4106 Pennsylvania AveCASH RE.,-EIPZ,.
• CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ? ` y ? 19
?
rIEceIv?eo ??L (G4.(-C? ?-
?
AMQUNT
? CASH
'19, CHECK
FOR
& loo DOLLARS
, White-Peyers Copy
Yelbw-POadng Copy
Pink-Fife Copy
Thank You {
BY
.,BLDG. PERMIT NO.
01-3210 Bldg. Permit & uo
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-21 Surcharge 2 C ? b
75-38 Road Unit
20-2275 SAC
20-3865 Water Conn. V ?
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL ?
CITY OF EAGAN 15 541
3830 Pliot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE: 454-8100
BUILDING PERMIT Receipt
To be used for SF DWi;f C;Ak Est. Value S60.W0 Date ASfGUST 30 ,198$-
Site Address 4106 PENN5Yi.YA1SIA I1Vfi
Lot -`' ?, Block I Sec/Sub. ?TAFFflRD pLACii
Parcel No.
? Name FRONTTi:.R MIUWEST HQMF.S
4.. Address 1';02 CEDARVAI.E DR
k CitY ZA?? Phone 454•-0433
. of Name_
V 6 Address
? City_
Name _
Address
City _
Phone
I hereby acknowledge-that I have read this applicatfon and state that the
information is conect and agree to comply with all a p)cable State of
.Minnesota Statutes and City of E?gan Ordin ces.
5ignature of Permittee ",'-I - -
A euilding Permit is issued to: F r.U:.TIC:12 I'lILi7EvT WLk'itS
An 4he express condition that all work shall be done in accordance with all
applieable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official _
OFFICE USE ONLY
On Site Sewage Occupancy M-1
MWCC System x Zoning x-`Z
On Site Well (Actual) Const Y-N
City Water X (Allowabis) V-N
PRV Required Y * of Storiea
Booster Pump Length 58 '
Depth 34'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permil 414.00
Planner Surcharge 30•00
Council Plan Revlew 207•00
Bldg.Off. SAC,City 100*01D
Variance SAC, MWCC 550•00
Water Conn. 5 50• 00
Water Meter 67-00
Road Unit 325.4
0
Treatment P1 204•00 '
Parks
TOTAL 2,447.00
_yED FOR DECK 6/27/89 CITY OF EAGAN
ROGE? ETEL??R
3830 Pilot Knoh Rvad, P.O. Box 21-199, Eagan, MN 55121
452-048 9
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est Value -, Date
Site Address
Lot Block Sec/Sub.
Parcet No.
a Name
; Address
° City Phone
o Name
,
? ? Address
? Ciry Phone
Address
City
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appliceble State of
Minnesota Statutes and Ciry of Eagan OrdinanCes. ,
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officfal
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC Syatem Zoning
On Site Well (Actual) Const
City Water (Ailawable)
PRV Requlred # of Storiea
Booster Pump Length
Oepth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
19
Permft No. Permit Holder Date Tslephone ?t
Plumbing y / 77
H.V.A.C.
E lectric t'
Softener
Inspsctlon Dats Insp. Comments
Footings I G f,?
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?
Rough Htg.
13U1.
Fireplace
Final Htg.
Final Plbg.
Bldg. Finai
e,eP
Cert. OCC.
Temp. LP
Deck tg. o F
*
inal ? W42
Pr. Disp.
•
MECHANICAL PERMIT PERMIT #
RECEIPT #
• ' CITY OF EAGAN 9 1,43 fb "
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
:ONTRACT PRICE ",1700.00 PHONE: 454-8100
Site Address
Lot
Name /-WENZLI. HEATit
? Address 1955 Shawnee
c CIt/ EA¢gft
,nia eve. BLDG.TYPE
Sec/Sub Res ?
& A C Mult
Comm.
I _7-1 OthBf
? Name NRUNTIER c:c7P11
c Address 3908 Siblay 1
p City Eagan
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
80,000 M BTU
M BTU
M BTU
M BTU
CFM
WORK DESCRIPTION
New
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
COMSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES, RATE APPUES
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
BEYOND $1,000)
25.50
FEE
S/C: ?,? SIGNATURE OF PERMITTEE
TOTAL• 112 6• 0('
FOR: CITY OF EAGAN
CONTRACT PRICE:
SiteAddress ' 'L t?- -
Lot Block Sec/Sub
- r' • ? .
m Name
? Address
, City --,
_ Phone
?
Name Q,a + , '
c Address y 1'
p Ciry Phone
FEES
COMM/IND FEE - 145 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(AQD $.50 S/C IF PERMIT PRICE GOES
BEYONp $1,000.00)
SIGNATURE OF PERMITTE£
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PENMIT
CITY OF EAGAN RECEIPT q
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100
aBLDC'a. TYPE WORK DESCRIPTION
Res. New _
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES TOTAL
Water Closet - $3.00 S
? Bath Tubs - $3.00 1
_LLavatory - $3.00
Shower - $3.00
-/--Kitchen Sink - $3.00 -
Urinal/Bidet - $3.00
--7-Laundry Tray - $3.00
=Floor Drains - $1.50
?Water Heater - $11 .50 ,
Whirlpool - $3.00
Z
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
..P_Raugh Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL•
r w 4o r
(Ur#i#irate nf (Orrupttnry
Citp of (Eagan
aPpartUPtit pf lwIDtttg jwPtfiDtt
This Certificate issued pursuanl to the requirements of Section 306 of the Uniform Building
Code cenifying rhar ar rhe time of issuance this structrere was in compliance wrth the variour
ordinances of tlre City regulatiRg building construction or use. For the following.•
ULJG1(Y?C ?
Uec Claeifntion ST' Bldg. Aermit No. 155; '
OwardB?olding F?I. "' ?Addiese'?2 +??f.'rVT? i7.R? F,?1.iAt'ti
o•'M^?? ?.OOhI.yJV, L+I? $lA1f'i'Il:VJ I1176_r+
?.n? tY
Dau:
Buading Olficial
POST IN A CONSPICUOUS PLACE
Control
INSPECTIUN RECORD l No.
CITY OF EAGAN PERMIT TYPE: oujiniMe
3830 Pilot Knob Road Permit Number. 0006 3 q
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS: LO* ,30 R iO,; k. 1 APPLICANT:
4106 PeNMSYLVAMIA AVE SUSSEI COAP
STA!'FOPtD PI,ACE (612) 646-6331 -
¦
PERI'A?&SY?T1f?P%,t Y TYPE OF WORK:
pplf.ItxPYION 09T14CHED
wnnn No. aan,n Ho+dK o.a 7bkpno?» N
S/IN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspecdon Wts Insp. Commants
Footings I /
Foundatbn
Frerring
Rooflng
Rough Plbg.
Rou9h tt19-
Isul.
Firaplace
FiW hltg.
Oreat Test
Flnai Plbg. P1bg. InSpeCtor - Notify Wumber
Const. Meter
EngrJPlan
81dg. Final
Dedc Ftg.
Deck Final
Well
Pr• Diap.
CITY OFEAGAN PermitNo: Date:
3830 Pilot Knob Road g/p No: Date: ?- 3 1 - P.O. Box 21199
Eagan, MN 55121
(?wnor ?L'.?rFi.it.r ?'??weTir
Address:
;,C: ?5?}.Ound Zoning- p,
Chg: L<<` •'??'• No. of Units: -
. Dep:
I agree to comply with the City of Eagan
ut Fee: '
. bnp? Ordinances.
harge:
.. Pp{'-?,;^.AsE„By
SEWER SERVICE PERMIT
Permit No:
Pilot Knob Road Meter No: _
Box 21199 Reader No:
in, MN 55121
Chg: Zoning: -
)eA= No. of Units: ?
Fee: ,
ir9e: , I agree to comply wiih Ihe City of Eagan .
nt Ordinances.
CITY Qii EAGAN Permit No: Date:
3830 Pilot Knob Road 414 7 4 Z l
Meter Na
P.O. Box 21199
E -
Size_
Reader No: LlbS? ?
1
'- 9,'T
Date: I
_ 3--8 R
agan, MN 55121 ,
,..,
Owner.
SiteAddress: ia Avk i,30 BZ Sta 'ord Placa
Plumber ,
Conn. Chg: Zoning: •
Acct Dep: _ Plo, of Units: 1
Permit Fee:
Surcharge: I agree to comply with the City af Eagan
Tr. Plant Ordinances.
Meter. ;
MISC.:
WATER SERVICE PER IT
CITY OF EAGAN N! 15 5 41
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 Q?O? ?
BUILDING PERMIT Receipt# D
To be used for SF DWG/GAR Est Value $60, 000 Date AUGUST 30 ,19 88
Site Address 4106 PENNSYLVANIA AVE OFFICE USE ONLV
Lot 30 Block 1 Sec/Sub. STAFFORD PLACE On Site Sewage _ OccupanCy R-3 M-1
MWCCSystem X Zoning R-1
Parcel No.
On Site Well
_
(Acmaq Const
V-N
c Name FRONTIER MIDWEST HOMES cirywater X (Allowable) V-N
W
z
Address 3902 CEDARVALE DR PRV Required X # of Storiea
o EAGAN Phone 454-0433
City Booster Pump _ Length 58'
Depth 34'
p Name SAME S.F.Total
,
? a Address Footprint S.F.
,
P
City Phone
pppROVALS
FEES
li'4W uw
w
Name Engr./ASSess. Permit 414.00
w
Planner
Surcharge 30.00
x- Address
¢s Council PlanRevlew 207.00
a W Cit Phone
Y BIdg.ON. SAC, City 100.00
I hereby acknowledge that I have read this application and state ihat the Variance SAC, MWCC 550.00
information is correct and agree to comply with all p icable State of Water Conn. 550.00
Minnesota Statutes and City of aga Ordi ces.
Water Meter
_b]_,DD
Signature ofPermittee_ _ RoadUnit 395_f)fl
A euilding Permit is issued to: FRONTIER MIDWEST HOMES Treatment P1 _204.00
on the express condition that all workshall be done in accordance with all
Parks
applicable State of Minnesote Statutes and City ol Eagan Ordinances.
? 2
447
00
yp
A
? TOTAL ,
.
!
Building Official 'l
_I?i,
REQUEST FOR ELECTRICAL INSPECTION es.ooam-os
? See inslructions for completing ths lonn on Dack of yeliow copy /' ??7
v ?
61 3 Q? X" B?low Work Covered by rhis Request ?•w::•
q????
ew Atltl ?lep. Typeo(BUilding AppiiancesWiretl EquipmeniWired
Home Range Temporery Service
'
? D
uplex Water Heater Electric Heating
ApL Building Dryer Other (Specity)
Comm./Industrial Furnace
? ? Farm Air Conditioner
j-y
-
! . IOlherspeniy) Contracior's Remarks:
? ?-I/?/?1?+?
Compute Inspection Fee 8elow:
x . Other Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 ta 200 Amps 0 to 100 Amps
Transformers ? Above 200 _ AmpS ove tOp Amps
Signs Inspecror's Use Only: OTAL
Irrigalion Booms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electrical Inspector. hereby
certify that the above inspection has
been made. Rouqn;m aie `o/_ 20 .
F;,,ei ale /
? ?
OfFICE USE pNLV I
TMS reduest voiC 18 months Irom
.? 12
.,a.. ..
Request Date ? Fne N Rough-in InsOection
Required?
? Ready Now i Will Notily Inspector
G _ Ves No When Reatly?
Ilicensed contractor D owner hereby request inspection of above electrical work at
I
Job Rdtlress Br^l,reet. ox or Rou No.) Ciry
11?
SecIqrYNO. noip Name or No. Range No, oun
Occupanl(PRINT, Phone No.
L° 1'e
Power Suppli¢r AtlUre55
Elecm<al Convactor (COmpany Name, Lonlracior's License No.
ewl i;; ? lL
Meiliny Ptleress r onVaclor or Owner Makmg InsnaOetion,
I
Aulno,rzeo Sign e i n er P Ilalrory ?T Pnone Number
MINNfi60TA STA?BO! R9ECTRICIT`?Griggs-Miaway Bltlg. -Ia6m 5-173
1821 Universlly Ave.. SL Paul. MN 55106
Phone(612) 642-0B00
THIS INSPECTION REOl1E5T WIIL NOT/?
/ ?
BE ACCEPTED 8Y THE STqTE BOAR-
UNLESS PROPER INSPECTION FEE IB-
ENClOSEO.
?U/g? REOI T FOR ELECTRICAL INSPECTION
P. See tNer mmpleting Ihis brm on back ot yellow coOY
,; Ca F;.r7, 1 "X" Below Work Covered by This Request
EB-D000108 ?.r?. ?
ew AHC. ep. " TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial Furna
Farm onditioner
Othar(sVeatyl CanVactor's Remarks:
Compute Inspection Fee Below:
n Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S19n5 Inspeclor's Use Only. TOTAL ??17
J `.
Irriga[ion Booms
Special Inspection tJ
Alarm/COmmunication THIS INSTALLATION MAY BE ORDER NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elscirical Inspector, hereby Rouqnm " aie
certify that the above inspection has
been made. F,nai ?- --- oa
'
OFFICE USE JNLY
This requesl voitl 18 monlhs irom
, .., 7i
/oAli,x?
e '39651 P ?! ? $xl oo
Request ?ate .y i e No. gh-in Inspection
equiretll
eatly Naw ? Will Noti(y Inspector
C Yas Wben Reatly?
I-6' nsed contractor D owner hereby request inspedion of above elecirical work at:
Job d sjs ?Bveei. Box o oufe No.) Ciryj
Secuon n1S Township Name or No. Ranqe No. County
Occ ant(PqINT) n
e?2 G?z?-PI? Phone No.
y -6 ?
Power SuppLer qaaress
Elecvic Vaaor 1 mpeny Nam
l GonVacror's Lic nse No.
? S?
Mai? ess?onlrctor or ?r MdYjryp Install nl ,?, ?
/ ? //
? j ? V 4 /
P?ulOO/n?zetl /g/S^/ature I onlracton er M/a'?ng Inst/all.]?/pp ??'J/?,?J/?J
I_LLJ_A?L //i<i?6??GC1l?_ . PM1O?ne ¢Num?beJr
_J-
MINN OTA SV A E BOARO OF ELECTRICITY /
Grigg -MiOwey Bldg. - Room S173 (
1621 University ave.. SL Paul. MN SStOE
Phone (612) 642-0800
THIS MSPECTION REQUEST WiLL NOT
BE ACGEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
/D REQUEST FOR ELECTRICAL iNSPECTION . Ea-ooooi-os
v' Cp/ n
IlP See instructions for comolating this lorm on beck ol Yellow cooV. p Q ?t?
.0 7 9 "X" Belaw Work Covered by 7his Requesf
ndd NeO. Type ol Builaine Apolinncee Wiree EquiVnient WireA
Home Fange Temporary Service
Duplex Water Heater Lighting fixtures
Apt. BUildinq Dryer ElectriC Heatm
Commercial Bldy. fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm Oine, oe?i v .fher ispr.c.iivl
t a.r ucci y Nm Othor
Compute lnspection fee Below
N Fee ServiceEnvenceSize R Fee Fextlars/5uhlexders # Fea Circutts
2 0 to 200 qm s 0 to 30 qm s 0 to 30 F?n.
Above 200 qmps? 31 [0 100 Amps 31 to 100 Am s
Swinmiing Pool Above 100-Amps Above 100_Ain
Transrormers Irrigation &ioms Purtial' e
Signs Special Inspeciion
Hemarks ?? T q? FE?
!L` _
HouBh-in ' Dnle t al
/11 `'?y-f Inspeclor, heraby
444 ? ertify thel the nbove
Final U;ite inspaction has been
rhie reauast voltl 10 montha (rom
This request void
18 nwnths (rom
D 30 079???
_ _.---..._._ ? . , ..?_b.. ... ...?._........
' R?q/' ireA? C]Ready No Will Nonly Inspec-
mf Ycc n Nn r When ReUdY
I YLicensed Elecvical Contractor I hereby raquasl inspection of ebove
\.
? Owr.lr electrical work instelled at:
Sveet ??es , Box q Route No. Citv
?? S
ecuon o. Townshi0 ame r No. Range No. Cow
OccuVAnt IPflIN1TI ( Phon`e No.
?
'7?e1 ?
' 13
{S Y ee
i
v i
Power upP iar Atltlress
..s G
ElecVical Co/nVaJ?cto /(CO/yu any ame)
'i, Convar.mr's lfc nse No.
vt :
p.T G(lur?c.
Mailine Vdres QIC nVacmr or Owner M kine Installati nl
?
?
L u1h5?
Authorized Signature onhact ? wner MnkinA Ins[allation) Ph e Number
?
11
MINNESOTq STpTE BOARD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Gri99s•Midwey BIA9. - Room N-191 BE ACCEPTEO BY TME STATE BOARD
1827 Universitv Ave.. S1. Peul. MN 55704 UNIESS PROPEF INSPECTION FEE IS
Phona(612) 642-OBOO ENCLOSED.
I ,.;?L
!k
SINGLE F9MILY DftELLIBGS
2 3ETS OF PLANS X\
3 8E6ISTERED STTE SDAVEYS X
1 SET OF ENERGY ClLCS.
1989 HiTILDIRC PERIiIT APPLICATION
CITY OF AGAN
6 4 1 IduN 2 s 1989
lIULTIPLE DWELLINGS
2 SETS OF PI.,td3
SEGZSTBRED 32?E 3QAVEYB -
(CHEC6 WIT9 BLDG DIV.)
1 SET OF E6SRGY CALC3.
lIISLTIPL& DWELLItiG3 11ENTAi. tlNTfS FOR S9LE DIiITS
CON@UERCIAL
2 SET3 OF SACHTtECTURAL
8 STR0CT4RAL PLAN3
1 3ST C?F SPECIFIC9TION5
1 3ET OF EBERGT CALC5.
• OF DHITS
HOTEs lDDRES3ES FOA CORNEA LOTS - COATRiCT08BOMEOfNEA !lQST DESIGNAlE WHIC9 IDDAE55
I5 DESIRED. 90 C$,NGF.4 iIII.L HE lLLOiifiD ONCE HOILDING PEAlfIT 15 ISSQED..
SESJER & ii9TER PEEMIIT FEES .ND 1CCDDNT D8P03IT FES9 1tILL Bfi IACL[JDED iiITH THE BUILDSNO
PEHMTT FEE. PAOCESSING TIME FOR $EWER A1QY3 ii63EA P£RFiISS i5 TWO DdYS (,'UCE A PGt?SIT HSS
BEEP COMPLETED INDICATIAG A LICENSED PLAlBER. '
PENALTY APPI.IFS WEiENt PERMIT IS NOT PAID FOR IN 3AHE HON'Ifl IT I3 REQ[JESTED.
LOT C9ANGE IS REQOESTED ONCE PEAMIT IS ISS[TED.
DE CK
To Be Used For: lYaluation: ? 00,0 Date:
Site Address 1/0 ro A754 ?V407tA
V6
Lot 130 Block ?
Farcel/Sub , 1rifavD?t?l ?Lro)
Owner R/JAOk r'Liri.ld rtGIE/Q
Address
City/Zip Code
?qcKoJR ?au?;
Phone Y,sa- 64417
Contraetor
Address
CitylZip Code
Oceupancy
Zoning
Aetual Const
Allorrable
4 of atories
Length
Depth !2'
S.F. Total
Footprint S.F.
On site aewage
On site Well _
MWCC System _
City vater _
PRV required _
Hooster Pump _
lPP80VALS
Phone Planner _
Council
Areh./Engr. -2 Bldg. Off. ±=6,/Z7
Variance
Address ---- _
City/Zip Code --^--""-
,M JUN Z 6P9
FEES
Hldg. Permit -?6,?
Sureharge .s'O
Plan Review
SAC, City
SACr MWCC
Water Conn
Water Meter
Aeet. Deposit
5/N Permit
3/ii Surcharge
Treatment P1.
Road Uait
Park Ded.
Copies ? '
SDBTOTAL
Penalty
TOTAI.
Phone 4
? r
SURVEY FOR: Frontier Plidwest Homes Corp.
DESCRIBED AS: Lot 30, Block 1, STAFFOP.D PLACE, City of Eagan, Dakota Coimty,
A:innesota and reserving easements of record.
fo 6. 59
- ,n
, 5?----- -------- s
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a o
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y
? o-t?.c, •yy3 ,?:. = w.»
ID
1=?
91
S ?
J
13.5 q
i o S
f !?
913.1?, i ?? , ol
°y4' [s = 6 °a0'01?;"11* R= 8
919
/
.?
0
?q.
i
?9i4;,6
r-
?...,,o..
PEMNSYG l/,4"/q 9--'1
- "- AVE. ?- ?
PROPOSED ELEVATIONS
7op af Foundolion a 91?.6
Garaqs Ftoor . 9t6.Z
Bosement Floor a 913.4
Approx. Sewer Service Elov. • 909.-l!
Propose0 Ebvalions ? Q
Exrctioq EUvotloos . `
V
?
K.
` ? •!
1
'J
?
?
BENCHMARK?
ToP U,t Nyd, RS S.b.,N
.qctpdC EIN. s 9\5.19
MIN. SETBACK REOIREMEN73
. . W4
FroM - 30 Nouu SIQe - ?.•
?
O
a
? CITY OF EAGAN
n3830 Oilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Datelssued:
4106 PENNSYLVANIA AVE
LOT: 30. BLOCK: 1
STAFFORO PLACE
BUIIDING
008639
05/27/92
DESCRIPTION:
PERMIT ''
OETACHED
tui3din.g Perm3t Type
t' Buildi,ng'*ork Type
Building li»gth
f~ 6u#lding Wfdth.
?
?'\ ry,a,J ^Jr._..
l `
='_6AR./ACCESSORY
NEW .'
. :.
28
. 26 .
t i?`
?7 ?VJ
l ?? •. . ??. 4. ? i?-.1 ? , ,_
y -c..... ._
REMARKS: C U I a04D
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Lic. 5earch
Total Fee
VALUATZON
=144.00
;93.60
$6.50
Fee $5.0@
$249.10
$13,000 ...
CONTRACTOR:
SUSSEL CORP
1852 COMO AVE
ST PpUL R9N
(612) 646-0321
- Appl3cant - S7. LI OWNER:
16450321 000193 ETZLER R06ER
4106 PENPISYLVANIA AVE
55108 EAGAN MN 56123
(612)452-6989
Y hereby ec•k:nowYedge that I have read this applicatibn and state that the
informatfon ie corraet and aqree to camply with all applicable Stmte nf Iqn_
Statutes and' Gity af Eagan Ordinances.
L ?
Control No. 0520
4TT ?wiR ?f: , lfbu???/FA?--?. nr, 1. R??, ?"h.?
APPLICANTIPERMITE SIGNATURE ISS' 1UED S?'NATUIi?
PERMIT anr oF EacaN ??• v? 1 v
v./ 1992 BUILDING PERMtT APPLICATION `?-=-
• 5 " 681-4675 tft I IT REc6
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy
calcs.
COMMERCIAL 2 sets of architectural.8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
af month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ,, Al cu?, /-Z 0 /12,_ Yaluation of work 1 9? 5 OD-+ ('{
Si eAddress: ?1l0& Pe.Yir/sv?Var?i?(
SiREET STE #
Tenant Name: (commercial only)
LM ..? p BLOCK / SUBD.
t? /
Descri tion of work: 8 !?? Gr.c +
-
The applicant is; ? Owner CR Contractor ? Other cueserrbe)
Name 9 -f 1 er ? oa-C' j" Phone y.r2 Gygj
property u5T F1 ST
Owner Address S jq j;/_F
STREET STE R
City +tQ- 1-?Yi State Zip .sS'/'13
?
Company 5L.L s se 1 CErP; Phone -G 9.Cv Z?/_
C011tr8CtOC Address /P.?2, Cr rn i liVr License #
City Gt kl State mh Zip Y-3'/
Company , Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer 8 water iicensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
r ?? n
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? O1 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
? 02 Sf Dwg. fd 06 Garage/Accessory O 10 Swim Pool
O 03 Two family " ? 01 Fireplace O 11 Res. Add.
n 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Parch
WORK TYPE
0 31 New ? 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36'Deawlish
GENERAL INFORMATION
Const. (Actual
(A1lowable;
UBC Occupancy
Zoning
i of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 5ite
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
footing
? Final
. ?
? 13 Comm/Ind iipw
? 14 Comm/Ind Add
? 15 Comm/Ind Rem
? 16 Pub11c Fac.
? 17 Agricultural
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing
Uraintile
?
Q Insulation
? Fireplace
Permit Fee 114 , o? vawsc;d+: s 13DO Surcharge ? SV.
Plan Review d
?2S ?/c(
License 2gK2(S= 7kyx/6c-
?
MWCC SAC ?
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total: 1_4q. I U
SAC 96
SAC Units
? .
.
1988 BUILDING PERMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DFIELLING3 /S 5 q I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
?
NOTEs ADDRES9ES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS
# OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENEAGY CALCULATIONS
COI•41EACIAL
INCL[IDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: NEW CONST_ Valuation: ;-* -=,;,,;_,:,;, Date: 8/25/88
?
Site Address
Lot 3 Block I
Pareel/Sub cTOrcnQn
Owner ETZLER, ROGER & LINDA
Address RT. ! BnX 325
City/Zip Code MOTI EY. 56466
Phone 688-6612
Contractor FRONTIER MIDWEST HOMES
Address 3902 CEDARVALE DRIVE
City/Zip Code EAGAN 55122
Phone 454-0433
Areh./Engr. pHi iPS PI AN FRVT
Address 14530 PENNOCK AVE
City/Zip Code APPI F vA I FY 551 24
Phone # 432-2044
6.U Ooo'
On site sewage_
MWCC system
On site well
City water ?
PAV required ?
Hooster Pump _
occupancy R I
2oning -A?
Actual Const V N
Allowable ,
\/-N
S of stories
Length 5S
Depth 34(
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council
Bldg. Off. py
Variance
Perm3t 414,Do
Surcharge An.pa
Plan Review pp
SAC, City
SAC, MWCC ? 0 ?Oa
Water Conn ?pp
Water Meter i?n,m
Road Unit 3 25+, 0a
Treatment P1 ??•.4t?
Parks
Copies F
TOTAL
SFL/DS EXTERIOR ENVELOPE_AVi_RAGC• "U"_ COMPI1TAfI0N
cWtirR: Q
S:T- ADDRESS: PNONt
?
CONTRAC?OR: FP-cti.1'nE1?- l"?oCtkS PLAN # WiI..S44? (Zc
Determine working square footage of each
1. Total exposed wall area..... 1-7 sq. ft. x.11 =
2_ ToLal roof/ceiling area..... ) Z sq. ft. x.026 = 2??1
Total exposed wall area above.floor=_ Ilp Z 8
a. Total wall window area .............................:............:
... ....... .. )L1
SCo
b. Total door area ................................. ......
c. Total sliding glass door area ....................................
d. Total r'ireplace wall area ........................................ -
e. Total wall framing area (average 10%) ............................
.........
1 Zta
f. Total ..........
rim joist area .......................... IZ 9 Z
g. net
..:.....................
wall area above floor .............
h. wall area above rloor ............... ......................
i. wall area above floor .....................................
j. frcme wall area az.fou-ndation ...................................
Total exposed foundation area=
k. Total ioundation window area .......................
l. Total net foundation area above grade ..............
D2termine "u" value of each wall segment
(e,g. window, door, each separate wail section)
a. 17- 1 K „U.,
b. 5tfl X "U"
c 31 X ,1u„
. .
d. - X 14 u??
e. l?ls X ll ut. ,D`\ _ )$.S
f. iZtn X 11 ul.
1Z47- X 11 u „ ,04
9•
h. X iluii _
X "U" °
i.
? x „U,1 _
k. X liuli _
l. X 'lull _
If item II3 is the sam
as, or less than item
rl, you have met the'
intent of SBC 6006 (c
3 . .................................Total = I co3. 1
:1:terior Envelope Average "U" Conputation
Total exposed roof/cei2ing area = 81 Z-
m. Tbtal skyligltt area ............................
n. Totzl roo`/ceilingframing area (avcrage 100...
o. Totzl r.et i::sulate3 roof/ceiling area........... Determine "U" value for each roof/ceiling segment
M. x 'lull _
raye z o v
YQ I l"S?tI 9?6'
n. -5?- x "Ult ?OZ _ Z. ?
c. 18J? X"U" IDZ = 15,1
4 ........................... Total = !?• U
_= total cf ;;4 is the same as, or less than 42, you have met the intent- of
SBC 50:5 ic? 1.
rlternate Building Enve].ope Des'ign
To utiiize tne total enyelope'systen method, the values established by the s'.un of
:tems.#3 a.nd ;;4 shall not be greater than the sum of items 41 and #2.
1. ?C?Z, l + 2. 7-7-1 = ZZ.SCP
3. + 4. ?1,? _?
PIAN # \.14 I L5 Hi R15
* LItdE'AL F'EEf EXPOSID WALL
BLOCK:
K=: 36 +36-1-29-r7-q -;:- ? L?
w.o.:
r-uLr_, 1:38f,38r 2,5,4 z5 -- 17-Lv
£IJLL 2:
FIREPIACE:
RLM:
* SQUARE FEEP EXPOSID WAU AREA
BLOCK: x .5 =
Km: I zq x s= l?zo
W.O.: x 8 = -
FULL, 1: iZQ X g- ?C3p?j
Fi1LL 2: x 8 =
FIREPLACE: x -
RIM: 1ZCP x 1= IZ(O
* sQuaxE fEer EXPosm cEiLrrrc 8"1 Z
? ?a?sas
1'1'44- Ly3?=55
11u 2495-3'+-
II? .Zo ?o c ZS
U 7n3?a= lO
I Z1
* D
11 ooIs_ 3 b
p0 zzo ?57(?Q
%PATIO DOORS
s' ?-34
rt BASIIMM tTNITS
wau.._ se?.,uxis
N_o?: Use I ta, o-r 6pn4Ue t1a I 1 ortsa fvr
' fvame ccx-4'trucEln„
Au..
F2G. '*1
pRqNE WnLC
rr?. 4a
?
?
` n p n
WRLL
I `re , e• ' ?-:
R- VALIJE
CONSfRUCTI0i3=- fRA142NG - '
1. IN'I'ERIOR AIR FILM 0.68
2. 2 G BD .45
3. 5 1 2 SOFT 4OOD 6.8
4. `
5. S G .b
6. OR AIR FILM 0.17
TOTAL . R= 10.85
U= .09
NEP
l.
1. IN'i'f7tI0R Alit FTIM 0.68
3::-` .4
3.
4. 32 SFEATHING .06
5. ING - .6
6. R AIR IM 0.17
U= .04
1. IAlTER20R AIR FIIM 0.68
2. 6 SiJL. 1 .00
3. x JO
4.
5. S D G .6
6. EXTERIOR AIR LM . 7'
U= .04
BIACK
1.
2.
5.
6.
SLA,B ON GRADE
INTERIOR AIR £Ilid 0.68
1
STYFtO .
PROTECTIVE IiARRTFR
M=IOR A R
TOTAL R= .13
U= .14
0 = ? ?
? ? ??
ri
jf? tl ???. D a
. .
fP€ - ° •
LLL IS• c r•_ ` _ D
ti, /? 5 1
. " o N?
` = ° • ? 11?i z-c?
. .. •? .
? yr ? ? •, ?„ =
rG.43
.
s
_A
i? b ` ? M u' r
1.. ? _
F-4.G. a4
- A`
IIJ?rr
NOTE: INDICATE TYPE, "R" VflIIJE. DEPTH AAID
PLACfMD1T OF INSULATION.
ROOF-CEILZNG
. i
i-
CQNSTRUCPION
' R-VAL[TE
?
1. INTERIOR AIR FILM
SlB" 0.6E
'
2.
3. M=ON
4.
'
VENT IbTAL
U = .02
fRAME
' 1. INTER20R AIR FILM 0.61 '
AT FIXF?]
V
?? F?
?- u UP .
2 3. x
4.
FIG. #5 . lullu,
U = 0.024
jf HEAT FLOW UP
u
VENTID
FIG. #6 •
CONSTRUCTIOHI
1, INSIDE AIFt FIIM 0.61
2.
3.
4.
5.
FRA
1,
ME
INSIDE AIR FILM TOTAL
U =
• 0.61
2.
3.
4.
s. '
1.
TNSIDE AIR FIIM U =
0.61
2.
3.
4.
5.
TOTAL
U =
NOTE: USE ADDITIONAL SHEF."TS IF MORE SPACE IS
NEEDID FOR DETAILS AND CALC[JI.ATIONS.
FIG. #7
NUN-Vt.IVii.u ?
HEAT FIAW
iTP
?to555
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUUdion Reaulrements RemodeVReoair Reauirements Office Use Onlv
3 registered sile surveys showing sq. ft o( IoL sq. fl of house; and all roofed a2as 2 copies of plan Cert o( Suney Recd _Y _ N
(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tiee Pras Plan Recd Y_N
2 copies of plan shovring beam & window s¢es; poured found desgn, etc. 1 stte survey for additions & decks Tree Pres Required ? _ Y_ N
1 set of Energy Calculations AddNOn - indkafe il on-sife sepfic system On-srie Sep6c Sys[ein _ Y_ N
3 ropies af Tree Preservation Plan if lot planed after 711H3
Rim Joist DehaB Optbns selection sheet (budd'ugs wifh 3 or less unifs)
?j ?
Date r /7 / 0)
Constructioo Cost
SiteAddress 910(o UniUSte #
Description of Work ion'S (9-? L?
Mu1H-Family Bldg _ YN Fireplace(s) _ 0 YtI _ 2
Property Owner bJGtIC(,? SC-HALI&rs.s 1,4,CT Telephone N?07?
Contractor / [
Address 3? /y35? /7vti1
SI?v?D
City
State Zip Telephone # (FU ) -3-/l - S//y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Aules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calwlalions Submitted
4-7o.00
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil 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; that the work will be in accordance with the approved plan in tln cas f work ich requires a review and
approval of plans.
. .?.????? ?T T???
Appltcant,s Pnnted Name Applicant Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion O 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appllcant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
Final/No C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
W indows
_ Retaining Wall
Building Inspector
?/°%i
NT:
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
MX"C'mgCALvmm
FOR CITY IISE ONLY
PERMIT #
RECEIPT # /Ov2/OCo
DATE: 7 P 9?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------ ------------------ -
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: 1l_DG{P-Y t?'y'ZIe.Y
S?TE ADDRESS;
LOT: X SIACK / SUBD.
INSTALLER
ADDRESS : 1 lL ?D
CITY:ZIP:
PHONE #: - p
FEES
ADD-ON MINIMUM 15
HVAC 0-100 M BTU 24,00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ I
STATE SURCHARGE: .SO
TOTAL: $ ?S•SD
?,LILI_L2G4? ?VdLWL/L)
SI AT E OF PERMITTEE
GQPII4E?!IbIISTRZALPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
J1TE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SUftCHARGE _ $.SO FOR
EAC!'I $1,000 OF PERM?T FFF
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SIIRCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
x . ................................
,`? N(riE: PA)M7P OF FGE AT TIME OF T^ 4. ?
? APPLICATION ppFS Ix.r CpN- ?
? STI1ViE APPRGJAL OF PERMIT.
• ?
t INSPFX'fION OF SE4II32 ADID/OR WATII2 ?
? IIYSTAISATIOp1S WII.L NOT BE SCFDULFD ?
[?NPIL PII2FIIT HAu BEE21 APPROVID. .;
31lt?tff3#}*ifrllff*lftf#!f#1f/tf?ii4iR
otV oF ecacqcn
(PLEASE PRINT
1) PROPII2TY ADDRFSS: 4106 PENNSYLVANIA AVE
i,FY;AT DFSCRIPTION;.LOT 30 BLOCK 1 STAFFORD PLACE
Lot Block S ivision or Tax Parcel ID )
IF EXISTING STRCCTURE, DATE OF ORIGINAL BCSLDING P° T ISSDANCE:
PRESENT ZONING/PROPOSID USE:
Q COh2-MCIAL/RETAIL/OFFICE
Q INDC'STRIAL
Q INSTITUTIONAL/GOVERNMENT
Mont Year
IXX I R-1 SINGLE FAMILY
? R-2 DUPLEX (3w-o Units)
q R-3 TbWNHODSE (Three + Units) ( Units)
? R-4 APARTMENP/CONIDOMINIC'M ( Lnits )
Z) ? NAME: FRONTIER MIDWEST HOMES CORP
ADDRESS: 3902 CEDARVALE DRIVE
CITY, STATE, ZIP: EAGAN, MN. 55122
PHONE: 454-0433
3) . • u:?:
ADDRESS: iplR MOUND SPRTN T RRACE
CITY, STATE, ZIP: gI OOMINGTON. MN 55420
PHONE: _ 884-4149 MAS'1ER LICENSE # 3329
4)
NAME° ETZLER, ROGER & LINDA
ADDRFSS: RT. 1 BOR 325
CITY, STATE, ZIP: MOTLEYp MN. 56466
PHONE: _688-6612
For City Use
Plumbers License:
Ij Active
Expired
Not recordec
Sta In£Fitial
S) ?- S'uT ?o?ty?e7
? CONNECTION TO CITY SEWER XX CONNECTION TO CITY WATER F--j QTfER
6)
.?t?*,r*?*+?*,r** **** *********+*,r?*****+*****:r*+?,,*?***:r*?.***?**?********??*,r?+*?***+*?*,:**+****,r**,.y
* Tj'IE GOLD COP THE PII2NICT WZLL BE SE[JI' DIRF%'PLY TO PUBLIC WORKS 7U FACILITATE MEI'ER PICK-uP. ; I
* PLEASE ALIAW 'iSdO WpRKING DAYS FOR PROCESSING. SONg'ANE FROM Tm CITY WILL CO[JPACP YOU IF TI-IQ2E y'
* ARE ANY PROBI,EM. Y I
$ **,t*,r***,t*****,r?t*?t***r***?*+**,t**+*,r,t?***?«a r*?*r*:+t*,t*,t**rt,t**,t*t****t*:t**?+t*? *,t?*****t**,t****??Z
'y
`
. . ... . . ?
,.... ,,._..e „?
FOR CITY USE ONLY
PERMIT $ ISSOED •
Pd w/Bldg. Permit FEES:
$ /d -s-0 $ SEWER PERMIT (INCLUDE SORCHARGE)
$ $ WATER PERMIT ( INCLLDE SL'RCHARGE)
$ ? ?J• ?? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ f$-c? $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ (? .S C? • Oz $ SAC
$ $ TRC'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENiF2T/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
?
O?D
?ECEIPT RECEIPT
DOES LTILITY CONNEC TION REQOIRE EXCA VATION IN PDBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PC'BLIC
ROADWAY" MOST BE ISSUED BY THE ENGINEERING
El NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ! //???
N4? .??? .
Cua?oma?'t Name _ ?? L S N?? C
.C, 30i 01, ae-a,c,t__
HeskJenti:i/
Whole House Worksheet
Cny . AOdruss . ' - .. ; . ••? ? •,_:?:y..: ,
W INlEN: Inaide Dwipn Tamp . 7S O?? -- Teleplwna Numbsi •-.. .- . __
Tip
F-OutcidaDeaipnTump?(,J oF.
SUMMEq: Outside Deaipn Temp ?-?- NeatinU Tsmp Dift?r?nc? - g .. .p
F-Inyitle DaeiUn Tsmp ?S eF?- ?Coolinp Tamp OiHe
nnts .. . ?. -F MEATING , . ...
TAUIEA- •?•'".. Un LVbJ/li,
11EATING-DpONS
IPER 10°F) 6 WO00 FqAME WINDOWS
tw al,Wn.1 yldm Aoprc - uxn I:ctor: lor the sme t1'Pa winaow
N'mJo,.-h -' Framr s `- --
Ooni TYDe?
Jmylp Va
ntl WOUJ
TIM
Mstsl
x Aroa
. Btuh Loss
i ("lee? 9.90 10.95 11.56
w?ln Slorn? '
'- 4.75 5-25 6
5
liuu?k 1'a??n .
:.i.ar
w
w
`- 5.51 6 _09
. 6'l
w?
S
un
Vo??? 141
3.t0 e.75 5.46
..
- - 11.0
•in.yir.v'aWeT -.? ' -?. .
11.07 11.69 12.92
._??
i,,.o, 7.3!i 8.)S ---?---_.
WuuJUn:y O.liO _ -•--
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zoos RESIDENTIAL PLUMBING PeRMiT APPUCArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
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Date ? I ?
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Site Street Address Unit #
Property Owner l?U ?? S q? P l Telephone #((P Sl)
( O'CCN:v'OR'S ONE HOUR Telephone #((q$-J ) Y 3 7 -VI
? 1904 VERM%LLION ST. City State Zip
HASTING, MN 55033
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The appiicant is: _ tlwner = Contrector _ Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling 50.00
_ Add plumbing fixtures. This fee includes installation of a water softaner and/or water
heater at the same time. If you are installing only a water softener and/oi water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing. n f? r v ? I? Il ?ll7 E
Is ?s ?I v
_Septic System Abandonment D
FEB 0 2 20?7
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener
v Water Heater $ 15.00
/
new V re
lacement
_
p
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
T
tel ._ $?S- S(?
o ,
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accura?fe; ffiat the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is requir to be reviewe and approded.
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Applican s Printed Name App cant's gignature
V6'?,'jC)
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complele for. single family dwcllings & townhomes/condos when permits are required for each unit
JC' ?
Date
Site Address-y( ?(p /"aa« (W, YN,9 Unit #
Property Owner Telaphone # ( (p S / ) 9 % L/ L71'2
Coalractor O'CONNOR'S ONE HOUR
1904 VERMILLION ST.
Street Addri HASTING, MN 55033 CitY
State Telephone #((p S?) `/_? 7 ' 7I 7 7
Bond #: Expires:
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The Applicant is _ Owner !
conhactor _ Other
Add-on or alteration to existing dwelling unit $ Z0
t? furnace _Additional V Replacement _ New
air exchanger r?
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y? air conditioner D
D
_ neat pump ? FEg p 2 2007
other
State Surcharge $ .50
Totai , $ s U . s
0
I hereby apply for a Residen[ial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; that I understand this is not a
permit, bu[ only an application for a permit, and work is not [o start without a permit; that the work will be in accordance with the
appfoved plan in the caze of work which requires a review and approval of plan;., Iq
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Applican 's Printed Name App 'canPs gnature
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" ~ Surve?dr`s G'ert?ficate
SURVEY FOR: Frontier Plidwest Ilomes (',orp.
DESCRIBED AS: 1x>L 30, Dlock ], SI'APC•01?U 1'I.;\Cli, City oE Eagan, Ilakota (:?unty,
Ptinnesota and reserving easements oC record.
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P.R.V. REQUIRED
PROP05ED ELEVATIONS
lop o/ foundotion . yl(,,.6
Garaps Floor - y?6.2
E3asemanl Floor - '113.4'
Appran. Sewer Servlce Elev.. '109.-1'
Proposed Elevoliong
Er161109 Elevallons ?-
Drainoq• Dlrscllom ? ^---?
BENCIIMARK,
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HuO?a Ele.?.: 915.?`'1
MiN. SETBACK REOIREMENTS
Fronl - 3o flawe Sldo - 10
Rwr - -'ai5 Omoqe Sldo - 3
penalss olfset SIONS ? (:l SCALE: t Inch a 30 Fee1 .
I h*nDy cullly IAaI Ihls wrveY. Pion or nDOrt ras PreGared EY me JOB ND.:
I??????.. r? of undH ?uy d6K1 wYsivldon and Ihal I om a duly N,9bb,*d Bb2-4$Q.
?"•S land BwraYa unAU IM law@ cl IM 81aN ol Ninn?wlo.
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Planning Enpinner6ip Suna}•inp
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w Axeilorss Certificate
SURVEY FOR: Frontier hlidwest tlomes Corp.
OESCRIBED AS: 1.ot 30, Block 1, S'I'AFFORD PLACE, City of Eagan, [k3kota County,
Dlinnesota and reserving easements o[ record.
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P.R.4/. REQUIRED
PROPOSEO ELEVQTION3 BENCHMARKs
Top of Foundolion . 9116.120 Tor N..t Ny,l, As SHe?N
Garape Floor . 946.7. RU?a E1<?. = 915.19
Basemant Floor .6 913.¢ ?x MIN. SE78ACK REOIREMENTS
Approx. S@war Sarvke Elsv.. 9oq.1?
Proposed Elerationt . O
E??etinq Elwatlons Front - 30 Hane Slde -1o
Drainaye Dlroctlons i-.r...r Reo? -'a15 f3uraqe SlM-9
penotas O/fsal Sraka ? o gCAIE• i lnch = 30 Fsef _
I henby aatlfy tAat OW wrwv. Vbn a nporl wal yrevarea ey me JOB NO.;
/?IEDLLl?'D or under my dlnct supuvlslon ma Ihol I am a duly R.ai.t.r•a ggQ-r}.54
Land Swvq9r un0u the Wn ol IAe BloN M Mlnnnota.
BOOK:
Planning Englneering Surveying
MIEM lEOOnMplminn.I.y-0y? YYwW. {N30 PA6E:
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PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106303
Date Issued: 08/20/2012
Permit Category: ePermit
Site Address: 4106 Pennsylvania Ave
Lot: 30 Block: 1 Addition: Stafford Place
PID: 10-72500-O1-300
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement Description: House
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
COn1111entS: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Call for fmal inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee SUn1111ary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 6,973.00 Total: $105.25
Contractor: -Applicant - Owner:
Minnesota Exteriors SIDNEY E SCHMISING 8600 Jefferson Hwy 4106 Pennsylvania Ave
Osseo MN 55369 Eagan MN 55123
(763) 391-5514
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.
ApplicanvFermitee: signature issued By: signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114447
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 4106 Pennsylvania Ave
Lot:30 Block: 1 Addition: Stafford Place
PID:10-72500-01-300
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Barbara Bessent
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 -
Sidney E Schmising
4106 Pennsylvania Ave
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
443 Lafayette Road N. �������-F� ��P���-���-� �y� (651)284-5005
St. Paul, Minnesota 55155 � � � ��� ��� 1-800-342-5354
www.dli.mn.gov �� � � �,,�i
�:,,
7/28/2015
APPROVED FOR USE
Sid & Dorothy Schmeising
4106 Pennsylvania Ave
EAGAN, MN 55122
RE: PERMIT# E,,�.,�YSOS-00131 ^�
Project: Sid&Dorothy Schmies' g Unit 1 Upper
Location: EAGAN, MN 55122
Address: s lvania Ave �,.
Dear Sir/Madam:
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction
Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts
(endless belt lifts)before they can be legally used in Minnesota. An Inspector from the Elevator
Safety Section recently inspected your facility and determined it meets requirements of the
Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators
and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
Sincerely,
CONSTRUCTION CODES & LICENSING
Brad Underdahl
� State Elevator Inspector
I
I cc:City of Eagan Building Official, BO, City of Eagan
ARROW LIFT ACCESSIBILITY
E1FormCE2R
This information can be provided to you in alternative formats(Braille,large print or audio).
An Equal Opportunity Employer
443 Lafayette Road N. [�/���y�,(E�(�TA QEPAF�TNC�1"w11T` +�F (651)284-5005
St. Paul, Min�nesota 55155 � ��� � �������� 1-800-DIAL-DLI
www.dli.mn. ov �
�i x;
CERTIFICATE OF
APPROVAL
PERMIT TYPE; ELV INSTALL
Project: Sid & Dorothy Schmiesing Unit 1 Upper
Address: 4106 Pennsylvania Ave
City: EAGAN, MN
Approval is based upon the requirements set forth in the Minnesota Statutes, Chapter 326B.184
and Minnesota Rule 1307.0035.
This approval is for permit work performed by ARROW LIFT ACCESSIBILITY under permit
number ELV1505-00131.
If you have questions related to the issuance of this permit call:
(651) 284 5071
Department of Labor and Industry
Construction Codes and Licensing Div.
Elevator Safety Section
443 Lafayette Road N.
St. Paul, MN 55155
___ _-__ ,
443 Lafayette Road N. ��������� ���,A�����«�- �y� (651)284-5005
St. Paul, Minnesota 55155 � ���� � i������� 1-800-342-5354
www.dli.mn.gov j
��:
}�: ,
7/28/2015
APPROVED FOR USE
Sid& Dorothy Schmeising
4106 Pennsylvania Ave
EAGAN, MN 55122
RE: PERMIT# E -00132� � � ��`"'�
Project: id &Dorothy Schmi in Unit 2 Mid Flr
Location: EAGAN, MN 55122 ___
Address: 4106 Pennsylvania Ave
Dear Sir/Madam: � Ii
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction
Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts
(endless belt lifts)before they can be legally used in Minnesota. An Inspector from the Elevator
Safety Section recently inspected your facility and determined it meets requirements of the
Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSUASME A17.1, Safety Code for Elevators
and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
Sincerely,
CONSTRUCTION CODES & LICENSING
Brad Underdahl
State Elevator Inspector
cc:City of Eagan Building Official, BO, City of Eagan
ARROW LIFT ACCESSIBILITY
E1FormCE2R
This information can be provided to you in alternative formats(Braille,large print or audio).
An Equal Opportunity Employer
443 Lafayette Road N. MIN1"1E$QTA C)�P'A.R"�`�VIET�IT C3F (651)284-5005
St. Paul, Minnesota 55155 � p �+p 1-800-DIAL-DLI
www.dli.mn.gov ����1� ,� ����� 1 l��
. :�r�k.
CERTIFICATE OF
APPROVAL
PERMIT TYPE; ELV INSTALL
Project: Sid & Dorothy Schmiesing Unit 2 Mid Flr
Address: 4106 Pennsylvania Ave
City: EAGAN, MN
Approval is based upon the requirements set forth in the Minnesota Statutes, Chapter 326B.184
and Minnesota Rule 1307.0035.
This approval is for permit work performed by ARROW LIFT ACCESSIBILITY under permit
number ELV1505-00132.
If you have questions related to the issuance of this permit call:
(651) 284 5071
Department of Labor and Industry
Construction Codes and Licensing Div.
Elevator Safety Section
443 Lafayette Road N.
St. Paul,MN 55155
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159994
Date Issued:02/04/2020
Permit Category:ePermit
Site Address: 4106 Pennsylvania Ave
Lot:30 Block: 1 Addition: Stafford Place
PID:10-72500-01-300
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Sidney E Fam Trus Schmising
4106 Pennsylvania Ave
Eagan MN 55123
(651) 994-4281
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature