4097 Pennsylvania AveCASH RECEIPT '
CITY OF EAGAN r ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i
DATE ? ? '• 19
° 4 .
FT-OM AMOUNT S '
8 DOLLARS
,oo
O CASH f?R CHECK
BY
G 15382 W^do-Payers ? 4
valww--Posuoo ?vr
Pink--FYa Copy
Thank You
DATE: ISEP 16, 1991
?-?
4097 PENNSYLVAldIA AVE (C 8 PARTRIDGE HOMES)
x 'Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & 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 ONIY: 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.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
BUILDING PERMIT
#7 , . .. - . . _. .... ?. ...e?? : -?-q,
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Est. Value
Site Address 4097 tfitlli.SYl.Vwlfi• I?VE
lot 21 Block I_ Sec/Sub. srwFrogD PLACB
Parcel No.
W Name C Y PAitTRlDGZ H0M6S
3 Address _13809 SIlti3ET I.AKE DR
0 City ?l1ENSVIi.LE Phone 8$2-9122
,o Name $?
?U ` Address
m
City Phone
?W Name
W W
?,-? Addre55
< W City Phone
I hereby aCknOwlege that I have read this application and state that the
inlormation is correct and agfeQ to Comply with aIJ_Applicable State ol
Minnesota Statutes and Citv o( Eaaan Ordin6ne&l9-- - f'--I
Signature oI Permitee r '-
A Building Permit is issued to: C R PAR"I`RI DGE HOKES
on the express condition that all work shall be done in accordance with all
applicable 5tate of Minnesota Statules and City ol Eagan Ordinances.
Building Official
r
400 ! ?5?3
Receipt # - / -o^
Date SBPT 16 , 1g 91
? OFFICE USE ONLY
Octupancy R-3 H=JL FEES
zaning IL-A
(Actual) Const V--K Bldg. Permit It so QQ_
(Allowable) V--X 5urcharge 40-DCL
# oi Stories
Length Plan Review 337.00
Depth ? SAC, City 100.00
S.F. Total - SAG, MCWCC aSO-M
S.F. Footprints _
On Site Sewage _ Water Conn 6W•00
On Site Well - Wa1er Meter 95.00
MWCC System ?- 34
00
City Watar Acct. Deposit .
PRV Required _ S/4V Permif 3Q•!Q
Booster Pump - g/yy Surcharge - SO
Treatment PI 276.00
APPROYALS Road Unil 70-00
Plarnner - Park Ded.
Council - 1.00
BIdg.OH. _ Copies
Yariance - TOTAL ?• ? 5y • 50
Permit No. Permit Holder Oate Telephone #
WATER
SEYYEFi
PiUMBING
?
H.v.n.c.
ELECTRIC 5
Ir?apectlon Date Insp. Comrtwnts
Footings I OS
G uI'e
Foundation -5
Framing
Rooting m . z, , D S
Rough Pibg. C / - ?
Rough Htg. U 1? / ?
,5ul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Y
Plby. Inspector - NoGfy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final
weu
Pr. Disp.
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, : .
SITE ADDRESS: APPLICANT:
,., I : r NNSYlVANIA AVF r?SlAil`C)FCI F'LAC.E ffiZ?)• 63"3-ii?4.'
10i tI D i
a
? ? I:•?> ry?
I ?
PERMIT SUBTYPE: TYPE OF WORK:
ill w
k loAS)
r•
Permft No. Permk Holder Dato Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Data Insp. Commenta .
FOOTINGS
FOUND
FRAMING
ROOFIMG
ROUGH
PLUMBlNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE viJ14
L
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
t.i+N , r I VAN! A AVf- r11t0H .1 . i 1+ i w. , i I 1 Wip
I nI Ii,R ?i 01 A 1 t 161.1f t>61 ?? ??46
PERMIT SUBTYPE:
?
TYPE OF WORK:
7
? ?
PermR No. Permft Holder Date Telsphone M
S/VN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. CommeMs
Footings i
Foundation
Framing
ROOfing
Rough Ptbg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finai
Deck Ft9. ? z 3 P?
Deck Final 7- ?-g3 fl?
weu
Pr. Disp.
(Ur#i#ir?tr of (Orrupanry
Citp of (Eagan
Erpwcbnnd of I[ttilding 3nnssprrtinnt
This C-Mijkate issuad pursuant 10 !he requuwnetts ojSoaion 306 ojthe Unijorm Building
Code cenijying that at the tinu ojissuanoe this structm u+as in compliance with lire rarious
adixanocs ojthe City negulalircg building owtsouclion or use For lheJollowing.-
tse aas;r,deo. RP MC/GAR aac. nWtArro. 19f?q
O-4?7 TYv? FA' I -Zaivc Di*im R 1 7ype cems. is
0woeratBa76M !'.R PARMTtYF ~S Afte$ 138M .5IR= TAKE jRTVR?iUNCimIR
POST IN A OONSPICUOUS PLACE
?-. . - ._
?
I SEWER & WATER PERMIT
f Cl'rf OF ENGAN
I 3830 Pjlo, Knob Rd.
Eagan, MN 55122-1897
DATE SEP la, 1951
METER # -
CHIP # -
METER SIZE
ISSUE DATE
PERMIT DATE 09/ 1 5/'i 1
PERMIT # 122<,b
B.P. RECEIPT # L 1 S3f;2
B.P. RECEIPT DATE 99 16 yl
_ PRV _ BOOSTER PUMP
SITE ADDRESS 4097 Fl?JN?YLVANIA AVE
LOT 73 BLOCK 3 SEC/SUB S?APFtaRD PLACk.
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PERMIT REGlUESTED
X SEWER h WATER - TAPS
- COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be installed ;
Ahead of Domestic Meters on Water Line. ,
Cre; it MI?L.L.NOT be given for dedugtMeters.
?
I AGREE TO COMPLY WITH CITY
EAGAN ORDINANCES
ATE BllltAiSVILi..S Mh ZIP 55337 - I
8F',-9122 SIGNATURE WHEN METER ISSUED
ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
PERMITS, CONTACT ENGINEERING DEPT.
DATE `?EI' 1
L
ITEADDRESS ?+097 PLNT!SYLVAA?tA r vL.
LOT = ' BI.OCK 3 SEClSUB
APPLICANT:
ADDRESS:
CITY, STATE
PHONE:
SIZE
' /l-z7-9/
STAt FURD P].A
ZIP
USE ONLY
PERMIT DATE
PERMIT # - - '
B,P. RECEIPT #
B.P. RECEIPT DATE ',
_ PRV _ BOOSTER PUMP
PERMIT REQUESTED
? SEWER >? WATER - TAPS
- COMMlIND
X NEW
XL RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: '???ZE14 pLUMB I NG Ahead of Domestic Meters on Water Line.
ADDRESS: 1959 SiiAIJNEIi RD ' Cr?'dii 1N*61OT bQ Aiven forDeduCi?Meters.
EAGAN N: N S 51 ? Z 9y
CITY, STATE ZIP
G52-1565
PHONE: -
I AGR TO lY WITH CITY O
OWNER: ` lj P?TRIDGE 's('?'?:5 EA OR NAN ES -- 77
ADDRESS: 13809 ;;UPiSE'T LAI:E i.'
CITY, STATE BUKN5VTLLE R!;] . Zip 553' 7
PHONE: -tP 2- 91`7 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
W.FR $c WATER PERMIT
5 ITY OF?AGAN METER ?a
??
8°0 Piloi Knob Rd. cHiP ?d-
agan, MN 55122-1897 ?.,
• 1 CITY OF EAGAN Nq _ 19683
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 / J J a•
BUILDING PERMIT Receipt # C o?
Tobeusedror SF DWG/GAR EstValue $80,000 Date SEPT 16 ,Jg91
Site Address 4097 PENNSYLVANIA AVE
Lot 9.1 Block _3 Sec/Sub. STAFFORD PLACE
Parcel No.
W IName C R PARTRIDGE HOMES
o Address _13809 SUNSET LAKE DR
City BURNSVILLE Phone 882-9122
Name _
Address
Phone
r
?w Name
3.9 Address
aW Ciry Phone
1 hereby acknowlege ihat I have read ihis applicatio-n aRnd state ihal the
infortnation is correct and a a?to comply witicable te of
Minnesota Statutes and Ci Eag3n
Signature of Permitee
n euildin9 Permit is issued to: C R PARTRIDGE HOMES
on the ezpress condition that all work shall be done in accordance with all
applicable SWte of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
OFPICE USE ONLY
Occupancy R-3 b-1 FEES
Zoning R--1
(Actuap Const Y---N Bldg. Permil 550 .,.QQ
fA°0°'able) Sumharge 4n _ nn
r of stories -
Length 4b! Plan Review 357.00
Depth -
I
S
F
T 46 ' SAG City 100.00
.
.
OW
- SAC,MCWCC 650.00
S.F, Footprints -
On Site Sewage _ Water Conn 660.00
On Site Well - Water Meler 95.00
MWCCSysrem XX__
City Water Acct. Deposil 30.00
PRVRequiretl - SNJPermit 30-00
Booster Pump - ShV Surchar
e g
S?
Trealment PI 77 6_ 00
APPqOVALS Road Unit 37n - nn
Planner - park Ded.
Council
1
00
BIdg.ON. _ .
Copies
Variance - TOTAL 3,1 59 _ 5n
1%/s/
H 52516
REDUEST FOR ELECTRICAL INSPECTION
? See inslrudions lollillumpleting Ihis brm on back ol yellow copy.
"X" Be(ow Work Covered by This Request
d ?'t\ E&00001-08
ew Add Rep. ,. Typeof 6uilding AppliancesWired EquipmentWired
Home Range I Temporary Service
uiplex Water Heater Electric Heating
I pt Building Dryer Other (Specify)
t
omm./Indusirial Furnace
rm Air Conditioner
her r (specify) Comracmr§ Remarks'
Ot
Compute Mspectian Fee Below:
# Other Fee # ServiceEntranceSize Fee # CimuifslFeeders Fee
Swimming Pool 0 to 2D0 Amps 0 to 100 Amps
Transiormers Above ?00 _ Amps Above 700 _ Amps
Signs lnspector's Use Ony: TOTAL
Irrigation Booms SO
Speciai Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Ro.qn-in _ oace
certity that the above inspection has
been made. 7 oa?e
G-l
OFFICE USE ONLY ?
This request void 18 months from
3 /
? 52516 - ?
? ?
Fequest Dele Fir o. h-in Inspection
uiretl? '
.a'beaGy Now ? Will Notily Inspector
p
- ?0 ^ ( F1S'es ? No When Reetly4
I fd"licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Mtlress (Sheet. 6ox or RoNe a.)
? Ciry
0
SectiOn No. Township Name or No. Range No. Co
OccuOen?(PRINT) ,
?- ? R Phane No.
PowerSUp ' Atldress
A
?c _ .
ElecVical C vac? r(COmpany ame) ConVaclor5 License=o
?
LAXAZO ?
Mailing Atldress (ConVactor or Owner Making Installatlon)
AuthorizeE SignaWre (COntraclorlOw r Makl Ins alla9on) Phone Number
? -3
MINNESOTA STATE BOAND OF ELECTflI14TY tl THIS INSPECTION REQUEST WILL NOT
Grippo-MiGwey Bldg. - Room S-173 BE ACCEPTED BV THE STATE BOARD
tBYi Unfverslty Ave., St. Paul. MN 55106 IINLES$ PFOPER INSPECTION FEE IS
Phona(61Y) 842-0800 ENCLOSED.
;EQUESToFORoEP ECTRI?CA?LbINSPECTION
a 5 2 5 2 4 °X„ Be/ow Work Covered by This Requesf
,S ?4? E8-00001-08
?? /QeTBo?4P
eN Add Rep. Type of Building Ap0liancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl Building Dryer . Other (Specity)
CommJlnduStrial 'Fumace
Farm Air Conditioner
Other (apecity) Contreomrk Femarks:
Compute Inspection Fee Below.'
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformer5 Above 200 _ Amps ve Amps
SignS Inspector5 Use Only: !? ? TOTAL sD
Irrigation Booms Vl
Special Inspection
AlarmlCommunication TMIS INSTALLATION MAY 8E ORDERED DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 M r
I, the Elecirical Inspector, hereby Rough-in ?
6?? ^
ceAif that ihe above ins ection has
Y p
been made. Finat Date y
OFFICE USE ONIY
This request void 18 months tmm
// /8 9"
5252 4 Q, /03CYo{o
?
S2(6& di
Requesl Date -
`
' Q? 7?? I Fire No. ough-in Inspeclion
qequt?qtl?
s7'Ves ? No
? Raetly Now ,'Nill Notlfy Inspector
When Reatly?
,B'(icensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Address (Stree6 Box RoNe NoJ CiTy
SMion No. Township Name or N. Range No. Couny
Occupdnl(PRINT) Phane No.
?z
Power plier Atltlress
Elecfric Conlradw ?COmpany Name)
90A- Comraaor5 Limnse No.
Mailing Ad ress ?COnVador or Owner Making Installation)
Aufiorizetl SlgnaWre ICanlra orl0 n r Making I alla?ion)
- Phone Number
4(p3- 8 a
MINNESOTA STATE 60APD O(ELECTRICITI/ THIS INSPECTION REQUEST WILL NOT
Gflggs-MlOway Bldg. - Room S179 BE qGCEPTED BYTHE STATE BOARD
1821 UnlversHy Ave., SL Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Plrone (612) 602-0800 ENCLOSED.
Address:4097 PQINSYLVLfNIA AVE. Lot 23 Blk 3 Sac/Sub gTp,MiZp prACF'
Phese items were/were not complete at the time of the final inspection.
12/2/91 Yes No
Final grade (6" from siding) illO
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch y
Basement finish
Deck Vol'
Please verifq with the builder tha removal of roof test caps from the plumbing
system and tha shut-off of water supply to the outside lavtt faucet before
freeze potential exists. ?
nutiuowu
White - City copy Yellow - Resident copy Pink - Contractor copy
? ??03q
5[1?0
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConstnwMbn Peaulrementa
• 3 registered sNe surveys showing sq.11. of bi, sq. R of house; anC Ig ruofed areas
(20q< maximum bt coverage allowed)
• 2 copies oi plan showing beam & wintlow sizes; poured found design, etc.)
• 1 set of Energy Calculatians
• 3 copies of Trae Preservatlon Plan'rf bt platled atter 7103
• Rlm Joist Detall Optlans selectbn sheet (bltlgs wHh 3 ar less units)
DATE l Q 0 .2
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE # ?g
PROPERTY
AULTI-FAMILY BLDG Y ib N
PIREPLACE(S) _ 0 _ 1 _ 2
&STATE?JV ZIP
a 1h;? -PBr-ey ?-y
CELL PHONE # (p() -,3(a& - 79fP0
TELEPHONEiIOS?L & 196 -???IofZ
-------------------------------------------------------------- ----- ------- ---------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIlYNTESOTA R[JLFS 7670 CATEGORY 1 r
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Confractor: ,__
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Water Conhactor.
Phone #
Phone M
Wf i
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, siaTe that the Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OrdinaqEn
Signature of Applicant
OFFICE USE ONLY
Water Softener _
_ Water Heater _
No. of Baths
_ Phone #
Iawn Spruilcler
No. of R.I. Baths
Air Conditioning
_ Heat Recovery System
62 q U- ?-S
HemodeVHeoelr qeaulrements
• 2 coPias of plan
• lsetolEnergyCakulatbnsforheatetladd0bns
• lsitesurveytorextenoradd'AbnsBdecla
. InOicate N home served by septk system for atl08bns
(?c0 o? Iov
VALUATION .
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - MuRi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Muki
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicaM
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
?
SINGLE FAMILY DWELLZNGS
MULTIPLE DWELLINGS
?r
?
COMMERCIAL ?
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL ?
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL YIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1.SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUE5TED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT ti[TST SHOW A LICENSED PLUMSER. .
To Be Used For
Site Address4(?lcvlFi1?i
Lot ::3 siock 8
Valuation: Date: <::? -??'
OFFICE IISE ONLY
Parcel/Sub? ? ?\a? o
c--'
Address
City/Zip Code ?y ??9?",?? ??
Phone P 52-_ n l ZZ
Address '-z10`) S?-A?a?k,?
City/Zip
Phone 8 '9 -?' -`` l ZZ
Arch./Engr.y7j? n k
Address?b?`
t-?
City/Zip CodemkG,
Phone # N-AX0 " rl Z?
Contr
?
Contractor)
1991 BIIILD?RERMZAP CATION
CITY OF EAGAN
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M-i
?=?-
?W-N
46'
On site sewage_
On site well _
MWCC System
City water v
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 55D,0tD
Surcharge '4/0,0c7
Plan Review 3$rJ,t1p
SAC, City 180ie}d"
SAC, MWCB 60,00
Water Conn. 00
Water Meter 9syw
Acct. Deposit 301W
S/w Permit
S/W Surcharge -'?, ?
Treatment P1. ,DD
Road Unit ,oo
Park Ded.
Trail Ded.
Copies /,DO
SDBTOTAL
Penalty
Lot Change
TOTAL ` .
agrees that all woik shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
? ?? w I° ?
VAL u.V ?V
?aRA ( E
Z2xzo, yyo--Ais ,=
?? o 0
i
?l?xc?o: Idyo
6, wo? ?o
?loC) k/y- IL15 6 0
/Sf FLovrk?
!1 ov
y
l??sx53? -7 2-? r1 ?, ?? ??
4
L aT ?txX ?v/ 5Ts9 PRW,b FIL 42-G-
_. . ..>' ? ?.,,..`- _. . .'• :'t
pr.ir,....."_a Scmte c.nef-g.?; --re Ca:rk;;..;i:ior;s
..cSF?d J ... M::Y;-I E.1 f.'..,?-1"g'r CCCiB
?
i^.3' r'?ition ?--- F;d:;pt.eJ ?.•`
i/ 84
u:•:;-; _°r :
CGMM. tdO: ?O
5i'te Addres=:
Cc,ntr<,c*or: C. R. FAGTFIr,GE HOh!ES, INC. F'hone:
L'.Id^,. Cla=_.s: ;-i;. A1 r`or Single f=amily/Dupier;
A2, re=idential , 7, st.ories
Ove; 3 =.taries
Other
GENE±?F,L rn+r-n.F,t?A-rjON
r,Jate; The sectian design.ations (,,Section A", "Sectier. R" etc-) are for
convenience in calculctians an1y, and rre nct rt=?a±ed from one set of
calcu?atians helaw to the ne.;t,
1. Rldg. iialls F'erirneter- ,. Wa11 h2iqhts = P
rea
, .
gra!:nd to _ave
Section A : 144 14.58 _ 2099.52
Sectien H rj - C)
Section C ; r> n = ii
Section D . ti 0 - ,D
Gra=_.s 4Jal 1 Area = 2099.52
2. Build;rg dirr:ersiens Floor or
Ceiling
Len.gth „ 4:i dth = p;-aa
g=.ction A . y;>
- _
6
60
SEeC''}.On ii . -?.!_? ...?. = 1 i)40
SE'Ci'.l.Ori ... tI
S9CtIOn yt
Tota? 41oar or ceilirG arEa
_. F:i m Jni st r'er i meter = yqq
FlpriY- iGlst. 2 b(crj" i^.," .? : - - ' e c3r 1 c ") ; . I i.i
m ?oist :;re 2 - 120
4. Dcc; s
Area: Thi cjcr;e=s f i nches? : t:
P2rir,?eter !fee}i: !i
TYP° of ca;;=*_rL?ciic,r..
5. Total door's pcria:=ter: ?
,_. Windaws
3 y r_ r_
cSM-S.
T'r P e
8, Patio Paar:
'i. A'tY'lllfii:
iG. Fireplace area
>ii dth:
Total 5q Ft =
li. Erpcsed Fnurda*_ion
Hei^ht area v:
Sq Ft area A =
Exposed Foundatian
Heivht area fi:
Sq Ft area g =
12
Grass wall area
mirus
W3 ^{jOW ni'eci
Fatio door area
Atrium area
F;im ;oist area
noor area
f=ireplace area
Expo=ed t=eund.
Framing area
eque.l =
To:.als for net wall:
_ . .. .. ... .
..._. , , ?-.
.._._
;.-.
, ._._.
,- ,.
. j.. ? ..
__.. .?. ?.::: -
. .... - T_,..
?
..??
?.-'L .c.. .. n_... ..' . .. .. jylg
t'
... ?: i t.. -.
::3
54 20 1 22.5
48 '.?G q ?t'yY
'b ;B 8 56
. _ [J r )
0
l1 _ U ,i
C` G r, rl
rl Q ? r1
. ,?) . ( ) 0 L? .
r> t? 0 0
0
7. t=lindow olass area tiSci=t: _ 125.5
Hei ,ht ,. Ler.gY.h .. P!urr:ber - Tatal
(feet) (feet) un:ts SqFt
6.8 3 2 40. 8
0 C> i I 0 -
0 Height: ta
n
0.67 PeriMter area A: 144
?6.48
G F'erir.:ster area B: 0
r
SyF: U factar i1 .. A
2099.52
:25.5 0.52 65.26
q!j. g 0.47 19.18
z i 0 0
120 . 0.041 4.92
43,9 0.14 6.13
C) p 0
96.48 0.14 13.51
205.452 0.095 1°.95
1.462.9?8
0.043 62.91
.. , ,'c.T:J.' _, . _, . .. ,_ : __ .,._:P O :.__.
1.',. G. `..cv ..u_1 c.. e8 :, ri:._to, bdl:-.pJ = j .. .: p:. ._rl;;c
Fact.o. 1s ..'t: ,_, .,-1 =.nC,lg f::mi'y ... dup1e„
.__ .o. 'r:-2 a..d ott`-;er . e.__...e„t__.,
? .__.far other buildinys
.28 {ar Oi/?i' _ 5t01'1e=.
Fe.ctar i n. 0.11
HTUH = 230.9472 MUST BE ::: UF; = s:.2S
(calculated above)
14.
I.J.
16.
17.
18.
14.
20.
21.
rrnss cei 1 i na ar-e:, = 1106
Ceilir,g -.`ra:r.i.r,n area (10;: ef =oiii .r,g ,... _a` -= 11o
Joi=_t Area (10;: er' ceilin g e.rea) = 11c)
Plet ceiling a. sa !8rn=s c eil. area - ,7ei=_.t area? = 49t?
LI cei 1 i nG: 0.021 .. Net .:ei I. area = 20.79
U framing: 0.024 :; Joi=* are_=, _ 2.64
TCICaZ Ot 1'MPRf 19 ;•: item 19 = 23.43
vross- cei 2 i r,g e.ree,
Faetcr i=- .020 . or
.03_ tor
.!7b far
Factcr ;s;
RT! tF? _
. fac*_er Gelow = U.. Aper rode
G-?. singl2 family PJ GI.:rSCx
A-2 and other re=_.i.;ential
other bu;ldi.^.gs
0.026
28.6 I"MI_IS 1 BE .> l F: _
icalcularEd abcve?
_._ .`?
6 /?
?LL
pCTION
ST[7D :
SDCPIdN
RIM
JOIST
FDiN-
U VALUE
VALUE
Sryside air film .68
(wall) U= 1=
Interior wal1 .45
R
19.00
Iosulation •
2•06 •043
Sheathing
.67 .
Siding
putside air fiLa .17
-
R TOTP.L 23.03
, .
`
. . .
.68 .
Cnside air film .
Interior vall •? \ ': , 0 _ 1 -
t?ami?9? `
6`
?
Stt? - 6. " :.
-
R
2 06
Sheathing.
:
- _
..67 ; •.095
Sidin9:
putside aic film _-17 ;
R TOTAL 1.3
[nterior air film . 68 `
'.
'
19 00;:`
Insulation : Rim Joist) n = 1 =
" 1 88
(
inch soft wood
- :
R
.
:
.. ...f,
;- 2 06 : ?
Sheathii?9
Exterioc vall coverin9 '.: .67 .041
Exterior air film .17
-
R TOTAL 24.46,':= `..
--::
Interior air film 68 '
Insulation , 5.00 •..
8 (Foundation) U= 1=
Eoundation (12 ° Block) 1r2
R
Exterior aic film
.17 _
: ,<
.14
.
R T02AL
-
.13'
7
,.
;.
',
CEILING WTTH VF2ITED ATTIC SPACE AHOVE
, •• R YALUE R YALUE
' E'RAMING CEILING
0.61 Air FiLo 0.61
36.00 Insulation 44.00
4.38 7oist .
56 Ceilinq .56
.
375
14 Joist(S
acer) -
. p
2
ti 85
33
- a
on
Insu .
- Air Space -50
.
67 Roof decking .67
.
.06 Felt . `.06
-44 Sh 'uigle-. =44
_ 0:17 Outside air film i' 0,17
16.88 Total R " . 36.85
: .059 . : ' R D . .:,.027
Window infiltration .5 cfm/lineal foot of crack t
Residential door infiltration 0.5 cfm/square fooC or door and minimua code requirement
Non-residential door infiltration 11.0 cfm/lineal foot of crack _
cb 12" concrete block no insulation =.781 R 1.2q
double glass = .52
tCiple glass = .31
All exterior rralls and ceili.ngs must have a vapor bacrier (0.10) pecm max.).
Yapor barriec must be on the inside (heated side) of vall..
vapor bariers af the polyethelene thin film have no R value.
?7?., .r$:Y?t{:: ?t,r ?t.:!<.: ti,•/";: ?Y . ,..N.?„?
_ . _ . . .. . ..., .4.
Y.F:•'il'Il.n??l?..
- •I.?.' dj(,J y..?.../:::' i.?......^.'...1[-i
[rcT .tG ???".;."
.....: ??l '-;prl! ?.f_).t?' G" rJ??t:;?.r..l.'•^d _.,C"?
?i..?ry :cr.n?•..J, I
- .?..? .,l.,l,.. ..I,::, I'?._.A....!•_...?.., t.:.,..
rqi;•;??^f:.??,
I .: (. ?':4.. . • . .? ? . ? ..t :?? . Yr'.i? /?v? LL J( . t?.)?.if.?(
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuxLozNs
Permit Number: 029284
Date Issued: 11 / 2 6/ 9 6
SITE ADDRESS:
4097 PENNSYLVANIA AVE
LOT: 23 BLOCK: 3
STAFFORD PLACE
P.I.N.: 10-72500-230-03
DESCRIPTION:
( G A S )
B,0'ildin4-.,,Permit Type
Building Gtb,rk Type
? tensus ?c?o?d?e
1?Y
?
?
?.
i
FIREPLACE
NEW
434 ALT. RESIDEN7IAL
..d? ..,. . ? .?1 `: .l . .? _
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
Total Fee
$25 .00
$.50
$25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FAIRVZEW
R05EVILLE MN
(612) 633-1042
Applicant - ST. LIC
16331042 0001068
AVE
55113
?
OWNER:
CANADA ROBERT
4097 PENNSYLVANIA AVE
EAGAN MN 55123
(612)686-8172
I fiereby apknOwYafige"that Shaue read this_aqpZicaYion and stetethat the
information is correct and agree to comply with all a¢plicable State v'F Mn.
Statutes and City ot Eagan Ordinances.
APPUCANT/PERMITEE SIGNATURE
I5? oBnSR:? U?,1
I
CITY OF EAGAN
lq3830 • ? PILOT KNOB RD - 55122
? 1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE: /r z6^- ?6
DESCRIPTION OF WORK: X CONSTRUCT PI W FIREPLACE: _ WOOD BURNING ? GAS
_ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
ROOM TO BE INSTALLED IN: Lo `'f(sAq- U-v%-L-- iNso'V"lcsr?
STREET ADDRESS: '109 7 ?csN1P( ? y L VA -Ai EA A?/6-L
LOT _jj BLOCK SUBD./P
APPLICANT: (circle one only) OWNER
CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
sll applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: CA ci/ Ab-dQ /Co&,`/L. "7 Phone #: ?8C -8 / 72
OWNER ?
Signature:
Sueet Address: 4o Y 7 Pc?viJ syL ?4AJ L 7i A?"
City: C A Crt A/,j , tate: kq d Zip: -j S!/ Z3
33-ZJ6t
FII2EPLACE Company: Qu-1 ) l /Dd' G?l1s/Ct?ZPhone #: 8g'0 ' 07.r6
INSTALLER
Signa
Street Address;,'a'8S3 - vU-" 0'- 13 License #: / 0 6 ?
Cit?'Zo YLiJSU iL?? State: Zip;
GAS LINE
INSTALLER
Name: 4-
PJ tv (-?
Phone #:
Signature:
<
Street Address:
City:
State:
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addirion ? 34 Repa'v
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
? , ? ? .?'? ,??
?
? ?; ?•? A ,, ?
Chunney/flue must be inspected before concealing.
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: euiLoiNG
3830 Pilot Knob Road Permit Number: 021200
Eagan, Minnesota 55123 Date Issued: 06 / 24 /93
(612) 681-4675
SITEADDRESS: Lar: 23 BLOCK: 3 APPLICANT:
4097 PENNSYLVANIA AVE MIDWEST SIDING/REMODELIN6
STAFFORD PLACE (612) 661-9196
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
INSPECTION .. . .•
FOOTING FINAL
?
?
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-72500-230-03
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Datelssued:
4097 PENNSYLVANIA AVE
LOT: 23 BLOCK: 3
STAFFORD PLACE
' " -
B-riilding Permit Type DECK.
.6uilding Work Type NEW
?
;
?
(-? y; a a y
(-/-'t)
B ILDING
021200
06J24/93
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $2.00
3urcharge $.50 Total Fee $27.50
Subtotal $25.50
CONTRACTOR: - Applicant - sT. Ltc
MIDWEST SIDING/REMODELING 15619196 0009499
1619 73RD AVE N
BROOKLYN CENTER MN 55444
(612) 561-9196
OWNER:
CANADA R09ERT
4097 PENNSYLVANIA AVE
EAGAM MN
(612)686-8172
I hereby acknnwledge that Z have read this
information is correct and agree to comply
S17aes Ed
City of Eagan Ordinances.
-
APPLICANT/PERMITEE SIGNATURE
PERMIT
application and state that the
with all applicable State of 'Mn.
J
IMn &1);(.I m,tl
SSUED B: SI NATU E
REACTIYATE _
PERMIT t '
r;zf
RECEOMED
,JUN 0 8 1993
---------------
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675 69/! I ,,? Jv
?
?
SINGLE & 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: 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 -3u4 C Valuation of work 3C 2c'", c -
Site Address: gC st? lvnn. ?
STREET SUITE /
Tenant Name: (commercial only)
LOT BLOCK 3 SUBD.
f? P.I.D. M
Descri tion of work: ? L1?0, 40'
The applicant is: Owner O-Contractar ? Other (Describe)
Name 4a- Phone (o ?- ?'l -1 Z
Property LAST FIRST
Owner Address Ljv?-q QeVLNsy\vp?;4a?
STREET STE 0
City E?S?n State Zip SSi23
Company ?eAw) Phone L(- yi 5 L
Contractor Address j U 1`'I `7 3 A?e ~v License #?? LMExp.?
City??^'eln^ State I`1n Zip T79 Q?•
Company Phone
Arch(tecU
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have ad this application and state that the information is
t
of Minn
ta Stat
and Cit
f
t
d
ith
l
li
bl
St
t
t
correc
an
agree.
o c w
a
app
ca
e
a
e
eso
u
es
y o
Eagan Ordinances.
Signature of Applicant: ? 4 .g.u.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 Sf Porch
? 05 SF Misc.
WORK TYPE
gl. 31 New
? 32 Addition
0 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
O 33 Alterations
? 34 Repair
GENERAL INFORMATION
O 11 Apt./lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
0 15 Deck
0 35 Tenant Finish
O 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) ist F1, sq. ft.
UBC Occupancy ? 2nd F1. sq. ft:
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length 1zxi2 On-site well
Depth /Zsve On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site Footing
? Wallboard Final
? Framing
? Draintile
?
/
0
? Insulation
O Fireplace
Permit fee 1_ vew.s;w,:
Surcharge , sv
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoPies a_ oa
Other
Total:
S
;
.
? 16 Basement finish
? 17 Swim Pool
? 18 Corten./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
.(Q CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT #
DATE: D /
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME: C, R. 'Qnr'i?Iciqa
SITE ADDRESS: H
LOT:G?9,3 BLOCK o3 SUBD.
INSTALLER:
ADDRESS : 9303 PIVf110tid1 AHB. N0.
GOldB11 Ye,"zY, HIN. 55427
CITY: ZIP:
PHONE #: 5AAD -
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $Qq?
STATE SURCHARGE: .50
TOTAL: $3-ILD
?-
SIGNATURE C} PE ITTEE
?
!?4MMEX{CLl?.f?1DU51`R?AT.:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
AYARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
--------------------------------------------- ------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT YRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
GSTY OF EAGAN CUK G1TI UbE UNLI
3830 PIIAT RNOB ROAD
' EACAN, MN 55122 PERMIT #
' -` PHONE: (612) 454-6100 RECEIPT
N
...
I,NC;;:P?T DATE: /D S rf
ng$:_..?..,,_...?,_
PLEASE COHPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS 4
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------____---____----_____-_____---------____--_________
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CIASET 3.00
? BATH TUB 3.00
Y 3.00 ?
Oi7NER NAME: e?/1L/,CLQX? ? KITCHENSINK 3.00
1 IAUNDRY TRAY 3.00 •?3 d'D
SITE ADDRESS: 'tIB?'?I 1/.9??Y/?./il1_??'1%i1? A//? HOT TUB/SPA 3.00
WATER HEATER 3.00 ?
IAT:0?-f BIACK ? SUBD. ? FLOOR DRAIN 3.00 3"v7J
G
OUT.
G
Q ?/7'///?
INS TALLER : I.IliOl1`//? i L _
(MINIMUM 3.00 ?•OD
? ROUGH OPENINGS 1.50 ?,LQ
ADDRESS: I?I? ?c?L/lt?LL"'I'I.2Qi ILIN.L?? OTHER
WATER SOFfENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
14 _ U.G. SPRINKLER 3.00
!/
PHONE 7c1? -?<SlG',?
SUBTOTAL S o? ?' SO
ST. SURCHARGE .50
TOTAL: S
COMMERCiAI:jiNDIISTRTAPLEASE COMPLETE THIS PORTZON FOR ALL CO?MERCIAL/ZNDUSTRIAL BIIILDINGS AND
??...
MULTI-FAMILY BUZLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
--------------------------------------------- _____--_______________________
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: SLACK _ SUSD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
ZIP:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
$
TOTAL:
(SIGNATURE)
080 ? ?-? ?-
- - ---
. ? ?D ? ?6 i Fof O(ticeUse ? ?---- I
City of EapIl a?L= i Permit #?-Z? I
SO ?SD '
D I Pertnit Fee:
3830 Pilot Knob Road
Eagan MN 55122 JUL 2 5 2908 1 Date Received: ?
Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: j
-----------------?
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address: qoqG/
Tenant: Suite
RESIDENT / OWNER Name: IiL Phone ' d?
Q
A
ddress / City / Zip:
L
CONTRACTOR Name: License u:
M
Address:
/
Ci
`fl iAt4L
q fi 60
/n N Z
ry:
State:
ip:
.
Phone: p. - b Contact Person: r
TYPE OF WORK _ New _ Replacement _ Additional _ Alteration Demolition
Description of work:r'= `
NOTE: Bofh raotinQunted and gr'o`, nd mounfed mechanicafequipmenf is requlred to
be screened by? v Cnde. PIPes` r,nntact the Mechanicaf /nspector or one of the
Plamiers ior Infonnation onermittedscreenia methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
New Construction
Interior Improvement
rnace
Air Conditioner =
=
Install Piping Processed
Air Exchanger _ Gas _ EMerior HVAC Unit
'
_ HVAC units must be screened
_ Heat Pump . Under! Above ground Tank L InstalU Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Mar5hal and Plumbin Ins ector
AESlDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.so State Surcharge)
$90.50 FIfB fBP81f (replace burned out appliances, ductwork, etc.) (includes $.50 State SurCharge)
$ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1°io
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fge is >$1,000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fae requires a$1.OD surcharge).
$ TOTALFEE
I here6y acknowledge that this information is complete and acwra[e; ihal Me work will6e in contormance with the ordinances and codes of the City of Eagan; that
I understand this is not a permiy 6ut only an application for a permit, and work is not to start vnthout a pertnN; [hat the work vnl 'n accordance with the approved
plan i the case of work which requires a review and approval of plans.
X
ApplicanYs Printed Name A plicanYs Signature
POROFFICE'llSE Aeviewed By: . Date: .
Required Inspections: _Under Ground_ Rough In Air Test _Gas Service Test -In-floor Heat _Final
Stumellor`s G'ett?f?cate
SURVEY FOFI: C.R.Partridge Ilomes Inc.
DESCRIBED AS: Lot 23, Block 3, S'rAFFORU PI.ACG, City of Fagan, bakota
County, Minnesota ana reserving easements of record.
4& u
.t 25. 87 20.57
L_?.+
--
N86' 30' 00' E 150.20
F- _------- -
( J1 S r ?- ? --' ?- e
-? ? a ?
b /
? I ?? 28. 33 ? a?a
? I 414` n{ 911 S?
~ ? I ProYoeed 6?pp
m g spllt-Entrf ' a
w I I ,? o ¢ 5ef. . 14.00
v ?
o ?
o ? I 6?HVs ?
l J ° ( 9?1 .5 5.61
T-i 20.67
Z I I e n11?
, SL- --------------
J " S86' 30' 00' w 155. 40
9% I Y
LOT SO
FOOTAGE
--ao.ao---
-
?
? I
.05 30.00 ?a?•
0
O
?
m
W
Esiss Ho?
T. B. s 9r5,T {
?
PROPOSED EIEVATIONS
7op ol foundalbns a qp.z.
Geiege Floor e q+l'0
Baeamanl Fbor a noq,o
Appiox. Sewer Service Elev. e 899,1 S
Proposed Elavalbns e Q
Exialing Elevalbns
Dralnege Olreclfons n.......r
banoles olfsel Slake = O
HEDLU/VD
Plannrng Engineering Surveying
/]Ot 1.11 9looml?plo? FrH? l?oomlnp1on. Minrww10 lS?tO
INap?a?? IM112,80192
M
EAGAN
?
SCALE, 1 Inch = 30 Feel
f
?
_23
?I
?y I
' I
? I
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4097 Pennsylvania Ave
Lot: 23 Block: 3 Addition: Stafford Place
PID:10- 72500- 230 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Joel L Kruse
4097 Pennsylvania Ave
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
Building
EA079507
08/29/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
For Office Use
Permit#: if 9 71
E AGA N
Permit Fee: (B10-0
Date Received: 62 _6,
2 -6, O
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810T T
Staff:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 '"° _
buildinginspections(a cityofeagan.com L
JUN 08 ;Jed
2018 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: �`/Le // Fee: $65.00
City Sewer City Water Repair Disconnect
Description Of Work: 5h CC+ ;2 t C ‘tf1ex' Up to t-4'3 0C .e‘
Street Address for Proposed Work LI OC( "Pe..f\ `�C�YZ�(�. i AUU
x:.
U
„xi:, Name: "”' ' � k.-C�_ Phone:
: it n r Informatu ii Address/City/Zip: LI(JCI 1 (i)( 11 CLo t '__c- cj OJ c-f-,1 3 S
J
Applicant is: Owner ✓ Contractor
Licensed Pipelayer Master Plumber Property Owner
Name: ejti..l)(<L'i"‘"\',A -11 i;1 l��1`(.\\6, Phone: ��r� io�c�-(-33°I.;
Address/City/Zip: 6-3-1 1 'ncfic..{>c.1,\ 9\( {
Pipelayer Training Certification Card#: or Master Plumber License#: PCL..Qq l(�3
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only an application for a permit, and work is
not to start without a permit.
C-)cAN1 C. ..t A qii•- •
Applicant(Print Name) Applicant's Sign-1 e
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
update on the City's website at www.citvofeacgan.com/subscribe.
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157909
Date Issued:09/16/2019
Permit Category:ePermit
Site Address: 4097 Pennsylvania Ave
Lot:23 Block: 3 Addition: Stafford Place
PID:10-72500-03-230
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 -
Robert D Becka
4097 Pennsylvania Ave
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161284
Date Issued:05/15/2020
Permit Category:ePermit
Site Address: 4097 Pennsylvania Ave
Lot:23 Block: 3 Addition: Stafford Place
PID:10-72500-03-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Robert D Becka
4097 Pennsylvania Ave
Eagan MN 55123
(651) 319-3063
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165867
Date Issued:11/24/2020
Permit Category:ePermit
Site Address: 4097 Pennsylvania Ave
Lot:23 Block: 3 Addition: Stafford Place
PID:10-72500-03-230
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Robert D & Charlene M Becka
4097 Pennsylvania Ave
Eagan MN 55123
(651) 319-3063
Hoffman Weber Construction Inc
2155 Old Hwy 8 NW
St. Paul MN 55112
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature