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4105 Pennsylvania AveCASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 i' DATE / f 19 1 1 rWcerVEo 1 + i - Fnpl AMOUNT ? DOLLARS im ? CASH )1?`CHECK -•? .. ? r wn C 016036 Whne-FaYetg ?PY ? velbw--Postin9 ?PY Pink-File C.opy Thank You BY ' . ar DATE: OCT 31, 1991 ?? RE: 4105 PSNNSYLVANIA AYE (C R PARTRIDGE HOISLS 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 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. ' - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN ' ? • ? 1S047 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE:454-8100 , UILDING PERMIT Receipt # o be used for 5i? Di?tG/GAR Est. Value f$O, 000 Date 31 . 193L- Site Address 4105 PEHNSYLVANIA AVE Lot 2 1 Block 3 5ec/5ub. STAF?Y1Rn Pl Ar1? OFFIC E USE ONLY Parcel No. occupancy R-3 Ilml FEES Zoning -IL-1 W Name C A Pl1it?i[IDGE HOIIHS (ACtuaq Const Y K Permil sso•oo Bidg ; Address 13809 SlINSET z-A" iIg (AUowaWe) -VL-N . 1 ? p [1-( ? Surcharge City BURI?ISVILI.E PhOne ?Z-0122 # oi5rories _ A , Plan Review -4S7 - f1(1 Len9th ik- o Name SAHE oepm snC 100.00 Gt = . y O? Address S.F. Total _ SAC, MCWCC 650-00 City PhOne S.F. Footprints _ ri 660.00 i C W Fa On Sile Sewage _ a er on , Name on sice weli 4S nn c = _ er nneter wa x- Address Mwcc S iem ? ]? i W City Phone Gry water ? '?c?. ???? ?-? In nn PRV Required _ S/W Permil - I hereby acknowlege that I have read this application and state that the Boosier Pump - SrW Surcharge -? iniwmation is correcl and agree to c I with all applicable State of Minnesota Statutes and ?y? Fa?aq Or inariMrr_,{' - "? ` Treatment PI 276.00 '? ? "- ` • Signalure of Permilb@ _ APPROVALS Road Unit 370.00 A Building Permit is issued to: Pianner - Park Ded. on the express condition that all work shall be done in accordanc with all Council ? applicable Slate of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ CoPies Building Ofticial _ ? ? r Variance - TO7AL 3,158.30 Permk No. Permfi Holder Date Tekphone # WATER SEWER PLUMBING ?-, 7 H.VA.C. 5 1/4 - ,?, 4- ELECTRIC a5a Mspection Date Insp. Commsnts FooUngs I Foundation Framing Roofing `'??el-111 Rough PIb9• Rough Htg. ?/i? Isul. ?7 - ZG" F ?S Fireplece Final Htg. B Orstat Test Final Plbg. 3_6 9Z PI6g. Inspector - Notify Pium r Const. Meter EngrJPlan eldg. Final Dedc Ftg. Dedc Final Well Pr. Disp. 0 --b, - q. 46 ?• • ?. raffirui? ?f (Orrupaury Citp of cagari &Pwrtmrttt nf Buning iwrrti,mn t T&is Certificate issued pursuant to !he requirenrents of Saction 306 of the Unijorm Building Cade cerrifyrng tlrat at the time of issuance this slructure was in complianae with the various , ordinmtca of the City regulating building canstrucliorc or ure For the fa!lowirrg.Ux aaail',wooe SF DWG/C+AR etdg. thmA No. 19Rl.7 0=4m9 TYP? R3/t4' Zwi08 Dkuict t I Typc Cnmt VN o%mwo(emMinsCR PARTltIDGE HCWS AM,,. 13809 S[nv.= t.Ara? tR, BrFaMTrJF Buflft A&k- 4105 PM15YI,VANiA AVEIViIE,.,1. B3, STArFuRD PLAC;E POST IN A CONSPICUOUS PLACE PERMIT MN TE OCT 31. 1491 OFFICE USE ONLY METER # CHIP # METER SIZE ISSUE DATE SITE ADDRESS 4105 PENNSYLYANIA AVE LOT 21 BLOCK 3 SEC/SUB STAFF'ORD PL.ACE STATE ZIP 'lUM6ER: ?NZEL PLi)tIBING %DDRESS: 1959 SHAWNBE RD ;ITY STATE $AGAN MN ZIP 55122 , 'HONE: 452-I565 )WNER: C R PARTRIDGE HOMES \DDRESS: 13809 Si3N5ET LAKE DR ;ITY, STATE 'HONE: BURNSVILLE MN Zlp 55337 882-9122 TVYO PERMIT DATE 10/31 /91 PERMIT # 12371 B.P. RECEIPT # .? - n- Lru ZE B.P. RECEIP7 DATE I0/3I /91 _ PRV - BOOSTER PUMP PERMIT REQUESTED x SEWER X WATER - TAPS _ COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. ILL NOT be given for Deduct Meters. c I AGREE TO COMPLY WITH CITY 9F EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED CALL 454-5220 FOR INSPECTIONS. FOR SEWER & WATER PERMIT OFFICE USE ONLY CITY OF Ei,GAN METER , tt_?4t' ,7L?9 (" 4a PERMIT DATE 10/31 /91 3830 Pilot Knob Rd. CHiP # O/ S/ 19a ?It PERMIT # 12371 Eagan, MN 55122-1897 / S.P. RECElP7 # METER SfZE ISSUE DATE "r ? B.P. RECEIPT DATE 10 31 91 DATE dCT 31 , 1991 _ PRV _ BOOSTER PUMP SITE ADDRESS 4105 PENNSYLVANIA AVE PERMIT REOUESTED LOT 21 BLOCK 3_SEC/SUB STAFFORD PLACE PPLICANT: DRESS: . (TY, STATE ZI P HONE: LUMBER: WENZEL PLUHBING DDRESS: 1959 SHASiNEE RD 1TY, STATE EAGAN MN ZIP 55122 HONE: 452-1565 WNER: C R PARTRIDGE HOMES DDRESS: 13809 SUNSET I.AKE DR X `SEWER X WATER - TAPS - COMM/IND A_ RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. QpediLWILL NOT be given for Deduct Meters. TO 1TY,STATE BURNSVILLE MN ZIP 55337 - HQry?_ 882-9122 ??SiGNAI lY'X??;&AC'YOW ??^ORKING DAYS F1 D /PROC?SSING / E??. CALL 454-5220 L EWER PERMITS, CONTACT ENGINEERING DEPT. WHEN METER fSSUED FOR INSPECTIUNS. FOR STORM ( i` / CITY OF EAGAN N2 19847 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 n p? BUILDING PERMIT Receipt x `'- ?! ?? ?^?1) To be used tor SF D11,IG/GAR $80,000 Site Address 4105 PENNSYLVANIA AVE Lot 21 Block 3 SeGSuh. STAFFORD PLACE Parcel No. . w IName C R PARTRIDGE HOMES o Address 13809 SUNSET LAKE DR City BURNSVILLE Phone 882-9122 Name _ Address City _ Phone W W Name YiE Address aW City Phone I hereby acknowlege that I have read Ihis application and state that Ihe information is correct and agree to c ' h all applicablgState o1 Minnesola Statutes 8pdE?,iq'Eapt?n.Q?din ces. ( ) SignaWre of Permit ??? A Building Permit is' d e: C R PARTftI? E HO S on the express condition that all work shall be done in accordan ith all applicable State of Minnesota Stalutes and City of Eagan Ordinances. BuildingONicial b ,n R.o; I m? OFFICE USE ONLY occupancy R-3 M=1 PEES zoning R-1 (ACtual) Const V-N Bldq. Permit 550.00 (Allawa0le) V=N Sumharge 40.00 M ofSlories Length 46, Plan Review 357.00 Depth A-61 SAQ City 100.00 S.F.Total - SAC,MCWCC 650.00 S.F. Footprint5 - On Site Sewage _ water Conn 660.00 on site well - yVater Meter 95.00 MWCC System XX XX Acct. Deposil 30.00 City Water PRV Required _ S/VJ Permit 30.00 Booster Pump - SNJ Surcharge - Sn Treatment PI 276.00 APPROVALS RoadUnit 370.00 Planner - park Oed. CounCil BIdg.Off. _ Copies Variance - 7p7qL 3.158.50 91 ° ? 73?7 ? 3 ? ? ? Requesl Date Fire N Rough-in Inspection Re^ d? CI Reatly Now ?I Will Notify Inspedor c Q - A V '?s L. No WM1en Ready? I2ficensed coniractor ] owner hereby request inspection of above electrical work at Job Atltlress(5lreet Bax Roule No.I Ciy glus Seclipn No. Townshlp Name or No Fange No. Cpynry J \ /t/ OCCOCdntIP INT) ? Phone No. C • ?- Power?ppeer Address (l . ElgCmcai oryractcy (Company Name) GontracbrS License No. vj? . d a-3 MaJing tltlress ICOmrec?or or Owner Meking Installationl . Nmhonzetl Signarore cOmra r.0li Makinq Instal PhOn2 NUmbe' ib3 -38/0 MINNESOTA STATE 80ARD OF IIECTFICITV y THIS WSPECTION REOUEST WILL NOT Griggs-Midway BIEg. - Floom S173 BE ACCEPTEO BV TME STATE BOARD 1821 UNVersiy Ave.. SL Paul, MN 55100 . UNLESS PROPER INSPECTION FEE IS Phone(612) 6a2-0800 ENCLOSED. ?/G+ /? A REQUEST POR ELECTRICAL INSPECTION ?f O?' li? See Inslruations lor completing hisform on bsak ofyellow cnpy. 73i17 "X" Below Work Covered by rhis Repuest E8-00001-08 'ry 3 /04?S?S ? ewjA .L7"iep. TypeolBuilding Appli^ncesWlred EquipmeniWired I Home Range ' 7.0j Temporary Service I Duplex Water Heater Electric Heating j Apt. Building Dryer Other (Specify) Comm./Indusirial Fumace ? Farm Air Conditioner ? Otner Isyecity) I Compute Inspection Fee Below: Cootraclor4 PemaMS: # I Other Fee # ServiceEniranceSize Fee # Circuits/Feaders Pee Swimming Pool 0 to 200 Amps ?J, 0 111 0 to 100 Amps 4 Transformers Above 200 _ Amps Above 100 Amps Signs inspecior§ usa Omy: TOTAL S, D Irrigation Booms ? i Speciallnspection I Alarm/Communication THIS INSTALLATION MAY BE ORDE DI NNECTED IF NOT Othei Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-in oate certify that the above inspection has been made. oate OFFICE USE ONLV This request voitl 18 months 110m • ._. ii/is/Si 103 8a 'o ? 52525 6a 1 $115°° ?? ? 1 Request Oate ire No. ? ugRin Inspeclion equirea? ?ieady Nav ? Will Notily Inspector 0-3o -? ?Yes J3 NO WhenReeOy? I;21icensed contractor ? owner hereby request inspection of above electrical work at: Jo0 AOGress (SV eet, Box or oule No,) City c O?.l ? Section No. Township Neme or No. Renge No. County t Occupant ?PRWT? Phone No. ; c R 58?--9?z Z . . Power SupplLJa 'rt;s,Jn c, ? !t Adtlress Eleclrlcal nhaclor (COmpany Name) Gonhac[orS License No. 4,2 /'?-3 Melling Atltlress (COnhaclor or Owner Making Inslallatlon) Amhorized SignaWre cOnlramor ner M Ing Installation) Phone Nvmber - 3&?d MINNESOTA $TATE BOAflD OF ELECFPICITY THIS INSPECTION REQUEST WILL NOT GriggpMiAway Bitlg. - Poom 5-113 8E ACCEPTED BV THE STATE BOARD 1821 UNVerelly Ave., St. Peul, MN 55106 UNLE$$ PROPEP INSPECTION FEE IS Phone(6/P) 662-01100 ENCIOSED. ItI 8`/?,,? ;EQUEST FORaEL ECTRI?CA?L bINSPECTION H52525 "X" Below Work Cover 1 by This Request rX°"NI? E&00001-OB ew Q$H Aep.? TypeofBuilding Apph ..., sWired EquipmeniWired Home Range Temporary Service Duplez Water Heater Elec[ric Heafing ApL Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other(specify) ConMac[or3 Remarks: r Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to ioa Amps Translormers Above 200 _ Amps Amps Signs Inspecmrs U. ony: . /? OTAL Irrigation Booms L Special Inspection Alarm/Communication I5CONNECTED IF NOT THIS INSTALLATION MAY BE OR Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecior, hereby Rou9n-in Date certify that the above inspection has been made. F;,,ai are Ze? ' OFFICE USE ONLY This reques[ void 18 monNS from '9ddiess: 4105 PIIVNSYIAANIA AVENOE Lot 21 Blk 3 Sec/Sub gTAFFgp Pf.a!'F These items were/were not complete at the time of the final inspectlon. Dat : 03/17/92 Yes No / Tnsppcrnr, Final grade (6" from siding) Permanent steps - garage ?O Permanent steps - roain entry Permanent driveway ? Peimanent gas i/ Sod/seeded grass v Trail/curb damage Porch Basement finish f/ Deck Please verify with tha builder the ramoval of roof test caps from the plumbing system and the shut-off of vater supply to the outside la.m faucet before freeze potential exists. ? PEMlEONttR White - City copy Yellow - Resident copy Pink - Contractor copy . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 v Construction ReauiremeMs 3 ragistered sile surveys showing sq. ft. of lat, sq. ft. of house; and all roofed areas (20% maximum lol coverege allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 sel of Energy Calculalions 3 copies of Tree Preservation Plan if IM platted after 1/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 4TE -0 - /J -0 )B SITE RemodeVRenair Reauirements . 2 copies of plan • 1 set of Eneigy Calculations far heated additbns . 1 site survey forezterbr additions & decks • Indicate if home served 6y septic syslem tor additions 1 I! I , VALUATION ?3T.b6n MULTI-FAMILY BUILDING, HOW MANY UN :OPERTY OWNER KP 15TIPiF_ (?- ?STEVw 1?sYYUA3S?tJ PE OF WORK ?D?ITfO? FIREPLACE(S) _0 ?S1 _2 _3 'PLICANT ?JTEVEIv Rl?c?M.US?? PHONE# hP(o-4,,M7- )DRESS 4I 0C' f?01JSt) LW40) A (k\1¢. ZIP CODE SS IZ 3 \GER # CELL PHONE # 6090C4rz?otQ? -Z7`IZ FAX # Nf1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY =nergy Code Category (check one) MINNESOTA RLTLES 7670 CATEGORY 1 - Residential Ventilation Category 1 Workshee - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor: _ Plumbing Systcm Includes: Mechanical Confractor: Mechanical System Includes: iewer/Water Contractor: Phone # Phone # * 719. oy P'ee: $70.00 above infortnation must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. C\??,' ?( Signature of Appltcant :rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Naw Energy Code Worksheet Submitted Phone Water Softencr _ Lawn Sprinkler Wa[er Heatcr No. of R.I. Baths No. oF Baths Air Condiaoning _ I-Ieat Recovery System Calied 512?101 Updated 1101 OFFICE USE ONLY 01 Foundation 02 SF Dweiling 03 01 of _ plex 04 02-plex 05 03-plex 06 04-plex X31 New 32 Addition 33 Alteration 34 Replacement ? 07 05-plex ? 13 ? OB 06-plex ? 16 ? 09 07-plex ? 17 ? 10 OS-plex ? 18 ? 11 10-plex ? 19 ? 12 12-plex 16-plex Fireplace Garage Deck Lower Level Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 E#. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)", ? 43 Reroof ? 46 Windows/DOOrs 'Demolition (Entire Bldg only) - Give PCA handout to applicant ? ? ? duation lz /J0?Occupancy ? MC/ES System ;nsus Code ? Zoning ?L City Water kC Units O? Stories ? Booster Pump ir. of Units Sq. Ft. 1:2_ PRV ir. of Bldgs ? Length Fire Sprinklered pe of Const J-4) Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ?j Footings(deck) 0 FinaUNo C.O. Footings (addition) Piumbing Foundation _ HVAC Drain Tile Roof Ice & Water Final Other ?p Framing _ Pool _ Ftgs _ Air/Gas Tests _ Fina1 Fireplace R.I. Air Test Final Siding Stuceo Stone ?() Insulation _ Windows (new/replacement) Approved By 4e , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ise Fee ircharge ? 3n Review '1iessa,c C RKAGE ty SAC ater Supply 8 Storage a'?-U K l ? 2 ?s O? '4W Permit & Surcharge eatment Plant imbing Permit ;chanicalPermit :ense Search ` fS )pies ??? T her ? lr 3 ?O ital . ? ??. . ? a7t? 3Zo R.0. Dimensions Quanlity Sq. Ft. X r1I G,.. ° - ?,d - p ?•?!r u , X ,' ? V'"J X ? I I ? ? ff ? x I IA= A= A= Sq.=t. Total Wall Panmeter Height Area ? 4 Cq ??` C.c U. t?? •0 t co'v 0?.7a L? ? ?O? ?,? a. .? ., . ,? BuWx Nrr? _ Bui?[M?ass . Bubrglb&m bLOm?QOG 9j _ CdHrqs, Sky**rtt, and Flaan Ovet Dvtside A'r r?t,aor? s?ys?x ? R-'h4e ;?Vete ?.ca..aN..? cd:v I ? I - sxr°?" ? r i i ? I F100f! iRd FO?1?it10(CB Aran a 'rwUhxx" o?.enr pl'hlM ?aD11 unaivmn Fboc Qer lrcaxrtoned bDWe - - - - p ? - / 8t1CKYt Ybl P I lhtrOed SRD R I - FbAid 56E ? I QYw 9Dam V" !' I Take-Off Workshost • u 6-acD i Weils, V?docr3, ?nd Dooro r?,,?,n c:?ow -._-'---- . Arva F?'?i1?,e LLVaL? EquOment Etf 1dercY. Ma,eaw mar W brt a" rt rn rear at e. Wmn tix hahuac'?. ea+ornc*c) - .1 a AFttnWF ? aoft ? Y?YtkkbeeltpiaeDnr ,, . MNCheck COMPLIANCE REPORT Minnesota Energy Code MNCheck software version 3.0 CoUNn': oakota STATE: M1nn250ta ZONE: 2 CONSTRUCfION TYPE: Single FdRllly DATF: 5-15-2001 TITLE: REMODEL PROJECT INFORMATION: STEVE & KRIS RASMUSSEN COMPLIANCE: PASSES Required ua = 113 vour Hame = 99 12.8% aetter Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/DOOr Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------ CEILINGS 606 44.0 0.0 16 WALLS: wood Frame, 16" o.C. 596 19.0 2.0 33 BSMr: Conc. 3.5' ht/2.9' bg/3.5' insul 147 11.0 0.0 11 GLaztNG: windows or Doors, above Grade 100 0.310 31 FLOORS: over Unconditioned Space 320 38.0 0.0 8 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building d25ign d85cribed here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the re uir ts of the Minnesota Energy Code. auilder/oesigneroate CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 990W«???":? WORK DESCRIPTION kESIL????,Tf?.,? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQOIRED FOR EACH UNIT. NEW CONST ADD ON ? REPAIR OWNER NAME: d? ?6io FEES SITE ADDRESS: hrL)S ?ewz?c _ IAT:121/ BLOCK ? SUBD. - INSTALLER: A/?/C/'Z,?i?U. ADDRESS: ?/°L '?J' 72 CITY:ZIP: PHONE #: "?` // SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $ /SS eb .50 $ /S4- le 94? SIGNATURE OF PITTEE 731 /9 S 90' ,qk xlc_? PLEASE COMPI:ETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS, APARTMENT BUILDZNGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLACK _ SUBD. INSTALLER: ADDRESS: CZTY: ZIP: PHONE FOR: CITY OF EAGAN FOR CITY IISE ONLY PERMIT # RECEZPT # /D DATE: ? S .;2- FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU _ GAS OUTLETS - MINIMUM OF 1 PER PERMIT 18 OF CONTRACT FEE. STATE SiTRCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED BIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) ? 98 RE91 EP)M : CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 TCA?. PLEASE COMPLETE UPPER POR2ION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: C. i?. ?a 1-I r 1dC__1Q SITE ADDRESS:q IO'-) anrrsc LOT: 0?1 BL^CK d SIIBD. 6 INSTALLER: nnDRess: 9303 Plymouth Ave. Na uulurli . CITY ZIP: PNONE #: 5-4/c2 'II ??L FOR CITY USE ONLY PERMIT # RECEIPT # /O 5 DATE: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL SD M BTU 6,00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ty / 21 STATE SURCHARGE: .50 TOTAL: j SIGNATURE OF ERMI TEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLSNG IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: SLOCK _ SUBD. INSTALLER: ADDRESS: CTTY: 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. CDNTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ $ (SIGNATURE) CITY OF EAGAN ? 1991 BIIILDING P IT APFLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MiTLTIPLE DWELLINGS C02IIiERCIAL 2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PI2;NS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF'ENEAGY'CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES RHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS $EQUESTED ONCE PERHIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTDR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PRDCESSING TIME FOA SEWER fi WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST 5HOW A LICEN5ED PLUMBER. To Be Used For ?. Valuat ion: Date: ? bkause- dd LAMK- ' ress Site A (?S IW i? v OFFICE, IISE ONLY L y(L 00D I.oc ? slock 3 FEES Occupancy R•.', Hi -1 Bldg, Permit 75t)'00 Zoning [;z -I Surcharge p' op Parcel/Sub Actual Const V-N Plan -Review , 3:?7, 00 ? ? I N ? " Allowable y-N SAC, City ((}DRo 10 c ?? Owne , K ; Inlm2s # of stories SAC, MWCC 6 1-1m,Ue Length '-IL- Water Conn. (,GO,c- Address ' f Depth !/?l Water Meter r5, ct3 1?Q 5%7 S.F. Total Acct. Deposit 30,co City/Zip Code >L?S 0 l -r PV?/x X3 Footprint S.F. S/w Permit 30.00 S/W Surcharge ,S--v ??? q (ZZ Phone On site sewage Treatment P1. P)6.ao On site well _ Road Unit 3 7p,oo Contractor MWCC System ? Park Ded. City water ? Trail Ded. Address V?0? S,?S?l - 1 h t? a_ FW- PRV Copies City/Zip Code?t?A-RStA Booster Pump _ SIISTOTAL APPROPALS Penalty Phone Planner Lot Change Council ` TOTAL Arch./Engr. Bldg. Off. (?i 7e/91 Q5 Variance Address ?%k(? R?,U-Q-1?? Gll?• City/Zip CodeqVv`vt? v?{A Phone # - t5- S /Water Licensed Contr. z .. e. agrees that all wock shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. Cities Digital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ..:: + H : . _ . ... _,,.._ - .. _ - Mr: _._-:_..,_. Minnozata =,a±c E;,..i g, Cc_ C,.,1c-.....s;t:i.o ,.__ . _ ._.. _ + e;- 5 .. - ?' +__: „i _ _ .?... . ? `.?T ? - .. ... _.c_ G?'iltiOil '___ Ftpc:i?:lic':: 1:'IfC:ti, ui•J!'1erC =_t2 A -::d-E=s: 1.072;??? 3 sT-4-??p ^Mj+1, n,l`;: r.. ? 9 Car,tra c:*or: C. R. PAGTF;TriGE Hnp•cc Tnir, PF; o.,E,, i.>d;. Cla-_. Al f;1 r`cr 5irg1? FamilyiDuple;; A2 re=.iden±ia1 <; 3 stcries . . o•.•:; _ stori-s Ot.r;?,;- GENErr=;L TnicpF:r..A?ION 'r`Jo+e: ;he section dasigri:t:orzs ("?er_tion Fl-, "Sect.i.on F" etc.) are for convenienca in ca;.rulations only, and are r,ct rF?ated from or;e _et nf calcula*:ons bzlcw to t;-;e :ne;:t. 1. $ldg, itia?1_ Sect i o;'i D F'°rimeter „ Section A : Section Et : SBCt_C;n C . 144 0 3ross Wall Arca -:a1l heights, = Area greund to eave 14.58 = 2099.52 f) - r> _ 209'3. c"' ... uuild>ng r;imensi.er;_=_ Fioor cr Cei:ing Length :, Wiuth = Area SEC t1 o!'1 a : , o b - 60 Section R , nr':J 26 _ 1040 SE'CtiGI'i C . .. :i = . _2Ct1 O;l r? . c-j (_) = f ? t C='Cl TiOGY" r. C' CB1 l1^u =t-c.3 = j 1:_}r_." ... Rim Jcist reri:r,cter = 144 F'lOor -O15L 2 48" - - 1-;?? cr. S6rrl?, - . ? . ,.:.., 'oi ac ?Area. _ 4. Dcor=_ Arec;: .,.-'.._ 7'hic4:..;.-_as ,.n:!;e==_.1: r•=. imeter . ; eet` _ TYP° of cor.=_.tr:;ctic:n: 5. Total doc;r': ,,rrir::eter: r; &. l=Jincota=u ;.: Q- ..,. .... ... ? .,,_,.t. ., . ,.. . I . .. . ...; __ . , i-, ...,.. _..?.?.r.. o i _ 7U:...c _ r. .. ...E. . , _.. _ g n'O -; +. ... . U. il. 4.: ` _ ._EN_-E. ,.:'t _`. .?•i ? _ . 22.5 c::3 24 =t ;'2 36 2.-. 8 5t, r] C) : 0 :l ±j [1 . _? U 0 .. G:ii:do!'S glc',_-. c,. =n ,`:jFi} - 125.5 Tupe Heinht . Leng+!-: .. ".lu:rber- = 7oca2 (fFCt) !feet? units SqFt S. F'atio Doere 6.3 _, ? 40,8 1. Atriu?c: 10. FirEplace area !..:.d*n: :, "eigr,t: C> .TOtal Sq =± il. E;:posed Fac;nda*ian Hei.^,ht area v: 0.67 Per;.;ater area Ae 144 Sq Ft _.. __. A = qb. ;S E::posed c.,undati=rn Height arca L;: =r ;='e: ;r,;:_ter area B: C) Sq F't area 8 = ra i^. Sq F'c i.; factvr U ,. A Grn=5 .ve.11 area 2099.52 nxi rus? W1':C'JCtW 2;"Od I25.5 0.52 65.26 Fatio door area 40.2 0.47 19.13 Atrium area 0 0 F;im ;oi=.t ar-ec, 120 0.041 4.92 L''C!O;`- arE-' ; 43.8 0.14 6.1a i=irepl"ce ar-er.. - -- p Y.)tPCSEd .....,nCI. " 9b.•-';a 0.:4 . 13.51 ? -rasr;ing aree. 279.952 0.045 1S.95 er.u=1E. oca1= For r:et ainil: 1402.408 0,043 62.91 A , mi: , . _ . . _ l.._ r . , , ?:-: ?: :. ._ ; : r ,_, ,... - , ; - _._._ ...:, _ ;. ;-..- = F [; =':. - . - ]. __. i. '. - . -]. - ; l= . .. . ' :!. W. ._._ ,o. . , 2 a..n o_,._, r._._._,._ ._...=.w .23 f CI' ._ ;-. i-; o9' ... ... ilG _ r..: _, v ..._s . or cver ._ _ t.:,-....:. _ FaCtr;;' .._.. . _._.: ;;T,:H = 210.947== ..U:-r ._E . ON ? ,. .. .e,., a^?. ..,i'(7'=.5 15. . _. "1 l]. I'; g ':' f . m r: iJ, r r ^ r, (?. . .. C:= . . l_ . _ _. c. . !j. i i 16. L1C1 St A1'ea (1'_%°! C7' C°3 l_:"iC a. .?-:t) = - 110 17. NEt. CE'1111g a, ='? ( -irC.s... CF:.1 .:=:f"'E•2 - jo1s* £tl'.E'a) = 90'i 18. U c2iiing: 0.0:=1 ., Pdet: ccil. area = 20.79 19. lJ 4ram;-_, 0.024 ., Jai=,t a. °a = 2.64 20. Tc<t_>,l nr' it=m 18 :, item 19 = 23.43 21. _.. os_. iei'.i, a,r:?; :. ?'ac`o- `•:-;.c?v = +? .. r=: , code f 6iJ.tc'1' 1 s • . 26 .or Fi "j. _.ntile . at7il 1 y & l:?:p:.Ci: .033 IL;Y' F-: BCl^' C:y.I.l°°' i'9a;.C°:lt).2l .06 `QI"- nther I_iuii.:J:;;ys Facic-,r . _ .. i,, 00.. EtT! IF{ ? . 28.6 !'7L'•ST i{r . OF' _ 27.43 (C21cuI6ied 2bcv2} 5 ? ?LL fITION SiVfl SHLTIdN RIl'9 JOIST FDN- U YALUG ?t+?..?•••,??_,.._ Inside air Interioc ? Insulatio. Sheathing Siding Outside air fi]m U YALCI R?. film .45 (fr'all ) U ?1 19.? • 2.06 .67 . '--1-- R TOTAL • ? _ 23-3 Cnside air film .68'`: . tnterior wall (Framin9l U= 1= Stud - 6 ° 6.50 . ; R 2.06 Sheathing ..67 , .095 Sidin9.r outside air film '- 7 -- R T0TAi. 10'53 -Intecior air film 68 ' 19 00 . r .. _ Insulatioa? Rirm Joistl 1 88 l Q = 1 = ynch soft woa R 2.06 _ .."'- - Sheatttin9 ; . .67 ?Extecior kall coyering _ -?1 ? - Exterior air film -17 ` _---- R q'OrPAy ' 24.46 Interior air film Insulatian 5.00 8 (Foundati ' on) U = 1 = 1.2 Foundation (12 " Block) R Exterior ait film .17 . - .14 R TC'PAL '`_ = 1 = R .043 , CEILING WITH VFZSPED ATTIC SPACE AHOYE , . . R VALUE R VALUE FRANINV CEiLING 0.61 36.00 4.38 Ai[ Film rrs„t ation Joist 0.61 44.00 ? .56 Ceiling .56 0.61 Air Film 0.61 41.55 Total`R : '45.78 .024 U = R .021 `CATHEDRAL CEILING ` R YALUE 'R-.VALOE = FRAMIIIG ' "; CEILING 0.61 Inside air film 0.61 .56 Ceiling .56 14.375 Joist(Spacer) - - Insulation 33.85 - Air Space .50 .67 Roof deckirg .67 .06 . Felt .06 .44 Shingle• .44 0:17 Outside ai[ film"c 0.17 16.88 ' . 7bta1 R 36.86 .059. R U , :... .027 Windov infiltration .5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and min;m,m code req,;rement Nomresidential door infiltration 11.0 cfm/lineal foot of ccack Ub 12" concrete block no insulation =.781 R 1.2q double glass = .52 triple glass = .31 All exterior r,*al.ls and ceilings must have a vapor bacrier (0.10) perm m;x.?. Yapor barrier must be on the inside (heated side) of vall. Vapor bariers of the polyethelene thin film have no R value. 411?dtV oF eagan e PATRICIA E. AW.ADA December 12, 2001 Mayor PAw BpKcEN ' BOARD OF ARCHITECTURE AND ENGINEERING 85 E 7TH PLACE #165 PEGGYCARLSON ST. PAUL, MN 55101 C7NDEE FIELDS MEGTILLEY Attn: Pat Council Munbers RE: 4105 Penusylvania Avenue Altered Engineer's Letter THOMAS HEDGFS CiryAdm;nisvacor Deaz Pat: I received the enclosed two-page document from Steve Rasmussen (homeowner /contractor) after a City Building Inspector requested engineering specs. for the repair of Municipal ceo«r a cut truss on a building addition at 4105 Pennsylvania Avenue. 3830 Pilot Knob Road In reviewing the letter, I noticed that a portion of the front page had been voided out. I Fagan. MN 55122-1897 contacted James Krech, Engineer for Krech, O'Brien, Mueller & Wass, Inc. regazding this Phone:651.G81.4600 and was informed that this letter was written for a different project. Krech, O'Brien, Mueller & Wass Inc. had not teviewed, or written, any letter for the project at 4105 Fax:GSl.681.4Gt2 Pennsylvania Avenue. Tom Korte, Planco Inc., appazently gave this letter to the TDD: 651.454.8535 homeowner as an example. In talking with Mr. Rasmussen, he stated that he thought because this letter was similaz to Maintenance Faciliry: what he needed, it would be "good enough". Neither Mr. Korte nor Mr. Rasmussen will 3501 Coachman Poinc admit to altaring the letter. Eagan, MN 55122 Phone: 651.681.4300 The City has requested the homeowner to discontinue work, provide signed engineering specifications, and call for a safety inspection of this addition. Faz: 651.681.4360 TDD: 651.454.5535 Sincerely, www.ciryofngan.wm J ff VJheeler Building Inspector JW/js THE LONE OAKTREE Thesym6olofstrengd, cc Dale Schoeppner, Chief Building Official and grrnnh in our wmmuniry ities Diizital ity Contro: The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ,0 ? ; ? i i I f ? ? ? i i ? I i ?u ( ?: - .. PLRqCO INC. 'M:EKRECH, O'BRIEN, 611$ CahilJ qrenue . Inrer Grove He? hts ¦ ? 651 .451 .4605 • iaX 6:1.451 0917 0esot8 55 76 MUEl.L;ER • komw?kam?y,eom • , www.kpmw eom 1015 ui,2 ?lOj ?.s.s-N SyGV,yai%f /3u? Tom KoRr S Jit?i?,,,. Pkncv. Iac. R/I Sl,'.au SSw'i? 3435 Wa.slytqpn Drive Fagsa, MN 55122 Q O i oL42Cj_ DeaT Mr, Knrte, At yaur nRUCsz. this office haz smu,-curally reviewd the two a above noted residence. No other azras ofthe home vrere review included drawings and sketeha faxed by Plance Copy trusws a+id the 2x12 laeader Documeau avaiiabie for rev Tbe trusses shall be sheathed both sides with '/z" eheathing from the header to the next web wEticfi is about 32^ away. ne CXisting sheathing can remaio as lo A11 e.dges shalf be nailed with 8d nails ai 4" r',as alt jaints have Solid o_t.. , The 2x70 header is adequa[e co span the4ft opening. n1e1DtbrnllnOn and vP"ions contained hetein are b be &?g of t}qs repurt, HQ ased upon the ulLknown coaditions aot w?ntias are c?cyr?,yed or implied ri en in ???[y ??? ? a'Ork is in acc ?eer8 ytandards and is noc in[rnded co be nelied upon or ttans addressee. Shonld infornisiioa or conditions beeome knnrrn which they may aI[er the opinions or macy,sinng of che undersigned. Sincerely: 2e?Aak a ? K?!t. O'Sliai. Mudta & Wass, iac. ffYau shoWd have any questions or require fuKher. inFormation, p1e FaX 651 _ dS3_ 3659 i f ? f'y-: = '?6'.adTJ' ,. ?I' ? ? .X.•r ° f ?f ' ? .? -&;r?Q.'!,?.y ft ? '' a__s' .f,•y?? ?...., .? ?,Er.Crt'U?f .E• ? " {?? '? ??. ?r.?!?tr:• ; .. ,.• -.. . . _ ,:;? i ' i investigacion dauibed rhe 8 the cxistence ofaher _ WiEb S?aliy accep[ed w individuals other tdan t from the dissvssion her ' call, ? :??+P:. ??. ?? ?•,Rf? r? ,!? ?'?. . l f . •?: - vgs:in??? 9,• ?:-r.::?.?,?8? .. .. . ?:. ?; :?s.<•'. . 651 452 3559 & WASS, P.01i62 -- •. • - j ? C. ?f._ L7' tins wc PiCPANlO FKU1 f01P111C3 lltPUr p.ows & uI ueusinn3I su6nlTT(6 Bv tai155 Irt N O ? ;I 0 ? y m a v ? ...: N ? N N 4 W N .. ? :9 w ?n \ fOP Ctll]RU 2K4 SPF 1650f-J,Sf ]OT CtIORD Zr4 SPF 2100F-1,0E NEBS 20 SpF #3 fNIS ORA4)ING ]S FOR RfPA1R 1XFOpMAT164 OBLY OF a PR'$V10USLY iN61HEER[0 DESIGW. S[C OAIGINAL DRAWIA6 Fop TRUSS DES1611 AND ffIFOANATION #JOT SHOW;1 OM TN15 DRAHING. 4r- -v 1-0•I4 ? °}??f•]0-4-Q'?. ;-4- L 5-4-14 6-7-2 I 5-d•l]4d '1? 5-4-14 I 6-7-2 'I R°]JIO (a} ALPINE ? ? Alpin:VII {VOduq3, Inr. FixE(:ry, ElUA1p1s U 0 Over 2 Supports TRUSS REPAIR LAtlAiCi fCJSICl Hlil SC ([RFfULII C1pWliiD TI OEICLIfIN[ INI C111Hf 9: piMA4[ AN11111 ICFfHILIV S- 11EI4I11. IN 51Mt IAICf lill IitMM] Io:V1091f tO ICMP tlII MN.54W IfW11fS auq Y.fYtllm INIIlXAL 0100 11lkL DIY..V.E h!0 (iGL1UC [nipum If!(Si flM.t e=AIINf. n1 3NPtt 111N01 tlL IIIAII! 111([1E0. 18!Rlf]Nl. If Il VIMI I441 IM[ tqYi1 fAlnICAiOC AXII BlIICIR[ [UMr?fMflN [ontlDfT. lllC C4111 Y i!1 pAlU4t IN fN11A OCIISION xk[Ix(P, lu I.EP)dd [9 P.l1,Y1L0. 1IN11. YpV.I fN[MR' OP 1111% I71NI1111 AIYULt LNLt 14 M5[ :RI1311 OI IN( PflOIIS AI TMI PIVii AHLfMmlo Ip 4A11 SC[N OA%VC10. e ywiif)Cf• INIP.f Il!GFSIOR ilftl UI[ RiY.USfU 11 Ufl(Aqll: rt[ [l1{p Ip 44Y (Nitp DLnffl, 11 :ro valti ixe( euAirs enrt ens +[eruex;e c1 IUIUTUI OY fNl\ 1?,4'AId4. CLIP A'•q" OFF OF fNE L(F1 EHO Oi TfiUSS. ADi) 2X4 WE85 AND FAST[N 411iH GUSSEFS AS SNONH ANO I90TED, CLIPPED EUD TO f!E SIIPPONTED BY HEAOERfDEAW BETHEEN TWO ENGItVEEAED GIRDEA TBUSSES. ? GLUE GUSSETS NITH AFG-D) ( e.g, PL 400 ) SiRI1CTUqAL AONESIVE p AS PEH FIANUFACTURCRS' SPES)FICAT10N5. ? a USE 15J32, 32115, APA RATEO SNEA7NIRG ( PLYN00D OR OSB ) SIiEd ;n ABD PLACF.D AS SHUS711. UNLCSS OTiIERWISE A07ED GUSSEIS ARE TD BE N PLAf,EO ON BOTIi SIOES OF TAUSS UftIT AND FASfENEO NST11 Bd IIkSLS J fROM AOlfl SIOES 1N All MEKBERS ( 3° q,C. - Z R01(S 1 STAGGERED. „ imarmmm,nnnu?:xain. m. mar?w.c?n?reaw LYW MfAEifYP.YAPIfKi01rI,U[ euuueaa?rtbskauwon ?va?ewan- rtum?e.m. IPONWYm Mn ReuxN]8 f601UCPOWQ11pN R=I36b W?5.5" MNI-IiI-I•l-? TC ;.L 40.0 PSf TC al 7.o PSF BC Ol 10.0 PSF U-t l 0.0 P 5 F T'OT.ID. 57.0 PSF nua.Fnc. ?.is - saaciwr 24.0° ?-Z - O-O---j q•1•15 ItEF R7225-22185 OAiE ` DR W HaumtzS o7ooiaas " MO-EhG /FI( ? SEqN 7132] FROM CAA ? S«wel?orsG'ert?ficale SURVEY Fafl: C.P. Prn•triclgr, Ilomes inc. DESCRIBED AS: I.ot 21 , Illock 3,S'I'AFPORD PI,ACIi, Ci ty of liagan, llakota County Dlinnesota ind reserving casements of record. ?.?or u..,...' cls. - 15.7 /.33 25.67 N86' 30' 00' E 160.60 ?.yn9 - - - - - - - - - - - - S i 26. 33 m I ,. ql? m propofed S. ? o SPllt-EnlrY w ? e ? 5ce. o • o ? I 0 o ? •nk,l ' 25.67 %a N SL--? ------- a,, _?- --- ???n? N89' ' 00' E 164. 38 L 1 C- l, LOT SQ. FDOOTAGE _ PROf'OSEU ELEVA I IONS Top vl Foundatlons Garage Floor e qn?,q Dasemant Floor Approz. Sewer Servlce Elav. eu,3.21,•_ Proposed Flevailons ., O Exisling Elevntlons OrelnegeDireclbns ?-..._r Denotes ollsel Slaka = O 20.67 4°- 29.1f_ _' p ? in o - W f/.00 i 0 . 6era9e ? urfve CO o « ?!e.3 ? • 30.00 0 ? 0 .o. 2 67 e q?? I ? ?a m _j 10 "29.19 ' - - \? '111.'L 13, ? SCALE, I Inch = 30 Feef ? 415f ' xs ? ? ? ? ?i ?I ?y 913f1 ? I UENCHMARk. Tu?i(b 30?3? Ele.w '115.7°. MIN. SETBACK REOUIREMENTS f ront - 3n Flousa Slde -1o Flear-is GaregeSlde -s IAIEADLUIIID Planning Engineering Surveying 9}01 EnI 8MOm1n010n frtYr?r. O?ppn?lrq1tm. MMM?CI? SS?A . I?iey?on??l?tl!!EO}S9 IIIEfIFOYCERtIFY t11ATT1115ISAiflVEANOCOMECi(IEPIlE5EN1AfION OF 111E BOUNDAfIIES OF INE 1180VE UESGrIBED PIIOPFt1IY AS SUfI- VEVEDBY MF, OIt UNDEII MY DIfIFCi SUPEqVIS10NAND OOESNOL PUf1P011i TO SIIOW IMPIIOVEMENfS Of1 ENC(IOACIIMENiS, E%CEPT !13 SIIOWN. oau L0_r22r,2L ?? ?? l?t ??.• Y D ND(:REN, IAND SU VEYOR MINNES TAI.iCF.NSFNUMPFI1N77A ...?.:..?u ..:_r«....w?...a-.??:.w..?.a..i4.....,..,?... w. v.r...r. ??vr.,....r..x .. .. . . o........ . . i--s? . JOB NO.: 91R-426 BOOK: PAGE: CADD PILEIDWO. CHK. ????st91-2 ? O m O D A D ? ' LAncilor's G'ert?ficate SURVEY FOR: C.R. Partri.dge Homes Tnc. DESCFi18ED AS: Lot 21, B1ock 3,sTnFFOan PI,nCL, city of F,agan, llakota county Dtinnesota and reserving easemeitts of recorcl. EviSY H?•.e 'cR.=9i5,7 ? .33 25.67 , 20.67 N86'30'00'E 160.60 r- _ -- I ? N ? ? I ? j`_?. I A?h• 41b. ^ I I w ? o O o ? _ _> • e o 0 O I I I 91b?V\. ?1 5L- - - - - - - - - - U a i 26. 33 ? n w PraPafed 6. e Spllt-Fntry _ 5es. ? I CV V I W ? b I O x./ o ?? I o m 91b1 .? I M to. 00 6araqe ?- qz? 7 ,. N89038' OD' E 164.38 L_ LOT SO Drive 0 m 9na. I . . O m 30. 00 0 ? o q??0 ao n % I^ ¢ ? ? Q E n I ?_ _ J 10 Q -- -29.19' - 'v4.2 ? . p? o FDOOTAGE = 13, 415f R E By Da zs ? ? ?I ? ? ?I r\ I 9i3A ? I EAGAN ERTGI1dEER%RIG PROPOSED ELEVA f IONS Top ol foundations = '.1,;;,Z Gerege Floor = Basemenl Floor = Approx. Sewer Servlcs Elev. - qoa.x?t Proposed Elevallons . Q Exisling Elevallons brainageDirecllons Denoles ollsel Slake = O IAIEDLIlND Planning Fngrneering Surveying 9A1 EW Bleomirpl? F?eew?ry B1?1on, MmMwl.55,]0 Iele0?0?? R131 ? ? I SCALE= I Inch = 30 Feet 6ENCHMARK. Tuu@ 303? ' £jeu- 915-79 MIN. SETBACK REOUIREMENTS Front • so House Sida - lo Rear - is Garege Sida -s IIIEREBVCE11iIFY 11U1T71IISISATIIVEANDCORRECTREPIIESENIIITION OF 7RE BOUNU4AIE5 OF iHE ABOVE DESGnIBED PqOPERtY AS SUR- VEVEDBY ME OIl UNDER MY DIIIECT SUPEAVISIONIIM] DOES NOT PUIIVORT TO SHOW IMFOOVEMENIS OR ENCf10ACHMEN73, EI(CEPT AS SHOWN. oete /o r22i91 Qd4n=;:; D. Y D ND(3REN, U1NU SU VEYOR MINNES TAIICENSE NUMBER 14978 JOB NO.: 91R-426 800K: PA(3E: CADD FILE: OWO. CIiK. Rl,sc 91-2 >F. ,.:...c.s......._e-.:.e-,a, ,,.,#s...s.•:...,.:am...::av.c:na-cz.?srraR.rw.s..:.o -.rc.. For Office Use } of Ea~d 1 Permit City Ina I Permit Fee: tJ - 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff: c_ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: l O 3 _ 7,1S (ice n om- / Tenant: j Suite 6112 RESIDENT/ OWNER Name: &%V420L1i. rJ Phone: J City / Zip: /2L?#h AI.S VG +'~I~~ ~ Address / Applicant is: Owner Contractor TYPE OF WORK Description of work: C' Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 2 License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('1 submission type) • Energy Envelope Calculations Submitted 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: Phone: Mechanical Contractor: Phone: Sewer & Water 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 they are trade secrets. 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 /uL, ) _t x Ap licant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r-----------------.., I For Office Use I I ~ Permit j City of Eali~d I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S~bfy Site Address: Unit W C> f l~ Phone: Name: Resident/ ( 1 ~'7 Owner Address / City / Zip: G. li L J a/ CA, j Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No . Company: Contact: a Contractor j Address: City: State: Zip: Phone: License 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: wa_,z 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. s 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.goaherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota Stat Building Code must be completed within 180 days permit issuaE/~- x /c~_'~A x A l icant's Printed ame App ant's Signature Page 1 of 3 RELIVED For Office Use ;�i ::::e: llza, E AG AA tsi JUL 10 2018 Ci Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /�` (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: f�(al buildinginspections c(Dcitvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Vk/ {) Date: Site Address: Unit#: Name: tA Phone: C7 1? - 32-633s �"l� V�J '1,0w-her � (7 ger � Address/City/Zip: � 3 rS f � Applicant is: Owner Contractor ofwork: fz t'7 - to h 4-01c "Type of Workc� M - t" Description �1 �f L Construction Cost: Multi-Family Building:(Yes /No ) 4 °WI Company: Contact: 74 Contractor £ v Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plansa,d supporting documents filet submit are considered to rebnt�tusn . rt onsry� �fhe mformatr class fiedas non dblic if Yourovide eg47c reasons Oat Would permit the"Crty ovconclude thatnthey are trac ecreti p . . .. mix£. 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.citvofeagan.com/subscribe. 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. 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.aooherstateonecall.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 ac rdance with the approved plan in the case of work which requires a review and approval of plans. 'NA Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 4 0-) ec t c I S` t v' '-, fie" D q )' SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi) Multi _ Deck '1,, Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation LifQo ° Occupancy --(r MCES System Plan Review Code Edition ► }3Q/S' SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required 4 Footings (Addition) y Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: _Ice &Water Final Pool: _Footings Air/Gas Tests _Final N Framing Ni 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan ��}} Other: Reviewed By: 1---2i , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge q /)(P. 5-"b ---, 4--/ S&W Permit&Surcharge / 900 Treatment Plant Copies TOTAL Page 2 of 3 . is_ i / 21 , , SYnicqor'secrtiflcate , 2 SURVEY FOR: C . R. Partridge Homes Inc . • DESCRIBED AS: Lot 21 , Block 3 ,STAFFORD PLACE, City of Eagan , Dakota County Minnesota and reserving easements of record. • • E.,c,t 14,,,,e 4 .33r.8.=915,/ c)\} \icf) 25.67 20.67 0 W c6 I, , tyro, * /1 1 in _ co '0 nam 1' N86'30'00'E{ t. q ( � I - -20.47 - a 25 / c...1 1 10 cc:i cLi 1 w is 1~`% r"/ { a 25.33 co N. I / a r 6.00 Avow. �._� W ' > o ..cc 55cceli'--Entry q.j rs�tya a 11 < 14.00 1 • I . 6111'ige DriveGI p t , I N41b,1 25.67 4i.o, r.GD �+ 1I °��t p 30.00 v ao t3:L .a 20.67CO ,� o� g Av.,?.., I. a - Z a 4i L-----H- - ii: 4a N rz Z S o:-- -24.44--The i qz�a N89'38'CO'E 164. 38 11,q.z -� 1 'I^ N r 9139 /5 z_ 1✓ I c... t.1 LOT SQ. FDD0 TA GE = 13, 4 .15P VI P \Ik 0 . fieAkiJft) ' �/ By Lam . --. D- e .77-4e7e/fr EAGI4isT ENGINEERING DEPT PROPOSED ELEVATIONS BENCHMARK, TN11 Q, 30,31 Top of Foundations m .,1,. d Flet,: 415.79 Garage Floor = qNb,4 Pr Basement Floor m(113.co Approx. Sewer Service Elev, s rto3.24.t Proposed Elevailons a MIN.SETBACK REQUIREMENTS Existing Elevations - Drainage Directions c.�,,,, Front 3o House Side +o Denotes offset Stake 0 Rear-15 Garage Side -5 SCALE, I Inch = 30 Feet JOB NO.: • 1ERESY CERTIFY THAT 11116 IS A TRUE ANOCORRECT REPRESENTATION IIEDLIIIND or HIE 130UNDAMES OF THE ATIOvE DEScRIBED PROPERTY AS SUR- ToYS11oW I PRUNDER MY OVE tEN S"OR ETSUOACN, S,EXCEPT S PURPORT WN 91f�-428 BOOK: PAGE: Planning Engineering Surveying 7 q (\ � jf\� Eq1 Mloornl.lo Rhtzn rfloetnplon.M7nnrsels 55470 OMNI 10/2.Z/ /' LJ. (71.4, 11- 9701 1.k^-- leMpnene ltl9s6�07 ♦ , Y 0 NO(3REN,LAND SIONEYorl CADt)FILE: DWG.CHK. MINNES TA LICENSE NUMBER 14978 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177916 Date Issued:07/25/2022 Permit Category:ePermit Site Address: 4105 Pennsylvania Ave Lot:21 Block: 3 Addition: Stafford Place PID:10-72500-03-210 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kessete B Woldekidan 4105 Pennsylvania Ave Eagan MN 55123 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature