4081 Pennsylvania Ave? CASH REA11# ?
.
- .?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
Dnre
nMOUnrr s ? ?"G ? G,
? '
ooLu,Rs
,?
? CASH Cl CHECK
C WNIa-P
eYers rAPY
YeUoM.-Posdng Copy
Pink-Ffle Copy
Thank You
BY ?` ? -
?.
BLDG. PERMIT NO.
' J l I ?
01-3210 Bldg. Permit
01-3422 Pian Check - ?
01-3445 Surch./Adm. 1{ ?
01-3446 SAC/Adm. + -
01-2155 Surcharge
7?r:960
1 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
. 20-2252 Acct. Dep.
20-3713 Water Permit
• 20-3743 Sewer Permit -
79-3866 Sewer Conn.
28-3855 Park Ded.
C) ? 'J-L?? _. "J L. .
TOTAL
DATE: U0Tg9
RE; 4081 PSHNSYLVANIA AYENUE, L27, 113, STAFFORD PLACE
--(X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above properly cannot be completed for the following
reasons:
j Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be Issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, OAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMEN'F FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 5/17/89
RE: 4081 PBNNSYLYANIA AVENIIE. L27, 113, STAFFORD PLACE
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be compteted for the following
T reasons:
.-? Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed unttl further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT OEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
" ? . t 1-1?w?T'?.1'i?lp'`1"JF[?i??rR'??s . . .. .T. r...- . _ T.? .. y .
CITY OF EAGAN
3830 Pitot Knob Ruad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Dp,CK Est. Value $1,000 Date MAY G , 19_9.1
Site Address &oai PgN1?t5YL_VARi• AV _
Lot _27 Block _A. SeclSub. !q''A?1Qn p?_ar_R OFFIC E USE ONLY
Parcel No. occuQancy -162 FEES
zoning -
W Name .t(1R_$A?AG81? (Actual) Const Bldg
Permit 2S
00
Address k[11t1 D?R?[f!lRYI.V?Mi? AN? _
(Allowable) - . ,.
0 Surchar e
g -?
City FA? Phone 6$7-OT3(i.- # ot scories -
view
Plan R
Length e
o Name oePm ?4• sac
ci
t ,
ry
U Address S.F. rocai
¢ City PhOn@ S.F. Footprinls _ SAC, MCWCC
W
C
On Site Sewage ater
onn
Name or, site weii
fiE - Water nnecer
j Address MwCC System
Deposit
Accl
City Phone City Water _ •
PRV Required _ S!W Permil
I hereby acknowlege Ihat I have read this application and slate that the eooster Pump - SnN Surcharge
information is correct and agree to comply with atl applicable State of
Minnesota Statutes an
Cityof
an Ordj+}ances. Treatment PI
4
Signature of Permitee APPROV ALS
Road Unit
A Building Permit is issS"Alralltud
?a""ef -
Park Ded.
on the express condition tHat all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pry. _ Copies
Building OffiCial ` ' Variance - TOTAL 2s* 50
Permit No. Permit Fblder Date TelephOne #
WATER
SEINER
PLUMBWG
H.V.A.C.
ELECTRIC
Inspettion DatE Insp. CommeMs
Faotings I
Foundation
Framing
Roofing
Fiough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Final
Dedc Ft9• lO? 9.L ?
Dedc Final ? ltell
Well
Pr. Disp.
t , • - -1,.0
BUILDING PERMIT
To be used for i-
Est. Value ?74,000
Site Address t'C51 ?
Lot ` Block j
Parcel Na ¢
W
3
O
vd City Phone
f-
W W Name
?
OR ; Address
c W City Phone
I hereby ackrrowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
U?qnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Bjilding Permit is issued to: M-4"TTER MYL'3WL?u7
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
?
CITY OF EAGAN ??.
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE:454-8100 . , '
Receipf # -
OFFICE USE ONLY
Occupancy `- 3 B-1 FEES
zoning -1--i
(Actual) Const Bldg. Parmit = • ?
(Nlowablel Il
`Cr
..
Surcharge
# of Stories
Length
40'
Plan Review 2 `-' i• --
Depth 51, SAC, City 1 ?:
S.F. Total - SAC, MCWCC 5 7 5. (-'L
S.F. Footprints -
5?4 • t?'fl
On Site Sewage _ Water Conn
On Site Well Water Meter y?-' •?
MWCC System XX .,Jo
Ciry Water 7Lx Acct. Deposit
PRV Required - SNV Perrnit 2U.00
Booster Pump - SNV Surcharge 1•00
228' ``'
Treatment PI
APPROVALS Road Unit 340.00
Planner - park Ded.
Council -
BIdg.Ofi. _ Copies
Variance - TOTAL _
- Permit No. Permft Holder Date Telephone #
WATER C??`"•? ? ,?CJ?L'2 , ?/ 7 8?
SE{lVER
PLUMBNVG ? +S• ???
H.V.A.C.
ELECTRIC ov
Inspettion Date In . Commenls
Footings I S 7 ?
Foundation Aw2
Framing
Rooling
Rough Plbg.
Rough Hlg.
Isul.
Freplace
Final Htg. ? -
Fnal Plbg. ^6' ?
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPfan
Bldg. Final
Deck Ftg.
Deck Final
Well J'
Pr. Disp.
PERMIT #
MECHANICAL PERMIT
' RECEIPT #
CITYOFEAGAN
,???' ???;?!?y
$1700. 00 3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 4061 e'-m8 0an $v8 • BLDG. TYPE WORK DESCRIPTION
Lot 27 Block 3 Sec/Subst afford
Res. xx New X=
Mult Add-on
°-' Name WENZE
1955 L AF-ATING b A C
Shawnee Raod Comm. Repair
c Cd?ressgA$an ph
452-2 665
Other
- one
FEES
Name
3908
Sibl
M
i
l H
w RES. HVAC 0-100 M BTU -$24.00
c Address e
emor
a y. ADDITIONAL 50 M BTU - 6.00
0 City Eagan Phone 454-0 633 (RES. HVAC INCLUDES A1C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1
50 EA
,
.
TYPE OF WORI( COMM/INO FEE - 1% OF CONTRACT FEE
Forced Air 80.000 M BTU 24.00 APT. BLDGS. - COMM. RATE APPLIES
il TOWNNOUSE & CONDOS - RES. RATE APPLIES
Bo
er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
AirCond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00
Vent CFM ?, S? STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYONO $1,000)
Other $
FEE: 25.50
4
•
.
? YSL' '1' K ? J IN •
:
. gU
S/C: 51GNATURE OF PERMI EE
$26•00
TOTAL•
FOR: CITY OF EAGAN
• PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address -'?'rj ` 'LL4
Lot- ?2 ?2 Block '?7 -;? ' ?j Sec/Sub
m Nan
m Add
c City
Name _
3 Address
O CitY _-:=1
FEES
COMM/IND FEE - 1°i6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
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
BEYOND $1,000.00)
r ? J ! .'?'1 • ' ?4? U
SIGMATURE OF PERMITTEE'
FOR_ CITY OF EAGAN
PERMIT # /r] 5' S *7
RECEIPT
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. (L New 1-'
Mult. Add-on
Comm. Repair
Other
RES. PIBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES TOTAL
? Water Closet -$3.00 ? 3• 7? Bath Tubs -$3.00 3• d U
Lavatory - $3.00
Shower - $3.00
?Kitchen Sink - $3.00 ? ? ?
U- $3.00
Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50
Whirlpool - $3 00
_7-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_?L_Rough Openings - $1.50 y FEE: _:Q5?•
STATE S/C:
GRAND TOTAL• Z?
y ?
•=
fgtr#ifiratt of Orrupanry
Citp of Cagan
appal'ftllPitf of 3liaing jmwPtt1D1t
Thrs CeNificate issued pursuant to the requirements ojSection 306 of t!?e Uniform Building
Code certijying that at the time of issuance this structure was in compliance with the various
ordinances ojthe Crty regulating building construction or use. For the following.•
_ vse clwiFaLtion SF M"R Bldg. Rrmit No. 16007
- o-„P.,cy rya R3/M1 zonin8 nistria Rl Tpx cong. VN
Owner of Bw7ding FFOVTM P'IIIX-M W49S 3902 aMARVATE IIR, EMAN
4061 -MDWYLVANIA AVMZ I.27, B3. STAFF= Pi,ACE
` ? • oa?: _ _,IULY 12. 1989
? POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CtTY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE i/ 17 / r" .
WATER PERMIT # 1044 ? SEWER PERMR #
METER # B.P. RECEIPT # `° 2 006
READER # B.P. RECEIPT DATE 5I 17/ Ko)
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS ;ni.a AvQ -= aqar, 1^1 55122
LOT %' BLOCK SEClSUB ! affQt'r1 PIArn
r: ?-,=er M-idwe u.,,.,s ?ro
'? ??:; 11 c?4--2,
E ZIP
PERMtT REQUESTED
i
!? SEWER _?AWATER ?. TAPS
/
- COMM/IND L RESIDENTIAL
-ALNEW - EXISTING
IESS: 101$ 14gl-n' C?i{?o TeY'r I AGREE TO COMPLY WITH CITY OF
STATE $lpp(pi+i-tot1, MN ZIp =?j1?n EAGANORDINANCES:
IE: '':J-G149 ?
=R : -lleiM' -Pi-i-!l?e i-dS E ; ,. a ? p; p
IESS: 1_5,5; Clz ff Ud. SIGNATURE WHEN METER ISSUED
STATE : .9 j=. , ?--r-;r?sa? ZIP
IE:
ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
:RING DEPT.
3 -;?•?,?.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE 5/17/F?,
WATER PERMiT # 3`• 4 4 -' SEWER PERMIT #
METER #.Va (47d 67S B.P. RECEIPT # ? 2006
# 03?9,?T B.P. RECEIPT DATE 5? 1J /8y
METER SIZE p
ISSUE DATE - - PRV _ BOOSTER PUMP
SITE ADDRESS n:
LOT 27BLOCK SEC/SUB ff
APPLICANT: F-Qnt.?+' E.?,? "",?5? u,,,,,,, r-,r.,
ADDti?ESS: 34d: ?edavl???. :A.-An !nn; SE» -1
crr,r, STATE rWil 5:?1a1 zIP
PHONE: 154-0122
PLUMBER: z,3p n 1..Tb+ ",q
ADDRESS: 'wiSK 149iji1d spr}n$s i-a
CITY,STAI?piigENlliAgtAn, MN ZIP S?n
PHONE: 3.91'.-ll 1l?3
OWNER: i
ADDRESS: + ?- ;S
? c? ? f #' ?? ? . P.
CITY. STATE L,,`? ZIP
PHONE: _ L.54 _.5r::
PERMIT REQUESTED
!? SEWER ' WATER
TAPS
?
- COMM/IND t' RESIDENTU?L
?L NEW _ EXISTING
I AGREE TO C0IAPLY WRFI CITY OF
EAGAN ORDINANCES:
/ --?
SIG Tll,? ISSUED
?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORY SEWER PERIAITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN N? 16307
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE:454-8100 ?? -
BUILDING PERMIT Receipt # ? ?
Tobeusedfor SF DWG/GAR Estvalue $74,000 Date -MaY 17 , 1989
Site Address 4081 PENNSYLVANIA AVE
Lot 27 Block 3 Sec/Sub. STAFFORD PLACE
Parcel No.
w Name FRONTIER MIDWEST HOMES
Address 3902 CEDARVALE DR
o City EAGAN Phone 454-0433
F Name SAME
f
g¢ Address
? City Phone
Name
101
Address
City PhOne
I hereby acknowlege that I have read this applicalion and state that the
inlormation is correct and agree to comply with all applable State of
Minnesola Statutes and City of Eaq Or inanc
Siqnamre of Permi[ee
A Building Permit is issued to: FRON1'IgR MIDWF.ST HOMRS
on the ezpress condition that all work shall be done in accordance with all
applicable Slate of Minnesota StaWtes and City of Eagan Ordinances.
Building Official
OPFICE USE ONLY
Occupancy R-3_M-1
Zoning R-1
(ACtual) Const -Y--.'1 Bldg. Permii
(Nlowa6le) V-N
Surcharge
8 of Slories
tengih 40'
Depth 51 '
S.F. Tocal -
S.F. Footprints -
On Site Sewage -
On Site Well -
MWCCSystem Xx
Cily Water xx
PRV Required -
Booster Pump -
APPROVALS
Planner -
Council -
Bldg. Off. -
Variance -
Plan Review
FEES
522.00
37.00
261.00
SAC,City 100.00
SAC,MCWCC 575.00
Watar Conn 580.00
water Meter 90.00
Acct. Deposit 30.00
SIWPermit 20•00
S/W Surcharge 1 . 00
7reatment PI 228.00
Road linil 340_ nn
Park Ded.
Copies
TOTAL Z ,Z H4-O(1'_
l
BUILDING PERMIT
To be used tor ?ECK
CITY OF EAGAN N2 19035
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?? I ? ? ??
Receipt #
Est. Value $1,000 Date MA1t 9 , 1g_9-1-
Site Address 4081 PENNSYLVANIA AVE
Lol 27 Block 3 SeGSub. STAFFORD PLACE OFFICE USE ONLY
Pero61 N0. Oaupancy M-2 FEES
Zoning _
W Name JOE SARAGENO (ACtual) Const Permit 25. 00
Bldq
- .
Address 4081 PENNSYLVANIA AVE (Allowahle) - SO
0 City EAGAN Phone 687-9730 +roistodes Sumharge •
121 Plan Review
Length
o Name SAME oePm 14' snc
c
f ,
ry
$? Address S.F.Total -
City Phone
S.F. Footprinls
- SAC,MCWCC
W
C
On Sile Sewage - ater
onn
?
w W
Name
On Site Well
ii
Addr9SS
MWCCSystem - Water Meter
Acct
Deposit
aw
City PhonO
Ciy Water
_
.
PRVRequirad _ S/WPermil
I hereby acknovAege thal I have read this applicaiion and slate thai the Booster Pump - SNJ Surcharga
iniormation is correct antl agree to compl with all applicable Slate of
Minnesota Statutes and City o gan Or ances. Treatment PI
Signature ol Permitee 4 APPROVALS Road Unit
A Building Permit is issued o: JO S Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council _.
applicable State of Minnesota Statutes and City of Eagan Ortlinances. gidg. 0ff. _ Copies
8uildingOfficialRiv4???? 1 0 Variance - TOTAL 25.50
?all4lff 9
P 25232
REQUEST FOR ELECTRICAL INSPECTION
? See inslriL^tlplis fOr Alnpleling Mis form on back of yBllow copy.
'X" Below Work Covered by This Request
' EB-0OWbO7
.. 9,6? -?)33
e A d Rep. " Typeofeuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olfier (specity) Contracm.5 Remarks:
Compute Mspection Fee Below:
# Other Fee # ServiceEnirance5ize Fee # Circuits/Feeders Fe
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps AbovE-100-Amps
Slgns Inspxlor9 U. OnN: TOTAL
Ircigation Booms ?/?
?
Special Inspection
Alarm/Communication
O[her Fee P '
I, the Electrical Inspector, here6y
it
M
i Rough-in 5
y
at the above
nspedion has
cert
been made. Finel Da?e '
OFFICE USE ONLV ' 1..
This repuest witl 18 monRis fmm ??
/
/
l?
2
5 2 3 2?.?rl
Request Date Fire No.
? Rough-in Inapedion
d
Re ired? ? Reatly Now iN
Jil? Notity Inspec[or
es ? No ?? ?M1'hen Ready7
I?licensed cnntractor ? owner hereby request inspection of above electrical work at:
Job Atltlrass (Street, B r Route No.) Ciry
f /
d
41
Section No. Tow?hip Name or No. Range No. Couny
Occupanl(P NTJ prypn¢ No.
Power uppr Address
? ? rhsA
Electrical Co rador (C Name) - Cqritraclor5 License No.
Mailing A rese (
?.r Owne Ma king Isla tion)
[
k
HuthorizBtl alorlOwner Makmg Instellatbn) Phone Numher
` 0 3
MINNESOTA STAiE 60AHD OF ElEC7FICRY THIS INSPECTION REQUEST WILL NOT
6rlggs-1111litlway Bltlg. - poom S-173 BE ACCEPiEO BYiHE STATE BOARD
1821 Universly Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 8494epp ENClA5E0.
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
NewConsWctionReauirements RemodellReoairReauiremenis OHiceUseOnlv
3 registered siGa surveys showing sq. ft of bt, sq. R of house; and all raofed areas 2 oopies of plan CeA of Survey Recd
(20% maximum lot coverqqe allowed) 1 set of Energy Calculations tor heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sfzes; poured faund design, etc. 7 stte survey for additions 8 decks Tree Pres Not Reqd
i5etofEnergyCalculations Addi6on-indicafeHOn-sifesepficsystem _OnsiteSepficSystem
3 copies o( Tree PreservaGon PWn'rf lot pleped after 711193
Rim Jaist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost !.SOD ?
Site Address ; UniUSte #
M
Description of Work ?yr??= `? lbedreniY? • ? ?o wtv je?4d
Property Owner Vj ? [ O Telephone # (6s/ A.
I
a
contractor r
rAc
-o
A
?
y
Address DO
n_.'
City or*rq !f
State Zip s,s/13 Telephone #
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesob Rules 7670 Cateeorv 1
• Residential VenUlation Category I Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone # (
Telephone # ( )
_. n 1 r 1?
Telephone #
L
I hereby apply for a Residential Building Pernut and acknowledge that the information is complete_ and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
in t
he case of w rk hich requires a review and
permit; that the work will be in accordance with the approiz
approval of plans.
" yhc.•D L?? /
ApplicanYs Printed Name Applic Ys Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 QS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Yor.X N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (EMire Bldg) - Give PCA handout to applicant
Valuation ? Occupancy /? -3 MC/ES System ?
Census Code 32 Zoning R' I City Water
SAC Units ' Stories '- Booster Pump , -
Nbr. of Units -' Sq. Ft. - PRV
Nbr. of Bldgs - Length "- Fire Sprinklered " -
Type of Const
??l
Width -
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile py}ler
Roof _ Ice & Water Final Pool Ftgs Au/Gas Tests Final
? Framing Siding Stucco Stone
Fireplace R.I. Air Test _
Final Windows (new/replacement)
? Insulation _ Retaining Wall ?
C /7? i
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
U
Approved By
. .?-?
Building Inspector
?Y
1989 B[JILDING P&AMIT APPLICATZON - CITY OF EAGAN
SINGLE FAMILY DWELLINGS i G'3 0 1 ,
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
ATOTEs ADDBESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MU3T DS3IGNATE WHICH ADDRSSS
IS DF.SIRED. NO CHANGFS iIILL BE ALLOiiED ONCE HIIILDING PERMIT I3 I380ED.
MOLTIPI:E DWELLINGS HBNTAL DAITS FOH SALE UNITS # OF D8IT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF Si1RVEY - CHF.CB WITH SLDG. DEPT.p 1 SET OF ENERGY
CALCULATIONS
C0M4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS-
'
S iQa9
ApR 1
To Be IIsed For: nPW rnncrtiirtinn Valuation: Date: 4-13-89
Site 9ddress 4081 Pennsylvania Ave. OFFICE 03E ONLY
f?'L
/T)?r
Lot 27 Bloek 3 Oecupaney FI-3 M')
- FE.9
Zoning
-?
Pareel/Sub StaffoY'd Place Actual Const V-N Bldg. Permit SZ2.00
Allowable V-N Surcharge
o
9,0
Owner NlCkolds E. /Susan P. Heln U of stories Plan Review 261.00
Length D SAC, City 100. oto
Address 1565 Cliff Rd. #3186 Depth 51' SACt MWCC Sr) S,oO
S.F. Total Water Conn $ QO0
City/Zip Code Eagan, MN 55122 Footprint S.F. Water Meter q O,oo
-
Acet. Deposit 3aI o
o
454-5040
Phone Dn site sewage_ S/W Permit ZO-oo
On site well S/W Sureharge I,oa
Contractor Frontier Midwest Homes Corp. MWCC System ? Trestment P1. ZZS.oD
City
?
a t O. oa
3902 Cedarvale Dr.
Address uired
_
PRVreq Park Ded
Booster Pump Copies
City/Zip Code Eagan, MN 55122 _ TpTAt,
Phone 454-0433
Arch./Engr.Dick Charlier
Address 14103 Gardenview Dr.
City/zip Code Apple Valley, MN 55124
Phone S 432-5492
APPROVALS
Planner
B gci0ff.
Varianee
Couneil
t
GoNcorzD" Nlaae?
NOTEs Serrer & Water Permit fees and aceount deposit fees will be inoluded in the building
permit fee. Processing time for seaer and vater permits ia two daqs once a licensed
plumber has applied for a permit at City Ball.
,
r
V AL.u o nJ
------------
3r? ai2A" IE?PV%6wu
3x2?x 15= 9ot?
? ? s e
_ ?
'Hedlund Engineering
Land Survlyon avu enain••n
Services
LenO Plonners
9201 Eac191oominqtonFraewoy
Bbominqtm, Minrrsmo 55420
Phone: 898-0289
A ' sr(?vea/or`S &#j1jate
J _ BOOK _ PAGE _
_ JOB NO. 899"05
SURVEY FOR: Frontier Pdidwest Homes Corporation
OESCRIBEO AS: Lot 21, Block 3, STAFFOF.D PLACE, City of Eagan, Dakota County
- i,4innesota and reserving easements of record.
?
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?
0
°1
? 1Z
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l
TOP OF FOUNDATION = 9o-1•5
GARAGE FLOOR = gOZ•I
BASEMENT FLOOR = 104•S
SEWER SERVICE ELEV. = 895.b_
PROPOSED ELEVATIONS :
EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS :?-
??'? DEYOTES LOT CORNERS : o
iI? DENOTES OFFSET STAKE: ?
B.M. Top N..? uyd, C?. La4- L, e
?
}'_r ? 3S2.3t. ? d?.? I E1?.?. = 9ob.a1,
< _??,?.,? ?` ,.'___.......,,7 /?'°??? . .C ._a ? 25
C-1-i ??--, .?
,?,;??_ri;.????=r ? I rn
Ns9'39, yv
? 145.93
L17
5 ? - - - - ? - - - -
r? I
i
1 I
u ? 26.3 ?
10d8
??
J, O lJt I
W P.oposed
+
,
,
-
I
? ,
g ?
}
E?
' I 5G
- ? 21.. 13
? L - - -?- -
?0
44
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v
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C?
2
10
Zi
(j)I
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?
D
(n I `aq, C
% ` I s - - - - ? -- L- I
`'' aoa ?Y86°30'E 145•00
25
CERTIFICATE OF SURVEY 51
I hereby cortify that this survey,plon or report was prepared by me or under my diracf
suparvision and that I om a duly Reyisfered Land Surveror undet fhe laws of ths
State at Minnesota. ,
T-) Date: 4/ 5 / Hn
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No.14376
EXTER?OR cNVELQPE A4ERAGE "U" CUN?P;ilnliurv
ow?NER;?,?NIt,?0IA5 ? 5?5ak _ nnTr:_ 5-?i-ss
ct iE qrDRE55: ?n41 ?Jnn4. ?VQhIG ? . PHONE: 454-0433 - FRONTIER
CON7 R:,C?OR: Fe7r11"1-2 ?I^r-?-5 • PI-AN 7rlc:0 11 D A
2x6 STfTDS
Determine working square foota9e of each
1. Total exposedwal7 area..... 1 D,4 sq. ft. x .ii = 1 83 14
2_ Total roof/ceiling zrea..... i oAp sq. ft. x .026 = 2'7.Oq
Total exposed wall area above. floor=_"23Z3
......... !3A
a .
Total wall window area ...................... ........... . 7
.
b. ... .....
Total door area ....... ............... ........... ..........
......... 3
c. Total sliding gl-oss door area ............... ........... .
d Total `ireplace wall area ...................
area (average 101A) ......
i ...........
............ ........
..........'
. 2 2.3 3
e. n9
Total wall fram ... ........:. i31.83
;. Total rim joist area .......................
-
..
.......
2 oi ?
y. loor. . ... . . . . . ... . .
net wall area a5ove r :........... ..........
-
h. wall area above fioor ............... ............ .......... _
i. wal] area a6ove `loor ............... ............ .......... -
j. irame wall area a-; =oLneat_o.^ .............. ............ ..........
Total 2xpcsed foundation area= 1:; 1.°;5
w area
d
.
i ..........
`?•
....
........
n
o
!c. Total roundation w
rea
i above grade .:........ .... Ia1.33
1. Total net on a
foundzt
Determine "u " value of each wall segment
(e_g, window, door, eac h separate wail section)
X. ??Ul. ?.?3 :?
a.
b 3? XLIUII 3i = 11 78
. ,
=' a X lull
c.
d.
? X ltul.
.
e 33
27 X'lu„ , I? = 9,4Lo
. .
f. 131 .3a x "U" , 04 = 5,2"i
9
• ? ? i
-
X ?lu„
, 05
= 1?. 05
h. - X [lull
x „u„ _ _ -
- ?.
_
x „u„
_
__-
r.. - X „U.,
_---
? X uUu ? I ?. ^I ?O
Tr" item ?3 is the sa
as, or less thzn itf
nl, you have met thE
intent of SBC 6006 :
3 . .................................Total = 17_ L,8 8
? _ ..,....,._,?r.._.-..,.-...,y..=.. _... .
r' ?otal atinosed roof/ceiling area =. I (07144 O
n_ To:a1 skylisht arez ............................ ?
n. Totzl roo`/ce; 1; 17q i•-ami'1g area (avcragc 10't) :„ . I 14 .
o. Total net i^sulatcd roof/ceiling area......... • ?Ja,!. .
Determii:e "U" value Por each roof/ceiliny sey^nent
m. g IIUU a"U" 2, S :
o. '-l3v X IIUI?
.:
• . .
-:... ,: .
<..... ...................... 7.bta1 = ZI ?_ . .... ..
._ to=a1 c: 04 is the sane as, or less than 12, you have met the inte.^.L- of _
59C 50D5 ;C) 1. , Alternate Building Envelope Design
?utilize ;he total envelope 'system method, the values estahlished by the s-,mi of '
itens :3 azd #4 shall not be greater than the sum of items $1 and n2. ,
1. l 88 l4 + 2_ 0-4
s. 121<'. ?9? t 4.
. .
PLAN $GONC02p ,c}
* LSNf'AL FEET EXI''OS?j'rJ WALL
BLbCx: -1-D ?25,3>1 -1p.5-t 2l0= 131.83
25.33+qa-r2L, _ -11.33
W.O.: _
FULL 1: A O
fiJLL 2: 1 .
FIREPIACE: _
RIE: 131,63
= SQUARE FEET EXPOSED WALL AREA
BLOCK: •33 x .5 = 6?5.ll2
MdEEE: C1.33 x 5= q5Co.1o5
W.O.: -x 8= -
FULL 1: 13 2 x s= 105 t?
£[Jn 2 : ? . x 8
FIREPLACE: ? x
P-IM: ? 31 v3" 1 = I?1 ?3
* SQUARE = £.}E'OSID CEILING =! 0 4 O
?,N1?S?W5
?:1N 2aa3= 3x:.=?3
.?? Z 05 c? = S x 5= Z5
I ?j?- 24 3 L=(o ?. (v - 3(i
I J ?
n 10.4
^ DOORS
211-13 = 38
3-=2v
PATIO DOORS
32. 9
* BASII= UNI'PS
Uo'?F: i15e :,S?? G? oP?Ue lw! 1 aYC'A tUr
?^J,-.L=C
'cT_G. r_
PRqHc NnCt
yyi. R?
s; LL I S?k?.
-Z
:?._KV hTT-.c?1
WALL
n- vnwc.
CUNSTRUC?'IOti--- FRAMSNG '
1. INi'E.'RIOR .4IP. FILM 0.68
2. 2 GYP3D .4
3. 5 1/2" SOF'?' [vI?OD 6.87
4 ,
5. THE2M o ?..Y_5?+E?r+?
?IlliN? • 2
•8
6, TOR P.IR FIIM 0.17
U= •i!
TIET
IN'I'ERIOR AIR FiIM
0.68
Y. = 2 6'1'PBD .45
3.
4 TNEgMo iI.Y sHF.q'Tt+ ?
5. SIDING .s
6. R P _ LM 0.17
= 2.1.12
U .p5
1. IM'EFIOR A.IR FZIM 0.68
2. 6 INSUL. 18.00
3.' .JO ---
4 T?FE1zr?o P?.Y sN?r?? •2
5. SIDING • 8?
6. OR AIR FII1`1
R= 225G
U- - ? °9
BIIJCK
1. . IN?'ERIOR AIR FTLM 0.68
? 2. .?3
i= 3. STYRO 5 . 0
4. PRDTECTIVE BP.RR_.TER
-?-I- 5.
? 6. ! . A _ F •
TOTAL R= 7.13
• U= .I4
SL53 ON GR?,?E
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• ??
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rrr
??. F' Q I I I
0 J
. :
• ,
• "
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, ' - r-
S '°?
/ ^ If( !::,
? ft
<
.
c .
k ?
:
h ?EIr ?t.
v ? f `t
Jf1 ?rr -
l rl f
NOTE : INDICATS TY?E, "R" VAII7E. DEPTH APID
?LP.CIIfNT OF INSf7LATZON..
.
?ppF-s.1MG
=?r
3,
L'F 4_ -
VE2rrn ? Z\ FIAT FIX)it7
uUp
FTG. #J
FIG, ¥6 '
?'Z6. r7
CONSTRUCTIDN ' R-VALi5E
1. IN'fIItIOR AIR FILM 0.65
3.
4. • 'LYYfAL
U = .02
FRAr4E
1. IA]'t'ERTOR AIR FIIM ? 0.61
3.
4.
U =. 0.024
CONSTRUC?'SOId
1. TNSIDE P172 FZIM 0.61
2.
3.
4.
5. TOTAL
' U =
FRP.ME
1 INSIDE AIR FIIyM - 0.61
2.
3.
4. ,
5.
U = .
1. INSIDE AIR FIIM 0.61
2. .
3.
4. .
5. l T'OTAL
U =
NOTE :. 1-17' IS
r1EEDED OR D AILS AAIDCAI.CUI-9TI0 S.
?fEEfiT_ ri.OW U? V?'?'i'ED
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rvv!v-vuv.yu 1 ?
u
i-MAT FIIOW
lSP
? . . ? 33
1991 BU 11GERAIT?CPPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[1LTIPLE DWELLINGS
F y I
COPASERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (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
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLllMBER.
To Be Used For: D?CK Valuation: Date: '51191
Site Address YaS! Pz:N1J5'yLU,41J1i4 Atlr-
Lot 97 slock 3
Parcel/Sub 6 f A pF?? P444!n?-
Owner JOE aKPA6600
Address 'IaV ?nnS?y(/`GYIIG ?v?
City/Zip Code ER601-)
Phone 687 ,773p
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
(Signature of Contractor)
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
M -1-
i
! 7-
?
On site,sewage_
On site well _
MWCC System _
City water `
PRV _
Booster Pump _
APPROVALS
Planner ^
Council
Sldg. Off.
Variance
ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
2Siuu
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
HedlUnd Engineering Services 920IEasiBloominaronFnawq
^ Bbominqton, Mincraota 55420
LonO Surveron Clril Enpineers Land Plannere Phona: 888-0289
Aw surveyort
s G'ert?, f "?cate
s ?r BOOK _ PAGE _
_ JOB NO. g9R-105
SURVEY FOR: Frontier PSidviest Homes Corporation
OESCRIBED A5: Lot 27, Block 3, STAFFOF.D PLACE, Citc of EaFan, Dakota Countc
tiinnesota and reserving easements of record.
TOP OF FOUNDATION = gO?•5
GARAGE FLOOR = 90?•?
BASEMENT FLOOR = aa43
? SEWER SERVICE ELEV. = 895.6_
? PROPOSED ELEVATIONS : ?
? EXISTING ELEVATIONS :
? DRAINAGE DIRECTIONS :-L--
„ _ DENOTES LOT CORNERS : o
DENOTES OFFSET STAKE: o
x V . r B.M, Top N.,« u?o. ? la? e
3S1.d1.d.K y E?.....=9av.ci
L- t? !
. j!// as
J
r ro
I q_e
N 69e39 w i46. 93 „x ,? Se3,?J
Ln
5 ? - - - - I - 10 7
L.
k ? V ol ?
14A I
l ? 25.3 7 , ? ??$ I
406.5
?Q o P?tao t 5w.
0(N N DEGK CCaGY??- OS.I -+ I
lo ? I J" P s..d ? aa..s - L
o tpl.?-
?
5L ra.a9a. a QuZ 9a1.Q Y
' I ? 9alD ? w -
1b.13 d' 24.61 ?.1 O? :D
sar..a
bb.8
00 ?
? Q ? ? rn
? 15 U7 145.00
?? 903 N 86 ?3o-E rn
?
C. C7
7-6.13 a.".61
25
.CERTIFiCATE OF SURVEY g?
I herebY cortify that ihia survay, plan or report wat preparod by me or under my direct
supervision and tAat I om o dulr Ragistered Land Surveyor under the lows of th•
Staft oi Minnesota.
p OOtl: 4/ 5 / 69
?? ?(?t
UNDERGROUND SPRINIQ.ER SYSTEM
PLUMBING PERMIT
Date: Jpl Zy/ 1 f Permit # 411
Date (?00s?,9/
Receipt #
_ Commercial: $25.50 + water tap if ,equired. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
? Eavsting residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permik, plumbing permit, WAC, and water treatment
plant fees. ,G"? ?' /j3, "?? CeY4.cc.
"705') PL/`j05yLt/Arjlfl ,41/C
(Address to t>e sprinklered)
Homeawner/Plumber: v?s?-?N F c1 i4 Rff (??L'?
Phone #: (a87- '? 73 d
Street Address: ?00') o E/v?&A A)I A a1/L-
City, State, Zip: ef-7;46?q1J , Ii/l /J S S! z3
Owner Name:
5treet Address:
Phone #:
Irrigation Contractor:
Phone #:
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicaole Ciry of Eagan Ordinances
?
.,
? o
cc: Engineering Department
` ? ?? 7A0-.4
e
e
CunlCoi?/, liYl o.Of? Resialentio/
Whole House Worksheet
c?.wmw•. wm. i,?n.??tFL' M1 CkAJ£ sT ,b,,,u ..
GN Snw 24 7Wphar Numpw
WINTFN:IMIOo DplynAmp 0I-Ou4MNDM1onTimP •/.-Nw4npTomPDiKwome •f
fUMMF11:0uu10e DwionTomp 1roido OwfpnAmp i •F?CuoUnpTimpDlMmnnas •f
• HEATI NG : . .... . . .. . . ... Q ILI . , . ._. ' : .j..
. , _ iCOOUN
?
Or?M WO.' "iwMCiois•. ?• ,
'
' rwcie??''f?piia?r?ir'.
GROSSWALL .. , ... p9?? •.
r? DOORS @ WINDOWS (TawWAar BI
Ner wnLL 3 0
S RYL
_
? o cEIuNC cl '
• FlOORS V
Nnnmw _ Nm il1O% I.l?CO % WWM . WMYn? . , .
%
1•1 p .
X &T Y -
?n ? , p x0.18333 x U 'O x 0.01833 xj D r. Or 3c., 1n
00 ' 5UB-1DTAL BTUH SS ipx IWF) '
¦ i ADJUSTMENT FACTpR ITabN C1
TOTAL BTUH LDSS
, :. PEOPL x 300 6TUH_ GAIN
APPLIANCES 9TUH 1200
SUB-TDTAL BTUH GAIN Iroom aaiwihlo oM I
¦ DUCT LDSS/GAIN FACTOp l7abb,f) x
,w SUB-TOTAL BTUH lSenddls Galnl '
_
.
MOISTURE BEMOVqL (wb total x 1.31 - x 1.3
T?Y? u• ? .
:
TOTAL BTUH LOSS/OAIN •
. . - Q
•
---•w......r-..?rvnw w wVVM ?? NMy{ryy?
WER 10•fl - For MidrW 94M dom • uw latton lor tlN aMM tyW wMWDW
Construction. .
Window fame r
Door TypO*
• x/kM Or BtuA LoN
?
n:
??
?0.?
Y??
Wnh Storm
CMer? 6.51 0.08 7,,?6?
With SIOiT
iple
Clau
8.80
4.30
$,?.pe?
yy
si^uw
-- _
no w ?torm . 5:0.: ,
4Wq Y
SungN
11.07
11.09
, .
DouOM
7.36 'B:76.
oor
Wood only
4VOOdwlnwm
4:60
3.20'
-
-
'..?;
a
g
r n ? t. .
UniMnA pm
IN•51w/atofm
-
-
'1. -
TOTAL& 3a
TABLE C - AUJUSTUFNT enrrnne - ?uc.?...n.
'FwnpaaunDll. N A0 --60 80 70 80 '8D
'ewum.nt fvcnror 3 4 5 8 7 8 9
L Amfricin $Undirtl: h10. 19"
.
7AOL9 s- CoOLINO - DOONi 6 WINDOWi ' .
Futon Ww" windowt Mw Inaids MhWi/p bv arWerNs a vantMn mm?r wa. na a
r ? r Y
?x
w
? ?u u.
:' w
Y y .. M
p ra,,.mma.w 7pp?
TAiLE D - INFILTi{ATION MULTIPL1Epi
WlnurA4 ChaoYN PM Mow -
F? A.u dn..
e.a o.?- - --0.4 - w -' a? -
Mxn" 1.] 1.0 0.? 0.7
pool, 2.2 ,.. 1.2 ,.o
OW AmUm
0., G"a p Obw
a..
summ.. ru. cn.kg« w. taw
Flen. ?.. enn _. W.
OMI ? L2___ L2... ? w
?W 0.6 -0.6 QA 0.?
?? w a? oa as
Hd. No.2Y-90fYw P.I. I4
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4875
New Conetructlon ReauBemeMe
. 3 repisleretl eae surveys showing sq, fl. of bt, sq. It. of house; and all roofed areas
(20% maximum lot cove2ge albwed)
• 2 copies of plan showhg beam & window sizes; poured lound design, etc.)
• t se1 M Eneipy Calculations
• 3 copies of Trea Preservation Plan N bt planed atter 711/93
• Rim Joisl Defail Optbns selection sheet (61dgs wAh 3 or less uniGa)
DATE !7:)-Z2-02
SITE ADC
TYPE Of
APPLICANT
STREETADDRESS 2L-4b`3 S? S_,0, CITY
TELEPHONE # le.?;l-?3tI??rZCELL PHONE #
, l?STATE M?-D ZIP
Fnx a lsoSk-4213`o2l `3
PROPERN OWNER TELEPHONE #
°--------------------------------°------------°°---°-------------°------------°---------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RlILES 7670 CATEGORY 1 MINNFSOTA RUI.ES 7672
(4 submission type) . ResitleMial VeMilation Catagory 1 WorkSheet SubmittBG • New Energy Code Worksheet Submitted
. Energy Envabpe Calculations Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhacfor:
, Air Conditioning
Heat Recovery System
Fee: $90.00
12% -25
Mar 2 3 2002
-°--°---------------------°-------°°-----------------------°-------------------------°-----------°----------------
I hereby acknowledge thaF I have read ihis applicatlon, state mat me information is correct, and agree to comply
wfth afl applfcable State of Mlnnesota Statutes and City of Eagan Ordinan ... ?
Signalure oPApplica ?
°-°---------_._._._.»..._..._.__....._._._......
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
rIULTI-FAMILY BLDG _ Y Q?,N
FIREPLACE(S) .2?-D _ 1 _ 2
Y Water Sofrener
, Water Heater
, No. of Baths
NemodeVPeoair Beoulrements
• 2coplesofplan
• 1 59t of Energy CAICUlBtbns fOr heatBtl addlliUns
• t sile survey for e#erior additbns & tlecks
• Indicate 8 home served 6y septk system lor addilions
_ Phane #
Iawn Sprinkler
No. of R.I. Baths
VALUATION
Phone #
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 Orplex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 OCrplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi
O 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muki
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
0 34 Replacement •Demolition (Entire Bldg onty) - Give PCA handout to appllcant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundauon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests ? Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Reyisw
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing permit
Mechanical Permit
License Search
Building Inspector
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160302
Date Issued:03/02/2020
Permit Category:ePermit
Site Address: 4081 Pennsylvania Ave
Lot:27 Block: 3 Addition: Stafford Place
PID:10-72500-03-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Vijayesh D Roy
4081 Pennsylvania Ave
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature