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4036 Pennsylvania Ave PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA095738 Date Issued: 09/02/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4036 Pennsylvania Ave Lot: 6 Block: 5 Addition: Stafford Place PID:10-72500-060-05 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Term- L Bilbro 1 300 25th Ave N =100 4036 PennsvIvania Ave PIN-inouth MN 55447 Eagan MN 55123 (763) 74-1400 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan, Permit Number: EA094718 Date Issued: 06/29/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4036 Pennsylvania Ave Lot: 6 Block: 5 Addition: Stafford Place PID:10-72500-060-05 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Jon Post 8910 Wentworth Ave S Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Term L Bilbro 1408 Northland Drive, Suite 310 4036 Pennsylvania Ave Mendota Heights MN 55120 Eagan MN 55123 (952) 881-9000 I hereby aeknowledae 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 Citv of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN .- ' 3830 Pilvt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 t3UILDING PERMIT 7o be used for Est. Value ',`,4900( 1631) 5 Receipt # Date Lot Block r' Sec/Sub. "i-?n Parcel No. CQ? F. a Name . z Address `?• ???`Z?•?' 0 City Phone ' "433 ¢o . Name ? ` Address ¢ City Phone ? yVj W Name F W _+ Address U cc W City Phone 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 o( Permittee _ A Building Permit is issued ta ? •?'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 Occupancy MWCC System Zoning On Slte Well (Actual) Const City Water {Allowable} PRV Required '. # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Pian Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit TreaEment P1 P k ar s TaTAI A 7 . CIO, ? 7 S.OC? r:_ .? ? . ?' Permit No. Parmit Holder Dats Telephone ?F Plumbing H.V.A.C. Electric ??? - Softener Inspection Data Inop. Comments Footings I Footings II Foundation Framing . Rooting Rough Pibg. Az/ Rough Htg. ? Isul. Fireplace Final Htg. Ffnal Plbg. ?-- Bldg. Final Cert.Occ. /y Temp. LP Deck Ftg. Deck Final Well Pr. Disp. t' t- t %? f9rrttf irttfe uf (Orrupttnry Citp of (lagan DP}tgrtlttPlt# of lg1tdbtM JWPtfiDZt This Cemfcale issued pursuant to the requiremenu of Section 306 of the Unijorm Building Code certifying that at the time of issuance Jhis structure was in conrplrance witlr tlre various ordinances of the City regulating building construction or use. For !he following: use ck.r.rion :! i14JGAAFt aldg. tlrmit xo. 153i ooeuP.ny rype K3M I - zoniog niarics '-Z I 'rype const. lFn- Owxr oF &uldieg FFM?L?Z ?'17; ?. ? ?vl?iE l.?, ?'if?af?`: BUI?111$/??ftffi t'/?UJV F11V1Ui.4YliTVa.Y. ZvM.1 ,,bty W, LL7, J'..llCC1JlKJ lUFi+L Dat?: t'Y', imm 5 t 198$ POST IN A CONSPICUOUS PLACE •?,,,,.• o. . w.,-•r,..? • ? . . , --+r.?r..?+*[ise?wawli??9??__. . , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt # ? To be used for pgCK Est. Value Date_fx,T 29 , 1991- Site Address pEl1l&SYI.V!JNtA wVe Lot 6_ Block _5 Sec/Sub. STAV+on or-Ar.t Parcel No. W Name SitVlR FRIE11QSMM 3 Address ? CitY r.n Phone E??.a.-- 688-73lIb , o Name gAUR O 0QvAddress ? Clty PhOne ? uW ?W Name W Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State Minnesola Sfatules and City of Eagan Ordinances. I^ / Signature of Permitee ?? ? - ?? A Building Permit is issued to: RRFP(T p2IE=6gjjg on the express condition that all work shall be done in accordance with all applicable State ol Mlnnesota Statutes and City oi Eagan Ordinances. auiainy on?ial Occupancy Zoning (Actual) Const (Allowable) M ol Stones Length Dep,n S.F. Total S.F. Footprints On Si1e Sewage on site well MWCC System City water PRV Required 8ooster Pump APPROVALS Planner CounCil Bldg. Off. Variance OFFICE USE ONLY -20LO _7_S! BWg. Permit Surchazge Plan Review snc, city SAC,MCWCC Water Conn Watei Meter ACCI. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEFS zs•so Permit No. Permk Holder Date TaNphone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. CommeMs Footlngsl Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg_ Orstat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. Dedc Final weu Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 6$1-4675 SITE ADDRESS: I APPLICANT: i?i rar•I .', i '.'natA nvF .rnrr+11 rI nr,F - c?.tz? 4?: c?hiH PERMIT SUBTYPE: TYPE OF WORK: I+1 •t 1 t 1 I IIN it1i t M Ii t NI:f N.'f'? T0 Nt. /.' .4 /gEi 11 vi N# W 4';XF7) FNF Il INSPECTION D • D RfMfANkSt A SEVARAfF NEKMIT Va RFt3111Ftf l1 Fcli2 ANY fl iA:"fiil+'Al WtiR! ? -1 ? ? Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ./?, (?b 1/? r l t1 W S ROOFING ROUGN PLUMBING PLBG AIR TEST HOUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE Alfl TEST FINAL PLBG FINAI HTG ORSAT TEST BLOG FINAL - BSMT R.I. - i BSMT FINAL DECK FTG . ?Qj/ ? ry, ?? ?I? [,.f•1'i? 1J I ?- oECK FiNu,L ?-q? ? - ? ? -- - ----- - - - --- - - ? ------ . C1TY OFEAGAN Permit No: .. Date: 7-7-SS 3830 8ilot Knob Road B/P No: ?534-'' Date: 7-?'EZ P.O. Box 21199 Eagan, MN 55121 ilOntiet't Site Address: s Aveuue L6 B5 Staff:oYd P1RCe MWCC: 550. QOpd Zoning• °?-' City Chg: 100. OnT-` No. of Units: 1 15' OOpfi Acct Dep: I agree to comply with the City of Eagan Permit Fee: ? ' ? Ordinances. Surcharge: M isc.: BY SEWER SERVICE PERMIT CITY OF EArAN Permit No: Date: 7 -7 -'. , 2 3830 PAofKnob Road Meter No: `{O 7 yZ 0 a. aZ. Size: 2zinRool( P.O. Box 21199 Reader No:O SR 3 5_ f?7T Date: X' Eagan, MN 55121 Owner.-r„errf #er N?dwart Ficmez Site Address_ ,g.Ayeaue TA R5 Sraffnrd p13ce Plumber qli r p1t*"40 a 8 Conn. Chg: _ 550 pnTA Zoning: Acct Dep: i 5 nn? No. of Units: L Permit Fee: Z,n .? snrA Surcharge: 5npd I agree to comply with th Ci 1 Eagan Tr. Plant Znt? nn?,? Ordinances. Meter. Misc.: . . , - Br P_ ,, ? WATER SERVICE PERMIT 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION C?c • ro • 2 Z$ ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ! vs Date ?0 1 / 3 _ Site Street Address yd 3LO /'-a,,jw! S UZVQ,n,(,Z A16 Unit # ? Property Owner !".UILThi G?i i I?/7/'D Telephone #(?Ocsn UOS' `oq&? V Contractor ??- c./UfX VQdikt', Fm.C12 UU Telephone #(7l J) Jgk " A0l07 Address 573 C?Etl ?d /4 City /&VS(J)") State ZT- Zip The Applicant is: _ Owner X'Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: ? Water Softener Water Heater $ 15.00 , _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ?/ ames SChobe r ApplicanYs Printed Name TpplicanYs Signature -?b I,-ts4a ? ?31 ?- q,Iv, STAT-PK) ZIPGS) a 1 FAX(j1051?) -4 501-'-4 02•_5 New ConsWCtion Revuirementa re • 3 registered site surveys showing sq. h. of lot, sq. ft. ot house: and all roofea areas (20% mazimum lot coverage allowed) • 2 copies of plan showug hearn 3xindow sizes: poured `ound desgn, etc.) • 1 set of Energy CalculaGons • 3 copies of Tree Preservation Plan if tol platted aRer 711193 • Rim Joist Detail Opuons selecfion shee[ (bldgs vnth 3 or less units) DATE `"1 '^ I O '" C) a SITE ADDRESS ? QBL(P 0-31?0-'Y`L ' MULTI-FAMILY BLDG _Y ? N TYPE OF WORK h.SL - hS?? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRE55 ?'J?'1 ????"??Lr?ca? ? TELEPHONE 4_66")LkS9L-lCl'0_'aCELL PHONE # PROPERTYOWNER 'l TELEPHONE # CG* COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NfIV VES01':A RGLLS i670 GV"fk:GORY l MIVNB50"I':A RT'LL5 7672 (d submission lype) . Residential VenUlation Ca[egory 7 Worksheet Submitted • New Energy Code Woricshee[ SubmltteC • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcchmic>il,vstcin includrs: Sewer/Water Conhactor: Air Condiuoniq, _ Hcal Rccovcn' Ststcm ----------------------------------- - ------ ------- I hereby acknowledge that I have read this application, state ihat the inf with all opplicable StaTe of Minnesota Statutes and City of E,e'§]P (Jrdin Slgnature of OFFICE USE OrLY . =ra0 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 _ Water Softener _ Wa[er Hea[er No. oF Balhs VALUATION ? ?? S (t • ? Phone # _ Iaam Spnnkler N0. of R.I. Baths RemodellReoair ReauiremenM • 2 copies of plan • 1 set of Energy Calculations for heated additions • 7 sde survey for extenor additions 8 Cecks . Indicate if home served by septic system for additions Phone # Fer. $90.00 V r«: s7aoo ------------------- ---- ---------- is conect, and agree o compiy Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-ptex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 tp-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System . Census Code Zoning Ciry water SAC Units Stories Baoster Pump ' Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const • Width ' • REQUIRED INSPECTIONS _ Footin-s(new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Foorings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & W'ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air 1'est _ Final _ Windows (new/replacemenq _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total CITYOFEAGAN N_ 15305 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING ' PERMI PHONE:454-8100 ?? •7 q ? nT Receipt# To be used for 5? pk1(o1GA"-?--Est. Value $94,000 Date July 6 1g 8$ Site Address 4036 Pennsvlvania Avenue Lot 6 Block 5 Sec/Sub. r STAFFORD PLA^E Parcel No. ? ?TIER MI?WEST HOMES CORP. w z Address 3902 CEDARVALE DRIVE o City EAGAN phone 454-0433 ? Name O ?a Addre 4 Clty_ OFFICE USE ONLY On51te5ewage _ Occupancy B-31M-1 MWCCSystem X Zoning R-1 On Site Well _ (Actual) Conat V-N Ciry Watar x (qilowable) {I-N PRV Required ?x # of Stories BoosterPump _ Length $5 Depth 3LL S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit $ 338-00_. Planner Surcharge 42-00 Council _ PlanReview 275.00 61dg. ON. SAC, City 100_ nn Variance SAC, MWCC 5,5D.,.00-- WaterConn. rySQQQ_ WaterMeter -46-7_,OB__ Road Unit 3-2--5- 00 Treatment P7 2o4-.oo.._ Parks TOTAL V668.. Q-- Name Ciry Phone I hereby acknowledge that I have read Ihis applica[ion antl state that the in(ormation is correct and agree to comply with all ap icable State of Minnesota Statu[es and City ?rdi nce Signature of Permittee A Huilding Permit is issued to:Y$01NTIER-MTTIWF$T on the express contlition that all work shal I be done in accordance with all applicahle S[ate of Minnesota StaWt and City of Eag Ord?inances. Building Official__? ? ,t • 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN o? SINGLE FAMILY DWELLINGS /53 INCLUDE 2 SETS OF PLANS, 3 OF SURVEY, 7 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL ONITS FOR SALE UNITS # OE UNIT3 INCLUDE 2 SETS OF PLANS, CEATIFIC9TE OF SUROEY - CAECR WITA BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS CObA1ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS Sr= A?,???Gr?l? To Be Used For: New Construc ir- Valuation: $'6t-,160 Date: -5?$8 plof' QIk kI Site Address 4036 Pennsylvania Avenue Lot 6 Block 5 Parcel/Sub Stafford Place Owner Nancy A. Roberts Address 1903 West 82nd Street City/Zip Code Bloomington, MN 55431 Phone $$4-8998 Contractor Frontier Midwest Homes Corp. Address 3902 Cedarvale Drive City/Zip Code Eagan, Minnesota 55122 Phone 454-0433 Areh./Engr. Phillips Plan Service Address Apple Valley, MN 55124 GlbyAup Gede 11.510 Pannnrk Ai.a Phone # 432-2044 cl j/ / ppp- OFFICE USE ONLY On site sewage_ Oecupancy R-3 M-1 MWCC system ? Zoning R-1 On site well Aetual Const V-N City water ,?- Allowable V -N PRV required ? # of stories Hooster Pump _ Length S.f Depth 341 S.F. Total Footprint S.F. APPRDVALS FEES Engr/Assess Permit S50,00 Planner Surcharge 4I'l. an Council ??r Plan Review 7 5,00 Bldg. Off. "YI/d423SAC, City 100,00 Variance SAC, MWCC 5.50,00 Water Conn SSO.oo Water Meter 69.00 Road Unit 325100 Treatment Pl ZOc{,op Parks Copies , TOT6L ? bAn?...__.I .. _.. . r - Sumeiloros Ccrtificatc SURVEY FOR: Frontier Nidwest llomes Corporation DESCRIBED AS: l,ot 6, Block S,STAFPORD PLACE, C:ity of. Eagan, Dakota Cotirity Alinnesota and reserving easen!ents of record. rl-- P.R.V. REQUIRED i ? ^ ', : .?• ?? 0a ,d o- ..,? . / `\ \ d? ? ? ? ? \ ? 36 9 C? ?; > \ l? ?Q ? ?. • ??` ?t' ? v BENCNMARK1 EAGAIV PROPOSED ELEVATIONS Top of Foundation . Bb`1.o QO/OqlFI001 •8b6.6 9osement flOOf 6 AL,o,9 Approa. Sewer SerWca Elev. ProDOSSe Elevafions ? O Exisfinp Elevotions . Drolnaqe pirseftons Oanofee Offeef Stoke . O HEDLUND P/annlrng Engineerirrg Survnying uer [.i ebo?+?am n»»* e?,?xqioa w,.ma. eHm fN?pMry pl}? A!!0}? ? a M a?• . ? ? r? ? ? ? \ 3 Q / ti .ti MM r O ?I 1`P *~b i Bp ?b0' Ja ? ?:/a 1• ? i ` O ` / \\My !v/ Y- ? ?. \ F ? ?,o ?vP . / ? ? ??PR,- ?"-'/?' V ? SCALE: 1 Ineh = 30 Feat I idi7i. SfiToACK (tEQiREMEiiTS ? Fronf - 30 Nauss Sids - 16 o0o I Reor - i5 OaraqsSWs - 5 0` i W' t e.r•er e.rtvr rnot mi. .v.wr, vien e. nvo.t .as oreper.a er me JOB NO.: I?6 ; er under my dtrocl supvvblon and Ihof ! am e Auty 11991slned ?(Z'2Q3 N: land Swreya unAV Ms lors ef put StaH ef Minnuolo. pW BOOK: P111C141: $, ik'a8 PAOE: ,? ?•' EXTERFOR EYVEiOPE kVERAGc "U" CDMPUTATiON 2- x L 041NER Nancy A. Roberts • SITE AODRESS=4036 Pennsylvania Avenue CONTRACTOR- FRONTIER MIDWEST HOMES CORP•DATE 5-18-$$ PHONE 454-0433 _ / Deternine working square footage of each. 7. Total exposed wall are3 ...... sq. ft. x 2. Total roof/cziling area .... q I-1 sq, ft. x •O2,ls= 7ata7 exposed wall area ahove flaor = 9, C) d$ a. Tatai wall window area ..................:........ f75 b. Total door area ................................. s9 ' c. Total sliding giass donr arsa .................., yp d: 7ota1 fireplace wall area........................ - e. Total wall framing area (averagelOb)............. ,7, f. Total np:.;va71 area above floor ................. t? a g. Tata] rim joist area ........................... a51 Total exposed foundation area = //?_ h. Total foundation window area..................... i. Toal net foundation area above arade ............ lD 9 Det=rmine "U" value or eacn wall segment. a. I"15 X "U" .3z = ? b. ??9 g --ll,- , 4S = I "l, ?5 C. ?rn X „u„ .33 = f 3.0-k d. X "U" eX lfult f._ X koUli 9. gl5I x "u° h. G X "U" i. I o9 x ,iUii ? e? = I ?•OS ? = 59.SS ,0310 = q,o? ? qj _ q, 3 Z A = I$.2(o 3 ...................................... Total = I ? ? If item #3 is the same as, 4r less than item #1, you have met the sntent of SBC 6006(c)2. l ' Total exposed roof/ceiTina area = q I-1 Total gross roof/ceiling area = j. Total skylight area ....................... k. Yotal roaf/ceiling Framinq area ..........,.•?l 1. 7atat net insulated roof/cailing area....... qa S,--? Deter,nine "U" value for each roof/ceiling seament. J• .oa? = a.ag .o?°? 4 ..................................Fota1 ° 7.R7 X "U" k. q \ ,-1 x „U„ 1 . s a\5 .3 X „u„ If total of 44 9s the same as, or less than 742, you }IdVE met the intent of 58C 6006(c)i. To utiTized the total enveiape syste.*n method, the vaTues.established hy the sum of itams a3 and $4 shail not be greater thart the sum af items 01 dRd 9'2. ?.c4-7 + 2. 21 3.$1-f = a85,3? 3. ??dg.Zto + 4. I-l.°t'I = Zo(D.?3' MATy&iAL5 T4erm. Eesistance "a" .IZ . .?x2 S.o / 50 .(o-b Studs Z-A. 4.19-7 Rim zn?o f, yR Conc. Blks. 7 Exteriar Air S iding Mat erial Sheathing Insulatian Sheetrock Interior .ti.r L. i N8P?L (7t. E x?Seo UJr+i.L 105 ?,m • a?! S I uhcZe (? oi ?,xPose-'O lt)Arkl IJLoG? . fi8 Y l - ll?d l?Nee : c.u..o• " ?ic?s ?ull 1 = '`?? X ? - . g 40 - io5 " Q F.,, a.q lA ce _ xt Z51 L.. ?j Gi C? ?.E l?t??' rG 3?,00 S r LJ ??? \?,l! 4 , q?, 6q• l.C) .?w DOWS Pni-i.o Poccs?51, 4/0 c fjs'm.f" uv;?- s{? CITY OF EAGAN No .1 g825 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454- 8100 /l ?/? BUILDING PERMIT ?J 1o , `? Receipt# 0 To be used for DECK Est. Value Date OCT 22 , 7gQ1_ Site Address 4036 PENNSYLVANIA AVE Lot 6 Block -5 SeGSub. STAFFORD PLACE OFFICE U5E ONLY Parcet No. oaupancy - Fees Zoning _ w N2me RRF.NT FRIF.NDGR fH (ACtual) Const 25.00 Bldg. Permit o AddBSS 4036 PFNN Y.VAN7p AV - (Allaxa61e) - 50 Sumharge . Clty F.AC:AN PhOne 688-7386 # ol Stodes - 2 , Plan Review Length 0 o Name SAME DepN ? SAQ Cit y ci¢ Addf2SS S.F. Tolal - SAC. MCWCC ? Cify PhOnO S.F. Footprints _ n t C W On Site Sewage _ er n a o ? ° W Name on sae wen - l M t W ?w 83 Address Mwcc sysiem - a er a er , a W Ciry Phone Ciry Watar _ Acc?. Deposit PRV Required _ S/W Parmit I hereby acknowlege Ihat I have read Ihis application and state that ihe Booster Pump - S/yy Surcharge infortnation is correct antl agree to comply with applicable Stale Minnesota Statutes and ' Eagan Ord' ance Treatment PI Signature of Pertnitae APPpOVALs Road Unit A Builtling Pefmil i5 issued io: IRSNT F I H Plenner - Park Ded. on Ne ezpreu condition that all w s all be tlone in accortlence with all Council applicable State ot M /in?ne s ota Statutes and City o f Eagan Ordinances. gldy. pry. ?Pie$ , ? ? ) ? Building OflicialT?..y,1 f? I.r-LV Variance - TOTAL ??' JU -, , 1991 SIIILDI PERMIT LICATION CITY OF EAGAN SINGLE FAMZLY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS MULTIPLE DWELLINGS SEP 2 8 COPIlKERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PIANS (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 APYLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M1ST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMTT MUST SHOW A LICENSED PLUMBER. To Be Used For: Dec K Site Address Valuation: SGRN-= Date A ?e. Lot 6 Block -s P8iCe1/Suh Sia-t-F`o?d Q1caCa- Owner Bre4 r"r1-end??lth Address yGl3(¢ ?enn5v/!/Q??? A?P• City/Zip Code a . SS1,2 Phone 8- 7 3 S7 G Contractor 0 vJ n t T Address p w n e r City/Zip Code 0 vJ n c r- Phone 0 ?J n e r, Arch./Engr. IV I* Address ? It City/Zip Code IV Iv Phone # Sewer/Water (S 9-a(. -qi ONLY Occupancy Bldg. Permit 2oning Surcharge r.Sa Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well _ Road Unit MWCC System _ Park Ded. City water _ Trail Ded. PRV Copies Booster Pump _ SIIBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL ? Bldg. Off. /0-3'91DS Variance agrees that all votk shall be done in accordance with FEES nc? pp ?.c? all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,., aast 8loomingtan FreewaY. 9loominglon. Minnesata 5542Q TeleAhone (812) $88*0289 " -0"a-c?u' ?N 8b? LT L6`b upf 62b9-888-ZT9' OM 131 . 9NI?J33NI9P13 QNf1??73H -------------------------------------------------------- --Surr?e?or`s G'ert?f?cate SURVEY FOR: Frontier h1idwest [lomes Corporation OESGRIBED AS: l,ot 6, Alock S,STAFFORD PLACF., City of Eagan, Dakota County Dlinnesota and reserving easements o£ record. ? oo 53 i ? \ / .? C ? °'? ? Rs \ \ ? . ? ?? • 6 v 2F., F c' . r. ?'•a? ?. _a ? 140 G \ A ? 40,? i \J o^ \ o0 . ir s :• `'? / ? w?A00 ? \ ? p•p ?? JP 3x ? ? PROPOS£D ELEYATIONS BENC? H? Top of Foundatlon ?B69'0 ' QOfOQo FIQOf 8868.6 PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 6 2 6 (612) 681-4675 Date Issued: 0 5/ 2 3/ 9 6 SITE ADDRESS: 4036 PENNSYLVANIA AVE LOT: 6 BLOCK: 5 STAFFORD PLACE DESCRIPTION: (SCREENEq) Building>,Permit Type SF PORCH ,/fBuilding W'px,k Type NEW CeriSUS Code 434 ALT. RE5IDENTIAI ?41 ?'?-- ? ? ?{ . ?-, ? ? y? C ? ? Q?? ? ? ? r"' ; ? l REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 CONTRACTOR: OWNER: - Applicant - GLIENKE STEVE 4096 PENNSYLVANIA AVE EAGAN MN 55123 , (612)452-6618 ? I hereby acknbwledge that i have read this application and state that the information is correct and agree to cqmply with all applicable State of Mn. Statutes andGity of Eagalt Ordirtanees..- . ?_ : . . 6•?./?i'G? .?.. . . .. APPLICANT/PERMITEE IS' 1??4ST,I° I ? -J lqtl CITY OF EAGAN t 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslmclion Reauirements ? 3 registered ske surveys ? 2 copies of plans (include beam 8 window sizes; poured Tnd. design; etc.) ? 7 energy calculations ? 3 coples of iree preservation plan 'rf lot platted after 7/7/93 required: _Yes _ No RemodeVReoair ReouilemeMs ? I O L t-/ ? 2 copies of plan ? 2 site surveys (exterior addilions & decks) ? 1 energy calculations for heated additions DATE: `? -/q 'q ? CONSTRUCTION COST: ?/5D0. DO DESCRIPTION OF WORK: STREET ADDRESS: LOT lP BLOCK ? SUBD./P.I.D. #: u;v??1? PROPERTY Name: Phone #: OWNER `I"°T Street Address• ??V??eNNSIw".y"k ??)i5 City: sp-? State: ? Zip: CoN'rRACTOR Company: N N ' Phone #: Street Address: License #: City; State: Zip: ARCHITECTI Company: 1NJ-Pc Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed piumber: A Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the informatiqn is correct Zandag,,to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature bf Appiicant: OFFICE USE ONLY IS Certificates of Survey Received _ Yes _ No mm Tree Preservation Plan Received _ Yes _ No BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 5F Dwelling ? 07 4-plex 0 03 SF Addition ? OS 8-piex ?04 SF orch ? 09 12-plex K c. ? 10 _-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit SMI Surcharge Treatment PI. Road Unit Park Ded. Trails Qed. Other Copies Total: OFFICE USE ONLY : . ? 11 Apt./Lodging a 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous a 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. sq. ft. ft. Booster Pump Census Code. Footprint sq. ft. SAC Code Census Bldg / Census Unit o Building Engineering Valuation: / 5- sx / i = $ Variance S, Qv0 % SAC SAC Units ,.. ,. ! Whole House Woiksheet c?,iomw•sHrro ??../?if,R _-t Jl.c / %:' "' "Cn r .- Adtkeas hlCI Cny _? _ S18te =W TebPhona Num r ,-- NINc':;?.id3?aciyr?Tamp?• OF-OutsidupauipnTamp - 'O.Of.HaaungTempDifroranceIS' OF SUMMER:OuuipeDrsipnTump f'n!S ? ep_Inside DssignTsmo-_-LS ------ QLsi -HEATING -..GOMMON?DA7A&ECTION ., .-- '•r. COOLING?+'++-•• ? • •' • . ? • . .• ?? . .... Ri1111ibS5 . ? FwCTON' ?:' i. h? ? SSM? . ?{^? ?JUB?E (?Td?' ?. J"Y• ??e y' ?1 ?r. ? GOON0 l1 ?BG'?FT ?' ?ISL' FIC1 R `FT - ??• '? Nf .. caosswnLI . , 0 RTU ??N . . DOORS @ WINDOWS ITable A or 81 ?C? I? . . NE7 WALL . . . . ?O ? ? . . I. . 3 ?f -2-'f S AD? ? //?p CEILING 4?8 , o/o ,v i---? FLOOHS . . . . . . Ip111y1M ? MN4?p %1D% I.II90 % 'YdvFw 'Wlum? X I.lIBO ' . ' % OT % c ? . • . NlMuon ? 7 . .7 ; ..-.?- !?S' x0.18333 x 9gGQ 9 G % .01833 oX.?j s ? /? • , X SUB-TD7AL BTUH LOSS lper lp°FI ADJUSTMENT FACTOR (Table C) . ? ? S(7 SlS3 ° kd ?, TOTAL BTUH IASS ' . PEOPL x30pBTUHGAW ???,_,,,?„?•: - ?? .? APPI{ANCES BTUH J . ?. ' SUB-TOTAL 6TUH GAIN lroom sensible onlyl • s7 , •/ ,s ? '. •? DUCTtASS/GAINFACTOflITa61eFJ ` Y ? '?.,.^e• : ? SUB•TOTAL BTl1H (Sensible Gainl ' ? MOISTUREREMOVALIsubtotal z 1 31 c /(J .L?/l/l . nec n T[)TA1 wTlluliww "??.Y;i77YlfdfQ ., 3 TALLICA-HEATING-OOORS B WOOD FRAME WINDO IPER 10•FI W& TA@U B?- COOLING - OOORS B WINDOWS _:S'40 . For bNdm iSu Facton assume windows hava insida shatlinp byCnperip pr vvytyn Y+I dPUfl • Y381iC14lx ?O! 11N blf?C IY? WIf1Ap?y bli?pa atW aliJinp gfssa tloors aro inatsd as windwvs. 6t?qq?uC:?tM. I ..nJO Cisar 1 9.90 110.46111.55 z Area I . Btuh Losc WWiSfnrm )ouWa Pana 4.7 525 ?65 •-•- cka? „ _ 5.51 as , 6 /0-7 Wnh Swrm 41 3. 3 .tl5 4 ' -?_ npl? PaM -• . Ciear 3.80 4.39 5.46?; . ?a10usa ??? \ylghls - $.0i. ' 5u?gb 11.07 11.69 12.92 8.65 7.35 B75 ?ow V_Oou, oni,, 010, - - I - I 1 , ' wauowa oww?auY lwww . . - , c...w.? terr.our. w ar s• nrr.mrr. n• ?r ? nrROw. w s? s? a...: ...w?a,,. NtYMx ip 41 .Y 34 a a y T A, . , . . 46W p Y O M :Y Y i. ? R $E6iW i/i' Y O i "u p A 11 11 ' S ?ll L L' 9 a n .q y ?1?' Y?1?M? 'IM IY IA pl 'U IN }9 ?t? ?.4 IOf ?)3 1 ?0. 2 LA EL" . TOTALS . aoro.mwm..m.,N.e.... ?E1 faruntlrrrww?m?wooa? . . .. . .,. .. .. . • , TABLE O - INFlLTqAT10N MULTIPLIERS WintorAirChan9esPprHour •...;,.: - Baxt TOiAlS Lc7N`7 l/$/S ? I L?O°` 7A3LE C^ ADJUSTMENT FACTOHS - 1lifATIMG} •f. lemyar?:.ue DiH. 70 p 50 60 70. 80 90 wastmen? fxb ??? 5 6 ? n L'1 0.1 1 0.3 ? f 0.] j 7.z I i.o seek wMp, Poor a1 42 0.6 Summw. AN Chi"p par Hour FborNmt BUOaWa 900-15qi 17004100 0w210D ban - 0.2 . . Q2 02 0-2 A"00" ps M w? A°°' 62 9.7 . 016,.. dl t1t('(p? 3 RESIDENTIAL ?S ?? ? ? BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD • 55122 657-681-4875 Naw Construcdon Reaulrementa RenwdeUReoair Reauirements • 3 registe2d site surveys showlrg sq. ft of lot, sq. fl. ai hause; and atl roofed areas • 2 coples of plan (20°k mazimum lot coverape aliaxed) . 1 set of Energy CalraAatiom tor heated additians . 2 wples ot Oan showiig bdm & window s¢es: paured touM design, etc J . 7 sfte survey Mr exleft add'Aioro & dedcs • 1 set of Enargy Calculatbrr . Indicate rf trome served by septk system for additions • 3 copies af Tree Preservation Plan N lot platted a%er 711193 - . Rim Joist Detal Optiore selection sheet (Mdgs xifh 3 or less unh) DATE I ? ?L V LUATION???v ? JOB SITE ADDRESS 4 E' v IF MULTI-FAMILY BUNG, HOW MANY UNI PROPERTY OWNE ¢ c ` TYPE OF WORK T `ws FIREPLACE(S) _ 0_ 2 APPLIGANT S?i L^ PHONE# ADDRESSAI3S` 0,*kcIA,6 A2 b253'/"?7 IIPCODE '522/ PAGER # CELL PHONE # FAX # rrEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RiTLES 7670 CATEGORY 1 (check one) - Residential VenGlation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Cade Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Conhactor. _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 Ali above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, sta ?the inf tion is correct, and agree to comply with all applicable State of Minnesota Statutes and City o Eagan ina es. V Sigrtature ot AppUc Certificates of Survey Received _ Tree Preservation Plan Received _ Not Re ired _ Updated 2002 _ Water Softener _ _ Water Heater _ _ No. of Baths Phone #: Lawn 5prinkler Fee: $90.00 No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-piex ? 17 10-plex O 79 lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addkion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' O 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Unifs Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other Framing Fireplace _ R.I. _ Air Test _ Final lnsulation FinallC.O. _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Smcco Stone _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Ptumhing Permit Mechanicai Permit License Search Copies Other Total `7a7q g 2006 RESIDENTIAL PLUMBING PeRnniraPPLicATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ? I If)_ I ? Site Street Address Unit # Property Owner ?(? 1W Telephone #?? Contractor t'?.fJ I,{, Telephone# Address ? ? ? ?.,d ?' ?? • i y Statev'?L Zip5j-M!A The Applicant is: _ Owner L Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a water softener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5i8" meter is required) Other: Water Softener ? Water Heater $ 15.00 _ new A(replacement Lawn Irrigation _RPZ _PVB new _repair _rebuild $ 30.00 State Surcharge _ , . . $ 50 , , , 1 t. ,) 2 Totai I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eaga nd the plumbing codes; that I understand this is not a permit, but only an application for a permit, t to sta wit ermit and work will be in accor nce with the approved plan in the event a plan is requir e re ' r d. AltJ4 ApplicanYs P n d Name ? ApplicanP ;' nature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090900 Eagan, MN 55122 . Date Issued: 08/27/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4036 Pennsylvania Ave Lot: 6 Block: 5 Addition: Stafford Place PID 10-72500-060-05 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Permit closed without required inspection(s). Letter sent to applicant on 2-5-10. (pf) Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Pella Windows & Doors Turnkey Sales Terry L Bilbro 15300 25th Ave N #100 4036 Pennsylvania Ave Plymouth MN 55447 Eagan MN 55123 (763) 745-1400 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA100415 Date Issued: 08/02/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4036 Pennsylvania Ave Lot: 6 Block: 5 Addition: Stafford Place PID: 10-72500-05-060 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Term- L Bilbro 1 300 25th Ave N =100 4036 PennsvIvania Ave PIN-inouth MN 55447 Eagan MN 55123 (763) 74-1400 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA106632 Date Issued: 08/30/2012 Permit Category: ePermit Site Address: 4036 Pennsylvania Ave Lot: 6 Block: 5 Addition: Stafford Place PID: 10-72500-05-060 Use: Description: Sub Type: e -Furnace Work Type: New Description: Furnace COnlnlentS: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Joy Post 1408 NORTHLAND DRIVE Fee SUn1l11ary: ME -Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fired $5.00 9001.2195 Total: $60.00 Contractor: -Applicant - Owner: Sedgwick Heating & Air Conditioning Terry L Bilbro 1408 Northland Drive, Suite 310 4036 Pennsylvania Ave Mendota Heights NIN 55120 Eagan MN 55123 (952) 881-9000 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. ApplicanvFermltee: Nignature issued tiy: NIgnature SEDGWICK HEATING & AIR CONDITIONING CO. HEANG ECORD JOB NO.3 1408 NORTHLAND DRIVE, SUITE 310 • MENDOT`AtHEIGHITS, MN 55120 • (952) 881-9000 TEST R ( ES ADDRESS 4236 IG • , A &E CITY OCCUPANT OWNER SOLD BY INSTALLED BY MAKE Lb A ~L Jl. MODEL vL-wlv U 4o'i j~ V I& .7 SERIAL NO. S- l-r-H-3 INPUT THERMOSTAT 1~ IA 5 , V ` Ail-K~ VENT SIZE VALVE TYPE OF LINER ` LIMIT E~(j~ 2 ` LINER SIZE 6~ LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTING WIRING ~~~-~v► PILOT TYPE A<, X TEST TAG f/~ IGNITION MODEL - LIGHTING INST. ° / PILOT TIMING / Aft -7C) DATE TESTED PRESSURE` PERCENT COZ` \aw ~ed 1 COMPANY TESTING INPUT CFH PERCENT OZ STACK TEMP. 17- PERCENT CO 0 NAME OF TESTER S FORM 235 (REV. 10/10) FORM DISTRIBUTI ITE COPY - JOB FILE YELLOW COPY - CITY Jun 08 2013 9:39PM BRUCKMUELLER PLUMBING INC 6516882160 page 1 Use BLUE or BLACK Ink 41111' City of Eta" 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use III°6v Oj Date Received: (010-13 Staff; ' - Permit #: Permit Fee: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: C�'/O-13 Site Address: qog 60 Pei n nS(./ /Van Ira /(41/ erk-le. Suite #: Tenant: tl? 51br� ° ,. s a`'. ,,a ,.s 4 i4K .1 Gly✓» h o 12/'/b/'C Phone: 651- 4/05- (Ad 64 Name: / �� 4. r �� . Address / City / Zip: 0 , ' /Is 1/1'I RL d� . Zu /. 4M� r #� E ;b= a l,r d �, Name: t Pu-cki //er Ph -4,1119/4g, Soc. License #: v 6 / %--5 1- pe►') .I Address: ?/4d PPi1nj/va✓i a /4-UGik t e- City: Lc gLi/1 State: /n N Zip: 5-57 a3 Phone: / ) i' is r5 & - Cr' egg* 60 Contact !1f'r'r~_ or 17.4 Email: he(.kj,UGIICrpiLU II']�i f, Com ,, i w,¢ - iii M1 , ,t Birk ; r I, „ nrlF r; `" ,, f ) a x'14Other: . y ,,4#, ala PLUMBING (Within the building envelope) V Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair . Other: Nt u.. � g Fa, 1� ,, a�r , f,-'� :' i� I�ir�^; r Description of work: !'7�^l Luny) pt.� rryo ii),'" l9 Lt/) M Cede, i J ... FEES $60.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ 610,00 * 'Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeataan.comlinflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit: that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x o-uI ruckmu e!`er^ Applicant's Printed Name AppI*ant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123640 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 4036 Pennsylvania Ave Lot:6 Block: 5 Addition: Stafford Place PID:10-72500-05-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Chad Bettin 3208 First Street South Waite Park, MN 56387 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terry L Bilbro 4036 Pennsylvania Ave Eagan MN 55123 (651) 405-6966 Ecowater Systems P.O. Box 428 Waite Park MN 56387 (320) 251-2505 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155052 Date Issued:04/25/2019 Permit Category:ePermit Site Address: 4036 Pennsylvania Ave Lot:6 Block: 5 Addition: Stafford Place PID:10-72500-05-060 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 - Terry L Bilbro 4036 Pennsylvania Ave Eagan MN 55123 (612) 270-3481 Hail Pro Llc 211 River Ridge Cir Burnsville MN 55337 (952) 567-0676 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163093 Date Issued:08/14/2020 Permit Category:ePermit Site Address: 4036 Pennsylvania Ave Lot:6 Block: 5 Addition: Stafford Place PID:10-72500-05-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory M Zerfas 4036 Pennsylvania Ave Eagan MN 55123 (651) 285-1466 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175987 Date Issued:04/26/2022 Permit Category:ePermit Site Address: 4036 Pennsylvania Ave Lot:6 Block: 5 Addition: Stafford Place PID:10-72500-05-060 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory Matthew & Kallie J Zerfas 4036 Pennsylvania Ave Eagan MN 55123 (651) 285-1466 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177180 Date Issued:06/20/2022 Permit Category:ePermit Site Address: 4036 Pennsylvania Ave Lot:6 Block: 5 Addition: Stafford Place PID:10-72500-05-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Gregory Matthew & Kallie J Zerfas 4036 Pennsylvania Ave Eagan MN 55123 (612) 272-4101 Looking Glass Properties 15065 Crane St NW Andover MN 55304 (612) 616-4118 Applicant/Permitee: Signature Issued By: Signature