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4092 Pennsylvania AveCASH RECEIPT . ? CITY OF EAGAN t , 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? - L DATE aecerveo t . ` `i? AMOUN7 S -- - ' E r,?? ??- f?'??; ?{ _? ,? ? iu.u 4'ati+????r?1 ? 8?? oaIRS ,m ? CASH 7\CHECK Thank You , Bv ? C 15648 whi,e--PByem Copy Yello.?sting Copy ?J Pink-File Copy , vono PvC. w? • '?"?1. . 4- RE ? 4092 PENNSYLVANIA AVE DATE: OCT 3, 1991 (NOVAK-FLECK INC) 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 (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: 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, EIECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, 8Wlding Inspections Dept. crwijv;,.ir.u rvn rx?.r?u? 1u?14?yz CITY OF EAGAN ?AT?Ic?.C HELNEN 687-7364 38?0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # -E . Site Address _ 6e41' vaNNBYLVAt+IIA AYE Lot '11_ Block _t? Sec/Sub. Parcel No. W Name NAVAK_FI.!?= I1iC ; Address AAS7 .-? ?atn AVS N R;?k 0 City 8gOO1Ct-YN PA&K Phone 424-4955 Name $A-Hg Address Phone Name _ Address Phane I hereby acknowlege that I have read this application and state thai the information is corcect and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature ot Permiiee A Building Permit is issued to: on the express condition that all work shall be one in accordance with all applicable State of Minnesota Statutes and City of Eagan ordinances. Building Official OFFICE USE ONLY 19 _41- Occupancy 11?3 U,4 FEES Zoning 1--Y- (Actuaq Const V-N Bldg. Permit SAi _O0 (Alfoweble) Surcharge 43 • 30 # ot stories ' Length ? Plan Review 378.00 4 • DePih s SAC, City lOA_DD S.F. Total - SAC, MCWCC 650.00 S.F. Footprints - On Site Sewage _ water Conn 660.00 On Site well Water Meter 9g. ?O MWCC Syslem x City Water Acct. Deposil PRV Required _ 51W Parmit ??aO Booster Pump - $1W SurCharge .30 Treaiment PI 276.00 APPROVALS Road Unit 370.00 Planner - Park Ded. Gouncil ? BIdg.Oif. _ Copies Variance - TOTAL 3,214.00 :ti ? I CS 76 1 Permit No. PermR Holder Date Tetephone ?Y WATER 3 . . - 1?? Q1 SEWER PLUMBING 907 H.V.A.C. ELECTRIC 0,59 s / 7 ,v InspecNon Date Insp. Comments Footings 1 ?% Cl Foundation eo /l f (,(f Framing /?- 2 -4l? D S Rooling 41 Rough Pibg. ?'j-x4M Rough Htg. /p 61 Isul. Fireplace Finai Ht9- -? ? zoo,fa Wc - Orstat Tesl Final Plbg. Plbg. Inspeclor-NotifyPlum6er Const. Meter EngrJPlan Bidg. Finai Deck Ftg. Dedc Final Weil Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: -1:+ t 1 1 I414 ,, INi!?N 1 n r, ri S{M -fllkl) VI AI'N. . PERMIT SUBTYPE: , i i APPLICANT: I,f : Ili It (h a "1 t. H/ - t } i> ll TYPE OF WORK: I iI i '-,I N i 1- i 1 11 N ? S'!1 1 1• ? ? 1 Nt'w i No I -1 ? J irt MnP P 'ti :•t t i* a1;n i I 1"111Mri i N1? ,: t i rl i f< t1nI I'F ItM l I'. i; iliu i r{t is . Permft No. Permit Holder Date Telephone ii S!W PIUMBING HVAC ELECTR ELECTRIC Inepectlon Date inap. Commsnts Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Hlg. Orsat Test Fnal Pibg. Plbg. Inspector- Notily Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. 9li 7 Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: ,(; APPLICANT: , ' ; ;!ri .!I'Ji1N1/i F1U't . ;.iAt t 111:4' VI fi( 1 f.fcr -1:3c,n PERMIT SUBTYPE: , t 11 TYPE OF WORK: INSPECTION r ,., .. . , ? 1 1 , ! - D. y;r r???4V<.: 14 VnR nl r F'i iIMH 1N[i & E t eI: i F; rCr+i E)FVM) i', P r_ IaI I i I<U :z I I _ ?. Permft No. Permit Holder Date Telephorre # 5NV PL.l1MBIIVG HVAC ELECTRIC ?yBG G 3' ? ? ELECTRlC Inspection Date Insp. Commer?ts Footings I Foundation Framing / Roofing Rough Plbg. Rough Htg. (I ?r Isul. fr ff Fireplace k « Final Htg. Orsat Tes! Fnal Plbg. Pibg. Inspector - Notify Piumber Const. Meter Engr.IPlan eldg. Final / Deck Ftg. Deck Fina1 Well Pr. Disp. ? °' ? ro. d ? .. (Ctrtif ira#e uf tOrrupanry Citp of (Eagan ?e?r?mrnt o# %ildmg jwprtinn This Certiftcate Issued pursuant to dte requiren?ents of Seclton 306 of the Uniform Bu!lding Code cerllfyfng tlwt ar tlie time of rssuance ihis slrueture was in compliance witli the wurious ortlinances of 1he City regulating building constnwtioA or use. For the foUowing: ? USE c?? ? ?/GAR ? e?a?. ,+? ,,?. 19761 Occup?ncy Type / ?? r'' 7tmioe Diprict R I '[hv Cn?.r VN owwr Of Mks la7VAK-FLPJQt INC. Addm 8857 M4M AVC. N. ,&WLYN PATdC Bwlft Addrm 40Q2 PMZSYLVANIA AVE. O= ty I33, B1, STAFOiD PI.ALZ' ? ` a? I1/18/Q1 k"Mm Official ? POST IN A CONSPICUOUS PLACE nob Rd. 55122-1 S97 METER # CHIP # METER SIZE ISSUE DATE _ BOOSTER ADDRESS 4042 PE42vSYLVAIiIA AVE 31 BLOCK 1 SECISUB STAFFURD Yl.ACE , STATE ZIP USE PERMIT DATE 1G/03/91 PERMIT # 12326 B.P. RECEIPT # B.P. RECEIPT DATE 101021 91 PERMIT REQUESTED _X.. SEWER __1_ WATER - TAPS .? _ COMM/INO I RESIDENTIAL X NEW _ EXISTING ABER: YALLEY PL{1MLING GO INC RESS: 610 CREE1: LN , STATE NE: JOiLDAN MN Zlp 55352 692-2121 IER: NOYAIC-F'LECK I11C RESS: 8857 ZSAI.AIlD AHE 11 , STATE NE: nROOKLYN pARK Mm ZIP S5465 424-4955 ALLOW Lawn Sprinkler Meters are to be Installed Ahead of Qomestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. -_- I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUESD SCALL 454-5220 FOR INSPECTIONS. FOR STORM ? USE ONLY 'nob Rd. 55122-1897 I DATE OCT 2_ 1941 Y SITE ADDRESS 4092 PENN5YLVAtdIA AVF - LOT 33 BLOCK 1 SEC/SUB STAiFFORi) PLAC: •-? .. , APPLICANT: ADDRESS: . CITY, STATE Z1P ?! PHONE: ? PLUMBER: YALLEY PLUN'.BING CO IIVG ? ADORESS: 610 CREEK LN ? CITY, STATE JaRnAN riia ZIp 55352 ? PHONE: 492-2121 ? SEWER PERMITS, CONTACT ENGINEERING OEPT. PERMIT DATE 10/03 / 9 2 P.ERMIT # 12 32b 6.P. RECEIPT # ? 7Uq7 B.P. RECEIPT DATE 101021 91 _ PRV - BOOSTER PUMP PERMIT REQUESTED _XL SEWER __L WATER - TAPS COMM/IND X RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are. io be Installed Ahead of Qomestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF ? OWNER: NOVAK-FLECK ID1C EAGAN ORDIN NC 8857 SEALANA A1/E N ? I ADDRESS: ` CITY, STATE $K??? PARK_ ?;tv ZIP 55445 424--4955 SIGNATURE WHEN METE ISSUED i PHONE: ' PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SMETER # a CHIP # .LO/710 METER 51ZE p ? ISSUE DATE 1L-?? CITY OF EAGAN Np 1976 1 3630 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT C' 15 10 ? Receipt # Tobeusedtor SP DWG/GAR Est.value $87,000 Date OCT 2 ?g 91 Sile Address 409 2 PE V NIA AVE Lot 33 Block I STAFFORD a E S S OFFICE USE ONLY _ ec/ ub. Parcel No. occupancy R-3 M=t FEES Zonin9 N W Name NOVAK-FLECK INC (Apual) Const _ V Bldg.Permil -581.00 ? Address $$57 ZEALAND AVE N (Allowable) V=N 43 50 ° Ojty BROOKLYN PARK phone 424-4955 eof 5tories SurcnaryB . 511 Pl R i 378.00 Leng[h an ev ew o Name SAME Depih ? SA 100 00 C, Cily . $? Address S.F, Tolal - SAC MCWCC 650.00 City Phone S.F. Footprints _ , 660 00 On 5ite Sewage Water Conn . u+ Name on Site Well 95 00 w t: water Maler . a Addfe55 MWCCSystem X 30 00 <w Ciry Phone city water X ??• ?ea??? . PRV Required _ SNJ Permil 30.00 I hereby acknowlege that I have read this epplication and stata that the i f i Booster Pump - S/W Surcharge .50 n ormat on is correct and agree to co with all applicable State of Minnasola Stalutes and f? rd in a n?crye$. L Treatmenl PI 2 76.00 ? , ? ? Signature of PermitecAu`? rL?TQ?CJ7s?'C??` APPROVALS Road unit 370.00 A BUllding Permil is issUed to: N(?VAK_Fi F(`K TN(` Planner - park Ded. on the express condition thal all work shall be done in accordance wilh all Council applicable State of Minnesota Statute s a n d C i ry ol Eagan Ordinances. eldg. Off. Copies 1 . ,? ,, ? ) Buildiny Official °?&,/1.? 1 f LLI Variance - 70TAL 3,214.00 d 3 8 6` ? A o • Repuest Dale --a, Fire No. Rouqh-in ctian e uir ? Reatly Now ?Will Notity Inspactor Yes = No N'hen Featly? licensed contrector owner hereby request inspection of above electrical work at: Job Atltlress (SVeet. Box or Foute No.) ? Ctlyr ya 9a Penns vcw, Ave ?? Section No. Townslip Name or No. Range No. County Dcuk0-f-6- Occu am ?PRINT? a?r;c1C? C?.hrne i-Iei.nen Phone Na, R !v8!- oy Power SupPlier Atltlress W ?'pL?f 1 ElecVical Comracmr (Company Name) ConVactor5 Licensa No. O MaiM1ng Adtlress ICOnlractor or Owner Making Inslallation) AulFOrizetl Signatore ICOntr cror,Ownar Ma ' In tall lio , PM1One Numper n l I-9oq? MINNESOTA STATE BOARD OF ELECTPICITY 1201 /k1]'h[ ?< ({? THIS INSPECTION REQUEST WILL NOT 50ha,-Ir• Grlggs-MlOwey Bldg. - fl0am S173 BE ACCEPTED BY THE STATE BOAPD 1 1821 Univerelty Ave., SL Paul. MN 55104 ?wd?k. -?,36 y UNLESS PROPER INSPECTION FEE IS •?? Sy, P?one (613) 66R-OB00 ---?? ENCLOSED. -og R?E'MT FOR ELECTHICAL INSPECTION AF?-`? ? ?q ?l See inswcuons for completing Ihis form an Oeck oi yellav copY. ?zi 1516 ? 39866 "X° Below Work Covered by This Request / +Vdd Hep. TypeolBuilding AppliancesWiretl EquipmentWired X Home Range 7emporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other-(Specity) Comm./Indusirial Furnace Farm Air Conditionar Other (specifyl ConVactor5 Ramerks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeaers Fee Swimminq Poal 0 to 200 Amps 0 to 100 Amps Transfarmers A6ove 200 _ Amps Above Amps Signs Inspedor5 Use Only: TOTA7L Irrigation Booms .? -.JlJ, ? Special Inspection ? Alarm/Communication THI5 INSTALLATION MAY BE DERE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT. ' I, the Eledrical Inspector, hereby Rau9h m !i '. - oe?e certity that the above inspection has been made. F;nei oate ?i a 7 OFFICE OSE aNLY .? Tnis requesi voitl 18 monihs Irom Dc T? J1? Jisso 0 ? 698 - l: ?.P Repuest Date ire No. ough.ln Inpsection RepuireC Insp aian OMer Th an Rouph-In 9- ?? ?VOU mus? call ias0e?r w?en reatly) qeatly Now ? Wi11 Notl1y InspecMr 1 L T Yes ? No ale eetly I L? licensed contractor Xowner hereby request inspection ot above electrical work at: .UCMtlress IStreet. ar Rome Na.1 x Ciry 14 oTa e."ns w S ection No. Township Name or No. Range No. County ' ; Af1Cufi'F Oc ant(PRINT) ? Phone No. - 1049 Power$up0lier pAtlress Eiecvicai Comracmr (Comoany Namel Convacmr5 License No. Matling AOaress (C Omracror or Owner Making Installau0n) Awn i o Va i ion? Ph Number MINNESOTA STATI BOAFD OF ELECTi11CITY THIS INSPECTION REpUEST WILL NOi Grippe-MlEway BIEg. - Room &173 BE ACCEPTEO BYTHE STATE BOARD 1821 University Ave.. SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Pnone (612) 642-O800 ENCLOSEO. 9 Q REQUEST FOR ELECTRICAL INSPECTION ?°4??4 ooom ae ? See insimnions lor compieting ihls lortn on back N yellow copy. 1 ? ?/pr J)CJ N6_4 69 8 i'X" gelow Work Covered by This Fequest ew Add Rep. TypeoiBuiltling AppliancesWired EquipmeniWired Home Range Temporery Service Duplez Water Heater EleCtric He6ting Apt. Builtling Dryer Laatl Manegement Comm./lntlustrial Furnace Other (Specify) Farm Air Conditioner Other jsyecty) Contractor5 Remarks: ' ? Compute Inspection Fee Below: # Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool D to 200 Amps 0 to WO Amps Transtormers Above 200 _ Amps Abo loo _ Amps $iyn5 Inspecfor5 Use Only: J TQ7q? Irrigation Booms ?h. Special Inspection v Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NT ' I, the Electrical Inspector, hereby Rough-in certity ihat ihe a6ove inspection has been made. F;,,ai ? oa e 6'..? OFflCE USE ONLY ,/? ] ?6'• . ' Tnis request vaitl 18 months imm ?"7C?1TV 0Y, /`? 's,?6/ al. S??6?L, ? 3 s?oo fleQuast Dale O ?? ? ? Rough-In Inepactian e Ired? Ves 7No ? Ready Now WIII Notify Inspector When Ready? < ? licensed coniractor ? owner hereby request inspection of above electdcal work at: Job Atltlr ?1. ox or R o N T .l ??[J?? / rUr N•l A A ?? . City ? ?? ptj Section No. Township Name or No. Range No. Counry LL OccuPanl IPflINT Phone Power Su el ?? r / ? ?/S'OL Li% WI Atldress p?1i rb ? Elacinc otreot 1L ?^eK 1_ i/ ! (?• r? N?• Conh LIgeL?O3 ? I ? MailingA ?? 'cl ?a akl?InslaN Authorizea Signawr n te Ma ing I allati PM1One ?n?/1?' /? 1 w ?h[ -? D9 MINNESOTA STAT? `OABO OF ELECTRI(MY THIS INSPECTION RWUEST WILL NOT Griggs-Midway BItl?T- Raom S173 9E ACCEPTEO BY THE STATE BOAqD 1821Univereity Ave.. SI. Paul. MN 55104 , . UNLESS PROPER INSPECTION FEE IS Phone(61Y) 642q800 ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION / / ? See inshu0tions for completin3 this brm on back ot yellow copy. "X" Below Work Covered by This Request ??-?py?"s, ?a3?a New `dd? Rep: -`TypeotBuilding }ApplianCesWired EquipmemWired Home Range Temporary Service 1 Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specily) Comm./Industrial Furnace Farm Air Conditioner OtM1er (spemty) Contrfldor5 Remerks: Compure Mspection Fee Befow: # Other Fee ServiceEntran Clrouits/F e F e Swimming Pool 0 to 200 Amps 111 0 to 100 Amps Transformers Above200-Amp5 /+6ove100_ ps Si9n5 Inspedors Use Only. T a Irrigation Booms ? . Special Inspection ? Alarm/Communication TMIS INSTALLATION MAY BE ORDERED NECTED IF NOT Other Fee COMPLETED WITHIN 18 M THS. i I, the Elechical Inspector, hereby Rou9nin oaw,? certify that the above inspection has been made. F;?ai " ' f ahe OFFICE USE JNLV vEi• TM1is request voitl 16 manihs trom - - Address:4092 PQdPISYLUANIA AVE. L°t 33 $lk I Sec/Sub STP1,FpP ,D pfAM These items were/were not complete at the time of the final inspection. I1 18/91 Yes No / Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with tha builder the removal of roof test caps from the plumbing system and the shut-of£ of water supply to the outside lawn faucet before freeze potential exists. ? White - City copy Ye11ow - Resident copy Pink - Contractor copy MECHANICAL (RESIDENTIAL) Pertnit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 J Please complete for: Single Family Dwellings Townhomes and Condos when pemfits are required for each unit Date ?? Site Address Unit # Property Owner Telephone # ( ) Contractor Stree[ Address City ? State Zip Telephone #Z,?? y _"W The Applicant is _ Owner Z-Eontractoi _ Other Add-on, modifcation or alteration to existing dwelling unit $ 30:00 fumace reptacement air exchanger air conditioner ? other Sta[e Surcharge $ .50 ILJ Total 9?1 1UN 0 2 2D?13 ? $ I hereby apply for a Residential Mechanical Pemut and acknowledge that the inf4?qation is._co_mplete?amd:acciuate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with !he M'e`chariical Codes, that I understand this is not a pernvt, 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 approvesi plan in the case of work)v}iich requires a review and appcoval of plans.?/, -. o- Z?;7 ApplicanYs Prijytk'd Name /" Applicant's Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. commercial/indushial buildings multi-family buildings when separa[e permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if appiicable) Previous Tenant Name Proper[y Owner Telephone # f ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: Permit Fee S50.50 Minimym Pee (includes Slate Surcharge) Contract Value $ x .Ol% _ $ PemvtFee . Ifpemut fee is $1,000 or less, add $.50 If permit fee is over $1,000, add $.50 per => $ State Surcharge $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Yermit and aclmowledge that the information is complete and accurate; that the woxk will be in confoimance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand flus is not a pemrit, but only an application for a pernnt, and work is not to start without a pernvt; that the work will be in aceordance with the approved plan in the case of work wluch requires a review and approval of plans. Printed Name Applicant's RESIDENTfAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN S5122 651-681-4675 Naw Canstruction Reauiramants • J registered sife surveys showing sq. tt. o( lot, sq. R. of hause; and all roofed areas (20Yo maximum lol coverage allowed) • 2 copies of plan showirg beam 8 windaw sizes; poured found desgn, etc.) • 1 set of Energy Calculatians • 3 copies of Tree Preservation Plan if lat platted after 717193 . Rim Joist DeWil Oplions sNectron sheet (bldgs with 3 or less unifs) DATE Z- SITE ADC TYPE OF APPLICANT ? IULTI-FAMILY BIDG _ Y _ N FIREPLACE(S) _ 0 ,_1 _ 2 -r.S L (( rn_Q,C.cf STREET ADDRE53 CiTI`?(/-61J'5 LkSTATE??.1/ ZIP SS` TELEPHONE #C2I Z-S?L%?i?S'0-tAoCELL PHONE # FAX # PROPERTYOWNER l ISYLQ '<J?k iELEPHONE# S2-7-3 ----------------------------------------------------------?------------------------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI\NLSOT:1 RliI.ES 7670 CATEGORI' I ` (J submission type) . ResidenGal Venfilation Ca[eqory 1 Worksheet Submitted • • Energy Envelope Calculations Submitted Piumbing Contractor. Plumbing system includes: Mechanical Conhactor. Nlechanical sys[em includes: Sewer/Water Contractor: Air Conditioning -- Hea[ Recoven' Sys[cm Phone # Phone # Fee: JiO.pp -----------°---------°----------------------------------------------------^-•-----°-----•--------------•---------°---- I hereby acknowledge that I have read ihis appiication, state that the information is correct, and agree to compiy with all applicoble Stote of Minnesota Statutes and City of Eagon Ordin nces. Signature of Applicant --------- ------ ___..__..__-_----'------°•--- -- .__---- ------- -----'-°------------° ------------ - -----' OFFICE U5E ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Llpdated 4102 'Water Softener Water Heater -- No. of Baths _ Phone # Lawn 5prinkler No. oF R.I. Baths rgy Code Workshee[ AUG 0 6 2U02 RemadeUReoair Reauirements . 2 copies of plan . 1 sel of Energy Caiculations (or heated additicns . 1 site survey for extenor additions & decks . InCicate if home served 6y septic system ior aadilions VALUATIO 15 -7- ? Uz; $90.00 OFFICE USE ONLY ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireptace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 61 of_ plex ? 09 07-plex Q 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handaut to applicant 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 6ldg) FinaUC.O. _ Footings(deck) FinaLTlo C.O. _ Footinp (addition) _ Plumbing Foundacion HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ AiriGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air i'est _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 1991 BUILDING PERMZT APPLZCATION 'CITY OF EAGAN REP 3 D TINGLE FAMILY DW -.T. N S H[ILTTPLE DWELT-rNGS -COMMERCTAL 2 SETS OF PIANS 2 SBTS OF PIANS 2 SETS OF ARCHITEGTURAL 3 REGISTERED SITE SURVEYS REGISTEREp SIT& SURVEYS - & STRllCT[IRAL PI,ANS 1 SET OF ENERGY CALCULATSONS (CHECK WzTH BI,AG. D6YT.) 1 SET OF SPECIFICATIONS I 1 SET OF $NERGY CALCULATIONS 1 SLT OF ENERGY CALCS oF RENTAL UNITS ?# oF FOR SALE UNITS i PENALTY APRLIES WkiENt TYPING OF PERMIT IS REQUESTEb, $UT NOT PICKED UP BY IAST WORKINC DAY OF MONTH IN WHICH REQUEST YS MADE, IAT CHANGE IS R[:QUESTED ONCE PERMIT IS IS5UEA. NDSE: ADDRESSES FOR COFtNER IATS - CONTRACTOR/HOMLOWNER HUST DESICNATE WkiICH AAARBSS TS DESIRED. NO CHANGES WII1 BE ALLAWED ONCE BUILDIN PFyMTT rc •ccr n FROCESSING TIME FOR $EWBR & WATER PERMITS IS TWD AAYS ONCE A PERMIT HAS BEEN COMpI.ETED. PERMIT MUST SHOW A LICENSED PLUM$ER. To Be Used Fpr: Valuation; --,, I? bate Sike Address L{fi>qa \IA nn ru n.. ?nn..?. Loc 33 91o,k I parcel/Sub Ownar NOVAK-FLECK, ING. - Addzess 8857 ZeaJand Ave. N. Gity/Zip Code M-4955 Phone Contractor NOVAK-FLECK, INC. Address 8857 Zealand Ave. N. Ctty/2ip Code (812) 424-4955 Yhone Arch./Engr, uAVeK_FiGQK_ INr 8857 Zealand Ave. N. Address B?coklYn Park, MN 55445 City/Zip Coda _ Phone # Sewer/Watez Licenaed Contr 'r oFFicE usE ?7, opp - Occupency Zaning Aatusl ConsC Alloaable # of stories Length Depth S.F. Total Footprink S. R-3 M-1 --9-I v- N V-N ys? F. Ott 81te sewage____ Ion slte well MWCC System ? City water i iPRV ` Booster Rump _ APPROVALk ;Planner r Council Bldg. Off, b's Variance i ---??? Bldg. Permit 5B?, (Da Surcharge Plsn Review rJ .oD SAC, City (00,00' SAC, MWCC (pSD.oo Water Conn. 660.5? Water Meter liS.oo Acct, peposlt 30,Do s/w permit 30,w S/41 Surcharge .50 Treatmant Pl. Z (0,00 Road Ilnit S'70"p0 Park Ded. Trail Tied, Copies SUHTOTAL Penalty Lot Changa TOTAL I IL n I agrees thec all wprk ahall be done 1n accprdance with a11 applicable Scate of Minnesote Statutesland City af Eagan Ordinances. I • ? VaLuATtiC)N ?RX A& E 28xzz = ??? ? ?12, gSMT 23 u??? ?Z8 13 xz3-- zq9 ??8o 7K2 ? l y ? I 133 X f y= I5?8G 2. IST FLGOP, ?SM T ? 1112X 1133 8 10 r?s! x53= ??03 86,ov5 oP. 87, Ooo^" . s . . PionEtr Ensine?rins I 681948CI P.02 2422 F.nlEtprise flrive PIONEEF! LwaowRVCVOas•crvn[wen+etrta _ MendolaNelghts,MN55120 ?eng ne?r ng . LANORANNEfYJ- L/?NMApCARCHIT[CTS ?* ** 16121681.1814 Certificate of Survey for: ?I;-- L sG K. _I\ ? NQRTH ,- , . . .:Y- _ ... .' 1?Sb'3o?'5 ? a 3c.o N 4.,3 U` ?? u1 Q ; 3 ?zc.e,o I I ? Z Nt q.o ? 1 ? ? N'? I ?I1 LL I ?S Z ? '° P? 1 , •---Ir r yo ? " :•:°?. ? .._. __?_...s? :. ..?? . • 9cw.o Denotes fxisfin Elevvfion PkaovasEn HousE FtEVarJVN n • oo.o be?x?lesP??po EdE/evafian ; Lowes lovrEleva ion qG+.s - --- DenatesUroino? PrU1ili?fy fpsemenf ropc?'B/ockflevation ?o,a.96 --?--?- penafes Drtri F/oW'Direelion Garldt Slab E/evation q0l•?3 0 O?e?lades Mvrtul3enf 8earin?s shown crre ?ssurr? nDer?o es qjse ?ib LOT 33,BLUCK ?-, STAFFORD PLACE DAKOTFi COtlNrY, MlNNESOTA I h!r(bY Cl,tily thBt fh(s WrvlY. PlBn p reppH Y2, pr snd byj me or under my direct wperviflon en 1 1 AM fvly RP4iffP.Yld L?f1d SWVlYO, under Me Unn of tl+e Sute of Minnefota. batM thisday ot ?„ A.D. 19?? .. 1144; ? 1 la . _ . N?, . 865 i ?groakiyn? OWNER: (61s TE ADDRESS:4c CON7RACTOR: ,.,, u „ rYIO/u/Ci¢ 44/?a DATE : 9- :16 - ?ZZ PHONE: ql?) v- v9S? 0 oa Determine working1square footage of each 1. Total exposed wall area..... 2. Total roof/ceiling area..... 7otal exposed wall areafabove b. c. d, e. f. 9• h. i, J• sq. ft. x.11 = Z Z Q??? sq. ft, x.026 = Z q, ?p q fl oor=?/277 Total wall window area.............. ? .......................... Q?? 7 Total door area........ ............. ? ...................... . ?, Q Total sliding glass door area....... .? ....................... g Q Total fireplace wall area....... . i .......................... Total wall framing area (average 10%)i .......................... 1`7-7,76 Total rim joist area... .......... I .......................... 3 net wall area above floor......... ! . .......... ... .. ..... ..... wall area above f.loor . ! , '-' . ....... .......................... wall area a6ove floor......... ! ........................ ? frame wall area at foundation....... ? .............. ........ ? t l d T d f i l = "7 o a expose oun at o area Total ?_ . . I foundation window area... : Total ...... . ............ . net foundation area above grade! ............. De'termine "u" value of lach wall segment (e.9, window, door, ? a. L) 7 x „ut b. . 6 X "U' C. U x °ui d. _ x ltui e, 7 7o x "U' . f. X "U' 0145 3 9: a. 3 x „u n. ? x 11 u! i. - - X liui J . ..?- X "U k. X "U ,. x 1.U 3 ................................ eac h separate wall section) , ?/L__(?. . ?k1--,3 - --- ,Totd il 3 3 7 ` If item N3 is the sai as, or less than itei #1, you have met the intent of SDC 6006 (, ? 1% r I ?via?`"?'??c ? ? ?LaC:rior L•'fNC;l?.p? .,.......J? "U" ComputaL•iolt •- , Paq@ 2 oF 4 ,. , . Total exposed roof/ceili.ng rzrea I. , m. 'ibtal skyli.yht uren ........... ........,....... n. Total roof/ceiling framing areal (nveragcl0%)... ? ? ' ? ? ?'??`f ? ; • o. 2bta1 net insulated roof/ccili.ng urEa........... e77. ?6• Determine "U" value M. ?--- X "U° _ n. „T„ o. 2. a X .,u„ , a A ........................... ToLa]. If total of 04 is tlie same as, or le SriC 6006 (c) 1. c each rooP/cciling segment . ?.i: ?'? • ; ? _ •' ; i j ?i ? i. ?'! I .;? ' '' ;; ? .., ,. . ? ? J Z3. 3a ? ' ? ? t:han I12, you have met the intent of A1 '!b ut.ilize tlie total envelope 'system i.tems 0 and 1;9 shaJ.l not'be 9reater ? '. ZZ!>. L/q , 2. 3. _ilZ2V + 4. d, the values esL•ablished by, tlte s;im of the sum of items Ifl and 112. zS6. 3 3.36 ?? . . . ? : . ?.: ?. . L r m &4 L FT ??o?.? j; 3? f3 G t3? ;:U L, L( Ij'I ? 3 lo -?36 f 3? FvLL2? ; • . PuLi?!?I? Fu LL - . . . .? ?..; .. ?i . ?.I Is.'3 . . -r o -A , 645?t? f1tD??,`"`?` W6 PLA Q ? EXPosED WAL fiZtZ % /v ? ?. f 3 oSeb WA L.L AQ.EA ,S = 7q ? S eJo 5 ? ? - _ r • ' • = ZDo D.Q.,??' ? . paS?D GEl LflJC{ // yz W Dxl5 1? t z-y3Z S?b Z'o ye ? ? ?:?5%8 Scv ?? Doo?S ?i !? . . vz. ? ? 3 G Z6 z,v.a o Z 0 y? j 37, . {' ?....._; O,lf6 . oo ?ATf 0 Dz6 , 'a b : ? , ?..:..... ' .? _: . , . . ' r •• ? . 1'1ALL SCCTiOid$ l?nTe: U::e 153 uf opaque wall area for , ? framc construction l7ALL r•iG. ,R1 r• fu,eiL ianr,L r•zc. ,4,2 t I?/' ??I GU_? ?. JVt??yTICt'I s: n T.r. . ? ,: .....? _??'.•??-° .__.?Q ?--- ?-l-? ? A Np A % ' d' • '4' ? . u r r, • ?,' . :n... . ' • ? I . c, `' f?' • ' ? f 1'IG. 43 ?. ; ..• .?? . • 4' - ??? r ? T? _ .. . ? I • •• ? ,' : ? Construcrion FieMrM& R-Valuc ? 1. z. O.GEi r ir film T?rio ? ?' ' F3P S , 3. ,afe. woo 3/ "inches d . ? 9. 5. ?fQIJUL? ? 6. L•'xLc:rior nir film = 0.17 ? ? G? etV . . . ?N f 1. 7nterior nir ilm O.GF! a. /PSA , ? Op 4 . Z . ao 5 6. L•'xterior aix film 0.17 Total C? = , a47 ?rn'1 , 1. 7nt?(.i}•?ior air film 0.68 2. 3 5!8' f1J5UC.. .0b 3 . C)- ?cro s. ?u ? ?Z 6. hr.tcriar air film ' 0.17 7'otal U - . 1. lnl:crior ai.r film 0.68 z _ zI. _ . ?14 • 3. n . q, 5. ' G. Br.terior air Film 0.17 ? 'CoLal •? ?/?; ? a'cxnDr•. If??'? ?f ?'? • ' , '?' . ' s, r` ? , , ? - I(l.? ` . • ` . 1(( " ' . ' _ /(I ? • , , • d , ? /(I^'r'` `r r•ic. 114 . r ' (C( ? r: X, • ? .1 ??r /Ir = f(f =. flf = NO'PE: Indirate L•ynr., "!t" value, dcPth and plclCCI1811t af Iinsulation. . .. . , i , ' • . " . ,. , .. . •, . ` . . . T?OC)1=/CP.ILTtiG . . , . , . , , 1? '• , . . : ? ' ?' • ll-Vnlnc ConrkrucLion , • ?.._------ %' ? ?i ' ? 1, ?-?7ny1?•er.in?: n.tr filin O.GJ. 3• , ` ? ? ??, ? A. l;xl:cri<r r?ir Eilm (r:kil.ll mr: , f?- . Q.• ?' ? . .? , . . . , , . . ?:?,?ed Ucac f•low ' ? . . up . . . . . , I . ; . . . riG. U5? ; • • • . . • ,.. . • . '. ' . i • , _ . . . . : . . ', Int:crSar ai.z film 0.61 , ,??.,.?}?+-:'.?,?;:neq•:?._?:?T%?;-s.?",re?!e4xa3F? . ? 2.. V. C) I? . ? '? • ? . • ,i .4, 1ir.teriur +t r L• lm nt:al ?• ? •Totnl i•,? . . ?? . '. . . . . . ?'{ •, ? ' . . I//I l t?? ?? } l??[?????.x! l?J . ' • • ? ...._ . "r . . . . w1' l..( J 1 3 rr • •' ,? . . ' .? , ?: .' ... . . ?` • • • . . ? ? . . .. 4• . . .. ..? . ? .. .. . ? llttat flo%) up , .•vented 'I , ' ' . • : . ' . ' • ' .. , i . . ' . • • . . , PIG. U6' . . . • . : ? • •... . ,3------?• .: --•..?..- I? ?,. Tncic3a aiz L•ilm' O.GI . ^G?`?•S`.i .?? 2. ' .? ?.,?1G^1?,:'. .:;?? 3. • - '. .??..?y!'?'' :^i???'1'••'•1'•?'?'?'?T '? i?.-{ . J. ? . ry•:?.:?1? ??? I ? Outsi.dc ai.i: f;i).m 0.17 '1'O Lil l , . l" < 1 7 ? ? ? ; • . .. / ! 1 • ? ? . • ? ? . • • ? ? ?. .' ? ? . ? H0?-VP.N1'L'0 • , i • Nol:c: U:;c nAdit3.oi?11 chcul•a if inorn crtico ?i? 'necded Lor Jel•;ii.l:i nnd cnlculaL•iono.,:. 4 . . . I . • . ? ... ? I • . : e?.ou un dBING PERNIIT (RESIDEIVTZAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT• i0, FIXTURES I SHOWER WATER CLASET BATH TUB EACH TOTAL LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OLTTLET • mmimum • i ROUGH OPENINGS WATER 50FTENER PRIVATE DISP. • DeiLay.a+c. U.G. SPRINKLER • home under consi. A1.TERATIONS • io adsiing WATER TURN AROUh'D STATESURCHARGE TOTAL: .50 /s. Sv SITE ADDRESS: OWNER NAME: ,eCLCk }-{-ei ?12i'1 - INSTALLER: PGY?+y'(cK N? i v7 2N1 AnDxESS: Pc o o sua...? ?c?__ /J v-e? sTA-rE: l)9k) zm CaDE: S t a-3 PHONE#:69R?-9oy-g P) ((?ra) ( g?- ?3??! ?t,?) P?,.?" - SIG ATU E O ERMIITEE 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 1993 PLUMBING PBRMIT (COMMERC7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MLILTI- FAMILY BUP DINGS WI-IEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UIN:'I'. _ NEW CONSTRUGTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $_, FEE: 1% OF CONTRACT FEE. STAT'E SURCHARGE: $.50 FOR FACH S1,000 OF pERMTFEE MINIMUM FEE $ 25.00 ` CONTRACf PRICE X 1% $ STATE SURCHARGE $ TOTAL S SITE AbDRESS: TENANT NAA'IE: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHOA'E #: STATE: Z1P CODE: FOR: CITY OF EAGAN APPLICANT PERMIT A/ CITY OF EAGAN 5? y y 3830 Pilot Knob Road PERMITTYPE: euzLorNG Eagan, Minnesota 55123 Permit Number: 0 2 q 5 0 7 (612) 681-4675 Date Issued: g g/g g /g q SITE ADDRESS: I 4092 pENNSYLVANIA AVE L07: 33 B?IOCK: 1 STAFFQRD PLIACE P.I.N.: 10-72500-330-01 I DESCRIPTION: I INCLUDES DECK Bx1lJ.dYny'•_permit Type 5F PORCN ;B'uiltiing Wa?r_k, 7ype NEW I 'i3 b ??-- ,:_.? , *f? ?\?? ??V?, 4?.?u ?a?a`?.?c5 ???t3?3 L REMARKS: ? ? SEPARA7E PLUMBING & ELECTRICRL PERMITS REQUIRED FEE SUMMARY: vaLuArioH $7,eee Base Fee $90.00 Surcharge $?.50 Subtotal $93.50 DECK $30.00 Total Fee $123:50 CONTRACTOR: OWNER: - A p p 1 i c a n t- HETNEN PNTRICK 4092 PENNSYLVANIA AVE EAGAN MN (612)687-7364 I ? I herehy acknowletlge that Z have;read this application and state that the information is correct and agree!to camply with all applicabie State of Mn. L Statu es d ciCy aF Eagan Ordinances. J ? D?71 ? APPLICAN7/PERMITEESIGNATURE ISSU Y:SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number; Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: as BLOCK: I APPLICANT: 4092 PENNSYLVANIA AVE MESNEN STAFFORD PLACE (612) 687-7364 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH DESGRIPTZON BUILDING 024507 09/09/94 PATRICK NEW INCLUDES DECK INSPECTION .. . ,. F007INGS FRAMING FINAL REMARKS: SEPARATE PLUMBING &EIECTRICAL PERMITS REQUIRED ? ?. ., i ? . , . . . ., . ? „ n I . . . . ? . . . . '! . ? 1 .. ? - . ? 1 CITY OF EAGAN 0 1994 BUILDING PERMIT APPLICATION 7 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, copy o energy calcs. SEP i17 1394 COMMERCIAL of set 2 sets of architectural & structu a?_plaa?,,.l _ ? specifications, 1 copy of energy . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 6o / 9 G( Valuation of work Site Address: L109a- IQer\ Y.\SyIV0.V) ta f}ve- ?a?oP-r\ {'?'?N ? S 12-3 STREET SUITE k Tenant Name: (commercial only) - LOT 3? SIACK 1 SUBD. s??8 P('-7 p .I.D. # Descri tion of work: .fQ,e - 5 e0.SaY? C_'y\ C4 eGK The applicant is: Owner ? Contractor 11 Other (Oescribe) Name k?e? Y-1 cXA_C_'.cA< fRione`?og3(?n (f(w Property LAST FIRST 9o?iq Ch? Owner qddress (409a- CP-o n Sv cVavttc` Pnjs-- STREET STE # City State Zip S?l Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber NIA" Processing time for sewer & water permits is two days once rea has 6een approved. 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. 5ignature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory Id 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. IN 15 Deck WORK TYPE 0 31 New ? 33 Alteratians ? 35 Tenant Finish O 37 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance OR Footing I@ Final ED Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vetuacia,: $ `7, 4o0 7ju.a ??.t,w,r cir j! / IL? QML/s % /ZK/Y' /(GB K ?CO = 7 z o ' .a ? 16 Basement Finish ? 17 Swim Poal ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code ?/_ SAC Code ? Census Bldg ? Census Unit o Assessments SAC % SAC Units - . r ? ?(n3.37 /J°3o o `L0 A? q - - - - -? ` 1s - ? Aob 1 -- ,2P.bl? 9tl) ? 1 I ? v. d m , ? ? a, ? 1n I'?Ao9. 9?.4??• ? 1 I ? ? ? y?' ?V V-• ? ? V' { o? J ` q ? Z a 071. .o J? w N M I Jl ? 'X `p? I ? •8 y_, ` ?X Z ID ?. 3o.o oB s,e a5.33 oy3a y 4° ,, 9"d aS g • 2??S.r'J2 N BCo°30? ?. . -- -- -- - -- -- - - - fjo--.- . ..- ..- - -- - -- -- ----- -- - --- - - - • 900.o Denotes fxisfrn¢ £levation PPpvos,Fo Hous6 EG£v q? • ao.o bemfes PropoNed Fleval;an Lowes /oort(eva ior) -? -- Denotes droincr er'Ufilil fasement roP q?8iorkElPvarlon q?R.q 6 -*---?- Penales Dnai ?e F/oDrrecfion Garnlt Slab Elevation qo1• (P3 , o Opnales ,4ionu?3en{ Bearin?s shown are assumed o Denxoes o? ? e h?ib ?OT 33,BLOCk 1, STAFFORD pLACE " O/aKOTR COt/NTYI MlNN£SOTA I hp.eby cRrtlfy thal tb{, eurvey, plan pr repvrl Dred bY me or un(1P.f my'Jirgct sup??vn Pnd I 1 am Auly RagistrreA Lar'.d Surveyo, undet the 1Awi oi ehe Stete ol Mlnoesota, Deled (hia wef pre ?dey of A,p, ig?? ,, Xr e\)- ro-z-1i pU xisF. Efev, ???'`C G?IL?Q-Zi :? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• PERMIT .. ? PERMIT TYPE: Permit Number: Date Issued: 4092 PENNSYLVANIA AVE LOTc 33 BLOCK: 1 STAFFOFD PLflCE P.I.N.: 10-72500-330-01 i DESCRIPTION: B,PT1d'3ri'gs Permit Typ Ouiltling I`zJprk Type t a ?;J > s?- BASEMENT FINISH ALTERATION ? ? REMARKS: ' i SEPARATE pLUMBING & ELECTRIGAL PERMITS REqUIRED FEE SUMMARY: Base Fee $35.00 Surcharge $.50 TotaY Fee $35.50 BUILOTNG 022360 10/28/93 ,ojzJ(93 CONTRACTOR: I OWNER: - Appricant - HEINEN PATRICK 4092 PENNSYLVANIA AVE EAGAN MN (612)687-7364 . . ...... ..._. _..... . ._..... . .. ...... . .. . . .. ...? .. .. Z hereby aCknowledge that I hsve read this applicatian and sLate that ths infsrmatibn is Qorreat and agree to camply with'a1I appliCible Statc of Mn. Stat t?e and City Of £at}an Ordinanees. ? . ? 1.. . . . . : ...? ?E BY+SI R?TU ??I ? APPLICANT/PERMITEE SIGNATURE D INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: sa aLocK: 4092 PENMSYLVANIA AVE STAFFORD PLACE PERMIT SUBTYPE: BASEMENT FINISH PERMIT TYPE: Permit Number: Date Issued: 1 APPLICANT: MEINEN (612) 687-7364 TYPE OF WORK: BUILOTNG 022360 10/28/93 PATRICK ALTERATIQN INSPECTION FRAMING .. . INSULATIDN ,. ROUGH IN PLBG FTNAL REMARKS: SEPARATE PLUMBTNG & ELECTRICAL PERMITS REQUIRED ??, . . ? ;. . „ . . ? f;r?l f- J REAL7 kVATNE- PERMIT f ??,3?? ????wrp? 9CITY 3 OF EAGAN LOCT 2 0 1993 BUILDING PERMIT 681-4675 APPLICA710N -5s. s? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month• in which request is made, 2) address is changed or 3) lot thange 1.s requested once permit is issued. Date 10 / a0 Yaluation of work Site Address: Q<? Q?) ci 2itiREET Su N Tenant Name: (commercial only) IAT , ?? S]ACK SUBD. Descri tion of work: I?JC? seT_nen-4- -a leuelS- The applicant is: 06wner ? Contractor ? Other (Deccrf6e) Name l?s r,Q.n t c1C -? CVlr,s-I, rlE Phone (c 3 Property LAST FIRST P0--f L+ B-7- -7 3(o q {w Owner Address ?09QL Pe?nst.? 1lr? ?n a?ti STREET LiE M City ?24a-?Z State Zip ,SrS I a- 3 Company Phone Co ntra ctor Address I License d Exp. City I 5tate Zip Company Phone Architect/ Engineer Name Registr.ation # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I I?v read this application and state that the information is correct and agree to comply 11 applicable State of Minnesota Statutes and City of? Eagan Ordinances. 12 .. Signature of Applicant. OFFICE USE ONLY r ; BUILDING PERMIT TYPE O 01 Foundation O 06 Duplex ? ll Apt./Lodging V 16 Basement Finish O 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 B-Plex ? 13 6arage/Accessory O 16 Coma./Ind. O 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Coron./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facillty ? 21 Miscellaneous WORK TYPE Ig 31 New ? 33 Alterations ? 35 Tenant Fln ish ? 37 Demolish ? 32 Addition ? 34 Repair ?.36 Move GENERAL INF ORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Mater U8C Occupancy ? 2nd fl. sq. ft. PRY Required Ioning 1' of Stories Sq. Ft. total Footprint Sq. ft. Booster Pump Fire Sprinkler Length On-slte well Census Code ? Depth On-site sewage 5AC Code ! APPROVALS a Plannin9 Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? footing ? Framing ? Insulation ? Wallboard F?.Final ? Draintile ? Fireplace Permit Fee 35,UO I ww.:ia+: S Surcharge , S'c? Plan Review License MWCL SAC City SAL Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: SAC % SAC Units PERMIT N REACTIYATE ? i4?4[ CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. , COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typinq of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Qlt;Yo2,r /k-5 /Valuation of work IlJ« Site Address:_q0a ko 1) "j-4 (VMr,ck- ? STREET SUliE I Tenant Name: (commercial only) IAT SLOCR 1_ SUBD.) ti P. P.I.D. i? Descri tion of work: ~ c The applicant is: Owner ? Contractor ? Other (Deseribc) Name Phone 6????(x(? Property LAST FIps, 73(or-1 Owner Address ??401 6426yluAym,a- Ao?- STREET STE R City e'{f26Y? State ?N Zip S903 Company Phone Contractor Address License # Exp. City ? State 2ip Company ' Phone Architect/ Engineer Name Registration # Address City State Zip I Sewer b water ticensed plumber . Processing time for sewer & water permits is two days once area as een approve . I hereby acknowledge that I hnaver th is,application and state that the information is correct and agree to comply pplicable State of Minnesota Statutes and City of A Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY , BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Add9tion ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations ? 34 Repair O 11 Apt./Lodging 0 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC bccupancy Zoning 0 of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq, ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing 13 Draintile ? Insulation ? fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Nater Meter Acct. Deposit 5/M Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatusttm: g * ?ih t f ,:;r • . ? 16 Basement Finish O 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC 9G SAC Units CSTY OF EAGAN _ 3830 1 PILOT KNOB ROAD EAGAN, MN 55122 PHONEI: (612) 454-8100 WORK NEW CONST X ADD ON _ REPAIR _ OWNER NAME: Pat Heinen SITE ADDRESS; 4092 Pennsylvania Avenue LOT: 93 gIACK / SUBD. INSTALLER: Kleve Heating & Air Condit ADDRESS: 13075 Pioneer Trail CITY: Eden Prairie, MN ZIP; 55347 PHONE #:(612) 947-4211 ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: $TATE SURCHARGE: $15.00 24. 00 ? 6.00 3.00-? $a: .ao .50 TOTAL: $ 0??U ` r- SIG E OF PERMITTEE ?C11?IMER?TALfTN?ST1.t??iT. PLEASE COMPLETE THZS PORTION FOR ALL COMMERCZAT./INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACA DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: PLEASE COMPLETE IIP TOWNHOMES/CONDOS WHEN FOR CITY USE ONLY PERMIT # RECEIPT # O DATE: /0/ PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ITS ARE REQUIREDIFOR EACH UNIT. --------------------- FEES FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) I CITY OF EAGAN i G1TT vr ancIuv rux ci'r ust onLx 3830 PIIAT RNOB ROAD ' .. ? EAGAN 1SN 55122 PERMIT o PHONE (612) 454-8100 RECEIPT t? ? ?? ? DATE: 1 LL ?S?YS?iQ3lSlti?: PLEASE COHPLETE .,, :.> :. .,. .... . IIPPER PORTION ONLY FOR SINGLE FAMILY Di1ELLINGS & . TOWNHOMES/CONDOS WHEN PF.RISITS ARE REQIIIRED FOR ? EACH IINIT. -- -______________________ ___- AORK DESCRIPTION --------------- --_ I __-_ -___________--------- COMPLETE THE FOLLOWING: --° N0. FIXTURES EA. TOTAL M CONST ? ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CIASET 3.00 3• ' anTx Zvs 3.00 3- Q ? IAVATORY 3.00 3- 7 OWNER NAME: rl.ln!L- KITCHEN SINK 3.00 - (? IAUNDRY TRAY 3.00 SITE ADDRESS: 9 C7 Ci a V' Q IV-) S ? I YaJ ? HOT 117B/SPA 3.00 ? WATER HEATER 3.00 ?- IAT: WO BLOCK SUBD. S?' FIAOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: ? c (MINIMUM - 1) 3.00 3 ?? ROUGH OPENINGS 1.50 ? ADDRESS: ?o 10 C ki c\ L J _ OTHER WATER SOFTENER 5.00 CITY: J 6'An.J ZIP: .l J' -"Sa _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PNONE ?-A `?a - SUBTOTAL S ST. SURCHARGE .50 SIGNATURE OF PERMITTEE ?? - I TOTAL: S LAljiNDIISTR2AI.?; PLEASE COMPLETE THZS PDRTION FOR ALL C0NRIERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAHZLY BUILDINGS RT1iEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. i ? ---------------------------- '--_______-____________--________________-----__ CONTRACT PRICE: OiJNER NAME : ' SITE ADDRESS: ? lAT: BIACK _ SlTBD. INSTALLER: I ADDRESS: I CI1Y: ZIP: PHONE a: I I FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 lIINIMUM £EE. CONTRAC.T PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATITRE) S FOR: CITY OF EAGAN PERMIT City of Eagan Permit Type:Building Permit Number:EA118949 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 4092 Pennsylvania Ave Lot:33 Block: 1 Addition: Stafford Place PID:10-72500-01-330 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 . Dean Nelson 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 - Nicholas J Strauss-klein 4092 Pennsylvania Ave Eagan MN 55123 (651) 252-4044 Dean Nelson Shingler Inc W11124 State Hwy 35 Stockholm WI 54769 (651) 726-4911 Applicant/Permitee: Signature Issued By: Signature Use BWE or BLACK Ink �-----------------, � For Office Use I , � �3a��s ' �{, �� I Permit#: � I p^� I ir � � Permit Fee: �� • VQ I 3830 Pilot Knob Road � Q �y � Eagan MN 55122 I Date Received:C�J` C7�� ` � Phone: (651)675-5675 AUG 2 7 ZO75 � statf:� j Fax: (651)675-5694 �___________�____., 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: $/25/is Site Address: 872 WESTCOTT SQUARE, EAGAN, r� ssi23 Tenant: Suite#: ��'��c�"��H E z ,�� P �. i uC�_ ��uti'p��y�� `? = Name: F3AROOD7 PASHA Ph0118:�952-237-9892 � rr��Sii��El�/��` ` � �� ; ` n ",�_ AddPBSS/Clty/Zlp: $�2 UTESTCOTT SQUARE, EAGAN, MN 55123 �� ,, a` _ p�l� � II — �� Name: K&S HEATING, AIR CONDITIONING & PLUMBING II��nSe#: PM059513 1�P AC1dI'2SS: 42C5 HLVY I4 W � C��: ROCHESTER �csnfi�a�tor �� uG�r'��p ��b�' StBt@: MN Zjp. 55901 PhOf18: 507-361-2332 ��B�e��k�� r_ � � � � � �� -� COf7t8Ct: HEIDI BROWN EI11811: HBROWN@KSHEATING.COM _ ;u�� _��6� . . . . �y�p € � �" ��° � New x Replacement _Repair �Rebuild _Modify Space Work in R.O.W. ?�/��•{�'f��I�C = � — � — _ � �� ,= � � � = � a u�,�,�' _� Description of work: � � � � � �� ' ` � �� PERMIT City of Eagan Permit Type:Building Permit Number:EA163611 Date Issued:09/08/2020 Permit Category:ePermit Site Address: 4092 Pennsylvania Ave Lot:33 Block: 1 Addition: Stafford Place PID:10-72500-01-330 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Prashantkumar J Patel 4092 Pennsylvania Ave Eagan MN 55123 (330) 333-9996 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173513 Date Issued:11/15/2021 Permit Category:ePermit Site Address: 4092 Pennsylvania Ave Lot:33 Block: 1 Addition: Stafford Place PID:10-72500-01-330 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Prashantkumar J & Yogita P Patel 4092 Pennsylvania Ave Eagan MN 55123 (330) 333-9996 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature