4102 Pennsylvania Ave?F? ?•.S . . .. _ . . . . .
- ° CITY OF EAGAN
?--?--.- ? ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for "IFDWG/r+Ajt Est. Value $97,C00 DateAPg
Site Address 410% PFW'SYi-bwNFA AYli
Lot 2 1_ Block _1- Sec/Sub. CzAFI?ORt1 tI.?C?
Parcel No.
W IName FR0NTI$R MLWWZST M0lR3
0 Address 3902 "EDAItV'A LE QA
City - AI:At. Phone 434-0433
t? Name
0,,Q Address
r City Phone
Name _
Address
Phone
I hereby acknowlege that I have read this application and stale that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: FRpN7I E$ MIDLiEST Hdl7ES
on the express condition thaf all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHiCial
.1 _ .
?•? 16M1 46
I t-E
19Ag_
OFFIC E USE ONLY
Occupancy R- 311-1 FEES
Zoning
(Actual) Const V?N Bldg. Permit 626.00
(Allowable) -?? Surcharge 48.5C.
# of Srories -
Len9th
-5
Plan Review 3 t 3. o .?
Depth SAC, City 1 00• 00
S.F. Tota1 -
SAC, MCWCC 575.00
S.F. Footprints -
On Site Sewage _ N/ater Conn 580.00
On Site Well - Water Meter 90,00
MWCC System XIL
3
City Water ? Acct• DePosit 0•00
PRV Required _ S,W Permit 20•w
Booster Purtip - 5.'W 5urcharge i•??%
Treatmont PI 228.0C
APPROYALS RoadUnit 344.00
Planner - Park Ded
Council
BIdg.OH. _ Copies
Variance - TOTAL 2 . v 5.1
° ? ?
' Permk No. PermR Holder Date Tebphw+e #
WATER
SEWER /
PLUMBING ?L /'
?
H.V.A.C. ?Or/? ?? • .. ? , : ? ?
ELECTRIC
kapectlon Date InJp. Comments
FooOrxgs I -
Foundation
Framing
Roofing
Rough Plbg. ?---
%7-
Rough Htg.
is,l. y .
Freplace ? / ? ?
Final Htg. ?
Fnal Plbg•
Const. Meler Plbg. Inspector - Pbtify Plumber
Erg?JPlan
Bldg. Final (o
Dedc Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
MECHANICAL PERMIT RECEIPT # 72`
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 4/.W89
CONTRACT PRICE: $ .'.800.OA PHONE: 454-8100
SiteAddress 41u_J 1
Lot 31 Block
? Name
m Addre;
c City _
Name _
Address
City ,
TYPE OF WORK
Forced Air
8oiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
tnie AVe. BLDG.TYPE
_Sec/SuhStafford ?
Res.
u? ? A G _ MUfL
;
`oad Comm. ,
432-2665 aher
Phone
80.000 M BTU
M BTU
M BTU
M BTU
CFM
FEE: c:)•Dv
s/c: .50
TOTAL 4? Z6.04
WORK QESCRIPTfON
New xx
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
0CVl1A111 @1 !1/1!1\
SfGNATURE OF PEAMITTEE
FOR: CITY QF EAGAN
Site Addjes:
Lot
1
m Name
? Addre
c City _
a?
c
3
O
PERMIT #
PIUMBING PERMIT RECEIPT q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHON E: 454-8100
BIDG. TYPJ?, WORK DESCRIPTION
SeciSub Res. New ?-
Mult Add-on
21) ti N 0 A Comm. Repair
Phone
Name _
Address
Ciry
Phone
COMM/1ND FEE - 1% 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
FOR: CITY OF EAGAN
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TOTAL
? Water Closet - $300
* S , n
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
=Kitchen Sink - $3.00
,,,Urinal, Bidet - $3.00
Laundry Tray - $3.00
,
Flovr Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
--
?
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
So(tener - $5.00
Well - $10.00
Private Disp. - $10.00
,?_Rough Openings - $1.50
FEE
STATE S/C: 5a
GRAND TOTAL: ? y? 5r
1NSYEC'1'lUN RE(:UKll
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
r"i,*.vt vnNxa pvIF.
blAi 1ti}:0 f•1 A(.# E)t1 i1)!4e,
PERMIT SUBTYPE:
1,,; !.I!*;
F
TYPE OF WORK:
1 VP N
li11111+IN
n"i::iAH
k1t1/H7/Q
h'F MANp. S: !?F ? Tl1f t![ll.lSf' I)!)F 7« <,TURM4 f) AFtA:?f
Permit Holder Date Telephone #
PLUMBING
HVAC
inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBORRD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRFIGATION
METER
FLUSH
MAINS
CONDUCiIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
t-4 1 1 N ,
SITE ADDRESS: APPLICANT:
I PIN'., S' 1 lieti+l i f3 f1'rl
4:YA6`FURi1 i'IAt F . ft7.: ) ?+R??AT9
PERMIT SUBTYPE: TYPE OF WORK:
AL rk ka I E ON
( Nu Hf DKnpM`;
INSPECTION D. . .A
RtMANk.`.;: A`;P.PAitATF PtRMIF I% REQUlftLn Vt)td ANY FI.FU il?YCA1. Uft f'IfIMttLNFi 140ft!
Psrmk No. PermR Noldar Qete Tobphone Y
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Commems
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
? -%,
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDGFINAL
/
BSMT R.I.
BSMT FINAL
DECK FT(3
DECK FINAL
$4,00
?
(ger#ifirate ut tPrrupanry
titp of Cagan
]Rp;wrtMnt uf wwbing J?Rovprttnn
Thi.s Cenif cate issued pursuant to tTre requiremenu of Section 306 of the Unijorm Building
Code certifying that at the tinte of issuance 1Jiu structure wrrs in compliance with 11re vQrious
ordi+rances of the City regulating building corrstruction or use. For the fo!lowing.•
u. chir..b. SF DJG/CAR ews. pemw rr, 16246
o?Upfi--y rype R3/P4l zoa,g owaa R? Tym c?" VN
o,yw of BOdingFfCNIIER NIDW:ST HM Addma 3902 ?'?ARVALE IR, EPL'?1N
EWdM AMrm 4102 PF?B4SYI,VAIVIA AVFNUEIDMEry L31, B 1, SfAFTM PI1aCE
atv .]CNE 6, 1989
Building OBicidT
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 P+lot Knob Rd.
P.O. Bax 21199
Eagan "N 55121
OFFlCE USE ONLY
PERMITDATE 4/4/80
WATER PERMIT # 10340 SEWER PERMIT #
,METER #?? a?a 7I B.P. RECEIPT # 1576
B.P. RECEIPT DAT?'r
METER SIZE
ISSUE DATE PRV _ BOOSTER PUMP
SITE ADQRESS - I i 02 t'E?vNSYLVAN I4 AVE PERMIT REGIUESTED
LOT •` BLOCK '& SEC/SUB STAFFORD PLACE
x x
- SEWER - WATER - TAPS
APPLICANT: -?Ui•!T? T R '':I DW ? ?T H OMrS .7RP _
ADDRESS: =?02 CEUARVr'.?_'_ _COMM/IND x RESIDENTIAL
CITY, STATE MN- ZIP 1 ?' -
PHONE: " 4 -01133 "2-- NEW _ EXISTING
PLUMBERe ' SrAR*P1 IIMR I `: -.
ADQRESS: 10 119 MOI-IND '4' ,' I AGREE TO COAAPLY-WFTH CfTY OF
CITY,STATE E"l 20MINGiON1, Zip EAGANOHDINANCES: ' ?-
.?}n • : J A; __ irr-'",l _
PHONE:
OWNER: C7a1A, RtIrF:, R,.
ADDRESS: ?!'45 H??? ??"--''• Yf?`^ gIG TlJ E W EN ETER ISSUED
CITY, STATE 11GAN. 1?'ii ' ZIP 5-122 5k /)
PHONE: t54-3257
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CQNTACT
ENGINEERING DEPT.
-??--
SEWER 8 WATER PERMIT?
ClTlf OF EAGAN ? ?
3830 Pilot ICnob Rd.
P.O. BoX 21199
Eagan,. AN 55121 ? ?
. "1
OFFlCE USE ONLY
PERMIT DATE 'LL2
WATEFi PERMIT # 103`;0 SEWER PERMIT #^??
METER # B.P. RECEIPT # "
READER #? B.P. HECEIPT DATE ??
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS ? L :'AhIA AVE
LOT ' ' BLOCK '• SEC/SUB ?TAFF4Rp PLACE
APPLICANT: ;-RONTEIR j?IDWEST HONiL
ADDRESS: 3902 CEDA^YAL!" DRIVE
r?n14J .,1. ; .?.
CITY, STATE ' ' "• ' ZIP - -
PHONE:
PLUMBERR ' SrARA PI_l1MB T Pd(;
ADDRESS: 1018 MOUND SPRINGS Ti-:RR41_'E
CITf,STATE %00N1NGiDN. M''', Zip 55490,
PHONE: ' '• -4149
OWNER: ROGER R KA:q7 ;
ADDRESS: NEATNcR DrI'V't-?
CITY, STATE EAGAN, ?'N Zlp %
- 5 .-3257
PHONE:
PERMIT REQUESTED
x x
- SEWER - WATER _ TAPS
- COMM/IND
X1L NEW
x RESIDENTIAL
EXISTING
1 AGREE TO COMPLY.WtTH CITY OF
EAGIKN ORDINANGES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSINC. FOR STORIA SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUIhDING PERMIT
7o be used for SF DWG/GAR
Receipt # L- I -?,
$97,000 Date APR 4 , 7989
Site Address 4102 PENNSYLVANIA AVE
Lot 31 Block 1 SeGSub.STAFFORD Pi.A .
Parcel No.
w IName FRONTIER MIDWEST HOMES
o Address 3902 CEDARVALE DR
Ciry EAGAN Phone 454-0433
Name Z)AMM:
Address
City Phone
Name -
Address
Ciry -
Phone
I hereby acknowlege that I have reatl this applicalion antl state that the
information is correct and agree to comply with all ap licable State of
Minnesota Statutes and C??E??an O?dinan s. ?
SignatureofPermdee /
A Building Permit is issued to: FRONTIER MTnWRST Hf1MFS
on the ezpress condition that all work shall be done in accordance with all
applicable State of, /M?innesota Sta?Wtes andCity of Eagan Ordinances.
Bollding Offcial J.??Mig ftl.+.l'AT2
N° 16246
PHONE: 454-8100 •1 ( ")
OFFICE USE ONLY
Occupancy R-3-M--1 FEES
Zoning R-1
(AcNapConst V-N 81dg.Permit 626.00
(AUOwable) V-N 5urcnarge 48.50
N of Srories
Length -
_55_'
Plan Review
313.00
Depih _3 42 SAC,City 100•00
S.F.TOtal - SAC,MCWCC 575.00
S.F. Faotprinls -
On Site Sewa9e _ Nlater Conn 580.00
On Site well - Water Mater 90.00
MWCC System Xx
Awt Deposit
30.00
City Wa[er _xX_
PRV Required - S/W Permit 20.00
8ooster Pump - S1W Surcharge 1.00
Trealment PI 228.00
APPHOVALS Roatl Unil 340.00
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
Variance - TOTAL 2 ,951.50
REQUEST FOR ELECTRICAL INSPECTION " dee.10om-07
/•" ? Sr in$MaiHOns fw compleling this form on beck of yellow tupy.
E9 917 6• X" Below Work Covered by This Request
ew Adtl Rep. TypeofBuilding AppliancesWiretl EquipmeMWired
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt. Building Dryer Other (Specify)
Comm.llntlustrial Furnace
Farm ' Air CdntlRionat
Other (speciy) Contraclor5 Remarks:
Campute Inspectron Fea Below:
# Other Fee # ServiceEnVanceSize Fee # CircuiGS/Feeders Fce
Swimming Pool
1
0 to 200 Amps
6,
?
o to 700 Amps
Transformers Above 200 _ Amps Amps
Slgns Irvvpecrors Use onry:
UQ T0i
Irrigation Booms ?? 5
Special Inspection
Alarm/Communication
Other Fee
I, the Elechical Inspector, hereby
been madehe above inspection has Rough4n
F;,,ai . „ ? c
.r;. ?
Date? ?
0
PFICE USE DNLY ? ? '? " • ' This reQUesl wid 18 months hom
we'y C/ ?0'-/
? 9 917 6 .?
-y 6
,
Request Dale Fire RougRin Inspeclion
R ul?etl? ? Aeady Now ill Noiily InSpeciw
? Yes ? No Whan Feady7
icensed conVactor ? owner hereby request inspection of above electncal work at:
.bbAdtlrass SUeet, Boz or R te No.) City
1 'lr
' Na; Township ame or No. Range M. C-10
Occupent PRINn PMrre No.
?n
Power Su ier Addresa
a
! ?
/ ???" ?
Eleclrical CoMra wnpa ama
1 ConlrectwS License No
.?
Mailirg A ss ( o cta or Ow Makimg Instellation)
r2
Au1 rizetl Si (Gomr a ner Making InsWleHOn) Phone NumGer
MINNESOTq STATE BOARO OF ELECfRICRY THIS INSPECTION REOUEST WILL NOT
Grlgg?Mitlway BIdB. - pwm 5173 BE ACCEPTED BV THE STATE BOARD
7B11 Oniveralry Ava., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona (612) 6624800 ENCLOSED.
REOyESftR FLECTRICAL INSPECTION
4 1. C? -15 5? 8t21QUni?versiry ABe,r Rm. S-128,'St. Paul, MN 55104
_ Phone f61?) 642-0800
Home Du lex Apf. BI . Other: New Addn
Commercial Indushial Form Remod Re air
Air C6nd. Htg. Equip. Waler Htr. Load M mt. Other:
Dryer Range Elec. Haot Temp. $ervice
"X" above fhe work covered by Ihis requesl. EnFer remorks in Ihis space and on IFie ck of the white topy only.
Colculafa Inspection Fce - This Inspecfion Requesf will naf 6e occepied wifhouf the correct (ee:
Other Fee 8 Service En[rance Size Fee M Circuils/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps 0 to 700 Amps
Streel Lig./TmBic Sig. Above 200 Am s Above 100_Amps
Transformer/Genemtor INSPECTOB'S USE ONLY TOTAL-
Sign/Outline Ltg. X(mr.
Alarm/Remote Conhol
Swimming Pool
I hereb cerri iMl I inspeced the electrical insmllaHOn desoibed Mrein on Ihe daies smW
Irtigafion Boom Ro„y?„ pye
' S
eciallns
ection
p
p
Invesli afive Fee Fi ?ula
THIS INSTALLATION MAY BE ORDEREa ISCONNECTED IF NOT COMPLETED WRHIN 18 MONTHS.
OFFlC&LFE- Thi srequest void 18 manihs hum wlidation daro prinled in ihis bGo/z.
• ?
IIIILLIPoI IIIIII?III IIIIIIIIIIIIIIIIIII II ???F?j p5^ UV ? I?7?' ?
*?1 4 L 6 1 5 $ 0* pLr-pSE PHINT OR TYPE
Requnl Dnw
? Roughin Inspeciion requiredt Y. ? N.
(Yw must mll H. inspeclor whan ?eady? Inspaqion Oiher Thon RaugMn: ? Ready N. Will Coli
?a1e Reody:
I, ? licensed conhactor M-owner here6y requesl inspection of the above elechical work at:
Job Addrssx ?Shxet, eos, « Raire No.l
oZ JCURia (t2 Ciry
Ca a-A 9 Code
SIZ3
Seclion No. Townehip Nama ar No. Range No. Fire No. Counywz ?
OcaPan? F_,u?
?t?` PhoneN? f *?+C
P. Supplier Adhess
Elechiml ConM1OCror (Compoiry Nome) Conrracror Licenze No. hbsler Lk. No. (Planf EIM. Only)
Moiliy Address IConkocmr ar Owner Perlormieg Insmllefion)
Aulhorized Signanrre
? troclor or e?
nformmg IwolbXon)
?/y? ^ ?/1
/1!- ?lE//_/ [_
Phme No.
f7 /n
'?/ l..('
1989 BIIILDING P&FM[IT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3 ) 42,4 4
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
NOTEz ADDRFSSES FOB CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGN9TE iIHICH ADDRFSS
IS DESIRED. NO CHANGES WILL BE ALLOW6D ONCE BlJII.DIDiG PSRMIT IS I3SOED.
MOLTIPLE DWELLINGS AI3NT6L ONITS FOB SALB IINITS / OF 09IT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURPEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COHMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - N1''3 1 ? 1989
To Be Osed For: NFW C()NST Valuation: s2t;7r7T- Date: 03.414.489
Site Address 4109 PFNNSYIVANtA AUF
Lot 31_ Sloek _1_
Parcel/Sub STAFF01Rfl PI Af.F
Owner C7Ai Rf1('?R R KARFN
Address 3R45 HFATHFR f]RTyF
City/Zip Code EAGAN, 5F199
Phone 454-32.?7
Contractor FR(1NTTFR MTf1WF4;T Nf1MFC rnRP
Address 19n2 f.FndRVAIF fiRTVF
City/Zip Code FACAN, 55199
Phone 4r
Areh./Engr. pHTI I TPS PI AN SFRVT('F
Address 1453(1 PFNN[1('K AVF
oFFICS asE Orn.x
Oceupaney R-3 M-1 FEE,S
2oning 7-I
Actual Const V-N Bldg. Permit
Allowable V-N Surcharge
# of stories Plan Review
Length SAC, City /001
Depth 3y' SAC, MWCC la?
S.F. Total Water Conn
Footprint S.F. Water Meter
Aeet. Deposit
On site sewage_ S/W Permit
On site well 5/W Surcharge
MWCC System v Treatment P1.
City water v Road Unit
PRV required _ Park Ded.
Booster Pump _ Copies
, TOT6L
APPAOVALS
Planner _
Couneil
Bldg. Dff. t2E2V'1t,
?$
Varianee
Council
City/Zip Code APPI F VAI I F4 5?,17a ? BARRIN(zTON+XAoPc2
Phone # a19_pn4d
NOTE: Sewer & Water Permit fees and account deposit fees vill be ineluded in the building
permit fee. Processing time for sewer and *rater permits is two days onee a licenaed
plumber has applied for a permit at City Hall.
T '
r.
k
'
. ?
?
EXTERIOR ENVELOPE AYERAGc "U" CDMPtJTATION
L x (r
d41NER CZAIA, ROGER & KAREN
SITE ADDRE55 4102 PENNSYL VANTA AVF
CONTRACTOR DA7E -7 12 (/s? PHONE 454-0433 FRONTIER
Deternine woricing square footage ofi each.
1. Total exposed watl are3 ...... 03-7-7 _ sq, ft. x
2. Total roof/ceiting area .... q I'I sq. ft. x 3. -f
Total exposed waTl area above floor = ol C) 0$
a. Total wa11 wtndaw area ..................:........ 1.Z 5
b. Total door area ................................. 39 '
c. Total sliding glass door area ................... 4/p
d: Total fireptace wa71 area........................
-
e. Total wali framing area (averagelOa)...:........ $
`
f. Total ne _.r?al7 area abave floor ................. ?
-
g. Total r;m joist area ............................ a51
Total exposed foundation area = 449
GI
h. Total 4oundation window area.....................
i. Taal net foundaticn area above arade ............ ?- ?
Oetermine "U" vatue or each wali segment.
a. 1-75 X "U" 5 ?0
b. ?,9 X"U" 17, 55
c. 'gd x "u„ . 33 = 131a
d. x „u„ _
e.-X"u" m0-7 = I 3.oS
f. 15'i5.a X uu" ?03oo
9. a5I X „U„ ,03(0 = q.03
h. G X„V . /4 = y, 3 Z
i. i o9 x„U„ .}? = I 5,
3 ....................................... Total = B .a
I4 item €3 is the same as, or less than item #1, yau have met the sntent
of SBC 6006(c)2.
Total exposed roof/ceil;ng area = G}11
Total gross roofJceilinq area =
j. Tota1 skylight area .......................
.......?
k. 7ata1 roof/ceiling framing area ......
1. TotaI ne# insutated rnof/ceiling area....... qa S,73
Oeternine "U" value far each roof/ceiling segment.
J
X ICUu
k. q l,-1 x „u„
i. s a5.3 X „u„
.oas = a.a a
,019 =
4 ..................................Tota7 = 7.9-7
If tatal of u4 is the same as, ar less t5an #Z, you have met the intent of
SHC G006(c);.
Ta ut9lized the total envelope systein method, the values.esta6lished Dy the
sum of itzms s3 and #4 shall not be greater than the sum of items 41 and II2.
7. LJ-7 + 2.
3.
MATrBIALS
EYterior 9ir
Siding.;Lateri3
Sheathing
Insulxtion
Sheetrock
Interiox .1ir
Studs
Rim
COEC. BZ1C5.
+ 4. I`I, °t'I = o co . 3
Merm. Besistance "R"
1
S.o
/ 50
j'?9 .yS /.56
. (D `D
Zx(a / , g'-7
z,.:o l. v9 .
9R" /•ag
.. . • ZK?G `?'dF;?'??-N??
?r.=?_
•
l. Tnae??n- ?:? i:11 '
l?l 6a
s. 'fs' ?`t ? 3 ? •?S
3. . J'.rz ' __•`ws sa: •`. wr.ed__ ?D. g`'?
a. ?
3l9" TI4-?--?2nLNRy ?.?c
5. 5I01N G •GZ.
6. ::la • 0.I7
_ To ul t 3-Z 1
1. xnta:io: aa? f:? • o.5a?.
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? CIfY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
`R ! y
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029963
12/26/96
51TE ADDRESS:
4102 PENNSYLVANIA AVE
LOT: 31 BLOCK: 1
STAFFORD PLACE
P.I.N.: 10-72500-310-01
DESCRIPTION:
(NO seoROOMS)
rmit Type BASEMENT FINISM
?-„k Type ALTERATION
-??a. q34 ALT. RESIDENTTAL
REMARKS:
A SEPARATE PERMIT IS REQUTRED POR ANY ELECTRICflL pR PLUMBING WORK
FEE SUMMARY:
Bese Fee $50.00
Surcharge $.50
Total Fee $50.50
?
CONTRACTOR:
?
:
I ,y =
i nfurrrtiti K
? Statutev. z
PERMIT
?j ? ??
Iy ?3 i` R ?{r "` -0 ?+'dy Y w??
?s ?3 ?`? ?
? ?? ¢;^-.?.?6 4'Vlr"..? ? Cv`.
:aY
OWNER: - Applicant -
KTM STEVE H04I11
4102 PENNSYIVANIA NVE
EAGAN MN 55123
(612)6$3 -9746
6r
9
d '•G i'ty af ?4 ?9("n 0
? CITY OF EAGAN ,(
? ? 3930 PIIOT KNOB RD - 55122 '???.-? ?
? 1996 BUILDING PERMITAPPUCATION (RESIDENTIAL) ??;,?
Romp 681 ?675
? 3 regiatered siM surveys
4 Z co0ks of plans (MeWES bsam 6 window alzes; pourc0 fid. dasipn; etc.)
? 1 eirorgy ealeulalrons
? 3 copiee ot tree presamtion plan M bt platled aRer 7/1/93
iequired: _ Yes _, No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
07
LOT JI BLOCK I_
PROPERTY
OWNER
CONTRACTOR
SUBO./P.f.D. #:
* 2 eoDka of plan
? 2 ske eurveys (esleriar adEftlone d aeeks)
? 1 energy pleulationa for heated adddions
?l ffG
tUC1.lON COST: SOW
OQ_ki (I
Name: CPC,fY1 °d- Skoe. ?0I (k 0 Phone #L ?3 `0/2 1(?
Street
?
City: State: ? Zip:
Campany: Phone #:
Street Address:
City: State:
License #•
Zip.
ARCHITECT! Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address-
City: State: Zip:
Sewer 8 water Iicensed pium6er: Penalty applies when address change and lac
change are requested once permit is issued. i hereby acknowledge that I have read this appticaNon and state that the infortnaE on is co rect and agree to mmpy with all
appliqble State of Minnesota Statutes and Ciry of Eagan Ordinances. .
Signature of Applicant:
OFFICE USE ONLY IZECEIVET)
Certifiptes of Survey Received _ Yes _ No DEC 9 1996
Tree Preservation Plan Received _ Yes _ No B -
OFFiCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4plex ? 12 Multi Repair/Rem. ?
* 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
ri 04 SF Porch o 09 12-plex a 14 Fireplace o
r, 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
49 31 New 'o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GcIVERAL INFaRMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
1
o 1?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
. sq. ft.
ft Booster Pump
Census Code
.
sq. .
Footprint sq. ft. SAC Code OJ
Census Bldg ?
Census Unit ?
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Suroharge
Treatmerrt Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Capies
ToWI:
?
Valuation: $
% SAC
SAC Units
ciTV use oNLr
L ? BL RECEiPT #: OJI1
SUBD. ??'?' DATE 11126jqG
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551,22
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pennits are required for each unit
FIXTURES EACH yQL TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 :c -
Water Heater 3.00 ;c =
Floor Drain 3.00 ;c =
Gas Piping Outlet " minimum - 1 3.00 :c -
Rough Openings 1.50 :< _
Water Softener 5.00 x =
Private Disposal ' Dakofa Cty. license 85.00 =
(new and refurbished systems)
U.G. Sprinkler ` home under const. 3.00 =
Alterations ' to exrsting 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ??
SITE ADDRESS
OWNER
INSTALLI
STREET
Lf'I 0 (;,
cin: STATE: Z1P: SS 123
PHONE #: ( CZ) 6X3
?
OFFICE USE ONLY
L BL RECEIPT #:
SUBD. _ DATE:-
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please Compiete for: . ali commercial/industrial buildings.
* multi-family buildiags when separate pertnits are pQj required tor each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REOUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLU5HOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER I5SUANCE.
WIIL YOU BE ltJSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINiCLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.SD per
$1,000 of pgjm1ll fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: -
cirr:
PHONE
STE. #
SIGNATURE:
OFFICE USE ONLY
METER SIZE: DATE:
STATE: ZIP:
APPLICANT
INSPECTOR:
PERMIT
CITif L2F+?EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: eusLozNG
Permit Number: 8 3 2 8 4 0
Date Issued: 08/07/ 9$
SITE ADDRESS:
P.I.N.: 10-72500-310-01
4102 PENNSYLVANIfl AVE
LOT: 31 BLOCK:. 1
STAFFORD PLACE
DESCRIPTION:
RESIDE
? _?
B lelikgi?'Permit Type
oli1y?dr+Xngry/?b-q?yrkType
h4 4° - ?
STORM DAMAGE
REPAIR
434 ALT. RESSDEN7IflL
N???m.
`ec,-,^J w [
WP < a
REMARKS:
RESIDE HOUSE DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR:
OWNER: - Rpplicant -
HOIUM STEVEN
4102 PENNSYLVANIA AVE
EAGflN MN 55123
(651)683-9746
? I'her.oby eckr54wltd6? thst T harve read ttris'ap,Rliiz?aCion and' state,that the I
in'FarmAtian iis carredt and aqr2e ta e4mAly wi?h all' appl-3ca61er 5tate 'o-f Mn.
of Eagan itrdinanees. `
L ...?
APPLICANT/PERMITEE SIGNATl1RE IS D BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION IRESIDENTIAL
CITY OF EAGAN ` )
3830 PII.OT8KN?O;RD - 65122 ?' 7 - cr? q?
O
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered site surveys
? 2 copies oi plans (inGude beam & window saes; poureO fid. design; etc.)
? 1 energy calculations
• 3 copies ot hee preservabon plan if lot platted after 711/93
required: _ Yes No
DATE: g?7/?B
DESCRIPTI OF WORK: ?"??02A/1 pyQ,
STRE DDRESS: 410 2 I°?.u?US yw q N
Name: 04,10 ?TC v'?AJ P6one#:
-77 Last First
LOT: BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGTNEER
Sueet
??o Z P6tiM.s
i
City ?iQ?y9lU State:
/1/lN
Comrany: rhone k:
Street Address:
City
Company:.
? 2 copies M plan
? 2 site surveys (exterior addkions 6 decks)
? 1 energy calculaGons Mr heated atld'Rions
cosr; ?SS,Oa6-
// Zr - <
z;p: SsIZ3
License 1!
State: Zip:
Phone #:
Regisffation #: _
Street Address:
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penalry applies when address chang
I hereby acknowledge that I have read this appliptlon and state that the infortnation is correct and agree to wmply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
' OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
r, 3
?
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling O 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 = piex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
C:onst. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
O 15 Deck
? 36 Move
[3 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq, ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
°k SAC
SAC Units
! d-- . _= '??A/? ? ep..?a,?c.?
_ rr.u.dd.,(:?
Ai'. j,
Whols How.se Worksheet
GlCuaanr'?li?n '??.'.??/f.f2 I'11ni'::+ t? . . ? ? .,.
y Addms
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Muinn%s' "? s?.e?m?'. i:• ?Yai::?td?l?AM.;r'? • ,X'c? ie3ie? '.:?.ft!.rp.'t: :•.. ._, .. . _ ' _' ... ` COOLING n'4r-•
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,
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APPLlANCES BTUM
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-
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2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
/ 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date-9? J1? 1 04?
Site Street Address a
Unit #
Property Owner Telephone # ( )
Contractor Telephone#
addre=_s _7 lc 26 L?o-dCGx ?AQ Ciiy State12j6. Zip,?
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5!8" meter is required)
Other:
Water Softener ? Weter Heater $ 15.00
?replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
Stats Surzhar$s Q $ .60
rocai
I hereby apply for a Residential Plumbing Permit and acknowiedge that e inforwvio ? mplete
and accurate; that the work wiil be in conformance with the ordinances d code e City of
Eagan and the plumbing codes; that I understand this is not a permit, but on an lication for a
permit, work is not to start without a p&mit and work will be in accordance with e pproved plan in
the event a plan is required to be reviewed and approved.
0 e, b loe Q
ApplicanYs Printed fUame ApplicanYs Signature
Su?ve?ars G'ert?f?cate
SURVEY FOR: Frontier Dtidwest Ilomes Corp.
DESCRIBED A5: Lot 31, 131ock i, S7'AFFORD PLACE, City of Eagan, Dakota Count ,
t'innesota and reserving easements of record.
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Date _06' -
EAGAN ENGIIVEERIN ?gpT
PROPOSED EIEVAT10N3
Top of Faundaflon . 9/s'.'J
6oraqe Floor ¦ grs',O
Basoment floor -6 90'7.1
Appros. Sewer Svvlee ENv. ¦
Propored EIevoNons
ERnNnq Ebvallons ?
Drainop• Dlnetlons ..?...r
Denolae O/faef $tako ? p
MLeDLIlIIID
Plenning Eng/needrrp Stuwrylnp
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I MIN. SETBIICK' REOIREMENTS
Fronr - 30 Nane91de-p m
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t henby eorflfr thot tMo wrvey. Plan a ropsrt ras pnpand bn m dOB N0.7
or unaa my airat wwrdskm en0 Ihet 1 am s duly peybtend 8IR ,_,04(p
Lend 9wwYor uMu Me laws of fM /IaM N Mlnnssele.
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4102 Pennsylvania Ave
Lot: 31 Block: 1 Addition: Stafford Place
PID:10- 72500- 310 -01
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:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Elizabeth C Soudaly
4102 Pennsylvania Ave
Eagan MN 55123
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.
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA087483
11/18/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4102 Pennsylvania Ave
Lot: 31 Block: 1 Addition: Stafford Place
PID:10- 72500- 310 -01
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:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
Applicant/Permitee: Signature
PERMIT
City of Eaan
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Elizabeth C Soudaly
4102 Pennsylvania Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA088043
01/26/2009
ePermit
City of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: )---a?‘—
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
itt7s--o
Permit Fee: es.
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:` i'Oc• 4712 S 4¢7✓'�? /' "4T Unit #:
Resident/
Owner
Type of Work
Contractor
Name: / 4i v OJti Phone:ea W '-Y d
Address / City / Zip:1-1/ ` D 95, �(/r ,• /dam 4A' f 04 /
Applicant is: 0' Owner Contractor
Description of work: / / tt%>Yt ' f ,J `l
Construction Cost: 916r, • g fe
Company:
Multi -Family Building: (Yes / No )
Contact: ALE'
Address:I s-4 /`, , / 7 {/ „ City:
State: / I! A Zip: L% Phone: 743-913—
License #e,? 44a 40 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 they are 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.00pherstateonecall.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 no - 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 pl
Exterior work authorized by a building permit issued in accordance with the Minnesot- tate Building .de must be completed within 180
days of permit issuance.
Applicants -Printed -Name
Page 1 of 3
Jul 24 2013 6:54PM BRUCKMUELLER PLUMBING INC 6516882160 page 1
Use BLUE or BLACK Ink
r I
I For Office Use
Permit#: , Lv J I
I
City of Ealan 0°
41b~
I Permit Fee:
3830 Pilot Knob Road - I I
Eagan MN 55122 Date Received:,
Phone: (651) 675.5675 I I
Fax: (651) 675-5684 L staff: --------------I
INFLOW & INFILTRATION PERMIT APPLICATION
_V Plumbing / Sewer & Water
Date: Site Address: L//o i0.e)gi %u 11,Qru/'c. enu
Tenant: Suite tf:
Name: IvL k-k Ph l rl in t/o
'I~s~i13EN`I~~~n,Y~ r~4=~R. n ~ Phone: Ccl~ - ~la~ - ~(a a 9
y4 Address City Zip: " e /a
Name: r'uC invtGl~ ~cCm~~nc~. C License#: 66Fj'9`51-P
Address: ?T? 2 i6d'na s-t,/b.47! )t i3t Ru C~lk,: v City: ~d r)
G -ACT
!Q
State: /Y) Zip: 5- -)3 Phone: r CP• q t'-,P
Contact: Cr'r r,_r„ Jtl j+?_ Email: h1ruckwo
I~ rri
PLUMBING (Within the building envelope) SEWER 8 WATER (Outside the building envelope)
iYP ~lifb~tK , V"Sump Pump Repair Repair
Other: Other:
Descriptionofwork: /r1'r►C4 61 M0 ,C>ltl'r'IJ) ~./1r°a "42 I» C1'1aP_..
FEES
$60.00 /Each (includes $5.00 State Surcharge) TOTAL FEE $ "
"Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cibLgfpagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Cali 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.oonherstategnecall.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 vvithout 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
App/lliic}a~riftT~P~rinted Name Ap cant's Signature
n
Mix D y lyayl r -.11 k;~}Y~ t r. { , 4 V~ ri? R :t
i
(kll Uli
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.:xG. -
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120361
Date Issued:02/04/2014
Permit Category:ePermit
Site Address: 4102 Pennsylvania Ave
Lot:31 Block: 1 Addition: Stafford Place
PID:10-72500-01-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth C Soudaly
4102 Pennsylvania Ave
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120790
Date Issued:03/03/2014
Permit Category:ePermit
Site Address: 4102 Pennsylvania Ave
Lot:31 Block: 1 Addition: Stafford Place
PID:10-72500-01-310
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 .
Barbara Bessent
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 -
Elizabeth C Soudaly
4102 Pennsylvania Ave
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131539
Date Issued:06/24/2015
Permit Category:ePermit
Site Address: 4102 Pennsylvania Ave
Lot:31 Block: 1 Addition: Stafford Place
PID:10-72500-01-310
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Elizabeth C Soudaly
4102 Pennsylvania Ave
Eagan MN 55123
(612) 423-9629
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:Plumbing
Permit Number:EA140549
Date Issued:01/03/2017
Permit Category:ePermit
Site Address: 4102 Pennsylvania Ave
Lot:31 Block: 1 Addition: Stafford Place
PID:10-72500-01-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth C Soudaly
4102 Pennsylvania Ave
Eagan MN 55123
(612) 423-9629
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature