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4040 Pennsylvania Ave CP C~ Use BLUE or BLACK Ink For Office Usseej a j Permit City of Enu i I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 fJUL `:80 REVD j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I ► I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: kjo vo Vjuct,d t ( L Tenant: Suite RESIDENT/ OWNER Name: 1 Phone: (96 M -X I Address / City / Zip: V 17 Applicant is: Owner )L Contr ctor TYPE OF WORK Description of work: L tr? Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: ~ CLicense P7 Address: kl~q Q l l j) ,I! City: 2-11)c Lek State: Zip: Phone: 65 I `c26 V6 Contact:0, 1A] (q~ !Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer $ Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (6511454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of undergroun utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the ork 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 tostart 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 ~Y i x --1~ (~-~rx) Applicant's Printed Name Applicant's Signature Page 1 of 2 REACIZVAIE PUR DEM-PLAN REVMIF.D 12/8/88 AtIIE ILB6 9YSM1'r553-9274 CITY OF EAGAN •- ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHON E: 454•8100 BUILDING PERMIT Receipt # To be used for • Est. Value >hy ????' Date ,19 Site Address ?-• ' r'.VE OFFICE USE ONLY i''•?'? ?'i-„?' ? Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System ZoninA Parcel No. dn Site well (Actual) Const rc Name City Wate? (Allowable) W = Address PRV Required * of Stories ? City PhOne ?' Booster Pump Length Depth o Name S.F. Total , ? i Address Footprint S.F. Iff City Phone APPROVALS FEES ? a Name Engr./Asseas. Permit ? = _ ., Address Planner Surcha?ge ' a?c Z W Cit Phone y Council Plan Review ? Bldg. Off. SAC, City " I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinance5. Water Meter ' Signatu?e o} Permittee Road Unit A Building Permit is issued ta Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Buildina Official TOTAL ' Permit No. Psrmit Holdsr Date 7elapAone ?t Plumbing r H.V.A.C. 90 C ?7 . a? p Electric Softener Inspection Date Insp. Comments Footings I 7?,?1 Footings II Foundation ?' Framin 9 r? " - Roofing -'? Rough Plbg. Rough Htg. Isul. ? Fireplace GL ? ? Final Htg. ` Final Plbg. Bldg. Final Cert. Occ. Temp. LP r Deck Ftg. " zel2 z;-% G• 1? p-?? Deck Final ' Well Pr. Disp. ? ? (gtxttf iratp of Wrrupttnry titp of eagan frporqnpnt af luilbtt,g 3nsprrtinn This Certifecate issued pursuant to the requfrements of Section 3 06 of the Uniform Buildrng Code certifying tlwt at rhe time of issuance tlds slructure wus in compliance with the various orrlrnances of rhe City regularing building constructivn or use. For !he fo!lowing.• :?' IlIt1Gi?C:i,1; 14f?5`_' vx c?cK.? eioa. Perinit Ho. Fc3 MI c.,.?.? owx? orys? :'?JNT'LFIt MIZ7WES? i'i2? ?? 39;;2 CF.QAIZ9?L !J4?'? T:.h1'<%: : guildj,4 pddm lS(Y;Q PMOLVMU E??,% , ?hty ?.7s BJ, Srt%F'-,(1r:o Ihk: itJ T 130• 1788 Buildir4 Offieial dk POST IN A CONSPICUOUS PLACE . - ' PLUMBING PERMIT CITY OF EAC.AN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 NTRACT PRICE: PHONE: 454-8100 Site Adlress `{: 'q Lot Block ? ? Name ?. Address ? yJ c City ;-'69 1q, L Name 3 Address ? ?1e• p ? City COMM/IND FEE - 1% OF CONTRACT FEE APT. BIDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S1C IF PERMIT PRICE GOES OF FOR CITY OF EAGAN PERMIT N RECEIPT ii 17 DATE: BLDG. TYPE WORK DESCRIPTION Res. •`? New ?- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 S? Bath Tubs - $3.00 =-=Lavatory - $3.00 Shower - $3.00 ZKi?chen Sink - $3.00 TUrinal/Bidet - $3.00 ? Laundry Tray - $3.00 ` L Floor Drains - $1.50 r' EWater Heater - $1 50 Whirlpool - $300 ZGas Piping Dutlets - $1.50 ? • i 'l' (MINIMUM - 1 PEA PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -3-Rough Openings - $1.50 - ?' FEE: STATE S/C: -? ?GRAND TOTAL• ?? ' ?l PERMIT # MECHANICAL PERMR " RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: A ft ' is Q (9a ef?le3 ?? CONTRACT PRICE PHOHE: 454-8100 Site Address ' ?)' BLDG. TYPE WORK DESCRIPTION Lot7 Block 5 Sec/Sub iZ ? ( NeW X:? Res l W WI?NZE Z tiEATING & A C Mult Add-on m ? Name Addr955 Shawnee Road Comm. Repair Other c Ciy Laizan Phone 45 2-1565 FEES ? Name grcyn ier C n es RES. HVAC 0-100 M BTU - a24.00 c Address? 508 Sibley ADDITiQNAL 50 M 8TU - 6.00 p C?y ?yan Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -'f PER PERMIT) - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE Forced Air $b, 000 M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCiAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000y aner FEE 25.50 S/C: SIGNATURE OF PERMITTEE Y?5.00 TOTAL: FOR: CITY OF EAGAN - .. . _ . . . . ._ - e,-^^ ..-r?:r. - : _. ? ry491 4 CITY OF F.AGAN Permit No: Date: 3830 Pilct Knbb Road Meter Na Size: P.O. Box 21199 Reader No: Date: - Eagan, MN 55121 Frotetier Fic?west Corp. P.venue L7 n5 StaFfozct F in. Chg: 55?.Oonc: 2oning: " - ;t Dep: Z r' cord No. oi Units: i mit Fee: rcharge: agree to comply with the Clty ot Eagsn Plant '0400jad Ordlnances. 1 Permit No: Date: 4 - 2 0 - Road g/p No: Date: , Eagan, MN 55121 > r Owner. `r?nt.?ier Midwest COen. SiteAddress: i04L? paunsylv8nia t.venue L7 BS Staffov! °lacp Plumber: Star ?lu-mbiny, ' MWCC: 550.00P2 Zoning• City Chg: 100 ' 00nd No. oi Units: j Acct Dep: 15. 4f`pd 1 agree to comply with fhe C8y of Eagan Permit Fee: l^ . !1npd Surcharge: . S0nd Ordinancss. SEWER SERVICE PERMIT ?, . ITY OF EAGAN Permit No: Date 30.01bt Ketab Road Meter No: %3 Z Size: O„ 8ox 21199 Reader No: Dster gan, MN 55121 rc?ntier '?idwest Corp. wner. . ite Address: 4040 Penasvlvania Avenue L7 r5 rtaf, , :;tar Plutnl,.',.gY Conn. Chg: 550 0{1121t '11 wI"v , j4;1nk?.. ? Acct Dep: ? Permit Fee: ?/ ?? Surcharge: `?' << I?ise?tf comP th C?tp of Ea?an Tr. Plant Ordfn?.,'?I??? Meter. 64. ' .s, MisC.: *Ir.. rr.lT'T4?*'r Byf WATER SERVICE PERMIT Site Address: Plumber. ' . CASH RECEiPT x . ?? ? CITY OF' ,EAGAN 3830 PILOT KNOB ROAD - EAGAN, MINNESOTA 55122 ? i DATE 1 1 I ? 19?'.( / pECErvED caoM t AMOUNT $ -. - , ? ?- 8 dOLLARS ,oo ? CASH 9'CHECK ? ? FUND OBJECT AMOUNT P t? t.?? ? J?7? Thank You ev r i. wne e?u" c ?' Pink-File Copy BLD'G. PERMIT N0. 'I1' i L? ?'?t•.1?f'? .? vCi _r_ 01-3210 Bldg. it 01-3422 Plan Cheek ?01-3445 Surch./Adm. 01-3446 SAC/Adm. ? 01-2155 Surcharge -t3---3860 Road Unit CD 20-2275 SAC O 20-3865 Water Conn. " r Op 20-3868 Water Trmt. --- c: 20-3716 Water Meter 20-2252 Acct. Dep. =, U o" 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ; ?3855 Park Ded. TOTAL -:r) 1 5 S(-1-- 1 G CITY OF EAGAN 3830 Pilot Knob Road, P.O. @ox 21-199, Eagan, MN 55121 PH ON E: 4548100 . BUILDING PERMIT To be used for SF aiiG/GAit Est. Value $69• U00 Receipt #. Date APRIL 19 ,i 988 Site Address 4040 POHISYLYAI4IA AV$ Lot 7 elock 5 Sec/Sub. STAFt'ORD i'LAGE Parcel No. ? Name PRONTIZR MIiNr1SST ti0lQS z address 3902 CEDARVAL$ p8 a Gity RAGIkN Phone 454-0433 o Name SA!'E . ? ` Address ? city Phone ?w W W Name F s ? Address ?x Q 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. Sigrtature o( Permittee - I? #- A Quilding Permit is issued to: FktON=IRA kIM$T HO!!$$ on theexpress condi#ion that all workshall be done in accordance with all applicaWer.State of Minnesota Statutes and City of Eagan Ordinances. Building OFFICE U5E ONLY On Stte Sewage Occupency 11-3 M'"1 MWCC Syatem x Zoning a-i On Site Well (Actual) Const V"N Ciry Water X (Allowable) r-M PRV Required ? # of Stories Booster Pump Length 406 Depth 471 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 450•00 Planner Surcharge 34.50 Councii PlanReview 225•00 Bldg. Off. SAC, City 100•00 Variarrce SAC. M WGC 550•00 WaterConn. 550•00 Water Meter 00 67o Road Unit 323.? Treatment P1 204*00 Parks TOTAL 29505.50 This request voitl t//? U? ???? ? 18 mqnnths (rom n?? ?F 10 1. Re tPa' (??(? ? Fir¢ N,41 flouph-in Insper,tion Reqwr ?ACady Now 0JW??Nnlifv Inspec- tor When HeaA G7 es ?NO Y censed Elecvical Caitraclor I heraby request insDection of above ? Owner electrical work installeE ot Svee Gdress, Bf"or Rou D4 ? CitY? ecuon o. Township Name or No. ange No. Counry Occ aM INT) ( D t5. Oh140 WES? Phone N. . '04V2 Power appliBr Adtlress Eloy?yyyl? ? j?1V Liia ANE n attor's License No. Ca 6 Mailing ? r n r a ing?5}a?ayionl vALUY; MN A'PPU Authorizetl Sienature (COntractor/Owner Making hgstallatinnl Phone Number MINNESOTA STATE BOARD OF ELECTRICiTY THIS INSVECTION NEQUEST WILL NOT Grigga•Midway Bldg. - Roam N•191 BE ACGEPTEO BY THE STATE BOpRD 1821 Univarsitv Ave.. St. Paul. MN 55104 UNLESS PflOPEfl INSPECTION FEE IS P6nnw 15121 f42-OBOD ENCLOSED. SjiI/s s E 10138 REQUEST FOR ELECTRICAL tNSPECTION es-?oooo/i_-oe ? See inshuetions for eomplating this farm on back el yellow coDY. "'R" Below Wak Covered by 7his Request dd ivoe ot 6uiiding Appliances Wired Equiument Wfrea ome Range Temporary Service uplex Water Heater pt BuilAinc? A Dryer Bectrie Heatm M I ommercial Bldy. Pumace Silo Unloader dustrial Bidg. Air Conditioner Bulk Milk Tenk rm m Fz OtM1er peG y Oihnr er Succify Dther Oth,r ompute Inspection fee Below p Fee ServiceEntrence5ixe tt Fee Feeders/SuEleetlers K e. Circui?s 0 to 200 Am 5 0 to 30 qm s O tn 30 An+ s Above 200 qmps 31 ta 100 qmps 1 to 100 Am s Swimming Pool Above 100_Amps Above 100_AmPs Transiormers Irrigation Booms Partial- SignS Special Inspection TOT L e flem9rks .. r.? i g • Pough-in ?? ?e??? ?. I. xhe Ele ' InsOecbr, hareba cer?ify Ihet the bove Final } ??e, ? p ? 7 nsDeefion has been mede. ?hla rapuest voltl 18 monihs irom db3s 2007 RESIDENTIAL BITILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Canshvction Reouiremenis 3 regatered sife surveys shawng sq. R. d IM, sq. R of house; and all roofed areas (20%maximum lotcoverage allowed) 1 Soils RepoA if propased balding s to 6e placed on dislurbed soil 2 cropies of plan shovnng beam 8 w'vidow s¢es; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan rf lat platled after 711193 Rim Joist Detail Optlons selecUon sheet (bulldings wBh 3 or less units) Minnegasw mechanical ventilatian form RemodeVReoair Reauiremenfs 2 copies of plan shovring foo6ngs, beams, joists 1 set of Fnergy Calculations fw heated addilions i 51te Survey (ar eddtans $ dedcs Add?'tion - incicaie ilon-site sepfic sysfem ?a. e? Office Use OnN CeROfSurJeyRecd - _Y _N Sals RepoR Y, _ N TreQ Pres Plan Reul Y == N Tree Pres Reqmred _Y ` _"N On-site5eptic$ystem . _Y-J- _N Plans are considered public information unless vou state thev are trade ser.rat anrl the rPasnn Date h?' / / ?? Constructio C t Site Address ?__[?' n os Unit/Ste # i Description of Work ? - Multi-Family Bldg _ Y_ Fireplace(s) _ 0 _ l _ 2 Property Owner Telephone # 77,?2 Contractor Address oZ f , _ Cjty. State Zip Jr?? Telephone # (/l ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet (4 submission Type) Submitted Submittetl • Energy Envebpe Calculations Submitted In the last 12 months, has The City of Eagon issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for permit, and work is not to start without a permit; that the work will be in accordance with the appRved plan in t?case of work which requires a review and approval of plans. ?u ?1 C Applicant s Prtnted Name PERMIT # -<; ? 1 -f) I RECEIPT DATE: 2002 RESIDENTIAI, PLUMBLIV6 PEliMTi' 1?kPPJCATION ctrY oF EAsArr S$SO PILOT KNOB RD KAeAN, MN 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit; backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : V3 D cb TELEPHONE #: (k5l_LC.J (AREA CODE) INSTALLER STREET ADDRESS: #: "l 15 L--;-Z Q A (AREA CODE)CITY: STATE: ZIP: . WN SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ ? 00.00 includes $40.00 County fee Note: Additional consuRant fees may apply • MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters: $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installatioNrepair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: ? water softener _ water heater $ 15.00 ? II IVj ? I?I SYate Surcharge 7nn? $ .SD I $?CS rotal v-- -- I hereby acknovAedge that I have read this application, state thatthe information is cortect, and agree tonomplywith all applicable City of Esgan'ordinances. It is the applicanPs2sponsibilityto notiTy the property owner that the City of Eagan assumes no liatiility for any damages caused tiy?the Cit¢tluring itsnormal operetional and maintenance activities to the facilities constmcted under this perm+SIGNTUr pro ert,Jrig t-of-waq/e ement. V? ??k?!?E OF PERMITTEE 1f02T PERMIT #: V1 ? q,5 CITY USE ONLY RECEIPT DATE: 2002 MIDEIVTIAL MECHANICi4L PERMIT aP?PPLICATION CffY OP EAfiikN 3$30 PO.OT KNOB iiD Ei4fi,aAI MN 55122 651-681-4675 Please complete for: ? single family dwellings D' 9 ?0 T ? townhomes and condos when permits are required for each unit APR 0 3 ?0C2 N Date: SITE ADDRESS: OWNER NAME: a1 YY\ k[)1? INSTALLER NAME: STREET ADDRESS: TELEPHONE #: TELEPHONE #: L 10-`Q _9?3J? CITY: ` STATE: Min ZIP: Place a check mark next to the permit work type Add-on, modification or aiteration to existinq dwelling unit $ 30.00 • furnace replacement • air exchan er conditioner ? • other Nature of work: d? State Surchar e $ .50 Total $ ? 7 E EE 1102 CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: ,INSPECTOR 2002 COMMEftCIAL MECHA1VIC?? PEftMIT APPLICATION CITY OF E4&AN S$SO PILOT KNOB iiD EAHAN, MN 5512E 651-6$1-4675 Please compiete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit llATE: STTE ADDRESS: OWNERNAME: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: - WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CTI'Y: TELEPHONE #: WORK TYPE: SpecifyNature of Work _ New construction _ Interior Improvenznt _ Processed Piping ZIP: Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, call 651-681-4675 for inspeciion by Fire Marshal and Plumbing inspector. Fees: 1% of conuact price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Conuact price: $ x 1% _ $ State surchazge TOTAL s (Base Fee) calculate at $.50 for each $1,000 Base Fee STATE: SIGNATURE OF PERMITTEE CITY OF EAGAN N° 14 8 5 9 3830 Pilot Knob Road, P.O. Box 21-799; Eagan, MN 55121 i ? PHO N E: 454-8100 ? BUILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est.Value $69,000 Date APRIL 19 ,1988 Site Address 4040 PENNSYLVANIA AVE Lot 7 Biock 5 Sec/Sub. STAFFORD PLACE Parcel No c Name FRONTIER MIDWEST HOMES ; Address 3902 CEDARVALE DR a City EAGAN phone 454-0433 a Name S? O oa Address ? City Phone 1- , w W Name z Z3 Address u = = Ciry Phone w a I hereby acknowledge that I have reatl this application and s[ate that [he in(ormation is correct and agree to comply with all a plicable State ol Minnesota Statutes and City o?f E ga/ry O?rdin nces. Signature of Permittee °i.'/ ??/'-C? A Building Permit is issued to: FRONTIER MjDWES_'LHQMES on the ezpress condition that all work shall be done in accordance with all applicable State of Minnesota Stalutes and City of Eagan Ordinances. BuildingOHicial &9 p+I T'r. _ OFFICE USE ONLY On Site Sewage _ Occupancy R-3 M-1 MWCCSyatem X Zoning R-1 On Site Well _ (Actual)COnst V-N CiN Water (Allowable) V-N PRV Required ?C# of Stories Booster Pump _ Leng[h 40, Depth 47' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 450.00 Planner Surcharge 34.50 Council Plan Review 225.00 Bldg.OR. SAC,City 100.00 Variance SAG MwCC 550.00 WaterConn. _550..90 Water Meter _67 . o0 Road Unit ?32.S.,QQ Treatment P7 204.00 Parks TO7AL 2,505.50 AY S !.''.Y' W2D (.1UUC? ' 1988 BUILDING PERMIT APPLICATION - CIT3f OF EAGAN - ?1U?5?t SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDHESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFZCATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhII4ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: New Construction Valuation: 4&11? Date: April 14, 1988 Site Address 4040 Pennsylvania Avenue Lot 7 Block 5 Pareel/Sub Stafford Place Owner Davis, Efren and Beverly Address 8651 llth Avenue South City/Zip Code Bloomington, MN 55420 Phone $54-3173 Contractor Frontier Midwest Homes Corp. Address 3902 Cedarvale Drive City/Zip Code Eagan, MN 55122 Phone 454-0433 Mch./Engr. Phillips Plan Service Address 14530 Pennock Avenue City/Zip Code Apple Valley, MN 55124 Phone # 432-2044 691o0o - OFFICE USE ONLY On site sewage_ Oecupancy R-3 I MWCC system ? Zoning R -? On site well Actual Const V- N City water Allowable V-N PRV required ? U oP stories Booster Pump _ Length _ Depth 14 r1 S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Surcharge Council Plan Review Bldg. Off. 4EEnlIb SAC, C1ty Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL , ? - Suxeilors Certificiate SURVEY FOR: Frontier E:idwest liomes Corp. DESCRIBED AS: l,ot 7, Blocl: 5, STEIFFORI) PL,ACE, City of Eagan, Ikikota Cotmty, i iruiesota and reserving easements of rewrd. P.R.V, R? "U"IRED ? PROPOSED ELEVATIONS Top of FoundoNon . a13.b Goraqa Floor . g-13,y Bassmsnt Floor i- 8i0.4 Approlt. Sawar Sarvic* Ehv. . Bo 1. 41 PropoteA Elevolions ? Q EusNny Elwotlons Drainay Diroetlons ? ......r Oenolss Otlsat Stake I p lifEDLUND Plann/ng Engineering Surveyirrg CCI WI MoaNnpw fm?yr. ?1owMybn MMYrp4l6tl0 ?+Mb+P'A N? Wi? ? ? SCALE: 1 IneA • 30 Feet BENCMMARK, DEP'N. I MIN. SETBACK REOIREMENTS Front - 30 Hane Side - 10 Roor - 1 S Goraps SIM- S t Mnby CNtIfy tIWt iM{ WIVeY, Obn a nperl ras ynyaroA 4n mA J08 No.: er unAO my Alwel supitrWdon on0 thet 1 am a Auq pe0ishnA 8(?R- lan0 8wrqor andn Me kws ol Ihe Slate el Mlneewla. BOOK: Osfs: ?{ ? $ • Qg __ ??? PA6E: JH on. Ue?nu NsNl78 ? O m z 0 ? ?l1 ? A EXTERIOR ENVELOPE AVERAG[ "U" COMFi1TA7I0N OWNER Davis, Efren and Beverly SITE ADDRESS: 4040 Pennsylvania Avenue nnrr : `7 -Z-`?t --g PHONE: 454-0433 - Frontier CON7RACTOR: C r>,,.. Q", +? I t--S PLAN 0 ST-p.FT-b21? Z`,? Co Determine working square footage of each 1. Total exposed wall area..... t "t Ca "I rT-,sq. ft. x.il = 2( ?Q ,O? 2. Total roof/ceiling area..... I e%7l I (o sq. ft.. x.026 rq ) Total exposed wall area above floor= 1$$ 5---'- a. b. c. d. e. f. 9• h. i. .) • Totai wall window area ............................................. ? Z?• Total door area .................................................,. Total sliding glass door area ...........:........................ Z. Total firepTace wail area ........................................ 44 Total wall framing area (average lOw) ............................ ? y '7 Total rim joist area............................................. net wall area a6ove floor .................... . . . .............. wall area a6ove floor ..................................... . wall area a6ove floor ..................................... frame wall area 4t foundation ................................... Total exposed foundation area= k. Total foundation window area ....................... 1. Total net foundation area above grade .............. Determine "u" value of each wall segment (e.g. window, door, each separate wail section) : a. t Z? x"u'l .?5 = S-L.ZS- b. L{ z x„u„ C. Lf z x ,lu„ d. L?lz _ X ?lull e. x It ull f. 13? X „u„ 9. i C)S-- x lull to7?$L/ h. X „ull _ i. X ??u" ? x „u,l k. X "U" 7 . 3 Z. S' If item #3 is the sa = a?-; or less than ite #.1, you haye met the X"U" intent of SBC 6006 ( 3 . .................................Total ?.-:t,-,rior Envelope Average "U" Connutation Page 2 of 4 Total exposed roof/ceiling area = 1 d ??p "- m. Total skylight area ............................ n. Total r.oof/ceiling framing area (aacragc 10%)... o. Total net ir.sulated roof/ceiling area........... ' • Determine "U" value for each roof/ceiling segment M. ' X "U" _ n. a"U., a. 1 I9,4 X'lUll 4 ............... .......... 7bta1 = Zo? ? ? 'f total cf #4 is the`same as, oz less than 42, you have met,the intent of SHr_ 5005 (c) 1. Alternate BuilBir.g Envelope Design_ Zb atiliza the total envelope'system method, the values established by the s•.im of iteJns n3 aad r4 shall not be greater than the sum of items #l and #2. 1. Zl lo c0°.( + z. ZCo ?? j = ?LI Z1? 3. 7?, g?f + 4. zo,13 PL4N # * LIN£AL F?T A'POSID WALL BLOCK: Co S ? lCrEE: I 3 O w.o.. FULL 1: 13r5 FTJI.L 2: ? FTREPLACE: ? RIM: ? '3 d ? SQUARE FEET F.XPOSID WALL AREA BLocK: co -S"- X .5 = 3 Z, r XNEe: t3o X s= w.o.: X s = ---- F[JLL 1: x 8 = F[JLL 2: x 8 = -- FIREPIACE: Lp x L? ? RIM: `,3 Q x 1-= CAL * sQuaxE = EXPosID cEIi.arG ? O l lo ? a7ENUws * Dooxs 4 Z ' Z ?I 3 co PATIO DOORS Zo C? o 9ASII= vN2Ts z.HLty = 4 = Z51 ?- ?? . - . _... .., ,U_e: Use «, OY ?n4ue b.bl1 orea fUr fYame.ccxwStvucElon ALL.. EIG. '7}2 TG. #1 R- VAIZTE CONSTRUCTION=.- FRA("IITIG 1. INTERIOR AIR FIIM 0.68 2. 3. 5 2 SOFT WOOD 4. 5. SIDING 6. R R 0. TMIL R= 10:9 U= .09 PIET 1. IlVTERIOR A2R FIIM 0.68 3;'c" .45 3. .0 4. 25/32 . STiEATHING' 5. M-TFG .6 6. . U= .04 S;L?-lsf??R W? Q -r ? ? ^ p n Whl.L 1. ItiTER20R AIR FIIM 0.68 2. IN • 19.05 3. 0 4. • 5. 6. • U= .04 BLACK 1. INTERIOR AIR FIIM ' 0.68 2. 3. 5.00 4. PROTECfIVE BARRIER 5. 6. T(YfAL R= 7.13 U= .14 SLAB ON GRADE ? • •. .` d • , I !?I ''-8 . ., ?, . ? ?'2G • 43 ??• ?? ?. .. G ? 1 ? y 0 i.. ? Fz.G. s4 e _ .. ? ? '. ? .. , v ? P D .. lvi EL ?11 Itf ? /f ^.' i/I ? . ? a , . ? ?. s *,c _ -?c . fr?? ill ?ct u" NQTE: INDICATE TYPE, "R" VAILTE. DEP'I'fi ANID ` PLACf.MENt OF INSCILATZON. pP,qN8 NnCt • _ wALL sECrroxs ,NOTE: USE 10$ OF OPAQUE WALL AREA FOR FRAME CONSTRUCTION i • ?. ? i : flASIC WALL ?1 ??l li FIG. 01 TOPVIEW OF I FRAME WALL ?---G) i ,. / (D g d, ? BRIqC FIRE PIACE . CONSTRUCTION R-VAIIJE , '1. INT'ERIOR AIR £IIM 0.68 3. ' 4. R SPACE .68 . ; 5. _ 6. EXTERIOR AIR FI .1 TOTAL 2.75 U = .36 1. INTERIOR AIR FIIM 0.68 2. . .. .... 3. 4. . . 5. 6. 0 TOTAL 1. INTERIOR AIR FIIM 0.68 2..... 3. 4. 5. 6. EXTMOR AIIt FI . ? 1. INTERIOR AIR FIIM 0.68 _ 2... 3.. 4. 5.... 6. OR P,IIt £ILM .1 , TOTAL. SLP.B ON GRE.DE jh .'- p' • " 6'. - ? i ' ?/% !!I t + ?' r ?11 ? ? • (. ? ? ii tjl [ ' ' •r f? FIG. 03 FIG. #4 ? Y ? y ` '?? ? f ll 1 If? = . ' NOT£: IINIDICATE TYPE "R" VAiSJri DEP'!'fi AND PLAaDOU OF INSULATION CONSTRUCTION ' R-VAI.tJE 1. INTERIOR AIR FIIM 0.65 2. 3. INSULATION 4. ' U = -02 A HFf1T FL'04] u UP FIG. #5 FRAME 1. INTERZOR AIR FILM 0.61 2. 3. 4. -- tI = f- . 024 CONSTRUCf20N f? HfAT FLOW UP u FI6. #E ? O ? ••' .. n N4N-VENTID HFAT FiAW CTP VENTID ? ., ,.., ??_'? ' • ,,. 1. LNSIDE AIR £ILM 0.61 2. 3. 4. S. TOTAL U _ FRf+IE 1. INSIDE AIR FILM . 0.61 2. 5. .. U 1. .INSIDE AIR FIIM u.b1 2. ' 3. /???{ 0.11 5. - 1 V 1L11? U - NOTE: USE ADDZTIONAL SFIEEfS IF MR£ SPACE IS rIEEDED FOA DETAILS PND Q4ICfJLATZONS. rTG. # 7 • ROOF-CEILING 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUZLDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNZTS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS ? COMASERCIAL IYCLUDE 2 SETS OF e1RCHITECTURAL & STRUCTURAL PLANS, 1\???yjLr 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - ;,??$ ?' t? 7 S9R8 To Be Used cor: Valuation:?SG$s Date: Site Address yv<J v ?ewwSU??J9wi Lot 2 Block S Parcel/Sub ?4 Mc i, Owner /).Q ?e211/ ZR U / S Address ????0 A itiN SU/L//q W%iq City/Zip Code ??Yow 3 S/Z ? Phone 67o - 9/ 2 6 Contractor 4?R£ &1 /u?"j?Zf sc Address City/2ip Code /? `3?12Z Phone $?3 - ?Z t7q Areh./Engr. _ Address City/Zip Code Phone lk On site sewage_ MWCC ystem _ On sit well _ City wat _ PRV requir d _ Booster Pum APPROVALS Engr/Assess Planner Council Bldg. Off. Variance / Occupaney Zoning Actual Const Allowable # of stories Length Depth S.F. To 1 Footo nt S.F. P n Review SAC City SAC, CC Water n Water Met ? Road Unit Treatment P Parks Copies TOTAL Nlc? • . -, Smrpcllortfs ecrtificatc SURVEY FOR: Prontier Pudwest }lomes (:orp. DESGRIBEO AS: I.ot 7, Block 5, STEIFFORD PLACE, City of Eagan, Dakota Coumty, i:innesota and reserving easements of record. D m PROPOSED ELEVA710NS ToD af Foundatfon ? 8'13.6 Garope Floor • 8-13.2. Bcsemenl Floor ? 8-10.4 Approx. Sewei Servke Elw. a 8b '. 91 ProDafld EltvoNoo$ ? O Eaistinp Elevatlons ' - prolnaq• Dinotions ? ?...-r Dsnotss pf}ser Stok• . O . i., y DQf? ..; `----_, . EAG: 'L',7 Liv ? SCALE: ! lneh • 30 Fesf iL -RIrJG DEPT, -- BENC? H? MARK, IMtN.SETBACK REQIREMENTS Fronf - 30 HouSS SId* - 10 Roor - IS Qora9e 81M- S" I MweY arllfy Inat tMS wrvey. ohn x nport rag yn0snd bn me JOB NO.: I??????? a unCer mr Alreel ouMrrlslon an0 Mot t nm e auq Rep1s1ind BgR lan0 Svraya wbar Me kwi oi lh@ 8ta1e N Mlnn44efe. BODK: Planning Engineedng Surveying wiE.r61wa?.ar?.wa.rod.xaon ?• w» D.? PAOE: ??aw.wr pob: 9• 8 i 85 .hl n sn. LIcM?? NnHl78 OI m z` oI %I ? ? A? ?AN. REQUfRGD APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ... ...... . .. . . .. . , i NOPE: PA7MNf OF FFE AT TIME OP ? APPLICATIOTI DDES Ndf CON- 3 t Sl'INfE APPR[NN. OF PIItGIIT. ? t IPSPflCfION OF SEYBi ADD/OR WA7£R ?. i ZCS1'ALIATIOPLS WIIL NOT BE SCFDOLm ? ? CRTlIL PIItFIIT HAS BEEJ APPROVID. : dtV ii?*ll1kfflSMi*Rfi;*f?ffi!!}4ff4ttt+l#+ oF eagcan (PLEASE PRINT 1) PROPERTY ADDRFSS: ._4040 Pennsylvania Avenue LEGAL DFSQtIPTION: I,ot-7 Bloek 5 Stafford Flace - Lot B oc S vision or Taac Parcel ID IF EXISTIM SIRCCTORE, DATE OF ORIGINAL SUILDING PIItMIT ISS[JANCE: Mont Year PRESENT 7ANZNG/PROPOSID OSE: Q , COMMEE2CIAL/REPAIL/OFFICE a INDUSIRIAL Q : I NSTI'IL]TI ONAL/GOVERDAENT I? R-1 SINGLE FAMILY ? R-2 DOPLEX (3'wv C'nits) Q R-3 TOWN30USE (Three + OAits) ( Units) Q R-4 APPI2TMENf/CONIDOMINIUM ( Units) 2) ? Np,ME: Frontier Midwest Homes Corporation ADDRESS: 3902 Cedarvale Drive CITY, STATE, ZIP: ...Eagan, Minnesota 55122 PAONE: 454-0433 For City Lse 3) NAME: Star Plumbing P1 rs License: ADDRESS: 1018 Mound Springs Terrace Active Expired CITY, STATE, ZIP: .. Bloomington,.Minnesota .55420 .. I Not recorded PHONE: 884-4149 MASTER LICENSE # 3329 St Initia 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: Davis, Efren and Beverly 8651.11th Avenue South Bloomington, Minnesota 55420 854-3173 . 5) + a '?' ? • ?? .i ?e ?X CONNECPION TO CITY SEWEE2 fM CO E, 6) To czTY wATEa p oTHEx 04/14/88 **]F'k*****'k***'k*******f"k**lF 1k'k**'kA'****#'***'k****'k*`k***aF'k****i"k**********'k'k*:F*******'k'k***#'**'k'k******k * THE GOID COPY OF THE PERMIT WILL BE SINP DIRE(.TLY TO PUELIC WORICS 'IO FACILITATE MEPER PICK-UP. ? PLEASE ALd.OW ZWO WOF2KING DAYS FOR PROCESSING. SONIDONE FROM TfE CITY WILL CONfALT YOU IF THERE * * ARE ANY PROBLII+IS. * ?+*****************++**??*++????*****+**«?*****?**+?******++*************+****+r********???****+*?*?? TOR :CITY USE ONLY 1 PERMIT # ISSIIED ? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ IG?' S b $ WATER PERMIT (INCLLDE SURCAARGE) G $ WATER METER C / OPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ? S'? $ • ACCOUN T DEPOSIT - SEWER $ / $ ACCOUNT DEPOSIT - WATER $ ? .?L' 0-1J $ WAC S S-U d Z7 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ °?o V'U U $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ / 67 2 z • OU $ TOTAL .. . Y,Z. :n,, . x 7 RECEIPT RECEIPT DOES UTILITY CO[VNECTION REQUIRE,EXCA VATION IN PDBLIC RIGHT OF WAY? ? YES 'IF YES, THEN A" PERMIT FOR WORK WITHIN PUSLIC Q . NO ROADWAY" MUST BE DIVISIO ISSUED BY THE ENGI[VEERING N. LIST AS A CONDITION. SU BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: y.- Za -?? -A ? r?n,,?•.. ?.?, ??; ,.??-?,?,.? N....?.,?, ?,,,?.•?.,. ???? ., syAAF,;a o WhoJe House Warksheo Aa? ? -? ?aowr wurTtN.1wM ? ? . t+w?awuNrro.r D?'o" iMM ?..LS.?- er"OrYW -,U • LuMME11. Ory? py?? T? f??, •I-?M ?? f? M?MMY TMM OMIMMw ?•? . NEATINO WNYU TMp ??I • CoMNY i?? W?M?w? ?• f I •IbnIU\\ J??~ --'^^'?^ ??w oL611YN "f?';?M .• • VB IF CT ' . . ?• . , GqOSS wAl? wrc" c,°„°i, •/ DIOOpS b WINDOWS ITftbAOr BI NET WAII - ..? CEIUNG v? ~~? . IMII FIUON$ . -, • ? ¦ lO4 1.11n a, w"'"' wwi. t c , Y ¦ 0.18,"i?i a r . a G T; sue-rou?L eruN ss i r 0 O1133 ¦ / ? ? o., laFa '? ? A7 AOJIJSTME1rT FA?'Tpq IT? C) 1pfK 9TUM 1GSS PEOP t 3GD BTUM GAIN ••?+ ? AMLIANCES YTUH SU?.Tp?AI eTUN WIN • -- Iroan OwWpy ontw1 ? '--? u???fw ? ?MW ALBTYNI.OgS/GO ?rc? lail ?DO4Ni i MIGO? fM?MI1M00Wi 1 W wyyl Wqi ?YI? • YM fKIWr kf tll? W •w?Ww?yn M ?YW M?/?OYII? WnwV.:r i??mw iiiiii,imis . wn. . rwn b.. C+? • r.oo w.4s n.rc ' WMn?IWw _ eruwn.u `"?"'? 1.1 ww ?? WpU1W - DOOIIi b WMIOpws - f?clas uwnr wrww.s IwA ryon ry" py dvq? a w? d1117{MW NYW* WwY 40oR M YYIw Y WEAWIML ?w?wr u.rw? nra?w .«? _ Cww 6.61 WY ?.?6: ? r?w w.r. e?...n 0 /v 3 S =..o L.,.. Ar r` ll4'M ' Y?M ?.? ?.? f.b .. IIA. ,. rrw -.VV~ 11.07 11W? a ?y tilrYir??11? ' .. ..r.?..?.a....... Tan1+a _VYW?t•i??am ?y? _ _ . LNA G - INflUNATWN MYIT u.??? _ Wfnw A4 CMn r ti? ? w? ?N OI w,N?r?w . - _ t 7n . ?? y (w _ ?YOa?r Y{616{ID UaP710D TOLKp E ?A 01 0l .?oi ? ? 1 1• 1 ??To ?°' w h?rrc? rec GI 0.? 4? IAr#.k C - ADJYSTMkM7 y"w"Wr? WI. ? ? - WEA71UG1 40 p ?p p ?!n+irr i4 ? • 7 t f ?0.1nc lyy? ???r A?b Cl?yy ?M 11? r M ? ?? W?Y? ?WP1WY ? w1q ?y?4 y O.t 4 ?7 ?? •f Use BLUE or BLACK Ink I For Office UyseiC-'~ C~ I j Permit f "l / Jq I City of EaIn~dfl a Is Permit Fee. /05-? 3830 Pilot Knob Road Eagan MN 55122 Date Received: (0 / Phone: (651)675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 13 Site Address: - Q 40 L/G~1'11 ~ Unit Resident/ Name: t 6tyi -4- j Phone:Gl'i-q~ Owner ! Address / City / Zip: ~ s t Applicant is: Owner (,,o!~71 Contractor Description of work: T(%G~(~ Type of Work ; y Construction Cost: 1 00 Multi-Family Building: (Yes / N ) Company °~e~G1l1C,a A CQ-)S + CL `r i i nr Contact: I I Ct✓ . G 1 M'A1" l ~1ye, ~iy~ ci S lc~xa+~ Contractor Address: n,~ ----r7 ty_ State: 1 f IN Zip: 550( 1 Phone: (2-)51-029 - 9,3 tO ^T ^ i License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Plans and supporting documents that _r _ W _ _ pp ocu you submitare considered to be public information Portions of ? the information may be classified as non-public if you provide specific reasons that would permit the City to _ conclude that they are trade secrets. 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.oooherstateonecall oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed. within 180 days of permit issuance. x U rn-k t x Applicant's Printed Name Applican 's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA159059 Date Issued:11/19/2019 Permit Category:ePermit Site Address: 4040 Pennsylvania Ave Lot:7 Block: 5 Addition: Stafford Place PID:10-72500-05-070 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Thomas M Kaisler 4040 Pennsylvania Ave Eagan MN 55123 (651) 210-1703 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:EA166836 Date Issued:02/09/2021 Permit Category:ePermit Site Address: 4040 Pennsylvania Ave Lot:7 Block: 5 Addition: Stafford Place PID:10-72500-05-070 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Thomas M & Sheryl A Kaisler 4040 Pennsylvania Ave Saint Paul MN 55123--157 (651) 210-1703 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature