4004 Pennsylvania AveF
?? . CA5ti RECEIPT 0
?.
?
CITY OF EAGAN
3830 PILOT K1V08 ROAD
EAGAN, MINNESOTA 55122
?
OATE ? c'-
rfceNEa -- i {
FnoM
AMOUNT
; .?--
& DOLLARS
soo
, O CASH U CHECK
Faw ' i
sv , r
C wnna--Pey? covr
velb?oaun9 Copy
Pink-Ne Capy
Thank You
SEWER 6 WATER PERMIT
CITY OF EAGAN
3830 Pibt Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMtTDAT 7112/89
WATER PERMIT ? ?Ut)3 SEWER PERMIT #
METER # D SO B.P. RECEIPT # C i? 15
?4F?A8ER? ? ? -0 B.P. RECEIPT DATE-I112L1.9
METER SIZE ?S RD ?K
ISSUE
- PRV _ BOOSTER PUMP
? ?F??::--.ylvania Ave. Ea?,,..r. w": 1512-
SITE A?QRESS - PERMIT REOUESTED
LOT _RLOCK J SEC/SUB It a; f ard n i a r p
• f- f0l1Z1er? HOmes Ccrp. ?SEWER WATER _TAPS
APPLICANT:
ADDRESS:1902 Cedarvalf' Dr. Fn.gan _COMNVIND ?RESIDENTIAL
?
CITY,STATE -:?•:}??, '`?? ? .` ZIP
PHONE: NEW - EXISTING
PLUMBER: 5 IL3 i' P l U(Itb 1 fl ?
ADDRESS: '1018 Mound Springs Terr
CITY, STAT E S1 oov ? ncton , " + ZIP ''-
, -
PHONE: ' OWNER: BUt01^, WaYne an' Verrf,
ADDRESS: 3315 River olt!?;`f Dr.
CITY, STA?S?agan, MN ZIP 5? 19
PHONE:
I AGREE TO COMPLY WITH GITY OF
EAGAN ORDINANCES: SIG R A ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS. CONTACT
ENGINEERING DEPT. -
;, . _ -
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DAT?? 7/ 1 %.
WATER PERMIT #
METER #
READER #
METER SIZE
ISSUE DATE
SEWER PERMIT iF
B.P. RECEIPT # C, 2915
B.P. RECEIPT DATE. 7L12189
_ PRV _ BOOSTER PUMP
SITE AQpftESS lyanf i 'W" . PERMIT REOUESTED
LOT-BLOCK SEC/SU6 fi+affnrci Placr-
,.
APPLICANT: Hr)mP.S CO('p. =SEWER 'WATER -TAPS
ADORESS:` 0 e arva e r. _agan
- COMM/IND - RESIDENTIAL
CITY, STATE "'"gan' 157 7 122 ` ZI P
PHONE: ' - NEW _ EXISTING
PLUMBER: f=tar PlURtbitl
ADDRESS: ? j Motind Spri^gS °rr
CITY,STATE ` QOmzn9t0n. !.TN ZIP `
PHONE:
owwER: 3utor, Wayna arid Yerna
ADDRESS: 15 ? "v?r 31;-f"
Car;
CITY, STATE ZIP PHONE: "
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
?? ? F??
r 10/24/89 GITY OF EAGAN ;
? '
5 _
.
• 3830 Pilat Knob Road, P.O. Box 21-199, Ea9an, MN 55121
PHON E: 454-8100
BUILDING PERMIT Reeeipt #
$:7 3, .;llLY 12,
To be used for Est. Value Date , 19
Site Address '?''?'s '. r•?,r 1"i., ,° a,? ? xA'?rZ
?-irii?kl??i? ^LAC:
Lot ' Block ? Sec/Sub. OFFIC E USE ONLY
PBrCeI NO.
Occupancy ?? ?? FEES
Zoning
06
ff 11
Name
. (ACtuaq Con
Y Addf2S5 t' (Alfowable) +'1+
° City Phone ?'''?"'??` 33 # of Stories - ;, ?y 'p0
k;; • Plan Review
Lengih
o
Name
Depth
?ts ? _
SAC. City i00•¢0
-
0
0
Address
s.F.rotai
-
51`-.u4
0 SAC, MCWCC
? C:Ity Phone S.F. Footprints - , •;? _ ,-?
Water Conn
On Site Sewage _
W w Name On Site We1i water Meter - `- ?' •,.;C7
i= AddfBSS MWCCSystem xx
ou
a W
City PhOne
c+ty water
? Acct. Deposit
S/W Permit
24•00
PRV Required -
I hereby acknowlege that I have read this application and state that the Booster Pump - S?W Surcharge !•`'?
intormation is correct and agree to comply with all applicable Siate of .,.,,.
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 341). QQ
A Building Permit is issued to: r7? ST 4's?lt--'' ? Planner - Park Ded.
on the express condition that all work shail be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies .
-' ? . • .
Suilding Of4ic+al Variance - TOTAL
Permit No. Permlt Holder Date 7elephone #
WATER
SEWER ?
PLUMBING ?v
'? ?'vXa°ir /d Y ?i,??s?a•
H.V.A.C.
p
1.3
?
ELECTRIC ? I•J ? tC ? i`i- ^. ? S J?
Inspection Date Insp. Comments
Footings I V,, a
Foundation
' j "7 K '
.?? ^
(//: c.ri % ? ? G ?j i L -f o "? n? w ?!J ?
Framin9 ?l ,?' ?
Roofing
Rough Pibg. -
Roctgh Htg.
lsul. ? Ds,
Fireplace '
Final Htg.
Fnal Plbg.
Const. Metar Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg. • - n,.; /j, Q
Deck Final i Tj ?w(y? 2- G-
N/@II L r S ' %
Pc Disp.
3 3 3
. -SIWW ,.a.- 44(. =??ra
?. ..;
y?..? ,?!,?' •
(Itr#ifiratjt of (Orruvanry
titp of (Cagan
Eppm#mrnt uf Iuilbing J".prrtinn
This Certifrcate issued pursuant to 1he requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was tn compliance with the various
ordinances of the City regu/ating building corrstruclion or use. For the following.•
U,e CLess;fic,,;on SF ZWG/GAR BWg. PtrrWt No. 16786
oaupancy .ryx R- 3 M-1 2ooing Dishid R-1 rya consL V-N
Owner of Budding F%kT1ZFR MEMEST EO£S Address 3902 CEDARVAL,L DR
?? Address 4004 PF1+INSYLVANIA AVE Lcicality Ll S, B6, SfAFFOIRD PIX:E
L",, , , , , I '. Dau; SEPTEMBER 14, 1
auuaing arc:ad
POST IN A CONSPICUOUS PLACE
? . , . . ..
, PLUMBING PERMIT For Off? ? nl
' CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT 33
PRICE PHONE 4548100 DATE: /
Site Adr?s
Lot
?.
L I--
Add
c City
0
c I Add
8 City
Phane
FEES
COMM.IIND. FEE -1% OF CONTRACT FEE
APT. BLDGS, - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO./ FIXTU R ES
00
l
$3 JOTAL
00
$
Water C
oset -
.
00
? Bath Tubs - $3 ?
00
.
-f Lavatory - $3.00 3 • O O
Shower - $3.00
-?
? ?-
Kitchen Sink - $3.00
UrinaVBidet - $3.00
? Laundry Tray - $3.00
?
^
Floor Drains - $1.50 ?
?
Water Heater - $1.50 b
Whirlpool - $3.00 ?- ?
Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
weu - $to_ao
Private Disp. - $10.00
?- ?-
Rough Openings - $1.50
PERMIT FEE: a • o
STATES S/C: SD
GRAND TOTAL: '94.50 .
CONTRACT PRICE: $2690.00
Site Address A X) -' PPnnsy V?
Lot 15 Block 6
y IName W_EN'L.KL. HEA7
m Address lg5 S Sliawn
c City F'acran
Name = -1)h1?TFR COb
c Address ; 902 iS h 1 P=
3
O icity
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
??4?49-
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
r;U r ooo M BTU
M BTU
M BTU
M 8TU
CFM
FEE:
S/C:
roTAL
BLDG. TYPE WORK DESCRIPTION
Res. XX New Yx
M u It Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDiTIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
'S (MINIMUM - 1 PER PEkdIIIT) -
=EE - 19'o OF CaNTRACT FEE
- COMM. RATE APPLIES
_ & CONDOS - RES. RATE APPLIES
SIOENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PFiICE GOES
BEYOND $1,000)
1.50 EA.
- 12.Q0
- 20.00
- .50
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
R ELECTRICAL INSPECTION
? See mna for completing this krm on back of yellow copy.
0 2-'A(2 1,3 X" Below Work Covered by This Request
• EB-000010]
ew Add Fep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporery Service
Duplez Water Healer Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm,/Industrial Furnace
Farm Air Condkioner
O[her (epeGfy) Comraqor5 Remar'rts:
Corzrryute MspecYron Fee Below:
# Other Fee # ServiceEntrance5ize F # CircuRS/Feeders F
Swimming Pool 0 to 200 Amps J eff 0 to 700 Amps
Vanstortners Above 200 _ Amps Above 100 Amps
SiJllS Inspeciqr5 Use Only: ( AL
Irrigation Booms J J ?
Special Inspection
Alarm/Communication - ?
Other Fee ?
I, the Electrical Inspector, hereby
certi that the above ins ection has
? P
6een made. Rnu9h-in
Final ( oa?e?j14-q
? r
Date
-?
OFFICE USE ONLY ? -
This request wid 18 manths fmm
S/-2/8,y -""? gd4e/ ?-
P 25213 a : 0`?s00
Request Date ire No. Rough-in Inspection
Req 'retl?
? FeaOy Now
kWill Notily Inspec1or
? No j
4Vhen ReatlY?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job A ress (St t, Boa or ule N
' Ciry
ns a.?. ?
5ec[ion Na. To ip Name or No. Renge No. Coun
OccuOant (PRINT) Phone No.
Power Supplier PAdress
?
Eleclncal Con ector (Com an ame)
" ConVactor6 LJCense No.
??
Meiling Atltlreas nVacbr ner Makbg Installetion)
d l' ? r
Aulhonzetl Signature (COnVaclor ner Meki I talWtion) Phone umber
? G ?3
MINNESOTA STATE BOARD OF ELECTNICITV THIS INSPECTION REQUEST WILL NOT
GrlggefAldway Bltlg. - Noan &1]3 BE ACCEPTED BY THE STATE BOARO
1821 UnNeraity Ave., M. Paul, MN 65100 UNLESS PROPEfl INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-07
/ ? See Inetructions for compkfing this form on back of yellow copy. Ll"/1-5j-7
'X" Below Work Covered by This Request
p. v 7ypeotBuilding AppliancesW'ved EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other (speci(y)
Compute Inspection Fee Bebw., CoMreaor§ R arks:
?pr7? S
?
# Other Fee # ServiceEMrenceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 l0 100 Amps
Transfolmers AboVe 200 _ AmpS Ahove 100 _ Amps
$ig(13 Inspector's Use Oniy: TOTA4 SC?
l
Irrigation Booms ^ 1, 0???
Special Inspection
Alarm/Communication .
Other Fee
I, the Elechical Inspector, hereby Rougn-in e .?
certify that the above inspection has
been made. Fnal r Da ? n il
OFFICE OSE ONLY
This requesl wid 18 momhs irom .
/o sy/89 ?
I? 6 3 8 2 ??
Request Dale o
?? ? Fire No. Rough-in InspeIXpn
R
stl' y/
0 Reatly W. I?Will Notity?pecbr
? ? Wh
7
R
? Q Ye
O No en
e
10 licensed contractor )(owner hereby request inspection of above electrical work at:
Job A ress (Slreat,_B?o RMe No.)
y00
?
ve Ciry
?
?GnnS
vaH/4 , 994
Section No. hip N e a? Rarga No. Co
P
nt RINT) Ptarie No.
a ne.
Pu„e. 5.Ppl,er ,ddms
Ekqrical CqrNacla (Com7e^Y Narne) Comractw9 License No.
OWha Y'
Mailieg Atltlresa (COmrdctor or O.vner Maltirg Insbllation)
nww ?awre ?oo?? ?i o?>
? vng?.?°=•9/,XS h ow.`
7.tb-SS wer
NINNESOTA AATE BOAHU OF ELECfi11CRY 7HIS INSPECTION qEOUE$T WILL NOT
Geigge#IWwry Bltlg - qoom S173 9E ACCEPTED 9V 7HE STATE BOARD
1821 Univarsly Ave., St. Peul, MN 5510/ UNLE55 PFlOPER INSPECf10N FEE IS
Phena (872) 642-0800 ENCLOSED.
DATE: }/j2jt.g9
f RE: 6004 PBNNSYLVANIA AVENUE, L15. B6, STAFFORD PLACE
xx. , Your Sewer & Water Permit for the above property has heen completed. It will be held at the
Public Works Garage (3501 Coachman Road) untii the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
- Your Sewer & Water Permit for the above property cannot be completed for the following
reasons: .
= Your Sewer & Water Permit tor the above property has been completed, 6ut the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adarns or Dirk House (Plumbing Inspectors - 454-5100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
.c:;
Secretary, Building Inspections Dept.
DATE: 7/12/89
?RE• 4004 PBNNSYLYANIA AVHNUE. L15, B6. STAFFORD PLACE
xx ?Your Sewer & Water Permit for the above property has been completed. It will be held at the
r•?Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the fallowing
reasons:
-, Your Sewer & Water Permit tor the above property has been completed, but the meter cannot
• be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOH WATER TURN ON POLICY.
Seaetary, Building Inspections Dept.
BLDG. PERMIT NO.
1 1
01-3210 Bidg. Permit Z
'
? 01-3422 Plan Check
?'.
07-3445 Surch./Adm ?
• 4
01-3446 .
SAC/Adm.
1
,f 01-2155 Surcharge
? 75-3860 Road Unit
20-2275 SAC -5- ci
t 20-3865 Water Conn.
20-3868 Water Trmt.
n 20-3716 Water Meter ?")G 00
20-2252 Acct. Dep.
? 20-3713 Water Permit 1 D Gc
'T 20-3743 SewerPermit
?
79-3866
Sewer Conn.
28-3855 Park Ded.
TOTAL , -/ 7 -/
- CITY OF EAGAN N? 16786
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
(`, ?? ? ?•
BUILDING PERMIT PHONE: 454-8100 Receipt # L?
Tobeusedfor SF DWG/GAR Est.Value $73,000 Date JULY 12, 19 89
Site Address 4004 PENNSYLVANIA AVE
Lot 15 Black 6 Sec/Sub. STAFFORD PLACE
Parcel No.
W Name FRONTIER MIDWEST HOMES
1: Address 3902 CEDARVALE DR
° City EAGAN Phone 454-0433
s
0 Name S?
?
p Address
? City Phone
W Name
w Address
aw City Phone
I hereby acknowlege that I have read this application and state that the
inlormalion is conect and agree tofo mply with all ap licable State of
Minnesota StaWtes and ?Ciry jol ?E/agJan"Ordinances.
Signature of Permkee
A euilding Permit is iswed to: FRONTIER MIDWEST HOMES
on Me express condition that all work shall be d/oqne in accordance with all
applica6le State ol Minnesot tatutes and City f Eagan Ordinances.
iJ_
BuildingOfficial-?,_
r
Occupancy
Zoning
(ACWaI) Cons[
(Allowable)
# of Stories
Length
Depth
S.F. ToWI
S.F. Footprints
On Site Sewage
On Site Well
MWCC Sys[am
City Water
PRV Required
Booster Pump
Planner
Council
BIdq.Otl.
Variance
OFFICE USE ONLV
R_-? M-S FEES
R_1 $
lLp- Bltlg. Permit
?- Sumharge
4n, PlanFeview
!, ' SAG City
3U
XX- _
SAC,MCWCC
Waler Conn
Water Meler
Acct. Deposit
S/W Permil
SNJ Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
S1$.00
36.50
259.00
100.00
575.00
580.00
90_00
30.00
pg.00
1.00
228.00
340.00
^y2,777.50
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-687-4675
New ConeUUCtlon Aeaulremems pemodeVpeoalr Heoulremenb
• 3 registeretl stte surveys showing sq. M. of lot, sq. fl. of house; anA gg rooted areas • 2 coples of plan
(20% me)dmum lot coverege albwed) . 7 set of Energy Calculations for heatetl add'awns
. 2 copies of plan showing beam 6 window s¢es; poured 1oun0 design, etc.) . 1 s8e survey lor Werior additbns & decks
• 1 set of Energy Calculatbns . Ind'o:ete M home serveA by septk system for additions
• 3 coples of Tree Preservatbn Plan tl lot platled afler 7/1/93
• Rim Jolst Detall Optbns selection sheet (DWgs wAh 3 or less untts)
DATE 1` I2? Gv VALUATION ? 5g w ?
SITE ADDRESS 'IOOL{ PPnn.,j?I 11a10c A-ve MULTI-PAMILY BLDG _Y _ N
TYPE OF WORK ff-('a&?6 FIREPLACE(5) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS I 2-,zA N? Lo A 2+
TELEPHONE CELL PHONE #
' 4? VA1l-L STATE n'1K) ZIp 55 339
FAX #
PROPERTY OWNER l? n e TELEPHONE #L15J-L{5 a-IO17'f
COMPLETE THIS SECTION FOR ^NEWN RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
V
---------°°-------°------°--------------------------------------------°----°----------------------------------------
I hereby acknowledge that I have read this applicatlon, sTate that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Tinances.
SlgnatureolAppliCant Lvl?w U ?%?'?-?Y"
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Axessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4sea.) ? 33 Ext.Ak - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Adddion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof 0 46 Windows/DOOrs
? 34 Replacement 'Demolition (Enlire Bldg only) - Give PCA harWout to applicaM
Valuation Occupancy MC/ES System
Census Code 2oning 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) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Piant
Plumbing Pennit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
0•*
518•00*
36.5p+
259•OU+
? 1?964'Ou+
2,977•5Ut?
?
?G
5}g•U0+
36•5u+
25y•OOr
19o4•OU+
21777.yL)*
1989 BUII.DIBG PSffiW?T APPLICATION - CIi2 0[+ EAGAN
SINGLS FAHILY DWELLING9 74?C
INCLODE 2 SEPS OF PLANS, I CERTIFICATE4 OF SORVEYo 1 SET OF ENERGY CALCULATIONS
!i0'PSs ADDH&4SE4 FOH CORN68 L679 - COATHACtOA/HOlEOiiNSB tlOST Di&4ICHATfi fiffiCH ADDRB83
IS DESI6fiD. HO CHANGFS iiILL HE ALLOIiSD Qe1CE BIJII.DING PS9MIT 23 I33DED.
MOLTIPLS DiiE[.LINGS HS9ldL OBITS POa SALS OBIT3 # OF O11I?S
INCLIIDE 2 SETS OF PLANS,
CdLCOLATIONS
OF 3tJRVSY - CHECH ifITH BLDG. DBPT. r 1 3ET OF ENERGY
INCLUDE 2 SETS OF 9RCHZTECTURAL & STROCfURAL PLANSt
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCIILATIONS JUN 3 0 1989
To Be Qsed For: new construction Yaluation: $=0 Date: ? -cg-g -eI
site Address 4004 Pennsvlvania Ave. Eaaan, MN 55123 OFFICE t)58 OHl.Y
210 ob
Lot ? Hlock 6 R3 M-1
Oceupaneq gsss
Zoning 2 -I
Pareel/Sub STAFFORD Place .. Actual Const v- N Bldg. Permit 548,0D
Allowable V-N Surcharge 6150
Owner Butor. Wavne and Verna # of stories Plan Review
o
9,59,0
Length ya, SACp City
c7
100,0
Address 3315 River Bluff Dr. Depth 4 9` SAC, MWCC 5r15,00
S.F. Total Water Conn zS,O_D
City/Zip Code Eaaan. MN 55121 Footprint S.F. Water Meter
oD
101
Phone 452-9155
Contraetor Frontier Midwest Homes Coro
Address 3902 Cedarvale Dr.
City/Zip Code Eaaan. MN 55122
Phone 4540433
Arch./Engr. Dick CHarlier
9ddress 14103 Gardenview Dr.
On aite aesrage
Oa aite xell
MwCC System %7
City water
PR9 required _
Booster Pump -
APPHOVAIS
Plamer
Council
Bldg. OPf.
variance
Couneil
-y' L71.
9cet. Deposit 30,00
S/N Permit 20,00
3/W Surcharge 1100
Treatment P1. 228.00
Road Uait 351D, o0
Park Ded.
Copies
TOTAL ?
J?Aj
City/Zip CodeApple lfallev, MN 55124 \STAF?d2p Ar1o?GL
Phone # 432-5492
B04Sz Sewer 8 Aater Permit fees and account deposit feea will be iacluded in the building
permit fee. Processing Lime for sever aad water permits is tvo days onoe a lioenasd
plumber haa applied far a pemit at City Hall.
u? riq ac)kL =
LRYiC-e-k
?
6aD
?----
9 222 `/
EUT-a 2
suRvEY r-on:
DESGFiIBED AS:
Sll
I'ronf.i.cr P1i.dwest
Lot 15, ]31ock 6,
County, hliniesota
PROPOSED ELEYATIONS
tov er Founeonon - sgo.-1
Oaraqa Floor • 860.3
Bofiment Floor i 8'11.5
Apptex. Soeir SKrta ENr..
Prepond EIwallens I Q
Enif11n0 Eleraliam .?
orolnoa• olf.etlon.
Denoles Dllfel Slok• ? p
$14.6
G'ertlfictrte
110111es cor,,.
s•rnFr•aau i'i,nce, cicy or E-aga» , Dakota
and reserving easments of record.
A V ?
EN?E By
n?-
?
?
BCAIE: t lneh ¦ 30 Fea1
?GAN
eEnct...:=.'
Tnp.N.iF Hyd. @ le+ L.??,
, ia § i4 , guK c. - v.....cy. Aua
af
IMlN.9EiB?IC?iK. eREDIREMENTS
i
Fronl - Ea How? lld? - lo
Rebr - 15 OaroOe SIM - S
I Mreey evtllY Ibat Ihb surrq, plen x roperl was Orepsred W mi Jo8 NO.t
HEDLUND er unAn my AIne1 oupordden anA IASf 1 am a dury ReOptonA 89l2- IR 4
?ene ew.ner une.r me lewo •r me stete of Mlnntwle. eOGK: pAat,
Plann6rg Errgbreertirg Swti+eylrtq /36 76
M??.n????r?..?r.??o,r..?.?..n?w IL 89 b tAOO?iu?
?Mw?eo mw
OaN: • ? 5 I fan, Utems 14310
. ' EXTERIOR ENVELOPE AVERAGE "U"_ COMPUTATION.,.44?4/-OL? 1XY6
w. . . _ ,.--------...._... _ .. .
OWNER:,?;_ wV?0-, DATF: "Z
SITE ADDRESS:?Qj?? ?Q ???UANLc? Av?e- PhIONE: YS41-OXX3. ?.?17l?
CONTRACTOft: Fm?k tc-_ C tf)t„, FNp W-? , tcS PIAN # ST1i'?T'-o2.1? ZX?o
Determine working square footage. of each
1. Total exposed wall area..... ft. x .11
2. Total roof/ceiling area..... ?('j ( C0 sq, ft.. x .026
Total exposed wall area above floor=
a. Total wall window area ..........................................:. ( ZS '
b. Total door area ...... .............................. ..............:
c. Total sliding gTass door area ......................... ........... -?
d. Total fireplace wall area ........................................
e. Total wall framing area (average lOp) ..........................?..
f. Total rim joist area .............................................. g. net wall area a6ove floor ..................................... I ro
h. wall area a6o've floor ..................................... ,
i. wall area a6ove floor .............................
.........
j. frame wall area at foundation .....................,.............
Total exposed foundation
k. Tota1 foundation window area .......................
1. Total net foundation area above grade ..............
Determine "u" value of each wall segment
(e.g. window, door, each separate wail section).
a. lZ?' x ll ull .?/5
b. y Z. X„u„ 3/ = l 3?ozf
C. LfZ x lu„ ty7
d. X „u„
e- x ."U.,
f. i 3a X„u,i , o
9. 1 c.,21 (0,aS-- x „r (4p 7iS?f
h. X liuti _
i. X 'lull _
j X ?1WI _
r..
x „u„
If item #3 is the sai
as, or less than ite.
#1, you have.met the
intent of SBC 6006 (
1. X „U„ 41 lS7S
3 . .................................Total = Z
W
. rage e o v
, Total exposed roof/ceiling area m. 7btal skyli.ght area ............................
n. Total _oof/ceilin, 8raming area (1VCYdgC 108)...
o. Total net insulated roof/ceilinq arca...........
Determine "U" value for each roof/ceiling segment
M. X ..Ul.
n. X"U" e O z,J = Z??'
c- - I ? li7 X. .1U., --
4 .............. .......... 2btal_ . ZO. 7 3 . .
'f total cf n4 is the`same as, or less than i12, you have met.the intent of
Sbr 5005 ;c? 1.
Alternate Building Envelope Design To utiliz2 the total enyelope system method, the values established by the s•.un of
items.s3 and r4 shall not be greater than the sum of items #l and #2.
?. ZI c0 LO:?'f + z.
3. _ z!vo, g ? + 4. z?7 ? _73
? , , .. PIAN #
LINEAL FEET DMSID WALL
BliOCK: Lo 5 ?
KtEE: l 3 O
w.o.: -
t'[1r,t, i : { 3 ?
filLL 2: ?
FIREPLACE: ? .
RIM: l 3 -d
* SQUARE FEET EXPOSID WALL ARE'A .
aLOCx:
=
x.5
3 Z, S'
tQdEE c ?? ? x 5= ?.c ?
w.o.: x e = -
fvLL i: ? 3 g x s= t l d?
Fn.L2: - xa= ?
FIREPrAcE: Le X q_
RIM'
? sQuAPZ FEer EXPosm cEZZ.arc ? o l b
P•ammews * nooxs
?.
ZL4 3C. Co?
'j = 3 r * PATIO DOORS '
4- Z
Zc? C? o _ 3 = Z5'
* BASEMEarr vNTTS
Z 4-1 Lf (-f
?s
,. .r - . - ..,
lJ??: Use t tg, Of 6pnQue Wn 1 1 orea for
.• - ,.? fVaY+'?2. CLYtiStYUCf iot?
{drtDRT71Y1
WAcLI
F'R4HP NALL
C7
CONSTRUCTION?=- FRAtqNG
R_..yAUJE -- . .
1. ZNTERIOR AIR FILM 0.68
2.
3, 5 2 SOFf WOOD 6.87
4.
5. SIDING
6. EXTERIOR R FILM
0.
TOT&L R= 10.8
U= .09
NET
1. INT'ERIOR A232 FiIM 0.68
Y;6YPBD .4
3.
4. TS732 SHFATHING' 2.
5. S ING .6
6. EXTMOR R FILM
.
U= .04
1. INTERIOR AIR FIIM 0.68
2. 19.06
3. JO
4,
5. S D G
6. EXTERIOR 0.17
U= .04
SLAB ON GRAD£
Fs.G. aA
. ' , . ? ! ?. • .
0
IlI
.
itt - ' • lll
.
LU-
?
NOTE: INDICATE TYPE, "R" VALUE. DEPfH AAID
PLACfIMffN'P OF INSULATION.
f'xG . 43 .._ __._.,..,.,...,,,,.Y
W(1LiL .)L1.11V1V]
NOTE; -USE 10$ OF OPP,QUE WALL AREA FOR
-• " • FRAME CONSTRUCTION
.. • . ! (D
?• ?
k?
• BASIC WALL
t---'-G)
/
1. INTERIOR AIR FIIM 0.68
3.
4.
5.
6. OR
TOT
i i
? ? ?
?
( t
; 'f • ?/
, R-VALUE
FIG. #3
V 7-f-
CONSTRUCTION
'1. INTERIOR AIR fILM
0.68
3.
4. R SPACE .68
5•
6. EXTERIOR AIR FI .1
TOTAL 2.75
U ._ .36
1. INTERIOR AIR FILM 0.68
2..... . . ...
3..
4.
5.
6. EXT'EFtIOR AIR'FILM 0.17
TOTAL
?
1. IIVTERIOR AIR FILM . 0.68 2....
3,. .
4. . .
5.... . __. .
6. EXTERIOR AIR FIIE 0.1
? TOTAL.
?
SLAB ON GRADE
! - ' •
) d Y. 1l
w
FIG. #4
?l-l`1
NOT£: INDICATE TYPE "R" VALUt?, DEPTfi AND
PIACEMENT OF INSULATION
? FIG. #1 TOPVIEW OF
FRAME WAIS.
ROOF-CEILING
? ..
? ?.•..
, ..
. ,
VENP
J
?
VFNI'ID Z\ HFAT FIb4]
?- u UP
FIG. #5
HEAT FLOW UP ..
ll
FIG. #6
. 3 ?
?• • ' :.
r.
? .. ' . ? ? :: %i_?•'~'G'"'
•V;.l??
'• ?-
/ ?
? NON-VENT'ED
HEAT FIAW
UP
FZ6. 97
I '" . .
,??•? ?`
•, ,.,., ?
CONSTRUCTION- ' R-VALiJE
1. IN'PERIOR AIR FIIM 0.61
2. S/tf" GYY. CU. •??
3. -
4.
TOTAL 45.80
U = .02
FT2AME
1. INTERIOR AIR FILM 0.61
2.
3. 38.35
4. U.bl
U - f .024
CONSTRUCTION
1. INSIDE AIIZ £IIM 0.61 .
2 .
3.
4.
5.
FRAME
1. INSIDE AIR FILM TOTAL
U =
. 0.61'
2
3.
4.
5.
1. INSIDE.AIR FILM mra
U
0.61
2. .
3.
4.
Uul
5..
'
TOTAL
U ?
NOTE: USE A?DTTIONAL SF3E:EPS IF t".ORE SPACE IS
DIEEDED FOR DETAILS AND C?.LOJLATIDNS.
SINGLE FAMILY DWELLIPGS
2 3ETS OF PLANS
3 EEGISTfiRED SITE SORVEYS
1 SET OF ENEHGY CALCS.
1989 HIIILDIHG PERMTT APPLIC6TION
CITY OF EAGAN
TIPLE DWELLINGS
2 SET3 OF PL9NS
REGISTERED 3TfE SIIROEYS -
(CHECg WITH SLDG DIV.)
1 SET OF F.NSAGY CALCS.
!lULTIPLE DWELLINGS RENTAL IINITS FOR 56LE DNTTS
COPR9ERCI6L
2 SETS OF 9RCSISECTURAL
& STEOCTQRAL YL?NS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
# OF DNITS
HOTEs ADDRESSES FOE CDRNER LOTS - CONTRACTOH/HOMEOWNER MOST DESIGNATE i1HICH ADDRESS
IS DFSIRED. NO CAANGES wILL BE ALLONED ONCE BUILDING PERMIT I3 ISSIIED.f
SEWER 6 FiATER PEAMIT FEES AND ACCOONT DEP0.SIT F6ES i1ILL BE INCLIIDED WIT$ THE BOILD2NG
PERMIT FEE. PROCFSSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMTT H9S
BEEN CONIPLETED INDICiTING A LICENSED PLDMBER.
PENALTY APPLIFS WHENt PERMIT IS NOT P6ID FOR IN SAME MONTH TT IS REQIIESTED.
LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSIIED.
94 2 3 ig68
To Be Dsed For:? Valuation: ?450 '2 Date: /D .Z3 e
Site Address -YioOy 7Pn„.c.e/uo?,.,? A/P OFFICE OSB ONLY
Lot _L.I__ Block (__ Oecupaney
Parcel/Sub
?
Owner
Addressy?ypy?'tnnScz?i?nr,io
City/Zip Code e5q-Aq,-, /nn. ,SS/23
Phone
-?'/ISS( L/?p -3/
Contractor -51 /C
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone S
Zoning
Aetual Const
Allowable
tl of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City water _
PRV required _
Booster Pump _
APPROVALS
Planner ?
Council
Bldg. Off.
Variance
FS&S
Bldg. Permit 36,o
?
Surcharge 1,00
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aeet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SIIBTOTAL
Penalty
TOTAL ?
, ...
?...?.....,. ., sl Aff.:Q o I w NOusd Warksha,
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uwwA. Ti O,,,M ? ?..?? ??' w?w °`y" r'"q --?- ? . ?? ?M Ow..w.? ? •?
co..u,M A cECr?e.. • CAPNw •I
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w.. ?.. ?sm.? . ......??...
- 's` ? ? i? • . y. SaF
. ???G •O
.. L) 7
iLooNS 7 S
. ......
? Y
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cw-tvw rTUN wss InW WF1 .
?x+cTwcw•....,.._ ._ Ynruor:w.?...
?w?•? c _ ,,,pa„a?y
'??rri? ' • y ? ? a.
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? ??"f"?ans ?? ? • ?
-...r a . 1640pu1N - ?Ili r wy?ppM/ ,
FKlM, 4441 ?I???tl111YWw00ouMyyM??jy? ?MIIMyMiY?
rw ?w ?r w ?r.? IIw . ?
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eYo a'
(1) N Y M ?? Y u y ._
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Y
nwr
y
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wM ru?ry?MM
? 1.7 ?A • !
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? ???r? wy Ca?ti ww
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LE ?l ~ ••
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u?s?fi?_01wSm' varwL BTUM
???? r•ryY4WIprNppY?A?MiMIrM
\M??iw ??MCMAMI?y???M
'
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4004 Pennsylvania Ave
Lot: 15 Block: 6 Addition: Stafford Place
PID:10- 72500- 150 -06
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: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Wayne D Butor
4004 Pennsylvania Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
h all applicable State
Issued By: Signature
Building
EA089224
05/18/2009
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167560
Date Issued:03/22/2021
Permit Category:ePermit
Site Address: 4004 Pennsylvania Ave
Lot:15 Block: 6 Addition: Stafford Place
PID:10-72500-06-150
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nathan J Waite
4004 Pennsylvania Ave
Eagan MN 55123
(612) 750-4460
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170973
Date Issued:07/26/2021
Permit Category:ePermit
Site Address: 4004 Pennsylvania Ave
Lot:15 Block: 6 Addition: Stafford Place
PID:10-72500-06-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nathan J Waite
4004 Pennsylvania Ave
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature