4126 Pennsylvania AveBLDG. PERMIT NO.
01-3210.' Bldg. Permit
01-3422 *Plan Check
01-3446 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
?0-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
24-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
69
0
TOTAL I
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-81 QO J4 sf ?: ..,
BUILDING PERMIT Receipt? ?:-?-• `?' ?
To be used for 3F DK/GeA Est Value $73,000 Date OCTOBER 14 ,19 `'-
Site Address 4126 8lill118YLYAN"LA AVE
Lot ZS Block i Sec/Sub. SZAFFdRD YLACg
Parcel No.
. Name ?UNTIL?lt MIDilEB? BMtB
= Address 3902 CEUAiZYAI.B Dx
° City aAGAN Phone 454-0433
Q Name $AU
o u 74ddress
P Ir-ity Phone
Name _
Address,
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 of
Minnesota Statutes and City of EaqantOrdinances.
Sipnature of Permittee
J irRGPiTIER :12DWE8? M0NES
A Buildine Permit is issued to:-
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building
OFFICE USE ONLY
113 MI
On Sfte Sewage Occupancy -
MWCC System = Zoning ?
On Site Well (Actual) Const
-
? ,-
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length ?i
1
Depth 4`
S.F. Total
Footprint S.F.
APPROVALS FEES
; ????
Engr./Assess. Permit
Planner Surcharge 36.50
Council Plan Review 233.W
Bidg. Off. _ SAG City 100.00
Variance SAC, MWCC 5%•90
Water Conn. 550.00
WaterMeter 67•90
RoadUnit 325_a((}
Treatment P1
Parks
TOTAL U.531.50
? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ?55 7 1
BUILDING PERMIT PH ON E: 454-8100
Receipt? ti??'?''' ??'Y' •'
To be used for ^ -)VG/CAf Est. Value 473p0W Date OCTQSP-R 18 ,19 ?&
Site Address 1•'- ? PENi?::'i'e.\- t A AYE
Lot elock 1 Sec/Sub. ? CA?T'4!D Y1J?CE
Parcel No.
17RONr11iR .: smS
c Name
z Address 3902 •uA', .. "ft
° 54
?
? ?
City "
i
Phone w
, o Name 5.i?;: ?
? s Address
? City Phone
i- Q
W
V
Name
j
y
F W
z
Address
u
a Z City Phone
t W
I hereby acknowledge that I have read this applicatfon and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
r s?:;?.i7 i E tt rit ?w?sT eo?s
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 USE ONLY
Ki ri 1
On Site Sewage Occupency ?-
MWCC System x Zoning
On Site Well IActual) Const ' n
City Water (Allowable) `Tr
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge ja•50
Council Plan Review ? -3 3•00
Bldg. Off. SAC, City ?- LSL•W
Variance SAC, M WCC
WaterConn. 50•00
Water Meter 67. 0
Road Unit 3`[lA1?
Treatment P1 --4Q4-,W
Parks
TOTAL `? a 3 : 0
Permit No. Permit Holdsr Date elephone ?t
Plumbing
H.V.A.C.
Electric / /
Softener
Inspection Date insP. Comments
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Pibg. 2-13
Rough Htg. c ,f ,et
ISUI.
Fireplace
Final Htg.
Final Plbg.
1
Bldg. Final
Cert Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CONTRACT PRICE $1700. 00
Site Address 4126 - enn4y V?
Lot 25 Block 1
? Name WENZEL HFATINi
m
m Address 1955 Shawnee
c City LaQan
PERMIT #
MECHANICAL PERMIT `• ?.' ._ i
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1 1 I2'I' 88
PHONE: 454-9100 -7
& Ave. BLDG. TYPE WORK DESCRIPTION
Sec/Sub Staffor Res. xx New lxx
y Aoig Mult Add-on
Comm. Repair
)ad _ Other
ion -
Name MuN rIr:[c wrM
L
c Address 3.908 Sibley-1
p City Lagan
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
80,006 M BTU
M BTU
M BTU
M 8TU
CFM
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMin - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE: 25.50 .} ,
S/C: SIGNATURE OF PERMITTEE
TOTAL• $26•00
FOR: CITY OF EAGAN
? PERMIT li
PLUM8ING PERMIT RECEIPT #
CITY OF EAGAN .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot Block SeciSub
m Name
?c Address '? -
c City Phone
Name
?
? Address
p City Phone
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIOENTIAL FEE - $12.00
MINIMUM - COMMIIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BIDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TOTAL
?-Water Closet - $3.00 $
?Bath Tubs - $3.00
Lavatory - $3.00
?
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
-
T
Laundry Tray - $3
00
.
7-Floor Drains - $1.50
? Water Heater - $1 50
Whirlpool - $3.00
=
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
'_
Private Disp. - $10.00
?_Rough Openings - $1.50 `? • -t
FEE
STATE S/C:
GRAND TOTAL: - ? ?
&t - -. i
Terttfiratie nf (DrrupaMry
tirp of eagan
B,eirttrttttenY of luilbatg ineprrtinn
This Cenificale issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance rhis struc[ure was in compliance with tlre various
ordinances oj the City regulating building construction or use. For the foRowing:
u? Cbms;ficatio„ S F DWG / GAR &dg. Ft,a,;, No. 15737
o-„a„n, Tra R-3 M-1 zo,,;? ?,;a R-1 Type Cnmt v-N
owmiorBufla;ng FRONTIER MIDWEST Ad,= 3902 CEDARVALE DR
Buiiaing Addrm 4126 PFNNSYLVANIA AVE Local«y L25, Al, STAFFORD PLACE
7': L?fl ;;, l p,k. DECEMBER 30, 1988
Building Officiai
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
Permit No: Date: 1R-?n?Q
3830 Pilot Knob Road g/P No: Date: 10' ? y-F <
P.O. Box 21199
Eagan,MN 55121
'Owner. rl??l?la= i'llu?cp?
SiteAddress: +??? tennsylvania Ave L25 r2 Staffor:l Plaec
: Plumber. '?tat PlumbinR
: MWCC: Zoning. ?'.
Ci
Ch i?=?'??'?? of Units: i
No
g:
ry .
?
' ??
Acct. Dep: ?
?"' ??P`? I agree to comply wilh the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: „nl- By
SEWER SERVICE PERMIT
F
_ CITY OF EAGAN ' Permit No: 10 0 2= Date: 10-204$
3830 Pilot Knob Road Meter No: Si2e:
P.O. Box 21'199 Reader No: Date:
Eagan, MN 55121
Owner. 7-rontic.v Yjdvest -
SiteAddfess: 411; Pdmng!1 g*?7a Ao& T75 R1 Staffnrrl Plarm
-- _. . , -
Conn. Chg: 55C. 0??d Zoning: kl
Acct. Dep: ' No. of Units: ?
Permit Fee:
Surcharge: ? 1 agree to camply with ihe City of Eagan
Tr. Plant ' F Ordinances.
Meter. '- 7•2bd
Misc.: Pr-,V PFQ F--'r, By
WATER SERVICE PERMIT
CItY nPEAGAN ` Permit No: Date: 3+20'"$8
3830 PilotiCnob Road Meter No: 4L:Z 7S3 35? Size: ^ °Cl?
P.O. Box 21199 Reader No: ?D,? % 9? ?9 Date:
Eaflan, MN 55121
Owner. -•-- „t ?p,- ??-?,_=a.:r _
SiteAddress: •r ,- ?+q bye 125 AI. Staffnrd Place
Conn. Chg: 550. 0(1nd Zoning: Rl
Acct Dep: ' s- 00nd No. ot Units: 1
Permit Fea 10, OOpd
Surcharge: • S0pd I agree to comply wiih ity of Eagan _
Tr. Plant 204, OOpu _ Ordioanc .
Meter. y??. Qgfkg
1
Misc.: gy
? f WATER SERVICE PERMIT
. • CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 N? 15737
PMON E: 454-8 100
BUILDING PERMIT Receipt# 0
-=.
To be used for SF DWG/GAR Est. Value $73, 000 Date OCTOBER 18 ,1g 88
Site Address 4126 PENNSYLVANIA AVE OFFICE USE ONLY
R3 Ml
25 1 STAFFORD PLACE
Lot Block Sec/Su6. On Ske sewage - Occupancy -R-f-
MWCC System X Zoning
Parcel No. Vn
On Site Well _ (Actual) Const
a
FRONTIER MIDWEST HOMES
Name
Gtywater
X (Allowable)
VD
z Address 3902 CEDARVALE DR PRV qequired X u of Stories
?
o City EAGAN phone 454-0433 BoosterPump _ Length 48
oepth
o Name SAME S.F. Totai
,
? a Address Footprint S.F.
.¢- City Phone APPROVALS FEES
00
$ 466
.
"w
Name
Engr./ASSess.
Permit
?i
i -
Address Planner Surcharge 36.50
a W City Phone Council Plan Review _230
BIdg.Off. SAQ Ci[y ---IQQiOO
I hereby acknowledge that I have reatl this application antl stale that the Variance SAC, MWCC -5.5D-.00
information is correct and agree lo comply with all a licable State of Water Conn. 5$0.00
nnesota Statutes and City of a an rdi nces.
Mi
Water Meter
f] 00
Signature of Permitlee -- Road Unit - 325..00
FRONTIER MIDWEST HOMES
A euilding Permil is issued to:_ Treatment P1
-?94' 00
on ihe express cond ition thal all work shall be done in accordance wiM all Parks
applica6le State of Minnesota atutes and City agan Ordi ances.
TOTAL $2.,a31 50
BuildingONicial_
?-3-
Th, requesl voitl /
18 mon[hs /mm o° O
D _ 2 oI_ V 2 .C..?1?
Req C51 D?? ? Fi,e NO////? HOUpp=?n insyr.cuon I? I
?i?i I R? rred? n^ Reatlv Nuw ?II NoIify InsPec-
lo Whon Reatly
9.6-1-ensed Electrical ContracIor 1 hereby request inspection of abova
n.....__. eleclricel work installed et:
, ......?.
Suaet Address. B or Noute
City
5 rvmi`
ec ?on o. Township Name or No. Range No. Co ?V
Occupant IPRINTI
?4 Phone No.
r -
Power S. vI i 1 {? /
0 /4 Add ess
IWIe/
Elecvic?l Cont?acto ?ompony'Nam ?
/???' / L ? ri G Conttar.mr's Licen.e Nn.
°Tj
Mailinp Addygid (Coniract or Ojw 'er Making Ins
Ud/1',5 ?'
6 I tionl
1 ?
?
Authorized S' atw 1 ntraCtnr'Owner Making Installation)
• 7hone Number
Y,5?a IW3
T ON flEQUEST WILL NOT
THISINSPEC I
MINN SOTA STATE BOARD OF ELECTHICITY BE ACCEPTEO 9V THE STATE BOAHD
Grigea-Midway Bldg. - Room N-791 UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ave.. SL Paul, MN 55104 ENCLOSEO.
Phone (612) 642-0800
?? ?? REQUEST FOR ELECTRICAL INSPECTION ee-ooaoi-os
1 See inslrvctmns for completing this torm on back o1 Vellow copy.
?955,-)
D-2'owf$ 2 "X" Below Work Covered by This Request
Add Feo. TYVa of Builaing AoDliancea Wired-- Equipment WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Ffxtures
Apt. Bullding Dryer Electnc Heatin
Commercial Bldy. 041 F inace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm iner ner.i v incrlSUCCityI
t er pecily Ot c Oth,)r
Compute Inspectlon fee Below
p Fee ServiceEnirence5ize H Fae Feaders/Subieeders N Fee Cfrcmis
( U ta 200 Am s 0 to 30 qm s 0 tn 30 !?m s
Above 200 qmps, 31 to 100 Amps 31 to 100 Am s
Swinunfng Pool Above 100-Amps Above 700_Am s
Transtormers Irrigation Boorcis Pdrtia6Other Fee
$igns Special Inspection ?
Aemarks ? ? f
NouBh-in Onte
, the ¢al
insoa<<a.. ne.anv
?
Findl nily thal the above
r spection hes been
?l made.
TMareaueatvoltll8mamhelrom '? /„
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
; NOR'E: PA7¢Mf OF FEE AT TIME OF
? APPISCATZON DOFS NOT CVN- ?
,*y STI1iflE APPR('iJAL OF PIIthffT.
•
? INSPFICl'ICN OF SFSd1i ISID/O2 WKTM f
? IPISPALIATIONS WIId. N07' BE SCfD(IISM :
? [TICIL PII7dQT HAS BE@] APPROVm.
dtV ?fffx?xifrfaaf?tf??f?tttttf?4ee?Yrf#?t
OF CC6cjtai9
(PLEASE PRINT
1) PROPIIt17 ADDRESS: -44,2& pENNSYLVANIA AVE
LF7GAL DFSC[tIPTION;. LOT 25 BLOCK 1 STAFFORD PLACE
LotJBlock/Subdivision or Tax Parcel ID
IF EXISTINGG STRL'CTLTRE, DATE OF ORIGINAL BIJILDING PERMIT ISSOANCE:
PRESENP ZONING/PROPOSID OSE:
Q CONAEE2CIAL/RETAIL/OFFICE
Q INDL'SIRIAL
a INSTITOTIONAL/GOVERIZENT
Mont Year
IR7Cj R-1 SINGLE FAMILY
E'] R-2 DLPLEX ('Pao C'nits)
II R-3 TOWNHOUSE (Three + Units) ( Dnits)
Q R-4 APARTMENT/COPIDOMINIUM ( Onits)
2) ? NAME: FRONTIER MIDWEST HOMES CORP
ADDRESS: 3902 CEDARVALE DRIVE
CITY, STATE, 2IP: EAGAN, MN. 55122
PHONE: 454-4333
3) NP.ME: STAR PLUhiBIMG
ADDRESS: 1018 MOUND SPRINGS TERRACE
CITY, STATE, ZIP: BLOOMINGTON, MN. 55420
PHONE: 884-4149 MASTER LICENSE # 3329
4)
NAME: STEFANSKI, JOSEPH & OKERLICKI STEVEN
ADDRESS: 4833 JEFFERSON AVE N E
CITY, STATE, ZIP: COLUMBIA HIEGHTS, MN 55421
PHONE: 788-1557 (JOSEPH)
Use
I? Active
E7cpired
Not recordec
Sta Initia
5) is a =94 • ao ??.e
El CONNECTION TO CITY SEWER ED CONNECTION TO CITY WATEF2 F] OTHEI2
6)
1
*?,r**?*******,r****.**#******x+?*r*****:r:****+???:r**?*r*+*w****?******t****,r*.**?*«**********,r+??***?
* 7M GOID COPY OF 1iIE PEF2NIIT WILL BE SIIPf DIRF)CIZ,Y 'PO PUffi,IC FARKS 10 FACILITATE METII2 PIQt-OP. ?
,*k PLEASE ALLrDW ZhU FARKING DAYS FOR PRO(?'SSING. SOMIDONE EROM TfM CITY WILL ODWALT YOU IF R4IERRE ;
* ARE ANY PROBLFMS. i
,'?t*Y? * «***+*Yr* *?,t,t*?w*r+r*+t*,k******t*??*t++* *** *,t,t?**t* ?,t*r***+.***t*****t**??*+r+t+*? *+****,t+.,t**tat,t*?y
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ /C) . S"-D $
$ /D_ SG $
$ ?7-U? $
$ $
$ $
$ $
$ $
$ C-D $
$ l S b - o-? $
$ $
$ $
$ $
$ $
$ $
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLDDE SL'RCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
SEWER TAP
ACCOU[VT DEPOSIT - SEWER
ACCO(;NT DEPOSIT - WATER
WAC
SAC
TRDNK WATER ASSESSMENT
TRLNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BEN°FIT/TR(!NK WATER
WATER TREATMENT PLANT SORCHARGE
OTHER:
$ I S-z Z ' &I -? $ TOTAL
?-r L/ / Z_
RECEIPT # RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGI[VEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
RESIDENTIAL
=1 - * ' BUILDING PERMIT APPLICATION
CITY OF EACAN
?j ?0 2?> 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NawConsWction Reauiremenla
• 3 re9istered sRe surveys showing sq. ft. of lo}, sq. N. of house; and all roofed areas
(20% maimum lot coverage allowed)
• 2 copies of plan showing 6eam & wiridow sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan If lot platted afler 711/93
• Rim Joist DeUil Options selection sheet (61dgs with 3 or less units)
DATE 6 ?Q a
• Residential Ventilation Category t Worksheet Submitted
• Energy Envelope Calculations Su6mitted
SITE ADDRESS 4 1?(o RilnSV LIjamt4 CQ ?z. MULTI-FAMILY BLDG _Y _N
TYPE OF WORK l7'cc-k FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT 44'L0077' U -2, 24 DL IF- X
STREET ADDRESS 41 aC ?rt n r v Lua ?„ A ,,-e CITY EA-GlfA/ STATE ?lJ ZIP Sscrd-3
TELEPHONE # 611-4Sa •9a3 6 CELL PHONE #
`10 (-) 0
RemodeURaoair ReouiremeMa
. 2 copies of plan
• 1 set of Energy CalcWations for heeted addi6ons
• 1 site survey tor exterbr additions & decks
. Indicate if home served by septic system for additions
VALUATION
FAX #
PROPERTY OWNER ?12 le'&LJ&A'L.. Ir ki JG r2 ..ToS.r p?TELEPHONE # 6 5/-4-Sr2 ? a- ??
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF.SO'CA RULES 7670 CA'I'EGORY 1 MINNESOTA Ri7LFS 7672
(J submission rype)
Plumbing Contractor:
Plumbing syslem includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
Fcc: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state thot the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant
----°°-----------°-------------°--___--_-----_____--_-----------------'----------°.._.....----___---------_--'----_......._ ._.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
. New Energy Code Worksheet Submitted
Phone #
_ Water Softener
Water Heater
_ No. of Balhs
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
. j . k
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
x 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Oemolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitlon (Entlre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units ? I Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs G Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
?C Footings (new bldg) FinaUC.O.
_ Footings(deck) :X: Final/No C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
?C Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By L/F-kx? , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
t I
i
1988 SUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
t
1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEAGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WIiICB ADDRES3
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOA SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA HLDG. DEPT.,
1 SET OF ENERGY CALCULATZONS
COhAERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS '
- - UI 13 tsee
To Be Used For: NEW CONST, Valuation: $6}".?'49- Date: 10/10/88
Site Address 4126 PENNSYLVANIA AVE
Lot 25 Block 1
Parcel/Su6 STAFFFORD PLACE
Owner S'I'EFANSKY, JOSEPH & OKERLICKI
'JILVr
Address 4833 JEFFERSON ST. N E I
City/Zip Code COLUMBIA HIEGHTS 55421
Phone 788-1557 rn(2Vnu
Contraetor FRONTIER MIDWEST HOMES CORP
Address 3902 CEDARVALE DRIVE
City/21p Code EAGAN 55122
I
Phone 454-0433
Arch./Engr. PHILLIPS PLAN SERVICE
Address 14530 PENNOCK AVE
City/Zip Code APPLE VALLEY 55124
') 3, 000 - OFFICE USE ONLY
On site sewage_ Occupancy R-3 M-I
MWCC system _jg?f Zoning R-1
On site well Actual Const V-hi
City water ? Allowable V_
PRV required ? # oF stories
Booster Pump _ Length `fU'
Depth 48'
S.F. Total
Footprint S.F.
APPAOVALS FEES
Engr/Assess Permit y?.oo
Planner Surcharge ZZ110
Council Plan Review
0
Z33, 0
Bldg. Off SAC, City
?
Varianee SAC, MWCC .55
Water Conn 5S0.00
Water Meter (09,00
Road Unit 325,00
Treatment Pl Zo4.na
Parks
Copies
of TOTAL `? .i/
/'R/MRPIf)6G'? Mnhn
1? Z?
Phone li 432-2044
EvATERFOR ENVE:O?E FtVERAGc °U" COMPUTATiON {CNMWm\ ZXlo1
. DYlNER
SITE AQDRE55
.
CONTRACTaR Cgr,., V,.?A DATE PHONE
Deternine working square foatage of each.
1. Total exposed wa11 araa .... .? Z43 S.to4p sq. ft. x .11 s?j?S]
2. Total raaflcziling area .... ?US F3 sq. ft. x
Total expased waIT area a6ove floar =?,2 fl g•(,(?
a. Total wa11 window area .......................... A ar,.-;
b. Total door area ................................. 3 9. L?
c. Total slidino giass dcor area ................... ya
d: Total fireplace wa11 area ........................ 418
e. Total wall framing area (averaget0"<)............. a a S.R(o
f. Total ne_.wa'1 area above flaor ................. t te5G.88
g. Total r:m Joist area ........................... I,4B
Total exposed foundation area =
h. Total foundation window area ..................... .
i. ToaI net fiaundatian area a6ove arade ............ 15,33
Det=rmina "U" vaiue of each wail segnsent.
a. 1 GLs,'-J X31Upi ,35 = y?.85
b. 3q.('a X„U„ ..y5 = ? ?.83
c - 4a X „U„ . 4l5 _ ! g •9
d- `18 X .,U"
e. x HU0
`• tto S(o.$?C x ????, O'J = ?4.?
5• I?-1 6 X"U" e o 3(O = S 3?
h. X "V., _
;. z s.33 X„U„ . ty _= b.5
s ...:....:.................:..........rotat
If ite.m 13 is the same as, ar less than itln fl, you have met the intent
af 58C 6006(c)2.
Total exQosed raof/ceiling area = I O 8S
Total gross rcof/ceiling area =
...
j. Total skyliqht area ..................?s,
k. Tota1 roof/ceilinq framing area .... lO,,-
1. Totat net insnTated rooflceiling area....... 4 -1a. Z
Oeternine °U" value for each rnof/c_ilina segmeat_
J
X "U"
k. Ibg.Ss X itU,s 0 z1 = 2.Z5
X"U" .019 = I 8. &
4 ..................................7ota1 = 2 7371
If total af 714 is the same as, or less t5an 02, yau hava met the intent of
5BC G006(c}r.
To utiiized the total envelope systo-:n method, the values-estabiishad 6y the
sum of items s3 and 14 sha11 noi be gre=_ter than the sum of ite.?s 3i and a2.
?• ?.5 1,75 + 2. 2$.ZR
3. 1?t\.o5 + a. ZO???f = Z11.93
MAT°..3IdLS Merm. 3esistance "R"
tl,Yt. 2= ?= Ai+
Sla]..^.gAat2ri31 ?.
Sheathing 314" 5-
Insula:iaa SO
Sheetrock Y .58
Interiar Air .(e\
Studs 2N. .L 81
Ri1a i `R q
Conc. Blks.
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1ZtM: `:??v?S Z-?-??• = 14?
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x S
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t ,n , .
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rk4a,a xL,- /ooa Ti,ea36c/oo ,4 a
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UN1T.
ATEW CONSTRUCTION
r7 ADD-ON A/C
ADL`-CLv FUR?tiACE
FIltEPLACE INSERT
DATE _/ 4*&
FEES
I-IVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ S3.oo EACH)
ADD-ON/REMODEL (Exis'i'tNG CoNSTRUCi'ioN)
STATE SURCHARGE TOTAL Zd, s-0
a
SITE ADDRESS: 5?/ 2 4 /.Z?i+?i?ayG?/?.?,,,?- ?t/,?
OWIVER NAME: 1&4 COPF- TELEPHONE #: y.ry - 9Z?
INSTALLER: 1410V?6,fG ,f?sfdrf.r?JG•
?
ADDRESS:
CTTY: ??-? STATE: /?J?? ZIP CODE: / 2-'Z
?
TELEPHONE #: 2--tAer_r_
X/GNA?'A7?RE10F PERMITTEE?r
2_fr
1994 MECHANICAL PERMIT (RESIDENTIAL) #- 7,769
CITY OF EAGAN ?-
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMbERCIALlINDUSTRIAL BUII,DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE: $
FEES
1% OF g?t"M FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF E?RFEE.
,a,,...
TOTAL $
SIT'E ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IIvIPROVEMENTS oNLY)
INST
ADDRESS:
Crry: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECAANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
, . ? - - Smelorf
ts 6(a?ficate
SURVEY FOR: Pront icr Piidwcst Ilrnnes Corp. -???
DESGRIBED ASi s.?nrroan i?r?ncr , ` pENN,, QI?VANI A?v?. -{-- .
City of Gagatt, Ilakota (;oimty i!a?
7
Piinnesotn and resciving ? ,p=21e?.
c.'scmcnts of recorcL
M
..
?ll
?•.
i
?. ,
,
?•?
/ m
Im
...
?
? .. -a.o
I
e
Gar
yn.3
a = 20000 !
_? . llz 9
rv, io ?
So?n•
lecah?.,? ?? '1 5
? - ? __...-
_. _30
? 971.5
I tb_
T ' ` 1
f ? 5C_
M M ? ?
M Prepased
N Spl?{-E..i^•? N
, 'o ao
-o-- "° 1
i .?J? 1
2?9 ,
0 91A.i
m•n r -1?an ?
N? 0 1 _ <o l
N ?
1 ?--
2
w
' .,
CP N
.?)."S?:•,,,,;;/9`;; l:l??t T
1 ?
f `
s l
P•R•V. RE IREO
. ?
?
PROPOSED EIEVATiON5
iop of foundafiOn .qZ1.5
Garopa Fionr .9t1. 1
Basamanf fioor .6918.3
Apprem. Sewer Ssrvics Elev.. 9o0.qt
Propossd Elsvatiens ? O
Exisl{nq Elsvollons
Droinapa Direetlone ..,,.._.
Deaotas Ofhsl SlaNe I O
lifEaLuNo
P/anninp Engirraering Surveying
aei e..r nee?+M„„ n...", o.hw., aw».a. eS.oe
n?N+,.?.??neserh
?; • 8 • \ ?
BENCHMARK,
' ? ` Tep H.! Hyd, nc 1
MIN.SF.TBqCK REOIREMENiS
. ?
1
Front - 30 House Slde - 16
Raar - %5 6oraqe Sld* -?
SCAIE: t IneA e 30 Fest o..
i Mreby cerllly Ihol Ihp iurvoy. Plan « r9oorl res vnoerte ey rrH I JOB 110 :
er undn my dlncl ruMrvblon mA IAOI 1 em a doly Rr0lslved e$(Z-5Z0
Lene surverw uneu tne iewI ef tM 91atr sf Mlnnesete.
BOON:
a , va ?. ?.t)'- ?FAGE:
Je1 vY U
. n n, coM• Nl1B
1-
??
D
O
m
z
0
4D
W
A
N
sutrqorfs eertificate
s
SURVEY FOR: Frontier Alidwest Ilomes Corp. ----- '"?
DESCRIBEO AS:
t,ot zs, Biock 1, s'rnrroaoPlAce;"
Ci.ty of Iiagan, Dakota County 9!?I? 7 0
Kinnesota ancl reserving ` ,8 =21 ep0. .. R=pp000 ?
' 91? 9
easements of record. ??g•2, e APP„'' a ?t--=-
? - Sum?a
loc ?a?..nS? ? '? 5 .
, .,.
?..?-
?
'0
Gar l
? T
' 6 9121.5 ,?a . .
w
g „, M s c M `
M ? P??eS?d ? 1
!e 90
i? ' ? ? 9m. '
o j 9,.3 -av
?• r 1
??• N O f - ao 1
',4 1
1 .ow
1 '. oi
? ate °
? • ^}??AN El`vG NEERIIlTG D? T
jl 1
1 ?
: p? ?
M •
O e.? 6
?qX. R` IREb
qS2 \ \
\
?
\
i ?
' s 89 s•SA \ ?.
;.
PROPO5ED ELEVATIONS
Top of foundation ¦qz1.5
Garoqe Floor 89zt, 1
6osemenf Ftoor .69 ig.3
Approx. Sewer Ssrvice Elev. • y00,9?
Proposed Elevaliane
EMisNnp Elevatfom
Drainape Direcrlone r..,..._?
Demotee Otfeet 31aMe . O
"• ' ? ?
, i2.
SCAIE: 11'neh = 30 Feef
1
1
1
?
6ENCHMARK, t
\abuh+Md? ac }
< =9to.?7
MIN. SETBACK REOIREMENT3
?
Front - 30 Hou11e 81de - \
Reoe - %5 L3orapa3lds-!5,
I MroDy eorllty that IMs wrveY, plan er nPorl weN PrOPand Uy mg J08 NO.:
/?'ED?L?'!ND or unAn mr dirael SuperrISlan enA Ihof ! am o duty R09I2IareA $$(Z-?j20
Lend 9urroya uneor Ihe lars of Me 9fate ef Mlnoesela.
BOON:
P/enning Englneenng Swveying
IlOIWIlb'milnylaninvw OI?uplpn.Mlm?qbSHiO ?
?w.q?.xitawe? t0, 4 1 94 PAGE:
JM r y . n so. Ucsm• 1 14lT8
Surve?or?s G'ert??'?cate
SURVEY FOR: Frontier Alidwest Ilomes Corp -"4--
.saN.m:a,.
DESCRIBED AS: ' lp?NI?(? Q VAN? A` A
Lot 25 , uiock i, sTnrroao niAcE; ? r 3
City of Eagan, Iklkota County q±•°& ?
Minunesota and reserving ?. ,p_ Z??pp•
easements of record. 91 8.z, ,
p
? ? I
i
r
?
I ? t9
1 ?
2i.o
?
4?. zo
w IL'
1 ?Gar
1?t
?
'l
I
,•.
?
i-?
?..
?
`•1
?
952
PROPOSED ELEVATIONS
M
M
?
f 9n.
O
i' R=2ODd? ?\9-9
bca?'w+?? ?? '? 5
?-55-,-
30
o-?o • .. ,4 : ,o 0
M 1 T m ?L M
? / ? ? P?epased
N ? N
? 46 90
` o--
.S ? 70.8 97?.
h °o r 9?.3 -az.,?
N 0 ao
.
N ?
j
r
?
?
1
!
i
r
s?
. .
?
\
?
. ?
?
?
iop of Foundation .q'+-1,5
Qorape Floor .91t. 1
Baeemenf Floor i-9183
Approz. Sewer Service Elev.. 900.9}
Propossd Elevalions 0 O
ErieNnp Elevatlons ?
Droinoqe Olrecllons ? ....Y.
Oenotee Offyef SluMe . a
iiEDL unro
Planning EnglneeNng Sur?reyirtg
M1l-0 l?Mbnliww?l. ?ynxq?an.MMiwM?99?f0
IN?qa?rplhpMlOtM
?-
?
3CAlE: 11neh = 30 Fesf
1
1
1
1
11
Z '
1 A W ?-??
o , --,
1 '° '
f %J
1
l
1
?
1
1
l
1
1
?
BENCHMARKI 1
\ 1
MIN. SETBACK REOIREMENTS
?
Front ^ 3e Howa Slds -11 \;
Rebs - 15 6araqeSlde-!41_
I henby qrfllY that IMs survq. Plon er reparl wes prepand by me JOB NO.; or under my dlNel superWslon ond Ihol i em e euly Rephtmd $BIZ• 15 20
land 8urroror Vndv IM lewa of tM 9taN of Mlnnuofa.
BOOK:
Oale: 10, 4 i 44 PA6E:
Jef r y n on, Ucsns• 14378
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116692
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 4126 Pennsylvania Ave
Lot:25 Block: 1 Addition: Stafford Place
PID:10-72500-01-250
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Bryan Staerkel
4126 Pennsylvania Ave
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120509
Date Issued:02/18/2014
Permit Category:ePermit
Site Address: 4126 Pennsylvania Ave
Lot:25 Block: 1 Addition: Stafford Place
PID:10-72500-01-250
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Bryan Staerkel
4126 Pennsylvania Ave
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.
1408 NORTHLLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 TEST RECORD
Av) ADDRESS ~ 4o a CITY
OCCUPANT OWNER J ^1 r~~~-•
SOLD BY INSTALLED BY
MAKE MODEL S ~r
SERIAL NO.~ INPUT L~
~ A f/
THERMOST'A;T..D--L ► V im" , VENT SIZE
VALVE `~f ~_l~d.SL!►~`:~ TYPE OF LINERS
LIMIT LINER SIZE
LIMIT SETTING FILTERS: SIZE t ILI NUMBER
FAN SETTING WIRING
PILOT TYPE TEST TAG
IGNITION MODEL LIGHTING INST.
PILOT TIMING 4 vi- / y
DATE TESTED
l ' )
PRESSURE PERCENT CO, ! L • r
COMPANY TESTING
INPUT CF PERCENT 02 'T
O
STACK TEMP. PERCENT CO 0 ~~dl^ NAME OF TESTER LVV'
FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129694
Date Issued:03/06/2015
Permit Category:ePermit
Site Address: 4126 Pennsylvania Ave
Lot:25 Block: 1 Addition: Stafford Place
PID:10-72500-01-250
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Bryan Staerkel
4126 Pennsylvania Ave
Eagan MN 55123
(920) 205-6433
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature