4158 Pennsylvania AveCASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE (1 ' (( 19 'J `
RECENEo ? '. L i ( J 1 i , f.
AMOUNT $ 8 DOILARS
loo
? CASH ? CHECK
Thank You
BY -
C 016253 ?te-pe? ?
Yelbw-Posfhg Copy
Pink-File Copy
-,
r --`*-?.?s^?'^+pns-???? ^ +?,'?'_° _'?'7r' • ?'r +5" s,rVrm
BUILDING PERMIT '
To be used for SF M/CAR
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
;86.000
Receipt #
Site Address 4158 PEIi11iS YLYAlIIA AVE
Lot 17 Biock _I Sec/Sub. ???RD PLACB OFFICE USE ONLY
PSFC@I N0. Occupancy R-3 -16-1 FEES
i
Zoning
W Name D?? ? E? T?. (ACtual) Consl ?? Bldg
Permit 377,
Address 9304 LYIiDAT .?.' AYli S IAulowable> H . 43
00
0 City ?M ?+`1'? Phone ??abb r or sto?es su?cna?9e .
470 Plan Review 375.00
Length
p Name Sw? Depth SAC
Cit t?ooo
t y
,
OU OC Addf@SS S.F. Tolal - 6?
?
SAC, MCWCC •
? G11}/ PhOf12 S.F. Footprints _
C
w
660•00
.. On Site Sewage - ater
onn
?
W¢ Name OnSitewell 9?•?
? Address n?+wcc system ? waterMeier ?
?
De
Ac`
O$1t
" .
i W City Phone city wacer xx '
'
P
30.00
PRV Raquired - S/W Permit
I hereby acknowlege that I have read this aQpGcation "od state that ilie
" 8ooster Pump - g/yy Surcharge •?
iniormation is correct and agree.-to C omply
wiValJ.Bpplicable yMfe of
Minnesota Stalutes and City of Eagan
? OcdiG,anqW.r
'
-
"l )
. Treatmem PI 276•00
.
Signature oi Permitee ?? .?
,
? "'? ? APPROVALS Road Unit 370•?
A Building Permit 'rs issued to: DAH LE BROMRS jNC Planner - park Ded.
on the express condition thal alI work s hall be done in accordance with all Council ?
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pry. _ Copies
Building Official '
Variance
-
TOTAL
3,206.50
- Peimk No. Permk Holder Oats Te{ephone lt
WATER
SEWER .
PLuMSINC
H.VA.C. 9
1
ELECTRIC 91 ?
M?spection Date Insp. Comments
Footings I ??• z
Fouridadon 1?f/ Ql 4
Framing
Roofing
Rough Plbg.
Rough Htg. ?
15u1. ?
Firepiace
Fnal Htg. 12 _ -j Z
Orstat Test 2• f Gt ? 2
Final Plbg. . f Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
eldg. Fnal ps
Dedc Ftg.
Dedc Final
weu
Pr. Disp.
L,
? 7
? •? _ e?
?.?
Tex#rftr?te,o# (Orrupattry
(Citp of Cagan
Er?d id %a«ng 3weniou
Thrs Catifuale issued pursuant lo lhe requirrntmls ojSe+ction 306 of the Unifarm Buitding
Code ceWfXng lhat al 1he tinie oJiuuanc+e this struaune wrrs in rnmplianae with the Narious
ordinaRaes ol the CitY regukd8 buUdinS onrwnrdioR ar use For the followrng.
ux a.T..b. ASF M/Gp?R eAg, eamc xo. I q888
O-V-CYTrx R3/M) zouing nkm;a LRI Tncc=ot Vn
o..„Q .r8W4-.6 AARE MTImS Ilc. Add= q304 LYRAIE AVE S, &AIN
4158 PENNSYI.YANIA AVE L-aty L 17, B 1, STAFF= PLKE
n.c -21t(l/a?
POST IN A CONSPICUWS PUICE
CIT1i' OF EAGAN METER # PERMIT DATE 11 /20/91
3830 Pilof FCnob Rd.
CHIP #
PERMIT # 12390
_
Eagan, MN 55122-1897 i
' I
'
HIETER S1ZE -
B.P. RECEIPT #
'-
ISSUE DATE B.P. RECEIPT DATE I1 19 91
oArE I',1011 18, 1991
_ PRV _ BOOSTER PUMP
51TE ADDRESS 4158 PENNSYLVA NIA AVE PERMIT REQUESTED
OT 17 BLOCK 1 SEC/SUB STAI?FORD PLACE
_ X SEWER -?LWATER .- 7APS
ArrULAN 1: _ COMMIIND x RESIDENTIAL
ADDRESS:
CITY, STA7E ZIP -XL NEW - EXISTING
PHONE:
Lawn. SprTrrkl r Meters are .to be lnstalled
PLUMBER: STAR FLLiM9ING Ahead of Do?estic M rp` on ,lNater Line.
ADDRESS: 1018 MOUND SPR3NGS TERR Credit WILL ? be '?or.8eductl
;
?;--?
CITY, STATE BLOOMINGTON MN ZIP 55420 . ,
PHONE: $84-4149
'
MPLY ITH CITY OF
AGREE TO CO
OWNER: DAHLE BRdTHERS INC EAGAN ORDIh1ANC
ADDRESS: 9304 LYNDALE AVE S
CITY, STATE BLOOMINGfON HN ZIP 55_ 4? -
88$-6866 SIGNATURE WHEN METER ISSUED
PHONE:
PLEASE ALLOW TWO WORKING DAYS FO R PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMI TS, CONTACT ENGINEERING DEPT.
r SEWER & WATER PERMIT OFFICE USE ONLY
'i CITY OF EAGAN METER #'/M 9 8 PERMIT DATE 11/20/91
3830 PIIOt I?I10b RC1. CHIP # b? 7Q / PERMIT # 12390
? Eagan, MN 55122-1897 ,?,?,fu S Q I
METER SlZE F f c B.P. RECElPT ?
?
ISSUE DATE B.P. RECEIPT DATE 11 19 91
DATE NOV 18. 1991
_ PRV - BOOSTER PUMP
, ITE ADDRESS 4158 PENNSYLVANIA AVE - PERMIT REQUESTED
OT 17 BLOGK 1 SEC/SUB STAFFORD PLACE X SEWER x WATER -TAPS
ZIP
COMM/IND x
XL NEW - EXISTING
.? -
Law D r Meters are to be '
PLUMBER: STAR PLUMBIN(' AI}?ad of o estic M r on
1018 MOUND SPRINGS TERR Credit WILL o educ
ADDRESS:_ i
CITY, STATE BLOOMINGTON MN ZIP 55420 ?PHONE: 884-4144 %
AGREE TD.CQ PLY ITH t3RY
OWNER: DAHLE BROTHERS INC tHu
ADDRESS: 9304 LYNDALE AVE S
CITY, STATE BLOOMINGTON MN ZIP 55420
: 888-6866 _ SIGNAT
PHO E
+.., ? !i - ?/ n;
PL IE?ALLOW d 1NOfiKINta DAYS FOR PROCESSiNG. CALL 4545220
SEWER PERMITS, CONTACT ENGINEERING DEPT.
WHEN METER ISSUEO
Line.
INSPECTIONS. FOR STORM
,
;<
..a?. -,
_ RE:' 4158 PENNSYLVANIA AVE
DATE: NOV 20 1991
BROTHERS INC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Foad) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed Tor the (ollowing
reasons:
_ Your Sewer & Water Permit tor lhe above property has been completed, but the meter cannoi
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay tor meter at City Hall. Meter size must be
conTirmed 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, 8uilding Inspections Dept.
CITY OF EAGAN No _ 19888
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
/? ?/?J75a
BUILDING PERMIT PHONE:454-8100 Receipt # ?' ?
Tobeusedtor SF DWG/GAR Est.Value $$6,000 Date NOV 18 . 1g 91
Site Address 4158 PENNSYLVANIA AVE
Lot 17 81ock 1 SeGSub. STAFFOx p A
Parcel No. _
a, Name DAHLE BROTHERS INC
o Address 9304 LYNDALE AVE S
CitY BLOOMINGTON Phone 888-6866
?F Name SAME I
$a Address
? City Phone
wName
Address
a W City Phone
1`-01
I
hereby acknowlege 1 t I have r?a his pY ?
inlormalion is correc and agreo
Minnesota Statufes d C
Signature of Pe ee ,
A Builqing Permkfs issued to: llAHL? HU"'HERS INC
on Iha express condition Ihat all work sh; be done in accordance with all
appiicable Slate of M,/in?nesota Statules a(nd Ci1y oi Eagan Ordinances.
8uilding Oflicial ?ftq_qQ.id. I m B
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning R=1
(AClual) ConSt V-N Bldg. Permit 577.0
0
(Albwable) V=N Surcharge 43.00
Y otstories
Length 47 Plan Review 375.00
Depm ?+8 ? SA0. City 100.00
S.F. Toial - SAC, MCWCC 650.06
S.F. Footprin[S -
On Sile Sewage _ Waler Conn 660.00
On Site Weil - Water Meter 95.00
MWCC System XX
Aca. Deposil 30. 00
Ciry Water
PRV Reduired _ S/W Permit 30.00
eooster Pump - 5/W Surcharge • SO
Trealment PI 276 . 00
APPROVALS Roatl Unil 370. (10
Planner - park Ded.
Council
81dg.Ofl. _
Variance -
CoDies
TOTAL
3,206.50 1
?S
c?
s ?
J 00
??02 ?.1? V
Raquest Date Fire No Rough?in Inspeclion
ReQUiretl? "? /?
/y aaeUy Now ? Will Naity Inspector
R
tl
?
? 1 Wh
/ G yes o Bn
ea
y
I14, icensed contractor p owner hereby request inspection of above electncal work aC
JoE Adtlress Btmet Bci or PoNe No.)
/ Ciry
G.i.? "--' R h
Section No. Township Name or No. Range No. County
OccNpant 1 ??/Y 4 M?
/ Phone No.
?8? E`6
Power upplier
a?lalst
?
?/
4 AtlOress w
?0? S1t
30?
?
-;
.
u
c
. /
.
,
rrr
Elect I Convacror ?COmpany Name,
/??-?? C• NE. Conuaaor§ License No. 11
A 36/-6
Maiiing AtlCr?ess' ICo?mraclor or Owner Maki Ins(?a/llationy?//?
?
J v
sCP/°`
Autnonze SiS ature (COnhacloriOwner Making Ins Ila?ion? Phone Number
2--
MINNESOTA STATE BOAND OF ELECTPICITY '00-? THIS INSPECTiON REQUEST WILL NOT
GdggrMidway BIOg. - floom S173 BE AGCEPTEO BV THE STATE BOARD
1821 UnlversNy Ave., SL PauL MN 55104 UNLESS PFOPER MSPECTION FEE IS
Glrone (612) 662-OB00 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-ooam-os
J??? ?? ? See m'Imqions for com0leting mis form on back o1 yellow copy
X" Below Work Covered by This Request ?:? edtl Re . Type oI Builtlinq Appfiances Wired EquipmentWired
Home Range Temporary Service
ex Water Heater Electric Heating
Building
Apt. Dryer Oth er (Specity)
j
m.llndustrial Fumace
nditioner
?speciry) C.7hactor5 Remarks:
Compute fnspechbn Fee Below: ??CS
# .. Other Fee # ServiceErrtranceSize Fee S CircuitslFeeders Fae
Swimming Pool 0[0 200 Amps ,dn / 9 to 100 Amps ?jlg,OQ
Transformers A6ove 200 _ Amps Above 100 _ Amps
igns inspector's use Onry: TOTAL
' Irrigation Booms
i
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other fee COMPLETEU WITHfN 76 HS.
I, the Electrical Inspector, hereby Rougli oere
certiFy thatthe above inspection has
been made. F;nai
? oa
OFFlCE USE 9NW
This request witl 18 monihs fiom
a/G3
?
J13103.
Request Oaie Fi
f' Rouqh-in Inspection
qe ??q??
?
? Ready Now ?ill Notity Inspectof
Wh
R
tl
?
Ves ? No en
ea
y
I)elicensed contractor ? owner hereby request inspection of above electrical work at:
Jab AOGress (Street. Bo RoNe hM ) ?
e//S8 Cily
Section No. Township Name or No. Range No. Counry ^
Occupa PRINT) ?
r?A
Ael
`
/ Phwe No.
? _
/(f
4
, j S
A O (O (f?
Power Supplier / AtlOress
71-
r
h
2A0 ? / A
7p
?
C
/
i
a.=t
rt-
.
£lectrical ConVactor (Company Name)
Co
45--/
/
-
ll
A Coniractw5 Lbense No.
D5'23G'/-?
.
• /
M 11,4i, '
?c?
,
-
Mailing PqOress ICOnhedor or OwnecIMaklnq Installation) f? /
iI,P K/( ..7 /C Il e? L
a7 7? ? ?C/-
AWM1Oriz tl Si nalure IComractor/Owner Ma Ing. stalla?i Phone mber
- z-
yYo
s?-111-
MINNESOTA STATE BOAPO OF EIECTHICITY THIS INSPECTION REQUEST WILL NOT
Grigga-MWwey BIEg. - Room 5-113 BE ACCEPTED BY THE STqTE BOARO
1821 Universi[y Rve., St Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Monk, (612) 662-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION "`yA EB00001-OB
J ?? ?/ ? S'e nstmcttis for completing this form on back ol yellow copy
3
l ?0. G
75
Q 2 Below Work Covered by This Request ??"•+ ;Ne A68 Rep. " TypeolBuilding Appli&ncesWired EquipmentWired
Home Range 54 7empo Service
plex Wa r Heater Elearic Heating
t Building Dryer O[her (Specity)
4 mllndutrial Furnece
rm Air Conditioner
er (epecity) ConVaaor's Remarks:
Oth
Cqnpute Inspection Fee Belaw: ?
# - Other Fee # ServiceEMrance5ize Fee # GrcuilslFeeders Fee
Swimming Poal 0 to 200 Amps 1??Glrj 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 700 _ Amps
SignS Inspeclor5llse Onty: TOTAL
Irrigation Booms !?i , J'6
Special Inspection
Alarm/Communication THIS INSTALlAT10N MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-in oate
certify that the above inspection has
been made. F;,,ei ? oa
o?
OFFICE 115E'JNIY
This request voi0 18 months Irom
Address:4158 PEP][VSYLUANIA AVE Lot 17 Blk I Sec/Sub gT[FF'pgp plACE
These items were/were not complete at the time of the fin 1 inspection.
D t: 2 10 92 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/cuxb damage S ?
Porch ?•
Basemant finish
Deck
Please verify with the builder the removal of roof tast caps from the plumbing
system and the shut-off of water supply to the outside Lawn faucet before
fceeze potential exists. ?
N[CrC4[OMRP
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY USE ONLY
PERMIT #: RECEIPT DATE:
8008 RESIDHRTIAL M£CHi4NICAL P£gMiT lEPPLICikT10A
crrY or EasAx
8$30 f'II.OT KAOB RD
L+ABAA MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 1 r -3
L} I 58 Poo ns-Li I v? ? C-k AV-e-
SITE ADDRESS:
OWNER NAME V O (f `-"'-f i `--'-L
INSTALLER NAME: Burnsville Heatinq & q/C. Inc.
i248 hode Island Ave. So.
STREET ADDRESS: Savage, MN 55378-1122
CITY:
STATE:
Place a check mark next to the permit work type
TELEPHONE #: 6S`C? S?
TELEPHONE #: / ?? ! "? ` -??S
ZIP:
_ Add-on, modification or alteration to existina dwelling unit $ 30.00
• fumace replacement
• air exchanger -
• ditioner
• other ?
Nature of work:
/
. ? M 0,V11
OAA
JCNY?- 1 W u?" \ l.? ?-.',S ? U V?. •
State Surchar e $ 50
t
l $ C
AJ ? V v
To
a -
)AAU & Asmuzy_m
ATURE O P RMITTEE
vo2
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMEtC1AL MECHAIVICAI. PERM1T lkPPLICATIOR
CI1'Y oF ?'iASlklv
3$30 PILOT KNOB ftD
KAs,ax, i?uv 551 E$
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS TI-IERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK T'I'PE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work
When installing/removing undergrouxd tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing enspector.
Fees: 1% of contract price OR $50.00 roinimum fee, whichever is greater.
Underground tank removaUinstallarion = minimum fee
Conhact price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATCJRE OF PERMITTEE
Updated 1/02
PERMIT# -J -?? Sb RECEIPTDATE:
2002 R£SIDENTlA[. f'LUMBING PE#$MI'f' APPi.IlCATION
CI1'Y O£ EAfiAN
3830 PILOT KNOB RD
EAfiAN, biN 55122
651-681-4675
Please complete for. single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irtigation system
SITEADDRESS: ?lSS V
QhNG2U1?61 CrA
OWNER NAME: : rC?niQ.I ?k SGLw TELEPHONE #: ? fn?6?S 03s?3
(AREA CODE)
INSTALLERNAME: ahiPL TELEPHONE#: (pl tnm Da53
STREETADDRESS: °VVtQ 0L!5 Sk'kQ Al.P/Q f,L155 (AREA CODE)
CITY:
STATE:
ZIP;
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) g 100.00
includes $40.00 Counry fee
Note: Additional consuftant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters $ 50.00
_ Ahandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$11S)
Other: ?
I,?'? ln fC lJ '
i I
J
_ RPZ: new installationlrepaidrebuild AUG 3 0 2002 $ 30:00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15:00
State Surcharge $ 50
Total $ S?•?D
I hereby acknowledge that 1 have read this application, statethatthe information is correct, and agre? to o.?nyw}tn all applicable City of Eagan.ordinances. It
is the applicanPs responsibilityto notiTy the property owner that the Ciry of Eagan assumes no liabftit y,6'Smageswused 6y the City during its normal
operational and maintenance adivities to the 6cilities consuucted under this permit wt in Ci pr ? dr -of-wAyleasement.
SIGNAT &OF PER ITTEE 1/02?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NawConMruetWn ReauiremeMs
• 3 registered site surveys showing sq. R. of lol, sq. $. of house; and all roofed areas
(20% maximum lol coverape allowed)
• 2 copies of plan showirg beam & window sizes; poured found design, etc.)
• i set of Energy Calculations
• 3 copies of Tree Preservatian Plan if lot platted after 711/93
• Rim Joist Detail Oplions selection sheet (bldgs wilh 3 or less units)
DATE 5'S ` ! Z -O2
RemodallReoair Reouireme
. 2 copies of plan
. i set of Energy Calculations for heated addifions `L
. lsitesurveyforexterioraddttions&decks
. Indicate if home served by septic system for addiGons
VALUATION /S, 3d6
SITEADDRESSL4IS-9 :jjjW r1Y.1S?IJi4N+?4 ALC MULTI-FAMILYBLDG _Y XN
TYPE OF WORK ADD,'-PenJ FIREPLACE(S) kD _ 1_ 2
APPLICANT ?r?t 6 Z,A.?1? ?{?:CK-
STREET ADDRESS ? 15-8 ?'?NS-II I/AN,A rhM CITY&tg2L%J STATEA4JJ ZIP Sr?23
TELEPHONE #C9S1-(o910-OZ5' CELL PHONE #
FAX #
PROPERTY OWNER SDE 3'3A TELEPHONE # C09 -IogB' 0Z£3
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RiJI.rS 7670 CAT'EGORY 1 MIIViVESOTA RUI1:S 7672
(4 submisslon type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submifled
• Energy Envelope Calculations SubmiKed
Plumbing Contractor:
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Fee: $90.00
Pho- n_
? ? 0 ? ? ??cc: $70.00
U1 L? I II
AUG 12 2002
Phone # ?
I hereby acknowledge that I have read this application, state that the information is cor- recT,?9l5d agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
_ Phonc #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation
Cg 02 SF.Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 71 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
0 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
?
a ?
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Intarior) ? 44 Siding
A 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire 81dg anly) - Give PCA handout to applicant
Valuation j G? Occupancy MC/ESSystem '-'-
Census Code q Zoning 12 -/ City Water ?
SAC Units Stories - Booster Pump '
Nbr. of Units -? Sq. Ft. PRV
Nbr. of Bldgs "- Length Fire Sprinklered ?
Type of Const ? Width I?
REQUIRED INSPECTIONS
_ Footings (new hldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
2t Footings (addirion) Plumbing
? Foundarion ? HVAC
Drain Tile Other
Roof _Y Ice & Water X Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing _ Siding Stucco _ Stone
Fireplace
R.I.
Au Test Final Windows (new/replacement)
_
_
? Insulation _
_
_ Retaining Wall
Approved By_
Base Fee------------------------ ---------- 547 - - ----------- ------------------------- -G
Surcharge 30'2 X 5?
x
Plan Review ? C) 9 . `?l 1
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search -??Copies
Other
Total
Building Inspector
/6 34 ev
P,7i192065 09:53 ERGAN ENG+COM DEU + 99529222065 N0.763 D01
Juh Siu: AdJrexa:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
PC,-,tV af tnqnl
.._:...-
INSTRUCTTONS: This alternadve may be used iar onA and nro-family dwelUngs built to meet the Cacesory i requirerneno of
Minnesata Rules, Chapter 7670. Cootplece Part9 A. B. and C. Clearly marc plans wi[h: in,iul36011 R-values; window apd skylight U.
values; sizz and rype oF aquipment; equipmertt controls: md lowrion oF vapor retvder and windwash barriers. Mom detailed
infornwtion csn be found in rhe.blinnerota Energy Code summary shcers availablo from the Minnesaca Depazmirnt of Commerce.
Part A. BUILDING ENVELOPE _-
Cheek pmposed m?lape ja'uu mealing opdan 4 0 Prescnpave (caullda8. 8aslcata, ece.) .. O Petfomance (=per 7670, W)0 suhp. 7.C.)
Check rhaa?el rnetgy rileuladao opdan uxd 3 O"CaokbooY' (comple[e worksheethelow) ? MnCheck methed (attach report) - O Podotmmea (acxh U•value calcvlsdans) (3 SYstems Aaakysis eedhod (amc6 aaslYSis)
LvsTRccnoNs
Scap l. Check icem(s) tAat desigt mtect on .1Qlnimwn Requlxmenv lisc
m tbe riglu. S[uvt meet yl i[ems w use "Coo400k" opcon.
Stcp Z. Indicatc pmposcd wall rypt oa able balew.
Step 3. Indieaze 9lindoui U-vatue and source.
Stap i. Verify wW .vindow (including area ofall foundaeian windows)
and doar urs is eqiat or fess thap a!]owable pncmrage.
"Cookbook" Worksheet
....?.,......,??..._...?..? _?.o-;
or °CookBoolt' a tla¢ on ) ;
Criling [nsWUlna: Minimum R•38 wi?h 7!," MGfaLRL p(
Mmimum R-" witd iow euss Eeel; w
TAHLE FOR DET ERhIINWG MAXU d 7M WNDOW AND DOOR AREA
Marimum wllnwable Totd Window and Door Area es a Peiceno e ofE sed Wap 12'h 10% 16Ye 18% 19% 22Ye 3496 2E96 ZB'h '
Wall T e(Sn'Waed Frantin ): Ma?mu m flvera WindowU-Wue ex tfounda teen windows):
? 2x1. R-l3 insulsdon. R-7 sheathin 0.35 OA7 0A1 0.36 0.33 030 037 025 013 '
0 ?:c4. R• IS insulanoa A-i she9dhin 0.32 0.45 039 0.35 0.31 0.28 0.26 024 022
2x5. R. 19 insuladon <R•5 shn[hin 0.46 OA! 036 0,$2 0,29 0.26 0.2¢ 022 021
? 2x6. RJ 9 insulaaay. R-5 shcadun 0.56 0.49 0,42 0.39 0.38 031 0.28 026 0.24
0 2z6. R-21 'vuulacon, c R•5 aheathi 0.51 . 0,43 0138 0.34 0.30 028 015 0.23 0.22
0 20. R-21 insulation, R•5 stuthin 0.58 0.50 0.04 0.39 035 0.32 029 027 0.75 '
well T qdvaneed Framia k Msximimm Avemee NindeW IJ-value (ezm t faunQe cca wiadows
O 2AR-19 invuladon, a R-S ohrsthin 0.32 1.15 039 035 031 0.28 0. OJA 022
O 2x5, R•14 insuladan. R-5 shmrhin 0.58 0.50 Q.44 0.39 035 O,J2 029 017 025 :
0 2x6, R-21 insulation -9 A-S shcathin 0.55 O.a7 Q4l OJ6 0.33 030 0.29 025 0.23 ..
? 2x6. R-21 iesulauan. R-S shnAin 0.60 0S2 0.76 0.41 036 033 0.30 028 026 ?
w?uubw u-valuc. f O e32 I
5aurm: 1 O NFRC q a3HRAE 1993 Hsnd6ook I
100 xl 1-7/ 7- i s3 = 1 e Q<
windaw & door uea grom axpowd aroll area DESIGN ALLOWaHLE (fmm abte above)
MIIVNESUTA ENERG Y CODE - WHlCH RIlLES MAY l USE 7
TYPE OF RES1DEMiAL 8t1U.DING APPLiCABLE RU[.ES
Ue[acned R-3 aecupsecy l-aod Lfamlly dwdlinyf CA0pa0672: ar
Exam les: sia le kunil , twia homas, du lozes C [Q 7670 "Caro o 1" wirh staauo Qe ressurimdon and ventituio? ?=m
AKae6ed R-3 aetYpanry dweUinp Cl2peei,7694; or '
Exam la: lei !ex towlhouses and row houset r 7670 wieh ridmr "(ktaW I" ar "Cace 2" rohsions
R-l xcupanry bu(Idloga of 7 rtorla or lea Chap?r 7674; w _
8um es: cortdominiumsora enc5 C xr76?D witA eithn"Caze 1" ar "Cate o 2" rorisions
R-laecrpearyluadloparerlrtorlaahflb Clupoa 7676
?
Eutn Ies; hi rix condna of rcnenu ,.M
l?rv •! a• 1 CiA n '? . . . •... c
< -,
i ,, '.. z k : w . ..'? y a ?a - •. "'? . ?
e -• ' f A. P?IC,S h L 7"i O G.?Lf.Tt7 }?Td rJ:t ?'l?OW l7ra r? 1? .
4 a Y t+-sf .a ':a ,r'e_%i1 u?-c?the'Cs?;u??
?tp:y`,.l?r-?ie[r:.:rtri•:,'.(?,ie•??.IirS?nssir:dondlcrgrttud:r^ ?t,a•?•:r.
veagc: or solid U. acnuapltee?e veni.'spu:.luuin; ,xici7nenc`u
. . t `'. 7K:6'Cftd. i '3 2. .. . . .. . . . . . . r . .. . . . _. . .
.<:I . ? ca"I
5 ' -_:;CO?[SLSTIOY gQLIPMENT SGSEDL7.E ,
. . . . . .. . , . . ' . 7.'•. •. s ` ' ICLCC? ?I Mt5 Dt0005lA1 , • . .. - , -
Seu: hrsr_ng - noa;a,'id i•r[ I-3 3esled :omhusdaa Y Hruth - noooLC ku! OSesi:d :or..buadan I Y
7 Diteet ar ?roura !nnted
Y, ? Ditec ar powee aeeed Y
. .
ArmosoEuiail re red t Aammhe:ia0 voCd '*.%4
W'icec Sraung - noasoGd au: ? Sealed xaiousdaa - Y SPue hwon8 - aal•d iuel J OAtmasprr.:ally Mm3
I Y¦.
0 otRrs er wer vmeed Y wa? hada -saGd i? o??s:aset??tv ?,eee?a Y
Amto?olurirented N e{rarth - soGd fua: ' Q.?omt?.ea:lv vmt?d Y
•[r am;osptmrieaily v:nud sotid Fuel ar dima or powa vmecd noasoGC iuet apae: Lesdog is iasnL'ed drm mafc=-up ?i: m cucb
t:ow is re uired 7ar ex4 iadivid+ut exhauat devka ahich aceeds 300 w6ie fees ac mie:ze.
Part C2. VEtiTILATIOti"
I (>fec'saaieal veneilaeae m¢se 5e pmYided pe: the laryer quuer,r cain!ated'ee!ow) cobic feet s 0_00583 /minutt z li cfm/bedraam} r 14 efnt ?? efm
--'---.._''`_?.---- -.•-s.--e?.,?_` - -.
C?e:Sc r..etheC(a) prasased ?; 14TNTILAT10N F.AS SCEMDL'LE
? Ec.Sns: anlv 7 Bsta.uad ihe:c ?o?er. veaaismr. ?ir ez:5ao4: ._ex.l i
Faa desc:i tion or loeadon 4 TaT•?
V'eh'CtIAT[ON [nrafc_ e5n efm c? e@n ?
AS DEStGh'ED Fachause dm e? e5a efin e5n
3btamest ef Cempliaoee: Ybe pc2posed Luikrng daip isptaeured in dxse danuneias u eaosisrcnt wicG the 6ldia6 9WO.
9peCifiC3li0f11, and nrber ealculadons su6mitted with du parmi[ apyliason. The poopmed buiIding hv been daiped a! mat de
nquitemean olrhe 1?Gnnesoa Energy Code. .
wpptieant (prine aame) SiPunue Due 7etephone oober
Part C?. VENTiLATION (Su6mit Part C: upoo eomplerion oisystem reriliaSoat)
?-----•-^-------------------------------------------------------------
Jab Site .addrcm: Pernie \umba
Bus daori don u lacaaan T?T'?
MEASLZtED lncafce efm cEa e4n efen eirr
peZ,eORLLaYCE? Echsusc efin e4z "'in efrn
* b':nulacion nte mvse be measurad aed verified When ehe perfonnuue opdart is uud in lira oP The presc^pave oprion Por Ne
sal'na ofieinn in the 6uildina eanditianed envelooe (fmm Pyt A1.
Compltaaee Sntemenc: insnlled r,neiladon jY3jam ia in aamplisoee wich %!V Sn:cr/ Coda und is sizzed eo provide rhe daign sit
F.ow
,arplE<am (print n?rc) 5ign1(ure Oue Tsle?hurtt eumb« •
Scale:
1"=30'
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A
CER11fICATE OF SURVEY
, ...e. ,1
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LAND SURVEYORS
Survey for:
DAHLE BR05
ml
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_- 30. z y?S
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m -? ari?ewayN
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IN
.c'a"v R, eeQrttott. Pus.
8713 DUPONT AVENUE SOUTH
BI.OOMINOTbN, MINN. 86420
ese-xoea
N .?`154
N *1 Ni
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zz1N39?30 ?
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N ? s
?'` a8 33 N I?.
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61
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y
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ri? ^ N 11 Q .`V
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01
DESCRIPTION: 416Z
i_ot 17, Block 1, STAFFORD PIAC ?I
Proposed Grades:
Top of Blocks 9191 Garage floor 9!9 Z Basement floor 916 5:?
NOTE: Circlecl elevations are proposed, others are existing.
Arrows denote direction of drainage.
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the 2ocation of all buildings, if any,
thereon and a11 visible encroachments, if.any, from or on said land.
Dated this 31st day of October ,19 91.
by
innes a icenseNo..9018'-
Z75-3c`S
' CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PflONE: (612) 454-8100
99"Mmm
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE: a G
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:''t!&,? T?'/'71'lSl )I UaII fQ
IAT:1*7 $LOCK I SUBD. Alr?d
INSTALLER' 1 !nfIYY? Cr_-_-.f? "T I ?'X] ??)1?D•
ADDRESO5700I M-Hccs, Zn??us-?r'??Q Qr?
CITY: M1l?_oYl a ZIP:
PHONE #: 9 3-5 - / / I -7
? I J LC'vncr_ ?1?Q?/?
SIGNATURE OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 .?.?.6S?
? WATER CLOSET 3.00 (a.co
I- BATH TUB 3.00 ?,W
,zZ LAVATORY 3.00 7? . Oo
? KITCHEN SINK 3.00 ?5•oo
? LAUNDRY TRAY 3.00 3,00
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3.00
FIAOR DRAIN 3.00 'S.Gb
GAS rIPiNG OUT.
? (MINIMUM - 1) 3.00 ??oo
? ROUGH OPENINGS 1.50 ?I?,Sa
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S ?)I, 5C>
ST. SURCHARGE .50
TOTAL: S "5 O, Qr)
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
GITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
( S I GNATl1RE )
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE (612) 454 8100 RECEIPT # V c?
t#?C'H$N??A7.j?'$IE?I?? DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONST ?
ADD ON _
REPAIR _
WORK DESCRIPTION
ADD-ON MINIMUM $
HVAC 0-100 M BTU 4.0
ADDITIONAL 50 M BTU
GAS OUTI.ETS - MINIMUM 3. ,0b
OF 1 PER PERMIT
OWNER NAME: -Z?? c_..
SITE ADDRESS:_
IATJ?2_ BLOCK -t- SUBD.
INSTALLER: ? 2 lC' c_
ADDRESS:
CITY: S cs?SCae?. ?- ZIP:
PHONE #: )
FEES
Ozj
SUBTOTAL: $ -DTk'
STATE SURCHARGE: .50
TO?AL:
SIGNATURE OF PERMITTE
WNTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING a $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
1
1991 BIIILDING PERM PLICATION .
CITY OF EAGAN NOV 1 5
SYNGLE FAMILY DWELLINGS !I[TLTIPLE DWELLINGS COMMBRCIAL
2 SETS OF PIANS 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 SPECIFICATIQNS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES iiHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY TAST WORKING DAY'
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST 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 HA$.BEEN COMPLETED;
PERMIT MUST SHOW A LICENSED PLUMBER.
.
To Be Used For: V-41a +? Valuation
Site Address ??,?}? ?oxim.lll 1ti (11
Loc j-t alock ?
Parcel/Sub
Owner
Address
City/Zip Code
r
Date:
p OFFICE USE ONLY
O r0? DOD Y..'?? ``
Occupancy R: 3 M-?
Zoning R -1
Actual Const V-N
Allowable V-N
# of stories
Length 4f 7'
Depth y$'
S.F. Total
Footprint S.F.
FE&S
Bldg. Eermit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn,
Water Meter'
Acct, Deposit
5/w Permii
S/W Surcharg4
Treatment Pl.
Road Unit
Park Ded.
Trail Ded.
Copies
Phone On site sewage_
Contractor On site well
MWCC System
Address ??'?? City mater ?
PRV
??,,,,,,
City/Zip Code
gooster Pump _
Phone APPROVALS
Planner
Council
Arch,/Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
S
SIIBTUTAL
Penalty
Lofi Change,
TOTAL
agrees thatIl work shall be done in accor,dance with
,
all applicable Statk of Minnesota Statutes and City of Eagan Ordinances.
?
/-"• F
Gq2AGE
22kyZ= yg?F xJ5='?260
$SMT, a?XZS= b5D x 14= 9l00
I ST Fi.oa IZ.
asx.?r7'/z = ?,27
aXtt= z2
2zx z6= s7z
? x y_ g
? X S= 7
129(o k 53= GS69B
85 rs on 961000'`
VALcAT oN,?.
s .+i Yil
I
CERTIFICAtE OF SURVEY
1 - -
L AILlON INC.
AIUON_ _
LAND SURVEYORS
zftv;e. e*v&i. Pva.
8717 DUPON4 AVENUE SOUTH
BLOOMIN6TbN, MINN. 68620
888-20B4
Survey for:
DAHIE BROS.. INC:
Scale:
1"=30'
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?I 54 ml r1
Z4 N ?
x
o ZZ?N39°30'E
?N _-/3¢.00
Y N ?
at T%Ilr+?
y 0
y \ ^a-
N j
m S ,?ri'ew? N o o `l ?
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'?m i is •o h ? ?' M
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z6.33
X
a1 '?O ? oI N' 9/6 -_ ? N I ra-I N? ?S 1
46.33
77
W7;zz, s7
o ? J ?
DESCRIPTION: Z5?
Lot 17, Block 1, STAfFORD PLAB
E+u?'=Q!G S.l--
g:?
Proposed Grades:
Top of Blocks 9/91 Garage floor 9/9? Basement floor. 9/6L
NOTE: Circled elevations are proposed, others are existing.
Arrows denote direction of drainage.
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all 6uildings, if any,
thereon and all visible encroachments, if,any, from or on said land.
Dated this 31st day of October ,19 91. n ?) --1
<. ?.7 - 3 cs
._ ,
.. . ' . .. o-' .:x.S. . - . .,,, 4 k :. .. ?"ik ? F?# :_
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.:- . ,:?. . , .
,??¢
7
?5 • EXTERIOR
ENVEIAPE AVERAGE "U"'COMPUTATION
_
=?{?•4 ?.r t? A 1-?`Li'c •,:U fte S 1 W^G ,:? ? i k s ?'
. ?
A LOT' I?T
??
1<
?T,?
2Ea `?
E
?
A v
DDRESS
SITE ;
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ONTRACTOR.; \r?
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`
PHONIE ??s.--(a?Ce,Sc+' ?
DATE
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g?'` •,
r? Determiaer?rorking?squaretfootage'ac??+eaeh. , , • ?, }?
? 7
1 Total exposed .vall area .. i,BQ° ft
8 ,
?
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rta .,1
Y1 .. i1. ? •: ? i? .? ,-:
. , . .
l G'F f 5? '?' L t{
x"
`3
° t
, n f
r ?`+ ?.
{Y P F P
.
k
,
N
? x
?«2 Total xoof/ceiling area
2 0 3 .
?
_
-3
,
.. ?
i t?.
?
} .
t
A: Tota1
%rall yrindow area
. ? i
-Total
-. . .. .
door 'area.
. j
•,??• ????\???J'?. ? -? ? '°rQ ?'
?
Total-
. . }
.
:slidingglass'dooz•area
..
. ?
al
? D. Tot, .
fir
eplace
aall area.:: ..
, '-E: Total ,wall framing?Tarea (averaqe 101)
•
"
? F: Total
'
µ Rim .joiat.:area. .....`: ..•' :; ••••
?t 44
••
? t
-. ? a? ?;
; G: Total. .
,:, • „
Net wall area above floor. =•: ••-. . .. .' -J 49 8 , : ?x..
` ",Rbtal Texposed '#oundation area
H. 2'otal foundatiori window'area
.'
.,
.
_
?
' Total
.
? ......
.....
....
_.. .
net `foundatiori area
, ?
„. . . .. .
.
.., _ ,
,.
? w
??, . . . ._ .. _
'• ;. . , :
`? :Determine "[7".'value of :each vall segment
-
, ?
a 5
,
?
, . ... .
g ap"
? ,23
.
_
`
C
x u
.59
?
,i: ,•.
,
, ._ ? :: :
': ti. -. ??. . x ~u"
?
?
. . ?. .
. . . . _ . _
.
.. .. : - ? ? . .. . ...: .
.
. ..: :,.'
''
e. 's G 4 x"^o" : 10
.,
.?? , . •
f. 1,44
4'T X ~ua
:
, i 4 n8 X*v
y?
. h. g "y"' ?
.. _ . . . . .
.
i . •
.." . x MUn . ... '.. .. ': '? '. .
.
. -..
.
'
' . : " . .? ?
. ... .. . ,
. .
.
.
.
.:
?'
,
,
-
, . ,. .
.
: .. , : .. , , , _
, . ...
, .. . . . , .. r ' :... . . ? ' • < - .•, • { :
. .. ..
`
.:. .
.
'i
3 ,.. .:.. .TOtal ,
.... ... ......
l9 8;Il? -
„ ,;
,. . ;
If.item #3 is • _
ry..
,.the same as,,or less -than,item 41, you;have met'the intent of
SBC:6006(c)2.
. . {. . T
' .
'?
- -
... . ..
:f
, .
. . .1..` ..1 .. .
. .
y '
k
. . . , . . . .. . . 4` ., ' . . . . ' . ... . ` . . . . . ' .
,
. :
;..
Total --exposed soof/ceiling area • .?.j Z 3 2?
? 3`otal sk li4ht art
Y. ea......,,..;..'.......:. .. .,.;. . ,:.
k'Rbtal roof/aeiling framing area (averaqe 10%) . ? 2 g
Total aet insulated roof/ceiling;a
rea,,. .: ?'t'•o 9 ?
,
' a
Detezmine "U"„value for ,each roof/ceiling ;?segme
nt: ?" 'x
< 1
1 1
tl ?
S y ' ?n. ori . fi
£X?#e?M
?• ? ? ??
V
S-f
X; -U~ 1VZ1/&,-
?
,7[U° 025y'
< ? • -.
-7:'! 3
? ?y.? '... . , ' L .. . .V. . _
W ,
a '
To`^
4 1 •?? • •? Wl
111 _?
' Zf. total of : #4 ?isthe ,same ?as, or 'lesa' than $2, you ,have met ?the intent oP
SBC 6006(c)1
. ... . ? .,, -'
.4
Y Alternate ;Suilding'"£nvelope?:Design
? " ^? '. ?' h.}. ':i .='r'c. . ..• -?: f.- .,' .
To utilize the total envelope system mefhod, the values?established by the=-y
. , - _ . ...
sum ,of items 43>and #4 shall not..be-greater;than the`sum of;items.A1 and;#2. '
? ? • . t l . . p>.? - .
. . ,;,
.,2.
?
.
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2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reuuirements RemodeVReoair Reauirements
3 reg'stefed site surveys showing sq. iL of l04 sq. iL of house; and all roofed areas 2 copies of plan
(20% rreximum bt o7verage allowed) 1 set of Energy Calculatiore for heafed additions
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNOre & decks
1 set of Energy Calalations Add'rtion -indicete ff on-sife sepfk system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Dahai7 Options selectian sheet (bMgs wilh 3 or kss unAs
Date Construction Cost /(D 7 (J ?
Site Address ?I ? ??n/S? G??'N ( ? ?y U+? _ _ UniUSre #
/\j
L
Description of Work !
Multi-Faroily Bldg _ Y-4-N Fireplace(s) ?'0 _ 1 _ 2
Property Owner Telephone ??'9 - C`JLL3
r ?
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Ivlinnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Energy Code Category . Residendal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plpn review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Pernut and aclmowledge that the informa?
that the work will be in conformance with the ordinances and codes of the City o?
Statutes; I understand this is not a pernut, but only an application for a permit, and
permit; that the work will be in accordance with the approved plan in the case o i
approval of plans. ApplicanYs Printed Naxne
is c46vktd and
?a an f MN
g '
10 r i" c?s not to start without a
which requires a review and
-
OFFICE USE ONLY
r . . ?
Sub Types -
O 01 Foundation, ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AK - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext, Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Muki Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
)< 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation ? Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const ? Width
Footings (new bldg)
? Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
RooF Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tesu
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: / , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAG
City SAC
U61ity Gonnection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
64646- ;1 Q C? c?
1 --70
;? .
y CERTIFICATE OF SURVEY '>?,
1" R'k&WYvee,.i.
nm ou?or+t 1vaNUt sourN
? ? BIOOMINOTON, MIHN. 6Mt0
q610l1'
? ~'
l IAND $URVHYORS ?. : . ,.
R
44%
Scale:
1"=30'
w'
Q
?
` h
?W
.539°30
' - ..:...
9ESCRtPTlOtv: *416Z' , I I ,
lot 77, Block 7, STAFFORD PIACE
Proposed 6rades:
Top of Biocks 9192 Garage floor 919 = Rasement floor 916 Z
NOTE: CircleA elevations are proposed, others are existing.
ArroMS denote direction of drainage.
?
?
. Survey for:
We hereby certify that this Is a true and correct represeiMtion of a survey of the ;
boundaries of the land above descrlbed and of the location of ail build?f_l,g , ,any, i
thereon and ali visible encroachments, if.any, from or on safd ?qnd.
Oated this 31st day of October ,19 91. n .? ? ?•???
pAHLE BROS., INC.
rl ?4/$¢ «I ?`I
n Z4 N N
M
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146697
Date Issued:11/08/2017
Permit Category:ePermit
Site Address: 4158 Pennsylvania Ave
Lot:17 Block: 1 Addition: Stafford Place
PID:10-72500-01-170
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.
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 -
Daniel J Rarick
4158 Pennsylvania Ave
Eagan MN 55123
(651) 503-0649
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155993
Date Issued:06/12/2019
Permit Category:ePermit
Site Address: 4158 Pennsylvania Ave
Lot:17 Block: 1 Addition: Stafford Place
PID:10-72500-01-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Daniel J Rarick
4158 Pennsylvania Ave
Eagan MN 55123
(612) 325-2068
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature