4003 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 . f• - `= Date 7 ,19
Site Address I.A AV".
Lot Block r; secisub.
Parcel No.
Q Name •'-'0t`''TiEk .:T.jWt;S'C PONES
= Address
° City Phone '"
°Co
, Name
? ` Address
P Citv Phone
Phone
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.
5ignature of Permittee
; ? c ._ ?. • , :, 1 i;i„
A Building Permit is issued to:
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 Slte Sewape Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water x (Allowable) `
PRV Required # of Stories
Boaster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
4 ' ? • ?ti? i
Engr./Assess. Permit ?W
Planner Surcharge -?
Council Plan Review '
Bldg. Off. SAC, City . ?
Variance SAC, MWCC
WatBr COnn. • • . . ?1
Water Meter
` ? ?
?
'
Road Unit '
•
TreatmentPi 4,'t'
Parks .
TOTAL f
- Psrmit No. Permit Holdor Date Telsphone fk
Plumbing /
H.V.AC. /C ,? 17 rI // g
Electric 3/,Pp '? ?C • 7-a5??! ?-So
Softener
Inspection Date Insp. Comments
Footings I ,7
Footings II
Foundation
Framing P lJ
Roofing
Rough Plbg.
Rough Htg. 7/S
Isul. re
Fireplace •?fo? S ??,?
Final Htg.
Final Pibg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
(gexti#iratt of 09rrupttMry
titp of eagan
ErpubnrtcY nff Iudbing Jper#inn
This Certificate issued pursuant !o the requirerrsents of Seclion 306 of the Uniform Buelding
Code certifying that at the time of r'ssuance this structure was in compliance with the Various
ordinances of lhe City regulating buifding construction or use. For the followi?tg.•
use c6miffiation SF I]FIC:/GPTc eWg. ???t No. 1-'138
Occup-,y T?,a R' fM 1 Zoa* awia R t rya c? Vn
o??r e?,w;»? MT?t ?A+? ,w,T?FS ?m :.9Ca; C?:DAK"V?E 3.?Ft, F11GA?\
e?.ia?,4aa? ?.f:'3 PF;ZTSYT.s*?„d?;.?: LY L?, g[?, SW'EM PtAC.1?
- n.,e: ALKUST 12, 19$8
e,Mng oTwW
POST IN A CONSPICUOUS PLACE
r;A
PERMIT # '- -?
PLUMBING PERMIT RECEIPT #
CITY OF EAC,AN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Adoress 2 - ?
Lot Block
m N8R
? Add
c City
, Name _
3 Addrass
p CitY -
TYPE WORK DESCRIPTION
Sec/Sub
Res. x New x-
?' Mult Add-on
Comm. Repair
one Other
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
oF
FOR: CITY OF EAGAN
NO - FIXTURES
` Water Closet - $3.00
_ ?TOTAL
• C, I
Bath Tubs - $3.00
? '
7 Lavatory - $3.00
-'
0'-
7
Shower - $3.00
- ?
TKitchen Sink - $3.00
Urinal/Bidet - $3.00
Tray - $3.00
Laundry
'
Floor Drains - $1.50
Water Heater - $1.50 -? ?
Whirlpooi - $3.00
ZGas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=
`
Rough Openings - $1.50 - •
'
FEE .
STATE S/C: -
GRAND TOTAL:
• .
B'• ..
COMTRACT PRICE:
Site Address
? Name ?
? Address
c City _
Name
c Addre:
p CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
PERMIT#
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Phone
BLDG. TY??
Res. ?-
Mult
Comm.
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
f (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkn111T)
COMM/IND FEE - 1°1o OF CONTRACT FEE
o APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
- STATE SURCHARGE PER PERMIT
J (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
WORK DES IPTION
New
Add-on
Repair
$24.00
6.00
M BTU
M BTU
M BTU
M BTU
CFM
FEE '
S/C:
TOTAL: ?
1.50 EA.
- 12.00
- 20.00
- .50
? , '? "f• ? 51GNATURE OF PERMITTEE '
FOR: CITY OF EAGAN
?.. . .
` PERMIT #
INECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ? ,a??,? ?;: ? ,j -? !G??/
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: $2175.00 PHONE: 454-e100 For Office Use Only:
Site Address 40 '" gLDG, npE WORK DESCRIPTION
Lot Block 3 Sec/Su Res. Xx New _xx
?
m Name ?:. C N?uft Add-on
?c Address V-'55 ShaM'7'•°z Road Comm. Repair
c Ci? =?aaan Phonel+5=-'-2ur:? Other
Name ON E C;UMPhLI' FEES
RES. HVAC 0-100 M BTU -$24.00
c Address 340$ Sib1P,y i,?orial !i ADDITIONAL 50 M BTU - 6.00
p City Lg?1a Phone 454-0433 (RES. HVAC INCLUDES ArC ON NEW
rnNCrai ir_rinWl
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
80•0U? M BTU
M BTU
M BTU
M BTU
CFM
FEE
?
S/C:
TOTAL•
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
1.50 EA.
- 12.00
- 20.00
- .50
{ADD $.50 S/C IF PERMIT PRICE GOES
50 BEYOND $1,000)
25..`i') , , -
. ? ) SIGNATURE OF PERMITTEE
Pa6.o0 II
F EAGAN
.rTk . . , - .. ?
CITY OF EAGAN .
454-8100 ,
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
?/ 1 rri .. ti si t {?e JL Y ts.? ?
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
-q-r.-, c?.?rc:-?,.. . . _, . . .., .,;, ..-..F -,..?a^??,rti.,...._.,;E,.,,R?os tR.ao• _ -"a .-.,'?.?A??!?^!^':'-" . . . , . . ,r,?-t..? . _. _.
' _ ; -• CITY OF EAGAN :d0 17060
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
_ PHONE:454-81DU
BUII.DING PERMIT Receipt #
To be used for SP DtiiG/GAR Est. Value $82, WO Date SEP 13 ,19$9 _
Site Address 4089 vER'"O?1T AYE
LOt ZD BIOCk 4 SBC/Sub. STAF?RD pI+ACE
OFFIC
E USE ONLY
Parcel No. occuPancy R-3 M-t FEES
R-3
W Name FRONTIER MIDH6S2 H(X?IES GOSP Zoning
(,4ctualJ Cons1 ? Bidg. Permit 558.00
? Address 1285 C4RPORATE CENTBR DR (Allowable) V N 41•?
° Cit Phone 454-•0433
Y # ot stories Surchar e
9
279
00
43' Plan Review .
length
o Name SAME f Z 7- O? y ?• 2op pepth snc
city 100.00
Z
O
? Address S.F. Tolal - , s7s
?
U SAC. McwcC •
~ City PhOne S.F. Footprints -
Water Conn 5W•00
On Site Sewage _
?
WO W
Name
on sire weii
W
M
t
t
90•00
_=
a Address MwCC System ? er
a
e
er
?
?
u ? Acct. Deposii '
a W City PhOn2 City Water -
t
S 20.00
PRV Required _ /W Permi
I hereby acknowlege that I have read ihis appiication aLpd state that the 8ooster Pump _
S/W Surcharge ?.?
inlormation is correct and agree to comply with II p icable State of
i Z28
0?
M
nnesota Statutes and City of Eagan Ordinanaps. : Treatment PI ?
Signature of Permitee l l l"r.. ;^?cj? `'ya ? , APPROVALS Road Un?t 3?'?
FRONTIER tiIDWEST SIMM$ Planner
A euilding Permit is issued to: - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State af Minnesota 51a1utes and City of Eagan Ordinances. gidy, pry. _ Copies
Building OffiCial .
Variance
-
TOTAL
2,842.00
Pemit No. Permlt Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C. 011:2O 9
ELECTRiC ? ??1C?V ? ?? Ov
Inapection Date
Ins . i
Comments
Foolings 1 ? ? ?
??tion "
framin9 L- Z" C'OI/tc9?J N?
Fioofirg
Rough Plbg.
RoushHtg• /C J$
isul. ?
F?replace
Fnal Htg.
F??l Pibg.
Const. Meter Plbg. Inspector - Notify Plumber
Engi./Plan
Bldg. Final
DeCk Ftg.
Deck Final
Well
Pr. Disp.
a . - •
fger#i#irate nf Mrrupanry
titp of eagan
iorpo#oni of guilding jwprtinn
Tliis Cenificate issued pursreant ro the requirements of Secrion 306 of the U+lifon?r BuildMg
Code certi, fying thai at the tiw of rssuance tkis structure wos in compliance with the various
ordinances of the City regulaAing building construcuon or use. For tlre followireg.um a609mcation SF D,1G/GAR eMg. ?t w 17060
O=?Y TYP? 7anin6 Dimip R' Type Cna? VN
oww Or s- FFOUM MOWE5T H(IU 1285 CM. CIR. I7lL, FAGAN
4089 MMK A Lb1Y L20, 84. STAFFUED PIAM
Q,m: DF1MIM 21, 1989
&Wding Offid&VAF
POST IN A CONSPICUOUS PI.ACE
. • "{?;.
,' :• PLUMBING PERMIT For Office Use Only ?
CITY OF EAGAN PERMIT # _ T
COMTRACT
PRICE
Site Addl?ss
Lot
?
?
?
c
? I Add?
? cRy
3830 PILOT KNOB RQAD, EA?'aAN, MN 55122 I RECEIPT#
PHONE 4548100 DATE: _
U NT' 1Sf V BLDG. TYPE WORK DES?RIPTIO
Sec/Sub Res. ? New
Muft. Add-0n
Comm. Repair
Other
Phone
Phone
FEES
COMMIIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
S7ATE SURCHARGE PER PERMIT 50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
Ka/a-I'7 X. (?
FOR:
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N0v FIXTURES TOTAL
Water Closet - $3.00 $ • d n
?- Bath Tubs - $3.00
? Lavacory - $3.00 3. ? o
Shower - $3.00 00
? Kitchen Sink - $3.00 4 .
, UrinaVBidet - $3.00
Laundry Tray - $3.00 =13,00
Floor Drains - $1.50
?- Water Heater - $1.50
Whirlpoal - $3.00
? Gas Piping Outlets - $1.50 ?
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?- Rough Openings - $1.50 ?
PERMIT FEE: 510
STATES S/C: -?
GRAND TOTAL: ?9?nn .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHON E: 454-81 00
BUILDING PERMIT Receipt #
•To be used for ? r i?k+G/UAi? Est. Value 4,(I{'O Date Ji'?af. 14 ,1 g tSite„Address 4003 ;'FNNSYLVANIA AVE
Lot 4 Sec/Sub. STAPFORD F'L.ACt:
# ? Block
Parcei No
¢ Name FRONTIEf: ?fXGWL:ST ttIMES
# Address 3902 C111ARVAU DK
o ?ity CAGA.'u Phone 454--443:i
Name 5lttfE
0
? 0 Address
t City Phone
Name_
Addrass
City_
I hereby acknowledge that I have read this application and state that the
information ia correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee !
A Building Permit is issued to: 3 N1?,; ? ?_ rit s'I,Jbr;jl,`„i!?S
on the express condition that all work shali be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy 11-3 M-1
MWCC System ? Zoning R--1
On Slte Well (Actual) Const V"N
City Water X (Allowable) V"N
PRV Required # of Stories
Boaster Pump Length 430
Depth 471
S.F. Total
Footprint S.F.
APPROVALS FEES
4TU'Q(?
Engr./ASSess. Permit
37'?
Planner Surcharge
??5'??
Council Plan Review
Bldg. Off. SAC, City 1CX)' 00
Variance SAC,MWCC 550'0(y
Water Conn. 550.00
Water Meter 6 7• L)U
Road Unit 325.00
Treatment P1 204'00
Parks
-
TOTAL .00
2'"a
CA?H REQEIPT
? '? _ •
CITY OF EAGAN =
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
; . ?
.. ., ,
DATE I 18
i '
RECEIVED ? f;.. `"•+ ?` •. -? I 1 ? ?
p11py
AMOUNT s .-? ? ? ? . ,
8 DOLLARS
ioo
? CASH L? CHECK
wa
FuNO I OB.JECT I I I AMOl1NT
Thank You .
BY ?
• Y a 84750 White-PaY? ?PY
Yelbw--Poatlng Copy
Pink-File Copy
CITY OF EAGAN Permit No: Date 6/ 17/fi8
383J,PiIW Knob Rosd 'B/P No: ? r n Date: (7I6 r,; c
P.O. Box r 1199,,,
Eagan, MN 55121
Ownec -?'t ier «idesest
SiteAddress: • enn4f v`:n'i . ,' `` '
Plumber. 'tar
MWCC: Zoning• r i
Ciry Chg: " No. of Units:
Acct. Dep:
Permit Fee: l ' OC)
Surcharge:
I agree to comply wRh the City oi Eagan
O?dlnances.
By
Conn. Cah?
Acct Dep:_
Permit Fee: _
Surcharge: _
Tr. Plant_
M eter.
Misc.:
C1TY OF EAGAN
3830 Pilot Knob ,Road
P.O. Box 21199 .
Eagan, MN 55121
Owner.
Site Address:-
Conn. CtV. 2-
Acct Dep:_
Permit Fee: _
Surcharge: _
Tr. Plant._
Meter.
Zoning:
No. of Units:
I agree to comply with the City ol Eagan Ordlnances.
By
WATER SERVICE PERMiT
Permit No:
Meter No:
Reader No:
vania Av
550.00
15.00
10.00
.50
204. 00
67.00
Zoning «1
No. oi Units:
I agree to compl with t City ol Eaga?
Ordln
By ?
WATER SERVICE PERMIT
550.Q0
IS.oa
lO.OfJ
. ?J
2l?a . 0(1
67, Date: ilj 17 88
Si2e: - ?r IPo C-A
Date: V-j,_i
C7Y OF EAGAN Permit Na
3540 Pflbt Knobltoad Date: _f?/1 ????
Meter No: Size:
P.O. Box 211gs, Reader No:
Eaqan, MN 55121 Date:
EQUEST POR ELECTRICAL INSPECTION es-ooaoi-os
See instructions lor completim this fqm on back of Yellow copy.
E 28360 "X" Below Work Covered by 7hrs Request
ada Pao. 1vPe of Builaing apoliancwa Wired Epuiu.nen1 wi.eA
Home Ranqe T porary Service
Duplex Water Heater Liqhtiny Fixtmes
Apt. Buildfng Dryer Electrie HeaUn
Commercial Bldg. urnace Silu Llnloader
InAustrfal BIAg. Air Conditioner Bulk Milk Tenk
Farm tner oeci v ether ISnr.r.ify)
1./ SyF.f.l y OLhCf nthL'f
omuute lnspection Fee Below
p Fe ServiceEntrenceSiza It Fee Fexders/Sub(eeders It 1 .0 FaP Circaits
ino U to 200 qm 5 0 to 30 Am s 0 to 30 An+.ps
Above 200 qmps. 31 to 100 qmps 31 to 100 Amps
Swinvning Pool A6ove 100_Amps Above 100_Am s
Transiormer5 Irrigation Booms Partial•bther Fee
Signs Suecial Inspection $
TQ ? E
Nemarks ?
Nough-in Date Elecvic
•
? Ins P. ereby
certiiV that the above
Final -'syec[ion has bean
mede.
TMn request voiC 16 monttm tmm
is d4 e, o;d as-?u
18 mou,ns },om
E 28360
?sa. o?
Ne uest Date IS 17ff Fire N R¢q? HouPh-in
ire InsOec?ion
[]HeadY
Now ?YVaYYNOtity InsOec-
GCor Wh
n R
d
s e
ea
y
lul1censed ElecViwl Contraetoe I hereby repuest insDection of abova
C3 Owner electrical work installed at:
Slreet AtlAress, Box or Rout No.
O O • City
C
ec ion o. TownsK Name or No. flangc No. Coonly
Or,cu - nt (PpINT) AA
V /%1 ? Ph e No. _ ,5
Powe 1"er Address
Eleclrical CoMraclor ICompanY Namel
KENDRICK ELECTRIC .ntrac r s License No.
?
MVEtailationl
A n ff1pr r "allationl Phone Number
MINNESOTA STpTE BOAND OF ELECTRICITV THIS INSPECTIONNEQUEST WILL NOT
Griggs-Midwev Bidg. - Room N-191 BE ACCEPTED 6Y THE STATE BOARO
1827 Universitv Ava.. St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone f6121 692-0800 ENCLOSEU.
BLDG. PERMIT NO. ,?.
?- c 4- ?D i31 o6c. ?
07-3210 Bidg. Permit
01-3422 Plan Check
? 01-3445 Surch./Adm.
? 01-3446 SAC/Adm.
? 01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
? 20-3868 Water Trmt.
? 20-3776 Water Meter
? 20-2252 Acct. Dep.
? 20-3713 Water Permit
20-3743 SewerPermit
79-3866 Sewer Conn.
28-3855 Park Ded.
( ?? ..
-7p o0
? 3S ??
:? (0
,50
?J7
J50 Od
,!-:)-o 4 0c)
00
c1O
00
100 co
TOTAL
1
, CITY OF EAG/AN N 0- 1518 8
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PH ON E: 454-8100
?1
Receipt # R4-I SlJ
To be used for SF DWG/GAR Est. Value $74, 000 Date JUNE 14 ,1 g$?
Site Address 4003 PENNSYLVANIA AVE
Lot 2 Block 4 Sec/Sub. STAFFORD PLACE
Parcel No
m" Name FRONTIER MIDWEST HOMES
? Address 3902 CEDARVALE DR
? City EAGAN Phone 454-9433
o Name
? a Addie
? City_
Ciry Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply wit all applicable State of
Minnesota Statutes and Ciry, t E gan
Signature of Permit[ee 42
A euilding aermit is issue to: FR T ER MIDWEST HOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes antl City of Eagan Ordinances.
Building Official? ?J-TA,,L--
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCCSystem X Zoniny R-1
On Site Wall _ (Actual)Conat V-N
City Water X (Allowable) V-N
PRV Required _ # of Stories
BoosterPUmp _ Length 43'
DePth 47'
S.F. Total
Footprint S.F.
APPROVALS FEES
470.00
Engr./ASSess. Permit
Planner Surcharge 37.00
Council Plan Review 235.00
BIdg.Off. SAQCity 100.00
Variance SAC, MWCC $50.00
Water Conn. 550.00
WaterMeter 67.00
Road Unit 325.00
Treatment P1 204.00
Parks
TOTAL 2,538.01)
RESIDENTIAL
?a BUILDING PERMIT APPLICATION CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canslruction ReauiremenU
• 3 registerea site surveys 5howing sq. R. ol;ot, sq. ft. of house: and all mofed areas
(20 % maximum lot coverage allowed)
• 2 copies of plan showirg beam S window srzes; poured found desgn, etc.)
• 1 sel of Energy Calculalions
• 3 copies of Tree Preservation Plan if lot platted aRer 711193
• Rim Joist Delail Op[ions selection sheet (hldgs with 3 or less uniLS)
DATE / J / 1 a y
? Water Sokener
_ Water Heater
No. of Baths
SITE ADDRESS ?'??3 ?"?f7f"L?C.f I Va-/LI.R.? ?I e- MULTI-FAMILY BLDG Y N
TYPE OF WORK Kg?e--ROC?-Fti fl
APPLICANT
STREETADDRESS-1""? U ?I")M
TELEPHONE # -?I?CELL
PROPERTY
ATE 1?_M ZIP
TELEPHONE # b`?1 - ?? ?- ?? I
----------------- --------------- ---------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MI\VFSO'1':A RC;LGS 7670 C:A1'EGORY l N[INVLSO'f:A l2i'I.LS 7672
(v submission [ype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet SuCmitteC
• Energy Envelope CalculaGOns Submitted
Plumbing Contractor:
Plumbing systcm includes:
Mechanical Conhactor:
Mcchvnic.il sstcm includcs:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $90.00
['cc 5%0.00
-•-------•--------------------°--------------------------•°-°--•---°-------------------------°------------•------....
I hereby acknowledge that I have read this applicotion, state that ihe information is correct, and agree to comply
with all applicable State of Minnesotp Statutes and City of Eagan Ordinangqs.
Signature of Applicanf
OFF[CE USE ONLY
RemadeUReoair Reauiremente
• 2 co0ies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for extenor additions 8 decks
. Indicate if home served hy septic system for additions
VALUATION u
Pl10[lf #
_ lawn Spnnkler
Yo. of R.I. Baths
-- Air Condiuonin,
HeaL Rccaven? Svstcm
FIREPLACE(S) _ 0 _ t _ 2
C"- CITY ?
E # ? I )- -`-II 'I "- I I W FAX #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05•plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? OS 06-plex ? 76 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi
? 03 07 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plez Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Repiacement `Demolition (Entire Bidg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaLC.O.
_ Footings(deck) _ FinaL^!o C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final _ Poo] _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ A'u Test _ Final _ W indows (nzw/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15 1$%
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WI3ICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS
# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.0
1 SET OF ENERGY CALCULATIONS
COI•AfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
??? J U N j 1988
To He Used For• New Construction Valuation: Date: 06/08/88
Site Address 4003 Pennsylvania Avenue
Lot ? Hlock 4
Parcel/Sub Stafford Place
Owner McCormick, Thomas & Bernadette
Address 4238 Valley View Road
City/Zip Code
Edina, NIN 55424
Phone 92678902
Contractor
Address 39
City/Zip Code F.aean_ Minn co a 59199
Phone 454-9433
Arch./Engr. phillip.a Plan .carvira
AddC09S ppnla Valla;r MN 5517L
'?f D pd '
? vrrlcE usE ONLY
On site sewage Occupancy R- 3 M-1
MWCC system ? Zoning
On site well Aetual Const
City water
? Allowable ?
PRV required ll of stories
Booster Pump _ Length ?
Depth
S.F. Total
Footprint S.F .
APPROVALS
Engr/Assess
Planner
Couneil
Hldg. OfP.
Varianee
FEES
Permit 70? ao
Surcharge o 0
Plan Review 35.00
?6/13SACp City /vo.ov
SAC, MWCC $0,09
Water Conn ",oo
Water Meter 61.00
Road Unit 2S' 00
Treatment P1 2d4.0a
Parks
Copies
TOTAL
MuaeL
?i
1G54(1 Ponnnr4 Avm /
Phone N 432-2044
v?frr?ve?ors G'er?`?f?caCe
SURVEY FOR: Fronti.er rii.dwest Ilomes Corporiition
DESCRIBEO AS: Lnt ?, Block 4, S'CAFT01:11 PI,ACIi, City oP Grigan, llakota Count),
?i.iniesota and reserv.ing easements of record.
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PROPOSED ELEVATIONS
Top of Faundaflon . 09'L.6
Oaraqa floor
Bosemsnf Floor 4 aB9.4
ApproR. Sevrer Servles Elev.. --
ProposeA Elsvallons I ?
Exisfinq Elsvollons 9
Orolnope Diraetlons . -?
Oanotes Of/eet SiaAe I p
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Planning Errgineeiing Survey/ng
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SCALE: 1 1'nch a 30 Faef
G
DEP'r
BENCHMARK,
I MIN. SETBACK REQIREMENTS
Front - 9c House Sida - 10
Reer - I S 6aropeSlde- 5
I Wn0y e.Fnry tnat tnis wrvq, pbn w nPerl wos pnPaleA !Y me I JOB NO.:
er andor my dlrael Supervlslon anE Ihal 1 am a Aulr Re91atorrA ?(t-242
Land Smrqa unAor Ihe laws of Me Blate of Minnewla,
BOOK:
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OHN EZ; McCormick, Thomas and Bernadette iutll: June 8. 1988
SITE ACCRcSc; 4003 Pennsylvania Avenue ,
PI.O,.;c; :.:>-0433 -
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Detcrafne ++orkiny ;qunrc in ocaqe uf eaci,
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b. Total door a•.e................................. ................. .
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f. Total rin Jcis-, area ........................... ................. . :,-
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-
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ibtal expesed fCUr,datiun arc1=- 7
k. Total foundatian window area ................... .... -
l. Total net `aundztion area abcve qrade .......... .... - L. --
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1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
•3830 PILOT KNOB RD - 55122 ? jC(? .-1 S
651-681-4675
?
New Conshucfion ReaulremeMs Remodel/Reoalr Reauirements
? 3 registered aHe surveys showing sq. M. of lot, sq. ff. of house 2 coples of plan
and all roofed areas (20% maximum lot coveraae allowed) 1 se1 of energy calculatlons for healed addXions
? 2 coples oF plana (show beam R window sizes; poured fnd. dealgn; efc.) . 1 sHe survey for extedor addHions3 qecks
D 1 sef of energy calculations
D 3 coples oF hee preservalion plan fl lof plalfed afler 7/1/93
DATE: CONSTRUCTIONCOST: 00
DESCRIPTION OF WORK: ?
STREETADDRESS: y003 PpYW,.S0 lfAn,W4 4-V1T
LOT: BLOCK: ? SUBD./P.I.D. #: 5AA-6" P?r.L-2
?? u 4? 0 Dr?
Name: ? Phone#:
PROPERTY Lan FUrt
OWNER
SireetAddress: ?0U3 P?FAASaVRVVJA A'k/fZ
City /Z?? ,nlU State: ?RI"V Zip:5r3,7Z
/- ` -7
Company7(&mM ??IWSaW COA4r Phone .
(area code) TS
CONTRACTOR ,
SfieetAddress: 3??% C,(tillauc.uauG! St &P License# Exp?260v
City PY?or LR-KZ State: MW Zip: ?3-3,2 ?_
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 8 water Ileensed plumber (reaulred for new construction onlvl:
Pznally applles when address change and lof thange fs requested once permM Is issued.
1 hereby acknowledge that I have read lhis applicatian, stafe fhaf the InformaHon
Sinfe of Minnesofa StaTUtes and Cify of Eagan Ordinances. /
Slgnature of
agree to comply wRh all appllcabl
? 's• i?'?4`: ?=--
OFFICE USE ONLY
Certificates of Survey Received /,-/Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation 0 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex q 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex p, 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
r
;0- 31
New
? 35 Tenant Impr O
39 Gas Line -Only . ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
U8C Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft. Census Code ?
_ Main level sq. ft. SAC Code ?
_ sq. ft. No. of Units C5
_ sq. ft. No. of Bldgs ?
_ sq. ft. MC/ES 5ystem
_ sq. ft. City Water
_ Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SiW Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
7otal:
- .2!;?
Valuation: $ 17K'(J
j
SAC Units
°k SAC
- v?f?r?ve?ors G'er?`?f?c?t?
SURVEY FOR: Fronti.er tiidwest ilomes Corporrition
DESCRIBED AS: 1,ot ?, i;lock n, sTnrroitD 111.nc:e, cicy or eaga,i, nakota comnry
tiinnesota and reserving easements of record.
° - - -?
PEN N SY LVA N 1 A AV
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Top of foundalion . 892.6 -
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P/anning Englneedng Surveying
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APFLiCATION FOR PERMIT
SEWER ANQ/OR WATER CONNECTION
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? I7NPIL PERDIIT HAS BEFS7 APPROVID. ?
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(PLEASE PRINT
1) PROPERTY ADDRESS: 4003.Pennsylvania.Avenue
LEGAL DFSCRIPTION;. ..Lo[ 2 Block 4 Stafford Place
Lot Block S vision or Tax Parcel ID )
IF EXISTING STRC?CTC?RE, DATE OF ORIGINAL BUILDING PERMiT ISSOANCE:
Nbnt Year
PRESENT 7ANING/PROPOSID USE:
Q COAM'EE2CIAL/RETAIL/OFFICE
Q INIDLSTRIAL
Q INSTIZUTIONAL/GOVERN6'ENT
N
IXD R-1 SZNGLE FAMILY
? R-2 DDPLEX ('Ito*o Units )
Q R-3 TOWN30LSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( Onits)
2) ? NAME= Frontier Midwest Homes Corporation
ADDRESS: 3902 Gedarvale Drive
CITY, STATE, ZIP: ..Eagan Minnesota 55122
PHONE: 454-0433
For City Use
3) Np,Mg; Star.Plumbing plumbers License:
ADDRESS: 1018 Mound Springs Terrace Active
-t Eypired
CITY, STATE, ZIP: BloominQton, Minnesota 55420 Not recorded
PHONE: 884-4149 MASTER LICENSE # 3329 _ St -tt Initia
4)
NAME: McCormick, Thomas and Bernadette
ADDRESS: 4238 Valley View Road
CITY, STATE, ZIP: Edina, Minnesota 55424
PHONE: 926-8902
5)
a CON1,4ECTION TO CITY SEWEE2 FX-l CONNECTION 'IC) CITY WATER O OTHER
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6) ?
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THE GOID COPY OF TFIE PERhIIT WILL BE SENP DIRECl'i,Y 7O PUBLIC WORKS 40 FACILITATE METER PIQt-UP. *
* PLEASE AISAW 1FA WORKIM DAYS FY)R PROCESSING. SONIDONE EROM TfIE CITSt WILL CONl'ACl' Y(xJ IF 74ERE :
* ARE ANY PROBLEhiS. +
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FOR CITY USE.ONLY PERMIT # ISSLED
gS
Pd w/Bldg. Permit FEES:
$ /0 5 U $ SEWER PERMIT (INCLLDE SORCHARGE)
$ $ WATER PERMIT (INCLUDE SDRCHARGE)
$ C" n $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ S ACCOONT DEPOSIT - WATER
$ .7 ?6, C`o $ WAC
$ la)0, (7O $ SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$_ 6v $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ •OU S TOTAL
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RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PDBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
? NO ROADWAY" M[]ST BE
DIVISION. LIST ZSSUED BY THE ENGINEERING
AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 4:v-
J-419
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City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
r
Use BLUE or BLACK Ink
For Office Use
/0(?Lfq
1055
Permit #:
Permit Fee:
Date Received: a
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: WO ��I -f /� /� ��y` /? 3'lif Unit #:
Name: EM Cor t °t_ (\ X..t) Phone: ,f - -3��
Address / City / Zip:q, 3 421/7,53 i3 /W ;IA
Applicant is: 4----"(:;wner Contractor
Construction Cost:
Multi -Family Building: (Yes / No )
Company: 4 S ) a- g '.6Z-`—,- / Contact: v4irK6 i G -Cif'`—.
Address: / r / q -p f � City: �/4 0ta,...,
State: Zip: S`57 Phone: / G I/3 Vo a d
License #: P C /,‘,a(,,, D. % Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portionsof
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be i
Eagan; that I understand this is not a permit, but only an application for a permit, an
accordance with the approved plan in the case of work which requires a review and ap
Exterior work authorized by a building permit issued in accordance with the Mi
days of permit issuance.
x V1,4c�,a� F�uso�
Applicant s-P-r-inted-Namc
ance with the ordinances and codes of the City of
start without a permit; that the work will be in
g Code must be completed within 180
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142449
Date Issued:05/03/2017
Permit Category:ePermit
Site Address: 4003 Pennsylvania Ave
Lot:2 Block: 4 Addition: Stafford Place
PID:10-72500-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
David A Lunow
4003 Pennsylvania Ave
Eagan MN 55123
(612) 396-1369
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150893
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 4003 Pennsylvania Ave
Lot:2 Block: 4 Addition: Stafford Place
PID:10-72500-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
David A Lunow
4003 Pennsylvania Ave
Eagan MN 55123
(320) 249-2761
Hometown Restoration
1940 Serendipity Ct
St Paul MN 55112
(763) 494-8695
Applicant/Permitee: Signature Issued By: Signature