The URL can be used to link to this page

4110 Pennsylvania AveD CASH RE(:,EIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATE 19 aECeivEO FROM - .. I LG{_L ?1 /?/ ?V"'W?'G i?a?.!' , /.• l?? - -" j - AMOUNT $ 8 DOLLARS ,oo ? CASH CG CHECK white-Payom Copr velfo?ny covr Pink-File C,opy Thank You - sY BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch.lAdm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 275 SAC 865 f ?3 Water Conn. 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. OD O TOTAt CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '? ??- PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 3 F aWG/Gr1k Est Value 3 74, Date D?uUP 12 Site Address 411U PEhNSYLVANIA AVB Lot 24 Block I Sec/Sub. sTAFFOBD PLACE Parcel No. a Name gR4N?IER ZSIDWBST li0MH$ CAAP 3 Address 3402 CIEDABVAI.L DR o City :'.Ai,?+N Phone 454-{.i433 °oC Name . ? ? Addre ? City _ Name Address City Phone I hereby acknoWledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicable State of Minnesota Statutesand City affagan Drdinances. Signature of Permittee ABuilding Permit is issued to: on tde express condition that all work shall be done in accordance with all appliCable State of Minnesota Statutes and City of Eagan Ordinances. 8uilding Official_ "' OFFICE USE ONLY On Ske Sewage Occupancy MWCC System X Zoning ?-? On Site Well (Actual) Const Y-N Ciry Water X (Allowable) Y"N PRV Required ?'• # of Stories Booster Pump Length 43' Depth 47' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 470•00 Planner Surcharge 37•00 Council PlanReview 235•00 BIdg.Off. SAC.City 100•00 Variance SAC, MWCC 550•? Water Conn. 350.00 water Meter 67, QO Road Unit 11 5.(k1 Treatment Pt 204•00 Parks TOTAL 2,538.00 YtEAmi'IVATED FOR DECK 6/15/89 CITY OF EAGAN PIMS fi , , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •.?? i PHON E: 454-8100 , ' Receipt # To be used for `' k? -° /';?'AA Est. Value ./4,1 ? Date ,19 SiteAddress -31+' r^t'.°?i'YLVJWIA Al?8 Lot ??? Block ' Sec/Sub. S1A"F'?R7 P?,,ACE Parcel No. cc Name ' ?'EST Fit?c;F.S COR^ W ' ? G? z Address '• • ?' ? City Phone 454--0433 ? oName . ? ` Address ? City Phone ?Q W W W Name ? =. x Address i W City Phone . I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued ta 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 Official OFFICE U5E ONLY On Site Sewaye Occupancy ?`•"? ?Y MWCC System Zoning On Site Well (Actual) Const Ciry Water l• (Allowable) PRV Required * # of Slories Booster Pump Length f Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permil L ; r) `00 Planner _ Surcharge -i 7- CO CounCil _ Plan Review ' ? • W BIdg.Off. _ SAC,City -00•00 Variance _ SAC, MWCC i4 • 00 Water Conn. •; 4!` ? ? Water Meter 67.00 RoadUnit Treatment P1 •?!'i•? Parks ??8'00 ' TOTAL ' Permit No. Permit Holder Date Telephone * Plumbing Electric 1 ?9 ? J l/ ?g $y " YC C"° ??t. ??1??3?? '?, ?i `?? 9v ? ?? • ?,lc: Inspection -- Dats Msp. COmmenta Footings I X ? Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. f ? 'G Isul. Fireplace FinalHtg. Final Plbg. Bldg. Final CefL OCC. " D -I;l - D ? Temp. LP _ 570 Deck Ftg. ZZA Deck Final Well Pr. Disp. . • PERMIT # • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? $1700.00 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: - - -- ---- - Site Address ` l ' ' -=nnsllvat Lot 29 Block 1 Name _ ? Address c City - ? Name _ c Address p3 CitY - 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 FEE S/C: TOTAL• DG TYPE ORK D SCA PT O tafford BL . W I I E ? N ? Res. New x Mult Add-on Comm. Repair Other FEES HVAC 0-100 M BTU RES -$24 00 W9 • . ADDITIONAL 50 M BTU . - 6.00 ;-p 3 (FiES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1 50 EA 24.00 COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES . . TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADO-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT PERMIT PRICE GOES - .50 1.50 BEYOND $1 00) • 50 SIGNATURE OF PERMITTEE FOFi: CITY OF EAGAN CONTRACT PRICE: Site Address /G c N l1r5 Lot Block Sec/Sub •,f,? .?. ( c.L.. ? Name 'a' - 1'r Z _ ?.. ol)i1f)i1f L Address /'/-? C/ ? 7 H w? f E. I?CL c City ? l?`rj N N Phone Name ) "; c Address 2 ? Si b iF 11 N tcJ p City h N Phone FEES COMM/IND FEE - 1% 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 (ADD $.50 51C IF PERMIT PRICE GOES BEYOND $1,000.00) I '? ? 11 :( (1,;' SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBIHG PERMIT RECEIPT q CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 ` ` BLDG. TYPE WORK DESCRIPTION Res. ? New •.•? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWtNG: NO FIXTURES TOTAL Water Closet -$3.00 S o C?? Bath Tubs - $3.00 Lavatory - $3A0 ' • ?y'? Shower - $3.00 iKitchen Sink - $3.00 ?. nn Urinal/Bidet - $3.00 ZLaundry Tray - $3.00 +Floor Drains - $1.50 Water Heater - $t 50 f • ??? Whirlpool - $3.00 ZGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _;?_Rough Openings - $1.50 FEE zl r ' STATE S/C: ? n GRAND TOTAL• 7, 11 CONTRACT PRICE Site ? Add c City y ?.su/So $? rJTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHQNE 454-81 ? Address ? ?"?allM g ? City jr???rtr FEES COMMAND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD ?,50 S/C PE13EACH $ 1,000 OF PERMIT FEE) FOR: CITY OF EAGAN For O ff Ice/ UseOniy PERMIT # .j CJ REGEIPT# = DATE: 0' 11U `?l0 Res. New Mult. Add-0n X Camm. Repair Other 'S?''? T F' M f 5 N RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTU RES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - S3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERIIAIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: U STATES S/C: GRAND TOTAL: ? ? •SD A... . Tertt#irttb of Mrrupanry titp of (Eagan Eieprwrtd ,a# luad'mg 3wPrtinn This Certificate issued pursuant to the requirenrentr ojSection 306 of the Urrijorm Building Code certifying that at the time of rssuance thrs structure was in complrance with the mrious ardirrances of the City reguTaring burlding catstruction or use. For Phe followinr. Bkt. ? w 15705 ?R.? i1.7( l'11 Zoniq ENMul .rype C-st YlY ?up-Y ?]W Owner of Bw7dina t 3 x.!F;; Addnm T}}7 , BWkiinaa? fs)t°l PVFySYI..VA?'?i.?? ? 5?..?- -.,-,. f'I...? a ? oarc: ':-'`,DM 12, 3? POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: •' ?''? •' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 % SITE ADDRESS: APPLICANT: VAwrn AvF :.! Ai 1+si:s? ; i Ei? 1 ??.1 .• ? ?I ?E 1t.:?b F L PERMIT SUBTYPE: TYPE OF WORK: . . . :, , Permit Holder Date Telephone M PLUMBING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY Ol." EAGAN Permit No: i?G10 3830 Pifot Knob Road Meter No: P.O. Box 21199 Reader No: Eagan, MN 55121 ? . 66fal4icc 'iidwest Site Date: 1']'•13-.?£ Size: Date: :e Conn. Chg: Acct Dep: Permit Fee: 550.00pd 15.00pd 10• 00pd Surcharge: Tr. Plant • '0? • ?`?'•?? Meter. " " d MISC.: yRn ;%s'r•-T_ 71 . CITY OF EAGAN ."'3830 Pllot Knob Road M P.O. Box 21199 Eagan, MN 55121 Zoning: No. of Units: } I agree to comply with the City ot Eagan Ordinances. By WATER SERVICE PERMIT Permit No: l I 152 B/P No: ?' Date: Date: ` ? Owner. Froritier Midweat " I Peansylvanj:±. tJP I.29 BI 3taffor,3 PlECn Site Address: • sr , uri g Plumber: MWCC: 550. f1t!pd ciry cny: 1on.nUpd _ . ,Tx Acct. Dep: Permit Fee: Surcharge: M13C.: Zoning• No. of Units: ? I agree to comply with the Clty ol Eagan Ordlnances. SEWER SERVICE PERMIT I. CITY OF EAGAN Permit Na: Date: Z?' 13 :-8H ; 3830.Pilot Knob Road Meter No: 9/!9C 7-?Y q 4 Size: P.O. Box 21199 Reader No: mycl q 9 Date: ? Eagan, MN 55121 Frontier Miawest Site --- 4110 Peaasvlvania Ave L29 Bl Stafford Y1ace Conn. Chg: 550. OOp d Acct Dep: 15• OOp d Permii Fea 10. OOn d Surcharge: . SOp c1 Tr. Plant "' 14 , `"'Op d Meter. `7 (1f) d ? MISC.: Zoning: - No. of Units: I agree to comply wi e City ol Eagan Ordlnances. By - WATER SERVICE PERMIT _..-. ._ .?.R-..??.. ?.? a CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55727 N? 15705 BU9LDING PERMIT PHO N E: 454-81 00 Receipt# dp 0//16 7obeusedfor SFDWG/GAR Est.Value $74,000 Date OCTOBER 12 ,19-u- Site Address 4110 PENNSYLVANIA AVE OFFICE USE ONLY STAFFORD PLACE Lot 29 Block 1 Sec/Sub On Site Sewage _ Occupancy R-3 M-1 . MWCCSystem X Zoning R-1 Parcel No. V N On Site Well _ (ACtuap Const - : Name FRONTIER MIDWEST HOMES CORP Citywater 7C (Allowable) V-N W z Address 3902 CEDARVALE DR PRV Required X # of Stories 0 City EAGAN Phone 454-0433 Booster Pump _ Length 43, Depih 47' p Name SAME S.F.Total , ?a Address FoatprintS.F. ? City Phone pppROVAL5 FEES wW Name Engr./Assess. Permit 470.00 ? i Planner Surcharge 37.00 x - Address Council PlanReview 235.00 aw City Phone eldg.Off. SAC, Ciry 100.00 I hereby acknowled9e that I have read this apDlic ' n and state that the Variance SAC, MWCC 550? 00 informetion is correct antl agre o comply w' ?a?ll applicablt State of WaterConn. _550_00 Minnesota Statutes an agan Ordi ce'G o/ ? Water Meter 6Z..DO •?. Signature of Permittee Road Unit -32.-r.? A euilding Permil is issued to:_F$ONTIER MIDIJEST--kIQMES- Treatment P1 _204_.QO on the express condition that al I work shal I be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. ' 2 538.00 L yy??///yyy???ppp?- ? .I I-l ll l Building Official_PA?-J' .. 1 ? 70TAL a D-.-OQ99 REQUEST FOR ELECTRICAL INSPECTION / See insM1actions lor complating this form on back ot yellow copy. "X'" Be/ow Work Covered by This Request EB-00001-06 Fw5?/ lNirA Add l Reo. Tvoe oi Building Aaoiioncna Wired Equipmenl Wired Home Range Temporary Service Duplex Water Heater Liqhtin_ Fixtures Apt. Building Dryer Electric Heabn ? Commercial Bldy. Furnace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tenk Farm OinNr oe.?:? v ihe? Isne?,?yl $yeci y Other Other ompute lnspecUOn Fee Below N Fea ServicaEntronce5ize h Fee Feeders/5ubiextlers M Fe Circuits U to 200 qm 5 0 to 30 Am s 0 cn 30 Am> Above 200 Am» 31 to 100 Amps / 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Am s Transiormers Irrigation Booms Partial"Other Fee Signs Suecial InsUection flem3rks ? TOTA F /'(1 / flough-in D;ite I,che Elactricel n%oecloq hereby icertily ?het the above Final ?? ? Jf?i% nspection hes bean mede. mls requeatvoi018moMhsfmm ? This request void/!? 18 months from ? O O D 30099 ?W5? ? e-3 Stree- es Boa Rmte No. Gry la ection To ns ip Na r o. Range No. Cnm y Occup t ( PflI T) Phone No. PowP ier Addres ? 7 ? a , v Electr' al Cont or ICo pa N. I Con[raclor's Lic se No. Maili g AA ess IC ntr ctor or Owner Making tzilationl' Authoe' ed Signature (Conva ctor/Owner ing Inslallationl Phone Number ..?.= , 6G MINNESOTq STqTE BOARO OF ELECTPICITV THIS INSPECTION qEQCrEST WILL NOT GriBes-Mitlwey Blde. - Aoom N-191 BE ACCEPTED 9Y THE STATE BOAflD 1821 Univerxitv Ave.. St. Peul, MN 55104 UNLE55 PqOPEH INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ?x??•??? ?._...,...a, .,.,??unwv? 1 hereby requast ins0ection oi above ? Ow^ef elecvicel work installed at: f? PPIAW REOUEST FOR ELECTRICAL INSPECTION ? S89 inshudic?a (or completing ihia Porm on beck of yeilow wpy. i X" Below Work Covered 6y This Request • EB-00001-07 e A ...;p. TypeofBuiltling AppliancesWired EquipmentWiretl Home Fiange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Fartn Air Conditioner ONer (specily) Contraclor5 Flemeeks: AowEir heual ',7?s?" Campute Inspection Fee Below: # Other Fee # ServiceEntrenceSize Fee # Clrcui4s/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectorg use onry: TOT?m . Irrigation Booms Special Inspection Alarm/Communication Other Fee 1, the ElecVical Inspector, hereby certity that the above inspeciion has been made. Rougn-in F„ai oaia_q_?`,?0 d oate ? OFFICE USE ONLY This request wid 18 manNS hom ? 66434 I Requesl D ? /1 (f Fir¢ Hqigh-in Inspeclion Ha R iretl? yag 0 ryO O Ready Now ?Nill Noiily Inspecbr ???When Ready? I O licensed contractor X.Owner hereby request inspec[ion ot above electrical work at: Jab reet. Bar or R te No.) ? /!J Ciry ?r4 n Sectbn No. Tovmahip Neme or . Ren9e No. Counry OccuP -?PRINTI ' rf- m4? Phoire No. S-: ~ C PowarSuppliar pdtlress Electricel CoMractor (CompanY Name) m?o c?n? Contractw's lice?e No. Mei mg /1tltlness (Corihacior rn O.vner Maldng Insiallatim) Autlro' ' ali?re ( actor r M rq? Irelallation) --- " phorre Number L. - ( 1 MINNESOTA STpTE BOAflD fYF ELECTHICRV Gngga-Mitlway BI09. - pwm 5173 1847 Ilntversily Ave., St Poul. MN 55104 Phom (BfY) 842-0B00 THIS INSPECTION PEQUEST WILL NOT BE ACCEPTED BY THE STA7E BOARD UNLE$$ PROPER INSPECTION FEE IS ENCLOSED. PLUVIBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan P,Zn ?5122 Telephone # 551-675-5675 FAX # 631-675-5674 Please complete fot: Single Family Dwellings Townhomea and Condos when pernuts are required for ecch si,i :t Date CHRISTIE, USHA . 4110 PENNSYLVANIA AVENUE Sife Address EAGAN, MN 55123 Unit # (651) 686-4497 . Property Owner Telephone # ( ) Contrxctor ????? ??MNO CO. ---- -- ?s1aj ??o? ----- Address IR City F 0 State ip Teleghone t? ( ) The Applicant is _ Owner ? Contractor Other Septic System New _ Refurbished Su6mit 2 satis of plans anC MPC license ? $ 100.00 Includes Counry fee. Additional consultant fees may apply. Alterations To Existing Dv.elling Unit, Including $ 50.OD _ Adding fix(ures to lower levzls or room adJitions, excluding water softener anu water heater Abandonment at sc-ptic system _ Water turnaround (+ 5I8" meter if needed -$121.00) _ Othec , _ RPZ _ new installation _ repair _ rebuild I $ I 30.00 _ Lawn irrigation syssem ? Water softener X Water heater $ 15.00 X replacement _ additionai 50 State Surcharge Total I here6y apply fo: a Resiner`,al Flumbing Permic and aclmowde,dge that the ?6mation is comnlete anAcjurate? t tl-' ; be in conformance with the oTdinznces and codes of the Cily of Eag&n and v4i e t,um mg o ns; Uiat i u?j y?es i i ot a petmit, but only an appiicatiota fo; a pemut, and work is not to start witl?eut a permih *hat the work w:l i 0m accordance with the apF:roved plau in the eaae ot Y;or?c which requires a review and approval of plans. j i DEC 0 3 ZQQ.; Je. ? Applicant'sPrintedName Ap c ignature 'Y ,pi ? r 1988 SUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLING3 0 rl off INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNEH LOTS - GONTHACTOR/HOMEOWNEA MUST DESIGNATE 4t8ICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS CONIDIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?y oo Lcj 0 5 1988 To Be Used For: NEW CONST. Valuation: ? Date: 10/5/88 Site Address 4110 PENNSYLVANIA AVE Lot 29 Block 1 Pareel/Sub STAFFORD PLACE Owner THURMES. CURTIS & CYNTHIA Address 1253 SPRUCE POTNT dk7 City/Zip Code EAGAN 55123 On site sewage Occupancy P-3 /i'!-/ _ MWCC system ? Zoning ? On site well Actual Const )/?y City water Allowable I/y PRV required U of stories Hooster Pump _ Length 113 Depth %?.33 S.E. Total Footprint S.F. Phone 456-0285 1 APPROVALS ContraetorFRONTIER MIDWEST HOMES CO Rngr/Assess Planner Address 3902 CEDARVALE DRIVE Council Bldg. OPf. 671?77c/ll City/Zip Code EAGAN, 55122 Variance Phone 454-0433 Arch./Engr.PHILLIPS PLAN SERVICE Address 14530 PENNOCK AVE City/Zip Code APPLE VALLEY 55124 Phone # 432-2044 FEES Permit %'JO Surcharge 3 2 Plan Review 2 3-5" SAC, City /Do SAC, MWCC ,SS'O Water Conn SSO Water Meter 49 Road Unit 325 Treatment Pl 20y Parks Copies TOTAL ? ? 35 R.pd -- a Gc rI ?/y° 170u$E ?- /0?? k G2 = - x. E & A ? ??3sy ?.3 ss ; r- is .. _:ii?:iZ _ E= ?L? _ . ... . . . . . . , Z-•c Go C'NNE3:THURMES. CURTIS & CYNTHIA 10/5/88 SiT: ACCRE-5:4110 PENNSYLVANIA AVE ?'?•1•?=: " COV iRAC 7uR: -kOV7-- --2 wT?k-.iT F•CAES COR20R+:-O:i ' Ce::r-mine kori:ing ;qusrc fooWqc uf e:ich 1. Total exposed aall area..... _=?r•? ^,- 2. Tetai roof/c:ilin; aras...... ti -z- ,? - 4 Tetal ez,cszd wai i arr.a iLr.vr fioor= d. 10t 2i w2ll '+li:1Cl::1 LrE: ........................................... t7. TO:dI dCOY srea . ........................................." " ... C. To:al slicing al3ss door area ............... ..................... . d. Tctal `irePitc^ «a;l ar_= ....................................... _ e. TeCai Wali `r=-i _ zr:a fa•:^_:-?c? 1p.:1 ............................ - ? ?. ICt_I ri1 G15: 21'°_' ............................................ C. t1E= Y72ii cr23 ?:Cv2 ?i00r ..................................... h. w?. 11 ,.rea z;,O,?a ?r,cr ..................................... _ , i. wtii cr=_? _t?n•re `icer ..................................... j. frz-e wzi i are» ar ................................... lu:=1 2xrc=ed 'iCurcl3tiun 1r:1=?1 k. Tottl iouncation window area ....................... - 1. Totzl net `auadz:ion tre: abc??e qrade .............. -'• Ce_e:•-i,^.: "u" vaiue ofj eatn wa'.1 segment (e.n.. wircow, deer, cach sep?ri[r. uail sact;oa} c. t.`-. `! C b. C. ? -? x d. Z.`- _ ,v, e. t 1?0:. ° x T. i ?l C,- X x ?.?., j ? ?• S _ . S7, ?. _ _ .?U.. ";;" • - _ 1^,G-" ? ?????? ? _ _•-- - - .U,. ?U,. ,. ?: = r, k y C?'l.c' h. X eL1. _ . i. C .U,. _ X aU" ?• - : Y.. - X U. 1. 7; x "U"_-.?? ? It • •.......• •........r...........TGt:1 if itr.^1 =2 i as, or less 11, you hzvi int=_n: o.' Si ? • ""' _"' __'-' .. ?_'-' .. ?'_-'??.?.. C .O 3: CC---'Sed 2"_ '^7:3l. Skf!:C::_ d::3 ............................ :1. 7..t3? "=L? :g d=z3 CS+7C=3gC 10:)... . o. :otal ..__ -:s•?'a:ed 'oo:/c=_li.q a=_a........... G :e 3 • Detem-aime 'U' valce for eac'i rcof/cc'?.'-s, se^_-:t m. 1 Z X•u" U ?r a s ?¢ ' a. lIC•! X O.J. x "TJ' .?Z a rC,G? 4 ........................... Sb`,_1 ia .D:dl Cf a+ 15 t^8 szme as, CS l855 'Lh2: i2r VCII h2VE =Et C: 53C 54C5 ;c) 1. , 'a„er- te 3c ?c_-c =.ve: ae =zr - T'D-;.1_=a t:e encel =eWet.`.cc, :he •ra'_'_s es'?--_:?: _y _:_ s•_..-. o= -s 43 2:... = --1 S:.E? ` -?? -t nO: hE C=8? _ t^.Z. -.*-a Su-R 0= -:=5 5- ? . G G e7 $ Z. Z 7, 1. ! ° i 3• i 4. s 7' L57- `G' L ? .4 • ' iQital Oualitv 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. + • f. C;-.y???••Cl C1?.7?i?i14 ui: a::a I.-? C:'ii::: r'?tt lun ? . . . ........................ . 1C gA , ?tLUS ;tn12. _ -.'----?? ? ----Y`1J i . ... .. ?.. Ci.u•?. truc: S'•:?. ?. l. 1u1.?_?? .? .. . .. ' "i _. - ._. , • ,,,?--a. ?,?, -.•-- 2..? , ?: ?..?. ? • L 2_.:?,:.: -•- •-• _._ •? .'._ _? oL .. 5. ??D.iw".G.._. . •-^ .??.17 6. Fr.icrivr_ai?• I ilm ..,? _ -•' . 8s -- ,•.?i.;e t2a Jv . ' . q,mt l. Sntrc!nr_ai_.. _. -._._.._-.- 2• 3. , :l___-----'-? s ?'_..r.w . d • ? y ? ?'1?L. _?.'S L L . -. __ • ? ` .. __ •-? G, ? i=?':` `` =? ? i1 ?ZZ"3 r?iV4 ? s ? I U'- •O? i ? ?] J •-r :r : ?'--.1ri?J -• ?' _. _ 6. t , }• (?o •C?i t-?? ?ti L . ?1,? ? ? -.• . U, ? ?. ? • '` o • ? -, LCil ?.`. ? r :r ? i- •? . l,. • - n.f.n_ ?_,?? ?y7??,?Y.?i• (ilti_ M..-'_ _• ...._.? . ------=-J •. ? z. ...LZ'---?L?c`? --?- :"„--....?..o_ --._.?-(? \?' • Z . _ .l _.9i`a?1.°' b.+. <•? LY ....... .?" . , TYC%scLt,`c--- - ....--_...r--!? . n. •-.- • - -• - -•-----_.'--__n _?_? 5 ?? 1 .tl 1Z -- sc?v?nr+_ ? • • ?IL?i ? yv. r ???? 7 , , ?? 1 n •? .. ..??f' j?? ?(!!% f • „ ? • ?s.: ' ?iTI? I' /' rfl lIt 7 ' • ? , ? ?rr ? ? • . , ? / ? ric:. a? irt • ' _? fl( . ru ? fr--•?; i .`-i;`i?/? 11 • ?I,_n?'t nr.c'i L. Valuc, Indtcaw • n_ oC in?ul.:CL 4 .. ?^"/L? ?•? • ' h , ..??•' • • • C ?=-C? ' ? - tz- ' -??`? i? ? ' Z? •?jf+? /-?f f???.. C ?? II?? ril ??1???:?I?I•-{ T .:, ?5::_>> , ? ??l`? j?l; ?.?? ?ll;??il?lf??l?? ? 4• -xecc_c_ ? - _o.? (2. G ? . . : } " • . - ptir-.,.r,: ? : ? . ?. _ _a J ?eY. .°'-- ?• ?? GJ , ? • ' . ? . {? °:tC ' ' . ' . ?. _ _ 1 .. Z?V?.ii• ,• . • • ' . • ?? ? CO.t.:7r2'?C?/ .?r,?:.Vi:? .?.v.,5e?,•i?.?J't`i??e.? j 1. I?.tCC _? ???51 . •1?/: , ? . ? ? 1//I 3 • , -= V r: ?:n 1 ?,? t,l ???` It'?(? ?J 1 ` ? ?•I !/} (? `` S. _ __' TCG21 ?;t????l li??1?1?;?, - _ . . ? . . i s L?; .t,:n ?--o ? ---o .? . ?. . - - .-v:?[_a .. ? .: • . ._ . ? • • . . . g c.:-si?c ni: :,., , ' • • . - , ' ' -. ? Tc::.l . , TC. iE'._. . .?. '._ . • ? . .. •. -3 {Z? - -?`...? v -1 :r :ilm • • . • i ` ? F ..? -' ?-'3 2' _ . - '_??• •• _. 4. -?? y - " • /? '? • 5. c.:esidc ni: fi1:a ???'•:: ••='•i? ?? / •• //// :ot.: _? ? 1 T ? G ' , lY , . ? . • .: • . . ? ' • , ? • :? ? . , • .• , • ? ? ' ? . • !:ntr. iTCC a223Y`cnal theet? i= a? . • _.SC..-?i,_.'? • • ?j (? . • , " aecs:ecl tar dc:il' =z _. . . . L . . . . ,? _ • ? . ; °. ,_ '? S?cv up . . s' _ . ' . . ities DiLyital Oualitv 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. ' ;•; .. -: -•- :.:-- ci _;•n?:u,. . a:rs :??r ... :. ? ?.a. :.'VC? i X'r1 s•c . ? ?t?r• i ' '.1_ i -??? v,,,. I? CF • ??J? • . ? 1 ? . I ?? .:?. 1_ '" --- ? I' ? ?` Q'- 1• I ? . . t -^-:-- - ,f c;_:! •?' _u?' :yl c' ?-- . 1? • ';? ? ` 1 ?V?.I -• • . I' Y r, ' r •..i .. ,..i .1 ? ! ? ?•rt • _. . _.'_ii?Z^ 1 . .•:,il? . 3L?tSC " ?+ V? :'.tl r{ • - . ,? ' ? 1 ` ???. ..i• .. .: . a, RlF.S??':L=.. . . -• -_ . _. .lc? .. S r?L+c .}..}ZLGK . . -•_." '_...._ ..Il . . ,h I _:, u 1, z.15 li= .SCo 1. S:tC^'1:•••.liC 11im ___-___"""?-(7_Gil 2. G. E_'o' u:-ait _`..3'•- i 4 . . -' -_' --' -•••• ?- ?._ • -- -- 6. - -,,:_:t ? ? 1. tn_,.;;•,c _fr ,i ?-•--•-•-?...._.- ••- _._- - - - ? I\'? ' l. _. _ ----• ••- -• `_ ._. __ •-•-.? 5. .; ?- ^,`,`=? ??i ?? •,. ; ?--- ;, ?• • u ?:?.t1?r i?( 1 . y ? • . j?Ill ?' . r? ' • p' ? ?l? /:I . • ? '. /(! ? J??°• '?, ?rl Ftc:. SA t/? } •t-• ' . a ///! ??!/ ? . .•..? r ? ` ?-r ?,_.`,- ? i ?1/ .{ G. I: (?'?? /(: ???- -:'•:?r i,?-_ . ? til , • ? ` ? ,_. .'dLCi' - l? '-. ?.. :.? t:?:. .i,::]C:i tn:: ,?, , :,: _ -- ? LA ?..i -? .. F ? L, IQcAL- FT. .?,° os _ ?WA L L r..._ ? . ? _TUL'L ( E? Z1M= wR LL AzEA s = ? ` t3LOG?'? ? ? ?' . x ' .? ?x LL 1 FuLL ! . ? ? ? ? t? • c ? ? , . ? ? w C)Ws . n Z 1 ` . ? 1C.! i:C7 3, 04 I ? l, - 2 J " ? ?? r - M - } ? '? tZ`6 Co9-S D ?s =as ? rA-7t 0 ?? • l.s & - ? ' 3=• a?G..f-{s U IJ i -='5 ; ; .- ' ? l ? .' Q R 3INGLE F9MILY DWELLIAGS 2 3ET3 OF YLANS 3 REGISTERED SITE SORQEYS 1 3ET OF ENEAGY C9LCS. 1989 BIIILDIRG PERMTT lPPLICATION CITY OF EAG9N 0 .1ri nff MIDLTIPLE DiiELLINGS 2 3ETS OF PI.?NS BEGISTfiAED 3ITE SORVES3 - (CHEC& iIIlH SLDG DI9. ) 1 SET OF ENSRGY CALCS. ?9ULTIPLE DSiELLINGS RENTAL DNTT3 POH 3ALfi 06TTS COlBMERCIAL 2 SfiTS OF IRCHISECTURAL 6 SYBOCTQAAL PLANS 1 SET OF SYECIFICATIONS 1 SET OF ElERGT CALC3. / OF UHIT3 60TEt IDDAESSE9 POR COANER LOTS - COPTR9CTOA/HOMEOfiNER !lOST DESIG69TE itHICH IDDRFSS IS DFSIRED. HO CH9NGES iiII.L BE ALLOiiED ONCE BOII.DING PERMIT I3 I35IIED.. SEWER 8 A9TfiR YEA}!I? F'6ES AHD 1CC00P'f DEP03IT F6ffi iTII.L Bfi IACLIIDED MITB THE BDILDIN6 PEA!!IT FEE. PROCF.SSING TIME FOA SEWEA AAD NAT6A PEtnlI15 IS TWO DAYS ONCE ! PEAMTT HAS HEEN COMPLETED IIiDICATING A I.ICEPSED PLOlBER. PENALTY 1PPLIFS WfiENs PERHIT IS NOT PAID FOA IN SAME MONTH IT IS REQUESTED. LOT CHANGE I3 REQOESTED ONCE PERMIT IS ZSSIIED. ?J U N i 4 t989 1? 1i ?f ^ ?} To Be Used For: 5-1AltDl `J?cckValuation:?FD Dates („-1 r? ,?-0? Site Address ' J 'iLot ? Block Parcel/Sub Ormer 1? uQ Address y` 10 or? ?1 Jr+Ni & City/Zip Code t--Ac5tAy? ? tO Phone L15L - a2-g/5- Contraetor ,5 A)'l C Address Oceupancy £EFS Zoning Aetual Const Bldg. Permit Allowable Surcharge A of stories Plan Review Length SAC, City Depth SACl MWCC S.F. Total Aater Conn Footprint S.F. Water Meter Acet. Deposit On site aewage S/A Permit On site xell S/ii Sureharge MWCC Syatem 2reatment P1. _ Citq vater Road Unit _ PAV required _ Park Ded. Booster Pump Copies _ SQBTOTAL lPPROVAL3 Penalty ? Planner =?A1- Citq/Zip Code Phone lrch./Engr. "-J / / l-o e - 9ddress City/Zip Code Yhone 9 Council Bldg. Off. Yarianee T13 W ? Z) Z ? a?- a .., M ? ?1K 0 llff.q.. Z Q ? } 915A a I ?? W °a a _o 0 e I h Z 1 2S .J "- 148.03 58T°30'00"E z n 10 I'I 9_ u. I 71.3 ? ? PGa., SC 4??. 'tl l. 'ORAINAOE6 UTIUTYEASEINEN7 Q ? PER PL/{T? S I 14' W tl ± M v 81 83°Qp'00" W )zI3 ? ... P,R.V. REQU1RE I PROPOSEO ELEVA710NS Tep e/ Foundolton 0918.8 6araqe Floor Aq+e•4 BOffllNflf FIOw i'9l',6 /IppfOt. SeMef $KYICe ENtI. • - Proposed Eievatlens ? Q Exostinq Elovafleas ? Orolnopto Dlreellons ....-._? Denotes Of/aat SfaM• . p ???? 1 ? ? -- -- ? -•=' . Dri•? ?G ? SCALE: 1 Ineh • 30 Feet BENCHMARK, r w.uyd. E> l.A l._? 30 ? 3? ' &?K 1 fae..aslw...a I?.e. + 715.7; , !MIN. SETBACK REQIREMENTS Froaf - 10 Houp 91ds - 10 Robr - 15 6araqe BWe- 5 i e.nar eanh nm INS ww.K Nen x nvml •e• M•ow•a h m. roe No.: ,??D???D x uM•r ap ak•n wwrNkbn and tbet t mw e auh M9i•t...s 08Q -5 7 Z LanO Sw"ywr uWa tue lewI M tM ltal* Of Mla11„N41. BO01f: Planning Eng/neer/ng Suiveylrtg vnae: -.1 Lln nn, Ue?n?• N NlT6 I t0 ? s ? --?J n t 0 m z 0 qwY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMITTYPE: suiLozNe Permit Number: 0 3 2 2 5 2 Date Issued: 0 6/ 15 / 9$ SITE ADDRESS: 4110 PENNSYLVANIA AVE LOT: 29 BLtlCK: 1 STAFFORD PLACE P.I.N.: 10-72500-290-01 DESCRIPTION: RESHINGLE Permit Type 4'Q,rk Type „ a ^'_ , ?« Y,?Z ?V . • . e?..- ?}'v? kf4? $ t ? ?.t^' ? $- ? w STORM DHMAGE REPAIR 434 ALT. RESIDENTIAL P P ??v ?' I 3R2 rY ? .? ?f sc? rs, REMARKS FEE SUMMARY: CONTRACTOR: DUANE L MARKUSON 325 GALENA ST NASTSNGS MN (612) 437-4646 - Applicant - ST. LIC 14374646 2013633 55033 OWNER: SUN KRISTI 4110 PENNSYLVANIfl flVE EAGAN MN (612)917-2701 -fl Y 1998 BUILDING PERMIT APPLICATION (RFSIDENTIAL) CITY OF EACiAN 3830 PILOT KNOB RD . 55122 SrCf ???? 681-4675 ` /-s New Canshuction Reouirements RemodeVReoair Reauirements • 8 registered site aurveys • 2 copiea oi plans (InGude beam 8 windaw saes; poured fid. design; etc.) ? 7 energy wlalations • 3 copies of tree preservatlon plan i( Wt plattad afler 711/93 requiretl: _ Yes _ No DATE: lD - 9- g 6 ? 2 copies of plan ? 2 site aurveys (ezterior addkions & decks) • 1 energy calwlations for heatedaddHions CONSTRUCTION C05T; UOCC) DESCRIPTION OF WORK: Sk -, V,--q 1 e STREETADDRESS: ? ?!O V-Q ,.1r•Sf ) VA?/+ 4 vt LOT: Z'? BLOCK: ? SUBD./P.I.D. #: VtNa?_ Name: 1 ` r, S 7o e Phone #: `W7- Pq01 PROPERTY 1.esi First OWNER / Street Address: ?? ? I? ? Q yU w i c ??,A-.??9- l`r?? CitY 6?}?- ? State: dtit nJ Zip. . Company: t C1A--( L. VLl A-? LC ?5 phane #: ? 3-7 ^ L/ (e q CONTRACTOR Street Address: 3?-? )j q--/ 2 dt/& 5 -1y' License # c2 d 1 3&3 3? Ciry ? f7r-45-i. n?l ? State: ARCHI'I'ECT/ ENGINEER Company:, Street Address: City srau: Phone #: _ Registration 4: Zip; <5 50 3 3 Zip: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply wRh all applicabl State of Minnesqta Statutes and City of Eagan Ordinances. ?l Signature of Applicant , OFFICE USE ONLY Cefificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 02 SF Dwelling O 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi RepairlRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Planning Buiiding Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ A A+1? .e ma, k4 111 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS 5ystem City Water Fire 5prinklered PRV Booster Pump Census Code. SAG Code Census Bldg Census Unit Variance °k SAC 5AC Units ?Sk?.Ttv.?i ?O/J cl&106) 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS _# OF RENTAL UNITS # OF FOR SALE UNITS COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS PENALTY APPLZES 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 LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED DNCE 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. To Be Used For: :Y5S.MT Ffl`175H Valuation Site Address j `p/ /fl tlt/q I Lot _J?_ Block ? Parcel/Sub 511? /,rJ Owner [ ?(JL7 r `?,.71?ce / !? /C'??JcS Address Ly4 iH 11¢ City/Zip Code L4 qA ?I 65 Phone 415 Contractor t fQ livl t Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # l'i'I 6- 1 Date , OFFICE USE Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council e Bldg. Off. ?2?yZ Variance FEES Bldg. Permi Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL . APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?, ..,.. tN91E: PAYMPNf OF PEE AT TIME OF ? ; aerLIcaTT«a mfs Wr conr- ; ? SiT1iTfE APPRCIJAL OF PIItPIIT. * ; uZeFrizaa oF ses.M arn/ai rmxEe : R IRSTAI.iATIONS WII.L N07' EE SCEINJLFLm ? [!NPIL PIItPffT HIlS BFFS] APPROVID. OF Gt7gC9n ' (PLEPSE PRINT 1) PROPERTY ADDRESS: 4110 PENNSYLVANIA AVF I,EGAL DESCRIPTION: LOT 29 BLOCK 1 TAFFORD PLACE Lot B oc S vision or Tax Parcel ID IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSDANCE: N/A Mont Year PRFSENT ZONING/PROPOSID USE: Q COMNIERCIAL/RETAIL/OFFICE Q INDDSTRIAL Q INSTITUTIONAL/G0VERPA'IENT j R-1 SINGLE FAMILY _X ? R-2 DLPLEX (34.o C'nits) Q R-3 TOWNHOL?SE (Three + C'nits) ( Lnits) Q R-4 APARTMENT/CONIDOMINIL'M ( Cnits ) Z) NA["1E: FRONTIER MIDWEST HOMES CORPORRTION ADDRESS: 3902 CEDARVALE DRIVE CITY, STATE, ZIP: EAGAN, MN. 55122 pHONE- 454-0433 For City Lse 3) ? NAME: STAR PLUMBING Pltmibers I.ice?se: ADDRE55: 1018 MOUND S?RINGS TERRACE Active ij EXpired CITY, STATE, ZIP: gL00MINGTON:_MN. 58420 Not recordec ?ONE: 884-4149 MASTER LICENSE # 3329 St _I_ni_t_UiT_ 4) ' NAME: THURMES, CURTIS & CYNTHIA ADDRFSS: 1253 SPRUCE POINT #7 CITY, STATE, ZIP: EAGAN, MN. 55123 PHONE: 456-0285 5) XX CONNECTION 'IY) CITY SEWER Q CONNECPION M CITY WATER a QTI3ER 6) ? 10/5/88 ***?*******r**+*,?* ** ****???*k*****.*********,?******************+*****?*?***********+******?******a * * TfE GOLD COPY OF TfE PERNIIT WILL BE SERr DIl2EX.TLY TO PUSI,IC WORKS TO FACILITATE MEPER PICK-OP. ,*t PLF.ASE ALSAW 1W0 WmKING DAYS FY)R PROCESSING. SONIDDNE FRa4 7m CITY WILL CONPACT YOU IF 74]ERE ; * ARE ANY PROBLENiS. ' ?*****?***?**++*??*?*?********???**********?*+********,r*?+?***+**rt*?e*****?*:*?*+**«???*?***?*******_', FOR CITY USE ONLY PERMIT # ISSOED Pd w/Bldg. Permit FEES: ? $ /,?? ?, Z $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE ) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ ACCODNT DEPOSIT - WATER $ 3 S '_, - C-7; $ WAC $ $ sAc $ S TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ C $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S S- 2 2 j $ TOTAL qp RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PDBLIC RIGHT OF WAY? 71 YES IF YES, THEN A"PERMIT FOR WORK 4VITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: U7?-1 . /?; / /,I- / ??- r- r.»....?... ' . • . _. : n,fr,:a o ? WhaJe House Nlarksh. ? .i 1 t? . ?, __ - - - ---- ' ? Vldftt?:?....ww?,??.,.Zs;,o,_?i-?ra,.uwwin..: ------ ow«? *«?, • 4?_.. ?r=?w. w?r?: ooyn ?,.._..;IS.,._ NE?ITINO C?M7Y?Vr0YNr?y,?(?? ?? . w??.??hr • COMMON DATA 6ECTION• .,• . .., . 44J?CT .• ... GNO$$YYALI /Yf . . J ?? ? w?s '?oaw •n?..n•.. {rt11Wp - -----?"?.wf?pfMMEwINO? ???V WMAOara• nM I?etan /or Y1? Mpy ? Mwy1yA r mM I"Soa? .. Cr' ?/1w, ? CM4 . . ?1.61 ?.? ? •?4 !? wM Y q Y Y MFrIY D w M w.?, aw:,, d • Mw'pFr? & ??? ?? y 3.?0 {.7Y &4s . .. '. ?r `o' • • .' . » •. i r ¦ . " ?'?''1J?L . ..NJCI s N a b e m p . .'.6.a - ?IY?i M n? W M W y W ???? '. II.OI I?.I$ ??:PZ.Y? Mr?Y A? ?Y M • M Y M M (D ?rw+r4 W"°M Q+Ir ? 4.40 ?rr TOTALS ,?UM?wtwl?torrn ' . . 9.70 ? 4Uh.tacthwy " . 1MI,EO..'IMMLTIIATOMMy?T1PL?? Wlmw Alr CMm ?MOIw?sNrn?. r ? 1.7?' Nr Ar qow b? Aeft am0 ? K4110D 1WM1]WY ow11?u + ? O] . ? I.t "°°' . .. ? p? o.! 7.? 6s la ia ? . '? ? Mm 1Mm"P As t?aac•-' b.wstY?wt rattro - _ " a= o.. M R ?w D# S - pftl?, '?^° o . ]p .p60 W `?? rl ? o?rr ?nw ?tq? w Mliq .. ? ? ? • 2 ? ' Air? 4 ? y 47 is" •! L...._a?.,.waL ?? 1, .... . . ? ? ?? . hela?ww?rwwor? wMW aMypp a?p?wa? . ?rMld?WqYWSOooraNUw?Wyr01MA&M ' rr.w ?rrrw rw?w •lWh10N ' rwow 4V Sw . r.. . •r.w.?.?? PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau Mn 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit nate y41- / _/--? / Site Address !?2e V,r?S Unit # Property Owner AI;9 Telephane # Contractor -- Address City State f'/'/ /1,) Zip Telephone # The Applicant is _ Owner ? Contractor _ Other Septic System New _ Refurhished Submit 2 sets oT plans end MPC Ikense $ 100.00 Includes County fee. Additional consulWnt fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water soflener and water heater _ A6andonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other. _ RPZ _ new installation _ repair _ rebuild I $ 30.00 _ Lawn irrigation system Water softener _ Water heater NOV 1 2 2003 $ 15.00 X replacement ` additional 7T Y $ 50 State Sureharge I Total S I hereby apply for a Residential Plumbing Permit and acknowledge 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 with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro 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 plan ?jQT Pi2 pp il cant's?'rinted Name licant's Si ture ., 0 ? F E ?W F c c?s w z w r r, r mn v .? r, m u7 0 • m o0 ? m y v... ? n ? F ? O O ' N \ N N \ H ? ?. WN , • i? .):: % ? r APPLIANCE PERFORMANCE TEST Altach ta gas flne adjacent ta regulatar Heating Contractor com.oneaarnty a wc Mame of Tester A4W# AWAX oa,s !/- 9• 6?' . • Jn6 Address I ? HeatingContractor ControiledAir ? Name of Tester 4ow r1v?t? Dale Percent Oz ? - ?. Percent COz Percent CO 69 : Stack Temp. qq zt? 2005 RESIDENTIAL MECHAHICAL PERNII'T APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pa'auts are required for each unit DateI C) /j q / 0_C5 Site Address 10 ?? ? n 5 y IJ a n 1q Unit # Proper[y Owner ?oyv %L Telephoue #( l05 f) Co g(o -?(49? Contractor a (/ )) ' ' 1 L J" L TN n(?ih Cit StreetAddress C7i Dr? / d f 0 -, y 7V? State (n 1 Zip 550 dL4 Telephone 4 (05 4) W lnn. Lo O a?j- Bond #: Eapires: The Applicant is _ Owner _ Cont ractor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 ? furnace Additional Replacement _ New Z?Dair exchanger air conditioner ? heat pump other State Surcharge $ 50 Tota? $ 3b"50 I hereby apply for a Residential Mechanical Permit and aclnowledge that the information is complete and accurate; that the wark will he in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to siart without a pennit; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval C,ryAk , L,??? Q ) Applicant's ' ed Name 2005 COMMERCIAL MECHANICAL PERNIIT APPLICATION City Of Eagan ' . 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciallindustrial buildings multi-family buildings wken separate peimiits are not required for each dwelling uvit Date / / Site Street Address Unit # Tenant Name ('if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephoue # ( ) Bond #• Espires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "*see 6elow _ Interior Improvement _ Install Piping _ Processed Gas Nature of Work: *"When installing/removfng underground tank, ca!i for inspection by Fire Marshal and Plumbing Inspector PCI7Rit FCCS: S70.50 llnderground tank inslallatiorthemoval . ... 550.50 Afmimum (in4udes 3tate Surcharge) - or Contract Value $ x 1% _ $ PertoitFee $ State Surcliarge" ' If DemuY fee is less than S1,000, edd $.50 If emvt fee is more t6an $1,000, siucharge -'- is $.50 for every $1,000 owed. $ Total Fee i nereoy appiy ior a c:ommerciai Mechazucal Yermrt and acknowledge that the infbrmation is complete and accurffie; tLat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this i3 not a permit, but oniy an application for a permit, and work is not m start without a permit; tbat the work will be in accordance with'' the approved plan in the case of work which requires a review and apprwal of plans. Applicant's Printed Nazne Approved By: Inspector Required Inspections: _ U. G. _ R.I. _ Air Test ApplicanYs Signature Date: Cras Service Test Infloor Heat Final SAWCyOr"S CCrtifiCdtC SURVEY FOR: DESCRIBED AS: Qs 1. W ? g Z Ld h 90: 1 Prontier Alidwest Ilomes C:orp. 1,ot 29, B'lock 1, 5'PAPFOItll PLACG, City of Gagan, Ikikota Coinnty Dliimesota and reservimg /-N -1- casements of ?•eccd. L_ ?i i ? l/ I 1i4?6 io I C-11- Q M ieeaVe Z Q 915A M ? OD V) (D a 3f o 9i5.1 0 I z ? 2S I _L 148.03 S8703010041 E E __ ti I \Q c_„? o? r.. ? Ga?. 5c ti 25.13 o, o; 33 83°Qp'00" yy 91 ,. T g W s OD N M \ O ? N ?o ? -J g h izig -- ?- r'J t- "? p,R,V. REQVIRE I . F? . (,.__5. ? i ? .. . . ? ? v y i ? I Dafi_____ f- d FA?'iR?1 D:.,5'?1,, ? I PROPOSED ELEVATIONS BENCHMARKs I e laa L,..c ao 7oD of foundallon Quroqsfloor Bosement Floor ?91s. b I MIN. SETBACK REOIREMENTS Approa. Sewer Servla ENv.. -- , ? Proposed Elovolions I Q Fronf -:;0 HouSO Sldo -1o m Eruflnp Elwatiom . Drolnoqe Dinetlons $,..._. ' Rsbr -I5 Buraqe 81M- 5 0, Uenotes 0lfsaf Stak• ? O SCAI.E: i tnch • 30 Feet , I Mnby arflfy Mat Ihls wrvey, pbn or nporl wes prepered !y me Jo8 NO.; /?IEDLIlI1ID ef under my dlnet supvvlllan an0 Ihot 1 em e Auly R*91slored 98Q -512 LanO Surroror under Me kwi ol lhe Slale sf Mlnnowte. BOOK: Planning Eng/needng Surveying ae?e.aeba.+v?o.rr«. weeo?mww..w•?s 2.1 8 p. l.?N'C.r•-' PADE: Dot?7 J lln ren, lleense N N778 U) 'DRAINAGEa UTILITY EASEMEN Q PER PLA °? ?. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4110 Pennsylvania Ave Lot: 029 Block: 001 Addition: Stafford Place PID:10- 72500- 290 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120 Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 kara @elderjon es.com Total: $70.00 Owner: James C Christie 4110 Pennsylvania Ave Eagan MN 55123 $69.00 0801.4085 $1.00 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA074482 07/25/2006 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4110 Pennsylvania Ave Lot: 29 Block: 1 Addition: Stafford Place PID:10- 72500- 290 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - $88.50 $1.50 Owner: James C Christie 4110 Pennsylvania Ave Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA092085 11/18/2009 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156579 Date Issued:07/08/2019 Permit Category:ePermit Site Address: 4110 Pennsylvania Ave Lot:29 Block: 1 Addition: Stafford Place PID:10-72500-01-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Matthew Sommers 4110 Pennsylvania Ave Eagan MN 55123 (515) 451-7703 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162899 Date Issued:08/04/2020 Permit Category:ePermit Site Address: 4110 Pennsylvania Ave Lot:29 Block: 1 Addition: Stafford Place PID:10-72500-01-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Matthew Sommers 4110 Pennsylvania Ave Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169454 Date Issued:05/27/2021 Permit Category:ePermit Site Address: 4110 Pennsylvania Ave Lot:29 Block: 1 Addition: Stafford Place PID:10-72500-01-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Matthew & Erica Marie Sommers 4110 Pennsylvania Ave Eagan MN 55123 (563) 380-9790 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169972 Date Issued:06/16/2021 Permit Category:ePermit Site Address: 4110 Pennsylvania Ave Lot:29 Block: 1 Addition: Stafford Place PID:10-72500-01-290 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew & Erica Marie Sommers 4110 Pennsylvania Ave Eagan MN 55123 (515) 451-7703 Nmc Exteriors & Remodeling 14505 21st Ave N, Suite 226 Plymouth MN 55447 (763) 244-2961 Applicant/Permitee: Signature Issued By: Signature