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4023 Pennsylvania Ave0 3 8=271. ? Rea est 1416 Fire . Roug (Vou nspeclion Requiretl call Inspecwr wnen ready) InsO...ion Olher Than Rough-in [3 Reatly Now ?, Wtl Nolity Inspeclor 1'es ? No Dale Ready I->:Lansed contractor ?owner hereby request inspection of a6ove electrical work at: Job AtlGress (Slreet, B r Roule No.) 14 0 - Ciry (A Gr? a3 e..n?s 1 ? s S Section No. Tovmship Name or No. Range No. Counly Occupan[ (PRIN \ 1., ? Phon? ? Pawer Supplier Address Elacvical Conlmclor (COmpany Neme) ` Contracmr's License No. ? l l 9? Mailing Ad? ess (COnhacto Ov?ner Making Installation) a ? 6Ps Authorizetl SigndWre (ConVac?odOwnBr Making Instal ion -??- ? Phone Number `B90 -3S55 MINNESOTA 6TATE BOAPO OF ELEyi RICITY I I1 1 II {{''? i THIS INSPECTION REQUEST WILL NOT Gtlgga•Mitlway Bldg. - Paom 5428 II II ! N ill ? I I I II I.I"? II ! 8E ACCEPTED BY THE STATE BOA(iD 1821 University Avo., St. Paul, MN 55109 UNLESS PROPER iNSPECTION fFE i5 Phane(812)60P-0800 I I II I ENCLOSED. 71 REQUEST FOR ELECTRICAL INSPECTION ea.ooooi-os 'r Poo See insWClions far c`mpleting thi5 fOrm an back ol yellow cvpy. r/5 X" Below Wor'Covvred by This Request 313/? , Ne Add -ep. Type of Building Appliances Wired Equipment Wired Homa Range Tamporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speciry) Farm Air Conditioner Olnar(specity) ConVactor's Remarks: tJIRE ??v?s/!EV Le?JER LEOEG Compute Inspection Fee Below: N Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Abo Amps $I !IS Inspeclors Use Only. ? TAL Irrigation Booms 2 S ecial Ins ection o"_° Alarm/Communication THIS INSTALLATION MAY BE RDER SC ONNECTED IF NOT Othar Fea JuR ? ? COMPLETED WITHIN 18 S. I, ihe Elecincal Inspector, hereby rti th t th b i i h Rough-in ? ty ca e e a ove nspect on as besn made. Fi°ai . 330 ?u OFFICE USE ONLY This request voitl 18 moNhs hom ,-, n , This reQaest void 18 rnonths 1mm D 3 0 0 8 5 z ftequest Uate •- . .!? Firo No. FouPh-in Insuection He rteAl ll Noti(y Inspec. ?Reatly Nuw Wi ?Yes ?Na or When Reatly Q<Licensed Elecvical Conlractor 1 hereby request inspection ot ebove ? Owner electrical work instelled at: Street diiress. Bax r Route No. U?23 City g ectmn o. Townshio Name or No. Range No. Cou ty Oc7p (PR T) n es Phone Nn. - ?/?3? Power Su/p{y li r AAtlre s ElectriCa?0nt c[or ( mp y Namn) ? h Cnnvactor's Lic nse No. 4L? 39? . c. ?.t9 e. . , Mailyinp tldress ICOntractor or Owner?M/a ? h.siallati 1 U.tSlN/G(? / A ?II Authorized Si ature 1 racmrlOwner Maki ng InstallatioN Phl'ne mb-e/r lyd wI G4 # THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARO OFELECTpICITV GriaBS-MidwaV Blde. - Foom N-1 91 BE ACCEPTED BV TME STqTE BOAPD UNLE55 PflOPEH INSPECTION FEE IS 1821 Universitv Ave.. SL Paul, MN 56709 Phone (672) 642-O800 ENCLOSED. REQUEST FOH ELECTRICAL INSPECTION es-ooooi-os See instructions for completing lhis form on beck of vellow copy. D 30085 "X" 8elow Work Covered by Ihis Request ARJ Rep. Type oi Builtllnp Appliancee Wirad Equipment Wiretl Home Range Temporary Service Duplex Water Heater Lightiny Fiztures Apt. Building Dryer Eleclrie Heabn ? Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm oNer uec1 y 0.01e1 (Sprufv) t er Suecilv [her Othor Compute lnspection fee Below Y Fee ServiceEnhenceSize n Fee Feeders/Subieeders p Fen Circmos U to 200 qm s 0 to 30 Am s ? 0 to 30 Am s Above 200 qrnpy 31 to 700 qmps 31 to 700 AMPS Swimming Pool A6ove 100_Amps Above 700_Ainps TranSformers Irrigation Boortis PdrtiaL'Other Fee Signs Special Inspection Rem?rks TOT FE ?.0 V? floueh-in inal ? ? ? Date ;-?e thea nspctor, he?aby ceriify that the above (?ypection hes been mede. fhla repuoat vold 18 monlhe Iram CITY OF EAGAN Np 17828 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55127 PHONE: 454- 8100 ? % BUILDING PERMIT Receipt # To be used for DECK Est. Value $1 , 000 Date MAY 8 Site Address 4023 PENNSYLVANIA AVE oFFICE USE oNLv Lot 6 81ock 4 SeGSub. STAFFORD PLACE PafCBI N0. Occupancy - FEES Z oning - w Name JOHN ALLEN (Actual) Const - Bldg. Permit 25. 00 3 Address 4023 PENNSYLVANIA AVE (aiowabie) - e . 50 Sumhar ° Cit EAGAN Phone 454-7443 Y xoistofies g 23' Plan Review Lengih F Name SAME Oepih 141 SAG City t $a Address S.F.TOtal - SAC MCWCC , ? City PhOf10 S.F. Footprinls - Si S `Nater Conn ewage _ On 1e ww Name OnSiteWell - WaterMetar ? A Address MWCC System - ?0 ncet. oeposii ew City PhOnB City Water - i d S/W Permit _ PRV Requ re I hereby acknowle9e that I have read Ihis applica[ion and state ihal lhe Baoatar Pump - SnN Surcharge inlormation is correct and agree to wmply with all applicable State of Minnesota Slatutes and City of Ea an Ordinanc9s. Treatmenl PI Signature of Permitee N APPROVALS Road Unil A Building Pertnit is issued to: JOHNfALLEN PlaO°ar - Park Ded. on the express condition thal all work shall be tlone in accordance wilh all Council -- 1 00 y f agan Ordinances. applicable State ol Minnesota StaWtes and Cll o E g?, pff, _ . Copies y , y ? J Building Oflicial 1? ? 01 P?' I IIJI Variance - TOTAL 26.50 ' Date: CITY OF EAGAN, Permit No: LDate: 3830 Pitot Knob Road B/P No: P.O. Box 21199 Eagan, MN 55121 Owner r n r Idlawpat Site Address: P4 St?ff...?r! Flacr '?"? FlvtFV1vA •v----- *6 Plumber:- MWCC: ? 5?. 00? City Chg: Acct Dep: Permit Fee Surcharge: Zoning. No. of Units: 1 I agree to comply with the Clty oi Eagan Ordinances. SEWER SERVICE PERMIT , :?.: F ? - . ... n .?...-? . " . ? s^4 ??? Date: ? _ 2-88 rmit No: 9 P .. CITY OF EAGA[ e 3830 Pifoi Knob Road Meter No: Size: - P.O: Box 21199 Reader No: Date: Eagan, MN 55121 Conn. Chg: g`? 000d Zoning: 1 Acct Dep: I K n Tr - No. of Units: Permit Fee: I W"d '?n*+d 1 agree io comply with the City o1 Eagan Surcharge: Tr. Plant Ordinances. Meter. ? Misc.: PRv oxns-T*zp7 WATE By R SERVICE PERMIT 8-2-30 CITY OF EIkGAN Permit No: Date: 3830+PiIW Knob Road Meter No: Size: P.O. Box 21199 Reader No: OAL Date: Eagan, MN 55121 Owner. r m dwe r T gce SiteAddress: ,)? ia Avenue 6 Bb Staffnr P?r-v,.Pliimbin& Conn. Chg: ; 4n d - Zoning: Acct Dep: S00pli No. of Units: Permit Fee: -?..L1n pd 1 agree to comply Surcharge: Tr. Plant Ordiaances. Meter. F? j i' lA:..... OTll7 ;.. . er --f --?c- City ot Eagan CASH RECEIPT ? CITY OF EAGAN 3830 PIlrOT'Rt+bOB ROAD ?AGAN, MINNESOTA 55122 . ..?,\ . DATE + 19 NEGEIVEO ,- ?an t AMOUNT & DOLLARS ? CASH EYCHECK 'oo ,_rL?? :-? -?. ;. \rCL-,, ?r. C c(,y ., . -, 1-1 -, - '",'} wnita--aaye.s couy .l . , t.: 8 s3 Yelbw--POStin9 CoPY Pink-File CopY Thank You ? BY BLDG. PERMIT NO. ? f:l .R.?. 41-3210 Bldg: Permit ? 91-3422 Plan Check ,01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. 3 zx r?i v U J ? ?0 7 n o TOTAL CITY OF EAGAN - .? -< 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , J PHON E: 454-8100 BUILDING PERMIT Receipt? To be used for Qr DWG/GA!? Est. Value $94,oao Date Al1GUST 1 ,1988 Site Address 4423 PENN3YLVAIiIA AVE Lot 6 elock 4 Sec/Sub.$TAPFORD FLAC[: Pa?cel No. _ c Name FROAITIER i?;IDW$S'r HC1bE5 W = Address ` l)ARYALE I:^ Ciry _, Phone G` 0 OFFICE USE ONLY On Ske Sewape Occupancy MWCC System a 2oning On Site Well (Actual) Const City Water X (Allowable) PRV ReQuired a * of Storise Booster Pump length Depth S.F. Total Footprint S.F. ,a Name ?? ? < Addres?! 0- City Phone a W z c's z W Name _ Address City _ I hereby acknowledge that I have read this application and state that the informaflon ia correct and agree to comply wfth all appiicable State ol Minnesota Statutes and City ot Eaflan Ordinances. Sigaature of Permittee F _ A Building Permit is isaued tv: J' ?{V:i i I ?kZ :•IDG?ST on the exprass condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Oflicial APPROVALS Engr./Assesa. Planner Council Bidg. Oft. veriance FEES Permit Surcharge Plan Review SAC, City sac, nnwcc Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAI B-3 M-i R-1 V-N V-h SS' _ 341 550.Ot1 47 . 00 275.00 100.00 550.CC S5ti.00 6? . l?O 325.00 204.00 Z,668.00 -? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 53121 PHQNE: 454-8100 BUILDING PERMIT Receipt ? To be used for •+ Est. Value '-Date ,19 Site Address ' •.iVG OFFiC E USE ONLY Lot Block Sec/Sub On SRe 3ewage Occupancy . MWCC System Zoning ?arcel No. V- ` On Site Well (Actuap Const a ? Name City Weter ? (Allowable) = W AddreSS J3 PRV Required of Stories ` ° 1- 5"433 City Phone Booster Pump Length Depth °C o Name S.F. Totel . o g Address Footprint S.F. v ? City Phone APPROVALS FEES ? Cc yVj W Name Engr./Assess. Permit - ? Z r?s Planner Surcharge ??g ?? ?= W Cty Phone Council Plan Review ' (?t' 1? ? BIdg.Off. SAC,City • ' 1 hereby acknowledge that I have read this application and state that the Variance SAC, M WCC information is correct and agree to compry with all applicable State of Wate? Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permft is issued to:-_ ' Treatment P1 on the express condition that ail work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official___ TOTAL , Permit No. Psrmit Holdsr Dste Telsphone ?k Plumbing C? ? ? ? ; ? • ?? ? H.V.A'C. Y-1 ? l?_2,u. f1-?71-?- Electric Softener Inspectfon Date Insp. Comment8 Footings I ?JB Footings II Foundation aL/? TO /Lq? ??crJ Framing (_l C) ? C.'o 4 Roofing Rough Ptbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. -? Bldg. Final Cert Occ. ?Op Temp. LP Deck Ftg. Deck Final Well Pr. Disp_ Al 40 (Itx#ifiratt nf (Orrupanry Citp of (Eagan loPpartmPItY Qf wltddt" 3tt8}iptftan Thrs Cernfccate rssued pursuant to tJre requiremenrs of Section 306 of the Unifonn Building Code cenifying that at the time of issuance this structure was in compliance with the various ordinances of tJie City regulating building construction or use. For the following.• uk cmirti.. SF DAGYQR e14 Ptrmk ra 15404 O-upancr TYvX R3/Aq 1 Zoo* Dkoict $ I rra c. 1dV[d ovma ef euains FRCNTIER MIDWEST HMES Addrm 3902 (MAItVAIE DR, EAGAN 8udding Add,=4023 PENN5Yi VANIA AVE I OU,;ty L6. B4, SPAFE+M PI" n,DEMM 14, 1988 suaaing officW POST IN A CONSPICUOUS PLACE ? -_ " PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAI ACT PRICE: PHONE: 454-8100 Lot y Name =? ...,, ...? , .•.L •- ?.??,., • c_ o,- m Address ??'W' c- ? - c City n'Phone Name h0 n/ T i'L /t• I' C)I77F' S ? Address -`' • G'je O City b 5N Phone ;OMM/IND FEE - 146 OF CONTRACT FEE ,PT. BLDGS - COMM RATE APPLIES OWNHOUSE &. CONDO - RES. RATE APPLIES 41NIMUM - RESIDENTIAL FEE - $12.00 41NIMUM - COMM/1ND FEE - $20.00 ,TATE SURCHARGE PER PERMIT - .50 ' j kDD $.50 S/C IF PERMIT PRICE GOES IEYOND $1,000.00) ' i • , . !f2JC`'? IGNATURE OF PERMITTEE OR: CITY OF EAGAN PERMIT # { RECEIPT # MN 55122 DATE: BLDG. TYPE WORK DESCRIPTION „ Res. New y Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Nq. FIXTURES ?_Water Closet - $3.00 TOTAL ? ? • W--Bath Tubs - $3.00 Lavatory - $3.00 • Shower - $3.00 E . Kitchen Sink - $3.00 Urinal/8idet - $3.00 ?Laundry Tray - $3.00 71_Floor Drains - $1.50 , -- ?? Water Heater - $1.50 --,-_Whirlpool - $3.00 .:2_Gas Piping Outfets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 '?-Rough Openings - $1.50 FEE: STATE S/C: 5r GRAND TOTAL• ??a ? ? C . ?w . . . ` - ,. . . ;, ,' : ??.? ? • 1 % PERMIT # ` . MECHANICAL PERMIT " ,• CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: .lu vIr5 . CONTRACT PRICE: PHONE: 454-8100 "% Site Address'+l1' r 0 ennavlftnla va. 4 gLpG. TYPE WORK DESCRIPTION Lot Block Sec/Sub xx sa `.?n.: - ..?' t• iC Res New ? Name ? . _ ?TIIr'(: & A C Mutt Add-on , ?o Address1955 Sfiewnee ltoad Comm. Repair ? City GaEan Phone 452-1565 aher FEES Name FRUIvTI ? 3908 c ER GUrIPANYFS Sible• c9cimOY ? K RES. HVAC 0-100 M BTU -$24.00 y. Address ADDITIONAL 50 M BTU - 6.00 O Ciry ?A?an Phone 45 4-0433 (RES. HVAC INCLUDES A/C ON MEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERnII'n - 1.50 EA, TYPE OF WORK , COMM/IND FEE - 13'o OF CONTRACT FEE Forced Air 80.000 M BTU 24 • 00 APT BLDGS. - COMM. RATE APPLIES Boil r BT TOWNHOUSE 8 CONDOS - RES. RATE APPUES e M U MINIMUM RESIDENTIAL FEE - AlL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Jent C STATE SURCHARGE PER PERMIT - ,Sp P 3 FM (ADD $.50 S/C IF PERMI7,,PRICE GOES 1 50 as iping Outlets # • BEYOND $1,000) ? Dther FEE 25.5U ? . S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN lwy -????'?.? vy, ?,.? . `F?F,T f'y'a?i: f???..°T•1-'?1?.. _ .-r - _ . . . . . • . .' .. ll, CITY OF EAGAN t,'s? 17$2e ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 %, rj C4 BUILDING PERMIT Receipt # To be used for DECK Est. Value :1,000 Date MAY 8 Site Address ?23 PENlISY1.YAIQIA A1?E Lot ? BIOCk SeC/Sub. OFFICE USE ONLY P2fCBl N0. Occupancy - FEES JOW AW" zoninq - 25'00 W Name (Actual) Const - Bidg. Permit . 0 AddreSS (Allowable) - Surcharge 050 City WW" Phone # ol stoaes ? $A? Lenglh Plan Review o Name Devm - saC, city ou tK3 Address S.F. Tatal - SAC, MCWCC ? City Phone S.F. Footprints - On Site Sewage _ Water Conn ? yVj W Name On Site Well - Water Meter iZ Address MWCCSystem _ ?? Cit PhOfl@ Ciry Waler _ Acct. Deposit y PRV Aequired _ Sl1N Permit I hereby acknowlege that I have read this application and state that the Booster PumP - gMl3urcharge information is correct and agree to comply with all appli ?ele State oi Minnesola Statutes and City of Eagan Ordinances. ? Treatment PI Signature of Permitee ! AVPROVALS Road Unit A Building Permit is issued to: ?ni' ??p Planner - park Ded. on the express condilion that all wo?k shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9. pff. _ Copies ? ? Building OHicial r 't ! Variance - TOTAL ? Permit No. Permft Holder Date Telephone # WATER SENIER PLUM8ING H.VA.C. ELECTRIC InspecHon Dste Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg: Isul. Frceplace Fnal Htg. Fnal Plbg. Const_ Meter Plbg. Inspe(.NOr - Notify Plumber En9r•lPfan 81dg. Final oec* Fig. Dea Final V,-s c? Ds Weil Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERIUIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SiTE ADDRESS: APPLICANT: ,.. ; H 11 ,, i vANtA AVf :;? I H. '.f hl I iilrll {'! A1.i PERMIT SUBTYPE: TYPE OF WORK: i it 1,A I I 'IN INSPECTION .. . .• ?1l11?11 I N F I ftt, 1 1 I?rtl Rf`MJlf;kti:: A':F!'AI+AII E'i RMII 1 1'. irt 1Jt11Kt:t/ P06 AN'f I'1 fIMlS[MIy ilt: t t 1 i IIt4i AI f.lt?1?) F ?- J L Permk No. Permk Holder Date Telephone k SNV PLUMBING HVAC ELECTRIC ? . 3 OO° ELECTRIC Inspectfon Date Inap. Commsnts Footings I Foundation Framing 1 S !? - i?' " ?/ ?rT RooTine Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. / Q Orsat Test Finel Plbg. Plbg. Inspector - Notily Plumber Const. Meter EngrJPlan Bldg. Final /J J? Deck Ftg. Deck Final Well Pr. Disp. ---------, ,-------- ? For Office Use I ? Permit N: ? ? Permil Fee: I I i Date Received: I ? ? Stafl: ?_________________? 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: L7 G&; - 7enaM: ?]Td1 NIG??? Suite #: S%C/1 NILR'ti'Sc4 Phone:1?&/- L/S`/"-3GG67 N RESIDENTIOWNER ame: Address ! City / Zip: ?+'73Y?v°i7r c-c-c .S I Name: Y7 ,4-- K- IYCt-% %'1S &tlrl 4r ,' License u: CONTRACTOR Address: lkGuS' Xqgle7 yy(/+L ?I City: l C.ilt-,cf/1 ((G _ State: Zip: J 3°'-tc/ Phone: Contact Person: 12 01 TYPE OF WORK - New -J,?(ieplacement _ Additional _ Atteration _ Demolition Description of work: NOTE: Both roof mounied and ground mounted mechanical equlpment is required to be screened by City Code. Please contaci the Mecbanlcal lnspector or one o/ the Planners for lnformation on ermltted screenin methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction - Interior Improvement Furnace - ? Air Conditioner _ Install Piping _ Processed Air Exchanqer - _ Gas _ EMe(or HVAC Unit ' HVAC units must 6e screened _ Heat Pump Under! Above ground Tank L Install! _ Remove) Other " When installinghemovinq lank(s), call for inspection by Fire - Marshal and Plum6in Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FiPB r8paif (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installatioNremoval OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Feg is less than $7,000, surcharge is $.50. - If Per?it E-Pe is >$1,000, surcharge increases by $.50 for each =$ State SUrChafge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). . $ TOTALFEE I fiereby acknowledge that ihis informalion is camplete and accurate; iha[ ihe work will be in conformance wi[h Ihe ordinances and codes ol [he City ol Eagan; ihat 1 understand Ihis is rwt a permft, but only an application for a permiL and work is rwt to stan withaut a permil; ihal the work wfll be in accortlance Wth ihe approvetl plan.in the case of work which requires a review and approval ot plans. X /L "'1 Pa//.ss x Applicant's Printed Name Applic nYs Sig ature FOH OFFlCE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final RESIDENTIAL I( 3. -7 S BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4875 New Conatructbn Heaulremenb • 3 registered stte surveys showing sq. fl. of lot, sq. fl. of Fause; arW pjl roofed areas (20% maximum bt coverage allowed) • 2 wDies of plen showing beam & wintlow sizes; poured lountl deslgn, etc.) • 1SBIOlEnergyCalculetl0ns • 3 coples of Tree Preservafron Plen H bt platted afler 711193 • Rhn Joist Detall Optqns aelectbn sheet (bldgs wMh 3 or less unAS) DATE HemodeVRenalr Heauiremente • 2 copies af plen . 1 set W Enargy Cakulalions for heated eCtlftbns • 1s0esurveytorexlertoraddHionsBdecks • Indicele B home served by septic syslem for edd'Abns VALUATION 2/&SD• °O SITE ADDRESS 449,? /9 n6cJ///a-,-)/0,- Ae- MULTI-FAMILY BLDG _Y NPE Of WORK le- AoedC FIREPLACE(S) _ 0_ 1 APPLICANT _N _ 2 STREET ADDRESS ? 5° i d-fve AJ CIiYC_Visr -e-r STATE/?'/A/ZIP sS_ffP- TELEPHONE #AQ'?? CELL PHONE # FAX # 367 ?2-`29? ?S/ 5?3g-5i3ao PROPERTYOWNER ( S??°-?'! ?GrYa/`S'p?l TELEPHONE# 05_4 ?2?1?967 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RlJLES 7670 CATEGORY 1 T (4 submission type) • Residential Ventilation Category 1 Workaheet Su6mitted • • Energy Envelope Calculations Submitted Plumbing Contractor. __ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/WaFer Confractor: Air Conditioning Heat Recovery System Phone # ? Fee: $70.00 I hereby acknowledge that I have read thls application, state that the information Is correct, and agree to comply wifh all applicable State of Minnesota Statutes and Ciry of Eagan Ordinanc ? Signature of Applieant ? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ? Water Softener _ _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # MAY 2 4 "L002 uPaaced aro2 OFFICE USE ONLY 0 01 Foundation O 07 05-plex ? 13 18-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous O 31 New ? 32 Addition ? 33 Alteration 0 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const O 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ect. Alt•- SF O 36 Muki O 35 Int Improvement O 38 Demolish (Interior) ? 44 Slding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors •Demolkion (Entire Bldg only) - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length W idth MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings(deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Othcr 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 Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Suroharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EAGAN nJo 15 4 0 4 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? BUILDING PERMIT PHONE: 454•8100 Receipt ? 1-7 7o be used (or SF DWG/GAR Est. Value $94, 000 Date AUGUST 1 t g88_ Site Address 4023 PENNSYLVANIA AVE Lot 6 Block 4 Sec/Sub.STAFFORD PLACE Parcel No. m Name FRONTIER MIDWEST HOMES w ? Address 3902 CEDARVALE DR 3 ° City EAGAN Phone 454-043 ¢IName SAME 0 oa Address : City Phone ¢ w Name_ = Address ? W CitY_ I hereby ecknowletlge Ihat I have read ihis applicalion and state that the information is correct and agree to co ly with all plicable State ot Minnesota Sffitutes and Ciry o Ea n rdin ce Signature of Permittee ? A Building Permit is issued to: FRONTIER TC?T ontheexpressconditionthatallworkshallbedoneV accordancewi[hall applicable State of Minneso[a Statutes and City of Eagan Ordinances. Building Otficial OFFICE USE ONLY On Site Sewage _ Occupancy R-3 M-1 MWCCSystem X Zoning R-1 On Site Well _ (ACtuap Const V-N Ciry Water 7 (Allowable) V-N PRV Requiretl # of S[ories BoosterPump _ Length 55' Deptn 34' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 550.00 Planner surcharge 47.00 Council Plan Review 275.00 BItlg.OH. SAC, City 100.00 Variance SAC,MWCC 550.00 Water Conn. 550.00 Water Meter 67.00 Road Unit 325-OQ Treatment P1 204.00 Parks TOTAL 2,668.00 ? .; 1988 BtlILDIHG PERMIT APPLICATION - CITY OF EAGAN 3INGLE FAMILY DWELLINGS I5404 INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SIIAVEY, 7 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[1ST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISS[TED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECg WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS CONIDIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS sFDIGRR ?,?y To Be Used For: :nppl Z`dli? Valuation:Date: ??1b'l' 51te Address Lot ? Block ? Parcel/Sub 5??.id Owner C_(X .? i Jl ?TnAn ? Address F?- City/Zip Code C?y ow- OFFICE U5E ONLY On site sewage Oeeupancy R-3 M? I MWCC system Zoning Q-I On site well Aetual Const V-M City water v*'? Allowable Y-N PRV required ? # of stories Hooster Pump ^ Length 5$ - Depth 3 T S.F. Total Footprint S.F. Phone I APPROVALS Contractor f- n yGe LYldcjLd- Hnna?--, Engr/Asaess Planner Address \7922 2?/,4 /q e ,rje.i Council Bldg. Off. City/Zip Code .dan ? /y1(1. ?/,?2 Varianee Phone Areh./Engr. k-'i\ILI,?S riR(1 ?QUIC? Address Nsw FEES Permit 550. 00 Surcharge 4'7. DO Plan Review S ? / +'} .Ob AC, City 7 2(- OO.DO SAC, MWCC 550 1 00 Water Conn DO Water Meter (I .DO Road Unit Z 1a'? Treatment P1 D N Parks Copies , o 0 City/Zip Code ?LtEV,mn_ Lsia? I ?'sARwNG7C?`MoDE(' TOTAL P Phone U -/ (/(IGL/N ' Axe#vrfs ecrtifixte SUpjVEy FpR; Frontier Midwest Homes Corp. OESCRIBED AS: ?ot 6, Block n, 51'AFFO?:D PLACE, City of Eagan, Dwl:ct2 Couirt?- Piinnesota and reserving easements of record. 30 ` eS9°?(h a 059 Z Z ? bti ?w ? ? r• t'? / l/ e?e,,.? ? w •\ p vW / y( ?? ,? p 5? ' WO ? b . NaSe: To ?'-.e.1d G^eJ... V PROPOSED ELEVATIONS BENCMMARK+ 864. 1 . Tar d• farWOtiM .e?n,g r.rr. uvD. L' it! 19 B..?c (., Fi...s.?lus-..e ?iOrO? 'r100/ , a861 .1 - Aus.- Elen. a 861.84.. . so?M f7eor •'- ':: s a s 3. 4 _ MIN. SETB?dc' REOIREMENTS ppna. Sftw $Mrlp ENv. s 819.'t = . PraposN EIwoHMS . C-D : Es?tlM? ENwfia?? s , Fronf - 30 Neu?? Sid? -la Dfd1109e DImtbAt •?• . R*or - tS GCrC" slft' S D"an OffN1 Stokt . p gCALE: 1 Inch • 30 Foot , I Mnti arnh nrr *A* wrwr. oian a nvort ww wwo'M b ar JOB N0. /iEDLUND w um". ., .W*O .OWWWM OW Met I o. . dury RO.rt...a eM- 32 ¢ LaM Bwwrar wWr tM le.nii of 1M 31eN H Min.esota. 800K PIBM%/W F11gfANIJIIy $1JMqyjflg e??r.?..?.r......io??r.. b, 15,$`O , PAGE '+n...*?q.ras y Oate: JH /D. Ue"no 14376 EXTERIOR ENVELOPE AVEK11U.1• :_U'_,??ii!' ? rti iuiv nnrr: --- S?TE ?,ooRFSs: jlba? ?p--me?Al)PL6 A- - PF'O . ME' 454-()434 - FR(1NTTFR . 2 x 6 STUDS CONTRACTOR: F-g N7'IE2 HorAEs _'. PLAN # r:;.npqir,l? Determine wor•king square foota9e of each 1. Totzl exposed wall area..... 23010 1 5 54• ft. x .11 = ,253 1 fr 2. Total roof;ceiling area..... I& BLo sq. ft. x .026 = q3 Bq Tctal exposed wall area a bove.floor=__ 9[, D ......... Iz2,5 ? a. Total wall window area ................. ................. ' 3S b. Total door area........................ ................... ........ ..... 2,2 4 c. Total sliding glass door area .......... ..................... d. Total fireplace wall area .............. ea (average.l0%) .. i .......................... .......................... e. Tota7 ng ar wall fram - I?I 3 f. Total rim joist area ................... .......................... 2 34 ? G • net wall area above floor ........... ....:..................... - h. wall area a6ove floor ........... .......................... ' - i_ wall area a6ove floor ........... ...................... .... - ,7, - ' ' rrame wall area at roi:neation......... .......................... Total exposed foundation area= I1-)1,3 . k Total foundation window area............ ............ ` . 1. Total net Toundation area above grade .. ............ iq 5. 1 Determine "u" value of each wall segment (e.g. window, door, each separate wail section) a. i?2 b. X liuii ,31 = II,?B c. 3Z•?I X d. ` X ltull e. ?ta X lgull ? II = S1" f. t5113 X „uil 9- 29-i X l. ul, , 0?5 = i 1?l h. X glut, - _ " ------ i. ? X ??u" j, _ X llull - ?_ r. 5.4 X liuii y o4 °_ 5, 2- ?. 195.9 X u„ , 14 = 20-43- 3 . ............ ..: ......... ..... ....Tctal = 131.9I If item 43 is the sart as, or less than iten nl, you have met the intent of SBC 6006 (c PLAN ? _13AR? ? NCiTO!`( * LINEAL FEEi' F.XPOSID WALL BLOCK: 55 -} 2 5. 5 34 3,1, lo + 2 5. 8 3-t 1 O= I 5 I, 3 KPIEE: W,O.: FUU 1: 25, 5-f- 2'7 + }) k 55 2- 4 Z 3- 1 55 FvU 2: 2a4 2-7 4 2 s.5 -4 28.5= 1 05 FIREPIACE : RIM: IS1.3 * SQUARE FEET E}POSID WALI. AREA . BIACK: x .5 KNEE: _ x 5 W.O.: X g FULJ, 1: ?55 x a= 1240 FULL 2: f D_ j X H= 6'? D FIREPLACE: RIM: 15!.3x 1.= iSl.3 TOTA-L 23o(,.q5 * SQUARE FEET FxPOSID CEILING =) L 8(, tkJN=S4JS ! 1(?q8 =5'3 H) zo(,o= 8.3 n3:: ""1,9 p Zo48= L.?l KZ= 13.31 ??) -2D?L? I5 l;IJl4-'2411 8= 8 ? B = t/ 4 1 "L2 ,Sq ? DOORS 3°=Zo 28_ 15 = 38 * PAT20 DOORS (,° = 32.9 * &45IIMEi`1T UNlTS m 28x10 = 1,3X3 =5•4 CONSTRUCTIONI- FRAMING 1. INT'EftIOR AIR FIIM R=• VALiTE 0.68- 2. 2 BD 3. 5]: 2 SOFT WOOD 6.8 `+. 5 . 7HERMO FtY st+E.ArN .2 .42 6. MCEIZIOR AIR FILM 0.17 U= .J SiLL FOU+ohrTAjJ WhLL _Q9 FTG 43 V t> * ? ( I t cl 1. 1 O a l `? ? ?r ? t pRqrV NRCt NET 1. INT'II2TOR ATR fTIM 0.68 T:_" 2 YP D .45 3. 4 7NERMo R.Y sHEAr?+ -- .2 5. ff'IDING .gy. 6. R A R LM 0617 1. TOTA INT'ERIOR AIR FILM L = , u-i2 U=- ;.os 0.68 2. 6 SIJL. 1 .00 3, 4 x JO THERMO nY S4Eo4TN •2 . 5 S G 6. EXTMOR R FI R,a ?2SG U= ? 01 sL,ocx l. IN7'ERIOR AIR FIIId 0•6$ 2. 3. . 0 4. PROTECTIVE BARRIER 5. 6. A R F T(YTAL R= 7.13 U= .14 SLAB ON GRADE . 1f f ? ff i Ill ?lI ( ? v ? dp s • , ' . r- S? ?_•- _° - ?fl ? s ,. • t r f?,? } t lll !?? f ?, . ; i14 NOTE: INDICATE TYPE, "Ft" VE1IIJt. I1EP'i'fi P,NID PLACII,fENT OF ZNSUI,ATIOt[. ? K l t D p aOT?;: use 1? of opaque w?l 1 or?a fvr _ , .'fvamC CCx?truCf'?on ROOF-CEILING • ???'" CONSTRUCPION ' R-VATSJE 0.61 1, IN'PERIOR AIR FIIM 4 3 2. 3. 4, . , VENT v = :02 VENTE:p L F1FliT F?OW U UP ? FZG. #5 ? I HFAT FL,OW UP u FIG. #6 ?J ?• ? w •J ?? y? ' .V? II? '• ? It.? ) f ? • / + ? r NQN-VEN'I'E9 HE'AT FIAW UP °IG. #7 VENTID ?•- ???.-?-:-?.?? ? a ? FRAME . 1, INTERZOR AIR FILM 0.61 2. 3. 4. U = 0.024 CONSTRUCTIOid 1, INSIDE AIR FILM 0.61 2. 3. 4. FTtA 1, ME INSIDE AIR FILM TOTAL U ? • 0:61 2. 3. 4. 5. UI/ • 1. INSID£ AIR F'ILM U 0.61 2. 3. 4. 5. . V ? NOTE: USE ADDTTIONAL SFEEZ'S 7' MDRE SPACE IS NEf;DED FOR DETAILS AND CALOJLATIONS. .. .- ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: suzLpaNe Permit Number: 025147 Date Issued: @ 2/ 21 / 9 5 SITE ADDRESS: P.I.N.: 18-72500-080-04 DESCRIPTION: PERMIT ck,3q1q3 4023 PENNSYLVANIA AVE LOT: 6 BLOCK: 4 STAFFORD PLACE Building'..Permit Type Building Wo,rk Type ? i' \ -a f ? J _? - , BASEMENT FINISH ALTERATION ?f ??? ??t??.•T?? 1/?..?jii //'?jFi'f ????-/i'i?j'?? /"?`-??;' .: ? ?7 ? \?' '_ ?\ ,\? .?`? .J .?J REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBIN6 OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: MASTER'S TOUCH INC 10732 UPTON AVE BLOOMINGTON MN (612) 855-0738 - Applicant - ST. LIC 18550738 0908316 S 55431 OWNER: EDEBURN EARL 4023 PENNSYLVANIA AVE EAGAN MN 55123 (612)452-6448 Z hereby acknowledge that Z have read this information is correct and agree to comply Statutes and Ci:ty ofi Eagan Ordinances. L. APPLICANT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. J ,? rR1?? rn_? ISSUED si rua INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Piiot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lo r : s B L 0 C K s 4 APPLICANT: 4023 PENNSYLVANIA AVE MASTER'S TOUCH INC STAFFORD PLACE (612) 855-0738 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: BUILDIN6 025147 02/21J95 ALTERATION INSPECTION FRAMIN6 .. . INSULATION .• ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PI.UMBING OR ELECTRICAL WORK ? ? i5141 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered sice surveys ? 2 copies of plan ? 2 wpies of plans (include beam & window sizes; poured (nd. design; etc.) ? 2 ake surveys (exterior addftions & decks) ? 1 energy calculations ? 1 energy calaladons for heated additions ? 1 tree preservatlon plan if lot plattad after 711/93 required: _ Yes _ No itr DATE: 2- i(O ` V5 CONSTRUCTION COST: DESCRIPTION OF WORK: F`uLSH-t),Jtr - Aq>i> STREETADDRESS: 4025 P?NP5Y+-+/'A41A, Rv?? FEB 1 7 Iqq5 LO,. L BLOCK-- SUBQ./P.l.D. #: ???? ?'kaz L----------- -J PROPERTY Name: IFDt oura-IJ e ArP'L- Phone #: OWNER '"" Street Address, ? 023 1720N SyL-v&N 'k /kV City: EA&At4 State: tA Zip: 55(23 Diw PGR 1600-41734- coNrrtAC7ok Company: Mk5"WR`-s 'TbOc-%+ ? iMc- Phone #: ?5'5-0'73k k t>5, '?'?'O 5 StreetAddress: t013a uP-a-or' fkv S License#: 6?1?0 City: ?LoD?^-???G-r?N N?+J .4;54 31 ARCHITECTI Company: Phone #• ENGINEER Name: Registration #, Stre-ct i,ddrass- City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot 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 Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE , ...,. • , .. ,.. . 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging 62( 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Muiti (Misc.) ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New ct?-33 Alterations o 36 Move 0 32 Addition o 34 Repair ? 37 Demolition CativERAL iivF6RiviATIUN Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance 5?75' ? a Permit Fee Surcharge Plan Review License M.C4NVS SAC Vlly Vl1V Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units C.O 0 3 7 L & BL CITY USE ONLY RECEIPT #: ? 1 SUBD. ? ??Qr-e... DATE: ?Ll s 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each uniY FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty, license 20.00 = U.G. Sprlnkler " home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 SITE STATE SURCHARGE ?50 ? TOTAL ab 0 OWNER NAME: L/a--Z- AFJ e G u?...o INSTALLER NAME: 04k ??? • - ? ?-9-? ? --> ?-- STREET ADDRESS: 7 Z1& CITY: 0 L-1,a ; 'C.& STATE: 1n..-- ZIP: d-j-Y Z3 PHONE #: ( GJz )6G 2. G f i- LL t:RMI ???V ? OFFICE USE ONLY L BL SUBD. 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Pfease complete for: o all commerciaUindustrial buildings. ? multi-famity buildings when separate permits are p4.t required for each dwelling unik DATE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON _ REPAIR IS WATER METER REQUIRED? _ YES _ NO, IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per $1,000 af nemit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: OFFICE U5E ONLY I METER SIZE: _ 11 QATE: RECEIPT #: DATE: STE. # STATE: ZIP: APPLICANT INSPECTOR: RECORD OF'COMPLAINT 4, ? Z6 -J?? DATE: COMPLAINT T6KEN BY: NAME: n l; // •,?i?? ?G?"? ADDRFSS: - ?oa.3 ??.?v??cr,??c ?Zc?- • PHONE NO.: ?_ ys y_ ?yy3 COMPL.AINT: ; 9 6CTION TAKEN: ??- ? - ? ? ??? -A-C?/"?.??LL?•3??C? n•rn ?"?° ..? r,?r?y? '--Yr ? ?,c ??.C-? ? ?? COMII3ENTS: C?'?itkC??tiw?l? Gr<'I"Yl?vu'?CC(/L??x?'C`vL/? .ac.7r? 3E //y TYPE OF HIIILDILiG: LEG9L DESCRIPTION: 4 7 . SIGNEDt j ? ?'I. ?"I'-%'1 ?('t?? / _ -. - - 1990 BUILDINC PERMIT APPLICATION CITY OF EAGAN ??L$ SINGLE FAMILY DWELLINGS r7 ? MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SA12 UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS .T.SSUED. 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. To Be Used For: D E G? Site Address ?oas Pe Lot O Block Valuation Parcel/Sub -5'? ,qFF*fQ 10!?L'4( f- Owner ',T 0(f/v , ` nddress T0*?3 /?'rl?lS?.?ti?,,. /Q. City/zip Code 611-614-itl MIJ r51z3 Phone 17'S-y- 77113 Centraetor G ' L F Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Gode Phone # Date: '15-' 9 ? Iv OFFICE USE ONLY FEES Occupancy Zoning Actual Const Allowable # of stories Length e2'3 Dapth S.F. rocai Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road llnit Park Ded. Copies SUBTOTAL Penalty TOTAL ?5 . CC, , SZ` ?_ G , ?0 APFLICATION FOR PERMIT SEWER AND/QR WATER CONNECTION .--- . , . , i NOTE: PAYM1frM OF FEE AT TiME OF ` z APPLIG4TiQN WE5 WT CON- ? ? SPfNIE APPRCJAL OF PFR6IIT. :. x r w ; irLSnErrzoca oF WkM nw/OR MTER ; ; xntsraraa+TTass wIIa. nvr BE scmcn.en ; y [TII'IL PIIZbIIT H7S BEEi ApPROVm. • #et»trf #w+???»a+???eke?wsf f:rtrt:rfrea oF ecicjcin PLEASE PR NT 1) PROPERTY ADDRESS: ..'y0^'? ?y?? n S?(1?R(1 t? aq"P T•Ff:AT, nFSCarprsav: . (v. -. y. . or IF EXISTING STRC'C7Y)RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSED USE: Q COMN]ECtCIAL/RETAIL/OFFICE IarR-1 SINGLE FAMILY Q INDL'STRIAL ? R-2 DOPLEX (34ro Units) Q INSTI'ILTIONAL/GOVERIZENT ? R-3 TOWDII-IOC?SE (Three + Units) ( Units) Q R-4 APARTMENT/COAIDOMINILM ( Units) 2) NAME: ?,?Ol1tiER rV) ? d u1 est ?nMtS ADnxEss: CITY, STATE. 2IP: ft)(V PHaNE: vsy- C?3y,??i . 3) • :??• NAME: ?-txE? P?umhina AoDREss: CITY, STATEr ZIP: -- PHONE: ? yJ?9 MASTER LICENSE # ij Active Expired Not recordec StREf Initi 4) NAME: &lin s , ban d a- ADDRES5: CITY, STATE, ZIP: PxoNE: ySU - 617SSY 5) {ErCONNECTION TO CITY SbWER (E[ CONNECTIQN TO CITY WATER O OTHER 6) ?.?ae_ lk(?.? ? er//'?-! *?****,?*,:*,?*******, ? ****?**?******.*?*******,??******?**?***?.**********?,********??***********.**j * * THE GOLD COPY OF PERMIT WILL BE SENP DIItFX..TLY TO PC?BI.IC "K5 TO FAf'Tr.rrzTE MEPER PICR-L?P. ; ? PLEASE ALIAW ZSVO WORKING DAYS FOR PROCFSSING. SONIDDNE FROM TfIE CITY WILL CONPAGT YOU IF 74ERE ; * ARE ANY PROBLEMS. ; ,?**********?******?********«,?*******??**+*****?****?**?**?***??**+***?+**+.x:*,e*?**+****«***********; FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ /C`• ° J?' $ $ $ $ C7c- $ $ $ $ $ $ $ $ $ $ $ $ c? ;-o $ $ $ $ $ $ $ $ $ $ $ $ $ $ ? 6 1 ?-, (^ C? $ , SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SDRCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRL'NK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCAARGE OTHER: TOTAL _6' ?/ 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ? ? = ?I?l?el?',? Rruldentitd VUhc?Ie House Worksheet CtiY -- _ S Wte LP Tebptwne Num . . NIN ?:':;nsjq3DuriynTamp?J _•F_OutsidoDaeignTemp --120 °F.MastlnpiempOiffonnce?•F SUMMLR:Ou[aidaDssiyn Tomp ?n1S aF-InaideOe.;...T..... 7< eI,_ HEATING ?• . COMMON DA7q'SfCTION .o... ,? - r,......... .. . -r . . ? • ' >r COOUNG ^+?+-• • NTllil ?f?.•.•. ? F?CTOR • i' SW?:l' ' ' SUB. ?CICr'T? ' ' t ' ? ? 1 yi.COOl1MO..y? .a?', '. . • r ? ? R^'??p' fL •FACTON' ' lt f? .., GROSS WALL / 5?U I U/p? . ?. 3oS . IIT1M ?N DOORS 6 WINOOWS (Tahle A or 81 ? & . NETWALL 6Fr7 to CEIUNG 91 Fl I . O/O FLOOHS MI?I?NM a?? ?, o?S(>j._... a MMilflp i.?v o ?; z 10 x i.i/m x weM. va?m. x 1.1/w x &T x t ? r • 2 .? ? °?? xo.iava x 94G?r 9 G x o.oiasa xavx ,.s. ? ?7• ?S.•; ?,, SU8-TOTAL 9TUH LUSS (par 10°F). x ADJUSTMENT FACTOR ITable C) :. ? S??S?fS3 ° ?!`. TOTALBTUNLpSS ' : • "4?L ;..; PEOPL x 300 BTUH GAIN ?eia,?,,,"'„?'010 ? • ? FClJ? ? . APPUANCES BTUH SUB•TOTAL BTUH GAIN (room sensible only) • • 1200 DUCT IASS/GAIN FACTOR (Table F) SUB-TOTAlBTUHISenaiblaGainl MOISTURE REMOVAL (sub total x 1.3) ' ? r TOTAI BTUH LOSS/GAIN ? x 1.3 '? TAOI A-HEATI IPER 10•il' . FaI slImnp gisu Coon, uw Iscmrx for tha uma tYps wintlow IM?cUuCSOn. ' '^dO 'o Framaa UoorTy)?a od TIM M stalxAr? - BWhLoss S-nylu P.11e ?' -?- Ciaar . ? 9.90?10.05?1i.fi6 clrar I 5s1-Q6.09 Ib.z6' Wim Swrm A .tl5 4.90 npla Pnu Char 3.80 4.39 6.96'. lalouiH -- Sinpb - - ,11.0 wToin - - _ 5.0 iAyLyhls ' Su?gy 11.07 11.69 12.% 6.65 35 YJOw! Only {ti: 3.yp + Uiemene [r q _ e?Uann Cwe IH_tilwluwnt TOiALS /02 (CP hl?ustmenl Fxtp ? ? 1 ? 5??-6rq..oa.x o- cuv,urvu - pOOHS 6 WINDOWS I T.A31LE C _ AOJUSTMENT FACjORS - (HEATING) 'F. lsmpy?a:"f '7' ?3'p? L-'w fi0 70. BO 9D Factors auume windows have insida shaGinp bydnpari" pr wrywn blinGe and sliJing Blass tloors an troataC u wundowa. , wCUOUY oa?11au4 ?wruWY . . . N Tewr.our. .1? L 9? ??Meoiq: 1? ..1? \ nWtowE 11 13 11 :?.,, .?iywo.,w ,? C?1 M16XW i11 11 .r il 'D 1 i T ? ' . . . , tbw , k Y O M .M Y y. 31 A' 316W ?I{' Y p ? 91 U a M T S ?l? L i' A m A 't? a ?S?' M I1] 1.1 1U IM l? ti1 a a . O - U3 1] 4? - . N 1.s ?.? ?.? iJ I.\ \? .. TOTALS C? ?OfNN11?M[YI?IMWtl00/t ' • • ?• .. •• . ? TABIE D - INFILTRATION MUL7IPLIERS — WinterAirCAenpaParMOUr ?•?.?•?... 0.4 1 0.4 z.z i.a u 10 MA'p0 Poo, 0.1 02 0.6 Swmmw Alr CMnpa Per Now - FbpAiN 9t10ahM 90?1500 170621pp OYV71pp O.i 0.t 02 0.2 at?j GS Y.S &A a.s a? us. as City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4023 Pennsylvania Ave Lot: 6 Block: 4 Addition: Stafford Place PID:10- 72500- 060 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 Surcharge - Based on Valuation $2K BL - Base Fee $2K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120 Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 kara @elderjon es.com $1.00 $69.00 $70.00 Owner: Stan E Nickerson 4023 Pennsylvania Ave Eagan MN 55123 9001 0801 Building EA073481 05/22/2006 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131228 Date Issued:06/10/2015 Permit Category:ePermit Site Address: 4023 Pennsylvania Ave Lot:6 Block: 4 Addition: Stafford Place PID:10-72500-04-060 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 - Matthew A Joyce 4023 Pennsylvania Ave Eagan MN 55123 (612) 723-6345 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �� i For OfFce Use � I ��) � � C�} O� j�� j Pertnit#: i � �� u� i d �� Permit Fee: t � 3830 Pilot Knob Road � .� ✓ '� Eagan MN 55122 ��„��,�.x�-,<�,,i�-� � Date Received: � j +., a i ��,� ...� � .._.,�.,� I Phone:(651)675-5675 I ff: I Fax:(651)675-5694 I Sta ��p,<. ��1�J I I �� -------------- �a f�� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION -7.��-�� Date: Site Address: �� P�n� �1 d!�� "`- U � Unit#: ' ' / Name: �Y" � G ��';y� Phone: C�5� `� �� s� �� Address/City/Zip: r ��3 1�'�� (/Gt/l i t'� �U� �."'t�'�� :�.i� I'�� .��J� Z� f . Applicant is: JC Owner Contractor I _p � Description of work: �Co rt,9 (��C1 z c,�c�`t��•}r c�t� O t,�P r C7` I�/I r y� �f.�F�'i Construction Cost: ��v Multi-Family Building: (Yes /No� Company: Contact: Address: City: State: Zip: Phone: Email: License#: Le�d Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and add�ess of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: Fire Suppression Contractor. Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this i�ormation is complete and accurate;that the virork will be in cor�fortnance with the oMinances and codes of the City of Eagan; that I understand this is not a permit, but ony an application for a permit, and woric 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 pennit issued in accordance with the Minnesota State Building Code must be completed within 180 days of rmit issua�ce. � 9 �!/ �0 � � X X Applicant's Printed Name Applicant's Signat Page 7 of 3 �C�3 ��..n,�1��.�.� .�}y�e� l ---- C� DO NOT WRITE BELOW THIS LINE ! ,�' �� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi) _ Muiti _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building Reroof Demolish Interior _ Alteratlon _ Fire Repair Windows Demolish Foundatlon _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �. Valuation �j Occupancy �(,,,.�-- MCES System Plan Review Code Edition ' SAC Units (25%_ 100°�� Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction _�� Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Fo�nziation HVAC Gas Service Test Gas Line Air Test Roof: _Ice 8�Water _Final Pool: Footings Air/Gas Tests Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick �Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control l� Other: Reviewed By: � . Building Inspector RESIDENTIAL FEES Base Fee �� L��'`� Surcharge � Plan Review < "�`�� MCES SAC � � City SAC J r �� ` t ,�/ �f�,,� �1r7 Utility Connection Charge �� f S8W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA155486 Date Issued:05/17/2019 Permit Category:ePermit Site Address: 4023 Pennsylvania Ave Lot:6 Block: 4 Addition: Stafford Place PID:10-72500-04-060 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: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Eric A Boyd 4023 Pennsylvania Ave Eagan MN 55123 (651) 785-8211 Hail Pro Llc 211 River Ridge Cir Burnsville MN 55337 (952) 567-0676 Applicant/Permitee: Signature Issued By: Signature