4000 Pennsylvania AveFWyTIVATF.F.10P..W,;[Z-PLAN BEVIFWID 6/22/8g f
t?AR.?` &_..?i MPiRTIN 452-8730 CITY OF EAGAN -q??? "
. 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHa N E: 454-8100
BUILDING PERMIT Receivt#
To be used for
&` ' Est. Value r 60^0
Site Address 1aVFW" T-.
Lot BIOCk SeC/Sub. " "' `?r •1 ? "?. _,
Parcel No.
ac Name ' "nr lLr ?flatirest 10n1ts Co,'r.
z Address
d City Phone
°C
0 Name
ot Address
!t n:.., o..,.--
Name_
Address
City _
I have read this application and state that the
agree to comply with all applicable State of
ty of Eagan Ordinances.
On Site SeWBge
MWCC System
On Site Weil
City Water ?
PRV Required
Booster Pump
APPROVALS
Engr./Assess.
Planner
Council
BId9. orr.
Variance
5ignature of Permittee
A Building Permit is issued to:
ort the express corrdrtion that aJl work sha!! be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiai
,19
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit 't
Surcharge
Plan Review
SAC, City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
r,
V-
?r.. ?
i
Il
??•-
5
7 .
Permit No. Parmit Holder Date Telephone #
Plumbing
H.V.AC. 611
Electric
Softener
Inspection Date Insp. Comments
Foatings 1 ?5 ?
Footings II
Foundation -7 u?& ?
Framing
?' .
I4 '" ,(? j ?t32%???uS ?' .5??/l• ' .f?
Roofing J'k
Rough Plbg.
?
Rough Htg. S ,?[U
Isul. C_c.??,- ec?i??
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert.Occ. C
Temp. LP
Deck Ftg.
Deck Final ?
Well r
Pr. Disp.
.. - • , r
(gertifira#it of (IDrrupanry
titp of (Eagan
igpprtmPt11 Df %ai1IQ jwPrtiDIt
This Certrfecate issued pursuant w the requiremenu of Seclion 306 of the Unijorm Building
Code cenifying tliat at the time of issuance this structm wsas in campliance with tlre various
ordiieances of the Crty regulating burlding construction or use. For the following.•
Lise Ck"ifimtkm ?t ?4M 15306
0-w-Y Type R91M1 ? R1 Vn
owmrofeuiding rM= im'..LF•'F.s1'?("'YtS Addrese 3902 ,1,EDRt FMM
a"ng naarm 40M i'FMQSYI.VAh7A l.VE. L-Idity 1.14, H6, ST`?PAM PUa
eW,ai,B
nm: ?OnR 22, 1958
POST IN A CONSPICUOUS PLACE
,
• , ? PERMIT #
PLUMBING PERMIT ? RECEIPT # 57??a
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '?l?d
Site Address ? ?
Lot Block Sec/,6ub
y Name .'??f,,.txrt-t-?feet°ta?#es3.
?o Address
c City
Phone
J
-
? Name
3
3 Address
p _
Ciry
Phone
-
.I e, ? .
..
COMM/IND FEE - 1°fi OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 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
FOR: CITY OF EAGAN
BLDG. TYPF WORK DESCRIPTION
Res. S? New ?!
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
__Mater Closet - $3 00 $ .:5;-,
---/_Bath Tubs - $3.00 a --?
Z Lavatory - $3.00
Shower - $3.00
--,Z_Kitchen Sink - $3.00 Lgtg
Urinal/ 8idet - S3.00 ?
--,/_Laundry Tray - $3.00 -
?LFloor Drains - $1.50
,Z_Water Heater - $1.50 J
Whirlpool - $3.00 `J
??Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 FEE:
STATE S/C:
GRAND TOTAL: ;7
o-.T?
PERMIT #
-r-
_`
, , , • MECHANICAL PERMIT
, ,
.
' ' - RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE : 454-8100
Site Addre
, E
BLDG. TYPE WORK DESCR T ION
Lot? Block Sec/Sub
Res. ? New
Mult Add-on
Address Comm. Repair
c
City ?' ?- `%??
Phone Other
- • FEES
Name •,??JT +? ' ? ,t?< '-
- ?- •
' RES. HVAC 0-100 M BTU - $24.00
c Address ?'?1 ? M; ;?
/ ADDITIONAL 50 M BTU - 6.00
p City ?-196dN Phone "1' j (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEknlllT) - 1
50 EA
.
.
TYPE OF WORK y ,I COMM/IND FEE - 1% OF CONTRACT FEE
APT
BLDGS
- COMM
RATE APPLIES
Forced Air M BTU ?7 Ov .
.
.
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALl ADD-ON 8
Unit Heater M BTU REMODEL5 - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? Sf' BEYOND $1,000)
Other $
FEE: ?.S• 50
S/C: 50 SIGNATURE OF PERMITTEE
TOTAL• , ")` '
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 58121
PHON E: 454-8100
BUILDING PERMIT
To be used for
Est, Value S50. ppQ
Site Address 4000 PRNlISYLyANZA ANENUR
Lot 14 Block 6 Sec/Sub. Stafford Place
Parcel No.
a Name Fraatipr ltidwest Hoa+ss Corp.
; Address3102 Cedarvale Driva
° City 'un Phone 454-0433
. o Name
? ? Address
f- Ciry Phone
?
w
i
u
z
w
Name _
Address
City _
I hereby acknowledge that I have read this application and state thet the
information fs correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinance$.
Sign9turle of Permittee
A Building Permit is issued to: h}}-?lid?S:---
on thA express condition that all wvrk shal I be done in acco?dance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Offlclal
fslolos
Receipt ? ; ?j ..:? I ?vl
Dateglig ?Z 1 ,19 98
QFFICE USE ONLY
On Site Sewape Occupancy
MWCC Syatem ? Zoning R-1
On Site Well (Actual) Conat V-N
City Water x (Allowable) V-14
PRV Requfred # of Storles
Baoster Pump Length K R
Depth 34
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit ; 414.00
Planner Surcharge 30•00
Council Plan Ravlew 207.00
Bldg. Off. 6123 SAC, City 0?00
Variance SAC, MWCC 550.00
Water Conn. SSO. QO
Water Meter b7 *00
Road Unit 325 00
Treatment P1 2CM 00
Parks
TOTAL ; 2447 00
CITY OF EAGAN
3830 Pilot Knab Road
P.O. Box 21'F99
Eagan, MN 55121
Owner. "?OT
Site Address:
an3a Ayane LI4 Eb Stafford Place
MWCC: SSO. 0(,'pd
Ciry Chg: 100. rx)p!
Acct Dep:
_ . ? .? .
Permit Fee:
Surcharge:
CITY OF EAGAN
3830 Pltol Kaob Road
P.O. Box 21199
Eagan, MN 55121
Sile Address:
Permit No:
B/P No: =-i`''A
Zoning• T.I.
No. of Units: 1
I agree to comply with the City of Eagan
Ordinances.
By
Date: ?'7'88 i
Date: 7 •-6-$8 I
SEWER SERVICE PERMIT
C7' ,
Permit No:
Meter No; _
Reader No:
?'Li,d'nrst
Conn. Chg:
Acct Dep: 550• Oftd
1-5 • 00pd
Permit Fee:
Surcharge:
Tr.Plant 10• n`d
• ?()Vd
?4•00n''
Meter n7 . Cp
r
Date: 7 - % -88
Size:
Date:
Zoning: p ' ?
No. ot Units:
I agree to comply wilh the Cfty of Eagsn
Ordinances. •
Misc.: By
WATER SERVICE PERMIT
CfTY OF EAGAN Permit No: Date: 7-7-88
3830 Pilet'Knob Road Meter No: yf D D 9 7 9 Size: -C?2/z ?ec/i-
P.O. Box 21199 Reader No: Date: T^ rlp
Eagan, MN 55121
Owner.
eot
Site Address: r ?, nno T]!j Rb Staf f'j*d P12cF'
Plumber
Conn. Chg:
Acct Dep: ? '
Permit Fee: '
Surcharge:
Tr. Plant '
Meter.
Misc.: 67. OGpt?
Zoning: _
No. ot Units:
I agree io comply he lty of Eaqan
Ordinance
By ?
WATER SERVICE PERMIT
. ' CASH RECEIPT
a
CITY `OF.EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
onrE is ,
? ._-? •
FIECEIVED FROM t;
AMOUNT $ ! `
?
.? ? ?
& DOLLARS
ioo
? CASH 69, CHECK
? r
?
, /?,• !& _
FUND r OBJECT I IL' /J I AMOUNT
Thank You .
BY
c? wnne--Payere capy
• Plnk-File Copy
.... ...._ ........ ? 1?'? ? ? a v?bw-aoss? covy ?
?•
BLDG. P)ERMIT NO.
01-3422 Pian Check
01-3445 Surch./Adm.
01-3446 SAClAdm.
01-2155 Surcharge
75-38 Road Unit
20- ? 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
0
?
,71liquilia: 6L REQUEST FOR ELECTRICAL INSPECTION pes.ooXo?oi-osn
? See instruc4ons tor cOTple[in9 LbiS form on back of yellow coDV.
E 4 5 2 2 0 - "X" Below Woik Covered by lhis Request
Nere A Neo. Tvoe of Builtline AOO?iiincea Wi.eC EquiumeN Wired
Home Rango Temporary Service
Duplex Water Heater ghtiny Fixtwes
Apt. BullAfng er Elec[ric Heatui
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bidk Mllk Tank
Farm Otnr., Saeci v ln„r (SnrdN)
t nr ueafy Other Olh,;e
Comoute Mspecuon Fee Below
p iea SarvicaENroneaSiie tt Fee Fexdars/Subleeders k Fnn Circuits
00 0 to200qm s 0 ro30qm s Otn30Am
Above 200 Amps. 37 to 100 qmps 31 [0 700 Am s
Swinvning Pool Above 100_Ain s Above 700_AmVs
Transiormers Irrigation Boorcis Partial- 'Otheee
Signs Special lnspection $
TOTAL FE
Nemvrks O
PouBh-in J?L , iJ Inspectoq heeoby
ertifytMt the above
final ?7?e? inspaction hes been
? mada.
Tlila requasl vo1E 18 montle Irom
This reQuest void p//?/p(y
18 moMhs from 4 00
E 45220,?
fleq t Uat Fre N?/ Rouph-in Insper.tion
1 Require ?Ready Nuw W?II fy, InsDe?:
-
i ? ?ONo r When Ready
WAncensetl Eleclrical Contractor I hereby reVUast insoaction of ebova
? Owner electrical work installed st:
Stree ? res , or Po e No. ? City ? g
GJ
ecuon o. Town ip Name or No. Range No. Coonty
Occu 1 IPPIpFTT 6!?Je Ix /o Pha e No. 5?
3?
Powe O??er
A I
Address
Electrical Convactor ICOmpany Namel
KENDRICK ELECTRIC C?icense No.
Mailingld4;:?ec4(?? C?oqt{f5a?f..p?f?¢g??a1? ¢LARt
rr.r?NVL lationl
Authr n at ionl Phone Number
MINNESOTA STpTE BOAPD OF ELECT111CITV THIS INSPECTIDN PEUUEST WILL NOT
Griggs-MiAway Bldg. - Room N•181 BE ACCEPTED BY THE STATE BOAND
1827 Universitv Ave.. St. Faul, MN 55104 UNLESS PNOPEfl INSPECTION iEE IS
Phonel6t21642-0800 ENCLOSEO.
CITY OF EAGAN N! 15 3 0 6
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE:454-8100
BUILDlNG PERMInIT Receipt# 0 /
To be used for ??? N+ LX'aA2 Est. Value $60,000. Date 41;.1 yfa ,19 g8
Site Address 4000 PENNSTLVANIA AVENUE
Lot 14 Block 6 Sec/5ub. Stafford Place
Parcel No.
: Name Frontier Midwest Homes Corp.
3 Address3902 Cedarvale Drive
° City Eagan phone 454-0433
o Name Samr
?Q Address
i- City Phone
ww Name
w
F z
i
. Address
a W City Phone
I hereby acknowletlge that I have read this application and state that the
information is correct and agree to comply with all pplicable State of
Minnesota Statutes and City ga Or ance .
Signature of Permittee
A Building Permit is issued to:_g_RQp]TIR- M7py,1ES'?
ontheexpressconditionthatallworkshal bedoneinacwrdancewithall
applicable State ol Minnesota $fa'eutes and City,e,f Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage - Occupency R-3/14-1
MWCCSystem _]L Zoning R-1
On Site Well (ACtuap Const V-N
City Watei X (Allowable) V-N
PRV Required _ # of Stories
Booster Pump _ Length 5$
Depth 34
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit $ 414.00
Planner Surcharge _30.00
Council PlanReview 207•00_
BIdg.Off. 6/23- SAC,City 1Q0.0Q
VarianCe SAC, MWCC -530.99_
Water Conn. 950.00
Water Meter _6.7_.92
RoadUnit 325.00
Treatment P1 -204_00
Parks
TOTAL ? 2447_,4W
5-qn 0
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Kuob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4 1(3,-2,?r
New ConsWCtion Reauirements RemodeVReoair Reauiremanls Office Use OnN
3 registered site surveys shaxing sq. ft. of lot, sq. @. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd
(20% mscimum bt ooverage atlowed) 1 set of Energy Calalations for heated addNOns Tree PreS Plan Recd
2 copies of plan showirg beam & window sizes; poured found design, etc. 1 site survey for additians 8 dedcs Tree Pres Not Reqd
1 set of Energy Calalatlons Add'diort - indicate i(auRe sepfic system _ On-sile Sepbc System
3 mpies of Tree Preservatlon Plan if lot platted after 711/93
Rim Joist Depil ODtions selecUon sheet (bidgs wdh 3 or less uniCs
Date Z?( / j /(
` J 2,13 &D
i
C
C
. onstruct
on
ost
SiteAddress iO{ n l(/c4,y-n..? UniUSte tf
Description of Work /-f' An -(J44 d,C,.C e dJ' /
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Pro er Owner 'nn_ ?/ cL
p ?Y ?/ L?1 J l S 8
Telephone #
Contractor /-T9" 6-x 4d of--'//1/G CY4 .
Address ?"
City /TnYI
State ?,v •
J ?jJ`?)
Zip sf )2q Telephone # ( ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672
Energy Code C2tegory . Residentlal Ventilation Category 1 Worksheet • New Energy Code Wortcsheet
(J submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of Iv iN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appr v 1 ofplans.
"IA /1 ?-? W-,/)
n'iM R m?r-? T
Applicant's Printed NaFx'e ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. af Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftes _ Air/Gas Tesu _ Final
_ Framing _ Siding Srucco Stone
Fireplace _ R.I.
Air Test _ Final _ Windows (new/replacement)
_
_
_ Insulation _ RetainingR'all
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
1988 BDILDING PERMIT 6PPLICATION - CITY OF
SINGLE FAMILY DWELLING3
1-536 ?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS U OF UNITS
INCLODE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECK WITH HLDG. DEPT.v
1 SET OF ENERGY CALCULATIONS
COMAtERCIAL
INCLUDE 2
1 SET OF
SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
To Be Used For: New Construc i aluation:
Site Address 4000 Pennsylvania Avenue
Lot 14 Block 6
Parcel/Sub Stafford Place
pymer Martin, John & Ayiderson, Marcia
Address 3104 42nd Au ue South
?
City/Zip Code Mpo ., \yN 55406
Phone 724-0181
Contractor
Address
City/Zip Code ?aga?, ?l.innescta SS???
Phone
Areh./Engr. Phillips Plan Service
Address Apple Valley, MN 55124
,?G1t7ycZ+p-Gode 14530 Pennock Ave.
Phone R 432-2044
'U+s;" o
Go, o0 0 - -
On site sewage
MWCC system ?
On site well _
City water ?
PAV required _
Booster Pump _
nate: S---&r-$8 0611o/Fr?
Oecupancy -3 M-1
Zoning R-1
Actual Const v-N
Allowable m.A/
# of stories
Length SS
Depth 3 y 1
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit y/y. vO
Planner Surcharge 30,0_?
Couneil Plan Review ao 7,00
Bldg. OfF. W-06/23 SAC, City oo .00
Varianee SAC, MWCC SSO,ou
Water Conn Ss0 O?
Water Meter
Road Unit 4f1,00•
OO
32S
l
Treatment Pl ;,20q,Uo
Parks
Copies
TOT9L J c? V
.. Zxlo STZCO S
0'dNER; Martin, John & Anderson, Marcia nnrr: Z-?j?? .
SiTE ADDRF _S5: 454-0433 - FRONTIER
4000 PennsYlvania Avenue PHONc:
C0NTRACTOR: FQOf•J'r1Et, Ntol'1k5 PLANWil..5?k12G .
Deter,nine working square footage of each
i. Total exposed wall area..... ?15?9 sq. ft. x.11 =
2. Totzl roor/ceiling zrea..... gl?- sq. ft. x.026 = ZZ.1
Total exposed wall area above.floor= ILcZ 8
Total wall window arez .............................:............. )ZI
b. Totzl door area .................................................. S(?
c_ Total sliding glzss door area ....................................
d. Totai fireplace wall area ....................................... -
e. Total wall framing zrea (av°rage !0%) ............................ ? I'1S
f. Total rim joist area ........................................... :. 1 ZCP
g. net wall area a5cve iloor ..................................... fZ 9 Z
h. wall area a5ove floor .....................................
i. wall arez a5ove floor ..................................••-
j. rrzme wall area at _'oe*:dation
Total =xoosed foundztion area=
k. Total roundation window area .......................
l. Totzl net foundaticn zrez above arade ..............
Det°_rmine "u" value c-I ezch wall segment
(e.g. window, door, each separat: wall section)
x „V„
b. sc? x °u,i
X ???:? .4`? = lla,l
d. - ;( "Ul.
e. n5 - X " U'. ,O`1\ = IS.B
r". iZl4 , X llUti 104 = $•0
g. 1Z4Z X . IRUI. ,a4
h. X iluli _
I_
J •.
r.,
i.
X "U"
x uUn
X ifull
X "U"
If item -3 is the s
= as, or less than it
al, you have met th
= intent af SBC 8006
3 . .................................Total
1?3.`t
1NI LSi-tlw'
n. ?b:al skyli5i:t area
n :otLp-l roo`/ceili.^.,
o. :ota'_ r.et. i^s_latcd
Dete^.nine
T_ota1 exao,ed :cui/ceiling a-ea = 81 L
:=-aning a:ea (..ierage 108)...
rooi/v='_lin, ::rea...........
"U" value for each roof/ceilir.g seqment ?
M. g °Vu =
n. X "U" 107-
c. 18? X.. U.. ioZ = 15;1
5 ............. ........... ?btal - 11•g
.' totzl c•' -4 is the same as, or less chan #2, you have met the inteat of
SbC 5005 ict 1.
A1'ernate Buildi*Q Er.ve2ooe Des'iqa
2b ze t^e total e^velone'system method, t:e values esteblished by the s:n o=
items. =3 a:-!d =4 sha11 not be greetz.r taaa the sun of ite*ns #r1 ar:d #2.
i. + 2. ZZ."1 = ZZS.Co
s. 1?3;1 + ?. I'1,8
* LLNEP.L F?T F 'tiSD idA.LL
BLt7CK:
?: 38+3?t zqt z? >>Z?
w.o.:
FULL , : 38 r38 ?'ZS+ZS = iZCc
FtJLL 2:
r!!EPIACE:
RL`f:
* SQUA.RE ?T EXFOSfD WALL ARFA
BLOCK: x .5 =
K?M: 17-9 X s = (?zo
W.O.: x 8 =
=i7I.?, 1: 1ZW x 8 = )ODg
FJL2: x 8=
FT?.??LACE: X = .
?'"?: 1Z4 x 1 = }Z(p
_L 1?S?
* SQUAfL FEEf EXPOSID CEILING 677-
? QT?F?WS
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b?l Z498 = 3z
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PATIO I:OORS
Sa ?34
* BASE?arr urrrrs
PLAN # w
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CONSTRUCTION- FRAM2NG
1. INT'F'RIOR :4IP. !'IIM R VAI,LTE
- -
0.68
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3. 1 2 SOFP WOOD 6.87
4.
S. SIDING .II
6. EYTERIOR R O.I.7
TU ML R= .8
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A1ET
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3;' -2 G`?? .4
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2. 6 INSIIL. 19. 0
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IN1R.RIOR PSR £iLld 0.68
lit STYRO . 0
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=RIOR AlR FILM 0.17
TC)TAL R= 7.13
U= .l4
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INDZC.a,TE =, °R" vA21TE. DEPTH ANID
PLP.CE:hffNf OF 7NSULAT20N.
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CONSTRUCPION ' R-VA
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CONSTRUCTI02d
f I H=AT f ilJFi TJ'P
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UP
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NOTE: U5E PDDTTIONAL SHEE'TS 17 P47RE SPACE =5
DIEIDED FOR DET'AILS AND CAI.CLtLP.TT-ONS -
t'_TG. r?7
:?G. ?5 •
SA(tralors eert?f?cate
SURVEY FOR: Fr.ontier biidwest Ilomes Corp.
DESCRIBED A5: Lot 14, Block 6, STAFFORD PLACL, City of F.agan, Dakota Coimty,
n"innesota and reservina easements of record.
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N. 84°45' EI ?'8•59'00+
R=zso.oo By_
q
L•.»4?w,?5 ST??
a PENNSYI..VANlq a?GAIT]
?- - ----- - - .
PROPOSED ELEVATIONS
rop or Founaatlon ¦ ea(. •'1
Oorops floor . efl6.'3
Bosemeaf floor : 683.5
Approx. Sower Sarrlee Elev. . S, 4. 4!
ProDO»d Elsraflonit I O
Exutinp Elwottom .
Draina0e Dlnetlons ? ..?..'
DsnMes Offfat 3faks ? O
IAIEDLUND
Plerxift9 EnOneeft Survgying
MIbRFe1?a?Mw?.1AwWi? MMwuM10
N
SCALE: 1 Ineh a 30 Faef
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,:?,
? ???
(?ED
BENCHMARK,
DEP'sT'
I MIN. SETBqCK REOIREMENTS
?
Front - 30 House Slde - 10
Recr - is liarooeSlde- 5
I neney etrllly thel IMI pnwy, Olan a nye.l wes preparsA !r m JOB NO.:
of under my etrat supnvlden ane tAef 1 am a Aulr A.aistg.•a 89R- 261
LonA Swveya wMer the hrs et Mo 8tafe ef Mlnnnele.
BOOK:
I PAOE:
Jofhq0. Ll"ron. lloenes NsMlM
C-
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A:
J
3INGLE FAMILY DWELLIAGS
1989 SfJILDING PERMIT APPLICATION
CTTY OF EAGAN
!lITLTIYLE DWELLINGS
C0t@'lERCI6L
2 SETS OF PL9NS 2 SETS OF pLANS 2 SETS OF AACHTfECTURAL
3REGISTERED SITE SOAPEY3 BEGISTfiRED 3I?fi 30AVEY3 - 8 STSOCTDRAL PLANS
1 SET OF ENEAGY CiLCS. (CHECH WITH BLDG DIV.) 1 SET OF SPECIFIC9TIONS
1 SET OF EHERGS CALC3. 1 SET OF EBERGZ CALC3.
!lULTIPLfi DiIELLINGS HENT6L DNITS F08 SALE DUTfS f OF DlfITS
BOTEt ADDRES3ES FOR COBNER LOTS - COATAACTOR/HOMEOfiNER !l03T DESIGNAiE fiHICH 1DDRESS
IS DESIRED. BO CSAtiGES iiII.L BE ALLOiiED ONCE BOILDING PERMIT I3 ISSOED..
SEiiER 8 N9TER fEAMIT FEES ABD ACCOUNT DEPQ4IT F6ES 1RLL Hfi INCLODED iTITB T8E HOILDIHQ
PEMIIT FEE. PROCESSING TIME FOA SfiWER LRD ilATEB PERMIT3 IS TWO DAYS ONCE 1 PERMTT HAS
BEEq COMPLETED INDIC9TING A LICENSED PLUMBEA.
PENALTY APPLIES WHENs PERHIT IS NOT PAID FOR IN S9ME MONTH IT IS REpUESTED.
LOT CHANGE IS REQOESTED ONCE PERMIT IS ISSTIED.
To Be Used For: Uiu.ci7 D-IC-P Valuation:$ 4?p Date:
?
Site Address 110M OFFICE OSS ONLY
Lot /1V Block 6,
Parcel/Sub 3)1'u-R'0rJ ?lae?
owner
9ddress .LOD
City/Zip Code
Phone T J -7 -3 ('
Contractor
Address
City/Zip Code
Phone -nz?.3 3
Arch./Engr.
Address
City/Zip Code
Oceupaney fEFS
Zoning
Actual Const Bldg. Permit
Allowable Sureharge
A of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total kater ^aaz
Footpriat S.F. Water Meter
Acet. Deposit
On site sewage S/M Permit
On site well S/W Surcharge
MWCC System Treatment P1.
_
City water _ Road Unit
PRn required _ Park Ded.
Hooster Pump _ Copies
SQBTOTAL
dPPROVAIS Penaltq fn
Planner i0Y9L A1r?
Couneil
Bldg. Off. ?(Z7?
Variance
Fhone 4 5 Gi.rY1JJ ,
FOR: + f'rontier lliclk-est ilomes Corp.
:0 AS: I.ot 14, Block G, STAFFORD PLACE, C ty o.f Eagan, Dakota 'Cotmty,
..
Vinnesota and reserving easements;of record.. '
. . . '
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Q ~ 280. a0
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o PENNSYLVANIq ,qVe
?
APFLICATION FOR PERMIT
SEWER ANQ/OR WATER CONNECTIDN
; „
? NCA'E: PA]T1ENf OF FEE AT TIME OF i•
•,*
? APPLZCATICN ppFS tx7T C013- y
? M'rt*R? APPACiJAL OF PERhIIT.
•
INSPFY.TION O£ SEYffi2 ADID/OR [a1gR +
"
; zrsrnUATTONS wna, Nofr ee scEOtn.m ?
? P.NCIL PERMIT HAS HEHN APPRCNID.
dtV }fltitf#4f}?RR'kiififii#t!!lff?4M1tt#/fi
OF CC1gtaP9
_ (PLEASE P INT
1) PROPII2TY ADDRFSS: 4000 Eennsglvania Avenue, Eagan, MN
i,FY;AT, DESCI2IPTION; _Lot 14,. Hlock b.,. Sta£ford Place
Lot Bloc S vision or Tax Parcel ID
IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL BUILDING PERNIIT ISSUANCE:
Mont Year
PRESENT ZONIiv'G/PROPOSID USE:
? Q .COPM'JERCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTITUTIONAL/GOVERfA7ENT
Ij R-1 SINGLE FAMILY
I-
m R-2 DLPLEX (Two Lnits)
Q R-3 TOWPIIiOUSE (Three + Onits) ( Units)
Q R-4 APARTMENT/CODIDOMINIUM ( Units)
2) ? NpME; Frontier Midwest Homes Corporation
ADDRFSS: . 3902 Cedarvale Drive
CITY, STATE, ZIP: . Eagan, MN 55122.
PHONE: 454-0433
For City Ose
3) ' L=w NAME: Star Plumbing Pl rs License:
ADDRESS: 1018 Mound Springs Terraee Active
Expired
CITY, STATE, ZIP: . $loomin.gton,.MN 55420 Not recorded
PHONE: 884-4149 MASTER LICElVSE # 3329
Sta Initi
4)
NAME: Martin, John & Anderson, Marcia
ADDRESS: 3104 42nd Avenue South
CITY, STATE, ZIP: Mpls„ MN 55406
PHONE: 724-0181
5) s a •?• o ?e
?I CONNECTION TO CITY WATER O OTFIER
[10 CANNBC.TION TO CITY SEWEE2 `?-`
6)
*,r*+*,r**********??*.???******:r*,r********?***********??****,r****+?*?*****x*?****x****?*?***:.****??**%
+
*k THE GOID COPY OF 7HE PERNIIT WII.L BE SENr DIRDLTLY TO PUBLIC WORKS TO FPCZISTATE MEm PICK-UP. *
PLF.d15E ALIiOW 74O FXJRKING DAYS FOR PROCESSING. SONI?ONE FRIXN ITM CITY WILL COPII'AGT YOU IF ZHEltE
* ARE ANY PROSLENIS. +
?????*r*?******?*****w*+*?****?***************+?*?***********?,t*?*x***«**r?*?**,r**,r***a**r?****??+?y
FOR CITY USE ONLY ? -
PERMIT # ISSUED
Pd w/Bldq. Permit FEES:
$ /a"S-b $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $
WATER PERMIT (INCLUDE SCRCHARGE)
$ $ WATER METER
'
/COPPERHORN/OL
TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ISG? $ ACCOLNT DEPOSIT - SEWER
$ S ACCOONT DEPOSIT - WATER_
$ ,3 ?O ' CrD $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TR[!NK SEWER ASSESSME[VT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENBFIT/TRL:NK WATER •
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
3 7 a
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK TJITHIN PUBLIC
Q ROADWAY" MLST BE ISS[JED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ? ` ? ???
?i .
Re?sidenti.?!
? who% House Worksheet
Cuslarwi c Nams
C??y AtlOruss 7LoV ? n YLL{L.ru:tt ... ,_ - ..
- S18ta Zip
WINTEN:Inude DusipnLmP_ ?s • Talephary mper • -.. ...._. .
F-Ouuida Deaipn 7ump --'>O
^F . Hertfnp Tsmp Difl0 ronu , g .. p
SUMMER: Outside Dosipn 7amp . ---?- . . , : . :. . ;.:. .. ..
f-Insida Daeiyn 7amp ___ZS_.F?iCoolinp Tamp Ditloroneo ., . ?. •F .
MEATING • • • •
COMMON D
I ? ? t I NE?i1N0 IMM1S? f?(ijyVa. iwTi ATA? tIECIIJ6N 4 COOLIN[`
GROSS WALL = ••••°.•,.x•ruz.: ^- • s.nc
- UL 193 DOOflSBWINDOWSITableAorB1 --7 03 .60
NETWALI I ?- ad!
7 1 71. ,. +•?,
? 96
- ?O_! _L_.-_sy FLOORS ?/
. e.uu..,,, "'•' i7
x10x
a$ s? ?r . .r x0.18333 x --? q?„ - it rn z ?:yro x ?T x i°°`? .
-S`l36 O/bC/ Ia4GO x 0 .01e33 .? K .S-
' : SUB-TOTAL BTUH LASS (pur 10°f)
'?' ?S - ?_ ADJUSTMENT FACTOR ITabin C)
??" a f., . TOTAL BTUH LOSS
? w weaa?i .
. •;?_ ? APPLIANCESBTUH -
.
' i SUB•TpTAL BTUH GAlN Iroom sensibleronlyl
DUCT LOSS/GAIN fACTOR ITaUIe FI
"SUB•TOTAL BTUH ISensible Gain)
? . MOISTURE REMOVq! (sub iotal ¦ 1.31
'_ ?i .. . . .. -. _
IALLLE A-??EATING -DOORS b WOOD FqqINE yyIND
J'u
IPER 10°F1 OWS
yWss doors - utie Incmra lor iM fame p'pa winAOw
?.•r,luiliun. . .
NnJuw b
Dum Typas
...-Snyin Van
ramu
}M 1i
.--
-.-
s ptaa .-Btuh Loss
a
llr.a? 9.90. 10.45 N.56
W?m S?oin? 4.75 5
25
LuUbl¢ Ya11C .
•. 5.51 6:09 7.25
W?IL ylyuT . 3.41 3
85 <
90
. .
• ?••?? 3.J0 4.75 5.96
?•?--
l?li.???.
$uy16'.v'?WrT _ _ 5
0
.
11.07 Il.Fi9 12.92
Iy1VbI
_..
- ?_-'-- L.bJ 7 y
.
fl
)S
i.,.o.
- ,
_ .
WouJU.dY 4.liU
Ibe?h.mr lun? IHSf_ .'?0
IU,cihnue Cu?C
iH SI .?. ammt - - 11.70 .
TOTALS
77"6?
. 6 Yo
so
NfMq
o? ~ 76
?Oo
1200
?08;5
¦
x 1.3
TABIE 8- COOLING - OOOqS h WINDOWS V•
Fnclors assump winAOws have ins,tle shadinp py dqpNys o,NMtun
LlintlbanG thtlinq gloys Ooors me uaate0 aa wuWpYVs,
1W4ULW{ ppyNlGW? ?Yn?pyy
TlMID111. flMlpll?. 1lYL
f^? ? ?lwG??h
o••?? ?e• m• s• w?r »• n• ?r s•
7
M .q ?I 1 y.U U 11
;
q
3 nte?w ]i o•?? fo a s n a
tew u s o r q.? a s s
__ sc 6 sw .? .? u a a u a a. a
s s n s y.n nIs s?? 7 i
sy.,Yn?. ?w ?r in ?o ?a io w ?a ?n
MbuJ? ls IYY pi
WrYY' l.• -.5 1.• ]1 4A • !? ?? ?? 3
??' ?l ro' ..°°n °°,,. ."n TOTALS ?'aI
I
W
Y?IYIYM\W?11y1N1N111??
,•,
lV fIXW1114MGW?nyyl?lpqf
TAULE D - INFIL'fNATION MULTIpLIEflS
WinturAir Chanyes P?r Mour
OW.
FloorA?ea 9000i103s 9pu.1bpp ?ypp.2100
B?st _ 0.4 0.4
. n i
__._ Fw wcA L?aW+?? a0 -?
a
bpl A.?Yry?
l'°lit<<=- ADJUS7MCNTFACTOflS.-
- IFICATINGI
?lemoc?a?w? Ddf 50 60 )Q r. i.
1_rctor _ .???_.? 00 ?. Lf 0 JO
? _I-? d ?=
.
PEOPL ¦ 3pp BTUH GAIN
0.J
07
N+eOe
Sumrne, Air Chenpes Pgr Mou, -
lluo?A?ua 9UJorla« ?ISW 7 ?
La>i U.3 SQ7IIW o.._h0..
G.J J7
U S7
Yow f
) 1? o
O.u Li
OF
3830PILOTKNOBROAD
P
O
BOX21199 TI #32380-31
.
EAGAN, MINNESOTA 55121 ,
. VICELLISON
nnayor
PHONE: (612) 454-8700
Special Assessment Search TMOMAS EGAN
DAViOK.GUSTAFSON
ranneu mccaea
n+EOOOae wncHrEa
Date: May 5, 1988 c°""`"Ma"'°a"
iHONVS HEDGES
- ? CiryPdminirnabr
Raquested Sy; Rg; 10-72500-I40-06 EUGENEVANOVERBEKE
L14 B6 Staf.ford Place, ciNaala
Dakota County Abstract __ _ I
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 Engineerinq 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. Zn 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,
SPECIAL ASSESSMENTS
Attachment
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY
Thi(-liVSi"iL7ION Iua f-i7u5 51='FCSAL ASSE551•iL:IVTS
Sl:'IcLlf=il_ (aSSE_f3al`1E=1V`fS 5PiRfiL'H SU!'IMAI=iY
FR01't_RTY I.D. 1"CIDtnYS DHIL'" 05105I88 `-'-SPL'LIAL F'L.AI]'J"-"--
1-2-3-4-E--6-•7-8-9-10
10-7250tt-1Q;}-.Ci6
----- _-------------- __-`? ------_--------------------....----°'-'---•__.__ ____..-'-_
5. A_ tl F;Bti;ESSi`1h_IV"I DI=3CR. YR YI`iS RAl-E l-OTRL ANIV. FR:f.N. FAYOf=F CUP71°ILIVl
100846 WF3'1'EIz F;FiEt=1
10O;J47 W(i"fEi=ihiAI1V
101247 ; F43_:
I01471 SIPiEEcT 6J193,
1014"`l"? SIYJE=4JAL.1<: LJ191
1iiF498 Ul'TLI"fY & 51'FiEF`fci
kA..?.n.k..m. SUMMAFrY 01=" r,1:T:[Vl=
.p.?..y.y..K..y? TI"IIS Z1EAR'S r??T Pwij
SUHMFii'1Y OF PENDING
93 15 10.50% 5.35 .00 .iiit F'6iEP'i=aY
83 15 10,50% 1.71 .00 „00 PRk:PHY
86 15 4.00% 12.90 .86 11.19
07 `; 9.00"/. 49.,97 9.80 39.02
87 5 9.00'Y 69.54 10.71 54.83
00 l) .qUJ, 2640,.21 2cSA;3.:1 ^Fi4Ei„'r'.1 F'l:?ll?
1=lVvJ?-11 y
L4v.J'/ 105u19 l,Ollih
.3). X.7
264B..21 2648.21
Pre;ss Lh!'fEli (Comm;;znts) , t=1 or f',? (Header I'=orm) oi^ F7 (I'iestart R768)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149646
Date Issued:06/04/2018
Permit Category:ePermit
Site Address: 4000 Pennsylvania Ave
Lot:14 Block: 6 Addition: Stafford Place
PID:10-72500-06-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
Nicholas W Andrie
4000 Pennsylvania Ave
Eagan MN 55123
(651) 271-6418
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171457
Date Issued:08/17/2021
Permit Category:ePermit
Site Address: 4000 Pennsylvania Ave
Lot:14 Block: 6 Addition: Stafford Place
PID:10-72500-06-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Nicholas W Andrie
4000 Pennsylvania Ave
Eagan MN 55123
(651) 271-6418
Owens Companies
930 E 80th St
Bloomington MN 55420
(952) 854-3800
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