4016 Pennsylvania AveCITY OF EAGAN Permit Na Date: 6-7?-2
3830 Pllot Knob toad Meter No: TU0 313 Size:
P.O. BAx 21199 Reader No: 6? ? o 7 Date:
Eagan, MN 55121
SiteAddress:?&!6 pejkft,?w&R- Avt, • ; ; ,<F qtafford P7.ace
Plumber. ?b 4:Hn
Conn. Chg Zoning:
ACCi D@p: No. of Units:
Permit Fee:
Surcharge: 1 agree to comply with the City of Eagan -
Tr. Plant__ Ordina s.
Meter.
,_
Misc.: BY ? . mr?f MIT
CITY QF EAC;AN Permit No: '"22' Date: 6`22 -&^
3830 vilot I(nob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. PSra'nt?.ei i??'?
?.1? ? ?!_ i? ??? T 1 A !L. QtsffATt? Fl.:?ce
Site Address:?+?lo rM?s?,,A a - -
Conn. Chg: ?r? n Zoning: i;
Acct Dep: = No. of Units:
Permit Fee: i I. {p!1Fd
Surcharge: I agree to comply with the Clty ot Eagan
Tr. Ptant ? ?'? • `,r'?`i Ordinances.
Meter. 3? n`?"'
Misc: I'yV r^C?i`Z"lBy
WATER SERVICE PERMIT
Date: 5`22-$8
CITY OF.EAGAN Permit No:
3830 Pilot Knob Fload B/P No: '4406 - Date: 6-21-85
P.O. Box 21199
Eagan, MN 55121
Owner. °rqnt U?= 1 iidwest ?
SiteAddress: -49122ennsqlvRnis Ave L18 EE Stafford Ylacp-
'M?r Plurbinit
MWCC: 550.01 bpd
City Chg: ZOO.df?pd
150 ?
Surcharge: Zoning, RI
Acct. Dep: . 9UOd
Permit Fee: .
No. of Units: 1
I agree to comply with the City ot Eagan
Ordinances.
By
SEWER SERVICE PERMIT
BLDG. PERMIT NO.
\"+"" I' I'_ I 1 i' ?,+ I
?. 01-3210 Bldg. Permit ?c
? 01-3422 Plan Check ? y oo
p1-3445 Surch./Adm. ,
? 01-3446 SAC/Adm. -- ? C
? -01-2155 Surcharge
?. 75-3860 Road Unit
20-21275 SAC
? 20-3865 Water Conn.
? ?
20-3868
Water Trmt. ?'?` I CU
? 20-3716 Water Meter
? 20-2252 Acct. Dep.
? 20-3713 Water Permit
?
40-3743
Sewer Permit
79-3866 Sewer Conn.
e8-3855 Park Ded.
TOTAL
CITY OF EAGAN s " ^ •
. >r4
3830 Pilot Knob Road, P.O. Box 21 •199, Ebgan, MN 55121
PWnNV- dr%n.al nn .
BUILDING PERMIT
To be used far `=' i 'W 6 r'; 'AK
Est. Value
79,00
Receipt * `:1 +
o
% Date JL?NE 20 ,19 L*8
OFFICE USE ONLY
On Sfte Sewege Occupancy
R-1lM-1
MWCC System ? Zoning h-1
On Site Well (Actual) Conat Y-N
I
City Water X (Allowable) V-114
PRV Required ? # of Stories
Booster Pump Length 49,
DBpth 39 1
S.F. Total
Footprint S.F.
APPROVALS FEES
490' 00
Engr./Assess. Permlt
39•50
Planner Surcharge
CounCll Plan Review 145.00
Bidg. Off. SAG, City 100.00
Variance SAC, MWCC SSQ.OU
WaterConn. 550•00
Water Meter 67.00
Road Unit 32 5. UL)
Treatment P1 IOk•?U
Parks
50'
TOTAL ?
I
I
I
'
Site Address 4,016 PENNSyLVANIA AYE
Lot ?"'• Block 6 Sec/Sub. STAPFORJ PI.ACf;
Parcel No.
. Name %'R(,;,T1F:? "!It)'n=EST 1lOM$S
= Address 6-;' CF')A!'YAI.E L3R
o nitv FAt'AN Phone 4 54--04 3
¢ Name SAPSF.
.o
? d Address
t' City
yVj W Name
_ ? Address
u
¢ W
City ? Phone
I hereby acknowledgelhat I have read this application and state that the
information is correct and agree to comply with all Applicable State ot
? Mifinesota Statutes and Cfty of EaganOrdinances. ..
V Signature of Permittee
AA4ilding Permit is issued to: F '`•ONT i'u? '! 1 D?":?T wMr. t;S
on the express condition that all work shail be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN 17779
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 • ? ?
BUILDING PERMIT Receipl #
To be used for DECK Est. Value $1+ 000 Date MAY 1 , 1929
5ite Addr ss ?16 PENNSYLVANIA AV6
?
OFFICE US
E ONLY
Block 6 Sec/Sub. STAMitD PLACE
l.ot 1
Parcel No. occuPancy - Fees
W
Name TIH BA'[CHER 2oning
(Actual) Const
_
Bidg. Permit
Z5'?
; Address 4016 P6NN3YLV/IHIA AYE (Allowable) -
S . SQ
o urcharge
City EAGM Phone # oi stories
16 1 Plan Review
Length
¢
o ROD JOHNSON
Name
?ptn
?
SAC
cay
Z
o
?
Address 10909 (.'OQDRICH AVE S
S.F. Toial ,
U
?
City blAXMINGTON PhOne 868-81"
S.F. Footprints
- SAC, MCwCC
Water Conn
On Site Sewage _
)-¢
UW
Name
On Site Well
-
W
ter Meter
a
?? Addf@SS MWCC System -
Q W
City Phone
ciry water
- Acct. Oeposit
S
t
W P
PRV Required _ ermi
/
I hereby acknowlege that I have read this application and state Ihat the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State ol
Minnesola Statutes and City ot Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unft
A Building Permit is issued to: ROD JONNSON Planner - park Ded.
on the express condition that atl work shall be done in accordance with all Council ?
'
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. _ Copies
. 26.00
Building OtfiCial s Vanance - TOTAL
Permit No. Permit Molder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Oate Insp. Comments
FooGngsl
Foundation
Freming
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg. ? X-
Deck Final - t ? wJ
weu
Pr. Oisp.
• CITY OF EAGAN • , ? ? .?
?. .:,.
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
LDING PERMIT Receipt # used for Est. Value Date ,19
Site Address L OFFICE USE ONLY
<< i.Ai
Lot Block Sec/Sub
On Site Sewaye
Occupancy ,
. MWCC System Zoning
Parcel No. On Site Well (Actual) Const
¢ N2me City Water (Allowable)
z Address PRV Required # of Storiea
? . ; ,
City Phone BoosterPump Length
,
Depth ? .
, a Name S.F. Total
? Q Address Footprint S.F.
? Ciry Phone APPROVALS FEES
? ¢ Engr./Assess. Permit 14
? W NBme ?j
z Planner Surcharge
Address
?
a Council Plan Review
Q W City Phone
Bldg. Off. SAC, City
I hereby acknowledge that I have read this appiication and state that the Variance SAC, MWCC
?
information is oorrect and agree to comply with all appliceble State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter "
Signature of Permittee Road Unit "
A Building Permit is issued ta__ ' Treatment P1 •t'
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ,__?_?7
' ? ?
Building Official TOTAL
Permit No. Permit Holder Data Tslephone ?
Plumbing
H.V.aC.
e-I
Electric "
o?
Softener
Inapectlon Date nsp.
Comments
Footings I
Footings II
Foundation d
Framing ?
Roofi
ng
Rough Plbg. -??
Rough Htg. ?
Isul. ?
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
.>
Ci6rt. OCC. 2 r, . !'
Temp. LP
Deck Ftg.
6eck Final
Well
Pr. Disp.
(gtrtif ira#t u# (Orrupttnry
titp of Cagan
loP}tat'wPtt# Qf wittbittg 3wPr#IOtt
This Certificate rssued pursuant to the requfrements of Sectian 306 of the Uniforin Buifding
Code certrfying that at the time of issuance tleis structure was in compliance with the vnrious
ordl+tances of the City regulaling burlding construction or use. For the following.•
u. a..fin. Sr DwG1CAR. Bldg. rer„„ ro. 15224
Ooc„p-y Typc R1yM1 Zoning Dbuict Rl T"x COCOL Vn
„ --- -, ? , ,, - - "'R0Nr=M7.T.Jw???ST HffW . .. 3902 ?AtL' DR. F.AGAN
Huilding Addresa
Dala c?'.?JST29f 1%8
POST IN A CONSPICUOUS PLACE
. ' PERMIT # PLUMBING PERMIT RECEIPT #
CITY aF EAGAN /G
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: cr
CONTRACT PRICE PHONE: 454-8100
Site Address
?
Lot "
` Block Sec/Sub
A e
? Name j( 1<' Iv Z d r Pi '-
?
? 1 ? ? ? CG -
Address
c Ciry ??,/ /V Phone
? Name
c
o Address
eiry Phone
FEES
COMMIIND 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.d0
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE ?
FOR: CITY OF EAGAN
BLDG. TYPE Y WORK DESCRIPTION
Res. New ?
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Ng. FIXTURES TOTAL
Water Closet - $3.00 $? • n ?`'
-7-Bath Tubs - $3.00
T-Lavatory - $3.00
Shower - $3.00
=?Kitchen Sink - $3.00 • n?
Urinal/Bidet - 53.00
Laundry Tray - $3.00
?Floor Orains - $1.50 ?
--7---Water Heater - $1 50 ' 5
Whirlpool - $3.00
=Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
a::Rough Openings - $1.50
?
FEE: 2 7, C)C?
STATE S/C: sn
GRAND TOTAL: °? 7' S r
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Jul .1-5 1988
PHONE: 454-8100 ?
y Name'
? Addresst 955 Sharunee
c City LB??
Name rxunIilsit Vul7YAPll.tsb
Address3908 Sible Memorial I?t .
p City Eastan Phone 454-0"
TYPE OF WORK
Forced Air 80,000 M BTU
Boiler M BTU
Unit Heater M BTU $
Air Cond. M BTU
Vent CFM g
Gas Piping Outlets # . SO
Other Q
FEE
S/C:
TOTAL•
BLDG.TYPE
Sec/Sub Res gg
Mult
Air Comm.
.,.,ob49_1 Sof;%S Other
WORK DESCRIPTION
New l`cx
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HYAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiMIn - 1.50 EA.
COMM/IND FEE - 1°fo OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLtES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
, . .. , ?,
CASH RECEIPT
CITY CrF EAGAN . ? `
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ,
DA
?
aMouNr s / 7 ?O ?\ G ?
8 DOLLARS ' ? .
lw
0 CASH I;/CHECK
? K
?
?---
-
ti{-t.
FUND I O&IECT II . ? I , AMQLINT- ? .
Thank You ?
eY
.,?q ? . . . . .. Whi1?PaYere Copy
1T. ? a? r (3f Y?,,.?wtl??,; '
' Plnk-FtleCopy.
. ?+ .' S
??v
?
rnsed ElecVical Contractor
? Owner
1 haraby requast inspection of above
elactricel work installed at
Nill NotitV InSPeC-
tor When Reatly
St
,401 re Atldress, Boz or Route No. .
CrtV
ectmn o. ow ship Name or No. qanae o. Count
O upu (PPINT) * n\
s/?
)4 Pho ?^)
V
P er u plier
? Address
Electrical Contractor IComoany Namel Co ct s I.icense No.
trr?1.TTT)T(`!Y
L'T
F
rtr6C
MBYIPo?NLdikkkVlMl
Td
6O Mdkin9 installationl
14540 FENNOCK LANE
AuNRr?Qiy,wae?jes?oql?qriGtvtty 4vi?MMg?ep?lll?Nllal 'on)
t•i ?,,G 1i LLr? i ?;? a s•r Phone Number
MLNNESOTA STATE BOABD OF ELECTqICITY _ 7NIS INSPECTION XEQUEST WILI NOT
Griggs•Midwav Bldg. - Boom N-181 BE ACCEPTED BV THE STqTE BOARD
7821 Universitv Ave.. St. Peul, MN 66104 UNLESS PROPEN INSPECTION PEE IS
PFnne(5t215620AO0 ENCLOSED.
8? Scy REQUEST FOH ELECTRICAL INSPECTlON ee-ooooi-os
/ / Sec inshuctians for comolating this iorm on back of veilow copY. (yIX ??
E 2 7 2 9 8 X" Below Work Covered by lhis Request
FA pao. rvaa oi e.neime aourancae wtraa Eduiymem WireA
Home
Duplex
Apt. Building Ranqe '
Water Heater
Dr r Te orary Service
ightiny Fixtures
Electric Heattn
, Commercial BIAy. urnace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tenk
Farm omp, oeci v -mer Isu?;??rv?
t er 79 Uecity Other Omer
Comnute Msoection fee 8elow
N Fee ServiceEntrenceSixe X Fea Feeders/Subfeeders Fee Circuits
0 to 200 Am 0[0 30 Am ps 0 tn 30 Am s
Above 200
AMI)s
100 Amps
37 to
31 to 100 Am s
4
Swinuning Po J ?
Above 100-Amps -
Above 100_AmpS
Transiormers Irrigation Booms Partial.0ih
er Fee
Signs Special Inspection S C
7??F'
EE7
U
eemarks ?
7`
n n /oe?
, A!Y//
(///Oroe/O J 7cJ<O / W-
P 2 419 8 °"°
Requesl Date ., - Fire No 7/ RougMn Inapecibn
X
Requiretl? ? Ready Now
Will Notity Inspecror
8 9 ? Yas No When Reatly't
I[ licensed contractor ? owner hereby request inspection ot above electrical work at:
Job Addmss (Streat, Bon or Route No.) Ciry
4016 Penns lvania Av E n
Section No. Township Name w No. Renge No. Counrty
' Dakota
Occupant (PflINn Phone No.
Tim e 688-0549
Power $uppliar Adtlrass
ElanriW ConVaclor (Compeny Name) ConVaclor5l.icense No.
Mailieg Atldreas (Cqnlreclw w Ownar Makiig InatellaCnn)
Authonz?gnaNre (COn ?r M'ng Ir?s1511eUOn
? Phone Number
Ml STAllg BDAR"P2§ECTRICrr4
Gh99s-11ilWwey Bltlg. - floom S173
182f Univeralry Ave.. Sl Pau4 MN 55104
anana(elx) aa2-oeao
THIS INSPECTION HEQUEST WILI NOT
BE ACCEPTED BY 7HE ST.4TE BOAPD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
6/w/"
F_24-19-8
REQUEST FOR ELECTRICAL INSPECTION
? See insvuctions lor completirg chia torm on back ot yelbw copy.
"X" Below Work Covered by This Request
E&00001-0]
U ga8r&
e Atld Rep. Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater ElecVic Heatin9
Apt. Building Dryer j°. Other (Speciy)
Comm./Indusirial Furnace
Farm X Air Conditioner
Olher (specity) Conhactork flemarks:
Campute Inspection Fee ee/ow: Job 20739
# Other Fee # ServiceEnfrance 5ize Fee # Circuils/Feedere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 4.00
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Irspeciw5 Use onry: 7pTAL
Irrigation Booms 1 5
50
Special Inspection .
Alarm/Communication f •? ?
Other Fee .50
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
4?T::0 i oete
oa 4
OFFCE USE ONLV
This repuebi vald 18 months Irom
7
BUILDING PERMIT
To be used for DECK
CITY OF EAGAN NO 17779
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # ?/ ? C/•
Es1.Value $1,000 Date MAti' 1 , 7990-_
Site Address 4016 PENNSYLVANIA AVE
Lot 18 Block 6 SeGSub. STAFFORD PLACE
Parcel No.
w I Name TIM RATCHER
? Address 4016 PENNSYL.VANIA AVF.
City EAGAN Phone
io Name- ROD .iOHNSON
g? Address 10909 (:OODRICH AVE 5
? City RI.OOM7NCTON phone $88-8144
I Name
Address
City Phone
I hereby acknowlege that I have read ihis application and state that Ihe
informalion is correct and agree to cort?qly witi/all applicable State of
Minnesota Statutes and Cn Ea ???QQQf /(fi'na`ns.
Signalure of Permilee 74w?
A Building Permit is issuetl to: ROD .TOHNSON
on tha eapress condition that all work shall be done in accordance wilh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuilEing Otficial
Occupancy
Zoning
(AClual) Const
(Allowable)
X ofstories
Length
Depth
S.F. 7otal
S.F. Footprinls
On Site Sawage
On Sile Well
MWCC System
Cily Water
PRV Required
Booster Pump
APPHOVALS
Planner
Council
Bldg. Off.
Vanance
OFFICE USE ONLY
_1611
Bldg. Permil
Surcharge
Plan Review
SAC, Ciry
SAC,MCWCC
Water Conn
WaterMeter
Acct. Oeposit
S/W Permit
SNV Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEFS
25.00
.50
.S0
?? nn
235?
RESIDENTIAL
BUILDING PERMIT APPLICATION -?S
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-687-4675
New Construction Reauirements RemodeVReoair Reauiremenh
• 3 registered site surveys showing sq. fl. of lot sq. R. of house; and all roofed areas • 2 copies of plan
(2096 maximum lol coverage allowed) • 7 set of Eneryy Calculalions for heated atlditions
• 2 cnpies of plan showing beam 8 window s¢es; paured found design, etc.) . 1 sile survey for ezlenor adddions & decks
. 1 set of Energy Calculations . Indiwte if home served by septic system for addiUons
• 3 copies of Tree Preservation Plan if lot platted aRer 711193
. Rim Joist DelaB Options selection sheet (bldgs wifh 3 or less uniLS)
DATE '7 lZ s?oZ- VALUATION (O ZOO,00
SIiEADDRESS yollo Pc?nS.il?c,Knic, MULTI-FAMILYBLDG _Y /<" N
TYPE OF WORK
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Wec..-??a? C0114
t. iV CITY Sl?+l[ww,.k-? STATFA' A?ZIP tS[WY Z
STREET ADDRESS dAPirc.4al Are.
TELEPHONE #(nSl-439-?J32,c> CELL PHONE #
FAX# A S1-5'S(-Z,->Ff?
PROPERTYOWNER TM ?, ,l'Cha.- TELEPHONE# InSI-6g% - OS?I?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINCS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CA'1'EGORY I MINNESO'CA RULL:S 7672
(J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Ener9y Code Worksheet Submitted
• Energy Envelope Calcuiations Submitted ' V
Plumbing Contractor. Phone #.--
Plumbing system includcs _ Watcr SoCtener ? Iawn Sprinkler Fec: $90.00
Watcr Heater No. of R.I. Baths
No. oF Baths
Mechanical Confractor:
Mcchanical systcm includcs:
Sewer/Water Coniractor:
Air Conditioning
Hcat Rccovcry Systcm
Phone #
Phone #
Fce: $70.00
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
------------- --------- ------------ ------- ---____..- ------------------.....__.-----°---'--•-----____.--------°--------
. OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation O 07 OSplex ? 13 16-plex O 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multl
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? OS 03-plex ? 11 10.plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 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 •Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Vaiuation 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 W idth
REQUIRED INSPECTIONS
_ Foatings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
5-0 ??'s 1/_
RESIDENTIAL
BUILDING PERMIT APPLICATION I ? 37-1
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
Naw Construcilon Reaulrements
• 3 repistered site surveys showing sq. tt. ot bt, sq. il of house; and gll roofetl areas
(200% mextnum bt coverege albwed)
. 2 copies of plan showing beem & window saes; poured found design, etc.)
• lsetofEnergyCabulatbns
• 3 copies of Tree Preservatbn Plen tl bt platted afler 7/1/93
• Rim ,bist Detail Options seleclbn sheet (bldgs wMh 3 or less unils)
DATE S v?o /ooL
RemodeVReoalrHeouhemeMs
• 2copiesofplen
• lsetofEnergyCalculationsforheatetlatld'dbns
• lsitesurreylorexlerioradd'd'mns&tlecks
. Intlicate tl trome served Dy septic system br atltlBbns
VALUATION
SITE ADDRESS y o Pef ips ui Vcq nia A Vf-, MULTI-FAMILY BLDG _ Y _ N
TYPE Of WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS
TELEPHONE q6s"/- y3q-113-:10 CELL PHONE #
L-ej'?e,- STATE/nv LP SSO a-
FAX # (oS/-
PROPERTY OWNER 71M F'3ak,?Cr TELEPHONE
---------------------------------------- ------------- ------------ ------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE$p'I'A RUI.ES 7670 CATEGORY 1 MINNFSOTA RLII..ES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Coda Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: ___
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor.
Phone #
Phone
Fee: $90.00
1? r (w)
n? MAY 2 1 2002
._.-
I hereby acknowledge that I have read this application, state that ihe information i ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant zollaz
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Iawn Spruikler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Updated 4I02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Muki
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Exl. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Muki
O OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
? 34 Replacement `Demolkion (EMlra 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 Sprfnklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Wa[er Final Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stane
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building inspector
y CITY OF EAGAN N? , 15 2 2 4
• 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721
PHONE: 454-8 100 G r? Q /
BUILDVNGPERMIT o
Receiptx Q? 1 )o
7obeusedfor SF DWG/GAR Est.Value $79,000 Date .IONE 20 ,?g $$
Site Address 4016 PENNSYLVANIA AVE OFFICE l1SE ONLY
Lo[ 1$ Block 6 Sec/Sub. STAFFORD PLACE On Stte Sewage _ Occupancy R-1 M-1
MWCCSystem X Zoning R-1
Parcel N0. V-N
On Site Weil _ (Actuap Const
m Name FRONTIER MIDWEST HOMES CORP Ciry Water X (Allowable) V-N
w
z
Address 3902 CEDARVALE DR
PRV Fiequired
X # of Srories
a Cit EAGAN phone 454-0433
y Booster Pump _ Length 49'
Depth 391
o Name SAME S.F.7otal
,
zi?
Q
AddfeSS
Footprin[S.F.
?
P CityPhone APPROVALS FEES
t-a
ww
Name Engr./Assess. Permit 490.00
39
50
?= Planner Surcharge .
x-
U? Address
Council
PlanReview
245.00
a W Cit Phone
Y Bldg. Off. SAC, City 100.00
I hereGy acknowletlge ihat I have read this application a d state that the Variance SAC, M WCC 550.00
information is correct antl agree to compty wi4 II p icable State of Water Conn. 550.00
Minnesota Statutes and City of 9a Ordi ces.
- ?
water Meter
67.00
Signature ot Permittee ?
Roatl Unit
325.00
A Building Permit is issued lo: FRONTIER MIDWEST HOMES Treatment P1 204.00
on Ihe express condition that all work shall be done in accordance with all
Parks
applicable 9tate of Minnesota Statutes and City o( Eagan Ordinances.
/? Gn
2
570.5..
_?. .1HAU_p p
_J??? ? ?
Building Officiall l
'- 1 TOTAL ,
c ?
?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
?.1?"?
SINGLE FAMILY DWELLINGS 1?j
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENEHGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANSt CEATIFICATE OF SURVEY - CHECK WITA HLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Neia Construction Valuation: Date:6D/0g/$$9 ??
Site Address 4016 Pennsylvania Avenue
Lot i$ Block 6
Parcel/Sub Stafford Place
Owner Batcher, Timothy and Marci
Address 540 Harrison Avenue # 2
City/Zip Code St. Paul, MN 55102
224-7990
Phone '
Contractor Frontier Midwest Homes Corn.
Address 3902 Cedarvale Drive
City/21p Code Eaean, Minnesota 55122
Phone 454-0433
MCh./Engr. phillinc Plan SarvirP
AddC29S App1 a Val 7 ea. MN 99124
14530 Pennock Ava.
rI `? DDO ? OFFICE USE ONLY
i
Qn site sewage_ Occupancy
MWCC system ? Zoning -?
On site well Actual Const V- N
City water ? Allowable V-N
PRV required ? # of stories
Booster Pump _ Length ?
Depth 39'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/9ssess Permit y90. o0
Planner Surcharge 33,
50
Couneil Plan Review Zq5,0U
Bldg. Off. 61 L&IZp SAC, City / Do.oo
Variance SAC, MWCC . 50.6
Water Conn 550.00
Water Meter ? 1, oO
Road Unit ?
Treatment Pl 204. DD
Parks
Copies
„ TOTAL ?•
,?l?Lyrr?olMN M??r2
S a
Phone A 432-20AA
1/'LUAT1aN
GA RAGE'
2o X 2z.= 9'15
4x ?p = yil
lo i5 X I`? = l4Zlo
%S?hT
1ixy= y?l
zsxag.?q?s
__-
io?g x13: ?3zU7
HousE
p? /ooo
`1 x ? I = y y
?oy?rx4y= s??s6
-
?g6?3
• ' a .y ,.
? ? . . ..
t y
? ,
raNE4
sumeilar's Certificate
SURVEY FOR: Fi•ontier P?iclwest tlomes Coip.
OESCRIBED AS: lot lR, 131ock 6, STAPPOPD PI.ACE, City of Iiagan, I'akota Cowrty,
? A1innesota anLl-reserving easei7ents of record.
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Date ?Q ?
?
FAGAIV EVGINEEAIIVG DEAT.
P.R.V. -?-
G ll??URED$
PROPOSED ELEVA710N3
Top o! foundollon • 664.2
Oaraqe Floor . 063.8
Bosemenf Floor :90.1•0
Approa. Sewar SNVIae Ebv. . 852.2 ?
Propoied Elavallons ? O
ExuNnq Elevatlam i
Oroinaqe Olrlttlons I ....._r
Dsnolas O/lael SION• . O
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r?
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6?i ? w ` Ca• w? ? /
861.4
P??a-PJE
e6a,s /
?
s,
--eauavmq%A-?
$CALE: t Inch a 30 Fee1
BENCMMARN, '
T. N. HYD. e t,o+ Lwe li } 11
WK b As sHoVW qgove
Eleu. = 661. 64
I MIN. SETBqCK REQIREMENTS
Front - 30 House Slde - i e
Reur - IS Ooroqs81de- 5
I Mney arllfy tAol Ihls wrvey, plan x nporl wes Orepored !y me JoB NO.:
/iIEDLUND er uoan my dlncl .uwrdum ma inol, I am a awr e.abus•a B&R-183
LonA 8urvoYw under Me lars ef IAe Blate ol Mlanesolo.
BOOK:
Planning Eng/needirg Sunreying
mIW?wm?'Mm?+?.'OMOfM o,na (? .
D poNt 5? a'' ?(6E ? PAOE:
JaI yt)k1nWs11.LIC#11/s QI???B
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W
EXTcRIOR EN'JELOPE AVERAGE "u_'_ L.uM.iuFATIOY.
_ -
_
OWNER• Batcher, Timothy and Marci D,9Tf: -7
SITE ADDRESS• 4016 Pennsylvania Avenue PHON'c:_ 454-0433 - Frontier
CONTR,4.CTOR: }=RONTI EfL r4oT1e'll'-j PLPN 0?t1Ys?d.??`?`L? 21 LO
Determine working square footage of each
1. Tatal exposed wall ar_a..... M ZZ sq. ft. x.11 = ZI(.
2. Total roof/ceiling area..... Id 4Z sq. ft. z.D26 = Z1?
Total exposed wall area above floor= I'7 't
a. Total wall window area ............................
b. Total door area ..................................
c. Total sliding glass door area.......... .. ..................... 40
d. Total fireplace wall area ..............: ..................... -
e. Total wall framing area (averaae 10N):... ..................... I,Z
f. Total rim joist area............................................. S
g. net wall area above floor ..................................... 13'l d
h. wall area a6ove fioor .....................................
i. wall area a6ove `loor .....................................
j. frame wall area ac soundation
Total exposed foundation area=
k. Total foundation window area .......................
l. Totai net foundation area above grade ....:.........
Determine "u" value of each wall seqment
(e.g. window, door, each separate wail section)
a. x"u"
t. 3g x ?lull
c. 4.b x 13Jl, 1S?Z
d. ` X "U"
e. I17, ? x ??U"
f. 13F? x V
g. 1 31 b x liull
h.
e X itul.
i . x U., _
j. -
If item 43 is the ,
k. X"U" = as, or less than i'
?1, you have met tl
1. X"U" = intent oT 58C 6006
3 . .................................Total ° l 59,3
1:Cnr1pL E.^.velopc aVL'ru9C' . U_ I:GRputu?.??ii
Total exnosed reof/ceiling area = jD4Z
m. Tbtal skyliqht area .......: .....................
a. Total roo_/ceilir.r, fzaminq area (zvcragc 108)... I'
o. Total net ins_lated roof/ceilizq area........... q38
Deteraine "U" value for each roof/ceiling seqment
M. X
a
a 93s g
a ............................ motal = 2 0??
:°_ tOtu= C' a'? '_5 t:1? SdID2 dS, Or less t:l:an n2• `jOll have inet ti1P. 121tES1i' Cf
SHC 50:5 ;r1 t , , -
Alter.^.ate nuildinq Envelone DesiGn
e ssn oP
2h : iiize tne total envelope systen met.hod, the values establisheZ by tn
ite*ns ,'-3 a^.d -4 snali not be greater than the sum of itens 'Tl a^.d ff2•
1. 711.?' + 2. 27i) = Z%,S
3. j5 I.?5 . + 4. z!o, CR
PLAN
* LII1EA1. :.r.l EZPOSID WALL
BLOCK:
-r 3 °i xZ°i ?'Z 1
3°1
w.o..
FvL. i: 410 l40Tz`i +7-5
FtrLa. 2 :
= LAcL:
R.124:
* sQuaxE FEer nXPosED wALL aM
BLOCK: x .5 =
iQNEE: 13?o x 5
w.o.: X a =
FVLL 1: 13Q? x 8=
FCTLJ, 2: x 8 =
FIREPLACE: x =
RD?: x 1 = 13Cj
= Iq ZZ
^ SqUARE FEf.T £:{POSID CEILING 10`} Z
*'3m&JEwS
{flitH?- L?3C. = C?
IIV 20 3iD = zo
III tNF Z4a$ = ??
?--- -- ? d? - - -.
* DOORS -
za =3?i
? PATIO DOORS b' _ ?}d
? &qSIIMET1T UNITS-
Np?j;•: ?ac ? a5 c,: v??cncu=
? . {V.aft"C C:.?'tYUCe?Uf+
WALL
e2G. 1*l
f ?RqNE Nn LL
=. +1
CGNSiRUC'?TOtd•- F?PIMMI*IG
1. INfE.RIOR AI? r?UM 0.68
2. 2 _ .4?
3. 5 1 2 OFP WCOD 6-
4.
S. .8
6. ETEFZ-OR AIR LH 0.17 '
TUIAL _ .8 U_ pc
PIE.T
L.
1. INTERIOR Alft FIIM 0.68
Y;_. 2 GYP .45
3.
4. 25/32 SHEATHa G 2706
5. SIDING .62
6. R . LM _ -
U= .04
S;LL1???R
{ti..rlp,4TICa11
WkLL
1
?
1. INTERIOR AIR FIL`1 0.68
2. INSUL. 19.0
3. RIM JJOIST
4. ' 2- 2.06
5. S • FJ
6. ERTEMR AIR FILM 0. 7
U= .OR
BI,OCK
1. INTERIOR A.IR FILM 0.68
TER
2. 7 . 8
3. 0 5. 0
4. PROTECfIVE BAR.IF2 .
5.
6. M=OR A1 FILM .1
TOTAL R= 7.13
U= .14
SLAB ON GRADE
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p
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'=
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INDICAT_E
NOTE:
TYPE, "R" VAIiJE. DE..??H A
- = PLACF2?"iT OF LNSULA_'rION.
-e
.
?
?.... .-
%,l
V
o-LJ
VE,Tc.?r I Z'- NFAT F7YJ4J
I ?_ U UP
FTG, #S
V&VTED
CONSTRUClTOH
O.E
1. INSIDE AIR FIIM
2.
3. .
4. ,1
S • ';.u"'P!.
U =
?FT4T = i,QW [J?
Ll
4 =
_ . ..; . . "s .
?y•,J ;y•t?=s ?''
7 / ? r
-l 1 ) Z
?l
NON-vE.TtM
FMAT FIAW
iJr
CONS'iRUCTION ' R-V:°-^;-
1. INr`J•IOR AIR FT_IM 0.61
.
2. ---?5-
3. .o
4.
U : .02
FRPME
1. INPERIOR AIIt FILM 0.61
2' .3
3. :
4.
U, _ .0;
FRAME
1. ZNSIDE P.IIZ FIIM - 0. E
2.
3.
S. . o-, AJ ..
?jr =
i , INSIDE AIR FILM
I 2. .
3.
4.
?.???.'-"?;• ? • 5• r .
:t'' • f ? ? U? _
NQZy: USE ADDITIONP.t+ SFa-?S Ir- P'`?.2?. S?etiC
rlEEDED FOR DETAILS ?ND CPIM'..F:':'ICNS
^^G . .': 7
f .I
. ti 11144
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
( OaJ ,
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 SLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY GALCS
# 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 DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. Apf1(
-Mk& 2 6 RECO
To Be Used For: hE-c Valuation:
Site Address
Lot j f Block 6
Parcel/Sub
Owner 1-
Address yh-ah iG
i
City/Zip Code LCf,G/yj
Phone
Contractor 4GF' 9-C'///hS c z7
Address 1?0'0q 60O661'Cll
City/Zip Code
Phone 1 5? e -1? /,/`/ Gi" '-2
Arch. /Engr. 7 Cf/J7c.( •
Address
City/Zip Code
COMMERCIAL
Date: y S
FEES
Occupancy
Zoning
Actual Const Bldg. Pe;mit ?S,LJ
Allowable Surchargq SD
# of stories Plan Review
Length SAC, City
Depth 7-O' SAC, MWCC
S,F. Total Water Cocln
Footprint S.F. Water Met;er
Acct. DeBosit
On site sewage_ S/W Perm?t
On site well _ S/W Surcharge
MWCC System _ Treatmen? P1.
City water _ Road Unix
PRV Park Ded.
Booster Pump _ Copies . 50
SUBTOTAL
APPROVALS Penalty
Planner TOTAL Council
Bldg. Off. !?ZD/30
Variance
Phone #
? BA raNEt.
Sut?ve?or s G'ert?f?cate
SURVEY FOR: Fi•ontier h!idwest Ifomes Coip.
DESCRIBED AS: I,ot 1.8, Dlock 6, STAFR)Pll PLACE, City of Iiagan, Pa1:ota Coiulty,
Minnesota and reserving easements of record.
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'"t?? -=;ikIIv'G DE-PT
P.R.V. REOusRED
PROPOSED ElEV4710N5
Top of Foundaflon . e64,Z-
6aroQe Floor • 063.8
Bosemont Floor 16 961•0
Approx. Sewor Savlee ENv. . 852.2 =
Propose0 Elovoflona . O
ExisifnQ EIevoNons .
Drolnoqe Olrectlon? 6??
Denolss Offsst Slake 1 p
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2c' ? •
dy
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SCALE: 1 Inch ¦ 30 Feef
BEYCY.le!!!°K : '
T.N. NYD. e Lo} l.?e li}It
!" 6 As sNovN qgov!
Ele?. = tbl. 84
I MIN. SETBACK REQIREMENTS
Front - 30 Houu Slde - I e
Reur -i5 Ooraqe 81M- 5
i Mreby eerflfy Ihel INs wrrey, Plon a nperl ras pr"oroA qr ms JOB NO.:
/?`EDLUND af un0u mr Aqop oupadgbn anA Ibat 1 am 0 aulr n.oi.t•l•a adR-t83
LooA Svrqa wNV tAo Ian ot Me Slab N Mlnauola.
BOON:
P/enning Eng/neeft Swveying
I.bMc?.??aros 5? a3? f66 ? PAGE:
D DOb:
.Ief r 1 "a, Lic?nu in11l78
c
a
?
APFLICATION FOR PERMIT
IAAME: Batcher, Timothy and.Marci
,
,
w N01'E: PAS'MENf OF FEE AT TIME OF
i APPLICATiON DOFS NOT CbN- i
? STI1STfE APAi(iJAL OF PPI7PIIT. :
; ItasreMorl oF sEWER aanlox waTm ;.
; iNSrma.aTiaNs wILL Nor se scMULm :
I!PIIZL PIIiDIIT HAS B@I APPROVID. ?
CRV.of eC1gaP9
(PLEASE PRINT
1) PROPERTY ADDRFSS:...4016.Pennsylvania.Avenue
T•FY:AT• DESCRIPTION` . Lot 18 Block 6 Stafford Place, ., ., Lot B ock S 1v15ion or Tax Parcel ID
IF EXISTI6IG STRPCT[1RE, DATE OF ORIGZNAL BiJILDING PERMIT ISSOANCE:
Nbnt Year
PRESENT ZONING/PROPOSID LSE:
Q CONA7EEtCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY
Q INDL'STRIAL ? R-2 DL'PLEX (3WO L'nits)
Q INSTIZi)TIONAL/GOVERDIIMENT ? R-3 TOWNHOLSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/COAIDbD7INIUM ( Units)
2) ? NAME: Frontier Midwest Homes Corporation
ADDRESS: . 3902 Cedarvale Drive
SEWER AND/OR WATER CONNECTION
CITY, STATE, ZIP: Eagan, MN 55122.
PHONE: 454-0433.
3) i:?• NAME: Star Plumbing
ADDRESS: 1018 Mound Springs Terrace
CITY, STATE, 2IP: Bloomington, MN 55420
PHONE: 884-4149 MASTIIt LICENSE # 3329.
4)
ADDRESS: 540 Harrison Avenue, Apartment # 2
CITY, STATE, ZIP: St. Paul, Minnesota 55102
PHONE: 224-7990
I? Active
Expired
Not recorded
StaInit?-
5) ? ? • a a?• • u .? a?
? CONNECTION 'IC) CITY SEWIIt (? CON[?CTION TO CITY WATEE2 ? QTfER
T?..'
6)
*****+?***?***++?*****?*+?****?*?********+*?************,e?,r****?*?***********?**********************
*
THE GOID COPY OF THE PERMIT WILL BE SEP7P DIRDCTI,Y TO PLBLIC WORKS 7O FACILITATE MEPIIt PICK-UP. ?
,*k PLEASE ALLrDW 1W0 FARKTNG DAYS FOR PRdCFSSING. SON7EONE E720M 7M CITY WIId. CONfACT YOU IF TfiERRE *
* ARE ANY PROBL,II•1S. ?
?****+***?***,r*****?******?*?++?*?+*****?******+*******+***,e*+*+******«+*a???********?*,r+*?**,t?**?*i
FOR CITY USE ONLY
PERMIT # ISSUED '
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOCNT DEPOSIT - SEWER
$ ?-e 'b $ ACCOLNT DEPOSIT - WATER
$ ??(? • C?? $ WAC
$ e? $
SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ ?cg, $
WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ TOTAL
RECEIPT R
ECEIPT
DOES OTILITY CONNEC TION REQLIRE EXCA VATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
S ISSUED BY THE E[VGINEERING
. LI
T AS A CONDITION.
SUBJ ECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
r?
TITLE:
DATE : (p / L
f ,
_ I_5.57!I?t.OJI 7.:5
\L
r??'? t Residentisl
V WhoOe House Woiksheet
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SU6-TOTAL BTUH GA1N Iroom sensible onlyl 1200
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Foctois 3ssum,: .vindows havn insida sAading Dy drapflries or venetian
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v . Win[ar Air Changes Per Hout
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oFeegan
3830 PILOT KNOB ROAD THOMhS EflAN
Ei1GAN, MINNESOTA 55144-7897 "Of
PHONE (612) 454-8I00 DAVID K, GUStnF50N
FAX: (612) 454,8363 7A41F.LAhkCREn
TIM PAWLENN
iHEODORE WACIITER
Coundl Mem7on
Au st 31 1990
? / rr?o^.sHeocEs
i
Cdy Adm
nis[mror
EUGENE VNJ OVER9EKE
Crty Clerk
MR TIM BATCHER
4016 PENNSYLVANIA AVE
EAGAN MN 55123
RE: Storm sewer installation
Lot 18, Block S. Stafford Place
Dear Mr. Batcher:
You have questioned the necessity of the storm sewer installed
along your rear property line by the developer of Stafford Place.
The storm sewer was a requirement of the development to intercept
backyard storm water drainage flows before reaching Shortline.
Also, you were concerned about the restoration of the area
disturbed by the storm sewer construction. The type and quality
of restoration required from a development perspective is as
identified in the development plan for the subdivision. This
typically is not final individual lot grading with sod. Upon
investigation of your concern, it appeared that the area of
construction was left in a condition such that final grading for
individual landscaping and sodding could be completed by yourself
as the homeowner.
The cost associated with final lot grading, landscaping and
restoration is negotiated between homeowner, builder, and/or
developer without the City's involvement.
If this doea not address your concerns, please respond accordingly
in writing.
Sincerely,
,y/??
Michael P. Foertsch, P.E./L.S.
Assistant City Engineer
MPF/jj
THE LONE OAK TREE...iHE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY
Equal Opporlunity/Atflrmative Actlon Employer
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TYYE 8 NUMBEN OF STRUCTURE WORKED ON (IF COMPIETE, 50 STATE 1: I LIST MISC. PAY ITEMS 8 OUANTI11E5 FOn THIS ORY :
E%CE55 I
MRNHOLE MRNNOLE OTHER
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UNDEPGROUND UTILITIES ENCOUNTENEO: NOrie,
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Galle? Mat?c -faraati.-Fo a-f" l0=30 morw-%v.o ?-a
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CALLED TO SEE YOU WILL CALL AGAIN
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Date:
City of Nall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or,BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
CONTRACTOR
Name: f ://fj Phone/1S
Address / City / Zip: W�y�{�,�, J/ c ,
Applicant is: Owner....Contractor
Description of work: 7,,‘e
Construction CostY,,4/4%,,..-'`7
Multi -Family Building: (Yes / No < )
Company: �..� Contact: /l1
Address: L�/4-� ( /7e
State: /1/eX Zip:
License #:.7 9
Phone:
City: /77.:;;,,,<--e�
Lead Certificate #:
If the project is exempt 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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
concludethat they are trade secrets.
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.qopherstateonecall.orq
I 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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit 1 ance.
Ap.lic.nt's Printed Name
Ape "cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141012
Date Issued:02/08/2017
Permit Category:ePermit
Site Address: 4016 Pennsylvania Ave
Lot:18 Block: 6 Addition: Stafford Place
PID:10-72500-06-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Timothy D Batcher
4016 Pennsylvania Ave
Eagan MN 55123
(651) 688-0549
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144346
Date Issued:07/21/2017
Permit Category:ePermit
Site Address: 4016 Pennsylvania Ave
Lot:18 Block: 6 Addition: Stafford Place
PID:10-72500-06-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Timothy D Batcher
4016 Pennsylvania Ave
Eagan MN 55123
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office UsePermit#: //it-L c167 (t_
City Of l
Eaaall p
.` ,, n ,,ii,4 r Permit Fee: 2
3830 Pilot Knob Road ''''" !'`'
Eagan MN 55122 Date Received: u s
Phone: (651)675-5675 /r,/
buildinqinspections@citvofeaqan.com Staff: (1�1
2017 RESIDENTIAL BUILDING PERMIT APPLICATION C4J�"``'`
Date: Site Address: Unit#: " I, i
Name: ! i -�-•n v1/�'� (..\,- .� Phone: (�j 1 - 'v
Resident/ I \ ,
Owner Address/City/Zip: )) O / L e-` ,/1.1' S�1\ V G`isl H A'\lc. b. . Cl\,n 1\ 3.S� 3
J
j Applicant is: Owner Contractor
i
Type of Work Description of work: J I Q c Z'C b p c.,( A . 9 (Cf J\
A N f\
' Construction Cost: i 6 n6 ® O 1' e,_ ) 4 `d b 6 Multi-Family Building: (Yes /No )
x iCompany: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
1 License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
1 R.:, ,
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?
i
1 _Yes jNo If yes, date and address of master plan:
Licensed Plumber: Phone:
l
IMechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the .w He
I information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
i are trade secrets � �
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.gopherstateonecall.orq ,
I 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 no o 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 pl s.
------., M
x ` i ,M � cst� 6 1\ C x ''
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE /1-(49o7
SUBTYPES 110) co e--n— SIIVA^ :S five_
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi ``)( Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex I `` Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair _ Windows Demolish Foundation
7 Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy 1 - MCES System _
Plan Review Code Edition ,.1„� if SAC Units
{
(25%_ 100% y ) Zoning / City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required _
Type of Construction '/6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) i( Final/No C.O. Required
_ Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
__ Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding: Stucco Lath Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan I Other: (
Reviewed By: , Building Inspector ,rile>,,
RESIDENTIAL FEES
Base Fee ''1 1``' f
Surcharge / ilrlit ''t''
Plan Review -rpi) a/
MCES SAC `' I,,� "i
I i
City SAC f ,,, :`
t
Utility Connection Charge
S&W Permit& Surcharge � � ..
Treatment Plant y
qo --- .,71 %0. 0
Copies /`
TOTAL
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