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4163 Pennsylvania Ave
Use BLUE or BLACK Ink For Office Use, inG City of Permit I EaEd I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 L Staff: ------------I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION P-' (03g5' Date: 0 Site Address: 4'~ &3 fl Vk- Tenant: Suite RESIDENT / OWNER Name: gyp, ,0 d L~ Phone: Address / City / Zip: CONTRACTOR Name: PL4 P,,V~ License Address: -city: State: Zip: ~ z~ Phone: Contact: Email TYPE OF WORK New _ Replacement _ Repair - Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ / PVB) Add Plumbing Fixtures Main Lower Level) - Water Turnaround Septic System _ New Abandonment pt w A _t H ~ ~~L-- RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic S System Abandonment round* includes $5.00 State Surchar9e g Y ~ Water Turna ( ) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signatur FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test -Gas Test -Final Use BLUE or BLACK Ink F _F-----e pr pfPce Us I I My of Ea non j Permit Ed I Permit Fee: 3830 Pilot Knob Road. Eagan MN 55122 _ I Date Rcevve& ~ I RECEIVED I I Phone: (651) 675-5675 ~ Fax: (651) 675-5694 I Staff: Up Q 1010 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date:/ Site Address: 3 1 W I~~~ w~ Tenant: YI c) CV) Yil 4!1 Suite RESIDENT / OWNER Name: Phone: bbl - ~ U (j -0t1t Address / City / Zip: '1 h~tJ~rWt I G1, A*Ywv-t , tarju 1 Applicant is: Owner Contractor TYPE OF WORK Description of work: I u X 6 X10 x Construction Cost: l Mufti-Family Building: (Yes / No ) CONTRACTOR Name: - W t Vy\" License k O L -7-0115-10( Address: Z-~ 14 yw~ ~ ` City: l..&W1 1k) State: 1A Zip: 55b ~4 Phone: 1)152-- 4~° 1 - !5Z-5L Contact: r (M ry\0M Email COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Fagan issued a permit for a similar plan based on a master plan? Yes ✓ No If yes, date and address of master plan: Licensed Plumber: ~Gtg- ©\Sen ~ \ u )nfirAj Phone: ( \-L )®~ix \ S~eS Mechanical Contractor: _Ay) &P oa`, r Phone: Sewer & Water Contractor: N 1 f Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. 5, fs v gopherstatec ecall.crg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pe it, Fre art without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review a *J !a v t~ x Applicant's Pri fed Name Page 1 of 2 40 ICI NOT WRITE BELOW THIS LINE r1~. C SUB TYPES _ Foundation Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family T Garage Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Mull) _ 01 of Plex Lower Level Pool _ Miscellaneous Accessory Building T WORK TYPES _ New Interior Improvement Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration ^ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - gWe PCA handout to applicant DESCRIPTION Valuation ~1~ s k N Occupancy 18L4, MCES System Plan Review Code Edition [4Ajq~(7L7? SAC Units (25%~ 100% Zoning ad, City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length 161 Fire Sprinklers Type of Construction Width l0 i REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Foundation '-T HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests -Final Framing Siding: `Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings Backfill Y Final T Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee l•J Surcharge b vPlan Review MCES SAC City SAC Utility Connection Charge 7` / r5 S&W Permit 8 Surcharge L~~ Treatment Plant Copies TOTAL Page 2 of 2 BLDG. PERMIT NO. 01-321C? Bidg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155' Surcharge 75-3860 Road Unit 20-2275 ? SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. 6 11? 0 TOTAL '?` X`•^.t 10 DATE: 3/13/89 ? 'RE: 4162 PENNSYLVANIA AVB., L16, B1, STAFFOBD PL ? 9 4163 PSHNSYLVANIA AVE., L19. B2. STAFFORD Pi.!?CE yaur Sewer & Water Permit for the above property has been completed. It will be held at the Rublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ??jcALL PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ?_ Your Sewer & Water Permit for the above property cannot be completed for the following ? {easons: 4? - ' You r Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. W COMMERCIAL PROJECTS ONLY: 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 COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. , Secretary, Building Inspections Dept. 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 bWG/CJ?(,?, Est. Value *b3'00C Dale N" 13 , 1989 Site Address 4163 YEIipSYLVANi:. AVE Lot 19 Block 2 Sec/Sub. STAFF'r ORI) PLAC?. OFFICE USE ONIY ParC@I No. ' Occupancy R-3 -U=j FEES ? Zoning W Name i?'RONTIER ?.,1)'N?';,T ti?^r:?? (ac+uapcor,sl ?N Bk1g.Permit 474.0(1 Address 3902 CEDAB`JALi? U: (Allowable) s 31.50 ? urcnar9e City EAW Ptione 454-043; # ot Stories 00 a 3? sb , Pian Review * Lenoh a Name o+°EE Depth 2 1 SAG Cily 100• ? = 0 141 Qddress S.F.Total - 375 04 0 g,qC,MCWCC . ,CIty Phone S.F. Footprints - S? ? Water Conn • . On Site Sewage _ ? ¢ W Name or, siia weli - wauef ti+eter 90.00 W ~ = ddress MWCC S tem ? ? 3Q ?0 ¢ 7pC ??.o??t . a W C Phone y cilywaier lv?! Pe S wt 2O. Q? PRV Required - . m I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge 1•00 in(ormation is correct and agree to comply with all applica6le State of 22? ? Minnesota Statutes and City of Eagan Ordinances. Treatment PI , Signature of Permitee ' APPROVALS Road Unit 344D•00 A Building Permit is issued to: FFdN7'7 F T }.i7 i'167F ?:T 40?,s? c Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. gldy. pff. _ Copies Building OHicial Variance - TOTAL 2,706.50 / '463-3997 05/09/90 CITY OF EAGAN 16188 . . . . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 . ? • BUILDING PERMIT Receipt # - To be used for ir=????(i+?•R Est. Value h{s ? ?OLO Date hAR 13 , 1 g'l c, SiteAddress 4163 PENtdIEVA:alA 81i'l; Lot !?' Block 2 SeciSub. .`.''AYFVi:i4tt' FL1?Cr: OFFIC E USE ONLY P2fC81 N0. Occupancy R-3 -14?1 FEES R l Zoning - =- W Name 1?'r:Ot'TT.i;?: (Actual) Const ?.? Bldg. Permit JU ? AddreSS 120:: i.hijrEVALF. 1):; (Allawable) V ? h S 91 • S(1 0 arge urc City F?!W Phone '+54-i:433 # of stones 237 (X) Plan Review . Length ? o Name :;Aw; Depth 16 ? city s,ac 100.0C: t g o Address S.F. Total - , 575411) u SAC, rncwcc ? City Phone S.F. Footprmts - water Conn 560100 On Site Sewage _ W W Name On Site Well - Water Meter ?•? ?? Address Mwcc system ? 3 V W W W Ci t ? Acct. oeposic • i Clty PhOfle ry er a SNV Permil ?Q • ?? PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - Syy Surcharge 1.00 informatian is correct and agree to comply wilh all applicable State of x28 ? Minnesota Statutes and City of Eagan Ordinances. Trealment PI • Signature of Permitee APPROYALS qoad Unit 340•00 A Buiidin9 Permit is issued to: , I I i1r-S:r 1,101-ru?c ? Planner Park Ded. on the express condition that all work shall be done in accordance with all Couricil -- applicable State of Minnesota Statutes and City of Eagan Ordinances. EUd9. pff. _ Copies Building OHicial j Vanance - TOTAL PermR No. Permit Holder Date 7ekphone # WATER 3//3 ? SEWER PLUMBING %, H.V.A.C. ? J b ELECTRIC Inspectlon Date In . Commenta Footings I Foundation Z Framing p Roofing Fough Flb9• l?fff ' Rough Hig. lsul. Rreplace Final Htg. - ? Fnai Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bldg. Final ? •' ;( ? Deck Ftg. Deck Final >> 30 /? U Well N. Disp. PERMIT # • MECHANI CAL PERMIT y/ ' CITY O RECEIPT # F EAGAN 3830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE: Z CONTRACT PRICE: 1 g PHONE : 454-8100 •'S// t? Site Address 4 et?ne vania A e gLpG. TYPE WORK DESCRIPTION Lot 19 Block Z Sec/Sub ? New Res. Mult Add-on ? Name WM2 Comm. Repair m Address 1 Other c Ciry -EaSan Phone 452 - 2665 FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City EA?en Phone - (RES. HVAC INCLUDES A/C ON NEW O CONSTRUCTI N) 50 ER GAS OUTLETS (MINIMUM - 1 PER PEkiMIT) - 1 . . TYPE OF WORK COMM/IND FEE - 13'a QF CONTRACT FEE Forced Air 8C)• OOQM BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 t - - - • F STATE SURCHARGE PER PERMIT - .50 Ven . C M . - _ ; (qpp g.50 SfC tF PERFAIT PRICE GOES Gas Piping Outlets # . BEYOND $1,000) Other FEe: 25.50 , • ' ;<,? . 50 S/C: SIGNATURE OF PERMITTEE TOTAL ?26.00 FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 aWnuc• eGe_nlnn PERMIT # RECEIPT # DATE: 3- SeclSub ? Nan ?o Add c City c Address757 5,7-W O City F Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHUUSE & CONDO - FiES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GDES BEYOND $1,000.00) FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION y ? New Res. Mult. Add-on Comm. Repair Other RES. PIBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES r Water Closet -$3.00 TOTAL ?Bath Tubs - $3.00 =Lavatory - $3.00 ? • r o Shower - $3.00 ?Ki?chen Sink - $3.00 Urinail8idet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whlripool - $3.00 ? Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ' ?5 d STATE S/C: GRAND TOTAL: INSPECTIQN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ? ? 7 ? Permft Holder Date Telephone M SEWER/ WATER PLUMBING HVAC Inspectfon Date lnsp. Commenta FOOTINGS FOUND FRAMING ROOFING RUUGH ? PLUMBING - - PLBG AIR TEST --- ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL vp ? • • ? .:?:h.i?+•. (gtrtiftratit of Orrupanry titp of tagan appttrYmw uf luahfing 3werrinn This Certificate issued pursuant w tlre reqairenrenu of Sectron 306 of the Uniform Building Code certifying rliat at the tirrre of rssuance this srnucrure was in compliance with the various ordinances of the Ciry regulating building construction or use. For the following.• u: afimon SF AW/GAR ems. &.6, No. 16186 0--va„cr rype K31M 1 Zomq Dwia R 1 r,,M ma VN owwr ot auaamg F-POTrIF,kt tERESf FffiES Addma 3902 aDARVAIE T1R, F?C,?ArT &?Idipg Addim 4163 PFW5YLVEINIX AVS. Lomutr L 19, B8, STAF'FCM Pf.ACE - f' ' MAY 8, 1989 Bwldieg Of6ria1" POST IN A CONSPICUOUS PLACE SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Sox 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # SEWER PERMIT # ME7EA # B.P. RECEIPT # C 1127 READER # B.P. RECEIPT DATE 3/12Ly METER SI2E ISSUE DATE _ PRV _ BOOSTER PUMP _ ., ADDRESS .01 ? ,;, ?I,4 ?' L+?.- `BLOCK '' SEC/SUB -i"`FF`!^Q 'LACE PERMIT REOUESTED X SEWER X WATER - TAPS COMM/IND ? RESIDENTIAL ZIP STAR PLIIM8ING SPrcINGS r??11,r E ZIP .S: ATE NEW - EXISTING t AGREE TO COMPLY WfTN ClTY OF EAGAN ORDINANCES: ? SICNATURE WHEN METER ISSUED FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 51TEADDRESS , ''.' ?ivi,!=?YL1?'ANI?I ?,t:- LOT L`-? BLOCK L SECJSUB 3TAFFfl?{ ?'. APPLICANT: ..??OP?IT IFR !4;xt??IEST {'fOr; ADDRESS: 3902 Gt1)A!?V$L- DRIV"c CITY, STATE?-??:'+;y ZIP';:?1 PHONE: PLUMBER: TAR al11Mi?S?!!'. ADDRESS:1Q19 P"DUNu SPRINGS 'rc2R,;f:F CITY, STATE gLaOMzr?rTr,r?. ??IN. ' Zlp 55420 PHONE: ?E'?'Q149 MFA,r;,,,.r? )rT OWNER:???8 E KIPTN R s? ADDRESS: ??%7 !d?STG?Jf:'! C i: ± b E CITY, STATE ZIP PHONE: - OFFICE USE ONLY PERMIT DAj? , . ? 3 ;' '' WATER PERMIT #Ct ??SEWER PERMIT # METER ??? ? ! 7? °? / B.P. RECEIPT # ^ 2127 # Gd METE ?.17 z' ?B.P. RECEIPT DATE 1/89 R SIZE ISSUE DATE t( "Z 5, - PRV - BOOSTER PUMP PERMIT REGIUESTED X SEWER ? WATER -TAPS - COMM/IND x RESlDENTIAL X NEW - EXISTING I AGREE TO COMPLY WITH CITY OF 6AGAN,ORDINANCES: , - ' ?•? ?????; SIGNATUR R ISSUED ? PLEASE ALLOW 7W0 WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. •,,•- ' J :..:,c i ;' ? -,?: ' G ??? . '•' -???? - `? CITY OF EAGAN N? 16188 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PHONE: 454-8100 Receipt # / ?/ PERMIT ? To be used for SF DWG/GAR EsL Value $63, 000 Date MAR 13 , 79_$9 Site Address 4163 PENNSYLVANIA AVE Lot 19 Block Z SedSub. STAFFFORD PLACE Parcel No. w IName FRONTIER MIDWEST HOMES Z Address 3902 CEDARVALE DR 0 City EAGAN Phone 454-0433 Name _ Address City - Phone 110 Name ; Address w City Phone I herehy acknowlege that I have read ihis application and state that the iniormation is correct and agree ro comply with all ppl" able State of Minnesota Statutes and City of_E?an^? inan s. /.,?'I ? Signature of Permitee ?? K ""?. A Building Permii is issued to: on the express condition ihat all work shall be done in accordance wit all appiica6le State of Minnesota StaWtes and City ot Eagan Ordinances. 8uilding Otficial OFFICE USE ONLY Occupancy R-$ M-J FEES ZOning R-1 fACtual) Const -Y--N Bldg. Permit 474.00 (Allowable) V-N Surcharge 31.50 # of stories 5$ ' Plan Review 237.00 Length DepM 26' SAC, City 100.00 S.F.TOtal - SAC,MCWCC 575.00 S.F. Footprirns - On Site Sawage - H'ater Conn 580.00 On Site well _ Water Meter 90.00 MWCCSyslem _XX_ City Waler XX Acci. Deposit 30.00 PRV Required - S/W Permit 20.00 Boosler Pump - S!W Surcharge 1.00 Treatment PI 228.00 APPROYALS qoadUnit 340.00 Planner - , park Ded. Council BIdg.ON. _ Copies Variance - TOTAL Zr706.50 U U U`.? U/( l?/ ? ?O °° Requea' ate n Flre No. Ro n InspecMOn Requimtl (Y us1 call inspecl an reatly) Ina?p qion OtherThen Fougn-In XI Raady Now ? win Nony mspaotor ?- L' at¢ti ? Yes No D Read I L,qVicensed contractor ?owner hereby request inspection of above electrical work at: Jotl Adtlress (Sfreet, BoK or R No.) Ctty l63 Q?1 V? ? cTee1,u.P_;t rV Section No. Township Name or No. Range No. Coun! ? ? Occupa RIN'0 Phona No. 1? g7 $` ' 6 nyVq n, - ? Power Supplier Atltlress Elecvical Contracbr (COmpany Neme) Contreclors license No. Harrison Electric Inc. C 00808 Mailing Atltlress (COnVaclor or Ownet Making Installation) 2525 e Authonzetl Signature (COntra ner Making Installa?ion) one NumEer r 544-3300 MINNESOTA STATE BOAqD OF ELECTHICITY CriggsMitlway Bltlg. - Foom 5-128 1821 Univenlty Ave., St. Paul, MN 55104 Pho're (612) 642-0800 THIS INSPECTION REOUEST WIIL NOT BE ACCEPTED BV THE STATE BOARD UNIE$S PROPER INSPECTION FEE IS ENClOSED. ? ly/O/O J8 7 7 REQUEST FOR ELECTRICAL INSPECTION r??? EB 00001-09 ? See ins[ructlons tor rompleling ihis torm on back oi yellow copy. ? "X" 8€?foW'Nbrk Covered by This Request p? e Ad( l pe ot Building Appliances Wired Equipment Wired Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Mana9ement Comm.llndustrial Fumace Oiher (Speci ) Farm Air Conditioner Other (specify) Co frdclor's Remarks: Compute Mspecfion Fee 8elow: Uol 3433 # Other Fee # Service Entrance Size Fee N Circuits/Feeders Fae Swimming Pool 0 to 200 Amps 0 to 100 Am s Transformers Above 200_Amps bove 10 Am s Signs inaPedors use, oniy: G? T TAL Irrigation Booms S ecial Inspection Alarm/Communication THIS INSTALLA710N MAY BE OHDERED DISCONNEC7ED IF NOT Other Fee COMPLE7ED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspecfion has enmade. be ROUgh-in ? oaie oeie J '7 OFFICE USE ONLV This request voitl 18 months from S : ? s E 99167 G Feque& Da?e ?re o, ugh-in Inspection /?[? quir¢tl4 I?Weady Now ? Will Notity Inspar.tor ? Ves O No ? ? Wnen Reatly? ? I "censed contractor ? owner hereby request inspection of above electrical work at: Job Addre,gs ?Slreei, Boz or Routa .) City ItiC n ? Sectian Na. Townehip Name or No. Rarge No. Coun OccupaMPINT/ PMne No. , ? Power Su ier Addww ?H?l / iL Elecfricai Contract r ompan a CoMractoYS License No. . t Y Mailing Addr (COntractor or Owner Maki Insiallation) ft /k Aulhor¢ed 'gnature (CoMrad /Own aking In 11 on) c Phon9,NUmbe? 4 ? MINNESOTA STATE BOAflD DP ELECTRICRY THIS INSPECTION REQUEST WILL NOT GNggaMlGwey Bltlg. - Hoom &173 BE ACCEPTED BV iHE STATE 80AFD 1821 Unlversity Ave., St Poul, MN 55109 UNLESS PROPER INSPECTION FEE I$ Phone (612) 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooom-o? . ? SeEM+structions for completirg Riis lorm on back of yellow copy. ~• J/?/ ? 9 916 7 X' Below Work Covered 6y This Request w Add Rep. Type of Building AppliancesWired EquipmantWiretl Home ange Temporary Service Duplex Water Heater Electric Heating Apt. 6uilding Dryer Olher (Specify) • Comm.Andustrial Furnace Farm ' Air Conditioner Olher (speciy) Camrador5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEnVanceSize Fe # Circuits/Feetlers Fe Swimming Pool 0 to 200 Amps ? D to 100 Amps Transfortners Above 200 _ Amps 00 Amps Signs insGectorS Use ony: / TOTAL Imigation Booms Special Inspeaion ?X AIarMCommunication Other Fee I, fhe Electrical Inspector, hereby certify that the above inspection has been made. Rough-in F.-, oa?e J i OPFIGE USE ONIY This requesl voitl 13 rtanMS irom 1989 BIIILDING PE@IiIT APPLICATION - CITY OF E9GAN 3INGLE FAt4ILY DiIELLING3 I L I I I •44 y INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE= 6DD&ESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNSR MQST DESIGNATE WAICH ADDRFSS IS DFSIRED. NO CHANGFS WILI. BE AI,LOWED ONCE BIIII.DING PEAMIT IS ISSUED. MOLTIPLE DWELLINGS SENTAL ONITS FOR 59LE 09IT3 # OF ONIT3 . INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT.9 1 SET OF ENERGY CALCUL9TIONS CDNIliERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS FEB 2 1 1989 63I p 0 6 To Be Used For: NFW ('f1NCT Valuation: Date: 2/20/89 Site Address 4163 PENNSYLVANIA AVE OFFICE OSE ONLY Lot 19 Hlock 2_ Occupaney R7'1 Zoning T-T-- Pareel/Sub STAFFORD PLACE Aetual Const I141 Allowable 1141- Owner CALDWELL. KIETH & MEADOWS. MARGARElk af stories Length S g Address 3927 WESTBl1RY DRIVE Depth ? S.F. Total City/Zip Code _EAGAN. 55123 Footprint S.F. Phone 452-4762 Contraetor FRONTIER MIDWEST HOMES CORP_ Address 390? CFDARVAIE DRIVE City/Zip Code EAGAN_ MN_ 55122 Phone 454-0433 Areh./Engr. JOHN ANDERSON Address 3902 CEDARVALE DRIVE City/Zip Code EAGAN 55122 Phone B 454-0413 On site sewage_ On site well MWCC System r/ City water PRV required _ Booster Pump _ 9PPNOVALS Planner Couneil / Bldg. Off. "'2.z2 J Variance Couneil rl-*4? Bldg. Permit Surcharge S o Plan Review 2_ 3 SAC, City /00 SACp MWCC S 95 Water Conn S O Water Meter 19 Aeet. Deposit 30 S/W Permit 2 v S/W Sureharge Treatment Pl. Zz? Road Unit 3 y0 Park Ded. Copies TOTAL ? Al1l.,fi(1' s?d HOTS: SeWer & Water Permit fees and aecount deposit fees will be included in the building permit fee. Processing time for aexer and water permits ia txo days onoe a lieensed plumber has applied for a permit at City Hall. Y_,it.- Lower ?-- ?yk z y? 8l ? ?5?1- l2= 5y. ? a?a Xly= ? (j'ar l %`76 33, ?3 12?/?0 3 <Tav J j93. 9s D&., zs' .? Hedlu'nd- Engineering Services 9201EastBloominQtonFteeway Bbominqron, Minrosoto 55420 Land SYneyon Clrll Enyineers tandPlonners . Phone: 888-0269 ? sumeprtfs aaifixte BOOKIL PAGE 4 _ JOB N0. 69k-y? SLqtm ?0 Frontier t_*idwest Homes Corp. QESCRiBED AS'Lot 19, Block 2, S^_'AFFOFD, City of Eagan, Dakota County, A:innesota and reserving easemen£ of I record: i_; ?;- 4?o s/ N Z. . ? v?-" ? /s Date 4(,• EAGAId ? o ENC,,,INEEF.INC? DE?i ma° / pN ,' I `? S•Jp" Z ?>' Cr3?? \\ e / P/ ?n• ? 91 ?1 / `47 0` ?h \ I ?. Al lo J ?j ` N r ?' nf„+ +?hd .? Le+ L,.,c n=, ta . b.c Z .9?q,o a, ? ? '•,,• TOP OF FOUATDATION = 91T 8 A/? 6 aZZ ? / ?\J?!/ 9"l. 4 ?• GARAGE FL003 Q BASEMENT FLOOR =914.6 SEWER SERVICE ELEV. _ PROPOSED ELEVAT10N5 :CD EXISTING ELEVATIONS : ^ DRAINAGE DIRECTIONS :--?--- ` Vj??` o?' \? 4• g DENOTES LOT CORNERS : o DENOTES OFFSET STAKE: o ? I henbp certify ihat this surrey, , plon or raport wos preparad by me or undar my direct supKVisioe and that I am o dulY Rt9isftred Lartd Surveyor under the laws of tha State of Mtinnesoto. , Data: ? / !Z /8 9 Rev. : 3 ! I / a°l '?) . ? License No. 14376 IIW7-lo S7'zc0 S EXTERTOR ENVELOPE k`lERkGE,"U"__COMPUTA_fiON OWNER; CALDWELL. KIETH & MEADOWS• MpRGAR r nnTf: 02/20/89 _ 5?TE ADDRESS: 4163 PENNSYLVANTA ALiF Ph!pNE: 454-0433 - FRONTIER CONTRACTOR:RONTIER MIpWESr unMFC rnap PLAN n CROYDON Determine working square footage of each 1. Total exposed wall area..... sq. ft, x .11 .? 2. Toial roof/ceiling area..... $'1 Z sq. ft. x.026 = 22.1 Total exposed wall erea above.floor= ItS 15 .................... .......... ea d wi l 1Z.1 Toial ............. ow ar wa n l ....... Sla b. Total door area ........................................... ............................:... s door area l lidi 3 c. Total .... zs ng g s ............................... ll area l - d. Total ......... ace wa rirep l area (average ?Op) ............................ in ll f e. Tota ram g wa ....:. 1 Z (O f. Total rim joist area ....................................... lZ 9 Z g. net wall arez a6ove floor ...............:..................... ................................. above floor 2 ll h. .... a ar wa i. wall area a5ove floor ..................................... j. frame wall arez at *oundation Total °xposed ;oundatior area= k. Total foundation window area ....................... 1. Iotzl net Toundziion area z5ove grade .............. Det=rmine "u" valu° or" each wzll segment C8.^y. W11ldDW, door, each separate wail section) a. IZl x "Ul. S?•3_- e. 5-6 z "u° C. 3? X „ul, ILO,l d. - X liu.. e. I?S X 1. u?? r. iZl? X liui, g. 1Z4Z X ,lul, h. X IV, _ i. X 1i u I. - X "U" _ j. . y , x t, u„ _ 1 , X 1. u 11 _ If item ?3 is tne szm as, or less than iter? rl, you have met the intent of SBC 6006 (c 3 . .................................Total = 1C,?3.`1 .tnrior Er.velooc Avera9e °U" Computa::ion rage t o_ s r ,. .- Total exposed rouf/ceiling area = ?1 Z- • n. Tbtal skyli5l:t area ............................ n. Sotz1 roo_°/ceil±ng 8raming area (avcrage 10?)••- o. iota' r.et i.^.sclatc3 roof/ceili^, area........... Deternine "U" value for each roof/ceiling segment M. X "U" _ n. s; „Ull ?. `I85 X „U,, ov 4 ........ ............. ...... Tota7. = 11•g tocal cf ?s is tl:e same as, or '_ess than #'r2, you have met the intent of SbC 50:5 1. ic) Altern3te Buildir.q Envel.ooe Des'ign ?b nt:lize tne total enyelooe'system metnod, the values established by the s:n. oP ems.n3 a-nd -4 shall not be greGter than the sum o° items i'rl and n2. 1. . ?C17_. 1 + 2. 7_7_1 = ZZJ?.cP 3. ??n3? 1 + d. PLAN # * IINF'?.L FEEf EX.POSID WAT •T • BLOCK: - X,`EE: 36 t3e-- ay+z? -;:. ? 1.4? w.o.: FvLL ,: 3 B?r38 ? zS+ z.S =? zc? ;vi.t. 2: ?IREPLAcE: RLM: ° SQU?.RE = EXPOSD WALL AREA BLOCK: x .5 = KNav: I zq X s = (Qzo w.o.: X e = 7rin i: 17-(Q X a -)CoB FtnL z : x a = FT .FPLACE: X = RTM: 1Z?P x 1= 12(0 ?L = I?Sdt * SQUARE FEPI' E?POSED CEILING g]Z ??1?;}++- L`i3cr'Sg Iltl ?49S = 3z- lll .20l00 : ZS 1? Zv3W= ?o IX;OI? ui -30?? ° :2c ?PAT'IO DOORS s' =34 * aasEIIIErrr uizrrs WeL.. SEti,TRXb ,Va?:; •:3se ? s?, of q?aque wa l 1 or?a fvr . fvarne. Ctxwi'truct?on *LL Frc.. -1?1 pp,are Nn L?t XG. ?l1 S??L ISE??s? f?hTSlxJ WkLL ;:-? . t3 a CONSPRUCTIOI,?- FRAMIN6 1. INTIItIOR AIP. FILM R= VALLIE - ' 0.68 2. 2 GYPBD .45 3. 5 1 2 SOFT WOOD 6.8 4. 5. S ING .d 6. EXTERIOR AIR FILM 0.17 TM E R= 10.85 U= .09 Nrf l. 1. 3;_ 3. 4. 5. 6. U= .04 1. INi'ERSOR AIR FILM 0.68 2. 6 Sl1L. 19.00 3. x JO 4. 25/32 S SHEATHING 2.06 S. SIDING .6-S 6. EXTERIOR R LM U= .04 ? r p .i vQ 0 0 .? 8 ir•??' ?-= 11-? • ?? L, ? • ° ;o ' a. , I . BLACK 1. 2. 4. 5. 6. IINTERIOA AIR FIL2d 0.66 1 . 5. 0 PROTECfIVE BARRIER R TOTAL R= 7.13 U= .14 SLAB ON GRADE Fz.r,. A4 c _• ti r ? ? 1 ? d • L . ( ff { ? «f U ? ? D a ?, ? lt! ? Al . - Lll-- `5. NdtE: ZNDICATE TYPE, "R" VAIIIE. DEPTfi APID Pi.ACF7MENf OF INSIJIATTOtI. .. ., '- AOJF-CEILING ? CONSTRUCL'ION ' R-V.AIUt- • _% ? Q 1, 4NTERIOR ATR FIIM 3 , 2• 3 . IRSULAZiUN 4. , , rAr.. ro v?7T U = .02 .\ FRAME ' 1. INTERIOR AIR FILM 0.61 ?r? F? AT FIX)41 Up 2 4. FIG. #5 . U = 0.024 CONSTRUCTIOld hc,ST FiAW UP ? F'IG. f 6 . 1. INSIDE PSR FILM 0.61 2. 3. 4. 5. FRA 1. ME INSIDE AIR FIL.*i TQ'"?PL U - • .61 2. 3. 4. 5. ' 1. INSIDE AIR FILM U _ 0.61 2. 3. 5. oulbiliL .l T\7TAL U = NOTE: USE ADDTTIONAL S?-EEfS If' N'ORE SPP•CE TS plEEDETJ FOR DETAILS PND GA.LC[P..P.TIONS. F_TG. #7 NON-V::Nlt.li ? 'n'E'AT FIAS4 iJP ? CfTY OF EAGAN 383n. Pilot Knob Road Ea,PMinnesota 55122-1897 (651) 681-4675 PERMIT PERMIT TYPE: Bu z t_ o t Nr Permit Number: 034221 Date Issued: .1. 2 / J. g/ 9 3 SITE ADDRESS: 41E3 PLMNSYLVANJ;A AVE L.tlTs 19 SLOf.K: 2 51'NPFOCD PLACE P.tiaPl.: 10-725@0-190-22 DESCRIPTION: B B , ? .., ,? ST'ORP4 DFlMAGF REC'AIR 434 FiLI". RESI6EN-rTAI. ?( 4 l t n? ?1:?? K.?.11.? ?L ? ?.?s`..???t { .? REMARKS: FEE SUMMARY: CONTRACTOR: - App.t.;?anT: -- sT, LFc, OWNER: SEAL GUARD SYSTEMS 17170700 20093588 CONF20Y CHRIS 9199 C:ENtRt1L RVE NE 97.63 PEIVNSYLVAPIIiI AVF_ MTNNERPOL7S MN 55434 L"FlGHM1! MIV 551.23 (612) 77.7-8720 (651)626-8878 S hereby aokriawlktdqe tIlat: 2 havs read this aop.iSr.aY.ion and stai.e thhf the s'ntormati.can i.s r,or-rect ancf apree to comnlv with a.l1 avolia:able StaLe at Mn. 9taTutes and City bT Ebqan. ordS.na.nces. . . L APPLICANT/PERMITEE SIGNATURE ?- e Q?L4) kiSSUED 8Y. SIGNAN E I r`' R e??ooF ur?Eltlan )Permit. Type i.jtlitt4 W--Orl,k TVPF `bi194l9 Co[Fe ''.„ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?j 4 -D?-- I 3830 PILOT KNOBRD - 55122 681-4675 ? la-?S- ? New ConstruGion Reauirements RemodaVReoair Reauirements ? 3 registered sde surveys - ? 2 copies af pWns (inGude beam 8 window sizes; poured Mtl. Eesign; etc.) ? 1 energy caleulations ? 3 copies of tree preservation plan if lo[ platted after 717193 required: _ Yes _ No DATE: I z.- J?qE ? 2 copies of plan ? 2 sfte surveys (exterior addttions & decks) ? t energy ralwlations for heated adddions CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADORESS: '77"Jl 6- LOT: 19 BLOCK: a- SUBDJP.I.D. #: S4-c-.Y rn co P(0.- L-Q.- Name: l.U! tYD 4 ? h r i 5 Phone #: ?() UJ ?j ?7 ?y PROPERTY 1-gSt First O WNER nStreet Address: 1'J ? n 5 ?/ I ??Q 1? ( ?'L /c V?- • City State: M!v Zip: Company: SCCI I C7UAV4_ C,.y,Sf?JLS Phone#: !l /` D-706 CONTRACTOR Street Address: 0.) Nt,1 l.Cll ird_f At/G NE _ License # Z?-o(7Q 314 City -2 ,?,I l,u r t e- State: J+' 1N Zip: ARCHII'ECT/ ENGINEER Company: Phone Registration #: SMet City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowiedge that I have read this appliqtion and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant YOFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ? ADD-OIV AJC ADD-ON FURNACE FIl2EPLACE INSERT DATE :2 - I 5=-G FEES HVAC: 0-100 M BTU ti 1 L4-30rax 5?3- OU a 1$ 24.00 ADDTI'IONAL 50 M BTU 6.00 GAS OUTLETS (MUVUvIVM i@ 53.00 EACH) ADD-ON/REMODEL (ExISTING CoNS'rRUCTio1v) $ 20.00 STATE SURCHARGE .50 TOTAL o C -?j SITE QWNER NAME: Ctifi `_) C4m(Ow TELEPHONE #: INSTALLER: VORT neanna d nix coxanoxo?a 328D G?iWIM AVE. ADDRESS: ST LWIS PARK, MN 55426 CTI'Y: STATE: ZIP CODE: TELEPHONE #: LL ;V, SIGNATURE OF P E E 1994 MECHANICAL PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB &D EAGAN MN 55122 (612) 681-4675 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSllED. 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: vJP (?? Valuation: Date: i%//Q.?' Site Address y /&SV -P'7/7S!/ /.-\r6rr OFFICE USE ONLY Lot 1I B1ock Z. FEES Occupancy Zoning Parcel/Sub CvTA FFoR7 i:)LAeu( Actual Const Bldg. Permit N? / Allowable Surcharge Owner ?/) ` p/C! l,? Lw # of stories Plan Review Length SAC, Gity Address V1,4 2 PPl7l7Sti / / ?c'a,o Depth 15 ' SAC, MWCC S.F. Total Water Conn City/Zip Code ? c O v Footprint S.F. Water Meter / Acct. Deposit Phone /I?? d2 ?? On site sewage S/W Permit _ On site well S/W Surcharge Contractor J? i C,-/ U J/ i? e - P pCf MWCC System Treatment Pl. ? / ? ` ? City water Road Unit Address ,?,-? ?c ,? 3 3- ? /% GS PRV Park Ded. Booster Pump Copies ? City/Zip Code p (0 "7 _ SUBTOTAL ? APPROVALS Penalty Phone 9 p Planner TOTAL ? Council Arch./Engr. , S1p W, (9 Bldg. Off. Variance Address +-?! (7 ? 5 City/Zip Code <s i"P7 - Phone # -S G 1^117 r 01?t PROI ECT: ? tuuin cit4+ testinq [?, f j ? g ?/ co?ooreoon ? surte 220 . ?{Q? nOrd R p? 1355 MENDpTA HpGHiS ROAO ?.i V MENDOTA HEIGHfS, MN 55120 REPORT OP: DENSITY TESTS OF COMPACTED FILL 4162 & 4163 ENNSYLVANIA AVENUE REPORTEDTO: FI'OIlt1EY' M1dW2St Homes Corp - Attn: Mike Drostal 3908 Sibley Memorial Hwy Eagan, MN 55120 IABORAiORY No. 4112 89-074 TEST NUMBER: DATE TAKEN: UNIFIED SOIL CLASSIFICATIDN: (Moisture-Oensity Sample Number) LOCATI ON: ELEUATION OF TEST: 1 3-13-89 Sand with silt and a little gravel, fine to medium grained, brown, (SP-SM)-2 10'W of SE corner 4463 Pennsry',9'- ?fi?i a ? ftg grade 3-13-89 Sand with silt and a little gravel, fine to medium grained, brown, (SP-SM)-2 10' W of NE corner 4?153 Pennsyl Q`nii a ftg grade ?? . ? ?' . .. . ,. 3 3-13-89 Sand, fine grained, light brown, (SP)-1 8' E of SW corner 4162 'Fenn s yl - JW a ftg grade 4 3-13-89 Sand, fine grained, light brown, (SP)-1 8' W of NE corner ?441"6y2 Penn'syl- avia+diCita ftg grade DEPTH BELOW EXISTING GRADE: 6" 6" 6" 6" FIELD DENSITY DETERMINATION: Methad Density in Place lf1 Nuclear Density Method "B", A5TM:D2922-81 (04 Basis) Dry Densiry (pc0 122.8 120.3 99.5 104.3 Moismre Content (%) 9.7 9,1 6.5 5.6 Plus #4 Material f?> 10 9 none none L460RATORY MOISTURE-DENSITY RELATION Of SOIL• Method ASTM:D1557-78 Method "A" (44 Basis) , , Maximum Dry Density fpcfl 132.1 132.1 108.8 108.8 Optimum Moisture f°h) 8.8 g,$ 10.6 10.5 (-COMPACTION TEST RESULTS: Compaction (%) 03 `94.' t9r1?.;5 t59911- Specified Compaction (°b) 90 90 90 90 ATTENTION: Density tests are valid at the location and elevation of the test only. No representation is made as to the adequacy of fill and compaction at locations a nd elevations othe r than those tested. These tests were performed by J. Becker. APE SUBMITTED AS TNE' sc-su cs1es, 2 EAGAN, MTRNESOTA oATE: March 16, 1989 COPIES TO: lj? PNOPERiY Of CLIENTS AND AUTMDRI• ] PENOING OUR WRITTEN APPROVAI. Twln City Tssting Corporetion sy ? twin cit4+ testinq corporation SUFM Zp ?•°?a, „ 1355 MENDOTA HEIGHfS ROAD MENDOTA HEIGHfS, MN 55120 ' ?•"'??'?;'=? MOISTURE-DENSITY CURVE SAMPlENO.? PRaKt: 4162 & 4163 PENNSYLVANIA AVENUE oAtE: 3-16-89 REPoRrmro:Frontier Midwest, Homes Corp corIesro: 14BO6iAT'ORY NO. 4112 89-074 METHOD OF TEST: ASTM:D1557-78, Method "A" TYPE OF MATERIAL: Sand wi±h Silt, fine to medium grained, brown (SP-SM) MAxIMUM DENSITY: 132.1 1b./cu. ft. OPTIMUM MOISTURE 8.8 q6 ? ? V .0 y,1 i- rA Z W a ? °L 1 G 1: 13 F. 1Zr 1 ? 6 MOISTURE CONTENT % ;G-232(2184) Twin City Testing Corporation By r.f ? twin cittir testinq mrporation SUrFE 220 r. -•,.,, ? ' 1355 MENDpTA HEIGHfS ROAD MENOOTq HEIGHfS, MN 55120 a 'i.:..•,`:?i MOISTURE-DENSITY CURVE SAM%ENO. Z • ? ?a?? PRaKT: 4162 & 4163 PENNSYLVANIA AVENUE oaTE: 3-16-89 aEPoRtED to: Frontier Midwest Homes Corp co%ESTO: .LA8CRA7'ORY NO. 4112 89-074 METHOD OF TEST: ASTM:D1557-78, Method "A" TYPE OF MATERIAI: Sand, fine grained, light brown (SP) MAXIMUM DENSITY: 108,8 Ib./cu, ft. OPTIMUM MOISTURE 10.6 qy 1 r ? V ? N Z W 0 ? ? 1 r ? ? 17 -;-?? ~ •-}- ? + r ? T 1 `T- ? . 4-1-1 ; ?-?. H - ? --?n -i-; .:. } ?1?_ a. .-.? +1!1+ ? t..-FY-i-" . ? ? . ? ?{ r •--?--- .1. . ... ?- .-?-' .l i , ? ?t ? ??-T ? ? •' + t . . - j- ? . t?Y ?-1-a- i. .t ..-. , f-1-.L ' ? 44. 11 _:----.--?-,--'----•- . ?y , -«.- . ? • r r..i-? ? r-?- ?'--•- "'. ' ri +?""T ? +-r^ ? t- .. ?-r-? ?T-i.j ? ?.•T I t r«-. .... ?.-. «. r?."•._ F t -.-. ' .? ? ??-:..- F . ..._ . t ??.._.. . _ 7*7; rt ? ?-.-. T-. ? a- .?+-:• ,.?.? ? ?1-- . +.-? -,--F y-.- a . i ' -F L L.. 1 1. 10 ? ?. .-? .? .._?. --?-• r ''--•- ? :' ? -a-... OJ.y r---+ F f ? , ..i-?. ?+?. rra __?. -. ?-r . -r+ .1-4- •.1 '' ..?? ,-?+-t LE. 07 ' ' ---r- ---t--`-^" ""` .-?? ?. r?. Y .-+ 1 --r ? •-;: , --'?' . -.-. .?. #. ?- .t. } , ?.. ? ? . ? -•-• t .-.- ? ?.?. ~ i .Y.? ?. . ,t.r.?_-+-. -?...?.?J-r - -r....-'•--'1- '`.i--'-:-^-? +-F-•..?.'- . '?_ . ? 8 9 10 ?11 12 13 MOISTURE CANTENT o/o Twin City Testing Corporation gy ._-- SG2)2(2/fl1) 1? +' ?X ,? 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIlV 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Requiremenfs RemodeUFteoair Reauiremenls 3 registered sife surveys showing sq. fL of lot, sq. fl. of house; and all roofed areas 2 copies of plan (20X maximum lotcoverage allowed) 1 set of Energy CalculaUons for heated addNOns 2 copies of plan showing 6esm & vdndow sizes; poured found design, etc. 1 site survey for additions & decks 7 set of Energy Calculations Add'rtion - indicate ilon-sde sepNc system 3 copies of Tree Preservation Plan N lot platted afler 711193 Rim Joist Delail Options selection sheet (bldgs wAh 3 or less uni6 <1 '? 6. (-) U O?ice:D'se:Oniv CertnfSune???tec?l-?Y N 7`ie?PresF?l'anR"getl?"` 3Y ??M1l :1:e4= N `(rEePresRequ¢ed`zG 2 Ortsife5eptie:SY?.m, ? 7iN?. Date Site Address ,/??? C,,onstruction Cost ? ( a. a 3 ?. G?Tl1?, UniUSte # Description of Work 0.? C4 l Ju/l d1nl A):) Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ry MS l(c 4 Telephone #(?j?) uv-A " O D? b Contractor 0?)06UP,? Address State ?'V?? CitY ?p '??? Zip Telephone #? ) ?01' ?W3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Suhmitted Submitted . Energy Envelope Calwlatlons Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee appiies. Licensed Plumber Mechanical Contractor Sewer/Water Coniractor N If so, 25% plan review Telephone # ( Telephone # ( II D Teiephone # I hereby apply for a Residential Building Permit and aclmowledge that the informMf6a7-? curate; 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 applicarion for a pernut, 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. aSa-v-a,n Ra,-hZ-lo-E ApplicanYs Printed Name ApplicanYs ' atur 6517788465 02-06=2005 09:44 BILL(651?7t?465 PR6E1 0'0 Attention Jeff Wheeler I installed a bow windnw at the address we had discussed last week, 1 removed the old window down to rough opening then instalied the bow window, on the sides i put five or six lag bolts per side into the existing frame of the opening. then insuiated around ihe frame of the window, then added the casing for the finish on the inside, Out side the top of the window was ancored with cables at approxamently a 45 degree angle (2 cables one on each side) window wras leveled and the cables tightened up, outside of the window was wraped with aluminum coil, also the top of the bay was insufated with batt insulation, then the top was coiled and the whoie window was caulked to seai the whole thing up. thank you Jahn Henth rne 3??s as? 4196668324 Mar'll O5 01:54p t?rd ?i" /Y„e t?'7r38f . Cable Loop Patten (See Step 3) GLW Tech 5ervice 4196668324 Cable Support System Instructions Ti 2 iten Cable Cleat .. 4"L These instntctions aze f'or installarion of the cable support system ot ly Refer [o the Installxtion Procedures for Windows and Patio Doors Mauual fc ' I tey 2nd Bow window installation instructions. '[tuv-BUCkIe - \ \ \ 15° ? ? L-Bracket ? Head SOard Inirial 3nstullation of the unit will requim temporary suppmrt hraces n,e of a jack is recommended) and a leveL The unit ahoutd be slightly raise( a )ove the level position. Installarion Steps 1. Mount the (2) Cable cieats to the wail fren3ing (or rafter tail), usi qr (2) -'I. 1/ 2" wood screws per cleac. Place as high as possibie tn allow far the ntximum angle of cable support. 45-degree is the optimal angle, and 15-degr e is the minemum allowabie angle. p. 1 2. Place the "L" brackets (2) supplied in the hardware kit on top of ?. ? assembly nut of the threaded rod on the Bay or Bow unit. Seciirc the "i:" bm k. ?ts in Place with the nuts (2) provided in the kit. -Threaded Note: ali¢n the hole in the "L" bmcket with the wall nioni te:i cteat. Rod This may requnr minor adjustment once the cable and tux d: uckle aie ins[alled. . 3. The tum-buckles are shipped firom the factory in the retracted pc si. ion. SCBt Unscrew the mrn-bnckle halfway to allow adjustment in hnth direc i< m. Vlace Board the huok of the tum-busklelcable assembly into the hole of the "L' ti acket. Loop the cable through the cleat as shown, qking clxe to 6ghten a id minimize the cable loop at the top of the cleat. Repeat this steg far the secon I, able suppoet. 4. Carefully remove the temporary support bruas and place the lo d on the cable support system to seat cables. To level the installation, adjus t: ie tum- . buckles to raise ar lowcr the bay and 6ow unit. Caution! Always use the proFer tools when installing the windrn r mit. These units are heavy and will require at minimum twc i idividuuls to lift aad install into the wall roug11 opening. Mar,.ll OS 01:54p GLW Tech Service 4196668324 p.2 ^.ASE3VIENT aNGLF. BAYIBOW INSTAL! Ai-SONS iNS3's?UCTtaiZS j NpTE: i}?aE INS { nLlCi'iOfJS PEOiTRIN TC£riME IN$'fql.LATICN'OFA•aAY.DFi BQW L'N1T FO . A NEW rON- 57RtJGION.WH E.uDSAlf i-iA5 kL3Y ? .?P? FOR Ri AO ? - IRt A EXiSi7NG tLLAEApY. ? k&4CK Ctfi' i 1PtCs OF THE 51IItAiG I4 FIECFNE '?ti8 KMCUEA CR NF,IL F1i?L SF{OUED.BE ? BE?OEtE i}iE. UPI1T !S POSf i70NE3 u7 THE ?HnP , BRtCKMCLSLR GR [VALL FB?! SF-10R.RE) Ff?' T1GNT - 3T EXTEREGR SffER"'IRti G- PS.YIIYCOD SUPPORT AND ICNE-c BRACKEIS: CktECK A@UGH GPF3VING Hc'ICaHT AND.WiDTF1 GM@IMC+NS TiD 1NSUF,E fF MATCHo S?EC.FiF.D FiCiJGH uPE.'?WG- 5E= VSE4V I. YiS+N t J lJ ? ? I 1, sTEP 2: xN .aRacxETs: , - AdEASt7R THE DISTANCE ALONG THE 1NSi0E £DG'e OF THE SFAT9QARD. FROM 'FHE :OtJiSN EDGE OF TrtE U TO THE ML3lt. POSY- ou A:Vw YIEW 2 IIF Fi TMN 7WQ MIJLLPOSTS E7CLS'G MAAfC T7915 N= W l'HIqD51 OP DtVIOE ll-fE . „ OIAAENSiON ON SHEA7'HlNCt-FeR P09TT'ION DF THE iCN-Cc HHAG' S6 T}eEBE MARKS (DtMENSiOPI W AS A CBJ? OUVT FOR THE IW? 9F?ACi(?TS LCCAiION: F I N ALL KNE BRACiCET3 TD 7'tiE ECC6ilOA O STJO WALl.. WEL WITfil7'1ETOP oF r? ?u. - sEE rnE+v a T;_ TIOTE: fCJ ?iACKETS MUST 9E LEJ'c.. ANO SQUARE TO E SillD S+VALL. FitSMED WiD A STUU.ON U 9 FT flR WIDER,?JSEA'IWRDl? 9AACtCE7:' . C E? SETWEcN OUTEA IQNEE BFiACKETB. ! AN7: ]CNE'c BF'ACmTS oA SOblE 1ySEiWS OF StJ NG THE L3NlT PROIYI UNC84- NElITN iS CAi7! r.0l3 LkN{7 SUP?ORi' AND ARQPER uIYIF t3PEF1A71 fF ANC3TFIE.,?}EANS OF SUPPCFtr tS tsS?.. TFiE E NdSTFUC i1oNSFr'M S7'r.P 3 OFR SHoia.o eE FCM owED. QiM=A Sc?EiTFiiN6 ?- ' 'fi7E? 1 PLYWOCD SiiPPflRT= 3: 3' c ? AU0A GRADE BAY YViNOOWS - iUE.ASiJRE l Fi =1Nit3Tri CF THE UNlTS }'c?L'90ARG Pm-CM i r.E INS Ci e GF T-?E awcx- MOUID (NAIL FIM. IP CLAD) TIO?31-i c INT ERlCfi ECGE .GF THE HE.iCBCAFID. SU8T RACTIN 3 OFF t ,?E SNEPT R(`,.CSC . GR P?? i Fi1C1QJE'aS. '}- 3S {N7LL 8S THE WNDTH'G?'F'7HE PLYINOOD SiJAPO i" - DIb1. B: A+1EA- SUi$ THE.L-a.'?ICi7N OF Tt-!E`ACUCF CP°...HdG.•TNIS WELL SE THE iMG -tr1.DIMEAiSiOrY ]"Tl;E PiY'NCdD 5LIPf'O +f7- LAYQUT A84VE t}lME.W3IONS' CtV Pl.Y WCOO Sr!IEEi.. MgASURE THE 'V'Vi TFsfCKIVESS FFiCM eriMMR FACE aF 'T,E sN -, qTHiNc 1-0 u`I€ RIQFt F±iG:k:-bF..'Ti'IE STtjF7- WlU.E ,, LAYtX1T. i`HE$E aine?s?s? ?c?? k ??att?AoeE!4- 1NG q1ME.'SICN•tKA'r AEiE CN Yi^:: P'L':'SNF`?C.O. LAI= ovr THE.? OF rrE Uturr (ts. 3:r oFt ss) t-TM THE AcucH.cPE ic'1e eIMENsIaHs ON"C}1E F?.'MfC00 SHE =S? U' fi'/V :. C;Ii MY' VJOOQ S'ri-= : f L i• ' VlEW. 4 3fl' #3 i:'' 8C1y -NRW(MtS-IAYCVf T. EI`s RCLC-H =P94- fNG DHdEWA)FJ5-ON PL.YIN=• WC f K{NG; =r.CM THE iN?9TT GENTEt?' ? t? 1MIt?T!{. AiEfA $lIlF1E eY.E CiMBd- N? StqM OF THE NEAE36QAFlD Fr'lOM " l?E (NGCE .:]GE QF THE BRICKMOVLD (@?AFL FNV.. F C4tiD) -.o TiE IN570E ErGE OF T'r!E HE4050AF:C , SUSTRAC T 1tiCa A, WA1.i. in7CK- OP'c 7l-EE S'rfESTROCK QA P:.AS1 ei i NESS. lRYOl1T iei1S.01MENSiOtd CDi THE PtfVVOfaD SUP°0r-T (5ee -VIJEW S- STEP 1).1 Ei?EAT' 7HIS PRO- CEDklR£ AT. J1CH M[JLL• gOST (SF:-: 1i IE'N ;i - S i c? Z)_ A7 SOTH Ei'1CS'CF THE ROtXsH dF EiV9VG. Mcr.SUF+c 7NE WhLZ i+'•ICKNESS' F'F+dM'E:G.3;!=1fCf1 FACE OF SF{E,4THIRtG TO IN'FEfiiOA FACE OF :! ?ND WA? AND rRANsFas ia ;HE PLYNiOCQ. Cl T' -r, i_ rL,rwooo SUPPOfiT. Sc_° V1E`h! a. . NOTE: CN SCME UNITS lAHGc I'"HAN 8 FI. TWO RIECE3 QF ?LY4YL'f}D_Mi1ST $E,1t itldED 'fflGE7HER TO CAV£k TY.£ :.F3dGTrF.DiMEidS7CI d'JF THE FiaUGH- ORENING. ? Mar 11 OS 01:55p GLW Tech Service 4196668324 p.3 I HcAD5GRFQ 3TEP 7 W5ULA7iON: !tJ`!OE OP RLL CAVrT`l 8E TWEEN TCP Of 11 !11ND7W UNif `MNDAW Fii+41? ANi7 ROtJGt? OPEVING AND SICE JM ?' AI+ECd F?GCJCti ppBNR?'i Wt'CN MISULAi1CN. 21 !? ? Vlc?! 5 9RICKMCLL7 OF DlAfl FfN 5'TEF 4 SE^..JRE ?LYWCCO $t!?70K'f: ? ?CS1TfCN rLY'NCL'D SUP?CAT 1N ACL1Gki CPEiJIVG. 1NSSOE SOGE CF S:IPFCFiT, !5 FLUS:a vAZH iN i c.Fl1Cfi FAGc' OF STLDS. $'cCJFic PLYWC00 SiJF- ? ?Cri i TO S1LL PLAA"-= AND KNE-= .=.FtA 'i 5. SeP 5 SEAi'BCARD 1NSLILAiiCN: UBiNG 1/221A1G10 11VSLJL4TiCiV, CU'i T-:ISTOTHE 1 SAh4E.5MAPE RSI7NE ?L.YWCL'0 SLiPPGAT AS US'1ED IN S-i EF 3 WCCri ?'HE FOL.CWING GF'ANG'c5 - t. LR+E 7FSE 1NSIL'c CF7He'NINDOVY FiakME (AOINi Wl-183E ? ,I!fi FiEA0e0AF3D CJNNEC75 '7'O 7'HE 1HlNOGW F-'KAMQ. w PLAcIE oF 1-rie sRIcwMcct3t.3 oa w+u. FK 2. ^' s i}fH 5±Y.?.^FOAM BACX FROlA INiuIQR E?fa'E ? CF 'FiiE iiE4DSmARD Ae=FROXIMA'fErY 1-7? TD 2. 5E_= YIEW S. UNIT UV5TAi1A N ? S7'EP 6 ttiSTALS.AT1Q4i: . Ih5'Tal,l, NAiL FiN {1F CL.4D}. LfFi UM7 CN iuP OF PLYW 0 SUPPCA'f AMD Sl1DE 9dTO TFE FLt1Gt4 CP..N HF.?} AND SEATBOARD Sii4C1LD ?E Fi,LJSH WI' i i-l1QR FACE OF SFIEE3RflCK OR ? ?lASTEA. INST ' r'fN}S}fWG NAIZS tADEQUA7'E NiIMBER.. i0 Y,GLD JNri- iNI FLACc'', TFROUGH THE ? HEADBOARO INT13 THE HEADER (L'Q NO`C DRNE COM- PLET"cLY lN). i'riESE ARE USED TO HaID 1HE (.N31T BN PL4CE UM'IL REtiAiNtNG INF."CALW31ONS STE°S RFiE ? CaMPLE-mD. SEE V1EW S. ?OSff70N W5ULATFDN SEr- WEcN ,i}{E S'cA"GQARD AND 71?i? PLYN14]GD SLlP- PJF7: Tr1ERE 6F?OEIID 8E A GAP OF 1•ll2' ?O 2' IN pE.al}I r"3r CM THE 1N51DE E:GcOF TI-tE SMCFOMii ? TG TH`e INSiO# GF THE SEAT3QAFID. jFi1S fS AECUIFED FOR NECES.SAFtY SHfIN.S BEfV4F.E'7 77iE 5FAT80AF0 ANCITHE RI-YWQOD SLIPPORf. ? ?Y:a?rir?c HEADea ?scanaoaRo .qTEP 8 SH91I AND SECiJRE Ul G' r tN ROLIGE! OP@NWER StiIM HM80ARD. SW80AE I AAtD BOTFi SiDE JAM8S.T0 IMSUAS .:AMBS AFIE LI:VFi. Pl.1lIIH ANO 5CUr4AE. SMRc E!N{TTHROtIG j NEA[3dOAA0. SEIS7BOJ1ii0; HOTH StCE JAIvM3 ON i'-tE pY1'ERtOR AND FY1A. FM OR 3FttCKLlDIJlIS ON 'YE E7iC'i Er'ilOA. $Gf VIEYM 1. id sAS ;aTg1+ 9 gEALl!!G SCilA'Ss ,4F7'[R SiQING iS AFPLE). SS UI. AI.1. .tOWTS aaocNa wo+icow PERrME-7ER tsEP n„IN vnNOOw JWD 5eM 1NRi A PFlEMIiNN GR d; E EgRSi10R CAUlC. 7M SHOlAD 8E OONE AT T{I e HE4D. Si.L ANd WTH'.+I' Dfi JAMBS. n - e?Ro (rT mRIoR FAce oF HEAna ssaraaRa ANo sIae ,uUes ARE FL4'SH WITii WTF-910R =ACE CF St-:EEROCX I Scr1T3QAFD 1flEYV 6 ? FLYWOOD SUP°Cg-, i iu . StL! P?TE i ? i ? I V1E+H 7 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reaulrements 3 2giste2d site surveys showirg sq. fl. ot lot, sq. fl. of house; and all roofed areas (20°k maximum lotcoverege allowed) 2 copies of plan showing beam & window slzes; poured found design, etc. 1 set of Eneigy Calculatians 3 copies o( Tree Preservation Plan'rf lot platted afler 711193 Rim Joisl DehaJ Options seleclion sheet (buadings with 3 or less unRs) RemodeVReoair Reauiremenb 2 copies of plan 1 sel of Energy Calculatans for heated additions 1 s@e survey for additions 8 decks AddiNon - iiMicate if on-sife septlc system 4l w o0 'I fl' :,C . ? d )005 J ? Office Use Onlv ? ? CertofSurveyRecd _Y _ ,Tree Prea Plan Recd - Y? ?`'a'ree?RreOn-stte Septic System N Date 10 / 2 a / 05 ' __ - Construction C 3, ll 0 0 Site Address I b 3 Wnn u ('1 a?i ck' /I y-b Unit/Ste # e v? n? ( ?fl (?re?men Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner (?1 l? I S a?d U Ufo. C Telephone #(1051) A Y/ - ga ?0 Contractor Address I!a? V? tl l4650 Gknda Drtve J City State Apple Val , Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( 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 ork which requires a review and approval of plans. S'hell? D/O& ? & ApplicanYs Prin ed Name ApplicanYs Signat e Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use 1 Permit 1 City of Eaoa~ 1 d b I Permit Fee: ~D 3830 Pilot Knob Road 1 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I r 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l Site Address: VeK\~9 Y`- A M IA Avr Tenant: K~~ D IV R D I Suite RESIDENT/ OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: • Multi-Family Building: (Yes / No ) CONTRACTOR Name: Tl -T SC0 ~~5rtNCT 1©' V License (7qC)(0g g_~ Address: i 3` 1 c ro UCH M A~ 70 City: OAP(,-- gov State: 1 Zip: 553)1 Phone: Contact: Email: V~I NCO V~~' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr plans. x CA ue x Applicant's Printed Name App icant's signature Page 1 of 2 HEATING SEDGWICK HEATING & AIR CONDITIONING CO. TEST RECORD JOB NO. 8910 WENTWORTH AVENUE SOUTH ° MINNEAPOLIS, MN 55420 -(952) 881-9000 ~G A/) ADDRESS l/"//iVs /~~/'4'r~~I CITY OCCUPANT A OWNER SOLD BY / 1/V C D BY MAKE - DE D O O Ul J u / ` ' O SERIALNO. ~UINPUT' THERMOSTAT VENT SIZE VALVE AL I TYPE OF LINER LIMIT LINER SIZE ✓ ` LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTING WIRING PILOT TYPE C TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING -5 -<.Ae tl > X\ m DATE TESTED 8-:7 PRESSURE w-L - PERCENT GO, - L INPUT CFH 66 PERCENT 02 6 ®O COMPANY TESTIf~G ` STACK TEMP:3616 O PERCENT CO Oph NAME OF TESTER FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY • CITY PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA090530 Eagan, MN 55122 . Date Issued: 08/06/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4163 Pennsylvania Ave Lot: 19 Block: 2 Addition: Stafford Place PID 10-72500-190-02 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Judy Mayer 8910 Wentworth Ave S. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Christophe R Conroy 8910 Wentworth Ave S 4163 Pennsylvania Ave Minneapolis MN 55420 Eagan MN 55123 (952) 881-7739 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120712 Date Issued:02/26/2014 Permit Category:ePermit Site Address: 4163 Pennsylvania Ave Lot:19 Block: 2 Addition: Stafford Place PID:10-72500-02-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Christophe R Conroy 4163 Pennsylvania Ave Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature