3999 Pennsylvania AveCITY OF EAGAN , «?
?
3830 Pflot Knob Raad, P.O. Box 21-159, Eagan, MN 5512.1 ???'
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value fi 7°: Date ' ,19 Site Address 3999 PE;4o1,S'fL,VAN1A AYL°.
Lot 1 Block 41 Sec/SubST??OELD pUf?r
Parcel No.
m Name FRONTt:^.?R MlilSEB? ROtiES
3 Address 3902 CEDARVAI.E AV'E.
o city EAGAtd Phone
o Name SA!,1:
? s ,?idress
m
P City Phone
?
W W Name
rW
Adqress
U
5 W City • Phone
I hereby acknowledge that I have read thfs application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ord"ihances.
Signature of Permittee
A BUilding Permit is issued to:
on the express condition that all work shail be done in aCCOrdanCe with all
appltCable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Builtling OHicial
OFFiCE USE ONLY
On Site Sewage Occupancy R"3 P4-1
MWCC 5ystem K Zoning $"1
On Site Well (Actuai) Const V"N
Ciry Water (Allowable) V-N
PRV Required # of Stories
Booster Pump Length 40
Depth 48_
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr.JAssess. Permit
Planner Surcharge
Council Plan Review 233-OQ
Bidg. Off. SAC, City ---100.00
Variance SAC, MWCC --- 550.M
WaterConn. 550•00
WaterMeter 67•00
Road Unit 325sUO
Treatment P1 .7Q4.[1Q
Parks
TOTAL
G. PERMIT
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
,
012-34,46 SAC/Adm.
01-2155 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.
?
D
TOTAL '??
.? ?
? CASH RECEIPT c
CITY OF 'EAGAN
. 3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE 19
?
NECENEO
u
A+o I
aMauNr s ?- -
.
r
r
8 DOLLARS
loo
? CASH C1l CHECK
wn !? ?-l.t-'y ? L ?- /!: ..? ?+, ' ?>? . r ? . . ? / ? f , ;.
CY
FuNO I oeJECr I I I AfAOuNT
Thank You
BY
? .? ?•?
•,?? YYhi1e-PaYem CoPY
Yekow-Postlng Capy
Plnk-Fle Copy
CITY OF EAGAN
IL 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
- Est. Value •`: ? Date j ? ,19
SiteAddress ?'' P?_' :'A •1 ?, AVL .
Lot ` Block Sec/Sub:" ?FnPn 21'???
Parcel No.
s
W
z
3
0
PROI'i'L1ER rllDWEST 30MES
Phone - - - - .,
A
yVi W Name
? ? Address
¢ Z City Phone
Q W
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City oi Eagan Ordinances.
Signature oi Permittee
A Building Permit is issued to: Y
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 Official
OFFIC E USE ONLY
On Site Sewege Occupancy
MWCC System Zoning U'1
On Site Well (Actual) Const
City Water x (Allowable) "
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit _t_466.00
Planner Surcharge 3f • "
Council PlanReview 23100
BIdg.Off. SAC,City 1?N}00
Variance SAC, MWCC °? •?
WaterConn.
Water Meter _ ' •a
Road Unit •` •'?
Treatment P1 ?f? • ?
Parks
TOTAL ? , r ? y
-, Parmit No. Psrmlt Holder Oate Telsphone #
Plumbing 9??
H.V.AC. ?6?y tS
Electric Ei
Softener
Inapectlon Date I?sp. Comments
Footings I ? ?
Footings II
Foundation ' 3 ??
Framing
Roofing
Rough Plbg.
Rough Htg. ?jao
Isul. ?jo
Fireplace
Final Htg. ?• ? a
Final Plbg. 1C• 210
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck, Final
Well
Pr. Disp.
(gPr#i#iratP nf (Orrupttnry
titp of (tagan
Ipparr#ntrztt uf Iiufilbing Itgp,eni,an
This Certificate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifying that at the time of issuance lhis structure was in compliance wilh the various
ordrnances of the City regulatrng building consduction or use. For 1he following.•
vae Clawr=iao 9F TLl:= &dg. Ptmiii No. 1 Suf,7
o«»P.oc,. r,me Ft3 /ki i zonin8 aau;a r t ,ya c.OOSL 'UXL
p„C :Y'TCIAFR 24 - 1998
POST IN A CONSPICUOVS PLACE
?5..? .
?
?'.` , . ..
4TRACT PRICE:
Address
? N81718 ?na:a??+ua. c r.nau?
m Address1955 Shawnea
r: Ciry F agan
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
PILOT KN08 ROAD, EAGAN, MN 55122 DATE: fl/N+rBA
BLDG.TYPE
Res: xx
Mult
Comm. _
Other
WORK DESCRIPTION
New xx
Add-on
Repair
FEES
Name FRON R
CO)TANIES RES
HVAC 0-100 M BTU -$24
00
. .
c Address3 ADDITIONAL 50 M BTU - 6.00
p City _40gan
4540433
Phone - (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFMIn - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1°r6 OF CONTRACT FEE
Forced Air 60,000 M BTU APT. BIDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S1C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
25.50
FEE: '
/
S/C: • ?Q SIGNATURE OF PERMITTEE
00
?26
.
TOTAL•
FOR: CITY OF EAGAN
CONTRACT PRICE:
Site Ad?ress - ? ?
Lot 81ock
Narr
? Add
c Ciry
Name
3 Addre
p Ciry ?
PERMIT k -
PLUMBING PERMIT RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: .•???'?'`?-?'PHONE:454-8100
'Y ?./I" BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. New ?
Mult. Add-on
Comm. Repair
Phone
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
- ?
SIGPIATURE OF PERMITTEEFOR: CITY OF EAGAN
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
Water Closet - $100
I?Bath Tubs - $3.00
"Lavatory - $3.00 ^
? Shower - $3.00
ZKitchen Sink - $3.00 .'. GG
Urinal/Bidet - $3.00
7-Laundry Tray - $3.00 ` ? C r
;I-Floor Drains - $1.50
7-Water Heater - 51.50 1J ?
Whirlpool - $3.00
.=Gas Piping Outlets - $1.50 r
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 ?_5 '
FEE: ???' •
STATE S/C:
GRAND TOTAL:
_ MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Address
Name _
? Address
c city -
Name _
c Address
03: CitY -
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
PERMIT # Z0 t0? ?
RECEIPT #
DATE:
BLDG
TYPE WORK DESCRIPTION
.
Res. 'New
Mult Add-on a
Comm. Repair
aher
FEES
HVAC 0-100 M BTU -$24
00
RES
/f? .
.
ADDITIONAL 50 M BTU - 6.00
?] 6 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 FA
GAS OUTLETS (MINIMUM - 1 PER PEFMIT) - 1
.
COMM/IND FEE - 1%OF CONTRACT FEE
APT. BLDGS. - CQMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS -' 1200 '
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
lADD $.50 S/C IF PERMIT PRICE GOES
Sec/Sub
SIG U F I E
-T-?-a,
FOR: CITY OF EAGAN
TOTAL•
%
?7/7
,/
,
F EAGAN Permit A
bt Knob Road B/P No:
x 21199
MN 55121 '
Site
? Date;
t?J J Date: ? IL y - ' ?
P1
MWCC: 550• On-od
City Chg: 100 . t PC
Acct. Dep: ? }'
Surcharge: 2oning• FZ
• p
Permit Fee:
No. of Units: I
I agree to comply wilh the City pf Eagan
Ordinances.
Br
CITY OF EAGAN
4830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
QITY 6F EAGAN
3$A0 Pilc!°Knob Road
P.O. Box 21189
Eagan, MN 55121
Site
SEWER SERVICE PERMIT
Permit No: 9f' SQ
Meter No: _
Reader No:
Date: 22'8S I
Size: ?
Date:
WATER SERVICE PERMIT
Permit No: 69
Meter Na yZ) 7 0 a. ? 7-
Reader No: JL?,? s?/
Avenue
Data 22-88
Size: Sl " Ro c /r
Date:Yf'
riumber ,?Lar Plumbir. ----- . -__??
Conn. Chg: 550.OOpd
Zoning:
Acct Dep: L 5- 00pd ?
; Permit Fee: -J' - OOpd No. of Units:
Surcharge: • SOpd
Tr. PIanC '`??+ . t?0ud I agree to comply wlth the Cit?r of Eay
Meter. Ordlna ea.
Mlsc.: '
?
WATER SEAVICE PER IT
Conn. Chg, ' D'J • 'u? ?-
Acct De Z 5•?.1 Zoning: ?
p'- No. oi Units:
Permit Fee: 10 • Oc'i':4
Surcharga 7 • .!' ?"'
1 agree to comply with the City ol Eayan
Tr. Plant
Ordinances.
Meter.
REQUEST FOR ELECiRICAL INSPECTION ee-ooooi-os
0 See inslruclions lor comOietinq this torm on back ot yellow copy.
"! nu 19 "X" Below Wak Covered by 7hrs Requesf
?ewLAAd? Hep.? Type of BuilOing ? Aaoluances WireE ' Equipmant WireA ?
I I Home ? Range T¢mporary Service
ex
ial Blda. I I Furnace
Bulk Milk
on
N Fee ServiceEn[reneeSize B Fee Featlers/SUbfeeders N Fey Circuits
0 ro 200 qm s 0 to 30 qm s D tn 30 Am Os
Above 200 qmps. 31 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irngation Boort?s Partial,Other Fee
Signs Special Inspection S ?
Hemnrks L F E
tiG
/
? ? I, the Elechicql
Inspectaq hereby
certily thet ihe xbpve
Final ? $ Dete inspec[ion hes baen
_°i . /.e..?ll maaa.
This repuest voltl IB monllie Irom
?
18 monlhs (rom a ?1-1201,5?
D 300191.r p d
c=
Re.nuc?S: Uate _
Fir .._ .n.?..._
Rouah-in Insuer.tion . ?
Ne retlP E]Reatly Nnw ili Nmifv. Insoec-
' ?NO [or When fleady
icensed ElecVical Contmetor I herebv request ins pectian of
abova
Owner .
elactrical work installetl at
Stree[ AtlAress, Box floute No. fJ C11y
@A/IS ?
'
G ?
t??
4
acuon o. Township N. e or No. Tnge No. ,
Or.cup IPqI T
?on ?? Pho n No
p ?
Power ?Sup lier Addres'
Elec[rica
n[ractQrom
y am Con
tractor's Lic? se No
?
?
?.t ,
.
? 3
Mailing?AdJres IContrector or Owner Makine In lalionl
AuMor' ed Sie ture ICOn a odOwner Maki ne Installationl Phone Number
MINNESOiA STATE BOApD OF ELECTNICITV
Griggs-Midwey Bldg. - Noom N•191
1827 Universitv Ave., St. Paul, MN 56104
Phone(672) 642-D800
THIS INSPECTION HEQUEST WILL NOT
BE AGCEPTED BY THE STpTE BOARD
UNLESS PqOPEX INSPECTION FEE IS
ENCLOSED.
CITY OF EAGAN
, Na
15467
-
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 P/. ? ?Z5
BUILDING PERMIT Receipt # a ?v ?/
To be used for SF DWG/GAR Est. Value $73,000 Date alirAST 1 R ,19$8
Site Address 3999 PENNSYLVANIA AVE. OFFICE USE ONLY
Lot 1 Block 4 Sec/SubSTAFFORD PLACE onSiteSewage - Occupancy R-3 M-1
MWCCSystem X Zoning R-1
Parcel No.
V-N
On Site Well - (ACtuap Conat
m Name FRONTIER MIDWEST HOMES Citywater X (qllowable) V-N
? Address 3902 CEDARVALE AVE. PRVRequired _ #ofStories
° Ciry EAGAN Phone 454-0433 8oosterPump _ Length 40
Depth 4$
o Name SAME s.F.Totai
?a Address FootprintS.F.
0? City Phone pppROVALS FEES
?w
w
Name Engr./ASSess. Permit A L??____._Ffi-f10
w
r Planner Surcharge
i? Address
Council Plan Review _?33.,Q0
a W City Phone BIdg.Ofl. SAC,City __100-00
I hereby acknowled9e that I have read this application antl state that the Variance SAC, M WCC _-S50...? n0
inbrmation is correct and agree to comply with al{ applicable State of Water Conn. 550.00
Minnesote Statutes and City f ag Or anc
WaterMeter
???00
?
SignaNre of Permittee Road Unit 3 S-00
A Building Permit is issuetl to:-ERODITIER_MIDSaESZHQMES- Treatment P1 -204.,.00
ontheexpresscondition[h allworkshalibedoneinaccordancewithall
Parks
applicable State of Minne ot 5}aNtes an ty of Eagan Ordinances.
TOTAL ?1...50
BuildingOfficial --
,
1988 BUILDING PERMIT 6PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1S4?7
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
,
NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MUST DESZGHATE WHIC$ ADDRESS
IS DESIRED, NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS RENT9L QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CAECK WITH BLDG. DEPT.v
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?
To Be Used For: NEW CONST. Valuation: AEC'0 AUG 10
$-5,9-g00 Date: 8/9/88
Site Address 3999 PENN6YLVANIA AVE
Lot 1 Block 4
Parcel/Sub STAFFORD PLACE
Owner KOWALCZYK. DAVID & KATHY
Address 1 979C1 f;ERMATNF
City/Zip Code APPLE VALLEY 55124
Phone 431-4895
Contractor FRONTIER MIDWEST HOhiE'
Address 3902 CEDARVALE DRIVE
City/2ip Code EAGAN 55122
Phone 454-0433
Arch./Engr.
Address ??Q;oE
City/Zip Code pp q?/r,?_.r??ay?
Phone 0 _ y?-?_,,qy?_
'731ooo- OFhI
On site sewage_
MWCC system ?
On site well
City water ?
PAV required _
Hooster Pump _
Oecupancy R-3 M-I
Zoning ?
Actual Const ?
Allowable
# of stories
Length ?fD
Depth qg
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit q6(?•D0
Planner Surcharge 36,50
Couneil Plan Review
Bldg
Off
??glt5 SAC
Cit 2 , 00
0
.
. ,
y 0. O
Variance SAC, MWCC 550, ?O
Water Conn 5S0, 00
Water Meter Gr) , OD
Road Unit ZS. Da
Treatment Pl 204, OO
Parks
Copies
CRMgRi? $' ??%°Tar. $'ds_sI•so
' Hediund Engineering Services 9201Ea¢iBioominqtonFraaway
Blaominatan, MintNSOta 55420
' LanO Surveyors Clvll Enqineen Land Plannera Ptione: 888-0289
? AW surve?or`s G'ertlf "tcate
JAVI BOOK _ PAGE . . ... _ , . . JOB N0. Se2•44-1
SURVEY FOR: Frontier t?idwes - o - -
OESGRI8E0 AS: Homes Corp. ?
0,?A_FFn,?D PENNSS?L V /f? Fi?YENUE Z<
, _1, Block ?, ..._....
:r'ACL, City of Eagan, 3141 s95.4 paf-°"• s•-,,,?
Dakota County, t`_innesota ?
and reserving easements oi 9??g 6 00 N69°45 E 89?3
record. ; o I o ?
PtiOPOSED ELEV4710NS
Top o! foundation ¦8fi.,7 a ?o
Wroa Floor 3o xo i
Bosammnt iloor .e94.5
avwc.. s..v serv;o. EL,,.. 819.8=
Propased Eievations j O ? ? ?ON 30 ? N Gar, b ' ^,
Etistinq Elwations 6 M O? I
Drdnaq• Dincriana ?.r....? ,. ? I ??
O*nwrs O f tset S ta ka
I ( ca.,.b..d_.e 1 30
Propesed ^
BENCMMARK:
°JG ? I
40 ?o l(?
w PennS?l?a?d K.v EM?.- 895.dZ 0 6-- --'-0 ( \
. ?} 87l.0 ?ln ? o
NIN. SETBACK REOIREMENTS
F°'L 10 I O
? EAGAN m ? I 2
REVIEWED O a I I
?e,r , PM Q Q r - 40
I cn
?
? DATf - ? i-eg m Qa ? ? p
R
Date
r o L ,.
? 33
9
CERTIFICATE OF SURYEY
I hereby certify thot this survey, plan or repart was prepared by me or undar my direc! ?
supervisioe ond that I am o duly Reqistered Land Surveyor under the laws of the
Slats of Minnssota.
0 at e: g/ S/ S$ Q:?a, ra 4??
_ Je ey . ndqren, License Na. 14376 /
!?
' .:
-3
1
-?
. ?
j
' E;T"RT.7R Ei1VE:a?c tiYER?+G" "U„ CDMP4IT:;TiON
KN?wa?? i x ?
OLlNER KOWALCZYK. DAVID & KATHY
SITE ADORESS 3999 PFNNSYLVANTl1 AVE
tOR7RACTOR CQr,.,4,1t DATr- *8/9/88• P!?OftE 454-0433 FRONTIER
De?_er,nine woricing square faotage of each.
7. Total exposed watl ares ...... 2 z 8S.4o47 sq. ft. x .il
2. Total roof/czi 1 i ng area .... I US sq. ft. x
Total expaszd xa7T area ahave fToor =g2 &.( (o
a. Total walt window area ........................... j 2S.q
b. Total doar are3 ................................. Mq, a a
c. Total slidina giass dcor area .................... . ya
d: Total fireplace wa11 area ........................ y S
e. Total wall framing area (average 10q) ,,.:...,.... ? a S.R(e
f. Total ne_.wa?1 area above fioor ................. t[?SG.86 '
g. Total r:m Jaist area ............................ 1445
Total exposed foundaticn area = '15.33
.
h. Total faundatian windaw area.....................
i. ToaI net foundatian area above arade ............ 'i g,33
Deter,aine °U" value oiI2 each wail segment.
a. 1 ot5.'s x°U14 ,35 = 4y 3.5
S
n. 3g.(Oa x -,u„ ..y5 = 1 -1.83
c. 9;a z °u° , YS =
?...?
d. yg X „U" .310 = l?.'.?S
e. e3 a4.166 X ltu„ .o-t = IC0.0
2
Lf. t (a SG. g?l X'lu,l
9 • 1 L18 x „u„
h.
X "U"
03 = Lot.'7
i. -t 5.33 x "u^ .ly = b.5
3 ..................................... Tatal
If ite.m 03 is the same as, ar ]ess than item 11, yau have mat the intent
of SBC 6006(c)2.
Totai exposed rof/ceitinc area = I O 8B
. Total qross roof/ceiling are3 = .
_ 3. Total skylight area .................. •
k. TotaI reof/ceilinq framinq area ....1??9...• -r-
1. Tota1 net insntated roof/cailing area....... q -I q.Z
Deternine °U" value far e=_ch raof/cfliling seg:aent.
- j.
X igVu ?
k. Ing.Ss X flUll
.ozt=
x^u^ .oIq ? I S. 6
4 ..................:........•-•....Total
If totai cf 1#4 is the same as, or less t4zn 02, you have met the intent of
58C G006(c};,
To utiIized the tntat envelape systrn method, the va7ues-esta6lishe3 6y the
sum of iteas a3 and 14 shall not be gre=_ter thaa the sum af items i1 and ;2.
1. A?S 1,75 + Z. ? ?,ZR = 2S0,a3,
3. 1ct1.os } 4. ZO???f = 2_ 11.93_
MAMMIeLS • Thera.'Besistance "gI•
t.X;i. 2. 4'.)T Ai?
3 ld7..^.g.KdtBT?3l . ?.
Sheathing 3/4" T+ac+'?+ 50
Insulat i on SO
Sheetrock , Sg
Interiar dir .(e1
Studs 2w . .s1
Rim i,aq
Conc. Blks.
2. xnta-'..- a:- fil= o.sa .
2. ?y 4'tP3*? 67
3. '(a" .Z R2s.t11._ 1q.0
4."['tl'fctZmE4.X_.
5. ?1 QiN?. .?2
6. or aw ?•? 0. ? 7
To Cal ?Z`-o ?30'?.
. . •. -'
Z.
z. Inta? o: ai= `ila
s u?. ,,' 0. 6c
t.o
3_ Z_Xto__j1015' ?•?
4. ?Y o l{????!?x . .-rf.
5. . Z
. G
6. Exte?a: L Ei!= 0.27 ,
. Total
U=:o?
• • 1. Inte??r a?' ett? ' 0.68
2. 1 5i1UtD 1 I °?•a?
: 3. , • -
• 4. j? ' GO ?i C? l.? G 1C l. Z
5. -
6. ?:er_ar aY °iLn 0.17
?
: - To:al • -? . t3
Y 'GZi ?.DE •
. ? ?
' r ? ?
?C
? ?
? ?
'
' ?((? . • . ? G^? ??: " "-
,
4• 5??? 1???.p1X .Z'V.
5. SI??NG .GZ
6. ?rn':a= a_ =' _ ' 0 • 17
'
. ? xaes=
.
: U , .m..
!!f ° ? ? • ` 1
? . 6• , .
?• . . .
. !Cl • ?; ' ' /ll.^
?2G? $d ? • . ? ?
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APFLICATION f=OR PERMIT
SEWER AND/OR WATER CONNECTION
. . . ,_..,.,
NOTE: PAYFIINf OF FfE AT TIME OF
AeeLxcaTTOri DOEs taox coN- %
STINIE APPRGJAL OF PIItPIIT.
INSPFXTION OF SESdM ANJ/OR WATIIt ;
iNsrt+cr,ATioNS waa. Nar ae scEDtn.m ;
UNl'IL PQiPffT HAS BFaI APPROV[•D. ?
CRV ti?:?i?s+fffr?xr??:s,ff??+kw?+f<+,?f?i•
o-F Ccoq. Con
(PLEASE PRINT
1) PROPERTY ADDRESS: 3999 PFNNSYI VANTA AVF
TFY;AT DFSCRIPTION'.
Lot Block Sub ivision or Tax Parcel ID )
IF EXISTING STRL'CT[JRE, DATE OF ORIGZNAL B[!ILDING PERNIIT ISSL'ANCE:
PRESENT ZONING/PROPOSID CSE:
Q COMPMCIAL/RETAIL/OFFICE
Q INDC'STRIAL
? INSTI7C'TIONAL/GOVERNMENT
Mont Year
Iyj R-1 SINGLE FAMILY
E-1 R-2 DOPLEX (3two Cnits)
? R-3 TOWNIIIOL'SE (Three + Cnits) ( Units)
Q R-4 APARTMENT/CODIDOMINIOM ( Dnits)
z) ? NAME: _FRONTIER MIDWFST HOMES
ADDRESS: 3902 CEDARVAIE DRTV
CITY, STATE, ZIP: EAGAN ` MN. 55122
PHONE: 454-0433
3) NAME° SRAR PLUMBING
ADDRESS: _1018 MOUND SPRINGS TERRACE
CITY, STATE, ZIP: gL00MINGTON. MN. 55420
PHONE: _884-4149 MASTER LICENSE # 3329
lj Active
Expired
Not recordec
Sta? In?itial
4)
NAMF: KOWALCZYK. DAVID & KATHY
ADDRESS: 12790 GERMAINE
CITY, STATE, ZIP: APPLE VALLEY. MN. 55124
PHONE: 431-4895
5) ralkliDII O' a ?21 : i •o-u ..i?e -
? CONNECTION TO CITY SEWEFt
? FX-)3 CONNECTION TO CITY WATER O CPIIER
6)
• • a8'?o9?S8'
***?+*?**,r***,r**,r*x ********?***+****?*********.***,r**:e,r******?******,r*****+,r*****?**??***,r,r?*****?
* THE GOID COPY OF PII2MiT WZLL BE SENf DIRFX:i'LY TO PUBLIC WRKS 70 FACILITATE METIIt PIQC-L?P. ;
t PLEA.SE ALL,OW 7M WORKING DAYS FOR PROCESSING. SONIDONE EROM ZgIE CITY WILL CONrAC.T YO[) IF ZY3II2E
* ARE ANY PROSLENIS. ?
?**«*x?:****?****x***+**?+**,r*+,***t*a?*,r******r,r******:r**+*,r*****?***,r**?*?**,+*****?**rx,rt***x****;
._ _ .. r?
FOR CITY USE ONLY
PERMIT # ISSLED
- ??
Pd w/Bldg. Permit FEES:
$ 16)' $ SEWER PERMIT (INCLUDE SURCHARGE )
$ $ WATER PERMIT ( INCL[JDE SL'RCHARGE )
$ (v C' C9 D $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLQDE CORPORATION STOP)
$ $ SEWER TAP
$ I5^?C9-C? $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOI.'NT DEPOSIT - WATER
$ GtD $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC•NK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ iX Z' `f` CIZ) $ WATER TREATMENT PLANT SURCHARGE
!
$ $ OTHER:
$ I,S 2 z- $ TOTAL
???c' 3
R CEIPT
RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT EOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSliED BY THE ENGINEERING
?[VO DIVISION. LIST AS A CO[VDITION.
SL'BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : d /Z ;?? Zp d'
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3999 Pennsylvania Ave
Lot: 1 Block: 4 Addition: Stafford Place
PID:10- 72500- 010 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Total: $70.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Scott E Sitowski
3999 Pennsylvania Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
$69.00 0801.4085
$1.00 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA075445
10/12/2006
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111783
Date Issued:07/11/2013
Permit Category:ePermit
Site Address: 3999 Pennsylvania Ave
Lot:1 Block: 4 Addition: Stafford Place
PID:10-72500-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Tim Johnson
9444 Hames Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott E Sitowski
3999 Pennsylvania Ave
Eagan MN 55123
(651) 334-3935
Tim Johnson Heating & Air
9444 Hames Ave
Cottage Grove MN 55016
(651) 235-7826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132263
Date Issued:08/03/2015
Permit Category:ePermit
Site Address: 3999 Pennsylvania Ave
Lot:1 Block: 4 Addition: Stafford Place
PID:10-72500-04-010
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Scott E Sitowski
3999 Pennsylvania Ave
Eagan MN 55123
(651) 730-5527
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature