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4178 Pennsylvania AveCASH RECEIPT ? . CITY OF EAGAN . 0 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ??a • ? /? Fnw ' ?? Jl ?_ t • J. Atr+ouNr s ? ?. & DOLLARS loo O CASH p'EHECK i ? •; ?7 ?. ? .aR , (r ; `d 10Cr . V UCi /Nn, BY ( C 13 128 W^^.-p.?- C°,,, q31 Yabo?ung Copr Pffbk-Fke Copy Thank You DATE: APR 29, 1991 r . ?,y+ 4178 PENNSYLVANiA AVS (FRONTIER DEVELOPMENT CORP) X Your Sewer & Water Permit for the above property has been completed. It wiH 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 YOUH 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: Ptease pay for meter at City Hall. Meter size must be confirmed by BiU Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DtGGING, CALL LOCAL.UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. -W :.. BUILDING PERMIT To be used for SF L' 2 CITY OF EAGAN Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Site Address - 6178 PEHNSYLYI Lot S Block Sec/Sub. Parcel No. _ W Name ??'j'I5R D?LO?T Cb?P 3 Address 1750 YARM DQODLE 0 City EAG" Phone 494-4433 #o Name ROSEi?100D BUILDING COBP Address - C196 110E+6ESTEAD CT ? City C03TAGE GRUVE Phone __ 340L+ ?, . - -- ---- W W Name Address aW City Phone,' I hereby acknowlege that I have;.read this application and siate that the information is carrect and agreb;'So compfy with a1J,:appficable Staie of Minnesota Statutes and City of Eagan Ordinances; Signature of Permitee ' ?' ' • '*- --? A Building Permit is issued to: R08EiiDOD BUTI.riINQ CORP on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Ofticial Value $PldQO. Receipt # Date APg 29 , 1991- OFFICE USE ONLY Occupancy RP-3 "1 FEES Poning i -1 (Actual) Const -"- Bldg. Permit 590•00 (Allowable) V-N Surcharge SO # o( Stories Length 64@ Plan Review 384•00 Depth ? SAC, City 100.? S.F. Total - SAC, MCWCC 63Q.? S.F. Footprints - On Sile Sewage _ Water Conn 660.? on site weli wacer Meter 9 S.Oa MWCC System x l ?•? Cily Water ? • Deposit Acc PRV Required - Sl1N Permit 30•00 Booster Pump - S1W SusChatge • ? Treatment PI 276.00 APPROVAIS Road Unit 370•00 Planner _ Park Ded. CounCil 84dg.4f1. -- _ Copies ?. ? Variance - TOTAL 3,232.30 Permit No. Permit Holder Date Telephone k HIATER IL SEWEfi PLUMBING 151 ? 117 H.VA.C. r.,. c1? Y?? O?(GLOS ELECTRIC a ?/V r1 `??D ?D InspWion Date InsQ. Co mments Footings 1 Foundation •'? ?(? Framing Roofing Rough Plbg. Rough Htg. ?O ^ IsuL Fireplace Final Htg. a Orstat Test .??r Final Pibg. Plbg. Inspector - Notify Plumber Cortst, Meter Engr,/Plan Bidg, Final Dedc Ftg- 2 p 12 Deck Final weu Pr. pisp. INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE QDDRESS: APPLICANT: ??,8 ., , ? \r1%14 rn nVt PERMIT SUBTYPE: TYPE OF WORK: , ,. 10 1 F L ? -1 I (lF Mf1(; 1'; . !4 `;I I'fli; /l l l 11 li hl l! 1'• 1r! t,iti l i<I Io• 1 l1t{ AM`i 1'! IIHtt { 1'lf) 111{ 1 1 t 1 1411 RI 11';1A Permit No. Permit HoldK Date Telaphone # ELECTRIC 0&199?, ? PLUMBING HVAC Inspeetlon QsU Insp. Commenta FOOTINGS FOt1ND FRAMING ROOFING ROUGH PLUMBINQ 1 ? J T " ? PLBG AIR TEST ROUGH HEATING '? J} ,Q GAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OFISAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL / vE 7D 5 /T / 5 "n? AT, 7 uz • ir : +*. .i1 ^ ? : r,:a 1 1 _ _ - • . _ .. ` ,. V ; : ' - - ? . ?- ?_? (gtx#i#tra#e of (O.rru?aury Citp of Cagatt -BrVwftnd a# siti[ding 3rapertian ThJs Cerdj'uau pursuwrt W!he riaguinanenls ojSeuion 306 of !he UniJorin Building Code certijying (hat a!!he iime ojiuuaace thisstrucuur uas in conipliance with the twrious ordiwncec of d+e f3u}' rrgulaAiaB' bueldng oazsducAion or trsa For rhe foUowing. Lbc Ckmiscad, SF DWG/GAR ???4M 28979 ?7 7hx R3 yoorog DistAm R1 Ty?Go" Vn Owrocr,(BAT" FRONTIER DEVEL COR&.... 1750 YANKEE DUODLE RD.. EAGAN Dae .TUNE 27, 1491 POST M A CONSPlCUOUS PLACE SEWER 8 'VATER PERMIT , CITY OF EAGAN ? 383f?- Pilot I?nob Rd. Eagan, MN 55122-1897 DATE ApR 29, 1991 METER # PERMfT DATE 04/29/41 CHIP # PERMIT # 11961 METER SIZE B.P. RECEfPT # C 13128 ISSUE DATE B.P. RECEIPT DATE 04% 29% 91 _ PRV - BOOSTER PUMP SITE ADDRESS 4178 Pl:i,i1SYL1'Af'IA F,VF; LOT? BLOCK ? SEC/SUB APPLICANT:. ADDRESS:_ CITY, STATE PHONE: _ ZIP PLUMBER: 3TAR PLUMBING ADDRESS: 1018 MOUND SPRIpiGS TLRR CITY, STATE BLOOMINGT011 M1V ZiP 55420 PHONE: 884-414,2OWNER: FpONTIER DEVELOPMEhT C0.-:1' ADDRESS: 1750 YANKEE DOODLF RL' CITY, STATE F "r A?1 `4N ZIP 55122 PHONE: FOR ? SEWER & WATER PERMIT cmr oF eaGAw 3830:Pilot Knob Rd. Eagati, MN 55122-1897 DATE z+PR 29. 1991 PERMIT REOUESTED x SEWER X WATEFi _ TAPS ? - COMM/IND "RESIDENTIAL X NEW ? EXISTING Lawn Sprinkler Meters are to be Installed Ahead ;qf Domestic Meters on Water Line. CrediYyVILL NOT bafgiv?n for,peduct Meters. /1 ? l-:f I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM - PRV - BOOSTEFI PUMP OFFIC USE ONLY 040 METER #tnu PERMIT DATE 04/29/91 CHIP # PERMIT # 11961 METER SIZE B.P. FiEGE1PT # C 13128 ISSUE DATE bblI B.P. RECEIPT DATE 04/29/91 SffE ADDRESS 4178 PENNSYLVANIA AYE LOT 5B1 OCK 1 SEC/SU8 STAPFORD PLACE APPLICANT: ADDRESS:_ CITY, STATE PHONE: - ZIP PLUMBER: STAR PLUMBING ADDRESS: 1018 MOUND SPRINGS TLRR CI7Y, STATE BLOQriING'PON MN Zip 55420 PHONE: 884-4149 OWNER: FRONTIER DEVELOPMENT CORP ADDRESS: 1750 YANKEE DOODLE RD CI7Y, STATE EAGAh MN Zip 55122 PHONE: 444_0433 PERMIT REOUESTED x SEWER X WATER - TAPS COMM/IND X RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead qf Dome§tic Meters an Water Line. CreditW ILL fVdTrb7vvep for uct Meters. I AGREE TO GOMPLY WITH CITY OF EAGAN 06BM9,piNCES IGNATURE 1NHEN METER IS5UED PLeASE ALLOW TWO W R AYS FOR PROCES5ING. CALL 454?'r220 FOR INSPECTIONS. FOR STORM ? SEWER PERMITS, CONTACT ENGINEERING DEPT. ,, ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 . . PHONE: 454-8100 BUILDING PERMIT Tobeusedfor SF DWG/GAR Est.Value sla9,000 Si1e Address 4178 PENNSYLVANIA AVE Lot 5 Block 1 SeGSub. STAFFORD PLACE Parcel No. . w Name FRONTIER DEVELOPMENT CORP 0 Address 1750 YANKEE DOODLE RD City EAGAN Phone - ?+- 45 o Name ROSEWOOD BUILDING CORP $? Address 8196 HOMESTEAD CT City COTTa . .ROV . phone 458-3408 w W Name Address City Phone I hereby acknowlege thal I hav ead thi? plication and state that the iniormation is correct an ? gr e9to copTpy? with ?ILqpplicabJe Slate of Minnesota Statmes and Ci anpyinancey? / / A Buildinq Permit is issued to: - ROSFWOOD RITI D N. ORP on Ihe express contlition that all work shall be tlone in accortlance with all applicable State of Minnesota Statutes and?1City of Eagan Ordinances. Building Official n,(Nf?7,A!cJ mIl N° 18979 Receipt # C? / -3 OFFICE USE ONLY Occupancy R-3 M-1 FEES Zqning R_7 (Adual) Const V=N Bldg. Parmit 590.00 (Allowable) V-N Surcharge 44.50 8 ot Stories Lenglh 64' Plan Review 384.00 Depth -3 Q SAQ Ciry 100.00 S.F.Tolal - SAC,MCWCC 650.00 S.F. Footprints - OnSiteSewage _ WaterConn 660-00 On Site We11 waler Meter 0 95.0 MWCCSystem X X Acct. Deposil 0 30.0 Ciry Water PRV Required _ S/W Permit 30.00 Baoster Pump - Sryy Surcharge • 50 7reatment PI 276.00 - APPROVALS Road Unil 370.00 Planrier - Park Ded. Councii - Copies 2.50 Bldg. 011. _ Variance - TOTAL 0 3,232.5 ,,?..,.,.. f //???/ REOUEST FOR ELECTRICAL INSPECTION ea-ooooros `?? jl? Bee in9VUttion5lor campleting this lorm on back of yellow cop?;'n ;:?? (L 9160 Beloiy Work Covered by This Requesf Ne Add Rep. Type of Builtling Appliances Wired j Equipment WirSd Home Range , ; Temporary Service Du lex Water Heater .."i Electric Heatin ' Apt. Buildin Dryer Load Mana ement tComm.llndustrial Fumace Othar (Speci ) Farm Air Conditioner Other (speclly) Contractor's Remerks: Compute lnspaction Fee 8elow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 t05 00 Am s Transformers Above 200 Amps i A6ove 100 _Amps Si ns Inapecmr's Use Oniy: TOTAL Irrigation Baoms 40 S ecial Ins ection ? Alarm/Communication THIS INSTALLATION MA E OR D PISCONNECTED IF NOT Other Fee COMPLETED WITHIN AAtNT I, the ElecMCel Inspector, hereby Rough-in ? o e a ^O certify that the above inspection has t Finel De ? been made. . OFFICE USE ONLY y? 'q TMS requesi vaid 18 manina irom o ? 0 1 992 ? ?? Req est D e Fire No, . .a ks i n Requiretl Ina ection Olher The Rougli-tn (VOU mdst c pector when ready) ? Reatly Now WII Notily Inspecmr Yes ? No Dete iteatl I? licensed contrector owner hereby request inspection of above electrical work at: Job AtlOress (Street, Box or Route NaJ Ciry ?^ f Section No. Township Name or66 v Range No. Counry .?/(C ?J ? Occupent (PRINT) l4/pke'- u'-le /-- Phone I,lo. PowerSU plier Atltl ess Eledrical Contrector (Compeny Name) ConVactors License No. Mellinq Atltlress (Conlracror ar Owner Making Installetion) Authodzed Signelure (COnbacrodOwner Making Instellation) Phona NumOar C/ MINNESOTA STATE BOARD OF ELECTPIqTY I THIS INSPECTION REQUEST WILL NOT Gr189e-Mltlwey Bltlg. - Poom 5-028 ? II II I II I I I I? II I I I I) I BE ACCEPTED BY THE STATE eOAPD St. Peul, MN 55100 OPER INSPECTION FEE IS UNLESS Phone IBtP re64YOBOO . , . ! Fu? nccn Reqi-?. o. Rough-in ' Inspection Requ /: ? Ready Now?u wlll Notily Inspector fl 9 Wh E / es G No en ea y I'oe'ricensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (SVeet Box o, 7te No.) Section No. Township Name or No. Fange No. County OcaOa PRINTI ///fff Phone No. / Power u lier qtltlress ? Elecvic omiactor (Conpany Name) / ConUactors License No. Mai mg AtltlRS ICOnlractor or Owner Makiny Inslalla on) 77 Le?, ? l 3 Amnorize Signature iCOmratlo'Owner M ing Instali n?„ Pnon u T D- NNESOTA STATE BOARD OF ELECTHIpTY THIS INSPECTION REQUEST WILL NOT iggs.Midway BICg. - Room 5-173 BE ACCEPTED BY THE STATE BOAFD 1821 Universiry Ave., SI. Peul. MN SSID< UNLESS PROPER INSP.ECt10N FEE IS Phone (612) 692-0800 ENCLOSED. RE?UEST FOR ELECTRICAL lNSPECTION ' ? See Insfmclions tor comple[in8 this lorm on Oeok of yellow mpy. ?(` -. ' 9. ki? "X" Below Work Covered by This Request y? N'; ee-0oom-08 : /c?69eZD .s h ? ew A TypeofBuiltling AppliancesWiretl EquipmeniWired Home Range Temporary Service Duplez Water Hea[er Elec[ric Heating Apt. Buildinq Dryer Other (Specify) Comm./Indusirial Furnace Farm Air Conditioner Other?syecify) ConirnclorsRamark5- Campute Mspection Fee 8efow: # I O?her Fee # ServicaEntranoe5ize F e CirouiCS/Feeders Fae Swimming Pool 0 to 200 Amps ? O 0 to i00 Amps Transformers Above 200 Amps 7 Amps Above SignS Inspecm?s Use Onry: TOTA L ? Irrigation 8ooms QQ-9 76 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED D?CC?NNECTED IF NOT Other Fee - COMPLETEO WITHIN 18 MOOJ S. I, the Electrical Inspector, hereby R°°9n-'" ` certify ihat the above inspection has been made. F;,,ai oai OFFICE USE ONLY This request voitl 18 montM1S Imm Address: 4178 PENNSYLVANIA Lot 5 Blk 1 Sec/Sub STAFFORD PLACE These items were/were not complete at the time of the final inspection. Date: Yes No TnqPPrtnr- Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas vl? Sad/seeded grass Trail/curb damage Porch Basement finish Deck Pleasa varify vith the builder the removal of roof tast caps from tha plumbing system and the shut-off of water supply to the outside lawn faucet before freeza potential exists. ?j c!? xcK?eororu White - City copy Yellow - Resident copy Pink - Contractor copy I ;,. ?? ?? RESIDENTIAL BUILDING Permit Application City OfEagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 V70.6U New Construc6on Reauiremenis RemodeUReoair Reauirements Offce Use OnN 3 registered site surveys showing sq. tt. of lot, sq. ft of house; and all roofed areas 2 copies of plan CeA of Survey Recd (20% mazimum lot ooverage allowed) 1 set o( Energy Calculations for heated addiUons Tree Pres Plan Recd 2 copies of plan showing beam & vnndav sizes; poured (ound design, etc. 1 site survey for addilions 8 decks Tree Pres Not Reqd 1 set of Energy Calalatlons Addffion - iiMicate if ortsife sepfic system _ Onsite Septic System 3 copies of Tree Preservation Plan it lot platted aiter 711193 Rim Joist Delail Op6ons selec6on sheet (bldgs wAh 3 or less unihs Date 06 / O d / O 3 Construction Cost Site Address PQ?k S v??/4 tti< Q X? ? ?- UniUSte # ?e C Description of Work ? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Aa- au Vtr0, 5 L^-r Teleph # . ?'C? )??? ?K6,r Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesofa Rules 7670 Cate2orv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone ?. Telephone # ( . I hereby apply for a Residential Building Permit and acknowledge that the inforniation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?-(ek ?z o, x-& Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 MiSCellane0us Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ! . , f ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ? Census Code `7 S L/ SAC Units Nbr. of Units Nbr. of Bldgs Type of Const tie_ Occupancy ?.?T? MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth Footings (new bldg) _?r Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinallC.O. ? FinaUNo C.O. _ Plwnbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding Stucco Stone Windows (new/replacement) _ Retaining Wall Approved By / ! - , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ,?749 + , 4 ?k Sunveyor•s G'ert?f?cate SURVEY FOR: Rosewood Euilding Corp. ' DESCRIBED AS: I.ot 5, Block 1, STArPORD PI.ACG, City of TiaFan, Dakota County, Minnesota and reserving easements of record.- e.ai ; > >VI? ??? ? dR1326 49' o? ? pn S6g'3p• ? v£ p' . f B) 1n.o "9 } w ?? ? \ ]iy? B ??? ? v,? ?? . •? _ .,aww.. y •`? / n q ? ? i h? ' ?W 8 ? i ? I 33 /7 / ? 1O / L ` / / / A SJq?z1.26•f139,g5``??`` ? F`.:? , y a ?- , _ T „ I 4 `f.,. ...... : " . _ , LOT SQ. FOOTAGE = 17, f10POSE0 ELEVATIONS Top ol Foumdelbm . 115,a 6aFepeFloar .q15.5 BesN11aM FbOr . q12.7 Approa. Sawx Sarvim Elav. . 4e13 Propesod ENvalbns . Q Ethlbg ENvelbm _ Drtlnpe Dhxllona ~ Oanotae ollsal Steke . ? 0 ?:.; , . .. . N 1 SGALE, I IMh • 30 Feel BENCHMARK.TwH@ 'Yz fIw,9HA7 Mw sE7as?K?WIRFMENT$ From - aeFbueo Sida •?e g Rear • ? Gatepe Slda • 3e O IIIEIIEBYCE106vT1U7T111913AIDUEN10C011i1ECTAEI'OE6ENf11Ti0N lAfEDLUND OF 711E BOUNOMIIES OF iHE ABOVE OESGnmEO PIIOOEIIIY A9 6V14 VEYEOBY MF.OI111lRfEfIMY01ItECi SVI'FIIVIRIONANIIDOESNOTPVi1P0I1T i0 SIIOW IMPIIOVEMENfB 00 ENCBOrtCHMENI9, E%CEVT A8 6fIOWN. Poenning EngineeNng Survsying ??? ? HOIfMlIewNN??FI N .MlrnwM?H1A O*N?,lolL - ?• I?? .1IN00REN,LANO RVEYOA tfFr , MIW SOil1LICEN5EMIMBERI/71! JOB NO.: 41R-?1x BOOK: PAOE: CRDDFRE: OW4.CHK. mix91 ? 5L, ?A RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Conelructlan Reaufrements • 3 registered site surveys showinq sq. fl. of lot sq. ft of hause; arW all roo(ed areas (20% macimum lot cove2ge allowed) • 2 copies of plan showing beam & vrindow sizes; poured found design, etc.) • 1 set of Energy Calculations • 3copiesofTreePreservatlonPlan'rflotplattedaRer711193 . Rim Joist Detail Optlons selecfion sheel (Wdgs with 3 ar less units) DATE & I `-t ' QZ SITE ADDRESS ?4IqR V)PYI(laJ.,(AV . MULTI-FAMILY BLDG _ Y ?N TYPE OF WORK t)?CLn1 I t+ KA??4 Q.? 22?Y'??? ) R #14WQ9wfIREPLACE(S) _ 0 _ 1_ 2 ? APPLICANT CITY?1C?SSTATEMN_ZIPa+r../?{-??!J STREET ADDRESS ' 1``1i ' TELEPHONE # CELL PHONE # (PIZ.`LIGU -qG 1 (4 FAX #')(DS-qZ)" N59 PROPERTYOWNER R\QX,lt' LQc\t'? KI'L'15M 1 TELEPHONE# CaSI -?A&D `Oq(U( -------------------------------- -------------------------- ------------°----------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'fA RULFS 7670 CATEGORY 1 MINNES07 :A RIJLES 7672 (J submission type) • Residential Venblation Category 7 Worksheet Submitted • New Energy Code Worksheel Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Confractor: Mechanical system includcs: Sewer/Water Contractor: Phone # pUG 19 2?02 1 Fee: $7Q. I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcant 44„' OFFICE USE ONLY _ Water Softener _ Water Heater ? No. of Baths RemodeVReoair Reauiramenls • 2 copies of plan • 1 sel of Eneigy Cakula6ons for heated additions • 1 sile survey for exlenor additions 8 decks • Indicate'rf home served 6y septic system foradditions VALUATION 2?no oC) Phone # _ Iawn Sprinkler _ No. of R.I. Baths Phone? _ Air Conditioning _ Heat Recovery Syslem Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 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 ? 46 Windows/Doors ? 34 Replacement *Demolition (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 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Fina]/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Oiher Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4875 ? 3?33 R ,?r RecAdrernerih ? S repistered tBe surveya slwwln9 s4 fl. of lol. W. ft. of houae G- and 90 roofed areai f20X mrndmum lot covemae dlowetl) O > 2 coples of plam (show beqm a wlndow suea; pouretl Md. design; etcJ a t set of en6rgy Caicula110ns n J coples of hee preservotlon plan n la plattad aHer 7/11/99 DAiE: DESCRIP'f10N OF WORK: STREET ADDRESS: LOT: ? BLOCK: 1 SUBD./P.I.D. #: 2 coples of plan t sel of energy calculaHOns tor healed addi6ons i sife wrvey for extedor addiHans R decks? ? uu ?-PS CONSiRUCTION COST: 02 'h t-t ? ?k vL ?- ?,er? A- Name: AlP>lGtn4?- f"/?'25/C/V-/Phoneu:?S? PROPERiY ? Lar First OWNER meet ci+r srote: zIp:, 5 22 q--13 Company:-?R? ?., qCIO?INO ????? B4VD ?'16 RK, 4iD ?10F? COMRACTOR $T w'r • Skeet Address: ....-- City ARCHITECT/ ENGINEER Company:_ Telephone C ( Sheet Address:, citY Sewerfwater licensed plumber ) ?,/ 0 Phone #: 7 ; (area code) _ Ucerse If !?ExPd ' l O _ State: Zip: Name: ReglshaHon #: _ Sfate: Zip: _ I hereby acknowledge ihat 1 have read this applicalbn, atate that Ihe fMortnation is of Minneaola Statutes and CNy of Eagan Ordirwnces. ? Signoture of AppGcanY. OFFICE USE ONL ap Cppqccble Sfafe Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 08-plex ? 03 01 of _ plex ? 09 07-piex ? 04 02-plex ? 10 08-plex ? 05 03-ptex ? 11 10-piex ? OB 04-Plex ? 12 12-plex woRK nrPe ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage ? 0 18 Deck ? ? 19 Lower Level ? Pibg _Y or _ N ? ? 20 Pool ? 27 Porch (3-sea.) 22 PorchlAddn. (4-sea.) 23 Poroh (screened) 24 Storm Damage 25 Miscellaneaus 30 Accessory 8ldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)• 0 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ` Give PCA handaut to applicant for demolit7on permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (AIlowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone ?• APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building Engineering Valuation: sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire 5prinklered Variance [3 31 Ext. Alt - Mulb ? 33 Ext AR - S F ? 36 Multi SAC Units % SAC - i?? ` 1991 BUILDING P IT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MfJLTIPLE DWELLINGS 4% COMfERCIAL 2 SETS DF 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 _# DF 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/HOFicOWNEk EIUST DESIGNATE WHICH ADDRESS IS DESIRED. NOCHANGES WILL BE ALIAWED ONCF?BUII.DYNG PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE PERMIT MUST SHOW A LICENSED PLUMBER. D S ? ? ? ` To Be Used For: Ii1I i i ? Valuation: ? Da Site Address 11?ir) - OFFICE U ,? ? Lot 5- Block 89, oo?- Occupancy / Zoning R -i Parcel/Sub 7rAfGa2oa Actual Const V-N Allowable 'y-N Owner &fhTIg.IL Col'n. # of stories Length 45 vt: Address 1750 ??Ih?tc pwkC IQ-? • Depth 30 S.F. Total City/2ip Code Footprint S.F. Phone ySN-t-F33 On site sewage_ On site well Contractor RvfE?Vop0 ?Uflr?llldl(ennYj1• MWCC System ? ?!? ? ? City water Address g(ri(p iiv»?STrms7 Gr• PRV _ Booster Pump _ City/Zip Code ?,,?_?p'p,/(' /syH.3rb1(? APPROVALS Phone ySO'3`}OlDi' CI yL -#m Planner _ p_?V Council Arch./Engr. ?ti• o'(Id5 Bldg. Off. Variance Address klk rigm Rp .j'. City/Zip Code J FEES 51Q Bldg. Permit i0C7 Surcharge yu.SO Plan Review „3 ,Da SAC, City /a0.tJ0 snc, rtwcC 50,00 Water Conn. 69&0.o Water Meter 5T-j00 Acct. Deposit 'i?., 5/w Permit 30,0 S/W Surcharge . ' , 3b Treatment P1. Oa Road Unit 370, Park Ded. Trail Ded. copies o'I750 SOBTOTAL Penalty Lot Change TOTAL , 31.5 Phone u ?j??7#{D$ S?//p?agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ;. ?? . vA??'? io w ?. GA2LkGc ?OV2'Z,= 4yc? k l? = ??00 ?5T ?ou? Z X 7?c2 = 2? ?- 122? x 5 3 ?i 64 ??? g9,? ; ?.. ? iz.? Less ..?---- I??s x1y : oo? ?.. , -?.? _ _ ,. , ._ , ..y. . ,.. ? EXTERiOR EN4ELOPE AVERAGE. "U"_COMPiITATION . OWNER: _ f1ATf : SITE ADDRESS: toT &C2ffiI?? ?,? PHONE: CONTRALTOR: 2-4 •• Np?obwlcLrnSegotp • PLAN # GLAN Determine working square foota9e of each 1. Totat exposed wall area.:... sq. •ft. x.11 = Z?3•=S 2. Total roof/ceiling area..... Ilg? sq. ft. x .026 = 3/.07 Total exposed wall area above.floor= , 7-4( a. Total wall window area .......................................... b. Total door area ................................................... .gb. c. Total sliding glass door area .................................... 140 i d. Total `ireplace wall area ....................................... e. Total wall framing area (average 10%) ............................ f. Total rim joist area .....:.....................................:. IS6 g. net wall area above floor ...............:..................... 1-79- 1,$ o ? h. wall area above ftoor ..................................... i. wall area a6ove floor ...............:.................... j. frame wall area at foundation .......................... ..... = -74 Total exposed foundation area k_ Total foundation window area....................... 1. Total net foundation area above grade .............. 7 6etermine "u" value.of each wall segment (e.g. window, door, each separate wail section) a. 21 X?- v ? ?/7 _ 77 /r7 . b. 39•96 X„u„ , yr _ ?-7.93 C. x ,lu„ d X liulp X „u,i , 09 = /g ?? . ? • e. f. t5? X „u„ ,.oq g. 175?• p0 X 1,ull rd ? = 70•07 h. x „ull . _ ? ? X l.Ull _ • X J• "U" - If item #3 is the sam? k X l.Ull = as, or less than item X ????. l,/? #1, you have met the _ 1o•5t* intent of SBC 6006 (c 3 . ............................. .... Total .. .. ----- ...-- --...._.__.. : •- TOTAL EXPOSED RDOF/CEILI!!G CALCULATIONS: Total exposed 115,/ roof/ceiiing area........ ? sq ft • f) Totai skyliaht area....... sq ft x"U" ° k) Total roof/ceilinq framing r? area (Averace 109.)...... sq ft x"U" tO 7 ? 3S ? 1) Total net insulated roof/ceilinq area....... td 76 sq ft x"U" ?. TOTAL j) th ' i} 30 If total of °14 is the same as, or less than Y2, you have met ihe in , • 2*SCA.2 1.16008 A avd 0. s ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items .-°3 and 94 shall not be nreater than the sum of items N1 and g2. 1. + 2. ° - 3, . + 4. • _ . ? BLOCK: ll1fZ 'fU KNEE: I?(Q iv WALKOUT: FULL 1: /,j . FULL 2: FIREPLACE: a RIM: /? * LINEAL FEET EXPOSED WALL = SQUARE FEET ERPOSED WALL AREA BLOCK: /qg • x .5 = 7L? KNEE: x 5 = ?q4o WALKOUT: x 8 = FULL 1: x 8 FULL 2: x 8 = FIREPLACE: x - RIM: /S?6 x 1 ? TOTAL SQUARE FEET EXPOSED CEILING WINDOWS: DQORS: Z 1 (3 gb c< /Grl? ???? Ig i2 PATIO DOORS: LG /Gqr?-Z ? 9.0(o a g,,,jy_ 3 ? 7.0. ? BASEMENT UNITS: ? ?>wo i ? zu, ? ? ?? ?3?-3 r ly.q2 SKYLIGHTS: ?c 24:1 3? • I ?f.(?? C6 2'!3c? ? SS, ?-1 ??y. ? ? . ' Weu smTrods ?. ?r tlse I% of cPn4ue tw 1 1 orea Cv?r . fYamC Cp'-jEruCt ion s p" NwCc R- VAL,LiE CONSZRUGITOIS-- F'RkllID1G - - 1. WfF.RIOR AIR FTIM 0.68 2. 3. 1/211 SOfT WOOD 6.87 4. 5. 6. , U= .09 NF.'P r - . 1. WtERIOR AIIt FTIM 0.68 L i .4 3. 4, 25/32 SHEATEN6 5. SIDING .6 6. , U= .04 Stu- 1. INTERIOR AIR FIIM• ' 0.68 2. 6 3. TO-IST 4. 5. SIDM 6. _ U= .04 , I fd-HDhT7aJ WrkLL ; ? ? f'sr. . 4e G ? ?O ? BIACK 1. WfERIOR AIR FII2d 0.68 2. 3. . 4. PROTEGTIVE S4RRIER 5. 6. . U= .14 SL48 ON GRADE • ? ? FV?, Rq UL !?' !rt e _ ? i r ? . ? ? ? ? u ? ? D a , ' 1 ' •? _• • . . ,. „i ? w • ? ` . • a ?f ? < l 1 ?r? ? 1« ? NOrTE: IIIDICATE TYPE, nR" VALUE. DEPTIi PJtII PLACIIMERf OF INSUTATTON. i . , ROOF-CEILSNG s - % CONSTRUCTZON ' R-VALI]E 1. INTERIQR ATR F7t M 0 64 2. 5/8" GYP BD SQ 3. INSULATION 4400 4. EXTERIOR ASR FTT.M ? 4 5 . 80 U .02 FRAME HEaT Fnow UP FIG. RS s 1. INTERIOR AIR FILM 2. " 3, . LATION q, EXTERIOR AIR FILM 0.61 140.15 ? - U = 0.024 CONSTRUCTION 1, INSIDE AIR FILM 0•61 2. 3. 4. 5. -OUTSIDE AIR FILM 0• » TQTAL u = ?FEAT_ FIAW UP I FIG. #6 FRAME 1, INSIDE AIR FILM • 0.61 2. 3. 4. 5. U = INSIDE AIR FILM O.b1 2. . . 3. ' 4. 5. ILM 0.17 ROTAL u _ , NOTE: USE ADDITIONAL SHEi'S IF P'fiRE SPACE IS NEEDID FOR DETAILS AND G4LCuLATZONS• FIG. #7 Nf]N-VtN1LU ii HFAT FIAW L1 UP INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: : 3830?Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Da1e Issued: (612) 681-4675 BUILDING 025992 04/14/95 SITE ADDRESS: APPLICANT: LOT: 5 BLOCK: 1 4178 PENNSYLVRNIA AVE KRASNY S7AFFOR6 PLACE (612) 686-0461 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FZNISM ALEXANDER ALTERATION INSPECTION FRAMING D. . SNSULATIQN .. ROU6H IN PL86 FINHL REMARKS: A SEPARA7E PERMI7 IS REQUIRED FOR ANY PLUMBING OR ELEGTRICAL WORK -k CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ?k-394? PERMITTYPE: Bur4orNe Permit Num6er: g 2 5 3 9 2 Date Issued: 0 4/ 14 / 9 5 SITE ADDRESS: P.I.N.: 10-72500-050-01 0178 PEMNSYLVANIA AVE LOT: 5 BLOCK: 1 STAFFORD PLACE DESCRIPTION: uaid;ril',?-R?ermit Type ?ilding W&rj? Type ?. « ? a . d9mA BASEMENT FINISH AITERATION r ?r yN'.`r+ i '+?` s,"`.C?. „? j4 ?+" ?ya rn a n ? r,.Y`4. REMARKS A SEPARATE PERMIT IS REQUIRED POR ANY PLUMBING OR ELECTRICAL W012K FEE SUMMARY: Base Fee $35.00 Surcharge $.59 Total Fee $35.50 CONTRACTOR: OWNER: _ ppplicant - KRflSNY ALEXANDER 4178 PENNSYLVANIA AVE EAGAN MN 55123 (612)686-0461 ? . . . . ,. , .,.. ... ... . >:? ? Z hQeebp aeknawlsdga that I have rtad Chis appl3.catlan srld`state that the i?1format4an is, car're-ot arrt? agree to cotrgzly ?w€?th a1l aFPlic:afzle State of Ffn. Statutes and Ci.t,y vf tagari qrdixiancesY ` )4 ? ZXPrcZ_ fiftn APPLICANT/PERMITEE SIGN7l1RE r15 E SI ATURE -? CITY OF EAGAN -P q ? ?n 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) CdU 4_0 681-4675 ? 3 registered site aurveys ? 2 eopies ot plan ? 2 copies of plana (include beam 8 window sizes; poured fnd. design; etcJ ? 2 nite surveys (exterlor additions 8 dedcs) ? 1 enargy ealculations ? 1 energy cakuladons 1or heated edd'Rions ? 3 copies of tree proaervatlon plan if lot pleCed aRer 711193 required: _ Ves _ No DATE: bi, i1' 4 ?; CONSTRUCTION COST: DESCRIPTION OF WORK: ?3???''-?•--`? p?i??-? 6""C f STREET ADDRESS: (v'? " " ? ?NG /dN A-r iJ s ? \ 2- s LOT / _ BLOCK ? SUBD./P.I.D. PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER State: qzq- oq4 4 Name: /?2 A Sn/Y 14(Qxct Phone #: 6? 6 p% 6( UifMi1 Street Address, City: 9-Acal,, State: Zip: ' rj 2-3 Company: Phone #: Street Address: City: State: Company: Name: License #- Zip. Phone #- Registration #• Street Address• City: Sewer & water licensed plumber: change are requested once permit is issued. Zip: Penaity applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to tromply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Suroey Received Tree Preservation Plan Received _ Yes _ No _ Yes _ Na RIMMEDD APR 1 1 1995 ---------------- OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging orf?- 16 Basement Finish 0 02 5F Dwelling o 07 4plex o 12 Multi RepaidRem. 0 17 Swim Pooi 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Firep4ace '? 21 Misceflaneous 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE 0 31 New -0:n33 Alterations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Buiiding Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance ?L ? 4 Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC 5AC Units ???? L ?5 BL / CITY USE ONLY RECEIPT#:&qT?? r' SUBD. DATE: Wl//Off I/V 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE OWNER INSTALLER NAME 7z ?( ?7 kx ci, STREET ADDRESS: 1v60 U e--- CITY: STATE: ZIP: PHONE #: ( ) 6r9(v-0`A? l OFFICE USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: o all commerciallindusVial buildings. 0 mulH-famity buitdings when separate permits are Ilpi required for each dweifing unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THI5 INFORMATION WILL RESULT IN A DELAY OF AAETER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: - cirv: PHONE #: SIGNATURE: OFFICE USE ONLY I METER SIZE: " QATE: STE. # STATE: ZIP: APPLICANT INSPECTOR: PERMIT # (11,00 cinr oF EacaN 1992 BUILDING PERMIT APPLICATION 681-4675 ,L SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date jf S/ Zf / 92 Valuation of work Site Address: -W7?f 14`??P STREET STE 0 Tenant Name: (commerclal only) lOT -6 BLOCK __L__ SUBD. i??7S AMAAi P.I .D. iY Descri tion of work: &v " %? j5ec_,4?-_ The applicant is: ? Owner E3 Contractor 0 Other (Deneribe) Name KRASNY Pho ne Weg"',-v?d? Property LAST f[RST qg4 (,k) Owner Address Ae STREET STE N City t'46 W/t/ Stdte AAI Zip SC I z3 Company Phone C011tf8Ct01' Address License # Exp. City State ZiP Compan; ? Phane Architect/ Engineer Name Registration # 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 application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 02 SF Dwg. ? 06 Garage/Accessory ? 10 5wim Pool O 03 Two family ? 07 Fireplace ? 11 Res. Add. L] 04 Multi-fam. T.H. F*08 Deck ? 12 Res. Porch WORK TYPE 3 ?1 New ? 33 Alterations ? 35 Move 2 Addition ? 34 Tenant Finish O 36 Demolish GENERAL INFORMATION Lonst. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy - 2nd F1. sq. f4. Zoning Sy. ??. t;,?a? i of Stories Footprint Sq. ft. Length ? On-site well Depth 62AM On-site sewage APPROVALS Planning Building Engineering Variance REGIUIRED INSPECTIONS ? Site Footi ng ? Wallboard Final ? 1? Cbmm?I n? I?r? e° ?'14 CommJInd Add O 15 Cortm/Ind Rem ? 16 Public Fac. ? 17 Agricultural MWCC System City Water PRY Required Bocster °u:.^.F ' Fire Sprinkler Census Code SAC Code Assessments O Framing ? Oraintile la Insulation O Fireplace Permit fee Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Mater Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Yelmtian: S P,Z?ACMU ?? . .;;Gp SAC 96 SAC Units CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT PHONE: (612) 454- ??,8'1i?G;. PLEHSE COMPLETE ?:.:.. :.,.<.......: t'?{.. UPPER PORTION ONLY TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED ------------------------ ----- WORK DESCRIPTION ---------------- NEW CONST _ ADD ON SHOWER 3.00 3. REPAIR OWNER NAME: k?slt?A7j? bU/L?i? l./?[!"' KITCHEN SINK 3.00 SITE ADDHESS: `YI7? tlOE.?11d.)?y ?6?L7N18 Hil HOT TUB/SPA LOT: ? BLOCK L SUBD. ? INSTALLER: N?"? 1C ) J J I95 ? l. d CE t1? 1 ADDRESS: OTHER CITP: LI?(orpA.7 /?!? ZIP: J?J?I'?? ? '- S/'i 5- PHONE #: [%c SIG ATURE OF PERMITTEE GOi?¢EE???A?.?iFIB?iST&IA7e.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL . MULTI-FAMILY BUILDINGS WHEN S DWELLING UNIT. - -----------_°-------------"- CONTRACT PRICE: ------------------ - ° -°---------- ---- -------------- -- OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUSD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: . ONLY FOR CITY USE 81QQ RECEIPT # 0 DATE: Jr 9 FOR SINGLE FAMILY DWELLINGS & FOR EACH UNIT. -^---------------=------------------ COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 I WATER CLOSET 3.00 3?G0 ? BATH TUB 3. 00 3 bt> ? LAVATORY 3.00 3,00 ? 3:on LAUNDRY TRAY 3.00 3.OU 3.00 I WATER HEATER 3.00 3+Ot? ? FLOOR DkaIN 3.OC :3:06 GAS PIPING OUT. iii ? (MINIMUM - 1) 3.00 lo? ? ROUGH OPENINGS 1.50 '93 WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUSTOTAL $ ?? • ? ST. SURCHARGE .50 TOTAL: $ ?S:DO BUILDINGS AND EPARATE PERMITS ARE NOT REQUIRED FOR EACH FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE $ TOTAL: (SIGNATURE) FOR: CITY OF EAGAN .• // f ? ?2a y CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 pommC%,;mm FOR CITY USE ONLY PERMIT # RECEIPT # O DATE: '!?i -4 PLEASE COMPLETE QPPER PORTION : . .. :.: . ONLY FOR SINGLE FAMILY DWELLINGS & . .. . . . TOWNHOMES/CONDOS WEiEN PERMITS ARE REQIIIRED FOR EACH UNIT. ------------------------ -------------------- WORK DESCRIPTION ------------------------- FEES ----------- NEW CONST K ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M B 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 ?? aLp ? Cp(?P OF 1 PER PERMIT ? pop c , OWNER NAME: D .? ? S L ; I 7S 'PfN SUBTOTAL: $?Z N q ?/-bv SITE ADDRESS: STATE SURCHARGE: .50 /?"X? LOT: 5 BIACK ? SUBD. C VY • TOTAL: $ d7, cU - INSTALLER: ADDRESS: 1955 SAWNEEROAD• EAGAN,MN 55122 SIGNATURE • PERMITTEE ._ CITY: ZIP: (I S PHONE #: CQ?RCTALf??II$?`$?A?.;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING - UNIT. __________-_________-_______________________ CONTRACT PRICE: _____°________---------- FEES °__.._____' OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS:__ F'qCH $1,000 ng pERMIT FEE. PROCESSED PIPING - $25.00 LOT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS:_ STATE SURCHARGE $ _ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 C) A.)oo I1j?1 oP 2 e 2r.u ?D I I New Construction Reauirements RemodeVReoair Reauirements '? Ofhce tise onw 3 regislered site surveys showing sq. fl, of lot, sq. fl. of house; and alI, roofed areas 2 copies of plan (20% maximum lot cwe2ge allowed) 1 set of Energy Calculations for heated additions 7teeP?08 PI2RRecd _Y 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks IreB Pres Req4ired Y,,,,, N lsetofEnergyCalculations Addition - indicaterfon-sitesepticsysfem Drt?siteSeplicSys?em _ Y._.N 3 copies of Tree Preservation Poan if lot planed afler 7/1193 Rim Joist Detail Options selection sheet (buildings wilh 3 or less unils) cld! St?vNLl,rl•?Y/• /. ?? ' 1'1 ?. 76. O Q Date Construction Cost ? I I ?QB D ? Site Address ?? Y ?1Y1/YL? D }11 MJ h Unit/Ste # tion of Work ? Descri W p Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # 161 II 10 ?' o c Cantractor Address State `CITY- / Zip Telephone #(GJ I) 7?y ??D COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Enefgy Code Category • Residential Venlilation Category t Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ 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 wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. J bv 1?1, (.0 A ROSW AppTicanYs Prin ed Name Applicant's Sig tu OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bidg) -Gi ve PCA handout to applicant Valuation Occupancy MCES Sysiem _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ # of Units Sq. Ft. PRV _ # of 81dgs Length Fire Sprinklered _ Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addilion) Foundation Drain Tile Roof Ice & Water _ Final _ Framing _ Fireplace _ RI. _ AirTest _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Petmit & Suroharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinaUC.O. Final/No C.O. Plumbing HVAC Other Pool Ftgs _ Air/Gas Tests Final Siding _ Stucco _ Stone _ Brick Windows Retaining Wall Building Inspector ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors LA(malor"s G'ert?f?cate SURVEY FOR: Rosewood Building Corp. UESCRIBED AS: Lot 5, Block 1, STAFFORD PLACF., City of Ea€an, Dako.ta County, Minnesota and reserving easements of record.• . ' 37• 33 p ? ??• ?\\? /R38j 4! LO ? 16' 4 9' o?,2 .ep S6e,3p ?? "p A rdj • ? ynPo`°,y? B 9?? 9t3.4 ?? ti ? 915,2 go i ?e' ^?0 $ 4 00 8 Q'/`? / $ / ? ? ? .?r /??eae •'fQ ,? ?? ? ,IC .?.a &?? ?•(eys? ? ? ? . tQ? w ?y?qu4 / • Q 9? ^ 7 1 ? 33 0 y=,s L 2g•E 39.85 LOT SQ. ? ? ? tA f FOOTAGE = 17, I d,! i3t , -- ?r--? ? .. ??3?aIiZ??RIk??G DL!?'• PROPOSED ELEVATIONS Top ol Foundallons Garage Floor Basament Fbor . qi2,7 Approx. Sewor Servlce Elev. . 9oZ,3 Propoead Elevalbns . ? Ezisting Elevelbne Orelnape Dkacllons Deiroles o0se151ake = O JAIEDLUND Planning Engineering Surireying no+ un eieem1001«.o?o?. me1 -lee 1M u o?. rmM.m. s"p R - .?, ?. . ? SCALEs I Inch = 30 Feet BENCHAAARK rNH@ `yi £1ey+914.17 MIN. SETBACK REQUIREMENTS , .' FroM - 3* House 31do • 00 Rear - ? Garape SWe • 30 IIIEREBYCEf1TtFV iHAiT111313RTRVEANDCOApECiqEPRESENTATION OF 1lIE BWNOIIAIES OF iNE ABOVE DESI;RIBED PROPERtY AS SUR- VEYEDBYMEORUNDERMYDIAECT6UPEqViSIONAND00ESNOTPUqPORT TO SHOW IMPqOVEMENiB OR ENCHOACHMENT9, E%CEPT A8 6FIOWN. Den -4-1 11- i9l D` 4" ? . UNDOREN, UWO ' RVEVOR MINN SOTALICENSENUMBEHf477B JOB NO.: 91R-tIz 153 1 4 m;X91 1 9: - Surr?er?ors G'ert?f?cate SURVEY FOR: Rosewood Building Corp. DESCRIBED AS: Lot 5, Block 1, STAFFORD PLACF., City of Eagan, Dakota County, Minnesota and reserving easements of record. A=8.4! 33.0 i A=! 26' 49 r d?? ?P.6 ?V \ \ , 37. SyZL•I Sse?3 89 0 ? \ ? y?? e 91? -?- ? ? 915.2 /' \ \ ??. /??\ \ ? ?r \ lq408 4'Ya / A"!q ? . / ? t4 py 2q Ao lQ? Z. • / R\ ? Qps.?, / ? ^0 ? 33 ?? / ? (u . ? o ` 92?3 \ 1 ` ` / • 923.1 ? ? ? / ?L 574•21, 2e,f 139, 85 L 0 T SQ. u 8 9i 3.4 `r.. :. ? FOOTAGE = 17, ? r: . PFiOPOSEu ELEVATiGWS Top ol Foundallons . q15,q Garega Floor .915.5 Basemerd Fbor . cu 2,7 Approx. Sewar Sarvice Elev. . "z3 Proposod Ekvatbne . Q Exbling Elevelbns OrainegoDhacllons ..,.,,.? Oanotea olisel Stake ? O JAIEDLUND P/anning Engineering Sunreying nme.11ewo??m?a+n... ??.a?.?m beo? ? SCALEI Inch • 30 Feet BENCHMARK. TN M @ '9? £lev+q?4.17 MIN. SETBACK REdUIREMEN73 Front • 3e Houso Sida • to Rear • -m Oarape SMo • 3e I IIE REBY CEf1i1FY 711Ai (111919 AiRVE ANDCOI111ECT AEPRESEN111ilON OF 1HE BOUNDAf11E3 OF iHE ABOVE DESCRUIED PPOPERIY AS SUR• VEYEOBY ME OR UNDER MY DIf1ECi SUPERVISION AND OOES NOT OUf1P0lli 70 SHOW NAPROYEMEN?S Oli ENCHOACHMENtS. E%CE07 AB SHOWN. Dow S1LI1 1?4-? D' .LINDOREN,UWD RVEVOR YIE" MINN SOTAUCEN3ENUMBEHf1978 JOB NO.: q1R-11t BOOK: PAOE: ?53 4 CADD FILE: DWO. CHK. m?x41 -9: PERMIT City of Eagan Permit Type:Building Permit Number:EA163819 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 4178 Pennsylvania Ave Lot:5 Block: 1 Addition: Stafford Place PID:10-72500-01-050 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). 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 - Alexey Krasny 4178 Pennsylvania Ave Eagan MN 55123 (651) 270-6527 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature