4013 Pennsylvania AveItEACTIVAT,ED FOR DECK 5/10/89 CITY OF EAGAN
R$kOTEN 3830 Pilot K 1 b Road, P.O. Box 21-199, Eagan, MN 55121
423-4071 PHON E: 454-8100
BUtLDING PERMIT t-' Recejpt #
To be used for ?Est. Value Date
,19
Site Address ".""? ?AVr`!T OFFIC E USE ONLY
Lot Block Sec/Sub On Site Sewage Occupancy
. MWCC 5ystem . Zoning
Parcel No.
l
l
t
_
On Site Wel ) Cons
(Actua
c
Name ..'?Ar. r
CityWater V
(Allowable)
"l PRV Required # of Storiea
3 Address Booster Pump Length
0 City Phone "
Depth
o Name S.F. Total
,
? < AddresS Footprint S.F.
r¢- City Phone APPROVALS FEES
yVj W Name S'iRJj,? ? Engr./Assess. Permit • -
~z
- "ti1.?
Address ' Planner Surcharge
_
Q C
S ph Council Plan Review
W ity
One Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Wariance SAC, MWCC
information is correct and agree to comply with all applicable 5tate of Water Conn.
Minnesota 5tatutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Buiidrng Officral
. Permit No. Permit Holder Date Telephone #
Plumbeng
,
H.V.A.C. 9/2Ci
Electric
Softener
Inspection nate lnsp. Comments
Footings I
Footings II
Foundatian ?i A(,l
Framing
Roofing
Rougfi Plbg.
Rough Htg_ ? sf 4 g? ?Q?/,?r.c
isul. ?
Fireplace
Final Htg. ?
Final Plbg.
61dg. Final
Cert Occ. ? ?O'? ? UL'? ' C
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
w
fg.ertifiratit uf (igrr??attry
titp of (Eagan
EppaY'bUiFtit 0f llTdb[ltg J1tSpPlfiDt1
This Certifrcate issued pursttant to the requerements of Seciron 306 of the Uniform Building
Code certifyirtg that a! 1he time of usuance this structure was in conipliance with the various
ordinances of dre City regulating building construetron or icse For the following:
? chwifiallion SF UW/CAR 14850
R3 R 1 ? r??yt ?. Vn
?? FRfNTIPR MIDIWEST? ? 3942 CMARVi?TE?DRIVE, EAC'?AN
awlmn# Addrm ,+ (,13 Pf'ldNMVANIA AVMU,-: L4, B4, STAFFCRD R"
J[1LY 21, 1988
Bw7ding Official
POST IN A CANSPICUOUS PLACE
CONTRACT PRICE
Site Address " ' /
Lot ? Block
.O.'.
.? .
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55722
PERMIT # -?-
RECEIPT q S?/
DATE:
Sec/Sub
? Name , L " , 1.., „, - ,, In f • r ?-
a? -
? Address /:i.% '?%r'i -;??
c City ? `! jj x. ' Phone
Name
c Addre
3
0 City
-
Phone
COMM/INO FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCNARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF
FOR: CITY OF EAGAN
BLDG. TYR? WORK DESCRIPTION
Res. ?` New lw
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
HO. FIXTURES TOTAL
` Water Closet - $3.00
?Bath Tubs - $100 -' - L "-
Lavatory - $3.00
w Shower - $3.00 ??• ? ?1
Kitchen Sink - $3.00
UrinalIBidet - $3.00
T_Laundry Tray - $3.00
TFloor Drains - $1.50 ' • =?'
-7--Water Heater - $t 50 !'
Whirlpool - S3.00
=Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE -
, ..
STATE S/C:
GRAND TOTAL• ?- ? ??
' PERMIT #
' • MECHANICAL PERMR RECEIPT #
. ' CITY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 65122 DATE April 2:57, 1 gs`
CONTRACT PRICE PHONE 454-8100
$ke Address 4,01'1 P • BLOCi. T1ff. WORK DCRIPTION
LotBlock 4 Sec/Sub X4
R? N?
`
'
,
' , Mul! Add-on
? Name
?
'
m Comm. Repair
? Addreedgii S hawmAc d
c Ciry Ea8? Phone 452-1565 ??
F?
? Fronti
Name er Com nies RES. HVAC 0-100 M BTU - $24.00
c Address3 908 ev 1't moii.al H wy. ADDITIONAL 50 M BTU - 6.00
0 3 City ER+mn phane454- 0433 (RES. HVAC INCLUDES A/C ON NEW
CO?RV?ON)
GAS OUTLETS (MINIMUM -1 PER PERiiAln - 1
50 EA
TYPE OF WORK .
.
COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air &o . ouo M BTU 4 00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unft Heater M BTU REMODELS - 12.00
Afr Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHRRCiE PER PERMIT - .50
VBrK. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $7,000)
Other
FEE 'S.SQ
$/C; . SIGNATURE OF PERMITTEE
:;2F.00
roTaL
FOR CITY OF EAGAN
- -- --?-?-
PLUMBlNG PEAMlT I
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100
Site Addres S LL14 Ai ?A
i.ot Block SeclSub
Name'' ?'? f ?'" G
^
(o Addressl V`?? '4'?'
c Ci?y ?G •? P?"? Phone ` IZZ'd
? NamW-??n7t7/?' A1
3 Addre
0 ciry i'Phon ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCNARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYON $1,000.00)
I
T
R
F PEA
GNA
E O
MITTEE
S
ll
FOR: CITY OF EAGAN
PERMIT #
RECEfPT # 55?" 2 '%?c
DATE: ??-q /ps
BIDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE TH E FOLLOWING:
NO. FIXTURES TOTAL
Water Gloset - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal / Bidet - $3 00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(M!NlMUM - i PER PERMIn
.? Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: _
?
?
STATE S/C:
GRANU TOTAL: -
3830 PILO
CONTRACT PRICE:???
Site Aftpm a ' , ?,,-- ,v
? Name
? Addre:
? Ciry -
PERMIT #
? RECEIPT #
55122 DATE: __Z
BLDG. TYPE
Res.
Muit
Camm.
aner
WORK DESCRIPTION
New
Add-on ?Repair
Name Z^
'A FEES
RES
HVAC 0-100 M BTU
00
-$24
?
c Address "/ f`1 JZJ?11VU4 1**% .
ADDITIONAL 50 M BTU .
- 6.00
p City (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEfir
AlT) - 1
50 EA
, .
.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Afr M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MIMIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. 4'/ M BTU JZ •? o MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent
Pi
i
l
G
#
O CFM $ (ADD $.50 S/C IF PERMIT PRIGE GOES
BEYOND $1
000)
as
p
ng
ut
ets ,
Other
FEE: ---
r
.
->: ' .
S/C: BdGNATU OF PERM TT E
TOTAL• ?
FOR: CITY OF EAGAN
?
BLDG. PERMIT N0.
. -+.... ; ? ' b '? c;c 4 5 ? {.
JL' I;? ?.._ ,Lf i ? a F; U<<
3210 Bldg. Permit .
3422
t
-- Plan Check
-
3445 Surch./Adm. ?
01-3446 SAC/Adm.
01-2155 Surcharge o
`y75:3860 Road Unit uG
20-2275 SAC tij J Ci
20-3865 Water Conn. J S 0 U
20-3868 Water Trmt. cl?lO 4 ?
20-3716 Water Meter ( ) C>c?
20-2252 Acct. Dep. ?
20-3713 Water Permit 00
20-3743 Sewer Permit 1C? ?
79 -3866 Sewer Conn.
,?6-3$55 Park Ded.
TOTAL C?), C-P I
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454•8100 BUILDING PERMIT
To be used for SP DWG/CAR Est. Value a 7$,OQO
Site Address _
Lot 4 Block
Parcel No.
4 Sec/Sub. sTAPIrORD PLACE
aName PR0'NT1EP !llDii'BST HOM83 CQRP.
3902 CEl'4ARVALE DRIVE
? Address
0 Oity "A?IIAN Phone 454""0433
, o Name s?
? s Address
? City Phone
yVjW Name , PtiILL1tS PLAN SSRYICE
t
x= Address 14330 PEM40CR AvE
0 ,??, W City ArPi.C SrALLE Phone 4? _-2 4
I here+oy acknowledge that I have read this application a d state that the
information is correct and agree to comply with ail apilicable State of
Minnesota Statutes and City of Eagan?rdin ces.
? ?.,j ? ? ?Y.
Signatufe of Permittee • ??y -
a?IER M11?TiP.RT
A Buoding Permit is issued to: FI
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota 5tatutes and Cky of Eagan Ordinances.
Building Dtficial
r
4013 rErRsnvANiA AraNuE
14350
Receipt #
Date ? 4
APRIL 18.
,198A
OFFICE USE ONLY
On Slte Sewage Occupancy R-3
MWCC System X Zoning R-1
On Site Well (Actual) Const v"n
City Water a (Allowable) V-ri
PRV Required X # of Stories
Booster Pump Length 4010#1
Depth 3214"
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr./Assess. Permit 486.00
Planner Surcharge 39•00
Council Plan Revlew 24340_
Bldg. Off. SAC, City 100-00
Variance SAC, MWGC 3-A.M
WaterConn. S S(l-[0
Water Meter 67 _ AA
Road Unit '12 S-00
Treatment P1 3n&-00
Parks
TOTAL 2,164-00
.
' CASH RECEIPT ?
CITY OF EAGAN
5830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i
onre
?.?...
rIEcervEn
fROU
0 MOUNT s V;; ? ? . r
& DOLLARS
? CASH EX CHECK
?oo
v-?
"" ,-1- r / j ,. , -) ?L
T
FUND I OBJECT I I I( ' AMOUNT
Thank You
t. '
BY / ( , : C-?
8 White-Payers Copy
4 110 vello??iny copy
Pink-Rle CopY n
?
."?'
' OF 6AGAN Permit No: 4 -19
Date:
PJbi Knob R9V B/P No:
Date: i - I . - _, •.,
Box 21399
in, MN 55121
.
_' c , , . . a 7 ' A$w?eat COrp.
Address: • . ".,•1°y ?•e`u.aa ?.vr.uue 1.4+ .:?: . -? - ,,,, n,u?•?.
iber: ?c -- r'???tnhing
MWCC: `i ?f? • 0Opd
luu
' p
City Chg:
Acct Dep: 7 ' = ,
Permit Fee: Surcharge:
Zonina- F1 I
No, of Units:
I agree to comply wifh the City ol Eagan
Ordinancea.
By
,
SEWER SERVICE PERMIT ?
CITY OF EAGAN Permft No: '?4 95 ', i ? • ?
3830 Pllo! Knob Roa?l Meter No: Date: P.O. Box 21109 Size: '
Eagan, MN 55121 Reader No: Date:
? Conn. Chg: 'D U. () -1'M!
Zoning: 1'1
' Acct Dep; ?
Permit Fee: •01 No. of Units:
' Surcharge: • rr?'`'
Tr. Plant I a ree to com
8 P?r wi1h the Cltp oi Eagan
. Ordinancsa.
Meter.
Misc.: ^?' r+:rn*,TR-'R B
r
WATER SERVICE PERMIT
A
cAGAN
[ PermR No:
Date:
30 enW Knob Raad Meter No: Size:
Box 21199 Reader No: ? 3 Date:
an, MN 55121
Acct Dep:- J- ?. ni?P??AUnni? Gi ? P ?
Permit Fee:
Surcharge: I0 vp h t City of Eagan
Tr. Plant On/ina
Meter. r' Tpfl
Misc.: Br a
WATER SERVICE PERMIT
Conn. Chg: _ 550• "&CrP diqainu Calb49rttrt?,fiil?+;ne ?'.I
This requast void
18 momhs irom
E 160 7 8 /l °'
Request Uate
I ? - I\ j? • Fire N. Rouph-in InsVer.tion
Repwr
?fleadV Nowt]14*1'rNOtity Inspec-
tor When Read
';j? (/ es ?Nn V
censed ElecVicel Contractor 1 hereby request ins0ection ol ebove
Own¢r electrical work installed at
Street ?,?ireps,Box or Faute No. C.iV D?
ecti on o. Township N e or Na. ngc No. Cowrty
O xnt RINT) r Phon No.
Powe VDlier Atltlress
Flectrical Con[racto ICOmpany Name) Contraclor?s iv'ense No.
V a ina Instailationl
Au?hori p r 1 r cmr? ner a ?g istallatioN
APPLE VALI.EY, MN 55124 Phone Number
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Gripgs•Midway BIdB. - poom N•191 BE ACGEPTED BY THE STATE BOAND
1821 Universitv Ave.. 5[. Paul. MN 55109 UNLESS PflOPEH INSPEGTION FEE IS
cn....o Ia1Ii 649-oHno ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
J'
1 See instructlons for comoletin9 this form on back of Yellow copv.
EA 6 Q,`8 "X" Below Work Covered by 7hrs Request
AdJ fle0. Type ot Builtlin8 ADPliancef Wirod E4.iY.tant Wlred
"
/ Home Range Temporary Servtce
Duplex Water Heater htiny Fi,ctures
Apt. BuilAmg Dryer Electric Heabn
+ Commercial 81dg. urnace Silu UilI08ClEer
InAustrfal 81Ay. Air Conditioner Buik Milk Tank
Farm Other Sper.i v -ther l5por.ilyl
r 1M1f'! NCI:I V t C! nlhl'r
ompuie lnspection fee Below
p Fee ServiceEnhanceSixe M Fee Fextlers/SuAfeederz # Fqe Clrcuits
U to 200 qm ps 0 to 30 Am s 0 m 30 !?m s
A6ove 200 qmps 37 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps anove I no_Amns
ransformers Irrigation Booms Partial.Other Fee
Signs SpeciallnspeC[ion 52? ? FFG
"ee.e ras
Nouph-in Date
.t Elactri
, ? I?SpB . BrO??
r[ify thnt tpe bove
iinal '?=e in50ection has been
.. ?ee.
•ni. ronunnIvnin 19 monlln i
This request voitl
E 318 0 6?.?
?jG c o
Hequest Uate
•
c?. eouuh-in insoecuon
RequireA?
?i Reatly Now DWill Notify inspec-
c
]_J/sg
9/ ?Yes ONO tor When Ready
? Licensed EmcVical ConVactor I hereby req.est inspection ol above
? Owyier electrical work ins<alled at
SVeet Address, eow or Route No. City
4013 Penns lvain
ia Ave.
Rgan
ecLOn o. Townsp Name or No.
hi flange No. criZ
nAkota
OccupAnt IPqINT1 Phone Nn.
Gordon Multz
Power Supplier Adtlress
Dakota Farrainatoji-
Electfical ConVactor (Company Name) Conunr,lor"s License No.
Hilite Electric. Inc. 040445
Mailing AdJress IConhactor or Owner Making InstailatioN
Au o'zeA Sienacu rac OwQer Making Installatil Phone Numbcr
?
Tim Philli s 452-8886
MINNESOTA STATE BOANp OF ELEC ICITV THIS INSPECTION HEQUEST WILL NOT
Grig9s-Midwey Blde. - Aoom N-191 eE ACCEPiED BY THE STATE BOApD
1821 Universitv Ave., St PaaL MN 55104 UNLESS PFOPEq INSPECTION FEE IS
LOSED.
wi.,...e iFIvi an9.nano ENC
REQUEST FOR ELECTRICAL INSPECTION EB-00001-06
6 ? Sae inshuctions lor comoleGn9 this torm En back ot vallow caov.
E ry J 1 O 0 6 "1(" 8elow Work Covered by This Request
Fdd N90. TVPe ot 8uilCinB ApPliancea Wired Equiumenl Wired
Horne Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HeaUn
Commercial Bldy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner 0ulk Milk Tdnk
Farm otnr, Pec? v Otno, 15Pecify)
1 Pr Syccify ther Othvr
omnute lnsoectron Fee Below
p Fee ServiceEntrenceSize tt Fee Feeders/5ubiaeders N Fee Circvils
U to 200 qm s 0 Io 30 Am s 0 tn 30 Am s
Above 200 Am?u 31 to 100 Amps 37 to 100 Ain s
Swinvning Pool Above 100_Amps Above 100_AmV?
Transiormer5 Irrigation eooms . 50 PartiaL'Olher Fee
Signs Speciallnspection
$
F
TOTAL
?
Nerturks 1.9'ZFi(? LO/SO .y,
,?w)
/
v
NouBh-in I,the Ele
Inspector. hereby
cerli?y that the Tbove
Final 'nspection hes baen
made.
Thin re0uesl roiE 18 monihe Irom
CITY OF EAGAN n
N- "
14 8 5 0
3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, M N 55121
PHO N E: 454-8100
G
?) D 9 ?
3
BUILDIN
PERMIT Receipt#
To be used (or SF DWG/GAR Est. Value $78,000 Date APRIL 18_ ,19-118-
Site Address 4013 PENNSYLVANIA AVEAIUE OFFIGE l1SE ONLY
4 4 STAFFORD PLA?E
Lot Block SeclSub. on Site Sewage _ Occupancy R-3
MWCC System X Zoning R-1
ParcelNO. OnSitewell (ActuapConst V-n
a
FRONTIER MIDWEST HOMES CORP.
Name
Ciry Water
X (Allowable)
V-n
z Address 3902 CEDARVALE DRIVE PRVRequired X #ofStories
'
° City EAGAN phone 454-0433 Hooster Pump _ Length 40
0"
Depth 32' 41,
o Name SAI'1E S.F.TOtal
,
? a AddfBSS Footprlnt S.F.
? City Phone APPROVALS FEES
t-a
?w
Name PHILLIPS PLAN SERVICE Engr./Assess. Permit 486.00 .
?z W
-x
14530 PENNOn ..K AVE
Address Planner Surchar9e 39_00
aw City APPLE VALLE$hone 432-2044 Council PlanReview .949.00
Bltlg. Off. SAC, City i on _ nn
I hereby acknowledge that I have read this application a d state that the Variance SAC, MWCC 5_5D-nn
information is correct antl a9ree to comply with all a lica6le Sfate of Water Conn. 5 Sn _ M
Minnesota Statutes and City of Eagan rdin ce .
WaterMeter
_67-00_
Signature of Permittee Road Unit 19 S_ fl(1
A Building Permit is issued to: FRONTIER MIDWEST Treatment P7 10-4..00-
on ihe express condition that all work shall be done i n accortlance with all Parks
applicahle State of Minnesota Stat
and
City of Eagan Ordinances.
ut
es
///
/
?7
?
BuildingOfficial__ ;/ TOTAL 2,564_DO _.
??
i I3 ?__?
2ySZ
?5-(<v)c)
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
851-881-4875
New Conetructbn Beauirements
• 3 registered sile surveys showing sq. fl. of b4 sq. k. ol house; and all roofed areas
(20M> maxtimum bt coverage albwed)
• 2 copies of plan showing beam & window s¢es; pouretl fountl design, etc.)
• 7setWEnergyCalculatan&
• 3 copies of Tree Presarvatbn Plan tl lot plattetl atter 7/1/93
• Rim Joist Detail Optlons selecfan sheel (bldgs wAh 3 or less unh)
DATE ?a / /2 /o Z
SITE ADDRESS LI O I 3
TYPE OP
MULTI-FAMILY BLDG Y ?N
_ FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS SL`I _7 `J N1eg, t(?dG I/} 12. CITY S
J? I) .. STATE MAJ ZIP S??R
TELEPHONE # 651-yc`?'i-4/3L0 CELL PHONE # FAX #(.51- 35)Zog /
PROPERTY OWNER aSon R-i ?? TELEPHONE # /0l2- % 3 - 4I37
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiILFS 7670 CATEGORY 1 MINNFSOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheat Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: V_
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Wafer Contractor:
Phone H
Phone p
Fee: $90.00
Fee: $70.00
--°---------°---------------------------------°--°-------------------°-------°°------------------------------------
I hereby acknowledge that I have read This application, state that the information is correct and agree to comply
with all applicable State of Minnesota Stafutes and City of Eagan Ordinances.
1?5 SignalureofApplicanf
_ OFFICE USE ONLY .-.-.?...Y_?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Spiinkler
No. of R.I. Baths
_ Air Conditioning
Heat Recocery System
HemodeVHaosir Reaulrementa
• 2 apies of plan
• lsetofEnargyCakulatbnslorheatedaCdtlbns
• 1 sde survay for ex1arbr atltlitions 8 decks
• Indicate tl Mme served by septic syslem for add'Aions
VALUATION N loo, 00
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Att - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 WindowslDoors
? 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) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
F'veplace
R.I. _ Air Test _ Final _ Windows (new/replacement)
_
_
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC .
City SAC
Water Suppry & 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 ^? .
SINGLE FAMILY DWELLING3 ? 950 ?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/SOMEOWNER MUST DESIGNATE WEiICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR 59LE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.o
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
? ' 04/1?`•8??'
To Be Used For: NEW CONSTRUCTION Valuation: Date:{'',
Site Address 4013 PENNSYLVANIA AVENUE
Lot 4 Block 4
Pareel/Sub STAFFORD PLACE
Owner rULTZ, GORDON & DAUN, DONNA
Address1836 EAST SSTH STREET
City/Zip Code INVER GROVE HEIGHTS, MN
OFFICE USE ONLY
On site sewage Occupancy R 3
MWCC system v" Zoning
? R - T-
On site well Actual Const V-N
City water ? Allowable V- N
PAV required -7 # of stories
Booster Pump _ Length
Depth 32= y"
S.F. Total
Footprint S.F.
55075
Phone 457-1357
Contractor FRONTIER MIDWEST HOMES CORP.
Address 3902 CEDARVALE DRIVE
City/2ip Code F1GAN, MINNESOTA 55122
Phone 454-0433
Arch./Engr. PHILLIPS PLAN SERVICE
Address 14530 PENNOCK AVENUE
City/Zip Code APPLE VALLEY, MN 55124
APPROVALS FEES
Engr/Assess Permit Z1$&o0
Planner Surcharge i00
Council Plan Review 2 43.oo
Bldg. Off. (?411.YSAC, City I 00, OO
Variance SAC, MWCC ?p.pp
Water Conn s'50,p0
Water Meter [„7.p0
Road Unit &Z-5100
Treatment Pl 04.DU
Parks
Copies
TOTAL
?
Phone 0 432-2044
vaLuA; ION
< 4
f3ARAG?; '
zzx20 ^
?z = <?)
z x 1y = 6046
26x?S = 988
6x 2Z- I 32
Z X 12 = Z4
1144x?3= lye'72
4i ouc-,c-
PSsMT = I 1 y 4
zxLt = ?6
f xlu ? Io
I I? Z X49 = 56l3g
'l? 8S8
< <.
EXTERIOR ENVEIOPE AVERAGE_"U" COMPUTATION_
OWNER: MUL1Z, GORDON AND DUAN, ?ONNA
SITE ADDRESS:
4013 PENNSYLVANIA AVENUE
D P.tY-aoG9E
DIITF: 3-LI- -*o 7
PHONE: 454-0433 -_'FRONTIER
CONTRACTOR:
Determine working square footage of each
1
2.
• Total exposed wall area above floor= 14 Z,,
a. Total wall window area ...........................................
b. Total door area ..................................................
c. Total stiding glass door area ....................................
d. Total fireplace wall area ........................................
e. Total wall framing area (average 10%) ........:...................
f. Total rim joist area .............................................
g. net wall area a6ove floor .....................................
h. . wall area a6ove floor .....................................
i. wall area a6ove floor .....................................
j. frame wall area at foundation ...................................
Total exposed foundation area= 7 Z
k. Total foundation window area .......................
1. Total net foundation area a6ove grade ............. (n (?,5{
Determine "u" value of each wall segment
?, (e.g. wtndow, door, each separate wall section)
a. X [lull
b: 3 S X l,ui,
C.. X „?„ ,y7 = ??'ys ,
d4? X lluti , 360 = 1-7 •Z`b
e. I LI7.2- X liuli
x„u„ s%%14
9. i? z4 .S x„u„ . o y = s-z 9f?
h X l,ui, _
i. X tiull _
j X 11 U., _
k. 5 ? Z Xliuii 1. 0`f
' 1. x lull
3 . .................................Total
Total exposed wall area..... 17 sq. ft. x.11 = ig I .A
Total roof/ceiling area..... Il D°b sq. ft. x.026 = Z$ ??t O
If item #3 is the s?
as, or less than°iti
#1, you have met;:tFii
intent of SBC 6006.?
-"?
..?;„
?t?
:
]:-,:tPrior Envelope Averaqe "U" Conputation Page 2 of 4
, O P.i 7p-.t L`?E
Total exposed roof/ceiling area
m_ 1bta1 skylight area ............................ ?
n. Total roof/cei2ing framinq area (average 108)... 11?
C( ?77.7
o. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment
M. g '-U" '41 _._
n. 1 l D,? x"o-
?I9?.Z x
o
4 ........................... Total =
'_f total cf n4 is the same as, or less than
SAC 50L15 (c) 1.
S? Z?7
Z ?Cn S
-??
#2, you have met the intent of
Alternate Building Envelope Design
2b utilize the total envelope'systan method, the values established by the s•.un of
itesns #3 and n4 shall not be greater than the sum of itesns #1 and #2.
1. i?ll?l$ +z. ?8,?b = Zl????
3. ???'?? +4.
PL?Q -W
? Li ru F?4 L FT, E,+CPos?O WALL
, ?LOG(? ; 3s i-z?+zo fi (? + Zo + i g ?- z+ ? ? = ! `? y
,
:;:ULL ( ? 3 8-rz ?zce+z??-?+ za-r t?s +- z+-I? = tL{.to
1Z1M= . ?`t? ? . __ ? Sw.. ;:?T, Fx.PoSED WA Ll....,AR.EA
' 3LocK', ?? 4 X, S =-t z
K S = -
W.O.
1:7uLL I x S tc,,%
,
Fu LL 2` - k S
--
.
(o
t L4
To-t-A L
?SQ,?t ??K(?oS?D GEI LIUC? ? ? o?
? W DWtS
? z?txws coc. = L. ?? ? zoncoa ? e.s3 =z?t?q
GL..=L 0 =to
t Z`i?va ? ?? -Z 30
11
L `k x
??49
¦ ?AT1 o DRS.
- 11-40a = 32-•'f ?co?L •$
? F35 M-? U u r f5
t5
3: U;r 1,i? of opaquc wll arca for
, fratm: cun:;trucl lun ron_ truc.; ic-it
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.
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Const?on _ R-Valac
1, Intcrior air film
• . 0.61
2. lZ7 F3D
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3. 1,u5u?`. • 44•?0
4, Extcri.or air filn (still) 0.
- Total rz 4s8o
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1. ic film
n
Intcrior 0.61
2. /
? ? ?Sa
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4. Extcrio:: rir filra
-- isril
•-:-------- Totat
CoA. sTR.'vcr/
1. Tnsidc air filin 0.61
2.
3. ' ' .
4. '
5, Outside air filin 0.17
Total
F.t'?9rs E • '
I. Tnsidc air filrn 0:61
2. .
.
3. ' '
4.
S. Outsidc aiz filsn 0.17
rotal
1_ Tnsidc! air filin • • 0.61
2.
• .
3. ' ' •
4
'
g.
Out;i.Jc air filin 0.17
. ? . Tota1
.. •
. . .
. tlote: Usa additional .
sheets i . . ?.
f morc rpace i:
=eedes for cletails and calcu?ations.
. . ' . .
. '
•
Symcilor?s ecrt?licate
SURVEY FOR: Prontier biidwest
DESCRIBED AS:
flome \Corp.
Lot 4, Block 4, STAPFORD PLACE,
?
City of Eagan, Dakota County, $4.0
P;tinnesota and reserving easements
of record.
\
8?5
3 3 32 _
PROPOSED ELEVA710N3
Tap of Foundallon
Oaraps Floor
Basomenf Floor
Approx. Sew*r S*rvleo
Proposed Elevolions
Exislinp Elevotlons
Dralnape DIreNlone
\•.9 '
. 612.1
? 611. 3
? 864. (e
ENv. .
.
. ...?? .
Denofes Oflssf Sloke . O
IAIEDLUND
P/anning Englneedng Surveying
WIlrpoe.MMe"/'AM= rMwwMm
N
SCALE: ! Ineh • 30 Feef
pENCHMAqK ,
?MIN.SETBACK REaIREMENT3
ftont - So House Slds - lo
Reur - is Oorape8lds- 6
t neney cgrflly Ihal tMO wrwY. Vbn q lfper? ras preyared !y me JOB NO.;
a una.r my m.sei .uo..a.wn anA IAeI 1 a1n a Ouly ReylfUrod aSR-9,7
Land Cavillix undo Me Wn of Ms ilsle d Mlanseafo.
BOON:
e, Be pAOE.
D Jd q I nn, Uo?nu Na1137B
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
... .. . . ...... . ... .. ....
j N04'E: PASQdW OF FEE AT TIME OF .'`
*y APPI.ICATION DOFS NOT CON- y'
i STi1SAE APPR6VAL OF PFS71IIT. ?
:
; INsencrioN oe sEWEe ANn/ox Mxea r
;.
; icasrALIATTOrs wUL tuoT se sCEDutEo ;
t UNPIL PII14IIT NAS 8ffid APPROVID. t
?fftfeeft!l114Mixxwwssi#afwweffW?flfxe
OF (zC7gC8P1
(PLEASE PRINT
1) PROPERTY ADDRESS: 4013.PENNSYLVANIA.AVENUE. .
7•FY:AT• DESC[tIPTION;. .LOT.4.BLOCK 4.STAFFORD PLACE .. .. .. . . .
Lot oc S vision or Tax Parcel ID IF EXISTING STRL'CT(IRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q .COhMERCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q.INSTITUTIONAli/GOVERNMENT
XX R-1 SINGLE FAMILY
? R-2 DUPLEX (3t-jo Lnits)
Q R-3 TOWN-IOUSE (Three +:IIfiits) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIIIM ? .- Units)
2) ? NpME: FRONTIER MIDWEST HOMES CORPORATION
A??RESS: 3902 CEDARVALE DRIVE
CITY, STATE, 2IP:
PHONE:
EAGAN, MINNESOTA 55122
454-0433
3) NAME: STAR PLUMBING
ADDRESS: 1018 MOIIND SPRIN.S RRA..
CITY, STATE, ZIP: BLOOMINGTON: MINNESOPA 55420
PHONE: 884-4149 MASTER LICENSE # 3329
4)
NAME: MULTZ, GORDON AND DAUN, DONNA
ADDRES5: 1836 EAST SSTH STRRRT
eliunoers License:
Active
I Expired
Not recorded
St Initi
CITY, STATE, ZIP: TNVRR C.'RnVF HRTpHTS- MTMNRSOTA 55075 PHONE: 457-1357
5) ? a ?• • o ? ??
XX CONNECTION 'PO CITY SEWII2 X CONNECTION DO CITY WATII2 a OTfER
6)
? 04/12/88
****?*****,r*+?******** ** *********+**??********?v:+**,+**?***?***********,t**?,r****+?**:?***********?
* THE GOID COPY OF THE PII2NIIT WILL BE SENT DIRF]CiS,Y 70 PCBLIC FARKS DD FACILITATE MEiER PICK-LTP. ?
* PLEnSE ALLOW 'I4JD WORKING DAYS FOR PROCFSSING. SOMEONE FROM Tm CITY WIIS, CONfACP YOU IF TAERE
* ARE ANY PROBLF3•LS. *
k'k'k'A"k ]F 4"I[ 1l ]F'k'X'X'I []F'k'k ?[ ]F *]F *'k ]F 1F'X'k'k'M'J('X'I('k'k 1e'I! A"k'b'k'k'R *'k'X'A"Jf 'I( ]F lF'k'k'I[ ]F'A"l'A ]F'M'I` 4'k'?' f f"k'k'I[ a?` *'k'I['/['A"k'A i' 4 i"k 4'I ('I['l' i"i'J[ 3"I' t i"Y d"F ]F'I[ ]F *'I[ J
: FOR -CITY USE ONLY
PERMIT # ISSLED
9y?? 5-
Pd w/Bldg. Permit FEES:
$ 16)- > o $
$ /D - S`D $
$ $
$ $
S $
$ $
$ D $
S ?sb ?oo g
s ?52•v a $
S $
$ $
$ $
$ $
s ?o?? O s
$ $
$ -/5"Z Z • O O s
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLODE SLRCHARGE)
WATER METER/COPPERHORIV/OUTSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
wAc
SAC
TRLNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRU[VK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
TOTAL
. -7a9 ?13
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
. ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
1989 BIIII.DING FSRMIT APPLIC6TION - CITY OF EAGAN
SINGLE FAMILY DWELLINCS 1 I??? 0 1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNSR MOST DESIGNATE WHICH ADDRE6S
I3 DESIRED. NO CHANGE3 WILL BE ALLOiiED ONCE BIIILDING PEAMIT IS I33IIED.
InJI.TIPL6 DTiE[.LINGS RfiNTAL UNITS FOH SALfi UNIT5
? OF UNITS
INCLUDE 2 SETS OF PLANSo CERTIFICATE OF SORVEY - CHECg WITH BLDG. DEPT., t SET OF ENERGY
CALCUL9TIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ?
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATION5
u 4 1989
To Be Used For: QeGl<' Valuation: Date:
Site Address <{D!3 PEN?srVANI A
Lot tl Blo t 4/
Pareel/Sub 1 t?
owner (?b2d4 AtJ7Z
Address 4'? ( 3 P0FNAf9YWIV(A
City/Zip Code F?MA)
Phone 4) O 7- g OO )`
Contractor ? ?j/ZO'7e-/lJ
Address
City/Zip Code tl. ? ?S%? q
Phone b d -] 1
Mah./Engr.
Address
City/Zip Code
Phone #
OFFICE DSE ONLY
Occupancy FE63
zoning AJ I
G
Aetual Const Hldg. Permit ,f
Allowable Sureharge
U of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage_ S/W Permit
On site well S/W Sureharge
MWCC System Treatment P1.
_
City water Road Unit
_
PRV required Park Ded.
Booster Pump _ Copies ?SZ7
TOTAL
9PPROVAIS
Planner
Couneil
Bldg. OPf.
Variance
Council
/`8-s/9
HOTE: 3ewer & Water Permit fees and aecount deposit fees will be included in the building
permit fee. Processing time for sexer and trater permita is two days onee a liaenaed
plumber has applied for a permit at City Aall.
Z
Sumelorfs G'ermlicate SURVEY FOR: Frontier Midwest
DESCRIBEO AS:
`4
8`S
PROPOSED ELEVA710NS
roo or Founeorion . e,2.1
Oaropo floor . 3
Bossmenl Floor : 864.6
Approx. Sower SarIN EM v. ¦ Sd.G'-
Proposed Elevallon. ?
Eantlnp Ebvaflom .
Oroinaa• Dinefbns
Dena•s ons•r stor• ? o
JAIEDLUND
P/anning Englneedng Surveying
p14Y wiwFM.y /ww4. ?*?Ma? Mm?w? IMf
IM? /1! W WM
Ilome s'Corp.
?
' ? AFti
,* 6/ ^ \ ?`S)-, .
I
N
SCALE: i lneh • EO Feet
pENCNMARK,
? MIN. SETBIICK REOIREMEN7S
Front - Eo Moute 81de - lo
Roor - is Garaqe BIM - 6
t n.r.sy c.rmr snoi nat wrwr. vbR or r•ven.o. w•oor.e wme ? JOB NO.p
a ww.r nry atr*et suwNabn en0 tAe1 1sw a auq Mphbne BSR•97
una awwrw unAv Me Nn Of Me BIne d MInesseN.
OOOK:
p,to: 3, erBE O- PAOE:
u .N .r I r??, Uc.n.. NaNl76
Lot 4, Block 4, STAFFORD PLACE,
City of Eagan, Dakota County,
i;tinnesota and reserving easements
of record. ?*%
'>. .iv/-
Residenti.r
/1 r9 oIe House Worksheer
Cusiomr?'s Nama _? ? ( Q[ ?j !'
Ciry Address '
Stata Zip TelepAOne Numher "
.. WINTER:Imide DasignTamp. 715 eF_QutaideDesi nTem -?
SUMMER:OuttidaDasi9nTSmP _? e e p o'F`HeatingTsmpDitlsranoe=g _.F
F-lnsideDenipnTemp? e TING . .,. . . . ? F • Cooling Temp Ditteronee
HEA oGJ _
' - ' COMMON °F
. 1 NE4TIN0 r ' ,; 4y (' 1 .y F S'_...T_- ? CQQLIN?s` ..?..?.G 1
?. OTUHInSS ? I FaCTOpT?Y?.y?1'? ?'9'S? CIIR IG/?T ? Vt?•v?„?jyik 1
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GROSS WALI
OOOflS 8 WINOOWS ITable A or
NETWALI
CEIL.ING
... -) /Z._..1...---,?y? fl00RS
V.wo o
"ts z 10 x 1_1/w x_ vo%?F"
W
- =<
- x 0.18333 x ? -777
7S
1_ SUB-TOTAL BTUH LOSS Iper 70°F!
;!:
I;,, ADJUSTMENT FACTOR Mble CI
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A.G.S :, ;
^ TOTpL BTUH LOSS -?-
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, APPLIANCES BTIJH
SUB-TOTALBTUli qIH(roamsensible
` DUCT LOSS/GAI4 fACTOR ITable F)
SU6
L?. -TOTAL BTUH (S?nsible Gain)
. MOiSTUHE REMOVAL fsub total x 1.31
TOTALBTUHLOS"/GA
7AffLC A-IIEATIN(; - DOO(iS tf WpOD FRAME WINDOWS??-
II'ER 10"il
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ss Btuh Loss
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-
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50
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5_46
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f
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TABLC• B- COOIING - DUUNS h WINDOWS J Factors assumr winAOws havo inaide sh.i,ting by drapnnes or vrnroan
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(i) F.,.enou..,nn 70TAlS ---- -----_. I
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C21
FoiuyiMacae??rmiUOOn . -. .. ..
TAULC O - INfILTl/ATION MULTIPl1EH5
Winter Air Changrts Par Hour
PhorArn 9fUartass !1M. 1'0(1 IS(Y?.:ql(1 o?r?:?m
n?'„ o4 o.a u.?
A.vqps o j
1.2 10
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118973
Date Issued:11/13/2013
Permit Category:ePermit
Site Address: 4013 Pennsylvania Ave
Lot:4 Block: 4 Addition: Stafford Place
PID:10-72500-04-040
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Saiful Islam
4013 Pennsylvania Ave
Eagan MN 55123
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature