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
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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 ;
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##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
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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