4080 Pennsylvania AveCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-81 QO
BUILDING PERMIT Receipt ?
To be used for 8-1 YaGi wAR Est Value $65, " Date SEpT 20 ,19 F?8
Site Address 40s0 PS=YI.YANIA J?Vi
Lot 36 Block 1 Sec/Sub. STAMM) FC.ACE
Parcel No.
rc Name PR(JNrt133 tiID'W83a WY!!gS
= Address 3902 CRD"VALL Dk
° City ??GAN Phone 434-0493
, o Name SAbX
?? ,flddress
'- E;ity Phone
,
Name
City
1 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.
Stgnature of Permittee
A Buiiding Permit is issued to: FRnKUK rd"DWh.31 FiGMES
on the express condition that all work shall be done in accordance with all
appficable State of Minnesota Statutes and City of Eagan Ordinances.
Buiiding Qfficial
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System X Zoning A ?
On Site Well (Actual) Const y-14
City Water (Allowable) y-.K-
PRV Required # of 5tories
Booster Pump Length 481
Devtn 37'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 434.00
Planner Surcharge 32.50
Council Plan Review 217.00
BIdg.OH. _ SAC,City lCKJ•00
Variance SAC. MWCC 550.00
Water Conn. 550•00
water N?eter 67.00
Road Unit 325-ib
Treatment Pi 204•00
Parks
-
-
TOTAL ,CT`F-
50
I
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 a? ??/CAR Est. Value S65,0CJ Date SEpT 20 ,19 i=6
Lot 36 Block i Sec/Sub. STAlFt?RI'i FI.ACE
Parcei No.
c Name FRUT?? ??M OMS
z Address 3902 CEDAAVALS B[
? City EAGAN Phone 454-4433
, o Name ='?
? ? Address
? City Phone
Name
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances.
Signature o1 Permitlee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OfficiaL__
OFFIC E USE ONLY
On Sfte Sewage Occupancy 14 M-1
MWCC System ? Zoning A-1
On Site Well (Actual) Const v-N
City Water X (Allowabfe)
PRV Required # of Stories
8ooster Pump Length
Depth 37 s
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess.
Planner
Council _ Permit
Surcharge
Plan Review 43* . oo
SZ' 30
Z! 1•00
Bldg. Off.
Variance SAC, City
SAC, MWCC 100100
350•00
WaterConn. 150•00
water Meter 67 • 00
Road Unit 37s.00
Treatment P1 204•00
Parks
TOTAL "' ???
Permit No. Permlt Holder Date TNephone
PJumbing
H.V.AC.
Electric /OdC096r
r
Softener
Inspsctfon Date Inap. Comments
Footings I
Footings II
Foundation g '
Framing
Roofing •vi'r",'L r?'2?iT/c%? -
Rough Plbg. ?
Rough Htg.
Isul. 3 IJ? F J o vvr
Fireplace C.loS?
Final Htg. ys je 0 41
Final Plbg. ITTI
Bldg. Final ?y? ?° ? Co /ect i orS /Z-
cert occ. « O,Q,
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
-: ,
PERMIT #
,
• ' ' ' . MECHANICAL PERMIT
-)
C
6 ?'?-I'C
' RE
EIPT #
CITY OF EAGAN
,f
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 9 f°-88
CONTRACT PRICE: $1700.00 PHONE: 454-8100 3?L
Site Address 4080 PennB lva n a Ave, BLDG. TYPE WORK DESCRIPTION
Lot 36 Block 1 Sec/Sub
Res. YX New
?' Mult Add-on
m `"'
Name , Comm. Repair
? Address 3 °' ' Plaod
Other
c Ciry F.&$an Phone 4 -
FEES
? Name '' RES. HVAC 0-100 M BTU -$24.00
3 Address
. ? ADDITIONAL 50 M BTU - 6.00
p ?»
City ?? Phone ' - (RES. HVAC INCLUDES A/C ON NEW
; CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMM - 1
50 EA
.
.
TYPE OF WORK COMMlIND FEE - 1% OF CONTRACT FEE
Forced Air 80,000 M BTU 24.00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 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
FEE: ?
?? ? .
S/C: . .?
SIGNATURE OF PERMITTEE
TOTAL: ?? 2e • ?
FOR: CITY OF EAGAN
PERMIT 1i
Site
? ,??
3 Add
p City
FEES
COMM/IND FEE - 1°No OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PEF PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
PERMITTEE
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
RECEIPT # ?-'
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. J New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - 5100
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $i 50
Whlrlpool - $3 00
Gas Piping Outlets - $1.50
(MINIMUM - t PER PERMIT)
___zSoftener - $5.00
Well - $10.00
Private Oisp. - $10.00
Rough Openings - $1 50
FEE:
Phone
If-
I
FOR: CITY OF EAGAN
STATE S/C:
??
GRAND TOTAL:
CONTRACT
Site Address
Lot
Name , ?, ? ?, •• ?_ ? ?
Address ?7 1 /h KJ',Ri!'L
?
c Ciry riZ Phone
Name
7
3 Address `?!? r
p City h ll A f L' Phone
FEES
COMM/IND FEE - 15'o 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 PEH PERMIT - .50
(ADD $.50 S/C IF PEAMIT PRICE GOES
• ,' t?' :?2%C`7!J I
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Dunuc. eca_n-Inn
PERMIT #
RECEIPT 1i
DATE:
BLDG. TYPE , WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TOTAL
Water Closet - $3.00 $
TBath Tubs - $3.00
-
-
7
Lavatory - $3.00 ? ' `• `
Shower - $3.00
Z
?
`
Kitchen Sink - $3.00 •?
Bid et - $3.00
Urinal,
Laundry Tray - $3
00
,,
.
Floor Drains - $1.50
Water Heater - $1.50 k •`? C
Whirlpool - $3.00
=
'r
Gas Piping Outlets - $1.50 -
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Wetl - $10.00
Private Disp. - $10.00
-
Rough Openings - $1.50
-? .
' • l
FEE
STATE S/C:
GRAND TOTA,.
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at
.
I have this day inspected fhis structure and
these premises and have found the followirig
violations of city codes governing same:
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
(Sertif iratr of (Orrupanry
titp of eagan
aP}1arb11Fttf Af ll?bhtg ittS.pPttiDtt
This Certiftcate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinairces of the City regulating building consmrction or use. For the foUowing.•
useca.sa?fintia?t'T lUdg.rt,mrtNa. 15624
Oocupnocy Type RW 7Aning pistrict Ri Type Conp, VN
Owoerof Building VIMITM r'BNEST Ba"ES Address 3902 ??? ?, EAGAN
B.1di.g naa,.. 4080 PF.tWYT vAN7A AVE[V[;E L,,,ay I36, $1, STAFFCLRD PI"
?dF C DEMMER 7. 1989
Building pfficiel -
POST IN A CONSPICUOUS PLACE
CITY OF E/!GAN Permit No: Date:
3$30 Pilot Knob Road B/P No: ^7e Date:
P.O. Box 21199
Eagan, MN 55121
Owner. ?.,"nfier MidMest Corp.
Site Address:
4080
Star
rc L35 B1 Stafford Place
MWCC: 5 50. onn? Zoning• Ciry Chg: ''?0- 00pd No. of Units: '
Acct Dep: 1 r' ' 0d?'d
Permit Fee: 10, ncn`? 1 agree to comply wfth the Cityt o1 Eagan
Surcharge: Ordinancas.
Misc.: By
?-.
CITY OFfAGAN'- ' Permit No: 3960 Date: 1?-3-8F
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No; Date:
Eagan, MN 55121 ,
nW- FrouCier x:idv_,st C.orY.ozwt:an
Site Address: 4080 penn s7Ivsn3s Avmae I.35 El 3tafford-FTm-
Plumber. Star P um ing
Conn. Chg: 550.00pd Zoning:
Acct Dep: 15 •00pd
No. of Units; '
Permit Fee: 10 -p0pa
Surcharge: • 50pd 1 agree to comply with the City ol Eagan
Tr. Plant 204•00pd Ordinances.
Meter. A7_CIpa
Misc.: By
WA TER SERVICE PERMIT
CITY OF EAGAN . Permit No: Date: 10-3-8$
38:,0 Pllot Knob Road Meter No: O 7 410 _Z v Size: ??
. P.O. Box 21199 Reader No: 6 0J? ?i
Eagan, MN 55121 ?-?- Date:
ier Midwest Corporatiou
Site Address:- 4080 Pennsvlvaaia Avenue L36 Bl Staffai3-Frace
Plumber- S tar Plumb inA
Conn. Chg: 550 _ (l?_lnd Zoning RI
Acct Dep: 19 _ O(3nd No. of Units: 1
Permlt Fee: 10 _ ftflgd'
Surcharge: I agree to comply with the City oi Eagan
Tr. Plant Ordlna es.
Meter.
nnisc.: By
WATER SERVICE PERMIT G(J?.."tK ?tr? •
i
• i ' CASH RECEIPT °
l
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
r ? OATE 9 J•?.'.. 19. ?1
rnw Y? :i ! G_? ?
ae.+ouNr a:J I I? JU
a nouwRs
?m
? CASH , ?CNECK r # ? I • , f? :? ?l -i- I ' =7[ r..7. ``, -??.tl 1?--
"??,,?, c. ' .
?--F OBJECT . AMOUNT
Thank You .
eY .? ,:
w^na-aayan coa,'
veUww-vosGng copi
Pnk-FOe Capy .
$LDG. PERMIT NO. / :l
01-3270 Bldg. Permit
01-3422 Plan Check
013445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
203716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
' 203743 Sewer Permit
79-3866 SewerConn.
28-3855 Park Ded.
C
0
C)
f
TOTAL
CITY OF EAGAN
. 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55127 N? 15624
?
BUILDING PERMIT PHONE: 454-8100 Receipt ? ??n
x
To be used for SF DWG/GAR Est. Value $65,000 Date SEPT 20 ,19 $$
Site Address 4080 PENNSYLVANIA AVE
Lot 36 Block 1 SeGSub. STAFFORD PLACE
Parcel No.
a Name FRONTIER MIDWEST HOMES
w
az Address 3902 CEDARVALE DR
City EAGAN phone 454-0433
a Name
.o
?a Addre
¢ City_
?
W w Name
?W
iz. Addre
aW CifY_
I hereby acknowledge that I have reatl this appliwhon a tl state ihat Ihe
inlormation is correct and agree to comply with all p licable State of
MinnesotaStatutesandCiry aga Ordir(4cce?" -
I
SignaWreofPermittee
A Building Permit is issued to: FRON-TIER MIDWE$.Z HOMFG_
on the ezpress condition that all work sha II be done in accordance with all
apPlicable State of. (M?i?n?n?e,s?ot?a Statutes and pCiry of Eagan Ordinances.
6uilding Oificial
OFFICE l1SE ONLY
On Site Sewage _ Occupency
MWCC Sysiem X Zoning
On Site Well _ (Actuap Const
Ciry Weter X (Aliowable)
PRV Required u oi Srories
Booster Pump _ Length
Depth
S.F. Total
FootPrint S.F.
APPROVALS
Engr./ASSess._
Planner
CounCil
Bldg. Off.
variance
FEES
Permil
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3 M-1
R-1
V-AI
V-N
48'
37'
434.00
32.50
217.00
100.00
?
550.0
-S5Q.49
67_no
"i5 h0
20&.00
2,479.50
; SQUEST FOR EL?EC?TR?I CA? INSPECT?IONck ol vene. .oov. gYjE?f' ?Z
D 3UO-96 "X' Be7ow Woik Covered by 7his Request
Adtl NaD. Type ol BuilEing Aaolioncea Wired Epuiunient WireA
Home flanye Ternporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building tp- Dryer lectric Heatin
Commercial Bidy. Fumace Silo Unlonder
Industrial Bldg. Air Conditioner Buik Milk Tnnk
Farm
t r Sucaly ther Othcr
ompute lnspection Fee 8e/ow
p Fe ServiceEntrence5ize n Pee fenders/Subieaders N Fee Circuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 />m
Above 200 qinpy, 31 to 100 Amps 31 to 100 A s
Swinvning Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Boomis Partial-`Other Fee
Signs Sper.ial Inspection 4Z-
Remvrks
? , t e Eie '
InyGectoq Fe.aby
lily that the above
Final
inspection has bean
I010 w l? e rtade.
Thb rpuest vo1C
Thig lepuesl void / p ?s?
18 nwnths fmm jo r3 ?
D 3.3/, , 43/.?1',z.??,<,!' tA 1?
d 85??
nepueVt D;f1k, ' Fire Rouph-in Insuectian V
? Re orzed7 ?Reatly Nuw Will Notitv InsVec-
i ?Ves nNo ? When qeadv
Licensed Eleclricat Con[rac[or
? Owner I hereby request ins paction ol above
electrical work installed at:
Street Atltlress, B or Route No. Ciry
jerL
ecu." o.
Towns?ip Na a or No.
Rege No. 4
Co ty
OccuPant (PNIN 1
Phone Nn
.
/
r
Power Supulie Address
?L ?ci+ O
Elechic on I r muanY Nxme) Conhar.tor's License No.
Q?
Mailine , ress onvactor or Owner Mak- Installab 1
!+uthorized Signature Con actor n r Mrking Instnllation) Phone Number
T?? ?
MINNESOTq STATE 90ARO OP ELECTRIGITY
GriB9s-Midwav Bldg. - Room N-791
1821 Universi[v Ave.. St. Vaul, MN 55704
Phone (612) 642-0600
THIS INSPECTION REQUEST WILL NOT
BE ACCEPiED BY THE STATE BOAHD
UNLESS PflOPEfl INSPECTION FEE IS
ENCLOSED.
?.
. ,.
1988 BOILDING PERNIIT APPLICATION - CITY OF EAGAN
?
SINGLE FAMILY DWELLINGS q
INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNIT3 FOR SALE UNITS 0 OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITA HLDG. DEPT.0
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
43000
To Be Used For: NEW CONST . Valuation: ' f lVU • w-
Site Address 4080 PENNSYLVRNIA AVE'
Lot _3L Block ]
Parcel/Sub STAFFORD PI_ACE
Owner GOODREID. JAMES & WICK,
ROSEMARY
Address 5385 AUDOBON AVE
City/Zip Code INV_E_R_GR_OVE HEIGHTS
55075
Phone 457=6812
ContractorFRONTIER MIDWEST HDMES
Address 3902 CEDARVALE DRIVE
City/Zip Code EAGAN. !Ir.55122
Phone 454-0433
Arch./Engr. DICK CHARLIER
Address 14103 GARDENVIEW DRIVE
City/21p Code APPLE VALLEY 55124 ?
Phone # 432-5492
SEP 1 a 1980
Date: 9/14I88
OFFICE USE ONLY
On site sewage_ Occupancy R-3 M•/
MWCC system ? Zoning -?
On site well Actual Const I/hV
City water ? Allowable IfJd
PRV required _ ak of stories
Booster Pump ` Length y8
Depth 37„73
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit y? 9
Planner Surcharge 3 z Sa
Couneil Plan Review 212
Bldg. OPF. -?-l /17 SAC, City /oo
Variance SACo MWCC S SD
Water Conn 5'So
Water Meter (01)
Road Unit 3-a 5-
Treatment Pl 2oy
Parks
Copies
TOTAL ? Z 7 !
S0
)
g?2 k ?/g =? ? ?/J ob
?
? .
y '
r
q,.
1
,.
r ?
,
., . OaC ? z-n.LJ . .
• - E?T'c'?GR 'c`!Vc_?P? kVER:,Gc "U" LDMF?T:;+iOt{ Z'x(o "
OWi1cR GOODREID, JAMES & WICK, ROSEMARY
SSTE AODRESS 408(3 PENNSYL'VANIA AVE EAGAN
COHTRr1CTOR (2(ZpIJ??ep, dATe S 87 P1iDNE 454-0433
Deter.nine worlcing sruare footage of each.
l. Total exposed wa11 area ...... f SS72$ sq. ft. x .II
2. Total roof/czilir,g ar=_a .... $$O sq. ft. x
To'•.z7 exaosed wail arsa zbove rloar = I$5"t,7-5
a. Total wall window area ........................... tl3'
b. Total door area ................................. 39.Cs L
c. Total s7icina gizss dcor area .................... y:?.
d: Total fir2olace wa71 ar==........................ 4$
e. Total wa71 framing area (average l0q)...:....... . g
f. Total n_:.wa71 area above fioor .... 2.14to....... `
g. Total r;n -icist araa ........................... x 2g.5
Total exposed foundaticn are=_ = r<<1.25
h. Total founda=ion windQd ar=a.....................
i. Toa7 net faunda;icn area above orade ............ y,-i ?
Det=nine "U" value o-I eac-i wall sega:ent.
a. Il3 x Stull
h. •3?t.c?z X „U„ ?-7.g2
1
c. ya x ,.u„ 13.9
.?cS =
a. Lt8 x„u„ .? a 1 Z, zs
e. X rU"
r 1?3CO,y X uU,i .D34 = 9.yZ
,.
g. ? zs.5 gStull
}l. .Y °V° c
?
3 ..................... .................. 7otal
If item €3 is the szme as, or less than iten 11, you tuve met tf:e intent
of 58C 6006(c)2.
Total ezposed roorJceilina ar_e = $ so
Total oross rcof/caiiing are3 =
j. Total skyiight area .......................
k. Total rnof/ceiling framing area .............
z
1. Total net insulated roof/caiting area......: -74?
De*_e-mine °J° V2lt1° fcr each roOr/L°7l171? 52Gm°_:lt.
J•
x nUu
?C. p " Y. ftum
1. "11 2.. X "U"
4 ..................................Total
IF C0tdl CT 744 15 i.::E same d5, OT' l255 t1dT1 7-2, yDU have met the 111t°itt Or
Ssc coae(c)z.
To utiliz=_d the tntal envelope systyn method, the values.establisned by the
svm af ite^ts 13 and ;4 shall noi be gre=_ter than the svm of iteZS i1 and a2.
I .-ZD,a,
3. 1 (o?o.X-i (v
MeLF.? IALS
ax: e. ? ar Ai:
Sidiag Xaterial
Sheathing,Yt" T14+^wx
Insuletion
Sheetraek
Intericr 33a
Studs
Rs
COILC: BI]CS.
, z. zz.?? = aa?,?7 -.
+ a. 1 ta.? 1 = I063.1-1
Mierm. Besistamce "3„
?Z
N
, LS
1_, 87
1•g1
.? t1
? yT,,?,;?„ r• :?'?, .
? ? . .
r!? ifvw????
? - ' ?
? • ,?-
u-? -.
/
i?
• •?
I ..
: •
T°t3'- 'a? .-1(c
, U = ..031
1.
- 3.
4.
5.
b.
s.?aa c*r •ManE
I`te='_or a'= °j'z 0.68
1' P?1C?ID 11\ ILXV ° ?•a?
`g • LO t1G. B LJG4G_ I. l1 _
:s=-= _ a... =.•i-? 0.17
? ? ? `} = , l'^={
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rr
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? -? :. ' ? • ? r !rt ' " , ' ' .
sr r. ? ? .? ?•'.?. !I) ? ??? . . ,d' • ?' _
=
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• :..- •` `?l ' ?:G. 44
rfs ? 's• ' • o • 1 It
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'l..ri? ?3 - • ? ' . . • ru y Y.
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; " • ha . : ° L__ ?; --??=a:a^--e. '?"'va'_=e. 2e=?? a
pSar_?-•'`cc 1=3u1s'_=a• '
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ry?I
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c--.?=?= • _ _ _
• 3. ,??. '-=_5 SCc` ar.c: _ ' ?p?$?
5, 3101?! G •G?
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. 6. Xn- - a_ " - ' ' p•-%
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1. .,?.??= a_ `_?=, • 0. ?3 .
2. ?? C?'l?3?} •6?
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6.
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5.
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LN ?Qa?
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syZ
?e =-- z= `-'-'-= 0.17
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APFLIC%jATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
.
,
NOTE: PAIT7FNf OF FEE AT TIME OF
.
"
; nrri.xclaz«a ooes rpr car ;
? Sl'I1LTtE AYPROVAL 0£ PIItPIIT. .'?
i
INSPECTION OF SFFIIIt ADID/OR WA1Flt ?
:
t ItYSTALiATIONS WII.L M7P BE SCMOLm ?
w IRSl'IL PIIiMIT HAS BEFS] APPROVID.
dtV MOl4fMfili?lflk}4kWMkiRitflf?ii?4*M*?'?'
oF ecigcan
(PLEASE PRINT ,
1) PROPERTY ADDRFSS: 4080 PENNSYLVANIA AVE EAGAN
7FY;AT DESCRIP'PION; -OT
7 7 6BLOCK 1-STAFFORD PLACE Lot B oc Subdivision or Tax Parcel ID
IF EXISTING STRUCT[]RE, DATE OF ORIGINAL BUILDING P,.RMIT ISSUANCE: N/A
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q COPM'IEE2CIAL/REPAIL/OFFICE
Q INDCSTRIAL
Q INSTITUTIONAL/GOVERNAIENT
17X R-1 SINGLE FAMILY
E=1 R-2 DCPLEX (3two Cnits)
R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINILM ( L'nits)
2) NAME: FRONTTER_MIDWEST HOMES CORP.
ADDRESS: 3902 CEDARVALE DRIVE
CITY, STATE, ZIP: EAGAN MN 55122 4r
PHONE: 454-0433
For City Lse
3) NAME= STAR PLUMBING Plumbers License:
ADDRESS: I_Q18 MOUND SPRINGS TERRACE - Actired
CITY, STATE, ZIP: _?OOMTN6TON. MN. 55420 I ?A Not recorded
PHONE: 884-4149 MASTER LICENSE # 3329 Sta Imtia
4) ? " • ?•
NAME: GOODREID. JAMES & WICK, ROSEMARY
ADDRESS: 5385 AWDOBON AVE
CITY, STATE, ZIP: INVER GROVEI HEIGHTS 55075
PHONE: 457-6812
5)
a CONNBCTION TO CITY SEWEE2 f-X-? CONNECTION TO CITY WATER a 0'IHER
6)
9/14/88
**+?*?*+*«,r**?****:?*k************?*:r**********?*************??*****************?****??x**.?***+*+**?
*
* THE GOID COPY OF TM PEEtNIIT WILL BE SEPTP DIRECIZ,Y 'PD PCBLIC WURKS TO FACILITATE MEPER PICR-LTP. #
,*t PLEASE AIJAW RWO WORKING DAYS FY)R PROCFSSING. SOPg]ONE FROM TfIS CITY WILL CONPALT YOU ZF 7YYIERE y'
* ARE ANY PROBLEMS. +
FOR CITY USE ONLY
PERMIT #. ISSUED
I 99 ,,? o i
Pd w/Bldg. Permit
$ $
S ?/? -•?Z' c
FEES:
SEWER PERMIT (INCLL'DE SURCHARGE)
WATER PERMITI(INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCODNT DEPOSIT - SEWER
$ /S 'o- z- $ ACCOUNT DEPOSIT - WATER
$ J S(o-t $ WAC
$ $ SAC I
$ $ TR[!NK WATER ASSESSMENT
$ $ TR[!NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL7NK WATER
$ $
WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL I
RECEIPT RECEIPT
DOES LTILITY CONNE CTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORKIWITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
IS ISSUED BY THE ENGINEERING
. L
T AS A CONDITION.p
SUBJECT TO THE FOLLOWING CONDITIONS: i
APPROVED BY: ?! c t-? e, /?_?-t•-v/ ,?,,. I
TITLE:
6
DATE : "p/
surrelloris Certificate
SURVEY FOR:
DESCR18E0 AS:
Prontier hiiclwest hlomes Corn.
Lot 36, Block ]., 57'AI'r00 P1ACE, City of Eagan, Uakota Cotuity,
hlinnesota anJ reservina. easements of record.
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? E 173.08
N BrO? 30
I ?5 22.33
._.> ?
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PRUPOSED ELEVAtIONS
tep of Foundation . 401.2
OoraQaFloor . 906•8
.Bosement Floor : 404,Q
ApproR. Sewer Servlce Elev. . A 94. 1`-
ProDosed Elavollons I O
Exntlnp Elavotlom .
Dralnopa Olractlone ?....,.?.
Denotae Of/set Slaka ? U
?
SCALE: t Ineh e 30 Fast
???R (I D? ?
llat'
E&GAN ENGIIVE 1?C • D?
BENCN?MARK, T,rJCtF.NqhRdr1'
? lo-t lIti1E:5 35 436 8?k I
PEuasrwa+0. aqe. Mrmq06,9z
MIN. SETBqCK REOIREMEN?S
Fronf - 30 Howa Side - 10
Reer - %S RaropoSldo- 5
I Mtely e•rnrr tnar thts w.wr. Clan a r*pert wao Pr•oer•e ey me JOB NO.:
/?IEDLUND er unAV my Alreel suporHlon anA Ihot i am a tlulY ReOistere4 $6Q-4?8
l.and 8urnya under IM lerr ef tM 81aN sf Mlnnneta,
BOOK:
Plannirrp ErrgineerJng Surveylrrg
qo1[M?b'aAnO?MM?1?Ta vme?p`?.eene U 9• It ??a D. ? PA(iE:
C01?:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117875
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 4080 Pennsylvania Ave
Lot:36 Block: 1 Addition: Stafford Place
PID:10-72500-01-360
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew J Geffre
4080 Pennsylvania Ave
Eagan MN 55123
Elite Remodeling Services Inc
18061 Pilot Knob Rd
Farmington MN 55024
(612) 282-8108
Applicant/Permitee: Signature Issued By: Signature
•
� ' Use BLUE or BLACK Ink
. r---------
-------�
' I For Office Use
• � �3 ) 1��1 �
Clt of Ea a�. i Permit#: �� ;
� .
�
� � Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: ��'����� �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
-------------- V�
�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION � �,��
Date: `` �� �'��� Site Address: '7 L� S� ��r!n S y C ✓�c �a,'� /^{- �9 Q Unit#: r►'"�
�. ��
� Name: 1-a. '�-t CT e T T Y'e Phone: (o�l-� $' 3 �' ��
��� � , �.-� � �G�`� .5�/'� �
t� Address/City/Zip: �L3 �� ��n S � (.r� i��
n, �. �
�*
� � �` Applicant is: ;,.� Owner Contractor �`-
���..
x� �.;
� � ; ��� z , 1
�� �� � tr � ` Description of work: F'' �� � � C i �1 4 �X r 5 �`�v� c� G�� � S G vr7 C �5 ��z �
�`� ��!�#��
� ' �' Construction Cost: � � d v Multi-Family Building:(Yes /No��)
� ,
��w� �� ��
�������
y Company: Contact:
�
� Address: City:
�� � ����� :
�� ���` � State: Zip: Phone: Email:
,��.
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
# I��TE:;�l�ns and s� +�,`r�a�t�c�cuments#ha� `' X subm�t are�+�o�{ �nublr�. ,: # ��� �..
#he infar��tibri m,���e cla����s r��w yo�#t� }� �. ��a#�+vQt+si'd��'tit�`he;�i#y tci
���` � ��`��'� Cfl� #'J� �i ��� ��
w v �.�
w� ��*`� ��r
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 State Building Code must be completed within 180
days of permit issuance.
X P o�-�-i (� ��f're- X ���ti � '
Applicant's Printed Name Applicant's Signatu
Page 1 of 3
DO NOT WRITE BELOW THIS LINE � / J �
SUBTYPES �� en� 5'•�' ��'4tr,r� �✓�' '
_ Foundation _ Fireplace _ Porch(3-Season) ',Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) Exterior Alteration(Multi)
_ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _'Miscellarlequs
_ 01 of_Plex _ Lower Level _ Pool _ Accessoty�uilding
WORK TYPES
� New _ Interior Improvement _ Siding _ Demolish�'uilding*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retalning W811 *Demolition of entire building-give PCA handout to applicant
DESCRIPTION '�
Valuation '� �O y o. � Occupancy -�1�C-� MCES System
Plan Review Code Edition 'W►✓�2.Q)� SAC Units
(25%_100%�) Zoning '�, — ) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length J� _ Fire Suppression Required
Type of Construction � Width � 3 '
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�r Gas Line Air Test
Roof:_Ice &Water _Fina� 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 Wa1L• _Footings�Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In�Final
Braced Walls Erosion Control �I
Other:
Reviewed By: �� � � • l�-��/fr` , Building Inspector i
RESIDENTIAL FEES '
Base Fee � QZ 59. I�T � 2� .e o
Surcharge ,
Plan Review ' I�
MCES SAC ', I
City SAC
Utility Connection Charge
S&W Permit 8�Surcharge ,
Treatment Plant ' '
Copies '
TOTAL '
Page 2 of 3
�
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� � . .
sut�v� or � er�`� tcaC�
�
e
SURVEY FOR: Frontier r.i�ciwest Ilomes Corn.
DESCRIBED AS: Lot 3G, Block ]., STEI.�POP.D PI.�10E, City of Fagan, Uakota Cotanty,
"-iinnesota and reservinC easements of record.
,�
F�E'�'��� � ��:��
B„• � .��_
.
Date: � `����-_ ��L
Eagan B�e�ding ������ � ����s Divisi�a:� ,
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2 5 3-t,33
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. o $ I
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BENCNMARK� T,t�l Q F,N�IDttpat�
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140241
Date Issued:12/05/2016
Permit Category:ePermit
Site Address: 4080 Pennsylvania Ave
Lot:36 Block: 1 Addition: Stafford Place
PID:10-72500-01-360
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Patti A Geffre
4080 Pennsylvania Ave
Eagan MN 55123
(651) 493-3524
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147960
Date Issued:02/26/2018
Permit Category:ePermit
Site Address: 4080 Pennsylvania Ave
Lot:36 Block: 1 Addition: Stafford Place
PID:10-72500-01-360
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Birendra Yadav
4080 Pennsylvania Ave
Eagan MN 55123
(651) 206-6144
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165559
Date Issued:11/05/2020
Permit Category:ePermit
Site Address: 4080 Pennsylvania Ave
Lot:36 Block: 1 Addition: Stafford Place
PID:10-72500-01-360
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Venting bath fan
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Birendra & Sabita Yadav
4080 Pennsylvania Ave
Eagan MN 55123
(651) 206-6144
Franek Construction Inc
11550 Halstad Ave
Lonsdale MN 55046
(612) 232-9294
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165625
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 4080 Pennsylvania Ave
Lot:36 Block: 1 Addition: Stafford Place
PID:10-72500-01-360
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Birendra & Sabita Yadav
4080 Pennsylvania Ave
Eagan MN 55123
Centraire Heating & Air Conditioning
6811 Washington Ave S
Minneapolis MN 55439
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166199
Date Issued:12/18/2020
Permit Category:ePermit
Site Address: 4080 Pennsylvania Ave
Lot:36 Block: 1 Addition: Stafford Place
PID:10-72500-01-360
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Birendra & Sabita Yadav
4080 Pennsylvania Ave
Eagan MN 55123
(651) 206-6144
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature