4109 Pennsylvania Ave
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,
CASH RECEIPT 0w
CITY 4F EAGAN
3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122
rr
r (! ; ?
DATE 1 19 ?
PECErveo _ FNOU I . . ' i
aneouNr $ & OOLLARS
?a
? CASH ? CHECK
I -! R ( '. " ? (-? L .. , 1- -?) . ....t %. , ? cL , . ( t,.?
C {3 70' White-PaYms CAPY
Yelbw--Pos6ng Copy ?
Pink-File Copy
Thank You BY `
.?.
sr-'cuka
- RE:
DATE:
JUN 5, 1991
4109 PENNSYLVANIA AVE (l4ITTELSTAEDT BROTHERS COKST)
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 PUBLIG WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
YQUr 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.
p... . - --r ,c" ?.Iwo rWFI?4 I p '"W?.-?.nwr
,T-AGUv`?TED F'OR [ECC 09/04/92 CITY OF EAGAN ? •
GoMM .~:.MEA 735-1028 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for SF t)+IG/('i" Est. Value
Site Address 4109 PENMnVAlIIA AY6
Lot 20 Block j Sec/Sub. STATl41tD PLA,CS
Parcel No.
W Name MITTEISTASDT EitOTEiU$
? Address 783 SUNSET DR
° City EAGAN Phone 436-912 S
ZF IName SAME
?Q Address
cc City Phone
"W Name
W W
?? Address
z
a W Ciry Phone
I hereby acknowlege that I have read this application and state that the
inlormation is correct and agree to comply wilh all applicable Sta1e ol
Minnesota Statutes and City of Eagan Ordinandes.
Signature ot Permitee f 4 OF 4 - 1 -?. - _ ` ..- _ _?---
A Building Permit is issued to: bITfEISTAEDT BROTIUR$
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 Otficial
Receipt #
i
1941
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R-1
(Actual) Const Bldg. Permit 534.00
(Allowable) r? Surcharge 40•50
# oi scories
Length 401 Plan Review 360•00
1 M
tM
Depth - SAC, City ,
S.F. Total - SAC, MCWCC aso.oo
S.F. Footprinls -
W
60•oo
On 5ite Sewage _ ater Conn
On Site well water Meter 451,00
MWC
S ?
yslem
C
x.
Acct. Deposil ???
City Water
PRV Required - S/1N Permit 30+00
Booster Pump - S/yy Surcharga • 50
Trealmenl PI 276+00
APPROVALS Road Unit 370•00
Planner - park Ded.
Council ? ?
•
Bldg. plf. _ Copies
Variance - TOTAI 3 f 1"• 50
permit No. Parmit Holdar Date Telepfwne M
?AIER 03 ?a ?P -? r1I
SEWER
PLUMBING
H.VAC.
ELECTRiC
i
Mspection Date Insp. Comments
Footings I k2
1
Foundation 7 1?
/
W6
Framing L z y_s ? $
Roof ing
Rough Plbg.
Rough Ht9. ? l ? 5f( , pz& ?
Isul. ?O
Fireplace
Fnal Htg. / e
Orstat Test
Final Plbg. 2- Plbg. Inspector - Notify Plumber
Const. Meter a• I • 9 71-o
EngrJPlan - ?
eldg. Finai . 6 ?
Dedc Ftg. n1 ?
Dedc Final
Well
Pr. Disp.
4L -w ?'.'4? .
(gtx#t#ira#t uf (Orru?aury
Citp of (Eagari
DP}tatttpttt id W1tdbUig ittS.pPtt[Ut[
77us Cem'ficate issued pursuant to 1he reqran.mentr of Seclion 306 of the Unijorm Building
Caie certifying lhat at the lune af issrcanoe lJris slructure wirs in rnmpliance with lhe rariaus
ordirranm of dre Cr1y regulating building cwu7ruclion or use For the foUowing:
use aami5me0,, SF ri?',/CAR mg- P?t t,b. 14160
O-Ve-yTyve R3/41 7,D.,, Rl rrac- VN
oWWOrsuwing MITtE S raErr BR06. „dd= 785 amlSEr Dft. . E.A?ax
4109 MMIVAUA VFNqEi,,a,, L20 B3. STAFF= PI.A(E
DaW 7/26/Q I
.. POST M A CONS?ICJOUS PLACE
„?
SEWER & WATER PERMIT
CITY OF.EArIAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER #
CHIP #
METER SIZE
PERMIT DATE 06/05i "' l
PERMIT #t 12038
B.P. RECEIPT # C 13767
DATE ??ay 31, 1991 I ISSUE DATE
SITEADDRESS "'`0" '-nrsy1L*ania A',rE'.
LOT --_BLOCK ? SEC/SUB Sta ff 7rd P laCe
Bros. Ccjrs ?r-l^tio.:
ADDRESS: '85 ?t'?5tt .)ri.ce
r,? . ..1 .
CITY, STATE `_ ;ia, an ZIP
PHONE: ?' '
cuonald Pltimb._nq Systems. Inc.
PLUMBER:
ADDRESS: A.8271 I{enwood Trail
CITY, STATE :' `" 4• cf.r i 65 044 ZIP -' 5044
,-:- .
PHONE:
OWNER•
B.P, RECEIPT DATE ?/04/41
PRV - BOOSTER PUMP
PERMIT REOUESTED
? SEWER - WATER - TAPS
Inc.
- COMM/IND ? RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
. EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
3EWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER 8 WATER PERMIT
CITY 3F e:,:.AN
3830 Pibt Knab Rd.
Eagan, MN 55122-1897
DATE '?3y 31, , 1991
OFFlCE USE ONLY
METER # PERMIT DATE 06/05/91
GHIP # PERMfT # 12038
METER SIZE B.P. RECEIPT # C 13767
ISSUE DATE B.P. RECEIPT DATE 06 04 91
_ PRV - BOOSTER PUMP
SITE ADDRESS 4109 PennsV lvania Ave PERMIT REOUESTED
LOT LOCK__,L_SEC/SUB Ri--afford Flace
_kSEWER -X-WATER - TAPS
APPLICANT. ?",?i ttel st?edt 3 0?. ons _r s on Inc.
ADDRESS: 785 Sunset Drive - COMM/IND ?. RESIDENTtAL
CITY, STATE L'aqan Mti Zlp 5512 3 X NEW _ EXISTING
pHpNE: 4 5 6- 912 5 j
LaPLUMBER: r?trnnna1 c1 p1 timhSr? S Q n;? In?_ Wn Sprinkler Meters are to be Installed
g ?-?y. Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 t'-nwn :d Tra t Credit WILL NOT be given for Deduct Meters.
CITY,STATELakeville. "12J 65044 Zlp55044
PHONE: 435-3334
I AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHOfVE: NATURE N METER IS U D
PCEASE ALLiOW~TWO WORKIN61DAYS FOR PROCESSING. CALL 454-5220 FOR IN6PECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENa1NEERING DEPT.
/"
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Tobeusedfor SF DWG/GAR Est.Value $$1,000
Site Address 4109 PENNSYLVANIA AVE
Lot 20 Block 3 Sec/Sub. STAFFORD PLACE
Parcel No. _
WlName MITTELSTAEDT BROTHERS
? Address 785 SUNSET DR
city EAGAN Phone 456-9125
Ij Name SAME I
g? Address
Cily Phone
ww Name
??'-, Address
gw City Phone
I hereby acknowlege thal I have read this applicalion and slate that the
information is correct and agr to comply with all applica6le Stale ol
Minnesota Slatules and City ol gan Ordina es.
Signature of Permitae ?T----
A euilding Permit is issued to: MITTELSTAEDT BROTHERS
on the ezpress condition that all work shall be done in accordance with all
applicable State of Minnesota Stalutes and City of Eagan Ordinances.
6uilding OHiCiel
OFFICE USE ONLY
Occuvancy R-3 M-1 FE ES
zoning R-1
(ACtual) Consl V-N Bidg. Permit 554.00
(Niowable)
Surcharge 40.50
# ofSlOries
Len9th 40 ' Plan Review
0
360.0
Deplh 46 ? SA4 Ciry
0
100.0
S.F. Tolal - SAC, MCWCC
n
650.0
S.F. FoolpriMS -
On Site Sewage _ Water Conn 660.00
On Site Well Water Meter 95.00
MWCCSystem X
X
Atcl. Deposit
30.00
Ciry waler
PRV Required _ S/VJ Pertnit
0
30.0
Booster Pump - g/yy Surcharqe
0
.5
7reaiment PI 276.00
APPHOVALS RoadUnit 370.00
%ar,ner - Park Ded
Cauncil
50
01dg.Ofl. _ Copies •
Varianca - TOTAL ?) loo.=.v
N°_ .19160
Receipt # C / 3 -7 G :2
/_ /n??? ////c REOUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe
?y/??? /??1 ? SBe insimc0ons for completing this form on back oi yellow copys'?9-??'?-?
l
? 61786 "X° 8elow Work Covered byThis Request
ew Ao°d 117ep.
+ . Typeof8uilding ` 'AppliancesWired
y EquipmentWired
Home Range 7emporary Service
Duplea Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other (syecity) ConVador's RemaBS:
Co mpute Inspecfion Fee Below:
a Other Fee # ServiceEntrence Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to t00 Am s
Transtormers Above 20D _ Amps AboJ mps
Siqn s inspecmrs Use only TO L
Irrigation 8ooms & g, j n
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORD CTED IF NOT
Other Fee COMPLETEO WIT MO
I, the Electrical Inspector, hereby ao.ynto
certify that the above inspedion has
been made. F,,,ai ( o ? p?
OFFICE USE'JNLY
Thls request voitl 18 momhs irom
r j?a-jyi
p 017861111
3 s?
Fepuest Dale Fve N RougRin Nspection
/
ReOUired?
? Reetly Now? Will Natify Inspector
When F
e
?
-
es ? N. ea
y
I. licensed cornractor ? owner hereby request inspection of above electrical work at:
Job Aadress ISVeeI. Box or Route Ni Ciry
O% _? 2i
Seclion No. Townsnip Name or No. Range No. County
Occupant(PRINT, Phone No.
ys?-
Power Supplier Adtlress
Eiecmcal ConVactor (Company Name) ConVaclor's Lloense No.
[iENSo l
MaJing Aamess tCOnvactor or Ownsr Making Installation,
l
AWhorrzetl Si aW:e (ComractonOwnei Mazing instailation) Pnone Number
-? --
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION FEOUEST WILL NOT
Griggs-MlEway BIEg. - Room 5-173 8E ACCEPTED BV THE STATE BOARD
1821 Ilniverslly Ave.. SL Paul. MN 55104 UNlESS PPOPER MSPECTION FEE IS
Ptlone (612) 642-DBOU ENCLOSED.
Address: 4109 PEPINSYLVANIA AVEN[IEL°t Zp Blk 3 Sec/Sub grAFFOgD p?,
These items were/were not completa at the time of the final inspection.
Date: 7 26/91 Yes No ? Tnsppctnr.
Final grade (6" from siding) l'I
Permanent steps - garage ?
Permanent steps - main entry
Permanent dtiveway t
Permanent gas ?
Sod/seeded grass
Trail/curb damaga .?
Porch ?
Basement finish ?
Deck
Please verify with the buildar the removal of roof test caps from tha plumbing
system and the shut-off of watar supply to the outside lavn faucet before
freeze potential exists. ca
.?.a?.
White - City copy Yellow - Resident copy Pink - Contractor copy
70Qe
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 _ FAX # 651-675-5694
New Construction Reouirements RemodellReoairReauiremenis
3 registered site surveys showing sq. R. of bt, sq. ft. o( house; and all roofed areas 2 copies of plan
(20% maximum lot coverege allowed) t set of Energy Calculafions for heated addi6ons
2 copies of plan showing beam 8 windovr sizes; poured tound design, etc. 1 site survey (or addilions & decks
1 set o( Enetgy CakWations Add"dion - indicate ifon-site septic system Ems
3 copies of Tree Preservatlon Plan H lot platted aker 7l1/93
Rim Joist Detall Options selection sheet (bldgs wiN 3 or less unRs -
Date Construction Cost s,Q0o-
Site Address -p..e nyN 5? V Q h i G
I N?R UniUSte #
Description of Work K%S'7? ?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ?'?` ?•
PropertyOwner _)o Y,? SY1m: ? Telephone #((4S l) NOS -C?y 13
?' ?' W? BY ANDERSEN
Contractor 1920 COUNTY RD. "C" W.
Address ROSEVILLE, MN 55113 City
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983 ,
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeoro 1 _
. Residential Ventilation Category 1 Worksheet
(J submission type) Submitted • Energy Envelope Calculations SubmlNed
Have you previously constructed a buil ' 'n Eagan with a similar plan? _ Y
fee applies. n G \\
Licensed Plumber
?` U?I? 0
Mechanical Contract ? ? PvG 2
Sewer/Water
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and aclaiowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; I understand this is nof a pernut, but only an applicafion for a permit, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
a1alA of plans.
t N G!'??C4,?Gr?7
?
pplicant's Printed Name Applicant's Signature
OFFiCE'USE ONLY
Sub Types
? 01 Foundation- ? 07 05-plex ?, 13 16-plex ?-20 Pool --- 0-30-Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ?$3 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 MWti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31:New ? 35 Int Improvement . ? 38 Demolish Interior ? 44 Siding
? 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33.Alteration ? 37 Demolish Building` ? 43 Reroof , .? 46 WindowslDoors
? 34 Replacement •Oemolitian (Entire Bldg ) - Give PCA handout to appficdtlt
Valuation Occupancy MCES System
Census Code Zoning City Water
, SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & W ater _ F inal Pool _ Ftgs _ AidGas Tests Final
_
_ Framing _
_ Siding _ Stucco _ Stone _ Bri ck
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Appro4ed By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge "
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
wvrvd?4v•i.1 iuv as.?v rtid 70J U!1'g9fyD jC?jYF•,l°1?lLdSY°@L1`U$L47fS1Y . ?.;, ?
re al 31 AIM
. .-rune t 2m,
. city of Eagau ,
3836 PiIof Krnob'Ftoad '
Ea8an+ MN 5.5122 . To Whom It May Concerre: E'der Elder lones to authodzea tDp? ?dklin5 Pemits for Renowal isy Attdmm PIcasa xtIow
provido this scrvicc for us in Eagsm, 'fhiR e?q?y?;? ?g v?ifl for any
date boyond 6/61Q1; untiI a?g? by ??n
to theCiry ?y revokea it tn wiicieg
-
I roquest this autIioxitiation be ? '.
accetted
our bailding Pcanit, an expedidously. as to noE
-S02?47D6- delay in the Proc?ssiztg uf
contaceed at 763 Y fuzt$cr. EFcasc caA mc If thco atn nny qucxic(ons._ I'can 6e
i
_ Yaur immqdiatc aEtcntiott to fhis mattcr #s a?pre?tated, 9 ,• .
Sinoekoly,
Kud
R &-R=
vstatIarion Managcr
Ranawal by Andcrsca Corporatiton
C:a: FCWa-F7de,r Snnec
?K??Yl?-?'-+r4 !?C ?GSloc?.y a?
4H
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t?
3
wUU
:
Received Time Jun. 7- 1101Pm
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3$30 PILOT KNOB RD, EACAN MN 55122
651-881-4675
Naw ConaVUCtlon Heaulrementa
• 3 reg5tered site surveys showing sq. N. of bt, sq, fl. ot twuse; arW ?II roofed areas
(203'o maxunum bt caverage elbwad)
• 2 copies of plan showln9 beam & windax sizes; poured found design, etc.)
• 1 set of Energy Cabulations
• 3 copies ol Tree Preservation Plan N bt pleGed attar 7!t/93
• RM ,bist Detall Optbns selectlon sheet (bldgs wflh 3 or less untts)
DATE Qy(2 M
SITE
NPf
APPLICANT AB(?'
7ULTI-FAMILY BLDG _ Y j'- N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 02`17 N/C o11?f- -A-e J CITY L ui STATE /hnl Z?IP! SS/Z3
TELEPHONE #!?q-7?? 6959 CELL PHONE # FAX ?'Yl`GW
PROPERTYOWNER <lo,Q //-( TELEPHONE# V'51 tj - fV3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RiJLES 7670 CA1'EGORY 1 MINNFSOTA RULES 7672
(4 submisslon type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workahaet Submitted
• Energy Envalope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Water Coniractor:
_ Air Conditioning
_ Heat Recovery System
Phone N
Phone #
I hereby acknowledge that I have read this applicatlon, state that ihe informatlon Is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature ofApplicanf
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Ma11100euneo9lr nBOUiremenle
• 2 mpies ot plan
. 1 set at Energy Calculatqns for heated addttions
• 1 sitesurveyforex3erbradd'Aions&decks
• Indicate tl home served by septic system 1or atltlMions
VALUATION -4 ?Niv°:)
_ Phone #
_ I.awn Sprinkler
_ No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 05-plex 13 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AI[- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OB-plex 0 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories 8ooster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
??35 v
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New CoashuMiort Reauirements
• 3 regislered site surveys sfrowirg sq. ft. of lot, sq. fl. of houu; and all rooted areas
(20% maximum lot coverage allowed)
• 2 copies of plan showirg 6eam d windovr sizes; paured found desgn, etc.)
• 1 set of Errergy Calculations
. 3 copies of Tree Preservatbn Plan if lot platted after 7/7193
. Rim Joist Detail Op6ons selection sheel (Wdgs w@h 3 or less units)
DATE 00" 1Z?L
SITE ADDRESS
TYPE OF WORI
APPLICANT_
STREET ADDRESS
TELEPHONE # t ?
CELL PHONE #
ULTI-FAMILYBLDG _Y 0?!N
FIREPLACE(5) _ 0 _ 1 _ 2
fAX #
PROPERTYOWNER `J0? ?lMltv) TELEPHONE#
-----------------------------------------°-------------------°------°---------°------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CA'CEGORY 1 MINNrSOTE\ RliLES 7672
(J submission type) . Residen6al Ventitation Category 1 Worksheet SubmiHed • New Energy Code Worksheet Submitted
- Energy Emelope Cafculalions Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor.
Mcchanical sysCem includes:
Sewer/Water Conhactor.
_ Water Softener _
? Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
RemodellRaoairReouiremnts v? 7-5
• 2 copies of plan
• 1 set ot Energy Calculations for heated additions
• 1 site wrvey lor extenw additions & decks
• Indicate'rf Bame served 6y sepfic syslem for additions
?
VALUATION + Zl1 ?'
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
-----------°--------------------°---° °---•---°----° °---°---- °---------° °------°----° °---°------------------
I hereby acknowledge that I have read this application, state that The information is cortect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances,/.? ? /?.,?
S(gnatureofApplfcant'??'?-C" c!.Jla'l.«-?l'1 °
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. Upda[ed 4l02
iv ????Cf-,vi CC4„,"cW ?
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. q 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolitlon (Entire 81dg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footixigs (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing _ Siding SNcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement)
_ Insulation _ Retaining Watl
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totat
Building Inspector
,
. . ty?4 0
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
CO?fMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
it OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
MAY 3 1 RECd
To Be Used For: Valuation• Date: SI?/IQi
Site Address L4 104' F)FAl)6 v_IJf,J,A
Lot QO Block 3_
Parcel/Sub 5"'16r-F'06A F'LLdL&
Owner
Address
City/Zip Code
Phone
Contractor 'V4rr('guS-n4 ,567- ftM?j.
Address /g.,? Cjt,lvt;,Sf U(L,
City/Zip Code eq-(0&) 551'Z:3
Phone L} 6 L GI ! 2 Yi
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Aliowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
V- N
V_ N
O
?
On site sewage_
On site well
MWCC System
City water
PRV _
Booster Pump _
FEES ?C
Bldg. Permit ?7?(,c70
Surcharge 4D.S0
Plan Review 3(cQ,?v
SAC, City a?
SAC, MWCC SD,D
Water Conn. 60i0
J
Water Meter 950Q
Acct. Deposit 30,00
5/w Permit 3010J
S/W Surcharge I,sn
Treatment Pl. 27(o,p0
Road Unit 3r7o,op
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
?s4 "J
? -S
APPROVALS
Planner
Council
Bldg. Off.
Variance
0Jrj?aZ?d_ agrees that all work shall he done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
V AC u???
?
a? ' W 1 ifl
Gq2??C
r---
aoX 22 = 6??
6S MT
24 u y o= q hhv
L! X 2 O z SU
?-
?040 ? I?I P lu5bo
??ST ?LOO?2
4i5'1,41T= lU 40
2? /a= zo
2XCi = 1$
Z n/f - Z2
.2 K I yllL
112?1 X53= s9S3?
-t r:- .
So `i 9`7 o (1- q I, 0 0 a '-
..?........?.,y i dge i ur n
?- ? EXTERIUR [:NVELOPE AYERAGE "U" COMPUTATION V7L9Z
, ! NF 0??6R?,? -
' OWNER: D11TE:
SITE ADDRESS: L-IID11 pj:,:?X?yL J/oqj/,,4 PFIONE:
CON TRIICTOR: 1'YZ 1't'TL(,, O?Mk-V.-rr BAO ,
. Detenuinc working s(Iw?re fontagc of each
1. Total exposed wall area..... ?943 sq. ft. x.11 = Z?3•7 ?
2. Total roof/ceiling area..... ??13 sq. ft, x .026 = 7-7'9
Total exposed wall area above floor= lM`
a. Total wall window area ........................................... I14.3°?
b. Total door area .... ................................ ......... s4 Z
c. Total sliding glass door area .................................... 4L
d. Total fireplace wall area........................................ .
?
e. Total wall framing area (average 10%) ............................ 1114
f. Total rim joist area ......................................... ?3q
g., net wall area above floor ..................................... 134V .o?
h. wall area above floor ..................................... <
i. wall area ebove floor .. ............................... ='!
j. frame wall area at fowidation .................................
.
- - :- Total exposed foundation area= (.047
. ..
? . ,.
. . ,k:?.
.Total
foundat,ion window area........................ ? i
? Jotal
?
net foundation area above grade ..............
,.
Deterinine "u" value of each wall segiiient
(e.g. window, door, each separate wall section)
.. ' a. 119•3?1 x $lull .49 ' = 58S
n. stZ x „u„ .?1 = 13•oZ
c . 4L X „u„ ?49 = Le?S
a. - x„u,l - _ ?
' e. 1?'7•?o X ?
- f, 131 x
x
h.
i.
j.
? k. .
„?„ ,09 = IC•? Q ,
liu„
?-_
„U„ •04 = 53?8
X "U" _
x l.u„ _
X "U"
X 1.U11
? , . c° -) X liull .obZ = 5•49
3 . ..................................rotat = ?738
tr?
If item 03 is the sams
as, or less than item
N1, you have met the
intent of SBC 6006 (c
SoY Lnvelopc Averaye "U" ComyutaCion
Total exyosed rooL/ceiling area
M. Tbl-al skyli.ght area ............................ ?
n. Total roof/cciling-framiny area (averaye 102)..., p 7•
o. Tot-al net insulated roof/ceilinq area........... q(A
Determine "U" value for each roof/ceiling segment '. M. X flu,.
- - -
n. ?07•3j x "U" .OL4 ? Z•?g ?' i ,'? ?' ??? i'' ;, ''? ,?
; .
o. 9&P 5.'? X -U„ .oz 19•31
9 ........................... 7bta1
If total of 114 is the szune as, vr iess Ciian 02, you have met the inL•ent of
sbr 60e6.(c) 1.
Alternate IIuildiug EnveJ.ope nesiqn
Rb utilize the total envelope 'system metliod, t}iL values est-ablzshed by the sam of
itens 03 and it4 shal.l not be greater lhan the sum of items ill and 112. •
+ 2. _
+ 9.
?
? } ? Y . . . . ' ? ? . .
? ?.
. / '
/
t?
t
?
. . .. •.. . . . ?I.i..i
?
. • . . . . , ' . i? ? ?. ,'.?i ??
f?' f.,
PERMI? # . ! CITY OF EAGAN
REACTIVATE 1992 BUILDING PERMIT APPLICATION
riq r r O 681-4675
t 4 SEP U f RECD
SINGLE b MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy 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
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date '7 / / / 5Z Valuation of work lSvo
5ite Address:_ylG9
SiREEi SUITE /
Tenant Name: (commercial only)
LOT -2.L- BLOCK ? SUBD. Y.I.D. M
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Desertbe)
Name Teot&r" C-P t-clo-. Phone20,6
Property LAs, FIRST w a -a 3 s-- i a z?
Owner qddress Y . /09 Pt?.Ksy/„?,?1 4
STREET SiE i'
City State mZip
Company Phone
C011tf8CtOf Address ' License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time far
sewer 6 Nater permits is two days once area as een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree tn comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERM17 TYPE
0 01 Foundatian
? 02 SF Uwg.
? 03 SF Addition
O 04 SF Parch
? 05 SF Misc.
WORK TYPE
)K 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
O 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
?
N? w 3
oil O jt
O 11 Apt./Lodging, 1 Basement Finish
? 12 Multi. Misc. ? 17 S06 Pool
? 13 Garage/Accessory ? 18 Comn./Ind.
? 14 Fireplace O 19 Comm.JInd. Misc.
015 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst Fl. sq. ft.
UBC Occupancy ?- 2nd F1. sq. ft.
doning Sq. Ft. total
N of Ttories Footprint Sq. ft.
Length ? On-site well
Depth
-?-r- On-site sewage
APPROVALS
Planning gui}ding
Engineering Yariance
REQUIRED INSPECTlONS
? 5ite Footing
O Nailboard ? Final
? Framing
? Draintile
:z W
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Nater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/4t Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoP ies
Other
Total:
?-
v.tusc;m:
MWCC 3ystem
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
3AC Code
Assessments
SAC 76
SAC Units
CITY OF EAGAN
3830 PIIAT KN08 ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: ? !`'/
"???3$?PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
?? TOWNHOMES/CONDOS WEIEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----°----------°
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR ?
OWNER NAME: !/.G(R/i'1. '//G
SITE ADDRESS:Z//Oq
LOT:? BLOCK S SUBD.
INSTALLER: L? v,+'1' /9)
ADDRESS:
CITY: ZIP: S59 ? ?
PHONE #:_`C
COMPi.ETE THE FOLIAWING;
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 ?
/ WATER CLOSET 3.00 .?
? BATH T[JB 3.00
? LAVATORY 3.00 ?
/ ICITCHEN SIA'K 3.00 ?
% LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 ?
1 FLOOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 ?
? ROUGH OPENINGS 1.50 ?
_ OTHER
_ WATEft SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL $ 3 #•SD
ST. SURCHARGE .50
//SIGNATURYJ OF FEIFMITTEE r s
T 2?oQ
TOTAi: J
CA2R%TEkCt?iLf?pi,i$T$TAZ: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PNONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25,00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
GITY OF EAGAN
CITY OF EAGAN
a ; 3830 PIIAT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
9"99GA4am
FOR CITY USE ONLY 32?&7
PERMIT #
RECEIPT # v -
DATE:
PLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE 1
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME : M+?TT't?S-cY36i1 ? ,AI? ?
SITE ADDRESS: fjD!?j 1 L?NS4WA--t('k
LOT;?D RrOr_.x ? cr7nn, 5T?%5`?D"
INSTALLER:
ournsvme Heating & A/C, Inc.
ADDRESS: 124$1 RhOdB Island Ave. So.
Savage, • 122
ciTY: 894-OOQ5P :
PHONE #
FEES
DWELLINGS 6
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU .00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.000)
OF 1 PER PERMIT
SIIBTOTAL: $
STATE SURCHARGE: .50
TnTnL;
fJ .
SIGNA RE 0 PERI? E
PLEASE 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: FEES
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:_
CITY: _
PNONE #:
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING e $25.00
$25.00 MINIMIJM FEE.
CONTRACT PRICE x 19
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
ZIP:
FOR:
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
"WmmZT
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------------------------------------------------------
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRES
LOT: OIO
INSTALLER:
tidP
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMIJM - 1) 3.00
_ ROUGH OPENINGS 1.50
? OTHER
WATER SOFTENER 5:00
_ PRIVATE DISP.
U.G. SPRINKLER 3.00
SUBTOTAL S 5
ST. SURCHARGE .50
TOTAL: $ PLEASE'COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WFIEN SEPARATE YERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHP.RGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
ADDRESS: ` _4?zq?00?
c?l^f
CITY: ?? S / ZIP: -y,?
SURVEYOR'$ CERTIFICATE N
PENNSYLVANIA
_-"?- qa1
N q?Sb s??,:
.,' 8$.73 A= 6° 12'00" R=820_on
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yl DRAINA6E 9 UTILITY?
4EASEMENT PER PLAT
I?
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S 9, 23' 2T` w-
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+--- DENOTES PROPOSED SUFiFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES lRON MONUMENT FOUND
XOOQ.O OENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
? i
3 c
o a O a? O EACzA1Q.) ENGINEERtNG
-j
1'N01'OSlU fiNAUlB SIIOKN WENE TNfEN
INOM TME 6pApH0, OIUYNAO[ Ok[IIDf1ON
CONTIIOL PLAN Rlll lTAIltl11D P41Gl,
PhErwnei a-Y lCfD',.ik!p E113115lqIH0,
? LAST DAT[p 8•31-87
N
ti
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SCALE:i1NCH - 30 FEEf
PROPOSED GARAGE FLOOR - q17, L FEET
PROPOSED LOWEST FLOOR - q/y,4 FEET
PROP05ED TOP OF BLOCK - ?I),Io FEET
WE HEREBY CERTIFY TO MITTLESTAEDT THAT THIS IS A TRUE AND CORRECT
REPRESEN7ATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 20, Block 3, STAFFORD PLACE , accordinq to the recorded plat thereof ,
Dokota County, Minnesota.
{T DOES Nt7T fiUnFv^^nT TC3 3},iOiN 11,APROVEA"Et'iTS OP. E"JCP.OACNMEN?S, EXCEPT AS SHQWN. AS
:
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 29TH. DAY OF MAY .1991
I1y'TE: MO 3F'ECtFlC 90LS INVE571WTION
?W w.4EN ODMP{.fTED OH THlS
LOT OY THE tNE
liATYLiTY Of tON3 10 lURVkl
• T1? ?CMIC r+oust ?+arojcn
THE.IUIIVCTONSlLITY OF
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1177VIS R. HILL, INC. /
../
r
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 55337 9 612•880-8044
:,?YOR'S CERTIFICATE N
PENIVSYtV.TANIA _
N 6
N V`Y s't.r
Y1?.
,.' 88.73 A= 6° 12'00" R=820.00
lEIMri MAIIK
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/IEASEMENT PER PLAT
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S 9? 23? 2T' w.
- -._r'yz'joj ,
ggGAW ENGINEERfAiC; L'
_J
naroaru wcAias aIKWM wOW rwc[a ,
?RON Tf1E 9RAONA ,MANIAd[ G
lIIO?ION
CONT110L rLAN WII lTAFI?0?110 RAtf ?
fMiEPwncii VT MSOLUN4 [NUL[RIlq,
? LAYT OATCD 0-3I•/1
N
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'l9to.a?
-_ • `
L i) -ir i!
?--- DENOTES PROPOSEp SURFACE DRAINAOE
O DENUTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTINO ELEVATION
(000.0) pENOTES PROPOSED ELEVATION
-
i .I-, ?-
i_ ?
t? I I.. .
SCALE:IINCH - 30 FEET
PROPOSED CaARAGE FLOOR - 117,1- FEET
PROPOSED LOWEST FLOOR - q 1y, 4 FEET
PROPOSED TOP OF BLOCK -917,(M FEET
WE HEflEBY CEATIFY 70 MITTLESTAEDT THAT THIS IS A TRUE AND CORRECT
REPRESEN7ATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 20, 91ock 3, STAFFORD PLACE , accordinq to ihe recorded plat thereo} ,
DakoTa County, Minnesota.
IT DOES NOT PURFORT TO SNOW IMPROVEtwIENTS OR ETlCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECt SUPERVISION THIS 29TH. DAY OF MAY , 1991 .
N3TSi NO SPECIFIG 90LS INVESTIfwATION
NAS 4-fEti OpNry.ETED ON TH13
LDT GY T!K itiwvsYOR. TME
r or sou 70 wr?vi?
M ?
rW rwuu nioroKo
IS NOf TIE RL3IONSIOLRY OF
THE ,7U1N[Y'OR.
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EILL, INC.
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JOHN C. LARSON, LAND SUflVEYOR
MINNESOTA LICENSE NUMBER 19828
James R. Hiil, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 9 812-890-6044
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171426
Date Issued:08/16/2021
Permit Category:ePermit
Site Address: 4109 Pennsylvania Ave
Lot:20 Block: 3 Addition: Stafford Place
PID:10-72500-03-200
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jon A & Michelle P Smith
4109 Pennsylvania Ave
Eagan MN 55123--158
(651) 304-7965
T. Dunham Construction Inc
831 Ventnor Ave
Eagan MN 55123
(612) 819-0480
Applicant/Permitee: Signature Issued By: Signature