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4117 Pennsylvania Ave í þ ò ÿÿþ ÿÿ þýýü ûþþÿÿúðÿ îî å ÿ ÿ ïîå ÿø ý ù÷é á ýüûú ù üûúù÷é ø÷éóúÿô úý áýáííñýúÿû Û Üýÿ ì ôú âôääô Üý ô ÿ ôæ ÿ ÷÷úþÿ ÿô ÿ úæáÿ ÿúÿ ÿÿæ áÿ ôã ÿ Üý ûÿ÷ ÿôûäôæ ÿìçòçååæîåæíåî ÷û ý äÿ ÿÚÿýÿçòçæîæî Úÿýÿþæ öô øóù úúÿ ó÷ÿ ÿâÛ áýûóÿáùíïûâÿÿâ óâöøîî ÿÿöøîî ëðîèðííïïï ä ûÿ÷äÿäÿâ ÿäÿúúÿÿÿäÿä ôÿ ÿÿ ôúû÷äÿÿúúÿ ÿ öÿ ÿýÿáû ÿÿñ ÿæ úúÿé ô ÿý ýû ÿý CASH RECEIPT ? . CITY OF EAGAN # 3830 PILOT KNOB ROAD ` EAGAN, MINNESOTA 55122 DATE 19 aECervEo fiipN ~_f,•?L?,?+ I AMOUNT $ .J j 8 DOLLARS ioo ? CASH C3?CHECK ; j r? ?- •.? , ' J?:, ? ? ; , i i eY .1-4 ? C 15634 wtwt&--P&Yom copy Ye1bw--Pp9ting Copy ?FY Pfnk-File (.Opy Thank You , ?-' •..'?.. RE: DATE: OCT 3. 1991 4117 PENNSYLVANIA AVE (MITTELSTAEDT BROTHERS) X Your Sewer & Water Permit for the above properry has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be comp{eted for the foilowing reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Ptumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE OIGGIMG, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGlUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. T/??'°?1.1??';'. , . t???at+•Is REAC'fIVATE FOR DECK . • , BUILDING PERMIT To be used for ' CITY OF EAGAN Knob Road, P.O: Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value $108,000 Site Address - 6117 PSIffiSYLVANIA wVE LQt -1.8 Biock Sec/Sub. STAF?QtD lI.ACB Parcel No. _ W Name MIT'tl13? RD'r MvU ? Address - 785 SUIiSBt DB ° City EAGAII Phone 456..9125 o I Name SAINZ ;., Address Phone Name _ Address Phone I hereby acknowiege that I have read Ihis application and state that the inlormation is correct and agree to comply with all applicabie State ot Minnesota 5tatutes and City of Eagan Ordinances. Signature of Permitee 19-u- OFFICE USE ONLY Occupancy IE?3 M61 FEES Zoning jk?1 (Adual) Const -141nm Bldg, Permit 668,00 (Allowable) Y? Surcharge 54.00 # or stories Z+JWT sl I 434•oo Pl R i Length an ev ew Decth 2-7-' sac, cicy 100.00 S.F. Total S.F. Foatprints On 5ite Sewage on sice weli MWCC 5yslem Ciry Water PRV Required Booster Pump APPROVAL5 A Building Permit is issued lo: 14IT1'FTMLLM' IRgATligitls Pla""Br on the express condition that ail work shall be done in accordance with all Councii applicabte State ot Minnesota Statutes and City of Eagan Ordinances. Bkkg. OH. Building OHicial Variance - SAC, MCWCC _650,00 Water Conn 660-00 Water Meter 95•00 ? JL ncd. oeposic 30.00 _ S/w Permit 30 *00 - S/W 5urcharge • 50 Trealmenl PI 276900 Road Unit 370.00 - Park Ded. ? Copies - TOTAL 3,367.50 r ParFnit No. PMOk NOlder Oal! Tlkphone # WATER_ SEWER PLUMBING H.V.A.C. ?o / ?5? ? 0 00 5 ELEC7RIC 10 w4pecNon Date Insp. Com+nents Footings I Foundation Framing Roofing Rough Plbg. Fiough Ht9• ?- ?' QS+?I ( ?' 15uL f70'? taE t? - ? !r F?replace ,1 ? Final Htg. -? ? Orstat Test Final Ptbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Rnal Dedc Ftg. M" ? P,&i Dedc Rnal Well Pr. Disp. 1NSYE(.;'1'lUl\I KLUUK1) CITY OF EAGAN PER(VIIT TYPE: 383 Pilot Knob Road Permit Number: gan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ?;i? i t ?? ? r?E? iS 3.'fst?(? er'l I0 F4 r?t3 SITE ADDRESS: 141 c3 t OCn: .; ? ;ti wfa „ ,.'AM4A AvE S lAf'f"(ikD P ) ACC PERMIT SUBTYPE: , i? APPLICANT: ol I ,Jtt i-: II iIN .:1 ! ( (il 1 N!r/1-l-,4fi4 TYPE OF WORK: PI t 41 141 ';1 rttp r?IM A1110 F L I iflI ittf4 l? ? i71 MAF21iS; PI AH RFVI t't•1! Ia 13Y Ft t f I qfiAFl'; r•t.I r 11 11 S:_-1 Q .arA 0 r r.rir.rL ru5: cI rr I o:•r? A? i•I I:Fd FI nr.tii j h1•.P f1`i"7nN; Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FtNAL HTG ORSAT TEST BLDG FINAL DOMESTiC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC 7EST BSMT R.I. SSMT FttdAt DECK FTG DECK FINAL . . _ . 4.-- •. _ . . _ ... . . . _ . r.edyMll?et .',?,' ",?i'?.: :"?t'?'?M' ?" . , JS?`?!.'°?'?' .n. 4h iy- - .r? . ? .....,;-,?. _ . ?_ ,? +?r 1 • ?R • ?. (Ur#iftra#t uf (Orrupan ry (Litp of Cagatt ,. mppwbttm a# wuitdittg ittoprrtinn 79iis Certificate irsued pursuant to die reqrdnerrrditr of Sacliou 306 of the Uniforrn Buildiag Code cxrtifying that at the lime of issuancr thissoudune Kas in co»rpliance with the various ardinanaes ojthe Cuy reguJating building conrnuction ar usp- Far the foUowing. ue awrkmooe SR tim/c.nR mad. rcnac RL 19769 O-WR-y iYve R3)M! zoninc nWzict r 1 rya cOW VN owoerocsuj&,g SI'ARD1' ERMMS Ad&,., 7A5 4111LSF:7' T1R,_EWAN ? ? . . . :7?. . . _..,_... ... .., _..,?..? POST IN A OONSPICUOUS PU1GE 'dot Knob Rd. , MN 55122-1897 DATE_ OCT 2, 1991 _ BOUSTER METER # - CHIP # - METER SIZE ISSUE DATE USE ONLY PERMITDATE 10/03/91 PERMIT # B.P. RECEIPT # gl B.P.RECEIPTDATE 1.0102Z ., ADDRESS 4117 PLNtvS!'i.ValdiA .tVr 1$ RLOCK3_SEC/SUB STAFFQRD PLACE PERM4T REQUESTED _XL SEWER X WATER _ TAPS STATE COMM/IND x RESIDENTIAL ZIP X_ NEW STATE ZIP 550$4 _R: MtTTELSTAED? DROTNERS ESS; 785 StJriSET UiZ STATE EAGAN r;?'? Zip 55 E: 456-9125 EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given tor Deduct Meters. -- ?_ - ? '1, `-r,.,•?. ? 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED LEASE ALLOW TWQ WORKING DAYS FOR PROCESSIFiG. CALL 454-5220 FOR INSPECTIONS. FOR STORM EWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFlCE USE ONLY CITY OF-EA.CaAN ??yl METER # /or741,?_-PERMIT DATE _ 10/03 f 91 3830 'Rilot Knob Rd. T- , Eagan, MN 55122-1897 cHiP # d a a D/? PERMIT #12377 METER SIZE B.P. RECEIPT # DATE GCT 2. 1991 ISSUE DATE B.P. RECEIPT DATE ?L4 t - PRV _ BOOSTER PUMP SITE ADDRESS 41 17 F ?'?^: ?? .VdNTA evF. LOT 18 BLOCK 3 SEClSUB STArFORD PLACE APPLICANT:. ADDRESS: _ CITY, STATE PHONE: - PERMIT REQUESTE[} - XL SEWER X WATER - TAPS - COMM/IND X RESIDENTIAL _X NEW EXISTING Lawn Sprinkler Meters are to be Installed I PLUMBER: MCDONALD PLUMBING Ahead of Domestic Meters on Water Line. i ADDRESS: 18271 KENi,TO0D TF. Credit WILL NOT be given for Deduct Meters. ; CITY, STATE LAKEVILI.i: M(l ZIP 55044 ., ? •? PHONE: 435-3334 >?.f_._"-; 1 AGREE TO COMPLY Wll'H CI'fY OF OWNER: MITTELSTAEGT BRCT'.; r i:S EAGAN ORDINANCES ADDRESS: 785 SL"N5E'f DR CITY, STATE LAGAN x1AI zip ?51 ?3 PHONE: 1451?-91 ZS IGNATUR HEN METER ISSUE PLEASE ALLbW TWO INORKIKIG DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ; SEWER PERMITS, CUNTACT ENGINEERING DEPT. ! ZIP CITY OF EAGAN N2 19762 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt u l? n 1?1 ?? ?- To be used for SF DWG/GAR Est. value $108, 000 Date OCT 2 , 19 91 Site Address 4117 PENNSYLVANIA AVE lot 1$ Block 3 SeGSub. STAFFORD PLACE Parcel No. ?wlName MITTELSTAEDT BROTHERS I ? Address 785 SUNSET DR City EAGAN Phone 456-9125 Name SAMI: Address _ Phone Name _ Address City _ Phone I here6y acknowlege that I have reatl Ihis application and slate that the information is correct and agree to comply with dll applica6le Stale oi Minnesola Statules and City of Eagan Ordinances. Signawre of OFFICE USE ONLY Occupancy R-3 jZl FEES zoning R=1 (nctuaq const V-N Bldg. Permit 668.00 (Allowable) V=N Surcharge 54.00 x ol Stones 2+BSMT LengN 51' PlanReview 434.00 Dep[h 27' SA4 City 100.00 S.F. Total - SAC, MCWCC 650.00 S.F. FOOtprints - OnSileSewage _ WaterConn 660-00 On Site Well Waler Meler 95. o0 MWCC Syslem X AccL Deposit 30.00 Cily Water ? PRV Required - 5/W Permil 30.00 Booster Pump - S/W Surcharge • 50 Treatmem PI 276.00 APPNOVALS RoadUnil 370-00 ABuilding Permit i5 issued to: MTTTF.T.STAF.nT RR(1TNFRS Planner - park Ded. on ihe express condition that all work shall be done in accordance with all Council applicable State of Minnesota Slatutes and City of Eaqan Ordinances. Bld9. Ott. _ CoOias Builtling Official ?ia?f ?? Variance _ 7p7qL 3,367.50 lP?i7/9/ /0 3 y'S 3 p 40885 g' 3- ? %94:?W oo Requasl Date Fire Roug??in Inspection /' eq iretl? G Ready Now ?SJIII Notify Inspector ? l?W (? J/? r '? Ves C No hen Featly I' licensed coniractor p owner hereby request inspection of above elecirical work at: Jo0 Aotlress IStreet 6ox a?r 'le No.? 7 Clry Section No. Townshi0 Name or No. Range No. Counry Oceu?pa f?IPRINT? Phone No. 'X? 1 Power Supplier i ?LE i? l? h Atltlress ?/ ZZ0?1:z> C? s ?? ?? ? (l /? C 1 t ?0 E ecvmai Gonuector ICOmOany Namet, ? ? ? / Contrector6license No. " d 'L1 E l [? C. Maihng Aatlress iconvacror or Owner Making Installationl o,? i? Awnonzetl 5 re ICOmractonOwner Makmq Installaoon, '? ll,•Py,,,?? __ Phone umber ylf?i- y? o c? MINNESOTA STATE BOAHDOF ELECTqICITY TMIS INSPECTION RE4UEST WILL NOT Grigge-MiEwey BIEg. - Room S-173 BE ACCEPTEO BY THE STATE BOARD 1821 Universiy Ave., St. Veul. MN 5510A - IINLE55 PROPER INSPECTION FEE IS Phone(612)642-0800 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00?0/01-.O?B ?j p g D3 .3 ?? ?//j/ No See instmct- ?s for completinq fiis brm on bacd ol yellow copy, \ I Q. n R R.rl "X" Below Work Covered by This Request ew Add Re'p. ' TypeofBuilding AppliancesWirad EquipmentWiretl Home Range Temporary Service Duplex Wa[er Heater Elechic Heating ApL 8uilding Dryer O[her (Specify) Comm./Industriai Furnace Farm Air Condilioner otnerfsuacily) Contreclor's Aemarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to Amps Tiansformers Above 200 _ Amps Above 10 Amps SignS Inspeclors Use Only: ' / B p? OTAL Irrigalion Booms r IY? Speclal Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Roughin ?e s ? certify that the above inspection has been made. F;nai ate ?,. OFFICE USE JNLV This request voic 18 months irom � U� �;��l.`l�5 Z `�� ..t : :.; Use BLUE or BLACK Ink ---------, � For Office Use � �� U! �� 1 Permit#: �� j I �m� � 3830 Pilot Knob Road � Permit Fee: f.��/ � Eagan MN 55122 � � Phone:(651)675-5675 � Date Received: I - Fax:(651)675-5694 I I � Staff: � I ��J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2}sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: Name: ll V�U� 2'Lv�� l� Phone: �Sl '�� U �� ,. Address/City/Zip: -Q�l �1 lj Name: � I"f U � � "f' � License#: �l I � U b �s �j �j Address: �' � T City: State:�Zip:�� Phone: �D��1' `C�7 - �7 � � ' Contact: EmaiL�GtScj)P.'Y�G1�1�a� Qj�l e(/�f�l.�t.6'G�,/�r,((JVYL I, _New �Replacement Additional Alteration Demolition Description of work: p �i11(��'��/�" U� �� _; RES/DENTIAL COMMERC/AL �Fumace _New Construction _Interior Improvement _Air Conditioner _Install Piping _Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump _Under/Above ground Tank (_Install/_Remove) Other RESIDENT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.OQ Resitiential Ne+rv(includes$5.00 State Surcharge; _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X ��.��r�.f�.� X�p�� ;�.�--- Applicant's Printed Name Applicant s Signature AddrQSS: 4117 PENNSYLVlNIA AVENIE Lot 18 Blk g Sec/Sub gTAMgp pr.A!'F. . ' Ttiese items were/were not complete at the time of e final inspection. Yes No Final grade (6" from siding) Permanent steps - garage Ll? Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass ? Txail/curb damage Porch Basement finish ? ?l" mf" Co CfG ilt) Deck ? Please verify with the builder the removal of roof test caps from the plumbing system andthe shut-off of water supply to the outside lawn faucet befora freeze potential exists. ? ucxi?orwn White - City copy Ye11ow - Resident copy Pink - Contractor copy • •'ti RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 5 -? ? • S ? OU 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 Q, j 4j: NewConatruction Reauiremenb RemodeUReoairReuuiraments (3 • 3 registered sile surveys showirg sq. ft. of lot, sq, ft. of house: and all roofed areas • 2 wpies of Olan (20°a maximum lol coverage allowed) . 1 set of Enerqy Calculauons for heated adGitions • 2 copies of plan showing heam 8 window sizes; poured found desgn, etc.) • 1 site survey forextenor adtlitions 8 decks • 7 set of Energy Calculalions . Indiwte if home served by septic system for aaaitians • 3 cooies of Tree PreservaUon Plan if Iol 0latted after i 11I93 . Rim Joist Oetail Oplions selecGon sheet (61Egs with 3 or less units) O?? DATE E -t "bZ VALUATION SITE ADDRESS ?-l1 I`1 ??-U'tJS4 L?-lvv?-+,,.? t?-\ A-l"C?Ll LTI-FAMILY BLDG _ Y 1( N TYPE OF WORK o._) - 3 Sev+sov.J FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT -\"11u-'+a? u -?.i SO? STREETADDRESS ?°•?? ?zoi? S CITYau? t3Nz-icA1,,-MTE 'LIP SSr? z TELEPHONE # U5/ "?S 44?61 CELL PHONE # Co11 ??P ? C-5'5(° fAX # (O51 `76(/ 034 `6 PROPERTY OWNER J C?QC t?aRs?-a ??r+^ti Z??cr?G-IZ TELEPHONE #&?S/ CO? ? 83-1 I ------------------------------------------------ ----------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNL50"C:\ RtiI.ES 7670 C.\TEGORY t (J submission type) • Residential Venlilation Category 1 Worksheet Submitte0 • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system inciudes: Mechanicai Contractor: Mecluaiical svstem incluctes: Sewer/Water Confractor: Air Conditioning Heat Recoven Svstcm Phone # Phone # Pee: $70.00 -----------------------------°------------------°--...------•-------°--------•-•-----•-------------------°-°-------° I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. ^\? Signature of Appllcanf OFFICE USE ONLY _ Water Softener Water Heater No. of Baths Phone # Iacm Sprinkle No. of R.I. Baths Certificates of Survey Received - Tree Preservatfon Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? Oa 02-plez ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or_ N ? 20 Pool 1?el 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ?,. ., ? 30 Accessory 81dg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation o?C?O Occupancy /2-3 MC/ES System - Census Code H? Zoning y7-/ City Water ? SAC Units Stories ? Booster Pump ? Nbr. of Units ? Sq. Ft. ? PRV Nbr. of Bldgs ? Length Fire Sprinkiered ? Type of Const ??_ W idth 30 REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. Footings (deck) ? FinaWo C.O. _ Footings (addition) _ plumying _ Foundation HVAC _ Drain Tile Oiher Roof -4- Ice & Water Final Pool Ft-s Air/Gas Tests Final Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new:!replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector ---------------------------------------- Base Fee -------- -------- -------------- - ----------------- - -- - --- --------- -------------------- Surchar e s 1l . C) C7 K&D ? 3 S?lCi4soniG fYO- ?? Plan Review MC/ES SAC ?-- City SAC ? f ? GU Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY QF EAGAN CASMTER: fi TERMINAL NQ: iai DA7F..; 08/05l38 TZME: 10;09:49 ILi: NAMEa CHfiISTOF'HEFi P SUMAlER 3210 afJpi 4117 F'ENP! AVE 93.75 2i.55 9001 41.i.7 FENN AVE: 2.50 ! Ta+,al Receip+, Amount; :I.02.25 CF49587i3 USEf: ID: NFtNCY CATIF"OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: surLozrvs Permit Number: 0 3 2 6 5 0 Date Issued: 0 8{@ 5/ 9 8 4117 PENNSYLVANIA AVE S LOTm 18 BLOCKe 3 STAFFORD PLACE DESCRIPTION: A* ' a ? hr' € ba .-.'.-'-i. .. REMARKS: f'LAN REVIEWED BY BILL ADAMS. CALL 445-2840 REGARQING ELECTRICAL pERMIT AND INSPECTIONS. FEE SUMMARY: VALUATSON $5,000 Base Fee $99.75 Surcherge $2.50 7ata1 Fee $102.25 CONTRACTOR: - n p p 1 i c a n t- flLL-AMERICAN REC 1$545454 °j?29 OlD CEDAR AVE nL00MINGTON P1N 55425 (612) 854-5454 ABOVE GRQUND Wg, Permit Type SWIM PtlOL i1d.ing_'?rk Type NEW OWNER: ZEIGIER DAVE 4117 PENNSYLVANIA AVE S EpGAN MN 55122 • 1998 BUILDING ? New ConstruGion Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN asso rn,ar KuNos Rn - 55122 e81-4e75 RerrrodeVReoair Reauirements ? 3 registereE site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exteriar add'Rions 8 decks) ? 7 energy wlalatians ? t energy calculations for heated adddions ? 3 wpies of tree presenation plan A tot platted aRer 711193 required: _ Yes _ No DATE: ?7 "2/ '!e CONSTRUCTION COST; Ooo ? DESC IONOFWORK: A'A6 ??,/ S EET ADDRESS: yI17 /e,n S+ A C ? . LOT: l b BLOCK: -3 SUBD.lP.I.D. #: PROPERTY OWNER Name: Z?LE.(, I),4 VCr Phone #: Last First Street Addiess: C(ty $S8t0: ,'0141 CONTRACTOR n Street Address: I12-? ell License # Zip: ARCHITECT/ ENGINEER Company: Phone Registration #: Company: e4CL Phone #: d s7" S??/,SJI City State: i'%/t/ Zip: SS Street City State: Sewer 8 water licensed piumber (new construction only): and lot change is requested once permk is issued. I hereby acknawledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received -4 Yes _ No Penalty applies when address ehang Zip: ?S/ ZZ agree to comply with all applicabl JL 21 Tree Preservation Plan Received Yes No Not OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dweiling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = piex WORK TYPE P( 31 New ? 33 Afterations O 32 Addition ? 34 Repair ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi RepaidRem. 17 Swim Pool ? 13 Garage/Accessory 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowahle) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code O Census Bldg Census Unit O Building ? Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City 5AC Water Conn. Water Meter Acct. Deposit SNV Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: °k SAC 4c SAC Units --- Valuation: $ 5???? A, 1991 SUI ?lqqLt I cirx oF sncaN ISEP s p ?; • SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 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 CALCULATTONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY GALCUTATIONS 1 SET OF ENERGY CALCS ` # OF RENTAL UNITS # OF FOR SALE UNITS PENALT7t APPLIES SiiiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MI]ST DESI6IVATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS I5SUED. ! YROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: G&L, Pit4,??, Valuation: 1081 000 Site Address Y//r/ OF Lot J, ff Block S Parcel/Sub -rmre" P(?? Owner Address City/Zip Code Phone Contractor Address 7?? ?zy-??'trry- City/Zip Code rjQ1&/j7} /ty, 5f?j213 Phone Li 'v``G Arch./Engr. Address City/Zip Code Phone # Date: Occupancy R-3 M-I Zoning fZ-1 Actual Const V_N Allowable V-N # of stoxies Z ?? %"T Length 5! - Depth ar) 0' S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water L/ PRV _ Booster Pump _ APPROOALS _ Planner _ Council Bldg. Off. /O/9/fK Variance FEES Bldg. Permit fo6$,C>O Surcharge 5 100 Plan Review y3q,oa SAC, City 100,00 SAC, MWCC ( 5D, 00 Water Lonn. 10.00 Water Meter s,CD Acct. Deposit 30,00 S/w Permit 39,00 S/W Surcharge ISn Treatment Pl. 2 e,.b0 Road Unit 37o,o Park Ded. Trai1 Ded. Copies SIIBTOTAL Penaltg Lot Change TOTAL 31-2 I,+ ,60 Sewer a ter Licensed Contr. 14G. f'b??'r?ili agrees that all wosk shall be done in accordsnce with Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ._ ? Coa,a.a wE ? u 2y -- y?o yLiIx?Si G6/s ?SMT, z3 ?c 31 = 713 IX7; ? Z X II%t= Z3 ??2X(o-_ ?? K2 = 3 SzZ?iy= 115?? , IST FLoop, SSW, T - 5s 2Z B " = 1 (IV 13 A? (2, ?-- ?5D x 53 l ?SbS°? Z?.?v F,?„? ? Z5x al? '1nS I k -7 ? 7 I?VIx K = N6 / 82 ? XS"3 = y 3???sy /0-71 os-7 o'< 10 gioaD 4t, .i PERMIr # ? cirr oF EAcAN 1992 BUILDING PERMIT APPLICATION ? 681-4675 I l?? APR d 0 REOP SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of arch9tectural & structural plans, 1 set of specifications, 1 copy of eAergy calcs. Penalty applies when typinl? 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 Yatuation of work Site Address: q117 STREET STE M Tenant Hame: 2/,E G??r r ? cK Lo eLo r Descri tion of work: T-e1, The aUplicant is: (B Owner ? Contractor ? Other coescr;be) Name C746 il7 Phone Prnperty LAST F1RST Owner Address yII 7?£N?9 yL UNj /N//9 - STREET STE N City Statell'tl Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Et1gi112ef Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two daysRonce 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. , f, e, "v `" `?=r Signature of Applicant: L ?` BUILDING PERMIT TYPE O 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish 0 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool O 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ?OS Deck 0 12 Comn./Ind. WOR K TYPE ? 31 New ? 34 Repatr ? 37 Demolisfi ? 32 Addition D 35 Tenant Finish ? 99 Undefined ? 33 Atterations ? 36 Move - GENERAL INFORMATION Const. (Actual) Basement sq. ft. (A1Towable) lst F1. sq. ft. UBC Occupancy K- 3 2nd F1. sq. ft. Zaning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth RkA On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPEC710NS ? Site ? Nallboard ,9 Footing PL Final ? f ? 13 Public fac. ? 14 Agricultural ? 15 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code ? SAC Code Assessments ? Framing O Insulatian ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/YI Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatu.s;m: sac x SAC Units CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 . PHONE (612) 454 8100 --------------- ----- -----4 --"------------------------------------' WORK DESCRIPTION NEW CONST ? ADD ON REPAIR _ OWNER NAME: ?(i-reL S% r9 C?OT ?2G S SITE ADDRESS: L(f/-7 LOT: tq BLOCK 3 SUBD. 57Agf%°1tD PtftcIE:_ INSTALLER: Burnsvllle Meating & A/C, Inc. ADDRESS: 12481 RhodE Island Ave. So. Savage, MN 55378-1122 C I TY : 894•000P: PHONE # DWELLINGS & ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 0 ADDITIONAL 50 M BTU .00 GAS OUTLETS - MINIMUM 34 3.00 OF 1 PER PERMIT SUBTOTAL: $33. ?'a STATE SURCHARGE: .50 ? TOTAL: $37 SIGNATURE OF PERMITTEE ?OMC4EI?CIl?Iyt?NAi?STRSAL:PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------------------------------------------------------- ------------ CONTRACT PRICE: OWNER NAME: STTE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CTTY: ZIP: PHONE #: FOR: FOR CITY USE ONLY YERMIT # RECEIPT # 0.3?350 DATE: /O S 5/ ? 5-6? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. FEES FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) $ CIT'Y OF EAGAN l: CITY OF EAGAI3 FOR CITY USE ONLY 3830 PILOT KNOS ROAD EAGAN, MN 55122 PERMIT # y? PHONE: (612) 454-8100 RECEIPT # ??? (.J pY????t?;???? DATE: O PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. DWELLINGS & WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: Dm/y., SITE ADDRESS: '"1'II / P11?1 LAT:/ 9 BLOCK 3 SUBD INSTALLER: ADDRESS COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 1 SHOWER 3.00 ? WATER CLOSET 3.00 ? ? BATH TUB 3.00 ? v 3 LAVATORY 3.00 ? t KITCHEN SINK 3.00 / IAUNDRY TRAY, 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 1 FLOOR DRAIN 3.00 ? GAS PIPING OUT. ? (MINIMtJM - 1) 3.00 ? _3 ROUGH OPENINGS 1.50 4_S47 OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 TOTAL: ?t3PllfEttGiAL?TFIDI?TR?A?:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIM[JM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ (SIGNATORE) CITY OF EAGAN CITY: ZIP: ? ?i iU.RVZY4R'S CERTIFICATE MIT7ELSTAED7 BRUS, CONST. 913 7 p NNSYLVAWIA qV „e, N N 00 ? ?se 9ie.e 4 2 r 35. 0_ (9K?9)i i ? 3 °-i s? aTEOr'co`r? ? ? ? pry EMdI 1 EIfV,. OIaAf? I ? ?• -1618- -glg 8) ?? ?i4". $? p ?' . YIi2 ` - ORCH , y 19.67 IN.... _ 7 ?2.15 / m A R ? I / wg M N N j . PHOV SE? ? A °° z 16 / ? 917,5 I 7V. ` ? 0 2 12.5 5 917.4 I?l ?? plB.T ? ?J 1 4 ? _ 1 ., I ? I LOT 18 t: ? ORAINAGE 0 UTILITY EASEMENT PEH pLA 1 5 ??\ ? 19Z.0.1 ? ? n L 148 i ,?.5?o.?Y .r ^'? U.?,1 li ._??? NOTE:. BUILOING qMQ1910NS SHOWN ARE ATIO ?'ZOlTiMICT? yINIEp?ONLY? 9EE- ARCNITCtt?. iLAlp ?OR BUIL6iNG 8 f0UH0ATfOH DIM[NlIONS. + DENOTES PROPOSEb SURFACE DRqINAGE O DENOTES IRON MONUMENT 5ET • DENOTES IRON MONUMENT FOUND X000.0 DENdTES EXISTING ELEVATION (OOQ.O) DENOTES PROPOSED ELEVATION N 918-e . . aie.o 0 j7Q- r- BEMM MARN YI? , TOP OF VIP[ ELlV.=41p.10 N OD z • 819.1 I I I h h ? I h 19( 5 ? n /(9ZJ•S) _ _. .. . Ih NOTE: NO SPECIFIC 9D1.4 INV[9TIOATION NAS B[EN OOMRWM OM TNS LOT OY TIIE lIIR49r011. fNE SUITAl1.7TY D/ =O".lq S{Mqlf THE lOCMIC NOVlR A110r0nP 14 NdT 71E IILIPONlAL,RY OF 7NE SU114VOl1. SCALE: 1 INCH - 30 FEET PROPOSED GARAdE FLOOR - q/q. l FEET PRUPOSED LOWEST FLOOR - 4) /1 . q- FEET PROPOSEb TOP OF BLUCK - 919 S FEET WE HEREBY CERTIFY TO MITTEISTAEDT BROS. CONST. THAT 7HIS IS A TRUE AND CORRECT REPHESENTA'fiUN OF A SURVEY OF THE BOUI+fDARI£S OF: LOT Is, BLOCK 3, STAFFORD PLACE.ACCORDING TU THE RFCOROEb PLQT THEREaF, DAKOTA COlMU17,MINNESOTA IT DOES NOT PURPbRT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SUHVEYED BY ME OR UNDER MY DIRECT SUPERVISiON THIS 25TtA DAY OF SEPT. .1991. raorMa oRAMs sHoew wvW rAfceM wiey tMt on+wM. auw? a ciaswN arrwa? }+? ? ?rwroeo PucE, ?MI? VI' MEOUINO ENCMRlROW, LAST DAIED 8-31•67 HlLL, iplC. SIGN;MINNESOTA ME ? HN C, IARSON, LAND SURVEYOR LICENSE NUMBER 19828 F ? ? ?CD tD ? T ? cD LI) D ? r m (D L" ; Ui b D ?? o o ? . m T m ? o? m I ? 1 l ? ? L James R. Hill, inc. P! ANivERS / ENGINEERS / SURVEYORS 2600 W. CTY. R0. 42 • BURNSVIILE, MN. 55337 a 612-890-6044 . ? " .?EYOR'S GERTIFICATE MIT7ELSTAEDT BROS. CONST. ?NNSYLVANIA VPe.? ao 15o a \ w"r`?J'r? aia_?_QR a?e.e ?G ?• 35.00 - r ..?6 91B.B ? ? 01 ? (9fs•4)i i ° `i ' 816.0 {(p ? OpICX NANN t`1 ' PRO S p?U J ior or rIrc DRNEM9IY 1 fl[v.• slaa7?_ +-' _ _ PORCH • 167 ??' BENM NaflK U' . Y ?W YIaO 1 f.2 ? ? a MI9.67 Iry j_7. TOP O/ IVL _ l2,16 ?'Q ' ?•. 6LEY.=910.10 ?wy ;??. n e. r?R ro? dM N p: IDD ; / N h z 16. q 25 R 12.5 z 911.7s ?- '!G , 0 en 91e.7 910.1 -i ? W m C ? ? t2.?? ? ? --?/Q3) ? ? I_0T ?"' i! cn a ?. ? .•_ ? ? n .?c,. °a „x?? o cn 4'd ` LOT I F? '= ? f.?? ; . ' Lr?`UFAINAGE 9 UTI LIIY . EASEMENT PER F'LAT? ? +?5?s:/li?,: .p.tJ.?sl?`lat:.4(j?•-I?,..•:,: ???- I9ZO,?). - .-?\ n /(92J.5) w ' - ^-_ vzo.i ? 7148 ? ?-S9023 2T W17220.0 ?Nj 13 ? NOTE:. BUILOINC pNEN910NS SHOWN ARE` `, I NOTE: NO SPECIFIC 9P1.S INVEiT10AT10N r+pR MOIMtONfAL •yp? TIGU. LAC- NAS BlLN aOMrl.l1'? ON TN{ ATIOH OF 3TMICTINK ONIY, BEE LOT OY THE OUIIVRVWI. 7ME prCNI1LG7U TtO?, Ylµ! 1pq BUItbING SUITA01.iTY 0/ lOK.s• TO NRPd1f 6 FOUAAN ONA[NlIONS. T? ?? ?N 01110100D 13 '00---- DENOTES PROPOSEO SUHFACE DRAINAGE 7HE suiTiv?tra?N??Y ? O DENOTES IHON MONUMENT SET S(:AIE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUNU PROPOSED GARAOE FLOOR - 9/9-t FEEf X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWES7 FL.OOR - 9 II . + FEET (000.0) DENOTES PROPOSED ELEVATION PROPQSED TOP UF BLUCK - 9l 9 S FEET WE HEREBY CERTIFY TO MITTELSTAEDT 9ROS. CONST. iHAT THiS IS A TRUE AND CORRECT REPHESENTATIUN OF A SURVEY OF iHE BOUtJUAf11ES OF. LOT Ie, BLOCK 3, S7AFFORD PLACE,ACCORDING TO THE RECOROED PLAT THEREOF, DAKOTA COUN1'Yl MINNE50TA 17 DOES NOT PIJRPOAT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25Tt1 UAY OF SEPT. .1991. nFAraoco auaES sHowa wtft rPxeH rMM rnE MuoiNa,aRAWAGE seeaswr+ pM1'??R??1MIJ1M IOq • iTA/Ri110 rl.AtE , ??p M HEOtJ1N0 ENYM4CRM?0, LAST DAIFD 8-31•9T FIILL, INC. r ? JOHN C. LARSON, LAND SURYEYUR MINNESc7TA LICENSE NUM9EFt 19828 James R. Hill, inC. PLAPJIvERS / ENGINEERS / SURVEI(ORS 250U W. CTY. ft0. 42,o 9URNSVH_lE, MW. 66337 • 6t2-680-e044 SURVEYQR'S CERTIFICATE MITTELSTAEDT BROS. CONST. 915.7 } NPlSYL IA qV??V 916.7 to ? N 'Ra 150 A n l ?COF ?prE f !L[V,• l16A1_?_ ? W 9145 ?n ? 2:1 .r 2 X (ID Z 917.5 4_?J I 1.1 ? t0 ? LOT ' -' 'ADRaiNA( ? 5 1 IEASEME ' 18 ? I p UTiLITY ? PER pLAT? f 5 1 J I? /9200 % in L . --A\ 1 n ^_ 920.1 ? 'T??tO t.??yC r_\/I L_L/I 13 NOTE:. BUILOING OIIAENSIOHS SHOWN ARE RON f10l112qITAl ti VEATlCAL LAC- AT10N OF fT1111C71M1E ONLY. 96E - AKNIIfGt? PLAIp 10R BUtLUiNG 9 fIX1NDATfOH OIM[MsIONS. +--- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENQTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATIbN ? h O ti . r ? ;-; ?? ; ? .?•. ' ?? ' ;I ? 'L?T /C9ZV.51? .. ?.. - 1?7 NOTE: NO SP'ECIflG 9f1L111 INV{STqAT10N HnS BtlN OpMrIATrD ON TrM LOT OY THE OUIIMLM'OII. iME SUITI1oL7TY 01 lOLt, TO SAMW THE lOCMIC NOU![ AI10?Oi4 !S NOT TY! IIE;IMONlAt.RY OF 7ME SUl14Y011. SCALE:IINCH - 30 PEET PROPOSEO GARAGE FLOOR - y J9.1 FEET PROPOSEO LOWES7 FLOOR - 9 I/ + FEET PROPOSEd TOP OF BLOCK - 919 5 FEET WE HEREBY CERTIFY TO MITTELSTAEbT BROS. CONST. THAT 7HIS IS A TRUE AND CORRECT REPHESENTA710N OF A SURVEY OF THE BOUhCARtES OF; LdT 18, gLOCK 3, STAFFORD PLACElACCORDING Tl7 THE RECOROEb PLAT THERE(7F, OAKOTA COUN7Y, MINHESOTA IT DOES NdT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25TH pAY OF SEPT. .1991. P110r00E0 6MM5 91qWN Wd1E TAKEN wiey nrt aia?o+NO, aRwAGEa eiasIor, 1W?'? 1MI.AN 1?•!TAl1d11D MCE, 1??11? M NlOtJMlb ENiM[ERM?, LAST DATED 0-31-8T SIGNED• ME HILL, INC. B ' JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 18828 'D ? N ? E - m ? z 0 m ZZ ?p ? m James R. Hill, inc. p! ANivERS i ENGINEERS / SURVEYORS 2500 W. CTY. Rn. 42 * BURNSVILILE, MN. 55337 a 612-880-6044 B ?N7"t, G16A Ql?._ y7 r .7GJ.00 ` ?p ? .I p ?? ' ` 916,0 s-- I ? o?F? ? s ?,S". g) r- eENp7 MARK ?I i 6+1 8 g! S ` g) PpRCH • I67 91Y2 ? ' i B , TOP OF PIP[ M19.67 _!2.0 3? 1 ? EllV.=016.10 G A R. PROPOSEt( M e N? HOU$E ry Nr; ? I 7V_ I6` q 25 / 12.5 % Z ??S S I 8171 ( 9I07 y 819.1 ? I I I ? I I k) I 17 .*URVEYQR'S CERTIFICATE MITTELS7AED7 BROS. CONST. _ pES?SY VL ANIA qyE-~ U?„a., ?' -R416o a ? ? ? N7"G OIeA Qft2?1 35.00 - .3E ? (A q)i i 01 o ?i s KMCM M11XK TO! O! !1?E M1 DRN?? 1 1 [L[V.• OIaA7 ? I6 18- -9!b'8) PO CH 'V . ? W 91A6 ? ?- _' `r r. 91Yj 19.6 7 - 1 !2I6 1 P4 / ? jf N M G A R. 1 I ? PROPOSEd/M MOVSE W ? IOD ; N ti / Z 1 7V- 16. 4 25 ° 12.5 DIB.7 4..?J I 1.? I OD 1 LoT ie ti 1 _' "AORAINAGE 6 UTIUTY E L ASEMENT PER PLAT? a? j ' T 148 ,-.-59 - NOTE:. BUILDING OWEN910NS SHOWN ARE RON YIOlIItONTAL ayp1 T AL IAC- ATION OF 3TIIUCtIMK O?LY, SEE .. A11C111TfCTPLIAq !OR BUILUING 8 fOUNOATfOH OIIA[?qIOHS. ?--- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONt1MENT SET • DENOTESIRON MONUMENTFOUND X000.0 DENQTES EXISTINO ELEVATION (000•0) DENO?E5 PROPOSED ELEVATION IV ? 0 13 n`4 m BENM MARII ? f- TOP 01 VIP[ ? ELFY.=91l.10 in 3 ? N e : z ? 918.1 I L0I I ? c h 1 ~ v...3 *?,w qk, r .?_.:?. .? n /(92t?.5) i 1 :;'?.C t';•?!a L i`:i j r- I ,. . i h NOTE' NO SVECIflC 901.5 IMIR9TIOATION NAS gaH opMrl.l1'W ON TW LtrT OV THE lU11MLY011• TME SUITA,01,7TY 0F SOL!• 1n VJR!'dK THE lrECNMC M(N!!L IMIDM'0M Is NoT TF1! ??ONlMITY OF 7HE SUItJEY011• SCALE:IINCH - 30 FEET PROPOSED GARAOE FLOOR - 9194 FEET PROPOSED LOWEST FLOOR - 9 I/4- FEEf PROPOSED TOP QF BLOCK - 17115 FEEi WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPfiESENTATIUN UF A SURYEY OF THE BOUNDARt.`.S OF: LOT IEi, gLOCK 3, STAFFORD PLAGE,ACCORDiNG TO TNE RECORpED PLAT Tt1EREpF.DAKpTA COtXNTY,MINNES4TA I7 DOES NOT PURPdpT TO SHOW IMPROVEMENTS OR ENCFOACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 25T11 DAY OF SEPT. , 1991. pOCOMp qqpEg gHOyW WE7tE T+YtEM FMy THE pMAp?/p, p11MNME O EKISION OMII?? !M1M lO11 • fr*RM11D R.AtE, ??q /r HEDUMIO EMWI?[RMrO, LAST DAlEO !-31•87 . HILL, INC. JOHN C. LARSON, U1ND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. p,..ANfVERS / ENGINEERS / SURVEYORS 2500 W. CTY. R4. 42 0 BUHNSVIILE, MN. 55337 • 612-890-6044 PERMIT City of Eagan Permit Type:Building Permit Number:EA117931 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 4117 Pennsylvania Ave Lot:18 Block: 3 Addition: Stafford Place PID:10-72500-03-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David Ziegler 4117 Pennsylvania Ave Eagan MN 55123 (651) 686-8371 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143281 Date Issued:06/09/2017 Permit Category:ePermit Site Address: 4117 Pennsylvania Ave Lot:18 Block: 3 Addition: Stafford Place PID:10-72500-03-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David Ziegler 4117 Pennsylvania Ave Eagan MN 55123 (651) 686-8371 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature For it /ss�'� IL_-- e � < o / I Permit / 1 .%.„,.-_'6_.., ,./___. -: EAGAN -. I VE Permit Fee: !..1=741. 4 4'- _ E-19 -/ Cate Received:. 3830 PILOT KNOB ROADEAGAN,MN 55122-1810 4. (651)675-5675(TDD:(651)454-8535 I FAX:(651)675-569i'lli MAY 0 8 ( Staff buildinctinspections(C7citvofeaaan.com L BY: 210108 RESIDENTIAL BUILDING PERNW1AP�PLICATION Date: 5—1—I / Site Addrress: 1F I 1 / !•-t1/�5 I van/ T7 V C, Unite: adu d ZLQ ff ,,,�S1T Name: � � � PhOnm#Y "'�vy'cT/ / Resident/ ( —t CCC��rrr Klan • --- Javmer- I Address l City/:Zip: 4 1 1 1. Prom c]tt K V an r a J i 'V e.. I I Applicant is: _Owner 1� Contractor/ �1'"I `j"�'(9 Ic-4 (7/'3rC C- a I. : Description of work:SOI W rrc i. 1�I Type of Work (�, I �'7�', 1 Construction Cost -[ I SU' Multi-Family Building:(Yes_/No1 tCompanAcLlGlJQZ7;1A,d4: . (�C't�ta�t [ " Ur L,�J (/ �? a Contractor Address:r;o33S U S hw /o'` City: /��. £'d • 1 Stat Zip: 65355 Phone:: � OI�JEmaiL• TDA�e Al'ft'hlegi l-e--) License#.6 c Yeo 9J9 Lead Certificate 1::,v 71466?�'9 A If the project is exempt from lead certification,please explain why: i I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI .e • _ '. '• In the last 12 • • gas the City of Eagan issued a permit for a similar plan base• - master plan? k Yes _No If yes,date and a•• - • ter plan: S Licensed Plumber Phone: • t Mechanical Contractor: Phone: i i Sewer&Water Co - •r Phone; • Fire - .pression Contractor. Phone; i • NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public ivide specific reasons that would permit the City to conclude that they are bade secrets. _ t You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.ciityofealan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOu OM. Call Gopher State One Call at(651)45x-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.oppheistateonecalI.ore I hereby acknowledge that this information is complete and accurate:that the work will be in conformance with the ordinances and codes of the City of Eagan:that I understand this is not a permit, but only an application for a permit,and work Is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x eh,-I 7v?8 Ste, , x Applicant's Printed Name Applicant's Signature • C/ 'd Z9tiE '9N wd90:5 6l01 'L 'A'41 DO NOT WRITE BELOW THIS LINE LP/ -Pe71 6 cc/ /t/ r'1;A AV( . / -e(2 1 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 7Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior t) Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �r Valuation .-Pi j0O8 Occupancy 312 I MCES System Plan Review Code Edition %n n Zo I c SAC Units (25%_ 100%e ) Zoning 1Z -) City Water Census Code - Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _ Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / 0 iYI /3/1 ; I' (14- , Building Inspector RESIDENTIAL FEES Base Fee F l ,4T' Fee_ Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies L/X . X4' TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA173028 Date Issued:10/26/2021 Permit Category:ePermit Site Address: 4117 Pennsylvania Ave Lot:18 Block: 3 Addition: Stafford Place PID:10-72500-03-180 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - David Ziegler 4117 Pennsylvania Ave S Saint Paul MN 55123--158 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature