4159 Pennsylvania Avet"ASH AECEIP-r•-
?1w'" "?+ , '. •?
CITY OF EAGAN
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
L r- /
DATE 19 - I
?ECFIVED ? ?j ?
_ fROM
AMOUNT.
8 DOUARS
,ao
? CASH ? CHECK
r
C 40E6 wN«ayers Copy
veuow--poa" Cvr
Pir*--Fils Copy
Thank You
BY 't
DATE: 10/4/89
- RE: 4101 PENNSYLVANlA AYENUE? L22, B3, 3TAFPORD PLACE
4159 PENNSYLVANIA AVSNUE, L20. B2, STAFFORD PLACE
? Your Sewer & Water Permit for the above property has been completed. it 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.
Your Sewer 8 Water Permit ior the above property cannot be completed for the following
reasons:
?
? -
\
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or oc;cupancy allowed until further notice.
COMMERCIAL PROJECTS OMLY: Please pay for meter at City Hall. 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 COAAMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?FR'??fa0'a??? . ? ?-. F-s ?+......?_.. a :??.. R. ?? w?v"TlALT?r.T ?.. /R?"4?T?L?
CITY OF EAGAN 19104
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-81 DO , ._,..-
BUILDING PERMIT Receipt # ;? -
To be used for DUt Est. Value $1,000 Date MLY 22
Site Address 4139 PIYLVIINI• AVL
Lot .?- Block -2 Sec/Sub. a"1'Al?n 81.ACE OFFICE USE ONLY
Parcel No. occupancy -JA-Z FEES
Zoning _
W Name ?M T g?I?? (Actual) Consl Bldg. Permit
-
o AddfeSS 41? P&NNIMAM AW (Allowable) - 30
' Surcharge .
City BA?C
.AN Phone 893-9320 ot
tories
h
L 9 plan Review
?9 _
Q
o
Name
Depth
AA0
SAC
Cit
,
y
?<0 Address S.F. Total -
?
City Phone
S.F. Foolprinis
- SAC, nncwcc
t
W
C
F On Sile Sewage _ er
onn
a
? W Name on site wau
- water iweter
Address MWCCSystem
i W City PhOn@ City Water _ Acd. Deposit
PRV Required _ S7W Permil
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee 4 APPROVALS Road Unit
A 8uilding Permit is issued to: KOK T$LAIKEU Planner - park Ded.
on the express condition that all work shall be done in accordance with all Co+ncil --
applicable State of Minnesota Statutes and City of Eagan Ordinances. gWy. pff. _ Copies
Building Official ` ?., ` I
? Variance - TOTAI Zs• ?
Permit No. Permk Holdar Date Tekphone M
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
inspeetion Dete insp. Comrtiante
Footings I
Foundation •
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Orstat Test
Final Plbg. Plbg. Inspeclor - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
; • • CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for sF DWOtCU Est. Value :99,000 Date OCT
Site Add:rpss 4159 PFdilISYLVAIiIA AVE
Lot Block SeclSub.
Parcel No.
cc Name ??IBA I?iIDi?TES? HOI?S
= 1285 CORlORATB CL'NT'EH DR
o Address ?
City ?? Phone 454-0433
Zo Name S?
foj a Address
cc
City Phone
?
WW Name
? W
; Address
<W City Phone
I hereby acknowlege that I have read this application and state ihat the
informatfon is correct and agcee to com?Sfy with all applicabie State of
Mmnesota Sta tes and City of ???r?nances.
Signature of Permitee
A Building Perrnit is issued to: ? , 8S MIDWBST AO!!ES
on the express conditior4 that all work 'Shall be done fn accordance with all
applicable State of Minrsesota Statutes and City of Eagan Ordinances.
Building Otficial
A 17130
OFFICE USE ONLY
Occupancy R 3 _U-i FEES
Zoning
-??
636'00
(Actual) Const Bldg. Permll
V?
(Allowable) Surcharge 49,50
# 01 Stones
i 318 ? 00
•
Length Pian Rev
ew
,
Deplh SAC, City
S.F. Total - SAC. MCWCC 575.00
S. F. Footprints - ?? .00
On Site Sewage _ Water Conn
On Sde Well Water Meter 90'00
MW CC System
-?
Acct. Deposic 30.00
City Water 2O ??
PRV Required _ SM1 Permit
Boosler Pump - S/W Surcharge 1.00
228.00
TreatmentPl
APPROVALS 340a00
Road Unit
Planner - park Ded.
Council --
BIdg.Otf. _ Copies
2,967.30
Variance -
TQTAL 1???
Permit No. Permit Hotder Date Telephone #
WrER
SEWER
PLUMBING
H.V.A.C. Al
ELECTRIC & //q
Inspection Date Insp. Camments
Foocings I G?
l 5?
l
-
p
Foundalion lV 5i ?f -
Framing
Aoofing
Rough Plbg.
Rough Htg.
Isul. ' p ? - ?? - -
Fireplace
Final Htg. ?J
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
• - MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: $237.5. t)f1 PHONE: 454-8100 ForOffice Use Only:
Site Address 4 > ennBY van:.? ilve,
l
2
t
if 1 BLDG. TYPE WORK DESCRI?pT10N
LOt BIOCk SeC/SUtt' Or{
' "•
Res. New
,
`
- Mult Add-on
?
°-'
o •
,
Name
1'?55
Address Shawnce Ro:?ci ' Comm. Repair
?
c CitY - Eagdn Phone 452- 266-5 Other
S
FEE
?
Name
RES. HVAC 0-100 M BTU -$24.00
3 Address 2S QrroTate ?.enter r. ADDITIONAL 50 M BTU - 6.00
p City `'Agan 454-
Phone 13433 DES A/C ON NEW
? CONSTRUCTION}
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
TYPE OF WORK .
.
COMM/IND FEE - 1% OF CONTFiACT FEE
Forced Air M BTU 24.00 APT. BIDGS. - COMM. RATE APPIIES
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 COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 1•= BEYOND $1,000)
Other
? i . `i t)
FEE:
,
; ,'
SIGfVRTt1RE QF PERMITTEF
S/C: ..
TOTAL• . FOR: CITY OF EAGAN
. I j . r IFW; _ ., . .1. a :. ° • e. : R '<: . . . . . . . . , . . . .
PLUMBING PERMIT
? . For Offtce Use Only
• CITY OF EAGAN PERMIT # , 2Z-
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
12
PRICE PHONE 454-8100 DATE: Zel
SitA AddfBSS • BLDG.'tYPE WORK DESCRIPTION
Lot Bbck ub ReS. =? New
Muft. Add-on
' Comm. _ Repair
. Name 4 di 2 P L I'h Pa L,_._L1 AL/_,di? ,.---
Chy
? Add?
? cay
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S!C PER EACH $1,400 OF PERMIT FEE)
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Waber Closet - $3.00 $ 4,.TnP?
Bath Tubs - $3.00
Lavatory - $3
00 ^ n
.
? ?
Shower - $3.00
? Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Orains - $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. - $10.00
_3?_ Rough Openings - $1.50
7? ? / PERMIT FEE: ?
?
STATES S/C: Q-
GRAND TOTAL:
INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE: ""' IR' t N`'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SlTE ADDRESS: APPLICANT:
, , . 1•1 00 . ? VqN1A AVF
•.I?1f f-i?k.li j'I !1i l t?,l. !?,:;t, I 1?? .
PERMIT SUBTYPE:
TYPE OF WORK:
ni F tJ
YNi:t F'ORct+l
INSPECTION .. . D•
i!•,,?; ;, : ? ,,,. , ? ;,? ,
?- ft r 2
?
PermR No. Permit Holder Date Tele¢hone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS 4
FOUND
( ` "
FRAMING
9
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL •1 ?
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ,, Z4_,ql Gw_
f !??
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINRL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permi umber:
Eagan, Minnesota 55122-1897 D?ued:
(612) 681-4675
, , ,.. I .
SITE ADDRESS: ,
i'i FIN'.Y i'?Ah i:1 f1'4; f
1,;? I fi; i? ! 1
PERMIT SUBTYPE:
,,
APP?ICANT:
?p?. ? :
`?? ' . ?
n 'TYPE OF W4RK:
tfk 'O !2 1 1' i ) {IN
bii t i i, t mr,
Ntw'346
r4c_ fta tt,7
rII .: t I.Ni
r r rON
? - '
?
Permit No. Permit Holder Date Telephone B
ELECTRIC
PLUMBING
HVAC
Inspection Dete Insp. Commenta
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM6ING
PLBG
AIR TEST
AOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
!
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADQRESS: APPLICANT:
t: 1-114 VAM I A AVF MAk!
AI FI+t<O i'I.A!'t rh1(.Ft8-ti Iti:
PERMIT SUBTYPE:
,r. ,,, - I ?,i
TYPE OF WORK:
4A.':•I A s
INSPECTION .. ..
1 0 1`!r;!
? ? ?J
Permit No. Permk Holder Date Telephone i
S/V1f
PLUM8ING
HVAC
ELECTRI
ELECTRIC
Inspectfon Oate Msp. Comrnents
Footings I
Foundatbn
Framing -?-y?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace 'Ah /2?,
Flnal Htg-
Orset Test
Fnal Pibg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
81dg. Final
f
Deck Ftg.
Deck Final
Well
Pr. Disp.
r
r ¦ Si
(Itrti#iratt af (Orrupanry
Citp of eagan
arpwrtrn,ent n# luidirg 3wrr#imr
Tiris Ceruficare issued pursua,rt to rhe requiremenls of Section 306 of the Uniform Building
Code certifying tlrar at tJre time of issuance this structure was in compliance wrth the various
ordrnances of rhe City regulaang building construction or use. For the followrng:
Use Clesdficaly+?'nmza Bldg, Rami( No. 17130
oava-r Type R3/M I Zonina DmUict Rl TYx c,oax VN
o»fwr or auaaing]?RON= ?1E.ST fM Am= 1285 OMKRAIE CIIZ, EACM
saimng ,aaarm 4159 PENNSYLVANIA AVOV[]E Lo,lity L20, S2, SLWM PL1LL
n.m: JINJAIS 25, 1990
lding 6ffidd
i
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMiT
CITY OF EAGAN
3830 Pibt Knob Rd.
Eagan, MN 55122-1897
pqTE ':° I EM3ER 14, 1989
OFFICE USE ONLY
METER #??-Sa ? 316 PERMIT DATE 10/4/$9
CHIP # 01? 7 PERMIT # 10926
METER SIZE ^ G B.P. RECEIPT # C 4066
ISSUEOATE B.P.RECEIPTDATE 10/3/89
PRV - BOOSTER PUMP
SITE ADDRESS 4159 PFNrdSY I VAN i A AVF _ A zAfV P-iN E,5123
LOT'_'''-BLOCK % SEC/SUB STAFFORD PLA.CE
APPLICANT• r RONT I ER MI DWEST H4ME5 CORP.
ADDRESS:fL
CITY, STATE?. ' ' ZI `' l?i
PHONE: 45404334
PLUMBER:=IAR FLUMBING
ADQRESS: 1018 MOllNDS SPRINGS TERR.
CITY,STATE BLOOMINGTONJ;iJ ZIP 7 4 .
PHONE: g84-4149
PERMIT REQUESTED
? SEWER ? WATER - TAPS
- COMM/IND L RESIDENTIAL
,ff- NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Msters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO CQlAPL?f W,TH CI OF
OWNER:SLAIKEU. MARK T. AMD SANDRA. K . EAGAN 0pI1?AN??'
aDoRESS:3155 Coachman Rd.
CIIY, STATE _EA?'aAN, MZIP ? •?; -?
PHONE: FQ?-P{52 iIGNATURE IiGHEN METER ISSUED
_ ry
?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENOINEERING DEPT.
. •
_. . __._ _c-.._: . _ .. .. . . . . ..?_ -. .?? a _. `J?..
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN MEfER # PERMIT DATE 10 / 4/ 89
3830 Pilot Knob Rd.
i Eagan, MN 55122-1897 CHIP # PERMIT # 10.926
I METER SIZE B.P. RECEIPT # C 4066
ISSUEDATE B.P. RECEIPT DATE 10/3/89
DATE
I - PRV - BOOSTER PUMP
ADDRESS ' :M r%"S}'-- VAN I A AUE = EAL;'• 551 c :: PERMIT REOUESTED i
'- BLOCK'' SEC/SUB STAFFORD QLa:? V
? SEWER ..? WATER - TAPS
JCANT. '= RONT l tk '11JWEST NOMES CORr .
- COMMIIND ? RESIDENTIAL '
iESS: `-ENILK •? ,
S?ATF 'Ar" ?,, An '2 ZII?? J ? NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
ZIP ' - ` ` -
I AGREE TO COMPLY WITH CITSf OF
A • EAGAN ORDINANCES
, STATE '- 4GAN. 4"ti ZIP
?
NE: -8352
SIGNATURE WHEN METER ISSUED
: ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN N2 19104
3830 Pilot Knob Fioad, P.O. Box 21-799, Eagan, MN 55121
PHONE:454-8100 /?
/ 7?-?-
y!`
1 :
BUIIDING PERMIT Receipt # '
` J -> !?
U
To be used tor DECK Est. Value $1, 000 Oate Mt1Y 22 , 19 91
Site Address 4159 PENNSYLVANIA AVE
Lot 20 Block Z Sec/Sub. STAFFORD PLACE OFPICE USE ONLY
PefCBI N0. Occupancy -M--2 FEES
Zonirg _
W Name ?K T SLAIKEU (Attual)Const _ 81dg.Permit 25.00
; Address 4159 PENNSYLVANIA AVE (Allowahle) -
50
° City EAGAN Phone $93-9320 +rof stories Sumharge .
688
42
22 1
Plan Review
- Lengih
o Name SAME oapm 14' sac
cn
¢
0
Address
s.F.TOtal
- ,
y
, SAC,MCWCC
? City Phone S.F. Faolprints _
W
t
C
On Site Sewage _ er
onn
a
Name On Site Well - yy
M
t
t
I m
Address
Mwccsysiem
- a
er
e
er
City Phone cirywater _ Accc.oeposit
PRV Required - S/VJ Permit
I hereby acknowlege Ihat I have read this application and state that the Booster Pump - SrW Surcharge
information is correct and agree to comply wiM all applicable Stale ot
Minnesota Statules and City ot Eagan Ordinance
s
. Treatment PI
(
'
/
Signature of Permitee n1aJ It- APPROVALS Roatl Una
A Building Permit is issued lo: MARK T SLAIKEU Planner - Park Detl.
on the express condilion thal all work shall be done in accortlance with all Council _
applicable State of Minnesota Statutes and
Cily of Eaqan Ordinances. BIdg.Ofl. Copies
?,
BuildingOfficial ?Q((h,? l?! Y 11,1? Vadance - TOTAL YSJU
CITY OF EAGAN ND 17130
. " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 n
PHONE: 454-8100 f 1 ?O?o
f ?
BUILDING PERMIT Receipt # V
Tobeusedfor SF DWG/GAR EscValue $99,000 Date OCT 3 ,i 989
Site Address 4159 PENNSYLVANIA AVE
Lot 20 Block Z SeGSub. STAFFORD PLACE
Parcel No.
W IName FRONTIER MIDWEST HOMES
z
?: Address 1285 CORPORATE CENTER DR
0 Cit EAGAN
y Phone 454-0433
;io Name SA?
g¢ Address
? City Phone
r
ww Name
?-' Address
a W City Phone
I hereby acknovAe ha I have rea?1s a lication and sta[e that the
information ijet,a-N e'i?c wi II applicable State of
Minnesota St i es.
Signature of A euiiding PeONT WEST HOMES
on the expreswo be d in acwrdance with au
applicable StaWles and yC?ily, o Eagan Ordinances.
Building Oificial ?(? 1'.?AI? l l l2
OFFICE USE ONLY
Occupancy R-3 11-1 FEFS
Zaning R-1
(AClual) Const V-N Bld9. Permit 636.00
(Allowa6le) V-N
Surchargo
49, 50
;Y ol Stories
Lerglh 56 ' Plan Reviaw 318.00
peDlh 36 ? SAQ Ciry 100.00
S.F.TOtal - SAC,MCWCC 575_O0
S.F. Footprinls -
On Sile Sewage _ Waler Conn 580.00
OnSiteWell WaterMeler 90-00
MWCC System xx
XX
AccLDeposil
30-00
CiryWater
PRV Required _ SMl Permit 20. ?0
Booster Pump - &y./ Suroharqe 1 .0O
TreatmenlPl 228.00
APPROVALS , Road Unit 340.00
Planner - park Dad.
Council
BIdg.OfE _ Copies
Variance - TOTAL 2,967. -`0
REQUEST FOR ELECTRICAL INSPECTION es-ooam-07
- ? Sea irefructiona tor mmpleting this brm wi back ot yellow mpy.
X" Selow Work Covered by This Request ?
•e Add Rep. Typeofeuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Headng
Apl. Building Dryer Other (Spediy)
Comm./Industrial Fumace
Farm Air Conditioner
Other (speaty) Contraetorg Remarks:
Compute fnspecfion Fee Below:
# Other Fee 1
# ServicaEntrenceSize Fee § Circuits/Feeders Fee
Swimming Pool 2 0 to 200 Amps D to 100 Amps
Trensformers A6ove 200 _ Amps Above 100 _ Amps
SignS Inapector4 U. Only: TOTAL or
Irrigation Booms
Special Inspection -
Alarm/Communication r
? 'a
Other Fee
I, the Electrical Inspector, hereby
th
h Raugh-in ? oate
certify
at t
e above inspection has
been made. p;nai ( oa y?
OFFlCE USE ONLY
This request witl 18 rtqnihs irom
14 9?
Requesl Da[e Flre No. ougMin Inspeclion
H IraO?
? Ready Now II Notlty Inspeclor
Yea ? N. en ReadyP
1 icensed contractor ? owner hereby request inspection of above elechical work at:
Job AEdress (Slreet, Box or Roule No.) /
?J
City
Sectlon No. Tow hip Name a No. . Coun V
OmuPanrt (PR?
" Phone No.
A'
?? S d
Power Supplier AtlOrass
4
L =
EbCOipl CoMraciw (Comparry Name) ' Conyacla4 Uce No.
r?
Melling Addralls (COrNector or Qwner Making liatallation)
l
? ve
Auliwraed Signatum (COmrac[a : Maki atlon) PMne Pl be. r? .
r
MINNESOTA STAlE BOMO OF ELECTRIGRY THIS INSPECTION REOl1EST WILL NOT
OrIB9"IdaaY Bltlg. - Poom &173 BE ACCEPTED BY THE STATE BOAHD
18R1 UnWersiry Ave.. SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phoro (612) 612-0800 ENCIOSED.
/ 5 RE?UEST FOR ELECTRICAL INSPECTION ?°.i 9?? eaaooo
?$ee insimctians? or campl?ng this lortn on Oack M yellow copy ?t ? I/
' ? (/ (J
S4 /?s95
"X" Below Work Covered by This Request N
ew Add P?op. - TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (syxity) Conhactor5 Remarks' '[1?0,.../Aj.q / f?,!
']?? ' ?v
Compute Inspectron Fee Below:
# . Olher Fee # ServiceEntrancaSize Fee # Circuits/Peeders Fee
Swimming Pool p to 200 Amps o 100 Amps
TranSformer5 Above 200 _ Amps Above 100 _ Amps
519lIS Inspector5 Use Only: 70TAL
- Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF
Other Fee COMPLETED WRHIN 18 ONTNS.
I, the Elecfrical Inspector, hereby ROUgh-in oeie
certiry that the above inspection has
been made.
Final
Dete?y
ot.
OFFlCE USE ONLY
This requesl void 18 rtronMS Irom
Request Date
?
545, ' e No, gh-in Inspection
uiretl?
es G N.
eedy Now ? Will Notiry Inspeclor
When ReadyY
I ensed contractor ? owner hereby req est inspection of above electrical work aC
J rets (Street. 6ox or oule N J A?
-, Cityes?
Seclion No. Town ip Name or No. Range No. • Counry
O c. nt JPRINT ?
? ?
s` Phon ???
Power SupPlier Adtlress
ElecVical C Vactor ICOmp y Name) Conlractor§ LicenSe No.
M Ing Adtlre (C nlra tor or pan r ak nstall -)
,*7300
?k/
Amnon etl 5 re tCOnnacl r/Owner Inq Insta Pnone rvum e?
0?f/dG/
MIN SOTA STATE BOAHD OF ELE RICITV' • THIS MSPECTION REOUEST WILL NOT
GHggs-Mlpway BIOg. - Raom &173 ? Vh .Y
BE ACCEPTED BY THE STATE BOARD
1611 University Ave., 5t. Peul, MN 55104 UNlESS PPOPEP INSPECTION FEE IS
Phone(fi12) 642-0800 ?j? ENCLDSED.
MECHANICAL PET2MI'r
SITE ADDRESS 4159 PFNU?vr.VANTA Apr, Unit #
20
DATE: 4/17/91
RECEIPT: C12947
Permit # 12931
Sect./Sub. STAFFORD PLACE
t7AKK SLAIKEU-HOMEOWNER-688-8362
INSPECTION INSPECTOH DATE COMMENTS
INSPECTION INSPECTOH DATE COMMENTS
,
3II1GLE FdMILY DfiELLIHGS
2 3ETS OF PLANS
3 BEGISTERED 3ITE SOR9EY5
1 3ET OF EIiERGS CALCS.
1989 HIJILDIbG PERMIT ?fPLICAiION
CITY OF BAGAN
I I 13
KJLiIPLE DiiELLIliG3
2 3ETS OF PLINS
REGISTSFtED STTE SIIA7E2S -
(CHECH 1iITH HLDG DIY. )
1 3E1' OF E6ERG2 CILC3.
MULTIPLE DiiEI.LING3 A£NT9L ONITS FDA SILE DNITS f OF DHITS
¦OTEt 1DDAE5SE5 FOR CORIQER LOi3 - COATR?CTOa/HOMEOtiitiEA !lOST DLSIGNElE iiHICH 1DDRESS
IS DF•SIRED. HO CQANGFS iiILL HE 1LLOWED ONCE BOII.DIN(3 PERMIT LS I33IIED..
3EfiER 8 iiATER PERMIT FEES lPD lCCOUAT DEPOSTP FM iiI[.L BB IACLUDED BITH THE BOILDINfi
PERMIT FEE. PAOCESSIBG TII^!E FOR SEtiiEA LAD WATEA PE[MTIS IS TWO DAYS OHCE / PERMIT HL4
BEEB COMPLETED IIQDICATIRG A LICE1Q3E0 PLOrIDER.
PENALTY 9PPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTA IT IS REQUESTED.
LOT CHA[1GE IS REQIIESTED ONCE PERMIT IS ISSIIED.
8EP 14 1989
To Be Uaed For: N2w ccnstruction Valuatlon: ? Date: SPntPmhar 14- 1989
Site Address4159 PENNSYLUANIA AVE.
Lot 20 Block2
Pareel/Sub STAFFORD PLACE
Owner SLAIKEU, MARK AND SANDRA
Address 3155 Coachman rd. #252
City/Zip Code Ea9an, MN 55121
Phone 688-8362
Contractor FRONTIER MIDWEST HOMES CORP.
Address1285 CORPORATE CENTER DR.
City/Zip Code EAGAN, MN 55121
Phone 454-0433
Ilrch./Engr. PHILLIPS PLAN SERVICE
tddress 14530 PENNOCK AVE.
City/Zip Code APPLE VALLEY, MN 55124
Phone 4 432-2044
qig,00O OP'FICE 0.5E
Oceupancy Vs M-I
Zoning K-I
Aetual Const v-N
Allorrable V-N
# of atoriea
Length
Depth 3(p'
S.F. ToLal
Footprint S.F.
On aite sevage
On site vell
MWCC SysEem ?
City xater L?
PRV required _
Booater Pump _
iPPAOYALS
Planner _ •
Council
Bldg. Off. 69/'L-7
Yarianee
COlPERCIAL
2 SETS OF 1RCHISECfURAL
6 SlEDCPQft1L PLANS
1 88T OF 3PECIFICATIONS
1 SET DF EllERG1 CALCS.
E'EES
eldg. Permtt 636,00
3ureharge
SD
1991
Plan Aeview 318.0
o
SAC, City ! 00, 00
SAC, MWCC 515,OD
Aater Conn 99o,oo
Water Meter 9 1100
Acet. Deposit 3D.00
S/i) Permit '20,o0
S/ii Surcharge 1100
TTeatmeet Yl. 228.00
Aoad Unit 3uo,00
Park Ded.
Copies
SIIBTOTAL
Penalty
TO?lL
'% F ARRINGTON " N1oI7Et
-"' P I -rza7 }
A L? ??
t/
?aUSe j?12=J2xS'u= ??p
??wo
?
?-
?i
4 1
,e'dl'und Engineering Services 9201E°"&o«"'"°'°"F`"'a,
8bominytan, MinrNSOta 55420
Land Surv*yors Clvll Enpfn?ors land Plonn*rs Pnana: 888-0289
? SmV#ors
BOOK _ PAGE -
? JOB N0. 9qQ' 19 g
SURVEY FOR: Frontier !?idwest FIomes Corp.
DESCRIBED AS! Lot 20, Block 2`,TaI'FORD, City of Eagan, Dakota County,
Minnesota and reserving easements of record.
0
AIj ?` ,_\
\ ' .
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v ? ' ?` S. 63• 32 [-
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? ? / ? ?C ? Pu,•.s?luo..,> i4..s a?d 3+.loy
? ?/ y / ? ?+s++e + 9'io. 64
?? TOP OF FOUNDATION =418.1
GARAGE FLOOR =ql$'3 ,
ti BASEMENT FLOOR = G10.c
SEWER SERVICE ELEV. = Qo6.9
" S? 30• ? / .??% PROPOSED ELEVATIONS : 0
E$I STING ELEVATIONS :
DRAINAGE DIRECTIONS :-
DENOTES LOT CORNERS : o
X,9? 4?s• DENOTES OFFSET STAKE: El
I Mnby cgrtify that this survey, plan or report wos prepared 6y me or under rmr dinct
supervision and thot I am a duty Reqistered Land Surveyor undsr fhe taws of ihe
Sfate of Minoasota. ? n ,
oDate: 9 / I / 89 ??
Licees?l No. 14376
• 3 ' E°T'3T_Oa c:`{VEiOP£ kVcr?.AG= °U" COMPUTaTiON 2. <
0i1cR SLrqI l?E l,c. V?n la-?1? S PrN D 2-A
' 41 ?
SITE AOORESS ? I S I 7ie n n S?41 U a'? (C\_? AV__P_?' 1
1+? CONTR.",CTOR 2 Co. DAic PHOtIE I?-Pi?-
;
' Ceternine working squar_ `ovtace of each.
1. Total exposed wa11 are=_ ...... -?) -Y7 7 _ sq. ft. x_I
2. Tata7 roor/cei iinq zrea . ..... q i?f sq. ft. x •o2?C,= 3. ?1
Total exposzd wa71 area zbove floor = 57, C) O8
a. Total wall window are= ... ........................ I.?(5
b. Total dnor ares ......... ........................ 39
c. Total sliding giass door area .................... . Un
d: Tota1 firepizc= waii area ....... .... .......... -
e. Total wa17 framing area ( average l0A)...........
-
f. Tata' ne=.';+a:l area above ficor ........... ••-••• ?
g. Total r;n jcist ar=a .... .......................
Tatal exposed fcundattcn area = f/q
h. Total foundation windcri area ..................... C(
i. Toal n2t `oundaticn arez aEave arzde ............ lD9
Q2t°TT:IiRE "U" Vdjl[° Oi each Wdll 52QT2.T1t.
d. 1-15 X uuii .37- _ 150
h. ?)4 x ,?U" ,41 S = 17.55
X „u„ _53 = f 3.),
d x ,.u„ z
e. I ?c,S X "U"
• (a
19
r- l 5iS,? X tluit
9• ?.SI X „U" ? ?a4- ? 4-
h G X „??? y,32-
i. I oG
X
??u„
I 5. 2(0
3 . . . . . . . . : . . . . . . . . . . . . ..... : . . . ... .. . .Total
ff item :'_ is the same as, or less tnan item '1, you fiave ret tP,e intent
of SoC 6006(c)2. '
Total exposed rooT/ceil;na ar2=_ = q 11
Totzl aross rcor/ceiling area =
j. Total skylight area ........................
k. Total raaf/cziling framing arez ............. ?
1. Tata] net insvlated raor/c°iling area....... Q Sj
pe*_arnine "U" v=1ue r"or eech raa`/ ceiling seem°nt.
X
j. „Ulf
X „U„ .oa5 ? = a.aq
x „U„
4 ............................. ..... Total
If total oi A4 is th° same as, or less than r2, you have met the int=_nt of
SfiC G006(c}i.
To utiTized th= totzi enveiope system method, the values est=blisned hy the
sum of itams #3 and "-4 shall not be greater than the sum or items i1 and R.
.y-7 } z. 2, -5 .$y = a8s.?j
« g A7
3. 1=9 = 4. ct"!
MATF.RZALS T.`serm. Fesistance "Ree
Exterior Aia -124-ki
S iding ttat erial
Sheathing ?.G-
Insulation 1 5?
Sheetrock jz,?5? .s'? •S6
Interiar dir
Studs ? /•g?
Rim zx:o A Y9
Conc. B1.ks. gj' _/•-q8
,
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6. =?= =?= a__ -_i ? 0.17
Z? • ? ??'0?`='- ?
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5. ?O I?1 4 ' ? • L C-
6. E? z_or z= =i1m 0.17
.
. ZZ; s4, Total -?,
, • Z, ='l?e::c= zt_ rti„
2 RiG1D 1NN
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l,t-) Lm PowS p4nOas 35
Pai-<.o Pxc5'511
c
?uN?4- si?-
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcase comple[e for: single family dwellings & townhomes/condos when permi[s aze required for each unit
Date 7 / 2? / O 3-
Site Address 7?.59 Tt?NS???,?r•,cri a2- ?t/C Unit #
Pmperty Owner Telephone # ( )
Contractor 1?
I rz
StreetAddress Pv- 601X ? City ?CoSL7kw-?,?
State bmlu Zip Telephone# (6?Z ) 3-q6-S373
Bond #: Expires:
The Appficant is _ Owner _ Contractor _ Other
Add-on or altcration to eaisting dwclling unit $ 30.00
furnace _Additional _Replacement
air exchanger
air conditioner New Replacement
other Nt?r veL.K- /,,/avZ?7
State Surc6arge $ 50
Tot? $
I hereby apply for a Residential Mechanical Pemtit and acknowledge that the informa4on is wmpletc and accurate; that thc work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; tliat I understand this is not a
pernrit, bu[ only an applicauon for a pemut, and work is not to start without a permit; that the work will be in accordancc with ihe
approved plan in the case of work which requ'ues a review and approval oF plans.
( t?or?n s ?., Y11?c?3 ?rwi¢au sc7? ? ? ? .0l
ApplicanYs Printed Name Applicant's Signature
I
L,v
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when sepazate pcimits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previoua Tenant Name
Propcrty Owner Telephone # ( )
Contractor
Strcet Address City
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ ConVactor _ Other
Work Type
New Construction _ Underground Tank _ Install _ Remove **see below
Interiorlmprovement _ InstallPiping _ Processed _Gas
Nature of Work:
'^`When installing/removing underground tank, call for inspection 6y Fire Marshal and Plum6ing Inspecfor
P¢rNit FCCS: $70.50 Undergound tank installation/removal
$50.50 Muiimum (includes S[ate Surchazge)
OC
Contract Value $ x 1% _ $ PermitFee
• If permit fee is S1,0011 or less, add $50 => $ State Surcharge
If ermit fee is over 31,000, add $.50 for
every $1,000 nernut fee $ Total Fee
I hereby apply for a Commercial Mechanical Pemut and acknowledge that the informauon is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pemut, 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 rcquires a review and approval of plans.
ApplicanYs Printed Name
Applicanfs Sigaature
Approved By: , Inspector Date:
.
2005 RESIDENTIAL BUII.,DING PII2NIIT APPLICATION
q
rb%'-' City Of Eagan
? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4 -7,A-1 55
New Constmdian ReauiremenGs RemodeVReoair Reau'rtements O(fice Use Onlv
3 registered site surveys showing sq. ft. ot lot sq. iL of house; and all roofed areas 2 copies W plan Cert of Survey Recd _ Y_ N
(200h maximmn lotcoverage allmved) 1 selof Energy Calculatbns torheated additions Tree Pres Plan Rec9. _Y _N,
2 copies of plan showinq 6eam & window sizes; poured fourM design, etc. 1 site suney for atldNons 8 decks Tree P2s Required -- _ Y_ N
7 sel of Eneyy Calwlafions Addibon • indicate ilanaite sepNc system On-spe SepNc System _ Y_ N
3 copies of Tree Preservation Plan'rf kt platted after 711193
Rim Joist Defail Options seleWon sheet (buildings witli 3 or less unils)
Date .. a o
Construction Cost 2,9,-nno ?
Site Address ?/S 9 ??s9 su? ???? ?? • Uniuste #
Description of Work ? •
;St /? e r
Multi-Family Bldg Y LN Fireplace(s) /0 _ 1 _ 2 ?
_
Property Owner Telephone il (6i / ) L jCY - ?3Z2
Contractor
Address // Z? G???• ?a-
:.???5/ /
CiTy Ss?. T
State Zip S5'OGSI Telephone #((./t ) ZYZ - y/L Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submiqed
Have you previously constructed a building in Eagan
fee applies. 10
Licerised Plumber
Mechanical Contractor
Sewer/Water Contractor
similar plan? _ Y _ N If so, 25% plan review
Telephone #(
Telephone #[
Telephone # (
I hereby apply for a Residential Building PermilNcknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 wluch requires a review and
approval of plans.
.?cp? /??s?ww
ApplicanYs Printed Name
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ?
? 02 SF Dwelling ?
? 03 01 of _ plex ?
? 04 02-plex ?
? 05 03-plex O
? 06 04-plex ?
Work Types
? 31 New
'0 32 Addition
? 33 Alteration
? 34 Replacement
07 05-plex ? 13 16-plex ? 20 Pool
08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
09 07-plex o 17 Garage 0 22 Porch/Addn. (4-sea.)
10 OB-plex ? 18 Deck ? 23 Porch(screen/gazebo)
11 10-plex ? 19 Lower Level ? 24 Storm Damage
12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
:VnCIvDtS /a, krz'
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation aiiOccupancy R-3,, U
Census Code t-13 t' Zoning
SAC Units Stories
# of Units Sq. Ft. 574J
# of Bidgs Length Z ZType of Const V 13 Width // ,
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
? Foundation
Drain Tile
Roof ? Ice & Water )d Final
?d Framing
_ Fireplace _ R.I. _ Air Test _ Final
? Insulation
Approved By:
MCES System
City Water
Booster Pump
PRV
Fire 5prinklered
REQUIREDIN5PECTIONS
_ FinaUC.O.
)4 Final/No C.O.
_ Plumbing
_ HVAC
O[her
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City 5AC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
37Y JC/6. oa?,Sz?gy.a
lVX/vI 37t)XA9 e =iyJxSyvo 7 7S4:?o,,Ln
l'z`jRhD Tlt?l'"aDEI X5?q•00= ?SIZa.-
'? 0 0
i ? JUN 0 9 2005
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release I
Data filename: Untitled.rck
PROSECT TITLE: Mark Slaikeu r
/Y n
K
COl1NTY: Dakota
STAT'E: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.11
DATE: 06/09/05
DAT'E OF PLANS: 6-9-05june 9-2005
PR07ECT DESCRIPTION:
garage@room addition
COMPLIANCE: Passes
Maxiamm UA = 74
Your Home UA = 52
29.70/o Better Than Code (UA)
rermit
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poot
PShN@S?I B-Val B-Va1S}? U-FacS 1ZA
Ceiling 1: Flat Ceiling or Scissor Truss 280 38.0
Wall 1: Wood Frame, 16" o.c. 432 19.0
Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E 46
Floor l: All-Wood Joist/Truss:Over Unconditioned Space 280 30.0
Futnace 1: Forced Hot Air, 90 AFUE
Proposed and Maximum U-FaMor Averages
Proposed
Average U-Factor
Above-Crrade Windows and Glass Doors 0370
Includes Foundation Windows> 5.6 ft2
Fioors Over Unconditioned Space 0.033
38.0 4
1.5 22
0.370 17
0.0 9
Maximwn
Allowed U-Factor
0370
0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the pernut application. The pmposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in RES checkVersion 3.6 Release 1(formerly MECchec? and to
comply with the mandatory requirements listed in the RES checkInspection Checklist.
Builder/Designer' . /L ?•f/`"? Date?- ? a.?'
i- .
' Engineering Services ?°'E°"&°°"'?`°"F"'"°'
. ,?
8l**rnW4tan.MlnnssW4 55420
rn Clvll Enpinsers Land Pfanners Phanr 888-0289
/ :.....?.
_..... ... . - - r !? surve7fores eatlf "?cate .
?. - - BOOK- PAGE
? JOB N0.
SURVEY FOR: Frontier !?idivest Homes Corp.
DESCRIBED AS: Lot 20, Block 2, :;T2_P.°ORD, City of Eagan, Dakota County,
Il4innesota and reserving easements of record. ,
EAGAM
. ?? Lrr?a
U
By
DATE m / a
L"..1C06 G 8N?PFo.CT!`i/-.°T (1)aAY?
eee`y (?IKD2
? r
SLP?,,?rV C^f 1
„
J'Y / / ?? ? ,:-..? X•?¢. . .7 • .T-a4?(/
2C A•".?. st °
(' / ? . s,? • ?y`- rc °+e f ' .
2??3} AN/ EERI C D? m `
?q??? S? ?i ?r3?•,'? ,9sAi
,a
\ ~ /-Y ?/ pw?.s + 9'tA. L4
TOP OF FOUNDATION =q?$ 3
iAGARAGE FLOOR
u\ A?? y @S ?•\ ?' c' • BASEMENT FLOOR
SEWER SERVICE ELEV. = 9O
"L/ ? 30• ? ? / , . PROPOSID ELEVATIONS
?EXISTING ELEVATIONS :
DRAZNAGE DI.RECTIONS :M--
Q/? DENOTES LOT CORNERS : o
?/? 4?t• DENOTES OFFSET 3TAKE: o
0 ??F ,rA
I henby csrtify that this survay, plan or report ras preparad by me o? under mY dinct
? supuvision aod that I am a duly Re9isttrtd Lcnd Surveyot undu the Iow of the
Sfafe of Minnesota. •
o0ata: 9 / ? / 89 ??? L • -Prf ?,?-
JeNro . Li Q?ren . Licens ? No. 14376
CITY OF ERGAN
CASHIFk: S 7ERMINAL H0: 35
DATE: 05/20/97 TIMF: 14:39:59
ID:
NAt1Es AMFRSCAN HUSLIIERS & DESIGNS
3210 9001 4159 F'ENN AVE ?_12.25
22 3001 4159 F'ENN AVE 13r.`?Jb
i5 9001 4153 PENN AVE 7.00
To+.al Receipt Arttoi1n+,: 357.21
CR074134
IJSE.ft ID: NANCY
rTyioF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BusLozNe
Permit Number: 029993
Date Issued: 0 5/ 16 / 9 7
SITE ADDRESS:
4159 PENNSYLVANIA AVE
LOT: 20 BLOCK: 2
STAFFOftD PLACE
P.I.N.: 10-72500-200-02
DESCRIPTION:
(INCL PORCH)
8uilding"Permit Type SF ADOITION
%?Butldirtg Wr_k Type NEW
? Census Lode 434 ALT. RESIDENTIAL
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REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
P1an Review
Surcharge
Total Fee
$212.25
$137.96
$7.00
$357.21
$iaam0e
f s )NTRACTOR: - Applicant - sT. Lzc.OWNER:
?NERICAN BLDRS & DESIGNERS 18881199 2000926, SLAIKEU MARK
901 LYNDALE AVE S 11 4159 PENNSYLVANIA AVE
LOOMINGTON MN 55920 EAGAN Mtd 55123
612) 888-1199 (612)688-8362
?
I hereby acknowledge that Z have read this
informatian is correct anzt ag'ree to comply
? SCatutes and City of Eagan Ordi.nancPS.
APPLICAMf PERMITEE SIGNATURE
aPPlIsataon and stata that the
with aIl applicable SCate of Nfn.
-j
?OUfi ?/',? ? 1?1,y
ISSUED? Y: S GNAT RE-I,
-
1q"s 1997
New Construdinn Reauirements
BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
6814675
RamodeUReneir RenuiremeMs
? 3 registeretl site surveys
• 2 copies of plans (indude beam & window saea; pouretl fid. design; em.)
? 1 energy calcWations
? 3 copka of 7ee preservation pian H bt plalted efter 711/93
required: _ Yes _, No
DATE: _57 113 19-7 Cf
DESCRIPTION OF WORK:
STREETADDRESS: ??? 9 v`Nti?V?d?fN1f
LOT 20 BLOCK '?-- SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
• 2 copies of plan
? 2 slte surveys (exlerior add'Rlons 8 decks)
• 7 energy calculationa for heated addkions
fRUCTI/O'N C T: 22
ICII / ? =?W-,? JtK. ?`Iil4L(- UNA'1 /'7Y??
XYP"'i-J<J L,"F
le:7
Name: _?L•??,?«? f?ai???r,S?N? Phone#: (OW-07C2-
StreetAddress 4/59
City: State: 1"L) Zip: 5-T/23 ^
Company: r Phone #: i8y- /199
Street Address: Y?U/ License #: .21?w
?
City: State: s0,I) ZiP:
Company:
Name:
Phone #:
Registration #:
Street Address:
City:
State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this applicaGon and state that the information is eorrect and agree to wmpiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY =REVE
Certifiptes of Survey Received Yes No Tree PreservaGon Plan Received Yes No Not Requ
BUILDING PERMIT TYPE
OFFICE USE ONLY
`??,?$ R{?* ?Y,} ??{p ti•Q
a+,? P t ?.'? gy?I •x
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
n 02 SF Dweliing ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
.,d 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch n 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE ??•??u- ? ?? ?'
0 31 New ? 33 Alterations o 36 Move
,0'*'32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System '
(Alloweble) Main level sq. ft. City Water ?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. H? d
Depth Footprint sq. ft. SAC Code v r
Census Bldg ,
Census Unit o
APPROYAIS
Planning Building i? Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/W5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ 1y, oct). --
? stasw? A??; f'u .
Z 24 Ft .0 s</ - ' 2, 0qC.
O<.?L-
i 0 100, -
--
% SAC
SAC UnRs
itd Engineering
an Clvll Eepineers
Services
Land Ptannon
9201 EaHBloomMq?anFrNU"
gbomyqton; Miurwta 83420
Phone: 688-0288
. .
G''er'tl??cate
SURYEY FOR. Frontier !'.idwest Homes Corp.
DESGRiBED AS: Lot 20, Block 2, STAI'FORD, City
rtinnesota and reserving easements of record.
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£? .2 3
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49
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? / ? ?C ? Pe..aylusw.a Ml..a. a?e 3{s4?y
0164? + 9io. Gt
TOP OF FOUNDATION =q18.?
GARAGE FLOOR =9i8'3
? ? 1r @S \ K a c BASEbiENT FLOOR
? S • o ? ? ? / ' ? SEWER SERVICE ELEV. = 4O
S i_ 30• ?? / ,: PROPOSID ELEVATIONS
rl Oo Js„y ?EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS :-??---
q4. ? DENOTES LOT CORNERS : o
`"/?? q?s• DENOTES OFFSET STAKE : o
q?? ?f4
I Mnpy certify that this survay, , plan of report was prepared by me or under my direct
supnvision and tAat I am a duly Raqistered Land Surve7or under fhe taws o! Me
Stote of Minnesofa. /? _ •
.?i
800K _ PACaE z?'.
J08 N0.
of Eagan; Dakota County,
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o0ate: q?? ? 89 b?? O• ?
a.Nre Li aren. Licao4 Na, 14376
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MNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 2.0
Minnesota Department of Public Service
1-612-296-5175 1-800-657-3710
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE:
DATE: 5-15-1997
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 66
Your Home = 66
Single Family
Permit #
Checked by/Date
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value
------ U-Value
------------- UA
-----
----------------------------------
CEILINGS: Raised Truss ------- ---
224 ---------
38.0 -
1.0 6
WALLS: Wood Frame, 16" O.C. 368 21.0 3.0 17
GLAZING: Windows or poors 45 0.350 16
DOORS ZQ 0•444 $
FLOORS: Over Unconditioned Space 224 30.0 7
CRAWL: 56.0" ht/48.0" bq/2.0" insul. 46
--------------------------------------------- 10.0
---------
-------
------------- 12
-----
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to mee,t therrequirements of the Minnesota Energy Code.
Builder/Designer A /t G.? Date_-5- 4 F-A 7
CITY USE ONLY
PERMIT RECEIPT DATE:
8008 RESIDEPTIAI. MECHANICAI. PEiiM1T APPLICATIOR
crrYoF RteAx
3830 Paor uxos en
Ek6RA b1A 551 EE
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: O - % -U ?t-
SITE ADDRESS:
OWNER NAME:
INSTALLER NAb
STREET ADDRESS: /d v6_/ "4
`
CITY: ?
TELEPHONE #: [J S^! -Chp 0 0?6 Z
?TELEPHONE#: `9S?' y G?dST
ly r0-4.4s 4?
STATE: f/ / ? ZIP: S-S-379
Place a check mark next to the permh work type
Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
'+ other P,UG I 4
Nat?` e of work: •
`.(/D?? / a-l4-C t? 3 d ? - S /pv`,
State Surchar e $ .50
Total S?4-SZ?
???? /
SI ATURE OF PERMITTEE
vo2
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
8008 CObIMEtCIAI. MEGH"ClkI. PEgMiT APPLICATiON
CITY oF EAfiM
S$SO PILOT KNOB itD
EAsM, buv 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SiTii ru7DRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New construcrion Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work
When insta[ling/removing uxderground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x I°/a =$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
y
f
SIGNATIJRE OF PERMITTEE
Updated 1/02
L )Q BL CITY USE ONLY
?
SUBO. Staffir? plucf,.1
5000 PLUM$IN& P£fiMIT (RESiDENT1AL)
crrYoF EA?snx
3830 PILOT KNOB {{D
PA6AN, EfN 5512E
651-681-4675
Piease complete for: r single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIYTI IRFC EACH
RECEIPT li:
RECEIPT DATE:f 11-1?1 0'
PERMIT # 001
TOTAL
#
Alterations to existing dwellir - minimum f.ef
Describe: ?w's,f?
$ 30.00 ?
`18? ?
Bath tub $ 3.00 x = $
Fioor drain 3.00 x = $
Gas i in ouUet ' minimum -1 3.00 x = $ ?
Hot tub/s a 3.00 x = $ ?
Kitchen sink 100 x = $ ?
Laund tra 3.00 x = $
Lavato 100 x = $ i
Se tic S stem newlrefurhished • ra uires MPC Ifc. 75.00 x = $ '
Se tiC S Stem abandonment 30.00 X = $ %
RpZ new InstallatioNre airlrebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $ ?
Shower 3.00 x = $
Under rounds rinkler ifdwallin isunderconswction 3.00 x = $
Under round s rinkler irexisnn dwellin 30.00 x = $
Watercloset 3.00 x =
?
$
W ater heater 3.00 x =
i
$
Water softener if dwelling undereonstruetion 5.00 x = $ ?
W ater softener if existin dwemn 30.00 x = $ ?
Waterturnaround 30.00 x $
State Surchar e .50 -> > $ .50
Total $ 30??0
Reminder. Call for inspections of alterations, i.e. water heaters, water
I hereby acknowledge that 1 have read this application, state fhat the informa6on is cortect end agree fo compi
It is the appliwnl's responsibility to notify the property owner that the City of Eagan assumes no liability (or any
operational and maintenance actlviUes to the facilities consVUCted under this Oertnit wilhin City property/righF
SITE ADDRESS:
OWNER NAME: :
' ?°? _a .d _ ? J?l-------
nortnal
TELEPHONE #:
(AREACODE) - - . _. _.. .. . _ .. . . .?/ _ _ . .
< J/?UY?i `YI??^-yids?w <<•.F' TELEPHONE #'
(AREA CODE)
?
INSTALLER NAME:
STREET ADDRESS:
CITY: c'` STATE:
/11/-s1- ZIP:
j?Q?7r? J? i=,._` -
??
SIGNATURE OF PERMITTEE
LOT: 4V BLOCK: 2- SUBD./P.I.D #: `i LIG YJ. PI C! C-CJ
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? 471 CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Constructlon Reauirements
? 3 reglstered sMe surveys showing sq. fl. of lot, sq. ff. ot house
and _al{ roofed areas f20% maximum loT coveraae allowedl
? 2 coples of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculcHons
9 3 copies of hee preservation plan H lot plaffed aRer 7/1/93
? Rim Joist Detafl Options selecilon sheef (buildtnas with 3 or iess unNs)
DATE: (I II3 ? `,Z°??
DESCRIPTION Of WORK: L-L?u?
? bo, 50
RemodeVRepair Requirements CA?lifJi II'Iq'O(
2 cap(es ot plan
1 set of energy cclculotions for healed additions
1 sRe survey for exterlor additions 8 decks
CONSTRUCTION COST: 4 °) `"O I 86
?Nr-- *F
IF muNi-family bidg., how many unffs?
STREET ADDRE55: /k I"?i •
Name: 4S 1-44\1G-9?-i' ll-?-Z540-?`(Phone#:
PROPERTY lasf Pirst
OWNER
StreetAddress: 41'9-9 ?E?1??16`tL-v+4-?)? ?AVE .
City ? State: ("lh--? Zip: 5-512 3
Company: Phone #: ?s k
(area code)
CONTRACTOR
SheetAddress: ?-?-7f CO 4'cL? • License# 3?,07 Exp. "92co I
City u_L-F- State: hAJ Zip: _ SS b L-tLi
ARCHIiECT/
ENGINEER
Telephone i: (
Sfreef
Cify
- Nome:
_ Registrafion #:
State: 21p:
Seweriwater licensed plumber (if installina sewerlwater): Phone #:
I hereby acknowledge that I have read this application, 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
Certificates of Survey Received
Tree Preservation Plan Received
Yes _ No
Yes _ No _ Not Required
?
Nl1V 2000 ?
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-pfex ? 12 12-pfex Plbg2& or_ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 int Improvement ? 42 Demolish (Foundation) ?
3 Addition ? 36 Move Bldg. ? 43 Reroof ?
; -
33 Alteration ? 37 Demolish (Bldg)" ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
• Demolitlon (Entire Bldg only) permit • Gi ve PCA handout to applicant
VALUATION Z?UcJ Occupancy {Z -? MC/ES System
Census Code y 3?-I Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units O Sq. Ft. PRV
Nbr. of Bldgs ! Length Fire Sprinklered
Type of Const Vni Width
INSPECTIONS REQUIRED
45 Fire Repair
46 Windows/Doors
_ Footings: New Bldg k Insulation _ Windows - new/replacement
_ Footings: Deck _ FinaUC.0. _ Siding
_ Footings: Addition ? FinaUNo C.O. _ Stucco/Stone
Foundation Fveplace: _ r.i. _ air test final Roof: _ ice & water _ Final
? Framing PooL _ ftgs _ air/gas tests _ fmal
APPROVALS
Planning Building V?, C7 Engineering Variattce
Base Fee 6 0, S!3
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
W-TIYV O
F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
PERMIT
PERMITTYPE: BuzLo7Nc
Permit Number: 0 2 2 7 4 3
Date Issued: 12 /'l 0/ 9 3
SITE ADDRESS:
4159 PENIVSYLVflNIA AVE
LOT: 20 BLOCK: 2
STAFFORq PLACE ?'
P.I.N.c 10-72500-200-02 y?
?
DESCRIPTION:
BfyrildiHg; P?ermit Type
p'uilding. llvrk Type
f ?\N
_ ?. ??1L ,
BA5EMENT FINISH
NEW
REMARKS:
FEE SUMMARY
Base Fee $35.06
5urahar9e $.S0
Total Fee , $35.50
CONTRACTOR: OWNER: - A p p 1 i c a n t-
SLAIKUN MARK
4159 PENNSYLVANIA AVE
EA6AN MN 55123
(612)685-8362
S heraby achnawledge that I have read th?s applacatzvr, and state that the
infarmat3ott S:s correat and agree tQ cam;ply with all appl3cable 5tate afi Mn:
Statutes and City oF Eagan tlydinances,
L
?`? ?.?;?1 I
APPLICANT/PERMITEE SIGNA7URE SIG A UR
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE;
Permit Number:
Date Issued:
suaLoaNr
022743
12JaeJ93
SITEADDRESS: LoT: 20 aLocK.
4159 pENNSYLVRNIA AVE
STAFFORD PLACE
PERMIT SUBTYPE:
BH5EMEN7 FINISH
2 APPLICANT:
SLAZKEN MARK
(612) 688-8362
TYPE OF WORK:
NEW
INSPECTION
FRAMTN6 D. .
TNSULATION .A
ROU6N IN PLBG F'INAL
? .. .:. ., . _. . . . .. .
/
akx
QW-.- A
vied3
CITY OF EAGAN
1993 BUILDING PERMIT APRLTCA. ??
681-4675 ? L " L , ?- . = , ? - ?
DEC 11 1993
,
," -
SINGLE 8 MULTI-FAMILY ----------- ----
2 sets of plans, 3 registered site surve,t; l?z Y
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications. 1 copy of energy calcs.
Penalty applies: 1) when permit is typed. but not picked up by last working day of month.
!n which request is made, 2) address is changed or 3} lot change 1s repuested once permit
is issued.
Date /,R / Z-7 / 93 Valuation of work.
Site Address: S1I59 PI.,..s y/w Ave
fiREET fUlTE /
Tenant Name: (commercial only)
I.UT Zo SLOCIC 2 SOBD. S4aE'f-,.:t P/aca P.I.D. M '
Descri tion of work: FG.,.; A& .w >-- 11G1 1..??.+t L?:t?
The applicant is: (K Owner O Contractor ? Other co"«iw>.
Name S?A%kt? /y7u..? Phone dfrS- -1t_u z
Property L•St FlRS7 -
Owner
e?^j
Aa?
Address v/ss a
,
STREET STE t
City State ?.u Zip ss-i.23
Company Phone
COntfBCtOf Address license # Exp.
City 5tate ZiP
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits 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: 41'G2,,,.C 9`
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Nisc.
woRK rrae
O 31 New
? 32 Addition
OFFICE USE ONLY
. ;?
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
0 14 fireplace
O 15 Deck
O 06 Duplex
? 07 4-Plex
O OB 8-Plex
O 09 12-Plex
? 10 Multi. Add'1.
t] 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Attowable)
UBC bccupancy
Ioning
# of Stories
length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Mallboard
Basement sq. ft.
lst ft. sq. ft.
2nd F1. sq. ft.
Sq. Ft: total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
? Footing
E3 Final
? Framing
? Draintile
&semei+t Fi`rii sh
? ;16 B
? .
17 Swim Pool
E3 18 Comn./Ind.
O 19 Coron./Ind. Nisc.
? 20 Public Facility
O 21 Miscellaneous
0 37 Demolish
MWCC System
Lity Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
license
MWLL SAL
City SAC
Water Conn.
Mater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
v.tuatloe: g 5 ?O
SAC %
SAL Units
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # ! y`y7
DATE:
?;?E3?TT?:;u PLEASE COMPLETE IIPYER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH 1TNIT.
------------------------ --------------------------------------------------------
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR _
OWNER NAME: Imor?-'
SITE ADDRESS: UI S?'1 ?PwnSJIUGhit? Wve NU
,-?
LOT: BLOCK _2 SUBD. S*FFoRD PIacC?
INSTALLER:
ADDRESS:
CITY:
ZIP:
PHONE #: &_ $f - '636 Z
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 15'
• ?
STATE SURCHARGE: .50 .
TOTAL:
S?zllca_ VU44&4
SIGNATURE OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMEERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUZRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 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:
$
(SIGNAT[TRE)
CITY OF EAGAN
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
?
COMMERCIAL S?
-y?
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL ?
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
tf 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 MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED 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: n¢c,? Valuation: Date:
Site Address
Lot 20 Slock .2
Parcel/Sub? j AFFv1217 'P4- Pk?
Owner 1,1a.k T
AddYess y/SY 0?..?fy/?<K%? i4??+.4-c
City/Zip Code ,v>a 5s12.7
Phone «JC-&3i.2
4,e1c 9.7z0
Contractor u/A
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy N1'2-
Zoning
Actual Const
Allowable
# of stories
Length ?
Depth IU?
S.F. Total
Footprint S.F.
FEES
Bldg. Permit zS CO
Surcharge . Sb
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
SIISTOTAL
Penalty
Lot Change
TOTAL M'n
On site sewage_
On site well
MWCC System _
City.water _
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. OS 5-a-/-9 /
Variance
f'-Z? -?-' -94L,,, agrees that all work sha11 be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Hedlund Engineering Services 9201 E°"&°°'°'"°'°^F"°~°y
. Bbominpfon, Minrnsota 55420
Lan!--S-U1-Vqrors CWII Enpinwn Lond Planners Phons: 888-0289
? surver?or`s G'ert?,f "?cate
JAMA _ BOOK _ PAGE -
- JOB NO. 931k ' 29 $
SURVEY FOR- Frontier D!idwest Homes Corp.
OESCRIBED AS: Lot 20, Block 2, STAFFORD, City of Eagan, Dakota County,
Elinnesota and reserving easements of recpT-cL
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SEWER SERVICE ELEV. = 4O
PROPOSID ELEVATIONS
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^ `O DRAINAGE DIRECTIONS :?-
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DENOTES OFFSET STAKE: a
I heraEy certify that Mis sunay, plan or report was preporad by me or undermy dinct
supervtsioe ond tAat I am o duly Rayistered Land Surveyor under the laxs of Me
Sfafe ot Minnesota. „
cDafe: 9 / I / 619 ?sJ"'-"? Y ;?
Licaes4l No. 14376
CITY Oh F_AGAN
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3ci.0 9001 41,`.59 F'F_NN AVI= 50.00
2155 900:1. 4159 F'F_MN AVL-= 0.50
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USrF .r.r," Naracv
, -.4i PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuiLozNG
Permit Number: 0 3 0 3 4 6
Date Issued: 0 6/ 3 0/ 9 7
SITE ADDRESS:
4159 PENNSYLVANIA AVE
LOT: 20 BLOCK: 2
STAFFORD PL
P.I.N.: 10-72500-200-02
DESCRIPTION:
DECK
Bji`i1d7.ng'?-.Permit Type DECK
Building Oark Type ADDITION
Census Code ?. 434 ALT. RESIDENTIAL
' ?.
/` _•
...'V144?
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Appiicant - sr. LIC. OWNER:
AMERICAN BIDRS & DESIGNERS 18881199 2000926 SLAIKEU MARK
M901 LYN'OALE RVE S 11 4159 PENNSYLVANIA AVE
BLODMINGTON MN 55420 EAGAN MN 55123
f,612) 888-1199 (612)688-8362
I hereby acknowledge Chat I have resd this
info-rmation 1s eorrect ancf agre_e ta complY
Statutes and Cit of Eagan Ord'inances.
?
P ICANT/PERMITEESIGNATURE
applicatipn and state that the
w;ith a11 a{>pli.Qable, StaLe o'f Mn. -
c
ISSUED B . NAT RE
997 BUILDING PERMIT APPLICATION (RESIDENTIAL) -?t50• Sv
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681r1675
? 3 repistered ske surveys
? 2 copies of plans (Indude beam 8 window s@es; pourod fid. design; etc.)
? 1 energy calwlations
? S copies of tree preservation plen'rf lot plattetl after 71/93
repulred: _ Yes _ Ng ,
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 0 BLOCK
PROPERTY
OWNER
CONTRACTOR
? 2 eopies of plan
? 2 ske surveys (exterior addlGOna & dedcs)
• 1 enargy ealculations kr heetad addWans
CONSTRUCTION COST:
?
?Ome
`mr9 ?nNSV ?itNi71 //v7'. .
?
I SUBD./P.I.D. #:
Name: 1?wKt/ Phone #: 6f-Y e362-
?,.. .,?.,
Street
City: FgG.,j State: AO--') Zip: ?r),, 2 3
Company: Phone #: a*- //f f
StreetAddress: ?5a/ G
"eq OA Sa License#:
- V.
City: L5??
?? State: Ava) Zip; t
,
ARCHRECT! Company:
ENGINEER
Phone #:
Name: Registration #:
Street Address:
City:
State:
Zip:
Sewer 8 water licer.,;ed plumber (new construction only): . Penalry applies when address change
and iot change are ?equested once permit is issued.
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 ?L ??Gt/tY??? ?L?? ""' ?
v ?
Certificates of Survey Received _ Yes _ No a`1
Tree Preservation Pian Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-piex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 ._ plex
WORK TYPE
0 33 Alterations
4"tiF? 34 Repair
G1Sil
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt.ILodging o
? 12 Multi RepaidRem. o
n 13 Garage/Accessory ?
0 14 Fireplace n
,R4-'f 5 Deck
0 36 Move
0 37 Demolition
,
?. . s ! •.?
16 Basement Finish
17 Swim Pool
20 Public Faciliry
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. yJy
_ Footprint sq. ft. SAC Code O/
Census Bldg _L
Census Unit
Building Engineering Variance
Permk Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road UnR
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
? -
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
NewConsVUCtionReaui2menis RenwdeUReoairReauirements Office UseOnlr
3 registered stte surveys showing sq, ft ol lot sq. ft of house; and all rooted areas 2 wpies of plan Cert of Survay Recd
(20% maximum lat coverage albwed) 1 set of Eneigy Calala0ore for heated addNons Tree Pres Plan Rea1
2 copies of plan showing beam 8 wimlow sizes; poured found design, ek. i sile survey far additbns 8 decks Trce Pres Not Reqd
1 set of Eneyy Calalations Addition -indicate Aarsite sepfic system _ On-site Septic System
3 copies of Tree Preserva6on Plan 'rf lot platted after 711/93 . .
Rim Joist Datail Options selection sheet (bidgs with 3 or less unifs
/
l C? 3 l Q,3
Date `Y
. ? G
Construction Cost ??tyF ?
iz
Site Address /"f? U UGt???a. UniUSte #
qG -
Description of Work
Multi-Family Bldg _ Y N Ftireplace(s) _ 0 _ 1 _ 2
PropertyOwner Telephone#((pJ/)
/
Con[ractor
Address
ol `t?
City o?
,{ ?
Sta[e ? `7 Zip`) > 0ss Telephoue # 6w) S(,/ ION
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
1.??1 -?
Telephone #(
Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
O 30 Accessory Bldg
? 31 Ext. Alt - Mutti
? 33 Ext. Aft - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda5on) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitton (EnUre Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other '
Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs
Air/Gas Tests Final
_ Framing _ _
Siding Stucco Stone _
_ F'seplace _ R.L _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Apprpved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4159 Pennsylvania Ave
Lot: 20 Block: 2 Addition: Stafford Place
PID:10- 72500- 200 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
$88.50
$1.50
Total: $90.00
Owner:
Mark T Slaikeu
4159 Pennsylvania Ave
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA089807
06/22/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126653
Date Issued:09/04/2014
Permit Category:ePermit
Site Address: 4159 Pennsylvania Ave
Lot:20 Block: 2 Addition: Stafford Place
PID:10-72500-02-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Clint Schmidt
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 -
Mark T Slaikeu
4159 Pennsylvania Ave
Eagan MN 55121
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135974
Date Issued:04/18/2016
Permit Category:ePermit
Site Address: 4159 Pennsylvania Ave
Lot:20 Block: 2 Addition: Stafford Place
PID:10-72500-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 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 -
Mark T Slaikeu
4159 Pennsylvania Ave
Eagan MN 55121
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature