4155 Pennsylvania Ave
f Use BLUE or BLACK Ink
r
For Office Use
City of Eata~ ; Permit
I I
I Permit Fee: 9+o I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I I
Phone: (651) 675-5675 `j- Qr'l I I
Fax: (651) 675-5694 1 Staff:
2011
-71 RESIDENTIAL BUILDING PERMIT APPLICATION
~j
nit
Date: 7 / Site Address: IEW~Q=L
~w Name: ~~1 O! Phone: -91/0
1 RESIDENT / ( A
OWNER Address / City / Zip: v1.' 1^ l' ~Oh J~~
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 6f i 106 C-rr'
Construction Cost: o Multi-Family Building: (Yes / No
Company/f'a Ct f ~f Contact:
CONTRACTOR Address: 3#3j Den l LA" City: Lt ~1Q
t State:, Zip: Phone: ` 3 ' 7 (~a ~j
I License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gol)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans
x x
App .cant's Print Name Applicant's Signature
Page 1 of 3
L415-5 Oenn5 v6n i o
DO NOT WRITE BE THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
~s
Valuation 30 Occupancy .Z12L - MCES System
Plan Review Code Edition - ~ SAC Units
(25%_ 100%1,")- Zonings City Water
Census Code 173' Stories - Booster Pump
# of Units Square Feet - PRV
# of Buildings Length Fire Sprinklers -
Type of Construction f/,g Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill Final
Sheathing Radon Control
Sheetrock _ Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL F S
Base Fee C~ 9o
Surcharge
Plan Review 7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
e-t Is- e' -----------I
I For Oftic l
Permit 6 15
City of EaI
I Permit Fee. 9~06 1
3830 Pilot Knob Road
Eagan MN 55122 j Date Recei d:
Phone: (651) 675-5675
C_,C~ i Staff: I
Fax: (651) 675-5694 1 I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
L//S r
S
Date / Site Address: d Unit
Name: s I'D/YI TJ~' GI l/l~l~ ~I/~~, 5 L Phone:642 - 9 16~ -Z 11-5- 7
RESIDENT /
OWNER Address / City / Zip q93 AL1124al 5t- A/? 536
Applicant is: Owner Contractor
TYPE OF WORK Description of work: A/-~Y4/ln Construction Cost:
p - J
Multi-Family Building: (Yes ! No )
ComPan a/ Contact:~__//, (L i~ /y` 2 ~~1!J
7C2 City: ;orGfGj
CONTRACTOR Address: 3.2 6e-4 'V)-P tt
State-A..,& Zip: 51-2 Phone: 3 ' 5
License #:v« Lead Certificate #:.X-1- _3/)3,5 /0
Does this project require Lead Remediation? ❑ Yes KNo (see Page 3 for additional information)
If no, please explain:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _.No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
Ihereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will
be m
accordance with the approved plan in the case of work which requires a review and approval of plans.
X z
x
z &&w z4~
Applicant's Prin d Name Appl nt's Signature
Page 1 of 3
?? ? ? ?/20/92
J*aWM 4 CITY OF EAGAN
W
??-?0
3630 Pilot iCnob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for S! INiiGf GAji Est. value :89.0Op Date-HA
Site Address 4155 PENNSY1.YAliIA AVE
Lot 21 Biock 2_ Sec/Sub. $rAFITMID Pl.ACE
Parcel No.
W Narfle W'!?LLBTAFM ?110=108
? Address 78% 8!ffiSET D$
° City EWAN ? Phone 4Sb-912S
Name $AME
Address
City Phone
V W Name
W W
?z Address
<W City Phone
I hereby acknowlege that 1 have read this application and state that the
intormation is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances.
:_•?--,', r.._.
5ignature of Permitee
1'? i??..?8
. • ?:
OFFICE USE ONLY
Occupancy R-3
Zoning
(Adual) Const ?rl Bidg. Permit
(Allowable) ?H Surcharge
N ol5tories _
Length
Depth
S.F. Total _
S.F. Footprinis -
On Sile Sewage _
0n Site Well
MWCC System x
Ciry Watet -X--
PRV Required
Booster Pump
APPROVALS
Plan Review 184.?
_, ts9f.
FEES
S4e_ae
iA. Y1
[1H
SAC,City 1000
SAC, MCWCC 650-00
water Conn 6fio-00
Water Meter qs-en
Acct. Deposil An-00
S/W Permit ?-?
S/W Surchatge
Treatment PI 276•?
Road Unit 370.00
A Building Permit is issued to: HIMPATAEPT AROUB? Plan"8f - Park Ded.
on the express condition ihat all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City ol Eagan prdinances. gby. ph. _ CoPres
BuildinaOfficial IVariance - TOTAL 3,230•?
Permit No. Pamfl Holder Date Telephone N
TER
SEINER
PLuMeING -333
H.V.a.C.
ELECTRfC
ut?
Inspection Date Insp. Cortlments
FooGngs I f? Z
Foundation .
Framing
Roofing
Rough Plbg.
Rough Htg.
Is"l. (a- 1/ (bS 4?/7 oui-?•- L.?v?e
Fireplace ?y? .Cf S
Finel Htg.
OrstAt Test
Finai Plbg. Plbg. Inspedor - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Final L22 - 31 5 ? CG o' 2'
Dedc Ftg. n
Dedc Final
well
Pr. Disp.
? •!a - - . ?!?i?- ? - r: +. z ..± ? -.. ..-;; :.d7 ? ? • ...n ., d . .6??!t` - ? . .._. ..r?,.?,
?N +
? ;; ??e?r#t#tr?t?e uf (?rrix??t?r?
of (eagart
,
I mrmrttnrnt v# wuY[dWg 3wprtinu
.?
iM Certtlrarte issued pursuant 1o the rrqrwrrnarts ojSacliors 306 of the uniJorm BuiWiKg
, pCair oagfjing that at tlie linte of iurw»oe lhitAucturr xrrs uc cnmpliana with !he mrious
ordrianaes of rJre CZty re8ukd8 huM8 Qonsbuctian ar rese. Far the following:
0-pa-7 TYx
•? -
t
POST iN A CONSPICUOUS PUCE
.%.KN, 19088
lhx C„„, VN
7.1
, ... _.. _._ ___.
-ys14F!4i'n• _ia^. '-? _'.-•-_."+-' _ _'.. .... __.. -"". . ."".. ... _... ._._ _'." . . . _...
SEWER & WATER PERMIT j' FFICE USE ONLY
CITY OF EAGAN METER # y? 9 a'O 9 a U5/22/(i1
3830 Pilot Knob Rd. y PERMIT DATE
Eagan, MN 55122-1897 CHIP #? O 7 6-IZ UpERMIT # 12004
METER SIZE &-?*? B.P. RECEIPT # C 13524
DATE l•.t+1' 2 0, 7?'1. ; ISSUE DATE 6"/V-TI B.P. RECEIPT DATE 05/20j91
I - PRV - BOOSTER PUMP ?
SITE ADDRESS 4155 PI";NNSYLVANIA AVE PERMIT REOUESTED
LOT 21 BLOCK 2 SEC/SUB STAFFOIdD PLACE
X SEWER X WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Instailed
PLUMBER: .4CDONALD PI.I?MBItdG 5YSTEMS INC Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 KF.NL7bOD TR Credit WILL NOT be given for Deduct Meters.
CITY, STATE I-AKEVILI-1= MN Zlp 55044
PHONE: 435-3334
i AGREE TO COMPLY WITH CITY OF
OWNER: MITTELSTAEDT BRO'!'hEFS EAGAN ORDINANCES
ADDRESS: 785 SUNSET DR
CITY, STATE EAGAPI AN Zlp 55123
PHONE: `i'f'- 9i? 5 IGNATUR EN METER IS D
/, a' • / , 1
?
PLEASE ALLOW TWO WORKING DAYS FOR PROCF-SStNG. CALL 054-5220 FOR INSPECTIONS. FOR STORM
• SEWER PERMITS , CONTACT ENGINEERING DEPT.
.
CITY OF EAGAN N2 .19088
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SF DWG/GAR
Site Address 4
Lat 21 Block
Parcel No.
Receipt # l % / J J?-a
vawe $$9,000 oate M1Y 20 , 1991
PENNSYLVANIA AVE
? Sec/Sub. STAFFORD PLACE
w IName MITTELSTAEDT SROTHERS
a Address 785 SUNSET DR
City EAGAN Phone 456-9125
o Name SAME
ga Address
? City Phone
r
Ww Name
V V Address
`a W City Phone
I hereby acknowlege ihat I have read this application and state that the
inlormation is correcl and agree to comply with all applicable State of
Minnesota StaWtes and? /Cityof E-agan Ordinances. ?-
Signature of Permitee,
A euilding Permit is issued ta: MITTELSTAEDT BROTHERS
on the express condition that all work shall be done in accordance with all
appliwble State of Minnesota Statutes and City of Eagan Ordinances.
BuilAing Olficial
OFFICE USE ONLY
occupanq R-3 M-1
Zoning R-1
(ACiual) Const V-N Bldg. Permit
(Allowable) Surcharge
M ol Sbries
Lenym 46'
Depih 46,'
S.F. Total -
S.F. Footprints _
On Site Sewage _
On Site Well
MWCC System X
City Water X
PRV Required _
8ooster Pump _
APPROVALS
Planner -
CqunCii
BIdg.Off. _
Variance _
FEES
590.00
44.50
384.00
Plan Review
SAQ City 100. o?
snc. nncwcc 650.00
WaterConn 660.00
0
Water Meter 95.0
Accl.Deposit 30_00
S/W Parmit 30_ (1n
0
S/W Surcharge .5
TrealmenlPl 276.00
aoaaunit 370.00
Park Ded.
copies
TOTAL S.Z.iU.UJ
A re,,s:4155 PFNVSYLVANIA AVNUE Lot 21 Blk Z Sec/Sub grAFFbgp p,rg
These items were/were not cvmplete at the time of the final inspection.
D t: 6/27/91 Yes No Tnqpector.
Final grade (6" from siding)
Permanent steps - garage ?
Pexmanent steps - main entry V",
Permanent driveway ?
Permanent gas ?
Sod/seeded grass
Trail/curb damage ?
Porch
Basement finish f a?.
Deck ?
Please verify vith the builder the removal of roof test caps £rom the plumbing
system and the shut-off of water supply to the outside lawn £aucet before
freeze potential exists. ?
ucmro ?ru
White - City copy Yellow - Resident copy Pink.- Contractor copy
1991 BUILDING PERMIT APPLICATION
CITY OF EACAN ?fIAY I 7
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET DF ENERGY CALCUTATIONS
M[JLTIPLE DWELLINGS
COMMERCIAL 3 v
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST 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 GOMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: F??tF_._`,' Valuation: Date:
Site Address ef/!5.<j Lti/lww
Lot 2r Block 2
Parcel/Sub PLAzt
Owner
Address
City/Zip Code
Phone
Contractor 6,?/zc`fi.
Address ?{t, g ba
City/Zip Code
Phone 4520
Arch./Engr.
Address
City/Zip Code
89 Oaa
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
'(Z-R_ I
V-(•.L
V-N
On site sewage_
On site well
MWCC System
City water
PRV _
Booster Pump _
FEES
Bldg. Permit J'r1O, OJ
Surcharge 4114,50
Plan Review 3Ly,0
0
SAC, City -
10000
SAC, MWCC ?SO'DO
Water Conn. 60100
Water Meter "oc7
Acct. Deposi t ?UiO O
S/w Permit 3D,01
5/W Surcharge 150
Treatment Pl . 276,U0
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL 302,? b
Bldg. Off.
Variance
Phone #
/ agrees that all work shall be done in accordance with
(Signat?f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
! •• `F. ,? :.
VA Lu 4.T
aaxa? = 41+o x ?s= ???n-_
___---
a`I Ia4
`??19Yzc r]v
?------
lr ?2 x?y c- y?
'ST
.?S»1 T c I IC8 2
? 3 -412 :-- ;? a
lOKI%z= 15
I 3/u X I = 1 (4?
I Z 3'3 ?c 5 3=? S 3i?i q _-
?
. ,
.,
DATE
ERTERIOR ENVELOPE AVERAGE "U" COMYUTATION
OWNER
SITE ADDRESS_
CONTRACTOR_M IT7gLS7AFe t- ?M. i!'.1,UsT. '
ADDRESS q$S Cir[,vSFr ?/1 &Ab.f,?JPAONS_ +[Sb
DETERMINE WORRIrG SQUARE r'OOTAGE OF EACH.
1. Total exposed wall area ... 1a1 ?Co/o aq: ft. x .11 s?
2. Total roof/ceiling area ... rj 2 aq. ft. x •026 = Z,(a
Total exposed wall area abova floor - 219 2
a. Total wall window area ......................... 2$ 5
b. Total door area .... ......................... 3 9
c. Total sliding glass door area .................. 3(0
d. Total fireplace wall area ....... ..........
.
e. Total wall framing area (average lOZ) .......... 2t q
f. Total net wall area above floor ................ ! y y 2.
g. Total rim joist area ......... , .............. 2,01
Total exposed foundation area
h. Total foundation window area ..... ........... o
i. Total aet foundation area a6one grade .......... '7 y
Determine "U" value of each wall segment.
8. 25=7 x ltUll • YJ . ° /I! . 9-
b. 3q x llUto .07
c. 3G x "u"
d- O R "U" o ? o
e. 2 f ?1 x ItUff 2y, /
f. lyN2 x liU,t ,nti3y - ?2.to
8• 20! x "v" , OL!y ? B,$
h. Q $ uU,r O a D
t. '7'.1 x"v" . O 81,
3 . ...............................xoeai - 2 q.
If item 03 is the eame as, or less ehan item ill, yon et the intent
of SBC 6006 (c)2.
=I-
Page 2 af 2
Tatal exposed roof/ceiling area
J. Total skyligh[ area ........................... n :
k. Total roof/cailing framing area (average lOx).. rj 8
1. Total net inaulated roof/ceiling area ......... i ;';
Determine "U" value for each roof/ceiling segment. ..
?• O X
k. 9 g R nUu . O.?
h Ih}rt ? D I? ? y a
?
4 ....................................... .Total ? 4 2 *7
If total of 1f4 is the same as, or less than #2, you have met the intent
of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values establiahed hy.
the sum of items 113 and 1l4 shall not be greater than the sum af items
O1 and d2. ,
1. + 2. `. .
v
3.
+ 4.
-2-
?
PERMIT N
REACTIYATE
?. ? . .
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATfON
681-4675
AU6 , P RECo
SINGLE 8 MULTI-FAMILY of plans, 3 registered site surveys, 1 copy of energy
COMMERCIAL F2etsof
architectural & structural plans, 1 set af
cations, 1 copy of energy calca.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date V,_ / I la 07 Yaluation of work 4?';7
,[9C7 U
-
Site Address: _ IIIS%S 7?tl r7 ;4 vaeA 4t?*e
STREET SUITE A
Tenant Name: (commercial only) ?t?)W1 yV?'o i/IL
LOT Z) BIACR O' SUBD.<?"?Gl??tt/ jaL? P.I.D. 0
Descri tion of work:
The applicant is: V Owner ? Contractor ? Other (Deseri6e)
Name \hIt'1 i N'Y'r'lv!?e -acDcl /WDI t
phone '-(.S ?f 'T49
?
Property ?
LAs, FIRST
owner naaress 1-?t r?r7Sv/uq h,rrr,
SiREf7 57E 71
City ?C%tc(Qd7 . State N' Z1
/Z
p
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Eng(neer . Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer & water permlts 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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addltion
O 04 SF Porch
? 05 5F Misc.
woRK nrPe
?5X31 New
0 32 Addition
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
O 10 Multi. Add'1
? 33 Alterations
O 34 Repair
? il Apt./Lodging
0 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
A15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
?' of Stories
Length
Depth
APPROVALS
Plartning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
?-3 2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
:5_;?7 On-site well
4 2-' On-site sewage
Building
Yariance
? Foating
Rr Final
.
?Framing
? Draintile
?
? Insulation
? Fireplace
Fermit Fee vetuat;on:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Mater Meter .
Acct. Deposit
5/W Permit
SJW 5urcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
_ ?;?
? 16 Basement Finish
O 17 Swim Pool
p 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
MWCC System
City Water
PRY Required
Booster Pump
fire Sprinkler
Census Code
SAC,Code
Assessments.
SAC %
3AC Units
NOTE:
HO $'ECFIC SOILS INVESTGATION HAS BEEN COMi'l£TEO
ON THIS LOT BY THE lURYEYOR, THE SUTAeILfTY Of
304L3 TO SUPfVltT THE 9MfIC FqV3E f'ROPO?ED IS
HOT r4{g RE9P'ON3191LITY Of TNE BURVEYOR
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lPA-i ?S • ?0
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+?r?
e ?
b
c?
c)
u/
0??
r+ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SEi
i DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PFOPOSED ELEVATION
N
' ? 30
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r
HoTe: euLaroc owV+s+orn sraww atc
• rvn t
ATIOM
ARCMfTECTtN1L 1a1 .
e rovro?T?oa .
SCALE: 1 INCH - 30 FEET
PROPUSED GARAGE FLOOR - co+,y FEET
PROPOSED IOWEST FLOOR- 4/S.f. FEET
PROPUSED TOP QF BLOCK - 9 iQ, b FEET
'05?0 GRAOES SHONN WERE T/4(QN N TNQ PMDW9, WIPWA?14 ?l TWQL. PLAN POft STMflnao M9 sr? '----.._..... /. .
WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONS7. THAT THIS IS A TRUE ANO CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 21, BLOCK 2, STAFFORD PIACE,ACCORDING TO TNE
RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROV[MENTS OH ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF M AY . 1991.
S1GN ?lAj R. HILL, INC.
?
?
?
I
. ".
?
SURVEYOR'S CERTIFICATE ? MITTELSTAEDT
[ .-
\ ^•
NOTE: NO SMFIC SOILS INVEST6ATION HAS BEEN C0IAPLETEO
ON TNIE LOT 8Y TME StMVETOR. T!£ SUTAeILRY OF T
SOILS TO SUPl4RT THE !I'6CIFIC NOU9E PppPO!'ED tS ?'J r? '9J^s `,
NOT THE RE1MONd1EILITY Of TNE SUR4FYOR
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SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - cos.y FEET
PROPOSED LOWEST FLOOR - 9)4`4 FEET
PROPOSEO TOP OF BLOCK - qlj,b FEET
WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. THA? THIS IS A TFUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 21 , BLOCK 2t STAFFORD PLACEtACCOROING TO THE
RECORDEO PI.AT THEREOF. DAKOTA COUNTY, MtNIVESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY blqECT SUPERViSION TNIS 15TH DAY OF M AY .1991.
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R. HILL, INC.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19628
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 e BURNSVILLE, MN. 55337 o 812-880-8044
Jan 09 2000 7:20AM ED"S PLUMBING 651-345-5590 page 1
Use BLUE or BLACK Ink
_ -
For Office Use ,
t f E bI6 l ~ ~!1 I Permi
o I
6 Permit t Fee: V~
3830 Pilot Knob Road 1 r
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 CL I I
I Staff.
I
Fax: (651) 675-5694 i
2011 RESIDENTIAL PLUMBING PERMIT APP CATION
om
Date: Site Addre 1,55 ,n r 1:.~) 1 Y A
Tenant. Suite
Fk a
>l]E117 t 4W Nam I Phone:
Address I City I Zip: 1T~ I V
O#3I A1E70 Name: S ~~.1$4; License # 122
Zoe (24, AA
Address: 14L IJdK-~t1
ss: r ~
e
Gd✓ ~ y
Ct
State: Zip: Phone: .L D
9Qa-
rv Contact: Email:
P el-G
1* ~ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
# PEAS ~1' "PE`
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Water Turnaround
Septic System
f d l _ New
t -Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State.Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) as
TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gogherstateonecall.org
I hereby acknowledge that this inforrnadon is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of ans.
Applicant's Printed Name App cant's Signature
F 41' s ~7r ~i Q) gn
tt act Ors: n~*~+ 1Ci~~, tlrl Sp 9h I;n /4ir.Te 6' - + (`ff* IUIV k!}
-rtr+ e rr,< iii
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124772
Date Issued:07/10/2014
Permit Category:ePermit
Site Address: 4155 Pennsylvania Ave
Lot:21 Block: 2 Addition: Stafford Place
PID:10-72500-02-210
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 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 -
Michael Moran
4155 Pennsylvania Ave
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
qi CD :( 6/)-Uti
Use BLUE or BLACK Ink
For Office Use
City of Eaial
Permit#: I�I
3830 Pilot Knob Road FEB 0 9 2017 Permit Fee: Le 0 '0J "
Eagan MN 55122 Date Received: 0?-9-/7
Phone:(651)675-5675 /
Fax: (651)675-5694 Staff:
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: '�I Ste Address: L 'S k)4. '(\c7 \40A 1\t \
J
Tenant: Syikte#:
Resident/Owner Name: � (, INC\ V-� Phone:_ �F 1 `O(Jl
Address/City/Zip:
Name: Blue Ox HEatIC? License#:
Address: 5720 Internationa' City:
Contractor New Hope, MN �. n
State: Zip: Phone: l ,` ' U 91-o (
Contact: Email:
New Replacement Additional Alteration Demolition
Type of Work Description of work: 2 9\-(lk .)S 41t(Y-
NOTE:Roof mounted and ground mounted mechanical equipment Is required to be screened by City
Code. Please contact the Mechanical Inspector f information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Const tion Interior Improvement
Permit Type Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tan Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge Q /\
$100.00 Residential New, includes State Surcharge =$ "` V TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/remo .1, ludes State Surcharge =$ Permit Fee
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 m' on,please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed ted Name Applicant's Signa re
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test ' Gas Service Test in-floor Heat Final HVAC Screening
For Office Use J oL i,
a :::::e. 1
, ,
Date Received: / I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 4 I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 f i r,4
fi t) i
Staff: ii I
buildinginspections@cityofeagan.com `'"' L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
ass' /yu ,
Date. �0 /8 Site Address. ��9�15' ���: Unit#
q., �x«. . ,,«.« ...w...,....m..,rwa...gym«..�w.mww...n.�:.,ww...�..w mw«.wvkww..nm. ewHn+w�wa-wmwaw..«um-an .m.....m�«mn»« ........,.,.mz., .. ..«»+w,.-N-.. .-«
1
I Name: illetec. i `ce `7 e.e- Phone: :,,57- 3`0(- as."
Resident/ I ,r /�
Owner Address/City/Zip: '')/55 /", y4yt5�/ ,. ,
1 Applicant is: Owner Contractor Sill 418C(
1 Description of work: R' irdt•-G 4,i,,1-,� 4 , -hi;/d a ,44 ,S /C�-
1 Type of Work i
Construction Cost: /, ,SOCA ., ')11:1 Multi-Family Building (Yes /No )
.��/� ..�� ,� -,��.,�w e ...,
ICompany: ted& Lt i4 ve ,/L LLC. Contact: fli&.- L/i-4C.w..L -
Contractor f
Address: 7'7g iticro ,�i / fie-44-e-- City: -6.01-nJ
1 4
State: MI✓Zip: S-S`�,)-3 Phone: 1'"3"73` jimaiL al ,,s c q i ,cd ni 44'a,//c t) Nt. cos
� I
License# ® Lead Certificate#: N Ft��IJS'1/—
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING g
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
,
Yes No If yes, date and address of master plan:
I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be 1
classified as non Eublic if ou rovide s e jffic reasons that would ermit the City to conclude.:that the are trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl .
x , i i / IkLi ,,— x -4G-�---
'i
Applicant's Printed Name pplicant's Signature
DO NOT WRITE BELOW THIS LINE Lf r'' P€nn 1.11 �17-71 '1 , /�--:D a� .
SUB TYPES
f 1
`
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi 4 Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding — Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 3®w Occupancy Occupancy 2 ,G —/ MCES System ..—
Plan Review / Code Edition Z0/0 SAC Units
(25%_ 100% 1/)7
) Zoning X`/ City Water
Census Code 11.01 Stories Booster Pump
#of Units / Square Feet /7141/ PRV
#of Buildings / Length /'f Fire Suppression Required
Type of Construction .43 Width /G
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
-Footings (Deck) Final/C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice &Water Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls --„-r— Erosion Control
Shower Pan Other:
Reviewed By: /�;1 ,� , Building Inspector
RESIDENTIAL FE'II / / l �" '
Base Fee b"� �' 1 N� '9� 6 / A?a
Surcharge
Plan Review 3"7 'L!
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
! . . ii.
H 1 6 S.'' Pal(1.4,141/41; I
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M1TTELSTAEDT BROS. CONST.
'''' qi
URVEYOR'S CERTIFICATE
kt\Ci7). C' C.;
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ih NOTE: NO SPEC FIC SOILS INVESTIGATION HAS BEEN COMPLETED -.'
ON THIS LOT BY THE SURVEYOR. THE SUITABILITY Of t° .. ?9 c;
. c-'
- 1:4K!
SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS s " .%)S
NOT THE litSPONSIBILiTY OF THE SURVEYOR
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NOTE: suiLDING OINENSIONS SHOWN ARE
Pi
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ATIONIVINWego •I rliptijoitiatio_iinTerWIL , . 1 ,
-Ns-- 46P DENOTES PROPOSED SURFACE DRAINAGE
4 '
.,1 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH — 30 FEET
7:1 • DENOTES IRON MONUMENT FOUND -,I
PROPOSED GARAGE FLOOR — (*lig FEET ;, .
=.1
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR — 41S.6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK— 911.I FEET q :1
k4
WEWE HEREBY CERTIFY TO MITTEL STAEDT BROS. CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
3V.
A LOT 21 , BLOCK 2, STAFFORD PLACE,ACCORDING TO THE
;..i RECORDED PLAT THEREOF, DAKOTA COUN TY, MINNESOTA.
-;.
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IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
;.
.:.,;,.•
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF M AY , 1991.
!.)
SiGNEC:1; ‘1 R. HILL, INC. ,1 ,
D GRADES SHOM WERE TAKEN
i
• THE MAMA,CAAINAOE a ammoN :A
1
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PLAN FOR STAPP0010 PLACE, B •-"1.---."--4_ el .I'-
.;. E PARED BY HEDLUND ENGIPIEERINS, JOHN C. LARSON, LAND SURVEYOR
AST DATED 8-3I-87
MINNESOTA LICENSE NUMBER 19828
4111111MMINII _ ,
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james R. rill !, inc. I
0 2 ....4 "••• "13 S/7. -T1 ?I. ,C"
PLANNERS / ENGINEERS / SURVEYORS '1.: .,..
0 m cn -<
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 812-890-8044
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