4134 Pennsylvania AvePERMIT
City of Eagan Permit Type:Building
Permit Number:EA128055
Date Issued:10/24/2014
Permit Category:ePermit
Site Address: 4134 Pennsylvania Ave
Lot:23 Block: 1 Addition: Stafford Place
PID:10-72500-01-230
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
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 -
Jacob A Mcnally
4134 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
? $
CASH RECEIPT ,
CITY OF ?AGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE 1- 30
,EI*rvEo FADU l/
1
? .. _ AMOUNT Ls 5,E tJ/ti ?
/
?465.3 li 2-'1 I ?? , 00 a aounAs
" 'T'St' 21 8§ ASH y CHECIC,5
1"1y?15 uu
• ? i I?
FUND OBJECT •
AMOUNT
rQzi
Thank You
ev _
C ?02? W,?.??
Ya???V C-Wy
wk*--fme copy
DATE:
RE: 4134 PEIiN$YLVANIA AVENUS, L23, Bl. STAFFORD PLACOE
_sZ Your 5-eweN&?Va3e?PemTiirdrZh?OR0e ?bpeVhasSa9F&%lA4.C#will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
f,iour Sewer & Water Permit for the above property cannot be completed for the following
ceasons:
{' ~? ?
,
t Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untit further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hatl. 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 POLICY.
Secretary, Buitding Inspections Dept.
. _ , . , ,.. ,,.. ? ... . .. . .. . , . . . . ? . .
? BASEMW 07/17/90 02M-7_V?I RIA?Td 0
F E rv t?+ ?.
3830 Pilot Knob Fluad, P.O. Box 21-199, Eagan, MN 55121 17474
PHONE:454-8100 •?
BUILDtNG PERMIT Receipt # :.' •? ;
To be used for SF AWC/GAF Est. value :bZ ,000 Date JAN 30 , 19 90
Site Address 4134 pBHNSYLVANI/1 ANE
Lol 23 Block I SeclSub. sTAPFORD PLACB
Parcel No.
W Name FRONTZER DEYELOPMENT CORP
3 Address 1285 CORPORATE CENTE[t Dx
0 City BAGAN Phone 454-0433
Phone
Address
Clty _
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply wit?all applicable State of
Minnesota Statutes and City ot Eagan Ordiqanc
5ignatureof Permitee iA ''t I' ?+(y
A Building Permit is issued to: FRONTIER DHVEIAP!lENT
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 Otficial ?
OFFICE USE ONLY
Qccupancy R-3 M-1 FEES
Zoning K-A
(Actual) Const V-N Bldg. Permit 469.00
(Ailowable) V=N
Surcharge
31,00
# of Stories
PlanReview
305.00
Length
Depth 244i* SAC, City 100.00
S.F. Total - gAC, MCWCC 600•oo
S.F. Foolprints _
00
625
On Sde Sewage _ Water Conn .
On Sile Well Water Meter 90•00
MWCC System xx 30
00
Ciry Water xx Acct. Depasit .
PRV Required _ S/W Permit 30.00
Booster Pump - S/W Surcharge 1•00
Treatment PI 252.00
APPROVALS poadUnit 355.00
Planner - pdrk Ded.
Councd
BIdg.Oft. _ Copies
2
00
888
Variance ,
.
- TOTAI
Permit No. Permit Holder Date Telaphone #
WATER
s????. 33?b I ?? 90 ? o'?
PIUMBING
H.VA.C. CI C (?
EIECTRIC - ??y?? ' i ? ',•? ?'` '„?. ?/,S /D ? C. of?
Inspection Date Insp. Comments
Footings I
Foundation 1 r Z?J l? ? U-/I"
Framing
Roofing
Rough Plbg.
Rough Htg. - " - -kj - p •- _
l5ul. % v
Fireplace
Final Htg.
Fnal Pibg. -221d'
Const. Meter Pibg. Inspector / Plumber B
Ergr /P1an
Bidg. Final
Dock Ft9.
Deck Final
Weit
Pr. Disp.
• PERMIT # ;
. . . .E
?
• ,? • , , MECHANICAL PEIiM1T RECEIPT # ' ?• " `
J CiTY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTFiACT PRICE: S 1,"90. 00 PHONE: 454-8100
Site Address '' - 7enne.y vnn a ve •
ff
•d gLDG. TYPE WORK DESCRIPTION
Lot 23 Block 1 Sec/SubS ti,
o t '
•"
Res. 1
New
`
?
N, Mult Add-on
? Name
1955 "? ;?;??ee oA
" Comm. Repair
? Address
+
5 7 Other
c Ciry Phone
Name FRaNT IF'' Ci'fPAYMS FEES
RES. HVAC 0-100 M BTU -$24.00
?
c 1285
Addrp
ss Cr?rpuratec; C:enter t;?Y.
qDDITIONAL 50 M BTU - 6.00
p ?
Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiiNIT) - 1
50 EA
.
.
TYPE OF WORK EE
n
FE
Forced Air ,0 ??c,;,
M BTU 04.0(} APT
BLDGS.
LIES
COMM. RA E AP
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAI FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ' - BEYOND $1,000)
Other
FEE :' s . ~ ?' . . •
S/C: • s? SIGNATURE OF PERMITTEE
.:?.ao
TOTAL•
FOR: CITY OF EAGAN
o• " '//&f5 U' CITY QF EAGAN
CONTRACT
PRICE
Site Addreps
? Name
? Addre
? City ?
? Add
? cay
Phone
FEES
COMMJIND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CANDO - FiES. RATE APLUES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
PILOT KNOB ROAD, EAGAN, MN 55122
PNONE 454-8100
For
PERMIT # ?? '57 ?
RECEIPT -??Y?
DATE: //,/-/-/v
BLDG. TYP?. WORK DESCRIPTION
Res. ? New
Mult. Add-on
Comm, Repair
Other ?? ?•?? 1 C'1dT ? j }'
RES. PIBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTU RES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Oudets - $1.50
(MINIMUM • 1 PER PERMITJ
Softener - $5.00
Well - $10.00
Priva[e Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE: ? v
STATES SIC: ? yJ
GRAND TOTAL: ? -?' ? a
? , .. , . . ? .,.., ?,
PLUMBING PERMIT !
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site
Lot.
? Add
? City
FEES
COMMIIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLUES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF EAGAN
For Office Use Only
PERMIT #
RECEIPT #
DATE:
BLDG. TYP WORK DESCRIPTION
Res. New ke?-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. HXTURES TOTAL
Water Closet - $3.00 $ g:?,_
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
1_ Floor Drains - $1.50
Water Heater - $1.50
Whidpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. -$10.OD
Rough Openings - $1.50
PERMIT FEE:
STATES S/C: S?
GRAND TOTAL: ?yLZ?
? 'M? ???,?-? -' --' , Y . ?,..',...: _ . ^ _ _.???,?i y ?
?!-
?.
!
(Etr#i#ira#P u# (Orrupanrg
citp of tagan
? loppWrhumtl o'f Wu"iing jnwrrtinn
This Certiftcate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifytng that at the time of issuance tliis structure was in compliartce with the vatious
ordinances of the 06 regulating building construction or use. For the following.•
Use Clacd5iauaa CP JUGyf?'? Bldg. Rrmit No. -17474
OuwPea7+ Tw M{r+I Zaaiu6 Distrid Typc Caist w
OwoerofBuildin6 PROIfIM W.0, CM Addrssa ]2815 CM. M MT]?:-AN
BuiMing Addtess i I.acality T-73. BI, r1.AEBW 13+ACE
i Date: MARC r, :990
Buildig Ofi?ow
POST IN A CONSPICUOUS PLACE
?,f
. a• • »s ?
• • . . .
(gitr#if irafit of tOrrupaury
Citp of eagan
]lppl"t!1[P1t# of sltattU3 3wPtri.plt
This Certiftcate issued pursuant to the requirements of Section 306 of the Uniform Burlding
Code certifying lhat at the time of issuance this structure was in conrpliance wrth the various
ordinances of tke Crty regulatrng building conslntclion or use. For Phe following.•
use amatic.tkm S'F UW/GAR Bug. Rrin;t No. 17474
0-upa-r TYx R3/M I zoo;ng a,sia Ri Trax coft. VN
o„= of emlaing PMilM iLVQ.. OORP. Add. 1285 OFiP. CIR. DR., FAI'„AN
enum4 ,warm 4134 PMMVi4NSA AVS. ,.;ty L23, Bl, STAFM PiACE
n.w: rfARM 30. 1990
euan oaw.,
POST IN A CONSPICUOUS PLACE
1N NYLC:`11ON KLfUUKI)
CITY OF EAGAN PERNIIT TYPE:
383 ?14t KnOb ROad permit Number:
agan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, , ? . • . v
SITE ADDRESS:
•. ? I ?'t P1 r+' ?`? I J?; rd 7 l, n'v' ;
.• i A t- f-tIf? [I N't Ar,f
H41 11 DI N!i
r???.?A<)/?r
l1t1N{ ' f UM`-> t. R(I[4
4".1 -10tN
PERMIT SUBTYPE: TYPE OF WORK:
PatH
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
!
GAS SVC
TEST
INSUL
GYPBOARD
FiREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
.
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVI fY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY
DATE
Pilot Knob Rd.
n, MN 55122-1897
January 18, 1990
OFFICE USE ONLY
METER # PERMff DATE 212/gd
CHIP # PERMIT # 11208
METER SIZE B.P. RECEIPT #" 502 7
ISSUE DATE B.P. RECEIPT DATE I / 3n PRV - BOOSTER PUMP
srrE anoRESs
LOT -3LOCK SEC/SUB " '-
APPLIOWT: ,. . I t
ADDRE55: , CITY, STATE ZIP
PHONE: "
PLUMBER:
ADDRESS: "
CITY, STATE ZIP
PHObE:
OWNER: ' -
ADDRESS:
CfTY, STATE ZiP ounuc-
SEWER 8 WATER PERMIT
CiTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
3anuary 18, 1990
PERMIT REtaUESTED
SEWER • WATER - TAPS j
t
_ COMM/IND T RESIDENTIAL ?
_ NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
R PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM I
DEPT. . . _ _ _ - -- --?
METER #
PERMIT DATE 2/2/90
CHIP # n I S3 ?JS 341 PERMIT # 11208
o B.P. RECEIPT # v 602 7
METER SI2E
ISSUE DATE B.P. RECEIPT DATE 1/ 30/90
- PRV - BOOSTER PUMP
<-,_ - ?1.11a nvE.
SITE ADDRESS ' - '
LOT BLOCK ` SEC/SUB " ? ' ` `' -
APPUCANT: qC 1?`!" D?V a I n r?1F:,t C:?'" '.
I?ODRESS: " ??ronra±? n+.rr- r,
' ' 7
CITY, STATE ZIP
PHONE: ?
PLUMBER: qTa" r?1umhibo
ADDRESS: [•tc+-nd Si?rinc! jerr.
CITY, STATE 51 OOm ilqt0n. MN PHONEt ' °'`-?4-c 140
OWNER: `',_.?:? •?_??„' , I 1'v1?2FNi
' . ADDRESS:
.
;?,
PERIIAIT REQUESTED
JL SEWER ?.C WATER - TAPS
T COMM/IND _iLRESIDENTIAL ,
LNEW - EXISTING
Lawn Sprinkler Meters are to be Install
Ahead of Domestic Meters on Water Line.'
Credit WILL NOT be given for Deduct Metera.
I AGREE Th COMPLY W1TH CITY OF
EAGAN ORD
'PAN5P ?f
GNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
$EWER PERMITS, CONTACT ENGINEERING DEP,T.
, - <i,¢i,s-+ _--_--------------- - - - - -? -
CITY OF EAGAN N2 17474
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # G fi /00a?
used for SF
Est. Value $62
Site Address 4134 PENNSYLVANIA AVE
Lot 23 Block 1 SeGSub. STAFFORD PLACE
Parcel No.
w Name FRONTIER DEVELOPMENT CORP
a Address 1285 CORPORATS CENTER DR
City EAGAN Phane 454-0433
fF Name SAMF. I
?a Address
? City Phone
?
ww Name
?E Address
a? City Phone
I here6y acknowlege that I have read Ihis applicalion and scate that the
infortnation is correct and agree to compl ???wrt??? all applicahle State ol
Minnesota Slamles and City ot ag n Ord?j??
i
Signature of Permitee 1?
A Building Permit is issued to: FRONTIER DEVELOPMENT
on ihe express condition [hat all work shall be tlone in accordance with all
applicable State of Minnesota Statutes and Ciry ot Eagan Ordinances.
Building Official
OPFICE USE ONIY
Occupancy R-3 M-1 FEFS
zoning R_ 1
(ACtuap Consl V=N Bidg. Permit 469.00
(Allowable) V=N Surcharge 31-00
# of Staries -
$$'
Plan Review
305.00
Lenglh
Depth 24 SAQ City 100.00
S.F.Total - SAqMCWCC 600.00
S.F. FaotpriNS _
On Site Sewage - Water Conn 625.00
On Si1e Well - Watev Mete( 90.00
MWCC System X_X_
? Aect. Deposil 30. Q0
City Water
PRV Require0 _ S!W Permil 30.00
BoosterPUmp - SiWSumharge 1.00
Treatment PI 252.00
APPROVALS RoadUnit 355-00
Planner - Park Ded.
Council
Bldg. Off. _ Copies
Variance - TOTAL L ,$$$.vd
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-?07"
0 ? See instructions lor completing tnis form on back ol yellow copy
&19 " e8s9
?
i
C? 33561 'X" Efii/ow Work Covered by This Request
aw . ep. Type of Building AppliancesWired EquipmeniWired
Home Range 7emporary Service
Duplex Waier Heafer Electric Healing
Apt. 8uiltling Dryer X 1
Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (spKiTy) ConVacMOrS Ramarks:
?AAS?I?4ENT FINISt-A
Comaute lnspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Cimuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
7ransformers Above 200 _ Amps A ve _ Amps
Signs Inspecror§ Usa Only: TOTAL
Irrigation Booms
3V ? C?
3oi?`?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR ED DI O N?CTED IF NOT
Other Fee COMPLETED WRHIN 18 MON
I, the Electrical Inspector, hereby
f
h
h Rough-in
certi
y t
at t
e above inspection has
been made. F;nai ? Data
OFFICE USE ONLY
This request voitl 18 monIDS trom
?j,6j9o e 889.1-
3 33561
Repuest Date
I r _
? -
O
Ci F e o. ugh-in Inspedion
?etl?
Req,ui
? Reatly Now .Nill Notity Inspaclor
wh
R
?
C7 qes G No en
eatly
I[1 licensed contractor ner hereby request inspection of above electrical work at:
Job Atltlrass (Street. Box or Route No.)
21
'
A Ciiy
{3
? e r v =?-!? AN
Seclion P? Township Neme o o. Range No. Counry
Occupant(PRINT) Phone No.
LG
? ? S {l `l
.
PowerSUODlier Adtlress
ElecMCal Gonlracta compeny Namel Coniractor5 License No.
Mailing Aedress IConVactOr or Owner Making Inslalletion)
'y13?! i?¢r?n iva ?
Authorixatl neWre fCOnvactodOw r Making I lallal Phone Number
4 _ r
J a5
MINNESOTA STA OARD OF EIECTRICITY THIS INSPECTION REOUEST WILL NOT
Gdggs-Mltlwey g. - Naom S-173 BE ACCEPTED BY THE STATE BOAPO
1821 Unbersl ve., 51. Paul, MN 55106 UNLESS PFOPEP INSPECTION FEE IS
PMne (612) 642-0800 ENCLOSEO.
A 94'D?.?
12 9 9 1
RequestDale
? - Flre
Rough-inlnsDe[tion
Re uiretl?
? Ready Now lNill Natify Inepeclor
R
tl
?
TIh
- ? Ves ? No en
ea
y
I liicensed contrac[or p owner hereby request inspection of above electrical work aC
Job AtlGn1ss (Siree6 Bax or Rau o.l • Ciry
)
`. ? ??
? C f'G?/i" ?
Section No. Townshlp Neme or No. Range No. County
J /-yq
Wl?-N? C?L
OccuOant PRIN ?..{
?/ v? i `? l{.C?C/ I1
? ? //V ? Phone No.
Power Su r
C`?C.IIC?CC. Mtlress
v?/V/ /(yl/? LtI,JL?
E1ecfta onVaclor (COmpany Name) Convactor5 Lf9bnae NO.
O /2 -J
Mailing Atltlress (COntractor or Owner Making Installation'
S
Aulh?nVecmrlOwner Making Inslallalion) Phone N ber
MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GrIggs-Midway Bltlg. - Room S179 BE ACCEPTED BV THE STATE BOARO
1821 Unlverelty Ave., 51. Peul, MN 55109 UNLESS PROPEfl INSPECTION FEE IS
Phpne(612)fiC2-0BOD ENCLOSEO.
? 12-$Q1
REQUEST FOR ELECTRICAL INSPECTION
? See insimctions for wmpleting IDis lorm on back of yellow copy
"X" Below Work Covered by This Request
ee-00a01 07 ewAdd Rep. ' Type of Building AppliancasWired EquipmentWired
Home Range Temporary Service
Duplez Water Hea[er Electric Heating
Apt. Builtling Dryer Other (Specity)
?} omm./InduStrial
F Furnace
arm Air Conditioner
Other (specity) Contxdor5 Remarks: ,
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance 5ize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps ' 0 to 100 Amps
Transformers Above 200 _ Amps Abov Amps
Sigf15 InspBCrorS Use Only: ?D
v? TAL
Irrigation Booms . ?O ?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 HS. ?
I, Ihe Elechical Inspector, hereby Rough-in
certify that ihe above inspection has
been made. oate ?
OFiICE USE ONLY
Thls request void 18 monlbs lrom
3INGLE FAMILY DWELLIAGS
2 3ETS OF PLANS
3 REf3I5TERED 3TTE SIIRVEYS
1 SET OF ENERGT CALCS.
2 SSTS OF PLlN3
9EGISTfiRED SI?E 3IIAVES3 -
(CHECE WITH BLDG DIY.)
1 SEf OF F.NE862 ClLC3.
2 SETS OF IRCHIiECTURAL
Q STEOCfQRiL PLANS
1 SET OF SPECIFICATIOHS
1 SET OF E9EHGT CALCS.
NULTIPLE DiiELLING3 AENTAL ONITS FOa SiLE DNITS i OF DHITS
AOTEt iDDRES3ES FOfl CORIQER LOT3 - COATMCfOA/HOlEOWNEA M03T DE.4IGBASE UHICH 1DDRFSS
I3 DESIRED. AO C$,NGES flILL BE lLLOiTED ONCE BUII.DING PERMIT IS ISSDED..
SL+'i1ER 6 IiATER PERHIT FEES AAD ACCOIINT DEPOSTf 1TE3 liILL BS IPCLIIDED iTITH THE HOILDINl3
PEEtl7Tf FEE. PAOCFS3ING TIME FOR SEWER EAD 1i9TER PERHITS IS TfiO DAYS ONCE l PEAMIT HA3
HEEF COMPLETED INDIClTIAG A LICEHSED PLOlOEA.
PENALT7f APPLIES i7HEN: PERMIT IS NOT PAID FOR IN 59ME MONTH IT IS REQGESTED.
LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSUED.JpN 1 9RECO
JAlS 1 ` RECo
To Be Used For: -RUCTION Yaluation: I Date: 1-18-9n
Site Address 414 P'i FNNSYLV
Lot 23 Bloek 1
Parcel/Sub STAFFORD PLACE
OsmerflNDERSON. LAWRENCE
lddress 284 E. BUTLER
CitylZip Code W. ST. PAUL. MN 55118
Phone 457-4705
Coatractor FRONITIER DEVELOPMENT CORP.
9ddre391285 Coroorate Center Dr.
City/Zip Code Eagan, MN 55121
Phone 454-0433
Arch./Engr. L.E. Kollmeyer
Address11095 VIKING DR. STE 380
City/Zip Code Eden Prairie, MN 55344
Phone #942-0955
1989 BIIILDIAG PERMIT IPPLIClTIOB
CIT1 OF ElGAN
lqqrlq
!lULTIYLE Di1ELLINGS COWMRCI6L
62 Io00_ OFFICE DS6 ONLT
Oceupaney -R 3 M" ? F?'.s
2oning R-1
Aetual Conat v-N Bldg. Fermit
Allowable V-N Sureharge
i of atories Plan Revier+
Length ? 39C, City
Depth Z4 SAC, t4WCC
S.F. Total Aater Conn
Footprint S.F. Water Meter
bcet. Deposit
On site aetirage S/A Permit
On aite well S/fl 3urcharge
MWCC Syatem 1-7 lreatment P1.
Citq water ? Road Onit
?PRV required Park Ded.
Booster Pump _ Copies
_ SOBiOTAL
1PPAOYA4S Penalty
Planner lOSIL
Council
81dg. Off. 4A-V/LL /s'? b?
9ariance
c
VA? Vl A71 lO? ' a
G ARAGE
C;lt7X22 l.q yp
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s - FRONTIER
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T HnMFS rnRP ?L°N CROYDON
cONTRAC?OR:FRONTIEBMJDWES
petzrmine wcrkinc square footaye or" each
sq. rt. x .11
1. Total exposed wall area.....
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2. To-lzl _
rool/cziling zrea..... (
Total exposed wall area above,Tl.oor= Ib ZB
.........
: IZ1
= Total ....
wall window arzz ............................. S(
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......................
:z
c. Total ..............
slidina glass dcor ar -
d. Total rireplace r;all arez ........................................
......................
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. Total . . . .
av
nc zrea
wall fram?
.............:. 1 Z(D
"
r. Total rim joist zrea..............................
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S• net wall zrea z5ove floor ................................ --
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...................
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o
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k. Totzl
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toundation w'tndow >:-._': •••••-
l. Total net ioundztion area above erade ..............
rz:_rmin= "u" value o` 2ach wall szgmen'.
(e,g, window, door, each separzte wail section)
? z ? x„u,l
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.
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=-?i?23
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o. :oca' r.=t. ?r.snlzte.?. roof./ceil:a•^, area........... 1g??
pet=r;,yl;e ^U" value fos each roof/ceili^c, sey-ment
, x
r.. z IV,
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4 ........
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?1'35 5:Ci0:( 4.i"M f>•-NNIyi''('_VFl"+! ...''il'J
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PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan; tv?fnnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-72500-230-01
DESCRIPTION:
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
, . _ •_w . .t .,y..
5': .. ._ . _ . ;
PERMITTYPE: BuzLozNG
Permit Number: 032213
Date Issued: 0 6/ 0 9/ 9 8
4134 PENNSYLVANTA AVE
LOT: 23 BLOCK: 1
STAFFORD PLACE
REROOF
QOild'itr.g Permit Type
nBuiTding"Work Type
r, Census CqdB `
E
}-
?
`
.,;
, .,
«_. ..... Fv . ?. 'P
\t\
i4
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$3,000
$74.75
$1.50
$76.25
- App
cant - s-r. Lzc.OWNER:
14511010 0002798 LEMIEUX LANCE
4134 PENNSYLVANIA AVE
EflGAN MN
(612)456-0665
HL CONST, BOB
73 DICKMAN TR E
VER GROVE HTS MN 55076
12) 451-1010
I hereby acknawledge that Z have read this
infarmation is correct and agree to comply
Statute and G'ty ofi Edgan Ordinancas.
L,,. .. ,
APPLICANT/PERMITEE SIGNATURE
application and state that the
with a7,1 appli;cabl?'IState of I?n.
//
-1
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)?' 223
? w CITY OF EAGAH r
. 3830 PII.OT KNOB RD - 65122
681-4676
New Construdion Reauirementa
? 3 registered site surveys
? 2 copies of plans (inGude beam & window sizes; poured Tnd. design; etc.)
• 7 energy calculations
• 3 copies M tree preservation plan H lot platted efter 7/1193
required: 1 Yes/ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
RemodeUReoair Reauirements
? 2 copies of plen
? 2 sRe surveys (exterior add'Rions & decks)
• 1 energy calculations Por heated additions
CONSTRUCTIONCOST; ???,? ?
?
LOT: '7<3 BLOCK: I SUBD./P.I.D.#: h ??-DGE
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Phone tJ:
1-ut First
Street Address: 11'/l>t141S ??AW /
City stau: /In?
Company: Phone tl:
Zip:
45l -C6 4 l )
License # 2 L 4 O
Ciry 12, ? -64` State: t44 /V Zip: SJ C? ??
Street Address: -Z4 I23 I,-/? (o4A_,?) 7-9-7
f`- -
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once pertnit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation ' rrect ree to comply wRh all appliqbl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Phone #:
Registration #: _
State: 2ip:
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
? 02 SF Dwelling 0 07 4-plex
? 03 SF Addition ? 08 8-plex
`SF Porch ? 09 12-plex
4?5 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ?33 Alterations
? 32 Addition 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaiNRem. ?
? 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
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VII Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ ? v
% SAC
SAC Units
. i?L ? L?\ J ???
1991 S ?NG P IT !111 P TION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
. L? 4 .cx ?G?ec?C Valuation
?1.37 NL7H?.i [lni4.. ?
Lot 23 Block I
Parcel/Sub S 1A'FF0IQD PLAEE
Owner Lu,rrN /?hd?rso.?
Address f7z»v,?Si/r/ttv/i4,
City/Zip Code
Phone Y$V - Qa 7`f
ContractorSr'GL'e- (/br1 ?dPv?
Address 1$(07'? /?(/'/11D?2ti litlCCy
City/Zip Code iqp'Dk-
Phone 41?2-7'TUU/
Arch./Engr.
Address
City/Zip Code
? Date:
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length ?
Depth 16,
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. 6S(o-y91
Variance
FEES N,G
Bldg. Permit
Surcharge . -'?
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Phone #
Ak"? l?
agrees that all work shall be done in accordance with
Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
(04114) ?
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?162-iTF/NI$!f Valuation:
Site Address 113y
Lot J?L_ Block J_
Parcel/Sub ,??`.??J',?
Address
City/Zip Code CGC c.
?
Phone
Contractoz
Address
Gity/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone it
Date: '7 -I (,-:?D
USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit P U
Allowable Surcharge
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well S/W Sux'charge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL G
Council
Bldg. Off.
Variance
,
.EI11;11EEF.IIi!i fEL hl?.el?
?r
sl?? V ?I ?I ?? G'ert? ?ca?`e
1
V Y ' F.D.C.
c AS; Lot 23, Block
STAFFORU PLACE. City of
Dakota Coim ty Minnesota
reserving easements of
rec,ord.
1 , ?`
Eagan, N
' 427, ?`--
ana S.YL
N ~` VANIA AvENVE
?B. ?4 .7 ? S?0' -- N
v _ ?00'
W- f L• 6 6 3 U?ZIA
? ?? 4??=???•
o ? 00' 00 7y 001 v ?°-
?
8 ??I
a?.? _ Q=& ? q
._ ? ?n i 18.9? 1
JI Ai o?r?q? yE?I q
!+4 E?' 2t DO ? frr 7? r,P. ? 6 ?1
?8o L( 0p D? I ry
? ?•` , = 4'??
ni' / X93o.4 j?<ck Ald. I? ??
w
v F
/ II
? II
I
/
e? - J I
L - - r_- -- - -- - -
P
O ?
--------------------
" yse
qS?: N89'58'S2'f f42.i6
LOT SQUARE FDOTA E _ ?"?; ? L)
A n? ..
r, I •'?'1 f-?. L
`? ? r r?_ r1 L,
By ? G _
?.,, e ?----? _.-_-
PROPO EO ELE?VAilOH9- C?,N E ?G DEPT
tep ef Foundollen ¦q18.7 ? ?.u. kYj• a Ce• or L?s Z{ c tx,
¦ q19•3 61xk L. elcv. = qio.il
001090 floar
Banmenl Fleer • 42S.S /? r}h W Iernwen aEQIRL1ilElitB.
Apprew. 9ower IKrIN ENr. • 913.i 'v
ProDO1eA EItreNeet I Q b? irsni - 30 Naws fN? - 10
Eanllo0 Elorallenl 0___,_ q?br - lt Oarq* Hft- ?
Dralnoog Dlroclbns t ?....r
Wneles OIffN BteA• . O SCALE: t Ineh • 30 Feef
t Mre!? artlly IMI m wrwr. 0un a roper1 ra OrqaM Nme JO! NO.:
/?IiFDLUND •• "eo. My dbtn ouMrdskn sM Ihsl tain e Ivry noNsaroo 90R- Olt
cane e..nw d^In the Nrs H Ih? SIH? ?f Mlnn??N?. ?K? r?4[ Pfennlnp Enplnserlny SurvMylnD
M?11w1 1M?'y?1!{MA?nM?wMMM111 1 1y'Qp ?./ «d?'f?4?1 OV'i.C4K
r1110M at.s •
I t I p?n,1.l??n?• uN1I? ?M?.L ..??(,?
r?E!L?.?id1? EP1i;1PJEEKII•iG fEL I'1ii.t=1 ^;.? Lµ::rJ
- .?..-.-
?
sfrnve?or8 6crOVIratc
V Y R: F,D.C.
?
C AS: Lot 23, $lock 1, 4rt
STAFFORD PLACE. City of Eagan,
Dakota County h4innesota and h S?L vAN
reserving easements of 42,r, <v IA ,/??ENUE
record. , B
CSjp
N
00, A 666. 32 9-? E
0
44t?20a.0
10,3 a„c
A ?
(? ? C?ryPa 161I q
21.pp 8
I
I 0.00 J 0.00
? 4zB,9
? / X93o.4 I i m
?iw
.
o
? _
?
i i
L - - --- _ - --- -- - --J-- j
e
e ?
! N89558'12'E f42.0 '"-=
LOT SQUARE FOOTA E
-
?
PROPOSED ELfVAT10N8
Top et fountlallen •q163
Oeropt f loor ? 97.e.3
Ba+emeat ileor aq25.s
ApPt011. Behef gNYltII ENY. 0 q13.'-
Prepoue EHrellen. 4 Q
ERiflInO Elwallene ?
OrelnoQ• Olreellons
Wnvln Olhe! 8f0• . O
/ilEDLU1VD
Pfennlny fnplnserirtp SmvNjlrtp
r% I r' r- 1 f' 1 i r 1-1 A f
?,?rrL.c_r r.?..r,L?
?r
?
Ev ?
Da e
EAGAN EN' ?iG DF:,PT
?. 1,N. HyJ. !? Ce• oj' letb i4 [ tf?
61xk L. Elcv. L 4110.61
??IC REa??
??l Frenl ? 30 HqMt 10
R?ir - (S Oa?e??ill?- 6
SCAI.E: t 1lOh • 30 Foo1
t Mrtsy 641rlilY tlwV tMo nnwy, dten x nperf ra MICeVN h' ^m JO! NO.;
or unAtr rny Oketl 1""vltlen anA fhel 1 Om a euh a•wtotog•d 9QQ- Ot'L
Lan1 fxroxw undn IN$ tiws N 1he StH• ot MIonefHe.
p IV? eAOtl F?Lt ? o..u. cwK
MNt? 1 fr?n,U??n?? Nti?
FMHC2-
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144271
Date Issued:07/19/2017
Permit Category:ePermit
Site Address: 4134 Pennsylvania Ave
Lot:23 Block: 1 Addition: Stafford Place
PID:10-72500-01-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Michener
4134 Pennsylvania Ave
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144272
Date Issued:07/19/2017
Permit Category:ePermit
Site Address: 4134 Pennsylvania Ave
Lot:23 Block: 1 Addition: Stafford Place
PID:10-72500-01-230
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 -
Michael J Michener
4134 Pennsylvania Ave
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163731
Date Issued:09/10/2020
Permit Category:ePermit
Site Address: 4134 Pennsylvania Ave
Lot:23 Block: 1 Addition: Stafford Place
PID:10-72500-01-230
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kevin James Sorlie
4134 Pennsylvania Ave
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature