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
' .
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,
GqOSS wAl? wrc" c,°„°i,
•/ DIOOpS b WINDOWS ITftbAOr BI
NET WAII
- ..? CEIUNG
v?
~~?
.
IMII FIUON$
.
-, • ? ¦ lO4 1.11n a, w"'"' wwi. t
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1pfK 9TUM 1GSS
PEOP t 3GD BTUM GAIN ••?+
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SU?.Tp?AI eTUN WIN
• -- Iroan OwWpy ontw1
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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
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-.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?
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4
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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