4125 Pennsylvania Ave
? CASF'i RCCE4PT . a, 0
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
_ DATE
1
RECENEO _ . l. ._ ? ? ??.. ? ( . ? _-•__ .
Ffl01A
1
AMOUNT
8 DOLLARS
? CASH 4HECK
?,OR. ? y --t1--- / ( ? 1 ? . ??
?
BY _--L . I
.`?_.
C VYhite-PaYOM CoPY
Y9llow-PosfinB CoPY
Pink-File Copy
Thank You
. . ` ? -. DATE: fi./ 19/R4
`4088 PERiQSYLVANIA AYEN[lE, L34, Bl, STAFFORD PLACB
RE: 4119S PFNN4Yi.VAN7 A AVRNi1R _ Ll 7, B3, STAFFOSD PLACE
4087 VERMONT AVENUE, L19. $4, STAFFORD PLACE
xx_ Your Sewer & Water Permit for the above property has been completed. It will be held at the
fPublic Works Garage (3501 Coachman Road) until the meter is pidced up. BE SURE TO
? CALL PUBLIC WORKS (454-5220) FOR YOUR PEAMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
i reasons:
„
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
? be Issued or occupancy allowed untll further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY.
Secretary, Building Inspections Dept.
; . `. • CITY OF EAGAN
•-? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for ' DWGfG/1.R Est. Value $75,
Site Address 4,5 pENtiS'sZVANIA A1tE
Lot >> Block } SeclSub. STA"M PI.ACE
Parcel No.
¢ Name :'RON'i'IER 1%.11' 97 i±CIMS
W
? Address 34:Q2 CEDt?aVAt?. ??I
City Phone 454»0433
, o Name
coj ? Address
City Phone
?
WW Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correCt and agre8 to Comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. i
Signature of Pertnitee
A Building Permit is issued to: t t'4id'fliiR H5 Ala'gST HOWES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building
Receipt #
OFFlC E USE ONLY
Oocupancy FEES
zornnq
(Aqual) Const V ? Bldg. Permit --D2-00
(Albwable) Surcharge 38-w
# of Stories _
Lenglh ?! Plan Review 2000
Depth SAC. City ADD-W
S.F. Total SAC, MCWCC 31SM
S.F. Foolprints -
On Site Sewage _ Water Conn 580•00
On Site Well - Water Meter 90•00
MWCC System xx ?
?
Water
City ?
.
Acct. Deposit
2
PRV Required - S/W Permit Moo
Booster Pump S-W SurCharge ?• W
Treatment PI 228•00
APPROVALS Road Unit ??t 00
Planner - park Ded.
Cauncil -
&dg.Off. _ Copies
Variance - TOTAL 2, WO• l?u
Permit No. Permit Holder Date Telephone #
WATZR
SEWER ?
PLUMBING
H.V.A.C. aC
ELEcTaic
Inspecdon Date Insp. Comments
Footings I
Foundation
Framing
Roofin9 7 `
Rou9h PIb9• . ; `. l.
Rough Htg. ? /9 ? ?
ls,l.
Fireplace
Fnal ms.
Final Pibg. •? ?
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bldg. Final ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
MECHANICAL PERMIT
CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address 4115 1=8VJ=
Lot 17 glock 3
m Name WWrAvarA' nreiruvu °' A
? Address 1955 Shawnee Road
? City Eagan
Phone
Name rA,t1'1.tt Lu71
L
3 Address 39OB Sib1eY t
0 City facsan
TYPE OF WORK
Forced Air 80 - 000 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL•
PERMIT # x/& ?" -
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. ? New xx Mult Add-on
Comm. Repair
Other
FEES
HVAC 0-100 M BTU
RES
-$24
00
.
ADDITIONAL 50 M BTU .
- 6.00
3 (RES. HVAC INCLUDES A/C ON NE1N
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEfiiVll'n
- 1
50 EA
00
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON S
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
50 S/C IF PERMIT PRICE GOES
(ADD $ - .50
.
BEYOND $1,000)
.SQ
SIGNATURE OF PERMITTEE
.Ou
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 454-8100
Site Address !?z?
Lot , rf Block
m Name
? Addre
c City ?
? Name
3 Addre
0 C'ty ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BIDGS - 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 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGN?I R?O?PERMITTf?E.??
FOR: CITY OF EAGAN
PERMIT ti
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New `
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES O L
water Closet - $3 00 .
Bath Tubs - $3.00
4 Lavatory - $3.00
Shower - $3.00
EKitchen Sink - $3.00
Urinali8idet - $3.00
Z:Laundry Tray - $3.00
Floor Orains - $1.50 r
Water Heater - $1 50
Whirlpool - $3.00
Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PER PERMI7)
Saftener - $5.00
Well - S10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ,0
STATE SfC: SD
GRAND TOTAL: 32'sp
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. • ?'?'
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
? ?. ; I N
SI i?I t
s
PERMIT`SUBTYPE: TYPE OF WORK:
` ?S Ga.? JV vTC S '?`
)NSPECTJON
X DA • DA
3
F-
r__ - ?
L
Permtt No. PermR Holder Dete Telephone N
S/W
PLUMBING '
HVAC
EIECTRIC
ELECTRIC
Inspection Date Insp. Comments
Faat+ngs 4 '
Foundation
Framing
Rooffng
Raugh Plbg. ?
Rough Htg.
Isul. ca./
Firaplace ,
Final Htg. r-
L - 2
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engc/Plan
Bldg. Final
Deck Ftg. IJ 751,
Oeck Final
We11
r. Disp.
P
r
,10
k
S. V. * `4
(9rdifiratr of COrr?panry
Citp of eagan
Drparritten# of iuilbing insprrtion
This Certifecate 1'ssued pursuant 1o the requirements of Section 306 of the Uniform Buildrng
Code certifying that at the dme of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
ux cufiqaoo ST, ?',/GAR ewg. Penn;t rro. 16663
oaupancy rype R3/141 yo,,;,,g M,ricy RI Typx Cmst, VN
Owner of Buddingtpa= Address 3902 ???E DR. EAGAN
eM,a; ?a? 4125 V A`lE. ?,,;?, L17 , B3, STAF??dRD Pf?E
/
o„e: AUGUST 21. 1989
l s?iiaig offip.l
? POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
k?
OFFICE USE ONLY
PERMIT DATE r-, " 1918 1'
WATER PEFMIT # 3i?5117 SEWER PERMIT #
METER # JJa '4 70 1 -55- B.P. RECEIPT # C 2 554
RE?kDEFP# B.P. RECEIP7 DATE ??.L$9
IZE '
S
e)'METEF
ISSUE DATE a.?1 , cia - PRV _. BOOSTER PUMP
: ADDRESS L E3gc3t1,_MlL?
? j ?LOCK - SEC/SUB L-7` ? 21 ACr
GANT: ?'ri±rti-er-ee s .aiiest Hrl,g;eF? =er:
ESS: ?`_-,?: r,?.Z.,•??,??".
STATE Z1P
IE: ., 'i .. „
F3tFi:
IESS: "r94T9 -?Hohnv?S'-a'r-iF1gS 4'^'" -
STATE ? IgGp,jnQ%op, t4i.s ZIP
IE: 884-4144
:R: Nelson, Richard and Jar(IUelli?o
: PERMIT REQUESTED
.'
- SEWER WATER _ TAPS
- COMMIIND `-? RESIDENTIAL
- NEW - EXISTING
I AGREE TO COMPLY. WITH CITY OF
EAGAN ORDINANCES:
ESS: 3475 Gb:fVi-,,y ???•?^, g?N?H T7To ISSUED
STATE '-73qd11 , ZIP
E:
5E ALLOW TWO WORKING DAYS FOR PROCESSiNG. FOH STORM SEWER PERMITS, CONTACT
DEPT.
iEERIN?
?
ER & WATER PERMIT
QF EAGAN
Pilot Knob Rd.
Box 21199
n, MN 55121
?
OFFICE USE ONLY
r
PERMITDATE 6/19/?3y
WATER PERMiT # 10532 SEWEA PERMIT #
METER # B.P. RECEIPT # C 2554
READER # B.P. RECEIPT DATE o 119 / 89
METER SIZE
ISSUE DATE - PFiV - BOOSTER PUMP
:ADDRESSLi' .:?.lZ'd AN2 Fa.q3ri,
17 RLOCK ' SECrSUB `;-TAFF(1Rf] Pt A;:E
?
J'CANT:
RESS:
,STATE ????+ ??N ZIP 5",-=
NE: 54-04.33
ft
, STATE 9] nnenf cnn !. ,;-y?^! ZIP !7?426I
VE: 884-41.4c
:R; riulson, Richard anc; Ja.q;.:aline
ESS: 3475 Golfiv'l:w P.-,
S7ATE cagan, '?? ? ZIP 5123
?. 5 - ?,
/PERMIT REOUESTED
% ,.
' SEWER WATER _ TAPS
- COMMiiND RESIDENTIAL
?.
?NEW ,- EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
/-
Y
SIGNATIlRE W4iEN METER ISSIlED
ASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
INEERING DEPT.
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
To be used far SF DWG/GAR
Est. Value
76,000
Site Address 4125 PENNSYLVANIA AVE
Lot 17 Block 3 SeGSub. STAFFORD PLACE
Parcel No.
w Name FRON TIER MIDWEST HOMES
o Address 3902 CEDARVALE DR
City EAGA N Phone 454-0433
a Name S?
io
?g
Address
? City Phone
?
?w
Name
W
X ;
Address
aw Ciry Phone
I hereby acknowlege that I have read this application and sfate that the
infoimation is correct and agree ro comply with all plicable State of
Minnesota Statutes and Ci of ? Ordi ces.
h' 9
Signature of Permitee ?__
A euilding Permit is issued to: FRONTIER MIDWEST HOMES
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 Olficial
N° 16663
Receipt # C, ?4
Date .IUNNF. 16 , 19$2_
OFFICE USE ONLY
Occupancy R- 3 -X--]. FEES
Zoning R-1
(AC1uap Const V-N Bltlg. Permit 532.00
(Allowable) V-N
Surcharge 38.00
#otStories
Length -
40_'
Plan Reviaw 266.00
oepth 4-8' SaQ Ciry 1 (10.00
S.F.TOWI - SAC,MCWCC 575.O0
S.F. Foolprinls -
on Site Sewaga _ Water Conn 580. 00
On Site Well - Water Mater 90.00
MWCC System xL 30
00
City Water ?C7C Acct. Oeposit .
PRV Required _ SNJ Permit 20•00
Booster Pump - SiW Surcharge 1.00
Treatmenl PI 228, 00
APPROVALS Road Unit 340, 00
Planner - park Ded.
Council
BIdg.OH. _ Copias
Variance - TOTAL 2,800.00
BLDG. PE
,+ 1 -1
01-3210
. ?
? 01-3422
01-3445
p, 013446
1-2155
Vr) 5-3860
? 20-2275
20-3865
? 20-3868
20-3716
20-2252
20-3713
? 20-3743
79-3866
28-3655
NO
1 c-P (f c?, 3
Bldg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
a fo co czr-
?
G o I cc;
OQ
.
TOTAL
?/ac/89'""%, 9a3a?c
GF 25248--i7 3 ? 0,5"1
Request Date Flre No. ugMn Inspection
uiretl7
? Reatly Now?ill NotHylnspeclor
Yes ? No When Reatly?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltl?ess (Shee?, or q No.) Cfy
![/!?
Sectian o. Townahip Name w N. Rarge No. Counry
Occupant (PqIN?E
%?r? Phone No.?D 5-3
Power Supplier
Eleciricel Con or (Com Neme)
. Contraclor5 License No.
W 3ye
Meilirg AOtlreas (COn r or Ovmer Meking Installation)
0'V jqq4l
AutMnzed SignaWre (CO t c[or/Ow M kirg InstalleXOn)
? PM1Ong 1Wmber
TY ?IC
MINNESOTA 3TATE BOAPD OF ELEC7RICffY THIS INSPECTION REqUEST WILL NOT
OriggaMitlway BMg. - Hoom 5-173 BE ACCEPTED BY THE STA7E BOARD
/821 UniversMy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Poone (611) 62-0800 ENCLOSEO.
RL ST FOR ELECTRICAL INSPECTION ?- ee410001o7
/ ? sea?it;lbns br mmpleting Ihis brm on beck of yellow copg
25 2 ? 4 $ X" Below Work Covered by This Request
e A ej51 - TypeotBuilding AppliancesWired EquipmentWired
Homa Fange Temporary Service
Duplez Water Heater Eledric Heating
Apt. BuiMing Dryer Other (Specify)
Comm.llndustrial Furnace
Fartn Air Conditioner
Olher (speciy) Caniraclor5 Femerks:
Compute Inspection Fee Be/aw:
# Other Fee # ServiceEntranceSize Fea # Circuits/Feeders FaK+
Swimming Pool 0 to 200 Amps 0 tojQA Amps
Transtormers Above 200 _ Amps Dove 100Amps
Signs ' Inspeclor8 Use Ony: ? 6 ? Tp7p? ?
Irrigation eooms J J ,? j
Special Inspection
AIarMCommunication r
Olher Fee
I, the Electrical inspector, hereby RouBh-In r oa ?Q
certify that the above inspection has
been mada. F;,,al oac
OFFlCE USE ONLY
This request voitl 19 rtronms Irom
"O'b 50 ? I!f lS. 5?
2007 RESIDENTIAL PLUMBING PeRnniT aPPLicArioN
CITY OF EAGAN ? E(? EME D
3830 PILOT KNOB ROAD, EAGAN MN 55122 ?
651-675-5675 OCT 1 5 2007
Rlease complete for modifications to existing residential dwellings. Do nof combine inside and outside
piambin on the same a lication; separate a lications and permits are re uired.
Date ? b / I l ! O f
_
I
??,I^
Site Street Address 9,5 P?X1rY??lUU1.-Q- 1?-?- Unit#
Property Owner fiJA3Lk_ Telephone # ((9jI)
Contractor Telephone # ( )
Address City State Zip
The Applicant is: v Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Peras-built $ 70.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumhin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installeng onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
? Water Softener Water Heater ? $ 15.00
V? new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
5tate Surcharge $ 50
Total $15,00
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and axurate; that the work will be
in conformance with the ordinances and codes of the Cily of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a pettnit, work is not to start without a permit and work will be in accordance with the approved plan in the event
a plan is required to be reviewed and approved. .
?Iltw WO..u,wv- L6k!k?
Applican 's Print Name Appli `a` Ys i n re
J
1989 BUILDI9G PSBlIIS 6PPLIC9T206 - CT1T OF BAGAN
SIIQGLE FAMII.Y DiiELLIlY63
1104(05
INCLODE 2 SETS OF PLANSt 2 CERTIFICATES OF SITRVEYo 1 SET OF ENERGY CALCQLATIONS
Y ?
HO?8s ADDHESSES FOB WFNSH LOY" - CONTHAClOR/BONEOWNSB MUST IESIGBATS flHICE ADDBffiS
IS DESI9ED. HO CHANGES ifILL HE ALLOWSD 09C& HIIII.DING PBffidIT 13 ISSUED.
MQI.TIPLS DWELLI6GS HSNiAL OBITS FO@ SALS U9IlS t OF OBT18
INCLODE 2 SETS OF PLANS, CSRTIFICATE 01? 3U8oEY - CH6CB iiTPH BLDfi. DEPY., 1 SEf OF ENERGY
CALCQLATIONS
caMMEacILL
INCLODE 2 SETS OF AACHITECTURAL 6 STROCTURAL PL9NS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCQLATIONS
,005 600 0 I
To Be Used For: new construction Valuation:-$63?M5?? Date: lo '??U ?
Site 9ddress 4125 Pennsylvania Ave Eagan, OFFICfi USTs ON[.Y
Lot 17 Bloek 3
Pareel/Sub Stafford Place
Owner Nelson, Richard and JacQUeline
Addreas3475 Golfview DR.
City/Zip Code Eagan, MN 55123
Phone 454-5148
Contractor Frontier Midest Homes Corp.
Address 3902 Cedarvale Dr.
City/Zip Code Eagan, MN 55122
Phone 454-0433
Arch,/Engr, Dick Charlier
9ddress 14103 Gardenview Dr.
City/Zip Code Apple Valley, MN 55124
Phone # 432-5492
Oecupaney '3 /v!-/
Zoning / _
Actuai Const I/Ay
Alloyrable Ay
JC
+R of atoriea ,
_
_
Length ? O
Depth
S.F. Total
Footprint S.F.
On site ses+age
On site well
MWCC Syatem ?
City rrater ?
PRV required _
Hooster Pump _
1PPBOPAI.S
Plamer
Couneil
Bldg. OPf .
VarianQe
Couneil
F&$3
Bidg. Permit ?3Z
Sureharge _? 1?
Plan Review 26 6
SSCt City /p 0
3AC, MHCC S?%S
Water Conn 5 8a
Aater Keter 7o
Acet. Deposit 30
5/N Permit zo
S/W Surcharge /
Treatment P1. z z
Road Dnit 3 y?
Park Ded.
Copies
TO'!AL ?
- S? W ?
?6 ?I 4
BOTSs 3ewer 8 Aater Permit fees and aooount depoait feea will be included in the building
permit fee. Proceasing time for aever and xater permits is txo days onoe a lioeneed
plumber hsa applied for a permit at City Hall.
? 4 I"
-
a'?' ????-?s =
Qs h, t-
/o k /?/ ?
???4 /N
`?._?"? -? a ?
Jlzo ?? ?V?/ ?
/ 3?z?a
S? ?/oo
??l p b
. M
4- .
•1 . .
1 ?l
;
E;Tc3?"R EYVE:O?c H'lERAG? "U" COMPUi?TiON
aWriER
SITE ADDRESS
Ce*_ernine working square footage af each.
Total exposzd wa71 area above floor = SL2 ??,(aCo
?HVn cxt?a??.
KmeeWalt 7- x4•
CON7RACTOR FRONTIER MIDWEST HOMES CORP. DAT"e PNOYE
1. Total exposed wall ares . ... .? Z 88_?? sq. ft. x .il s?
2. Total roofl/cziling area . ... I OS F3 sq. ft. x
J
a. Total walt windaw area ........................... i 25.'-';
b. Total doar area ................................. ?'9, (?a.
c. Total slidina giass dcor 27'c'3 .................... . ya
d: Total fireplzca wall area ....... ... . ... . z18
e. Total wall framing arsa (average 1QA)............. 122$19(n
f. Total ne=.wa'.1 arna above fiaor ................. i (o5L.88 `
g. Total r;m joist area ............................ I148
Total exposed foundatian area = -1s.'53
.
h. Total Foundation windcw area.....................
i. Toal net fioundation area above arade ............ 15.'N3
Det=_r;-iine "U" value o` each wall szyment.
a. I'o25.s x 94ull ,35 = ?35
b. 3q.?a X „U„ .14P5 = t ?.83
c. y? z "u" . YS
d. 1-119 X „U" .310 = t -I.Q 8
e. X JIU„
C)
Lr• X liult
9• g lfulr.
03 = Ca 1.5_ .
h. X "U" _
X "U" .1'-1 = b.S
3 ..................................... Total
If item 93 is the same as, or less than iten >1, you hzve met the intent
of SBG 6006(c)2.
Total exposed roof/ceilina araa = I O 88
Total gross rcof/ceiling are3 =
j- Total skylignt area ...............
k. 7ota1 raof/ceiling framing area ....1??9.,,• -?
1. Tota1 net insviated roof/cei7ing arEa.......
Oeternine °U" value for each roof/c_iling segmeat.
J•
X [lug
k. IhS .9 X"U" .o Z 1 =7-17-15
X l,u-, .019 = I g, (e
.......... Tota1 = 2 .8
4 ........................
If total af wA4 is the same as, or less than A2, you have met the intent af
SSC 6006(c};.
Ta utiiized the tota7 envelope systsen method, the values-established hy the
sum of itzms 713 and 94 shall not be graatzr than the sian of items #1 and 02.
I.s,25 l,7.? + 2. 2?.ZR = c)?
3. 1?t\.o5 f 4. ZD,$r = Z11.93
MAMMIgLS Mera. Besistance "R'?
Estz:ior A:r _ 1-1
Sidi:.g :ttateri3l .42
Sheathing 3/41" 'T1+au`y- 5•
Insulat i oa SO
Sheetrock . S$
Inter3ar Air .?t
SCuds 2w .L.8?1
Rita qq
Canc. Blks.
c=r??----- .
?- 0. E'c
i. ??? ?`? ? ? ? •?7
3. z__s se:' wecd._ ' (a 87
a.
5. Stoi? G - .???
fi. Fxte ?c= a- " - • - o•_; ?
y.19-
? • , ? + ? 0-1: .
2. Iate-'-_ ai- -i- • o.sa.
2. 11 " 4'1?3D • •a?
5. ol DINC •?Z
6. ::x`= ar ai ::1 0.17
Toe.ai
air `:Im 0. 6'
? u ? ..' ? `
3« 2.X?? _s?DI57 ?•??)
5. ?0171G ? '? L.
U = :.a
- I. Znte?c= a:; :i3= 'O.G?
Cill 2. L R1G1D ? f .cc•
; 3. , .
• q, ?7' GO?lC gt..JG4C t•Z
6. Exte.:o= aY :a i m 0.17
' • To:al . ? ? ?'?.
Y'cG'C?DF
?• ? ?Ss/ll
• - rrtr . • -
rrr ° ? • '
d• ? '
? . . . •
; . . . ...=
. (!1 - , ' • /{( .
7IG. 04
tet d'• .b //l ?
.'IG. ?3 - ' • - • ?l! x xr X ?G ? («
' o ; '. ? ? -, ?- ` ? • ;,lac? - ec iascln S? ,? r?. ? c. ?
--
?
.?:? ?St oi rl'nnu?? v.ill A[cM1 !??r
• 'f:acn: con:.trvU (un
4I:
AtS.
(D
? FIC. !I1 :<A'VIUH CF
? . FIU:It HALi, ' .
, ? . ? ..J ? . • .
_R1
• ?.- --?y
. FTC. 02
C;. -----'o
4
p
. 1?r.?..}?.
J
.\IICI!
1
?
1
i
" • _I - .,
.lr
'? ?--`L +-- -
C i, • _
il'' • ?p' .?__?._.
•n' • 1••-.'?`?
, ; n ?, '.? •%•
%-"-) C) L V I ? i?+? t --
c?.??_ .t r??? ?;.,.? r._v.i ???••.
: axy R l! =usul - _ _1 i_o
.. ?i?<.E. .S{ztuc •- • ._ ._ ..._ .. _ ...ll
•--0 17
?= 058
.
1. intrilc,r_aii' !iiw
?. ?_..?._ .?.___-'?- . ? . •
4. __----'...•-... ..----'•y.--_.___.
s: .......Y._
6. Extcrior air Cili., _ f).1')
9'uLal
1. Intct-iur ,;r_fi?m ...---•--°•-?:.r,s
3. ----- - .' -----` f ?
4. _ --------•...__ ?..?._----'
---
gxtcric%r nir lilm_
- 1'atal.
1. tntci i?,c .,{r._tt.ln. ,°-•--- •-•_.n.Gn
2.
3. _,__.-,._-- ••- .. ... ._..----•'_._
5. •----?. _.
G. tl.l*l
. ---'--'----'- --'Tulal
SLV{ f7N ?:IV?I]E
I 1
•-• -(
7, I
.
ap
7
y•
L
'
G• IJ,
lY
Ir.ill
in rc't.:
cat?:
i o e?.
I yil.t:: rnc•il' . c]( uc:ul.tCinn.
1
,1
. •?.
. HL?A Q .:1
`
as Lr ?.f =.4 L F ? , ?po.?_0 tirVALL..
qo
;:ULL
?Lt M = '???o? ?' Z -r?c. = 14?
WA ! L AZE-A
t3Loct?:'? t56,?.c. K, S = 75. 3 3 ?
x 5
- - --?
?P: uLL..I : 143
t t? 7 ' t. .?
? o 0
?tH 14S
s.
..Sc?..=,=, ?x{?o5? G?? L?uC?
?- .
? w DwS ?
W6 4
, ?*}(3m? ? ZS
lv88.
D o0R,5 Ph"i 10 DP-S
?..-
?/Ji . • v ? ? ?? ??
l z5. s
. i?
. :? Cnne? , q-Va1uc
•• ?" ? 1 , 2. •I.^.t_^:o: aiS t;l=
--/?!r
;;. 1? i4U?. SD ' 6c.o
;_: (sc::;?
Tota..,. e-
?.? ' Z
. . • `\? ?t,? . - . . - • . . ,. . : ?= .o??
_ . / 1 • . ? F?? y • . . .
Intcrior air l;I= ? 0.61
`3 S
' ', • • 4. Extcr_or ai_ fi!a (sL:l ] .5_
• , • . • :. , , . To?L 2 - ?.
? ? V ? • • ? •
- . . . ' , .. - , ?a.t.'1rR?CTi e?? •
; 1. Inside air filin 0.6:
Z_ • .
. • , 3_ . . .
i-
t. 5. ?R::side aiz f?m 0.
Total
• • y I.zsidc air !{?m O:E
? '??? Llov up . . • =.ve :cad. . . d
, ', . . . . . 3: G?tside air fila o.
. ? • . . TSC. ?6:. ? . ' •'•.. _: ? .. Soeal .
• ' • 3 ? • . {"? • ?v . 7.? Insid'e ai^ tilm .. • • ' 0. E
• • ,••• •??I/!l?).}.?JL? . . 3? • . ? .
:•• •. rr '••?'' S. GtiU^idc air f31s o.
1`'-r;?= ?`r •`• ' ? ?? S 5ota1
? ' . .? ? , • . ? .:. • , • '
? ? ? - . • .
• ? • ` ? ?, : ?'•.; . • ?. - +te-: Uca addit:icnal s:seeG: if ca^ _
, • _ 8G:-i.:? •? • , - , _yecs:e,I Sa_ detaiU sad calcs'_?=
?? •. .. ?esL . , . . . . . . • . . • , : . flov u? • ',; ? • •
' ' °I.. ?d7. ?` ', ' ?? • ? . . , ? .
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 17 BLOCK: 3
4125 PENNSYLVANIA AVE TONG 7HANH
STAFFORD PLACE (612) 858-4723
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUTLDING
624592
@9/22/94
F-
L
7
I
A CIT1F OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
6z/
BUILD NG
024592
09/22/94
SITE ADDRESS:
4125 PENNSYLVANIA AVE
LOT: 17 BLOCK: 3
5TAFFORD PLACE
P.I.N.: 10-72500-170-03
DESCRIPTION:
B,uilding -Permit Type DECK
Building Work\ Type NEW
i
? i
i
? r f i ?1 /r- •T--'l - r ?l
'1?;
REMARKS:
FEE SUMMARY:
Base Fee $30.00
3urcharge $.50
Total Fee $30,50
CONTRACTOR:
?
OWNER: - Applicant -
TONG THANH
4125 PENNSYLVANIA AVE
EAGAN MN 55123
(612)858-4723
T hereby acknowledge that I have read this applieation and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and City ofi Eagan Ordinances.
APPLICA?T/PE I E SI ATURE
-&a F? k,Q.a_ I
ISSUED B . SIG TUR'E7?-
I
i.,
91
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
-?'50.n
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, _
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date "D Valuation of work
Site Address: 41a6 PeA+\:SulLX1?1C' Nx_
STREET Sl1ITE #
Tenant Name: (commercial only)
LOT ? BIACK ? SIIBD. Sd'VA" P.I.D. # l J- 7a sqv_ 17D- 63
Descri tion of mork: Df G/--
The applicant is: D Owner ? Contractor ? Other (Describe)
Name rN (-r mu" 1-?_ Phone 4sa -s?iy a, (
Property LAST fIRST gs$ -?I-7a? CLo
Owner Address 41C-3 a?nSNj 0 Rp-. e? A-1Q,
STREET STE #
City State P\tj Zip 5S?
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. Si
t
f A
li
? ?
?
gna
ure o
pp
cant
-
0
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
a 31 New
? 32 Addition
? 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alteratians
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
W 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
?.Site
? Wallboard
Basement sq. ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Framing
? Draintile
y3y
mi
-?
O
? Insulation
? fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuac;m: g
id
Ar
e ?
W061 Baseme"ift4 ini?sh?'
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
. RrstAmerican 77tle
-Insurance Company
PLAT DRAWING '
(TNIS 1S NOT A SURVEY)
FILE NO,f? l? r?3G.ae 7-INSP. DATE: L! 7-?3 INSP. BY:104'71 rl-mln'4?4
STREET ADDRESS: yI ) S /11.
LEGAL DESCRIPTION:C-=?=?
BUYEA: / C?i ?C/ G
The Company assures the Insured that the ahove diagram indicates the dimensions of the land and the locations of the easements and
improvements on the land described in the insured Mortgage, as shown by those Counry records which under the recording laws imcar[
constructive notice. This diagrem is hased on visual and ±2ped inspection and is charted to approximate location, and therefore is r.ot a
survey of any type. /
8700 (6/93) 10M ??
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. • ' CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements
? 3 registered sRe surveys
? 2 copiea of pWns (inGude beam 8 window sixes; poureC fnd. design; etc.)
? 1 energy calwlations
? 3 copies of tree preservation plan if IM platted after 7l1l93
required: _ Yas _ Na
DATE: g I IC1 Io,F
DESCRIPTION OF WORK: -TO
STREET ADDRESS:
?
LOT: I? BLOCK: ? SUBD./P.I.D. #: "Q('ll (N rL
,
Name: -?-U VV Phone #:
PROPERTY 1ASt First
OWNER
Street Address:
City
?
RemodeVReoair Reavirements
? 2 copies of plan
? 2 sNe surveys (exterior additions & tlecks)
? 1 energy calculations tor heatad addkions
CONSTRUCTION COST;
State:
Company: ?\..?'l??• CL?? ?_ Phone #:
CONTRACTOR ?}(S?
StreetAddress: ?3U l ??SG
City K d'sJLU ? 0-C-- State:
ARCHITECT/
ENGINEER
Zip:
License # _
Zip:
Phone #:
Name: Registration #:
Street
City State:
Sewer 8 water licensed plumber (new construCtion ony):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applicatlon and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not
Zip:
Penalty applies when address chang
correct and to comply with all applicabl
?
AV', " 1I998
OFFICE USE ONLY
BUILDING PERMIT TYPE
13 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4-plex
O 03 SF Addition ? 08 8-piex
? 04 SF Porch ? 09 12-plex
? 05, SF Misc. ? 10 = plex
WORK TYPE
? 31 New 0 33 Afterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Ptanning
? 11 Apt./Lodging ?
O 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
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
Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
$urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Mefer
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
4646577
pUG-19-98 01:56 PM TWIN CITY`ROOFING 4646577 P.02
3998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CIM OF &AQAH --
9830 PILO'F KN08 RD - bs 122
. saf-aa7s
7.T-. L' 4
? 3 mpisterod ake suNeys -
? 2 co0ies o/ plana (incluOe Deam 3 window skss, povred fid. desipn: etc.)
? 1 onarpy cal¢ul0tion6 .
• 3 wDies o/ lree prcxrvation ptan a iW P4ttad aRer 7n/93
ropvired: YN No .
pATE: ?
DESCRIPTIOM OF WORK-
? 2 cOPKf Of ptan
? 2 sRe surveys (sNerlpr adCitions d dedca)
• 1 lMryy qlWiYti005 }Of heatOd OtldiUCrtS
CONSTRUC710N COST;
STREETADDRESS: ?1.P 3r
LOT: BLOCK: 7 SUBD./P.I.D.#: V) ?1o- u2
/?-7
Name / n G/? Phone N:
PROPERTY Last . flrsi ,
OWNER
Street Address: "Ila 5-.. -??f/Y+?-?.
v
City Y?vi.e2? State: ? Zip: 'SS / a?`
Company: ? i nl i ,t? + K"C'h*ma f ? . Phone #: Ci 3 6 - -7 6 '--rd
CONTRACTOR 1.0 STL? -a a3
5treet Address: 2 3,0 / Ljrr-'l Q2 i,O C-F S'7 = License # a p oLP O 9
c;ry state: "i? zip:
nxCHIrECr'
ENGiNEER Company:
Regisaation #:
Street Address:
Ciry Stau: Zip:
Sewer 8 water ticensed plumber (new construction ony): . Penalty aDPlies when address chang
antl iot change is requested once permit is issued-
I hereby ackhOwtedge that 1 have read this apptication and state lhat the Intormetion is oorrect and agroe to comply with a!I appiicabl
Sfate of Minrtesota Statutes and Ciry of Eagan Ordinances. .
Signature bf Applicant:
?'LP!C.'4t??7 '72L`'-?,p?? •
OFFICE USE ONLY
CeRificates of Survey ReceiveC ? Yes _ No
?
Tree Preservation Plan Received _ Yes ? No :- ? Not Required
Phone !1:
AUG-19-98 01:58 PM
. 1?•
OFFICE U$E OtVLY
BUILpING PERMIT TYPE
4646577
TWIN CITY ROOFING
Foundation 0 Ofi Duplex
02 SF Dwelling 0 07 4-plex
Q 03 SF Addition ? OB 8-plex
O 04 SF Porch Q 09 12-plex
O OS 5F Misc. ? 10 = plex
WORK TYPE
O 31 New 0 33 Alterations
O 32 Addition " Repa+r
GENERAL INFORMATION
Con5t. (ACtual)
(Aliowable)
U8C Occupancy
Zoning
# of Stories
Length
Oepth
APPROVAL5
Planning
4646877
E3 71 Apt.lLodging p
E3 12 Mufti Repair/F2em. p
? 13 'Garage/Accessory D
? 14 Fireplace p
'C] 15 Deck
C] 36 Move
? 37 Demolition
P.01
16 Basement Finiah
17 Swim Paol
20 Public Facitity
21 Miscellaneous
Basement sq, ft. MCM/S System
Main level sq, ft. ? CRy Water
Sq ft Fire 5prinklered
sq. ft. PRV
--'- sq• ft• Booster Pump
- sq ft' ' Census Code.
Footprint sq. ft. SAC Code
Census Bldg
Census Uni!
Buildin
8
Engineering
Variance
PermitFee Valuation: $ ? OOt?
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/UV Permit
SIW Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TOtal:
% SAC
SAC Units
---?--:
,
4646577
AUG-19-48 61:56 PM TWIN CITY ROOFING 4646577 P.01
•? . ?
7ti+v r r.r c i?r-?r ru?or• _?-
cx>nrs•r?i?.x=-r.rc?v s?i:cr.e.x.r s-r-s . xNC _
2301 WC?C?J7E3fZI[XiL•: ?'Y`. SL7Z'l7: 2(72
KC-xS 1•: V t l.I,F. ?, MIV S S 1 1 3
F.5 7 -Ef_2G-hG4U ?? i-?E;F-?O1E; 1?AX
/ . ..«
c?
I
,O PERM1nTa ------'---"RECEIPTDA7E: ---------- -.-'_.
? I 1y(Yl n
PM1DENTlAL PLtJIK$1N@ ""iT RPPWClkTION
crrYoPEAsuv _
3$30 MOT KROB RD
a ,'"?'!* ?,-
ElkBJkF. MH 55122 631-881-4873 ?',??
Please complete for: ? single family dwellings
? Wwnhomes and condos when pertnits are required for each unit
> backftow preventer for IMgaUan aystem
SITE ADDRESS:
OWNERNAME:: \r[yll? ?Py?n `
INSTALLER NAME: "
STREET ADDRESS: &05 19rri u„a,;,,,ONu?
ciTV: •
Reminder. Be sure to schedule inspectlons of aiteratlons, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have rea0 this applicatlon, state that the informatlon is cortect, and agree ro comply with all applipble City of Eagan or0inances. It
is the applicant's rasponsibility W noUty the property owner that the City of Eagan mes no liabili f any damages caused by the Ciry during iLS normal
opereUanal and mainlenance aGivities to the faciliGes constructed under this per 't Issm-i' ' Cily p ert?h of-way/easement.
SIG A URE OF PERMI EE
--Vpdated vo7
MN 55343
TELEPHONE#: (r,Sk
' (ARfA CODE)
?;• ?-t
TELEPHONE #:
PlBC@ a ChBCk rtlark nert tn }he narmi} wnr4 Wnc
STATE:
ZIP:
_ New residential dwelling unR under construction and not ownedoccupied $ 90 00 '
.? ?
?O Add-on, modification or alteretion to existin dwelling unit, induding: $ 50:00 '
• abandonment of septlc system
• new installation/repaidrebuiid of RPZ ?
• lawn irrigation system 3
a
• water turnaround
Natureofwork:?p,n1Cl? Y1 &
Septic.5ystem, new/refurbished - $ 225.00
. includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total `
?
? ' t;c?
/
2007 RESIDENtIAL PLUMBSNG PERN111T APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifioations to existin residential dwellin s.
? gn .biv
cw"",
Date 0 61 1 4 1 0 7
SiteStreetAddress 4125 PENNSYLVANIAAVE Unit#
PropertyOwner JENNYANYANWU Telephone# ((Rja) &R4-9T52-
Contractor GENZ-RYAN STEPHANIE DOOLEY Telephone# (952 ) 767-1845
Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337
Tha App3icant is: _ Owner 8 bccupant X Licensed Plumbing Cantractor
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out flxtures, etc.) $ 90.00
This fee a lies when e7ctansive lumbi re airs are made to a buildin .
Alt
tions to existing dwelling $ 50.00
?
Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener andlor water heater at the same time. !f you are
Installing ontv a water softenar and/w water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_5eptic System Abandonment
_Water Turnaround (add $736.00 if a 5I8" meter is required)
Other.
irBiBt ?ui3iiei5ci? {('in'LBP H2876P ?J ? ?.a?
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Sureharge $ 50
$ ?D•50
rowi
I hereby apply for a Residential Plumbing Permit and acknowledge that the informakion is complete and aCCUrate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing oodes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will 6e in
accordance with the approved plan in the event a plan is required to be reviewed an appro ved.
k?1-eD l?av? i???1,? ? Q G C? ? ? M C D
App icanP Prinied Name Applicant Signature
JUN 2 0 2007
?_
??.
??
??
?9? ?`
r? / ???
:?
?0
City of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
i ?°"?csrr?euss --------- i
? Permit
I
I Pertnit Fee
I
? Date Recei
i
I Staff: _
2008 RESIDENTIAL BUILDING PERMIT APPI.ICA
Date: ?Q Site Address:
Tenant:
Y-N
?' ID
Ak- -1
Suite #:
RESIDENT/OWNER Nam :)?'P_rnAA?
Address / Cdy / Zip:
1 ?Ij
Applicant is: _ Owner Contractor ,
TYPE OF WORK Description af work:
a--
Construction Cost: Multi-Family Building: (Yes 7No ?
W1°dow Concepts of MN, Inc.
CONTRACTOR Name: _
990 Lone Oa1c Road Suite 114 _ License #:
Address: Eagan, Minnesota 55121
License # 20163493
City:
www,windowconceptsmn.com >tate: zip:
Phone: (/';?! al nc" n/C9S` Contact Person: 1'1 / h2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
?
Energy Code
. Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
CBtegory Submitted Submitted
(q submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plansared-,*6&artirig documents'lhat yoViubmrt are: ¢onsttlered?tff be jbublic irrform'afion. Portions of a.
`
sdhat would permit fhe Cify fo:
thQ Informatrum ni2y be c(asiiried as ttofi putYlfC°lf)roi? plov/d e sp8ciflc reason
..?c"bYt?tfuGC&thafYhe_di?6Efrade's`eclefs':': , • ' : ,:.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ortlinances and codes of the City of
Eagan; that I understand this is nol a permit, but only an application for a permit, and work is not to staM1 without a permit; that the work will be in
Pan withthe approved plan n the case of work which requires a revis Pri
nted d Name icanYs ignature
Page 1 of 3
s
SURVEY FOR:
OESCRIBEO AS
?
?•.
? ?
?
?
R
?
Slimcilor`s Certificiite
Frontier Midwest Homes Corp.
Lot 17, Block 3, STAPFORD PLACG, City of Eagan, Dakota
County, Minnesota and reserving easements oE record.
?
r - - _ S7e.oo,
? ?o. ? - ? _ _ oo•E 170 »
F-- ' ? -.
?
-?
? 921.4
00 q214 ?.! ? `
I M/0 14 00
? PHOPOS /
I 7d SPLIt_ED
fcaibrla
d 915.1 ~ ? / / . /
2 ? gJ G2r 400
20.00 " 925.
10. 00
^ 9Z5.4 9?3• ? ? -? ? 5 / ? `?.
,? ? ? a ?: •
pe2ti1
,
I 0z '
Ci
9L3.3 93 `, ` ?
8 pe ?50. ?? p? p`??
ai j9 N S?i N/ .
?
r? «?,n.??=
?
Ty •
PROPOSED ELEVATIONS
Top ol FoundaNon ¦ 4'L 5,9
Oorape floor . v'ts,5
BofrmeM Floor
Approi. Sower S*rrla Elov..
Provosed Elwotlon@ ? Q
Eaidlnq Elovallons A-
Oralnop0 Olnellons . -...-r
Oanols! 0117t1 SIOM• ? U
Dats -
EAGAN
N
? .
8CALE: t Inob • 30 feet
E?
DEPT
51
BEN?A?HK?:
Tup N?} N,d, G lot lt-a
! 21 q't5 I 8"e 1 Po?y. A.C.
, E1eJ. = 920.61
1611N.9ETBACK REOIHEMENTS
Fronl - 30 Nouse Blds - 16
pgor - 1% 0aruyO slM- 5
I hwsy cullfylnal IMO wrvIY.0lon m rO0oi1 re@ qO0an0 b mo JoB No.;
lifEDLUND er uoa.r mr ae.at supevldon and IAOI 1 am e duly RdOb1ufA a?112-11 ?j
Land 9urreMw unAer IAe lawl Of Ihf llalg O1 Mlnnstola.
BOON: PA6E,
Plenidnp Enghseediog Su"ying
mi 4m?rmiqle.f?wr?.M w?.rwwN?w {?' CA00-ill(I FnHC
?.i.?a?.,.?{inw`u? Oaut Cv? ? •89
l Jd ?Y ?d n.lluna IN7O
-00
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118072
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 4125 Pennsylvania Ave
Lot:17 Block: 3 Addition: Stafford Place
PID:10-72500-03-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thau Thi Tong
4125 Pennsylvania Ave
Eagan MN 55123
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136379
Date Issued:05/10/2016
Permit Category:ePermit
Site Address: 4125 Pennsylvania Ave
Lot:17 Block: 3 Addition: Stafford Place
PID:10-72500-03-170
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jenny Hanyanwu
4125 Pennsylvania Ave
Eagan MN 55123
(651) 405-9174
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:EA147110
Date Issued:12/12/2017
Permit Category:ePermit
Site Address: 4125 Pennsylvania Ave
Lot:17 Block: 3 Addition: Stafford Place
PID:10-72500-03-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jenny Hanyanwu
4125 Pennsylvania Ave
Eagan MN 55123
(651) 405-9174
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152885
Date Issued:11/06/2018
Permit Category:ePermit
Site Address: 4125 Pennsylvania Ave
Lot:17 Block: 3 Addition: Stafford Place
PID:10-72500-03-170
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jenny Hanyanwu
4125 Pennsylvania Ave
Eagan MN 55123
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature