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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 P etof3 ?w?K ?. Use BLUE or BLACK ink # For ofwue Us" . 1 of l h 39M Pact Knoe► Roan ; PerruY Fee ; # # Eagan MIN 55122 # PANakiet Phone: (651) 67546675 Dale # s>as # Fax: (651) 675.6694 # ! 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 'x I 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 CALL BEFORE YOU DIICs. Caw Gopher aloha are Caw at (60) for prolecdow argdod uodoWom d eNft chi 4tboas bakwo yw inland W dfig in nm**! kmaals of andenpound arlMOm www.crooherstateonecall.orr 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