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4096 Pennsylvania Ave ----Use BLUE or BLACK Ink for ah r_ !Ire, City of Ea I I Permit Fee: RECEIVED 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 JUN 17 2011 1 Fax: (651) 675-5694 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: bO 1-3120)1 e,/~ Site Address: q Vf'/ l o ACC of a l l/j r, Tenant: oa l bt-aha / Suite M RESIDENT / OWNER Name: u4th BYl~d t Phone: Ur Z' 47q_,-1~+ Address / City / Zip: y-Q l V'l, L. f/ CONTRACTOR Name: e I~II~~.N rp License Address: HD VCCv1 f t1) I ~ ~l~e+City: ! Qs -^n State: ff) n zip: ~a3 _ Phone: US 1- - `TI 1 VGA~'~+ 1, p ContactAmIp 1 hffmw) Email: ~ 6l~Ur' TYPE OF WORK New 4Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground' mounted mechanical equipment is required to be screened by City Code. `Please contact the Mechanical inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES. $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x OVIN3K.0 L"_ -.1, Applicant's Printed Name Appli nes Signature ' FOR OFFICE USE Reviewed By: Date: _ Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspertir n ? CASH RECEIPT V } % CITY OF EAGAN' ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REceroeo ? AMOUNT I $ ?/ P/ ;? v & DOLLARS ,oo t O CASH (] CHECK •, . . ?-. y?/ 'r / / _ ` ! FUND + bBJECT I i AMOUNT Thank You BV - , W,fte--PeYers Copy . , . venow-aosens Copr Pink-File Copy BLDG. PERMIT NO. „-re-cri,4w 01-3210 ' Bldg. Permit ? i 01-3422 Plan Check 01-3445 Surch./Adm. ? 01-3446 SAC/Adm. Y ? . .. 0•?2155 Surcharge ? 75-3860 Fioad Unit ? 2d-2275 SAC 20-3865 Water Conn. 20-3865 Water Trmt. ? 20-3716 Water Meter -Z 20-2252 Acct. Dep. 20-3713 Water Permit , ? ? 20-3743 Sewer Permit 79-3866 Sewer Conn. ? 28-3855 Park Ded i? TOTAL 141" ;?2 7-1S? L 0 ? DATE: XX ..., r : ? 1/26189 RE: 4096 FBNNSYLVANlA AYB.. L32, B1, S'fAFFORD PLACE 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 Ct LL PUBLIC WORKS (454-5220) FOR YOUR PERAAANENT WATER TURN ON. V9ur Sewer & Water Permit for the above property cannot be completed for the following rbasons: ?• Your Sewer & Water Permit for the above property has been oompleted, but the meter cannot be issued or occupancy allowed until further notice. COMMER'CIAL 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. WAkNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. r- REQUIRED BY LAW. ». - CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 1/26/89 4096 PBtiNSYLVAi11A AVE., L32, Bi; STAFFORD PLACB Your Sewer & Water Permit for the above property has been oompleted. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CA?.L PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ?f ? Your Sewer & Water Permit for the above property cannot be completed for the following reasons: '• ti . v' .? t ' Your Sewer & Water Permit for the above property has been completed, but the meter cannot ? be issued or occupancy allowed until further notice. COMMEROIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. i - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN . 16079 , . 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $74,000 Date 19$9 Site Addrerss 4096 P£!F2?SYl,4'ANIA AVE Lot 32 Block 1 Sec/Sub. gTAF'FO&D PLACE OFFICE USE ONLY Parcel No. occupancy R-3 h=1 FEes IL-1 . Zoning W Name FROIaTISR MiDWEST 1i0;4.1:S (Actual) Const V-N eid9. Permit 522.00 Address 3902 CEDARVALS DR (Allowable) Y=N Sur h r e 31.OU o City EA?N Phone 454-0433 # of Stories - 431 g c a Plan Review 261.00 length o Name 5AME oePm 471 snc city 100.00 , Address S.F. Total - , 575 00 ? CIfY Phone S.F. Footprints - SAC, MCWCC . Water Conn 5 50. 00 On Site Sewage _ ? W? Name On Site Well - Water Meter 90.00 T? Address MWCC System ? 30 00 a xx Acct. Deposit . W City Phone city water ?? S/W Permit 2a •? PRV Required I hereby acknowlege that I have read this appiication and state that the Booster Pump - SrW Surcharge 1•00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City o1 Eagan Ordinances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 325.00 A Building Permit is issued to: iRU}'T IE", hiIU LLti`f 1106GS Planner - park Ded. on the express condition that all work shall be done in accordance with all Cou^cil - applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff. _ Copies 2? 7 3`s .;? t Bulldirg official variance - roraL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Site Address 4096 P8l/NSTLYANU AVF Lot 32 Block _I Sec/Sub, STAlT41tD PLACE Parcel No. W Name 1CEI7H 8 SAI?i?Y D81LEIt ? Address 4096 PYNNSYLV/11iI11 AIB ° City EAGAN Phone 688-2260 Name SAM j? Address City Phone ? Name WW ? ; Address <W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to compiy with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. SignaWre of Permitee Y'?j?j??? ?vc+.ti A euilding Permit is issued to: KZITII 09 SANDY UbLZR on the express condition that all work shall be done in accordance with all applicable State ol Minnesota Siatutes and City Of Eagan Ordfnances. Building Official - T Occupancy Zoning (Actual) Const (Allowable) # or stories Length DeptA S.F. Total S.F. Footprints On Site Sewage a, si?e wen MWCC System Ciiy Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Of(. VarianCe ? 19519 ? 30 . ? s91- OFFICE USE ONLY - FEES Bldg. Permit Surcharge Plan Review SAC. Cily SAC,MCWCC Water Conn Water Me1er Acxt. Deposit SjW Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies 70TAL Permlt No. Pennk Holder Data Tebphone # WATER SEYYER PLUMBING H.V.A.C. ELECTRIC Inspscdon Qate M . Comments Footings I FoundaGon Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspecta - Notily Plumber Const. Meter EngrJPlan Bldg. Fnal 5? Dedc Ftg. Dedc Final Well Pr_ Disp. REACTIVA7ED FDR DECK 6/21/89 CITY OF EAGAN KEiTH BEBf,ER 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 439-6143 PHONE: 454-6100 BUILDING'PERMIT Receipt # To be used for SF Site Address 1•+-9"` T"e=-;-;'°yLV? Lot Block Sec!Sub. Parcel No. _ W Name FfiuN'tiER I?41DyEST HOl?9 ? Address 1902 Gc:t7llPvAl-t LR City --AGAI? Phone 454-4A33 Est. Value W 74.000 Name Address Name _ Address Clty _ I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Stalutes and Cih/ ol Eagan Ordinances. Signature ot Permitee A Building Pennit is issued to: - :! I J?-^:5'!' !:.:'• i'" on the express condition that all work shall be done in accordance with all applicaWe State of Minnesota Statutes and City of Eagan Ordinances. Building OFFICE USE ONLY 19_89 Occupancy R--3 XnZ FEES Zoning R-S (Acfual) Const 'f-N Bldg. Permit 52 2. C'?; (Allowable) V-N surcnarge 37 . rl: # ot stories L ?? ?_ Plan Review 26f. GU Dep1h 47* SAC. Ci1y 100. G`1 S.F. Total - gAC, McwCC S 7% - _10 S.F. Footprints - On Site Sewage Water Conn 56. l-i On Sfte Well - Water Meter qtN -I ',I, MWCC System .?2L_ , f C 1?. City Water •J.`: . t. Deposit Acc PRV Required S'W Permit Booster Pump - S1IV Surcharge 1•? Treatment PI ` • 00 APPROVALS Road Unit • Planner il C - Park Ded. ounc BIdg.ON. - _ CDpies Vanance - TOTAL 2, 7 ? y ' ' ' 4 Permft No. Permit Holder Dats Telephone # WATER SEWER PLUMBING H.V.A.C. A 0 ELECTRIC Inspection Date Insp. ? Comments Footings I / Foundation ? Framing Roofing Rough PIb9• Rough Ht9. - `• d ,Q ? fs,i. L-zi-B ? Fireplace Fnalliig. 3z? ff Rnal Plbg. ? Const. Meter Plbg. Inspector - Notify Plumber Ergr./Plan Bldg. Final ?f Deck Ftg. L P Deck Final we+i Pr. Disp.. - Z . ., CONTRACT PRICE: Site Address 4 Lot 3 ' Block PERMIT # MECHANICAL PERMIT RECEIPT # 2Z CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 2/+ 189 .700.00 PHONE: 454-8100 ? Name wrU`dc.l, are'• • m Address 1955 ShaWnea c City ?gan BLDG.TYPE Res. XX Mult Comm. Other WORK DESCRIPTION New Add-on Repair ?'RONT Name IER COMPAIIIES" FEES RES HVAC 0-100 M BTU -$24 00 ? c Address390 Sible MemOi'ial A . . ADDITIONAL 50 M BTU . - 6.00 p City i88? Phone 454 30433 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkidlln - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air 80,002 M BTU "' 4.OQ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00 . Vent CFM $ STATE SURCHARGE PER PERMIT (ADD $.50 S/C iF PERMIT PRICE GOES - .50 Gas PipingAutlets # ' `',! BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: $26•00 FOR: CITY OF EAGAN ,_ _ . _ _ ._ _._ . , .. _n_.o._..?.. ...-?._e.., ._.__. ...„?. , .? COMTRACT PRICE: Site Address '! - , lot Block - ? Name ftf: m ? Address - ?-- c Ciry Phone"`' Name ? 3 Address ;'Af p Ciry Phone FEES COMM/IND FEE -196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) < ? . . : SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT Ik - `` PLUMBING PERMIT RECEIPT q CITY OF EAGAN 3630 PILOT KNOB RQAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 ` BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. _T- New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES Cl t $3 W 00 $ TOTAL - ater ose . • Bath Tubs - $3.00 z Lavatory - $3.00 f Shower - $3.00 - TKitchen Sink - $3.00 UrinaVBidet - $3.00 ZLaundry Tray - $3.00 ? Floor Drains - $1.50 f Waler Heater - S1 50 Whiripool - $3 00 . ?Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMin Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?Rough Openings - $1.50 - FEE: STATE S/C: ,. '` GRAND TOTAL: ' ? " -'? CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS- Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of city codes governing same: L"' LL ?? 7e- F??L // L,Fl? 3&- 3 y When corrections have been made, please call 454-8100 for inspection. Date ? l--tz?" '.? ?- ?-- Inspector City of Eagan DO NOT REMOVE THIS TAG _?;.• ; Traiftratt uf COrrupauril Citp of (tagan oppwrbntpttf af suilditcg 3wrrtiua This Certificnte issued pursuant to rhe requirements of Section 306 of the Uniform Building Code certifying that at the ame of issuance this structure was in compliance witkttte various ordinances of the City regulating building construction or use. For the follo?vft.• vse cmi&m(n 5F DWIG/GAR gldg. PeTf,;c xa. 16079 oocupanc-r TYve F3/M I zoning Disaia R? Type const. VN o..c s„adi.g FRONTffit MID4JEST HTg'S Addn,,, 3902 r',?.Ml1ItVAtE DR. F.Ai'„Aid swlaing naa?em 4096 PFTNVSYI,VANI'A AVFSV[JE ,oc,;ty I32, Bl , SfAFFM) PI.ACE o.ti: APRIL 4. 1989 T ? suaaing oa«a', '' POST IN IA CONSPICUOUS PLACE SEWER & WATER CiTY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 PERMIT DATE WATER PERMIT #_ 10252 SEWER PERMIT # 411391 n74 ME7ER # B.P. RECEiPT # READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE Y^ PRV - BOOSTER PUMP SITEADDFESS *'':;` l "°.'")v# VANIA AVE LOT?TBLOCK A SEC/SUB STAFFIRD ? " ? ? APPLICANT: . {?;:; ?'?,. 4'.'_';•ii.ST r?(}iS;T?, ^?;?p?,??1T1,?':v ADDRESS: `r'_1x Ct'?p,Rb?ALE DRIVE CITY, STATE. ?, «1?AN , , `if,, . ZIP J' _ PHONE: - ' PERMIT REOUESTED V SEWER - WATER _ TAPS - COMM/IND ? RESIDENTIAL -' NEW _ EXISTWG PLUMBER: ADDRESS: ( "!"J'`'r' "' r° ;= TERR,,',, I AGREE TO COMPLY WITH CITY OF _ ''"?'!:;T??'r' , '•? EAGAN ORDINANCES: CITY, STATE ° ZIP " - PHONE: OWNER: ? ?+3Ex , _ ; ;x JANDRA ADDRESS: `??C SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORIIA SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER'& WATER PERMiT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE;USE ONLY PERMIT DATE I f ? C) / WATER PERMIT #' 10252 _ SEWER PERMIT # 1" 91 METER # B.P. RECEIPT # 9n dLf UBER RECEIPT DATE 1/26 1fi° METER SIZE rf g ?ocJ( ISSUE DATE _- lo- 9 XX pRV _ BOOSTER PUMP - SITEADDRESS 4? °96 AVE PERMITREQUESTED LOT "r BLOCK SEClSUB `'TAFiMD =,'.i:., L-t; " APPUCANT: FRONTIER MIDWEST NOMF`_? -SEWER WATER _TAPS ADDRESS:?' ?90a CEDARV Lt DRIVE _ COMM/IND X - RESIDENTIAL CITY, STATE EAGAN,,htN . ZIP PHONE: 454?04 X NEW - EXISTING pLuMgER: STAR PLUPIBIyG ADDRESS: 1018 ?`?OUhlD SPRINGS Tr;?? jr,J I AGREE TO COMPLY WITH CITY OF CITY, STA7E BLOQMINGTON, i. ZIP 'li? EAGAN ORDINAMCES: PHONE: 984-41 49 ? OWNER: ?E$f?R, KEITH & SANDRA ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STAT? ZIp PHONE: ?- PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERiNG DEPT. •i /. " r : ! . . . ..c. 1:-? . . . . : .. •. _?A?: -J'Ae i?•? -.n.. _- BUILDING PERMIT 7o be used for BASEMENT FINISH Fm vai..a Site Address 4096 PENNSYLVANIA AVE Lol 32 Block 1 Sec/Sub. STAFFORD PLACE Parcel No. w Name KHITH & SANDY BEBLER o Address 4096 PENNSYLVANIA AVE City EAGAN Phone 688-2260 o Name 5? ga Address m i- City Phone ? W Name m-??, Address a W City Phone I hereby acknowlege that 1 have read this application and state that the informalion is correct and agree to comply with all applicable Slate of Minnesota Statutes and Ci of Eagan Ordinances. SignaNre of Permitee ?n, A euilding Permd is issued to: KEITH OR SANDY BESLER on the express condition Ihat all work shall ba tlone in accordance with all applicahle SWte of Minnesota StaNtes and City of Eagan Ordinances. Building Otticial . GQTY OF EAGAN N? 19619 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 n Receipt # U/ /al O oate AUG 30 , 1991 OfFICE l1SE ONLY Oaupancy 7qning (ACfual) Const (Allowable) 8 0l Stories length oevln S.F. Toial S.F. Foolprinls On Site Sewage on sae weii MWCC Syslam City waler PRV Required Booster Pump APPROVALS Planner Cauncil BIdg.Ofl. variance FEES 81dg.Permit 3$.00 Sumharga Plan Review sac, ciry SAC,MCWCC Water Conn Water Meter Accl. Deposit 5/VJ Permit S/VJ Surcharge Tfeatment PI Road Unit Park Ded. Capies ro7nL :35.50 CITY OF EAGAN jr}": 16079 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454810D BUILDING PERMIT Receipt # To be used for SF DWG/GAR Esc Value $74, 000 Date 1982 Site Address 4096 PENNSYLVANIA AVE lot 32 Block 1 Sec/Sub. STAFFORD PLACE Parcel No. w Name FRONT IER MIDWFST HOMES Address 3902 CEDARVALE DR o City EAGAN Phone 454-0433 o Name SAME , z? oa Address UQ ' City Phone ? ww Name ?' Address $w City Phone I hereby acknowlege that I have read this application and state ihat the informalion is corred and agree to comply with al ap licable Slate of Minnesota Statuies and City oan rdin ces. Signature of Permitee r ig A Builtling Permit is issued to: FR(1NTTFR MTDWFST HOMFR on the express condition ihat all work shall be done in accordance with all applicable State of Minnesota Statutes antl City ol Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 `-1 FEES Zoning ]L--1 (Actuap Consl V-N Bldg. Permit 522.00 (Allowable) V-N Surcharge 37.?0 # ot srories - 43' Plan Reviaw 261.00 Lengih oeptn 97' sac, city 100.00 S.F. Total SAC, MCWCC 575.00 S.F. Footprims - On Site Sewage _ Water Conn 550 _ 00 On Site Well - water Meter 90- n0 MWCCSystem xx pwlDeposit 30.00 Ciry Water xx PRV Required S/W Permit 20.00 Boosler Pump - SM! Surcharge 1.00 . 7reahnent PI 228.00 APPROVALS Road Unil 125-(1(1 Planner - park Ded. Council - BIdg.Off. _ CoPies 2 739.00 Variance - TOTAL , ?o ? jsi e? ?s yo a? ? 43400 l RequeG Dete Flre R Rough=m InspeIXion X R - etl? ify Inspecbor G Reatly Now ' Will No[R d ? ? - Yes _ No e en a y _ icensed contractor ] owner hereby request inspection ot above eledrical work at lob Atldrass iSVeeL Bor or Rovte No.i ?f'a 96 loe-*Aol s /Vf .v?.; City E? -)%? Section No. Township Name or N. Ranqe No. Counry %?koTq. OccupantlPRINTI . / Phone No. Power Su plier ?rsoG ? k /- L Atldress ?.-n , ?s.,? /h /l? - " ,t e $ , Elecmcal Gonvyc r IConpany Name, . r'?F r/'I CoMrecto s License No. o ?1Z ss S Maning qadress iCO. vaclor or Owner Makln9 Installationl. S/ /1/0•- /0*rk /t'q/- Ea ?a/ ?!?i?. AutM1Onzatl S9 i naW i nlraMOr/Owner Maki Ila' U ? ? Phone Number MINNESOTA SE BOAHO OF ELECTHICITV / THIS INSPECTION REOUEST WILL NOT Griggs-MIEwa Bldg. - Room 5-113 6E ACGEPTEO BV THE ST0.TE 80AR0 1821 Ilniverslty Ave., SI. Peul. MN 55109 ' UNLE55 PROPER WSPECTION FEE IS Phone(612)6<20800 ENCLOSED. /p/wS/ ;EQUESToFORoEP ECTRI?CALtiNSPECTION A fliflnn "X" Below Work Covered by This Request •? ti q EB-00001-08 C?/593K ew Add Rep. ?- TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service ?uplex Heater Electric Heating Apt. Building Olher (Specih/) Commllndus?rial V e Farm ndi[ioner Other(specily) emarks C M I I t^ Contractors Compute Mspection Fee 8elow: # Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Abov _ Amps Si9n5 Inspeclor's Use Only. w. TOTAL S Irrigation 8ooms ?O ? dv Special Inspection Alarm/COmmunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS ( I, the Electrical Inspector, hereby Roughin s_- Dale y? fir Y? certify that the above inspection has been made. Final ? ? ? OFiICE USE ONLY , ? This requesi voitl 18 monlhs Iram REQUEST FOR ELECTRICAL INSPECTION dr% ee-aeom-m p'? See iiretmctions tor compleling this form on back of yelbw copy y? 9T15 p X" 8elow Work Caverea' by This Request ew Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplez ater Heater Electric Heating Apt. Building Ory er OMer (Specify) Comm.llndustrial urnace Farm ' Air Conditioner OIM1er (apeciry) ConVaclor§ Hemazks: Compute Inspection Fee Below: S Other Fee # ServiceEntrance5ize F # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps D io 700 Amps Transformers Above 200 _ AmpS Above 106 _ Amps Signs Iinspactors Usa Only: OTAL Irrigation8ooms r1J . v ? Special Inspection ? Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify thatthe above inspection has been made. Rougn-in ( oa? 3- ? ?- Final oa? ? OFFICE USE ONIY / • . ..? `'?3 This requesl voitl 18 mwihs iro. ??? E 9 9-? 5 9?.? Requ¢51 Da[e Fiie No. h-in Inspectlon r ? R C N VJill N ti l t F uired7 ae y ow o ry irepec or Yes ? N. When n Ready? I licensed contractor ? owner hereby request inspection of above elechical work at: Job Atldrese (31ree1, Box or?9 ute No.) Ciry d 9`'an a4 Seclion No. Townshlp Name a No. Renge No. Cou OccupaM (P P?orre No. ?e ? o?es ,?aY33 Power Sup i r lWtleess Elec[ncalComract ( mpeny N e) i Conbaclor§ License o. ? w ?- 3 MeifngAtldre (COnVactororOwnerMaldnglneWllatbn) A ., "."(lhf ?, Y' AulhorizeE ' re(COMracl r Making Ins[allacon) ? Phone umr / ;,? I Y . MINNESOTA STqTE BOARU OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT Grigga-Mitlway eldg. - Raom S173 BE ACCEPTED BV THE STATE BOARD 1821 Univerelry qve., St. Poul, MN 56104 UNlESS PROPER INSPECTION FEE IS Mone (812) 642-OBW ENCLOSEO. • i 1989 BOILDING P&9MIT APPLICATION - CITY OF EAGAN S IlQGLE FAMILY DWELLINGS I(,.,* Oti I * t ? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTSs ADDaESSFS FOR CARNER LOTS - CONTRACTOR/90ME0iiNER MU3T DESIGNATE WHTCH ADDRESS IS DFSIRED. NO CHANGFS WILL BE ALLOWED ONCE BUILDING PERMIT I3 I330ED. MfJI.TIPLE DWELLINGS RENTAL UNITS FOR 3ALE DNIT3 • OF ONIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECS WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Osed For: SFD/( .4R Valuation: `?y? Date: 0I-0-$9 Site Address ?'10C1Co Lot 32- Block Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. R-3 M-1 R?- V•N v- N FEBS Bldg. Permit rJ?'00 Parcel/Sub S7AFFO2D PtACC' owner SE61Ef2.T KtstTN +^L? 5.QNAR4 Adclress 3045 6qCrP,NAALE PL *'2JG. City/Zip Code E-C„qrlXAN 55LZ1 Phone 688-ZZCoO Contraetor nadress 3eIp2 GEU9RVqLE DR1VL'-- City/Zip Code EA6APt lY1N, 55 17 Z I Phone 145y-,0933 Arch./Engr. D1C1C WHEFLEI?' Address q(:,35' NICHOLS ROAD City/Zip Code E/16Aly , N, 6$17-t Phone #J52 -6 5`) 5 4r Yr On site sewage_ On site well MWCC System y?/ City water L/ PAV required Booster Pump ` APPROVALS Planner Couneil Bldg. Off. Varianee Council Surcharge 139,00 Plan Review 26 t, l SAC, City 1 Oc), OD SAC, MWCC S`1 S. OQ Water Conn SSCa,t? Water Meter 90. DD Aect. Deposi t S/W Permit 2D.LY? S/W Sureharge I,Od Treatment P1 . ,00 Road Unit O? Park Ded. Copies TOT9L ?? ? ,? ?? ? L. NOTB: Sewer & Water Permit fees and aceount depoait fees xill be ineluded in the building permit fee. Processing time For sewer and water permita ia two days once a licensed plumber has applied for a permit at City Hall. ry 1988 SIIILDING PERFffT APPLICATION - CITY OF EAGAN b SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOWNER MDST DESIGNATE WI3ICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS ftENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.$ 1 SET OF ENERGY CALCULATIONS COhA1ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: NEW CONSTRUCTION Valuation: $64,150.00 Site Address 4096 PENNSYLVANIA AVE. Lot 32 Block 1 Parcel/Sub STAFFORD PLACE Owner BEBIER, KEITH & SANDRA Address 3045 EAGANDALE, PL. #216 City/Zip Code EAGAN, MN. 55121 Phone 688-2260 Contractor FRONTIER MIDWEST HOMES Address 3902 CEDARUALE DRIVE City/Zip Code EAGAN, MN. 55122 Phone 454-0433 Arch./Engr. DICK WHEELER Address 4635 NICHOLS ROAD City/Zip Code EAGAN, MN. 55122 Phone u 452-0575 Date: 01/18/89 OFFICE USE ONLY On site sewage_ Occupancy MWCC system _ 2oning On site well _ Actual Const City water _ Allowable PRV required _ # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Surcharge Couneil Plan Aeview Hldg. Off. SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks /Copies TOTAL I or' 4 _EXTERIOIt f.WVELOPC FlVf.kA(if "II^ Cppif'HI'AflON zve eo. OWNER:, I?1?fl : ._._._'_`-?--?---?--._._.._..._...----__.. ...- n SITE ADDRESS: L .3Z ? I ?A - CONTRACTOR: Determine workiny :yuarc fontafie uF eac:li i. Total exposed wall area..... ao?lc- sq. fl.. +, .11 = yay,. e,<„ 2. Total roof/ceiliny area..... i i o'y __sq, ft, x DZG Total exposed wall arca abovc f'loor= a. Total wall window area ........................................... b. Total door area .... ............................................. --- ? Y, c. Total sliding glass door area .................................... ? Z.../ d. Total fireplace wall area ........................................ e. Total wall framing area (averaye 10") ............................ f. Total rim joist area ............................................. ?4 L.0 g. net wall area above floor ..................................... Zz. 7 h. wall area above ftoor ..................................... i. wall area above fluor ..................................... ! J. frame wall area at fc>un<iation ................................... Tutal expcsed foundatiun area= __-J 7- k. Total foundation window area ....................... - - -?? 1. Total net foundation area above grade .............. ; Z Determine "u" value of each wall seymerrt (e,g. window, door, eacti serirate wail section) a. 1?$ X ,lul? i n. :5 x „U„ ! , 3 ! =--L78 c. x „Ul.- ----3 3- ----1n,?9 d. 25' Y, "U° e. I 80 3 _ X UH f. ILI Co X „ul, tO`/ R4-1 g. l(.o Z 2, 7 J( U., h. X "U" _ ;. x °u° _ - lf item p3 is the se k, X "U" = as, or tess than ite - - 'Y H1, you havp met the X "U" ___, intent af SBC 6006 ( 3 . ......... ............. ....... .... Total , ??1`°'ISc,terior rnvelope Average "U" Computation . v. Total exposed roof/ceiling area = ?187 - M. Total skylight area ............................ I Z- n. Total roof/ceiling framing area (average 10%).., II O, "7 . o. Total net insulated roof/ceiling area........... 4( 9 4,p , 3 Determine "U" value for each roof/ceiling segment Page 2 of 4 M. ? L X"U" L( - n. X "U" o. x „o?? ,pz = i9.qZ 4 ........................... 7bta1 - 7_S Tf total of y4 is the same as, or less than N2, you have met the intent of SBC 6006 (c) l. - Alternate Buildin Envelo e Design 'lb utilize the total envelope'system method, the values established by the s•am of itans #3 and #4 shall not be greater than the sum of items #1 and #2. 1. '2 2 5' b C,,. + 2. _ Z 2'i ?J`?2$ = Za ?$ (4 3. + 4. Z7 . ---•? . ;:?? .. . , ' VJAI.I. 6CC1'iONFi @: Uar ?yt of o??a??ur, wa11 nren for . ,,.. ? frilm^ cc,n::truct iuo r<,m_trnc? inn r.:valu?: ??. • ?:... ? ------? 2 • -S/L? ?.? .. A.P, . _... _._.... . . __, ?3 .?. '-' ... r? x4; • ? ri. 5.1P.11J4R..... .. ..... . . _ ..?/Z. ?IC • .?-• 1."r L. F:r.tcriuralr fitm r• U.I7 - _.._ '.' --__ ..._ ...... . .. .....__._.. .._......__._...._ 411 __.----?,? ??„?;,t rc= ro, as .o . UL P1C. 11 TGt'VIF19 OF ? FtNl1E SVAL1. 1. inlrrlmc air :11ut Gn . Z• ??.A? .b?L? . ............ ._?...-_J?S . _..__._« . , ?• _4".._ KSUi?..._._..._.?-------L°I..Q. ? ?' ..._.._? 4• 2?t_'SliTfie._...__ ,. Z ExLi?ric?tir [?ili.? _??. o PIG. 62 i;RrT- ? f; « ? .?1 1 Q • 1. ?r.riur air.tilr.i ..f?a ln . ....._ _. ..------•- ?,, , '.• 'T 4..__--Q 2 • ??•-1 rl'y1? 4 . ??f? - --?`-'--' ? 4• .2.S/3-?---.5{ITlo_..... _. _. ._.-°---- .?/ AC. •'• __._ ~?? d?i .._... .-• -----•--____ ?.<e.Z '1S .- ? 03 1??ra1 ? --Vo ti. }:xCrrlPr nir I i lia J. 1.7 'j ?? ._. f^??;:• ..._.(yj -----------•...?.7?oi;?t ?2c 21.?92 09 -tl '. o ?. I.: . ?i Int"?.?4L1C.,i r, f i 1?•i ".._ Gn aricx :?' '?` ???`----?•--c? ?a? • x. '?.G'?.9{?Q- .:.?::: -:?...._.....5_.v__ . . ? ?? •d• • 'a: .?____....?...? . . n. ??:Qro?4ecLwe._.bw?r.r'?t?c__............_..___. ? U ?,,?iT^oC• 5. ? ,. ? ?? . r? r_'..-----?,_ . - G. tYitr.r.iorc^.?ir.:.?.?r?.._--•-.•-»--"-•.-__tl.17 -?,h '' ;•.i, ? '??•???,?i?" R?- -?. ?3 . • ? ??. ? , ? ?`' t'`?' • ' ` ln ..d N , yp '• ' ? , ,,(i . ? ? '•! x.? ? • , t /+' ' r -? •• I /l.F, ~ 1 /I I I I•?? • ? " • ' ' ? 1 S , /?( d . • jl l • ^ r y `1 /(I ? . '. . . . ? /(! , ' elc. BA !ri ? s? ' ? ; 'Nl "I!I = ,?•. ? :.. ? .._ . / tlu7'L': indlcat?: ty??e, "N?? valu?:? Jcnth nntl , t` ' ??l,i;.rrnlnC o( in :ul.ll•Inn. /) ?.? R007%ceiLZUC . ' • ' , ? , Constrn . R-Valuc 1, Intcrior air film . 0.61 s. p , sR .•??,??I , T ???(lT` 3. ?f??. 44•Uo /11I Il l^??{I?II`Ill??[???? 4' Extcri.or aii fi2n (still) 0.61 vL.rr T°taLl 2 4s8o ?:?`'?Y? .. ? :. . . ._ . • U= .oZ. Be?C f.low ? l. Intc?rior nir film _0.61 :nted 2. ?G ! ?._'f.3D ? up ?. ? 3. 1!.(SuL 38.3$ ?. ' • 4. Fxtcrio: aiL filn (sti Total FSC. 95 ? • . _, . . . , ` . • .. . , . . • ' .V - . ?Z . • _ _ _ _ . . ' •? M • CoA.'JrAL ?CT/ my?, . insidc air film 0.61 2. • , 3. . ? q_ ' S. Qutsidn air film 0.17 I Fn6n, Tota2 • 1. Tnside air filrn 0.61 2. j•ven[ed 3' ? ?Y.ect Ilov up • , ?, 4. 5. Outsidc air film 0.17 • , lIG. 16.7. _. . ' ?.. . . . . ToW1 Insldc air fi].m ..• '' -- 0.61 ? • ??? ?S!?.tl?? 2. 3. - • ?C?'-j%"?L•:s •... ._..:?•` 4• ? •,-?. . . ??!??: ? ??? /? idc niz filin ?•??:^r"'?•,:;..,;•. :?.'?- /? '`1 . 5. Outs 0.17 ?:.•. • . ? . ? Tota1 ? ' / . ? .:. . . ? • ? • .1' . . - .. . ? . .. ? . . , ?PZ_y?.? .•, : Ttotc: U;o additionsl sheets if more apac ?.• , • . peccled for Jetails and calculatirn ?. ? . . . : . • . ; r [laV up • ? • , • ? . ' ?. ? , ' • • • . ' Pi .. !7 I` . • • r' • ' . "? . . . . _ , . oInt.r, r.r.r:r:nN, ?ol 011n11w! NAII ncVn fLir frnm?: cc,n:,lruct lun ---•--?? ., ? IC A LI, _------?? ' Y? -?_ o • ?? ? FIC. N1 TGPVi[3J Of . FIW1E lJn[.t. ; i - --v ? FIC. 112 I lseAc% ti?.-al ?` . I Mcll i / `? ? ----fl --- '=-???? ?" • --{? ?-_?n i '? '? .a,rL. --^? --t7 \J• ?,n.. ?i• • 'o' •??----------0 . • , qpc . ,n . • '?_ _,•. ?jRl ?- K --- ?l FZ? PLAGE rnrl ir?n. 1:_ 4n lu•:. ._1o"AM =. ?FIFdE._.$.WG?c 8"M?r-?.. ...1,.1f ). ,. i n, lir,; .,.,t i • ,,. .? AiR...iE+? ... .. _... . . fo8 l>. F:ftlt?iii,l' .1h It:m . . ._ .. _ _......._ . _. '• U.17 ._._'-'... ._ _'_ -- ---'. ._. . •?',??,?I z.?15 U= ,3? 1. inCrrlnr air :ilm _ _q.Gll 2. a• ---•-°--^--. _._..----.. _._-------?---°-?--' 4. -_-----?--.... _. ._?-----._....- •------• 5. ---- ? ---- .... _... .. G. ErCeriur :?ir l'iL.i z . ?--- ...... . ... . ..... _ ...__.._._. _.._ _.._ i. ----...------?--- - _-------.....-----_.._. e . --------•-- __....... - - •---... _ __ _.__. 6. }:xCqCi.OT _._._ _?._ Toc:1L - _ l. Intui 2. ...?_'--_---._ ... . .._._._...._...._.....?._..-' J. 5. .._.' sr.n?? nN ?;iNUi: r ? . ? ? ..?.. r-. G. 13, ? ,?,i!'?ii b ?. ? ` e?. • 1 ? . ?_?_? • :? - ---- - ? ,???if??f:."/ff ? . • . ' _ , • ?, ' ? ` J I//.?- . • ? l; " • • ?, - , . ? r ..• ?r! ?I?rl'C: Indlcn[?? l.y??., '?:'.?? v.?lu?:, drutll nn(1 ._--- ...... .? .? PL?W *k: ? Lr WFLAL FT, E.Kpos?D WALL _...$LaGk ? N3 1- Z5 r zo I ?l -t g+ +Ly v ?Li ' i z.p 4 I$?- L y r('7,'7 -R.NEG <<-1 3 r2.7 I ! . . ? . r 1 LL 1? 43 r?Sr zo 1?l i 8 ryf x,!?- -rZ:: l'-f Cv ,s 1ZIM= ? Sa. ;nT, EKPoSED WA LL AQ.EA t3LocK.'4 , ,(Lf . K , S = -? z tZ7 x 5 = ?3s _ -w.o , `, x g _ .... __.Pul.L I yC S = < < ?? FU Ll. Z ; x S = ?s- ,__ ?? 1-{ • i ?? ? ?C ? - f y To-tA L. = z o ?? ?, GEILIUp Z_ z'1u'S cm a??.? L, Le+7' 0 W DWtS t? I I Zo 3?e 6L-- - 1 L = i_ .'? I I 2.yX?18 G?-.- !<c^ = (?? Lp(cpC?,n•,?: Y_.,'.; '? _ I ?Ct s D oo e.s t? 3q = 3g ¦ 'PATIO DRS, ? I • 1491 SQI LDING P M IT APPLICATION GITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE StIRVEYS 1 SET OF ENERGY CALCULATIONS EILTIPLE DWELLINGS COMMRCI6L 2 SETS OF PLANS 2 sETS OF ARCHITEGTURAL REGISTERED SITE SURVEYS - & STRUGTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGS[ CALCULATIONS 1,SET OF ENERGY`GALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES iTHEN: TYPING OF PERMIT IS R6QUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF HONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRES'S IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:??v.;al.;,ny? Valuation: Site Address 4dqb f Lot `1 Block I Parcel/Sub _')AU,dt{'? Owner Address City/Zip Code ??t vr? 5S i?j Phone Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # "'Tje°Date: OFFICE ES 7J'? 03 Occupancy , B1dg. Permit . Zoning Surcharge 15'Q Actual Const Plan Review Allowable SAE, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprittt S.F. S/w Permit 5/W Surcharge On site sewage_ Treatment P1. On site well Road Un3t MWCC System _ Park Ded. City water _ TraiL Ded. PRV _ Cop3es Sooster Pump _ SIIBTOTAL APPROVAT,S Penalty Planner _ Lot Change Council TOTAL Bldg. O£f. Variance Semer ter Licensed Contr. agrees that all wo[k shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ! 4 SINGLE FAMILY DWELLINGS 2 3ET5 OF PL9N5 3 REGISTEEiED SITE SUR9EYS 1 SET OF ENEAGY C9LC5. 1989 BUII.DIBG PfiRHIT APPLICATION CITY OF EACAN cl G0 r1 q l?LTIPLE DWELLINGS 2 36TS OF PLAN3 HEGISTBAED SIT& 30ttVEI3 - (CHECB iIITH BLDG DIY.) 1 SET OF EBEAGY CALC3. JLTIPLE DiIELLINGS AfiNTAL ITNITS FOA SALE OPITS COMF4ERCI6L 2 SETS OF 1HCHITECTURAL 3 STSOCfORIL PLlN3 1 SET OF 3PECIFICATIONS 1 SET OF ENEAGI CALC3. f OF 9NITS ? NOTEt IDDAES3E3 F06 CORNER LOT3 - COATAACTOR/HOMEUUiNNER liOST DESIGNATE i18ICH iDDAFSS IS DESIRED. PO CHANGES AII.L BE ALLOiiED OPICE BDILDIIiG PERKIT I3 ISSOED.. SEWER 8 iiATEA PEfMIT FEES AAD lCCOUNT DSP03IT FSES ftIl.L BS IPCLIIDED ilITB THE HDILDINa PEAMIT FEE. PAOCFSSING TIME FOR SEWER AAD WATEA PERHITS I5 TWO DAYS ONCE A PEAMIT HAS BEEP COMPLETED INDICATIPG A LICENSED YLIMBER. PENALTY APPLIFS WHENs PERMIT IS NOT PAID FOH IN S9ME MONTA IT IS REQUESTED. LOT C9ANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: Valuation: Site Address 1&4 NNS4/O+dPl- 4"e- i '.ot 3D- Bloek ? Parcel/Sub , si-A--?? Owner tem} ? Siw4Q 0 ?5--b(eY Address City/Zip Code &41,nJ 65-/7_3 ? Phone ?60 -?? 1439-41 Contraetor k?m* vlr_bk?, Addresa City/Zip Code Yhone =r-.1C Areh./Engr. _ Address City/Zip Code Phone R 2!2t: Date: 6 ?- 20 `8'9 Oecupaney ?Fc Zoning / Aetual Const L . Bldg. Permit N Allowable Surcharge 3 of stories Plan Reniew Length I?- SACO City Depth It SACp MWCC S.F. Total ilater Conn Footprinb S.F. Ylater Meter Acet. Deposit ?Jn site sewage S/N Permit On site vell 3/W Suraharge MNCC 3yatem _ Treatment F1. City rrater _ Aoad Unit PRV required _ Park Ded. Booster Pump Copies _ SDBTOTAL APPAOVAL3 Penalty - Planner ? rOTAL Couneil Bldg. Off. rc/zv Varianee . ---- ?( 1-3l, f ??r.• ? , ???? ? . , , RM?dlryr 5/ A?F.:R 4 ?/w0 riV"p s??'?Sh@? [rr???11_`???Jtii" '. !I?.JL ' ! . Cwf ... _ _. ... !?OiA • . DP ?owmNWwr ??M {?{M?MI?? N ? IlNlly T?? OM?r?I1N ?(,? ?{ fY1Rw[M' Orriy O?MM ?Y'???,,, N?ry? p? Twp +.?...'i • MEATINO C???? ?? ? OF r?•••mw or?:?: ..-.?• COMMONDATABECTION• • L. M_.. . ?. GROSSVWIL? • ' " c• ?cw.•' .e?o.w . ..„.?.. t ? . OOORS 6 Yvwnowr. ,T..... _.. 3?_ . ? .? CEIUNG ? 07 14 7S ? ? . + r y , iIDONS ' . ? r ?.. ¦ 10 a t. yo ¦ `r""'- rnwr . O +? p0.1? ?n L?T.,a,, C? `+..+... ? -? , ? SUB-lp?/1? BTUN WSS ? ¦ . 0 Otti33 r /? ¦ ,y •/'F' ? 1 ? Ipw t0 f1 ADJUBTMElrT MCTOp ft.or Ci . ? Td19?16TUN 1DS5 u k ? : /1 O 7 • 70TA1 BTtlM f?rlE A 11fATMp?pppqi i W000?? m? wp ?MME wlMa 1w w.V 11YIr?s?• rM helon 10r YII ?rrM qiYU Mi'10ow •.?rarn.r? I• ? ?-+r . _F?m??? ¦Arr • r .m ¦1 .w?ut ? - WpUNO - GOOIIi Y MhMOpMls-'?`? . . F+iclon awnr wrwows M?w+yy? ?lyq?9 W a?? p wyYY? - ?M4 ?d MNl+ip Wrs mas w uwiw r ?iwpR ?rr ?r?rw rr? ? nwew wrra tie?w .•.? _ ..?,..e.,. :- ?.. -- j a61 I..ar I 7.2W. ivwa __ .- 13.60 14.361 i.i6 . b"y0 ? .11.'p, Sw,vw 4jlQj; ? ?.?. ? ?MWO_.riMOnn ??n . 'Aftt !m?`aw. 70 ?0 LA q 70 ?D ? . '----? ? ? ? • 7 ? ? ? A.m• wo Sommop!. Mk I9Bi • . .:.. r a /I? ?? W' Y 4 Y • ?? Y w? Y ?y ?YrM?d?M? TOtKAl (I) hl.?r?.r.?rrw T"4LD-fMM?TAAT?OMMVITfrW1M . WNw JW CfrnYN hr M&.r WaA? ?OOatiw fODi500 MMm2tm 'r^ Yr 0.4 04 A • •.] 07 , kwoW I.t IA 0.? O.l fa1 rtl1 ?? M/: 1.2 1 0 ? A? pu ?? 1?l1? w?r11O . ? u .,y. µ y •s ?4 Mm 17RD r a 4 i . Surrellores Certificate SURVEY FOR: Frontier Alidwest Ilomes Corp. OESCRIBED AS: Lot 32, Block 1, S9'APFORD PLACE, City of ragan, Dakota County, blinnesota and reserving easements of recor(l. PAN. REWf RED w ? f'? F'iy G?=S Date !- I q- Sq ? EAGARI DEPT r.c. 908.9 9ofl. - ap " 26 ?Q ?- - - ? m ??-- z I I 7 y U) w ? F- ° ? < s. e z I m ao 91i z I9t0?3 0 ??- D ? < mr.c, s0 L _ m ' 25 ?' - 30 -- 911.f sa 0e6• 30• oo• E i5d. 54 __ ?? - - - - - _ ? 1 P I ? 21 33 I C?n. 2 9LL6 w ? w I F---- w P posca a • ? 5L I C n-1,,,??«. ) I 15,33 L J J5 ? t ` .?. ? ? ?- ? -• ? ? ? ? ? -? ? -.1-1- fft-4S6-30' 00Xt 153. 67 ?__ .? ? J • PROPOSED ELEVA710N3 Top ol Foundatlon ¦ 9i3,g Ooraqo Floor .qii, 4 Bosement Floor :9 Io,6 Appror. Sowar Serviee Elw.. 500. gs Propoted Elevaflons , O Exislinp ElQvollonf ? Dralnaq• Dirsctlom Oenolaa 0//aef Slaka ? p We1.. o7rc..a f-i HEDLUND P/anning Englneedng Sunrey/ng p01 [«? Mm?i?lOn i?w?ry. YYrwa? q1A IMpbNAtq? N SCALE: 1 Ineh ¦ 30 Feet v ? ? m W m ? N ? 0 ? 9io BENCHMARK, Top N„+ N?,1. @ L,+ L,,¢ ? 35 ; 3f. 6',c 1 E%w. + 904.. BZ ? MIN. SETBACK REOIREMEN7S Fronf - 30 Howe Slde - 10 Raur - I5 Oaraqe SIM - 5 I AveEy eorllfy tAat IM& wrqY, Plan a report we0 pr4pen0 W me JoB NO.: er unev my elnel suqrrlJm ane Ihal 1 am e euiy R?pl?lo?d 9qR_11 LanA Owroya unAer Me Mrs d Me 81oN ef Mlnnewto. , BOOK: . I Z. $ / ?' PAOE: r- 0 m z 0 ? .D A ? i , ? ? ? ; ? ? I BEbLm SmmcllorIs Certificate SURVEY FOR: Fronti.er Pfidwest Ilomes Corp, OESCRIBED AS: Lot 32, Block 1, STAPPORd PLACL', City of fiagan, llakota County, Diinnesota and reserving easements of record. 1 92, *.L. 9°..e.9 N86' 30' 00' E 158. 52 9oB. ,- - to -- ? ? 26 tp ? ,:-G? F ? fTl p,X., k ? Z? ? 9? i `'y??z' I v ? y 911. t4.13 441.1 ~ P, 10. I m r. _- . --T ? < ? ,,1.1 46 z m w tn N 5G ? ? rot3 w z 910,-7 ? Dr.J! ? • I?_ ? iL 13,11 ? Ie,/ 1 s i ? 9??.? ? i ?--_?-- ----- - G •.c, f0 L ^ _ _ -- y- - - _' " _ '_' `" `a10 fT1 I 25 153. 67 - 11?.} M ( i ? I I ? ? ? ? I i PROPOSED ELEYATION9 1op of Foundotlon ¦ 413.0 Oaroqe, Floor .q,;,4 Bafomonl Floor :vo.b Approx. Sower Serrla ENv. ¦ qoo. g= Propond ElevoNons ? O Exitllnq Ebrallons ? Droinape Ulnellens Denotu Offssl SfaM• ? O Nele t oCttrA- 51..1MC n.e 1n 1 ,slEADj UNAO Plenn/ng fng/needng Survtvy/ng .?.? ?.. «:a+,?.? ?,.?,«. •??. ?..?... w. /M?por? /tp I?OtM ? SCAI.E: t lneh a 30 Feef BENCHMARK, TqP nj,iF Ny,?, @ 4+ L...e i 3G,36 Buc 1 Ele.r. • vao. b'L NIN. SETBACK REQIREMEHTS Front - 30 Noaa Sldo - io Reur - i5 Oerape 8lde - 5 I henly tMlifr IMf IMS MIrYeyr 017n N foysrl M0s pre00reA W me ar vndn my Ohscl Iuqrrblan end tAel 1 em a dulY Reylsfen0 LanO ewY.yer under Me hw d Me llete of Mlnnewfa. ool.:-I.IZ,g9 ?• J09 NO.; 8912-f l BOON: raoe: r- O m 2 0 ? ? A City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use gq Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL1-/0% BUILDING PERMIT APPLICATION Date: /0/cY l Site Address: aUI-itywv4 + 1/ e— Unit #: Name: Er -c( -k. / Address / City / Zip: 17076 i)e.h k5/4e/0- l` (/ Applicant is: Owner ✓ Contractor Description of work: Pe e00. Construction Cost: 70 00. Phone: Multi -Family Building: (Yes / No ) Company:, (6 /74.. / e CA ---re( ' 'no(, Contact: (n) (' f l f P •tel (.6 -ret `t Address: / % 4/5Y gaff, P r Ct /C City: C f State/4/ Zip; -'sib Phone 1-.-77V7�f3.-77V7 Email: c6/'c4 6 low ca/11 License # ehc OOC>? a9c 7 Lead Certificate #: Pi If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: f Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that theyare trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x./?)//t6'.4/ /J /9- .� ' `6r e -d Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA152196 Date Issued:10/03/2018 Permit Category:ePermit Site Address: 4096 Pennsylvania Ave Lot:32 Block: 1 Addition: Stafford Place PID:10-72500-01-320 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: 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 - Daniel R Brandt 4096 Pennsylvania Ave Eagan MN 55123 (612) 597-4724 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:EA156552 Date Issued:07/08/2019 Permit Category:ePermit Site Address: 4096 Pennsylvania Ave Lot:32 Block: 1 Addition: Stafford Place PID:10-72500-01-320 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 - Daniel R Brandt 4096 Pennsylvania Ave Eagan MN 55123 (612) 597-4724 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:EA167964 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 4096 Pennsylvania Ave Lot:32 Block: 1 Addition: Stafford Place PID:10-72500-01-320 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: 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 - Daniel R & Erin E Brandt 4096 Pennsylvania Ave Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature