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4012 Pennsylvania Ave
08/25/2010 WED 17:05 FAX 6514378831 I M002/002 Use SLUE or BLACK Ink OWN= j Permit # 9~5~ 3 C~ I vC' City of Eagan I I i I 3830 Pilot Knob Road Permit Fee: i i i Eagan MN 55122 € Phone: (651) 675.5675 i Date Received: Pax: (651) 675.5694 l staff: i I I 2010 MECHANICAL PERMIT APPLICATION Date: 26 ~.Vi~ Site Address. 401,2- -P -I t-it ~r ~ ~ V Tenant Z. Suite RESIDENT I OWNER Name: Phone:"" 7~. Address / City / Zip: 12 t ~00411t t-nse : / CONTRACTOR Name: ©'Cunnf ' PIU13 211-74 s" Address: c Pv-~(y]: State:jM1/1 L~ ZiP: Phone: Contact: _ Caa.n 0-? Email: • TYPE OF WORK New _,L(Repiaeement Additional Alteration Demolition Description of work: Rzpk ca)iej ~ ac final 1`4rnaC.-~ d_ y RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement umac ew Construcbo e I ~ir Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Instal / Remove) - Other " When installing/removing tank(s), call for Inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES; $50-40 M in mum Add-on or alteration to an existing unit (includes $40 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - if er €t Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.ora 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plan . x ".-U 11!'L `i' " r~ x MYJtMiU1v- Applicant's Printed Name Ap ant's Signature "4c" 54Y i ~ t ~ ~ ~ h ~ 5, H. 'L} + .i J4^k 's3~y:5• ';f~ A. ! ~ ~ 1'4."i M4NY'.'A$,5;'~~,y q > ~ F U i~, ~i~~',~k~' ~'t 4 i ~n ~~`~rY*,~, ~ ~~},3! ' ~sx}3 ~ , 4 j rs x s~~ k i ar*~ .r d ,~S ? ~ +~`y'''`> <f r 1,~• 4%`.t sa~r~ „r ~c tier .,i-,f;:~ ~.drs e n_, 1£ xri troa~s ,mss £ f~ tfrid r s:. , r~ , r „a -,'Aa -1 v`rJ,Y : t -h. { •Y .Ja`F.``i+7 r,, : "n '#9 \,rss r7 h E µ Ya i J~ r~ .u s.,py5. 8~a.~ r,S t'vr YC~.Fv.'~x'ir`urx „Fe+`"w.^~ r.• x.S_.sN.~' 4,...~tL?.Cr. 2 ''!J' .ra ? N •'`:n'c.,3" _w~^,^'.k tt'~`,c~i r~'lex. sh'. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # ?? 'i Tobeusedfor SF vkTG(GAR Est.Value S75. OOU Date JiiHE 20 ,19 88 Site Address 4012 pENNgYLV11NlA AVE Lot 17 Block (i Sec/Sub. STAFF'U&D PLACE Parcel No. oc Alame FAUNTIER TfIOWEST HOlfLS CORP z address 39U&4 CEUARYALE DR ° City EAGAN Phone 454-0433 ¢ o Name_ . ? ` Address ?¢- City_ ?W Name Addre ? City_ I hereby acknowledge that I have read this application and state that the infprmation is correct and agree to comply with all appqcable State of Minnesota 5tatutesand Clty of Eagan Ordinance's'_ f S(gq,ature of Permittee A euiltling Permit is issued to: `??? ??? ?t i L}L3E$T l'IOMES on the expcess condition that al I work shall be done in aceordance with al I applicable State of Minnesota Statutes and City of Eagan O?dinances. Building Official OFFICE USE ONLY On Site Sewaqe Occupancy R-3/H-1 MWCC System X Zoning ik-1 On Site Well (Actuel) Const V"N City Water X (Allowable) V»N PRV Required x * of Stories Booster Pump Length 409 Depth 481 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 474•00 Pianner Surcharge 37. gU Council Plan Review 237, OQ BIdg.Off. SAC, City 100 . Q? Variance SAC,MWCC 550•? Water Conn. 550.0(3 Water Meter 67.(?S3 Road Unit 325-tu? Treatment P1 204•00 Parks i' 5"-.-50 TOTAL r . ?. BLDG. PERMIT NO. 01-3210 Bldg. 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. y 20-6868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. v 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. _ .? C, TOTAL ,,-? J_ c1 "• ?? U CASH RECEIPT . ?' ? CITY OF• EAGAN 0 . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DAT? 19 aECEn'EO AMOUNT (L ,!? & DOLLARS ioo , ? CASH CHECK ?? ? 4. i 46r ?. ?;} ? FUND OBJECT - ? ? - \ Thank You ?.? BY r WRIte-Peyers Copy `3 t_ 1 Yellov-Posti^9 ?PY ? ? ? ? ?? Pink-File Copy t CITY QF EAGAN • / b,,.w .S 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 0510". Date ,19 Site Address t' • j i; AvI! Lot B1ock Sec/Sub. `sW.FPObtD PI.AC-- Parcel No. oc Name ,-yT NOWg 00F z Address ? City Phone °Co Name . ? ` Address ? City Phone Name _ Address I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and Ciry of Eagan Ordinances. Sigrtature of Permittee --- A Building Permit is issued !o: on the express condition that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. OFFICE USE ONLY On SRe Sewape Occupancy MWCC System Zoning s - ? On Site Well (Actual) Const City Water ? (Allowable) PRV Required o( Stories Boaster Pump Length Depth ' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge ' Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ? Psrmit No. Permit Holder Dab Telephone ?k Plumbing H.V.A.C. Electric 5oftener Inspactlon Date Inap. Comments Footings I Footings II Foundation Aa I/& Framing Roofing Rough Plbg. ? Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final z:, Cert OCC. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. (gertif iratr of (Orrupttury Ctp of (tagan 10PVMI'f11tPri# of liIaTltg j2[WPCttQtt This Certificnte issued pursuaat to the requirements of Section 306 of rhe Unrform Building Code certifying rhat at the time of irsuance rhu structure was in compliance witk lhe various ordirtances of the City regulating buiTding conrtruction or use. For the,followrng: etas. NriMt No. - POST IN A CONSPICUOUS PLACE auamng ,waaw . _ ._ . . . ,.._ .._L-HIY Dass: 8w7dn8 Offiad •°r(i?'. . ._ . •. . . . _ PERMIT # PLUIYIBINO PERMIT RECEIPT # ' CITY OF EACiAN ? -T 7g_k 3830 ? PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 51 CONTRACT PRICE PHONE: 454-8100 Site Address 'VC ,?'t gLpG. TyPE WORK DESCRIPTION Lot Block Sec/S ub ' r r . ? ? ' - Res. New `-1 L Neme '' P IU Z-,ff )''? i N Mult Add-on ? Address ` r S p e K Ad-- Comm. Repair c City -4f '42 f/ n' Phone J C Other I T RES OTA v N ) ) Name n C S X NQ. F U Water Closet - $3 00 _; 4 ? ? m •_I? Itj Flr) ?4(L' Address . BathTubs-a3•00 -3 •r O p City /I N Phone Lavatory -$3.00 n ' Shower - $3.00 =Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 ^ MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 , ?go MINIMUM - COMM/IND FEE - 20•00 / Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ?Gas Piping Outlets -$1.5Q BEYOND $1,000.00) Softener - $5.00 Well - $10.00 ---- Private Disp. - $10.00 7 • t LRou h O enin s - $1 50 5 'r' , ;. ? g p g . SIGNATUFiE OF PERMITTEE FEE 0( STATE S/C: J C% - FOR: CITY OF EAGAN GRAND TOTAL ?r' Site Address ? rvame ........ ? ?........ 19:i S S ? Address hawnee c City Eagan r ? PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # - ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Juiy ,k5, 1 y8^ PHONE: 454-8100 BLDG. TYPE WORK DESCRIPTION Sec/Sub Res. icK New & A C Mult Add-on Q`i Comm. Repair one45`l-l.SbS Othef Name rRO'S'TIER C024'AN ZES FEES RES. HVAC 0-100 M BTU -$24.00 c Address3908 Sible Ma rior7i.81 AODITIONAL 50 M BTU - 6.00 p City ?? Phone 4-0 '? (RES. HVAC iNCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PEkMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80-GUO M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ , FEE: 25.50 ?v 7,l!'' ??' ?• .50 S/C: „ SIGNATURE OF PERMITTEE V • TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: t;1 I , I'1 PJN', ? • 1/tP f k1i?f? ?'t liI I PERMIT SUBTYPE: ? INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 1 r) 1 : J/ N! M ! i vnN I a Avf APPLICANT: ', , f t ??M l ?? i ,' ? :!',,: •,t..' I TYPE OF WORK: I'M t i 11 i M?? r d.A.i{ ??I -1 I Permft No. Permft Holder Date Telephone 0 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Commerna Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Flreplace Final Htg. Orsat Test Final Plbg. Plbg. inspector - Noti(y Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Oeck Final Lf:?Gt Well , ?- . Pr. Disp. C, CiTY OF EAGAN, Permit No: 1( "? ?v Date: ") -?2-S - 3830 Pllot Knob Road g/p No: Date: _ 6-71 _R° 1 P.O. Box 21199 j Eagart, MN 55121 Owner. !'?.'?°??'z ?",d• ;'-r,. ? i SiteAddress: P?i?iQani.a Rn Statf??rd P18ce ? "tar P1txabie ? Plumber. f' MWCC: ,- Zoning• RI Ci Ch . ?C?pd , ?' g: No. of Units: ' Acct. Dep: . ?--p.I I agree to comply with the City of Eagan Permit Fee: Surcharge: ' Ordinances. SEWER SERVICE PERMIT ? CITY OF EAGAW, Permit No: ?ate: 3830 Pltoa Knob Road Meter No: P.O. Box 21199 Size: ? Reader No: Eag'an, MN 55121 Date: j - OW11eC-- t''??7Lti2-;- =•i.?c?.r ? wSlt@ Conn. Chg: Permit Fee: Surcharge: Tr. Plant_ Meter. _ Misc.: P CITY OF EAGAN 3830 Pilot Knob Roa, P.O. Box 21199 Eagen, MN 55121 Owner.= Site Address: ? Conn. Chg: Acct. Dep:_ Permii Fee: Surcha ? Zoning: rw` Na of Units: 1 agree to comply wlth the City of Eagan Ordinances. ay Permit Mo: Date: 4) - ._ ? 8 ?' L-_ I Meter No: 0 U? a 8 Q Size: ?oc Reader No: pate: - S' a ?Udet PP11nw41van?n A,.e T t? ?.c Zoning: Ftl No. a(Units: 1- rge. 1 agree to com ith the Cify of Eagan Tr. Plant_ ?44,0f)pd Ordioan Meter. 67. OQnd MISC.: f,r•r)frlP..;, ey ? WATER SERYICE PERMIT ? rt ?' , ?xe??? •' ? a "71'6'X18'S REQUEST FOH ELECTRICAL INSPECTION . E8-00001-06 y IP See insvuclions lor completirg this form on 4ack of Yellow copy. 85 "X" Below Work Covered by This Request Nev4 pAdl Rep. TyDe of BuilEing Apolioncen Wirod Equipmant Wired Home Range T iporary Scrvice Duplex Water Heater ightiny Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldg. urnace Silu Unloader Industrial Bldg. Afr Conditioner Bulk Milk Sank Farm om„? oe?? v ?no? isn..=?fv) Y .. suv(;tv omer om,;, Fao APlnw k Fee Servic¢ EntronceSize N Fee Feeders/Subieeders N Fen Circuits 0 to200qms 0 to30qms 0 tn30Ams Above 200 qmps 31 [0 700 qmps 31 to 100 A s Swimming Pool Above 100_Am s A)ove 100-Amps TransPormer5 Irrigation Booms Partial.'Other Fee $igns ?^Vecial Ins 4cti; S 1, the lacbic Insoec eoy certify lhei tba above inspeetion has been inaaa. f0QUB91 This requesl void 18 mon[hs (rom E 27285?/,7 Ai ,F&OP7 1 w« 5 Reqmretll ?Ready Now ?A1'rlf?Notify Inspec- ?-?/ ?No ?or When fleady ?Llcensed Eleclrical Conlrnctor I hereb y requBST in8paction oi BboVe ? Owner electricel work installed e[: 5[reet A ress, B/ox or Rome No. • • Ci1V ?.?+ (? // V (T/?J ecU o. TownshiD Naffi or No. Hang o. County { /U Oc pant INTI Phon No. P wer Sup er . Adtlress Electrical Conlracmr ICOmpany Namel KENDRICK ELF.CTRIC C ractor's License No. ? o? Ma i I i n i p AdAi?ep t;.???tS-(C?j-()piper.M? k?pp Ingta i lationl u VC:K LANE Au a Y?/ Ilatinn) Phone Number M{NNESOTA STATE BOqND OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT Grie9s-Mitlwey Bltlg. - floom N-191 gE ACCEPTED BY THE STATE BOARD 1821 Universitv Ava.. St. Pwul. MN 66104 UNLESS PROVER INSPECTION FEE IS G6nnnIRf9lfiA2-OAOQ ENCLOSED. CITY OF EAGAN N2 15 2 2 3 i ' 3830 Pilot Knob Road, P.O. Box 21-7 99, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT O Receipt# l1 'L"`7 ? Tobeusedfor SF DWG/GAR Est.Value $75,000 pate JUNE 20 ,?g 88 Site Address 4012 PENNSYLVANIA AVE ` OFFICE USE ONLY STAFFORD PLACE Lot 17 Block 6 Sec/Sub On Site Sewa9e _ Occupancy R-3/M-1 . MWCCSystem X Zoning R-1 Parcel No. V-N On Site Well _ (ACtual) Const a FRONTIER MIDWEST HOMES CORP Name Citywater X (nnowable) V-N i Address 3902 CEDARVALE DR PRV qequired X u of Stories ' o City EAGAN phone 454-0433 BoosterPUmo - Lenqtn 40 DePlh 481 p Name SAME S.F.TOtal , ? Q Address Footprint S.F. ? City Phone pppROVALS FEES ww Name Engr./ASSess. Permit 474.00 ?Z Planner Surcharge 37.50 i - Address Council PlanReview 237.00 Q w City Phone Bldg. Off. SAC. City 0 100.0 I hereby acknowledge that I have read this application and ate ihat the Variance SAC, MWCC --550-._00 II ap cle State of information is correcl and agreply wit Water Conn. 550.0 n Minnesota Statutes and City of E an rtlinanc Water Meter 6Z .DD - ? Signature ofPermittee RoadUnit . 395_00 A euilding Permit is issuetl to: FRONTIER MIDWEST HOMES Treatment P7 204.00 on the express wndi[ion ihat al I work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Ea9an Ordinances. 2 544.50 ? TOTAL , euilding Official ?L?.QA?A.I? ?• RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN c?'?-• 3830 PILOT KNOB RD, EACAN MN 55122 J ? 651•681-4675 NawConsWction Reouiremenls • 3 registered site surveys showing sq, ft, of lot sq. ft of house; and all roafed areas (20% maximum lot coverage allawed) • 2 copies of plan showing beam $ windmv s¢es; poured found design, etc.J • t setof Energy Calculations • 3 copies of Tree Preservalion Plan if lot platted after 711193 • Rim Joisl Detail Options selection sheet (bldgs with 3 or less units) DATE (D I`? SITE ADDRESS TYPE OF WORI APPLICANT STREET ADDRESSI'I'ko '7O ).l nrjvJ 4-- TELEPHONE # C?Sa?'6?1' MaCELL PHONE # IULTI-FAMILY BLDG _Y KN FIREPLACE(S) _ 0 _ t _ 2 Pr V STATE'2^ ZIP S-ga?'I Fax # R S.;t - 8 `il - qa-S`U PROPERTYOWNER DP).. ? TELEPHONE#(aSI ----------------------------- ----------------------------------------------------- ------'------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MWNESOTA RULES 7670 CATEGORY I (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Caiculations Submitted Plumbing Contractor: ___ Plumbing systecn includcs: Mechanical Conhactor: Mechanical sysCem includes: Sewer/Water Coniracfor: _ Water 5oftener _ Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Fec: $70.00 --------------°----°--------°------°----------...------°------------------------------------------°---°------------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY RemodellReoair Reauiremenls . 2 copies of plan • 1 set of Energy Calculafions for healed additions . 1 site survey for erzlerior additions & decks • Indicate'rfhomeserved6ysepticsystemfaradditions VALUATION ?? ?.j x- l V _ Phone # Lawn Sprinkle No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (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-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 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 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings(addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina] _ Framiug _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacemern) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN l?, ?3 SINGLE FAMILY DWELLING3 5 INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURUEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDHE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSOED. MULTIPLE DWELLINGS AENTAL pNITS FOH SALE UNITS # OF UNITS INCL[IDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONItZERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS IWD JU N g N$ To Be Used For: N w .on u 'on Valuation: g{?g-5g9- Date: 5-11-88 Site Addcess 4012 Pennsylvania Avenue Lot 17 Block 6 Parcel/Sub Stafford Place Owner Thomas & Nancv Gatz Address 938 Wescott Trail City/Zip CodeEagan, MN 55123 Phone 456-9521 Contraetor Frontier Midwest Homes Corp. Address 3902 Cedarvale Drive City/Zip Code Eagan, Minnesota 55122 Phone 454-0433 Areh./Engr. Phillips Plan Service Address Apple Valley, MN 55124 -E#bYfftp 2ode- 14530 Pennock Ave. Phone ak 432-2044 r15' 000? OFFI On site sewage MWCC system ? On site well City water v PRV required - Booster Pump _ Occupancy i? 3 M-1 Zoning -? 1 Actual Const V-N Allowable -?N li of stories Length Depth S.F. Sotal Footprint S.F. APPROVALS FEES Engr/Assess Permit y,7 .DO Planner Surcharge 3 7?S Council Plan Review Z3% 0o Bldg. Off. ?k3 62oSAC, City 100,00 Varianee SAC, MWCC 55n,0 a Water Conn !?gn. op Water Meter (2100 Hoad Unit pp Treatment Pl 20 , OD Parks Copies ,t „ , TOTBI. a7-7- v s() fV'aLuA'Ttoyj .. . GA 1,,)aGE ZOXZZ= 4LI0 X/y Hoc?? 9 x = c? 3 o4-t> ? w? II?3x6z? ??3?c. ? ?FS4 G . . . Srtr?ve?ors G'ert?f?cate SURVEY FOR: I'rontier t•!idivest Homes Cornoration oescRieEO as: Lot 17, Block 6, STAFFOP.D PLACH, City of Eagan, Dakota County, ?finnesota and reserving easements of record. 40 Q3g6 ? \ ?v • v? ? 90 a, o , / ''?_1 ? ? gb/ / z3 ? `o 'd?,? 90 "6/ ? \ SO ?Z ? Y / s y? ?~ 2> X-'o i 0 ?. M "Z/ bs ? Sak n.A. . ,, ?? M1? ?' b?l ?RO% ED q?c? - ti?• E e7.s?.? \ .1 L \ QfP.??w/__'?'/-/??__ . 7AGAPd EItTGINEERING o ? z ? DEPT 3 P.R.V. REQUIRED PROPOSED ELEVA710NS BENCHMARK1 7ap of FounAafion . 8l0.4 Ler ? Oaraps Floor . g-I o, o t Bosemsnf Floor : e6z.3 Appron. Sawer Serrlee Eln. . Bs5.5 ? I MIN. SETBACK REOIREMENTS Propossd Elsvofions ? O ExishnQ Elevaffons , Fronl - 3o Housa Slde - IO DroUOps Diroctlons ?...?... Rear - 15 parape 8me -5 Danoles 0//set Staks . O SCALE: i lneh a 30 Fast I henby entlfT thel 1hU surwy, plan a nPOrt Mas pnparH !p m JOB NO.; /?IEDLUND or under my Alrsef supervldon ond thol f am a AuIY Reqbtved 8B?_Z??2 LanA Swveya unAor Me lews ef fhe 8fate ef Mlnnesofa. eooK: P/annirqq Englaeedrqq Sur?reHn9 RH[uMlb'a0Vn=" oITN = MMMd FlIR Oaht 5 •IV ? ?? PAOE: ,nrv r ?i?r?o, llam?? NaN376 ? ?. ? N . O , \ \°` 0 ? 0 m z 0 tii rage 1 or 4 , EXTERIOR ENVELOPE AVERAGE "U"_COMPUTATION_ FA??c`?x zx4' OWNER: Thomas & Nancy Gatz DnTr: 3- 4- 't ? $ITE ADDRE$$: 4012 Pennsvlvania Avenue PHONE: 454-0433 .., CONTRACTOR: Determine working square footage of each 1. 7ota1 exposed wall area..... lLo sq. ft. x.il = ?? y•? Z 2. Total roof/ceiling area..... ? a 9 4^ sq, ft. x.D26 = Total exposed wall area above floor= a. Total wall window area ........................................... .. b. Total door area ............................. . ................... c. Total sliding glass door area ..........................:......... d. Total fireplace wall area ........................................ e. Total wall framing area (average 10%) ............................ f. Total rim joist area ...................................:..•••.... g. net walt area a6ove floor ..................................... h. wall area a6ove floor ...................:................. i. wall area a6ove floor ..................................... i_ frame wall area 8t foundation ................................... Total exposed foundation area= ?Z-, qS- k. Total foundation window area ....................:.. Z, Ca l. Total net foundation area above grade .............. la q.q Determine "u" value of each wa?1 segment (e.g. window, door, each separate wall section) a. SSL.,3Z X b. X c. X d x e.L! I,N] z f, t1±..?- x g. l 'ZI 's - ZZ X ..U„ , 47 :?' g „_? y „uit 3I = l I J? ?? l, ,.--- ? ? _ •? u ? 7 :, ,iu„ . I7,ZA „U„ uuu liu„ n. x ?lull _ i. X "U" _ i X 1. u 11 _ \ k. 7,?r Xllui, I,04 = z.70 1 . x ?,u„ 3 . .................................Total If item 03 is the sam+ as, or less than•item fil, you have met.tfle;'* intent of S8C.6006;(;. , ra;... • q . F,:terior Bnvelope Average "U" Conputation Total exoosed roof/ceiling area = I f? ?? m. 2bta1 skylight area ............................ n. Total roof/cei2ing framing area (averaqe 10%)... o. Total net insulate3 roof/ceilinq area........... q?X(o?y Determine "U" value for each roof/ceiling seqment M. 1?A? X '-U?? .,4,4 n. a"U., o. X '-U'. ,oZ = 1Cl ?7Z' Page 2 of 4 Fai¢.Rca4 zhc <o 4 ........................... TOta.1 = (a Z :f total cf n4 is the same as, or less than #2, you have met the intent of SBC 5005 ic) ? Alternate Building Envelope Design Zb :xtiliza the total envelope'system method, the values established by the s;un of items dI3 and 44 shall not be greater than the sum of items fll and #2• z. i ? '--I .% z. + a. z- 75114 ? _ 3. \ cd?iy'f + 4. ZI (Dz. _. ZDc(???P 6: qao ??t of ?II?ITuC wal l nren for ^ tran,: ccairtruct tun -----? ?ic Y1G. 11 TGI'41F14 OF . FiwtS canr.i. R t ??t y? :a1 ?*iaa ? ??Tndc• ?A?GGP+r? T?G ?p.--;i?x?pi cY,nc :t c?n:; i;,u . ... . 1;-v.,lu.; _' . .._ i._.,:,x•v , `; t. ,. . . " ' . . r4 1. I!.. Ii I m : _/L'!? 7 s. 5??.??.a?,....... ....... _ ..?z :: '': G. }:r.lurir,r nir (iLu . _ •• U.17 . ' !I. . _.- -• ---- ...._ .,... ii?i ??1 12s /p. 8S . . _, U C, • 0? . , .d ? l?,y? e Z •?r4 1. Tnl'rrinr aie :1??s p.G1! :?':?;ti? ?. ?aLL_. ? ..Y.. . Y •? S. .( 1 ?. ??!-?1 ....l??J'.1?1._..... -L_t,Q. ..?..?...?.??..?? ., ?? ?n'?, ? 4. ?',??._. ?'1'fitt. .. ..'__"'""'_ '_??V . ; . :•'. ? •1`ry ., E 5 . `old?' . .. -- - . _. . _._._... . ......cv"L. i't n '• : G. 6xLrnot. „r i i L.? _ . -----•.__ . _.?.._.-. ,i.,iR ? ? ' ' ? ? I R ?. JI1lC1.lUC ,11f. I11t:1 .: ?,? ? l ?' ;; ,.' z• . !e" -IKSuI..... .t°.l,Cz . ?. 1. 3.14...l.4----rt.A?w?. ..,0_1¢-?--.._......--.-•I..? . 4 . _ Z.S?3-2---• - ? . ?-',d..v?.. .... . . . - ..? ?. <e. Z • ------- _. ..__ ?. . }:xtr.-rlor nic i i Ira _ - , .i'oi;I i 21, 9Z :;:.... ?L4GKair fil?? .......__. ... C?n 2. ?.._.-?1..?tC ._.••-----..._. _ , • n. . Prckec?w.e._.bwYr',c?c_......._--?-- • ' s. • G. ..._._--- •• -.. _.. -- Cxt??ciu?: .?ir : i'.r? .. . ---•---••-••-•.-- - - . _ .. __q-l! ._ • ; ,."„`, •----- ----?--.. .r?;?.t i U=..1?{ ;. ? , ? ,r flhl. (:INP1i . ` - .? ._. .. •?" "' ?? ; . ., ;. .. 4 • r, • ? V , ? ? . y ? . . L ? . . , . '` .' ,/?,?... . ` l:y,r•??-,?e, ., ?•? ?? . ? ? ' • • /II I-=i-. rn ? . • . . • ' ifr ' =?? ? eu:. 04 s? , -.. ? ' ._ ... .v Q•:?_. Ji• • (U ?? ? '. ' j: l ... ..7„ ,.: ? l`. ? ;10•Cl': Indl?:ot.?:'Lp?'?c. ?"??? valu?:? denYh nnd of iru:ul.iCion. ,: . . • . •wtn;,t, t.cr..t:otas 'Cc U::r ?yq ul t iur, w.1ll nCen fLl r cc,il:.truciiun SIC n 1.1, -7pI Re PL.AGE Fra?, ? .'. . 'FIRE ?, _ . in,???•: :..,i? . ,,..? o . •_ _AIR._?P?? .? _..._._. . . ?.. ..fo8 G. F.,:tcri.,r sl1 lil ... . u? - ._.....__..?:_U'_?..? . . .. .. _ _. . . -• •- -- --- -. .... •noE.11 z?"15 U= .3? 1. Inlrrinr :iir ?D FIG. N1 T'611VI134 OF . FllAtlE l;ALt. 3. - --._-•----._ _._.._. ?--------?-' 4. ...__ _. _._-------- -..?.•--' --- -- -'- - 5. . . ..._ ... 6. Excrcior- ??ir lil_.?..._..._.-•_--?-0.1'1 ;1'u Lal "- ?• • ? _O.f,9 y?:nl ? l•?? ? ?. L- , ?. 4ICI1 :'i 'i 2. __----.... ._... ..... _ _...-._..__.._ -•° _....-------- 3. --- -...------'-" - ' 4. _.----'-• -......_._ -..---'- $ • -- -- ? -- ----'-- .._ .- -•- E. . . -'_--.... . _ ...._... ..---.. _. ?----- •- - .. .: ... _.. ... ._._- • _...__ _-- ?-?? -.:...__..--- ----?- s. -_ ..?--- ---- . ..---------__..._.-- --- G. ....--?--..___._... ' q'ol:il • - ,._. ry^. st,nn ON J / i+-[U I 1 M1'_ • ? ? ?ti 1:7 ? ,.- . G. 43 1 ' ? a u, ??t?•. ??. . •a. ..____._.?..-0 . u • -?!;*??C • ,n. ' ??... .? ,-?4. . . __. ..... __..__..__ r . ? ' ? • ? \ V' ? A2f'.Iif ? . • , '?.. ',.! ? 1' 1 J ` Fnn _? a • ???' ?x. ? ` • ? ' ? / ,? '' ?l( .+a: • } ? ? i Fu:. fl n 1 n a .?,_ y •'.` ..`??.I?1 /// ...:? ? ?[( ~• ? -- •- - - -- ' /,? ? ;? 1:. ._ .. .. ' "tt° anla?:, dcptli nnd ';? 11?.?•l't:: ia<li<:at?: Ly???t, .._.. - •- -- -----:??. =nted HeaC flaw • uP . . FIC. BS .• .. 1 i L@ LG . . ? . ?Yect flov up • , ? j•vented • . ? :.nG. i6.:.. . ' • . . . -: . .. . . r03 ? . ?[1 ' v I?% ?? ?J FLor/cei:.zNc • U • • `'? ,`' . . • _ HO:I-VL'tTFD • • , - r' . xeat . ? . . ? flov up • . PI ,. E7 .• • ' ''. Const? ?t?o^ . R-Valtic 1, 2ntcrior air Film .0.61 s. ?;3-??-ff? F3p . sR 3. ,1A15uL__ 44.OD 4. Ex[cri.or air filn (sti11) O.G _ Tot&l re- qsgo . ' . . . - ?= .o?. . . FIIFr+N a ' • . . 1. Int£rior nir film 0.61 ,f---- Z- G2? ? - --- 3. ? f 1JSUL 38. 3s a. rxtLti0r P ir filra (e.r.il 11 U. 151 Total 2 . 9 ?• ?s . . .: . u -.02-41 ?O.t??'T??GT/ mY'`_, ',• 1. Tnsidc iir £ilm 0.61 2. ' . 3. ' 4 . Outside nir film U.17 Total ?'K?N''t L". . ' . • ' y. Ynsidc aiz filsn 0:61 2 ' - ' . 3 - - _ 4 ' 5. Outsidc nir Eilin 0.17 . Total ],. Tnsidc: afr film • 0.61 2. ' . 3. ' - 4- 5. Outsi.Jc vir film 0. 17 Total peectecl foroJetails esnd ?calculativns. n`--' d . . . • ? y? _ _y? ??{.P_.? ?I?M1?.t%IFRw 1NI.??HaJ,Y V1??Z ?• ?-_?? ????? .". . 'Fa??ca.x PL_AQ -W N Lt KiE,,4 L FT, EKpoSED WALL aLOGk. ; ?tatzc?,-zor-7 4-$+?t , ?.?,t£E ' - W,0 - t 5- i:U L L I ? TZ1M` ?`?? N SKPDSED wA LL AZEA 3S..OGk-".'. 1C , S = 7 Z, s k. S = W. O. % 1C 8= 3 L? ?:vLL X S FuLL 2 ; k S = - LtK rZ??? : ??;:? K ! = ? ??- ?"o7?L ¦SQ,?'t, ?K?oS?D GE?I.IUC? ?`?? ? w DWIs ? I ? i ??zyK3?° "' G : ?z Y,Z32 ? D ooe.s Z?3 Zg - '? ¦ ?ATI O DR.S , , it L °. 3Z • `1 = &9, 46 u Li I +s ? L.J INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LoT : 17 B L 0 C K: 6 APPLICANT: 4012 PENNSYLVI4NIA FtVE GA72 TOM STAFFORp pLACE (612) 456-9521 PERMIT SUBTYPE: DEGK ? ? TYPE OF WORK: NEW BUILDING 024213 07/22/94 ? ? ? CITY OP EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issuetl: BUILDIM6 024213 07J22/94 SITE ADDRESS: 4012 PENNSYLVANIA AVE LOT: 17 BLOCK: 6 STAFFORD PLACE P.I.N.: 10-72500-170-06 DESCRIPTION: .-,. , BuAltling-.Permit Type DECK f?u33ding Wor_k Type NEW ? -? .,, ! L" 2Z REMARKS: FEE SUMMARY: Base Fee Surcharge 7ota1 Fee $30.00 $3@.5@ CONTRACTOR: OWNER: - Applicant - GATZ TOM 4012 PENNSYLVpNIA EAGFlN MN (612)456-9521 ? I Z hereby ackn-owledge that I have read th3s applieation and state that the informartion is corre¢t and agree to comply wiCh all applicahle State of Mm StaCutes and City afi Eagan 4rdinances. I APPLICANT/PERMITEE SIGNATURE ISSUED : SI NATUR 0141B CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ,$,3O•?O 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit arl;Mrgpo energy calcs. 19 1994 COMMERCIAL 2 sets of architectural & structu al plans, 1 set of specifications, 1 copy of energy calrg applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date J-U Valuation of work o2y?Q Site Address. ?V_02 Z? ?P n d S/VYD r9 I Gf //!%??! ' ? STREET SUITE # Tenant Name: (commercial only) LOT ? BLOCK SUBD. ?u P.I.D. ?t Descri tion o£ work: The applicant is: Owner ? Contractor ? Other (Describe) Name Phone79oZ I Property LAST FIRST ?c9 7 Owner 0 ? pddress e1211s ?? L/401"/o Y-L lQ - STREET STE p ' City R 11 State - Zip Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been 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. 5ignature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 42 SF Dwy. ? 03 SF P.ddition ? 04 SF Porch ? 05 SF Misc. WORK TYPE I? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex 0 04 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace CV 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5tories Length Depth APPROVALS Planning ? Engineering = REGIUIRED INSPECTIONS ? Site ? Wallboard Sasement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. 5q. Ft. total Footprint Sq. ft. On-site well On-site sewa9e Building Variance ? Footing ? Final ? Framing ? Draintile -.01Y / -119 ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: vaiuac;«,: S ,. ...?. „ .-?m. ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility 0 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units suirrvor's 6-1clifilitiodro SURVEY FOF2: I'ront iur Ilitlwesf Ilomes 1'orunr:it iun OESCRIBED A5: U,t 17, Illucl; t!, Sl'?lI(I I'D 1'1, ACIi, l:itY of ling.i n, N.il:ota Cuunly, ilinncsoPa ,ind re,crvinf! cascments of rccord. \ ? -1-6) . 't?? _"? 11 186• ?? ?y L ?W , .? ,. `?' - ?=•?._ 1:l . (?El'7- ? t).f-i.V. n r? o IJIn r-- i) PROPOSED ELEVATIONS / I Top of foundallOn • Ooraqa Floor . a10, o Boeomenf Floor : eL=z.3 Approx. Sor.sr Sarvlas Elev. . 655.5 '- Propofed Elovallans . CD - Eeiiiinq Elrvollons 9` Drainoq• Dlroellone ? ..??. Oanotae Offsat SfnMe . O SCALE: 1 Inclt = 30 Fest BENCItMARK - IMIN.SEiBpCK flEQIREMENiS Front - 30 flouq Sld* - /O Rwr - I5 OoraOe Sids - 5 I hefeEy torllfy Ihaf IhIe surveY. Dlan er repert w0l PttPeveA hY me JOB NO.: HF'DLUND or und.r mY dlroct nipuvlJmi end Ihol 1 am o dnry R-91*1n04 _2 -6 2 Lend Sorv*yor undu Ibe laws al lhe 91aN el Mlnnesola. ? BOOK: Plerrnrng Englneering Suiveying tw.r?.??nw.e?n Ual?: '??V ? ?- li?^?' w PAaE: Jd y 6 ron. UeenH Na143T6 APFLICATIQN FOR PERMIT SEWER AND/OR WATER CONNECTION :*• . . , ....< . , NNE: PAYt4NP OF FEE AT TIME OF ? ? APPLICATIOPI OONS NJT COIi- ? SP11S71E APPAf7JAL OF PERlIIT. : x ; uNseecriaa or saaM xrn/OR WATm • ;. ; irsr2wuTxaas aiua. Nar es scWr.m ; ? [TR7L PIItPIIT HAS BEIN RPPKOVID. : dtV •44iiiitli#fi4i!lA4?1?f1R\M?RT?41#!#fMR oF eagcsn (PLEASE PRINT 1) PROPERTY ADDRESS: 4012 Pennsylvania Avenue, Eagan, MII T•FY:AT• DFSCRIPTION;.-Lot-17,Bloek6, Staf€ord -Plaee - -- Lot B oc S vision or Tax Parcel ID IF EXISTING STRUC'IR7RE, DATE OF ORIGINPS, BUILDING PERMIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID LSE: a _COAMERCIAL/RETAIL/OFFICE Q IAIDUSTRIAL Q : INSTIT[JTIONAL/GOVERPIMENT 1=x R-1 SINGLE FAMILY ? R-2 DL?PLEX ('S4.v Lnits) Q R-3 TOWNEiOUSE (Three + Uraits) ( Units) Q R-4 APARTMENT/COAIDOMINIUM ( Onits) z) NAME: Frontier Midwest Homes Cornoration ADDRFSS: 3902 Cedarvale ?rive, CITY, STATE, ZIP: .. Eagan, MN 55122 PHONE: 454-0433 3) ' u:o!: [VAME: - -Star Plumbing - - ADDRESS: 1018 Mound Spring Tesrace CITY, STATE, ZIP: ...Bloomington, MN. 5$420 PHONE: 884-4149 MASTER LICENSE # 3329 Plumbers License: Active 1 Expired Not recorded St Initia 4) NAME: Thomas & Nancy Gatz ADDRFSS: 938 Weseott Trail CITY, STATE, ZIP: Eagan, MN 55123 PHONE: 456-9521 5) ? CONNECTION TO CITY SE4VEf2 ? CONNECTION 7b CITY WATEE2 ? 07HER ?. 6) 6 /S/9 ?/ ?+t?**,?**t*r*,t?*,t*,t+*?***t?**xie?e*****,t**t*+*+,r**?****?***?e*t*,t****e?**,t*x*t**,t**,t,t*tt*ie*:e****:t,t*** * THE GOLD COPY OF THE PII2MIT WILL BE SII9r DIRFX.'TLY 7O PUBLIC WORKS Z+0 FACILITATE METECZ PICK-UP. * ? PLEASE ALTAW ZWl7 WORRING DAYS FOR PROCESSING. SOMEONE FROM Tfm CITY WILL CONPAGT Y()[J IF ZfERE * * RRE ANY PROBLENIS. ? FOR CtTY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ f? 'J " $ WATER PERMIT (INCLUDE SURCHARGE) $ ?,ro $ WATER METER/COPPERAORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ Z<.S z d-f $ ACCOUNT DEPOSIT - SEWER $ /? ' l°--v $ ACCOUNT DEPOSIT - WATER $ 577 D - f Y--P $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNR SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ n $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ TOTAL 4 RECEIPT RE E C IPT DOES LTILITY CONNEC TION REQUIRE EXCAVAT20N IN POBLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE : -(? Z Z??? ?' ?' w....._ . ^l'j) j6h AjIJ" ,? / 7, ?flr, ,?-GL' ,?rue., ?? ? Rvsid?c;?/ ?/ n waord Haw.*Wwksno@r Cwwn?i'?Na?M?? /? ?1:1k\h,?i?uNlGe .., "VQ6% Gly . . P T^' ? ? .. a r¦ S?aw ZiP WI NTEN:Inoije DrsiQnTompop_OuuiduDecinTrm ? • ? o P F.. Mrrdnp TwnP Diffu? . •p . SUMMER:Outsitlo P'siQnTump. `'(? °F-Io?ideDesinTam?o . ..,.... .... ...? `••°.?ii°`"'• r. , O p F w CcctinuTrmoOifl?ru?c..a .?? Oc MEATING . .; . •,? ?.'.?.COMMON'OATA$ECTION n?r?i?i:v3n.1'• .•mNw?F?COOUNG'•... .` NfUM 10p5 f4Ci0R' f\Y ? '. Y.?It "„ 4. '.: . 4 -T 1 A, v '• COOIJMQ ?? ...• . GROSS WALL FI.C10R' ?QTU fuuM . 9?Y DOORS&WINDOWS(Tableqorg)?•. i NETWAII OS6 - (310 ---2Y6 , a.s X? A = CEIUNG - - _ --- zL) .a FLooHS .:... ? ..,,,.: ` - ?„?.,,.,,? 10 x?.yno x ,?t°;"f? wmF? ' z %a ?/ • x , , ,. ?.,,---; . ?x x0.18:t33 x 6yo ?610 x SUB-TOTAL BTUM LASS ( r 10= Pe F) 0.01833 x x '-?- " ? 77 , 2 AOJUSTMENT FACTOR ITaWe C) TOTA L BTUM LOSS _ asm PEOPL x 300 BTUH GAIN l"".2w I ? ?APPLIANCES BTVH . . . • `r: "' ' SUB-TOTAL BTUH GAIMIroom se ibl l .. "" 1200 ns aron yl x DUCT IA55/GAIN FACTQR (7abla f) - SU6-TGTAiSTlJHISensiUlesiainl ' ?• ? ? ....._: MOISTUftE REMOVAL (sub towl x 1.3) ..- TOTqL 87UH ?.OSS/GAIN - ? x 1.3 . .;....,-i ,. fA11LE A-ryEATIryG-OOOflS b YCn inut? WO OD FRAME WIry00W5 7nak ?... 7S ?vi a1,Wnil y1Jia OJOIL • Ywf IoClOfr I4r ipe LT¢ Iype rimp? c?i,•auun?un. a Fraine s ? lvpn . W o d 71 M M tnl x Aiba .. dwh Loss a ?„w Nan+ CI ai 99Q 1045 11.55 wan S?c.m DwLI? Pe?w 0.75 72ti 6.5p " 730 VvuJh.in?_ 41 . i5 4 `JO . "•• 3.J0 4.35 5.46 • ...UUUau ? 11.0 ny?:.v'ucrrp - 5.0 __ SIJIC__ 1).07 11.69 1$.92 -. ___' _ ^ pvvrw4 p?NYW1fA ' 'T . ?:• . FaccwsassumawintlowshaveineideWQirppydr ` GlNldi 9/W SliJinp yluss doors wu trralod Y wYldowa.a?? M?e?s?w?wu uwwaur A Oiun W w . N d? a y w .II 4 ? NE6Nw T U • )1 "a lf M ... , .. . • E6W fl M i N Y M -9. (0 SHw 6 ] N W 1L ux N 1w ut ], I' .4 L6 ?4 1{ 4? u (D 'as ..waam,..m? TOTALS. ?1OIYNYIW M [4? IM1W Jud. . rY W?uJUi 4 60 1 : - ? ?VfW?11MhGq?f1?VMY0Yi\' ? . .• . 1' ? ' ' ? .?',? . ,• __ _ . ? y _ vY?,,,a wra?orm _ /? . ,. . : , ' - TABLE P- INFILTRATi?IV MULTIR??^, . .: ? lorc ; Winm.wirCnanOeaPqNw?r Vir?1?.n?eGuie - 7.90 FbwAttla 9GOUfIbK §pl}1600 15004100 pvu2100. 1.70 ad.t 0.4 o.. oa . oa TOTALS ,b3' rD a Wor ? 0.7 14 . 1.6 ..'12 1.0 Fwwtl?IvrWac?y?a: ' ? , ^weW 7a? 02 0.6 i'?uLt ?- - ADJ1:SiMEHT FACTOR$ ?- IHEA:fIMG Su??e1 arCf?appaa/?fypy? I - fkiwA.w SWwVas &{iDWO 15MtoOJ ? ? ? _ q y 6 7 Awr.yY 0 ? 9 4 , 0-5 as ' a a . . . .. . , • ? .. p_y . 47 . . d.r . . . -.?. . . .?..??... ? ? ,. ? _??. .. . _ . ,A 4 citv oF ea 3830 PILOT KNOB ROAD, P.O. BOX 21199 T I # 3 2 3 8 0- 4 0 v?c Eu?orv EAGAN. MINNESOTA 55121 ?,a? PHONE: (612) 454-8100 TMoMAS EGAN Special Assessment Search DAVIDK.GUSTAFSON PAMEL4 McCRFP, THEODORE WACHTER CouzilMembers DatB: June 3, 1988 THonv.sHEOCEs CM Admnlsbalor R@Qll@StB$ $lf j . -- "- EUGENE VAN OVERBEKE Re: 10-72500-170-06 , ciNClark L17 B6 Stafford Place Dakota County Abstract On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. in addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain huilding permits and in other unique,situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. in consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is.hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, ??. SPECIAL A SESSMENTS Attachment THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIV i Rr;:.lFSAi i:i:i7!•1 lng F;:°r':,s.t ;Si t. tJIF;I_ Ati:fFi-;t,l•tf lv iS f:iPE: CI(11._. iaSEiE :irtil`7Efdl_ i tiiLiaRCFi S UI°Ihlr'ii;Y F1_it.l1::;;:. -RT..: I.D. T f)C)!i'Y6 LiATF.:.;, ?:,.lu_._:lEJ.t:i i.? - - - .`.? ..._I-'L_ CT F3L FLAI`ic-- --- - - -.... . i _ .. ? ? ,?_ ,r,__. : .? .. . .?,_ •??? ?-3. ; .,. .t_,-i.?.. ,_. ;'... A.'N' FtS.r'.}Ct:piiMEl\j..f.. 1.)E::JCR.. YR YR?'il R?TE TL!T?a?_ - APlhd,t'F;IN,. F't1Y(:JFi= C;iJMriE:_ra..r. ini=, (.i(iTl_R Alii:i'4 'ti:C .I:i 10.50% 5.35 „OO I'I•,LPF-iY LuG04:7 4.1F.; I C: fil°IriIN . 83 15 10. (-'.i0"/. 1.71 .00 .00 F'FiE":I'•AY lt,L'q.i ' Pn.'_: 86 L`:, 9.00'% t::'...90 86 . L:I.,,].H 10140 1 ,..;11iL.E_I o-J:l'i'_'.; 97 5 9.0x07 48.97 9.90 ::9. 1t3 101472 I ISI?l.JAl.h. Wic±^ 87 5 9. 0tiY. 68. ,`i+1 13.71 i-I . t! ]OI 4d;i liiLilY . S'IhEElS 00 0 ,0u0% 'Elkf :'L 2649.21 648.21 Pf'PLI:I ?r n UFIMr-)ft{ O1-' lll.l ll/F. 10. 1J c}..',T ' 105.19 (:i..imI°I 1I-Il.S YIi::F4i..;-9 iClj- P&i: ? 37,8c) S1.11°!f"li'iFtY OF j61.SNT.).I.PlG' ::6=4r's.21. 2648.21. i'r-;:SE F-NTF::(t (i::;ornmatits), k=1 or (_;: (HeatJer- Foi•'rt;) ur F7 Uie=.tar t 11768i � ; Use BLUE or BLACK Ink �----------------- � For Office Use � � ' i Permit€t: ����� 1 j Clty of �a��.� � � r � � � Permit Fee: �� i 3834 Pilot Knob Road Eagan MN 55122 � Date Received: i Phone:(651)675-5675 I i Fax:(&51)675-5694 I Staff: I I � ---� �� � �------------- �� �:,� , 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � �,�� � Date: i ��� ��� Site Address: - l ���--° t" �������(�` �� Unit#: ���� ����� ii __ � ���� ��i��', ���i � %%i��� �� Name: �t�� ��1��a``� ���,:- Phone: ���-" `{°'�`�� —���� � / i � i � �����% �.,r i ��� ��� � 'Z.... C� �JS ��������� � Address/Ciry 1 Zip: � � � � `'�1�,1���t'�� 1 �v�� � ///� /�! Appiicant is: _Owner }�Contractor /i �� .-�i o� �i //i / I ����%%%,����� Description of work, 1���GL�+�� ���'l(3��""�-- I � ii �I ����#�j��; I !�//���ji%%i/�� � Y 9 ( �- , „ /�= Construction Cost: L� � Multi-Famil Buildin : Yes I Na ���' %i � _ -� _ _ _ �� —� _... /F/j�� j � ���''-�� ��i��'� /�� �/, ���� � Company: ��� �l��( 0 j...' �'}�j'l�1� ���ontact: � t��� �i/ ��; ���� ; Address: �'ZGi� �;1�c�t� �� City: �L��'�,��/1 i,�i,.� -� CO!"��C�i�l ��;= � _ � State: �� Zip: ��. 3� Phone: �jt'��s� '����maiL• �L��'���i�lt'�S�p�lGt��'1��9t�fu1CY.'. fi�V, T License#: ��� �„�������}� Lead Certificate#: If the project is exernpt 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: Phone: Mechanical Contractor: Phone: Sewer&Watar Contractar: Phone: 1V�3 C�����8�p��!'t�cf+�r��f��t�����r��f� ?�' ��1�� ��. �! � ���nr���a�c�r��cl �`�s�� � �� ����� � ��� � ����, ����� :, „����..� � � ��/ �ii� �� �� /�i i � „• ���'��?� �����.� �%j� �, 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. w�;rw.qoqherstateonecall.orq I heretry acknowfedge that this information is complete and accurate;that the work will be in conformance with the ardinances and codes of ihe City of Eagan;that I understand this is noi a permit, but only an application for a permit,and work is not to start without a permit;thal the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a bullding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days oi permit Issuance. x __����`'�'J ��i�� f � I��''' x lL��tR.�S.`"/ /�'�.1{�„''"L ApplicanYs rinted Name ApplicanYs S nature Page 1 of 3 ��12� �-���'15.. (�0�n.� ►�}��-- C l�-�3� ) DO NOT WRITE BELOW THtS LINE SUB TYPES Foundation Fireptace Porch (3-Season) Exterior Aiteration{Single Family} � Single Family _ Garage _ Porch (4-Season} _ Exterior Aiteration{Multi} _ Multi _ Deck _ Porch (Screen/GazebalPergola) _ Misceilaneous ^ 01 of_Plex _ Lower Level _ Pool T Accessory Building WORK TYPES _ New _ interior Improvement � Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior �.Alteration _ Fire Repair _ Windows _ Demalish Foundation _ Replace _ Repair � Egress Window _ Water Damage _ Retaining Wall ;Demolition of entire building—give PCA handout to applicant DESCRIPTION 7 6 $D• ` Valuation ��66"�-:� Occupancy ,��G ' � MCES System Plan Review Code Edition n Zoo7 SAC Units (25°k_100%� 2oning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklars Type of Construction � Width RE�UIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) �Final/C.O. Required Footings (Addition} �( Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Paal:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In �Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill�Final ' Sheetrock Radon Control Fire Walls Erosion Control Braced Walis Other: Reviewed By: ��� , Building Inspector RESIDENTIAL FEES Base Fee 2 3 � x 2�, e a = yb,��•! Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA126887 Date Issued:09/15/2014 Permit Category:ePermit Site Address: 4012 Pennsylvania Ave Lot:17 Block: 6 Addition: Stafford Place PID:10-72500-06-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Relocate heat runs in kitchen Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Renae Frienwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas S Gatz 4012 Pennsylvania Ave Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature ijr �� For Office Use l g" tt r r Permit#: IXXXX(- '444. ''... 4.$ .41 E AGA ,«,..* .• Permit Fee: M Cel VE .2-y- '() Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX': (651)4)7 -5694 0 4 20 Staff: buildindinspections[cr7citvofeaoan.com iwi---- BY 2020 RESIDENTIAL B i L-ITIM.�P'ERMIT APPLICATION Date: 02/04/2020site Address: 4012 Pennsylvania Ave Unit#: ' , *, ` � Nancy & Tom Gatz Phone: 651-246-2042 it 1 -r 4 Name: ' � Eagan 55123 �� 4012 Pennsylvania Ave, 0t Address/City 1Zip: y fay 1( ; ,,, 1 ,t,< or ,��, ��. , ., Applicant is: _Owner 1 Contractor g,-- I "'I Description of work. Bathroom Remodel `d typo,of :, 5000 ' Construction Cost: Multi-Family Building: (Yes!/ No_) ---^ Great Lakes Window & Siding Contact Derek -' Company: Apple t 14690 Galaxie Ave City; PP Valley 'I IiiIttIOntraOtttr '' Address: StateMN Zip: 55124 Phone, 952-891-340 Email_ Derek.glwsco@gmail.com -Op - BC060427 NAT-23297-3 "� _ , ' License#: a#: Lead Certificat_ If the project is exempt from lead certification, please explain why. 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: -Phone: Fire Suppression Contractor: f yy�� /){(�� Phone: �y yyy��y y ,,„,,, 1.; O �y�00 d401#411417K., E :leu s� consid to beS publAn. ma T4s of N a ;P td' 4. S f, ai .:, "RP x. f # 31 i s a p - i. AL"'° itthe C to C.{,fnaitifie r - B I .. E f4-d.'''' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gonherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances andl nd odes of k will be the City f Eagan ;that I understand this is not a permit, but only an application for a permit. and work is not start without a pe accordance with the approved plan in the case of work which requires a review and approval of 9 ns x Derek Brouiiletx 1' Applicant's Printed Name Applic t s Signature ^r7/ �� (-�' , � /��// �� / ' ' `' � /° U /�N 1l � • K�C} ~NOT�HR|TE |�ELO�/ THIS LINE / /C/ / ~� 1 /�'`N '�i� / v/,' '/,'� AI/6- ' SUB TYPES Foundation Fireplace Porch(O-Seampn) __ m � � Gmmnw,Auw��nn(Sing� Family) mFami|y __ Gage Porch (4-Season) __ Exterior Alteration hi Deck __ Porch(Scn,en/Gazeuo/P*,gma) Miscellaneous^ 01u�_Plex Lower�mvo| Pool Accessory Building __ __ __ WORK TYPES Nmw __ |ntador|mprnvpment __ Siding Demolish Building* Addition Move Building Roruoy __ Demo||sh|n»ehp, )1.Alteration Fire Repair __ Windows Demolish Foundation Rep|mcn __ Ropa|r __�_ Egress Water Damage __ Retaining Wall *Demolition of entire building give PCA handout to applicant DESCRIPTION '� MCES Occupancy »��" �~ CESSystenn �°_� � Plan Review Code Edition ,,,,iiiiL ` - '*~ SAC Units (259610O% ' Zoning d CityWater Census Code Stories Booster Pump #of Units _ Square Feet PRV #of Buildings Length Fire Suppression Required _ Type of Construction Width REQUIRED INSPECTIONS Footings(��wBui|dinQ) ___ Meter Size: --- Finalequired — Footings(D��k) n C.O.� -- Finalequired Footings(Addition) na C.O.. ---- Foundation oundahonBe��na8ackfiU X_A_ HVAC___Sen/iceTestGauLineAirTe/dHood Roof: __.Ice &Water Fina| Pool: Footings Air/Gas Tests Pma| Framing 30 Minutes 1 Hour Drain Tile --- Siding: StuccoLath G�un� L�gh Brick EFIS — F|rep|acn� Rough |n �\\rTaet Fina| _ K |nmu|ation Windows Shemthing _ Retaining Wall: Footings Backfill___Final --- Sheetrock Radon Control FireVa|\eFire Suppression: __.Ruugh In Fino| � Erosion Control Braced Walls ___ VShowerPan Other: __ f*- Reviewed By: 1 . Bui|dingInspector / RESIDENTIAL FEES Base Fee 0 � rrilllifivt SurcherQa __ y ~,9|mn Revievv ___ r . 88C�� �A� of~ � City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read iy ~ kn) / ° u � Copies TOTAL panuzofx (c06/ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160125 Date Issued:02/18/2020 Permit Category:ePermit Site Address: 4012 Pennsylvania Ave Lot:17 Block: 6 Addition: Stafford Place PID:10-72500-06-170 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Thomas S Gatz 4012 Pennsylvania Ave Eagan MN 55123 (651) 246-2042 Cities 1 Plumbing & Heating 787 Hubbard Ave St. Paul MN 55104 (651) 274-6547 Applicant/Permitee: Signature Issued By: Signature