4031 Pennsylvania AveCASH RECEIPT ?
CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
_ oaTE
,
1
rEcervEO 4
FR011 ? 1 .
AMOUNT $
r _- -
& DOLLARS
,m
' D CASH ['1 CHECK
FM
BY
` ` - Wiute-Payers ('.oPY
^ ' - Yellow--Postin9 CoPY
Pink-FNe Copy
Thank You
? ~
BLDG. PE RMIT NO.
- -
01-3210 Bidg. Permit
01-3422 Plan Check - - " ?'
' C 01-3445 Surch./Adm.
,
? . ? 01-3446
SAC/Adm.
U
01-2155
Surcharge
75-3860 Road Unit
.20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
• ?? 20-3716 Water Meter
20-2252 Acct. Dep. ---?' ' ` ?-
20-3713 Water Permit '
`
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL , ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for t;F >WGI(-rA1z
SiteAddress 4031 PENNSYLV.ANIA AYE
Lot 8 Block 4 Sec/5ub. STAFPORD PLACE
Parcel No.
a N a m e ?.QNI I B8 MI'CiT1CST HOMES
3 Address 3902 CHDARVALi'. DR
0 City rACAN Phone L`?4-4433
¢ Name _
a
o` Address
? 'Citv
¢
W
z
a
z
w
Name
Address
CitY -
I hereby acknowledge that I have read this appiication and state that the
inlormation is cOrrect and agree to comply with all applicable State of
Mipnesota Statutes and City of Eagan-Ordinances. j
Signature of Permittee ABuilding Permit is issued to:_ FRQNTIEFL HTWEST H0MFS
on the express Condition that all workshall be done in accordance with all
applicable State o( Minnesota Sfatutes and City of Eagan Ordinances.
Building Official _--
Est. Value ;69, 000
1_5 9, ?14
Receipt #
Date NOV 4
,1988
OFFIGE USE QNLY
On S8e Sewage Occupancy ?Z-3 N-1
MWCC System X Zoning R"'1
Qn Site Well (Actual) Const Y'"N
City Water X_ (Allowable) V-N
PRV Required ?._ # of Stories
Booster Pump Length 4C' ?
Depth 471
S.F. Total
Footprint S.F. I
I
APPROVALS FEES
Engr./Assess. Permit 450•00
Planner Surcharge 34.50
Council Plan Review 225•00
Btdg.Off. SAC,City 100•00
Variahce SAC, MWCC 550•00
waterConn. 550.00
Water Meter 67.00
Road Unit 325,
QO
Treatment P1 204.?
Parks
TOTAL Z s 50 S..SO
T?Wrtv'?"1-M FOR BAs'EMxr 9/19/89 CITY OF EAGAN
Th"MY ANIERSM
342-3614 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' •
• ?v?,?_ PHONE:454-8100
1 r, ^9 s;
BUILDING PERMIT Receipt#
To be usedfor ?,,F Esi. Value ?•F?,??j? Date (IV G ,19
Site Address 4031 rEp;wSy!,VAF:IA 11VE
Lot : Block `+ Sec/Sub. STAFFORP PLACE
Parcel No.
a Name FRONTIER 14IDMt M1!!ES
3 Address 3901 CEDARVALL D1t
0 City ErAN Phone 454--0433
¢ Name bklr
.o
? ` Address
? City Phone
a
i
u
z
w
Name _
Address
City _
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances,
Signature of Permittee A Building Permit is issued to: _kii`JN_Tjk 'IDMTEST N?!!E
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official_
OFFICE USE ONLY
On Site Sewage Occupency x-3 M- l
MWCCSystem Zoning if.- l
On Site Well (Actual) Const
Ciry Water ? (Allowable) {??•?
PRV Required _X # of Stories
Booster Pump Length 401
Depth 47 e
S.F. Total
Footprint S.F.
APPROVALS FEES
45Q•00
Engr./Assess. Permit
34.50
Planner Surcharge 215`00
Council Plan Review
Bldg. Off. SAG City 1 L')•0C
Variance SAC, MWCC 550•00
Water Conn. 550• "- 0
Water Meter b7.00
RoadUnit 12 5•00
Treatment P1 'C4•OC
Parks
TpTAL `,50•50
' - Permit No. Psrmit Holder Date Telephone ?t
Plumbing T(`iL-7 '
L'
H.V.A.C.
%C L?•?L
?-- ? '
?? ,? ?
Electric Vrloz U / 5 N W?
Softener
Inspection Date Insp. COmmentS
Footings I
?
Footings II
Foundation 15 ? g
Framin9 ! X4
Roofing
*
Rough Plbg vo
Rough Htg.
Isul- 1w -Q l3(? ?/lr! 1T'-
Fireplace
Final Htg. ?_ _ • ?
Final Plbg. '?..f
Bldg. Final i? •
Cert.Occ.
Temp. LP Gt,m BS.wr z72?i P
Deck Ftg.
Deck Final
Well . . --
-
Pr. Disp. '? __?--?•?
----? - -
, . _ _.
?
l
't t:_ i.
Ta#ifirate of COrrupttnry
;
? Citp of (Eagan
Epparbttcent of luilbing JnspPrtinn
This Certificate rssued pursuant to the requirements ojSection 306 ojthe Uni, fam Brtlfding
Code certifying rhat at rhe time of issuunce rhis struelure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Use aan;6catiw, 9P M/r.AR eldg. tbmrit No.
0-uW-3' n'm 7.oniug Distrin RI '1?'Pw Const. VN
&dlding AddRas Lotaliry Li3! lYI,, SJJ?Nl'LLiU YLFy .r.
-?L'?11142 2? C o.1 .TAtaL4RY 13, 1989
BumDB Offi*
POST tN A CONSPICUOUS PLACE
, . ,
PERMIT #
' PLUM6ING PERMIT RECEIPT q
' CITY OF EAGAN
r `
3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE: :
CONTRACT PRICE: PHONE: 454-8100
Site Addr,ess BLDG. TYPE WORK DESCRIPTION
Lot Block f' Sec/Sub Res. y? New 4_ ?
Mult. Add-on
? Name ? - ? ?- M c ` r / f.?L- Comm. Repair
m Address Other
c City -=%i C( f' 4Z Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TOTAL
? ? Water Closet - $3.00 $
?
c Name
-
Lle /t1P I7
f??l/
51
=?th Tubs - $3.00
<'
,3. t.
? Address -L--Lavatory - $3.00
p City Phone Shower -$3.00
?Kitchen Sink - $3.00 ? • ?'??
FEES UrinallBidet - $3.00
?
??
??a
COMM/tND FEE = 1% OF CONTRACT FEE ? ry Laundry Tray -$3.00
- •
APT. BLDGS - COMM RATE APPUES 9 TFIoorDrains - $1.50
_
'-
TOWNHOUSE & CONDO - RES. RATE APPLIES 7
Water Heater -S L50
MINIMUM - RESIDENTIAL FEE - $12. 00 Whirlpool - $3.00
'
MINIMUM - COMM/IND FEE - $20. 00 C
Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - . 50 (MINIMUM - t PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYONO $1,000.00) Well - $10.00
Private Disp. - $10.00
' =
'
Rough Openings - $1.50 -'
FEE: •??' J?-
SIGNATURE OF PERMITTEE
STATE SlC:
?
'`?'' ?
??
FOR: CITY OF EAGAN GHAND TOTAL: •
CONTRACT PRICE $1700. 00
Site Address 46-'1 Pennsy van
Lot ?' Block 4
Name
°-' 1955 Sii;iwnce
m Address
c City F.aRan
? Name
c Addre
O CiN -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT #
RECEIPT #
DATE:
st.),O0v
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
?
BLDG. TYPE WORK DESCRIPTION
Res. xx New xx
Mult Add-on
Cbmm. Repair
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
GAS OUTLETS [MINIMUM - 1 PER PEkMin
COMM/IND FEE - 19'a OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 6 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
- $24.00
- 6.00
1.50 EA.
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50 .IF 1.50 BEYOND $1,000) PERNlIT PRICE GOES
'?.?. ? • , ? ?/ _ ?-
.00
' ? SIGNATURE OF PEAMITTEE
CITY OF EAGAN
CITY OF EAGAN
,,,-'3830 Pilot Knob Road
Eagan, Minnesota 551229
(651) 681-4675
SITE ADDRESS:' ' "
PERMIT SU6TYPE:
I
?
INSPECTIUN RE(:Ulll)
PERMIT TYPE:
Permit Number:
-1897 Date Issued:
I ".', k?" APPLICANT:
fi 1 :t 1114111.
TYPE OF WORK:
7
I
Permit Holder Date Telephona #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGM
PLUMBING
PLBQ
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
(3YP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HT(3
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FIUSH
MAINS
CONDUCTIVITY
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY 4F EAGAW ` Permlt Na Date;
Q30 Pllot Knob Road Meter S? Size: 3Z 16:6C -Ipe
P.O. Boz 21199 Reado: C Date: JZ '30 - F?
Eagan, MN 55121
'?r,rr.ier i:lwest
Owner.
SiteAddresx Peunsvlvania Ave LB i?4 Staffor(' Place
Conn. Chg: 550. 0Opd Zoning: •T1
Acct Dep: 25 .{JOnd No. of Units: '-
Permit Fee: 10• OoPd
Surcharge: •30pd I agree ta comply wlth t t?r Eagao
Tr. Plant ?'`??? • ?0 n', Ordinances.
Meter. 7 ?"Qpd
MiSC.: T<L?LiIP,ii+ 8y
WATER SERVICE PERMIT
CITY OF EAGAN Permit NO: DBte: ? Z e g v
3830 Pllo! Knob'poad Meter Na Size:
P.O. Bax'21199 Reader No: Datec
Eaqan, MN 55121
^ - - - Z'(ti!: i_ i eT ."ftlW:?S t ?
,esw 4kiii reansylvati28 AVe -.; r4 ;;L3tIOTC' ?'1SCE
CtBr rlCiftEfJing
Conn. Chg: 5 S0, f? t?pd Zoning: 71
Acct Dep: 15•0 0pd No. oi Units: I
Permit Fee; 10. 0 0pd
Surcharge: • S0pd I agree to comply wHh the Citp of Eaqsn
Tr. Pfant '10`' • ?n^`? Ordinances.
Meter.
Misc.: nr.• ??•-T .. - BY
WATER SERVICE PERMIT
Date:
CITY OF,EAG Permit No: L,_ 7_ 4 Q
3830 P?`ot Itno Road B/ P No: Date:
P.O. Bt1x 21199
Eagan, MN 55121
Tr^nt
Owner.
„
Site Address:
Ha-:
Plumber.
Ri
oft:?
MWCC: Zoning
,
? g
City Chg: No. of Units:
Acct Dep: j I agree to comply with ths City of Eagan
Permit Fee: . , Ordinances,
idveat
vlvania Ave L8 B4
. .. . . •
Aisc.: gy
SEWER SERVICE PERMIT
i//?/8' 9 C? ?hl?5
E 9598 5 g,
Request Dale Fire No Rough-in Inspeclbn
Required?
? ReadY Now ? Will NoGfy Inspectw
1M
R
tl
7
? Vee ? No ien
ea
y
Ip Ilcensed contractor /owner hereby request inspection of a6ove electrical work at
Job Adtlreas (S1rae4 Boy ? Route No.)
?0
?
-
lvic
AA?
6? Ciry
?
?hs
?
31 t
-
4
Sacfion Na. Township Name or Na. Renge No. Counry
Occupanl (PRINn
5 . PMne No.
.
Pow¢r Suppliar AtlGreas
ElecVical CanVactar (COmpeny Name) CoMradw9 Licenea No.
Meiling Adtlrees (Contrecior ner Meking Instellation) ?
?
/y?
i wh vaw, ? • ss?
ah
Aut?orizetl 'gnelure (Cantractor/Owner Making latio Pho Number
kINNESOTA STATE BOAPU CTpICITY THIS INSPECTION REQUEST WILL NOT
Gri98%'Mitlwoy Bltlg. - H m fr173 BE ACCEPTED BYTfE STATE BOARD
1821 Univeniry Ave., St. ul, MN 55106 UNLESS PROPEH INSPECTION FEE IS
Phona(812)602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECT70N
? See instruclions for mmpleGng this brm on back of yellow copy.
E 9 5 9 8 5 - •X" Below Work Covered by This Request
/jE(&?00/00?1-p07
~~ L%'/?YOO/
Ze% Atld Rep. TypeotBuilding AppliancesWired EqulpmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm ' Air CondRioner
J ane, (svaciry) ContraciwS Pemerks:
?? gsmT, F ? ? ?sK
Campute lnspectian Fee Below:
# Other Fae # ServiceEnirance Size Fce # CircuiGS/Feetlers Fee
Swimminq Pool 0 to 200 Amps 0 ta 700 Amps
Transformers Above 200 _ Amps Above 700 - Amps
Signs IrspeiYOrs Use Only: TOTAL
Irrigation Booms q
Special Inspection %EEd2===w
Alarm/Communication
Y Other Fee 303'
I, the Electrical Inspector, hereby
if
h
b R°°9n-in
y }
at the a
ove inspection has
cert
been made. Fnei oal .?
/
OFFICE USE ONLY
This requeal vaitl 18 months /rom
This requesl void/?
18 nx?n S/?y(J./
ths (rom O
D 20287i g? /:?)/
Sv?12s
0.;cenmea ueclncai i,omracmr I hereby requast insDec[ion ol ebave
? Owner electricxl werk instelle0 et:
Streal Atldress, Box
oe No . Ci[y -
?? / /1
4P ?o..t r? 6i
ecUmi o. Township Name or No. Hange Na. nty
i
Occup (P T) Phone No.
a
Pawer $upp ler
?? Atltlre s
?
N.? e ?vst ai1
Elecvi al Contra 1 r(Co pan Name)
ConV
a
cmr's Lice ee No.
14 M .vGi -
7
oc
Mailing AdJr ss IConVar,tor or Owner Making Insta' tionl
Authnrized Signatur (Conv dOwner Mnking Installation)
Phone Number
( ?
MINNESOTA STATE BOqp? OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Poom N-191 BE ACCEPTED eV THE STATE BOAND
UNLESS PROPEN INSPECTION FEE IS
1827 Universitv Ave.. St. Paul, MN 55704
Phone16721642-0800 ENCLOSED.
REQUEST FON ELECTRICAL INSPECTION es-?o`o/o?o?i7-os
IP Sea instructions far completinq this torm on beck af yellow ropy.
C02 8 7 "X" Be/ow Woik Covered by This Request
FdJ Nep. Type ol 9uilCing ADOliancee Wired Equiyment Wirad
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. Buildfnq Lw? Dryer Electric HeaUn
Commercial Bldy. Fumace Silo Unloader
! Industrial Bldg. ir Conditioner Bulk Milk Tank
- Farm othnr aer,i v ntner(Snecilv)
A_ M a,r Syec... O[ner piher
Comi7ute /nspeciion fee Below ? ---
M Fee Service EnLaneeSize H Fae Fexders/Subleedera N Fee Gircuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 700_Amps
Transiormers Irrigation Booms PdrtiaLOther
Signs Special InsUection
5 ?
-
OT
Nemarks T
AL F [ ,(?
V
flouBh'i^ Dnte , [he ElecVical
InsOactoq he.eby
certily that the nbove
Final £ ? DrI? ? nsoection has Ceen
/ ? made.
Thb repuest vo1018 monlM trom
CITY USE ONLY
L ? Bl ? RECEIPT #:
SUBD. VfaffOfV VIaCV RECEIPTDATE: II-Zr-o n
PERMIT# "1?7?1) "?
E000 PLUM$INfi PERMTI' (RU1DENT1AL)
CITY OF f.A6AN
3830 eu.or icivos Rn
£A6AN, AfF 551 EE
631-6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
rwrllooc FOCH # TOTAL
Alterations t xisting dwelling - minimum fee
Describe: kc?.o
$ 30.00
?G G G '
Bath tub $ 3.09 x = $
Floor drain 3.00 x = $
Gas i if1 OUtlet ' minimum • 7 3.00 $
Hot tub/s a 3.00 $
Kitchen sink 3.0 $
Laund tra
3.00 u
$
Lavato 3.00 $
Se tic S stem newlrefurbished requires MPC lic. 75.D0
Se tic 5 stem abandonment 30.00
new installatlon/re aidrebuild
RPZ 30.00 x =
Rou h o enin 1.50 x = $
Shower 3.00 x = $ ?
Under rounds rinkler ifdwellin Isunderconswction 3.00 x = $
Under round s rinkler i(exisun dwenin 30.00 x = $ ?
Watercloset 3.00 x =
?
$
Waterheater 3.00 x = $
W ater softener If dwellfng under consVUttlon 5.00 x = $ ?
W ater softener H existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 -? --> ----> $ .50
Total -? -? ---? ---? $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------•-------------...---- - --- - -- - --------•----------°_....-----------...--------•••----------....-rt-----a-nce---°
I hereby, acknowledge that I have read Ihis appliration, stale thal the infortnation is corcect, and a9ree to comply wiN all applicable Cityof EagaoMins.
It is the applicanl's responsibiliry to notlfy ihe property owner thal the City of Eagan assumes no liahility kr any damages caused bytheCiry dudng its: rwrmal
operational and maintenance activities to the facilities consVUCted under Nis permil within City propertylrighto(-wayleasement.
SITE ADDRESS: !:40 :t) \ C56 \l \ U ?A \ V ?? ? t P?- T_Vti " ' 1?`?.`-^'
OWNER NAME: : ?nCv1?,-o TELE•P'HONE #:
(AREACODE) .
INSTALLERNAME: ti.ics.QTELEPHONE#:
? (AREACOOE)
STREET ADDRESS: pi
CITY: STATE: 21P: _660 (o?
C.??c?
SIGNATURE 0 PERMITTEE
` CITY OF EAGAN
?
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 NO 1rj828
PH ON E: 454-8 100 --
??C 1 7 r?
BUILDING PERMIT Receipt # ?
To be used tor SF DWG/GAR Est. Value $69,000 Date NOV 4 ,7g88
Site Address 4031 PENNSYLVANIA AVE OFFICE USE ONLY
STAFFORD PLACE
Lot 8 Block 4 Sec/Sub On Site Sewage _ Occuoancy R-3 M-1
. MWCC Syslem _? Zoning R-1
ParcelNo. V-N
OnSiteWell _ (ACtuapConst
rc Name FRONTIER MIDWEST HOMES Ciry Water _]L (A1lowable) V-N
W
= -
Address 3902 CEDARVALE DR PRV Requiretl -X- # oi Stories
p
City EAGAN Phone 454-0433 BoosterPUmp _ Length 40'
Depth ?+? ?
p Name SAME S.F. Total
,
? Q Address Footprint S.F.
: City Phone ppPROVALS FEES
?a
?w
Name Engr./ASSess. Permit 450.??
34
50
? i Planner Surcharge .
i-
u= Address
Council
PlanReview
ZZ$.00
w
a City Phone
BId9.Ofi.
SAC,Ci?y
1??•??
I hereby acknowledge that I have read ihis application and state that the Variance SAC, MWCC 5$0. ?0
in?ormation is correct and agree lo comply wi?h all a plicable State ot Water Conn. 550.00
Minnesota Statutes antl Gity of Epga Ordi nces.
eq
?
?
WaterMeler
_47.?0_
Signature of Permittee _
?° ???
"? --- Road Unit ?25 _ 00
A Building Permit is issued to:?$ONTIE$_MII)WES?HOMES- Treatment P1 ZQCF..00
on the ezpress condltion Ihat all work shall be done in accordance with all
Parks
applicahle State oi Minnesota Statutes and City of Eagan Ordinances.
/? 505
50
2
.
???? ?J
Building ONicialJ.lt56(1?,!/.{1L??.?-.. _ TO7AL .
,
.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
3INGLE FAMILY DWELLING3 15 $ 2 1
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
? .
NOTEs ADDRESSES FOR CARNER LOTS - CONTRACTOR/HOMEOWNER MOST DFSIGNATE WEIICH ADDRESS
IS DESIAED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL ONITS FOR SALE [1NITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHEC% WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUD6 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
3,1 I8fl
To Be Used For: NEW GONSTRUCTION Valuation: $$9;?? Date: 10/28/88
Site Address 4031 PENNSYLVANIA AVE
Lot $ Block 4
Parcel/Su6 STAFFORD PLACE
Owner pNpERSON_ TiMOTHY R MINDA
Address 5944 PARK AVF SO_
City/Zip Code Mpl S_ MN _ 55417
Phone R61-375f1
Contractor FR(1NTTFR MTpWFST HOMFS
Address 3902 CFf7ARVAI F nRTVF
City/Zip Code EAGAN. MN. ri5122
Phone 454-0433
Areh./Engr. f1Tf.l( f.NARI iFR
AddP099 1a1f14 GARfIFN 11TFW f1RT11F
CiEy/Zip COdE . APPI F V111 I FY -MN. FF194
Phone li _A3a-rn Q9
6`j O00 _ -
On site sewage_
MWCC system ?
On site well
City water r/
PRV required vl?
Hooster Pump `
# OF UNITS
Oceupancy P-3 M - (
Zoning 'R-I
Actual Const 1/-N
Allowable V-?
# of stories
Length y?
Depth ?(T
S.F. Total
Footprint S.F.
FEES
EngrlAssess
Planner
Couneil
Bldg. OFf. '??j /Z
Variance
ool
Permit ?l cc
Surcharge 341CO
Plan Review zZS",Oio
SAC, City 100.00
SAC, MWCC
?
_S501
Water Conn 5CAt
Water Meter Gn' oo
Road Unit 3 75,pO
Treatment Pl Z??,pp
Parks
Copies
TOT9I. a 50
S,
d.
I
Smmcllor?s eertificate
SURVEY FOR: Prontier Aticlwest [lomes Corp.
DESCRIBED AS: Lot 8, Block 4, STAFFORD PLACE, Cityof Eagan, Dakota County
hiinnesota and reserving easements of record.
``? ?I `.
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?.ti i1, . 1t C
ti • r ^ ? dh
1 ssAi° tJ
P?/ y • y ?t
e , 860.4
O ?br? Z / 6
i
: A\
SETBACN LINE
%
`•? ? ,cya ?S 1 t> ? / ??
9•p0o ?.\ ,? ?,?y
D•?.
f2g,?g, ? ? / ? r;, T
? .
t . w.:
\ ?a ?Y
--
ely,9
EFiGATd
S'RO°OSE9 EL£`JA410N$
700 af foundallon . S62.'1
(iaroqa Floor . 8 e i. 3
Baeemenf Floor : S 59.5
Appror. Sower Savlae ENv. .$ 45.1 3
Proposrd ENvaflons I Q
ERUlina ENvatlam . _
Drainoqe Dinc/lons 8?r
penotes Olfest Sfak• , O
?
I'---
SCALE: 1 lneh • 30 Feet S
i
?EPT
3cirLHhiAnK,
r?
uyd. C Lel L,,e
i 1? i99LK f. , P<...a?lva..a
R1i?. HIr?.= 4b1.44
? MIN. SETBACK REQIREMENTS
Fronf - 30 Howe Side - 10
Riu?araqfBtd?- 5
I MnOy teftify tMf Nds W/qY. Okn a nparl wos yfepere0 !Y m Jo8 NO.:
eiEDLUND a unAer my Alnet supervislan anA Ihaf i am s du1Y R4pH1*rsd ?-z5j2 _Sisci
Lond Swwyx unAa Me hw of IM 8tato sf Mlnnesota.
BOOK:
P/enning Eng/neerfng Surn9ying .
IN/4MswawWM?Y?y?.IAM ? MYisW?WfO
Dal?c le ? 25 , 78 PAQE:
*X 1 r*n, llam• s1?776
C-
0
m
z
0
10
tQ
16
J1
E
0
.? . .
EXTERIOR ENVELOPE AVFRAGE "lJ" COMPU7/1TtON,,?` ""`. ?x6
OWNER: nnrr:
SITE ADDRESS: PFIONE:
CONTRACTOR: PLAN # STA-?f-,oft.A ZK ?o
Determine working square footage, of each
1. Total exposed wal l area..... (a 1-{ I S-.sq. ft. x .11 =
2. Total roof/ceiling area..... sq, ft.. x .026 =
Total exposed wall area above floor=
a. Total wall window area ............................................ ( ZS ?
b. Total door area ..... ............................................;.
c. Total sliding glass door area .................................. .. 4=
d.
..:..........
Total fireplace wall area ........ ...................
?
e. Total wall framing area (average 10%) ..........................
..
f. Total rim joist area .............. .............. .................
9. net wall area a6ove floor .....................................
h. wall area a6ove floor ..................................... .
i. wall area a6ove floor .................. .. . ................
j. frame waTl area at foundation ...................................
Tota1 exposed foundation area= ? Z??
k. Total foundation window area .......................
1. Total net foundation area above grade .............. 3 Z, S"
Determine "u" value of each wall segment
(e.g. window; door, each separate wail section)
a. 1 Z? x Hull ,,?5 = S7p,Z.??
b. L-( Z X iluit , ?5/
C. 4 z X„u„
a. X„u„
e• X
f. I 3b XHul,
x ?,U„ _ ay = L/
n. x ..U„ _
; x ,iui, _
j X „u,t _
If item #3 is the san
k, X"U" = as, or less than ite:r
#1, you have met the
intent of SBC 6006 (t
3 . .................. ............... Total =_ z b f7 . g'L?
E',:terior Envelopc Average "U" Computation Page 2 of 4
. Total exposed roof/ceiling area m. 2hta1 skyli.ght area ............................ ?
n. Total r.oof/ceiling framing area (avcrage 10%).:. Iep (o
o. Total net insulated roof/ceiling area...........
Determine "U" valuc for each roof/ceiling segment
M. g flu,. _
n. % "ti., ?pZy = 2??'
o. X „U„
?
4 ...................••••••.. Tot-al
'f total cf n4 is tlze`same as, or less than #2, you have met the intent of
SF3r 5005 (c) 1.
Alternate Building Envelope Design
2b atilize the total envelope'system method, the values established by the s.im.of
ztems_#3 and #4 sha11 not be greater than the sum of itelns #1 and #2.
l.. ZZtocO? +z.
3, ' '?? ? ? ? + 4. "z,?7 ? -73•
PLAN #
* LINE.4L FEET EXPQSID TdALL
BIOCK: Lo ? 1
KNEE: I 3 0
W.O.. ?
Fvta. i : I 3 ?5
FLTLL 2: ?
FIREPLACE: ? ..
RIM: ? 3 p
* sQttAxE FEeP EnSID wALL AxEA .
BLOCx: x.5
KPIEE: X 5= (p J`r
W.O.: x g =
Frt.t.l: x8= ll09
FULL 2: x 8 = -----
FIREPLACE: („P x
Rn?t: l 3 O . " 1 l-? °
* sQuaxE FEer EXPosEn cESi.arG ? o l?
YmgDm * DooRS q- Z
ZLf 3 c. GL-
~? 0 3 C. c ?j = 3$?' * PATIO DOORS.?. ?
zo C> o = 3 = ZS'
? aASD'OU vrrrrs
2 N `i Ll
---
?
? ?? S
?• -1N\- v
?•. Use (ta, of Dpaque laul l oreo for
fV'aYf?f_. C[.xwbtruCE , wn
pRAN2 Nnti
R-. VpdSJE - - . .
CONSTRUCTION-=- £R.AMING - -
1. INT'ERIOR AIR FIIM 0.68
2.
3. 5 1 2 SO D 6.87
4.
s. SlDlNG
6. OR R FILM 0. IT_
_ :8
U= .09
NET
l.
SiLt
fd,NDhTi[.A3
WkLL
_._ ..? • ? ' I
i '
1. INT'ERIOR AIR •FiLM 0.68
3:'t" .45
3.
4. HEEP.Th'IIQG' 2.06
5. SMMG
.6
6.
1.
INTERIOR AIR FIIM U= .04
0.68
2. Vr-NSL-JL. 1 . 0
3. x J'OIST
4. ,
5. S
6. ENTERIOR
U= .04
BIACK
1. .INTERIOR AIR FILId ' .. 0.68
2. i ,
3. ,
4. PROTECfIVE BARRIER
5.
6.
TOTAL R= . 3
U= .14 .
SLAB ON GRADE
. . ?
F?. ttA ?
!
?ll
o =
?' .
?
n
v '
rs, ' a
Ci• -!'
?f?- ? •?
.
111 ???
NOTE: INDICATE TYPE, "R" V.AIIJE. DEP'IH ANID
PLACEMENT OF INSULATION.
PyG . 43 ,? ?....w.?....-.,.Y
, .WALL SECf20NS
N(7t`^: USE 10$ OF OPAQUE WALL ARFA FOR
FRAME CONSTRUCTION
. i
' o
?. Q)
(33) .
I
,
'• BASIC WALL
t-----G>
F26. #I TOPVIEW OF
FRAME WAIL
I
. FIG. #2
. ?
_ ? ) D
,e u•.
?(?•'o' --
• n
? ? ? ?
(lf ?-
.
U ? f ?f
r t ? ?
.
FIG. $3
?
. `
--?
(D 19)
O
t? (D
.?
BRICK FIRE
CONSTRUCfION
•1. INTERIOR AIR FILM
IN7 PLACE
R-VALUE
,
0.68
2. RE C
3.
4. AIR SPA .68
5. •
6. OR AIR FI .1
. TOTA
U L 2.75
= .36
1. INTERIOR AIR FIIM 0.68
2. .
3.
4.
5.
6. ERTM76-R-77
TOTAL
1. INTERIOR AIR FILM 0.68
2...
3.
4.
5.
6. EXTEFtIOR AIR FI 0.1
1. INTERIOR AIR FIIM 0.68 '
2...
3.. .
4. '
5.... -
6. OR EIIM 0.1 . .
, . TOTAL.
SLAB ON GRP.DE
f , •-, ? 2 ? ? , ?
?. K
? a
? ? ? ? I)1
w
£IG. #4
?I s; I
NOTE: ZNDICATE TYPE "R" VALUt, DEPTH AND
PLACF.METIT OF INSULATION
ROOF-CEIL,ING
CONSTRUCTION ' R-VALiJE
3 Q 1. INTERIOR AIR FIIM 0.6S
--? ?
, 2.
3. -
4.
LOrALVENT , ?. U = .02
vfarrm I ? Z\ HEAT Fvoia
?- u up
FIG. #5
? HEAT FIAW UP
FRAME
1. INTERIOR AIR FIIM 0.61
2.
3. 444
4.
U = r .024
CONSTRLTCTIOK
1. INSIDE AIR FILM
0.61 .
2. '
3.
4
5.
FRAt7E
1. INSIDE AIR £ILM TQTAL
U _
. 0.61
2
3.
4.
5.
1. INSIDE.AIR FILM TOTAL
U
0.61
2.
3.
4.
5. '
TOTAL
U -
NOTE: USE PDDTTIONAL SFEEfS IF t"_ORE SPACE IS
pIEEDED FOR DETAILS AND CALOJLATIONS.
FIG. #7
" NON-VIINTrD
HEAT FIAW
UP
FIG. #6 •
I
i
t;.;rv -ir
C:i1`, ,...LIER:? `i 1f., ,A._ 1?.:1 ? ?? ,,? ,,:;?g ?
_I?'f:i'. ?.?1:tt?" i
D?...rE;: !.:i.l20/90 T:[?•itEc 14;5404
i
rD„ ;
Par1NiEe 1]:Nr1rH4' s AMnr:;t':soN I
3c^.10 `?fi•'.]:I 403i. PL:PdiJ.EYLtlFlid '.:IJ,.QO
2155 9001 4(]31. P?:A!hfSYl.?./f,t. (:).5q
i
• I?.
p
I
.[ .?
47.1. {-?:_F:? f' r. ri I;
p:, 1!._ C; ?ntN'i:.,
ii).:
CF2099581.
!..i,`-.;l`R :[?-1n PiA;"JCJ I
,.?M.
?r
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
- Eaga'h, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE:
Permit Number: F3 U S L D I IV G
6348$1
Date Issued: 1.1 ( 7 0/ 9 8
SITE ADDRESS:
4031 PENNSYLVHNIH AVE
LO'1`: 8 BLDCK: 4
STRFFORLI PL
P<T.N.: 10-72500-080-474
DESCRIPTION:
Bii?ildinq f?,ermit Type DECK
t?uildznq Wo?r.?Z Type NEW
?Census Code 434 AL7. RESIDENTSAL
`?.
\
/
S
REMARKS:
PLAN REVTEWEfI BY CIL.L Po[7AMS.
FEE SUMMARY:
Base Fee $50.80
Surcharqe
Tor_a1 Fee $50.69
CONTRACTOR: OWNER: _ ppplir.ant -
? FlNnERSOh! TIMOTHY
4031 PENNSYL.VANTA AtlE
EAGAN MN 55123
^ (551)392-7048
,
T hareby acknowled4e that I Mave read this applicatzon and state L'hat Lhe
information is correct and a4ree To camply with all applicable state ni` Mri.
Statwtes and CS,ty ot Eaaan Ord'znaneese
?
, AP CANT/Pf. ITEE SIGNATURE ? UED BUR
? c
I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PILOT RN?O; RD - 55122 ?
? ?-I O g I ?b
Naw Construction ReauiremeMs
• 3 rogistered sde surveys
• 2 copiea of plans (inGUde beam & window sizes; poured (nd. Cesign; eta)
? 1 energy ratwladons -
• 3 oopies of tree preservation plan H lot platted after 7!1/93
required: _ Yes _ No
DATE: //'/e- yB
DESCRIPTION OF WORK:
STREET ADDRESS:
RemodaVReoair Reauiromenls ? n fl n'? l' ?' ?1 ??
? 2 topios of plan
• 2 site surveys (exterior aCdftions Stleeks)
? 7 energy alwlaGons tor heatad addRrons
CONSTRUCTION COST;
i?1-;7?? ?
LOT: ? BLOCK: '4 SUBD./P.I.D. #:
/Vr'U SS/ Z3
L
& 5-l
o 0?/
?Z
Name: // ? o
? , .
Phone #: l /
PROPERTY 1-%st ' Firsi Lu -(o t Z 3q 2-7 0'V8
OWNER !?
,
,. ` ?
'
l
'
?G
v
SueetAddress:
Tsl UG
/
CC?/
7.? ?l/
t
City
U Stau:,/vi//? --- - Zip: :S •?/ ??
Company: Phone #:
CONTRACTOR
Street Address: License 4
Ciry State: Zip:
ARCHIT'ECT/
ENGINEER Company: Phone #;
Name: Regisustion #:
Street Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree'to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ^ A/ n I
Signature of
OFFICE USE ONLY
Certificate5 af Suroey Received GYes _ No N? 1810
Tree Preservation Plan Received _ Yes _ No _ Not Required 0
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 5F Dwelling ? 07 4-plex ? 12 Multi RepaidRem.
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-piex ? 14 Fireplace
? OS SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
?0?32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuat)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVAL5
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Variance
0/
-?
Permit Fee
Surcharge
Ptan Review
License MC/WS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S!W PertnR
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies -?
Total:
-J:344 Engineering
Valuation: $
I
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscelianeous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
surive?or,s Certifiate
SURVEY FOR: i'rolitiot- r.iidwcsc Ilomes Corp. I
OESCRIBED AS: Lot 8, B:Lock 4, STAFFORU PI,ACL•, Cityof Gagan, Uakota County,
Minnesota and rescrving easements of record.
\
A?
e?. ? ??L2\
1
? G
`° 9? Z..
K . ?+\ / \ Q ` e >O . ?s a
°°-°"
? ?c,2• ,,! '9? ?? ? 4,,, as?.a ,? c?F, •s // ? ?y, > ? --
?
°
840. 9
?d
Av4
???j sEreecK u?
4 ^ 1b
? / ?,D p S ryy . 0 /
866.? '$ // ai? `c
?
ss9 00 ? ? ? ? ? ?y ,• .
Op,?
? ??
91?.9
opOoOeEO ELEYATION.°.
toD of foundollan . 862.1
OaroqoFioor . 862.?,
Basomenl Floor . S 59.5
Approx. 9ower Savlco Elw. •`b 49.1 '-
Propowd EUvollons ? o
Exidinp Elwallom .
Drolnopv Ulncllons
Omo1et OHsrt Slake . O
l'm(EDLilND
Pltrodnp Enyr.ssrinp SurvsykV
? `.
.
?
SCALE: 11neh r 30 Feet ri
n'ciiLHMf.RK -
Tep N.? UJd. C L.} L,,e
. %b i 1", nLK t. , ?_,..?i.......
px e1<a.e 161.v?
? MIN. SETBACK REOIREMENTS
Front - 3o Nouse 81de - 10
R?oi =T-Darap? Bld?- 5
I henOr torlily Ihal IM* wtvoY. Plan or roport Mas preDOred 6r me I JOB NO.:
or undn my Olnel wMrvNlon ond IM1OI 1 om a Oulr 11001114nd .6 At?
LenA Ev.srar unAV IM lors el IAe B1ob ef Mlnnoself.
eooK:
?
0
a
z
0
la ?
? I
0
1v2?.Lvx?s b u= I+ ^ . 1a V! - Fet c,Jo-iv e.d
SINGLE FLMILY DiiELLI2iGS
? 3ETS OF PLANS
3 HEGI3TEIiED 3TTE 3DRVEYS
1 3ET OF ENERGS CALCS.
1989 BIIILDIBG PERMIT APPLICATION
?N
CTTY OF Ait)
Li 6 !ffiLTIPLE DNELLINGS
2 SET3 OF PLANS
BEGISTfiAED 3TTE SURVEl3 -
(CHECS WITH SLDG DIV.)
1 SET OF ENERGS CLLCS.
C0T8SERCIAL
2 SETS OF lBCHIiECfUR9L
6 SiSOCTUftIL PLANS
1 3Sf OF SPECIFICATIONS
1 SET GF EHEflGT CALCS.
MULTIPLE DWELLINGS HENiIL DNIlS FOR SALE ONITS # OF WTITS
AOTEt IDDRESSES FOH CORIQEA Ldl3 - 0OASA?CfOR/80M1E0IdiEB MUS! DS4IGNATE IiHICH iDDRFSS
IS DFSIRED. 60 CH?NCES NIl.L BE AT.L08ED ONCE BQILDING PERMIT IS ISSQED..
SEi1ER E iTATER PEAMIT FEES lRD ICWIIFT!' DEP0.SIT TEFS iTII.L HS INCLUDED WITH SHE BDII.DIN4
PERMIT FEE. PAOCFSSIAG TIME FOA SL+'HEA AAD W9TBA PEHlII15 IS THO DAYS ONCE ! PERMIT HAS
BEEA COMPLETED INDICATIAG 4 LICENSSD PLOMIDEA.
PENALT.Y APPLIFS WfiENs PERMIT IS NDT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CH9NGE IS REQUESTED ONCE PERMIT IS ISSIIED.
aEP i s 1989
To Be Used For:FSW,'FINiSI-t Valuation:
31te Address qn3f eeo?15 )V2r1ia. 4.F
Lot ? Block t?,
Pareel/Sub Pl0cv
Owner I ??v?, ? ?1P ./4ny1)
Addreas .LD ) 4Yyl/'I,S(4Ua?iGL, /W.
City/Zip Code lqGfSQ.d1 ` M?1 ?j
Phone ?47 - b(S)?/ ?34?" 3/0l y ?
Contractor ae\-}'"
Address
City/Zip Code
Phone
Arch. /Engr .
dddress
Citq/Zip Code
Phone i
Date: `/'/ Jr g %
Occupaney
2oning
Aetual Const
Allowable
! of stories
Length
Depth
S.F. Total
FootprinL S.F.
On aite eexage
On siEe well _
MwCC SysLem _
City rater _
PAY required ?
Eooster PumF -
1PPAOVAL3
Planner _
Council
siaB. orr. :tjb/fa
9ariance
i13!?
Bldg. Yermit N C-
Surcharge
Plan Aeviev
SAC, City
SAC, MWCC
Water Conn
Water Meter
kcet. Deposit
S/N Permit
3/H Surcharge
Treatment P1.
Aoad Onit
Park Ded.
Copies
SQBTOTIL
Penalty
lOSAL
?
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
, . .. . . . . ......---..
,
+'. NCri'E: PA]T'ENf OF FEE AT TIME OF
; apri.xcATIoN ooFS r(rr corr ;
' STi2VIE APPRUJAL OF PIIiFIIT.
•
:
? INSPECfIIXN OF SEYffi2 APID/OR WATII2
a*,
IKSTALiATIONS WII,L NOT gE °['Fntncn *
? L!NPIL PEENIIT HAS BEQJ AppROVID.
t33;+?W..trf::trwf?ars?k?tt?wret?t?i+r.i
oF CCOCan
(PLEASE PRINT
1) PxOPIItTSC ADDaFSS: 4031 PENNSYLVANIA AVE
7.Ff:AT DESCRIPTION: LOT 8 BLOCK 4 STAFFORD PLACE
Lot Bloc S ivision or Tax Parcel ID
IF EXISTING STRCCP[)RE, DATE OF ORIGINAL BUILDING PF.t'2N1IT ISSL?ANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COhM1II2CIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTITC'•TIONAL/GOVII2NMENT
IHi R-1 SINGLE FAMILY
E__IR-2 DL?PLEX (3Wo L'nits)
? R-3 TOWNHOL'SE (Three + L'nits)
Q R-4 APARTMENT/CONDOMINIL'M
2) ? NAME: FRONTIER MIDWEST HOMES CORP
ADDRESS: 3902 CEDARVALE DRIVE
CITY, STATE, zIP: EAGAN, MN. 55122
PHONE: 454-0433
3) OlK?TLL7-FA NAME: STAR PLUMBING
ADDRESS: 1018 MOUND SPRING TERRACE
CITY, STATE, zIP: BLOOMINGTON. MN. 55420
PHONE: 884-4149 MASTER LICENSE # 3329
Dnits)
( Cnits)
ij Active
Expired
Not recordec
Sta Initia
?bT3_l?, u • ?•
4)
NAME: ANDERSON , TIMOTHY & MINDA
P.DDaFSS: 5944 PARK AVE S0.
CITY, STATE, zIP: MPLS, MN. 55417
PHONE: 861-3750
5) •ou .iy0
XX CONNECTION Tp.CITY SEWER XX CON[?CTION TO CITY WATER 0 OTfER
/? ?
6)
10/28/88
**:t*t****?*?**:t?*:t * **:t*+?*****+?xt?sf,?*?,t**,t**t**:r?*,t**a+**:t:t**:t+?**,t??**?*:t**,t*:t***?t+****+,t*W**x*?
* THE GOLD COPY O PERMIT WILL BE SENf DIRFX.TLY 'PO PL?Si,IC hORKS 1U FACILITATE MEPEE2 PICK-DP. ;
PLEASE ALS,OW Tw) WORKING DAYS FOR PROCFSSING. SO[•IDONE EROM Tfm CITY WILL CONTACT YOU IF 'IgIERE y
* ARE ANY PROBLEP4S. '
?*******+*??*******:r?*?*x?*t**???*+?**+*x******?**?*******?**?**:****??*?x*****????,+*****?*?***???*;
FOR CITY USE ONLY •
PERMIT $ ISSL'ED •
/CJG 7 V
Pd w/Bldg. Permit FEES:
$ /G' -Sb $ SEWER PERMIT (INCLUDE SURCHARGE)
$ //) 5-b $ WATER PERMIT (INCLUDE SCRCHARGE)
$ CU 7? $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ ' $ ACCOUNT DEPOSIT - SEWER
$ Z $ ACCOC'NT DEPOSIT - WATER
S ? r6 d v $ WAC
$ $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ;2o $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ j.? Z ZD C? $ TOTAL
3
RECEIPT #- RECEIPT
DOES L'TILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
? ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SL'BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
??
Z$ 1311,
`.? aA s/Id(
L?'ur'"w-% ?.ArfrR 40r" `.
irr .. AIIOI?r
ww?ra1.1?My ? _'?'--------??.MUror
?? ?w ? ?? .S? •
cwwt?. oww ?? ??" i"?'?'_??'? •??w Tw wir.w ?_ r
a?w t..? _ qn •?-ww w.i?, Tw --.TL_ •r . ?('
M TIIYA ! Goo"o wp
1AS??A-Tv?ALYTYN
lots wN M?p??AML?MW
M.?WY?r ??-
uw» ?1?,.. _ ./w
?? a MY a Y?111? LY?w
• O.p ?0.K 11.K '
M? ?IW?
u
u? wr ?ai v 3 S
L?.r tiy
I Jr?.?
. .
s+v? ri?irw?
-?•w 11.07 11.? li.?
Ilyyr
vw?w a,M, . 4.49
?
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4031 Pennsylvania Ave
Lot: 008 Block: 004 Addition: Stafford Place
PID:10- 72500- 080 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 2,000.00
Contractor:
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Construction Type:
Occupancy:
$70.00
Owner:
Sandra Prenters
4031 Pennsylvania Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Comments: Pictures are not acceptable in lieu of inspections. Brian Teter 1 1701 67th PI N Maple Grove, MN 55369 763- 350 -7469
bbteter@comcast.net
$69.00 0801.4085
$1.00 9001.2195
Building
EA074969
08/31/2006
ePermit
- Applicant -
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116757
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 4031 Pennsylvania Ave
Lot:8 Block: 4 Addition: Stafford Place
PID:10-72500-04-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Audrey Flattum
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert P Chamberlain
10101 Brookside Cir
Bloomington MN 55431
(612) 910-0623
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature