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4019 Pennsylvania AvePERMIT City of Eagan Permit Type:Building Permit Number:EA127487 Date Issued:10/02/2014 Permit Category:ePermit Site Address: 4019 Pennsylvania Ave Lot:5 Block: 4 Addition: Stafford Place PID:10-72500-04-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert Tstes C Kress 1703 Garden Terrace Dr Katy TX 77494 Capstone Bros Contracting Inc 216 North River Ridge Cirle Burnsville MN 55337 (952) 882-8888 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ----------------i I- I I~ I • Permit / EV) no of EaEdft fJULZg I Permit Fee: 65• 0 3830 Pilot Knob Road r I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 j Staff: I 2010 MECHANICAL PERMIT APPLICATION Date: I~ Site Address: 0%t Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: V "l ' w CONTRACTOR Name: ?"Aa c i e Address: p cityt:'y~ State: M~ Zip: t.J~J~~✓'6 Phone: [98 itL- -6t ®rl contact: TYPE OF WORK New Replacement Additional -Alteration Demolition Description of work: [tic ouip an equtre c e ed C' I u gr o nt "-m ease f p;_ ct,tk,O IVlechanigal ( pector~for0 forrnation;on pern~ttte_ ;lac eernng.,metho RESIDENTIAL COMMERCIAL PERMIT TYPE _ Furnace New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank L_ Install / _ Remove) When installingfremoving tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $'50 State Surcharge) f $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 Permit 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 $1,001$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 IF r protection against underground utility damage. Call 48 hours before you intend to dlg to receive locates of underground utilities. www o erstateonecall.ora I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the CItx of Eagan; that I understand this is not a permit, but only an a licatlon for a permit, an work Is not to start without a permit; that the work will be in acco an with t mm e ca Mfwork which uires view and approval of a c X , "'i MtCNLC 6 ~ - Applicant's Printed Name pplicanrs Signature . F i , eviewgd B . _ w~ . Vw C _wAlrS1 ass erVi F>•f~ ExtenorHVACScree ing'Inspect)on..`c. } yy" S . CITY OF EAGAN 191$ ] 3830 Pllot Knob Road, P.O. Box 21-199s Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt *- .) ? '. ` ImA . Ta be used for SP :)W(;.GAR Est Value 73,000 Date jCNE 14 ,19 9?! Site Address 4019 PI:','?V'.L.?YLVA.NIA AVf , Sec/Sub. S1AFr"'-:?-' T'L?;CE ot -' Block 4 Rftel No. i Name ?RONrI6R #Y DWEST HC7liES Address 390 C -1-A °WALE LCc .0 City EAch ' Phone 454-9433 o Name SuME ?a , ? ? Address .?- City Phone a W Name_ Z Address a W City- I hereby acknowledge that I have read this appiication and state that the information is co?rect and agree to comply with all appiiCahAe State of Minnesota Statutes and City of Eagan Qrdi ances Signature of Permittee ?l ??f?;; n ?? A Building Permit is issued to: "' I E '• t3 T??;:'T Fla[!?$ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OffiCial OFFICE USE ONLY On Sfte Sewege Occupancy R-3 M"1 MWCC System ? Zoning R-1 On Site Well (qctual) Const V`N City Water X_ (Allowable) V`ki PRV Required ? of Stories Booster Pump Length 40 f Depth 48' S.F. Total Footprfnt S.F. APPROVALS FEES '`??•00 Engr./Assess. Permit 36.50 Planner Surcharge 233.00 Councfl Plan Review BIdg.Off. SAC,City 100'00 Varfance SAC, MWCC 550'00 Water Conn. 5 50. !30 (1 • {w Water Meter Foad Unit 32 • W ?(14•oo TreatmentPt Parks TOTAL I 2.5 31. 5G 1 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198; Eagan, MN 55121 PHONE• 454-8100 BUILDING PERMIT ? Receipt # To be used for •?•'?Est Value = J?•''?-`? Date ,19 Site Address WC ,? r: t' :1 M l 1 I?' :: lot Block (' SeGSub. Parcel No. a Name ?r.R MiDWFfiT NONES = Address 1.R ;,R ° City Phone a O Name . ? ? Add ? City Phone Name City 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. Signature of Permittee _ _ A Buflding Permit is issued to: ? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otticial OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const Cily Water (AllowaWe) PRV Required ? of Storiea Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr_/Assess. Permit Planner Surcharge Council Plan Review ' Bldg. Off. SAC, City Variance 5AC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL - Permit No. Permit Hoider Date Telephona ? Plumbin g . , H.V.A.C. Q r 9 Electric ??(p? G . rf-oZ5 ?S?l 5-0 Softener Inspection oate Insp. Commenta Footings I ?zes' Footings II Foundation J ? Framing Roofing Rough Plbg. Rough Htg. d Isul. ? Fireplace Final Htg. Final Ptbg. L ? Bldg. Final cert occ. &14 Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ! . . (terttfiratp of (Orrupitnry Citp of (tagan EPpmtnPttf IIf gWlbi1to JtLS}1P1"ttx1t This Certificate issued pursuant to !he requiremexts of Section 306 of the Uniform Building Code certifying lhat at the time of issuance lhis sbucture was in conepliance with the variaus ordinances of [he City regulaAing burlding construction or use. For the following.• Use Clevsifiptioo SF DWGIfAR Bldg. Rrmit No. I5187 occ„p-,, Tyx R3441 Uning DIl R 1 Type C,,,,,., Vn ow= or aaaing FFO= I•IJWE.ST HCMF:S AJdmw 3902 (MARVAIE DR, EAWi eWwing namm 4019 PEIv«; ?'TA:ANIA AVt-NAIF?hty LS, B4, STAFFM o.te: !1)M 25. 1988 . 9uIdine oWaW POST IN A CONSPICUOUS PLACE .,,? . . . ..2. , 1,.. . .,r, . .. _ . . . ... j . . . . . : . . , ,. PERMIT # • , PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ENTRACT PRICE PHONE: 454-e100 Site Address _' Lot Block y Name ? Addre c City _ Name 3 Addre O CnY - Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) '' 1 , SI(3NATURE OF PERMIT FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ?New y M ult Add-on Comm. Repair O. FIXTURES TOTAL . Water Closet - $3.00 Bam rubs - $3.00 - Lavatory - $3•00 ln . Shower - $3.00 ?3 ? Kitchen Sink - $3.00 Z ? Urinal/8idet - $3.00 -7- 3 f Laundry Tray - $3.00 . . ? / Floor Drains - $1.50 ?_Water Heater - $1.50 Whirlpool - $3.00 T- ` Gas Piping Outlets - $1.50 - ' Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? ?? Rough Openings - $1.50 7 • FEE STATE S/C: aRANO TOTAL: -J 3 • -? ? ..,, ?; . ?^,a ? ? • CONTRACT P Site Address _ m Name: co Address c City ? Name c Addre; o City - TYPE OF WORK Farced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other Sec/Sub BLDG. TYPE , - Res. Mult Comm. Other WORK DES IPTION New ? Add-on Repair Av??L!o M 8TU M BTU M BTU M BTU CFM j PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN - 3830 P1L07 KNOB ROAD, EAGAN, MN 55122 DATE: .'/? FEE: a: S/C: TOTAL: ?. FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONS7RUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 E.A. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIEB MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM CQMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADO $50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ?-' SIGNATURE OF PERMITTEE ?- FOR: CITY OF EAGAN INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eaqan, Minnesota 55123 Date Issued: l N/N l 1•? i SITE ADDRESS: ,, H101.1 'ANIa nVF ? ,; APPLICANT: fit•A I N ul f litF}'t n? ( 6 I:' ) ! i' l H kf f9, ?4 -1 ? PERMIT SUBTYPE: TYPE OF WORK: Permit No. Permit Holder Date Telephone # SM! PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Date Insp. Comments Footings I Foundation Framfng Roofing Rough Pibg. Rough Htg. Isul. Fireptaee Final Ntg. brsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN ' Permit No. pare. 62-21-.II8 3830 Pilot Ifnob Rosd Meter No. 460/3 2 -7I Size: z;?8 ?o G/1C P.Q. Box 21199 Fieader No: Da1e: Eagan, MN 55121 4 Ow ner. Site Address: ? r 1 nn cr rr, ..A n, Plumber Conn. Chg: Zoning: Acct Dep: ?? ? at) J ' No. of Units: ' Permit Fee ? Surcharge: ? I agree to compl ith t City o1 Eagan Tr. PIanC Ordlna Meter. ' Misc.: .: . , By ? i WATER SERVICE PERMIT CITY OF EAGAN aermit No: Date: 3830 Pilitf-Knob Road Meter No: Size: P.O. Box 21189 Reader No. Date: Eagan, MN 55121 Site Address: ;,X#i 1k., i S t. :c ?-•s Plumber. Conn. Chg: Acct Dep: Permit Fes: Surcharge: Tr. Plant - Meter. Misc.: jiey T, Zoning: _ No. of Units: I agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT CITY OF E/4GAN :Permit No: Date: 3830 Pilot Knob Road g/p No; Date: 6_ 2n_gg P.O. Box 21189 Eagan, MN 55121 Owner. ?1`-"" = =+=r kiiciKest ? SiteAddress: 4019 renn5ylvanLi 'v I_; P4 `=tar"?or(i_ n1 MWCC: _ SSri _OQ Zoning- City Chg: _ lo0. 0() No, of Units: Acct. Dep: 7. 10 Permit Fee: ,}? I agree to comply wilh the City of Eagan Surcharge: • %? Ordinances. Misa: gY SEWER SERVICE PERMIT This roquest void 18 months fr?m E 2 8 3 6* L s/3?, I Re st Oate iire No. -in Inspec1ion .qwre/d? " oReady Nuw 4?L%RrtfY ??SPec- U ?? ? ? ?No lor When ReadY ?censed ElecVical Con[ractor I heraby repuest inspecdon o7 above ? Owner elecbical work inatalled et Stre dress Bon or ute No. City eion o. Township Name or o. Range No. County Occ paM INTI ? P?one Power. Su lier Address Electrica onVnctor (Company amel Co raclor??cense No. aking Instailationl 14540 PENNOCK LANE • AJQibl?S.lgl?ty?eflQo?ytor?Q?rqer??y?g.?l ?ytalla?ionl r?u- i, v i?LLr, i, Mlv 1l?k one u iber MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION NEQUEST WILL NOi Grigge-Midway Bldg. -.floom N•191 BE ACGEPTEO 9Y THE STpTE BOARD UNLESS PNOPEA INSPECTION FEE IS 1821 Univarsitv Ave.. St. Paul. MN 55104 P6nno161216420ROO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION AM. es-oooai-os See instructions for completin9 this form on back of Yellow copy. PCJ'-QS ? F,8-368 "X" Below Woik Covered by Ihis Request tid O. Tyoe of BuilEing ApDliances Wired EquiVmenl Wired to ' Home Range Temporary Service Duplex Water Heaier ightinp Fixt?ues Apt. Building Dr Electric Heatin Commercial BIAy. umace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm otner peci v ?ner 15per.llvl t e. ueci(y ONcr Othc r Comuute lnspection Fee Below p Fee ServiceEntmnceSize x Fee feeders/5ubfaeders Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 tn 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_Am s Transformers Irngation Booms Parti ee Signs - Speciallnspection 5 A Xemaiks ? ? ? RouBh-in I Dite . .th 1 in Cectoq heieby rtily thet tha above Final ' D //.? . Y inspaction has been ?aa. fltls request vold 18 monllie Imm /`f?? 5357 , ?1s Requesf Date I F' e No. ough-in Inspeclbn e wred? ? NOTICE: Vou Musl Call Electrical inspector If A Rough-ln Inspection i Ve s G No is Requ retl. Ifjlicensed contractor ? owner hereby request inspection of above electrical work aC JoD Adtlress (Stree( Box or Route No.) OI I V ' 1 In 1 kt- Ciy Section No, • Township Name or Renge No. CwMryy b?V `O ? O?PRIN'n TW?.+ -n - 610 Phone No. Power Supplier Address Electrical Contracior (Company Name) ` ? m ???1 y? 1{,J? • (?? W . CoAnVeCtorS?L-i?c.ense, N1o.(?( l-?W?'tVly Mailing Atldress (COnVector or Ownar Making Instellaf n) ?- Q ? 1 SS 1 C? l ? e , M? Aulhonzetl SynaNre (ConlracmtlOwner Ma ' ng Instailafion) PM1One Number -a83 L rn t a MINNESOTA STATE BOAflD OF ELECTRICIN Uj\? U-4? ?? THIS INSPECTION REOUEST WILL NOT Grigga-Midway Bltlg. - Room S-173 ACCEPTED BY THE SiATE BOARD 1821 Unlversity Ave., St. Paul, MN 55106 c-f GA,.4a.? UNLESS PROPER INSPECTION FEE IS Phane (612) 862-0800 ENCLOSED. ljql?l,? f?? REQUEST FOR ELECTRICAL INSPECTION / eq-- ? Sea insimctior?s lor completing ihis farm an beck af yellow copy. ?L u r? r-7 ,. n. 5 m .. ") Z)_,3 Z) ( X" 8elow Work Covered by This Request 'T.2wjtm? ew Add Rep. TypeofBUilding AppliancesWired EquipmentWired ?Zk Home Range Temporary Service Duplex Water Hea[er Electric Heatin Apl Building Dryer Load Management Commllndustrial Furnace Other (Specify) Farm Air Conditioner Olher(apecAy) Contractor's Remerka: Compute Mspection Fee Below: L`-'I rQ., 0.s # Olher Fee # ServiceEntranceSize Fee # Circuiis/FeedeB Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs Inspeaor5 Use Only: ? TOTAL Irrigation Booms o 1? ?j ? .? ?.J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-in oate certify thatthe above inspection has been made. Fnal Date 112 OFFICE USE ONIY This raquest voiG 18 months hom CASH RECEIPT CITY OF EAGAN ? 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 _DATE .. . ? ? ? , ?_? ?_ . ? . .. . . .. ? . . ,. y_ -4.--r- ,AMOUNT? , y ! .. ? - .'" . . J ? G 2 :? ::aC., ? . . . ? ? & ? DOLLARS ? . O CASH . , ? CKCHECK ? r . ?? Vri ? - . NGuj LtU rvc.: f .' FuNO ?. oeJecr_ . nmwurrr , Thank You eV ?;? ??s?? ??Po ?. ,. ? , . Pink-Flle Copy . BLDG. PERMIT NO. ? ? 1 :2T-1 >-1-- 5 R? c?sc9-L ?-l 5-r-c-?Fc4 f'.- 01-3210 Bldg. Permit 2 07-3422 Plan Check 01-3445 SurchJAdm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC ? 20-3865 Water Conn. ? 20-3868 Water Trmt. ? 20-3716 Water Meter l? 20-2252 Acct. Dep. ? Q 20-3713 Water Permit ? v 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. ? .3 3 Cd v S sC 5414 b ? 1 ?? L1 00 lo oa ?D 0C) TOTAL RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 657-681-4675 New Conatructian Reauirements • 3 registered site surveys showinp sq. K. of lot, sq. ft. of house; and all moted areas (20% maximum lot coverage allowed) • 2 copies of plan showing heam & window sizes; poured found design, etc.) • lsetafEnergyCalculations • 3 copies of Tree P2servation Plan'rf IM platted after 711193 • Rim Jaist Detail Optioris selection sheet (61dgs with 3 or less unAS) DATE SITE ADDRESS TYPE OF WO APPLICANT STREET ADDRESSZA) [ TELEPHONE # ?2! d- • CELL PHONE # 7d-7 ' 5500 PROPERTY MULTI-FAMILY BLDG _Y -----------------------------------------°1----------------------------- --------------- -...... COMPLETE TiiIS SECTil7N FOR "NEW" RESIDEPiTiAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RUI.CS 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventila8on Category 7 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Enve(ope Caiculations Su6mitted Plumbing Contractor: ____ Plwubing system includes: Mechanicai Contractor: Mech:uucal systcm uicludes: Sewer/Water Contractor: TELEPHONE# Phone # Phone # Fee: $70.00 -°---------------•----------------------------------------------------°----------°-------------°---------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and Citv of Eaqan Ordinances. ,------.-- Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Water Softener Water Heater _ No. of Badis _ Phone # Lawn Sprinkler No, of R.I. liatlis Air Conditioning HeaL Recovery System ? RemodeUReoair Reouirements • 2 copies of plan . 7 set of Energy Calculatlons for heated addilions . 1 sita suNey for exterior addilions 8 decks . Indicate it home serred by septic syslem for additions VALUATION* 2,?q -STATE )1 P SS 4/ FAX # l0 / ?- • ?c3? ? ? ?7t? 3 0 1 2 OaiLl1-eiP-- Tee: $90.00 JUN 0 3 ZOOZ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-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 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? QS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Rdditinn ? 36 Move Bldn. ? 42 Demolish (FOUndation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolitfon (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) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (additian) _ Plumbine Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Futal _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector BUILDING PERMIT To be used for SF DWG.GAR Receipt# ?>-i6 Est.Value $73,000 Date JUNE 14 19 88 5ite Address 4019 PENNSYLVANIA AVE Lot 5 Block 4 Sec/Sub. STAFFORD PLACE Parcel No. e Name FRONTIER MIDWEST HOMES w Address 3902 CEDARVALE DR O City EAGAN phone 454-9433 ¢o Name . ?a Addre .¢ CitY_ U¢ W w Name w z? Addre z Cit ? ew Y- I hereby acknowledge that I have read this application and st te that the information is correct antl agree to comply with a I a e State of MinnesotaStatutesandCiryo Eagan `rd' ance SignaWreofPermittee A Building Permit is issued ta_FRONTIER MIDWEST--HQI$$$ on the express contlition that au woik shail be eone in accordance wim ail applica6le S[ate of Minnesota Statutes and Cily of Eagan Ordinances. Building Official CITY OF EAGAN N_ -' 1518 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 OFFICE USE ONLY On Slte Sewage _ Occupancy R-3 M-1 MWCC System X Zoniny R-1 On 5ite Well _ (Actuap Const V-N Ciry Water X_ (Allowable) V-N PRV Required X._ # of Stories Boostar Pump _ length 401 DePth 48 ' S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 466.00 Planner Surcharge 36.50 council _ Plan Review 233.00 BIdg.OB. SAC,City _ 100•0? Variance SAC,MWCC 550.00 Water Conn. 550 . 00 WaterMeter 67.00 Road Unit 325.00 Treatment P1 204.00 Parks TOTAL 2,531.5n e ? 1988 BOILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 15 1 t I INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CARNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIAED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.p 1 SET OF ENERGY CALCULATIONS COMAfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUHAL PLANS, p?p JU N 9 ? 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: New Construction Valuation: $5974ae'"M Date: 06/06/88 Site Address 4019 Pennsylvania Avenue Lot 5 Block 4 Pareel/Sub Stafford Place Owner Fo1ey, John and Theresa 1008 Victoria Avenue Address St. Paul, Minneosta 55103 City/Zip Code Phone 487-2587 Contractor Address q C1ty/Z3p Code _F,Enn, Minnaanta 55179 Phone 454-9439 Arch./Engr. Phiii;ps ni,n co,-?o Address 14530 Pennor.k Ave. -City/21p Code eppl, vnl_l,g Phone r)?t UCC1l.G U3L U14L7, On site sewage Occupancy R-3 M?l MWCC system f Zoning ? -1 On site well Actual Const ?-N City water Allowable fi-rJ PRV required # of storles Booster Pump _ Length .90 ' Depth YX' S.F. Total Footprint S.F. APPAOOALS FEES Engr/Assess Permit ?6•°- Planner Surcharge Council Plan Review Z 3,pO Bldg. OPf. -/7YJ (fl?13 SAC, City Varianee SAC, MWCC SSO,oo Water Conn 40,00 Water Meter 671OJ Road IInit 2?7'00 Treatment P1 Zov,oo Parks Copies ,l ? TOTAL /h'uDCL GAm?rosE r 5#malo,1w eertificate SURVEY FOR: !'rontier r4idwest flomes Corp. DESCRI9ED AS: I,ot 5, Block 4, STAPFORD PI.ACE, City of F.agan, Dakota Coiuity P,tinnesota ancl reserving easements of record. ? yr . .? .? aA o`' oa ? "y ? J i s / , 1? ,Av° d ? o Y3 i l`sr`~ ti3 ti ? b ± 8bl.a L Y \\ `??? `o ? / / / s.73:33,3 `1/s . .. ?E? ? By : Date EAGAIV EIVGINELRIN- pT p.1-i. V. 1-7 E VIRGD PROPOSED ELEVATIONS Top of FounAallon .843.8 Oawpe Floor . 01.3,+ eONIMII} Floor ?9b?•? ApproM. Sawv Suvleo ENv. . - Proposod Elwotion• Exidinq Elevallons . prolnope Dhtellon• $...... Osnofes Of/eel StaN• . O /ifEDLUND P/enMny Englnsedn8y ?SurwYft w14w?M'wi?•,M+????MWmY wMwa?YU? N SCALE: ! inah • 30 feet BENCHMARK1 T.N 14Y0. a Le+ U.x I8i I' BLK. G ? PENN3YlVRNIq / ? ELCV. • B6I, 84 ? MIH. SETBIICK REQIREMEN73 Front - 86 Howe 81as - i o Roor - is 3arooe 810e - 5 [ huesy enllfr 1Av1 tMe wrwr. Plan a report was pnyored by me JOB Na.; ar under my dlnel supvrldm enY IAOI 1 am a AuIY RoOistated 8aQ-a93 lanA 6vropr unda Me kw ol Mo !hh d Mlneesalo. BOOK: l NOu, lk?n?? NaMl78 4 ? 0 m z 0 QAvn CKkLym 4L •?-? • EXTE3IqR E2IVE:OPE AYERAG'c COMPUTA7ION KN?Wi? Z X G 1 flYJP1ER Folev, John and Theresa SITE ADORE55 4019 Pennsylvania Avenue ' f? CONTRACT13R Vt ..A o i06/08/88 454-0433 - Frontier .,,ar pt3a.vE , . Deternirte worlcing square footage af each. i. Total exposed wall area ...... 2 Z$g.lola sq. ft. x .tl ?C25J,,76 2. Total rooff/cailing arEa .... IUStj sq, ft. x Total expased wa71 area ahave floor (.,Ca a. Total wall window area ........................... ta5.? b. Total door area ................................. ?'4. " c. Total 57idina giass dcor area .................... . Va d: Total fireptacs wall ar_a ....... ... .. ........ 4 8 e. Total wal] framing araa (average IQ.)...:........ _a a S.R(o f. Total ne,_xa:l area above flaar ................. (.,56, 68 ' g. Tcfi.a] r:m Joist dPE3 ............................ 1148 Total exposed foundation area = '115.53 h. Total faundatioie window area ..................... . i. Toal net fovndation area above arade ............ ],5,33 Determine "U" vaiue off eath wait szyRrtent. a. 1 rot5,-s X°u" ,SS = Y?.?S b. 39.(, a x °ul- ..y5 = 11.83 c. y;a g liu„ , '('5 d- 1-419 x uUB t3?0 ° ?,..1C7 e. e3 a$.`aG X "u„ .o-t = t ?.b2. Lr'i (o SG. O L X uun 0'7> ? A Q. ??? xBUll r0 3a .- 5:3:S n. X °U° - i. `i S.33 x °u" 1y = 16•5q 3 ........:.................:..........Tatal = If item f3 is the same as, ar less than iten #1, yau zve met the intent of 58C 6006(c)2. , Total exposed reof/ceilfng area = l O 88 Total grass rcof/ceiling are3 = _.rj. Total skylight area ............... , k. Totai roaf/ceiling framinq area 1. TotaT net insuTated roof/cei7ing area....... q -1 q,-Z Deternine °U" value for e_ch roaf/csiling see_ment. X isuw _ - j. k. IbB.9 X 1. c( -1 `t.'L x 4 ............................. If totaT of 714 is the same as, S3C G006(c)71. nUn , O Z 1 ° 2' Z'S "U" .019 ' S 6 .....7ota1 2 . S or less t4an 712, you have met the inteat af Ta utilized the tntat envelape syst4n method, the values-established hy the sum of ite.ms a3 and $4 sha1l nat be greater thart the swn of iteas i1 and ff2. } 2. 3. + a. zo??*G = t MA'*MIALS • TSerm. 3esistance "P." Est eriar A::: S].d1ng :Kdtd2'i31 Z Sheathing 31414" TMac+'r* 5- Iasulat i oa 5*O Sheetrock , .58 Interior diz Studs 2x. . .87 Rim I,e`I Conc. B2ks. . • ., t T..e-: ??: e: t? (7. Ec • • 8. ?cte-_o= a? .in - ' . To:al • -] . i3? . . • ?' .1? . =?5 sa..`. +cc'_ ' (0 87 Tµ?rKAX - S.U. 5. SIOtr? G •GZ . 6. Tx_-- - - a_ t' - -- ? ,racs? ? y.t q_ . • ? . U i ? 0?: . 1. sat_r?o= a:= f_? 2. ?y 4'1P3D - •a? 3. foa I x253?7i.k t 1q.0 ? 5. ol CING .(e2 , . .. ' = .037 lJ I. 2U+1? .Ztit_^O. d__ °'-IS .." LL. 0.68 3_ ?.XS__1015T 1S ? 5. rOING ' -LZ 6. Ex:=?ar L `• ? - 0 .17 . , To?l U=:o ' • l. Inte??r aiz `j?? ' 0. fi3 2. 1 R1G1D 1 I .co • q, ?' GO2?lG a I.AG1C ?. Z 5. a. . o ?7 IWA= - - . , • •r - _ , ' e;1c _ - • ? ? /If??? . _ ? • . . e-e-•` • ' !Ci ? , ? 6' • . ` j . ,? ?ZG. 14 ftt • • ? ? •, o /it ?S :. #3 ' • • ?u x x X ?G r ?t? . { ? ?" ? ? ' pC :': :s.'=C3:z ':-a. '?' ?val?. ?:L`: 3:. ? ? • ? : r ?CO_^' C? :.SC? . ? • ?. • a?,. . ' ntil ?.A; ? '??? ? • : : _? . S 7 t .. - • ? ? __... ... ._ ; • WA:.r. .rr. :.; ;;.r ??t ol Ppnnu4 v.tll ,+ren f??r "i,:.truci;u n --? . . ? ? x IC ' ? ALL ? • ? ? FIC. dl T'GPVIF.14 CF . FiWL IiALL - i . . ? • , ? ? _ .?:`_.-•=? . PIG. 02 - ---lO i ? f11 l -v ? ----Q , .•'.%i ?..__-i', . I!Y, .L'IC.17.h I" ?. I. . (D '-.J Cou_.trurl i_,.I i:,./.il??•:. 1. lntes?oRS?1.+,. F l.. . .. _ . .?.. . _ AA : axy R l! =us?l - _ _ I !.c ,. ?x?t's ? y•3S 4. _ AiR ?px.? •- . ....__ . . _ .fo8 ;. ?G?C .BRtCx . , .. _ ..... . ^ ._ ..Il F.xtcrii.r tlr ti:m - - - -------- -- ---? ,????. .?rt= i?:49 v= 058 . l. Intrttnr air Sitln 2. ___•_-?_'-'..-••"?-•_ '-_... ?. `?__.---?_....'__._- • 4. ?_?_.._._ .. -•------•- ---. G. Factcri.,r air ? Tolal 1. Intcrior n_ic_F_ilm •••---•--•- •-?._??1 4. ..r_-- ----•--- -- ----'--'-_ gxt?ric+r air _ ... 1'otal. , 1. Intc? i•?c nir C11?- •-'----- •-•_.O.Gn ? ? i sn.v _ ,-i •'/,: .. • > 1 ?• . • ? ? . yf, ?J ? • ? ,? ? ??? . j • Y? • ?' {?? ; . r G. 13 , i ? I? ` •' s ?? :?•. ? ?..?. 2. l. _.__.._._-- ••- .. .» ._.-----_.__- 4. . _ ._.__ _ ?-- -••• - -----.__..?? G. I::ac?_ria?c .?:r t i!n tl.l'1 •---' ----- ? Tula l - .% SIj11i tlel t:INtlY. ?? "_' ?...' ' ' . • ? -' ?.. _'.?_?.-?-?'-' f ? •` 1 / Z}\??? f?? ? • ? • ? ? _ 1 4' • • . . /{ ' . J • b , ?? 1?? ? . • _- • `:. A -- _ /(? ? • ? ' _ r? ' • • ? /?t ? . BA ` F _ . ? [ • ??/ r ? . FiC. i n . ry irAl cat.: l,? . .•b•• •:.?!;s:, dcnC:t nr.d . pi.i:: rnc•': nf in::uia=inn. ' .. _.?. .? ? . ? PL.4 ' ? L? ?? L F i, EX-po?5_0 WA, LC_ . i? L-o G IL ; S ? ao +- ca _ ? S.-V • .. ; ?.U= E ' < <;a't'(? ?- S Z??.?. .:. (t,?•. ? ?i .- ? ? • . '---? rULL 6 ? ? ?? ?Ll M : ::"go4 ?42a ? SGZ . rT, ?aC?oS?? WA ! L. .4ZEA t3LocK ', K, S = 715• 3 3 ? ? --... x S ?:uLL'.1 : (43 X S = irc??f . -- .= C??r r ="7 ? Rt M :' ?? 48 }? J - , . 146 F-tCPoSr-l-) C?E1 L[uq : ZM ?`3 ? ; 4 = Z9. 3 . ,. ., l z5.'3 'i 0 77!? L ??8g . ?? DaoP.s rr? o _ Dc?S , ?? t} : ? ?. . .r, , , , , • , ? ^.._ \/.,,r? ? ? V/ 1V • 1 ?? ? . ' • ? ?? Gana? =t?n . ? Q?VZIuc ? ?^ • • l. ? S:tt=tt=c aiS ?:1= O.ol /?r 7=0 . cR ??'??i~ ?? l ?1?f1?,-:? 3. !,u<_?c.. So - ' • .?a.o ? ??II1l? ????'c!;???????i?? ( .. ?_?::a_ a:_ .:_? ?,?.??, 2 a. ? V-L.. ,`? t-0 - • . . . .. ' ` ' ' ?_ , o?a ,. 1 ` • . . _ • . . . • ?.u?: • . • . . Intcrior air fi1= ? 0.61 =eat Elav ' . 1. G-r r' R1? . u+' , 3. Z.xy_ fJ.lr--'`tL 3S • ' • • 4. Extc_•:os ai: Fi1a (s:s 1 ?n: . . : . . . ToraL 2 - ?llo• , , . .. . . .. fzc. ?s' . . ? . ' • .U = ?' . • • • ? • • ~ • ? ? • • . ' • -. . • ' . . _ • ?oA.9rrt'vcria? . '• . ? l. Insi2c air :ilu 0.67 Z. ' . • , 3. . • GUtside air f??m ToCal 0.1' -0 •?? • FX?''?? •. ' • • . Z S:sidc air :31m D:E ? T}ea= tlov ap ? , ? ? s•ve^.ia3 . . ? 4. . . o. . . . . , ? . . ry. cstsi2c ai-' F?s , • • - . . , ' ? ' -. Total . . TSC. 16.:. . .... . . , . ' , q • ? Ins{cYe ai= ' Jj , `...•es? 2. _ , ' ? I v . . . . • • ? ? ? .'?1..s..?i?:':''d..?.. ;. 4. • ?:;.?,. r•j;?4-=?r??? /'? .I? • 5. G`utaidc sir lila ? 0. 51 _? +r ` 1 • r •' : . ' • •- - ?. . . . . • ' • : -',:r •. . . - . ? ? '? " • • Not=: Usa s2di`.=ens3. «'se=t• i- .?a== . . • 8G:-,'-"i...;? ••? • . - , .secc:e3 ta_ cteesiL,^ s:xd e31cs_ai ?' • •. $esL , . . ? . . • . • . • .• .. r-pV Q? • '?•' • • ' • s ? . • . • • PZr,_ ?7' REALTIVATE _ PEfWiT i '- \M' .2 CITY OF EAGAN , 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE 6 MULT1-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural E structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- io which request is made, 2) address is changed or 3) lot change i.s requested once permit is issued. Date Valuation of work Site Address: STREEi fUITE 0 Tenant Name: (commercial only) IAT ? BIACK ? SUBD. -?- P.I.D. N Descri tion of work: U I' The applicant is: 0 Owner 10--iontractor ? Ot er (Dtceribe> Phone Name 2 Property LA5, FIast Owner pddress 4fJlq e-nn??-/+U?/Yl?-?f? STIiEET ' iTE Y c9ty ?(tSPru/ State Zip ? fv-? t Phone C ompany CO(1t1'BCtOf Address U) JLfrzf l_?3 license #Exp. CityState /'11 /!/ Zip 33' Company Phone ArchitecU Name Registration # Engineer Address City State ZiP Sewer 6 water licensed plumber . Processing time for sewer & water permits is two days unce area has been approved. I hereby acknowledge that I have read this application and state that the information is able State of Minnesota Statutes and City of " li ll h c app a correct and agree to comply wit Eagan Ordinances. Signature of Applicant: ? - OfFICE USE ONLY BUILDING PERMIT TYPE -?,. ? «? .? •?? ? ? ? ? 01 Foundatlon ? 06 Duplex ? li Apt.Jlodging ? 16 Bas,enpt Finish ? 02 SF Dwg. ? 01 4-Plex 0 12 Multi. Misc. 0 "1"7 Swim Pool ? 03 SF Addition ? OB 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace 0 19 Coron./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous W ORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant finish 0 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) SAllowable) UBC ccupancy Zoning Y of Stories Length Depth APPROVALS Planning En9ineering REQUIRED INSPECTIONS O Site ? Wallboard Basement sq. ft. lst fl. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance 0 Footing 0 final ? Framing ? Draintile MWCC System City Mater PRV Required Booster PumP Fire Sprinkler Census Code SAC Code Assessments ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAL City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Wmtia,: g 5AC % SAC Units INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: euzLosNG Permft Number: 022112 Date Issued: 10 / 01 / 9 3 SITEADDRESS: Lor: s BLOCK: 4019 PENNSYLVANIA AVE STAFFORD PLACE q APPLICANT: HEAT-M-GLO FIREPLACES (612) 890-0758 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION .. . .. FIREPLACE ? ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT , . Js BUILDSNG 022112 10/01/93 SITE ADDRESS: P.I.N.: 10-72500-050-04 4019 pENNSYLVANIA AVE LOT: 5 BLOCK: 4 STAFFORD PLACE DESCRIPTION: - (Gas) B,nilding;,Permit Type duilding Wo`rk Type ?? / _. / PERMIT TYPE: Permit Number: Date Issued: FIREPLACE NEW ?] ? ur-1 I?i REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: ` HEA7-N-GLO FIREPLACES 3850 W HWY 13 BURNSVSLLE MN (612) 898-0758 Hpplicant - ST. LIC. OWNER: 18900758 0002960 FOLEY TRACY 4019 PENNSYLVANIA AVE 55337 EAGAN MN 55123 (612)688-0455 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicab7.e State of Mn. Statutes and City of Eagan Ordinances. I APPLICANT/PERMITEE SIGNATURE ISSUED B : ?GNATUFTE ?, I APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION „ , ? NOTE: PA1Q= OF FEE RT TIME OP .*? ? APPLICAT2Q1 DOES NJT CON- ? ? STI1S71E APPR(7JAL OF PII2PQT. • i INSPFZTICN OF SAdR ISID/IXt VY+1f3t i :. t INSTNdATIONS WIIL NOT BE SCfD[II.ID ? ? [7NPIL PF]tpIIT HAS H@] APPRlNID. : •:tr?:?..?:?:??iYk?x+:r++?. .... r+?•++ dtV oF eagan (PLEASE PRINP 1) PROPERTY ADDRESS: . 4019.Pennsylvania Avenue. TFY:AT• DESCRIPTION; . . Lot 5 Block 4. Stafford Place . . . . . . . . Lot B oc S vision or Tax Parcel ID IF EXISTING STRLCTURE, DATE OF ORIGINAL B[!ILDING PII2MIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID USE: Q CONIIIEE2CIAL/RETAIL/OFFICE Q INDTISTRIAL a INSTITUITIONAL/GOVERNA7ENT R-1 SINGLE FAMILY ? R-2 DLPLEX ('I4.v Cnits) ? R-3 ZOWNIOUSE (Three + C?nits) Q R-4 APARTMENT/CO6IDOMINIUM Lnits) ( . Onits) 2) NAME: Frontier Midwest Homes CorDOration ADDRESS: 3902 Gedarvale Drive CITY, STATE, 2IP: Eagan MN 55122 PHONE: 454-0433 3) • u:?: NAME: Star Plumbing ADDRESS: 1018 Mound Springs Terrace CITY, STATE, ZIP: BloominQton MN 55420 PHaNE: 884-4149 MAS'IER LICENSE # 3329 I? Active Expired Not recorded St Initi 4) Np,ME: Foley, John and Theresa ADDRESS: 1008 Victoria Avenue CITY, STATE, ZIP: St. Paul, Minnesota 55103 PHONE: 487-2587 5) ffl N ? , a ?• • an .i ON ? CONNECTION TO CITY SEMm gg CONNECTION TO CITY WATER O OTfER 6) om ?et'lg/gv *vr?,?****?****,r**?**,?*,?,?.?********************+*?*************************,r*****?*?***?********+***? t *'IHE GOLD COPY OF TIIE PII2MIT WILL BE SETlr DIRFX.TLY TO PUBLSC WORKS 1O FACIISTATE MEPER PIQC-IIP. ? * PLEASE ALTAW 'I4A WORKING DAYS FOR PROCFSSING. SOMFONE FROM TM CITY WILL CONTHCP YOL IF 1fiME * * ARE ANY PROSLE21S. * ?**+++?*?******x**r.*r*?+******,r**??**?***?***,r**,t*,r+**,r*,t*+*??*,r***?**,r*,+x*******?****+*+,e«*+*?***«y FOR CITY USE ONLY PERMIT # ISSUED 91? Pd w/Bldg. Permit FEES: $ $ $ $ CiD . $ $ $ S $ $ /s. OD $ $ /5.ov $ S $ $ LP?ibCS() $ $ $ $ $ $ $ $ $ or} s $ $ S $ TOTAL '7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC ROADWAY" MLST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLLDE SURCHARGE) WATER METER/COPPERHOR[V/OUTSIDE READER WATER TAP (INCLODE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRONK WATER ASSESSMENT TRONK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRDNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: APPROVED BY: TITLE: DATE: (a'?I ???s OF 3930 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 TI #32380-45 VIC ELIISON kkw iHOMhS EGAN DAVID K. GUSTAi$ON PAMEtA MCCRFA THEODORE WACHTER Cou.il Membeti n+ornr.s Heoces ciN?WSnat« EUGENEVAN OVERBEKE Ciry Cletk Special Assessment Search Date: June 3, 1988 Requested By: Re: 10-72500-050-04 LS B4 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 building 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. AAIVER/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 ASSESSMENTS Attachment iHE LONE OAK TREE. .. THE SYMBOL OF STRENGiH AND GROWfH IN OUR COMMUNIIV -fP'O1VL;Al:TIL)I"d TU: !k763 SI='ECIiiL ASSESSMENTS SPE:.CI FyL. ASSC SSI`tf"hd l'Si SEAFtI;H E3U I`1P1ARY I='ri01"'L-" Rl'Y I.D. rO Dravs DATE: 06l03/08 ---SF'ECTAL FLflGS--- -- 1--2- _ -<}-:i- 6-°7 _F3--9• -1 p 1 f,'1-7".?5 f )U--f iJ( 1--5 1'4 ':a'=':c :c cc v_ ._...__._......._.._....._. •r ? .""_._...._.._._.._ ......_._._......'"_ :.::'_co:m::_o:.- S, r9. 4 :__'cc_:cvc-:::c:::='_c=nc.::_::.-:: ASSESSriErr.r DF_SC(:. .=_c.= YR "_z:x Y'RS .?vc' cc.-'? RATE . .' _c' ' . TO7f3L ...,_ ... ANI4. f='R IN. PAY'01-F (::Uh'IMLN..f. 100846 lflATER. AR:EH U=: 15 10. 5ii"/, J.JPJ .UV .Ill) NhEI'AY 100847 W(;l"I_Filhl-17:N y? LJ LIJ.:]III. 1.71 .00 .OQ F'F;LI'(aY 7.01247 S 1=•433 E36 15 9.00"/. 12.40 .86 11.18 Lu1471 ;_Sl"Pik=L'f W19= 87 5 9.00"/. 48.97 9.80 :39.18 101472 tii7:DFWALJ<: 4J193 87 'S 9.00% 68.54 13.71 54.8' i.C;l'"19Ei I.JTILT7"Y °< Ei'fFiEC.I'S 00 0 .OG% 264`c7.21 `?u48.:.'1 2646.21 F'ENI7 SUhlMflRY OF (-1L'i'IVI= 130.41 24.37 105.19 L'OhIM THTS vEE1Ft•5 l'O'f" i-g<r , 37.80 SUlhhiAfiY OF F'1=_NIiTNG 2648.2:1 2648.21 Pr-r:,s l:l'd'I"ER (Lommeznts), F1 or F=' (i-lcaricr rorm) ei' F7 (Restart Fi768) PERMIT City of Eagan Permit Type:Building Permit Number:EA122822 Date Issued:05/20/2014 Permit Category:ePermit Site Address: 4019 Pennsylvania Ave Lot:5 Block: 4 Addition: Stafford Place PID:10-72500-04-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door - Patio Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert Tstes C Kress 1717 Letts Rd E Midland MI 48642 Capstone Bros Contracting Inc 216 North River Ridge Cirle Burnsville MN 55337 (952) 882-8888 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA127147 Date Issued:09/22/2014 Permit Category:ePermit Site Address: 4019 Pennsylvania Ave Lot:5 Block: 4 Addition: Stafford Place PID:10-72500-04-050 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. Ann Hoffman 505 Randolph Ave 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 - Robert Tstes C Kress 1703 Garden Terrace Dr Katy TX 77494 (480) 717-9229 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144308 Date Issued:07/20/2017 Permit Category:ePermit Site Address: 4019 Pennsylvania Ave Lot:5 Block: 4 Addition: Stafford Place PID:10-72500-04-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kari Schlicht 4019 Pennsylvania Ave Eagan MN 55123 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149177 Date Issued:05/10/2018 Permit Category:ePermit Site Address: 4019 Pennsylvania Ave Lot:5 Block: 4 Addition: Stafford Place PID:10-72500-04-050 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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 - Kari Schlicht 4019 Pennsylvania Ave Eagan MN 55123 (651) 405-6989 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature L-, AvEr• EAGANSEP 17 2019 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 TDD: (651) 454-8535 I FAX: (651) 675-5694 build inginspectionsacityofeagan.com r For Office Use Permit #: /Se© 51j Permit Fee: S / I. Date Received: Staff: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / � / 9 Site Address: 4/6/0 /")/e/VO g y/A ykj/7, . ,4 (aL Unit #: Name: E/r- /K 5a- L l cH l Phone: Address / City / Zip: 46 / /J/14 4V Applicant is: Owner Contractor 1 Description of work: 16fi(EW Construction Cost: g,.61,6 -23--b Multi -Family Building: (Yes / NoY ) Company: 8e/55 -Z 7rEN6i/i7/tJ Contact: ger/VII JOA/E-5. Address:/C3C (91VD,ALh AV city -4 Y 67. PArUL- State t Zip:.j7 Phon‘a License #: 6 i 7_065-4- Lead Certificate #: If the project is exempt from lead certification, please explain why: %3U/4r i.:✓ sir 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: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NO PiansAndsuppa classified as on iiriiblic is thatyou submit arse x onsldered to be public information. Portions of the information may be spec reasons that wauldpermittheCliy to conclude that they a 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.citvofeaaan.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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in confor Eagan; that I understand this is not a permit, but only an application for a permit, and work is n accordance withthrthe approved plan in the case of work which requires a review and appy• _ ._.; •Ia S -e'16 7)4A) Applicant's Printed Name ordinances and codes of the City of t a permit; that the work will be in DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation r Single Family Multi 01 of Plex WORK TYPES New Addition 114- Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% !/ ) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level 4710/, P /7 -5y _ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement _ Move Building Fire Repair Repair 9av"G Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice Water _Final Framing 1/30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: 4% Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Siding _ Demolish Building* Reroof _ Demolish Interior _ Windows _ Demolish Foundation _ Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant - %1G -f R-1 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Service Test Gas Line Air Test Hood Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee / 7? Surcharge Plan Review //5-- MCES /JMCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL ee‘ ecd bliates Page 2 of 3