4007 Pennsylvania Avef
CASH RECEIPT
,? .
CITY OF EAGAN ;
3830 PiLOT KNOS ROAD '
EAGAN, MINNESOTA 55122
DATE ?IG- 1? 19?
FnOw
AMOUNT $ ?i
? CASH
x CHECK
FOR ? ? ?.• ?` _?'?, _C??t~
.? _ .
%•j L ? 1 1 • ? ? ? , ? ; ?? ',l 7?+'
C 12 S35 "h'e-P.??
Y.Now-Posting Copy
Pk*-filp.copy
& DOLLARS
,oo
Thank You
Br
SEIdlER & 1NATER PERMIT
CITY GF•EAGAN
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
DATE MAR 25, 1991
METER #
CHIP #
METER
ISSUE DATE
OFFICE USE ONLY
PERMITDATE 03/26/91
PERMIT # 11883
B.P. RECEIPT # C 12635
B.P. RECEIPT DATE.Q3L25L?1
_ PRV -. BOOSTER PUMP
SITE ADDRESS 4007 P1SNNSYLVANIA AYE
LOT 3 BLOCK 4 SEC/SUB STAFFQRD PLACE
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
PIUMBER: SCHERF.B PL[1MBI NG
ADDRESS: 4800 ADRIAN CIR
CITY, STATE PRIQR LAKE MN Zip 55372
PHONE: 447-6714
OWNER: AL HERRMANN COli3TYUCTIGN
ADDRESS: 535 STONS RD
CITY, STATE MENDOTA HEYGHTS hIIN Zip 55120
PHONE: a91-II00
PERMIT REaUESTED
X SEWER X WATER - TAPS
- COMM/IND x RESIDENTIAL
R NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMRS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT . '
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MAR 25, 1991
OFFICE USE ONLY
METER #?/?? ? a/ PERMIT DATE 03/26f 91
CHIP # 61 PERMIT # 11883
METER SIZE ? ei?SKS B.P. RECEIPT # C 12635
ISSUE DATE J?' B.P. RECEIPT DATE 03/25Lg 3
_ PRV _ BOOSTER PUMP
SITE ADDRESS 4007 pENNSYLVANIA AVE PERMIT REQUESTED
LOT 3 BLOCK 4 SEC/SUB STAFFORD PLACE
X SEWER X WATER - TAPS
APPLICANT:
- COMMIIND X RESIDENTfAL
ADDRESS:
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be tnstalled
PLUMBER: SCHEREx PLUMBING Ahead of,Domestic Meters on Water Line.
ADDRESS: 4800 ADRIAN CIR N? be given for Deduct Meters.
Cre WIl
CITY, STATE PRIOR LAKE MN
ZIp 55372 ?
PHONE: 447-6734
I AGREE TO COMP Y WITH CITY OF
OWNER: AL HERRMANN CONSTRUL?ION EAG ORDI
ADDRESS: 535 STONE RD -7
CITY, STATE MNDOTA HEIG1iTS MN ZiP 55120
PHONE: 891-1100 SI NA WHEN METEH ISSUED
PLEASE'ALLOW .. /
TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CUNTACT ENGINEERING DEPT. f
l? ?
." . ?? •.a^'
(g.er#i#tr?tt of (Orrupanry
Citp of (Eagan
Wpahuetct nf %ild'a" Jna.p?prtinrtc
71ris Cemfwaie issued pursuant lo lhe requirenienls of Sectiva 306 of the Uniforrri Building
Code ceWly?ng drct at !he lime oJisruamae tlriswucwe wns in complianae with lire wrious
ordina?taes of !!ie Ci1y regubtin$ bur7din8 wm&mcdon or us-- Rw the following:
ia.? m?;saoo. e4n?c 1 -tESO?-
??r'rm? zoo? o?n Tirr ca°g-?dl?i---
own"ar eawn Aeerom
Bu3diiK A,dd= ' L-arlY • ,
llVrIA a s
Oac
Btul 4
T pV A COtJSPICUOUg plA(E
._?...?..ye.p?qc?II'rqq?¢?'aY1f .:.??, .r??.raqv?`?K-:s,'??x;?m}' •.cF..-'y+Ri,?±4r?;?7'?.""!pe-,.+ry+.R?.!?+y ?,?.?qa?R.?g+,.. ..???'?'^s'"1S9lA
CITY OF EAGAN ?,40 18808
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ! Aeceipt #
Tn ha iicati fnr SF ??" ?R Est Value *'asoW Date MU 25 , 19 91
SiteAdV ss "'„' '-""""`° ^-..
Lot Block SeclSub. OFFICE USE ONLY
a-3 M-i
Parcel No. Occ"p''n`y
?t 1?lODf[?Ytil f?ANCTOtI/'TTA?7 ZOning
W Name --- ----------- ---------------
; Addre
? Citv Phone
, o Name _
0e Address
Name
? Official?
. Phone
_ Phone
d this application and state Ihat the
comply with all applicable State of
? Ordinances.
.
L AEltp" CON8T
shall be done in accordance with all
s and City of Eagan Ordinances.
FEES
SZ3•00
37.00
3160.00
(Actual) Const Bldg. Permit
(Albwable) - Surcharge
M ol stories
?
R
i
Length Plan
ev
ew
Depih SAC, Cily
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
CWncil
Bldg. Off.
Variance
-?
?
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposil
S/W Permit
SNY Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
Aw*w
650.00
6Ff(3.00
7v. w
3A.o0
sV.w
.50
276.00
-T/Vi?
TJW..7V
Permit No. Permk Holder Oatt Tefsphone #
WATER SpY G 9
SEVYEFi
PLUMBING
H.VA.C. yao ? 9r ????.z
ELECTRIC Slp/ d.z f eLj.
7 I
??
InspacUon Date Insp. Commants
Footings I ? L4 L.s-?s
I
Foundation yl /g LlJ?f. .
Framing
Roofing
Rou9h PIb9• ' 2!
Rou9h Ht9• ,
ls,l.
,replace
FinalHtg.
FWkd Pb,-
Consi. Meter Plbg. InspeCtor - Notity Plumber
Engr.IPlan
81dg. Final .? -/7- `} D S ?D La
Deck Ftg.
Deck Final
Well
Pr. Disp.
L
131-1 '71?1 REOUEST FOR ELECTRICAL INSPECTION
M lio See instructions for completing ihis (orm on back of yellow copy
56102 "X" Be/ow Work Covered by This Request
'i, ee-ooooi os
?4si?.•?
ew Add Rep ? uilding ApptiancesWired EquipmenlWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Speciy)
Comm.Andustrial ' Furnace
Farm Air Conditioner
Olher (specity) ConVactor5 flemaBS'.
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps
Transformers Above 200 _ Amps A6ove 100 Amps
Signs inspecior§ Use Only: C20 OTAL &-o
Irrigalion 8ooms
? "?
Special InSpection
Alarm/Communication THIS INSTALLATION MAV BE ORD ISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in ,
certify that the above inspection has
been made. F;nei oate
OFFICE USE ONLY
ThiS request witl 18 monIDS irom
10 2
NV
Peqesl te `
Fire No
. Rough-in InSpection
e iretl?
? qeady N. Will Notlty Inspecror
!
Ves ? No When ReaCy?
I licensed contractor ? owner hereby request inspection ot a6ove electrical work at:
,bb Adtlr¢ss JStreet Box r Route No.) Ciry ?
Lr
gMwn W. Township Neme or No Range No. CouMy
???•?J
Phone N
.
pcc nt(PRINT)
o Suppler. AOOres /
Eleclrkal nhac (COm???4.4-7?1-r Gontrqctor$L;ce??.
71,9
' THIS INSPECTION FEOUEST WILL NOT
MINNESOTA STATE BOARD ELECTHICITV gE ACCEPTED BV THE STATE BOARD
Grlygs-MlEwey 13IE9. - m S.173 UNLESS PFOPER INSPECTION FEE IS
1821 Unlveniry Ave., SL Paul, MN 55104 " ENCLOSEO.
Plw. (812) 643-0800
?[ ?i'TTaYW
a ?
RE:
DATE
FfAR 26, 1991
4007 PEtiNSYLVANIA AVE (AL HERBMANN
)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Putilic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PU6LIC WORKS (454-5220) 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 for 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 - TELEPHpNE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 4007 PEta1SYLVANIA AVENUE yot 3 Blk 4 Sec/Sub STAFFbM mAr'F'
These items were/were not complate at the time of the final inspection.
Date: 5/17/91 Yes Na
Final grade (6" from siding) y'efa-iN;+? sCa Lf-?
Permanent steps - garage ?'
Permanent steps - main entry 'l
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage ?
Porch ?
Basement finish ??
Deck ?
Pleasa varify with tha builder the ramoval of roof tast caps from the plumbing
system and tha shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?j
`IX?
RIttIFDMRR
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN NO 1$808
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ,
BUILDING PERMIT PHONE: 454-8100 Receipt # G / z- Lr
Tobeusedfor SF DWG/GAR Est.value $74,000 pate MAR 25 , ?g91
Site Address 4007 PENNSYLVANIA AVE
Lot 3 Block 4 Sec/Sub. STAFFORD PLACE
Parcel No.
w IName AL HERRMANN CONSTRUCTION
3 Address 535 STONE RD
° CitY MENDOTA HTS phone 891-1100
o Name SAME
ga Address
m City Phone
Name _
Address
I hereby acknowlege that I have
information is comect and agreR
Minnesota Statutes antl Ciry 01;
Signature ol Permitee ?5.; ( ?;
A Building Permit is issued to: AL
on ihe axpress condition that all work :
applicable Stata of Minnesota Statutes
BUiltling Oflicial
Phone
lion antl state that the
all applic ble State of
?
?
NN CONST
) in accordance with all
-eqan OrtlinanCes.
OFFICE USE ONLV
Ottupancy R- 3 M-1 FEES
Zoning
(ACNaI) Const V-N Bldg. Permil 529 . nn
(Anowable) Sumharge .17 nn
# 01 Sbries
Len9ih 44' PlanReview 340 -0
n
, Depth 44' SAQCiry 100.0?
S.F.TOtal - SAC,MCWCC 650.00
S.F. Faotprinls -
On Site Sewage - Water Conn 660. 00
OnSitewell WaterMeter 90.00
MWCC System X ?n
nn
Ciry water
x _
Acct. Deposi[
PRV Requira0 _ SIW Parmit ap _ nn
eooster Pump - S/W Surcharge - Sn
Treatment PI T 7 fi_(1 O
APPROVALS RoadUnit 370.00
Planner - park Ded.
Council -
BIdg.ON. _ Copies
106
50
3
Variance - .
.
TO7AL
pIONEEA 2422 6ucrpiise Diive
LANDSURVEY0113?CIVIL[HGINEEM Me??dota Ileights, MN 55120
l* O
?„f'7 n??j' r„g .. IIINiLl1NNERS• L11Npyc
??E ARCHItECTS
* ? * ----- 16121 681 1914
Certificate ot Survey for: AL? 0eRRM At Nrj
046* , PENNS yL A --
N?9 oz a; 25 n?,?4 NaarN
VMONA 9Sp.. Q pv
?x
?
8?'ag M oe
{s¢ N O?r _
? 1 71,8
?g5 q9 " o? A?o ?? + z' °?8Z 24 , 8'? R?° a c
MGQ_ ?
M__- 6 9.0 I ? ?d0
? I 4
*6gZ
FFopose o
?85?1?J1 w.e+?53 0. ? K?61G.10 /
? I ? g16 _ J? / `VI
M I ? ?
?
N I /? N?}:
S -;r3 e3z ?? / E?.GAN
• 900.o DenoJes Exislin EleValion 39,6 ? PraoPosEO NousE ELEVqT
-QA
• oo.o Uen?es prT°?ed Eleva/ion ? ?
______ , Lowes 7vvr E levo ior?
???,o
-- D?enotes bmirxr er U/ili?ly fasement Top o,?'BlockElevalion es4 73
-----?- Denolis Dnrrd rV'Direclion Garrjc Slab ElFVation 8e ,¢
° lJIPr?a/es Monu?3enj Beorir)?5 SlIOWn Urp aSSUn?? nDeix? e.s o?'Ise f,fib
L4T ? ,BLOCW 4 STAFFORD PLACE
OAKOTR Crn1arY,M1NivfsorA
t herelrvi certtlv that thlg eurvev. Plan or report waf pre ornd AV mp r under Y dirnct supet hfnn nnA th am rlvly flegislcr¢d nd Surv yor
under the tevn ol the 51ets of Mlnnpole. OateA thy?day of . A,D. 19
cal :1Lrvb _40tOe qr083 ??, ,??;:
-------------- - --- - -
Aeti 1?EUlg? - /11d!/?'Z? JYOU?' ------.--------
1991 BUILDIN PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[TLTZPLE DWELLINGS
COMMERCIAL
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE W1{ICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: Cct? Date: :5 kp
Site Address Q
I.ot -1) Block
Parcel/Sub K??U
Owner
Addres
City/2
Phone
Contra
Address ??S ?\ Avto ?0
City/Zip Code .?St7?z
Phone
Arch./Engr.
Address 2"v r S? b,"
City/2ip Code '_ L sSf2z?
Phone # ( DR L- (Q, 0
tor
I y' 0 00 - OFFICE USE ONLY
occupancy -3 h{-I
Zoning R -I
Actual Const V-N
Allowable V-N
# of stories
Length 4 q,-
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. 3?Z/-9/DS
Variance
FEES
Bldg. Permit 523,po
Surcharge 7.00
Plan Review l3yo,oo
SAC, City 100,00
SAC, MWCC Sa.Oo
Water Conn. ba,oa
Water Meter W, 0 0
Acct. Deposit 0,0o
S/w Permit 3o.Do
S/W Surcharge ,5D
Treatment P1. (,o0
Road Unit ,370100
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL I (11 . 6
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?? VA?uATID&? ?r
,
G
? x 2 2??'f ?F 0 K ir = G G-o ?
gSMT
._--
z??4y
Z 1c L Z
LIy `6 =
! 4x I D =
3Z
T7I x I?t= 135`9?
n?s?+-r = 6i
i"zn +a =i
? Doy ? S3 = S 32? ?--
?
?3?lvb o2 7yo?o
? * * * 2422 Enicrprise bvtve
* PI[]NE?A tRNDA/NVEYOR8- C1Y1LENGINEEM9 Mendatalleighis,MN55120
?9„fY ,",??M n/? .• LANOFLANNEM• I.ANOSCII?E ARCHITECIS
(612)681-1914
*** ?
Certificate of Survey for: /"t L ? E K(ZM A?I? GO N GjT? ?
N 89°4S'& PEN?S ?,L t44 --
24,oZ Q; zse /.4 NORTN
$?,, 9 ? -_. ?,?? '•..`.
N ( (K C Y D
1 03.'
T2. ?i
o 017
? Z°•° ?T
3 2
!t
I FKIpp
°`+EO M
1 r Mo?s ? ": /
-$_
75? !`'°?
??
?a
M t ? ?
???fe??g ?
I ? Ba+e
30 ? XK91NE?? ?
5 ?3Z ? E i I
g9a.o ??? Js???
• 9oO.o Denales [xislin £levaiion 3916 PRt7POSE0 HOUSf ELEVA
• oa•o Uenoles Prtipo?ed f/evafian ? -?-lowes 7vvr Elevo ior? 876. e 3
-------- Denetes Urnlrxr ei Ufili?ly Easement Top o?'BlockEleualian s84ti3
--?---?- Deno%s D?ri "?'/o?V'Orrerfion Garagt SIa?G Elevatioi? $94, z
? Dienodes ,Gfonu?nf BP0ri015 shown arP assumfd nC)e,?oes ojje hkb
LOT S ,BLOCII 4 STAFFORD PLACE
04MorR CntlNryt ,NINNESOrA
I herel,vi certtly ehat ehb survev. nian or rPpore was ore nrpd hY mP r under Ydirect sup,n7?y i-slnn nnA tlm(,? nm duly f7rtgitMreA nd Sur yoe
under the law' of the Slete o! Mlnrrewfe, Detecl [h1?deV of _ A.D. 19?L . ?
L
j r
Scale • l? "IV ? t --Rnnf f_y?1 .•??fR 11n. fAp9 '
q1o83
f
/ ,
'_
-00 CITY OF BIIILDINQ DEPAATMENT
!'- - F:XTERIOR ENYE[,OPE AVERAUE IIUII COMPUTATIOH
(To be eubmitted with building permit appliaatiott)
Ons or Trw Family Dwelliag pymer
A?
All Other _ c
Site Addrees '
A? , t F?k :? z 4
?
? Coatractor ff f?E?i11?1(? ? (? -
'
o ?S,T nate
Phone
?
?
,
?
.?
Y'r
LINEAL FEET OF P
EXPOSED YlALL fte above grade a ?Z.190 , .
TOTAL EXPOSED 1YALL AREA SQ. FT.
OPAQUE WALL COASTRUCTI011: "U" Value x Area
Detail
!!n
?e
9-3 x
_0
u
.sq,
FT. j(n7.4no¦
?_
,,
reference
R
rt Un_,o7CA x Sc?, FT,_ 104,.
u
trom - =Sull_ . 040 X SQ. •FT, /Z9•9$ a
attached "U" x sq, FT, _
sheets• U
x s@. FT.
II
II
U 8 SC2. FT• a
WINDOWSi "Ull Value x Area
riai?a & Type ALIc, A?S'ull_ .4? X sQ.
go .
n uun
„ x Sq.
u nU n
n npII x SQ.
x s@.
W...
(A) :.
(A)`.
(A)
T...?7r?-.t7Da 5•3S(U) (A)
FT.
FT. _ (u)(a)
FT. ' (U) (A)
DOORSs . "U" Value x Area •
Malse & Type 4,? IA1?t?V_} nUn
.
11
14 x SQ.
FT. D D= .(D
(U)(A)
11 ?? ?11
uUo % SQ. ?• a (U) (a)
n n
.
u
Un x 3Q. FT. -
(U) (A)
?? x Sq. FT. = (U)(A)
TOTtLs ZO 2. oD SQ. r•T.-- 145.1t0 (U) (A)
TOTAI, (U)(A) VALUES !
4
?
S•? AVERAC3E "U's
l- - •
=
DIVIDED BY TOT WALL AREA
Ztj? l
D7J
AVERA4E IOU .115 or leea for 18c2 fami ?
inge
ROOF/CEILIN4
TOTAi, IREAs ,p
Detail reference
rTOm ??U??_ r O I
?.
• 1(? i Daa
/? Z4,,.$
attached eheete. U
7C
upil $(t$ '?
'?_ ???
(U)(A)
Deecribe openiage up„ x sq• FT•--.._e ?(U)(A)
itt roof. °Qn (O) (d)
?-
TOTAL (II)(A) VAI,UES DIVIDED x
BY ZQ?.S?'O
? SQ
. FT. a
-
-i7 'JkL-- -_ -_?(II??d)
- - .?
' TOTAL ROOF/CEILINO AREA ------------
I?I07
OO
•OZI
• '
,
1lVERAfiE 111.025 or ventilated roofe.
?_
?
? III " ????. ?t??T ?,
r,
I' S. X.?t 3? +? Z?tzz. - I(aZ? o0
. ?
5 X Zztzz? - 418.00
Cotie. LoQ?Z • ct? ?
I z7 .q.g ?-
?
4.o
? 5.o
3Co = (v,o x Z c ?Z,Do
I XIO = 0•7 x Z = ??.40
z , mo .-
' i X?S = 8,o X !o -. 4S,oa .
soo
?
3? ?? w/?rL, - Zg.oo
49.00 ?
oSFA l.?H?? EqLw,s
W,4C.C.
Zc?.oo
v
?? n? • 12?,q-S
kb??s 1 ?s.oo -?-JB.oc?
?b0/Z? s Q'`I, OD ?..?----
1 ?Z4oo?
h
9a2
ZZX2.g ?
loXB =-
Z2xZ(p =
/.sxn.s -
,SZ$.00
,57Zr 00
i9,ao
II (n7.oo
;.? --V7ALL SECTION--
f Determining "U's valuea at Roof, Wall, Rimo and Conc. Hlock
•! ._
ROOF/CCILINq R VALU.
1.) Interior Air P'ilm 0.61' '
2.) 5/81, ayp. Bd.
3.) Ineulation
4.1
50 Exterior Air Film .61
(BTILL)
uuu = i/Ra .aZ1
?
WALL
6.) Interior Air F.ilm
7.> }ll aYp. Ha.
8.) Insulation
9.) BvwT- P.ITE
10.) Masonite Siding
11.) Exterior Air Film
TOTAL (R)a 457z
R VALU:
o. 68"
.45
14•Ge7'
2•G"j-
. 6?.
.17
npn e 1/R= .04$ TOTAL (R)=Z?5,.0i
. .•.,
RIM , R VALU:
12.) Interior Air Film 0.68 °
13.) Insulation 11,pp
14.) 211 Fir Rim Joist 1.$$
15. ) gvH.T? ?r7? Z• a4
160 Masonite Siding .67
170 Exteriar Air Film .17
nUn,= t/R= I =
TOTAL (R)a zl?.,?I
FOUNDATION
180 Interior Air Film
19.)
20.) ll y7R1?
21.) 2" Concrete Block
z2.)
23.) Exterior Air Film
R VALU1
0.68
11 • o0
1.28
.17
IIV11 = ?/n? .07?p TOTAL (9)
.?+ ,
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
O3mmom"
tt?sri???xxas; :
,?., ........:.. .::.? ?.,.....,..?....._.,
FEES
-------------------
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR
OWNER NAME: nr. uFRRNtnnrnr rnnTCmurtrmrnnr
SITE ADDRESS: 4l107 PF.NNCVT.VANTA AVF_
LOT:BLOCK ? SUBD.
INSTALLER: METRO AIR INC.
ADDRESS: 16980 WELCOME AVE. S.E.
CITY: PRIOR LAKE, MN. Zip; 55372
PHONE #: 447-81
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
COf+a4LRCYA?,fTNT1U51'KTAT.?:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLZNG UNIT.
-------------
CDNTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: Zip;
PHONE
FOR:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
FOR CITY IISE ONLY
PERMZT # oZ 900
RECEIPT # DO /O
DATE: '?
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
DWELLINGS &
$15.00
24.00
6.00
3.00
s27.00
.50
TOTAL: $27.50
C-??k!?- :?.'?+w?
SIGNATURE OF PERMITTEE
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT # _/44,? Sf
PHONE: (612) 454-8100 RECEIPT #-y/0 ?V? a -
p"09?`p,?m DATE:
;, PLEASE COMPLETE UPPER PORTZON
__??[1?_,: ??......
.. . ONLY FOR SINGLE FAMILY DWELLINGS &
..
.... .......:. .
TOWNHOMES/CONDOS WHEN PERMITS ARE
REQUZRED FOR
EACH UNIT.
------------------------ --------------------
WORK DESCRIPTION ----------- -----°-------------
COMPLETE THE FOLIAWING: ------
N0. FIXTURES EA. TOTAL
NEW CONST ? ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00
3'GO
REPAIR ? WATER CLOSET 3.00 3oc?
? BATH TOS 3.00 3•0.
? LAVATORY 3.00 3 ?o
/'
OWNER NAME: 9C FFe?ln'a?x- CukS E ? KITCHEN SINK 3.00
/ ? ?
?
?J LAUNDRY TRAY 3.00
SITE ADDRESS:
? HOT TUB/SPA 3.00
? ? ?
?
/
WATER HEATER
3.00 i y J
3-
O
LOT:
BLOCK SUBD. ? FLOOR DRAIN 3.00 ?
f GAS PIPIivG GIIi.
INSTALLER: gcI^eicf bin ? (MINIMUM - 1) 3.00
3 ROUGH OPENINGS 1.50
4• 5?
ADDRESS: 4?cr? A&r ip-.J OTHER
WATER SOFTENER 5.00
CITY: PC-;of "(c-c ZIP: VPk JS 37 z PRIVATE DISP. 15.00
ii r SPRTNKi.F.R 3_00
SUBTOTAL
ST. SURCHARGE
.50
TOTAL: $ 3z'?
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILbINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
7 3 C? 3°3 63-D 57c>3
` 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION`
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651fi75-5675
Piease complete far, single family dwellings & townhomes/condos when pemiits aw required for each unit
Date 04 / 14 ? f/(n
SiteAJdress ?1)01/ Uait#
Property Owner ?-?/j f L 'S?CiraS o rf Telephone #(6S 1)°} 7 2- l76g/7
Contractor AY Iq)eG`1 !L/J /?',sz Yn G
5treet Address 16411 4bGJYdPP ? S? /Vze- City yr R3?h. zff-k o.
State Zip ,_SL50 D* Telephone N('j 4>_3 )*3*" 77SV/
Bond #: - Espires: .
The Applicant is _ Owner ? Contractor _ Other
Add-an ar alteratiun to existing dwelling ueit $ 30.00
furnace _Add'Rional ?eplacement _ New
air exchanger
-Z air conditioner
heat pump
other
State Surcharge $ '50
Total $ .--30•56
I hereby apply for a Residential Mechanical Peimit and acknowledge that the infovnaUon is complete and accurate; that the work will
be in confoimance with ihe oniinances and codes of the Cily of Eagan azul with the Mechanical Codes; that I understand tlus is not a
peanit, but only an application for a pemiit, and work is not to start without a permit; that the work will be in aeeordance with the
app{oved plan in the case of work which requires a review and approval of plans.
() A)'ic?e- ??? nk'-, , _ > J tr?k-so,f
pplicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA106983
Date Issued:09/19/2012
Permit Category:ePermit
Site Address: 4007 Pennsylvania Ave
Lot:3 Block: 4 Addition: Stafford Place
PID:10-72500-04-030
Use:
Description:
Sub Type:e-Reroof
Work Type:Replace
Description:House & Garage
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Nicolas A Swanson
4007 Pennsylvania Ave
Eagan MN 55123
Hayes Home Renovation
15230 Cobalt St NW
Ramsey MN 55303
(952) 380-8014
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143609
Date Issued:06/21/2017
Permit Category:ePermit
Site Address: 4007 Pennsylvania Ave
Lot:3 Block: 4 Addition: Stafford Place
PID:10-72500-04-030
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Nicolas A Swanson
4007 Pennsylvania Ave
Eagan MN 55123
(651) 428-0075
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature