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4130 Pennsylvania AveCITY OF EAGAN , . . • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-$100 BUILDING PERMIT Receipt # ' To be used for -t; WGf GAA Est. Value Date 19 Site Address 4130 FL:PdSY3,VA.4:' x: A:'•,"5. rL% C E 1 OFFfCE USE ONtY Lot Block Sec/Sub. Parcel No. Occupancy R"3 ?"t FEES R_1 Zoning a Name (Actual) Const t? V Bidg. Permit 3 Address 3C:,2 t"??A?°d;,1,,1: i`F; (Ailowable) y'? ha e S :}6.0p ? City E.i f?A P, Phone 4 54"4')4d 3 # oi Stories urc rg ? 5 700 ?1 Plan Review • Length p Name ??yr, Depth ?'' 1 SAC City I UO• OL) , , 0 't Addre55 S.F. Total - 57 3 ('L U ¢ Cit Phone y S.F. Footprints - SAC, MCWCC . S"r ?'J water Conn • On Srte Sewage - W W Name On Site Well - Water Meter •00 ?- ?? AddfesS MWCC System - 30 L{' ? ? Acct. Deposit • <W City Phone Citywater ` S'W Permit 20•00 PRV Required - f hereby ackr+owlege that ! have read fhis application and state that the Booster Pump - SiW Surcharge Z- GU information is correct and agree to comply with all applicable State of ? ?? Minnesota Statutes and City ot Eagan Qrdinances. Treatmeni PI ? Signature of Permitee APPRQYALS Road Unit ,40•00 A Building Permit is issued to: t???' ?? 1ry?' ?-?"'•?T ?;'?`'??' Planner park Ded. on the express condition thaf all work shall be done in aCCOrdance with all Council _ :? y t i;, .(1O applicable State of Minnesota Statutes and City of Eagan Ordinances. eldg. Off. _ Gopies ? ? i ? ??? Building Official Variance - TOTAL Permit No. Permit Holder Dste Telephone # WATF.R 77- SEWER - PLUMBING ELECTRIC ,5 ? Inspectlon Dake ins . Comments Footings I Foundation Fr2ming Roofing Rough Plbg. ? ,. Rough Htg. G S. ? IsuL Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Noti(y Plumber Engr.IPlan Bldg. Final Deck Ftg. DeCk Final weu Pr. Disp. * v :.a Y . • 1? (Itrti#irate uf (Orrupanry titp of Cagan 101,WtMMt of iwat" 3wprrim This Certifrcate rssued pursuant to 1he requirements of Sectron 306 of the Uruforrn Building Code certifying that at the time of issuance thrs structure %as in compliance wuh the various ordinances of the City regulating building construction or use. For the following.• v. SF DWG/GAR m4 F,,,.;, N.. 16306 Oocupancy Type R3/MI Zowng MW Rl Tra ComL kVN o..r d e."F%NTIEft FMF7M HQWS Add.3902 aFZARVALE DR, F.EIGAN eiakhn n?re%4130 MVSYLVANIA AVIIVIIE Lmbty L21+, b I, SfAnM HAE ? ?-?' ? '• ? n,te: .]III.Y 12, 1989 Bw7dieg Otf ' ' POST IN A CONSPICUOUS PIACE 1NSY1:U1 lUN KLI;UKIL) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITEADDRESS: . i NraSYIVANiA qVC '.IAf f u1+l.i VILqfE ? APPLICANT: rn I I I I I i iI I rip s i+ Y , 'i J j. ON/:}1 /list L ? PERMIT SUBTYPE: TYPE OF WORK: , . f"nrtr rsnct I.IIN13[ti1 Permit Holder Date Telephone # PLUMBING HVAC Inspection Uate Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER ?O IRRIGATION METER FLUSH MAINS coNOUCrivm TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? ry.? INSPECTIUN RECORD CITY OF EAGAN PERIIAIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , I SITE ADDRESS: APPLICANT: t-w •fI vAfV iN AVl= : ? :?IAt tl31?l1 {'3 fi1 I ;r,{,'1 c.ti ; l!1li? r ?:11 ! 1 I1 l N1i E7 .'E.r, 4! 1 ? ? . . . . . . . . ..:? . . . . .. .. . ? . . . . .. ?. . ?. ? G E Et? ? ? PERMIT SUBTYPE: TYPE OF WORK: 1 1 t . ?i ? . I. j I Permk Nn. Permit Holder Dats Telephone 8 ELECTRIC PLUMBING HVAC Inspectton Date Insp. Commants FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL d 2 -!i -?? t BSMT R.I. BSMT FINAL DECK FTG DECK FINAL SEWER & WATER PERMIT CITY OF EAGAN , 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFlCE USE ONI.Y PERMIT DATE WATER PERMIT *10 4 3 `+ SEWER PERMIT # M ETER # UZ?/ Td ?T B.P. RECEIPT # ^ 1957 Z / 3 aZ(?, B,p. RECEIPT DATE 5L1.2L$9 METER SIZE ( ISSUE DATE - PRV _ BDOSTER PUMP !?13) ?elt,=,ytvania Avc. SfTE ADDRESS PERMR REO ESTED LOT --BLOCK -1-5EC/SUB ?t af f n rrl =SEWER _ WATER TAPS° APPLICANT: W+;Rt--iL??^d?,,?e5? s-en? r4r?. ADDRESS: 3.1?'avQ;^ *'a s p `'d MMlIND - ESIDENTIAL' CRY, STATE -?? n MN ZIP 129_ PHOt+IE: 454-0d13 -- ?7:NEW - EXISTING PLUMBER: Stal. ADDRESSlil? Q??? +,;?z?rxT I AGREE TO COMPLY WRH CfTY OF EACAN ORDINANCES: ? CITY, STATE ? ???+ ny+„n ` ?hl ZIP EE420 , i PHONE: ?14 - 4Q '??'i I , ' .? :; ?• : OWNER: ADDRES-`N66 r„ ir.,; ,..., n.... SIG TU F ISSUED CITY, STATE g¢??? MW _ 21P ?., ? - PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMRS, CONTACT j? ENGINEERING DEPT. • ' ' l? r ?.? r ,i•'. - ; i C? - % -- r? / . - - - ? -- -? ? ----- ---- ---?----..__ --------- -_--?_ - • -? CITY OF EAGAN N? 16306 ^ 3830 Pifot Knob Road, P.O. Box 21-199, Eagan, MN 55121 C? n1 ? PHONE:454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR EstValue $72,000 Date *fAV f5 , 1949 Site Address 4130 PENNSYLVANIA AVE Lot 24 Block 1 Sec/Sub. AFFORD A. Parcel No. w IName FRONTIER MIDWEST HOMES o Address 3902 CEDARVALE DR City FAGAN Phone 454-0433 olName SAME - ?a Address '¢' City Phone Name _ Address Phone I hereby acknowlege that 1 have read this appiication and state that the intortnation is correct and agree? pto comply with al a licable State of Minneso[a Statutes and City of? an Ordina^?es. SignaWre of Permitee ?/ C? A euilding Permit is issued to: FRONTIER MIDWEST HOMES on ihe ezpress condition ihat all work shall be done in accordance with all applicable State of Minnesota Statutes antl City of Eagan Ordinances. Building Otlicial OFFICE USE ONLV Occupancy R-3 M-1 Zoning R-1 (Adual) Const V-N Bldg. Permil (Allmvabie) V-N SurCharge u of slories Length oePm S.F. Total S.F. Footprints On Site Sewage on sue weii MWCC System City Water PRV Required eoosrer Pump APVROVALS Planner Council BId9.Off. Variance 40' 47' XX -Ix. Plan Review FEES 514.00 36.00 257.00 SAC, Cily 100.00 SAC,MCWCC 575.00 WaterConn 580.00 Water Meter 90.00 Acct.Deposit 3()_(10 SMI Permit 20.00 SNJ Surcharge 1 • 00 Treatment PI 228.00 Road Unit 340.00 Park Ded. Peeon??lty 20.00 TOTAL 2,791.00 7989 BDII.DI96 PSffi!IT APPLICATIOIi - CTfS OF SAl3AN ? 32PGLE FAMII.Y DiiELLI1QGa I c 10 INCLODE 2 SETS OF PL9N5, 3 CERTIFICATFS OF SIIRVEY, i SET OF ENERGY C9LCOL9TION5 HOTE: iDDBESSE4 FOB CORAEh LpTS _ CONT9AClOA/HOlEOi19SH !lOST DffiIC.NATS fiUCH ADDRHSS IS D&SIRED. , AO CHANGE4 vn.L B6 ALLOWSD 011CE B[fII.DING PSAlIIT I3 2330ED. MULTIPLS DiIEI.LI6(33 Hffii'!AL DBI'P3 F09 SAI.S OHIS3 i OF OBISS INCLQDE 2 SETS OF PLANS, CEATIFIC9TE 0F spgqgy _CH(;g iRTH SLDG. DEPS., 1 SET OF ENERGY CALCOLATIONS GOFMRCIAL INCLIIDE 2 SETS OF ARCHITECTURAL & STAOCTURAL PLANSt 1 SET OF SPECIFICATIONS 9ND 1 SET OF ENERGY CALCULATZONS To Be IIsed Forsnew construction Valuation: $fr6?86:-8?-?- Date: 4-13-89 31te Address4130 Pennsylvania Ave. ? OFFICE OSS 06LY Do0 ' Lot24 Block 1 Pareel/Sub Stafford Place' OwnerLee Brian Morton Address 3460 Golfview Dr. #2208 City/Zip Code Eagan, MN 55123 Phone 452-6896 Contractor Frontier Midwest Homes Corp. Address3902 Cedarvale Dr. City/Zip Code Eagan, MN. 55122 Plwne 454-0433 pr.ch,/Engr,Dick Chalier Addresa14103 Gardenview Dr. Z, oecupaney R-3 M-1 zoning R-1 Aetual Const V-N Allowable V-N 0 of atories Length Depth S.F. Total Footprint S.F. On site sewage_ On site `rell 77,7 FIWCC Syatem Citq water y? PRV required _ Hooster Pump _ 1PP80VAL.S Planner _ Council Bldg. Off. ?100 9arianee Council Val Bldg. Permit Sureharge Plan Review SAC, City S6C, FIWCC Water Conn liater Meter Acet. Deposit S/R Permit siw suroharse Treatment P1. Road Dnit Park Ded. Copies SOTBI. I Lf, 00 City/Zip CodeApple Valley, MN 55124 ?S?{P?Fpo[Zb? MopQ-k- Phone i 432-5492 HOTSs Sever 6 iiater Permit fees and aecount deposit teea vill be inolnded in the building permit fee. Processing tiime for aever and rater permiLs is tvo days oaoe a liosnaed plumber haa applied for a permit at City Hall. • " EXTERIOR ENVELOPE Fl4FRAGf °U" COM!'UTATION.--%^ OWNER;____Lee-_--?rlah nnrr:_?--Z?- SITE ADORES5:_? I 3U 19e hyKa?Va??t_l?. A'VP_ PFIONE: YS'51- d%". oO-rA CONTqACTOR: F?•aT??_ C cav.gp,?? ? S PLAN # Zy- (o . Determine working square footage. of each 1. Total exposed wall area..... G '-{i S-.sq. f t. x .11 = f( (Q 2. Total roof/ceiling area..... I CJ l C._o sq, ft.. x .026 = Ti(2 rq ? Total exposed wall area above floor=_?8?? ' a. Total wall window area ............................................ ? ZS • b. Tctal door area ........................................ .'.......... Y Z- c. Total sliding glass door area .................................... Z d. Total fireplace wall area ........................................ e. Total wall framing area (average 10%) ............................. f. Total rim joist area ................................ :............ g. net wall area a6ove floor ..................................... h. wall area above floor ..................................... • i. wall area aBove floor ..........................:............ j. frame wall area at foundation ................................... Tota1 exposed foundation area= --5 k. Total foundation window area ....................... l. Total net foundation area above grade .............. Determine "u" value of each wall segment . (e,g. window, door, each separate wail section) : a. lZ? xtiuii. b. y z x HV C. Lf z X M„ , `/ 7. d. X„u,? e, X????? X Hul,. 9 f X ?lull CP74$L/ . h. X 'lull _ i. X 'lull _ j X tiuii _ If item #3 is the sa, k, X"U" = as, or less than ite! N1, you have met the X"U"_ intent of SBC 6006 ( 3 . .................. ............... Total ?:terior Envelopc Averaqe "U" Conputal:ioit Page 2 of 4 Total exposed roof/ceiling area m. 1bta1 skyli.gnt area ............................ n. Total r.ooE/ceiling 8raming area (nveraye 10%)... 1? ?,(o o. Tota1 r.et ir.sslated roof/ceiling :area........... Determine "U" value for each roof/ceiling segment M. X ??Ljl. _ . . , . n. ' d X nU., I OZ-1 0. ' I iI,I X. IVu ? OZ, _ ?Oo I 4 ........................... 7.bta1 ZOL ? 3 _•` to*_al cf ;;4 is t17e same as, or less than 42, you have met.the intent of SHC 50"v5 ;•;1 1. Alternate Building Enve:.ope Design . . 7b utiliza the total enyelope'system method, the values established by the s;un of i.tems ;'r3 and r4 shall not be greater than the sum of items #l and #2. 1. Z[ lo fO°./ + z. 3. ? ? ?j ? ' + 4. ZA ? -73 . PLAN # * ISNEAL FEf.T E}TOSID WALL BLOCK: Co S / 1QNEE: ( "3 O W.O.: - FULL 1: l 3 2 FULL 2: , FIREPLACE: ? RIM: j 3 d * SQUARE FEET FXPOSID WALL AREA ar.,ocx: x .5 = 3 z, S' .,. KNEE: l 3o x s = ??- W.O.: X g = FULL 1: (-3 .g x 8=. . FZJLL 2: ? x 8 = -- FIREPLACE: RItII. l 3 O X 1.- l 3 ?_ TOTAL * SQUARE FEF.T EXPOSED CEILING ? O l?o P.amnmws ? Dooxs q- Z ` ZH 3 ca C?c.._ ? Lo `Z_o 3 Co = -7 = 3 S`' 3t PATIO DOORS 4? Z z.n Ca o = 3 - z-S? * BASEMErrr Uxrrs Z ?-f `-I q ---- _--- I?? ?c>k?BC?(kcY,($c$c%t9F>k$iYF>kX?>k>k n$<YF?k??k?t>k"?%i>kkC$cYFYF?d'?Xt9?? CITY OF EAGAN CA'iHTER: S TERt1INAL IdU. i`Ji DATFr. 08/25/98 TIME: 14;55:44 III: NAMF: CI.DER-JONES 3210 3001 4130 F'CNNS AVE 40.25 2155 9001. 4130 F'ENNS AUE.. 0.60 ? .+ J ?,. 'I'ota'7. Receipt, Amoumt„ 40.85 CR09C,E,46 USEfi ID: NANCY PERMIT 14 C1tY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SF (MTSC.) REPAZR 434 AI.T. RESIOENTIAL SITE ADDRESS: P.I.N.: 10-72500-240-01 4130 PENNSYLVANIA AVE LOTc 24 BLOCKc 1 STAFFORD PI.ACE DESCRIPTION: ,,_, REPLACE WINDOW Bu12di'ng:,,Permit Type Building Wark Type Gensus Gode j ,. i 1 ? q ,- tt ? , y ^{y ? ? ? r F . REMARKS FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $40.25 $.60 $40.85 PERMITTYPE: BuzLozNe Permit Number: 032976 Date Issued: 0 8 J 21 / 9 8 $1,200 AY'BVOA'N D E R S E N - HPP1115024777 20040630 OWTOER: REI??'W LEE 350 73RD AVE NE 8 4130 PENNSYLVANIA AVE FRIILEY MN 55432 EAGAN MN 55123 (61 ) 502-9777 (651)683-0170 I hereby acknowlscige that I have rea-d this epplicetion and state that the infvrmation is correct and agree to enmply wit!h all applicable State of Mn. Statutes and City of •Eagan Ord'inances. APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATUFE J 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 3 -), 0, -? u 681-4675 1> ?-fO - New ConsMuetion ReaWrements RemodeUReoair Reauirements O? , a( - ??' O ? 3 registered sHe survays ? 2 copies oF plans (inGude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservatlan plan if lot platted after 711/93 required: _ Yes _ No DATE: S?I3 r ?T S'C DESCRIPT OF WORK: ST T ADDRESS: ? ? 2 copies of plan ? 2 site surveys (e#erior addkions 8 decks) ? 1 energy ralculations for heated additions A? CONSTRUCTION COST; 0 ,. LOT: ? ?? BLOCK: , SUBD.(P.I.D. #: ?- ? ? .CS1 ? ??C-F . Name: / ! (.(y?1,f7TYt , ?QO f? h/1 ?i/Th_? Phone#: 678 3-0I70 PROPERTP Lazc / eirst OWNER n /1 Street Address: 30 Pt7? rl ! i.t? 17D {? / rl ! A/J-Q ' City ?Ptq Ql°i ln U , State: 729-2/1 Zip: J P Phone #: 7 ? 7 ' Company: Rnn oo p)2 P&4 CONTRACTOR ??V ?? ?? veet Address:? ?)??? ? License il o???CXO? S City State: ?n?? Zip: R?V3& ARCHITECT/ ENGINEER Company: --A ?G Phone ? Registration #: Street City Sewer & water licensed plumber (new consVucHon ony): and lot change is requested once permit is issued. State: I hefeby acknowledge 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 _ Yes _ No Zip: Penalty applies when address chang correct and agree to compty with all applicabl u ? 1 10 Tree Preservation Plan Received - Yes - No - Not Required Y BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 $-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New O 33 Alterations O 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Faciliry 21 Miscellaneous ? 36 Move ? 37 Demolition MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies o Valuation: $ I -?-d o Total: % SAC SAC Units 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 a g?(4 cizr oF EacAx 3830 PII.OT KNOB RD - 55122 681-4675 New Construdion Reauirements RemodeVReoair Reauirements • 3 registered sde suneys • 2 eopies of plan • 2 copies of plans (inGude beam 6 window sizes; poured fiC. design; etc.) • 2 sRe surveys (exterior addRions 8 decks) ? 1 energy ealculaNOns ? 1 energy qlculations for heated addRions • 3 copies of Iree preservation plan rf bt Dlatted after 7/7f93 required: _ Yes _ No DATE: S?OY-VVA Cl&?TRUCTIO OST; Ia a d ?? U S IM ? e-? 6c -r- DESCRIPTIO F WORK: ?? U L PJ -? -? ` J STRE ADDRESS: ?'tv\, V 5-1 LV y Q v" D,- Av L°. LOT: BLOCK: ? SUBD./P.I.D. #: C1?- Name: I"16 f,`f0 I'U ?-L4,- Phone #: 60 3?? (/7? PROPERTY 1-ast First OWNER Street Address: ?L V}Q k/ l 6 A4 Ciry czkv\? State: m V\1 Zip: Company: Phone #: CON'IRACTOR Street CiTy State: ARCHITECT/ ENGINEER Company: Phone #: Street City State: Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. License # Penatty applies when address chang I hereby acknowledge that I have read this application and state that the infortnation is correCt and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ?I V n Signature of Applicant: ?I ?JJM v?a?v? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received ? Yes - No _ Not Required Zip: Registration #: _ Zip: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation 0 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-piex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE 0 31 New ? 33 ARerations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi RepaiNRem. ? ? 13 GaragelAccessory ? ? 14 Fireplace ? O 15 Deck 13 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Faotprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. 5AC Code Census Bldg Census Unit Engineering Variance Valuation: $ °k SAC SAC Units ; ? , PERMIT "CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ck49-30 PERMITTYPE: euxLoiNc Permit Number: 0 2 6 6 a 1 Date Issued: 10 / 2 W/ 9 5 SITE ADDRESS: P.I.N.: 10-72600-240-01 a (SHED) euilrli.ng Permit 7ype E3u9,lding Wo,rk Type ? DESCRIPTION: ? GAkWGE/ACCESSORY NEW REMARKS: FEE SUMMARY: Eaa-e Fee Surcharge Total Fee 4130 PENNSYLVANIA AVE LO7: 24 BLOCK: 1 Sl`AFFORD PI.ACE VHLUAI"IQN $74.%5 $1.5m $76.25 CONTRACTOR: $3,000 OWNER: - ApPlicant - MOftTON LEE 4130 PENNSYLVANIA AVE EAGAN MN 55123 (612)683-0170 I hereby acknowledge that Z have re-ad this appkication and st'ata that the a.nformatian is correct and agree to oomply with a11 applicatale 5tate of Mn. statutes and City srf Eagan [Jxdanances. ?I 1-"- acw P?a?r,L I 1V - APPLICANT/PERMITEE SIGNATURE ISSUED SI 'AT REI 11V5Yr:(:'1'1UN KECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS:F'1_.n?`: 1°'--?`5r??,?2n?n-e1 APPLICANT: LOT: 24 k3LflCK; 1 4138 PI'NNSYIVANIA A'Jf MpR"(ON LkE 9TRFFORD PLACE (612) 683-0170 ? ? RU:[LpING 826601 10/23/9Ei ? ?-- r PERMIT SUBTYPE: TYPE OF WORK: GARAGE/flCCES50RY NEW DESCRIPTION (SHED) oi 3830 PIL'OT KNOB RDN 55122 ia 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reeuirements 6emodeVReoeir Reauiremenfs ? S repisterod eite turveys ? 2 copiea of plan ? 2 eopies of plam (indutle beam & window s¢es; poured fid. design; ek.) ? 2 site surveys (exterior addklona 8 dedcs) ? 7 energy calalations ? 1 eneigy calculetions for heated eddkiona ? 3 coples ot 4ee pieservation plan H lot platted after 717/93 repuirod: _ Yas _ No DATE: l ig' 11 'qT CONSTRUCTION COST: ?1ISu . Do DESCRIPTION OF WORK: 5112866E Shzd `/OXl(Q - STREET ADDRESS: q13 ?Pl5-„VtS Y LV7?n ia A?e- LOT ? BLOCK SUBD./P.I.D. #: S TiFFf., 2A ,4/-&6oe PROPERTY OWNER Name: 14't00t724/ L EE- Phone #: 483 -d/70 u.. F... Street Address• '113 o PLu h S ? 1 ?X n. LA A? e. City: E'4-6 yb K State: nA Vn ZiP. $ S I Z 3 CGNTP.ACTCR Ccmpany: Phone #: Street Address: License #: Cfty: State: Zip. ARCHITECT/ Company: Phone # ENGINEER Name: Registration #• Street Address, Ciry: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. I hereby admowledge that I have read this application and state that the infortnation is correct and agree to comply with all appliqble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: F I-? OFFICE USE ONLY 0 C T? 2 1995 Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received _ Yes _ No - -------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex a 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-piex 0 04 SF Porch ? 09 12-plex 0 05 SF Misc. 0 10 _-plex WORK TYPE .zr-31 New o 33 Alterations n 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVAL3 0 11 Apt./Lodging o 0 12 Multi RepaidRem. o --El?- 13 Garage/Accessory o ? 14 Fireplace ? 0 15 Deck 0 36 Move ? 37 Demolition '? •? .? ? ,f -? 16 Basement Finish 17 Swim Pool 20 Puhlic Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft, sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. Ja SAC Code ?i Census Bidg i Census Unit _ Engineering Variance Valuation: $ w /p k/6 -// o x//' " z, Z'{° % SAC SAC Units ,C•?? a /? 7r /i.?..o..n, L..ftw,.,....r.? , -?f pCF.:Q o M)de N4us? Wavksha, i.r .. +?..? Ad*r MrMI??. ? ??-?--?..lrpriwMrwYr • ? ??A ?M??MI ??' M'OWNM O?MM i?? ?? ?I ? M?wrY TM? WMr+? ?c.:? •f ?? ???ddN YrIM i?? ?..Z? •/ . '` N ?TINO ? Gwyi???.?L?•/ i?Al ??YN IIIA I?rwyr?M?' ?MilYRhlllr ?r?rYCMw r??wM fft? /?N?II?2?iy Rp ? It.? ? M?rw sww u r??w 4..?? . ? 7A . e _ ? • 1lA. ir.? II•W ll.i i=.Q ?w11•?.??_. I 4ila F. ?.? u'r?4 c - ?4+rsIwwi •, ??Oi11. i ` Y M1LI?i1? I,....r:.w,? , , ? • A „ ,? ? • ????LMS ?ll? ? /KIW?W11UrVMIWYw?OM?q1Y?MW/?y? " OMIO??W YN??Y tY?n Caoi? ? y??o ? wWAWA? FIIr? ?r1rn ?M1?M M?M AM? •M .??r??.? ?..? r ar r ?r ? r W W r • r ¦ ? " ? r N Y r ??r • r • r ? r ? r ? ? ? • • ? .~?M ? • Y • M Y ? ? ? • r a r r r . ? w '- ? w? r ? .w r ? r ?r r r ?r? M M Y ' u M y Y - `,? v ? ?? ?r???r?? •_? ?W MAMA&?? ? ? ? ? W WD?wI a. 1Yd7wY wl?u ANM ?A •? • ) Ar 1.] . 14 ?a • i " ti?r?w??s ?.? ?.a ? • ' ?"? r4 ??. •? Ll •• ?- sra..r..w?«... ? N 1?? y V Y ~ Y ~ ?s y ikl y •? ? ti. lt ?c .. . ? Sut?ve?ors G'ert?f?cate SURVEY FOR: Prontier Ptidwest Ilomes Corp. OESCRIBED AS: 1,ot 24, 131ock 1, S'1'APPORD PLACIi, City oF Fagan, Dakota County, Hinnesota and reserving easements of record. ? ° T.W H`{O, = ZO,l, AvENUE9 ? / ? ENNSY o P 91i.e o„ - , Ra2??.00 9?QJ.Z. ? 73., 0 O ? O 1 M + 5 \ T a ? 5 - ? ? ? yo- L91S0 1 l \ ? . f' 9'L? i14 ? ? n6 P R, nt? ..R 3 O O 0 N m M ? tn I 00 ?J _ I O-n ? $PuT ZS ? 9 ? 0a N O ? ? S lz? O O 0 •- O s J?G ? B UTILITY EASEMENT PER PLAT- =y ? I 0 to COUNTY PROPOSEO EIEVATIONS top ol Faunearlon .9zs.-I Goraps Floor . 9z s. 3 Basemsnt iloor i- vzz.5 ApproR. Sower Ssrvlce ENv.. 41%. 1= ProDOSed Elevallons ? O EMUtloq Elevallons Dralna0• Dinellons ? ....._. Denoles O/feal Sfok• I O N SCALE: t lnch • 30 Feet BENCHMARK, T.N.KYO IoT LINE Zy?1S 131K,1 Ct = qxo.467 I MIN. SE7BACK REOIREMENTS Fronf - 30 Howe Slde - !O R06r - %S 00?oyO81M- S I henEy tullfy fAal IMs wrveY, olan er noorl wo• or.oor.a ey m. JOB NO.( /?IEDLUNLa er under my dlnel superrlslon rnd thel 1 am a duly qeplf/ered ?1R -/?77 Land 8urrorar under Me lars ef IM 81eb el Mlnnesola. BOON: Planning Englneedrrg Surtireying wI rn..w. roo. +en w?.waIw» Q PAOE: Ir?pm O"A m o Oeu: 4 . 4. . 99 d? ?y 1 y on. Uanq 4776 O 146.18 S 89°58'12° W STATE AID HIGHWAY _ ( DIFFLEY ROAD) r ? ? \ n ? ? ?1 ? a 0 NO. 30 .4 --- ? Q 57,0 • o ? I c 0 m z 0 ? s 71 0 J savellor s ecrtif?cate iURVEY FOR: Prontier Aiidwest Ilomes `Cor 1i.. )ESCRIBED AS: ?.ot 24, niock 1, sIrnrr•c?itli ?14Lncr:, city oe ?:aF1n, otmty, 1•Iinnesota ancl reserving easements o{ record. ° Y.N. H`to. = t0.4 ' PENNSYLa_ ;?:4 T'- 0 ? - ' J , ? ? 5 3 O ? O O V = N Q1 M M • _ 03 v,.... _; , ? _ , ..??i?_......?........_.? 0 1 \ ) Zq Z0L`?1?? ? 91? \'L4"1 6PR. 9ZS•O ?? 1 LIN?•? ?? 10 p'o SpLIT ?N?• 2S.o 9 ? Twl ? Hl 918•2 ? 0 a lil, vS _ I J 2 N Uakota_ ? OO ? O ? <\ . 0 `J _ 1k i ... _ ? .a. .1...?.._'?? B UTILITY EASEMENT PER PLAT. 0 q S6' -o - ? I I COUNTY 146.18 S 89°58'12" W STATE AID HIGHWAY (DIFFLEY R= PROPOS_ EU E?E?ATIaNS Top o i°^ 6orope Floor . 92 5. 3 Bosemenf Floor ? 92.i.5 4""= Approx. Stwor Servke Ehv. • ProDOsed Elevotlons ' Q Eautln0 Elwoflons ? Drolno0e Dlnetlons peoolu 0lfesf Stak• ? U IfEDLUIVD Planning Engineellnp Surve079 ue? ?«? ?aa?+aa. qwa. Ym^+yq IM?""°'. M.» 1M?M? AIO MQ?M ? 0 SCALE: t loeh • 30 Fast i \ BENCHMARKI T.N.H?IO.ON W7 LINE ZW?2? 131 >G2 ?L=4212 .&7 g?gpCK_REOIREMENT9 Front - 30 HOUSS Sido - f0 Raor - %S OaraOo81dQ- s LanO 8arqa und?r Me bMs sf Ihe Stet0 *f 7 Dslr Jr eY I sn, Lleens• 4?y • '---"'__ -?.?..? JOB NO.: t Mreby cgr11fY Ihel IMs surveY, ilan a foPOrI wa? Or6Gar*A bY mg ?..?R ????7 er uedu mr einm ?uWrvlrlen end Ihol 1 am a d?ly R?OId?r.A L 376 ?. i i I , ? I i ; ? I ? ? ? ? 0 45?.0 N0. 30 ' ? ? ry l'; I i Gj f .. .' +sue =t -' 1 _ <' ,.:_•....5 ;. .,- r _ ,_ fl a� c 7 _ , ,,,,,,„„„..,,, :-. '-'.i's,.. , ' , . „ • - PERMIT City of Eagan Permit Type:Building Permit Number:EA116314 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 4130 Pennsylvania Ave Lot:24 Block: 1 Addition: Stafford Place PID:10-72500-01-240 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 - Ratna Deep 4130 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