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4027 Pennsylvania Avew`;?UA5?(a? fiV1PV MESSAGE ' TO ? DATE & ? T?E y? P. M. LF/YOU WEXROOUT ? OF 44 Area Code & Eachange TELEPHONED LEASE CALL CALLED TO SE£ YOU WILL CALL AGAIN WANTS TO SEE YOD URGENT R NED Y UR CALL Operator ar cirir oF EaGaN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT To be used for :?;i("AR Est Value $65'000 Receipt *. 1 a7 JLNE 24 19 M.. Site Address 4C17 pEHNSYLVANTA AV6 Lot ? BIoCk { SeC/Sub. Parcel No, ¢ Name FR: i"t } ;"ry HIDk'F.fiT = Address Q "I ? C.' OARVALF; DR ? City Phone GSr-.C;&:i a Name ? Q Address ? City Phone ?a yVj W Name _ ? Address Q W City Phone I hereby acknowledge that I have read this application and state that the infprmation is correct and agree to comply with all applicable Stafe of Miqnesota Statutes and City of Eagan Ordinances. . Signature ef Permittee A BOilding Perrqit is issued to: on fhe express condition that all work shall be done in aCCOrdance with all applioa6le State of Minnesota Slatutes and City of Eagan Ordlnances. Building Offlcial aFFICE USE ONLY On3ite'Sewage Occupancy MWCC Sysiem Zoning ? i On Site Well (Actual) Conat Vn City Water ? (Allowable) Vtj PRV Required X # of Stories Booster Pump Length "? Depth 37 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ,? 634.00 Planner -Srtlcharge 32 • 50 Council Plan Review 217 • OU BIdg.Off. SAC, Ciry 100.00 Varlance SAC, MWCC 550•00 Water Conn. 550.00 ? Water Meter 6 7• LV Road Unit 32500 Treatment P1 2(7A.(]LI Parks TOTAL j2,479.50 .; ' _ -• CITY OF EAGAN ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE• 454-81M BUILDING PERMIT Recelpt# To be used for Est. Value Dete ,19 Site Address ' " ' ' ' r+ "• ` Lot Block ? Sec/Sub. ? 'AFF(')kD Pi.ACE Parcel No. rc ,O x? U< cc r Name Ciry I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all appliceble 5tate of Minnesota 5tafutes and City of Eagan Ordinances. Building Official OFFIC E USE ONLY OnSkeSewege Occupancy ` 'i,41 ` MWCC System Zoning On Site Well (Actual) Const City Water X (Allowable) 'PRV Required ^ * of Storiea Booster Pump Length Depth ? S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 4'4•00 Planner Surcharge Council Plan Review Jl} Bldg. Off. SAC, City t' •• . w Variance SAC, MWCC o ` l* Water Conn. ' •?`U Water Meter Road Unit ' ? y • ??? Treatment P1 2?d•? Parks TOTAL ? Pe?mit No. Permit Holder Date TNephone * Plumbing H.V.A.C. rO. C ? ? 12111 Electric Softener Inspection Date ns Comment8 Footings I l I Footings 11 Foundation ? Framing Roofing Rough Plbg. IV_ Rough Htg. Isul. 5'?E /ii??L$ ? .• Fireplace Final Htg. 23 ? Final Plbg. Bldg. Final Cert Occ. Z s e- Temp. LP Deck Ftg. Deck Final Well Pr. Disp. r ' fItrtiftr?tit uf (Orrupttnry Citp of (tagan Er,prartmrttf af sidld'mg jnapPrt'tmt This Ceruficate issued pursuant to tlre requirementr of Section 306 of the Uniform Building Code certifying thar at rhe time of rssuance tlris structure was rn compliance with the various ordinances of the City regulaling building construction or use. For the following.• u« a..r... SF L]6JG/GAR eiag. Permu W 15257 o-,p-y Tya R3 /M 1 zDving am;a R' -rya r?ca W owoa ot euaa;ng F;M7IER M'_DWESI' Addmn 3191U." i.c:uAr",vA' ;, IF, E.?.?'.r1N 9wldins Addreas _ .. ?.,t?1 j i? Loolity 1,7y B4, Datt: - Building Olicid POST IN A CONSPICUOUS PLACE t, • f PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 Site Address Lot m Name 4 :... ., s ?o Address Shaxiiue h c Ciry ?..;?,.. ?Phone Name +':Wi1Li?tr liumze c Address 3 p City `,_.b .,• Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR CITY OF EAGAN PERMIT # 4-r- ?L_ RECEIPT # 3 '?23 DATE: BLDG. TYPE WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _LWater Claset - $3.00 _,/-Bath Tubs - $3.00 _/--Lavatory - $3.00 Shawer - $3.00 =Ki!chen Sink - $3.00 ? • ?'n UrinaliBidet - $3.00 ?Laundry Tray - $3.04 ?f?? Floor Drains - $1.50 ?Water Heater - $t 50 -Whirlpool - $3.00 Z_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Well - $10.00 Private Disp. - $10.00 _;t-Rough Openings - $1.50 FEE: STATE S/C: T ?% GRANDTOTAL: A ' PERMIT # ? f ' ' MECHANICAL PERMIT y ? • CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYP WORK DESCRIPTION Lot ? Block Sec/Sub ? - , , Res. New _ ? Name t^;``- r! •:F,'? ,?r . ?/ /.? ;< Mult Add-on m ? Address ; ' Comm. Repair Other c %- •1 r:;7?v Cit Phone '} S'? y FEES ? Name r?N? '? ' , Je?C r- C..o • RES. HVAC 0-100 M BTU -$24.00 c Address ???' ? 5 ? a? ?????• f w • ADDITIONAL 50 M BTU - 6.00 p City phone i 3 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERnAIT) - 1 50 EA . - . TYPE OF WORK COMM/1ND FEE - 14'0 OF CONTRACT FEE Forced Air M BTU -? - o(' APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SUACHARGE PER PERMIT - .50 Vent CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # r ?` BEYOND $1,000) Other FEE: SlC: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF, EAGAN Permit No: Date: 6-29'88 3030 Pilot Kqob Road Meter No: -I-eZ14 Size: ? P.O. Box 21199 Reader No: 4Ff Date: Eagan, MN 55121 Frontier Midweat SileAddress: 4=7 Penn-qXlvanta Avente 7.7 B4 Staffor.j 111ace Pfumber Conn. Chg: 550.00pcj Acet Dep: 15. dOpd Permit Fee: 10. 00Pa Surcharge: • 70Fd Tr.Plant 204 ,0 Ct Pd Meter. fi7 nn,.,, Misc.:n,.TZI Zoning: Rl No. of Units: ! agree to comply with the City o1 Eagan Ordinances. By i` WATER SERVICE PERMIT CI7Y OF EA6AN Permit No: 3836 PNot Knob Road Meter No: _ P.O. Box 21 199 Reader No: - rEagan, MN 55121 nw.,o? `'ron: ir-T Conn. Chg: `5t!.OC??:, Acct Dep: p` Permit Fee: F`'' Surcharge; Misc.: 7r.?- P. Zoning: _ Tr.Plant 7 15 4•no-,' Meter. 5 7 U•' No. of Units: Date: 6"2 g"$g .1 Size: Date: RI I agree to comply with the C!ty of Eagan Ordinances. WATER SERVICE PERMIT CI7°Y OF EAGAN Permit No: Date: ?-29-RF 383P -Pilot Knob Road B/P No: Date: P.O. Box 21199 tagan, MM, 55121 Site Address: yvzl Pe=57198IIU Plumber. 5tar p ism ing MWCC: 55n.()0p.i City Chg: I00• Copci Acct Dep: 5 ' ' ?' Permit Fee: ` Surcharge: Avenue L7 ak Stafford pI Zoning• No. of Units: ? I agree to comply with the City oi Eagan Ordinances. i;? r SEWER SERVICE PERIVAIT This requast vofd '/?.?/ 8/8`g 18 momhs ?fwpm '/ E 2 rG ? 7 .?. ? ?i ?Ct,Ck? e& GO-7 ;1151 °0 Fequh t nse///??? -J G G Fire ?' Rouuh-i sVection Requir ". CReatly Nuw ill Notify Inspe[- / J ?V es ?Na tor When Reatlv ir.ensed Electncal CoMractor I hereby request inspection of ebove ? Owne.r alecfrical work installed aL Stre ?dres Box or Hou No. ? ? Cify ecuon o. To ns D Name or No. enge No. County Occu 1 I NT) ' Phon No. ? Power ier • Adtlress / Name) Electrical Conuaclor (COmpany KENDRICK ELFCTRIC CoM ar.tor's L'cense No. MailieT4Q7?•tVdrqyfilGqqt{?ytA4o? i??p1V?;tailationl i'I.Pl1V A i na tyr r ' y allationl P?Number M{NNESOTA STATE BOAXD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT Griggs•Midway Bldg. - Hoom N•191 BE ACCEPTED BY THE STqTE BOAND UNLESS PROPEH INSPECTION FEE IS 1821 Uoiversitv Ave.. SL Paul, MN 65104 cnvnonn ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooip-o?sj ? See instructions tor completing this form on back of Yellow copy. E ?7°L 8 7 "1(" Be/ow Work Covered by This Hequest tl fteP Tvpe oi BuilOing ADOliances WireA Equiymem Wired Home Range Tem ry Service Duplr.x Water Heater ightiny Fixtures Apt. Building D yer Electric Heatin Commercial Bldy. umace Sllo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tnnk Farm oin?., oe..itv 0ne, Isue(-Ifv) t n Veufy ther Olhcr Comnute Inspectron Fee Below k iee Service EnvanceSiza d Fee FandarS/Subiexders Fee Circuits Uto200qm s Oto30Am s Oto30Am s Above 200 qmps.. 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 700_AmPs Transiormers Irrigation Bonms Prtial.'0ther ee Signs Special Inspection 5? ^ TOT EEE1 Nerra.ks 'o ? ? P flouBh-in : ?i/W I. the - '. r Inspectoq 1are1 y }tity Ld"' tha abova Final , ?leinspeclion has been ?Oy made. Tis reouasl vold 18 moniM irom BLDG. PERMIT NO. ? S2 Sr7 4-- -I ?31 O cJ'L 4 5-?c?.?d?UUf'd I?L 01-3210 Bldg. Permit OC) 013422 . Plan Check ? 1 -7 o v 01-3445 ? Surch./Adm. • 01-3446 SAC/Adm. 5 SC? ? 01-2155 Surcharge "'?75-3860 Road Unit 3 ZS °p 20-2275 SAC S U(4- Ja 20-3865 Water Conn. ?J Sc o0 20-3868 Water Trmt. Ov r? 20-3716 WaterMeter (3° l? 20-2252 Acct. Dep. Oe l Cl 20-3713 Water Permit t `-' ° ° Q) 20-3743 Sewer Permit 00 79-3866 SewerConn. I o0 (nc) 28-3855 Park Ded. TOTAL °? CASH RECEIR"t ? CITY 0F LAGAN 3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 L s j onrE ? ? ? ? -, / r ?. . ?...-.. . ? • . AMOUNT $ 00 8 DOLLARS. : ,m ? ? CASH LCHECK? II D C-( cCfCr I J? JCr ?IV.+?? I'?.{V? ••?'`\U(ll\l.l?rL?t.>I JI (,:?G,(? 1'?'. ji.?.. (41,'. ? ?. FUND OBJECT . , AMOUNT ?- ? .. A, V I Op Cc c ? Thank You BY ? vmna--aaym caar valbvrPOetlnB CoPY Pink-=Flle Copy . RANSMITTAL A , TOH COLBERT, PUBLIC WORRS PnT GEAGAN, POLICE DALE RUNRLE, COHHUNITY DEV REti SOUTFIORN, FIRE - GEtiE VANOVERBERE, FYN]1NCE - REN 9MA, FARKS - JIM SFIELDON, CITY ATTORNEY nESSncE: T_c , S .Q.- n.c hL', INISTHA I IUIV IiOLLY DUFFY; ADMIN p,}JtEN FINNEGAN, ADMIN JON HOHENSTEIN, ADMIN RRISTI lIOR11ST, HIS JOHN OLINGER , 11DMIN MIRE REIIRDON, CAHLE KRIS HAGEMAN RECYCLING l ? . f) v0? ??,5 G 0l ? ?° ? l0 i W l?C.,^?°""'" ? . ° w ? ^,C- RESPDENtIAL 1Fj BUILDING PERMIT ApPLICATION l ? CITY OF EAGAN d?? • 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construetion Reouiremen(s Remodel/Reoair Reauirements • 3 regislered sile surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan (20%maximum lot coverage allowed) . 1 set of Energy Calculations for heated addNOns • 2 copies of plan showing 6eam d window sizes; poured found design, etc.) . 1 sile survey for exterior additions & decks • 1 setof Erergy Calculations • Indicate H home served hy septic system foraddNons • 3 copies of T2e Preservation Plan if lot platted afler 711193 • Rim Joist DetaJ Options seleclion sheet (bidgs with 3 orless uniLS) DATE (99•61CI-D -ek VALUATION IO'GJTO/ SITE ADDRESS y()a+ a,Q,pnjEjilv0(11A. ivV.R.. MULTI-FAMILY BLDG _Y _N TYPE OF APPLICANT ? Renewal By rUiderseq Inc PIIORC # STREET ADDRES$ ?19ZO County Rd. "C" West ?ITY Roseville, MN 55113 TELEPHONE # ? 651-264-4777 ? FAX # `License # 20130983 Phone # PROPERTY OWNER ??tv C-?L1.1 r1r TELEPHONE# I05I ??'I /3• ??a COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RUL1:S 7670 CA17:GORY 1 MINNI:SOTA RLJLES 7672 (d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includcs: Meehanical Contractor. Mechanical system includes: Sewer/Water Contractor: Air Condilioning Heat Recovery Syslem ATE_ZIP Tee: $90.00 Fcc: $70.00 Phone # I hereby acknowledge that I have read this application, state that the info ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. Slgnafure of Applicant OFFICE USE ONLY Water Soflener Watcr Heater No. of Baths FIREPLACE(S) _ 0 _ 1 _ 2 L.awn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OPFICc USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6d. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 Addition ?, 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Uemolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City V1later SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS . _ Foorings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insularion _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ??•??.?.•.a auv ai.uv friA /Od Oll ?tYO@" rC al .? Jtmet zoor 3?836 ? ? taKnob Roai E8M MN 55122 To Whotn It May cmwm: ?nei, nrerwn?? ffider 7ones ie au@torIwd tA pan 8 P?its Por Renewt? buildb Blder Iones to pmvide this seivica far ue in bY Anclensan. Ple?e nliow date bcyond 6/6/01: uutO a Muewai by Anders?en INgmthotltatiun is vatid fvr any W the City_ ? ??a1Y cgvolaas ft ia aviic3cg wrbaw th?s auHioiizaHoa be ac,rted axp?@ausly. as to not delaY in dse proo=i?q cf ??S Poffi?a aaY fvzthcr. Flcaac oaIl mc If th= auo my qttesciom.. I cen be contacted at 763-502-4706_ . . , . Your icna?Cdiete attcatiotl to tt?is mattca is ol"ated, • . . 3inodcely, KUsMWU=ado! R Rau Managet Renewttl by Audasan Corporativn ('r.: Kara-FitdeaTnnea ?K?'ri?w-OC4 .G( '?u,s•y ? (i-7--??j ,y ?4AMAL gunID[ n.um wuu Received Time Jun. 1. I-07PM RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Conatruction Reouiraments • 3 registered site surveys showing sq. M. of :bt, sq. @. of house; and all roofed areas (20 % maximum lot coverage allowed) . 2 copies of plan showing beam & window sixes; poured found desgn, etc.J • 1 set of Energy Calculalion5 • J copies of Tree Preservatlon Plan if lot platted atter 711193 . Rim Joist DeWil OpGOns selection sheet (61tlgs with 3 or less uniis) DATE 0"1- I I ?•?? RemodelfReoair Reouiremend . 2 copies of plan • 1 set of Energy Calculatbm for heated additions • 1 site survey for eutedor additians 8 Gecks . Indicate if home served Cy se0tie System for additbis VALUATION 74y06 _f SITE ADDRE55 90 Z? ?-?nhsr/,v' MULTI-FAMILY BLDG _Y ? TYPE OF WORK ? fb a? FI EPLACE(S) )?' 0 _ 1_ 2 APPLICANT S 7' ?'" ? C ?h s? JEe /l' STREET ADDRESS CITY it k" STATEF* ` ZIP J 3^j_? _L TELEPHONE &2 319-? 5S9 ? CELL PHONE #?/2 7 Z3 -3 ;'° ?- FAX # PROPERiYOWNER TELEPHONE# 6J?( 6?/'?/J ( COMPLETE FOR "NEW" RES(DENTIAL BUILDINGS ONLY Ener Code Cate9o 9Y rl - IIVNESOT:\ RL'I1;5 7670 C:\"f F:GORI" X ? t bIIV?iES?(R,L"iL-?:S,ifi7_ _: I nlI' T? (v submission type) • Residential Ventilation Category 1 Worksheet Submitted • New'Enargy Code Worksheet Subl I'd f I . EnergyEnvelopeCalculationsSu6mitted GCT }- 8 K?2 Plumbing Conhactor: ---- Phone # I Q, - - - ? Plumbing systcm includes: Wa[er Sottener _ Lawn Sprinkler ` Fee: 590.00 Water Heater No. of R.I. Baths No. oF Baths Mechanical Contractor: Phone # Mccti:uiic,il ,}stctn incluclcs: Air Conditioniiig Hcat Rccovcry Systcm Sewer/Water Contractor: Phone # Pec: $70A0 I hereby acknowledge that I have read this application, state thot the informotion is correct, and agree to comply with all applicable State of Minnesota Statutes and CiTy of Eagan OrdinancesI. SignafureofApplicanf Gt}a" onrr OFFICE USE ONLY Certitica[es oF Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF pwelling O 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Muld ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bldg)' ? 43 Reroof ? 48 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg anly) - C,iva 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundadon HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding SNCCO Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Watl Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Buiiding Inspector Total CITY OF EAGAN N2 1 5 2 5 7 ` 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHONE• 4 4 8700 BUILDING PERMIT 5 Receipt # ?i S 17?> ?J To be used for SF DWG/GAR Est. Value $65 ,000 Date JiiNE 24 19 88 SiteAddress 4027 PENNSYLVANIA AVE Lot 7 elock 4 Sec/Sub. STAFFORD PI:ACE Parcel No. a Name FRONTIER MIDWEST HOMES ? Address 3902 CEDARVALE DR o City EAGAN phone 454-0433 o Name oa Addre ? City_ U¢ ww w Name F _5 Address aw City Phone 1 hereby acknowledge that 1 have rea this epplication and state that [he information Is correct anee t ompl ith all applicable State ol Minnesota Statutes and City f an Or anAes. _ l/?/ros?i Signature of Permittee -?F?? ` A euilding Permit is issued to:-F$OIITIE$_.MIIIHEST1iOME$_ on the ezpress condition thaf all work shall be done in accordance with all applicable State of Minneso tatutes and Ci . of Eagan Ordinances. Building Official? S? OFFICE USE ONLY On Ske Sewage _ Occupancy R3/M1 MWCCSyatem X Zoning Rl On Site Well _ (Actual) Const Vn Clry Water X (Aliowable) Vn PRV Required X it of Stories Booster Pump _ Length 4$ oePtn 37 S.F. Total Footprint S.F. APPROVALS FEES Engc/Assess. Permit 4 4.00 Planner Surcharge _32,50 Council Plan Review 217.00 Bldg.OH. SAQCity 100.00 Vadance SAC,MWCC _550.00 Water Conn. 550.00 Water Meter _?s00 RoadUnit 325.00 Treatment P7 906 !10 Parks TOTAL p2t429-5O , y q 1988 BUILDING PERMIT APPLIC9TION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 15?? S ) INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESZGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BQILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE ONITS 0 OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITB BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4IEACIAL ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: New Construction Valuation: Date: 6-20-88 Site Address 4027 Pennsylvania Avenue Lot 7 Block 4 Parcel/Sub Stafford Place Owner John & Sheila Glynn Address 763 Hackmore City/Zip Code Eagan, MN 55123 GS ODD? OFFICE USE ONLY On site sewage_ Occupancy - M-I MWCC system ? Zoning R -1 On site well Actual Const V-14 City water ? Allowable V-i.1 PRV required ? 4 of stories Booster Pump _ Length ? Depth S.F. Total Footprint S.F. Phone 688-2344 Contractor Address iq C3ty/ZSp COdB F.aoan_ Minnocnta 55199 Phone _,[ 54-1?t.'1,1 Areh./Engr. phiii;.. vi,„ Sgr..;Qe Address ep„io v?iiog r M., ss121i : Clty4lp e 14S?A FQAAB6? Ai[G., Phone 0 432_2944 APPROVAIS FEES Engr/Assess Permit y 3 y,oo Planner Sureharge 32,so Couneil Plan Review /r7.00 Bldg. OfP. 71/o/235AC, City D, o Variance SAC, MWCC 55 ,oo Water Conn SSO,oo Water Meter (o?,Op Road Unit ',pp Treatment P1 ,00 Parks Copies TOTAI. Zuz: r O ? • l/AU.tA i ION e ? ?----- 0??1?2r? _ `-{&U yxib = `,y= yUo Xcy= G l(o SAStMENT' 2 4 x 3? = 4s8? y/d - NO 9 Zs x (3 = i 2o6y N ousE' Zyx38 = 9/Z ?lxlo ? y o __- ?SZ X ?tq = y 66 vW' r---- ? K ?C? ?- sur?ve?ors G'er????cate SURVEY FOR: Frontier ?•lidwest Homea Corn. DESCRIBED AS: Lot 7, 131ock 4, STaFFQ.^.D PLACE, City of Eagan, Dakota `:can_?, innescta aria reserving easements of record. b N g?.? ?.1 l.V • RE E? Z g37.9 JPI ~ ^?y s ? xo ?• '? / p/ ? ? C?C %Z '1 \ ? ? . / Qo T '. \ . ?' p \ Sy ? y 9 1 ? f D ? C F?' ! % 10Xr\ A a+'oi \ti? b,i M ?? ? ? i? • oN ?RO. Eu \? /? kcj°k6 7AGr'1N E GI1VE£flI1VG DEPT. PROPOSED ELEVATIONS ? Too ofFoundatiee . 36J. "I Garape floq . 660.3 Baaemnt Flow 035e.0 AOprex. Sowr Sariu EMv. a Praow"a Elwotions EiusNnq Ele+rotlana . Ormnop* Dinctbns ?...,?.? Gnotes Ofteet State 1 O AfA IEDLUND Planning Engoirteering Suneyinq m? ..n r?... s?..r. r...o r..?.. ?w ?..r.?mro y - \ SCALE: 1 IneA • 30 Feet BENCHMAI7K, ToP NuT WO. %a - t9 6LK t. n.,i . = S4,1.3. NIM.SETBACX'REQIREMEHTS Front - 3o Mane Slde - iO Reer - ' 5 Garape Sift - ;z f MnM urtlh nwI MLL wwv+y. qae ar noxt ¦r prpsr?d M? oort r aewr mf Alnet rsWYbMn aw teot I oro a auM Ibabarea LanO Swvwor mWor tM lenn af fM Srote o} Yl"weta. QJ N0. BOOK PAGE ! .s . . ; EXT'tRI4R ENVELOPE HVERAGc "U" COMFU7ATiON 1 OWNER John & Sheila Glynn Dv-Foc-o zxQv SITE AODRESS 4027 Pennsvlvania Avenue, Eagan, MN CON7RALTOR 1?? ti1?t'veR DATE S 8- PH4NE 454-0433 Deter.nine worlcin9 square footage of each. i. Total exposed wal l ares ...... l gS1, 2.5 sq. ft. x .1 I= 2. Total raaf/ceiling area .... $'$O sq. ft. x .C:;? ? Total exposed wall area abave flaor = 1 SS-l.zS a. Total wall windaw area ................. b. Total door area ................................. 39•c0;z c. Total sliding gtass door area .................... . y:P. d: Total fireplace wall area ........................ +-ig e. Total wall framing area (averaqe 141.)...:........ f. Total nQ..wa71 area above fiaar .... 2$10....... _' g. Total r?m joist area ............................ I Z8.5 Total exposed faundation area = (oy.ZS .... h. Total fflundation windaw area .................. i. Toai ne# fioundation area above arade ............ Detenine "U" value o` each wal] segment. a. 115 Xliu° b. '3q .(.oZ X °u,l ?4{5 = t'7.82 1 . c. &-la X lsU„ .?lS = d. ?18 g „Uli 1z9 e. l 55.7 3 X??U" .0-7 = l3 f. 13Cc).i-q, x °ull C) 34 = 9"4Z g. 1 Z`b.5 X nU.1 h. X "U" _ , i. [o?l.ZS g v, , lqq ° 91 25- 3 ..................................... Tatal If item #3 is the same as, or less than item 11, yau have met the intent of 58C 6006(c)2. - ? Total exposed roofJceilina area = $ $? . Total 9ross roof/ceilinq area = j. Tatal skylight area ........................ k. 7otal roof/ceiling framing area ............. tZ- 1. TotaT net insulated roof/ceiling area...... : -7q z . Deternine "U" value j X k. $ ? X 1. -7X 4 ............................. for each roof/ceiling seertent. nuu _ nJn 11u11 • OIH .....Total ' ° Lila` ? ? I If total cf a4 is the same as, or less t5an :Z, you have met the intent of 5BC 6006(c);, Ta uti7ized the totaI envelope system nethod, the vatues established 6y the sum of items 1#3 and #4 sha1T not be greater than the sum of items i1 and 02. + 2. aa7,17- 3. I(,n(o.c.l(c + 4. l(c.1 _ 1$3.11 MATr3IALS Ext e: iar Air Sidi? Material Sheathing,jv" T1W+"Ax Insulatioa Sheetrock S(g' ?' Interior Air Studs Rim Conc. Blks. TSerm. 3esistance "R1' . (gZ . LR ? .87 t •g1 ?. ?1 ...?= 0.61 2. `lo" 4Y?a, Wr.cd_. a. TKealmxx S. 3iotN G •?Z . 6. ?:_. ? a_ =?a • - - 0.11 • : ro esl ?y,2 ' • . ..u? .o? . z. Inte_jo= a:_ _!= . 0.68' . 2. . ?(y.' 4't P SD . . 4 5 3. a. 5. ?I CING .?Z 6. Ejerio: a:^ ?ila - 0.i7 Total 1. Inta?= lm O.fid =z 2?2. 11 SUI. .,° 19.D a. zxt.o__,)ois a. ?1'. ?eKwiaz? s, y _ s. 5?oir?c ' .GZ 6. Ex?te =or zir !ilm 0.17 _ Total •a"'', .-?(? ' (} = 03b ? l. In:e==c= ai= fi? ' 0.68 2. ,1 R1UiD i l •a?' . 3. . • 4. $' GO N?- 'd LA G 4G, l. l l. 5. ` • • 6. Ex?e=acr a:= :;?yi 0.17 ' . Toea! • tc,q?o" t 'G?ADE • ' 0 . ?' ? • . ' '? - • - ? . . . ? ? ? • ??l l ?? • • .. • • •,.c ? ? % • ` 1 I ? . d• , . .? . (fl ,• ? . .. ? /!/. I dIG. $4 ? ' . ' ° f /I( !!I ¢ ' •• , o • /!! ? ? ?z?. ?3 ' • . ? • u Y x`X ? ? ?l? ' `.. . s . ? • 1 /l( ? f[! ? lI7 ? ' pe. '?"?val?a. 2ep?4 aaL .'. . ? .'-aa' -st"'=a.. • ,- • ? '? Cana=-r?_^ . ?2ntac'c: air f:l= 0.61 . IA )SU L. ? ??Illl? <<??'?',<<?;??;ii? . ;. rx«__a: _i: ::1rn (5r-:?, o? 4--? , : - To tamL cZ. sc.? . =:?\? ? ?? ' . . . . • . . . • • ? _ . o t9 L ; • . . .. . . • . ' . ? ' • ? Fa.???+rt y • . ' , . ?tatior air fila ? 0.61 ? . C E1?v Ees • 1 U? • 3. ?C?11.l?uL . bOA ' ' • . d. Extcrior air Fiin (st:l I ?oi ? . Fzc. ?5? ' . . • ? . ? ' • .U = .0=1?5 • , ? M ? • • ? • ? . • • .•• •• ^ GOA.yTR??T! 07` ?••• ?.,r,.:.....-.:.,.•-*??:?"s..?"`-•-'i r.',"`=_? . i j. Sn518c sir filtn 0.61 ? -- - --- --"-?----r _• , 3. • . , . • . . ? . , 4. ? . Y???'?_??(?( t. 5. Guts:de air f?m . 0.17 ?Iu??IU Total • ?. . . . , . ? , ^ ? • ? . • ?x?•-?, ? .?„? Z ?-(? Cr .• Snsiflc air =ilm• ?k?? flov vp . , ? j•veatad , • ? q_ ? ? - ` . • . . , , • ,' , 9. Cutsidc aiz film 0.1 Total. - _. .. . . -- ' ' . .: . • • ? • 3 ? . ?' '?i , 1. Snsid'e air tilm 0.6' 4. . • ;i'-?.., • Tota1 ..r; •'' •/'• . ? ? . • . .. . • . 1 ? .• . ? -t :J ? . ' • • ' • . ` ? • , • .' ' ? , ,• . . .' Notc: U?c additiacsal shanta if r«ar_ s; . • HCf-4L^.'?-'? • • , ' , .aecd=3 Sor cteeZil? ssd calcalat: ?, ' .. ". , , . . . . • }IeaC ? ? • . ? , •. . =lay . .?, . . , up . . • ' PZt;. 27 t• ? • ' ? .. , • ' . ' ' . ? ' . ._..: _.._._--- •- -- • 4?nt.r. ?.r.r.r:nr.: u,111 nreA I?er - frnrtv: c:on:,truci iu n 10 ? ; I P1G. II1 TGPVIEN OF ? i FIU:Ik: 19ALL ? FIC. A2 l,e. r (.? yRTel .?IICII i i • ?? y 1' = ?: ?•. ° •,' ?ri?R; = .? T Irr C. 13, 1 .•d ? . ? ? )• p • • , ` fl?i ? •?' ..rn ? , ?, » . , r. -e-: ---:- ---•-- -OO .. h?A• •`!'ertJ( ..-. ; •-- '.1, r .?•?-? !1' '17 ?jRl c K rtA.cE UI•:. L 1i?lt•t??:?.?1??..t??,?? ... _ ..._..._p_?G8 = ?Et? ..S?c??. S" tyu N • - - -t -11 ?. _ ? ??, i„ •: ..,i ? .. ,.., .. ?<.E. .BKtUt . ._ .. ..... .. _ .?lt 0.17 U= .3? 1. intrclnt' air :i Im _ -----_------q.f,tl ?. _ ? ?•.--.___."'_? _? _-._'_.-. s. .... __._. . . G. ExCcriur air - 17 - •----• 7b1n1 ?- 1. Inteciur air film_..----,----_•-n_61 2. 4 . ..---- -- --- •.... --? '? _ ?? -".- 5. ._._--------- -- .. . -• ---•-' --- 6. F.xCCrl.or nir filio r--?1r1.'1 -? +9'otal.~ ^ 1. toti!i ;oc .,ir_.rfti,_ -___?...._.n.Gn 7. 4. - .••-:-•----- . -? --??---? ------ -??- - -------? ? G. r,:<r,:r3o?r .?t,• : i ?,-- --------- . u i 1 st.np <?ri ?:t?nor Flt;. 14 tprCC: . . , '. ? T ? •• _.. •r ? ` •• . l??•~ • ? , ?I r ? , ' • . ' /iii` to /fl ? . ' • r /f! ' ? } • . • ' ? ?: 1?1 ? ^ ? • ---.' - _'-• . -! ? ?(? !t! ?..:. '_'. ?• _ ? - ?% N( _• !•'' ' ?'? ? lndlvet,? v;???t, "!!" va???u, d?_pCh nnd p1.r:rnvnC a( inc:u).?:inn. . . . . . PLA&.c ? Lr +u E.h L FT, EXposE0 WALL BL.OGk. ? ?Z + aco . s t ro-? rz8. g . <uSE '! 724 4?• S=' +r a• s , O ? ;:ULL( ? -7 z+ 4? +s= rza r . c wAL.i._. t3LocK' r za5 X , S = 64, z 5 (CN E-p-; 1i ?5 K 5 = Sn. s , = PuLL ! : 1 Z8. aC. 8? rvz? ? • _ ? ? - ?z?M :: t Z?•5 ?C I - c z?.5 . fio-rA l_ = r? 57. ZS ?xposElD i: ? WD%A1S Lh : - ? 4='32 ; , _: .. GEl LfUC{ $8o D o0125 J.-LLz 3Clr62 31,47 . - .. ?ATid Df:S , . . .. , .?'-? AZE.A APFLICATION FOR PERMIT SEWER ANQ/OR WATER GONNECTIQN . i Nf71'E: PA`IMNP OF FFE AT TIME OF ` t APPLICATION OpFS NGP CpN- .*? SfI1fTfE APPROVAL OF PFFPIIT. i : a ; iNse=ox oF sMM nrm/oa WAMx :. ; xrisrattAZZONs wua. taor sE scEWLED ; w[TlPIL PEEthIIT HHS HFZ[i APPRGVm. ?+?te::x??+iaex?+++??*?ts?ii:ir+?r?ri: OF CClgan (PLEASE PRINT _ 1) PROPERTY ADDRFSS: 4027.Pennsylvania Avenue, Eagan, MN i.FY;AT DESCRIPTION; Lot. 7,. Block 4,. Stafford Place -Lot B oc S vision or Tax Parcel ID ) IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PERMZT ISSUANCE: PRESENT ZONING/PROPOSID C!SE: Q COPM7ERCIAL/RETAIL/OFFICE Q INDT-ISTRIAL Q INSTIT[JTIONAL/GOVEEtNNIENT Mont Year ,EJ R-1 SINGLE FP.MILY E R-2 D[!PLEX (3tao C'nits) R-3 TOWNHOC?SE (Three + Units) ? R-4 APARTMENT/CObIDC)MINILM Lnits) ( C'nits) 2) ? NAME: Frontier Midwest Homes Corporation ADDRFSS: 3902 Cedarvale Drive CITY, STATE, 2IP: Eagan,.MN 55122 PHONE: 454-0433 3) NAME: Star Plumbing ADDRESS: 1018 Mound Spring Terrace CITY, STATE, ZIP: BloomingGOn, MN 55420 PHONE: 884-4149 . MASTER LICENSE # 3329 4) e • ?? NAME: John & Sheila Glynn ADDRFSS: 763 Hackmore Drive CITY, STATE, ZIP: Eagan, MN 55123 PHONE: 688-2344 Ij •ACtive Expired Not recorded Sta Initia 5) ? CONNECTION TO CITY SEWER M CONNECTIO[V TO CITY WATER a 0'iM 6) :FrtYt]t]F****1t**rt*******'A'X¢*A'/(-0(-0('/(*]F*X'***'k'k***:Fd( A 11('kf':F****1kit1: *'kA'*A'*'It]Fy('/(:F*tFF:F***'k'k'X'k'It k*)[ ]k***:F**if****iF'k`k***Y ? THE GOLD COPY OF THE PERMIT WII.L BE SENP DIRECI'LY TD PUSLIC WORKS 70 FACILITATE METER PICK-OP. * PLF.ASE ALIAW 7W0 WORKING DAYS FOR PROCFSSING. SOMEONE FROM TEM CITY WILL CONTALT YOU IF 1FIERRE * ARE ANY PROSLIIKS. $?*?*****?**?*******?****:**?*++**+*+**???****?**?+*****?*,r*****:r*******:?*?*?**?****,i*+r+:**+**+***y FOR CITY,USE ONLY PERMIT #. ISSUED Pd w/Bldg. Permit FEES: $ lL -S? $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SURCHARGE) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ o-? $ ' ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ WAC $? ,S?U 'G9 p S SAC S $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER g` WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES LTILITY CONNEC TION REQDIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWI[VG CONDITIONS: APPROVED BY: TITLE: DATE : ? ! '/G,;? 17 . lr? ?.C,. D)(For2? N7o?E L ?"? . . WhWe H"sf Mrksheet cw.,ww.w.m_f?o..la;zP hliOwzC? Aililliew ' Gw Bww Zip TIyph arNUwMWr Q? . WINTiR:Im10MDalynTimp S ???OYWaD?s1Y??W ? UTOFv, MNi1nYTookYDIfIwan"•P - iUMMl11:OrWd?DWYqT?mY ? ?f?11Wd?OWenT ?! u - ^--"-'-. _ ? /] n a , . ..,, .-. ?O qnlp WfffM4W0 cr V •F .: N? ?' . oNtoAT .. • . . 'ANN?w ... 1U ' u(`.OOUNQ •runo?? « , GROSS WAIL . v3 OOORS 6 WINDOWS I18ow A a o1 ' 3D Nerwwu 0 .?6 CEIUwG oyo ?. - A ? FlGOR6 • ' ' w O ??-- .3o.S - . O r 10 a1ahu x v°kw' :o 1aw . ¦ 6 ¦ 0.01e3a x,.,Io x - o n SU&IOrAL BTUFI Lp S Ipv 10OF1 . x AGJUSTMENT fAC1OR (TaWi C) • S. 07 V ? 71DTAL iTUl11GSS . ?EOP a 300 BTUM GAIN ^"?+ APPLIANCES BTUN o0 .? SUB-TpUL pTUN GAIN lroom NryiW? ? only 12W " DUCT LOSS/GAIN FAClOR ITaW? F) ?' ' SU9•TCfqL BTUN ISorWbb Gdp) . x M016TURE REMOVAL Iwb loul t 1.31 ? TOTAL BTUN LOSS/GAIN ? . us?e -11fATIN4-OOONi4 -rwwtwlwWRf ?. a W{IIOOW{ hftv kMIde Wwdinii oY dmmoq YYwA?N nNOVM?Y?OWONn 4MYOM1MbMyM . •rworA I 1Y?14aM tYMOrR _ aM . •?our (D Ii .. w000?pY?MC NMr?rww?rwaoos ' TpFOAR (i? Iw?wlurrw.nrwr? . Lw? o ? IMHLTRATIOM MUL71P{J?q? . •---- Wlu'-'r/y'C+yna../Mr?+w. .. . . am Mvi hor 0.1 84 Go TwYIQ C - AD.IUQTMENT iACTpps - liNailaUM ???r?r 0+1. 70 q Ep ?D. 79 Yp yp ? ? i 7 { Y s N",," SIMWr0. Mt 1086 - _. • irmmwAkCl?nYMHlllwu . .. FloalAw ? P ka ? li D 1{py2pp - A 62: 0 2 ? +aP pd 4[ OA 0A 0 7 ' IkC. Ua.?i-01/d P,Lp4 FG( b, mro opw aoM • urw 4aWS Wr tlo ?y qM wMWar      ñû    ú ÿ þ ý ýüüû úù ù      øûûüü  ìüêê àìü ææ  àìà   ýü   üûúùø÷  ê æôûùø÷  óùø÷ ê ÷   ÷âû õÚ  þ ô ûô ììåû÷ ø Ûþ üðû  ö  æ   ÷ ÷ ÷æ ý  ñûñ  ÷  á    æ ú è  ü û     ÷ ú  ûæ÷ è ô úñç      ðû úø þ æ ñøñ è   ö éìãéèëèìë ÷ø  üû þ   Ý û éìãéèîèî Ý û ìýè  öúõ ú  ôó ÷÷    ôû   Úú  ìàóûý âìà ø   óúûø ÿ þ   ïßíßî   úø   þ     ÷÷      æñ    þ ñ÷ø   ÷÷ ú ü   æ   ü û  ôøæÿ þ å  è ÷÷ á ñ üþ û û øüþ û RECEIVED it JUL 0 9 2018 For Office Use � : , Permit#: 150 L./fol. Permit Fee: t Date Received: - l'1 g 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ki (651)675-5675 I TDD: (651)454-8535 FAX:(651)675-5694 Staff: buildinginspectionsacityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,I'otg Site Address:.....:*A-'1 -i .iia a -iA16.. Att. " 1/ Unit#: 41 Name: �(t I (U efir Phone C. tSi Resident/ Owner Address/City/Zip: i ( --) '.. y\tekul k '1)f, - Applicant is: Owner Contractor Description of work: ` '._ , r i l � Type of Worst t Construction Cost: Multi-Family Building:`(Yes /No . ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead 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 address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information Portions of the information maybe classified as non- ublic if •u •rovlde s•ecitic reasonsthat would.• rmit the Ci to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval/if-plans. App icant's Printed Name Ap• i`.411936"—ignature Ifo 7 p6446,./l UA '1/`/I /41.6 , l 0z6---9 DO NOT WRITE BELOW THIS LINE r SUB TYPES — Foundation _ Fireplace — Porch(3-Season) - Exterior Alteration(Single Family) — Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) — Multi '1, Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of!Piex _ Lower Level T Pool _ Accessory Building WORK TYPES — New — Interior improvement _ Siding T Demolish Building* _ Addition — Move Building _ Reroof T Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall "Demolition of entire building-give RCA handout to applicant DESCRIPTION Valuation Lig 0 5° Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% y) Zoning -( City Water Census Code 44 Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) y Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: Ice &Water Final Pool: Footings Air/Gas Tests _Final — Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test __.Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings,Backfill_Final Sheetrock Radon Control — Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: It , Building Inspector RESIDENTIAL FEES # Base Fee � � Surcharge rt Plan Review Itiii,i r MCES SAC City SAC _ t.. Utility Connection Charge S&W Permit& Surcharge TreatmentPlant7( l C - 6 0 D Copies ((( TOTAL Page 2 of 3