4175 Pennsylvania Ave.. Y., ,.
,k+
i
CASH RECEIPT
CITY OF EAGAN
3$30 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 3+ j 5-19?
r I - r
AMOUNT I S
?
8 DOLLAR3
'oo
? CASH ?CHECK
41 / 'I.Sr
;
?! 12630 ,?`°?',?'?,'
Yslbw-Poatkg Copy
Pink-fila Comr
Thank You
av (
DATE: MARCH 27, 1991
RE: flj§ _DENNSYLVANIA AVE (SEASOHAL BUILDERS INC)
!'
X Your Sewer & Water Permit tor the above property has been completed. It will be held at the
_ Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. -
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
... s.t!w`9;F['-.n!w::.r• i• . ,. . .- ?,.:rp.e?y?p,spvR,.??y?..?q . . .ycti,a?.,;,
RrA_.TW.2D 07/18/91 .
? ?? goo-cri , " CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121.?
PHONE: 454-8100
BUILDING PERMI7 Receipt #
To be used for Sg MGj"R Est. Value s$l,ow Date MR 20
Site Aic?ess 4175 PLNIISYLYAl1IA AYR
Lot ? Block Sec/Sub,
Parcel No.
W ,Name
3 Address
° City EAG"
Phone
Name
Phone
U¢
WW Name
W
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and tate that the
intormation is correct and agree to comply with all ap able State of
Minnesota Statutes and City ofy?Eapar+6rdinance,,s...- '
Signature of Permitee f-'`?
SL18011AL DtiIGDY.Sg IIiG
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
appticable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
11 16802
i ? W
OFFIC E USE ONLY
R-3 M-1
Occupancy ?_
Zoning
(ActuM Const ? Bldg. Permit
(Allowable} - Surcharge
# af Stories
??
Length Plan Review
_1991
FEFS
ssa.oo
40.50
360•00
100000 ?
Depth SAC, City
S.F. Total - 630*00
SAC, MCWCC
S.F. Footprints - a?.W
On Site Sewage _ Water Conn
90
00
On Site Well
? Water Meter .
MWCC System
?
AccL Deposit 0
City Water iV V?1
PRV Required _ SfW Permit
Booster Pump • ?
- S/W Surcharge
276.00
Treatmertt PI 0•
APPROVALS Road Unit
Pianner - Park Ded.
Council -- ,:%
BIdg.Off. _ Copies 161
50
3
Variance - TOTAL .
9
Pamit No. Permit Hofder Dafe Tekphone #
16fATER S ?
SEWER
PLUMBiNG
°°
H.VA.C.
ELECTRIC
Inspection Date In . Comments
Footings I
Foundation ti•?.? 9? ()>• `?.,?,L L? .
Framing /D c,?
ROOfIf1g J ?e4 A ;R
Rough Plbg.
Rou9h H69•
lsul. s ?
Fireplace
Final Ntg.
Final Plbg.
Const. Meter Pibg. InspeClor - NoN(y Piumber
ErgrJPlan
ekig. Fnal S- ? 9 1QS'
Deck Ftg.
Deck Final D
wen
Pr. Disp.
-?
?. ? ?: rr , •.*wt ?
11 ? ; :. ,.
- - y'ri4«iAd. • .. . _
(Ux#tfixate uf (Oxrupanxn
titp of (Eagan
lurptt? Lif luitding jMqWtimt
T lris Cudfuate issrcad pursuant 101he r;eqtdnemexls ojSedinn 306 of the Unijorm Buildircg
Code crni, jying Lhal at tJre lime of issuance dusstructun ms in conrplia= with rhe Narious
a?'uratrors of llre atY r?.gulalirrg buildin8 cnrrsduauion or usG For lhe following:
csca.s&md. SR..IA,X,'rG& Nk pwma rrd I?-
oowV-7 Tipe zomog oiorka F 1 Typc c•-r• yN
o?dowuc SF?1.9(?1Ai. BTTiiMS n+]C M6*m 952 .1F=9M iJ1M-, FAGAi+i
POST IN A CONSPICl10US PU1CE
. - .. . . . ... .. . ? -- -•-?. . .... - _--- ... . - . -t .. ._.f., . . _ .- n
SEWFR &I-/ATER PERMIT OFFICE USE ONLY
CITY OF EAGAN a ? MEl`ER # PERMIT DATE 07 1! L 4I g 1
3830 Pilot Knob Rd. 1216L
Eagan, MN 55122-1897 CHIP # PERMIT ?
METER SIZE B.P. RECEIPT # 1," 14583
DATE? ti 1 y 1 ?, 1 9 9 1 15SUE DATE B.P. RECEIPT DATE 07 22 9l
_ PRV -. BOOSTER PUMP
SITE ADDRESS 3" S 1 +-I. i U p e r s Rd PERMIT REQUE5TED
LOT 1`' BLOCKir!?- SEC/SUB Shervood Aownm x
- SEWER ? WATER - TAPS
APPLICANT: T n a e?h I•E _.?? i l 1 w r ., n n a t? 1 ee x
ADDRESS: 18 13 3 G a d a r Av S o - COMM/IND - RESIDENTIAL
CITY, STATipfdrmXAgton , Fn ZiP 5 5C <<+ x NEW -EXISTING
PHONE: '+ 31- 2 0 O 1 '
STATEgoaetnouat Mn ZIP .9 5 0 'a
E; t?23-1144
STATE
ZIP
Lawn Sprinkler Meters are to be installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
- i
I AGREE TO COMPLY WITH
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
TWO
SEWER & VIMTER PERMIT
CITY OF :AGAN
3830 Pilot Knob Rd. • .
Eagan, MN 55122-1897
DAYS FOR PRUCES8ING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
\CCPI?/? PfCl1T
DATE OFFlCE USE ONLY
METER ? PERMIT DATE 03 j 2 7%'i t
CHIP # PERMIT # 1 1 S8"
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE 91
_ PRV - BOOSTER PUMP
SITEADDRESS 1+' '511.4F.'•.'_-
LOT -BLOCK SEC/SUB
APPLICANT: -? ? ? •
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
\/
•? SEWER ? WATER - TAPS
- COMM/IND RESIDENTIAL
? NEW - EXISTING
Lawn Sprinkler Meters are to be Ins
PLUMBER: Ahead of Domestic Meters on Water
ADDRESS: 320 FF:UNT AVE Credit WILL NOT be given for Deduct M
CITY, STATE 'n . ST PAUL ZIP S 51 17
ounwc. , 7 -") Y _489-7344 ??
OWNER: _
ADDRESS: -
CITY, STATE
PHONE: -
d a teven;
21P
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATUHE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMRS, CONTACT ENGINEERING DEPT.
OF EAGAN
Pilot Knob Rd.
n, MN 551 22-1 897
OFFICE USE ONLY
METER #i ?p ? PERMIT DATE 'l 3 / 2 7 ? y 1
cHiP # 6,207 PERMIT # 11887
METER SIZE se,05114 B.P. RECEIPT # ? 12630
ISSUE DATE - B.P. RECEIPT DATE C13 25 91
_ PRV - BOOSTER PUMP
ADDRESS 4 t 15 PENNSYLV4NI4 AVE _
?.. _
-BLOCK SEC/SUB
LICANT: - = •
RESS:
', STATE ZIP
PERMIT REQUESTED
SEWER t? WATER - TAPS
_COMM/IND RESIDENTIAL
,r- NEW -. EXISTING
Lawn Sprinkler Meters are to be Installed
ABER: Ahead of Domestic Meters on Water Une.
IES,c: :? 2() E'RONT AVE Credit WILL NOT be given for Deduct Meters.
STATE ?`` • ST YA?IL ZIP 551 17 _?.? .
? `•-'" 4F,'• .7 ?r+4
NE:
1 AGJWE TO COMPLY WITH CITY OF
EA0A114'01RDINAD{eES
STATE ZIP "
IE: NATU WHEN METER ISSUED
SE ALLOW TWO WORKING DAYS FOR PROCESSINO. CALL 454-5220 FOR INSPECTIONS. FOR STORM
ER PERMITS, CONTACT ENGINEERING DEPT.
Cities Di itg a1 Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
yN , .
s?7
CITY OF EAGAN Np 188?2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8700 b i 2! _
BUILDING PERMIT Receipt # ? ? /v
Tobeusedfor SF DWG/GAR Est.Value $$1,000 Oate MAR 20 , 1991
Site Address 4175 PENNSYLVANIA AVE
OPFICE
uSE ONLv
Lot 16 Block 2 Sec/Sub. STAFFORD PLACE
Parcel No Occupancy R-3 M=1 FEES
.
i
R_1
ng
Zon
Name SEASONAL BUILDERS INC (qcmaqCOnst y=N BIdg.Permit 554.00
w I
? Address 952 JEFFERSON LN (Allowahle) ?N Surcharge 40.50
° Cit EAGAN Phone 640-4951
Y :r oi stodes
360
00
Plan Review .
Lerglh
o Name S? Deplh 4Q SAG Ciry 7 fl[1 _ n0
,
ga nddress S.F.ToWI - SAC
MCWCC
n
650
0
, _
? Cit Phone
y S.F. Footprinis -
hF
n
S
Si WalerConn n-n
ewage
On
te _
ww Name OnSitaWell - WalerMeter 90.00
s? Address MWCCSysiem X 30.00
u AccL Depos?t
¢
aW City Phone Ciry Water
i x_ SnNPermit 30.00
red
PRV Requ -
I hereby acknowlege that I have read this application and state that the Booster Pump - SNJ Surcharge
0
.5
informalion is correcl and agree to comply with all ap fla6le State of
Minnesota Statutes and City ol Ea a nances. Treatment PI
0
276.0
SignaWre of Permitee -?
6 AFPROVALS Road Unil 370.00
A Builtling Permit is issued to: SEASONAL BUILDERS INC Planner - park Dad.
on the express condition that all work shall be done in accortlance with all Council
?
applicable State ot Minneso[a Statutes and City of Eagan Ortlinances. Bitlg. INL _ Copies •
Builtling OHicial 4(klq 0AA I y r'-f Variance - TOTAL 3 .. 161 - 50
,3 y? oo?ss
4
419 6 I4, ?
0 ireNO. u9n.inlnspeclion _ N ?p
N
? R
G
w ?'
Wui 9 ea
y
o
.
7
,
e6 ? No Whan Reedy?
10 licensed conhactor ? owner hereby request inspection of above electrical work at:
Jot? ress (5 t or Ro No.) Gry
b No Towns ip Neme or No. Rarge No. Counry
(
Occ?n11PRINT) ? Q ?? ?? P No. D f i R5
Power Suppfp /? Aatlreu
EI Contrecror CampanyN eI
a;a
? or§ ' ense No.
IliN Eress (CO q?Or Qv Makirg InSteIWHOn)
v
Autho tl- aturel cro er MeMin Insbllalion) Pno N ber
?
Jf- O
? ? -
MINNESOTl1 STRTE BOAflD OF ELECfRICIiY , 0 THIS INSPECTION REOUEST WILL NOT
GrlpyrpMway BWp.- Nuom 5173 BE ACCEPTEU BVTNE STATE BOARD
18Yf UnNersity Ave., SL Vaul, MN 55104 - - UNLESS PROPEF INSPECTION FEE IS
RnM(612)M2-0B00 ENCLOSED.
es?i -
H 64196
REQUEST FOR ELECTRICAL INSPECTION
?$eB instmctions for compteting this form on back ol yellow copy.
")(" Below Work Covered by This Request
? -'s'a Esaoooi-oa
?,?„?? /OOG5$
e Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
" Duplex Water Heater Electric Heatinq
Apt. Building Dr Other (Specity)
COmm./Industrial urnace
Farm Air Condilioner
Other (specity? Canvactw9 Remerks:
Compute Inspecfion Fee Below:
ff Olher Fee M ServiceEntrance5ize e # Cirouits/Feaders F e
Swimming Pool 0 to 200 Amps 600 0 to 100 Amps
Ransformer5 P.bove 200 _ Amps Amps
Signs Inspecmr5 Use Ony:
? AL ?
Irrigation Booms
Special Inspection
AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 M
I, the Electrical Inspector, hereby Rou9n-in oe?e
certity thatthe above inspec[ion has
been made. Finel (
OFFlCE USE ONLY ?
7hi5'aqueat va0 18 monMS Im.
?3 5
?? 6 419 2 ,Q;? /DO os?s
? s
Rea Date ?
? Fire No. RouBh-in Inspec[ian
Requlretl7
? Yes G No
? ReeCy Now O Will Nolity Inapector
Wnen fieaEy7
1 C3ticlnsetl contractor O owner hereby request inspection ol above alectrical vrork et: .
Job (streetpx n R No.)
5 ? ciry
Sacuan Na. Townshfp Nama or No. Renge W. Counry
o""s PRNn O ? h ? d s ne N D ^ r? Y
Pdver Su - r
/ Mtl
E Comraq (CoTPeny N me) ? CoMredor9 icense W.
?
1Aeilinq ress (Can r or Ownar Making Instelletqn)
Au 'z ' na ( onV orlOwriar %jaiijag
• Installation P?o mber `5 10
L/?
MINNESOTl1 STATE BOAND OF ELECTf11CI7Y THIS WSPECTION REOUEST WILL NOT
GHBphMlEwey BIAp. - Room 5.779 BE AGCEPTED BY THE $TATE BOARD
18t1 Wtlvarsfty Ave., SL Paul, MN 55704 UNLE55 PROPER INSPECTION FEE IS
PIqR (61II) fi{14800 ENCLOSEO.
1?139/
N 64192
REQUEST FOR ELECTRICAL INSPECTION
? See inSVUCtions for rompleting ihis form On back of yellow copy,
"X" Below Work Covered by This Request
?4 /oOGSS
?
ew Adtl Rep. TypeofBuilding AppliencesWired EquipmeMWired
Home Range mporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Fumace
Farm Air Conditioner
Oiner IsoeciM CanVactak Flemetks:
Compute Inspection Fee 8elow:
k Other Fee # ServiceEntranceSize Fee 8 Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranSfOrmers AbOVe 200 _ Amps Above 100 _ Amps
SignS InspaGOrS Use Oniy: ' TOT L
Irrigation 8ooms /J? OiU
Special Inspecfion
Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTMS.
1, the Electrical Inspector, hereby 1B1k.in oaal
certify tbat the above inspection has
been made. F;mi t
OFFICE USE ONLV .
This repuest wE 18 moMhs ho.
Address: 4175 PE[aISYLVANIA AVENUE Lot 16 Blk 2 Sec/Sub ST[1FFORD PLA..E
These items wara/were not complete at the time of the final inspection.
Date; 5/24/91 Yes No Inspertor,
Final grade (6" from siding) .
Permanent steps - garage ?
Permanent steps - main entry ?
Pecmanent drivaway
Permanent gas
Sod/seeded grass ?
Trail/curb damage ?
Porch
Basement finish ?
Deck
Please verify vith the builder the removal o£ roof tast caps from the plumbing
system and the shut-off of water supply to tha outside lavn faucet before
freeze potential axists. ?
ao¢mruen
White - City copy Yellow - Resident copy Pink.- Contractor copy
40`?
? CA/1 Y..
New ConaVUCtlon Reauiremenb
• 3 regislerea stte surveys showing sq. ft ol U. sq. lf. of house; and all roofed areas
(20% maxtimum bt coverage albwed)
• 2 capies of plan ahaxing beam 8 wintlovr sizes; poured tound design, eta)
• 7 5et of Energy Cekulatbns
• 3 WplesMTree Preservatbn Plan if bt pletted aNer7/1f93
* Rim,bist DeteA Options selectbn sheel (bidgs wflh 3 or less ungs)
DATE ? /-7/ OZ
SITE ADDRESS ?` / '7 ?
NPE OF WC
APPLICANT
STREET ADD
'707- 6 YS `/ CELL PHONE #
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
857-887-4875
COMPLETE THIS SECTION FOR "IdEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(4 su6mission type) • Residential Ventilation Category 1 Worksheet Submitted . New Energy Cade Worksheat Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Wafer Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
$70.00
I hereby acknowledge that I have read ihis applicatlon, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
LR
Signature of AppHcant ??.
OFFICE USE ONLY
_ Water Softener
Water Heater
_ No. of Baths
/( 3- -79
RemotleVHenelr Reaulremenle
• 2 copies of plan
• lsetolEnergyCalculetionsforheatetlaAtlitans
. 1 stte survay for exlerlor additions & decks
. Indicate tl hane served by septic syslem ror edEitbns
VALUATION
?-?"?-- MULiI-FAMILY BLDG _ Y `?
FIREPLACE(S) _ 0 _ 1 _ 2
_ Phone #
Iawn Spruikler
No. of R.I. Baths
GCT : ? 2N2
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
PROPER'fY OWNER I 1?' ??1'?'?? TELEPHONE #? S/ "?'?I y- ?C? ?1 y
OFFICE USE ONLY
? 01 Foundatan ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Mu1ti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New 0 35 Int fmprovement 0 3$ Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alleration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
? 34 Replacsment `Demolklon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Foorings (addition) _ Plumbing
Foundation
? HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgc _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation ? Retaining Wall
Approved By
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Buiiding Inspector
y 1
1991 BU ? ? P ? ?ATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
3ifTLTIPLE 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 DF 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, SUT 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 IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For: Valuation: -Z? Date:
Site Address pp,? if" (tim-
Lot ) 6 Block oC
Parcel/Sub
Owner r'r-1 SlPV-P.U s
Address
City/Zip Code
Phone
Contractor YeaSB.v%l 4,'/4 Pu {vr
Address = JrF?°rs?-'?
City/Zip Code
?
Phone 1/°a4°?
Arch./Engr. ?'??'? Y?Fz???? .L-c?.
Address ?r-?'"•Z
City/Zip Code
Phone 762p
OFFICE USE ONLY
Srl? O?J '
Occupancy R-3 M '1
Zoning S2- I
Actual Const v-N
Allowable V-N
# of stories
Length 52'
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. 3-?-3/ D S
Variance
FEES
Bldg. Permit ??{, dt7
Surcharge 40 . SO
Plan Review 3 D, JO
SAC, City JOO.O?
SAC, MWCC a, 00
Water Conn. k6D10
Water Meter 90,00
Acct. Deposit p ofl
S/w Permit 30,00
S/W Surcharge .50
Treatment 1`1. 2(,,Op
Road Unit 3')D,o0
Park Ded.
Trail Ded.
Copies ?
SUBTOTAL
Penalty
Lot Change
TOTAL IL .?
? /?L agrees that all work shall be done in accordance with
(Signature?f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
vALuA i ?I? ' • .,
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r
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r
E;4TERIOF, ENVEI_OPE AUERHGE "U" COriPuTOTlClhd
--------------------------------------------
Flar;
--------- ------
-?--"-------
Gwner
------.
•°-- -- - -
Cnnt:ractor Seasonal Puil ------_ __.--•-
der:3 - -----...------ ---- -------
----- __ ---
Site addrrs=._(.c7__(1-,.__,?Lr.t-?s
'
---_._..-----------
-?
--_?L?.F?b? --L"??
=---------
7 .
1? Tata7. e;;posed wal lar area
19?l3
sg_
f t_
. 11=
218, 68
__
2}Tc+tal e;:pasecJ rao+i`cei.:ling __
_ ,
_
Wall calculation
Total windoaa area ___1F_'2 __ __'-t?_f'I:__ ..:J= ?J..?.
Tota1 dour area 38 sq_ft. .07= 2,7
Total gl ass dour area ---
--
s}t,-1_ --
_ ----- -------
-
---
Tokzl sireplar_e area -- na %
Total wa31 -Framiny area 157
Rlet insu7.ated wall area _
141i
Total rirn jai.st area __
116 ft_
sg= _t?q._ 4.b
Total fnundation area __
92 __
_
.
sg_M_ _f4= _
1209
l'otal foundation windoo-a ----na-- _
--?g_ft_- _
-t-=-_-_?I---
37Tcntal _154_402
If item 3 is ttie same asr ar- less than item 1, you
have met the inient af 2 MCAhi. in008 r^, and 0
fionf/ceiling calculation
Tnta1 si::yliyht area
Tata1 roof/ceiliny framinu
Net insu],ated r-oof area
----??----59:ft_-J--=---?---
---it=}$- s9a¢t_.s??= b---`=a-
---977---- 59_f t0_i7=- °
4iTotal?? 4,:?`
If itcm 4 is same as, ar less than 2, yc?u met? ntent
of 2 NICAh 1.16008 A and ?
Al.tern<zte 6uilding envelnpe design
to utili:e thr total envelope system method the sum of
i.terns 7, and 2 sha.l1 be qreater than the sum of items
' and 4
1? +?) -
-----
__,---------+4Y =
I here6y certitfy that the building hereTdescri.bed Meets
or e;;ceeds the state of mi.nnP.sota energy cc+nservation act.
5i gneci---------
Wat_L c?r?sTrvcra:nna
; xr wi Hi 7. dr•a. te
CEII_IN6 earaSTRUCTION
Fi- 4i:.f) tilOWl'1 1R5.__
Framing sectican Framing sectzon
l., :n'terior air film .6Q 1. Triterior air
r... 1/2- q`,P
:. S 1/<" of
4. 25i32 bi.}.,
S. Sidi.ng
6c1. .45 2. 5/5" gyp bd.
sof t 4GOoJ 6. B7 _. 3 1/2" wood
Jri. te 2.08 4. 10" ins.
.81 Total Ft
b. exteri.or air film .17 U= i/R
Total R 11.06
L! = 1iR .09
Insul.ated section
7.. Snierior air fi.lm
2. 1/2" 9YP. bd.
_. 5 S; 8 bat_t ins>.
4. 25132 bi.ldri.t.e
:i. si.clinq
6. e;;terior air rilm
l"ot_al R
U = 1; R
Rim. ioist sec.t.i,'on
1. Intei-ior- air film
2. S 1!2" hat.t in=,
_. 1 1i2" worad
4. 25i"': h9.ldrite
c. sidinn
6. er..ter-iar ?kir fi.lm
Totstl fi
U = 11F
Foundatian
l.Ti.nterior
2. 1" stvro
1::° GGf1C
4. e;;terinr
>ec± i. on
air film
in=.
61 k:.
ai.r film
7otal F
lJ = 1!F
.68
.45
7.9, i)
2.DB
„gi
.i7
19
U.nq.?
.68
iy. i)
1.89
:>. Oys
e1
. ].7
n ?
?4.b:?
---. (-)4
. ta8
5. I 1{'t
a i.7
7_i=
.14
f ilm .68
.Jb
4.37
33.24
?S.BJ
.026
Insulated section
1. Interior air film .68
d. 5f8" gyp bd. ,Sb
_. 14" i,nsulation 42.00
Total R 43.24
U = i Ift
Spec::i.al conditian
n/a
1991 ? FFLIOATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERGIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS DF ARGHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SRECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY £ALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iiEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
DF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ZSSUED,
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS' BEEN COMPL'ETED:.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
t r e ' Valuation:
LfJ?tS ?P,nnS ylv?-?,a. ?uG ?
Lot Ik Block a
Parcel/Snb
Owner 0C,6k.A'ieO j S4Li,G.5 ilY
Address t//7.7 p2nn5yl UtMy4.. 0 "(
City/2ip Code e'l ri
Phone ? g(? O gLi '
Contractor r'f/KC. 064i^C u
Address qa-)0 c$wrih?3G P-Q
City/Zip Code 1'h)nY+
Phone /0 g S' ' $ oZ ? I
Arch./Engr.
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr
WL 17 RFCEr
Date:
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length 114
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg, off. ?5 7 /'7-gj
Variance
:FEES
Bldg. Permit
Surcharge
P1an Review
SAC, Gity'
SAC, MWCC
Water Conn_
Water Meter
Acct. DeposiL
S/w Permit
5/W Surcharge '
Treatment Pl-_
Road Unit
Park Ded,
Trail Ded.
Copies
SQBTOTAL,
Penalty
Lot Change
TOTAL
Jj=-? agrees that all voTk shall be done in accordance'with
(Si ature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT # -?
PHONE: (612) 454-8100 RECEIPT # 02
PT:"MCC_.:"M DATE :
""Wm PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN YERMITS ARE REQUIRED FOR EACH UNIT.
-----°----------------- -------------------
WORK DESCRIPTION -----°---- ---------------°----
COMPLETE THE FOLLOWING: ------
? N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CIASET 3.00
BATH TUB 3.00 3°¢
SEaSGY? 3X b+?"?lG? rG/?
Y 3.00
OWNER NAME; ?I KITCHEN
SINK 3.00
/?Y!/?f /Ua/?/<
/ Y?/
SITE ADDR
SS ? LAUNDRY TRAY 3.00 ?
:
E HOT TUB/SPA 3.00
/ WATER HEATER 3.00 3T
LOT:114 BIAC oL SUBD. ? ! FLOvR DRAIN 3.00
be
INSTALLER GAS ?IPING OUT.
3f
: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 s?
ADDRESS: OTHER
l dGCfi
////? WATER SOFTENER 5.00
?
CITY:
Zip; PRIVATE DISP. 15.00
PHONE #
/G U.G. SPRINKLER 3.00
: a
?f
`P- SUBTOTAL $ 0
ST. SURCHARGE .50
SIG T OF PERMITTEE ?J p pfl
TOTAL: $ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:_
CITY: ZIP:
PHONE #
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
FOR:
CITY OF ElaGAN
riHh-?u-'dt WtL 6:1.6
PQ$1-t- 6rand tax fransmirial memo 7671 A 0lp6Q06 P r
Te OM ?MI"f1? rem Tlw..? ?y`?'
ce. ?_.+y iz co. 1lExXc Sv¢?E?fo?S
oept. honsl
FaKA [?L-??. Fea:F +52-
?_ .- I ? _1.1 _ ,
of Survey for:
1875 PLAIA OR.
SU1TIF 200
EAGAN, MN. 55122
(612)452- 7850
SEASONAL BUILDERS
LEGAL DESCRIPTION; I.OT.&,8L.OCK2, STAFFORD Pl_ACF
ACCORD?NG TO THE RECORpEQ PLAT
TNEREOF DAKOTA COUNTY,MINNESOTA
. .?s ° 02
? W
r
gI
~~ '
I ?. ..
?
co I ? s
o°; I I w
I 1M
I ? 16 ? I 0
I I N
I 9ioy, q?o?? I ?
1"l
? ; qu , (q i i •?? ? ` 9?3 ?
? 71 ?
, L_ rz ?.e 9i 15 p r,?aR
:; a I
0
?
tc) 15? ?+6
N 1 gis, \N 914 •
- j "? .
7 85.00 68° 30 E ?
, 9a° 9+3?
PENNSYLVANIA AVE,
SCALE, l.°= 30',
4EC?
o DENOTES IRON MONUMENT
o DENOTES W000 NUB SET
qi30 ' OENOTES EXIS71N6 SPOT
ELEVATIOM
DENOTES ARQPQSED SPOT
ELEVA?IpN
?-- DENOTES DW4INAGE DIRfCT10N
i nw.ey o•rtitr rnor rnis .urv.r.Plan or
r#por t wa prOpvrod py nK or undor my
dinct auprvldan qnd fhql I am a dulY
Ropisfortd Land 34rveYor unft tM
Lowo otfhe Sfate of M{nnesvta
PRoPaaED sPt.rr g+?'*Qy
INVER7 ELEvAT10N AT SERVICE ExtENSI0IW
PROPOSED GARARE F400R EI.EYAT10N • i
PROPpSED FIRST FLOOR ELEVATION
PROPOSED9ASEMENT F400111 ¦ 4.0
EI.E VAT14N
?OTE= VERIFY ALL FLOOR NEIGHTS WITM
F1NAL NWSE PLANS
B.aal.r tVsr4
Oate:?/].1.
e ;
Mn. Rs 4 Ne, 15230
i.
F9RR-19-91 TUE 16:22 TRI-LF1ND bl'=`?'?i??'?'Jµ r•`tl1
Post-It" hrand f@x iransmltlal memo 78 b af paylb p
To FroM ?ry
i?
C.O.
oeak.t'lS Ec. Phone ?
F, r Fax ySZ, U 4 9
r=_ '? w
I `_ - ? 8e.?s
I `
I
( ?s
I ? 16 ? I
i I
Z. R?'L;
e I
r of Survey for;
SEASONAL BUILDERS
LEGAL DESCRI PT ION: Lor -a, aLocK ,.2-, STAFFORD PLac?F
ACCORbWG 1'AK?N?ARECORpED PLAT
• 7MEREOF?.._ COUNTY,MINNEStJTA
qnb
IB?O ??3
7
M oI
0
.
SCALE, 1.11= 30'
EN
?
t-L^-
o xsp
7 85.00
9n?'
N
i?
r,
s
680
1875 PtA1A DR.
Qe
surrE 200
EAG,q N, h4N. 55122
(6/21452- 7850
W
O
M
0
N
E"\??,7'?'?,\?;;=.
? i7
c
c.RQ
P E N N S Y L V A N I A o DENOTES IROH MONUMENT
? I ? ?S'o xr?T
? i 5 - 9!4 4fa?-E?
-J?
DENOTES PROPOSED SPOt
o DEN07E5 WOOD MUB SEt
9i30 ' DENO7Eg EELEV?AT10N?r
ELEVATION
? DENOTES ORAINAGE DIRECTION
1 1w* certify tAvt Ihle svvoy,Plan a
repal rras propand by n» or unftr my
direc1 suprvidon and thaf I pm a duly
Reqisfaed Land 5u?vlyer unOM tM
Law of tM Slafe of Minntsola
? t
?. )
:,t>?..•?.?
P?zaPoSEV sA.rr ?rrrRy - 41A?KOc.? 9i?
INVERT ELEVA710N AT SERVICE E%7ENSIONu
PROPQSED GARAGE FLOQR ELEVATION + ?
PRO.POSEO FIRST FLOOR E4EVATION ?
PfitYPOSED BASEMENT iLOOR ?
ELEVATIQN
NOTEFI VERIiY ALL FLOOR MEIGMTS WITH
?v
FINAL HOUSE P4AMS
9rodi•y WSwonwn, Mn. paq. No. 15235
Date".
CAI I
" r For Office Use ��(4, lam
0E A
AN
X175
♦ Permit /
,• .,
,„.. ...0 Permit Fee: F 7.,. -- 63.
Date Received:
e- / /er
3830 PILOT KNOB ROAD I EAGA MN 55122-1810
(651)675-5675 I TDD: (651)454-8'35 I FAX:(651)675-5694 Staff: 44,1" J
buildinginspections(cr�cityofeagan.c.m
A� `, 3 : 401
2018 RES DENTIAL BUILDING PERMIT APPLICATION
Date 8/31/,1 Site 'ddress: 1 as pt b'!✓1., ,1I V(M C-N, Vtue-- Unit#:
,, r' Name: r - --- Phone: a► i- 40-r141
Resid£tnt/
ow '6'r Address/Ci, /Zip: ,�� _ .
Ad
e Applicant is: Owner Contractor
" :0 Description • work:
clec,k
Type 0 Work
'' Construction Cost: it 31 Multi-Family Building: (Yes /No )
�,ilii
Company: 6.-4-1
Contact:
Contractor Address: City:
� State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lea. certification, please explain why:
COMPL E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the Cit, of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date an. address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
(VOTE and upporting doe ti�te Is'
s thatyou ubmit are' or►Sa of to a public ' anon Portion "off then fion y ate—
class ffied as non-publicif y prov'. specificreams that woui Penn t• City foconcludeI s'secrets.,, da " �h
You may subscribe to receive an elec ronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/sub-cribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underg ound utilities. www.aopherstateonecall.orq
I hereby acknowledge that this informati.n 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 p-rmit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl ns.
cp,A...., c-30 x /7,, c .c/iy, ,
Applicant's Printed Name
PP Applicant's Signature
DO NOT WRITE BELOW THIS LINE '--/1 75 f e/1 s lug 'I%fi A _ / / 7q5
SUB 1(YPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
—
Multi ZC1 Deck —
Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
.p New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace — Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION 3 D l a
Valuation d ` Occupancy j72 - / MCES System
Plan Review Code Edition ,17i9245 SAC Units
(25% 100% p) Zoning 1 .) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
- Footings (Deck) Final I C.O. Required
Footings (Addition) tc Final I No C.O. Required
Foundation Foundat on Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: -7r--)oft. /i re-Iit•i' , Building Inspector
RESIDENTIAL FEES ,/ //
Base Fee ` ' 'I y/ y' = 20 3 5'F- ,rr
Surcharge copy 1 /.5--.0 54 , .T
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
ri te /�, •• S/ --7 --/S
Post-Ir bran('iax transmittal memo 778 ii #or Met s // 75 a-c�'?i2 / /7r '
To jZ Front
i `' 041, 1875 PLAZA OR,
co- Co. SUITE 200
rpe 0 FA G�A4N, MN. 55122
°�' "'N to — (604.52-7850
Fo1� Fax y - 0 �, r of Survey for;
SEASONAL BUILDERS
LEGAL DESCRIPTION: LOT 16.,BLOCK ...2._ I STAFFORD- PLACE_
ACCORDING AKTQ�.QRECQ�4UNT'Y MINNESOTA
DED PL AT
THEREOF r
A/ 51 ° p
rill r---T- ,, lit
I
\ 1 ti) I I5
O. I w
14—
— I I 4
I I ro
1 \ „IA 6 \ I 0
1T
1 y �L dd y 3
1I) ell .0 'r1 y
/BC FI —�' ;� ► �,f`�}, s I ,sem L,�l
Ilei !' I
MEI 4 _' ".,3 1,
0 0 o cr
I
-I I rj I
1 !4ill --1----.1I2.�..D _ __ ._ -4_ I`- 15'( �T
s 1+,y_ 15 914-gam
I__ . / 141" 1 otp
915%
2 _ /151: r
85.00 680 30 E- \r ;7 r '�,ti'PI _ 4
tila- 'r '
PENNSYLVANIA z3 - - .�
EN - PR 'PoteD . PLT' Eby A� ;I
Ln--- INVERT ELEVATION AT SERVICE EXTENSION■
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION• ITA--
6, DENOTES WOOD HUB SET PROPOSED FIRST MOOR ELEVATION • 'T. -
c7 - DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ' .:
ELEVATION ELEVATION
MO) DENOTES PROPOSED SPOT -
.� DENOTES DRAINAGEDIRECTION ELEVATIONNom. VERIFY ALL FLOOR HEIGHTS WITH
DI
FINAL HOUSE PLANS
1
I heraley certify Mal this survey,plan or
siaatreport we• preporad by me Or under my
direct supervision and that I am a duly Bradley Swanton, Mn. Rig No. 1524$
g Registered Land Surveyor under the
Laws of the State of Minnesota Dote 1_atathi y .,.„_.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157423
Date Issued:08/19/2019
Permit Category:ePermit
Site Address: 4175 Pennsylvania Ave
Lot:16 Block: 2 Addition: Stafford Place
PID:10-72500-02-160
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Richard Jones
4175 Pennsylvania Ave
Eagan MN 55123
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature