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4028 Pennsylvania Ave? Date: i-' 7 3 8 OF EAGAN Permit No: Pi?ot Knob Road Meter No: ?? 3????1-& Size: Box 21199 Reader No: ?T"p L3 98L Date: n. MN 55121 VWf?tl?? SiteAddress: 'iPennsYlvania Avenue L 1? R1 Conn. Chg: "-.J . OOp d Zoning: 1 Acct Dep: 15. 0Qp d No. of Units: Permit Fee: ' 101 UOp 50n d d ( agree to comply wilh !he Citr of Eagan rcharge: P lant 2???` ??0p d Ordinances eter. ISC.: 1 '?r`I T' TP BY -- WATER S ERVICE PERMIT 961- Date: 5-27-88 C1TY OF EAGAN Permit No: 3830 Pilat Knob-Rdad Meter No: Size: Date: p,p, Box 21199 Reader No: Eagan, MN 55121 LYentier Advest a n1?,?P Site Address: ' - Star °lumbinp Plumber 550, QOpc Zoning: ? Conn. Chg: OO?d _ No. of Units: Acct. Dep: 10 00pd Permit Fee: • S?? with the City of Eagan I agree to compiy Surcharge: 20la Qppd Ordinances. Tr. Plant Meter. 'Z-? pqn7V FEQ t?^'? BY i Misc•: WATER SER VICE PERMI T --- CITY OF PA GAN Permit No: Date: 5"76-SE- " . 3830 Pilot K iVo¢ Fload B/P No: Date: P.O. Box 24 199 . Eagen, MN 55121 sre5t `^ic! " rQuk-Ler Owner. `' ?'07' P?nSV,VRt1?.fl Avenue L ?? Sra??crd ?lacc? SiteAddress: ' Plumber: a7 ?•'°t, • rt MWCC: 55? OQp? Zoning? ' ? 1ov.OPp(! No. of Units: City Chg: Acct. Dep: ? 5. _ 0-pc? ??L I agree to comply wilh the City ol Es9an U ? , Permit Fee: . TOrdinances. Surcharge: ? Misc.: SEWER SERVICE PERMIT CITY OF EAGAM 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be usedfor SF Receipt Est Value $73y000 Date_ 15078 ,1 g $8 Site Address 40219 PFMN9YLY,ANIA /1VE Lot 4 Block 5 Sec/Sub. NTA"?`D PLACE Parcel No, m Name FRONTIER M1W£5T WMFS COitP •= Address 3502 CEnAevaL} nz: I City •:AGl1t7 Phane ``54-9433 °oC Name ='AM . ? Q Address ? City Phone a W Name_ = Address 0 }?y W Ci•1\- I he rsby acknowledge thet I have read this appifcation and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord)nances. . Signature of Permittee ' A Building )Rermit is issued to: on the express cond ition 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 Site SewaBe OcCUpancy U"i MWCC 5ystem X 2oning R-i On Site Well (Actual) COnst V-N City Water x (Allowable) v""N PRV Required ? # of Stories Booster Pump Length 409 Depth 481 S.F. Totel Footprfnt S.F. j APPROVALS FEES Engr./Assess. Permit 4?•? Planner Surcharge 36.50 Council Plan Review 233•00 Bldg. Off. SAC, Ciry 100•W Variance SAC, MWCC 550•00 Water Conn. 5X1• a0 I WaterMeter 67•00 ? Road Unit 323•00 .Treatment P1 00 Parks TOTAL CITY OF EAG AN a -r 1 3830 Pilot Knob Roal, P.Q. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFI CE USE ONLY ? r s?" `i' '' L ` On Site Sewege Occupancy Lot Block SeC/Sub. • , 1 MWCC System Zoniny t Parcel No. 1 On Site Well (Actual) Const x Name . S Ct+ f' CityWater (Allowable) z Address PRV Required ? af Storles 0 ? ? Booster Pum Len th 4 ` ° City Phone p g Depth ,o Name S.F. Total o ? Address Footprint S.F. U4 ? City Phane ppPROVALS FEES OC j y W Name Eng?./Assess. Permit Planner Surcharge _ = Address o= Council Plan Review ` W City Phone Bidg. Off, SAC, City I hereby acknowledge that I have read this application and state that the i Variance SAC, M WCC nformation is Cortect and egree to Comply with all applicable State of Water Conn. ' Minnesota Statutes and City of Eagsn Ordinances. `' 5ignature of Permittee Water Meter Road Unlt " F,: ?-zT ?iSlf-lx ?1 ' A 8uilding Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. ?? Building Oflicial TOTAL "' . Permit No. Psrmlt Holdsr Date Telephone ?t Plumbing ,??; ? 2. : G' G• ?' . C/ H.V.A.C. 7 I 1 y ?' i. ?'? Electric rf- 5-4 1- k2 •sp Softener Inspection Date nsp, Comments Footings I 6 Footings II I Foundation Framing Roofing Rough Plbg. Rough Htg. ? • Isul. Fireplace Final Htg. 1 Final Plbg. Bldg. Final ? ( d y? Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. * it ¦ ? ---r --- • --?---,,, - ?. (gexti#ira#e of (IDrrupanry titp of (tagan loPparrxptmf of swid'tttg jwpriirnt ' This Certifrcate issued pursuant to the requiremenu of Section 306 of the Unijorm Building Code certifying thnt ai the tinre of issuance tAis structure was in compliance wtth the vaROUs ordinances of the City regulating burlding carstruction or use. For the following. uw c?rcaum 3F UWG/GAI'c ft. Fkwm rb. 1507$ R3/!"11 RI Vn CDnsL- o?. of eUaa?? FRQVTIFR 2ffT1WEST ? 5 0? 3902 Q? RTAIE I7R, FAC,AN &oldingAddress 40g P5IIVSYLVANIA AVE. IDcalih, L4, B5, SfAFFM PNkCE Dece: AUQJST 18, I 988 Bullding Olficiel PpST IN A CONSPICUOUS PIACE ? . . . CONTRACT PRICE: Site Address Lot ? -Block - , ' i - ',. •e%c ,l. , ? Name - 1 m a S o? ` Address c City Phone ? Name c Address 1e t we/? /u: p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ?? ? ? ;'.i ." i`?? • 1%t'l?C?:l4!?!`fI? SIGIVATURE OF PER EE FOR: CIN OF EAGAN PEFMIT # PLUM8ING PERMIT RECEIPT q CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? ?PHONE: 454-8100 BLDG. TYPE, WORK DES ?IPTION Sec?Sub Res. ''l New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTU RES /TOTAL MP, Water Closet - $3.00 ath Tubs - $3.00 ! avatory - $3.00 Zo, n n CLhower - $3.00 ?, =Ki#chen Sink - $3.00 ?0L,n ,,Urinal/Ilide, - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 ?Gas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 ---,_Private Disp. - $10.00 ? Rough Openings - $1.50 • ` FEE STATE S/C: GRAND TOTAL• . . . . , . . .. , . . ,. ,.// f : PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ky, CONTRACT PRICE PHONE: 454-6100 Site Address 4028 @nns v$a' 8 wa• BLDG. TYPE WORK DESCRIPTION Lot ; Block 5- Sec/Sub - Res. xx New -° ' 'v?Z9 N L HEATING 6 A C Mult Add-on ? ame d Comm. Repair ?o Address 1955 ShaF?aee Roa ? City Hg$eui , Phone 45 2-1565 Other FEES c Name Front 390E ier C anios M or 1 Sibl HN RES. HVAC 0-100 M BTU -$24.00 ADDITI NAL 50 M BT 6 0 O Address City $8$gn ey m Phone 454 . -0433 . O U - 0 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM PER PER II 50 EA ( n - 1. . - 1 N TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80,000 M BTU 24.00 APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCNARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # T. BEYOND $1,060) Other FEE 25.50 , • i . 50 ? S/C: SIGNATURE OF PERMITTEE 826.00 TOTAL FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address % ' ?e'' LotBlock SeclSub ? Name m Addre c Cify _ Name 3 Addre 0 C'ry - FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN RECEIPT ii >> ? ? DATE: BLDG. TYPE WOHK OESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ ? Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - 53.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMIT) X Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• - CASH RECQFT ± ? PITY aF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE NECENED f ? AMOUNT a & DOLLARS ta ? CASH C? CHECK FM , FUND 0 ? F V ? ? oh -a V Thank You , . 81 i r . ; , . AM4UNT ^ White-Payers Copy Yellow-Posting Copy pink-File Copy This repuesl void ?S'-( 18 monlhs fmm 9 ? "U J E 2 8 4 2 4 L- q, r3s 15s?- A? esl Date iire No. R in Insuection H re ? DReatly Now ill Notify Insoec- ? es ?NO ior When fleady i -censed Elec[rical ConVactor I hereby request inspection at ebove ? Owner alectricel work installed al: Street ddress. Box or Xoute o. ? / City ^ ? V *lrj eclion o. ownshi Name or No. CII Range No. . Couiily Oc ant PINT) ] /? /U Phone No. ?O ? Power Sup ? ? AAdress Elecirical Conhactor IComDany Namel KENDRICK ELECTRIC C ac or'S License No. Q Mailir3?.1?QDrpyS?(4'p?qqQqOlry?11 r hlal/jr?p?ln?ailation) I.`t.l•7V r1;iV1V 1.?L-11VL? . A i ' n ? 1pr r 55i allation) hon umber MINNESOTA STATE 80AND OF ELECTNICITY THIS INSPECTION REUUEST WILL NOT GrigBS•Midway Bldg. - floam N•191 BE ACCEVTED BY THE STATE BOAND l1NLESS PXOPER INSPECTION FEE IS 1821 Universitv Ave.. SL Peul, MN 55104 Pbenwl619 662-OSOO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION kift ea-ooooi-os , See inslructians tor completing this lorm on back of yellow copy. CiS ? E 28424 ??X?? BeloW Work Covered by lhrs Request ? Fdd Neo. ?Tyoe of BuilCinO APOlinncas WiroA? Enuiument Wired Home Fange Tem{mrary Service Duplex Water Heater Lightiny Fiztures Apt. BuilAing Dryer Electric Heatin Commercial Bldy. umace Silo Unlonder Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otner ueu v Othnr (SUediv) t r,r Succ? y t ci Othur omnute Inspection fee Below k Fee ServiceEnbance5ize 11 Fee Fawders/Sabfaetlers N Fee Circuits 0 to 200 Am 5 0 to 30 Am s 0 to 30 Am Above 200 qmps 31 ro 700 qmps 31 to 100 qm s $wimming Pool Atwve 100-Am s N Above 700_Am s Transiormers Irngation Buorr?s J - ? ArtiaLOther e Lf I $igns ?Special inspection 115?? `?OT E Nemarks ' ' ' ' .rr mio reaumt ma 16 mcv ?? InSpB , hB?aby ror?ily thet the abova ? e 7, inspection hes been ?OJ maee. A BLDG. PERMIT NO. l-af- N .t31v ek' ? ??c? ?l- 01-3210 Bldg. Permit kCLP vU J 01-3422 Plan Check °2 3,5 oo -75 01-3445 Surch./Adm. 01-3446 SAC/Adm. 5 01-2155 Surcharge -7-4 ? 75-3860 Road Unit 3CDS dC ? 20-2275 SAC S44 50 ? 20-3865 Water Conn. 0 ? 20-3868 Water Trmt. °? y ? 20-3716 Water Meter ?-7 ? ? 20-2252 Acct. Dep. ?O Q 20-3713 Water Permit ?o ? 20-3743 Sewer Permit ?? n U 793866 Sewer Conn. O dU 28-3855 Park Ded. TOTAL o1-- ? CITY OF EAGAN N2 15 0 7 8 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt# Zy I f I S 7obeusedfor SF DWG/GAR Est.Value $73,000 Date MAY zb ,198$ SiteAddress 4028 PENNSYLVANIA AVE Lot 4 Block 5 Sec/Sub. STAFFORD PLACE Parcel No a Name FRONTIER MIDWEST HOMES CORP w Address 3902 CEDARVALE DR ? City EAGAN phone 454-9433 i¢ V U I Name SAME I qddress P CityPhone w W Name _ zz., Address aW City- I hereby acknowledge that I have read this application a state that ihe information is correct and agree to ompl xith all ap' icable State of Minnesote Statutes antl City Ea n Or inces. Signature of Permittae ?l A Building Permtt is issued to: FRONTIER MIDWEST HOMES on the express contlition that all work shal I be done in accordance with all applica6le State of Minnesota Statutes antl City of Eagan Ordinances. Building OHicial OFFICE USE ONLY On Slte Sewaga _ Occupency R-3 M-1 MWCCSystem X Zoning R-1 On Site Well (Actuep Canst V-N Ciy Water X (Allowable) V-N PRV Required X # o/ Stories Booster Pump _ Length 40 ' DBpth 48, S.F. Totel Faotprin[ S.F. APPROVALS FEES Engr./ASSess. Permit 466.00 Planner Surcharge 36.50 Council Plan Review 233.00. Bltlg. Off. SAC, City 1QQ.0? Variance SAC, MWCC 550.00 WaterConn. __550-00 Water Meter 61" Road Unit 325.00 Treatment Pt 204.00 Parks TOTAL 1,531.50 . ? ? 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ' #5 O 19 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PEAMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE IINITS b OF IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECg WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COMdERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS eD h1HY 5 We To Be Used For: New Construction Valuation: _$SQ,Qnn Date: Mav 4. 1988 Site Address 4028 Pennsvlvania Avenue Lot 4 Block 5 Parcel/Sub Stafford Place Owner Dave Lindemann Address 945 W. Iowa Avenue City/Zip Code St. Paul, AIN 55117 Phone 489=7914 Contraetor Frontier Midwest Homes Corp. Address _ 3902 Cedarvale Drive City/Zip Code Eaaan. Minnesota 55122 Phone 454-9433 Mch./Engr. ph;llj,nc Plan Service Address Ann7 a Va1 7 a3+_ Mn 24 ,eft-f4ZIf-gede ?4?38 pea»eek -A+n . r?3, 00(? OFFICE USE ONLY On site sewage Occupaney MWCC system i/ Zoning On site well Actual Const V- N City water r/ Allowable V- N PRV required v# of stories Hooster Pump Length yp, _ Depth yR, S.F. Total Footprint S.F. FEES Engr/Assess Permit 4166,00 Planner Sureharge ,34?n,so Council Plan Review 3,00 Bldg. OYf. SAC, City 100d00 Variance SAC, MWCC 55O.00 Water Conn ? Water Meter bh'ro Road Unit 325, on Treatment P1 ,cb Parks Copies TOTAI. I ? ??. Phone !1 492 2046 Smirel/ord'S eertificate SURVEY FOR: Frontier Tlidwest Ilomes Corp. OESCRIBED AS: I,ot 4, B1ock S, S'PAPFdRD PLACE, City of Eagan, Dakota County Ni,innqsota and reserving easements of record. z N? we. ? U 9 I _ P.¦ •sVe REQV f 1 BED ,o ? D ' lT 1 °i \ . / p ^`" v / \ 6?/ / 851?fo • By Date? E?GAN EIVGI: PROPOSED ELEVAtI0N5 7op af Foundation ¦ 863.1 Garoqe Floor Basemeaf Floor : Bs9.9 Approx. Sewer Sarvias Elw. . -- Provosed Elevafions A Q Existinp ElevaNons 6 Orainaqe Dirscflons _ ..?.,,_. Osnolss Of/sef Staka ? O IAIEDLUND Planning Errgineedng Surveying 1201 !M MoaM?WNM?w }IA IM?Wl?? Mxw?ot? WA z / s j; \ ?/ ? A9 o. ' v ? ? °a•y °p' ????N?? 4t4?Zb?• 23 . ? F \ ? ? . D w ? ?C'o40 p ? ? `- ?-•...,9 V' ? 0? .. zs 33 v` ? dr?' o?-? Z9 $? h 30'? 1 0 m i ° u3?,?• Oz a? VC ? / ? ? /?J /+ .?i N ? ? i ? ? ? ,?, ryA Q?\ ? BENCHMARKt I MIN. SETBpCK REQIREMENIS Fronf - 30 Howe Sids - p SCALE: I. Inch = 30 Feaf Recr - i 5 fia?ope Slft - 5 I horeUy eerllfY Ihol ihls IuVWy. Plan ar oPerl reg ytepered 4P me J08 NO.; or under my dlnef superrbion enA thot 1 um o dulY Re91stenA 88e_-Zo or Lana survoror under Me lars ot the 9tate e/ Minnosota. 800K: Dafe: 4 , 28, 86 PAOE: J r LI nn, Uc41n?? N776 ' i . J 1 ?? ; ' EX7ERIOR EYVEiO?E AVERAGc "U" COMAUTATiON 441NER Dave Lindemann Cavn?,t?? . KNww;0k z x 6 SITE ADDAESS 4028 Pennsylvania Avenue, Eagan, MN CONTRACTOR jcftnVt .o1t DATE May 4, 1988 pHONE 454-0433 _ Deternine workinq square faotaqe af each. 1. Total exposed wal] are3 ...... 2 z'8S,tg& sq. ft. x .it _ 2. Total roaf/cziling arsa .... IUSt9 sq. ft. x .?-? aY•ag Total exposed waTl area ahove floor = g2.g{ g,(a(.v a. Total wail window area..:...............:........ i ag,-? b. Total door are3 ................................. c. Total sliding giass door area .................... . ya d: Total fireplace wall ares ........................ 440 e. Total wa71 framing araa (average 10"<)...:........ ? a S.R f. Total net.wa71 area above floar ................. I tegL,gg g. Total rim Joist area ........................... 14{8 Total exposed foundation area = -(S.3 3 h. Total foundation window area ..................... . i. Taal net foundatian area above arade ............ 15.'" Deterr.rirte "U" vatue of each wall segment. a. 1 ot5.-S X °uii b. 3q.(Oa x„U„ ..y5 = i ?.83 c. ya z "u" , YS d. y8 X °ull t-i_Q8 e. -Q a$.`$Co X ifuil .o-t = 1(0.b2. Lf. l(o X tluit 9. I ?-1 8 X "U„ 03 = Lol.'? eo3(e = S 37?' h. X "U" _ ?• ? 5. 33 x"u^ . i?1 = b. S 3 ........ ............................ Total ° If item 03 is the same as, ar less than item Si, you have met the intent of S8C 6006(c)2. . • Total exposed roof/ceiiina area = I p$'o Total gross raaf/ceiiing area = ... j. Total skylight area .................. .. • k. Total roaf/cailing framinq area .... 1. Total net insulated roof/cailing area....... q -1 q,2 Deternine "U" value for ezch roof/ceiling segment. J• x nuu _ k. ibR.Ss X °u" 0 z1 = 2.Z? 1. 9-14(.2 X "U" .0 19 4 ..................................Total = 2 . 8 If total of $4 is the same as, or less tian 42, yoa have met the intent of SBC 6006(c)S. To utilized the totai envatope systrn method, the values.astablished 6y the sum of items 03 and #4 shall not be gre3ter thart the sum of iteas 11 and a2. I. + 2. 2$.ZR = 2gO.c):?. 3. 16k\_o5 + 4. ZO?06q: = Z11.93 W.F.P.iALS • Thera. Eesistance "R" Ezt e: iar 9ir S idi :g ..?fat erial . 2 Sheathing 3/4" Tkac+^*? 50 Insulat ian 5-0 Sheetrock Interior 3ir .(e\ Studs Zu. .L.87 Rim I,A°1 Conc. Blks. ?? .w Gr,`_=r. • ? r...e? - ?:? r:?.? 0.63 2. `Ij' 4Y?3D ? 3. +?:cd =tas sc°i ?z - . S LI 4 . . 5. s?o,? ? •?z . 6. Fxta-?c: a_ f=? • s 0.17 . : soc31. ? y.1 R_ . 1. Int_r'c: a=_- *=?a o.sa'. 2. 1 4'lPSD . .45 3. `co" XQssa.l.? ? y 4./TlititLVAA,Y,- s 5. ??tNG 6. Ex:erfor air rila 0.17 To tal . C?37 .'- 1. Int_==°= a'-= film 0 6d 2. 1 t?15 U L l?" 1?? 3_ Z.Y?_ ,1015T 1.8 d . s. . ?' 6. F:?-,erior ai= €ila 0.17 _ , Tatal - ' U=:o3t'o • i. Inte??cr ai; fi? ' 0. GS 2. 1 R1GiD 1 I •a? 1 3. ; • _ . • 4. GONG aLAG4C l.Z • S. Extarior ai= :iLn • 0.17 ; • Tot? • -7 , l3? q •GP-ADE • . - ' . . • '? . . • ? , • ; ? '? ? '??? _ ?r • ? _ . ` • •? ' ': • ? irr? . • . • ? . '6• , '. 1! . !p .• ? , .. - /f/, i ? • .' . ' .1 !rr FIG. #4 ? ? • ? ?^ ? • •• . Q • // f ? ? ?i?_ ?3 . ' • • ? X X X `L ? ?l? ' 1[[ a !rr ? F '^ - ! NC^S': ::.dica:a ?e. ':?" ?val+e, c'ep`? a-c! j ° - . •? `L . ' plar_c:^: cf latica. ? s-i;kK =An;c ? - ? _.. . • ?+nt.r, ?:r.r.•?:c;::, •' ?r_r lyt ol i•?anu?? vall nrcn for . l:.Iev: cc,i,:.truci lun I.- 11'=U-. ---0 41C IN,z ? PIC. !1 1Y+PVILSi OF i . FtVitt IJALT. ? • 11- •-??? --- . FIC. 02 i 1 , •trsa Lz,( _ ?u ? .. ,tl ?? • }?`? r ,.?. .liIC1I ? i / A. • i?• . 'q? ?----w?.-0 . • •??,_..+ •?,• r' _ ?,/` _?'? ?y • • • - r ?? Ld ? l K? C Ci.u?_truri i_•., i:_.ealu•: 5. _?/.?GE. .B?tGK . . ._ .. ..._ . •- -.ll 6. F.ctcvik.r . u 17 ------------- . :?•;;a.:iK= I(c.9? v= 058 . 1. intrrlor air `•ilm --------`--?n.611 2. ). a. ?__f....._ _. .._.---•--•- ---• s. _•-•-.._._._ . 6. ExCcri0r air filIa ~ Tu L.z 1?- 1. }ntci_iqr_oir Fil?n •------_-_•_?_?!1 2. ----- ._... ._.. - •-._.--- -" 3. ---•-..?__.. ......------------"-- 6. %XtCCiPC•%lti III?In_-__? - ? ~Total. ` 1. [ntsli•,c_nir_lll?'-•---•---•-•-•n.c,n 2. ..?.--- 4. S. - •-_.---- -- -• ..._? G. __---•----0 1.-1 I:xcat-i??r .?i?••.????? _ ----?---.-._._. ---•:rul:?l . stj?ti C)ti rMnns ?t ?... _ - • -- -..?.--.--- .... 'r . . , • ?? . ., ; : • ' r c. i3', . j 7- rT7?{ ,i.. ir? ? . ' • ? ? ' < Flc:. 84 ' ? -?--;; = ; ---;?- f• s jr? ??:? • ru n! _:.'rr;': r,? _ ?• ;r Iln'l7:' Srtllcah: ' pla::rn.:??C af in:,il.i:inn. : PLAK! z::Fr IN Li?,.I=.4L F i . EXposED LNALL S z.,l.c. + ao } t S--v - `c. ?./y.1?E .; ?;otZ4 ± Sz? w ? rt,G, cfi PU L L 1 4e? . ?-?? r , wALL ?3LoctC: K, S = 75. 3 3 ??i E.E .. .f !? 4•. `t? )C, S 8 3 ?, 3 Z. ldt n ?PuLL.! : t43 x g ? - P. v a = q ? . 146 Els.G? Z Zs Mc: SQ.rt, F-KPaSED GEt Lajq ?cte8 i: - w ow5 26 ?.? Z4144 Im 4 = Z9. 3 Z°l3ro= z : ? o .. z?3ec ?' ZS 3fo AZEA ? - .3 ?a --„ II oo ?°z Z1 ?'.-- Za ? , 8 •L Z-. L7 00 ?.S : l Z.5 • I ? ? ? • • • ?. . Ganm?_ • R-YaLuc • • _-?"Y 3' ? • l. • Satcs' a: ai- f ;I? , 0.61 ? r3D ' • • . ?R I?' rl,?T n? ??i.?'T:; 3. ,?,?iSUC. SlJ • SO.a ?. ?ctcriar=:r .:la (se:11) a-.'? ?-- ? 1 is? ?tll1' )t . ?? cz.Z sl.g . =:?\\?t n ,: • ' . . . - • • . ? • ' V= .O?`t . . - ? • . . F*-A-M Or . _ • , . ' ? • ?ES? flav . . l. 2ntarior nir rflm ? 0.61 ?tzd 2_ L R? . 3. Zay_ 11.l?uL • ?/ 3S • ' • • 4. 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'? ?1 ?• • • 67• ? ' • • ? • • • ? • • ? • .?'.? ??? ??. .? APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION .............. . • w 'i,` .*yNp1'L': PASNE7l OF FEE AT Tihffi OF ? APPLICATIIX7 DDfS NOT CON- ."` ? STIILTPE APPA(idAL OF PERPIIT. ? • ; ie?seecriaa oF sEWEe x,ra/oa wATm • :. ; irsrnuaTTais wna. rnr sE scEunEn ; ? LR71II. PFRWT tllS BF&2d APPROVID. i ##e?fi+i*+#ta+r>i+r+r#e??:?++we?tfa??+ix ity oF ecigcln - (PLEASE PRINT 1) PROPE72TY ADDRESS:. 4028 Pennsvlvania Avenue r,Fr_Ar• DFSCRIPTION; Lo.t 4,. Block 5, Stafford Place Lot B oc S vision or Tax Parce ID IF EXISTING STRDCTORE, DATE OF ORIGINAL B[JILDING PERNLiT ISSLANCE: Mon Year PRESENP ZOLVING/PROPQSID USE: Q .COMMERCIAL/RETAIL/OFFICE Q INDOSTRIAL a;INSTI7UTI0NAL/GOVFRNMENT j R-1 SINGLE FAMILY r- ? R-2 DL?PLEX (3tao Onits) Q R-3 TOWNiOUSE (Three.+; Onits) Q R-4 APARTMENT/COAIDOMiIVIUM ( Units) ( . - Units) 21 ? NAMO: Frontier Midwest Homes Cornoration ADDRESS: .3902 Cedarvale Drive CITY, STATE, ZIP: .$agan, MN ,55122 .. PHONE: 454-0433 For City Use 3) NAME: Star Plumbing Pl reum se: ADDRESS: 1018 Mound Springs Terrace Active Expired CITY, STATE, ZIP: . Bloomington, MN .55420 .... Not recorded PHONE: 884-4149. ... MASTER LICENSE # 3329 4) NAP7E: David LIndemann ADDRESS: 945 W. Sowa Avenue CITY, STATE, ZIP: St. Paul, NIN 55117 PHONE: 489-7914 5) s a "?' • ?? ?? C]] CONNECTION TO CITY SEWII2 I-X-1 CONNECTION TO CITY WATII2 a O'IRIER 6) Li ? - ; *************??******* *?**??*********??**?*,r**?*+***?*??******+********,r****,r*?***************+*,?*? * THE pplD COPY OF 'ISIE PERNffT WILI. SE SENf DIIREC'1'LY TO PUBLIC WORKS TO FACILITATE METIIt PIQC-L?P. * ? PLEASE ALIAW 'IWO FpRKING DAYS FOR PROCESSING. SOME)DNE EROM TfM CITY WILS, CONPALT YOL IE' 7'F1ERE * * ARE ANY PROBI F22'1S. * ?*+******?+??*******+***,t******,e**??+?*?,r+**?*??,c?***********+****+?**?******+*?*****???**r***?**,r*? FOR :CITY USE ONLY r PERMIT # ISSDED Pd w/Bldg. Permit FEES: $ $ $ $ $ $ $ $ $ $ $ $ ,J-`? . 0 ZJ $ $ $ $ /,+.52? • L--D $ $ S $ $ $ $ $ $ $ $ $ $ $ 1472 2 . ei r) $ -;7 RECEIPT RECEIPT 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 TRCNK WATER ASSESSMENT TRUNR SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLANT SLRCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEIV A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVZSION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: /i'-e-? TITLE: DATE: a?,7 / ee Use BLUE or BLACK Ink For Office Use Cityo ELLall Perm #: • Permit Fee: _ 3830 Pilot Knob Road - Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651) 675-5694 � 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 8161 t–) Site Address: OZ'3 QecJiJS'fL141V� Tenant: 71J iv S Suite#: Resident/OWner. Name: jvS'I I,J (1nPrra 5 Phone: (0\2- 2q1- 4'g--1 Address/City/Zip: )-102-6 'PErN J S L 'rt N i l} Av8 Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Type of Work —New —Replacement _Repair —Rebuild k Modify Space —Work in R.O.W. Description of work: F-ikii3 H OPr-t H¢-ave RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Permit'Type )( Add Plumbing Fixtures( Main/ X Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is 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. x vS't� J Mss Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-irt Air Test Gas Test , Final Meter Related Items: Meter Size Radio Read Manometer Staff: Use BLUE or BLACK Ink it.' For Office Use 1 1 City of Eain Permit#: /4/5/<:5 1 I egg() 1 . Pemlit Fee: 42 6 d'74 3830 Pilot Knob Road ./-4,°?iii, ,7 Eagan MN 55122 ,L=Cr ,ft) Date Received: / Phone:(651)675-5675 buildinuinsoectionsOcityofeacian.com Staff: AUG 9 2017 _ _. 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: it& ii Site Address: 1-102,8 9eot45%-c i,v AO ilk loAtO Unit#: Name: cJj&ttiJ MAi'- Phone: (212-2511- LI1 31 Resident/ Owner Address/City/Zip: HO-Lb Pgrac•-)Sut us/Atii A (>46 efv.m4 , fkAtJ 55 123 Applicant is: 'j Owner Contractor ,..., _ Description of work: 1 to,YoS'ij leop•s&metal / Type of Work Construction Cost: Multi-Family Building:(Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License h: 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.cityofeaoan.comisubscribe. 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.oro I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. (J1".eAr 4' ki5—rif.i Nov- .,/ .C...ialll AP or'-nr- -rinted Name Appli . , s Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ii/ 1S / sue TY_Fis r_..._r®tIon rirepiace Porch n . Exter or A Ia.. -a•- le.:--a ram•.... r VU11UAGIVIi rI1 CFJ1Al.0 Porch(J'.7CASVI1r GAM/WI / iLerdilUn i.7iliyiG rA.nilyi Sinqin ih __ Po wh(4-P„.....) Ftel inr_-_ ili—_. wilrsr.(MUiti) — Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex 4 Lower Level _ Pool — Accessory Building JJJWORK TYPES PES New interior ii F:rirn:f 6 ent SidiSiding ®s Demolish Buiiidi ig _ Addition _ Move Building _ Reroof _ Demolish interior Alteration Fire Repair v Windows Demolish Foundation _ Replace _ Repair _ Egress Window water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant I.i�3r.r..i nail' ?{,j, , Valuation13g,6 0 Occupancy i�k i �". PACES System Plan Review Code Edition/T-S-f f,1 ®�'1 SAC Units (25% 100% X) Zoning. AI City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V, Width Construction vm.v.e Width liLUUIKLU INSI4LC I IONS Footings (New Building) Meter i`n: Footings(beck) Final I C.O. Required Footings(Addition) iC Final I No C.O. Required Foundation Foundation Before Backfill X1 HVAC_Gas Service Test Gas Line Air Test Roof:_ice &Water _ ` Final Pool: _Footings Air/Gas Tests _Final Framiine. i.'1�.0 Nlinu.^s. Air -...tet Dr/ain/N 1 ile r11^/� Stone y.� ` - i lreplace: Rough in 8 fir i est _Fimai Siding: stucco Lath _Stone Lath Brick s Eris Y In uiatirn Wind OWS Final Sheathing Retaining Waii:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Wails Erosion Control =anwpr ra= Other: Reviewed By: 1-1_., ; Building Inspector RESIDENTIAL FEES Base Fee Surcharge Ivii ( 17-- _o__ _ cpicyy rocEs SAC City CA r* Utility Connection Charge67 ' T p`S&W Permit&Surcharge d-i) / 6, 0 Treatment Plant i'.?e^3SC iifiAL Page n rayC c 0i.i PERMIT City of Eagan Permit Type:Building Permit Number:EA150743 Date Issued:07/23/2018 Permit Category:ePermit Site Address: 4028 Pennsylvania Ave Lot:4 Block: 5 Addition: Stafford Place PID:10-72500-05-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Justin L Mars 4028 Pennsylvania Ave Eagan MN 55123 (952) 486-0946 The Roof Guys 7630 145th Street, Suite 110 Apple Valley MN 55124 (952) 997-4777 Applicant/Permitee: Signature Issued By: Signature Forte Use , i RE C A y ::: E AG N 3t�, �3 3 r\vi‘ Date Received: 11, NicY, 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 k- buildinginsvections@cityofeaoan.com (651)675-5675(TDD:(651)454-8535 i FAX: (651)675-5694 Staff: buildinginsaections@_citvofeaoan.com t- ' I 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 12/20/18 Side Address: 4028 Pennslyvania Ave Eagan 55123 Unit#: Name: Justin Mars Phone: 651.270.8992 Resident/ 4028 Pennslyvania Ave Eagan 55123 Owner Address/City/Zip: Applicant is: Owner X Contractor Desca.ption of work: Water damage repair Type of WorkX Construction Cost: 34046.13 Multi-Family Building:(Yes /No Company: Just Us Construction Contact: James Address:, 16228 Wintergreen St City: Andover Contractor :james@justusrestoration.com State: MN Zip: 55304 Phone: 612-670-0597 Email. amen@j License#. BC636764 Lead Certificate#: NAT-76219-2 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: c OTE:P ,� .. oc �,, � . t areonsfd a a t ei ns of�tl,e Wpanation be ;X+ ',t* o1 t c tr!d 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.citvofeattan.comisubscribe. Exterior work authorized by a building penult 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 Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City oinf Eagan; that I understand this is not a permit, but only an application for a permit, = • is not to start without a permit that the wait will be accordance with the approved plan in the case of work which requires a review and a•• • : • plans. xJames E Grygar liarsit Applicant's Printed Name . ':tit's Signature Yoar yv � (t At Is-3q-9 3— DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) 1 Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous 01 of_Plex _ Lower Level ! Pool __._ Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* _ _ Addition — Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair — Egress Window lit Water Damage _ Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy 3 L-/ MCES System Plan Review Code Edition ,Zi!y" SAC Units — (25%_100% ) Zoning R- 1 City Water Census Code 1f3 y Stories — Booster Pump #of Units 1 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 Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&,W ter _Final Pool:_Footings Air/Gas Tests _Final Framing 1,730 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick EFIS At insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced WallsErosion Control Shower Pan Other: Reviewed By: 77) -- , Building Inspector RESIDENTIAL FE Base Fee Seta Surcharge Plan Review :. G --- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies 4,74_4(�T/..( .Rf 11-13.6 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154203 Date Issued:03/01/2019 Permit Category:ePermit Site Address: 4028 Pennsylvania Ave Lot:4 Block: 5 Addition: Stafford Place PID:10-72500-05-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Also resetting the range. Not doing anything with gas Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Justin L Mars 4028 Pennsylvania Ave Eagan MN 55123 Plumbing West 23248 Walden Ave Hutchinson MN 55350 (320) 587-0300 Applicant/Permitee: Signature Issued By: Signature r For Office Use �n /� , Permit#!91 P P /f/93 E AG A N ', ,cEIVED PermitFee: . Date Received: l -i,'v / 1 ='' 3830 PILOT KNOB ROAD i EAGAN,MN 55122-1810 JUL 1 5 2019 Staff: (651)675-5675 i TDD:(651)454-8535 i FAX:(651)675-5694 ___ buildinginsoectionsAcityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/15/19 site Address: 4028 Pennsylvania Ave Eagan, MN 55123 Unit#: Name: Robert & Carrie Elder Phone: 507-288-0687 wilder 7006 Himmer Country Ln SE Rochester, MN 55904 t}fN;t1r Address/City/Zip: Applicant is: Owner ✓ Contractor Description of work: Siding & 1 door replacement Tstpe; # o Construction Cost: $37,777.00 Multi-Family Building:(Yes /No */ ) Company:. Ryan Windows & Siding Contact: Kristina Newkirk Address. PO Box 5937 City: Rochester contractor an-ws.com MN : 55903 Phone: 507-281-6363 Email: knewklrk ry State: zip: License#: BC008077 Lead Certificate#: NAT-31542-2 If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDG in the last 12 months,has the City of Eagan issued a permit for a similar plan based on a masterplan? Yes ✓ No If yes,date and address of master plan: Phone: Licensed Plumber: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: . TE: ans an,d su pvttl documents.that you submit are considered to be public Information P+rtlons of the Information maybe cla.s.fie . .:. bli , :_... r. . it the.City to conclude tlratthe ar+e itr'ad�e secrets. . ,clatss7tled=as�onJ/c.=�►fyou:�roylslc�specitic-i�+sons:tha�ld:per�. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.comisubscribe. 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 utilities.Callwat w 51)45-000 neo alqprotion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground 1 hereby acknowledge that this information is complete and� mforthat the work s pemnitWandill ein work conformance not to start th the without alnances and permit;that theeworkhv+enlCibe n Eagan; that I understand this is not a permit, but only anapplication of plans. accordance with the approved plan in the case of work which requires a review and approval X Kristina Newkirk x04^-------- -,--- --��. � Applicant's Printed Name plicant's Signature