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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 ? • . ? ? f Ci 'd •. o • // ! ? PS?. #3 • - • ? - ? Y x X ?c ? ??? f .:?`'_•? _ .j . . o - . . S7hNz:,.?L - i al ri-41nul v.111 nrrrt ltii• cc,n:.t ruct !un I I!°-?7 ? 1 `_ --- l i 1C : • PIC. A1 TGPVIES4 CF . fl1A:12: N1tLi, . 1! _? l"II_.?__?T FIC. 02 ? ? . . ? _ .\SIC11 i ?1 . / -? ' ?? _.-----?3 ? -4 ; a • ? -O -A :? ; _L) '. p . l ... ?_.i. C ?, • . ,t• • 'a' . a . .R,n ?• :?•j 1 1 ??• 1 . r?.u •:t rnr? ,?•n r. ?v.. ?i?.: z axy R tl =usul 4. 5. _?+4E.BKtGK .__ ._.. _.._ .._ ..lt 4. yatcriL.r sIr li:m - U.17 v= 058 . 1. Intrrlt+r air : i Im Il.fdi 2. 4. __----•-° -. ..- ---.._.._..__. S: 6. 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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