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4077 Pennsylvania AveCASH RECEIPT CITY 4F 'EAGAN . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? ' 19 r e f HECEIVFO r -}- I cmu • . _ V 1 • AMOVW $ ' . & DOLLAHS ,ro ? CASH G7 CHECK Fql ' . ?? 1 G" tli \` _?ii •?; tt. ??Ati?? . . ? •',"' L; ?J ? wnne--aayen copy Yelbw-POStlng Copy Pink--Fi1e Copy Thank You BY CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454-81 00 BUILDING PERMIT Receipt # _ ! f To be used for SF WGjGAR Est. Value $94r ow Date SM 20 Site Address 4077 pBNNSYLVAPIA Avg OFFICE USE ONLY sXAt!'OM rLAC::. Lot 28 Block 3 Sec/Sub on slte sewage occupancy B-3 B-1 . MWCC System x Zoninq R-1 Parcel No. v?N On Site Well (ACtual) Conat cc Name FRUNTISa l+RDWr 5'1' HOw Ciry water ? (Allowable) Y-N W = Address 3902 CLDARo?A1.E Dn PRV Required ?t of Stories 0 ?;ity ?CAN Phone 454-4433 Booster Pump Length 55,_ Depth 341 °C fl Name E ? S.F, Total O ? v4ddresS Footprint S.F. ? City Phane APPROYALS FEES yVjW Name En r /Assess. 9? Permit 350.00 47 Q Planner Surcharge ?O ? Addr@SS 2l5? ? Council Plan Review • ? W City Phone Bidg. OH. SAC, City i? ? • I hereby ecknowledge that I have read this application and state that the Variance SAC, MWCC 530•00 information is correct and agree to comply with all applicable State of WaterConn. 550000 Minnesota Stalutes and City ol Eagan Ordinances. Water Meter 67•W Signature of Permittee Road Unit 325.C? A Building Permit is issued to: ???tiT? t:f: I`'•liW?tS 1?iUh1li,; Treatm6nt P1 204'04) • on the express condition that all work shall be done in accordance with all P rks Apalicable State of Minnesota Statutes and City of Eagan Ordinances. a 2 . ? Building Official I ' .__ _ TOTAL. ._ ?.?.g.....-__ ? kXACTI'V'ATED FOR DECK 6/12/89 CITY OF EAGAN "a F"AUL -KING 454-0176 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 156?1 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for `>'4 •??? Est. Value ?94,000 Date 2G Lot - Block Parcel No. a rv a m e ..,.... ...... ....,......?. .......,?. V ''90Z ?EWVAU DR z Address - ? City `AGAN Phone 454--0433 . o Name SA'`il:: ? ` Address ?m City Phone - r W W Name_ W U ? Address aW City_ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all Eipplicable State of Minnesota Statutes and City of Eapan.ordin?nces -p 5ignature of Permittee '•"? A Building Permit is issued to: ?UNT1ER HII3I?-IF'?1' 110tiz3 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY On Site Sewage Occupancy _R-3?9 MWCC 5ystem X Zoning a-1 On Site Well (Actual) Const V-N Ciry Water X_ (Allowable) ?-F= PRV Required # of Stories Booster Pump Length SS ? Depth S4 ? S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 550•00 Planner Surcnarge 47.00 Council Plan Review 275.00 Bldg. Off. SAC, City 3,00•00 Variance SAC, MWCC 350.00 WaterConn. 550•00 WaterMeter 6 7•DE) Road Unit 315.00 Treatment Pt 204"00 Parks 00 668 TOTAL -' ' Permit No. Permit Holdsr Date TNephona # Plumbing ,. H.v.a.c. n 39,5- 67 Electric Softener Inspection Date Insp. Comments Footings I 1 1,1/60,ky ? Footings II Foundation Framing Roofing Rough Plbg. p- - ? Rough Htg. IsuL Fireplace Final Htg. ?? ? e; ? _ ? - • ? Final Pibg. Bidg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final %, Well Pr. Disp. , • • , PERMIT # ; J1,. SLy?'? ' MECHANICAL PERMIT ? RECEIPT # • CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 1 00.00 PHONE: 454-8100 -0 Site Address 4077 P s ani8 Ave. BLDG. TYPE WOFiK DESCRIPTION Lot 25 Block 3 Sec/SubS afford xX 'A ' 17 Res. New , .. ? , ,_ Name WENZEL HEATING & A C Mult. Add-on °-' ? 1955 Address ShawnEe Road Comm. Repair c City Eag? j Phone 452-1565 Other S YRON' Name TIER COMPANIES FEE 00 HVAC 0-100 M BTU -$24 RES ? c Address3908 •ib1eY Memorial fl W . . . ADDITIONAL 50 M BTU - 6.00 p City Egiten Phone 434 -0433 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PEkMn) - 1 . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80 s 000 M BTU 14.00 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other 25 50 - ? . • . FEE . )U - SJC: . . SIGNATURE OF PERMITTEE 525.0?) TOTAL• _ FOR: CITY OF EAGAN PERMIT # '? r ? CONTRACT PRICE• Site Address '. i Lot Y X Block PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 SeciSub y Name Address r4 ? c City rf+G A /l/ Phone Name ? Addre p City 1 FEES COMM/IND FEE - 1°,6 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 $.SQ S/C IF PERMIT PRICE GOES OF FOR: CITY OF EAGAN RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. ?New Mult. Add-on Comm. Fiepair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Np. FIXTURES TOTAL ??? Water Closet - $3.00 - TBath Tubs - $3.00 ?Lavatory - $3.00 ?' • ? ? ?' ?Shower - $3.00 - - = ?_Kitchen Sink - $3.00 Urinal/Bidet - $3.00 - 7 Laundry Tray - $3.00 ? • ? =? ?Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 = Gas Piping Oudets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE: D G STATE S/C: GRAND TOTAL• = % i (Itr#if irate uf (Orru?attry titp of Cagan ior,prartmrn# nf i6ahtg 3wprtwu This Certifrcate issued pursuant to the requirements of Secuon 306 of the Unijorm Building Code cenifying that at the tinee of rssuance this structure ww in compliance wrth the various ordinances of the Cuy regu/aq'ng building construction or use. For the jollowing: ux c?.jrk.uoo SF Q''Ii,'GT Blag. Rrm;, No. 1552 : ? oanp.ncy 7ype R3 / /1*11 zoain D;n,;u j rype c.omt, VN o..,,-oc Wia;Mi'RR,IFR MIIMST c2E?? ?? IX )2 '`]i ltavA;E DEL EAGffi Bu;m;ogAaa. ,AVE tAC.uty U8• B3, ST'WFW I't1AGE n.,: Building Ofliciel POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: 940 Date: 4-21-88 483b Plloi Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 ' Owner._ Site Addi Plumber. Conn. Chg; 550.ESOgd Zoning: Acct Dep: 15•402d , No. of Uniis: ? Permit Fee: 14. QOnd Surcharge: -50rd I agree to comply with the City ot Eagan Tr. P1ant 204. ?nd Ordinances. Meter. (ti7 Q,OD;4 nnisc.: eq ; WATER SERVICE PERMIT CITYlpEEAG'AM Permit No: i i 'Y' ' Date: 9-21-°s 38,10 Pilof Knob Road g/ P No: ° 7 5 t' Date: 9-20-89 P.O. Box 21199 i Eagan, MN 55121 Owner. r, N'ta= it'r ,' i:+we::t :-c+rporat ion ! 3 d l 4077 Pennaylvania Avenue L24 ace i B Staffar P Site Address: Plumber. Star P um in- I MWCC: 5 5o _ ?-)na Zoning, R? Ciry Chg: 10f)- 0012d No. of Units: ' Acct Dep: 15. OOpd 1 agree to comp ly with the Clty o1 Eagan 10 . Q(T?d Permit Fee: Ordinances. Surcharge: • 5f,r^-' , Misc.: By SEWER SERVICE PERMIT ? CITY OF EAGAN Permit Na. 39L '-2I-88 i Date: 3830 Pilot Knob Road Meter No: ? Size: ? K P.O. Box 21199 Reader No: 44/4 .2 S!? Date: Eagan, MN 55121 Owner. 'kild'upat Sife AddreSS: 4c177 Pannnlilvania A daue L28 10 St s_FfOT? 3Cf Plumber_ ?•?? ?•???yR nn. Chg: 55Q,,p0p .4 Zoning: RI Ct Dep: 1,5, 00p d NO. of Uni13: ' rmit Fee: 19?04p d rcharge: .50p d I agree to comply wiih the City of Eagan Plant2W,4,TQWp d Ordinances. ter. < 08 ic.: 8y waTEa s CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21•199, Eagan, MN 55121 N? 15621 PH O N E: 454•8100 BUILDING PERMIT Receipt # (Y 7SIC7 7o be used for SF DWG/GAR Est. Value $94, 000 oate SEPT 20 .1988 Site Address 4077 PENNSYLVANIA AVE Lot 2$ Block 3 Sec/Sub. STAFFORD PLACE Parcel No a Name FRONTIER MIDWEST HOMES = Address 3902 CEDARVALE DR 3 o City EAGAN Phone 454-0433 ? .o Name SAME ? a Address m? City Phone Name Address City Phone 1 hereby acknowledge Ihat I have read ihis application and state Nat the intormation is correct and agree to compry with au appiicabie State ol Minnesota Statutes antl City of Eagan Ordinarges. ? ?? Signature of Permittee ( ` / /, A euilding Permit is issued to: FRONTIER_HIDWEST-1I011ES- on the ezpress condition Ihat all work shall6e tlone in accordance with all applicable State of Minnesota S?t'a-tIu[es antl City of Eagan Ordinances. BuildingOfficlal_.?/?,_I ?Y11r, _ - , . OFFICE USE ONLY OnSReSewege _ Occupancy R- M-1 MWCCSystem X Zoning R-1 On Site Well _ (Actual) Const V-N Clty Water X (Allowable) V-N PRV Required _ # of Stories BoasterPump _ Lengih 55' Depth 34' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 5$0.00 Planner Surcharge 47.00 Council Plan Review 275.00 Bidg. Off. SAC, Ciry 100.00 Variance SAC,MWCC 550.00 water conn. 550.D 0 Water Meter 67.00 Road unit _325..9D Treatment Pi 204.00 Parks TOTAL 2,668.00 BLCSG. PERMIT NO. 01-3210 y? Bidg. Permit 550 ? C-C , 0 01-3422 Plan Check OU . ? 01-3445 Surch./Adm. ?<< ? 01-3446 SAC/Adm. ? ??C ? 01-2155 Surcharge C>4 75-3860 Road Unit 00 ? C 20-2275 SAC r e n 20-3865 Water Conn. UL( ) ? 20-3868 Water Trmt. - ? (J 20-3716 Water Meter (X) Q 20-2252 Acct. Dep. ? 00 -- 20-3713 Water Permit ? 20-3743 Sewer Permit 79-3866 Sewer Conn. 1 vL? 00 28-3855 Park Ded. TOTAL This repuest void /O? (,,/?g 10 nwnths Irom ? D 30090 ag a Hequest Date iFe No. / oupb-fn,InsVer.tion C]qeady NowT/ 'A' ?? No?ity, InsOec- /p?y,?,,1ued /"4or When Feadv '?' (?gJVes ?No Licensed Elecirical ConVac[or I hareby re0uest in50ection ot ebave fl nw- elactrical work installed at: 5[reet Adtlress. Box ? Raute No. CiIy ectim, o. Township ame or No, flan8e Na. Coo nv Occu - m(P T) ?aw : ?'? ? ?rw?2a' Phone No. ? 6?.? Powe Sup lier Addres n B ? Electri al Cnn ra tor ICOmy? ny mel C?'n[ra?'.?o??s Ly?se No. MailinB ress ICo/nVactor or Owner `Makiny IFo flationl Authorized Sfpna r? (COn a or/Owner MakinB Installation) ? Phun ?e No?y,?3 MINNESOTA STATE BOAND OF ELECTRICITY BE ACCEPTED BY THE STAWBOAflD Grigga-Midwey Bldg. - Moom N•191 UNLESS PROPEN INSPECTION FEE IS 1821 Universitv Ave.. St. Peul, MN 55700 ENClOSED. Phone (612) 642-0800 lp//y/,gff REQUEST FOR ELECTRICAL INSPECTION Oft ee-o^oooi-os , Sea inshuctions lor completing this torm on bock ol Vellow coOV. D' 30090 "X" Be/ow Work Covered by 7hrs Request Nevi ada Tyna ot auueine Aoollancee Wi.ea Enuiument Wi.ed Home Fanye Temporary Service Duplex Wate,r Heater Liqhtiny Fixtures Apt. Buildinq Dryer Electrie Heatin Commercial Bldy. Fumace Silo Unloader InAustrial Bldg. Air Conditioner Bulk Milk Tank Farm 00ne, oeu v nmer 6in:ec.W1 t nr SVeci v Ihe? Oiher Compute lnspection Fee Belaw p Fe Service EntrenceSize b Fae Fxaders/Sublexders N Fqx Circuits 0 to 200 Am s 0 to 30 qm s to 30 An+. us Above 200 qmps, 31 to 100 Amps 37 to 100 Am s Swimming Pool Above lOQ-Am s Above 1n0_Amps Transtormers Irrigation Booms Oth-ar Fee Signs Special Inspection $ I v OT F Hem3rks ( r flouBh-In the E cVicel oector, ?areby c rtily thet the above Final U;?tJe e ? ?spection hes ?ean metle. Tlilareqvealvoidl9momhelmm , - ' "' , ,. 1988 BIIILDING PERMIT APPLICATIDN - CITY OF EAGAN 1l SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURIIEYt 7 SET OF ENERGY CALCULATIONS NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDZNG PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNZTS U OF ONITS INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COiM1ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS .,,R;T SEQ 7 lgffl 9?lOo 0 2t¢?$??`_ To Be Used For: NELJ /' loNSVRUCT10A/ Valuation: 1?7,$ Date: Site Address 4077 PENNSYLVANIA AVE Lot 28 Block 3 Parcel/Sub STAFFORD PLACE Owner KING, PAUL & MAGGIE Address25 EAST WYOMING City/Zip Code ST. PAUL 55107 On site sewage_ MWCC system ? On site well City water ? PRV required _ Booster Pump _ Phone 292-0390 I APPROYALS ContraetorFRONTIER MIDWEST HOMES CO$fEngr/Assess Planner Address 3902 CEDARVALE DRIVE Couneil Bldg. Off. City/Zip Code EAGAN 55122 Varianee Phone 454-0433 Arch./Engr. PHILLIPS PLAN SERVICE Address 14530 PENNOCK AVE City/Zip Code pppi_F VALLEY 55124 Phone # 432-2044 E USE ONLY Oecupancy 12'3 /'?' I 2oning 1{'/ Actual Const VN Allowable I/N # of stories Length SS Depth 3y, 33 S.E. Total Footprint S.F. FEES Permit Surcharge ? Plan Review 29s SAC, City / DO SAC, MWCC SSo Water Conn SSO Water Meter (,*) Road Unit 32S Treatment Pl 705l . Parks Copies ? --? - TOT6L 3 G Y r nG ' f'f 0 h G °Y ?-- ??S X /3 = Isfi r---- !??G k y?? J // -j `Z i ,S y; j 9?:) y 3z? 3 ? • 1 ? ` ? t ? w' EX7ERIOR ENYELOPE AVERAGE:'U"_._CUMPuiRItUN oW y t R /?----- - 1in ?nn il riA?i ?a It1j?E . Ph10NE: 494_0413 _ FR(1NTTFR S'_T' AD DRESS: yr? i i ? 5,1 .?---?---- . . 2 x 6 STUDS COYTRAC?DR: N7 ie.2 HorAFs . PLAN W "?.nP_Rir.t«t?rl Determine working square foota9e of each 9 ft. x .11 = 5 Sq 2 5 217Ly 1. Total exposed wzll area..... 230le. • 2_ 7ota1 roof;ceiling area..... I [,t3(o sq. ft. x .026 = 43 8q Total exposed wall area above.f}oor=__ 1.?(? o ...... . . . . . . . IZ2.5?4- z. Total wz71 window area ................ . . . . . . . .,. . . . . . ...... ...... 3S b. Total door area ........................ ............. .. . . . . . . ?2 4 c. Total sliding 91ass door area .......... .... . . . . . . . . . . . . . . ...... d. Total fireplace wall area .............. • 10% .................... ..................... 2Ll _>. Total .. ?n9 area (average wall fram .. . . . . . . . . . . . 151 3 ;_ . Total rim joist zrea ................. . . . . . . . . . . . . . . . . . . . . . 7 34 . g. net wall area aSove floor........... ....:..........::::::::::: _ h. wall area a6ove floor ........... .. ..:..... ..... ...... _ i. rra71 area above floor ........... ..... ....... . . . . . . . . .... ? i, _ - " ... rrzme wall zrea at - =o??cat_on..-••• ... ................... . Total 2xposed foundation area= IL;1.? . k Total loundaiion window area............ .. ••••-•.••• ?'`a `1 5 _ 1. Total net roundation area above grade . , ............. i4 Deiermine "u" value of each wall segment ail section) t . (e,g, window, door, each e w separa 1 -72 ?Q X ,lul, a. X ??u?? .31 = ??.?8 o . X Iluil C ,?V9 = I?.nn . ?- X 1jull d_ - _ - , '2X 11 u 1- e = 2 ?s1? . f X 11 ul, I I11 9 .7 n _'I y li" • _ _ ? i? ' h. X llul. ? X ilull i. _ x u„ _--- j. .- ? X ??Ult - ' ' k . I . o ?! -?=L -- 1, j45 .? XJ„ , 14 = 2°•43 3 . .................................Tctal = 131.q If item :43 is the sam as, or less than item il, you have met the intent of SBC 6006 ^(c P? # F3A2:P- i N(,TOf`( * LINEAL fEET EXPOSID waT.r. BI=: 55-{ 25.834 3-1.Lt4 ZF?,?7f.ro= 151.3 W.O.: RYLL 1: 25,5 t 2-7 + 11 +55fi ).5.+ i2-+ Z3 =. 155 FULt,2: z44 2-7 4 2 5.5 4 25.5=rc5 FIREPIAcE: M: 151,3 * SQUARE FEf,T EXPOSID 4dALL AREA . BLACK: 151,5 x . 5 !.5 = 751 KNEE: - x 5 = - W.O.: - x B c _ £ULL 1• 155 X 8- I L40 FIJLL z: , p5 x s= FIREPIACE: - x - - RIM: 151. 3x 1 = IS1.3 TIOTAL 230&. q5 * SQUARE FEt.:T ExPOSID CEILING = 1G8& *1Nm47S 1 ?(n98 = S•3 11? 2uL-o= 8.3 7,3= :M,? 1( 2098= L.L-7 Y 2 = E:,,5 1 liI '203L-= 5x;=15 i '11t+-r?448= 31 x s ='.4 122 .Sq ? DOORS 30_ z 0 - 38 2g'18" * PATIO DC10RS L° = 32.9 * BASEMEN'r UNTTS lil 23xlo = 1.Src3=5,4 NoT%:. l.)se 15,; 0= ??a4ue l+.nl i orw {?r ?ya(+? UJ1struGt ibn Fr?sZC rSG. 73: SG. -#a o,tr'J,4T"..tll W,kLL BLOCIC 1. I=OA AIR FILId 0.68 2. 12%13LOUJ? 1.40 3. 0 . 0 4. PROTECTIVE BARRIER 5. 6. rR=OR A R F 'IYJTAL R= 7. 3 U= .14 SLAB ON GRADE ?, . ?. ._ ? • , 11 I ; _ r ? ? •? , , oi 'f = G Aj -- ' y ' , 1 r O + r y ?? ? G) ? R=• VATJJE CONSTftUCfI01S,- £RAtqNG - - 1. 2. 3. 4.. 5. 6. IdEf 1. IN'tERIOR AIR FILM 0.68 Y:_•' G]'?BD .45 3. '+. TFFEJLMO i3..Y sHF.Rr)+ . ? 5 SIDING 6. R AIR FILM = ZI•!2 U= .05 1. INTEI2IOR AIR FILM 0.68 2. 6 INSIJL. 19. 0 3. x 30 4 7?}E2N1o FLY SN£gTH •Z 5. SID G 6. EXTERIOR R FI R= 725l. U_. .04 v ? Q 3 G ard ' j? Fs.G. uq : /!! ?- .• , w ? ` • , ? lAh v --- ? ?rE -• ? • • lll . - ,. . s D f ? e? 1?I j1f ? f1I = II( ? NOTE: INDICATE T`!PE, „A" VAISJ£. I7EF'IH AND PIACET'IEN'P OF INSULI-TIOid,. F'Rare HnLt INTF.RIOR AIR FILM 0.68 2 GYPBD . ,• ., .? ?200F-CEILING ?U 3? V'tNT ? v CONSTRUCPION ' R-VALJJE 1. IAITERIOR AIR FIIM 0.61 2. - 3. 4. -,-?„- U = .02 ? FRAME . /? 1. IN'PERIOR AIFt £IIM 0.61 vI'F?Tc-,_,p ? ?I I1 I?'AT FL1DY] 2. L_.?-? - I I Up ? 3. 4. FI6. #S U = 0.024 ' CONSTRUCTIOH ? 1. 71d5IDE AIR FILM 0.61 2. 3. 4. 5. •' --- - U = ?F=AT FLAW UP FIG. #6 3 ? ?. • ; . ' e . • ±'.? . • •? z.? .. ? NON-VEN'!'ED Fi£AT FIAW UP rrG. ¢.'7 ? FRAME 1. INSIDE AIR FILM • 0.61 2. 3. 4. 5. U = 1. INSIDE AIR FILM 0.61 ? `'' • OUTSIVE 5. 1V1r?1+ ! 1? U = 4 NOT£: USE PDDTTIONAL SI-ELTS 1r t?RE SPACE IS NEEDID FOR DETAILS AND CALCIJLATrO*IS. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # I/ RECEIPT # DATE : ?- PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT. WORK DESCRIPTION N0. NEW CONST ? - ADD ON REPAIR OWNER NAME: / )i ? 61+- /Q F b'--?Ac ? - SITE ADDRESS: ?O'?) IllP'Y'n/!' LOT: 1,06' BLOCK -a SUBD. ? (,11? _ INSTALLER: I,/r1t O ADDRESS: / Sz CITY: ZIP: '?Td COMPLETE THE FOLIAWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FIAOR DRAIN 3.00 GAS PIPING OUT, (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 DTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE TOTAL: ? S s? .50 PLEASE COMPLETE THIS PORTION FDR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDZNGS WHEN SEFARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN . .. , SINGLE FAMILY DiTELLIBGS 2 3ETS OF PLAN3 3 HEGISTERED SITE SDRYEYS 1 SEf OF 819ERGY CALC3. 1989 BIIILDIAG PERMTT IPPLICATION CTTY OF EAGAN Li .6 G.1? !&TLTIPLE DNELLINGS 2 SE1'9 OF PLANS HEGZS?HffiD SITS 3QAVE25 - (CHECH tiI2H BLQG DI9.) 1 SEf OF EBEAG'i CALCS. MULTIPLE DWELLINGS AENTBL DNITS FOA 3&LB DPITS BOTEt IDDRESSE4 FOS CDRNER LOTS - COATAACTOR/HOMEOWNEF lSOST DESIGHATE YHICH 1DDRFSS IS DFSIRED. 80 CH`NGES AILL BE ALLONED ONCE BOILDING PERMIT I3 I3SOED.: 3Ei1ER 3 lilTER AE1RtZT FEES A8D ACCODPT DEPOSIY FEES WILL BS INCLODED iiITH THE HOILDINti PERMTT FEE. PAOCFSSING TIME FOR SEWEA AND Y9TER PfilMIT3 I3 TNO DAYS ONCE 1 PfiAMIj HLS BEEN COh1PLETED INDICATIAG A LICENSED PLUlBEA. PENALTY 9PPLIFS WMNs PERMIT IS NOT PAID EOR IN SAME MDNTH IT IS REqOESTED. LOT CAANGE I3 AEQOESTED ONCE PERMIT IS ISSDED. ? To Be Used For: ?)e -L Valuation: 3ite Address Lot ? Block ? Paroel/Sub ?CCY1TA ?tC-C OWner i(r",lt MGS?t2i Address 40?? Te.?nSy 1 Vk." t c, rV-Q- City/Zip Code Phone G ? yl 'fo- 0 ?'} (p Contractor Address Citq/Zip Code Phone Areh./Engr. _ 6ddress City/Zip Code Date: Oecupaney 2oning Aetual Const AlloWable 9 of stories Length ZS%zr ' Depth 12, S.F. Total Footprint S.F. On site aewage On aite xell _ MWCC 3ystem _ Citq vater _ PRV required _ Booster Pump _ IPPSOQALS Planner _ Couneil Sidg. Off. Yariance COlMRCIAL , 2 SETS OF IRCHTlECTURAI. & ST90CTS)R!L PLANS 1 SST OF SPECIFIC9TIONS 1 SET OF SIiEHGY CALCS. t OF 08TT3 FEES / Sldg. Permit IY e- Surcharge Plan Review SAC, City SAC, MWCC Water Conn Nater Meter Aect. Deposit S/H Permit S/W Surnharge Treatment P1. Road Unit Park Ded. Copies SDBTOTAL Penalty TOTAI. Phone 4 b ° - Surraloros Cert,fictite SURVEY FOR: I'mnCicr PliJwr.sl: Ilomes (brp. DESCRIBED AS: I,ot 28, lilock 3, S7'N'Inl?I) PIACIi, City of Ea?;an, Uakot? Comtr, llinnesota and reserving caser^cnt.s oF record. ? ?- l? j .-? C_ ?J 1 i ?J pqp 2Jr y .., / ? h 160.5g ? N 82039'00's w ! 5 ? P RAlN,qGE g ~~ ? . 3 ER PLAT utIUTY EqSE /J' 3j 1o3i1 sO ?'1ENT? o ? yl ? ? pO ? y ?lrm 903.4 (u N 21 1 au.e ? Il.o ---- {M ` lo m Z W o > z -LOT M 5A Q 9.a3 ? G Q /? Q I N _? dF M I /\ M • ,po 4 ?rea ? 1 ? j ? ? M 3 4n f 6 3 p 0 rr i? `L ? 0 w 8.50 ' 12.0 ? Q\ n PROP SED ? Q Q ? voc.5 N ? ? 2233 DRI Q 9o3.b (n S ? r` ?O -- Y V' ?lo to Z -- -J ? ?I / ? ( () jlo L n `i 146.93 5 89° 39'00 E 4p21 ? ?z I ? . ?J 7 L_ 1 I ? I PROPOSED ELEVATIONS , . ?/?r i- • ? ?. EAC ":-?N , BENCHMARK, APFLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTIQN . . . . y NCJPE: PA]MENP OF FEE AT TIME OF ; nreLicn2zoN ooes caor car ; * STI1(7PE ApPR6JAL OF PIItPIIT. + • k INSPDCPION OP 5MiER ANID/OR FWTER ; ? xxsrnLUxioNs wn.c, Nar ae srEn,n.E, ; i lR1f'IL PII26ffT HAS BEEId APPROVID. OillfifrY!*4ff f}1y!*lf3fif 1#iY1e!<k'kYh*?'k oF Gcog. a9'9 (PLEASE PRINT 1) PROPERTY ADDRFSS: 4077 PENNSYLVANIA AVE T,FY:AT. DESCRIPTION: - LOT 28 BLOCK 3 STAFFORD PLACE Lot Sub vision or Tax Parcel ID IF EXISTING STR[:CTURE, DATE PRESENT ZONING/PROPOSED USE: ? COM-IEE2CIAL/RETAZL/OFFICE Q INDL'STRIAL Q INSTITUTIONAL/GOVERNh1ENT )F ORIGINAL BLILDING PERMIT ISSL?ANCE: N/p Mont Year I X? R-1 SINGLE FAMILY ? R-2 DL?PLEX (3Wo C'nits) ? R-3 TOWNHOOSE (Three + Cnits) ( Lnits; Q R-4 APARTME:NT/CONIDOMINICM ( Units; z) '"''' NAME: FRONTIER MIDWEST HOMES CORPORATION ADDRESS: 3902 CEDARVALE DRIVE CITY, STATE, ZIP: EAGAN MN 55122 PHONE: 454-0433' 3) '':-"' NAME: STAR PLUMeING - ADDRESS: 1018 MOUNO SPRINGS TERRACE CITY, STATE, ZIP: g ??gTON MN 55420 _ PHONE: gg4-4149 MASTER LICENSE # 3329 I? Active F.xpired Not recordec Sta Initia 4) rO ME NAME: KING, PAUL & MAGGIE ADDRESS: 25 EAST WYOMING CITY, STATE, ZIP: ST.PAIJL, MN. 55107 PHONE: 292-0390 5) E3 CONNECTION TO CITY SEWII2 FX-l CONNECTION 7b CITY WATER O OTfIEFi 6) ?****?*,rr?*????**+***,.?F***?*****?,?*?:******?**+*****?*********?****???*.**,r*??+*********??****+**x?,?; ? * THE GOLD COPY OF THE PERNffT WILL BE SENP DIRECI'LY.TO PUBLIC WORKS TO FACILITATE METII2 PIQC-DP. ; PLEASE ALJAW 1W0 WDRKIN:, DAYS FOR PROCESSING. SOMEONE FROM Tfis CITY WILL CONPACT Y00 IF TfE2E ; * ARE ANY PROSLENIS. ' ??*a***?*?******?t?*,t**?*a?*******?x***r********x*+t*t:t*,t,it,t*+ttt+t*t*,t,t**,r??-rx?x*?r?****?x??,c?*?t,t?at?; . .. ,.. . ..__»..,.. -. .. _ c . . . .6.., ;_.V, FOR CITY USE ONLY PERMIT # ISSC'ED " ?;,q e Pd w/Bldg. Permit FEES: $ ?O '5-Z1 $ SEWER PERMIT (INCLCDE SC'RCHARGE) $ IO ???? $ WATER PERMIT,( INCLODE SL'RCHARGE ) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (IINCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOI IT - SEWER $ $ ACCOL?NT DEPOi IT - WATER $ er-) $ WAC $ S SAC $ $ TRONK WATER ASSESSMENT $ $ TRUNK SEWER ISSESSMENT ? $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BEN°FIT/TRONK WATER $ $ WATER TREATMI NT PLANT SLRCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RE E C IPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PL'BLTI RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MDST BE ISSUED BY THE ENGI[VEERING Q NO DIVISION. LIST AS A CONDITION.i SUBJECT TO THE FOLL OWING CONDITIONS: I' ? APPROVED BY; 42l_??¢J TITLE: DATE: , ?; Savellors Certificiate ?j ? i - - J V ) ? ;- / \ ?i ? ? J rf1 ? i - i, li _ J SURVEY FOR: I'ronticr r:lictwcsC Ilonics cbrp. DESCRI8E0 AS: I.ot 28, 61oc.k 3, S7'!11'FORU PLACG, Cil.y of I;a;;an, 1bkoYa Coiuit!?, I Dlinnesota and resetvinr, cascrcnts oF record. ? rso.56 N 3 y -?DRAlNAGE ? PER PLAT & UTILITY p,qSFn.?.._ M 0 Z LOT 28 M M'^ W 0 I ? D 4 0 _o Ig N e 3 nrv 1 .0 ? / r 2$ ? 13 N ? ]-sc) ? -'-• r-cv ? I C'1 906,; _ d _ ¢.1a n dl 146.93 589°3900"E 40-1'1 'z :Z.3, ! ? W 903. S w W ? . I C jl. J 'lo3.b ? - z z a ? FE l_ li i c_ r PROPOSEO ELEVATIONS Top of Foundatlon 6orape Floor ?9o6.b Bmemenf Floor 898.ry Approx. Sower Surlee ENv. w 99 s. I ! PrapouA Elovollons a Q Eauflnq EUvallom I Dralnape Direellon? I?r Deno1os Ofbef Stak• I O N 82039'OO" W N SCALE: t Inch • 30 Feef p?. .. DEF E .? ?GAN 1?a BENCHMARK, TnP t1aJc1. L Lo1, V,<, 1 i5'lb e?K ? Pe?..sylva..e.l Q+t E1a?. 1'Ob.81 I MIN. SETBACK REOIREMENIS Fronl - 30 Hwne 81de - 16 Reur - Is Qarope 8lde - 5 7 AneEy evllfy tMl Ihls wrroY. Pl4^ m roport ros OnpareA Ey me dOB N0.1 /?EDLUND er uoder my dlnct suporvblon and Ihet 1 am a Aulr P4Obin?d 80?- °4'? P Land Swroya undu IAe lers of the 81a1• sf Mlnnesota. BOOK: Plsnning Englneedng Sunreylnp , .,ei urw'?+?+?«.Ma.? are ^rwwaa.??e C'1 ? ' ti?l?: g I 21't 48 U PAOE: JN r Y IM en, Uc?n?• NaHl16 G 0 m Use BLUE or BLACK Ink r----------------- I For Office Use � I 2�} � C�� O{' �n nn � Permit#: l�� J /� � y � a�a�� u, � 3830 Pilot Knob Road I Permit Fee: ��{ � i � j�ll�f � Eagan MN 55122 � Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 I � � Staff: I �-------- --------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: �� 1� Site Address: -7�� ns� 1��,i c�, �-t�--�, Tenant: Suite#: Name: '�-�i{S S i+�v't �'Y�.P_r �`rt Phone: (0 5 l—,��-� ' 8 7?to Resident/Owner ' Address/City/Zip: 0�7� L,yt y�S ��Q.�"� ' Name: ��►'4 �� 7 ��'� � License#: Contractor Address: � O r ��3k 7�] City: ��u� «�1 f'YL ' State: Zip: �� Phone: Contact: C��t r'�"� ��+-�[ �" Email: �~��--��-�� T7�£ ItI�--T� �J New �Replacement Additional Alteration Demolition Type of Work ' Description of work: -f�CPR- — rC G ��u Ce.�/v� NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL X Fumace New Construction Interior Improvement P@Cllllf T�/pej ` �Air Conditioner Install Piping Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 I' $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than $10,010, Surcharge=$5.00 =$ Surcharge* **If contract value is GREATER than $10,010, Surcharge=Contract Value x$0.0005 "'*If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE 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 whic�u��ires a,revi��and approval of plans. ��tf X ��"1�.�(,�- X C�.�'1��--r-e�-, ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underg�ound Rough In Air Test' Gas Service Test In-flaor Heat Final• -HVAC Screening :e--�,r-.��f�� 1 -- � � A�� 2 � ��,4 u -'-,► HEATING &AIR, INC. � HEATING F�AIR,INC: P.O. Box 77 • Lakeville, Minnesota 55044 Phone (952) 985-1193 • Fax (952) 431-1447• Cell (612) 919-4367 DATE: �"f � �/�y �� M �P��' �� f�� J4 I�-3�s�— _ � . . . . . . �s�--�`-�-� �-" � �� -�,��x ��.��uH��oX�� - . ,�.- G� — � � L� — t� a�.` �.� . �5' TOTAL / . Use BLUE or BLACK Ink r----------------� I For Office Use � • I �� 1 Clty of �a�a� , Permit#: � < � � � ' � 2� �� Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 ; Date Received: � Phone: (651)675-5675 I I Fax: (651)575-5694 � Staff: I i I 2015 RESIDENTIAL BUILDING PERMIIT APPLICATION Date: �I �� (S Site Address: -I�/1� CC'►1�15�'I i fG(1 iu �e� Gr� � Unit#: Name: � � v�e�1�1 �hone: �9 5 I , 3 0�S.�� j Address/City/Zip: �'1(� �1 YehV1S�/ VGt✓1��i /'h��A✓� �� a � , Applicant is: Owner Contractor Description of work: I�� C�� IiJv�rL�S Ct�fi� `a I I i✓1 G��j Construction Cost: Multi-Family Building:(Yes /No ) Company:_��(� ��I ��)in� � _Contact: I�� Address _City: State: Zip: Phone: Ennail: License#: °�Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Pa��e 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTI�JG 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: CA�L BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours �'I 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;ate Building C de must be completed within 180 days of permit issuance. �, �f � C �.. X �C�G�I i �rw�uV1e�i✓� X r�'ti-1- . Applicant's Pri t' Name � Applicant'�s"Sign re Page 1 of 3 DO NOT WRITE BELOW THIS LINE � SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) 1%Single Family Garage Porch (4-Season) Exterior Alteration (Multi) _ Multi �Deck _ Porch (Screen/Gazebo/Pergoia) _ Miscellaneous 01 of_Piex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior i Alteration _ Fire Repair Windows _ Demolish Foundation , �Replace _ Repair _ Egress Window _ Water Damage ! Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �U� � ��' �'��T Valuation Z�d�D• � Occupancy .�_ MCES System Plan Review Code Edition 26(S !�Q-C. SAC Units (25%_100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) %Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice 8�Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: ��,�r , Building Inspector RESIDENTIAL FEES 73 .7� Base Fee ' � ,ep Surcharge �'�•R Plan Review MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies TOTAL � (�'�Z• Page 2 of 3 r For Office Use 4'4 ; Z :40 Permit# II, 4%. g E AGA N ..,0 Permit Fee: 0 Date Received: tg" 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EIVED (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinainspections(c citvofeaaan.com ! 0 4 2019 2019 RESIDENTIAL PLUMBING' PERMIT APPLICATION Date: la -a- )1 Site Address: ! 01 {''ne r1 ,..‘ ; q ,,.t Tenant: aR Suite 5: Resid@ttl/Ot ti@t' Name: IS f 4 '�h e i Se Phone: >nS ► 827 — S 3 G i/ Address/City/Zip: U—1 kiln! ► va ek Name: )4 e S S ic r\ P n� S e r ' ce s License#: P C (,,it Lt. 3 S & ContractorAddress: P O A o �, a /!! �- City: '1,8°+n State: y'Y1 n> Zip: S S Phone: to S " 6 8 ) % 2 S 2-- Contact: Contact: ► � Email: igc 11eS-t'ict 614,1 : • c,r, Type orwork _New t/Replacement Repair _Rebuild _Modify Space Work in R.O.W. Description of work: ater Heater Lawn Irrigation( RPZ/_PVB) Water Softener DeatriPti Add Plumbing Fixtures( Main/ Lower Level) Septic System Description: New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential(fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ (p 0 ' GQ CALL BEFORE YOU DIG. CallGopher State One Call at(661)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan,comisubscribe. 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 1 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. 14) Applicant's Printed Name V2Z2 ant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA169395 Date Issued:05/25/2021 Permit Category:ePermit Site Address: 4077 Pennsylvania Ave Lot:28 Block: 3 Addition: Stafford Place PID:10-72500-03-280 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian Theisen 4077 Pennsylvania Ave Eagan MN 55123 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:EA179326 Date Issued:09/29/2022 Permit Category:ePermit Site Address: 4077 Pennsylvania Ave Lot:28 Block: 3 Addition: Stafford Place PID:10-72500-03-280 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Brian Theisen 4077 Pennsylvania Ave Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature