ? . ? ? • . • •.?... • ????- '.. ??_ 1991 BIIILDIG I81![]?fARUYMCATION CITY OF EACAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS ? Date: -rj- ??-?'r 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 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 VHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. L2CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used Fox: ? Valuation: Site Addxess y?? 7ti j" 4 /11? 'Wr Lot ? Block I I Parcel/Sub Address 6 City/Zip Code Co??u Phone ?/S 7' 3?OD Contractor Address /?q ????/ ?s?/o?•? City/Zip Code Phone G'/ -?'- T/ 6s--? Azch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS _ Planner Council Bldg. off. 9• 6-%i,p5 Variance COMMERCIAL PEES Bldg. Permit 35, 00 Surcharge ?,!'0 Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Yark Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ? Sewer/Water Licensed Contr. agrees that all work shall be done in accordance with Sign u e of Con racto ) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1991 BUILDINI1TOPATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PI.ANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS ?tULTIPLE DWELLINGS COPAfERCIAL ? ?- ? ? 2 SETS OF YI.ANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS MN 'a i PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT 1-IAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used ForPt±-L?; Valuation: ?Date Site Address •???NIhSV1I11(:1eie .t? 404 4 Lot 5L Block _I Parcel/Sub (? ? ?^ !!'0 Owner MJ 1 C iC I" ? 1?C' Pl ? Address-? Pe-IA V, C?n 1 VO+V\ I c. ?o q 4 '?- City/Zip Code %n Phone Contractor Address / L-/ i I ?d p ) +p t? Sf ' City/Zip Code Phone 0) `Z ? Arch./Engr. Address City/Zip Code Phone # 2 y?D Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. R-3 ? 13%z On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. off Variance 1'l S G-z4 9/ FEES Bldg. Permit Surcharge P1an Review SAC, City SAC, MWCC Water Conn. Water Meter Aect. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty I.ot Change TOTAL 0,00 2?C? 1.00 ? agrees that all work shall be done in accordance with ta Statutes and City of Eagan Ordinances. .!r c M w? ,,.r / re w+- w»,; 1? ?'' ' ,? ? N ?..r- ? Y f ?? ??? ? l?z? K? 3°?? = ls s x?? = 3/ a s; a? ?(O? v? ct1'x ur raueuv run G11I usn UpLT 3830 PILOT RNOB ROAD EAGAN, !QT 55122 PERMIT ? PHONE (612) 454-8100 RECEIPT 1k? ?$xbTG; ??? DATE : PLEASE COHPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS i1HEN PERMITS ARE REQIIIRED FOR EACH IINIT. ------------------------------------------------------------------- ?ORK DES?RIPTION / NEiJ CONST '? ADD ON _ REPAIR _ OWNER NAME: Wtt10s SITE ADDRESS: 407(a ?2ucl5 k)qcA'c-l !F{t7L_ IAT: 0'r7 BIACK ? SUBD. INSTALLER: st?j'z COMPLETE THE FOLLOWING: N0. FIXTURES EA. ADD-ON.MINIMUM 15.00 1 SHOWER 3.00 ? WATER CIASET 3.00 BATH TUB 3.00 t IAVATORY 3.00 _ KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 _ NOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FIAOR DRAIN 3.00 GAS PIPING OLiT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 TOTAL ? ? SUBTOTAL S I S ST. SURCHAFtGE .50 TOTAL: S / S - 50 PLEASE COMPLETE THIS PORTION FOR ALL COt4fERCIAL/INDUSTRIAL BUILDINGS AND TNLTI-FAMILY BIIILDINGS S1HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DTTELLING UNZT. __-____-----___-______' CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FY/R: CITY OF EAGAN ZIP: FEES 19 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT £EE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SUACHARGE TOTAL: S $ (SIGNATURE) ADDRESS: ScJ??^-?? ??-?" ? zIP: S Sl Z3 CITY: APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN * . , , . .. i M7PE: PAY[+ESIT OF FEE AT TIME OF y*, AYPLICATIOpI DOM NOT CON- t ' SfI'N1E APPA6VAL OF PERPffT. i ? INSPFX`PION OF SESWE12 MID/OR WATIIt * ; irmrncuTTOnts wIIa. rxrr BE SC? ; ? [!NTIL PFRFIIT HAS HF31V pppgpVID. iRl1f1e4MMii+#R3ffifrWkrt.ll*S4ffY/411fMY# oF ecic jqcara (PLEASE PRINT 1) PROPIItTX ADDRFSS: .4044 pENNSYLVANIA AVE LBGAL DFSCRIPTION; T K F PLNCE Lot Block Subdivlsion or Tax Parcel ID ) IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PERMZT ISSLANCE: N *nt Year PRESENT ZONING/PROPOSID USE: Q CONME,I2CIAL/RETAIL/OFFICE 1xX R-1 SINGL,E FAMILY Q INDL?STRIAL E::J R-2 DL'PLEX (3tao L'nits) Q INSTITL'TIONAL/GOVERNNIENT ? R-3 TOWNHOOSE (Three + L'nits) ( Lnits} Q R-4 APARTMENT/CObIDOMINIUM ( C'nits ) 2) NAME: FRONTIER MIDWEST HOMES CORP. ADDRESS: 3902 CEDARVALE DRIVE CITY, STATE, ZIP: EAGAN. MN. 55122 PHONE: 454-0433 3) NAME: STAR PLUMBING ADDRESS: 1018 MOUND SPRINGS TERRACE CITY, STATE, ZIP: gLDOM3NGTON. MN. 55420 _ PHONE: 884-4149 MASI'ER LICENSE # 3329 4) NAME: MIKOS, RICHARD & CLAUDIA ADDRESS: 647 CCEVELAND AVE S0. 4k4 CITY, STATE, ZIP: ST.PAUL. MN. 55116 PHONE: . 696-7598 For City Ose Plumbers License: Active Expired Not recordec Sta Inf?it 5) ! ? • 01. • ?I' P • D*' '. E ald E] CONNECTION TO CITY SEWEE2 XX CONNECTION TO CITY WATER f-I CPHER 6) 9/7/88 ***??*******v?*********?F**.**??+****+***,r*****??**?**+??*,r?*******?«*****.*?***?**?**v?******?*****+,*+; *k TfE GOLD COPY OF T[E PERhIIT WILL BE SENP DIRECl'LY TO PUBLIC WORKS 'IU FACILITATE METII2 PICfC-LP. ; *k PLEASE ALI,OW 7WD WORKItJG DAYS FOR PROCFSSING. SOMEONE EROM TfM CITY WILL CONPACP YOU IF THERE i * ARE ANY PROBLII-15. i ?*rr****?t*t?t*?s**r*r,?,r,r***+*«*?**,t?**,r* x*****,t*+**?**,t+r+?*,t***«*?**+t*?**??**?,r**?****r*?,t*t***t**; ..:,,,•'y? ;`? PERMIT $ ISSUED Pd w/Bldg. Permit FEES: $ in s`-o s SEWER PERMITI(INCLUDE SURCHARGE) I $ $ I ( INCLLDE SL'RCHARGE ) WATER PERMIT $ $ WATER METER/CI PPERHORN/OL'TSIDE READER $ $ WATER TAP (INICLIIDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER $ $ wac I, $ $ sAc $ $ TRLNK WATER AI'SSESSMENT $ $ TRDNK SEWER AI?SSESSMENT I $ $ LATERAL BENEF IIT/TRUNK SEWER $ $ LATERAL BENEFI IT/TRONK WATER $ $ I R TREATMENT PLANT SDRCHARGE WATE I $ $ OTHER: $ / S 22- $ TOTAL ? D 7Y ?? I RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN POBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LZST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: ? APPROVED BY: TITLE: I DATE: -T • - , FOR CITY USE ON'LY . . ? -7? ? I ? Permit 8 q 724 7 ' 1 Permit Fee: 76- ? ? Date Feceived: I ? Staff: ? ?oo$ I ________ _______J 2008 RESIDENTIAL B Date: o b? Site Address: o-7 ? Address / City / Zip: Suite RESIDENT/OWNER I Name: I ( TYPE OF WORK CONTRACTOR Applicant is: _ Owner Contracror PERMIT APPLICA Description of wark: 1 ULv f! h, L_A7 W-t ConSWdion Cosk 17,900 .08 Name: 6T, Address: City: Phone(l? 7 W-aW(4 Contact Person: 5 ' • Multi-Family Building: (Yes No ?_[j, t License #: [-I LY K Zip: COMPLETE THIS AREA ONLY IF CONSTRUCTING A Minnesota Rules 7670 Cateaorv 1 Energy Code • Residential Ventilation Category 1 Worksheet Category sutmined (q submission type) • Energy Envelope Calculations Submitted BUILDING Minnesota Rules 7672 • New Energy Code Wo(ksheet Submitted 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 mas[er plan: Licensed Plumber: Mechanical Contrector: Sewer & Water Contractor: Phone: Phone• Phone: I hereby acknowledge that lhis Information Is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry of Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start wlthdNt a permit; that the-work will be in accordance with the approved plk in the case of work which requlres a review and appfGv?1 of plans. 1 x v rv-x.. ?. x I. .- ApplicanYs Printe Na e Appli ant Ignatur Page 1 of 3 ? ?. .. ... ... _... . .. .. . •?4 sdirvcyorls Ccrtifictitc ? - SURVEY FOR: rrunt.icr riidwsc 110111Cs co,poraci.oll OESCRIBEO AS: 1.ot 37, 131ock 1; S'PN'I'URI1 NLACli, City of lirif;mi, tbkoCa Coiuity, Miimesota and reserving easenients of recorJ. Bo. 66 5. OI' l3' 5fl" E_ 9pp ?(. 1 i'? r? .? ?•1 ? - - - -- ---- 5 ? ? lI I ? I 40 . ° ? ? °.I Pa,e ??o., ll- ( .1 906. 1,6 lo .(J I 1 ? ti - ? --a ? 3o io r? ? ? ' J V ' I S? * P .?r?•.?d k ? I h sP1,1?E..i.? .?, ( La+?ta..aa? ? ca?? ?m.? Gar ti I f 'w_•1 v. ia: 4= 7° PENNSYLVA PROPOSED EIEVATIONS Top of Foundotion . 906.6 OoraQe Floor . 4 6osemsnf FlOOr :90 3.6 Appron. Sewar Sarvlce Elev. . 895. S Proposed Elsvallons I O Exislinq Elevnflons a Orolnapa Dlreetlone ..,.,-.. Denotas Offssl Stake . O SCALE: 1 Ineh a 30 Feaf BEt7C11MAliK+ T.N. NYO. 8 1.4- L,^e 35 i 36 BUC i, Pen.,. Aue. clev.. toe.es MIN. SETBACK REQIREMENTS Fronf - 30 Hause Slde - 10 Raor - 15 GaiapsSlde - $ I Mnsy evllly ttoat fh4 survq. plan er nporl wo@ Pr.pe10e er m* JoB NO.: /?EDLUND or unAer my dlrstl niMrrlolon on0 Ihot i em e Aury Re7i+lite4 88R- 491 Land Swroya unAU IM laws ef fhe 91eH el Mlnnpola. BOON: Planning ErrgineeNng Surveying M1lM eIOM1MVIpn IIMwq. elUplrl1ylpn. MyM?p?. /94?p - ?wnsmin d0if: 9,7 ,8$ Q? PAOE: JN ?? I r?n, Ucm?? NaNl78 ?. s i 0 l' i 00 ?0 ?•. ` (0 I Z ') 1 '•1 S ? 4-t, r ?04,9 , R: AVE. - _ _ -?a ? 0 m z 0 a w ? t sur???oror G'ert?f`c?i?? SURVEY FOR: front:ier Piidwest Ilomes ('oiporat.ion DESCRIBED AS: Lot 37, Biock l; sTNFPOIU) T'WACE, city of eng<,,,, D[itmesota and reserving easements of record. g0. 6 6 c101 S. O1e 13, SD".. E s ? r?. do a ho n O I O4 1 ? a i 11 . .. yN,.l I ? ?•1 o- - 5 d6 ? 9o4.B qoF.? io 43 i $<. ? - ? spl,!-F..?•? ? C La.?b..Jye ? ti 14 I ' 6 I I ?-.- - ??prox. Se„nwf6 o iR?w 9IXa.? I °fo___.5 30 ? v Gan v ? UakoCa (:oiuity, 9o5_s l' i ?. 3 1 0 0,0 ? co I Z `J 1 '•? ° ? 404,4 R: 59.99 _. ? IA?" 9oa., AV E. - - -?--?? PENNSYLV ? H ? PROPUSED f.LEVATiONS Top of Foundotion . 9ob.o GaraQe Floor : qob.4 Basemsnf Floor .Yo3.6 ADpror. Sewer Service Elev.. 0qs.5 ProDassd Elevalions o Q Etistlnq Elavoflons Oralnapa Ulraettone ? ...?_.. Denoles Ofisef Slake . O SCALE: i Inch = 30 Fesf BEh'C?7PAARK, . T.N. NYO. @ 1e4- l,.e 355-36 BtKi, Penn. Avt. elev. - 1o6.et MIN. SETBACK REQIREMENTS Froril - 30 Houfs Slde -10 m Rear - Ig Garaqa Slda- S o I Aveby eerllfy IAot IMs wrvq. Plon er toport wee ptopenA !Y me JOB NO.; /?EDLUND er under mr elrecf euparvhlon ane mel i em e autr ReqblareA 88R-491 Land Swvqa under IM lars of fM 91oM of Mlnooela, BOOK: PJann/ng EngLreering Surveying miew eb'a?nan...+r.raanx?pa?.Mxw.eu»Im 9,7 ,Sg Q? PAOE: l?Mp?a+piTMlotM DOro: J41f ey U ren, Llerns? NaN'Jie ro Z I k M ? I ll ? S ?. ÷ð÷ ÿï ÿ þ ý þýý üûü úýýÿûøýîî âü îî ââ þý÷ üûúùø÷ ðû Þô öùø÷ ÷ðû Þô Ýû þ þ ÷ í ñû í ûú ýü ÿ ÷ ýëäé ý óóåó ÿ íð ëÜ ÷ çêåêóåå öú üû çêäêä õøó ÷òñ ÷÷ à ÛÜø ûíúþÞõ ùô ö õþ óâá ø û âÿ þ ëäéâáâ úø þ ÷÷ îí þ í÷ø ÷÷ ú ü î ü û ôøîÿ þ ï ê ÷÷ ß í üþ û øüþ û PERMIT City of Eagan Permit Type:Building Permit Number:EA164115 Date Issued:09/18/2020 Permit Category:ePermit Site Address: 4076 Pennsylvania Ave Lot:37 Block: 1 Addition: Stafford Place PID:10-72500-01-370 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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). 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 - Tammy M Voracek 4076 Pennsylvania Ave Eagan MN 55123 (651) 233-7165 Bella Roofing Llc 2133 Grand Ave St Paul MN 55105 (651) 231-1985 Applicant/Permitee: Signature Issued By: Signature