4179 Pennsylvania Ave. 49
?
CASH RECEIPT ?
CITY OF EAGAN ?3830 PILOT KNOB ROAD
•
EAGAN, MINNESOTA 55122
s--- ? r l
OATE J ? 19
FF4M
AMOUNT
8 DOLLARS
,oo
O CASH (s] CHECK
C 13342 WN°--P•y- Gwy ?
Y?" ?
???ft GWy
Thank You
,
sv 'i
?? . . . . . ? ;.?,,k„ ?•rs* .
RE: 4179 PENN3YLVANIA AVE
DATE:
MAY 14, 1991
(MITTELSTAEDT BROTHERS)
x Your Sewer & Water Permit for the above pcoperty 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 PERMANE1+FT-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, GALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
._....?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN
55121
'-??
1?'037
'?
PHON E: 454-8100 -
BUILDING PERMIT Receipt # J
To be used for SF DWIGAR Est. Value $$i ,000 Date MAY 9 „ 19-9-L_
Site Address 4179 lEM YLVANIA AVE
Lot 15 eloCk 2 Sec/Sub. STAF!'OitD PI.ACE OFFICE USE ONLY ,
Parcel No. occuPar,cy Qr-3-16 1 FEES
R 1
2oning
Name 2TIT'PELSTAED? B80Y'HE? (ncn,ary co?t Y H Bldg
Permit 554.00
W .
? AddreSS 785 SliNS$T DR (Nbwable) V-p ?
?
Surcharge •
City ?H Phone 456-9125 ?M of Storias -
410
Plan Review
360,00
Len9th
p
Name_ S?
Depth A`
?e0
SAC
Cit
l00s00
= .
y
UO? Address S.F. Total - 0
650
$AC, MCwCC 0
•
? Clty Phone S.F. Footprints _
t
C
W "0•00
? - - On Sde Sewage _ er
a
onn
¢
F W hlame
On Site Well
gs•?
?; ,
Addresg?:{" MwcC system ? Water Meter ?
Acct
oe
osit .oo
< W City Phone CRy Water ? .
P
30
?
PRVRequired - S/WPermit •
I hereby acknowlege Ihat I have read this application and state that the Booster Pump - 50
information is correct and agree to comply with all applicable State o1 SNY Surcharge •
Minnesata Statutes and City of Eagan Ordinances.
SignaWre of Permitee ?. '? • - ^f
APPROYALS Treatment PI 276•0?
370•00
Road Unit
A Building Permit is iuued to: HIYIELSTAMEROMRS Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council ?
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off, _ Copies
Building Official -
Variante
-
TOTAL
S, 1"•00
. w• Permk No. Partnil Holdsr Oate Tefeplwne #F
WhTER oJ ? y
SEY1fER
PIUMBING T?5 -?
H.v.ac.
ELECTRIC
hmpection Oate b?sp. Commsnts
Footings I
Foundation
Framing -s?
Rooling
Rough Plbg. '-3--Ql f f
Rough Htg.
Isul.
Fireplace
Finat Htg.
Orslat Test
FinN Plbg. Plbg- InspeCta- Notity Plumber
Const. Meter
EngrJPlan
Bldg. Fnal '7-/ f 9/ DS
Deck Ftg.
Dedc Final /y 9 3
weu
Pr. Disp.
F
d,.w x;,,r4.
• 4 r -w.
?tr#i#ir?tt of (Orxupanry
Citp of (eagan- .
` Drpattued ,Qf luxlbing ittsprr#iatc
TJds Curffwate issuedpursu" w t/u requinanen[r of Sectiore 306 of Jhe unijorm Building
Code certefjft that a1 thelinre of isruaKCe this structure Kns in caompliance wr11i the Narious
ardirranc+es of du Cuy negudau'vrg building oanstuct;on ar use For tfie fo!lnwbW
thecknantiod sE nar.j= s4 Pa No. lanz?
?? PA 41 i - zAGoc asba u? J? c? vN
Owoeraf8uldog]!CrTM-IRTAYIT F2nTRMC A&wu _IR5 SIpISFTI", iY21tF. FtCA1Q
BuadiOLA"'m lonW'1-15, R9? CTAR1M RJIr'F
D01C
POST IN A COfJSPIGIOUS PLACE
SEWER & WATER PEF
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER
CHIP #,
METER
USE ONLY
? PERMIT DA7E 05/ ] 4% S 1
? PERMIT # 11988
• 1 - .; f,
B.P. RECEIPT # -?%= ?; `
DATE tiAY 9, 1991 ISSUE DATE 6 `/?- y/ B.P. RECEIPT DATE 051091 91
- PRV - BOOSTER PUMP
SITE ADDRESS 4179 PE?;13SYLVANIA A PERMIT REQUESTEU
L4T 15 BLOCK 2 SEC/SUB STAFFQRD PLACE
x SEWEF3 X WATER - TAPS
APPLICANT:
ADDRESS: - COMMlIND X RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
PLUMBER: MC1 OhA1.D PLUMBING SYSTEMS ; A1C Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 KENWOOll T!2 Credit WILL NOT be given for Deduct Meters.
?
CITY, STATE LAELE%Z VILL,: MN ZIP 55044 _. . ..- - _ .,
PHONE: 4,35-3334
i AGREE TO COMPLY WITH CITY OF
OWNER: ?'`=TTELSTAEDT BhOTHEI;S EAGAN ORDINAN ES
ADDRESS: 705 SUPiSET B.R '
N
C1TY,STATE EAGA.N M
ZIP 55123
PHONE: 12 5 IGNATURe E MET
$U
R
7... ' . T
?
?'1 C DO?u.-Q b?
PLEASE ALLOW TWO WaRKING OAYS FOR P ROCESSING. CALL 454-5220 FOR INSPECTIONS. FaR STORM
SEWER PERMITS, CONTACT ENGINEERING pE PT. f•?,?,.
. ..._,. . <?.??,F.?.:...,..,_<.u
SEWER WATER PERMfT
CITY Oh cAGd1V
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATE KAY 9- 1591 -
SITE ADDRESS 4170 PF.NHSYLYANIA AvE
LOT j? BLOCK 2 SEClSUB STF?.F'F0RiD YLACE
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: 13CL:'NALI) PI,UMBIKG SYSTEMS tYC
ADDRESS: 1 e271. KENWOOD TR
CITY, STATE LAKEVILIX MN ZIP 5504A
PHONE: 43 i--3334
? .- _, _ __ _ _.. _. _ m.. . . .«.,. . . , r. ., ?. ., _ . .
OFFICE USE ONl.Y
METER # PERMIT DATE
CHIP # PERMIT # 119£?a
,
METER SIZE B.P. RECEIPT # - '
ISSUE DATE B.P. RECEIPT DATE 2,5109Z 9}
- PRV - BOOSTER PUMP
OWNER: MITIEI.STAEUT SROTtiF:RS
ADDRESS: 785 S1lNSET UY.
CITY, STATE EAGAN Y7''i ZI P S 512 3
PHONE: 6 56- " 1 =2'
PERMIT REQUESTED
SEWER x WATER _ TAPS
CQMM/IND Y RESIDENTIAL
X NEW _ EXISTIMG
Lawn Sprinkler Meters are to be Installed
Ahead ot Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SiGfVATURE WHEN METEfi ISSt1ED
PLEASE ALLUW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
t-
t? ?
RESIDENTIAL
BUfLDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construetion Reouirements
. 3 registered sHe surveys showirg sq. R. of lot, sq. ft. ot house; and all ruated areas
(20% maximum lot covaraga allowed)
. 2 copies of plen sh.owing beam & window saes; poured found design, etc.)
. i set W Eneqy Calculations
. 3 copies of Tree Preservation Plan it lot platted aker 7/1193
. Rim Jo'st Detail Options seledion sheet (61dgs wNh 3 or less uniGS)
DATE I'?- - 12 - O 1
JOB SITE ADDRESS ? ?-7 61 Q'e\0 Vl S?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER
Phone #:
TYPEOFWORK vtiS? ?
F
i s_sev.l-e.vtt
APPLICANT '
? -:?;; ?\ v\5
ADDRESS -L4 I
PAGER #
PHONE #
-it '-t O _L?--_?)
1a-1-z-d
'LACE(S) _ 0 _ 1 _ 2
PHONE#651? 465-(o(o-51
ZIPCODE 5 5 r23
FAX #
- FILL OUT COMPLETELY
Energy Code Category
?
(check one)
C? S-' CJ
Plumbing Cor?lfactor;,L_Z?
v Water Heat v__ Nol.. a ths
X/ No. of Ba
?r- Mechanical Contractor.
Mechanical Systcm Includes: Air Conditioning G
Heat Recovery System
Sewer/Water Controctor:
Fee: $90.00
I+ee: $70.00
Phone # - --
:?lii?'".
? ?I U
All above information must be submitted priorto processing of applicaUon.
I hereby acknowledge that I have read this application, state that the information;is correct, an to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - _-- .-_:
Signafure of Applicanf
RemodellReoair RenuiremenH (
. 2 copies of plan
• 7 set of Energy Calculations for heated add'Alons
• 1 site survey for exterior addAians & decks
• Indicate'rf hame served by septic system faradd'Aions
VALUATION ?30 d
t/ a.V? k c? k- v e•
A RULES 7670 CATEGORY i
entilation Category 1 Worksheet Submitted
e e Calculations Submitted
+pp
7672
code
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY '' t
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex y-'19 Lower Level
? 12 12-plex PibglK or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Misceilaneous
? 30 Accessory Bltlg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Rr 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 9-o " Occupancy (?- ` j MC/ES System
Census Code d-13 N Zoning City Water
SAC Units -.0/ Stories Booster Pump
Nbr. of Units p Sq. Ft. PRV
Nbr. of Bldgs i Length Fire Sprinklered
Type of Const S r( W idth
?
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By 3 LP
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck)
Footings (addition) Plumbing
Foundation HVAC
Drain Tlle
Roof Ice& Water Final
Framing
Fueplace _ R.I. Air Test Final
Insularion
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
? S?
FinaUC.O.
FinaUNo C.O.
?
Building Inspector
CITY OF EAGAN No . ? g037
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 , 2
BUILDING PERMIT Receipt # ??
To be used (or SF DWG/GAR Est. Value $81, 000 Date MAY 9 , ?s 91
Site Address 4179 PENNSYLVANIA AVE
Lot 15 Block 2 SeGSub. STAFFORD PLACE
Parcel No.
w IName MITTELSTAEDT BROTHERS
0 Address 785 SUNSET DR
city EAGAN Phone 456-9125
1;,? Name S? I
?¢ Address
? City Phone
It
rw Name
?; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is corred and agree to comply with all applicable Stale of
Minnesota Statutes and Ciry of Eagan Ordinances. -
Signature of
OFFICE USE ONLY
Occupancy R-3--M=1 FEES
Zon;ny R-1
0
(AcNap Const V-N Bltlg. Permit 554.o
(Allowable) _ V-.N 40 50
# ol Stones
LBngN
oev"
S.F. Total
S.F. Footprinls
On Site Sewage
On Site Well
MWCC Syslem
Ciry water
PRV Required
Booster Pump
AVPROVALS
A Building Permit is issued ro: _ MITTELSTAEDT BROTHERS Pianner
on the express condition that all work shall be tlone in accordance with all Cwncil
applicable Slate of Mi{n?n,e,?so"ta SptaWtes an?d1,Ci?t/y ol Eagan Ordinances. Bidg. Ofi.
Buildinq Olficial ? NHld1 I\,QyA, ? I II.U Variance
? "T
Surcharge •
(yl' PlanReview 360.00
46' snc, ary 100.00
- SAC,MCWCC 6$0.00
Water Conn 660.00
waterMeter 95.00
x
Accl. Deposil
30.00
_x
_ srw Permn 30.00
- 5/W Surcharge • 50
Treatment PI 276.00
RoadUnit 370•00
- Park Ded.
_ Copies
- TOTAL
,51ao/9/ 101,01szs s
9 01776 AUDa6;&? ? 8a°
Repues? oate
? / ? Fire N. Fough-in Inspection
Pequire0?
? Reetly Now ?Will Notity inspedor
-
' Yes ? No `NhBn Peatly?
I?_ licensed contraclor ? owner hereby request inspection of abova elecirical work at:
Job Fdtlress(5Vee1. Box m Route No.)
l 7 ?7 (/%9N14 X11S CRy
?9 ii A?
SecliOn No. TOwnship Name or No. Range N0. County
Occupan IPRINTI Phone No.
as-
Pawer SuOpter Atltlress 7
Eleclncal Comra0o1ICOmpany Name) ConVa<tor§ License N,
Mailing Aoaress IConiraclor ojr O
wner Making Insiallalion)/?
,
_7 ? ? ,% /Y/?l/ 7 ? fY ?? " . / ? V'? ??-' ?7'?/? , "?? .
Rmho?ize ignaNre ?Conlrac1o10wner Making Inslallahonl PM1One Number
NNESOTA STATE BOARD OF ELECTRICITY THIS INSPEGt10N REOUEST WILL NOT
iggs-MiCwey Blag. - poom 5473 BE ACCEPTED Bv THE STATE 60AR0
T
1621 Universlly Ave.. St Peul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS
Phom (612) 662-0800 ENCLOSED.
S 1a0/C?? REQUEST FOR ELECTRICAL INSPECTION ee-oooo,.oe
/ ? See Instmctions lor compleling thls lorm on back oi yellow copy. ^"?. 4-y?Q?(?? 3
n1 7 7-R ,"X" 8elow Work Covered by This Request
ew Adtl' aeF< rypeoFBUildinq AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Otner (syecity) Gontractors Remarks:
Compute lnspection Fee Below:
# Other Fee S ServiceEniranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 20D Amps 0 to 100 Amps
Trensformers Above 200 _ Amps 100 _ Amps
SigftS inspector's Usa Only: p TOTAL
Irrigation Booms 572
Specialln5pection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Aoi e?.
certify that the above inspection has
been made.
?-?
OFFICE USE ONLY ? This reQOest voic 18 momns irom
Addfesg: 4179 PQVNSYLVANIA AVFdVOE Lot 15 Blk z Sec/Sub %r[Frp[2D vr nr'F'
These items were/were not complete at the time of the f1na1 inspection.
D t: 7/19/91 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent ateps - main entry
Permanent drivaway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage V-11
Porch ?
Basement finish
Deck t/
Please verify vlth the builder the removal of roof test caps from the plumbing
system and tha shut-off of water supply to the outside lawn faucet before
freeze potential exists.
aa
White - City copy Yellow - Resident copy Pink - Contractor copy
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
7?-..qw,.
COffi4ERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST 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 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. JAY O 8 RECD
To Be Used For: S(,z F?q?V Valuation: Date:
Site Address 4l74' pG-a./N 5?;'vlR+?if?
?S.
Lot 15 Block 2-
Parcel/Sub I.;y???ejn-A ??,Ift-e
Owner
Address
City/Zip Code
Phone
Contractor L'?t7TEL.,STYIE(IT- l.?/Le1K.
Address '7?'{?5 sumS,?-,
City/Zip Code 'Ply, ?.1,j2 ?
Phone qi2.{
Arch./Engr.
Address
City/Zip Code
Phone #
s 114DDO - OFFICE US.
Occupancy m -I
Zoning (?-I
Actual Const y-N
Allowable V -!4
# of stories
Length
Depth H(.'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water
PRV
Booster Pump _
ONLY
EES
Bldg. Permit C??'?
J
Surcharge
Plan Review .pP
SAC, City 0010
SAC, MWCC (v?Q J
Water Conn. a O?
Water Meter 94qo
Acct. Deposit 30,00
S/w Permit O,LV
S/W Surcharge 15725
Treatment P1. 2jh,o J
Road Unit ? OD
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
APPROVALS
Planner _
Council
Bldg. Off. S.pA/og
Variance
?144? 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 L Lj?134- .
?
C? Asz,o,?,?'
wL/C X,/ r 1 6600
?__----
ayx
5-0?I
? ST ?l.o?a??
?'1? ? ?? = 1 ?
e2
I ll7 X
?
53
?-
2 1 , oo?z
. ,
?
,
OWNER:
EXTERIOR CNVELOPE AVERAGE "U" COMPUTATION
SITE ADDRESS: u/7c? N,?,v5Y/t,J.9•sii.f .4/ti'?
CONTRACTOR: 1'Y11'rrEjr 49j'?Mtf- 13AO ?
ruyc i ui 'I
e7LqL
/ NF Q/'Jlr?irP.?27k?
DIITE:??t&
PIiONE : y 52,, 4/-?) S
. Detennine working square footage of each
1. Total exposed wall area..... ?Q43 sq. ft. x.11
2. Total roof/ceiling area..... ??13 sq. ft. x .026 = Z7•9
Total exposed wall area above floor= 117 V
a. Total wall window area ........................................... I19.?j9
b. Total door area .... . ...........................................
c. Total sliding glass door area....................................
.4,
?. d. Total fireplace wall area ........................................
?
j e. Total wall framing area (average 10%) ...................... ...
i f. Total rim joist area ............................... I3q
g. net wall area above floor..
( h• wall area a6ove floor .....................................
I i. wall area above floor .... ?
? ,7 frame wall area et fouridation............................ ?
, ` - Total exposed foundation area= (O
.. ... ., . - ' ; s
,
I
kTotal foundation window area,,,,,;,,,,,,,,,,,,,,,,,
? 1_...Total net foundation area above grade..............
.
Determine "u" value of each wall segiiient
(e.g. window, (loor, each separate wall section) l
?
a. l19•3?1 x liu?? .49 ' = 5gS
n. sEt z „u„ .? I = ?3•oz
C. 4L z " u.0 •49 = z.e.S
g ;
d. -- - X< `$lull
- ?
' e. 1 97 •lo X
? f. ?31 X
9.- 1346.01 x
,.u,? . , 09 = IL • Q ?
„r .at = y.s`
„u „ .oe? = 53•8
n. x ,iu„ _
t. x IV„
X „u„ _
k., ? X
?, (e7 x itull ObL =
3 . ................................. rotai
T?'
If item S3 is the same
as, or less than item
019 you have met the
intent of SBC 6006 (c)
Sor L•'nvelopc nver:aye "U" computaL•ion Yage 2 of 4?'
??.i'
Tot al expo,ed rooE/ceiling area
m. 'ibCal s}.ylight arca . ... . . ..... .
................
n. Total roof/ceilinry framing arra (nver.agc 104).... v'?. ; i'.
I' .!I'''
o. Total net insulated roof/cciling :trea........... q
_ 1
Determ.ine
"U" valuc for each roof/ceiling
segment I '
M. - g „U..
n. T "U„ •OL?
= Z•?g ? ??
?I
: I I i?
_ II
i
o. cl?e5•'? x "U„
9 ........................... 1bta1 = Z
If tota.l of 04 is the same as, or less t:han II'l, ou ha e met the inL-enL of
SliC 60e6, (c) 1.
. Alteznatc Buildiny Envclope nesign ib utilize the total envelope'systan method, the values established by the s;vn of
items 03 and 119 shal.l not be greater than the sum oP items 01 and #2.
1. ? + 2. _
?
+ 4.
i
i .I
. j -
? fl
J
? I
i
.
; ? ?
t
1991 ILDG?T?PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WfiICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT I5 ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: ?coa Date: 2 q/
Site Address ?-//?f ( /??.?,q? y' ? ,jf/?r.f; OFFICE US:
Lot ? Block
Occupancy
?J Zoning
Parcel/Sub Actual Const
Allowable
Owner # of stories
Length 1.7 -,,T
Address Depth (2?
S.F. Total
City/Zip Code Footprint S.F.
Phone On site sewage
_
On site well
Contractar ! MWCC System _
City water
Address PRV
Booster Pump _
City/Zip Code
APPROVALS
Phone Planner
Council
Arch./Engr. Bldg. Off. /d 39/OS
Variance
Address
City/Zip Code
Phone #
FEES
B1dg. Permit A)
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL -^
? a agrees that all work shall be done in accordance with
?(E`gnature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
-)? of plan revie? Fee pd.
77?ay I0,'QI Rece??I-?CI3??3
SINGLE FAMILY DWELLINGS
Canc?l
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLP.NS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SUELVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WliICH REQUEST IS MADE.
LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ABDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE 1179" L8 TED.
PERMIT MUST SHOW A LICENSED P LUMBER.
, To Be Used For&^ tL?a i k()
? L Valuation: Da
Site Address q179 Q?nas„/va-;a !tb OFFICE U
Lot Block
? ?- FEES
Occupancy
Parcel/Sub 2oning 2-!
Actual Const v-N
Bldg. Permit t-?(?d
'Op
Allowable V_hJ Surcharge 10
Oa*ner4)" ."j LL)5)?,, # of stories Plan Review ZT(O i(qv„ fjo
Length (ob; SAC, City j ,OD
?
Address Depth ? 4 SAC, MWCC 450,00
' S.F. Total Water Conn 440000
City/Zip Code Footprint S. F. Water Meter 5 QD
, Acct. Deposit 30i O
Phone L_ r' Fy On site sewage_ S/W Permit 3p,Dv
On site well S/W Surcharge „$U
Contractor y?C?,tiLC% MWCC System -V7 Treatment P1. r O
City water ? Road Unit 37D,00
Address PRV _ Park Ded.
Booster Pump Copies
City/Zip Code _ SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL '{ 3y
Arch./Engr. _?ckr.sv?c? Bldg. Off.
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
na_ re of Con racto )
;1 applicable State of Minnesota Statutes and City of Eagan Ordinances.
VA L u AT IOQ
UA2AGE
Z2xzy= 528 x 15='?)q2o
5smr,
3ek2y= 9r2 x iy ? i2?68
I ?T F?.o,?ca
'.Q Sn?,T= ? I 2
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9 x s? = .50,35-0
4ND -?t.ob2
, -
:2 L4 x3g? ??2 X5?3 = y?33?
! 1 9 37q oo- I Zotrauu
r
, CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHyO?NryE'/?:??y? (y+6??1Ij2?) 454-y8!q1?00
kiFl ,L,Ai,R1l?iRVt???v???pF?, i;
;xaz;.,
k,. _..._ ...............
FOR CZTY USE ONLY 3 1(o d
PERMIT
RECEIPT # O o?
DATE: ur
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST VL
ADD ON _
REPAIR _
OWNER NAME: IM.=r??7!-E0( aO)A?
SITE ADDRESS: 'd??`z ??YLU•A-?tft ?.
LOT:-,er SIACK -"SUBD. S,t? P(?
INSTALLER:
12481 FChode Island Ave. So.
aDDRESS: Savage, MP!-3§378 1122
CITY: 894•000PIp;
PHONE it
FEES
ADD-ON MINIMUM s?s o0
HVAC 0-100 M BTU S l?i,.. B1
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM _,.Q.O?
OF 1 PER PERMIT
SUBTOTAL: $i2;7_
STATE SURCHARGE: .SO
Co
TOTAL:
,...Q.
SIGN URE 0F ER I EE
?(SMMERC?ALf?7DY1S?'1???.`; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------------------ _----- __----- ___-------- _____----- ---------------- -___-_-
CONTRACT PRICE
OWNER NAME:
S?TF: ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF-CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
.°?.?"^I'..Yl,^vOC OF :?:Ri4iT iEE.
PROCESSED PIPING m $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY,OF EAGAN
CITY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN MN 55122
PHONE: (612) 454-8100
t'J>'uomo;Pm
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: S ?J
PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
SOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST/X"
ADD ON _
REPAIR _
OWNER NAME
Do{/h- d%?' ?"?-! ?J.l?,d-L?
SITE ADDRESS:
LOT:_L BLOCK c,2 SUBD.
INSTALLER:
ADDRESS: ?/ d? /I 71 .0/ll/1,2+1/'(/L.F! ?.fL •
CITY:llld?4 ZIP;
---------- --------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
L SHOWER 3.00 3 J-
/ WATER CIASET 3.00 3 -
/ BATH TUB 3.00 i=
? LAVATORY 3.00 3 "
,L KITCHEN SINK 3.00 3 -'
/ LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
? WATER HEATER 3.00 3
/ FLOOR DRAIN 3.00 j=
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 l J
? ROUGH OPENINGS 1.50 ,-N SO
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE #: 2
SUBTOTAL S 3I •?9
ST. SURCHARGE 4 .50
SIGNATUP 0 PERMITTEE
TOTAL: S ?' 0
L2
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: FEES
OWNER NAME:
SITE ADDRESS;
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
18 OF CONTRACT FEE.
STATE SURCHARGE m $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT YRICE x 18 $_
STATE SURCHARGE $_
TDTAL:
(SIGNATURE)
CITY OF EAGAN
,,. PERMIT # 'Li ?`I -,?
RECEIPT DATE:
WISIDENTIAL PLUM$INfi PERb11T APPLICATION
crrY og E,a?eaLx
S$SO fILOT KNOB RD
£R6AA, Mft 55188
651-691-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: 'I l (`1 V2vinsy4Sl;?nvi 10- F4V2
OWNERNAME:: ??ePhe?i 7tWter JahvA"TELEPHON
INSTALLER NAME:
STREET ADDRESS: 40
CITY:
Place a check mark next to the permit work tvue
?6s l 405- (0 6 3
(AREA CODE)
E#: Co st q 0
5 ?G 3(
(AREA CODE)
STATE: UUl uA . ZIP: sS/Z 3'
Add-o it, including: $ 50.00
• abandonment of septic syste
• new installation/repair/rebu' of RPZ
• lawn irzigation system
• water turnaround
Nature of work: VVII. VL1
Septic System, new/r urbished - l $ 225.00
• includes Co ty & Consulting Inspector fe
• requires C license ?
Water turna und - existing dwelling w it, inclu in : 50.00
_ • 5/ ' meter 115.00
$ 165.00
State urcharge ?
:??Zf c 2
, .50
- Z?o
Total $ -
a?t
i herebyacknowledge that I have read fhis application, sta t at e in ation is coR , id agree to compiywith all applicable City of Eagan ordinances. tt
Is the applicanYS responsibility to notify the property own tha y of Eagan assumes no Ilability for any damages raused by the City during Its normal
operational and maintenance activities to the facilities cons cte nder tthis permit within prQp}?qy•kipI ?t-of-way/easement.
SIGNATURE OF PERMITTEE 1102
SURVEYOR'S CERTIFICATE
L_? i ? ..
HOTE: NO SPECIFlC SOLS INVESTIOATION C90f-0, ?
NAS BEEN COMPLETED ON THIS
LOT CY THE lUIIVEY011. THE lUtTMLITY OF lOIIB 1D 9UPPORf
1H[ wwM1C 1101JsE %IDPOtEO
TIR IomNl1lLITY OF
THS RM10R"
NoTE: euLoiNC ou+E?+swr+s sHawr+ u+e ?
y? 11CA1. LOC-
PDR FIOIMZONfAI 6
ATION OF lT/11CT1MI[ 0l0.Y. 3! ?N ?
I ARG1ft[CftlAl. PIAM Fdl BUtLD 0 ?
0 fqRIDATION DIMENSIONS.
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RAINAGE 9 UTILITY
/ EASEMENT PER PLAT
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14--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAOE FIOOR - 91 y. (o FEET
X000.0 DENOTES EXIStINO ELEVATION PROPOSED LOWEST FLOOR - 9 J I. d FEET
(000.0) DENOTES PR0P05ED ELEVATION PROPOSED TOP OF BIOCK - q/ S. O FEET
WE HEREBY CERTIFY TO MITTELSineUT Bfz65. CONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 15, BLOCK 2, STAFFORD PtACEt ACCOR01N0 M THE
REiCOftDEO PLAT THEREOF, DAKOTA COUNTY,MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACNMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDEFi MY DIRECT SUPERVISION THIS 7 TH DAY OF MAY 11991.
Pf10F'OSEU GNAUtS 9110VM WEffE TAKEN
FNOM THE GNADHO, q1A1NA0E S ERDlION .
CONTIIGL /LAN FOR STAFfOpO R.ACE, PREPAREO BY MEDLUND ENGI1fERINO,
LA9T OATED 8-31-87 x ? m
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HILL,INC.
!1_1„? c ,.?
JOHN C. LAR50N, LAND SURVEYOR
MINNESO?A LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2600 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 o 912-890-8044
i_.. i
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BUAVEYOR'S CERTIFICATE
i_0 i i .'?
NO SPECIFlC SOILS INVESTI6ATION (q a f 0 U
HAS BfEN COMPLETFO ON THIS
LOT !Y THH SURKYOl1. THE bRAINAGE 9? UTILITY
lIMMLiTY Of lOILS 70 9UPPORf EASEMENT PER PLAT
rnc ric Houu ParoKo
? ?nIMr?oes?rtr or
N LO
? 5
. `=3e
./
BUILOING dMENS10N4 SMOWN ME / t 0),
?q TICAL LOC- (V / /?
PDII l101MIONMI &
ATION W !TMlCTIMI[ OtIIY. !QE % /
ARCHI7TCTUU. PLAM PoR BUILDiNO ?
p FOIMDATION DIYtNStON9. /
2 MO
c ?I ?P ??? , ? cy
o, a
. w hW h a / ryp pR0/? r, ? /q ?l+
w=? / ??.t.a
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4t4' ro..°i i r9?'` •., ya °ir•o
ftt? ,''?rk }2?'92 ii y J> ?J (
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W3.t ? ? • py? ? ?/
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+ DENOTES PROPOSEO SURFACE DRAINAGE
O DENOTES IRON MONUMENT SEt SCALE: i INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED OARAGE FLOOR - 9iH• 6 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOFi - 911.d FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 41 S, O FEET
WE HEREBY CERTIFY TO MIT7ELSTAEDT BROS. OONST. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 15, BL.OCK 2, STAFFORD PtACE,ACCOR0ING TO THE
RECORDEO PLAT THEREOF, DQKOTA COUNTY,MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OH UNDER MY DIRECT SUPEHVISION THIS 7 TH DAY OF MAY ,1991.
Vf10F'OSlU 4HAUtS y110MM WEHE TAKEM
iROM THE pRADIN0,q1A1NA6E 0 FIqS10N .
CONTNOL PLAN FOR STAfFORD R.ACE, PREPAqED BY MEOIUND ENWPEERINO,
LAST DA1E0 8-3I•Bi
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O
HILL,INC.
?
JOHN C. LARSON, LAND SURVEYOR
MINNESOtA LICENSE NUMBER 19626
James R. H,ill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CN. RD. 42 • BURNSVILLE, MN. 55337 o 812-E90-8044
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157673
Date Issued:09/03/2019
Permit Category:ePermit
Site Address: 4179 Pennsylvania Ave
Lot:15 Block: 2 Addition: Stafford Place
PID:10-72500-02-150
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 -
Stephen Porter Johnston
4179 Pennsylvania Ave
Eagan MN 55123--158
(651) 485-4762
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature