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4084 Pennsylvania AveCASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 `? SI DATE RECER? L- AMOUNT $ ? 8 DOLLARS ,w CJ CASH ? CHECK ?J Bv -, . ?-wnne-Parers Coar Yelbw--Postlng CopY Pink-Fife Copy Thank You ? ? BLDG. PERMiT NO. la.?01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. "10-3868 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. J TOTAL CITY OF EAGAN c . ?4 2 3830 P71ot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for SF Dii(; j GAit Est. Value s 6r. , 000 Date AUCi? ;';' 30 ?g $t? Site Address 4084 ygXz;3n-VA,;14 4VF OFFICE USE ONLY Lot Block Sec/Sub. i''AC:. --? ? On Site Sewage Occupancy MWCC System X Zoning A%-I ParCel NU. Si ll A t l C t V-!' On te We ua ( c ons ) a Name vPiTIT;$ :II3kTEST s?;•..- CiryWater V (Allawable) V-N 3 #lddress 3?''?2 CZ'i.:4ItVALE DP+ PRV Required # of Stortes 0? ?' o eity ::A??Ai? P h o n e 4-r+'-Q4 Booster Pump Length s Depth <<7 1 o Name S.F. Total , ? ` Address Footprint S.F. ? City Phone APPROVALS FEES ? ?? ? v ¢ W Name Engr./Assess, Permit { j' ? ?Q 3 F W _ ?. Address Planner 5urcharge '? V? a W City Phone Council Plan Review I ?.ri,i)() Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550'00 t, G 5 Of) information is correct and agree to comply with all appliCable State of WaterConn. _ . Minndsota Statutes and City of gagpn Ordin nces. ? Water Meter u 7.(?O Slgnature of Permittee ' ? ' ? •?- ~ '?-t.:'f ?-; - Road Unit ?a ' '= 5• 4 A BuildZng Permit is issued to: ' - Treatment P1 ?o4 •oo onlhe express condition that all work shall be done in accordance with ail Parks applicable State of Minnesota Statutes and Gity of Eagan Ordinances. 5C' . SQ TOTAL ? Building Official CITY OF EAGAN . 5 54 2 ?-- --9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 65121 PHONE• 454-8140 . BUILDING PERMIT Receipt # To be used for _ Est. Value Date Site Address 4Ut 4 1'ZN*::::1' LvR:t 1A AYL" Lot }': Block 1 Sec/Sub. STAMM P..A-'-'i. Parcel No. s Name ?'R4I'1TIi:R t-iIBf?'EST NOlES = Address 34102 CED!!RVA1,% Ux ° City ?ACJAti Phone A54"0431 °C O Name `•-M"' . ? ? Address •? City Phone Name Addre&s City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appliCable State oi Minnesota Statutes and City of Eagan OrdinAnces. f_ Signature of Permittee ' ? ' . ?" •"' ' . A Building Permit is issued to: ••= T HU}!t:: on the express condition that all work shall be done in aocordance with all applicable Slate of Minnesota Statutes and City of Eagan Ordinances. Buildin9 Otticial OFFICE USE ONLY On Site 3ewage Occupancy R-? 11" i MWCC System Zoning r.-1 OnSiteWell (Actual) Const City Water Y (Allowable) PRV Required S of Stories Booster Pump Length -0' Depth '17 1 S.F. Total Footprint S.F. APPROVALS FEES 4 SV?U\? Engr./Assess. Permit Planner Surcharge j?' y Council Plan Review 81dg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit - i ` ,,- Treatment P1 Parks TOTAL °' , j05• 50 - Permit No. Permit Holder Dato Telephona ? Plumbing 9 N& -? H.V.AC. Electric _ 60Y c,?l- //rTi?' ?a Softener Inspection Dats Insp. COmm9nts Footings I q' Footings II Foundation Framing Roofing Rough Plbg. --" Rough Htg. Isul. Flreplace Final Htg. Final Plbg. Bldg. Final CBIt. OCC. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # -7 MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN 9 $$ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? Sec/Sub ? Name MWdEL BLEATIM ? Address1455 Shawnee u? . c City ?--agan ty Name ? c Address iAf)R Sihlay Mem p City Kag.4 n Phone 454-0433 TYPE OF WORK Forced Air 80 - 000 M BTU 24. 00 Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM $ Gas Piping Outlets # FEE S/C: TOTAL• ' BLDG. TYPE WORK DESCRIPTION ' Res. xx New xy Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 5/C IF PERMIT PRICE GOES BEYOND $1,000) ?? • /i SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN "Y.' ?: • . . .' ; ).?, . , ? . ? Site Lot. PLUM8ING PERMIT CIT1f OF EAGAN 3830 PILOT KNQB ROAD, EAGAN, MN 55122 041AWF• dSA.AYflA PERMIT # ? k? RECEIPT # DATE: Name °-' ??59 Sh?.w:lea ?Zoa ? Address ,. c City Phone iVame rruar- 1er nomeb 3 Address '90$ 5?-bie IIeu. 0 ciry r...??.-: Phone COMM/IND FEE -1% OF CONTRACT FEE APT. BLOGS - COMM RATE APPItES TOWNHOUSE & CONDO - RES. RA7E APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STA7E SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR: CITY OF EAGAN rrs:?r?sT,?` BLDG. TYPE WORK DESCRIPTION Res. '` New %" Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES / _TOTAL Water Closet - $3.00 -7? th T b $3A0 $ ?Y' u Ba s - ? 7?3 Lavatory - $3.00 - Shower - $3.00 ?-Kitchen Sink - $3.00 Urinal/ Bidet - $3.00 T- '? Laundry Tray - $3.00 ? ?F4oor Drains - $1.50 j, 1-Water Heater - $1.50 Whirlpool - $3.00 -?Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMI'n Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE: G•'-, STATE S/C: _5(? GRAND TOTAL: ? .? Ta#t#iratt of (Orrupttnry Citp of eagan 19PvWftPt[t Af lwbwo 3ri8}1ptvDlt This Certificate issued pursuant to tlre requirenrenu of Section 306 of the Uniform Building Cade certifying that at the time of rssuance this structure was in compfinnce with tJre various ordinances of the City regulating building corlsmectian or use. For the fallowing.• U. aue=k. :'i' DW?GACt Bklg. Perniie tao. 15514Z oocuvwyTYPm R3#2 zo?ndoia cc,rt. 4r` Owner o( Buil?ng ????'?' ? f?`{r..i ?? . `?~JG MIVNIAT DR, P.,AGk Bl?lllg ?L?R68 t ?'7'Y;?.J . ? .Y17lt.42'i .1.` I, ?hty LaJJ , 71 I, ? PLACE ' Da?e: ? ?U. ?? Bw7ding OtTicial POST IN A CONSPICUOUS PLACE QF EAGAN Permit No: Date: 9--t-g8 Pilat Knob Road B/P No: Date: MN 55121 Address: CC: 5 50_ 0tlt;r" Ch9: 'n 9.0 f?T:d t. D2{Y. 17, • Cft-d No. of Units: I agree to comply with the Cfty of Eagan Fee' i Ordinances. rge: ?..-r???•,.r..?,?, - ' UF 6GAN I Pllot Knoh,Road Bo'x 21139 an, MN 55121 PermitNo: '''95 Meter No: _ Reader No: Date: 9--1 -• , Size: Date: nn. Chg: 550. QOB? ct Dep: 1. : . GOr. •.: 'mitFee: 10.00c<! rcharge: _ - S00°' Plant ter. ` Zoning: _ No. of Units: 1 agres to compiy with the City o1 Eagan Ordinances. sr WATER SERVICE PERMIT CITY OF-9AGAN 3830 Pilot Knob R Permit No: oad Date: 9-1-88 Meter No: 1147Szo 02 ? oZ. P0'B6x?119Q - Eagan, MN 55121 Size; 40 ? l Reader No: Date: Owner. Site Address; " - fdwestt Plumber . .. " - ' Conn. Chg: Acct Dep: - _'Zoning; n i Permit Fee: No. of Units: i Surcharge: ?- ` Tr. Plant 1 agree to comply with the City oi Eagan Meter. 201 , :'lp???; Ordlnances. Misc.: 57, 0 OTs:? WATER SERVICE PERMIT kJ44.,..?7 RESIDENTIAL BUILDINC PERMIT APPLICATION y? ?66?3 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? I??? r 851-681•4675 J NewConstruetion ReauiremeMS RemodellReoairReaulremenk • 3 registered site surveys showing sq. fl of bl, sq. R ol house; and-30 moled areas • 2 wples of plan (20% maz'vnum bt coverage aWwed) . t set ol Eneigy Cakulatioro tor heaEed addilbns • 2 copies of plan showing besm 8 windax shes; poured found design, atc.) • 1 sAe survey Wr ezterior add'?tions & dedm . 1 set ol Energy Calalatlans . Indirate fl twme served by 5eptic s/stem tor edditions • 3 wpies W Tree Preservation Plan H bl ptatted after 711193 • Rlm Joist DemlOptlons selection sheet (bldgs with 3 a less untls) DATE -OglTd L o1 JOB SITE ADDRESS ?l?jtlR/? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER??4-LlL !'i- ?OWYFk TYPE OF WORK ?E?wDr APPLICA ADDRESS PAGER # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CA1'EGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Celcalations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted CELL PHONE # G, I 7??? ?? FAX # Plumbing Conhactor. _ Plumbing System Includes: Mechanical CoMractor. _ Mechanical System Includes: Sewer/Water Contractor. _ Water Softener _ _ Water Heater _ No. of Baths _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 All above IMormation must be submitted prior ro processfng of application. I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnalure of Applieant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Reqwred _ I . . . . `, Updated 1I07 FIREPLACE(S) _ 0 _ 1 _ 2 NT '6I1-4Y09xl L?C1YU`t-°/b???r_ PHONE# R'5L8'?l-?133 rl3?iR) N-i ?C `?F-;/K. S. 4=?- IcLL ZIPCODE 1 VALUAION I .,, Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex 0 18 Deck O 23 Porch (screened) O 36 MuIG ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition O 36 , Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof ? 48 WindowslDoors ? 34 Replacement •Demolttion (Entire Bldp only) - Give PCA handout to appilcant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings (addition) FoundaHon Diain Tile Roof _ Ice & Water _ Final _ Other Framin8 _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Revfew MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Coples Other Total ?. . FinaUC.O. _ Fina]!No C.O. _ Pl?bing HVAC ? CITY OF EAGAN N! 15 5 4 2 , . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHO N E: 454-8100 Receipt# / 7o be used for SF DWG/GAR Est. Value $69,000 Date AUGIIST 30 ,1988 Site Address 4084 PENNSYLVANIA AVE Lot 35 Bbck 1 Sec/Su6. STAFFOR? PLACE Parcel No. a Name FRONTIER MIDWEST HOMES z Address 3902 CEDARVALE DR W ? City EAGAN phone 454-0433 I i I Name SAME ? u Address - i- Ciry Phone ww Name ? iz Address Q W City Phone I herebyacknowledge that I have read Ihis application and state that the information is correct and agree to comply with all appli ble State of Minneso[a Statutes and Ciry ag Ordina ces. r Signature of Permittee A Building Permit is issued to: FRONTIER MIDWEST HOMES on the express condition that all work shal I be done i n accordance with all applicable State of Minnesota Statutes and City of Eagan Ortlinances. Builtling Official OFFICE USE ONLY On Sile Sewage _ Occupancy R-3 M-1 MWCC System X Zoning R-1 OnSiteWell _ (ActuapCOnst V-N City Water -X- (Allowable) V-N PRV Requlred - # of Stories Booster Pump Length 40' Depih 47' S.F. To[al Footprint S.F. APPROVALS FEES 450.00 Engr./ASSess. Permit 34.50 Planner Surchar9e Council PlanReview 225.00 BIdg.OR. SAQCity 100.00 Variance SAC, MWCC 5$0.00 Water Conn. 550.00 Water Meter 67.00 Road Unit 325.00 Treatment P1 204.00 Parks TOTAL Z,SOS.SO REQUEST FOR ELECTRICAL INSPECTION ea-00001-06 If Se¢ instructions tor completing this form on Oeck el yellow copV. D !n-0 - 6 "I(" Below Work Covered by This Request "a nao. Tvice of eiam'ae Appliancae Wired enu+ument wi,en Nome Ran9e Temporary Service Duplax Water Heater Lightiny Fixtures Apt. Building Dryer Elecvic HeaLn Commercial Bldy. Fumace Silo Unloade, Industrial Bldg. Air Conditioner Buik Milk Tenk Farm Othnr neci v Oiher l5necityl t a,r SVCaty Otho, Oth¢" Compute lnspectian fee Below A Fee ServiceEnVenmSize p Fae Feaders/5u1bienders p Fee Gircui[s Z fl to 200 Am 5 o 30 A s 0 m 30 t?m. s Above 200 qmps 6 ps o 0 Am Swimming Pool 4 100-Am s Ab, ove Ahove 1(10_Amp Transiormers igation Boorris Partial-Other Fee Signs . cial Inspection 5 TOT Rem?rks AL EE ?q r azl - _ . W ? Rough- in the Eleetr inspectm, hereby flliy IhBS 1he 9bOVB Final - ? ? CJ nspectiun has been ? mada. Thlereyuastvoltll8monthelrom 7-& /? sj -L ? t? [/ Thisre9uestvald/??./?p, f?IXjZ //Jr 1B months tmm ? D 3 0 0 7 8 ,L .'. /3/. _ 0-0 Reqaesx Date Gire No Rouph-in InsVection Req red? ? ?/ OReatly Now?iyWill Notifv Insoec- ?tor Wh n R l d es ?No V>, e ea I./) &icensed Electrical ConlrTCtor ?- "L }7? ?S I hareby request inspaction of ebova ? Owner elecvical work inatalled et ?? - Street ddress, Box or Ro re No. Ciry 4/1 10?`? ecLOn o. Township Name or o. Bange No. Cnwq Occuud IPqI TI Phone No. Powe $up lier Atltlress / 6 ?i? k/ ? O?1 Elec[rical C nvactor G pany Name) Contractor's Lic se No. . y13 .? ailin A res ConVactm or Owner Mak Instailation) D / d-f sv Authori d Si0 ure (Conhacror/Owner Maki ng Ins[allatinnl Phone Num{ber MINNESOTq STATE BOAPD OF ELECTNICITV THIS INSPECTION PEQUEST WILL NOT GrieBe-Midwey Bltlg. - Noom N•197 BE ACCEPTED BY THE STpTE BOARD UNlE55 PqOPEP INSPECTION FEE IS 1821 Universitv Ave.. St. Pnul, MN 55104 Phone (612) 642-0800 ENCLOSED. Ja(3 +f 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION SV , City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 - Telephone # 651-675-5675 `,.; `.Pfease complete for. single family dwellings & townhomes/condos whenpertnits are required for each unit Date /o ?2? ?Site Address y0,g?y /" n„?•,.b.,?... ? U.c?.t? Unit # Property Owoer l"o,..f Telephone # ( (rj ) 68?- Ql0 ? ContraMor Q ,(/Ic ? aO9csry Street Address 913J ? ..h?.a n , ' State )V1 Ju Zip SS/1'1 Telephone #( G.S-7 Bond #: Expires: The Applicant is _ Owner V Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) - $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 V furnace _Additional _Replacement _ New air exchanger air conditioner heat pump other State Surcharge I U/ ?0 LS $ -50 Total $ So I hereby apply for a Residential Mechanical Permit and acknowledge that the infortnation is complete and accurate; that the work will be in conformance with the o[dinances and codes of the City of Eagan and with the Mechanical Codes; 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 acwrdance with the approved plan in the case of work which requires a review and approval ans. ?oGE2 TH?e2. m„ Applicant's Printed Name Applicant Signature 2007 COMIVIERCIAL 1VIECHANICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleue complete for: commerciaUndusVial buildings multi-famil buildin when se arate nnits are not v'ved for each dwelli¢ unit Date Site StreeLAddress Unit # Tenant Name (if applicable) Previous Tenant Naroe Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _Interior Improvement _[nstall Piping _ Processed _Gas Exterior HVAC Unit*" . **HVAC units must be screened UndedAbove ground Tank Install Remove When installing/removing tank(s), call for inspection by F ire Marshal and Plumbing Inspector NaNre of Work: Permit Fees 370.50 Undergmund tank instaltation/removal 550.50 Mrnimum (includes State Surchsrge) or Contract Value $ x I% _ $ Permit Fee $ State Surchazge . To calculate surcharge If Permit Fee is less than $1,000, surcharge is SD cents. If Pennit Fee is >$1,000, surcharge inveases by $.50 for each $I,000 Pelmit Fee (i.e. a $1,001-$2,000 Permit - Fee requires a $1.00 suroharge). - $ Total Fee I hereby acknowledge [hat this information is complete and accurate; that the work wiit be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pertnit, but only an application for a permit, and work is not to start wifhou[ a permit; that the work will be in accordance with the approved plan in the case oF work which requ'ves a review and approval of plans. ApplicanYs Printed Name ? ApplicanYs Signature • °-------------------------------------------------------------------------------------------------------------------- Approved By: , Inspector Date: Required lnspections: _ U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat - Final 6 gqu? 2005 RESIDENTIAL BUI&ING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 r7o B? , New Construction ReauiremeMs RemodeUReoair Reauiremants ? Office Usa Onlv 3 registered s8e surveys showirg sq. ft. of bt, sq. fl, of house; and II mafed areas 2 mpies of plan , CeR ot Survey Recd _ Y_ N (20% mazimum lot coverage allowed) 1 set of Energy Calculations for heated additions I Tme Pres Plan Recd _ Y_ N; 2 copies W plan showing beam 8 vrindow sizes; poured faund design, etc. 1 sile survey for add'Aans 8 dedcs l Tree Pres Required Y _N 1 set of Energy Calalatlons Add'rflon -lrMkate Non-site septk system i ? Onstte SepOc System. " _ Y,.. _ N 3 copies of Tree Preservatlon Plan'rf lot platted after 7M193 I Rim Joist Detail Optans seledion sheel (buildings wiN 3 orless units) Date /? Construction Cost 3?? I? SiteAddress ? ybSy T.ernSqjU"iA k1?2.• UoidSte # Description of Work ? _l (,1w\CLGi.Js a (\ -2/lS i S"/7 6RA,tn,'LQQ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owoer QV 5100YY\i Telephone # ((a5 I ) 8O - (a O? ? Renewal By Andersen ? Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 c'h' State 651-264-4777 Telephooe # ( ) ' License #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesofa Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet ? New Enargy Code Worksheet (Jsubmissioniype) Submitted Submitted • Energy Envelope Calculations Submitted I Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N, It so, 25% plan review fee applies. i Licensed Plumber Mechanical Contractor SewerlWater Contractor Telephone #( ? Telephone #( Te{ephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informatiori is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of E;agan 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 permit; that the work will be in accordance with the approved plan in the case of work which ;req?rre s i 1rLli i? approval of plans. `( I ?(,4Y _ 3 Z005 , ? I Ka?cz?sor, ? Applicant's Printed Name Applicant's Signature 1 OP'FICE U?E ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exft. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel 0 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition O 36 Move Building O 42 Demalish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors O 34 Replacement •Demolitlon (Entire 81dg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Boosfer Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Foatings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ Final/C.O. _ FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ••.....e,s?•..s iuv ic.av rn4 tod D!1 •44bD !(lSPf„K'11AL?Y&MLlS((s72ff'1 • ' , i re a?. -- . ?.?. - . . . . . June'7, 2007 " • 38 6 P Iuf Snoti Rosd Ea8an, MN 55122 . To Whom R May eottoern: " . Eider Jones to ??? ?? b?ng ?ts PorRenewai by Andezsaa ow P?'?ide tius sq"vzc? for Ptease atI us in Hagan. 'Ittin endwrl2atibn is valid fpi ssty cfate bcyond 61610 1: outijj a?a? ?, to the City ??n ? ??Y revokes it tn wifting _ I request tb3s auttioniiation be . ' ' . - . . om ba?diag Pcani.ta em ??-expedidously, as W uoE deley in rhe p??ng of con?tCfed at ?63-5 Y??tcr. Elcaac caEt mc If thctc em nny qnrst[ona.. I can lxi , 02-4706_ .. _ . , Your tmmqdieOc attcation to ?Us matter is ado?-6arArt_ • - SinaaielY, ond R &-Pjm ustallation M,anagcr Renowal by At?+dmcn CemoralivII C:c.: Karn-F,Tcie;rSnn, - «..r g a o ?a ?- uy ? ??.?,Z?, Y• ? ^? r f wUU Recaived Ti'me Jun. 1. 1:07pld ?-3?. so 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATIQN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telep6one # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit nate J -5 / /o / CJS" I Site Address 4M ! I Lo l 12? U???t # p) o? C1 / PropertyOwner ??APe`Y X? ?"A Telephone #( 65( ) I?f6 ?? p 7 Cantractor '54- ? T ? Street Address I City State Zip Telephone # Bond #: Expires: j The Applicant is _ Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 Y? fumace _Additional - ?Replacement air exchanger K airconditioner ? New _ Replacement ' other I State Surcharge 50 Total I hereby apply for a Residential Mechanical Permit 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 with the Mechanical Codes; that I understand ttiis 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. A o? Applicant's Printed Name App icant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. wmmercial/industrial buildings , , multi-family buildings when separate perzniu are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City Stste Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Conuactor _ Other Work'I'ype New Construction _ Underground Tank _ Install _Remove **see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When rnsfalling/removing underground tank, call for rnspecfion by Fire Marshal and Plumbing lnspector Permit Fees: S70.50 Underground tank installation/removal 550.50 Mirtimum (includes SCate Surcharge) or Contract VaWe $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 =4? $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 eo rmitfee $ TotalFee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be' in conFormance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, hut 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. Applicant's Printed Name ApplicanYs Signawre Approved By: , Inspector 1988 BQILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1.55 q t INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS ?i NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HDMEOWNEB MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WZLL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNIT3 FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS , CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ? g 'A+ju 2 61988 To Be Used For: NEW CONST. Valuation: "'?=• =-? nn nn Date: 8/25/88 Site Address 4084 PENNSYLVANIA AVEI Lot 35 Block 1 I - ? Pareel/Sub STAFFORD PLACE Owner BLOOMOUIST.,PAUL & ROBERTA Address 3575 I FXINGTON AVE 5 #347 City/21p Code EAGAN 55123 Phone A88-6904 Contractor FRONTIER MIDWEST HOMES Address 3902 CEDARVALE DRIVE City/Zip Code EAGAN 55122 Phone 454-f1433 Arch./Engr. pTCK CHARLTER Address 1}1 p3 (:ARDFNVTFW DRIVE City/Zip Code pppl F VA i FV 55124 Phone 1i 432-5492 G1;vao- OFFICE USE ONLY i On site sewage _ Occupancy R-3 M-i MWCC system ? Zoning On site well Actual Const v-?I City water Allowable v-N PRV required U of stories Booster Pump _ Length ? Depth lyl_ S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit , IM, 0 0 Planner Surcharge 3y,S0 Couneil Plan Review .Oo Bldg. OFf.141 SAC, City 100oOID. Variance SAC, MWCC ,STM140 Water Conn 50.00 Water Meter 61?.00 Road Unit -7, Z,S' 00 Treatment P1 .00 Parks Copies ' I TOT&I. ? aSO`5•50 SlAnORD MODEI. ` _....__.. Page 1 of 4 . ? . • EXTERIOR ENVELOPE AVFRAGE "U" COMI`UTATION OWNER: Knn Q li? ?1?1? 4 L6b&e'tP1_ -- nnrr: "7 - ZJ7 SITE ADDRESS: PhIONE: CONTRACTOR: F?-_?%C t>, ?? llzlPLpN # STA-?T'-,orLl? ZX- Co Determine working square footage, of each 1. Total exposed wall area..... ?4--t ?0 '{ IS-.sq. ft. x .I1 = Q0 2. Total roof/ceiling area..... ( C_o sq. ft.. x.026 = ?(¢ r-1 I Total exposed wall area above floor= 4$?? ,!T-' a. Total wall window area ............................................ b. 7otal door area .................................................. c. Total sliding 91ass door area ...........:........................ d. Total fireplace wall area ........................................ e. Total wall framing area (average 10"M) ............................ f. Total rim joist area............................................. g. net wall area a6ove floor ..................................... h. wall area a6ove floor ..................................... i. wall area a6ove floor ..................................... j. frame wall area at foundation ................................... Total exposed foundation area= __5Zr-S,__ k. Total foundation window area ....................... l. Total net foundation area above grade .............. 3 Z,!S' Determine "u" value of each wall segment (e.g. window, door, each separate wall section), a. X Hull ,•?S = b y Z x,lull ?l = l 3?oi c. Lfz X „Ull d. uLq x llull e. lx " u,? f. 13d X itul. O = Si7 J• X uVu OL/ = Ke 77t3 `T h. X °uu - i X U?? ° X ?. "U" - If item #3 is the sao k. X "U" = as, or less than iten #1, you have met the intent of SBC 6006 (c 3 . ............................. ....Total ' _ ZZ-g, L"f _ rl.kerior Envelopc Average "U" Computation Total exposed roof/ceiling area = 1 d ??p m. 7bta1 skylight area ............................ "- n. Total :oof/ceiling 8raming area (avcraye 10%)... o. Total net insulated roef/ceiling area........... Determine "U" value for each roof/ceiling segment Page 2 of 4 M. X ..U11 n. a"U" z?Y 0. ?1 I y,?f X„U„ 4 ....................:...... Total _ zo? 7 3 =f to*_al cf n4 is the`same as, or less t:han 82, you have met.the intent of SAC 5005 (c) 1. ealternate Building Envelope Design 7.b utilize the total envelope'system method, the values established by the s.vn of i.tems n3 and n4 shall not be greater than the sum of items #l and #2. 1, ZI (D ?nc? + 2. 3. + 4. Z.D ? -7 3 . PL9N # * LINEP.L FEET DMSID WAT.T BliOCK- Co S / KNU: l 3 0 W.O.. - FULL 1: I 3 S F[TLL 2: ? FIREPIACE: ?p .. . Rai: ? 3 d ? sQuARE FEer Ea<Posm wrU APFs srACx: ?S-- x. 5= 3 Z- 5` -- 1QNEE: l? eD X s= W.O.: r._... X g = FULL 1: X8= ? tdy FSJLL 2: _ X $ _ ? FIREPLACE: (.,Q x ?= L.E g xIM: l 3 0 Tom l °l Co `? , J`? , * SQUARE FEEf DWSED CEILING ? O l?o ? .ammws * Dooxs q- .z. "7 PATIO DOORS A- Z, $ = * sASEMEarr vxrrs Z. I-1 Lf L1 ?. 4- = Zcl -- ? ' ?z S ? Wol1.5mT7Y)r6 U3e I ?, of ?nque (auull orca ?r • fYaM2.CQ'wStvuC.f'Wn 1? l-L ESG. *1 pqqr+E wnLc XG. Yi2 fp?-rtDhTS1* WALL U= .04 BIACK 1. IDIPERIOR AIR FILM 0.68 2. 1 3. 5.00 4. PROTECfIVE BARRIER 5. 6. 0.17 TOTAL R= 7.13 . U= . .14 SL9B ON GRADE w \ Y ? . .? ? •, ir? ? ?? y? ,• p ? - l. r?.43 i0 ? ?. ? o G) O R-..yAI,UE _ - QONSTRUCTION-=- FRAMING - ' 1. INTERIOR AIR FIIM 0.68 2. 2 3. S 1 2 SOFf WOOD 6.87 4. 5. SIDING .62 6. OR R I 0. TGTAL R= 10.8 U= .09 11EI' 1. 1. INT'ERIOR .4IR F'iIM 0.68 Y;':" 2 D .45 3. 4. 25/32 HFATHIAIG' 2.06 5. .6 6. IM 0.17 U= .04 1. INPEftIOR AIR FIIM 0.68 2. 1 .00 3. JOIST y, 5. 6. 0.17 • p?, Q ?r V ? Q t ? o n ?-1 ??I l rf ?tr F7.G. srA ? Ili D ? r ? f ' ??• ? H ' V ' . . . ' •? , . r- S' cl'- a ? i 1 ?( 5 , t f? < } . lll irt !l{ i r NOTE: INDICATE TYPE, "R" VAIUE. DEPTH AAID PLACIIMMIT OF INSULATION. C • 1 'N D A ,,? WALL SECfIONS NC)TE:. USE 10$ OF OPAQUE WALL AREA FOR ? • FR9ME CONSTRUCTION ?. ? aASIC WALL j I ? t---- G) m ? 1. INTERIOR AIR FIII°I 0.68 2. . .. ... 3. 4. 5. 6. OR R FZ TOTAL 1. INTERIOR AIR FILM 0.68 • ? ? ? o ? p ? ! ?1 , FIG. ?3 Y 7d- FIRE PLACE BRICK CONSTRUCfION '1. IIdTERIOR AIR FILM R-VALUE 0.68 2. RE I;OC .1 3. 4. AIR SPACE .68 5. 6. EEMOR AIR FI .1 TOTAL 2.75 U -= .36 2... 3. 4. 5. 6. tXFERIOR AIR FILM 0.17 =AL 1. INPERIOR AIR £IIM 0.68 ' 2. 3.. 4. 5... -- 6. EXTMOR AIR FILM •1 , TAL. SLAB ON GRADE -Z . .4 ?. ~ V Itt FIG. #4 111 ?I ? I J?JL? ? NOTE; I1dDICATE TYPE "R" VALl1t?, DEPTfi AND pLACfMffT1T OF INSULATION I FIG. #1 TOPVIEW OF FR4ME WAIL .. u ROOF-CEILING . • ? :? CONSTRUCtION ' R-VALtJE 1. INT'ERIOR AIR FZLM 0.68 ? 3. 0.61 4. , VII1T ? ? l . U = .02 -- -- - - ? ?--i FRAME IN'I'ERIOR AIR FIII•I 1 0.61 V?'..p 4' HEAT FIOW . 2. UP ? : FIG. #S U = f.024 CONSTRUCTION ?HEAT FLOW W NON-VIITI'ED HFAT F1AW UP 1. INSIDE AIR FILM 0.61 .. 2. 3. 4. 5. FRA 1. ME INSIDE AIR FILM TOTAL U = . 0.61 2. 3. 4. 5. 1. INSIDE AIR FTLM )TAL U _ 0.61 2. 3. 4. 5. TOTAL U = NOTE: L'SE ADDTTIONAL S=S IF 1".ORE SPACE IS pIEEDED FOR DETAILS AND CALCULATIONS. FZG. k7 FIG. #.6 ' '0( ?r 7iB CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CZTY USE ONLY PERMIT # RECEIPT # DATE: s 9/ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: /?/?L'G /?LDDfyQ?/. bv • SITE ADDRESS: 41Oe:V .1?/t.r?.^?gt/lt??.,f- ,?Lt/ LOT:35 BIACK I SUBD.A1 U INSTALLER: L?-/??-L la??l??« ADDRESS: 4f'r5 cSf,?t???+?? /74- CITY:ZIP: ? PHONE #: Yfi - -??_ d6t- FEES ADD-ON MINIMUM $15.00 liVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ STATE SURCHARGE: .50 TDTAL: i sa1s??1i 7 ? GNA R OF RMITTEE ?OMMERGIAT.J?h7ADSTF??AY.;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, .,:.> ..::.....:...._.,..:.....>. . APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. ------------ CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS: •LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZiP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 $25.00 MINIMUM FEE. CDNTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: $ (SIGNATURE) . AVr' k ? ?Arksho ..? .. ? cuwu?. OrMwO'?t'"'?'?*=??..'? • Mwro?M?+?Nn?? •f c""'a o..'.,, t..,r 9Q_'?_ Nur?Na ?, 7.L._•s.c«wwTwa??w...._(.?_•? laalzj? ¦a+fnL tlTUM lra* .?.?v wa au?aw •„a 4cwn Ir Yn Wye ryq ?? W uyrw r I , fluw Irw??i•om?sTr y.yr ? Y JUL ba" a w,M . Yw* Lw? Clow • 0.? W4a ??? . . ?M ?NIIIA c" ??, u? oav »c v 3 S 4.U 6.4g I1:Y. S•.?v,y ' ? ' 6.0 w.w w?y . ?;q ' •. .. ? wr•.« ??..? F`q°p wwM .rrlww Orr arp? Mrwill W auoMiw wMwn ?M??W IW?? aaan «p Iwry as w111111111101? • ?MU?iTnftM11 ?zr IN<?N ?Y? 1?1? • ?.w ? ~M?? •\I?wYti? ?? rsa.w?r?arr ? r r a a .. _ .. _ W tiFr??W .n.r?...?..r,.... TOTMi . , ti06E D - M/hLTNAiWN IrYlilh,MM y W1MM Nf Gyqiw vw IM. _.1: ' I t.* T6Tyi U??? C - ?DJUilYlwi iAC70?t ? - ' w...nw«e?yMfk??.YK iyY? .-,_--_ -- -• o ? ?i?.? ? ` • 7 • S 6? 1? 1Y ? • ? ?+/? -. A. _ ?L ?? •? un ?w..? ?~M??n?A1Mr i? ? N V V tir y V ? N N ? %o T ?F?a • ? t NSPE: PA7T47f OF FE8 AT 7'IME OF j APFLICATION 1=0R PERMIT . + il a=rmamrrm mcc i SPI7VlE RPPR6VAL OP PE12pIIT. : SEWER AND/OR WATER CONNECTION : Im,'' =au oF Saim nNDiOR vA'rm .. INST' ALIATIONS WIIS. M71' BE SCIDULm k . • i[RdPi L PIINIIT HAS BEFZd APPROVID. x+t+.rr ? +i:sa»?wf.?w+?r??r+:wxt+fwa?t3wr . . oF ecagan ? (PLEASE PRINT _ 1J PROPERTY ADDRESS: 4084 PFJNNSYLVANTA AUF FAf;aN p T_FY'_AT, DESCRIPTION:. - . . I ? Lot Block Subdlvision or Tax Parcel ID ) l IF EXISTING STRtCTURE, DATE OF ORIGINAL BLIILDING PERMIT ISSOANCE: i Mont Year PRESENT ZONING/PROPOSID USE: I Q COhAMCIAL/RETAIL/OFFICE ,]EII R-1 SINGLE FAMILY Q INDLSTRIAL E-1 R-2 DUPLEX ('IWO C?nits) I' Q,INSTITCTIONAL/GOVER[+Ih1ENT R-3 TOWNHOOSE (Three + Ou its) ( Lnits} 1 Q R-4 APARTMENP/CONIDONIINIUM 1 ( Lnits) 2) NAME= FRONTIER MIDWEST HOMES CORP. i ? ADDRESS: 3902 CEDARVALE DRIVE II CITY, STATE, ZIP: EAGAN. MN. 55122 II PHONE: 454-0433 I For City Use 3) 'ffg --lv NAME: STAR PLUMBING II pl erums L'icense: I `Active I ADDRESS: 1018 MOUND SPRINGS TERRACE Expired CITY, STATE, ZIP: gL00MiNGTON. MN. 55420 II Not recordea PHO[VE: 8 84-4149 MASTER LICETISE # 3329 il St Imtia 4) ??.. e ?. NAME: BLOOMQUIST, PAIJL & ROBERTA II ADDRE55: 3575 LEXINGTON AVE S0. # 347 II CITY, STATE, ZIP: EAGAN.'MN. 55123 II PHONE: _588-6804 II 5) s (t . ,y • ?. . o . . ? ?? ?II ? CONNECTION TO CITY SEWER XX roNNECTION TO CITY WATER O'!IOTHM 6) /25/8 *x*,r,tx**?******?F?+*****,t*******,t*****???*??***?*+:t*?*?**s?****?r**x********x:r****?x**?*+x,t**?***? * THE GOLD COPY OF THE PERNIIT WILL BE SENP DIRECPLY TO PUBI,IC WC)RKS 7iD FPCILITATE ME.ZM PICK-OP. ? * PLEASE AIS.OW 1W0 WORKING DAYS FOR PROCFSSING. SOMg10NE FROM THE CITY WILL 0ONi'ACT Y00 IF TfIERE * * ARE ANY PROBLEMS. I + ?******+**?***?+*******??*?****?r**,rx*?*???+*+*a*************?,t*?****++*?****??**+******??:*?*?****i FOR CITY USE ONLY " - PERMIT # ISSUED %s- . Pd w/Bldg. Permit FEES: $ ICJ S?-? $ SEWER PERMIT (INCLLDE SURCHARGE) $ -T . $ WATER PERMIT (INCLLDE SURCHARGE) $ ? Z) $ WATER METER/COPPERAORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ I C $ ' ACCOUNT DEPOSIT - SEWER $ $ ACCODNT DEPOSIT - WATER S aS?•Lr[? $ WAC S (r'^ •?' - ?J'"? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ eh' $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S ?dCZ z d Q $ TOTAL - Y,903 7 RECEIPT # RE CEIPT DOES UTILITY COPINEC TION REQC!IRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MLST BE ISSOED BY THE ENGINEERING Q NO DIVISION. LIST AS A CO[VDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE : RECORD 0£ CAMPLAIN? DATEs COMPI.AINT TAKU HYt 6. /i ,?? &t-? ? L,;e.1; NAME: patt?-, aw? D ADDRFSS: y0 tl{ PAONE N0. s /?cnc.e 6 gEt- 6 r?o? tc.?a? ?37-?'/Y? COMPLAINT: ACTION TASEN: ??.t?f?_f?j•yttic?l-?'???ltsIA (,%??E ??•tc? GouA.eC(?:?tl?G-czC? ?-?'u l s'-.L?4 ? 6}C£ .z . ? . :?24 -7? o? ?????- • corMerrTS: TYPE OF BDZLDIHG: LEGAL DESCRIPTION: SIGNED: ? . , ,-.?T_- , . . PERMIT # J 1 IS RECEIPT DATE: 2002 MIDENTIAL PLUM$INfi PEiibIlT APPLICA'ITON crrY oF EAsM 3$30 PILOT KAOB iiD EAHAN, b11Y 551 EY 651-6e1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : TELEPHONE #: I4S F 02' A04 (AREA CODE) INSTALLER NAME: N. P. pl P4, W C> V KS TELEPHONE #: lOS I"'312S I3 `t 6 STREET ADDRESS: DD D D RI? (aREa CoDe) CITY: l--aGt\.n STATE: M W ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) includes $40.00 County fee $ 100.00 Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener i water heater r-?r,?r" $ 15.00 IU ?= I State Surcharge 7 ?n3 U? $ 50 Total $ I herebyacknowledge that I have read this application, state that the information is correct, and agree to complywilh all applicable Cilyof Eagan ordinances. It is the applicant's responsibiliTy to notify the property owner that the City of Eagan assumes nelllability for any damages caused by the City during)ts normal operaGonal and maintenance activities to the facilities constructed under this permit wit in Eih p,rop erty/right f- ay/ e ment , SI,(u?IATU E OF PERMITTEE 1/02 ?/ 2006 "SIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ComWcfion ReouiremenGS RemadeVRepair Requirements 3 registered site surveys showiig sq. R. of lot sq. ft, of house; and all roofed areas 2 copies of plan showinq footinqs, beams, joists (20%maximumlotcoverageallowed) 2 i f i isetMEnergyCalculationsforheatetladtlibons tli k 8 ? 1 , cop plan showing beam & vnndow s es o zes; pouretl found design, etc. bons 7 siie suney for ad dec s , 4 isetofEnergyCalculafions Add'Rion - indicateifon-sifesapticsystem ? ".. `3 copies of Tree Preservafion Plan if lot platted after 711/93 Rim Joist Detsil Options selection sheet (builtlings with 3 or less unifs) Minnegasco mechanical ventilation form 06 Date h_ / 6 Construction Cost lA?Q ? Site Address N O? T-f .CZnsai(oo-vi - A,C_.lk_. . UniUSte # Description of Work w1YYa? rS W/ ? ?1 Jos', JTl ? ??Y?l ?? ' Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Pro ert Owner Tele hone #4 S 1)? p y p Q RENEWAL BY ANDERSEN Contractor , 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 55113 - Cit3' State 651-264-4777 lephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residenlial Ventilation Cate9ory 1 Worksheet • New Eneryy Code Worksheet (q submission type) Submiried Su6mitted . Energy Envelope Calculations Su6mitted In ihe last 12 months, has ihe Cify of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( ) I hereby apply for a Residential Building Permit 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 permi ; that the work will be in accordance with the approved pl?n in the cas? work which requires a review and apprkial of plans.? U a _ 1 G\, 1 A plicanPs Printed Name Ap icant's Signature DO NOT WRITE BELOW THIS L1NE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 EM.AIt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/0oors ? 34 Replacement •Demolition (Entire Bltl g) - Give PCA handout to applicant D@SCflptlOn: Wa[er Damage _ Yes Valuation Occupancy MCES System Plan Review 100%or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final - _ Framing Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining R'all - Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ••o•••a•?v•?. ucv t4.JV rna tOJ . Ufl :?46D t?r??r?r, tar?rutstc??n - re ?? .. - ?? . . . . . rnnb t 2001 . . . . . 38 6 P tnt oli Road Eagan, MN 55122 . ,, . To WHorts It May concern: Etder7ones is sirthprizcdt,o , . - Eider Joncs to pmvidc this P? buiIdiag Pe?its far Rene?xal by Andais?. Please alI . ciatc bcyand 61610Z- untiI a?'vicc forus in Hagatt,. 'Ttei?e ow andiotizatirm is valid for any to tha Ctty_ ' Xm6vW bY Andmenmana? upmslY revokes it 1n w=iting IrNuest this autIioZiMfiaa be ec,c??-OVed{@otrst : . •.. om bailding P'mib aaY fvxfficr. Eicasc c?I1 mc ff thctc at+e nn?ay in the Frp?essirig of , contacted at 763 502-4706 .. Y?actona:_ ioan be _ ?. YOS1C WIIIIy`dIBtC umtj021 fA 2aqs IllffifCI' iS ymondR Rau ostallation Managcr Renewa] by Andascn CorPoration C'r.: Karn_F.1dPSSonec. - ? > :• artuu Recaived Time Ju?- 1. 1,07W SURVEY FOR: DESCRIBED AS: Sutrcrlorfs Certfficiate Frontier Dlidwest Ffomes Corp. Lot 35, Block 1, S'I'APFCiRD YLACG, City ol l:.igaii, Lakota County, Afinnesota and reserving easements o[ record. 65.14 S.o1°13, 58? E. 5 ?? Z + j? 0 ? pr,posed ? Spl.f-Eklr., "' (S+aaF'n?d) W 5? S 917 1 iJ? ... Z ? - , ? pr W 1 0 i r. 11 ? m ?.? W ? J - v+ w J ?1 l G ? o- ?a J ?e ? o-= ? t ol.a. 1 : Gd-. I is L9 _ _J .?. PROPOSED ELEVATIONS .J 5 ?IED a?.?... ..,• 9oti,i Dat '--* VA/?r? - PEIVNSYL _ ?N -y-,T,--?GfI4Ti?rhlt`IG DEPT a ?- A E Top of Foundallon ¦ 90-1.9 Ooroye Floor . 9o'7,5 Basemenf Floor : 'io1.B Appror. 3swrer Serrlce ENv. . 6n6.31 Proposed Elevotlon@ I Q Eaistinq Elevallona I - Malnay* pheetions I ? r Dtnolso Of/fsf Stok• 1 0 /fEDLUND Plenn/ng EnglneedfW SurwryNrg noi? ro'o.wMe•?p.q.rylr r..ua• w1s • ID 5 a-----_'? mmvx-' SCAIE: t IneA + 30 Feet BENCHMARK, ,-oP uA i-,ad. Cz- 1Le+ L...o' ? 35 ; 3(0 I 6LIC ? Ele/, : 10G.B2 ? MIN. SETBACK REQIREMENTS Fronl - 30 Howe 81ds - Io Reor - IS Oorape 81M - 5 I MnOy evllfr Ibat IMS wrvey, 0loft a nporl roS pnpar0d ?r me JOB NO.• or undq my Alnct suvavldon ma mot t em s Ouly NrpUbnA gsa'9?3 Lond BwveY? under Me aMo of Ihe 81a1t of Mlnnesefe. BOOK: 8 , 22, ve t> Jd 1 n yron, Ueans Nn14376 PERMIT City of Eagan Permit Type:Building Permit Number:EA122415 Date Issued:05/07/2014 Permit Category:ePermit Site Address: 4084 Pennsylvania Ave Lot:35 Block: 1 Addition: Stafford Place PID:10-72500-01-350 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Tony Greczyna Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Paul A Bloomquist 4084 Pennsylvania Ave Eagan MN 55123 Pineview Builders Inc 2201 Lexington Avenue N, Suite 100 Roseville MN 55113 (651) 489-3696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176196 Date Issued:05/05/2022 Permit Category:ePermit Site Address: 4084 Pennsylvania Ave Lot:35 Block: 1 Addition: Stafford Place PID:10-72500-01-350 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: 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 - Paul A & Roberta K Bloomquist 4084 Pennsylvania Ave Saint Paul MN 55123--157 (651) 261-4474 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature