4032 Pennsylvania Ave --•..-
;?_ CITY OF EAGAN 17ee5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 !
PHONE: 454-8100
BUILDING PERMIT Receipi # '
$102,000
5T OW/GAR MAY 17 90+
To be used for
Est. Value Date , 19
Site Ad?ress 4032 MAN1A AYElp1E
' OFFICE USE ONLY
Lot Block Sec/Sub. x-3 M-1
Parcel No. ocouPancy FEES
Z
i
R-1
??A on
ng . 00
W Name
(ActuaQ Const Vp
-
Bldg. Permit
---5F
00
? AddresS (Al1O1N??) V" - Surchar
e .
EAGAtv f Stories
# g -_WW.00
Phone
City -
o Plan Review
SAME Length 2 _ ? 00
Q
o Name DePth - SAC, City -
?oo
Address S.F.Total -
C
CC
SA
, MCW
? Clhl Phone S.F. Footprints -
S water Conn
On
ite Sewage _
r
? W Name on s+te weii
-
Water Meter
_
y? W xx 00
W.
_
?
a Address Mwcc syslam
-
0
i W
Cit
Phone xx
City water
_ ncd. Depasit
--m-.00
y icl
R
i
d SJW Permit
equ
re
_
PRV .50
I hereby acknowtege that I have read this application and state that the
to c
it
all a
licible State of
i
ti
i
t
m
l
t
d Booster Pump - g/W gurcharge ---237
00
n
orma
on
s correc
an
agree
o
p
y w
q
pp .
.
Minnesofa Statutes and City of a?an Opdinancds, f' `I
Treatment PI
FTS.00
Signature of Permitee APPROVALS Road Unit
FR411T1EA DL1/6LDPM8MT IP Planner
A Buifding Permit is issued to: - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State oi Minneso Statutes and City of pagan Ordinances. gtdy. pry. _ Copies ?, -
?
?t
Building Official
Variance _
TOTAL J,.??-%• .
S
' PermN No. Parmk Holder Date TNephom M
WAiER
SEAeA
PLUMBING
H.V.AC. Ip/p??QC{/ r -J? O
ElEC7RIC ,??y? , ?•? s? ?o
?ion Dat. [,sp. Cor„nio,ts
FooGngsl 1---a
Founda6on 2 PP
Ramin9
Roofirg
Rough Plbg. ?'-- ?-z O )
RaxJh ?it9-
Isul.
Freplace
Fnal Htg. l0 fz"/
Final Plbg.
Const, Meter Plbg. Inspeetor - Notify Plumber
Engr./Plan
Bldg. Fnal
Deck Ftg.
Deck Fnal
w?i
Pr. DisP.
(gtrti#iratt nf Orrupariry
Cttp of (tagan
Mrpar#mrat nf NuOing JWrr#tmt
Thrs Certificate issued pursuant to the requirements of Sectian 306 af the Uniform Burlding
Code certifying that ar the Time of issuance thts structure was in compliance with the various
ordinances of the Crty regulating building construction or use. For the following.•
Use Classifirsuon SF 1?WGIGAR gldg. permit No. 178$5
p-Upex,y Type R3IM1 7-0nioB Ilistrict R? Type Const VN
dwnao[Buildi? MW• Addrecs 1285 !7Y2P. ?.`1'R. T7R. ? F14MN
aat,:_AiXM 16, 1990
PO5T IN A CaNSPICUOUS PIACE
• • ' 's ' CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PFIONE d54.8100
2 I BLDG.
c
SeclSub ReS' -
Name
2" I Address 13 5 V r P wri
9 City _ A 4 A 81 Phone
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
K'ld n ?(• (
SIG URE OF PERMtTTE
FOR: CITY OF EAGAN
For Office Use Only
PERMIT # 1?1
RECEIPT # c1 2--53-1
DATE: &Z'WSCJ
New _
Add-0n
Comm. Repair
RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
=-- MO. FIXTURIES -TOTAL
-? Water Closet - $3.00 $ y, o !?
Bath Tubs - $3.00 /
Carratory - $3.00 c
Shower - $3.00 - . 0O
IGtchen Sink - $3A0 3, 6
UrinaVBidet - $3.00
Laundry Tray - $3.00
-? •?
Floor Drains - $1.50 ?
Water Heater - $1.50 ,/ • .? ?
Whirlpool - $3.00
? Gas Piping Outlets - $1.50 ?
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
j- Rough Openings - $1.50 ?
U. G. Sprinkler System - $12.00
PERMIT FEE: ?
STATES S1C: -?d
GRAND TOTAL: 32. ?a
PERMtT #
. MECNANICAL PERMIT
CITII OF EA(iAN RECEIPT #
3830 PILOT KN09 iiOAD, EAt3AN, MN 55122
CONTRACT PRI CE PHONE: 454-8100 DATE:
Site Address /1 11. gT1/PE WORK DESCRIPTION
Lot B lock Z5 ec/Sub ?-
Res. - New
? /
? Name ; <;c' / j y,y ,•%
'??. Mult Add-on
Addregg Comm. Repalr
c City tn Phone (/ ; - - ; Other
FEES
? Name ' ' ? • ? ? ? ? RES. HVAC 0-100 M BTU - $24.00
c Address ? ` ? ?t • ;??. - ,? • (? •, ` ?;- , '? ADOITIONAL 50 M BTU - 6.00
p Ciiy ! '" •? "iU '' Phone 3 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
TYPE OF WORK COAAMAND FEE -1% OF CONTRACT FEE
FaCed Air M BTU APL BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaON &
Afr Cond. M 6TU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM , STATE SURCHARGE PER PERMIT - .50
Gas Plping Outlets # (ADD $50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMIT FEE:
'• o SIGNATURE OF PERMITTEE
S/C: ? __ •
TOTAL: FOR: CITY OF EAGAN
SEWER & WATER PERMIT
CITY 0F EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
HAY 17, 1990
xR PRV _ BOOSTER PUMP
SITE ADDRESS 4032 pENIWSYLVANlA AVR
LOT J BLOCK 5 SEC/SUB STAFFORD PLACE
qppuCANT: FRONTIER D£VELOPMENt CORP.
ADDRESS: 1295 CORPORATE CENTER DRIVE #17G
CITY, STATE eryUMI'`' ZIp D7 t[c
PHONE: -
PLUMBER: STAR PLllM3ING
ADDRESS; 1$85 MOUND SPRINGS Tc-RR.
CITY, STATE BLOOC•1INGTON, MN. ZiP 55420
PHONE: II84"" 149
PERMIT REGIUESTED
X SEWER z WATER _ TAPS
- COMM/IND ?_ RESIDENTIAL
x NEW - EXISTIfVG
Lawn Sprinkler Meters are to be instalfed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given r Deduct Meters.
X
aaLAND, COREY & MICHELL!? I AGREE TO C0 LY TH CITY OF
OWNER: }? } A AN ORDI A ES
ADDRESS: 569 PRTLAND AVE. W206
CiTY, STATE '• PAfJ?, MN. ZiP 55102
PHONE: 9 SIGN TURE WHEN M SUED
PLEASE ALIOW TW0 WORI?ING DAYS FOR PROC SSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
' SEWER PERMITS, CONTACT ENGINEERING DEPT.
. i ;`. .
OFFICE USE ONLY
METER #4137 X& S,Q tJ PERMIT DATE 05/24/90
CHIP # O`LV67 72 PERMIT # 11413
METER SIZE ? o B.P. RECEIPT # C 7931
ISSUE DATE g??- r1 n B.P. RECEIPT DATE0512219
SEVIlFR & ATER PERMIT
CITY OF-E?GAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE uAY 17, 1990
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PERMIT DATE G , i 74/
PERMIT # 11411
B.P. RECEIPT # C 7 '' 1
B.P. RECEIPT DATE ? 22 19
XX PRV - BOOSTER PUMP
St,TE ADDRESS 4032 pFNMS iLVAN1A AVf?
LOT 5 BLOCK 5SEC/SUB STAFFORD PLACE
APPUCANT: FRONTIER OEVELOPMENT CORP.
ADoRESS: 1285 C4RPORAI'tE CENTER DRIVE #170
CITY, STATE -E " ' ' ZIP 5
PHONE: ` '54--0433
PLUMBER: _
ADDRESS:_
CITY, STATE
PHONE: _
ZIP
OWNER: 11aav+11v, LuRL I u MiLnr.LLE
aDoaESS: 569 PRTLaND AUE. IF205
CITY, STATE ST •^?AUL , M14. ZIP
PHONE:
PERMIT REQUESTED
x SEWER WATER - TAPS
- COMM/IND Y.
RESIDENTIAL
X_ NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be givenApr Deduct Meters.
X
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
4032 PENNSYLVANIA AVE
RE:
DATE
MAY 24, 1990
(FRONTIER DEVELOPMENT CORP)
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above praperty cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY OEYE?OPMENT DEPARTMEMT FOR WATER TURfY OIV POLiCY. -
Secretary, Building Inspections Dept.
CASH RECEIPT
i
CITY OF EAGAN 3830 PILOT KNOB ROAD •
EAGAN, MINNESOTA 55122
DATE 19
rW-Ctrveo ?
Ff10M
MOUNT Es
1 -10
8 DOLLARS
,oo
O CASH XCHECK
C 7931 "hft---P',- Cop,'
Yolky? COPY
Pink-file copy
Thank You
BY !`- 1-
INSPECTION RECURD
C1TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Mitoesota 55123 Date Issued:
Control No.
(612) 681-497k
SITE ADDRESS: ` - LOr : S e Loc k: b APPLICANT:
4832 wEMNSYLVAMIA AYE HAALAMQ CoRl!Y
STAFFORCI PL (612) 686-6899
PERMIT_?SUBTYPE: TYPE 4F WORK:
«n?? Mf Nr r tNt°;N ALtERATTQN
RtMAkF ..: Rt cPIPT 0 SFPARATE PERMYTS REQULREb P" C6IC riP&M" -
Parmn No. Permn liolder OeM lbkphon? #
S/IN
PLUMBING
HVAC
ELECTRI
ELECTRIC
htspOction Oe1s hnp. Commanb
Footinge I
Foundation
F`amln ? l z
ploofing
Rough Plbg.
Rwo M9•
Isul.
Ffreplace
Fnal Fitg.
Orsat Teat
Final Plbg. Plbg. Inspector - Notly Plumher
Conet. AAeter
EngrlPlan
Bidg. Finel
Oeck F6p.
Dedc Flnel
weli
Pr. Dlsp.
?/?1 `
I
O-ee
?WL
CITY OF EAGAN
3830 PiJot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTIUN RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
• 1.r) I r • ?• k?.n? ?
? ;i NP1'; Y l VAN ! A AL/t
PERN1iT SUBTYPE:
APPLICANT:
TYPE OF WORK:
PermR Na. Permit Holder Date Telephone M
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Rooflng
Raugh Plbg.
Rough Htg.
Isul.
Fireplaoe
Final Htg.
Orsat Test
Fnal PI6g. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg, s
Deck Final
/
Well
Pr. Disp.
CITY OF EAGAN Np ? ?885
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 q
PHONE:454-8100
(?.? ?I
BUILDING PERMIT Receipt #
v ?
Tobeusedtor SF DWG/GAR Est.value $102,000 Date M1Y 17 1990
Site Address 4032 PENNSYLVANIA AVENUE
Lot 5 Block 5 SeclSubSTAFFORD PLA:E
. OFFICE USE ONLY
Parcel No.
Occupancy R-3 M-1
FEES
R
L
-
_
Zoning
w Name FRONTIER DEVELOPMENT CORP (pctuap Const Vil - Bldg. Permil $ 647.00
? Address 1285 GORPORATE CENTER DR lqnowebie> Vn - Surchar
e 51.00
City EAGAN Phone 454-0433 x ol smries - g 420.00
54 Pian aeview
_
Length
o
Name SA?
Deplh Z$ -
SAC, Cily 100.00
?a Address S.F. ToWI - 600.00
? City Phone S.F. Footprints - SAC, MCWCC 625.00
Water Conn
On Site Sewage _
?w Name on sne wen Wa1er Meter 90.00
s? Address MWCCSystam XX 30.00
o?
a W
City PhOne
Ciry Water XX
XX Accl. Deposit
W Permit
?
30.00
PRV Required
._
I hereby acknowlege that I have read this applicatio and state that Ihe
? Booster Pump - SnN Surcharge .50
inlormation is correcl and agree to comply with all
li ble State of 252.00
Minnesota Siawles and Cit of Ea n O dinanc
Y ?` 99?? Trealment PI
Siqnalure of Permitee a APPpOVALS qoad Unil 355.00
FRONTIER DEVELOPMENTCO
A Building Permil is issued to:
p
Planner. -
park Ded.
on tha express condition that all work shall be done in accordance with all Council
applicable State of Minneso tatutes and City of agan Ordinances. Bidg.OlL _ Copies ,'j??y?
BuildingOfliCial Variance - TOTAL ?j4??
Q
1.///'/50 9 ?7442 r I
0.44596• -
11- ?`7°'' ?
Repuest Date F?re No
?
-
9 Rough-in InspSCtion
R iretl? `,
? Reatly N. DCWiII NoUty Inspactor
?-
c
?-
?
- Ye= G N. When Reatly?
,
? licensed contractor ? owner hereby request inspection of above electrical work at:
Job Aa oute o.) ^ p?y?
o.
SeMion No. Township Name or No. Range No. Gounry
paN (P NT)
" .i" . ??/
/IK?G?CI pone No?
Power Su li r AOtlress `
Elonncal racror (Company Na ? ? Coniractor icense No.
L/Q
Mail?ing Afdtlrass (C Uacior or Owner Making Instel
,
O
Aul?orize0 aWre IGOnVacl ior
w/ne/?r
+q/?,ing lnstallation)
.'? ( Il/ / Phone ?N'u7rrib r
1/1
MINNESOTA STATE BORPD OF ELELTPICITY THIS INSPECTION REOUEST WILL NOT
Gtlggs.MlOweY BIEg. - poom S115 BE ACCEPTED BV THE STATE BOAqD
1821 UNverslry Ave.. SL Paul. MN 55100 UNIESS PROPER INSPECTION FEE iS
Ptwne (612) 642-0800 ENCIOSED.
&///so
a 445. 6
REQUEST FOR ELECTRICAL INSPECTION
? See instrpcsons lor completing this (orm on back ai yellow cnpy.
"X" Be/ow Work Covered by This Request
'6'M!$"?^a EB0000f-07
?? ??:
ew Add Fep. _ TypeofBUilOing AppiiancesWiretl EquipmeniWlred
Home Range Temporery Service
Duplex Water Heater Eiectric Heating
Api. Building Dryer Other (Specify)
CommJindustrial Fumace
Farm Air Conditioner
Otner lspecity) CynVatlors Remerks:
Compu[e Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs msuectors Use oniy:
? TOTAL jo
Irtigation Booms
76? /1
(j -
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee i COMPLETED WITHIN 18 M S. t
I, the Electrical Inspecror, hereby
certif
th
t th
b
i
i
h Rough-in
y
a
e a
ove
nspect
on
as
been made. Fms, ate v???
jj-
OFFICE USE ONLY
This request vaitl iB mon(hs imm
-YW? P
, ?°'??
.?
Repuest Date - ?
G 6 C??
? / Fire No Rough-in Inspecfion
uiretl4
Ves ? No ? Reatly Now .A Will Notity Inspector
? When HeaM?
I O licensed contractor A owner hereby requesi inspection of above eledrical work at:
Job Atltlress (Street. BO r e No.)
W03-2 £n ns
? t?an i
Av£ City
SWion No. Townghip Name or No. Range No. Counry
Ottupan? IPqINT?
?LN l t ? Q Q
l Q?) Phone Na.
Pawer SuOWw AOtlress
E?ecmcal omracim ?GOmpany Name)
m w M t' ConVactor5 Licensa No.
Mailin AE s5lGOnhaclor or Owner Making Inslallation)
AulOOri tl SigFat ICOnVadorl ner Making Installa0o PM1/One qNu/m}ber? ?
MINNESOTA STATE BOAFD OF ELECTNICITV \ THIS INSPECTION REQUEST WILL NOT
Grigga-MiOway BIEg. - Poom S173 BE ACCEPTEO BV TME STATE BOFRD
lBtl University Ave., SL Paul, MN 55104 LINLES$ PROPEF INSPECTION PEE IS
Phone (612) 642-0800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION °'"`-:?? eaoooo1 oe
? -427 ??. ? See insvudions for completing Inis lorm on back ol yellow mpy. ?
?
,'X" Below Work Covered by Thrs Request
ew Add Rep. TypeofBuiltling ApplianCeSWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Olher (sVeaM) ConVactor§ Remerk '
Compute Inspection Fee Below: ?
# Other Fee N Service EmranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 ta i00 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SignS insPector5 Usa OnIV: TOTAL 70
Irrigation Booms ?C(1 ?
Special Inspec6on
Alarm/Communication TNIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT
I, the Electrical Inspector, hereby Rough-in oa?e
certity that the above inspection has
been made. oate
osvicE use aNLr
This request witl 18 manths irom
-- ----------i
? fioNoffice use
? Pertnit #: 3 j
I ?
? Pertnit Fee: l
I
? Date Received: ?L
I Staff:
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lY `?? G g Site Address: `YV ?d &17,1 sy/?n n1 ?
Tenant: lf`,,,`?/ ssO 3
Suite #:
RESIDENT / OWNER Name: Q--e, 1-1e,41e Phone: (OJ I-6e V -GO` y/
AddresslCity/Zip: 470.3.2 1.11ve
Applicant is: _ Owner XContractor
TYPE OF WORK Description ofwork: l? `) I r"C ? r? t., `/-/
Construction Cost: 2 p- 07 5 Multi-Family Building: (Yes _ / No ?
CONTRACTOR Name: t c/,''°l oCA es' ti f License#:
Address:
City: L){4 P State: Zip: 00y
Phone: l6 S(3'r Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes XNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTEr Qlans and supporting:documents that you sutimitare considered to be public information Portions of ,
`;= the fnformatron m:ay be class??ed as non=public if you provrde specr?c reasons that would per'mtt the City to ^-
conclude fhat the are tradesecrefs. ,?
I hereby acknowledge that this information is complete and accurate; that the vrork wiil be in conformance h e ordinances and codes of the CBy of
Eagan; that I understand this is not a permit, but only an application for a permR, and work is not t art thout a pertnit; that the work will be in
accordance with t approved plan in the case of work which requires a review and approval of s
x X
ApplicanYs Printed Name ApplicanYs 5ignature
Page 1 of 3
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[TLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
C:OTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
? PERMIT MUST SHOW A LICENSED PLUMBER.
iiAY 1 1 RECD
To Be Used For:AIl) C " Mr%Valuation: Date: C./"?-IO - 7O
4g n .
Site Addres
Lot L5 Slock rj
Parcel/Sub StQff nrd el (,( _
Owner ?AAL./F??elf l AY2V ?1-MIeiktl IP .
Addresss(oq k&rv/I rAU0. #.?o?
City/Zip CodeJl .
Phone 75-4 9
Contrac
Addresslcig5 CMf?ln/? C(/?}p,i ??.
?•?i=-
City/2ip Codej6T4LGdvi ?nW .
(021 000 ?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Pootprint S.F
On site sewage
On site well
MWCC System
City water
PRV
Booster Pump
FEES
?` /-A-1
??N Bldg. Permit
V _/4 Surcharge
Plan Review
,5y sac, city
^ Z.$ SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
_ S/W Permit
S/W Surcharge
? Treatment P1.
? Road Unit
_ Park Ded.
_ Copies
SUBTOTAL
Penalty
TOTAL
" APPROVALS
P11one ?fscr- nu 33 Planner
Council
Arch./Engr./", ,5kl,q.s Bldg. Off
Address IOAS ct/4rv & • `- Variance
l,!}l'YOYQpo°
City/Zip Code
? 5/14 /S? I'J
M oDt'-L- " 3u(Q t2 E'-1"
( 4 r7,D3
a
51,0
42o,va
100.00
,00
625,00
D,00
3o,oa
30,00
1Sa
2 DO
3,$3 ,W
Phone -- *5Z.{ -nU5'L'
Si?r?vcf?ors G'ert?f?cat`e
SURVEY FOR: Frontier Development Corp.
OESCRIBED AS: Lot 5, BLock 5, STAFFpRb Pi,ACE, City oF Eagan, Dakota Coun
LNiinnesota, and reserving easements of record.
?\\ 4 "C, '
'?
G am@9m REQC?a7?-
PROA09E0 ELEVAt10N9
10o el feundarlen . g4,("7
oarooe Floor . )".;
Bafomiiol ileer 6856,40
Appres, 3ower 8nrla Efn.+8Sa.5 =
Ptepesed Epvailens I Q
Exntln0 ENreliem ?
Drolnode Olreeflons ?..?,.w
D1nolet 01flef 8fahe I f9
i?rEo,cuNo
P/annhq EnpNiesdnp Sexwylnp
MIIMMiA'M?M?riw??III?MM1 MwMYWM
N
scnLt: i tnen . ao n.I
lENRK; T. N, Nyd. Q?
??-r/s 4nn6ylv4tn*, Rve
FJiv. '170.04
aM.ltilACK REWREMENTS
hent -3o HaMit WN - 10
pobe - i3 Oare?o 1ItAe -S
f Mnlt prtltr 1Mf IMG owvw. ONn v Vpsrf Wa NNNN N nN ? JO! NO.:
.r woNr Tr ehoel wMrvisPen aw thet 1.m 4 fuh M1InnN 9o12-f 6?l
trnl sarnra aMa IW Mwo N IM sIa1e N 0111n04406.
?ooKt net?
Dmt 5'1•90 • tA6641LI, owf&,cwc.
07,00 rM.lhMU 11?M1t? FreiHC 3
\
SLTDS EXTERIOR E(JVELOPE AVERAGc_'_U" COMPUTATION
- - - 3/4
` owNES: nnrr: l-?-F3g
SITE ADDRE55: Lc+ kS S?n??oRD ?c.AtL-PHONE:
CONTRACTOR: F?D1.-ITl ?? r GW1DG1t?r?S PLAN # SUZ12,?'-'Y 104-+41J A
Determine workinq square footage of each _
1. Total exposed wall area..... 'L33l sq. ft. x.11 = ZS'].Zc1
2. Total roof/ceiling area..... ...... ft. x ,026 = ZZ• (-1g
Total exposed wall area above.floor= Z?Z
........
. 14a.?1 .
a. Total .............................
wali window area.:...
b. Total
.
door area.............................. .....................
.._.
.
.
3_I
40
c. Total :.......................
s?liding glass door area ........
" -
d. Total fireplace wall area .......................................
.......................
e ?OA)
(avera ? 1 1 q. 8(
e. Total .....
g
wall framing area
f. Total rim joist area ...........................................:. 7 S 3
l?t8`.Z9
g. net wall area a6ove floor ..................................... :-•:. .
h. wall area a6ove fioor .....................................
i. wall area a6ove floor ..................................... ..:
-
.
,7.
frame wall area at foundation ................................... - ::
Total exposed foundation area= ?02-
k.
Total
q ;.
foundation window area ....................... ?.
.
, .-
1. Tota1 net foundation area above grade ..............
Determine "u" value of each wall segment . .
(e,g. wi'ndow, door, each separate wall section) '
= Locl.?J83.
. 148A X„u,, 4-1
?
a
b, gliuii , 3Z. = I 1.8¢ ? .. -
4b X ,,u,, Co
c.
d. X 11 U„ _ - :
X „u„
e
.
t. 253 x„u„ .64 = lo. 1z
2-9 x „U" ,04 = ?4.r13f _
y. ,
X 11u11 p
fi. . .. L ? _
. h. ' '
'X nUa
1.
_.. . .
x ?.Un e
?• ' . . ' : . - . ..
If item #3 is the s
4 g = 4.3Z
G? X ?,v as, or less than it
,
k ri, you have ie?:th
? .S3 xU'. e Ib =?_ intent of SBC.600E,
:.
.
{
.
3 ..
....
.Total
.
--- .... ......
..
.............. _ :
r=velopc Ave.age '?ti" Congetatic.^. Page 7- o= -.
Total e:cnosed reo'/ceilinq area = S 53
a. Tbtal skylisht a:ea ..................•....,....
n. To s 1 rooP/ceil±n, f_-aminq a_ea (:??cragc 108)... ?3
o. :otal r.et i^s_late.a. roof/ceilinq area...........
Determine "U" value for each roof/ceiling segnent
r,.. X "U" _ _
n. ^? x "U" , 02.j = Z.047
?. ?&7-7 X „n„ . oZ = ?S. 3s4
4 ........................... 7btal = 1?.401
totzl ci ,`',s is the sa.'ne as, or less than 92, you have met the intent of
'.
SSr 5005 ic? 1.
51te_n:te Bui'_d:.^.Q ?nve=ooe Desig.^.
Zb Cilize the totzl eavelooe-system method, the values established by the s•.un of
_te'ns =3 and -4 sha11 not be greater tha.z the sum of items ur1 and n2.
i. ? Z5'7. -2-9 + z_ ZZ. t'1 S = 2Z?i . 46$
2os•s
3. Y? + 4_ l?•4oi = GZZ,9
PLAN #
S ueR-E`(
* LIMa.I. = E:XPOSID IvAtL
aLOCx:
w.o.:
FULL i:
FUtL z :
??ACE:
xIM:
* sQuaRE = EMsm w.sU aREA
BLOCK: x .5 =
?,*r-: x 5 =
W.D.: X 8 =
FULL 1: X 8 =
FUI.L 2: . X $ =
£T-RF..'DI: CE: X =
RIL'S: . X i =
TOTAL
^ SQUARE FEE.T EXPOSID CEII.IIJG
DOORS
* PATIO DOORS
* BASB'ffNT UNSTS
* r_"IEAi? FF'?'T =M WP_LL
sLxx: 34--+- t l+G + L-1 + 13 +4+ 1 St ?A= 1Z,?
K=-: ti A
w.o.: fJA
t.,t.
?,?.?. 2: 34-r l4•15+ 4ot 16-+ /3t4t !St Z5.5 = l217
F=REPLA=-:
RLm: 12? t r2? =. Zs3
^ SQUPF,E _rEET fXPOSID WALL AREA
BLOCK: 12? x .5 = (02
x S =
WQ: x 8 =
F3T:..T 1: ( Zb X$= l Co8
Z?z
Fz?. z: !2? X a- t oit? ?
7TR7vLsCE: X =
PjyqN £
SU
x ' = 253
? SOUPR Fy?'r.T EX-°OSr.?J CE=G
r114 t8'1?-52 =853
e+. s` ?ORS
\?ltucowS Zfr-l - t?
!
37
PAT_TO DOORS ? _40
2oa6- [ Il , '!S
244-8 64 * BASfID7 UNTTS
u'av- 1 - (0'(P Z'1 t1o- 1 t I - 9
Zd?;o - I t 1 - 30
Zc roo -l I l1 - 33 . 3
!'?5?
y+c?} J?.1 -?-? v
,?+?>,'R: LFSe ;? C= cpnque ?..ul 1 ot'eA cUr
fYaR+Z L?'?tr?.tC,c ?on
vaw
-erG. *2
pFtqMe NnLL
=. -"a
S?lt
;af1DAeTSLQ
WhLL
?
4
. '?
`r•' c
/
?
?
?
?
R- VAId3E
CONSiAUCfIOtd-- FRAMNG - -
1. I2JTr2IOR PS.°. FILLM 0.68
2. 2 G`!PBD .4
3. 5 1!2 SOFr 4oQD 6.8
4. 3/i" 7Z
s. Smrrre
6. EXTERIOR AIR FIIM 0.17
_ R= - ( 0, of
U= 09
NET
1.
1. INTERIOR AI2 FIIM 0.69
3;_` 2 GI'PBD .?5
3.
4.
5. S ING •6?
0.17
6. R AIR
u= ,04-
1. IlVTERIOR AIR FIIM 0.68
2. 6 INSIJL. 19.00
3. JOIST
4.-'j 'i 2. 0
5. ZNG .657
6. ' OR A2 FILM 0.17
'
u= , 04
BLOCK
1. INTERIOA AIR FILM 0_68
2.
3. 0 5. 0
4. PROTECI'IVc: flARR'fE.R
s.
s.
TOTAL R= 7.13
U= .14
SLAS ON GRADE
, ? D? ?,_. •, . ir? =/i?
.
' • f /(? ?
t ?
?
'...r V
? ? i ? ? ? ?
{( (
lrf?i
6 -
r f
, ) A .
• Y
r
'r ? • ?1 S t
?? ?
U i' A
• f . + D, . .
,
_ ic! 7?: I1I ?Z-
I tL ?
? /?.z
?
?" ?ltl
f1t 1t?
DIC?'E: I?^JICA'I'S' ?"_'PF', "R" VAar:..
PLa.C1"7N'r 0.° INSUL??ION.
A
FE,,T FMta
uLip
F"IG. i€5
CONSTRUCfZON
' R-VA=
i, Dr=0R ALR FIIM 0.61
3.
4.
U _ .02
F'RAhIE
1. D=OR AIl2 F'ILM 0.61
z.
3. _
4. 'IMAL
U = G.024
CONSTRUC"'SOH
1, INSIDE AIR £IIM 0.61
2.
3.
4.
5. TOTAJ?
U =
l?. =E
F'T_L°si?
1 1NSIDE AIR ?'ILM
0.61
2.
3.
S . 1,J
LT =
INSDE AIIt r' IIM _
1.. .
0. 61
?
2.
3.
4. . r
5. - AL
U =
1/0R ,??" O TC
NOTE: USE PDDITIOI3PL 5'?5 Ir
D1?ID FOR DETAILS P.ND CP?'- '
`G. =7
:=.F.T ? .OW
L=
RCO
I I ?MAT 7LOW U° VEINTID
1_s
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
? y (612) 681-4675
SITE ADDRESS:
PERMIT PERMIT TYFE:
Permit Number:
Datelssued:
4032 PENNSYLVANIA AVE
LOT: 5 BLOCK: 5 STAFFORD PL
BU'ILDING
000664
06/08/92
DESCRIPTION:
<?Buiiding Permit Type
' 6uildirrg:'41ork Type
,
?
? --
?
BASEMENT FIN23H
ALTERATION
REMARKS:
RECEIPT # L C}I q ZLLS SEPARATE PERIdIT5 REqUIREO FOR ELEC .&_PLBG
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
OWNER: - appl3cant -
HAAIAMD COREY
4832 PENNSYLVANIA AVE
EAOAN PIN
(612)688-6999
T hereby aeknQUled-ge that i have re-ad this
information is aorrect and agree to aomply
Statutec and GiCy of Eagan Ordinences.
L
?
A PLICANT/P MI NATUR
applicdtiom dntl st'ate that the
with all appTicabl8 State of Mn.
?
r?z ? I55 D BY: SIGp URE ?
(
Control No. 0587
INSPECTICIN RECORD I C°n °"° 0 587
CITY OF EAGAN PERMIT TYPE: BuLLuINO.
3830 Pilot Knob Road Permit Number: 000664 .
Eagan, M innesota 55123 Date Issued: 0 6( 0 8/ 9 2
(612) 681-4675
SITEADDRESS: Lot: 5 eLoCK: s APPLICANT:
4032 PEHN3YLVANZA AVE HAALAND COREY
STAFFORD PL (6I2) 688-6999
PERMIT SUBTYPE: TYPE OF WORK:
BASEPIENT FIHISH ALTERATIOH
1-
7
?
_..,..REIqARKS: RECEIPT # SEPARA7E PERMITS REQUIRED FOR ELEC & pLBG ._,
PERMIT #
T?0 y
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
nAr 2
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural-3 structural plans, 1 set af
specifications, 1 copy of energy calcs.
Penalty applies when typing nf permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date S /4 c,/9,.?- Yaluation of work
Site Address: PeIII75Y????? ?v-c-
STREET STE /
Tenant Name: (comnercial only) ?
lM ?
BLOCK 0
SUBD.
I
Descri tion of work: -Tcni, h 6as?v-t-4&f `?=- ,??? ?.•?-?'
The applicant is: M Owner O Contractor ? OCI12 (Describe)
Name Hda fa.vid Crort_? Pho neilo D 8-?
Property LAST FIRST G?-FfP?nuen S
Owner 4L
?
4/07,(
`V03a f??
,
a
nA75d
qddress
STREET ? STE /
City State AI-- Zip SS/ a?
Company Phone
Contractor Address License # Exp.
City State Zip
Company , Phone
Architect/
Engineer Name Registration ?Y
Address
City State ZiP
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to cumply with al applicable St te of Minn ta Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg 9 Basement Finish
? 02 5F Dwg. O 06 Garage/Accessory 10 Sw1m Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add.
D 04 Multi-fam. T.H. ? 08 Deck O 12 Res. Porch
woRrc rrPE
?31 New O 33 Alterations ? 35 Move
32 Addition ? 34 Tenant Finish ? 36 Demoltsh
GENERAL INFORMATION
Lonst. (Actual) Basement sq. ft.
(A1Towable) lst F1. sq. ft.
UBC Occupancy o 2nd F1. sq. ft.
Zoning Sq. Ft. total
i of Stories footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REGIUIRED INSPECTIONS
? Site ? Footing
? Wallboard WFinal
EW Framing
O Draintile
Nnnsulation
O fireplace
Permit Fee v.iu.c;a,:
Surcharge ?
Pl an Rev i ew
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total : a ,-.6f)
? 13 Comm/Ind New
? 14 Comm/Ind Add
? 15 Comm/Ind Rem
E3 16 Public Fac.
? 17 Agricultural
MWCC System
City Water
PR4 Required
Booster Pump
Fire Sprinkler
Census Lode
SAC Code
Assessments
SAC % I
SAC Units
, PERMIT ` .. ?;,e?, S 3.??
CI°fY OF EAGAN pERMIT TYPE: S?3n? j
3830 Pilot Knob Road B U I L D I NG
Eagan, Minnesota 55723 PermitNumber: 020783
(612) 681-4675 Date Issued: 04 / 30 / 9 3
SITE ADDRESS:
4032 PENNSYIVANIA AVE
LOT: 5 BLOCK: 5
STAFFORD PLACE
P.I.N.: 10-72500-050-05
DESCRIPTION:
Building-Permit Type DECK
Building Work Type NEW
' Building Leng'th
6uilding Width
\
25
14
\ ". , .. ,... . ..
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
7ota1 Fee $25.50
CONTRACTOR: OWNER: - Applicant -
HAALAND COREY
4032 PENNSYLVANIA AVE
EAGAN MN
(612)68$-6999
I hereby acknowledge that I have read this application and state that the
information 3s cqrrect and agree Yo comply with all applicable State of Mn.
L Statutes and City of Eaqan Ordinances. J
?i f
C
APPLICANTlPE I E SIGNATURE ISSU BY GNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 5 BLOCK: 5 APPLICANT:
4032 PENNSYLVANIA AVE HAALAND COREY
STAFFORD PLACE (612) 688-6999
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
?
BUILpING
020783
04/30/93
REACTIVA7E _ il???COVED CITY OF EAGAN
PERMIT. # ` 993 BUILDING PERMIT APPLICATIO?I
? O??? APR L 6 1993 681-4675
- ----------- /lo
a S ??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date OLe /"? Valuation of work
Site Address: °?/?a ?enns?l?on?a Ade.
STREEi SUITE /
Tenant Name: (commercial only)
T? BIACK 5 SOBD.,5-rjqfro)ft QjA? Y.I.D. M
Descri tion of work:
The applicant is: 13_16wner ? Contractor ? OthEY' (Deeeribe)
Name ?u4/? D ?nRe ? Phone 6,?,f-? I
Property LAST F1RST
Owner pddress
STREET STE N
City ?a ?z 8L-n State Zip'5
Company Phone
COntt'eCtOf Address ? License # Exp.
City ' State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. -
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
O 02 5F Dw9.
O 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
0 31 New
0 32 Addition
O 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage /Acce s sory
? 14 Fireplace
Xr,.,15 Deck
O 35 Tenant Finish
? 36 Move
? 16 Basement finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy R-3 2nd fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
N of Staries Footprint Sq. ft. fire Sprinkler
Length On-site well Census Code ?.3y
Depth iy• On-site sewage SAC Code
APPROVALS
?ri5u5 u?
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? Site g Footing ? Framing O Insulation
? Wallboard ?X Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Unifs
S"rvcllo?r?8 eertifiettite
' SURVEY FOH: Frontier Development Corp.
?
; pESCR18E0 AS: Lot 5, Block 5, STAFFORb Pi.ACE, CiYy of Eagan, Dakota Count
Diinnesota, and reserving easements of record.
'
? .
tl
..s
/ ? . ?o-
/?\
?? .
<
,
,y \
ti°j?• ? ? / /
A?
?
?
/ % \ at oa / ?Z
Aj
N
pP
\go ? A
p y. ?p ?qpp jq? $ .
like
4i
r?
? y1
? w- .,
' °0 ?
?N
y
?- k?/ L,,,
4t,r E;AUA`14 ENClIt
LOT SQ. FOOTAGE _
?
PiG DLi"'l
15, 085t
P.R.V. REQUlA.O
PROPOSEO ELEVAi10N9
too of founaation ¦ 8t.?.?
OaroOe floor
8afemen1 fleor 6$58.4
Approa. 9awor Swvlee Ehfl. e S52.6 t
Propoud EIorellens I U
Exiillno Elorellenf ?
Orolna0e Olroeflont r......?
o.noi.. oir+•t arak. , 0
?
lCALE: 1 teeh • 30 Fasf
RIENCHMARK; r. n. Hya. at
t.o-7/5 4nnb4lv"nw Aue
El.v, 170.01
M?![i! ?r R6WR[MENi'_
?rent • 3o Mw?? ?IH - I o
-is oerqt 111IN"5
/iIEDLUND
P/ennJrq Erphtsedrrp Swwyl?yp
t Mr$4 sanry nNi n+e «wroy. rbn « rwat «e. Mnnod M00 +a no.t
or rnht my Ohotl WPNd11an an/ IAN 1tM 4 Nh RqbUlN q0R-16a
LaM lwara unda 00 Nw N IG$ $INe d MlneseNs. ?KS not?
O?Nt 5? 1.yo . LD9n"'_ tAetl Fo11 1 ow?. cNC.
iwiop, U0060 7NaM1? FFiHC 3
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXT[TRES EACH. TOTAL
SHOWER 3.00
VJAi'ER CLOSE3` 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT T'UB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OLITLET • miNmum - i 3.00
ROLJGH OPENINGS 1.50
?
WATER SOFTENER 5.00
PRNATE DISP. • netay. iic: 20.00
U.G. SPRINKL;ER • nome unaer eonu: 3.00
ALTERATIONS • io c&cing 20.00
WATER T[JRN AROUND 20.00
STATE SURCHARGE .50
TOTAL: .;'? $?
SI'I'E ADDRESS: YO /QU:O J
OWNER NAME: IYI/I -A K mP_/; ?/ /K-e y
PHONE #: ( &?A vsi- -
,
1994 PLUMBING PERMI`i' (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY: ?n &°D?,??z STATE: YVk) ZIP CODE: •ssD 7,?"
PLEASE COMPLETE FOR ALL COMIVfERCIALJINDT.JSTRIAL BiJILDIIVGS: ALSO FOR Mi?LTI-
'FAMII,Y BUILDINGS WH'EN SEPARATE PERIVIITS ARE NO'T REQUIRED `FOR, E:ACFI
DWELLING UNTP: _ _
NEW CONSTRUCI'IQN
ADD ON
;iEPAIIt
WORK DESCRIP'CION:
CONTRACf PRICE; $
FEE: 1% OF CONTRACT FEE .
STATE SURCHARGE: $.SO FOR! EACH $1;000+01F ???!' FEE.
MINI1?fUM FEE $ 25:00 ? "."
CONTRACT PRICE X 1°k $
STATE SURCHARGE' $ '
TOTAL $;
SITE ADDRESS:
,.•-f?-:-
TENAPTT i1AM'iF.s ? :STF.
OWNER NAME:
INSTALLER:
FOR:_
CITY OF EAGAN APPLICANT' ,
1994 PLUMEBING PERIViIT, (CUMMERCIAI.)
CITY OF EAGAN
3830 +PII.OT:KNUB RD
EAG `N,MN 55122
(612)'681=4675
Clty of EapIl
3830 Pilot Knob Road
Eagan MN 55722
Phone: (651) 675-5675
Fax: (651) 675-5694
?----------------i
I FQUCR,ie'. ??'
? Pertnit#:
_OD
? Permit Fee:
I
Ov-
? Date Received: ?
i i
? Staff: I
i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date• Site Address:
Tenant:
RESIDENT / OWNER Name: fi' Phone:
Address I City ! Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work:
Construction Cost: b, Multi-Family Building: (Yes _! No
#
f ? Li
7
1& I79
CONTRACTOR cense
: dV .
Name:
n?
Address, 7
State:&/? Zip:?) ? 3/
Phone: ???7? ?'71D?3 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CatBgOry Submitted Submitted
(4 Subml55ion typB) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
MechanicalContractor: Phone:
Sewer & Water ConVactor: Phone:
NOTE: Plans and supporting documenfs thaf you submii are considered to be public information. PoRions of '
the information may be c(assifiedas non-public if you provide specisc reasons that would permit the City to
conclude fhat the are trade secrets.
I hereby aGcnowledge that this information is wmplete and accurate; that the work will be in conformance with the ordinances and wdes of the Cdy of
Eagan; that I understand this is not a pertnit, but only an application for a permit, and work inot to start without a permit' that the work will be in
accordance with the approved plan in the case of wortc which requi2s a review and approva pla s.
x ApplicanYs Printed Name IicanYs Si ure
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For ofwue Us"
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39M Pact Knoe► Roan ; PerruY Fee ;
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Eagan MIN 55122 #
PANakiet
Phone: (651) 67546675 Dale
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Fax: (651) 675.6694 #
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2009 MECHANICAL PERMIT APPLICATION
Date: site Address: ~i 0-3,2 ►~cu.-.Y 11) Aw 11 Ag E
Tenant: E Suite
RESIDENT /OWNER Name: M X ILK Phone: p p -6 ~ q q
Address I City / Zip:
CONTRACTOR Name: (!Zz 1 t t J L c 1L L. rr License
Address: :Cu
City: L V~ rV State: Zip: I:S
Phone: Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
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MLOIE Roof mounded and grorwM wAma d kcal equf ownt is r impa ed su be screamed by City
Code.. Phase contaig the Iliechai ad iu"clor ter iwfaraarar*m on pew screening meirods.
PERMIT TYPE RESIDENTIAL COMMERCIAL Jf- Furnace New Construction Interior Improvement
Air Conditioner _ Install Piping Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install 1 Remove)
Other "VMren irr cuing talk(s), call for kgpx*on by Fire
Uwsfral and
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.5t1 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ X11%
MAO Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1.000, surcharge is $.50.
- If Per MR Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
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I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the CRY of
Eagan; that i understand this is not a permit, but only an application for a permit, and wok is not to start wrtixxd 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.
Applicant's Printed Name' Applicant's Signature
FOR OFFICE USE Reviiewed B: Dade'
ReWinied ' Under (1Mmnd Rough In _At Test qns Se vine Test ,_,In # " Heat __Fnah
-ExteriorHVACScnienkVwon ;
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153558
Date Issued:01/02/2019
Permit Category:ePermit
Site Address: 4032 Pennsylvania Ave
Lot:5 Block: 5 Addition: Stafford Place
PID:10-72500-05-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Mark W Menke
4032 Pennsylvania Ave
Eagan MN 55123
(651) 688-6249
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155758
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 4032 Pennsylvania Ave
Lot:5 Block: 5 Addition: Stafford Place
PID:10-72500-05-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Mark W Menke
4032 Pennsylvania Ave
Eagan MN 55123
(651) 688-6249
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature