3996 Pennsylvania AveCITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt#
To be used for ' • ' '" Est. Value ?W, `'x)U Date '• ? } `' ,19
Site Address i'= • " ?; 2?.;iAN2A AYJ:
sT^:rOI{;- FiA{:
Lot Block ' Sec/Sub.
Parcel No. Clty
a
W Name _
? Address
W City
-
t;5'1' HOr1ES CORP
Phone 4 y13
Phone
Phone
I hereby acknowledpe 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.
Signature of Permittee .__---
' ` ..?
A Building Permit ia issued to:__-
on the express condition that all work shall be done in accordance with all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Bullding O(ficial_
OFFIC E USE ONLY
On Sfte Sewage Occupancy
MWCC System Zoning
On Site Wetl (Actual) Const
City Water ' (Allowable)
PRV Required # of Stories
Booster Pump Length
oeptn
S.F. Tatal
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge '
Councii Plan Review
Bldg. OH. SAC, CitY
Variance SAC, MWCC
Water Conn.
Water Meter
`
Road Unit
Treatment P1
Parka
TOTAL
. Permit No. Permit Holder Date Telephona #
Plumbing
rv ?
H.V.AC. / -?'/ e
Electric lr
Softener
Inspection Date Insp. Comments
Footings I %
Footings II
Foundation zy??
Framing
Roofing
Rough Plbg. J
Rough Htg. ? ?.
IsuL
Fireplace
Final Htg.
Final Plbg. ? Sr
Bldg. Final
cert occ.
Temp. LP
Deck Ftg.
DeckFinal
Well
Pr. Disp.
M ? -# , .
(gertiftrate of (Orrupanry
titp of (Eagan
arpttrtnpnt of suddwg jnswtrtimt
This Cern'fccate issued pursuant ro the requiremenu of Section 306 of 1he Uniform Building
Code certifying that at rhe time of issuance thrs structure was in compllance wiih !he various
ordinances of the CYty regulating building construction or use. For the following:
Ux Ctessifintioa SF u4G?GAZ Bldg. Rrmii No. 1"$3
?„??r TYx R3 jI`?s oea;u R 1 ?,'; t Type c-
o.? ? ? ;??-rFs ? 3?? c'f::?a. . ia. Dt, ?c,?:
BuiMingAddras 3946 LDMItY 1,.. , , . -'t`"???•J)
Buaai,g oacW
p,te. Auscust 19, 1988
POST IN A CONSPICUOUS PIACE
PERMIT #
' PLUMBING PERMIT
RECEIPT # ? -? ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PFIONE:,454-8100 ? S
Site Address BLDG. TYPE WORK DESCRIPTIaN
Lot = Block SeciSub Res. New
• ." '? ' ' Mult. Add-on
Comm. Repair
? Addre /V &14)f A Other
c Ciry ?] ? Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES TOTAL
` Name -F??'eArTj ? ? G'/17P S ? Water Gloset - $3.00 S --??:.
-7-
?
?
3
Address y Si F' ?l w Bath Tubs - $3.00
•
?=
TLa
00 l
ato
''
$3
ry -
.
v
p City Phone Shower - $3.00
:"3
=
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
n
COMM/IND FEE - 1% OF CONTRACT FEE ?Laundry Tray -$3.00
-
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 a
Z
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
-7--
MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
, Private Disp. - $10.00
h O
i
s - $1
50 --
=R
? < ' 'r `Il ?1
- ". ????/_L?• 1<1.f'?jJ oug
pen
ng
.
SIGNi4TURE OF PERMI FEE: U
`!3_ v
STATE S/C:
FOR: CITY OF EAGAN 24. r
GRAND TOTAL• v
• PERMIT # ? ?•'? `? ?
. , . • MECHA?VICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE Site Address 3996 Pennsvt
Lot 13 Block
? Name w%Nz$L HEATIt3
? Addre.ss1955 Shawnee
c City Ea$gj1
BLDG.TYPE
Res. XX
Muft
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
? Name Fron tier Companies
3 Address 390 8 Siblep Memor1
O Ciry Eagn n Phone _
TYPE OF WORK
Forced Air 80,000 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping OuUets #
Other
FEE:
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONOOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
1.50 .
BEYOND $1,000)
25.50
50
. SIGNATURE OF PERMITTEE
i2FJ.0?
FOR: CITY OF EAGAN
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Loeated at I have this day inspected this structure and
these premises and have found the following
violations of city codes governing, same:
.
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City ol Eagan
DO NOT REMOVE THIS TAG
r'?'?• . .. . . ..?. _ - ?-.,-+r ?-- . . . . ,
MECHAHICAL PERMIT
• CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: / 76? PHONE: 454-e100
L
a?
m
c
m
c
3
O
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other _
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE . WORK DESCRIPTION
Res. ? New
Mult Add-on
Comm, Repair
Other
Block
FEES
RES
HVAC 0-100 M BTU
00
-$24
.
ADDITIONAL 50 M BTU .
- 6.00
' Phoney?l ? 6q? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PEkMIT) - 1
50 EA
.
.
COMM/INp FEE - 1% OF CONTRACT FEE
M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS
M BTU 17• u MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT - 20.00
CFM
(ADD $.50 S/C IF PERMIT PRICE GDES
BEYOND $1,000)
- _ - - - _.. .. . - -
FEE - -- - -- --?..? ?-_ . _ _
J
S/C: 'rd ZIGNA ? E 'P M EE
TOTAL•
FOR: CITY OF EAGAN
?? /Yf ; & G;; a
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100 BUILDING PERMIT
To be used for ?F DWG/GAR
Site Address _
Lot 13 Block
Parcel No.
b
Sec/Sub. STAFPORD PLACE
a Name 1FRONTIEli NID41ES7 ii0M COBP
3 Address 3902 CEnnRVALE DR
a City EAGAN Phone 454"4433
, o Name I AMR
? ? Adqress
P City
CC
? WW Naine
W
_ z, Address
UZ
a W City
...?
I hereby aCknoiNledge that I have read this application and state that the
information ia cErrect and agree to comply with all applicable State of
Minnesota Statutes and City o( Eagan Ordinancesi '
SignBture of Permittee ' A Building Permit is issued to: FRONTI ER MIDtid85T k10I9ES
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 Officlal
Est. Value $60,000 Date
ece p
MAY 10
14983
19 a8
PEAIliSYLYANYA AVS
OFFICE USE ONLY
On sRe Sewaqe Occupancy 1-3 M-1
X
MWCC 5ystem Zoning
On Site Well
(Actual) Conat ??
City Water X (Allowable) V--H
PRV Repuired * of Stories
Booster Pump Length
Depth 341
S.F. Total
FoOtprint S.F.
APPROVALS FEES
4?'?•?
Engr./Assess. Permit '?
Pianner Surcharge -
-
--
70
T.
O0
Council Plan Review
Bldg. DH. SAC, City 1001boo
-
-
-
5
0.00
5
Variance SAC, MWCC
550.00
Water Conn.
water Meter 67 • 00
325.00
Road Unit YO
Treatment P1
Parks
2,7.00
TOTAL
,,,,.,.?.. ,? . _ _ . . , . . , . ?:•.R
, CASH RECEIPT
?.
CITYOF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 .J ?
?
AMOUNT
? ?7'
& loo DOLLARS
?CHECK
AMOUNT
Thank You
BY C -
?? ??7f 3 ?"u? Copy
Pink-Flle Copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ' t? 1 F f? 1 N1?
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
rIN', r i vnN t n nvi , I illip,t I M; J. 11*,:";
inttuI,V t•t.A I t thi" ? "J- ',.? V h
F ?
Ch^? .?, ?a
L
PERMIT SUBTYPE: TYPE OF WORK: ; r f RRI I (IN
.,E,rwQ/w(J'Fi r/?A Sf 1A
PermR No. Permit Holder Date Telephons #
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIFEPLACE
FIfiEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3630 Piiat Knob Roa+i
P.O. Bax 21109
Eaqan, MN 55121
Permit No: Datw i -13 -8 t.
Meter Na ?J 0 -,. Size: 5a"j?oc
Reader No: Date:
d
svivania Avenue L13 P.b Stafford Place
Plumber yLar YtumhinR
Conn. Chg: 5 50.o,? Dr: Zoning: rj
Acct Dep: 15 •ocPo No. oi Units: ?-
Permit Fee: 10•00n"
Surchar
9? • ? 0 0(1 I aqree to com
l
th Ci
p
y
ty of Eagan
Tr.Plant '`•A•oop?;
Ordiean
Meter.
Misc., gy c
WATER SERVICE PERMIT
CITY OF EAGAN PermR No:
3830 Pibt 16nop,Read B/P No: -` s
P.O. Ppx 21 199
Eagan, MN 55121
Fidwest
Date: S -i3-?8
DBte: 5-12 -R°
SiteAddress: "7O?rrsuus_ysvRZ.? -71vi .:u Li-5 ?'•h Srgffoxc? PISCe
Plumber: Star ?Iumbiu.^.
MWCC: 550. 001>d Zoning.
City Chg: No. of Units: ?
Acct. Dep: Iy ° ???'?
Permit Fee:
- I agree to comply with the City of Eagan
5urcharge:
pd
'
Ordinances.
CITY OF EAGAN _ i
3830 Pllot Kliub Rea`a
P.O. BuAc 21199
Eagan,lVIIN 55121
SEWER SERVICE PERMIT -1
Permit No: 957
5
Meter No:
Reader No:
Date: ti -13-83
Size:
Date:
Cann.Chg: 550•0.)pd Zoning: rl
Acct. Dep: 15 •')0,p4 No. of Units: ?-
Permit Fee: 1•`A• Oope
Surcharge: _ • 5o ?''d 1 agree to comply wfth the City ol Eayan
Tr. Plant •'in^ Ordinances.
Meter. 7
'r
M isc-- By
WATER SERVICE PERMIT
REQUEST FOR ELECTRICAL INSPECTION
? See instrudions /or completing ihis form on back of yelbw copy.
? 2 4 2.0 9 •X" Below Work Covered by This Request
r EB-00001-07
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industnal Furnace
Farm X Air Conditioner
01her (speciry) convectorB Remarks:
Job # 20801
Compute Inspectron Fee Below:
# Other Fee JR ServiceEniranceSize Fee # Circuks/Feetlars Fae
Swimming Pool 0 to 200 Amps 11 0 to 700 Amps 4.00
Transformers Above 200 _ Amps A6ove 100 Amps
SignS Inspector5 Use Onry: 1 TOTAL
Inigation Booms
Special Inspection
Alarm/Communication
Other Fee .50
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouyn-m oere
Final o
?
OFFlCE USE ONLY
This requesi voltl 18 rtrorMS irom
242??/ D0
/
?e,
?l
?._p1
\J
Request Da[e
Fire No.
? Rough-In Inspedion
Requiretl? ? R¢ady Now fAWill Notify Inspector
7 6 9 ? Ves KNo Y?hen fleaQY+
ILNicensed contractor ? owner hereby request inspectlon of above electrical work at:
Jab Atltlrese (Sireat, Boz ar Route Na) Ciry
3996 Peens lvania Ea an
Section No. Township Name or No. Range No. Couny
Dakota
Occupant (PRINT) Phone No.
=Jud Schmidt 452-6917
Power Supplier AACress
Eleclrical Conhactor (COmpany Name) Cortlrecior9license No.
Hilite Electric 040445
Mailing Address (Canhactor or Owmr Makirg Installation)
19 M 122
Aulhorizetl SigneNre (COmreclwlOwnar Makiig Inslalle?on) Phme Numbar
MIN FRA d'(R@LECTIiICT' THIS INSPECTION REQUE5T WILL NOT
OrIgga-Mlaway Bltlg. - Poom 3-113 BE ACCEPTED BV THE ST.4TE BOAflD
1821 Unlversity Ave., SiPaul, MN SSYOC IINLESS PROPER INSPECTION FEE IS
Pliane (612) 662-090U ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-os
See inslrvctions lor complating this lorm on back ol Yellow copY.
E 2(?,?! 72 "X" 8e/ow Work Covered by This ftequest
"Reo. Tyoe of euiieIne Aooiiancae W4ea Equiument Wired
Home Range Temporary Service
Duplex Water Heater iyhtinp Fixtures
ApL Building D r Hectric Heatin
Commercial Bldg. urnace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm OmH, uecIv th,,rlSna?ifyi
t a.r ueufV Olhef O1M1l(
Comaute Insaectlon Fee Be/ow
p Fee Se?viceEntmnce5ize R Fee FaxOars"Suhteetla?s b Fqe CircuAs
0 to200Am s Oto30qm s 0 m30Am s
Ahove 200 qmps 31 to 700 qmps a 31 ro 100 Am s
Swimming Pool Above 100_Amps A6ove 100_Amps
Transformers Irrigation Booms PdrtiaL'Dther Fee
? I JO I Signs ISNecial Inspection
flem»rks Of
Thisrequeslvoitl'f??/pv J
18 mpn[hs tmm
E 2: 2 7 2?.?..?. ?a? ?o
Rppuesx atg?
r Fir¢ No.
? ugh-in InsPer,Iion
N
eOwreA?
I
ReaOy Nuw Q Will Nntify Insuec-
?
ly ?Ves ?No
tor When fleady
U-e--ensad ElecUical Contractor I hereby reQUest inspection of above
? Owner elacirical work instelled at:
Stre d ess Box r Noyte Ciry
cLOn o. Township Name or No. ange o. Counly
Occ nt INTI
? Pho e ^No.
? ? ^ O ?
Pow r $u0 r,,L Adtlress
Elacvical Conhactor ICompanv Name) onvucmr' aLicense No.
aking Ins?ailation)
14540 PENN LANE
Ayjly?ip(?{?g?[qFB.ISopyr?? r?y a?g?leystallation)
Ijl'1"?.r. YALL.GI l4 Phone Nomber
MtNNESOTA STATE 80AND OF ELECTflICITY THIS INSPECTION PEQUEST WILL NOT
Griggs-Midwey Bldg. - qoom N-191 BE ACCEPTEO BV THE STATE BOAXD
1821 Univarsitv Ava., St. Gaul, MN 55104 UENNCLESS LOSE POflOPEH . INSPECTION fEE IS
Ponna1fi1216420H00
L
BLDG. PERMIT NO.
01-321q.. .Skig. Permit
013422 Plan Check
Of-3445 Surch./Adm.
01-3446 SAC/Adm.
Ot-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
CJd
CITY OF EAGAN rJo- 14 9 8 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-81 00
$ 3 ?
OUILDING PERMIT Receipt#
Tobeusedfor SF DWG/GAR Est.Value $60,000 Date 1`1AY 10 ,1 g 88
Site Address 3996 PENNSYLVANIA AVE OFFICE USE ONIY
13 6 STAFFOR? PLACE
Lot Block Sec/Sub On Site Sewage _ Occupancy R-3 M-1
. MWCCSystem X Zoning R-1
ParcelNO. V-N
OnSiteWell _ (ActuapConst
m Name FRONTIER MIDWEST HOMES CORP Cirywarer X (Allowable) V-N
w
z
Address 3902 CEDARVALE ?R PRV Required
- # of Stories
0 City EAGAN Phone 454-9433 BoosterPump _ Length 58'
Depth _34,
p Name SAME S.F. Total
,
o? Address FootprintS.F.
u<
:
City Phone
APPROVALS
FEES
W W Name Engr./Assess Permit 414.00
r i Planner Surcharge 30.00
i- Address
Council
PlanReview
207.00
aw City Phone Bldg. OM. SAQ City 100.00
I hereby aCknowletlge that I have read this appliCation and State that the Variance SAC, M WCC 5? .DD
inbrmation is correct antl agrea to comply with all applicable State of Water Conn. -25.0-,00
Minnesota Statutes and Gity of ?di ne4 Water Meter ----QQ
Signature of Permittee / 11 Road Unit .12 5-00.
A Building Permit is issued ro: FRONTIER 14MWEW_1jOME$- _ Treatment P1 2Q4,_011
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota StaNfes and City of Eagan Ordinances. 2,447.00
?1 .: .i I ryh p
Building Official Torn?
RESIDENTIAL BUILDING
' Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
cu,,.?? .? 113I ?s
NewConsWctianReauirements RemodeVReoairReouiremenls OfficeUseOnlv
3 registered site surveys showirg sq. ft of lot sq. ft. of house; and II roofed areas 2 copies of plan Cert af Survey Recd
(20%maximum lotaverage allaved) 1 set of Energy Calalatians lor heated additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured (ound desgn, etc. 1 sile survey (or additlons & decks Tree Pres Not Reqd
i set of Energy CalcuWtions Addifion - indicate 'rfon•sife sepfic system _ On-site Septic System
3 copies of Tree Preservafion Plan if lot plaGed after 711193
Rim Jaist Detail Oplions selecbon sheet (bldgs with 3 or less units
?9O
Date --/ Construction Cost _ '-2 ?b
Site Address 399(o P!?n/?O SYL (,yMj 4 UnidSte #
?? 65(03
Description of Work //-. Gk
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 7?' k?`C S Telephone # ( (p`?j I ) LK)a ' Cn 9 I 7
Contractar ??r?5 l?.US }?C k5 ? ?.{}2 Fi(?S C ? ? ? n1S r.??'j
Z
Address
State Zip .S S V-? -
City ?-?-
Telephone t! qS 3` lLIOCa
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventila6on Category 1 WoAcsheel
(J submission type) Submitted
• Energy Envelope Caiculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone # (
Telephone #(
naNY c s
I hereby apply for a Residential Building Permit and acknowledge that the ii
that the work will be in conformance with the ordinances and codes of the
Statutes; I derstand this is not a pertnit, but only an applicati r a petm
permi • at e work wi 1 in accordance with the approve lan n the case
ap oval of lans.
._ ^ " ? ? SavV . TC?-? G}"??
ion is comj7TeFe'and accurate;
LE,i-?u?tate of MN
work is not to start without a
k which requires a review and
Name
OFFICE USE ONLY
Sub Types
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ?-A Deck ? 23 Porch (s creen/gazebo)
? OS 03-plex ? 11 10-plex l ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
?-31N ? 35
? 32 Addition 0 36
? 33 Alteration ? 37
? 34 Replacement
nU
V
l
ti v,
-
a
ua
on ,
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 E#. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demafish (Bldg)' ? 43 Reraof ? 46 Windows/Doors
•Demolition (EMire Bldg) - Give PCA handout to applicaM
Occupancy IZ 3--U MC/ES System
Zoning
Stories
Sq. Ft. ?
Length
W idth _
Footings(new bldg)
? Footings (deck)
_ Footings (addition)
Foundatiou
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
ooo
Approved By ??_, Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC
C,tY SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
- )-S
f 70
1 Sjirvel?oris Certifirate
SURVEY FOR: 1'rontier *liclwcst Ilomcs i:ct'p.
OESCRIBED AS: I.ot 1.:5, lilock 5, S';'A':?PO!'!) PI,!1CL', CEty o,? 'ciaoan, Cakota (kxrtt„ ilinnesota
and rescr"ding cascr:cnts of record.
891,0 85.00 N 89°55'S5" E
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s ? M
S
0
$yt.4
?
I
1
151
_- ca..li?anJ LI
q?.b]lJ
y
?15
O
B5
N 89?
0 8`1L.3 ' SU? I I
M
PENNS?J- LVP N/)9
PROPOSED ELEVATIONS ?
To0 of Foundation
Garaqe Floor
Basemenl Floor
ApproK. Sswtr Servite
Proposed Elsvallons
Eaisfinp ElavoNons
. 891. 8
? d9i, 4
?BEB.b
Elav..a?i, i ?
proinaQ• pirecNons . -..._.
Denotea Offssl Staks . Q
HEDLUND
Planning Eng/neeiing Surveying
pOg EM 8bo+MnpmfiwwM,?? a.YWww& !'Ni0
iMw?MoT W ?
855.9
s
3tl5.1 O
f?VENUE
'7 -cf.??-,--
??.:
,
.. , .. . ,
,:.r ,...,.., __,._ .... .. ........ . ....,.'.i
SCALE: 1 Inch a 30 Feef
BENCNMARK,
; MIN. SE7BACK REOIREMENTS
Front - 3o Houae Sldo - 10
Raor -kS Goraqe SIM- S
I hewEy eerlllY Ihel fh4 surveY. Plan w nport was pnPared EM me JOB NO.'
ot under my Olract suMrvlslon onA IAOt i am o Auly Reqlslarod 88R-156
Land Swveya under Ihe laws af Iho Slol• ef Minnesoto.
BOOK:
Dot?: 4 ? 12. 1 e•1 . a," D. ? PAGE:
Js y M r n, Llc?np N Nl76
I
0 ?
m
z?
o?
??
?I
,
(
, 1988 BIIILDING PERMIT APPLICATION - CITY OP EAGAN ? i
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHIC$ ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WIT$ HLDG. DEPT.v
1 SET OF ENERGY CALCULATIONS
COPRMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
AM MP.Y 4 Nw
To Be Used For: New Construction Valuation: Date: 5-3-RR
Site Address 3996 Pennsylvania Avenue
Lot 13 Block 6
Parcel/Sub Stafford Place
Owner Judv Schmidt
Address 4020 East 52nd Street
City/Zip Code Mpls, MN 55417
Phone 722-4038
Contractor Frontier Midwest Homes Corp.
Address 3902 Cedarvale Drive
City/Zip Code Eagan, Minnesota 55122
Phone 454-9433
9rch./Engr. Phillips Plan Service
Address APPle Valley, hIN 55124
C?#?-Es?e /Li S 30 Psn nOck C1.ust, -
Phone 7i ?13 a- ao 4?I
? b/ 0?? ? UP'r"1GE US?; ONLY
On site sewage_, Oceupancy I?-3 NI-I
N&ICC system _?Zoning Q-I
On site well Actual Const V- N
City water Allowable V-N
PAV required _ # of stories
Booster Pump _ Length SB =o'
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge 0?00
Couneil Plan Review 2017,00
Sldg. Off. -S/co SAC, City ,pa I
Varianee SAC, MWCC 0.00
Water Conn 5S0.o
Water Meter .00
Road Unit Z?S, Op
Treatment Pl D , 00
Parks
Copies I
TOTAL C C?
WI?SH?0.E??'?'toDCZ w?
oT
Slrrvelnrs G'ert?f?c?te
SURVEY FOR: I,roiiticr hiidwest Ilowes Ccrp.
OESCRIBED AS' 1.ot 13, }31od: 6, S'CA.''F01'11 PL.4CI7, City ol_ cagan, P.ukoC, Coiuity, i;innesota
vid reservi.ng easenents of i-ecorci.
Q91,a
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0
0
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?
N
85.00 N89055'S5" E
LP in
I Sg I
El ?34
888 . 8
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812: O
4 -
''7 -? I
? I
_ _ _ _891.I 851.1
aa - ?
ra
sc ?
?
1
s?
iy.?i g?.l,i•[.,i?? N -
Gm?. , A 1Gl)-• ?5?11 I
? ?an}s ?dll.?
B')I.5 tl 1.1 ` ?
y ? \\
1 1 \?.
V ? -I
O
N
PROPOSED ELEVATIONS
ToD of foundofion . 691.0
Garaqa Floor ? A91, 4
Bossment Floor '6899 .6
Approx. Sewer Sarvlae Ebv.. 8-,I, i
PropossA Elevations ? O
Exiafinq Elevatlons ?
Drainaqa Directiona .-.,
Denotes Offset Stoks . O
M 852,3 gjpti I I
PENNS'-JLVFl N/A
N
a
/iEDLUND
P/anning Engineering Surveying
tl01 EW spon4Wa f-y. Noomypuw YYVrw? bNM
twWw+MiAmata
S$5.9
?
7e5,1 p
HVENUE
7 1, _
UY'
D uLv
EAG ' 'j T' •";'`"I?T?.7 iIi .- ? D?i
.t r ?
BENCHMARK,
SCALE: 1 Inch a 30 Fast
; MiN. SETBACK REOIREMENTS
Frone - aa House Slde - to
Raor - i S Gorape SIM- 5
I henEy cOrtlly thal thb survOY. Olan m ffport was PnPanA EY me JOB NO.:
or under my Olncl Suprvblon ond Ihpf I om a Auly peqbbn0 88R_?5'6'
Land Surveyor unAer Me laws ol iM Sfole of Minnewla.
BOOK:
? PAGE:
Dote: 4 t Q. I 4? M,Y nd n, Llc?m• N N376
??
0
m
z
O
??
? I
?I
Zx(p SlLL?S EXTERIOR EYVELOPE AVERAGC."u_'?urti' ixi??iv
------
OWNER; Judy Schmidt
S?TE ADDRESS: 3996 Pennsylvania, Eagan
D11Tf : Z.-3'Z3IF-,
PNONE: 454-0433 - FRONTIER
CONTRACTOR: FQo f.ITIa-Ce- l-?ot-1r5 _ PLAN. # WiI.S4IRG
Determine working square footage of each
1. Total exposed wall area..... sq. ft. x.11 =
ti ,•
2. Total roof/ceiling area..... R-1Z- sq. ft. x.026 = ZZ•1
Total exposed wall area above.floor= ib25
a. Total wall window area .............................:............. IZI
b. Total door area .................................................. Sla
c. Total slidin9 glzss door area ....................................
d. Totzl fireplace wall area ........................................ -
e. Total wall framing area (average 10%) ............................ I? S
f. Total rim joist area ...........................................:. I Z(0
g. net wzll area a6ove floor ..................................... l2 9 Z
h. wall area a6ove f?oor .....................................
i. wall area a5ove floor .....................................
j. frzme wall area at =oundztion ...................................
Total exposed r'oundztion ai-ea= ?
k. Total foundation window area .......................
l. Total net Toundziion area above grade ..............
Dztermine °u" value of each wall segment
(e.g. window, door, each separate wail section)
IZI X u??
a
.
b. 5(c X "U"
C. X „u„
d. - X ?1 V _
e. 1?15 X u?? ,p0\
f. 121n X "ull :04 = 5.?
9. 1Z4Z X. l,uil ,04 = 9`i.1
n. X „ul,
? x i,u„ _
? j, X"U" - If item 13 is the sa
k, X"U" = as, or less than ite
nl, you have met the
X"U" = intent of SBC 6006 (
3 . ..... .. ........................... Total
Tota1 expo,ed reuf/ceiling area = g1 Z.
• m. ?btal skyligl:t area ............................
n. Totzl roo`/cei Ln, franing area (avcrage 10%)...
o. iota_' r.et, i.^.sulatc3 rooi/cc:ili^, area...........
Determine "U" value for each roof/ceiling segment
M. X "U" _
n_ 6? a ilUll
c. x "v" ,oZ = IS,1
5 ........................... ToL-al = ??•o
tocai cf ;;9 is tl:e samz as, or less ihan 42, you have net the intent of
SBC 50::5 ic? 1.
Alternate Buildir.g Enve].ope Des'iaa
?b _ti_iza t'r.e total envelope'system method, the values established by the sam oi
ite.ms. ?'3 and -4 shall not be greater than the stsn of items i'r2 and 42.
1. + 2. ZZ- I = Z ZS cP
3. ???J? 1 + 4.
PIAN # w I V5 P i RE
* LINFAL F?T EXPOSID WALL
BIACK:
=,: 36 +38-r1y+z1 >>-Lq
w.o.:
FULL, ,: 3 8 t38 ?- zS+ is =! z-Lo
FULL 2:
F'LREPIs9CE :
RLH:
° SQUARE fi T EXPOSID WALL AREA
BLOCK: x .5 =
Kqlz: i Z9 X s= (?zo
W.O.: X g _
fULL 1: 1V4 x 8=)008
fiTLL 2: x 8 =
FT?2EPLACE: x =
RTS?: lZCP x 1= IZ(O
PL = +`I 5-9
* SQUARE FEET EXPOSID CEILING 67Z
^ Q??F7Ek1S
L13Lr'55
i??? Z498' 3ti
111 .7Alco : ZS
11 7s?3?a= Lo
- ?zl
? DppiS.30
3 0 . 2e % S(Q
PATIO DOORS
s`=34
* aasa= trrrrrs
?)V1L: Use ??, of 6pnque t,ul l area fUr
? •- T fVarne C[x)4EvuCE?On
ESG. ik7
R- VAIZJE
CONSTRUCTIOId- FRAMINC - -
1. INfER20R AIR FILM 0.68
2. 2 6 BD
3. 5 1 2 SOFf WOOD 6.8
4.
5. ID G .a
6. EYTERIOR R ILM 0.17
TOUL = 1 .8
U= .09
1VEf
t.
rr.. Ka
1. IN'IERIOR AIR £IIM 0.68
?:_' 2 GYPBD .45
3.
4. 25/32 SHEAThZN6 2.06
5. S ING ,6
6. R AIR IM 0.17
U= .04
?
I ' U•, ? `r
? ? p n
F6-NDhTI1?J
WkLL ? D?
? •t ? , //
1. INTERIOR AIR FIL?*f 0.68
2. 6 SLlI,. 19.00
3. x JO
4.
S. S DI G .64
6. EXTERIOR AIR FI _
U= .04
SIACK
1. IIQTERIOR AIR FILId 0.66
2. i
3. 0 5. 0
4. PROTECfIVE BARRIER
5.
6. M=OR A R F
TUTAL R= .13
. U= .14
SLAB ON GRADE
f I ?- ` r+ ??
. .: ? / 7fr
r ?. ' i ? . I ! I ? 1 ' ? f
' ' ° °-IlI
!It
.."? ? FZ-G. 0
I 11
r2G . rt3 ".
` ? • ?'? 11f
1. ?
-i _ r -
? • , ?+ 1
' ? Y wt ) { ^ ?
a ?. , r {
v '
--I1I
,"? • . r. J11 ?c!
r_• -
_ ,., _
NOTE: INDICATE TYPE, "R" VflIITE. DEP'ISi AAID
?, --` PLACIIgNf OF INSUI,ATION.
PRarg Wncc
ROOF-CEILING
.
CONSTRUC!'TON
? 1. INT'ERIOR AIR FIIM
2. 57F •
4•
.ro?ra?.
VENT U = .02
I FRAME
VENT'ED I ? fEAT FDOW 1. INTERIOR AIR FILM 0.61
UP 2. _
3.
4. 0.61
FIG. #5 U = 0.024
CONSTRUCTION
'I HFAT FIAW UP
?l
V??'?1'!'£?D
:'IG. #E •
1. INSIDE AIft FILM 0.61
2.
3.
4.
5. -
£R9
ME
INSIDE AI?t FILM TO'"1PS,
U =
?
.61
2.
3.
4.
5. Uunila; - '
1.
_INSIDE AIR FILM U =
0.61
2.
3.
4.
5. .l
TOTAL
U =
NOTE: USE ADDITIONAL SHEETS I£ t?ORE SPACE IS
DIEEDED FOR DEI'AILS AND C.4IC[3L.STIONS.
FIG. #7
NQN-VENl"t:ll ?r
HFAT FIAW I
UP
l;I'I'Y 0!= [_Ar,f-,N
i;hSl.-IT!ER: 6 i'f::I;M:[NA!._ R0: 538
DATli.a W09/% TlMl:;; {.i.;5034?
r
10
?iA?",l.°, F?MRE:
y
^:•.i':I.O 900'. 3996 '-`L:tJN'iYLVF0II 284.75
2155 9001 3996 !'F.i•1N5iYLVAN t..°;J
Tn'`,7l iier:f_1pf, AmQ!.!n(t7I C.32..21
r, RCir_,,°56r;3
i.1Si-"'t 7T.1: NAi`iCY
;"X;%?$W.;1'iF%:Y,CiYY,;i!"f.YFVA $t%*";Y,:::";'rr:YzDe7,`,rco._, ':(;,.;'FW"
PERMIT
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D S N G
Eagan, Minnesota 55122-1897 Permit Number: 029018
(612) 681-4675 Date Issued: 10 / 0 9/ 9 6
SITE ADDRESS:
3996 PENNSYLVANIA AVE
LOT: 13 BLOCK: 6
STAFFORp PLACE
P.I.N.: 10-72500-130-06
DESCRIPTION:
REMARKS:
'Q?J t. 2 1
r 't
1 ,
j
'. Y.
.. ?? \, .{ .. :t. ?\.--
??
4E
SIDING/50FFIT/FASCIA
a ?.
BUildinj4Permit 7ype 9F (MI3C.)
?uilding W"q,rk Type ALTERATION
e''Census Code I 434 ALT. RESTDENTIAL
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
?
$224.75
$7.50
$232.25
$15,0@0
CONTRACTOR: - Applicant - ST. LIC OWNER:
CENTURY 21 HOME IMPROVE 15530025 0002406 SCHMIDT JUDY
3700 ANNAPOLIS LANE 3996 PENNSYLVANTA HVE
PLYMOUTH MN 55447 EAGAN MN 55123
(612) 553-0025 (612)452-6917
I hereby acknawledge that Z have read this applicat3on and state that the
information is correct' and agree to comply with alL applicabYe State of Mn.
Ststutes and City of Eagan Ordinances.
L _
APPLICANT/PERMITEESIGNATURE ISSUED84. SIG ATURE k
I
lqole CITY OF EAGAN 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5
New Construclion Reauirements
RemodeVReoair Reauirements
? 3 regislered sNe surveys ? 2 copies ot plan
? 2 copies ot plans (include beam 8 window sizes; poured fnd. design; ete.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy ealculetlons ? 1 energy calculations for heated additions
? 3 copies oi tree preservafion plan H lol plaNed after 7/1193
required: _ Yes _ No
DATE: XD- 3-- 6 CONSTRUCTION COST:
DESCRIPTION OF WORf
STREET ADDRESS:
LOT 1.? BLOCK ? SUBD./P.I.D. #: A2??`??L '? & - --
'U
PROPERTY Name: ah-/h ? :Jf ?_/Udv Phone
OWNER . us+ 'Iw•*
Street Address:? 2?,197
City: 94 State: )9? A-) Zip:
CONTRACTOR Company: l Phone #:,
Street Address: . 7M SXA--, License #:
State: Aw. Zip:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address-
City: State: Zip:
Sewer 8 water licen=_ed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infor tion is correct and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ?
/
Signature of Applicant:
OFFICE USE ONLY
Certificates of 5urvey Received
_ Yes No
0 CT 0 8 1996
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging o
0 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
0 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
. yir, . ai . ..
16 Basement Finish
17 5wim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MCIWS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee 6
Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: 32. ,25'
% SAC
SAC Units
CS7Y QF EAGAN
CASHSER. JS TERMINAL_ td0" 001
DRTEr 01/20/00 TIi'fE: iC]:47:31
ID:
NAhiE: RO$FftTS ftESIIiENTIAL FEMODLING
8210' 30Qi 3396 F'NSYLVNIA 133.275
2155 9001 3336 F'NSYL.VNIA 3.50
?
Tot,a1 fieceipt, Amoun+„ 142.75
Cfi:1.224'73
1lSEF; .T.D: JAN
1999 BUILDBNG PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
- ? 3830 PILOT KNOB RD - 55122
851-681-4675
,
7Yew Conshuetlon Reaufremenls RemodellReoair ReauiremeMs ft J?
D 3regktered ske eurveys showinp sq. R of bt, sq. R of howa y cpp{n p( pan
andallroafedareas (20•hmmximumlotcovenoaalWwed) lselofenergyeaku4Bonstorheatedadditlons
? 2 aopies of plane (show beam & window sizec; poured tnd. design; etc.) 1 sile survey (or exterior addNione 6 decks
D 1 set ol anergy ulculationa
D 3 copiec of tree Presarvntlon plan M bt plaMed aRer 7YIN3
DATE: f?l ?? O d CONSTRUCTION COST: ?1 `6 . q O O
DESCRIPTION OF WORK: S e? S o,.+ Po d q d/ evO y
STREET ADORESS: ?s 9 9' ?O ?f h h 5?l ? V q n 1`d? A? e-
LOT: 1 3 BLOCK: 6 SUBDJP.I.D.#:SrgpFO R D PLR w
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: -? L-A MI'dE .! ,?h Phonep: bs 641 7
Last F
Street Address: 3 4' 74, '? e n n s U? v w.zv `e, h, v e-
Clly L- -A eA-o,., State: AA A/ Zip: S`5 I a 3
G ?
Company:_ Ro eYfi /l e s/ ex-he.l Rpmor`eli Ihonep: /;L'?' b Q'- 3q?0
(area code)
Street Address: / (573 :..0 Keti ri "c k GD !' Lieense # G LS' S Exp, 3 3' 00
City /et 4 e vi ll e State: .Gt.i(/ ZiP: S SO 4
Company:
Talephone #: (
Street
Clty
State:
Name:
Registration #:
Zip:
Stxiar 8 weter l(cenaed plumber (new wnatructlon onlvl: Telephone Y:
Penalty applin when address change and bt change Is requested onu peimit Ia issued.
I hereby acknowledge that I have read thfs applicadon, state fhat fhe hiformatlon Ia correct, and epree to compy wiM all applicable State of Minneaota StaWtes and Clt
of Eapan Ordinances.
SlgnaWre of Applicant: ? ?C. • 4J
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required 13
?"'
OFFICE USE ONLY
BUILDING PERMIT TY PE
? 01 Foundation ? 06 4-plex ? 11 10-plex X 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex 0 14 Apartments ? 19 Lower Level ? 24 Storm Damage
O 05 3-plex ? 10 S-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
)!? 32 Addition ? 36 Move Bldg. ? 40 Gas insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) 13 42 Reroof
" Give PCA handout to applicant for demolition permit
GE NERAL INFORMATION
Const. (Actual) AWL Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length ? sq.ft.
Width ? Footprint sq. ft.
APPROVALS
Planning
Building ???I / L
? Census Code Ly ? Li
- SAC Code 61
No. of Units
No. of Bldgs
-? MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Pertnit Fee Valuation:
Surcharge
Plan Review
License ?L/Q ?
MGES SAC ? /
City SAC
Water Conn. IL ?L9
Water Meter
Acct. Deposit ?
S/W Permit ?
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
?
SAC Units
°Io 5AC
ni; 12:aN 12: 3a Eucura EraC+Curi L?eu ? e124633939
, CITY OF EAGAN
? EXTERlOR ENYEL.QPE AVERAGE 'U' CCMPUTATION
I (BASED ON 1994 STA7E ENERGY COOE)
vwrvER: J ti 4 v S_e,h .n 1'W4
siTe anaRESS: 3 9 q 6
NO.4810 P003i614
CONTRACTOR: 0 r?Y JF P.f /di'?f/A4DATE: d- O PNONE: 3q0 p
?e?na?Yef+K f
6etentilne workino sc1v8«1onlaae and overall 'L!' vaWe ef asr_h
1. Total expoaed wall/fountlatian area aDOVe grade sq. /t z.11 = _ 3"'?" a /
2. Total exposad roofloeiling area . . . . . . . . . . . . 1 3 0 9q. tt. x .026 = -3 • 3 ?
3. Total exposed floorlaantllevered area . . . . , . . J O O sq. R. x.04 =
Qelermine s?2raqntaae of ea sr esee uialll4e ndatton area "sgy,men,1"•
a, Total wall window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • 6 1
h. Total tloar area . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . ,4
c. Total sliding glass area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..?3-
d. Total fireplaqe wall area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 S
e, Total wau framing (averege 10%) - See Fig. 1 . . . . . . . . . . . . . . . . . . .
f. Total no wa11. area ahove floor (nm jaist) •• 5ee Fig. 2 . . . . . . . . . . . . . ?,?6 I
g. Total nm joist are8 - See Fig. 3 . . . . . . . . . . . . . . . . . . : . . . . . . . . . ?i ?
Total expoaed walY qma heva toundatitln = . . . . . . . . . . . . . . . . . . .?.4,?
h, Total fqundation window arQa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ?-
i. Totol W foundation area abova grede - Sae Fig. 4 . . . . . . . . . . . . . . . ?
Total exposed fountlauon area = . . . . . . . . . . . . . . . . . . . . . . . . . . . ?-
a S 8? x'(1? , 3Z? - Iff• S /a .
x'U'
d. x 'u' D? '- A b
?
x •u' /0 5 - ? .0.} -
f. _ I a-9 x'u' od
4 - s e*? x'U' 03
x 'U'
i. ? x'U'
4. ?sW actuol •u• vslw ler ox pesdpA wnluloundatlon araa
(If Itam #A is the same as, or 3ess than kem #1, you have met the intent of the Stata Enargy Code.)
01%12i00 12:34 ERGRN ENG+Ct71•I DEV 3 6124693939 NO.480 P004i014
' Oetermine s are /ooW of each er," ed roo 7ceilina area "se9men!":
j. Total sKytlght area . . . .' . . . . . . . . . . . . . . . . . . . . . . . . . . -?'
k. Total roaflceiling haming area (average 10%) - See Fig. 5/6 . I. Total = insulated roaflceifing area - See Fig_ 516 . . . . . . . . . 7
Total expased rooflceiling area . . . . . . . . . . . . . . . . . . . . . . . . 130
Datermine 'IJ' value QP p=h Uao4ad re_.r, oUeeilaren •,s_eamenY';
j. -?_ x'u' -?z- _ $
k ?3 x'u• 'OS / _ 1 65
i. -7 :•u' A-3 = ?•6
5. jqW actual 'U' value far rooPlesiling area =
(I(115 Is the same as, a less than #1, you havB m4t tlla IMent of th6 State Energy COCe.)
DfltBmi auet5 footaao e/ eaeh ex ased fltlbl/eantilov?red area "?manY'?
m. Total fiopr/cantilevered (raming area (average 10°h) - See Fig. 6. 1 n
n. Total = insulated Raw/celling area , See Fig. e.... ..., Q ?
Total exposed floor/cantilevered area . . . . . . . . . . . . . . . . . . . . . ? 0 n
Dstertnine'U' value of each axooseA fiaarlcanrtilevered,awa "sanmen
M. 10 X.I.I.
+OS6 - ? S6
n. 916 X.U.
(1 d...5r o .2, 1.S
B. Total aotual 'u'vatue for tloarieantllevered area =
(If 06 is tho same as, or less than #d, you hava met the intont af the State Enengy Cade.)
Altemate 8uilding Envelope Design
Ta utllize the toql envelape system method, the values eetablished by the sum oF Item R4, 05, ana *6 shail nat be
greater than the aum af Item #1, #2, and #3.
1. 3;?,,.01 +z. 3•39' .3. `t?oo = 3?'•3
a. 3 1 • 8' 9 +9. 5 3+6 3 8? , p
I hereby cartify that I have calcufated !he 'U' factprs ana 'R' vaNes hereln and that the bullding herein described
meets, or exceeds, the 1994 State of Minnesota Energy Cede.
b`ignature???
1 /> a??o
ate
--.. . _ . . . .. \
? f
I?DESCRIEIED Sl?r?ve nr`s G'ert«cate
VEY FOR: I7ronticr ^?lid?acst Ilon?es i:crp.
A5: lot 13, 131ock 5, S';'A!'FOI'D PI,!1C1, Ci.ty or tiagan, Iw:kota (:otmty, i;innesota
and rescrving cascr,ents of record.
g9?,o
? LA
5?-
?
?
?
?
."
?Qo I I
0
0 I
?
v1
•,;
812.4 Q-
BENCHMARK,
N
° ayz."s
? sno I I
PENNS.'-?LVHN/19
PROPOSED EIEVATIONS ?
7ap of founCatFon
Garops floor
Basemenl Floor
Approx. Sswer Ssrvla
Provoud Elsvotlons
ERistinp Elevaflons
.891.8
? BeB.b
ENv..Bi-1, i'
.?
Orainape Oirecflons 1,......
Denotas Oflsat S1aNS 0 O
HEDLUND
P/anning Engineerfng Suneying
w? c«? wwiNMa r....v. . wM.w. aae
r?i?Ww?+MlT W
; MIN. SETBIICK REOIREMENTS
Fronl - 3o House Slde - to
85.00 N 89055'55" E 888.8
N
? I
se
?
?
0
c?
.?
° 34 m
- 9G ?
I
IY.YI ?J3 1 g?.I.1-E..??? N I D
.?oa I i.>.lehwe 19 ? ?
?
?a?ii ltl.l
2o.3i _ 41.b1
BlL3 e IJ - --\ -
q
?1 ? ?, -Idl
?
tt .
\ I
i ?
l?
?
\ y
ass.9
?
965.10
-- ?,
HVENUE
; i! ??, : ' • ' ,.-.
Y 1
i::1?:?--=! i:... _.. . .._.. . : .:.... A.
SCALE: 1 IneA • 30 feet
Rear - kS Ga?ape SIM - S
I hertOY cvllfy Mal tNo wrveY. ibn a nperl ras ynyon0 bme JOB NO.:
or undor my diroct supervblon on0 M0t I am a auW Ro9b1anA 88R-156
Len0 Swvoyar undor M* lors of Ihe Slale ol MlnnO11014.
BOOK:
Dab: 9??9.?4v .__ ?. ? PAGE:
Je y nd n, Ucene• N IIJ76
1
i.
?
? I
0
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o?
:. i
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?
?
i
x?**?***??****????*??**????*****?*???**
CITV OF EAGAN
CASHSERe JS TEfiMINAI N0: 674
DATE: 12/03/93 7IME: 08:07:03
ITI :
NAME: ROEsERTS fiESILiENTIAL FEMOLIEL
3210 3001 3336 FENNSYLVAN 111.25
21,--15 9001. 3996 F'ENNSYLVAN 2.50
7ota1 ReceiGt Amoun+.: 113.75
Cfi1202;6
USER SL1: JAN
?
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
-i!) ?X:Sg`?(p
New Conshucflon ReauIremenh
CITY OF EAGAN
3830 PILOT KNOB RD -
651-681-4675
? 3 registered sMe surveys showing sq. fl. of lof, aq. fl. ol hovse
and £11 roofed areas (20% maxlmum lot coveraae aflowed)
? 2 copies of plane (show beom 3 wlndow ilzee; poured Ind. deslgn; ete.)
> 1 set of energy calculWions
a 3 coples of hee preservaNon plan M lot plaMed afler 7/1/93
DATE:
55122
Remodet/Reoalr Reaulremenh
2 copies of plan
1 sef of energy calculaftons for heoTed addRlons
1 sRe suney lor exferlor addNlons S decb
CONSiRUCTION COST: ?OC)
DESCRIPTION OF WORK: /)El?DDlf " 7
6iJ/en?jC
STREET ADDRESS ?3 y Z(o
LOT: 1 .J BLOCK: ? SUBD./P.I.D. #:
Name: /)G/ Phone #: ?S1 - "? s?-? J?7
PROPERfl Lan FUst
OWNER n
Street Address• J,9-M6
City Stale: Iip:
CompanyJ? Phone #: O12
(area code)
CONTRACTOR /. / / p
Sfreet Address:o ?t"ENRiCzoOP License # G Exp _
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streel
City
Sewer 8 water Iicensed plumber (reauired for new conshuctlon onlvl:
State:
Zip:
Penalty applies when address change and lof change is requesfed once pertnN Is issued.
I hereby acknowledge that I have read this applicaHon, nate that }he iMormatlon is cortec],/?p^d 9gree to comply wifh all appltcabi
Stafe of Minnesota StWutes and Cify of Eagan Ordinances. // /
Signafure of Applican
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Regisfration #:
nFc z
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
plex
? 03 1 of ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
_
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ?. 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove 0 45 Fire Repair
? 34 Repair ? 38 Demolish (Interio r) ? 42 Reroof
" Give PCA handout to appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq, ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee I -? 7r Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
?
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
1 I 3 ? `?
Toea,:
SAC Units
% SAC
APFLICATION FOR PERMIT
SEWER AND/QR WATER CONNECTION
.......... . ... ..,
. .
? N7fG: PA7dgNf OF FEE AT TIME OF ?
? APPLICATION DOFS N(7P CON- $
? SfI1ST1E APPROVAT. OF PII7MIT. ?
e
; uNsencriaa oF seWx nrm/os wM ?
:.
IL1S3'NdATIONS WII.L NJT BE el`FnIRF71 ?
i[!NPIL PII2N4T FU1S HIIN APPROVm. k
dtV 4Rftf4ltfi#ti1?'kilff#f?4ift4f41tl4?Yifiilf
oF eagan
(PMTSE PRINT
1) PROPIItTY ADDRFSS:. 3996 Pennsylvania Avenue, Eagan
T•FY:AT, _DFSCRIPTION; . Lot b13 ; ?Block 6 Staf€ord Place t B oc S vision or Tax Parcel ID
IF EXISTING 51ROCiq7RE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE:
Mon Year
PRESENT ZONING/PROPOSID USE:
Q COD'A7ERCIAL/RETAIL/OFFICE
Q INDOSTRIAL
a : INSTI'IUTIONAL/GOVERNMENT
J R-1 SINGLE FP,MLLY
? R-2 DL?PLEX ('It,,a [?nits)
Q R-3 T'OMOUSE (Three +, Dnits)
Q R-4 APARTMENT/CODIDOMINIUM
Units)
( . Onits)
2) ? NAME: Frontier Midwest Homes Cornoration
ADDRFSS: 3902 Cedarvale Drive
CITY, STATE, ZIP: Eagan, hIN 55123 .
PHONE: 454-0433
For City Lse
3) ?NAME: _Star Plumbine Pl rurt-s License:
ADDRESS: 1018 Mound.Springs Terrace Active
CITY, STATE, ZIP: . Bloomington,.MN 55420.. Expired
' Not recorded
PHONE: 88474149.. MASTER LICENSE # 3329 St?a?
4) ? •? • ?•
NAME: Judy Schmidt
ADDRESS: 4020 East 52nd Street
CITY, STATE, ZIP: Mpls:, MN 55417-.
PHONE: 722-4038
5) b a •g, • o ,i ae
X? CONNECTION TO CITY SEWEE2 M CpNNECTiON 7U CITY WATII2 O OTfm
6) 19TOMN
*********,,********?**.?*?*,: **************,*****************?*?**************,?**:??***?*******?**,*%
* THE GOID COPY OF 7IiE PII2NIIT WILL BE SENf DIRE7CTLY TO PUBLIC WORKS ZO FACILITATE MEPER PIQC-UP. *
* PLF.ASE AISAW 'iSJO WpRKZP1G DAYS FOR PROCESSING. SOMEONE FROM Tfm CITY WILL CONPACT YOiJ IF R€IE[tE *
* ARE ANY PROBLEa1S. t
. F'OR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit
$ $
$ /d `Sa $
$ $
$ $
e
$ rs . ?ya
$ ll Il
$ (jZ)
$ ?vS?•d a
$
$
$
$
S ?D ? o U
FEES:
$
C
SEWER PERMIT (INCLLDE SURCHARGE)
WATER PERMIT (INCLUDE SDRCHARGE)
WATER METER/COPPERHORN/OL?TSIDE READER
WATER TAP (INCLtDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ ACCOONT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRLNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRDNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 6 61 $ TOTAL
. ?5 7/3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE,EXCAVATZON IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q _ ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CO[VDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: 45-c-? %???
TITLE:
DATE: / F s-
oF
3830 PILOT KNOB ROAD. P.O, BOX 21199 TI #32380-1 S
EAGAN. MINNESOTA 55121
PHONE: (612) 454-8700 Special Assessment Search
Date: March 18, 1988
Dakota County Abstract -- ----V1C ELLISON
Requested Bp: Re; lo-]2Sq4ry?13oro6
L13'B6 Stafford Place
Mayor
iNOMAS EGAN
0.4VID K. GUSTAFSON
PAMEL4 McCREA
THEODORE WACFRER
CouncilMembers
nioru.s HeoGes
cRY eamnwaor
EUGENE VAN OVERBEKE
Ciry Gek
On the attached form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAIVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pending assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours,
&1-7 Y( 107r7TC--y1("
SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE. .THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY
rRANsr-,t_, r i nra iDn r-•:768 SPEc: raL r-jsscSsrlEnrr ;.
SF=i=CIAL At;.S'F_SSt1Lrd'T5 SEARCH SU"IMFRY
FRi.)r^GFi'1"Y I.D. "fCDP.YS I1A1"fcc U3/18/BB -----SF'ECIAL FL.AGS-----
1--2--3--4--5-6-7-8 -9 -1 0
10-72500-130-06
_ _Q??s!
S. A. i1 r1SSES1at•iENT UE7CFi. YR YFiS RF1°f'c TUTAL AP+IIV. F'liTN. 1='!•1YOFF CO1`11"ILhl'
100346 Wf?'fEF F=kFH 83 ].`, 10. ;D! 5.35 .00 ,00 F'REPaY
100847 Wri"rEF:MAIhI 83 25 10.50% 1.11 .Crii .00 FREPAY
101247 S t-433 Eih i;a 9a00'! 12.90 .86 11.1H
101471 STRCET W17?; E37 5 9.00% 43.97 9e80 34.13
101472 SIDE'blAL UJ193 87 ;a 9.00% 68.54 13.71 54.E#3
1OF'485 U'1"TLTTIf_5 8< STFi4=E"fS 00 Cr .00% 6,48 6,48 6.48 F'END
1UP498 UTSLITY S< Sl"REETS 00 u .UO% 2648.27 2648.21 2e48.21 PEh1D
SUINMAI,:Y OF ACl'SVE 130.41 24.37 105.19 COMM
##**?? 7NT5 YEAR`5 1-nT F'&T 3700
SUM1MAFiY C1F PFIVDING 2654.69 2554.69
Pres= EN"I"ER (Comm«=nts), F1 or F'2 (HeadeF^ Form) or F? (i?estart R768)
7q& 79
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Ylease complete foc single famity dwellings & townhomes/wndos when pcrmits are required for each unit
3a- 60
Date 2f /_!E,-- / deQ
Site Address J ?'ei?/y 5 •
{
( f-Q?
i7
nit #
Property Owner ` I(.?? /1 ry ? !Cx-? Telephone #(1,S f) Y?? ? l•? ' I
Contractor STANDARD HEATING & AIR CONDITIONING
T
Street Address MINNEAPOLIS, MN 55408
- 69 2 $?9 $656
City
State Zip Telephone # ( )
Rond #: Expires:
The Applicant is _ Owner ? Contractor _ pther
Add•on or altcration to existing dwelling unit $ 30.00
_ furnace _Additional _ Replacement New
air exchanger /
? airconditioner (\P,pl??.?
I
heat pump
other
-
a
State Surcharge $ 50
Total $ 30 __56
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical C des; that I understand this is not a
permit but only an application for a permit, and work is not to start without a permit; that e rk ill be in accordance with the
appAS4L6-/ d plan in the case of?y hich requires a review and approval o s
vkM 4A)
ApplicanPs Printed Name AroolicanYs'Sh ature
----Use BLUE or-BLACK Ink
"§JVS$e 1
I
j Permit /
City of Eajan Permit Fee: 06
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 Staff:
201o RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT ! OWNER Name: Phone: J=yaj~:~~
Address / City / Zip: IVL? 41 z Ace
Applicant is: Owner C ntractor
t
ke,b,~ L
TYPE OF WORK Description of work: /
Construction Cost:/ Mul -F ily Building: (Yes / No
License
P 9C
CONTRACTOR Name:
Address:C C`~►~1~~o' i~-="-,C"y - `
State: Zip:~/____>) Phone:
Contact: v~ Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public inforr tion. Portions of
the information may be classified as nonpublic if you provide specific reasons that wou#f perMMthe City to
conclude thatthe are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the ork will in
accordance with the approved plan in the case of work which requires a review and approval ns.
ZC4~~ 211] 2e X
Applicant's Printed Name p ant's Signature
J' Page 1 of 2
For Office Use
City of Ea p fL: I I Permit C/C6
3830 Pilot Knob Road UL - I Permit Fee: I
Eagan MN 55122 I I
I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - - - -J
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 0 q Site Address i4 ' V Q. +,10. Aoe- OL L`
Tenant: U CL~ 5C.X M
Suite
RESIDENT /OWNER NameJ v CL `'C~1111'►cLt Phone: 6 5 1 4-52 O q 1-7
.
:P
.P ivct~1~ V.
ff CL"
Address / City / Zip: 3q q & 7 F
CONTRACTOR Name: Ir t~~ ( 0--F 1 v t t License i) (10 0& 13 PM
Address:-5615 2,0`fLA ( -
City: -State: MI113 ZIp.
Phone: (0q 6?Cf Contact Person: D60 ~Yt I
TYPE OF WORK ~ New _ Replacement _ Repair _ Rebuild - Modify Space -Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / 1X_ PVB) ( Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $G
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to skart 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.
a
x P(fb) itGi(A afr-s ®(n
Applicant's Printed Name ppl nt's Signat re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117975
Date Issued:10/25/2013
Permit Category:ePermit
Site Address: 3996 Pennsylvania Ave
Lot:13 Block: 6 Addition: Stafford Place
PID:10-72500-06-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
William Krech
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Judy C Schmidt
3996 Pennsylvania Ave
Eagan MN 55123
(651) 452-6917
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123998
Date Issued:06/18/2014
Permit Category:ePermit
Site Address: 3996 Pennsylvania Ave
Lot:13 Block: 6 Addition: Stafford Place
PID:10-72500-06-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Judy C Schmidt
3996 Pennsylvania Ave
Eagan MN 55123
(651) 452-6917
Homesure Inc
2924 Anthony Lane, Suite 115
St. Anthony MN 55418
(612) 353-5781
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125209
Date Issued:07/18/2014
Permit Category:ePermit
Site Address: 3996 Pennsylvania Ave
Lot:13 Block: 6 Addition: Stafford Place
PID:10-72500-06-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Judy C Schmidt
3996 Pennsylvania Ave
Eagan MN 55123
(651) 452-6917
Homesure Inc
2924 Anthony Lane, Suite 115
St. Anthony MN 55418
(612) 353-5781
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176798
Date Issued:06/02/2022
Permit Category:ePermit
Site Address: 3996 Pennsylvania Ave
Lot:13 Block: 6 Addition: Stafford Place
PID:10-72500-06-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Judy C Schmidt
3996 Pennsylvania Ave
Saint Paul MN 55123--157
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature