The URL can be used to link to this page

4167 Pennsylvania AveCITY OF EAGAN ? ;. 3630 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDINQ? PERMIT PHONE: 454-8100 Receipt # TO be uSed fOr SF D1iC/CrAR Est. Value =80.000 natP .?Ul. 1 109l Site Address 6167 PffiHtSYLVAl1IA AYB Lot 18 Block 2_ Sec/Sub. STA? lLACt Parcel No. W Name F?LCISIUN ?S I1?1C 3 Address 16299 HEwT1t C? ° City 1-AMILIF Phone . 591-3819 _ 21 o Name SAM OE Address ? City Phone 00 Address a W City Phone I hereby acknowlege that I have read this a?Wicatio state that the information is correct and grae t6 co piy woh all f a icable State of Minnesota Statutes and C i Ea???parye?es. J ?„? _i-_ \' •-+ I.A n.? Signalure of Permitee ' j...s: S.? ; `•' "? OFFICE USE ONLY Occupancy [?-3 -N.1 FEES Zoning -111=1 (Actual) Const ? Bldg. Permit !IlsQ,.? (Albwable) N of Stories Lengih Death S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System Ciry water PRV Required Booster Pump APPROYALS A Building Pertnit is issued to:' \PRECISIONVIM8 IIK: Pla""er on the express condition that all work shall be done in accordance with all Co+ncil applicable State ot Minnesota Statutes and City of Eagan Ordinances. gldy. pry. . i Building Official Variance Surcharge 470 Plan Review w 357, e91 SAC.C,,y 100000 - sAC, nncwcc 650900 Water Conn 660* x Water Meter 93• ? a_ Acct. Depnsil 30+00 _ SMf Permit 30•00 - SNV Surcharge _!? 7reatmertt PI Z 76 * ? Road Unit 370,? - Park Ded. -- Copies - TOTAL 3+158. SO ' Fermit rro. Permn Haaer oace TeWpnooe # WATER 2?? 9 I 7 J`? ? SEWER PLUMBING H.VAC. • O 7 77`?//? ELECTRIC ? v4 Inspectioo Date Insp. Commants Footings I Foundation 7 ? Framing Roofing Rough Plbg. Rough Htg. $?S 'J y 1 7 / Isul. <-,I • J?5 Fireplace Final Htg. 12 9. o ? Orstat Test Final Plbg. plbg, Inspector - Notify Plumber Const. Meter Engr./Plan sa9. Finai ?.ty 9 Dedc Ftg. Dedc Final weu Pr. Disp. IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55 1 22-1 897 Date issued: (612) 681-4675 ??. ?.,•?. ? SITE ADDRESS: APPLICANT: ., ,. ;. PERMIT SUBTYPE: TYPE OF WORK: ,- ,; ' . 10 i :, „1 i INSPECTION .• . .• Vt MAk? '{i '.t r'AI.A ( t. 1'YkP') 1( (`; itC 0U t fii ls I Iilz AM.y,..t?_{.jIIMit 1 14ti 110 1 ( 1 1 f! I: qi 1.Iri121 ? ? Permlt No. Pertntt Molder Date Telephone f ELECTRIC 9O?/D ?l/ ?// '? QO PLUMBING HVAC Inspectlon Dats Insp. CommeMs FOOTINGS FOUND FRAMIN(3 ROOFING ROUGH PLUMBINQ ? PLBG AIR TEST ?G ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN ? PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 H H t. 0 C ' ., , APPLICANT: i t i•! I I NNSYlVHNIA AVE !°- i c;; , , 10 • f , i f A F F tlir[1 P 1 AR:E' ( r, 1.:, ) 41.4 PERMIT SUBTYPE: I;,. ; I-ii ii ? I Y4 ?, FI TYPE OF WORK: t*l)tl 111 Ni A.'71.. 0":fi f JAi Ai I F 1.ni 1 111`4 INSPECTION D • D i• ??fhi11 i PJ I' I fo, F t 14 /11 ? ? Permit No. PermR Holder Date Telephone N ELECTRIC PLUMBING HVAC Inapection Date Inep. Comments FOOTINGS FOUND FRAMING Kb? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE 0G R FIREPLACE AIR TEST I FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. c BSMT FINAL DECK FfG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: j; l,,, ; APPLICANT: . r , rdr•t ;I 'JAN1F1 nVt PERMIT SUBTYPE: TYPE OF WORK: , 1;, 1., ? iits I 1 11 1 N.'N'1I 1 N?. / 1 i J ?? i -1 ? , ? Permft No. Permit Holder Date TelepNOne N SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commsnb Footings I Foundation Framing Roonny Rough Plbg. Rough Htg. Isul. Fireplace Final Htg_ Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. t s?,.? f (gtxtif tra#t af (Or.cupauxy Citp of Cagan Dpvatttrw nf %ildittg jmwprtwu This Certifecwe icsuad pursuant to the requirements of Seclion 306 of the Uirifarm Bullding Code uertilyin8lhal at the &ne of issuana this stnrc[ure mxs iie ovnrpliance wuh the various ordiaancas oj[he Ciry regulatiRg building cbxm"cdan or use. For the foUowing. use Q=i6cui0a SF DWG/GAR Bus. Famk Nm IQ356 _ 0-4-r ? R3/M1 zooies nmr;u R 1 rra cow vN owwot&wWft PEEMQd MES IlC Addmu 162qq HEATH OOURT, LAiZEVIIIE ? 4167 PF1RTS'YI.VANIA AVE L..;h, L18, B2, STAFFM PI..ACCE ? Duc $/2q/9I POST IN A CQNSPICUOUS PLACE SEWER & WATER PERMIT ; CITY OF EAGAN 3830 Pilot Knob Rd. ; Eagan, MN 55122-1897 DATE JUL 1, 1991. ? SITE ADDRESS 41 n7 YENNSYLVANIA AVE ; LOT 1? BLOCK ?' SEC/SUB STAFFO?ZD P1.AGE ? APPLICANT: ADDRESS:_ CITY, STATE PHONE: - EXISTING ? Lawn Sprinkler Meters are to be Installed i PLUMBER: STAR pLlJMBT'r:C; Ahead qf, Domestic Aqeters on,.Water Line. ; ' ADDRESS: 1018 :iGUND SFRINC, ;TEI?.f Credjt W I I T be givOn fQr Deduct Meters. i CITY, STATE I3I.OOMIPIGTON MN ZIP 554t0 PHONE: ?,34-4149 OWNER: YRi:CISION EIOMES INC EAGAN OFiU1NANCES \ ADDRESS: 16299 HEATH CT ' CITY, STATE !1F,t:: VrLLL A'P, ZIP a?'t PHONE: SIGNATURE WHEN METER I D PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545Z20 FOR INSPECTIONS. R STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. .; ? oWLv METER # y'i q $-(?Tf PERMIT DATE 07/05191 CHiP # PERMIT # 12119 METER SIZE ,' l u B.P. RECEIPT # C 14991 ISSUE DATE B.P. RECEIPT DATE 07 j02 / 91 ? PRV - 6005TER PUMP PERMIT REQUESTED X SEWER Y WATER _ TAPS -COMMIIND _= RESIDENTIAL ZIP. X NEW ' CITY OF EAGAN N? 19356 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 fl \. BUILDING PERMIT Receipt # 1`± TL l I To be used for SF DWG/GAR Esl. Value $80, 000 pate JUL 1 , 1g 91 Site Address 4167 PENNSYLVANIA AVE Lot 18 Block 2 Sec/Sub. STAFFORD PLACE Parcel No. w Name PRECISION HOMES INC ? Address 16299 HEATH CT City T A[CFVIL.L.F phone 891-3819 a Name S? 0 ga Address ? City Phone Name _ Address I¢ W I City Phone a I hereby acknowlege Ihat I have re kh io state ihat the information is correct and gr t all ap icable St ate of Minnesota Statutes and 1 E Signature ol Permitee A 8uiltling Permit is issued t: RECIS ON OMES INC on the express condition ihat all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otticial OFFICE USE ONLY Occupancy R-31L-1 FEES Zoning R-1 (ACtuap Const V-N &ag. Permit 5 5!1 _ M (Allowa6le) V-? Surcharga n 40-0 k o1 Stories 47, PlanRaview 357.00 lenglh Deplh 49 ? SAQ City 100.00 S.F.7otal - SAC.MCWCC 650.00 S.F. Foolprinis - On Site Sewage _ Water Conn 660.00 OnSiteWell WalerMeter 95.00 MWCC System X City Waler ? Acct. Deposit O 30.0 PRVRequired - SN?Permil 30.00 Booster Pump - ShY Surcharge 0 .5 Treatmenl PI 0 276.0 APPFlOVALS RoadUnit 370.00 Planner - Park Ded. Council BIdg.OfL _ Copies Variance - TOTAL 3,158.5 0 ? 0 ? ? 10 ? &' 9 Z.1 Requ t Date 1 Fire No. R ughln I lion Requitetl (Vou I inspecror when rea0y) In ection OMer Than vgh-In & Reatly Now W II Notity Inspeaor Yes ? No Date Reetl I? licensed contractor P(Owner hereby request inspection of above electrical work at: JoU Address (Street, B e No.) llv 7 vC'. Ciry Seclion No. Township Name or No. Range No. County pan? (PRINn ' I Phone No. ? ?-1en ?? h Po rSUpplier Atldress Eleclncal Contracmr (Company Name) Confrac[ofs License No. brn D wne'v- Mailing A tlrBSS (C nVacror or Owner Making InsWllation) 0 E/ ANhoriietl ' re (COntraqo00wnar Making Instal ' Phone Number r ? -_/ MINNESOTA STATE BOAPD OF ECTHICITY THIS INSPECTION REOUEST WLLL NOT Grigga-MiCway Bltlg. - Room 5426 11111 1111 111 111 1111 111 1111 1111 11111 1111 111 111 1111 BE ACCEPTED BV THE STATE BOARD 1821 Univarelly Ave., St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone 1fi121 F6R-OR110 ENCLOSED ?._G ( ,1 REQUEST FOR ELECTRICAL INSPECTION U ? See insVUClions br compleiing Inis torm on back of yellow copy. ??G1?p 'JC" Befow Work Covered by This Request EB-00001-09 ?"n ? 53as? Ne A d Rep. Type of Building Appliances Wired Equipment Wiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other Speci ) Farm Air Conditioner Ofher (spacify) Conbacmr's Renua? l?SHl Y? / .l Compute Inspection Fee Below: r? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transfortners Above 200 Amps Above 100 _Amps Si n5 inspectors Use Onry? TOTAL Irrigation Booms Z-IA Special Inspection Alarm/Communication THIS INSTALLATION MAY B ORD D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MON I, the Electrical Inspector, hereby tif th t th b i Aou9n-m ? S .? DaleT cer y ove a e a nspection has been made. ai r o OFFICE USE ONLY This request void 18 months irom Address: 4167 PIId[VSYLVANIA AVE Lot 18 Blk 2 Sec/Sub STAFFpTtp pLq„r'g These items were/were not complete at the time of the final inspection. 8/29/91 Yes No i.C7 Final grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry Pexmanent driveway l? Permanent gas ? Sod/seeded grass Trail/cuxb damage ? Porch t? Sasement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet befora freeze potential exists. lk,;:x White - City copy Yellow - Resident copy Pink. - Contractor copy Zo RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 /Cly ?? ' - New Construction Reauirements • 3 registersC stte surveys showiig sq. fl. af lot. sq. ft. of house; antl all roofed areas (20% macimum lot coverage aliowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Eneryy Calculations • 3 copies of Tree Preservation Plan if lot pladed after 711193 • Rim Joist Detail Options selection sheet (61dgs with 3 or less units) DATE 2- 51TE ADDRESS //'n?? ? TYPE OF WORK 1 ?- APPLICANT STREET l` SS /A .S Y / /?-?-e TELEPHONE" -707-llELL PHONE # "d-&STATE FAX PROPERTY OWNER TELEPHONE #? ----------------- - ------ ----------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINNLg(YCA 12ULI:S 7670 CA'CICGORY l MIVYlSO'1'A I2liLES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Su6mitted • New Ene $gd w ks.6=d'Su 1Z • Energy Envelope Calculalions Submitted p AUG 2 6 2002 ! Piumbing Contractor: Plumbing systcm includcs: Mechanical Contractor: Mccho-mical syslem iududcs: Sewer/Water Contractor: ? MULTI-PAMILY BLDG Y tflN? Phone # Pcc: ti70.00 ---------------°--°-----°°-°--------°------°-------°--------°----------°-°-------------°---------°-°-------- I hereby acknowledge that I have read ihis 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 Do°' & ??"? v?`^7 J't --------- --------- -------- ----- _------------- ------- --- ---'°'---------- --------------------------------- OFFICE USF, ONLY Certificates of Survey Received _ Tree Preservation Pfan Received _ Not Required _ Updatetl 4102 RemadelfRepair Reuuiremants • 2 copies o( plan . 1 set of Energy Caiculations for heated additions • 7 site survey for extenor additions & decks • Indirale if home served by septic system for additions VALUATION ----------- Phonc # - -------- _ Watcr Soltcncr _ I.awn Spriiiklcr Fcc: $90.00 Wa[er f Icatcr _ No. of R.I. Ballis By_--- _ No. of Batlis -- Air Conditiouiug - Hcat Rccovcry Syslcin FIREPLACE(S) _ 0 _ 1 _ 2 Phone # OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof C 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Urtits Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTiONS _ Footings (new bldg) Final/C.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (newlreplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector _ ? L?g I q RESIDENTIAL r I gUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Construction Reauirements • 3 registered site surveys showing sq. ft. of bL sq. tt. of house; and ail roofed areas (20 % maimum bt wverage allowed) • 2 copies of plan showing beam 8 window sizes; poured found desgn, etc.) • t se[ of Eneyy Calculations . 3 copies of Tree Preservalion Plan if lol platted after 711193 • Rim Joist Detail Options selection sheet (hldgs with 3 or less uniGs) DATE R L24 JU Z SITE Ap SS _ 4,,/'I?1C? PF? NS'`?L TYPE Of WORKl.iC &E - R-DU0'_' APPLICANT ?/ /??C STREET ADJDRESS I zA y-7 AAA-60j_?t 6U.s, TELEPHONE # 76? CELL PHONE # FAX # 9u " ?"" ??f'L ? E = PROPERTYOWNER_ ` TELEPHONE# ---------------- ---------------------------------------------------------------------------- COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y(IVNLSO"CA I2iJI.L:S 7670 CATt:GORY 1 MINNLSOTA RULES 7672 (d su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phonc # Plui7ibing systccn includes: Water SoFCcncr _ I.awn Sprinkler Fee: $90.00 Waccr Hcatcr No. oF R.I. Baths -- No. of Batlis - Mechanical Contractor. Phone # V[cch:utical systctn inclu<Ics: Air Conditianiug AU C;rce.' - Hcal Rccovcry Sys(ciri , Sewer/Water Contractor: Phone # B --- ---------------------------------°°-----------------°----°--•-----------------------------' °......°-°-°°-°------ 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 Ordinance/s?. ' Slgnature of Applicant MVN/IIL.?cL YXlll.l ? OFFICE USE ONLY RemodeVRepairRenuirements • 2 copies of plan - • 1 set of Energy Calculalions for heated additions • 1 site survey lor e#enor additions & decks . Indiwte if home served hy septic system far additions VALUATION f.l )A ? UCs MULTI-FAMILY BLDG _ Y ? FIREPLACE(S) _ 0 _ 1 _ 2 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Llpdated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Mutti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Oemolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - 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 & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fcaming _ Siding Stuceo Srone _ Fireplace _ R.I. _ Aii Test _ Final _ Windows (new/replacemen[) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 1991 BUI ?NG PERMAP CATION CITY OF EA6AN SINGLE FAMILY DWELLINGS - 2 SETS OF PLANS -' 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS 2 SETS OF PLANS 2 SETS OF ARG$ITECTURAL REGISTERED SITE SURVEYS - 6 STRUCTIIRAL PLffNS (CHECK WITH BLDG. DEPT.) 1 SET OF'SEECIFIGATIONS, 1 SET OF FNERGY CALCULATIONS 1 SET OF ENERGY CALCS' # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, EUT 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 IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE'WHICH ADDRESS IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE SUILDING PERMIT IS ISSUED. PROCESSSNG TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPI;ETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For Site Address Lot V5 Valuation:? Date: (0 C)= OFFICE USE ANLY Block 2 Parcel/Sub Owner L.iS?1?rr-. Address City/Zip Code "XJ:A? Phone Contractor ` Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # all applicable / Occupancy R'3 N1-{ Zoning 1Z-{ Actual Const V-N Allowable Y -AI # of stories Length ? Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water v PRV _ Booster Pump _ APPROVALS Ylanner _ Council Bldg. Off.b.$ b-z99/ Variance FEES' Bldg: Permit; Surcharge P1an Review SAC, City SAG, MWCG Water Conn.:-. Water Meter' Acct. Deposit S/w Permit S/W Surcharge Treatment Pl. Road Unit Park Ded.. Trail Ded. Cop:ies SIIBTOTAL Penalty Lot Change ?? TOTAL agrees that all work shall be done in accordance w-ith of Minnesota Statutes and City of Eagan Ordinances. . ? ..? ...... ?r?RA-Gc_ ?3?z2 Sb6 u73 xi5 = `l099' tLms, 4ok,?? ! o00 I a? o X! y? P5 ? 2-0 IST __.---- f3Sr?-? ? 10 S??53= 5?2q0 n ? y5-s ? a +z SsL.) 1 po.) ` • ? ?; . -?, ... , OY11EA: ?? sIre aoones CONTRALTO}. EXTERIOA F,NYELOPE AYERAGE "U" CONPUTATION , eG n I C-tS \'a'+--? ? ? ?a? ? . • DATE : , `D'" Z3 -?? -- PHONt . TN ^ 3g? : ? D@TERMINE NOItK1NG SOUARE FOOTAGE OF EACH: - ; . 1. iOTAI EXPOSED uAIL AREA,,,,._„ 13Xz sq ft x ?'U" 2. TOTAI It00F/[EILING AREA,,,,,,,, I?bO sq ft z "U" ? 02-4?p 3. TBTAL EXPOSED WALL AREA CAICULATI0N5: Total exposed waTl area above fioor,,,,,,,, sq ft a) Total wall window area: - ?i °?tno 3?91azed...... 5? sq ft x nU.o 5 ( * ?J 4s ? ! Z;-L4-su ' glazed..... `' • ? '3?p . sq ft x "U" -051. . ?831? b) Total door area - 94 sq ft x "U" ?- •l?j - c) Total slidin,q glass door area: - -> 1?. glazed...... a6 sq ft x ??U" glazed...... sq ft x nUll ? -----•-z d) Total ftreplace wali area sq. ft x "U" ? -"-"?- e) Total wall framing areai (Av 15;6) ? 2 9 ?? ?? y Q eraae ........... - , 9 sq ft x U f) Total net wail area a6ove , floor (Insulated)....... _ 1lZ.g,% - sq ft x "U" .??. ? 45-15- g) Total rlm Joist area...... ?p sq ft x "U" e ?? ? l•Z2 Total foundation . area (Exposed) .......... sq ft h) Total foundatlon w(ndow area ............. sq ft x "U" " ' - •: - -? `1) Total net foundatton p p . '"J area above grade........ I? O, p sq ft x"U" o? ? r•?? 3• TOTAL a) thru I) If (tem R; ts the same as, or less than item 'l, you have met the Intent of 2 ltCAR 1.16008 A and 0. . Page 1 'AL EXPOSED ROOf/CEft{Nf. CALLULATfDtIS: Total exposed -- ,,! - roof/ceiting area........ sq ft JI Total skylloht area...::.. - sq ft x"U" k) Totat roof/cellinq framTng ? area (Avenoe lnx)...... ft x "U" `d • ' 'Totsl net Insutated roof/cetiin9 area..... sq ft xlfUll 4. TOTAL J_ ) tl?ru -1) If total of 14 fs the same as, or iess than A2, you have met the intent of 2 HCAR 1.16005 A aad 0. . ALTERNATE BUtLDING ENYELUPE DESIGN To utilize the totaT envelope system method, the values estabttshed by the sum of tiems 13 and A sha11 not be greater than the sum of ftems P1 and 12. ?. 1 ytp , ct + z. 2g ;\c 3 l'-a5l ?y t 4. C E R T I F I C A T 1 0 N I hereby certify'that I have calculated the "ll" factors and "R" vatues herein aed that the bulldinq here deseribed mepts or exceeds the State of Mtnnesota Enercy Conservation Act. ' , tSiqn;?ui*l - - iuate) Page 2 INSPECTION RECORD CfTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025262 03/24/95 SITE ADDRESS: LOT: 18 BIOCK: 4167 PENNSYLVANIA AVE STAFFORp PLACE PERMIT SUBTYPE: BASEMEN7 FINISH APPLICANT: 2 OL-BERG CONST (612) 432-9079 TYPE OF WORK: ALTERATION INSPECTION FRAMING ., . INSULATION .• ROUGH TN PLB6 FINAL REMARKS: H SEPARflTE PERMIT IS REpUIRED FOR flNY PIUMBING OR ELECTRICAL WORK 711 ? . , _ t . r . . __. ? -' ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4167 PENNSYLVANIA AVE LOT: 18 BLOCK: 2 S7AFFORD PLACE P.I.N.: 10-72500-180-02 DESCRIPTION: , BUilt?ir?c,,?Permit Type BASEMIEMT FINISH FEiui1A'irfg Wt7?k?c Type AL't'ERRI'ION ? Y %. t _ :c^e ??? e V Yr ? .? REMARKS: t d?? g€??',?? ?t 7t A,? a` '§:?, i i,....r •'.'J t* .,e? ":i 4 4 fix `''- i?$.,,? c 4.:i:,l.? ! f? r ?l cP'A G Go BUILDING 025262 03/24/95 A SEpARflTE pERMIT SS REQUIRED FQR ANY PIUMBTNG OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 CQPY $.50 Surcharge $.50 Total Fee $36.00 Subtatal $35.50 CONTRACTOR: - pppiicent - sr. Lzc. OWNER: OL-BERG CONST 14329079 0004518 HENDRICK5EN DAVE 6400 1315T ST CT 4167 PENNSYLVANIA AVE APPLE VALLEY MN 55124 EAGAM MN 55123 (612) 432-9079 (612)454-1229 E i I' herebY acknowl.edge that Y hawe rsad this application ared state that t;ha = infarmatian is cnrrec't ansi' agree,ta ¢orrtply u.i'th aPPIi¢able State ai`' tnn. ? StatuCe,s and City of Eagan?4r#9nances. ? . ? &._??,n ? APPLICANT/PERMITEE SIGNATURE ISSUED : SI TURE ` CITY OF EAGAN 0 O 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ??U,3.1? 681 -t675 Naw Construrlion Reeuirements . RemodeVReoair Reouirements ? 8 registeretl site surveys ? 2 mpiea oi plan ? 2 eopies of plans (include beam 8 wintlow saea; poured fntl. tlesign; etc.) ? 2 sReawveys (exterior add'Rions 8 dadcs) ? t energy calculations ? 1 energy calculations tor heated additions ? 3 copies o} tree preserv8ticn ptan K lot plattad after 711193 required: _ Yes _ No - DATE: 3 -aZO - g S CONSTRUCTION COST: 600' dO DESCRIPTION OF WORI STREET ADDRESS: LOT ,1? BLOCK 9 SUBD./P.I.D. #: PROPERTY Name: 11e17J1ZAckSg_4 AO ve- Phone#: OWNER /`"°'' /? Street Address• TZ67 ???ns?/riA+aif? /?2. Ciry: )_2A;5/qP1 State: Zip: SS/oZ 3 CONTRACTOR Company: OIbe&y Casus 74- Phone #: y3a-9o 79 Street Address: l? 7oo /3151's? ? License #`l?lg City:?Q?Q?. A???U State: /J Zip• ARCHITECTI Company: Phone #- ENGINEER Name: Registration #- Street Address- City: State: Zip: Sewer 8 water Ifcensed plumber. change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that t have read this applicatian and stata 1ha1 the information is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiipnt: ?. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Pian Received _ Yes _ No _ Yes _ No MAR 2 0 t995 OFFICE USE ONLY BUILDING PERMIT TYPE ? 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging c:or--16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 5F Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 _ plex o 15 Deck WORK TYPE 0 31 New .-cr- 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL tNFORMATION ' Const. (Actual) Basement sq. ft. MCNVS System (Allowable) 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. Depth Footprint sq. ft. SAC Code Census Bldg i Census Unit o APPROVALS Planning Building Engineering Variance ? Permit Fee Valuation: $ /SDO ? Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIW Surcharge Treatmerrt PL Road Unit Park Ded. Trails Ded. • Other ' Copies .110 . Total: % SAC SAC Units INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L o r: 18 B L 0 C K: z APPLICANT: 4167 PENMSYLVANIA AVE PRECISION HOMES ZNC 3TAFFORD PLACE (612) 891-3819 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW BUILDING 020911 05/13/93 iNSPECTION .. . .. FOOTING FINAL , L . J ? , . --?s< CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ' T PERMIT TYPE: Permit Number: Date Issued: 7 suxLofi 020911 ? 05/13/93 SITE ADDRESS: 4167 PENNSYIVANIA AVE LOT: 18 BLOCK: 2 STAFFORD PLACE P.I.N.: 10-72500-180-02 DESCRIPTION: Uc ry?.?'? Buildin`jPermit Type DECK Building`Work Type NEW rUBC Qccupancy\, R-3 ? 6uilding Length? 16 ? Building Width 14 \+\` ` ?_ REMARKS: FEE SUMMARY: Base Fee Surcharge Lio. 3earch Total Fee $25.00 $.50 Fee $5.00 $30.50 CONTRACTOR: ' PRECISION HOMES INC 16299 HEATH CT LAKEVILLE MN (612) 691-3819 nppiicant - ST. LIC.IpyyNER: 18913819 0001849 HENDRICKSQN DAVID 4167 PENNSYLVANIA AVE 55044 EAGAN MN I hereby acknowledge that I have read this applicetion and state that the information is norrect and agree to comply with all applicable State,of Mn. Statutes and City of Eaqan Ordinances. L J XICOS AP E MI E NATURE ISSkgg `. NA7URE ? ? ? A y REACTIVATE:o PE`r2MIT # . ' "aif CITY QF EAGAN 1993 BUILDING PERMIT APPLICATION $gQ •6O 681-4675 ? ??x rf4 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & 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. in which request is made, 2} address is changed or _3) lot change is requested once permit is issued. Date Valuation of work 5ite Address: Y?5 ?Va:Y?H ? STREEi SU1TE X Tenant Name: (commercial only) LOT BLOCK ` SIIBD.? ? P.I.D. k Descri tion of work: C Ly?. X 1 The applicant is: ? Owner Contractor ? Other (oescrice) Name er,c?r sovi Avid Phone Property LAST FIRST ' Owner Address STREET STE X City State Zip VY) a?v L v Y Company c-? ^ Phone &C1 Contractor Address NL?? License # Exp: Q-5 City State -34- Zip Company Phone Architect/ Engineer Name Re9istration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlic ' and state that the information is correct and agree to comply with all ap i ble tate f Minnesota Statutes and City of Eagan Ordinances. L Signature of Applicant: OFFICE U5E ONLY ? BUILDING PERMIT TYPE !?.,?, ?, ??, 0 OI Foundation ? Ob Duplex ? 11 Apt./Lodging ? ib-8asemedt"?inish O 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessary ? 18 Conm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 015 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE :R'31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBL Occupancy ? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. F1re Sprinkler Length ? On-site well Census Code ? Depth Jy• Dn-site sewage SAC Code 0605 ws LI?? ? APPROVALS ?,(, amSuS , - `- Planning Building Assessments Engineering Variance REDUIRED INSPECTIONS O Site ? Wallboard ?Footing Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: Z5-, O D I vatutim: SAC % SAC Units INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euzLosNs 3830 Pilot KnOb ROad Permit Number: 027122 Eagan, Minnesota 55122-1897 Date Issued: 0 3/ 11 / 9 6 (612) 681-4675 SITEADDRESS: p•I•N.: 10-72500-18e-e2 APPLICANT: ' L07: 1$ BLOCK: 2 4167 PENNSYLVANIA AVE JOSEPH CONST, J S'fAFFDRD PLACE (612) 454-5002 PERMIT SUBTYPE: TYPE OF WORK: BASEMEN7 FINTSH ALTERATTON INSPECTION FRAMSNG ., . INSULA7YON DA ROUGH IN PLBG FINAL ,t l? --? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE Permit Number: Date Issued: 6ev?# ?? BUIIDING 027122 03J11J96 SITE ADDRESS: 4167 PENNSYLVANIA AVE LOT: 18 BLOCK: 2 STAFFQRD PLACE P.I.N.: 10-72500-180-02 DESCRIPTION: PERMIT Permit Type ORrk Type BASEMENT FINISW ALTERRTION 434 AIT. RESIDENTIAL ?r= 01 ' g? ?? ?? e? _ ? REMARKS FEE SUMMARY: Base Fee Surcharge Tqtal Fes CONTRACTOR: ,70SEPH CONS7, J 4380 MALMO CIR EAGAN MN (612) 454-5002 $50.00 $.50 $50.50 - Applicant - ST. LIG 14545002 0006620 55123 HENDRICKSON DAVE . 4167 PENNSYLVANIA AVE EAGpN MN 55122 ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 4zQzo 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Consiruetlon Reauiremenls RemodeUReoair Reauirements ? 7 registered site aurveys ? 2 copias of plan ? 2 eopies of plans (indude beam 8 window slzes; poured fnd. design; etc.) ? 2 sile surveys (exterlor addttions & decks) ? 1 energy ca4wlatiom ? 1 energy calaladons for heated additions ? 3 mpies of hee preservatbn plan M bt plalted aRer 7/1193 required: _ Yes _ No DATE: 3-//' '15?16 CONSTRUCTION COST: 5,00 DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK SUBD./P.I.D. #: JLL)xMI v PROPERTY Name: Phone #: OWNER ? o 7 f ? l? Street Address- 7-1 City: State: f`"??? Zip. coNrRACroR, Company: Phone Street Address: License #: ? 0 20 City: 5tate: ? Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #• Street Address• City: Sewer & water licensed piumber change are requested once permit is issued. State: Zip: Penaity applies when address change and lot 1 hereby acknowiedge that I have read this application and state that the inform 7nis rrect and agree to com y with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Pian Received Yes No No Yes OFFICE USE ONLY ... ;. , BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Firepiace o 21 Misceilaneous ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE 0 37 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL iNFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water t16C Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Buiiding Engineering Variance Permit Fee Surcharge Pian Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit 5NV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ?S Certificate ofi Survey Legal Description : zoT Ia, STfIFFORO PG9CE, pAKOTA C061N7Y, /Yl/NNESOTA. (91ftz ) DENOTC-5 EXISTING ELEVATION (9/6.2 ) DENaTES PROPOSED ELEVA"CION INDICATBS DIRCCTION OF SUflFACE PflA1NAGE 94.s0= FIfVISHED GARAGE FLOOR EIEVATION 919,48 = BASEMENT FLOOR ELEVATION 9/6. 83 = TOP OF BLOCK ELEVATION PzEC?siau Ha.ye ? 3637.0/ flO?? CqNSUi.TINU 6NU NEEf1S ?K ?? ?NGINC@flItVG PL?NNEfis nnd ?RNU ?uRY6VORS P6 69 COMPA(V4', IIVC, IUUU EA9i 14d1h BiREET, t3URN6VILLE, MINNEBOTA 6635i PH 44b2-8UU0 SCALE t 1' = 30' ? N?• / ? 0 4? ''v6BQ'3g8, ? io3 2 ? w s?r ? ?t_ /8 <7?- ? ?S P'Po N$ >?9i? 2 ? s zs >? ? Ny yoL ?? ? ?' / ? W? ? ?6• 2? ? U ? CU ?/6•??j??i? ?''•Q, I / ? ?J ?v? '2•3,?, ?r ORA/N016E AND UT/CITY MSEMENT ?" !y '-3 oy J S ? 30 'F?NT BU/LO/N6 ,SETB.9CK u E ZJ ?^`J'?-. ?G ? Ulr os??? DFPT ?i 1 Iiereby cerilly Ihal Ihle Is a irue nnd correct teptesentation of u irocl of lmid ns e6own end desctlbed hereon. As luapured by 'aie on Uda L7" day at k? Un1E ?? Mitit,, nPg. rio. ??085 r . 'NL P.eeclsla,u yo?4 N 3637.D/ C PLRNN6113 aiIJaLAnD SfURVEYURS 'gK 1? P6 69 INC. ? IUUU EA9T 1481h BTREET, UURN6VILL6, MINNEBOTA 6633f PM 432-'JUUO Certiticafie of Survey Legal Description : GOT /B, BLOCK 2, 5'7AFFDRO PLACE, DA,eoTA C04AN7Y, /J'J/NNE.SVTA. C215i2 ) DENOTES EXISTING ELEVATION ' (916.2 ) DENOTES PROPOSED ELEVA710N --iNDICA7ES DiRCCTION OF SURFACE DRAINAGE 94 .50 = pINISHF-D GARAGH FLOOFi ELEVATION 913.4B = gASEMENT FLOOR ELEVA710N 91,6.83 = TOP OF BLOCK ELEVATION SCAIE : 1' s 30' \ / ? u ? /8 D4 / Nm ? Q /\ ??6•?? ?/6 m? •cb o? ?V68 ? q8 ' ov? )' : `3p•%a ?_) n C?i6,2\ ?J/ 3a9 J .? Q, \ /S ?,3sg; ??`` ?'?^ ?P.• o V \ ?i . \ 44,GF ZR N l ?v? DRA/NA6E AND UTIL/TY 64SEM65NT Ic- J? -s, ? ° 51 ? ?. ? \ .> F ?. s • 30 'F?NT 5?U1GO/N6 $E7'B.9CK G/NE f T? ` // ?.u U 0 \ { hereby oerlffy Uiut fhls (s a tiue ond aorrecl tepieaenlal?on ol o trncl ol IanJ as ahown and descrlbed henon. As piapaieJ byme on thfa 187" day o( , k) uNE ; Mimi, Rey. (lo. . 1(,q O85 Use BLUE or BLACK Ink j For Office Use CIA^7------- , I Eatan Y , P ermit Fee: 3830 Pilot Knob Road 1 I Eagan MN 55122 Date Received: /vii[_d I , Phone: (651) 675-5675 Fax: (651) 6755694 j Staff. j 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "~1 > Site Address: Peh / Pk kJ NJ Unit Resident/ Name: Owner Address / City 1 Zip: vGW, i Applicant is: Owner Contractor Description of work ~ )ko le 6 sP- 000j ~ /I-4JU4,1 Type of Work Construction Cost o. I~ cJ ` Multi-Family Building: (Yes / Noe~_q) D Company: ~Pr / V ontacd T~rv Contractor Address: ~`~~1~tJe O y City: State: Zip: 5~ Z Phone: License* _ Lead Certificate* If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor Phone: Sewer a Water Contractor Phone: (VOTE: Plans and sup porting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specirk reasons that wotdd permit the City to conclude drat they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cods of the City of Fagan; that I understand tl-tis is not a permit, but orgy 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. Exterior work authorized by a build' issued in accordance with are Minnesota State Building Code eted within 180 dayspemat Issuance. x x Appl' amt's Print Name Appl` nYs Sr re Page 1 of 3 ~ 1r TpwrV M PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153121 Date Issued:11/26/2018 Permit Category:ePermit Site Address: 4167 Pennsylvania Ave Lot:18 Block: 2 Addition: Stafford Place PID:10-72500-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David J Hendrickson 4167 Pennsylvania Ave Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167938 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 4167 Pennsylvania Ave Lot:18 Block: 2 Addition: Stafford Place PID:10-72500-02-180 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David J & Jennifer A Hendricksen 4167 Pennsylvania Ave Saint Paul MN 55123--158 (612) 418-2096 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature