4008 Pennsylvania Ave
G 35227 ?7n°y
Reques? Oale
?- q- 90 ire N. Rougp-in InsO?ion
Re uired? ?/
? Reatly Now A Will Notily In3pector
R
tl
?
I I Wh
Ves [ N. en
ee
y
IA licensed conhactor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet. Box or R No.) City
Section o. Township Name or No. qange No. Gounry ?
Occopa t IPRINT Gpone No.
.CJ
Power Supplie ? Atltlress '
Eieclrkal C raclor (COmpany Neme) Gonhactor5 L se N?or7
Mailing Atltlress (COn actor or psner Making InMallatioN
AulOorrz?p?? B^alura I?COnVactar/Ow MaRing Instellation) Pho. Nu ber
,t?' ? Gc.c%?' ,? qG_-la 3 ??
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION qEOUEST WILL NOT
Griggs-MlEwey BIEg. - Noom S-173 BE ACCEPTEO 8Y THE STATE BOAflD
1821 UnlversHy Ave., 51. Paul, MN 5510i UNLESS PROPER INSPECTION FEE IS
Phana (612) 66241600 ENCLOSED.
? .3 5.2_2 7
RE4UEST FOR ELECTRICAL INSPECTION
ji? See insimctians br completing ihis lorm on beck oi yellow copy.
"X" Be/ow Work Covered by This Request
EB.00001 .0ewAdd Rep! Typeofeuiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Anduslrial Fumace
Farm Air Conditioner
Olher(speoN) Conlractor5 Femarks'.
Compute Inspection Fee Below:
f/ Olher Fee # ServiceEntranceSize Fee # Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps
yi?
0 to 100 Amps
Transformers Above 200 _ Amps Above 7 Amps
Signs Inspecta5 Use Only: ?} /?
? OTAL ??
Irrigalion Booms ..
( ?
?
Q ?
Special Inspection
Alarm/Communication ?ORD V D?CONNECTED IF NOT
TMIS INSTALLATION MAY
Other Fee _
COMPLETED WITHIN NTH X.
I, the Electrical Inspector, hereby Rough-in , oaze?
certifythattheaboveinspectionhas
been made. Final oare????r
OFFICE USE ONLV .
This request voitl 18 months irom
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Tobeusedtor SF DWG/GAR Est.Value $75,000
N° 17597
Receipt # ` `i-7 Sa
Date r1AR 13 , 1990
Site Address 4008 PENNSYLVANIA AVE
Lot 16 Block 6 Sec/Sub. STAFFORD PLACE
Parcel No.
I wlName FRONTIER DEVELOPMENT CORP I
o Address 1285 CORPORATE CENTER DR
City EAGAN Phone 454-0433
Name _
Address
CISy -
Name _
Address
Clty -
Phone
I hereby acknowlege that I have read this application an state ihat 7he
information is wrrect and agree to comply with all a I ble State of
Minnesota Statutes and City ot Eaq n r tlinan?.
SignaWre of Permitee r _ Ol
A Building Permit is issued to: FRONTIER DEVEL.OPMENT
on Ihe express condition that all work shall be done in accortlance with all
applicable State ol Minnesota Statutes antl City oi Eagan Ordinances.
8uilding Official
Phane
OFFICE USE ONLY
Occupanry R-3 M=1 FEES
Zoning R=1
(ACtual) Consl vm-R Bltlg. Permil
0
541.0
(Aliowable) V=N
Surcharge 39.00
# ot stones
?i ?
Plan Review
351.00
Lengih
Dapth 4-8' SAG,City 100•00
S.F.To1al - SAC,MCWCC 600.00
S.F. Foolprints -
625
00
on Siie Sewage _ water Conn .
On Sita Well Water Meter 90.00
MWCC Syslam XX__ 30
??
City Water XX ?ct. Deposil .
PRV Pequired $X_ S/W Permil
0
30.0
Booster Pump - SM/ Sumharge • 50
Treatment PI 252.00
APPROVALS Road Unit 359• nn
Planner - park Ded.
Council -.
eldg.Off. _ Copies
Variance - 70TAL 3,013.50
? •??? DATE
? RE~ 4008 PENNSYLVANIA AVfi
Q3/13/90
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
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 tor 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.
r ._-
WARNING: BEFORE DIGGING, CALL LOCAL UTIIITIES -TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?. .. c- ?
? ' f ?
RE:
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL Pl16LIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above propeny cannot be completed for the following
reasons:
4008 PENNSYLVANIA AVE
DATE:
03/13/90
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
6e 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 DEVELOPMEN7 DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
?.. •- -. - ?
BUILDING PERMIT
To be used for 5F fl?ICAR
Est. value $78•000
Receipt #
AQ 17597
L:' r `
19 90
Site Address 4008 pgN14SYI.VAAt1A AVE
Lot 16 Block 6 Sec/Sub. ^S'tAFFORD PLACL
Parcel No.
W Name FROltTIER DEYELQPFlEt?"T COAP
o Address 1285 CflRPORATE CENTLR DR
City EACAN Phone 454-0433
't Name sAME
;kp
Ov
U< Address
City Phone
Nama
Address
City Phone
I hereby acknowlege that I have read this application and state that the
iniormation is correct and agree to comply with all applicable State of
Minnesota 5tatutes and City ot Eagan Ordinanc 's.
?
Signature of Permilee "%j ` % • L ?° `-'? ?
A Building Permit is issued to: FRONTI Eft DEVEIAPHENT
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
. . ?-,?.?.a....T. ... .r. Ir` ..?._._ y,1.. ? . J.•.?D^7^?'."".??r-?.
CITY OF EACAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
OFFICE USE NLY
H-1 F
R-1
Occupancy R-3 EFS .
zoniny
(,4ctuay Cons( V-N Bldg. Permit 541.00
(Albwable) V-N 34 • 00
Surcharge
* of Slories
??
Plan Review
351.00
Length ?
00
1 00
Depth - SAC, City •
S.F. Total - qAC, MCWCC 600.00
S.F. Footprints - \_ 625.00
On Sile Sewage _ Waler Conn
On Sile Well Water Metsr 90•00
MWCC System xx 30.00
Ciry
water ?( Acct. Deposit
PRV Required
??
S/W Permit 30.00
Booster Pump - S)W Surcharge .50
252.00
Treatment PI
APPROVALS Road Unit 355•00
Planner
l
C - Park Ded.
ouna
BIdg.Otl. _ CoPies
3.013. ?
Variance ? TOTAL
• Permit No. Permit Holder Date Telephone #
WATER 4 r C 315 0
SEYeR
PLUMBING 1d99 , /'115 0
H.V.A.C.
ELEC7RIC
C.?
Inspxtion Date Insp. CommeMs
Fooungs I
Foundation
Framing ?• %?- ? ?S
Roofing
Rough PIb9..
Rough Htg. n
Is,l. as
Fireplace
Final Htg. - 6• /e
Fnal Plbg. ` G- 90
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr.IPian
Bidg. Final
Deck Ftg.
Deck Fnal
wen
Pr. Disp.
E . . 9
(Itr#tfirate of Orrupanry
Ctp of eagari
19ppurtac? of %dd* JWtr#inn
k )
Tlris Certificate issued pursuant ro tlte requirements of Section 306 of the Uniform Building
Code certifying tfrat at ehe time of issuance this structure x+as in compliance with the varrous
ordi+ra»ces of the City regulaiing building construction or use. For the jollowing.•
u. cwfi,;. SF DWG/GAR 8mt.,b,m;t ,,o. 17597
0-p,-Y Tya R3/Ai I ZDan DW;a $ ? rype c. VN
FRWTIEEt Dd:vE[.. J0. Aft. 1285 OOEtP'ORA]E r,"iR DR, EAGAN
4006 PE?VANIA AVM .-_ L 16, B69 STAF= Pi."
MAY 18. 1990
POST IN A CONSPICUOUS PIACE
CONTRACT
PRICE
Site Addrass
Name
CRy
PLUMBING PERMIT.',-
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 454-8100
Sec/Sub Res' r
Mult.
? Comm.
? - Other
Phone
FEES
COMM./IND. 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 SUFiCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMtT FEE)
PERMIT #
DATE:
WORK D5SCRIPTION
New ??
Add-on
Repair
FIXTURES ?T ?AL
Water Closet - $3.00 $ ' D
? Bath Tubs - $3.00 -?
? Lavatory - $3.00 ?
? ShOW@f - $3.00 ? Q
?- Kitchen Sink - $3.00 ---4,00
UrinaVBidet - $3.00
?- Laundry Tray - $3.00 ?-
-? Floor Drains - $1.50 -L?
-7- Water Heater - $1.50
Whirlpod - $3.00 ?
.- Gas Piping Outlats - $1.50
(MINIMUM -1 PER PERMfn
$oftener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 ?
U. G. Sprinkler System - $12.00 ?--,-,?
PERMIT FEE:
STATES S/C:
GRAND TOTAL: ?
For QKice Use Only:
' , • PERMIT #
' MECNANICAL PERMIT
CITY O F EAGAN RECEIPT #
3e30 PILOT KNOB ROAD, EAC;AN, MN 55122 '
`
CONTRACT PRICE: `1960.00 .. ; 5 J PHONE: 454-e100 DATE:
Site Address gLp?.
TMpE WORK DESCAIPTION
Lot ' Block ? Sec/Sub ,,,
Res _ New
?
?r,;?F 1 ^!'t'?•
:(:
Name & ^,?C
'
Mult Add-on
Address' n o ad Comm. Repafr
? City F,a&Hn Phone 45 2- =66s Other
FEES
? FF.OtiTIER CW"PA?'TE°
Name RES. HVAC 0-100 M BTU -$24.00
c Addressl235 Gorporate C?:izer Pr. ADDITIONAL SOMBTU - 6.00
p Cily Phone 454-0433 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
'
GAS OUTLETS (IiAIHIMUM -1 PER PERMI
n - 1.50 EA.
TYPE OF WORK COMMlIND FEE -1% OF CONTRACT FEE
Forced Air FL- i:LQ M BTU 0 APT. BLDGS. - COMM. RATE APPLIES
BOiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unft Heater M BTU IiAINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Air Cond. M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping OuUets # ' (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERYIT FEE: , .
SIGNATUFiE OF PERMITTEE
SIC: .50
TOTAL: i' ? F• ??' FOR CITY OF EAGAN
??-.^V..: . . r•y
CASH RECEIPT ,
? CITY QF EAGAN
3830 PILOT KNpB ROAD t {
EAGAN, MINNESOTA 55122
DATE 19 0
s oouAas
,m
O CASH ECK
FM?l 17,29 7 A ln r l?
l9
1a rg, -?OU 3 Pn?1S
Thank You ?..?
BY ?
C s7?2 ?? ?
Pink--FNe Copy
SEWEfl &-WATER PERMIT
CITY QF EIAGAN'
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ` % C?
SITE ADDRESS 400$ YErINSYLVANIA AVE
LOT 16 BLOCK 6 SEC/SUB STAFPOFD PLA6E
APPLICANT: ?K(3NTt4 R DEVELDPM E NT ?-p)Zf
ADDRESS: 1 14- g-S Ct)2f0 KATE c_CrvTE K bR1)C
CITY, STATE 5 A O %NN ZIP 55121
PHONE: ??3
4
M E 0!4A1 IC QL
PLUMBER: "
ADDRESS:
CITY, STATE ? G t.< G rl
J ZIP
s 5
PHONE: - /SZ'
?
OWNER: _
ADDRESS: _
CiTY, STATE
PHONE: -
OFFICE USE ONLY
MEfER# q3?6100- PERMiTDATE 03/13/90
CHIP # d /60' ?ge? PERMIT # 11269
MEfER SIZE ? B.P. RECEIPT # C 6752
ISSUE DATE
PRV - BOOSTER PUMP
X
ZIP
B.P. RECEIPT DATE 03 13 90
-XEWER !`WATER TAPS
PERAAIT REQUESTED
- COMM/IND
--Y*EW
-XRESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be givenfor Deduct Meters.
TO CD*94.Y Wf'EN CITY OF
TURE
PLEASE ALLOW TWO WORKING DAYS FaR PROCESSING. CAI.L 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?-;- ?' . • < -" ' :_ ?:, ,' ??. . < y ?? -. ti -_
INSPECTIQN REC4RD C°"tr°' "°.
CITY QF EAGAN PERMIT TYPE: i' fi
3830 Pilot Knob Road Permit Number: 001 ib?
Eagan, Minnesota 55123 Date Issued: 07j2q f q,?
(612) 681-4875
SITE ADDRESS: t or: 16 titoc ? r rs APPLICANT:
41"S PkN11SYCVAMxA AVE. BARCIA CARI,OS
'?. , .. 68?-2372
PERIVT,§UBTYPE: TYPE OF WORK: lotu
PermR IYO. Permk Holder Date Tafephone #
S/W
PIUMBING
HVAC
ELECTRRC
ELECTFiIC
Inspection Qate insp. Commanta
Foatings I
Foundation
Framing
Rooflng
Rough Plbg.
Raugh hitg.
Isul.
Rreplace
Flnal Htg.
Orsat Test /
Flnal Plbg. Plbg.lnspector - Notify Plumber
Canst. Metar
Engr./Ptan
81cSg. Final
Decx Fte.
Deck Flnal
v
wen
Pr. Disp.
i
SEVIfER & WATER PERMIT
CtTY OF_F.AGAN
3830 1'ilot Knob Rd.
Eagan, MN 55122-1897
METER #
CHIP #
PERMIT DATE 03/ 13i 40
PERMIT # 11269
B.P. RECEIPT # C 6752
B.P. RECEIPT DATE =% i/ 13 f
OFFICE USE ONLY
METER SIZE
ISSUE DATE
DATE
_X_ PRV _ BOOSTER PUMP
SITE ADDRESS i f?"'N3YLVANIA AVE
LOT BLOCK ? SEC/SUB S'lAPFORD FLAGE
APPUCANT: ? K0 NT' k K AE V C LOP MCNT C o K f
ADDRESS: '-1- F S C rjiZ F0 R A t E L r-`t h. tkl 14r
CITY, STATE E A 6 A N M 1 N N ZIP 55121
PHONE: 4 5 ? - O q 11
PLUMBER: (A L _
ADDRESS:
CITY, STATE ? ZIP
PHONE:
OWNER: _
ADDRESS:_
CITY, STATE
ZIP
PERMIT REGIUESTED
'>?GEWER ___,4WATER - TAPS
- COMM/IND -,XRESIDENTIAL
_.ZC1VEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given.for Deduct Meters.
1 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 PERMITS, CONTACT ENGINEERING DEPT.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiraments
• 1 regislered site wrveys showing sq. R. of lat, sq. ft. of house; aM all roofed a2as
(20% maximum lot coverage allawed)
• 2 copies of plan showing beam & window s¢es; poured found desgn, etc.)
• 7 set of Eneyy Calwlations
• 3 copies of Tree Preservalion Plan if lot platted after 711193
• Rim Joist Detaa Options selection sheet (Wdgs with 3 or less wits)
DATE
???;)_4 ktZ
SITEADDRESS '-t'OCk vSl-,??' MULTI-FAMILYBLDG? _Y ?N
TYPE OF WORK V? JUo -? FIREPLACE(S) ?% 0_ 1_ 2
STREET ADDRESS rISD !? l?J ?kkb? ST CITY P4u L(64k-.STATEf'3 ZIP SS ? l?
TELEPHONE CELL PHONE ??90l3ga-6"1b L FAX CPcq -U110(
PROPERTYOWNER 0_Aq IoS 4Qan-v? (??fl-20
dt:? TELEPHONE#C651) C9W-a3'72
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Ca(eg? i? A RULES 7670 CATEGORY I MINNESOTA RULF.S 7672
(J submission type') 1?(' seh' enUlation Category 1 Worksheet Submitted • New Energy Code Workshee[ Submitted
-i?
NOU 2 °PeCalculationsSubmitted
i.
Pium6ing Contr ctor: ____ Phone #
Plumbing systc ??iricludes: _ Water Sottener _ Iawn Sprinkler Fee: $90.00
_ Watcr Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor.
Mcchanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
----------°---------°--------------------------°-----°---------------------------------------------
I hereby acknowledge ihat I have read this application, state ihat the information is correct, and
with all applicable State of Minnesota Statutes and City of Eagan Onances. 11 e/
Signature of Applicant
OFFICE USE ONLY
VALUATION ?_,2 , K?CD C7
RamodeVReoair Reaulremenb
• 2 copies of plan
• 7 set of Energy Cakulations for heated additions
. 1 sita suney lor ezlerior additiore 8 decks
. Indicate if home served by sepfic system for additiore
Fec: S%0.00
comply
C??S -xs-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. AIt - 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 (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
ValuaHon 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Ficeplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
' 1
c?,
1990 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 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 CALCIILATIONS 1 SET DF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESI
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT
PROCESSING
LICENS D PLUMBER?ITS IS TWO DAYS ONCE AI1WS
PERMIT MUST SHOW A
To Be Used For: ?,?p?ppYl`s}?UL'f7DY1 Valuation:Date: 5-6:1-96
Site Address 4-op$
- Q2hhS?L
-? /VQVIIGC. 4ve-
Lot ? B1ock (p
9 OFFICE'USE ONLY
8?000`"
Occupancy ?''3 M^?
Zoning r4-1'I
Actual Const V-hl
Allowable 1! - N
# of stories
Parcel/Sub 5794FFD26 Pt-p tG
Owner CA'ILCI aI CRpnoS rPM(R-A
Address f434 kklund Ave it:3.
City/Zip Code Srf&d , M? s-9(04
Phone (?4S"' (10?42-
Contractor "}1Cr DCveloevhent tDP?.
Address J-os Conwq4C &n?b'?
Gity/Zip Code E rnN $s 12 I
Phone 454- ()433 _
Arch./Engr. DICv- Nfi'2.o?e..,
Address 1410--? 05,aA1&'Alneu) 'D?
City/Zip Code N??.a(x UL{,L",r noJ ?17
Phone # ?32 ' s4 lZ
Length 4 0"
Depth y 8'
S.F. Total
Footprint S.F.
FEES
Bldg. Permit 541-M
Surcharge 39,00
Plan Review 3$1,00
SAC, City 100,00
SAC, MWCC O(? O,OD
Water Conn 2S,OD
Water Meter 90,00
Acct. Deposit 30,00
S/W Permit
0
3010
S/W Surcharge Is-0
Treatment P1. 00
Road Unit 55??
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL ??
On site sewage_
On site well
MWCC System ?
City water 7
PRV ?
Booster Pump _
APPROVAIS
Planner
Council
Bldg. Dff. ?e
Variance
/ t
(:42AGE
Zox2Z=
t
tiHO X 15C L.Goo
..? ??
?r
t
i!IEtF.'1h1G iEL I'lu.t;l ?,?- a??`{ P9ar 1q:13 I'l?i.i_ii1a F.i??
A0
SURVEY FOR: 1'rontier Developmcnt, Cunqpatly
i7ESCRIBEO AS: Lor. 76, sioclc 6, STArroRn YLACfi, City of F.agan, Dakota
County, ujid reservinfi casements of recoi-d.
1^?
.,,
F.
.
?.>
. . ?9
V ? (?y
'V
41
A',
,
?b
1 M1
IkY•i l,(1
v?i?t?vc??ar`s 6a,
?oa
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a
?
? ?Q cg 1Q 47
rb' '4p ?c? ? ? ?
`+cc?.'???,°
aP ro 'Pa:\
r?? 8e? • ,S7' .r?2) ?
'aT`•qpp ? ^?p? dt+ ?,?? eA, / / O A
..?.
. /.
11.`{. ,I? r '???V
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Cet:n ine werti*:ne s:,uare `ceta.e of each.
• I. Total exposed wz?1 ar2s ..... 7 7sq. ft_ x 751
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a. Tot-i wall windcw area ........................... 135.3
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c. Total slidina yiass c--or zrea ................... . ya
d: Tota1 fir2plzc= wzll area ....... .... .... . 7q 8
e. Total wa11 framing ar2a (zverace t0A)............. QQ.Rln
f. Tata' n_:.;va?' zm=_ zbove riccr ................. t(?SG.88
g. Total r:r jcist area ........................... 14 8
Total exposed ,'oundaticn are=_
h. Total foundz=:on wir.dce zre}.....................
i. 7oa1 nzt feurdat;cn zrea a6ove arade ........... 151 N3 _
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k. Total raof/c2iling rrzming araa ....
1. Total ne*_ insuTated raof/c_ilinc zrea....... q? 9, Z
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INSPECTION RECORD C°nt °"° 0881
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: ie BLOCK: 6
4008 PENNSYLVANIA AVE
STAFFORD PLACE
PERMIT SUBTYPE:
DECK
1-
PERMITTYPE: BuiLoirvG
Permit Number: 001162
Date Issued: 0 7/29/92
APPLICANT:
GARCIA CARLOS
(612) 688-2372
TYPE OF WORK:
NEW
p q
PERMIT r Control No. Oopo i
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z Lo i rt s
Eagan, Minnesota 55123 Permit Number: 001162
(612) 681-4675 Date Issued: 0 7/ Z 9/ 9 Z
SITE ADDRESS:
4008 PENN5YLVANIA AVE
LOT: 16 BLQCK: 6
STAFFORD PLACE
DESCRIPTION:
,l t a
rrft` "`?:. rX?t`_;'v,?V?
r uild1ng Permit 7ype DECK
Buikding'eWork Type NEW
Buildlng Len.9th 16
f?! Bailding Width? 12
?
`
. ... .. :-?--
???`,??
?r
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge .50
Total Fee $25.50
CONTRACTOR:
OWNER: - RPP11canc -
GARCIA CARLOS
4008 PENNSYLVANZA AVE
EAGAN MN 55129
(612)688-2372
Z hareby acknowledge that I fiavs read Chis app]:3cation and state Chat Che
information is correct and agr$e zo camply with all applieable State of Mn.
Statutes a:nd Gity af Eagan f}r$inances.
L. ?
?Ai7? ? ?PEIrk?J .
APPLICANT/PERMITEE SIGNATU(iE
?i?a?? I 7r.t1
I SUED Y: IGNAT RE
PERMI? # = CITY OF EAGAN -t ?,JrD
RER,:""?IVR;E _1142 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 7 16?d 2;5 '11Z Valuation of work ?
Site Address: 400gs
STREE7 - SU[TE /
Tenant Name: (commercial only)
IAT ??D BIACR ? SUSD. ?t T)AP ? Fp- I.D. M
Descri tion of work: D'FC_V_ 0S'jV_QQ1C.)0
The applicant is: C41,Owner ? Contractor ? Other (oesertbe)
Name CAt?ci1`J5 L-%,tluCid Phone 's I?.
Property LA51 F,RST
Owner Address 4W16 P&oi-6yL..uAUt/N L-rF-
STREET STE M
?
City -,po State Z;p 4A-k2t)_
Company CN'_-a Cx.Q.)lJFP Phone
C011tf8Ct01' Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
C1ty State Zip
Sewer 6 water licensed plumber Processing time for
sewer & water permits-is two days once area has een approved.
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.
Si
nat
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OFFiCE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK tYPE
la 31 New
? 32 Addition
O 06 Duplex
? 07 4-Plex
O 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
,M t'- re .
.w? .4"' s-
.
0 11 Apt./Lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
R 15 Deck
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allnwable)
UBC Occupancy
Zoning
6 of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Mailboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Foatprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
?l Footing
0 Final
? Framing
0 Draintile
3?1
? Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Nater Meter
Acct. Ueposit
S/W Permit
S/W Surcharge
Treatment P1,
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tatal:
vetuecim: $
? 16 Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
5AC Units
c
r
at
c
t,cl?oros e
Srrr
SURVEY FOR: 1'rontier ?evelopmcnt, Cvnqiuny
OESCRIBEO AS: Lot 36, Block G, STAPFORD YLACL•, Gity of F.agan, Uakota
County, and reserving casements of record.
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NIM. SEtR?C?c pEOIREMENiB
frent •• So MwN tlN - •o
11obt + ?s Osn/ii tiM- S
I MeHy prfl(l tMt m "fwp Nae w ro?srl r„ MaorN p nw ?os NO.:
a"Mff mi Ilkfrt ouP??dtbn aM Mot 10, q !ub Rqblrn!
und lw.qw wNor 1%2 Nn H fM qlIaU N r?nit...l.. 904- a4 j
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?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173473
Date Issued:11/15/2021
Permit Category:ePermit
Site Address: 4008 Pennsylvania Ave
Lot:16 Block: 6 Addition: Stafford Place
PID:10-72500-06-160
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 -
Carlos Alberto Garcia-olmos
4008 Pennsylvania Ave
Eagan MN 55123
(651) 285-9517
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature