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4041 Pennsylvania Ave ;. . CITY OF EAGAN ;17125 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 8 PHONE:454-8100 L ING PERMIT Receipt # To be used for S? ?/GAR Est. value $7s9000 Date OCT 2 , tg 89 Site Albess ?1 PE?n'VAiiIA AVE Lot Block Sec/Sub. STAMRD pUZ Parcel No. ? Name .o.va.aaar? ?.....y.., ?...? ; Address CORPORATE R O City Phone Name _ Address Clty _ Name _ Address CIty _ Phone I hereby acknowlege that I have read this application and state that ihe intormation is correct and agree to comply with all applicable State ol Minnesota Statutes and City of Eagan Ordinances. -1-, Signature of Permitee A Building Permit is issued to: FROTiBR MZDWST WK8 an 1he express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Buiiding OHicial - ? - Phone OFFICE USE ONLY R'3 M--1 Occupancy -jv-i Zoning (Actual) Consl u i ? Bidg. Permil (A owab e) k of Stones lergth Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Pianner Council Bldg. Off. variance ? ? ? FEFS 528.00 37.50 264.00 Surcharge Plan Rewew SAC, Cify SAC,MCWCC Water Conn Water Meter Acct. Deposil SNV Permit SrW Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL ??000 575.00 580.00 ?.00 10.00 20.00 1.00 226.00 360.00 2,793.50 ? Permit Nc. Permit Holder Date Telephone X WATER CC ? SEwEN PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments footings I 1`016 L[J Foundation % framing Rooling Rough Plbg. Rough Htg- Isut. Freplace Final Htg. ? Q Fnal Plbg. • l-. ? Cons1. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final ? v Deck Ftg. Detk Final Well Pr. Disp. A 4 4 .0 (Irrfifiratt of (Orrupanry titp of (tagan ?rparttnmt of lutawg 3wPttion This Certif cate issued pursuant w the reguiremenrs of Section 306 of !he Urrifon?t Burlding Code certifying [hat at the time of issuance this structure was in compliance with tlte various ordinances of 1he City regulating burlding construcuon or use. For the following.• vse cLad6cauon ?E IIl?'rM BWg. px?t r,o. 17125 axap.ncy rype R3/MI zoa;ng nis,na - 124- R1 rype comc. VN oW.o&BWw4 FON= MMEST SAd&. 1285 MR. CIl2. DR.,_EAGA_N ,? 4041 PE?d?TS',VANIA AVE L10, B4. SrAROfiD Pi.ACE ?; . , JAI?IARY 29. 1990 ?.: BuilceeE . POST IN A CONSPICUOUS PLACE ., PLUMBING PERMIT , CITY OF EAGAN CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE . PHONE 4548100 Site Adc?rgSs Lot ? ?J ? Sec/Sub Name ?/c.? ?-.?•-- ?•ic c •. ; ? Addres? ? City Phone Name ? ? Addr?s r ' 8 City Phone FEES COMM./INa. FEE - 1 % OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND_/FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: CITY For Offiee Use nly PERMIT # ? RECEIPT # ??y 8 DATE: 9 BLDG. TYP WORK Res. ?- New _ Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N5t FIXTURES TOTAI • DO Water Closet - $3.00 -T Bath Tubs - $3.00 $ _5, 60 ? Lawatory - $3.00 .? fJ0 Showar - $3.00 ?- FGtcFien Sink - $3.00 ? e3 • ? J? UrinaUBidet - $3.00 ? Laundry Tray - $3.00 ? Floor Drains - $1.50 ?- Water Heater - $1.50 Whiripool - $3.00 ? Gas Piping OuUets - $1.50 *1 (MIMIMUM -1 PER PERMIT) Softener - $5.00 weu - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: 3 , SO STATES S/C: S0 GRAND TOTAL: 3?'? + . I PERMIT # _ MECHANICAL PERMIT RECEIPT # - CITY OF EAGAN 11 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 For Office Use Site Address 4U`T1 lot Z'? Block - Name w06t:l. tiLKt"1 ? Address 1955 Shgwmee c City L8iz-ari L Name _ c Address il. 0 Ciry - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 8O,OOJM BTU M BTU M BTU M 8TU CFM FEE: S/C: TOTAL• $26.0011 BLDG. TYPE WORK DESCRIPTION Res. ? New 16- M ult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MININIUM COMfNERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADO $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) . /.? , . w . ? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road, P.O. Bnx 21-199, Eagan, MN 55121 ; PNONE: 454-8100 BUlLDING PERMIT ' Tc be used for D= Est. Vaiue Site Address 4041 PE NliliYl.VANIA AYE Lot 10 Biock 4 Sec/Sub. STAPFQRD PLJICL Parcel No. W Name _ MI1CE HA IDNE 3 Address 4041 pE MSYLVI?NIA A11E ° City FAnAm Phone 688..W37 o ?yame FR?t) 11A 81'G811tliK CQ1?t8T , Z~ p U Address 4144 ?K ? V ? City ZAGAN Phone 697-9363 ? W W Name 1- ? ; Address <W City Phone Receipt # 1 hereby acknowlege that I information is correct and Minnesota Statutes and Cib .: Signature of Permitee ? A Building Permft is issued on the express condition th Building 0lficial state that the able State of all OFFICE USE ONLY Occupancy _ FEES Zoning - (Actual)Consl _ Bldg. Permit 23.00, (Allowable) - $urcharge • 50 # of Stories _ len9th Plan Review Depth .1? SAC, City S.F. Total - SAC, MCWCC S.F. Foatprints _ On 5ite Sewage _ Water Conn On Site Well - Water Meter MWCC System _ Ciry Water _ Acct. Deposit PRV Fiequired - S/W Permit Booster Pump - S/W Surcharge Trealment PI APPROVALS Aoad lfnil Planner Council - park Ded. BIdg.Off. _ _ Copies Variance - TOTAL 15.50 Permit No. Permit Holder Date Tefephone # WATEFi SEWER PlUM81NG H.V.A.C. ELECTRIC Inspection Date Insp. Commeots Footings I Foundatian - Framing Roofing Rough Plbg. Rough Htg. Isul. Firepface Final Htg. Orstat Test Finai Plbg. Plbg. Inspector - Notily Plumber Const. Meter Engr./Plan Bidg. Final Dedc Ftg. ?a ? lv Dedc Finai )S Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: " (612) 681-4675 SITE ADDRESS: 1 `i APPLICANT• 1?I i: 40 Nt_(Ii.: , • ,I., -1 t i t MMNISYlvANIA A'N'E '•oiAFFEtRtI PLACE rMo, z4 ? ? .: . ? - ? ? 0,'? _ . ._? gp PERMIT SUBTYPE: TYPE OF WORK: . !?1 ?? 1( f I t?t? ;??i•iR ft1• F117f?f?M 1 Portnit No. Permit Hoider Date Telephone # ELECTRIC ??Q?'?O . 3 3 CJ? °v PLUMBING HVAC Inspsetion Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIflEPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDC3 FINAL BSMT R.I. L Z y G?? BSMT FINAL 3ll31 DECK FTG DECK FINAL SEWER & WATER PERMIT CITY OF EAGAN 3830 Pi4at Knob Rd. Eagan, MN 55122-1897 DATE S=°TEMBER 25. 1989 OFFICE USE ONLY METEa#!Y13"!923 aoti PERMtTDATE 10/6/89 CHiP # Q671..T?? PERMIT # 10986 METER SIZE ? B.P. RECEIPT # C 4117 ISSUEDATE ? 4Lf-&- B.P.RECEIPTDATE 1015189 xx - PRV - BOOSTEH PUMP SITE ADDRESS dna l DrNNsvi v P,NT A Au` E r,nrc An; 3 LO7 '• BLOCK4_SECJSUBS i'AFFO?(7 P1:1CF APPUCqNT- "ONTIrR DEVELOPN!ENT CORP. ADDRES.S: ' ` - -' .' . CITY,STATE Cag?n, mn ZIP bbl2i PHONE' 454-043' PLUMBER: '?A? PI Ih9F T NG ADDRESS: ° `?1C h10UhG SRPINGS TERR. CITY, STATE ZIP 554?0 PHONE: 14c OUVNER: "?u'.I QP!F, Nt'KF i YNN ADDRESS: CITY,STATE ZIP PHONE: 9 y _., PERMIT REQUES'fED - SEWER - WATER ? TAPS COMM/IND _ RESIDENTIAL NEW - EXISTING tawn Sprinkler Meters are to be lnstalled Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? ;. !EE TO GOMPLY WITFI CITY OF METER ISSUED PLEASE ALLOW TWO WORKING DAYS FQR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWEA PERMITS, CONTAC7 ENGINEERING DEPT. I SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE Sf_PT E''3r'? 23, METER # OFFICE USE ONLY CHIP # - METER SIZE ISSUE DATE PEFiMIT DATE 10/6/89 PERMIT # 1 n4Ah B.P. RECEIPT # C 4117 B.P. RECEIPT DATE 1015189 u PRV - BOOSTER PUMP SITEADDRESSI -' L!1F?Y4 yA'?1.jA A?1 E..., PERMITREOUESTED LOT L BLOCK SEC/SUB STAFF0RI1 P A" - SEWER _ WATER _ TAPS APPIICANT. T _'/:: l..-ViIEHl CORP. ADDRESS: DR. - COMM/IND - RESIDENTIAL CITY, STATE ZIP _ NEW _ EXISTIIdG PHONE:? ' 'PLUMBER: - i }IR °LJMBIN,r, ADDRESS: ?'J 1$ h10U11D SRPI NGS T ERp. CITY, STATE ZIP . PHONE: ` OWNER: 'Z+jI n'-F, IA1iiCE ANC l YNNI ADDRESS:'1? Ith AYE. N0. CITY, STATE `'2p'?1?IS- M'l 551`, ZIP PHONE: Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WRH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER lSSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORIA SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT CITY OF EA`,?N 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 ? rFCErvEO ry f FFi01/ AMOUNT $ ?? ?" 5U 8 DOLLARS ? CASN XCHECK s ? W P49, irb. OY C 4 ? ? 7 Vihi,e-ayers Copy Yalbw--posfiN Copy Pwik-File copy Thank You BY DATE: igT6T89 RE: 4041 PBNNSYLVANlA AVHNUB, L10, B4, STAFlORD PLACCB xx Your Sewer & Water Permit for the above property has been oompleted. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. 4' °'+r Sewer & Water Permit for the above property cannot be completed for the following repsons: il' . ,. Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed untll further notice. r? COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before i5suanCe. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY u?w. CONTACT GOMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 6 014 2 Requesl Date - Fire flaugh-m Inspeclion F ired7 ? ReeCy Now 111 Noliy Inapector Yes ? No licensed contractor ? owner hereby request inspectlon of above electrical work at: Job AAress (Sireet, x or Rau e NoJ / ? Ciry L Qit' ? (! ? i ?161 Saclbn No. Townehip ame w No. Range . un9? Occup9M (PRINT) ?. Plione No. PowerSupplier ass / C?4P1 Eleclrical Contrector (COmpany Neme) Comracio?t Lkense No. ?df s t . , Mailirg Address (COniracbr or Owner Making Inalallation) c Auttwnzed Sigmlure (COnlryEOr er Vbkigff / Inslallation) Phone Nu er NINNESOTA STA7E BOANO Oi ELECRiICT' 7HI5 INSPECTION REQUEST WILL NOT Origgs-Nitlway Bltlg. - Room S7'!3 BE ACCEPTED B`/ THE STATE BOARD 7821 UnlveraM A`re.. St. Paul, 61N 65101 I/NLE55 PflOPER INSPECTION FEE IS Phona(612)802-0800 ENCLOSEO. r? F;nl ap REDUEST FOR ELECTRICAL INSPECTION J? See insVUCtions Far cOmpleting this fotm on back of yellow copy. "X" 8elow Work Cavered by This Request 0111M EB-00001-07 e Atld Rep. TypeofBuilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Elearic Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air CondiGoner Oiher (specity) Comraclor9 Remarks: Compu[e Inspection Fee Below: # Olher Fee # ServicaEntranceSize ? # CircuitsiFeedere F Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers ove 200 _ Amps A6ove 100 _ Amps ? Signs inspeclor5 Use Only: TOTAL ? Irrigation 8ooms Special Inspection Alartn/Communication J ? O[her Fee I, the Electrical Inspector, hereby certifythattheaboveinspectionhas been made. ROucin-in F;,,ai oa? OFFlCE USE ONW ? This requeat vaitl 18 rtwnHis hOm e3 3 97 OFFlCE VSE ONLY This rcqoast vdd 18 monihs hom wlid ???rintedjn tlys boz. C1 l IIII II I? I?I?I III II III II I I II III I II I I I IIII 'lJ??`F? ?C??? ? /?.. ? ?? * 0 4 4 0 5 2 0 5* PLEASE PRINT OR TYPE Re9'+%'t ?t' Roughin impeclion requtmdz ? N. na, mu.t mn tne m>aw, whe9t?t Inspactbn Oiher Than RwgMln: ? Ready N. ill Call oole, xseaY: I, +censeti mnimcfor 0 owner hereby request inspetfion of ihe above eletkical work at lab Addmu fSheel, Route No.) Ciry 'e Zip Code aa . SMlon No. Township Name w No. Ranpe No. Fire No. Cw Occup?onll , ?1 ?., ,o Phone No. (P T1 Power Svppiicr Address ? Elechi Conh?or Compalry N me? ? Q,? p ? ,? 1 Conno/cl?w lice?uc No.p ?y C I O 0 hWsler lic. No. (Plont Elect Only) hbi ing Addracs JConrcaetor w r Pcrforming Insbll Aulh 'zad 'gmNre C tmcmr w Owner Perfarmiog Inslallalim 7 Ph[om ( No. ?^, 2 `l3 '?1 J EB-0 hl 8/96 ?'?" '_"., ___....._...._ ...................?...........,.... ... 9t?y REQUEST FOR ELECTRICAL INSPECTION <L? 4/?'T O-" L o M 1n821 Univ rs H Ave. Rm. S 8C St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apf. Bidg. Other: ew Addn Commercial 1 Indushial Farm emod Re air Air Cond. Htg. Equip. Wofer Hh. Load Mgmt. 1 1 Other: Dryer' Range Elec. Heat Tem . Service "X" abave f6e work covered by ffiis request. Enler remarks in this spoce ond on the bock of tlre white copy only, v Calculafe Inspec/ion Fee - This Inspecti Request will nof be occepfed wifbout fhe mrrecf /ee: Olher Fee # Service EMrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200_Amps 100_Amps Twnsfarmer/Genemtor INSPECTON'S OSE ONLY ? TD7 L Sign/Outline Lig. Xfmr. Alarm/Remote Confrol Swimming Pool i?reb centfy thm i m t oi i nan. dexH he.em o? tha dm?: red Irrigation 8oom ?, RougMn D l 5 ciallns fion Inves?igative Fee l Fmel om a Z? THIS INSTALLATION MAY BE ORDERED DISC NECTED I C TED WRHIN'18 MONTHS. CITY OF EAGAN N? .19601 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 7? C I S I I BUILDING PERMIT Receipt # V To be used for DECK Est. Value Oate AIIG 23 , 1991 Site Address 4041 PENNSYLVANIA AVE Lot 10 Block 4 Sec/Sub STAFFORD PLACE . OFFICE USE ONLY PefC@I NO. Occupancy - FEES Zoning _ W Name MIKE MALONE (ACNaI)Const BIdg.Permit 25.00 o AddfeSS 4041 PENNSYLVANIA AVE (Allowa6le) - - 50 Suroharge . City F.A[:AN Phone 688-8857 xoistodes - 161 Plan Review Len9th - o Name FRED HARTGERINK CONST oePm 15' snC ary 0Q Address 4194 BRADDOCK TR S.F.Total , _ ? Cjty EAGAPI Phone 687-9343 S.F. Footprinls SAC. MCWCC - H'ater C nn On Site Sewage o Name onsiiewen M ?N I N AddfBSS MWCCSystem ater eter Qlty Phone City Water _ AccL Oeposit PRV Raquired _ S/VJ Permit I hereby acknowlege that I have read this application and state Ihat the Booster Pump - SM/5urcharge inlormation is conea antl agree comp y with all applicable State of Minnesota Slatutes antl City t E an O anc . Treatment PI Signalure of Perm APPpOVALs Road Unil A Building Permit is issued to: FRED HARTGERINK CONST P1e""ar - Park Oed. on the expreas contlilion that all work shall ba tlone in accordance with all CWwii -- applica6le State of Minnesota Stat utes a nd Ciry of Eagan Ordinances. gl?, plf, _ Copies p _' Building0(ficial ?(f,?r1.Q?1' 1?? T Varience - TOTAL 95_ Sp RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF EAcaro 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4875 New ConatrucHon Beaulrementa • 3 repisteretl sHe surveys stwwing sq. k. of lot, sq. fl. of house; antl gll rooled areas (20% meximum Wt coverage albwetl) • 2 copies ot plan sMwing beam 8 window saes; poured lound design, etc.) • 1 set o1 Eneigy Calculetions • 3 COpies oi Tree Preserrethn Plan tl bt plettetl afler 7/1M93 • Rlm Joht Deteil Optbns seleclion sheet (bldgs with 3 a less unds) DATE 6? /_01 /od- -#? aa'3 ( ?/l3 ,-7s t? _'O-0Y pemodeViieoalr Reaufrements • 2 coPies of plan • 1 sel of Energy Calculalions lor heated addttbns • 1 sitesurveyforexterbraddtlions8decks • Indkxte 8 hane served by sepCa system for adGd'ans VALUATION 5f?',5__Zn . 40t!D SITE ADDRESS 4041 Pe-r1v1 .5?{ I Vcz.f? t o... Au-e- MULTI-FAMILY BLDG Y TYPE OF WORK Re-(_ao-? FIREPLACE(S) _ 0_ 1 APPLICANT 66 _N _ 2 STREETADDRESS S(o47 /?deAICIN TELEPHONE # /aS! L139-43 CELL PHONE # ?STATE li-f 21P 552) aO9lP FAX # (oSi 3,57 PROPERTYOWNER YVl t I-?e- Yl o? TELEPHONE# !0 8$ - SS.S7 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULFS 7670 CA1'EGORY 1 MLNNFS01'A RULES 7672 (4 submission ty{>e) • Residential Ventilation Category 1 Worksheet Submitted • New EnergyCode Worksheet Submilted . Energy Envalopa Calculations Submiqed Plumbing Conhacfor: __ Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: SewedWafer Contractor. _ Air Conditioning _ Heat Recovery System ? IIUI?? T 0 l'J ? I hereby acknowledge thaT I have read This applicaTlon, state ihat the informati ?IS_ceus comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances ? Signature of Applicant ? ......... _._......... ---°-------..__..... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 _ Water Softener ? Water Heater _ No. of Baths Phone # Fee: $90.00 _ Phone # Iawn Spriiikler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O 33 Exl. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti O 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04plex O 12 12-plex Plbg_Yor_ N O 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bidg. ? 42 Demolish (FOUndation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolkion (Entire Bldg onty) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foorings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framig _ Siding Smcco Stone Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storege S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Building Inspector Copies Other Total CITY OF EAGAN N2 17125 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 s BUILDING PERMIT PHONE: 454-8100 aeceipt # ? c ?1 I11 Tobeusedfor SF DWG/GAR Est.Value $75,000 Date OCT 2 ,19$9, Site Address 4041 PENNSYLVANIA AVE Lot 10 Block 4 SeGSub. STAFFORD PLACE Parcel No. w Name FRONTIER MIDWEST HOMES ? Address 1285 CORPORATE CENTER DR ° City EAGAN Phone 454-0433 ? Name S? 0 g¢ Address ? City Phone r¢ wW Name ?? Address aw City Phone I hereby acknowlege that I have read this application nd stata that the inlormation is correct and agree to comp with a plicable Slate ol Minnesota Statutes and City of ag Orcll SignaWre oi Permitee A euilding Permit is issued to: FRONTIER MIDWEST HOMES on the ezpress condition Ihat all work shall be done in accordance with all applicable State of Minnesota StaWtes and City of Eagan Ordinances. BuiltlingOflicial ? ?l?l I10A,/ OFFICE USE ONLY Occupancy R-3 M-1 FEFS Zoning R-1 IAcWaq Consl V-N eldg. Permit 598- 0 (Allowable) V-N Surcharge 37.50 a oi stories Jr ' Plan Reviaw 264.00 Lengih DeDlh 4W SAC, City 100.00 S.F.7otal - SAC, MCwCC 575.00 S.F. Foolprinis _ On Site Sewage _ Water Conn 5$0.00 On Sile Well - Waler Meter 90.00 MWCCSyslem xx XX Aat. Deposit 30.00 City Water PRV Requiretl XX S/N/ Permil 20.00 BoosterPump - SiWSurcharge 1.00 Treatment PI 228. DO APPROVALS Roatl Unit 340_ (10 Planner - park Ded. Council BIdg.Ott. _ Copies Variance - TOTAL 2,793. S0 . o•? 528 •ou+ 37•tiu+ 264•U0+ 1a954•UU+ _ pby?,?!'?? 27 `l 9) • 5 U* uw 5'?_d•UU+ 3 `I `_s li T 264•Ud + 1J64•ULJ+ ?? 27J5•5u;? SINGLE FAMILY DWELLIRGS 2 3ETS OF PLiNS 3 UGISTEAED 3ITE SORVEYS 1 SET OF EBERGZ CALCS. 2 3823 OF PLANS 6EGIST6ItED 3I?E 30ROES3 - (CHECS iiIl'H BLDl3 DIY.) 1 SET OF EAEAGT CiLCS. COMlERCIAL 2 SETS OF 18CSTfECTURAL i ST6DCi'URAL PLANS 1 SET OF $PECIPICATIONS 1 SET OF E9EAGS CALC3. MULTIPLE DiiELLINGS HENTAL IINIT3 FOA SILE 0ltITS ! OF OBIiS iOTEt 1DDRES3FS FOfl CORAER LO?3 - COPTRACTOA/HOMEOiiNER !lOST DE4IGPAiE IiHICB IDDEFSS IS DESIRED. 80 CHAtiGFS iiILL BE kLLOiiED OIiCE BDILDIPG PfilillIT IS ISSQED.. SEiTER 6 AATER FEAMIT FEES JLliD ?CCOONT DEP03IT lECiS 1iI1.L B& INCLODED YITH THE 80ILDING PERHIT FEE. PROCES3ING TDM FDA SEIiER 11PD WATEA PEtplIi3 IS TiiO DAIS ONCE l PERMIT H6S BEEH COMPLEfED INDICATIPG A LICENSED PLMffiER. PENAL'RY APPLIFS flEiENs PEEiMIT IS NOT PAID FOR IN SAME MONTH IT IS REQiTESTED. LOT CHANGE IS AEQOESTED ONCE PERMIT IS ISSI7ED. SEP 2 5 1989 To Be Used For: new Construction Yaluation: o Date: g_25-89 3ite Address 4041 PENNSYLVANIA AVE. Lot 10 Block 4 Parcei/Sub STAFFORD PLACE pwner MALONE, MIKE AND LYNN r)SOCJ' vrriLia wi Occupancy R'3 M-I 2oning R-I Aetual Conat V-N Allowable V-N 1 of atories Length 50' Depth y0' S.F. Total Footprint S.F. Address232 7th AVE. N0. City/Zip Code HOPKINS, MN 55343 Phone 939-9745 Contractor FRONTIER DEVELOPMENT AddresJ285 CORPORATE CENTER DR. City/Zip Code EAGAN, MN 55121 Phone 454-0433 Arch./Engr. DICK CHARLIER Address 14103 GARDENVIEW DR. Citq/Zip Code APPLE VALLEY, MN 55124 1989 BUILDZBG PEHhiTT APPLICAiION CITY OF EAGAN ? ? 126. !ffiL2IPLE DfiELLINGS On aite aexage On site well !lHCC SysEem City vater ? PRQ required ? Booster Pump _ APPHOVALS Planner _ Couneil ? Bldg. Off. --XP 11 (Z'I varienoe moosL', CoNCO12D 'L' Es--? Bldg. Permit 528 •DD Sureharge 3 '7.So Plan Review 26U,uo SAC, City o 0000 SAC. MWCC 595.00 iiater Conn Sf30,? Water Meter 90.00 Aeet. Deposit 30,0 0 S/A Permit O.oo S/YI 3urcharge 'Do Treatment Pl. Z2 ,oa Hoad Unit 3(40,00 Park Ded. Copies SQBTOTdL Penaltq TOYAL ?S i ? Phone I 432-5492 VA tuAmO rJ .? ~`? w e.•? ? ?- 0 "S' ? Savellors G'erllficrrte SURVEY fOR: Frontier Midwest Flomes Gerp. DESGRIBEO AS: Lot 10, Block 4, STAFFORD PI.ACT;, City of F.agan, Dakota County, hfinnesota and reserving easements of record. ./ ' , ," . ,a ? 0. N ,a °i ? e4.. ?s?? a 86?. c p" I - FPl•}?ed , ?` ? Gan ? 5. 7. / / ? ? ?S"F ? ? a6C / y aO Sa ? ? NS \ / 9? \ PROPOSEO ELEVAiIONS Tv0 0/ Faundoflon . 8??•3 G010Q! flDOf (3,6'R,ca) • 8&`•9 Boeemant Floor :9V4.1 AnOron. Stwar Sarrlcs Elsv.. g53+D Propoted Elevollonf ? O Etrfllny Elarallons pralnap• Dlrsetlom ...,?_. Denolas 0!lfel SIaMS ? O lolE'DL UND Planning Englneering Sunreylrrg r»? e..? eNan+won rw.. . noon ?o?. wlm?..a. Wf0 ?•: kl A-LotiE . ? l. 6{ 1 ?? ? f?!?`?9'F !(; Bv ?t EAGAiV Po Il 44oVa ? D? BCAIE: t IneA s 30 Fssf - REQUMED BENCHMARKl T. . H. L,o! ( ? 7, Blk. 5 6.) e. 0 4 IMIN.3EiBACK REGIREMENi$ I From - 20 HowO tIAe - lo Reur - IS 9araye 61de - S 1 hon6y cotllfy IM1aI IMe survq, plan et rePOrI wes OroOareA ?f me JOB NO.: m ValdIr mY dlnel nupnvidan ana IAeI i am a luly ReOIeUret 89R-29'7 lnc.d Surroya undu Ihs lowa d Iho llaN M Mlnnuela. lOON: rA6E- p0et•t 9? ??B°? • ?•y IY?-•?? LA00 FILE- cxecKCO1:' r.r . ?a Tn.llunq 11?ie F.t1.N.C. -?r"I' 4- O m 2 0 ? ? ? J , ' EXTERIOR ENVELOPE AVERAGE ."U"_ COMPUTATiON - .. . ' OWNE R: nnrr:__ 2- Z7-$9 . `Cll"TI 1?2VlKLii?Il)Ccilfo? ?? PHONE: DR SS 5?TE AD E : i CONT RACTOR: r'2 n"2-20?-=e PI-AN # G'?? C012(? L.A? Cetermir.e working square footage of each 1. Total exposed wall area..... l11 `"l.0 sq. ft. x.11 2. Toial roof/ceilin9 area..... l v$D sq. ft. x.026 +CPO - Total exposed wall area above,floor=_? 1 30 . 3 C.?3 ..'. a. Total . wall window area ........................................ b. Total door area ................................................... . 3... .?" c. Total . sliding glass door area ....................... ........... . -- d. Total fireplace wall area ........................................ .. ' e. Total wall framing area (average 10%) ............................ . ?.-, .. ;. <-: ?• ? ]? :: f. Total rim joist area ...........................................:: "f`ED'- ` : I SSl" ' 9 net wall area a6ove floor ...............:..:. . . . . . . . . . . . . . . . . . . ' " ? h. .... . wall area a6ove floor ............. -- .. . ., i. wall area a6ove floor ..................................... ^ .. . . . ., ' : - j' frame wall area at.foundation ................................... - . . - :- . " Total exposed foundation ai-ea= TZ O ? 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) l 3(i l3 X?lull a . b. 3? x „u„ , 31 = II ??l ? _ " X liuii C. d. X llull _._. _ : . e. ?r13 X ??ull ? 11 = 1`1P3 ' f, lqC7 x????? o C.1 g. X u?? , C+S = -7 -7 l-$5 - h X liuti ? X 'lull _ . X liuii _ ?? If item f3 is the san k X?lu,l = as, or less than`iten ' 41, you ha4e met tfie ?J X „?„ 1. intent of SBC 6006 (< 3 . ..... ............................Total = ZOO?Ca 3 :?. , Total expo;ed roof/ceiling azea m. Total skyli.ght zrea ............................ ".. . ? .:. . n. Total roo`/ceilin, f±•aming arra (avcragc c. Total net ir.sclatcd roof/ceiling .?rea......:...•..?? 'Z Dete-mine "U" value for each roof/ceiling segment !a. X r.. 10?7 a ??u- 0. x ?,U;, -Z-'l 175: = . ........ .................... Total "' to=a1 c' == is the some zs, or less than 42, you have met the intent of . S:,C 5005 Alterr.ate Building Enve:.ope Desiga To _t:ii=e the total er.velone system method, the values estzblished by the s..ua of >ta:s =3 z_d _4 shall r.ot be greater than the sum o£ items u1 and n2.. - i. 'Z 1 3 ?'1 -r 2. 3 + 4. Z? ?Zi -T 3. 2.oGt C0 I ; oT OPaque CONSTRIJCTIOiS•- £RAhffNG vuLL eT-G- ?Q jr, ?4a ?ItT71A WALL SLAB ON GRADE ?, . ` '-- ° •? III ? ' ?G ;?3 71?r - ! ? 01 -._ ?'° ? ° O ? -- 3 r.? . . 1. INTERIOR AIR FILM 0.68 2. 2 G BD .45 3. 5 T 2 SOFT WOOD 6.87 '+.. 5. TtiEtrnifl FL..Y 64SAT+4 .2 b 6. IOR AIR FILM 0.17 TOTA L R= . 8_94 U° .J/ NEI' 1. IN'IERIOR PSR £ILM 0.68 2;''` 2 GYPBD .45 • 3, L. ' 4 71f6zMO Y sH .2 5. ING .62 6. _ R A R FILM TgEAL = Zl-12 U= _ 05 1. INTERSOR AIR FIIM 0.68 2. 6 INSiJL. 19.00 3. x JOIST 1.89 4 Z nY sH?crH ----- 5. SIDING 6. ' OR R PI TOTAL R= .. 12.56 U= ...•.09 BLOCK . 1. INT'ERIOA AIR FIIId 0-68 2. ; A . 3. 0 ' 5.00 4. PROTECTIxlE BARRTER 5. 6. A F TOTAL ' R= 7.13 U= .14 11? t€ ( Ift !!? NOTE ? Il? ? - Ill 1111r! ? /1-1 ? ? /1( INDICATE ?1'PE, "R!' VALIJE. DM'iH AtID ?LACIIMENT OF INSULAT20N,. o - , ? ? Y ) t . ^ p. S ? . 'r + t( S , r t ._ .? . .. ? . 1 ? . 1 1 1 - f < D P r Ilr = • . _ r- _ a rI pRqrA8 HR Lt ttnted Seac flocr - up • ' ' . ? • N ' ? . '• • ??tw.?vt?'?+?1_• tM_??,p,?1?tJn?-dax4 ,.,rn '_:•_'?-- ?-_-? ? Conat?Q^ R-Valuo 1, Interior air film , . . 0.61 2. ? J- ?'s6o^-?????! l[`Sls ? ' 38. q, ExteYior air filn (still) 0. ?- Total r film i 1. Zxterior a 0.61 ,, ,? 2. 95/0.411 % ? . ? 11l? Ir . 31• ??t. . 3. - X s[ , 4. Exterior air filn Ntiiij . . Total 33. ?.'r'! ' - • . ?/ 'e?I- . C OA6 svA ii C T/ 1. Inside air Filin 0.61 2. 3. ' 4 . S. Outside air. film O. 17 Total ot (F . . ' ' . . 1. Tnside air film 0.61 2. 3. . 4. 5. Outside air film 0.17 . TOta7. 1. 2nsld'e air f31m . 0.61 2. ' 3_ • 4. S. Outside air fi2m 0.1 . ? TOtal ... ' . •? i Y Eea= f2oe vP • , a. : oieatcd •. . ' ' • • ' ? , • . • _JFIG. #6.: -• • . ?_ . . . . ' -- ? . . - ' 1 o 1 `'J 1 T ' v ' ?r?-? ,. "' • : • _ .` `: .:.•' , . .' - ?7_?? ? . 1QOtc: Use additianal sheets if snore Ppaee • • . lseedecl for details and calcu3atian: He9t • ? ' ' • . . • ? floa ap ? • . • , : ' BIG. 47 • . . . . ... .._..,. . . . ? ...._----- ... ..._..^ ... * LINEAL F'EET fXPOSED WALL srACx: .7 co 4~ L! o + Z-c,o +- t gs' 4- LF ta1EE: ?c.o r?En+ z. co ^? t $ W.O.: nYLL i: Z4 +- `f a+ - '°-( 4-10OL- y4- lZ: = (0 Ftrt,t. z : FIREPIACE : RIM: l qo * sQuARE FEer EXPosm waU AREA ' BIACK: x .5 = KNEE: tZ'Z X5= W.O.: x 8 = fULL 1: ? c{0 x 8= FTTLL 2: x 8. _ FIREPLACE: x = RD'1: X 1 a. _ * SQUARE FEET fXPOSED CETLING .(d $O ^ \VtNq6\Y5 uq ? Z-H'? 8 G r.. ? t to ?- 3rxr6Cp c, z ? ?-Z?{3C.,GL ?. fz ? ?036 G L = 10 1ifi - z43G Lo r.- 3 Z 73?, 3 ?U 4tO ? - 1 1 ZO? ? K lq Kp . ., .. :..j.,.:., . .. `?. ? ? ? v . . .. . ? DOORS b ? ^ PATIO DOORS . ; • . . . . : L, b J Z` q ? . rt BasDIENr urrrrs ' , ?'•' t?.i.. ? 1 ,..,,::•?.. ?? ?, ?. ,;: ...c.-?r,?._:. r .._f??: ::.1 •- ?. :'i '•? . _.. ..?. .:. ?.:°;-.; . . r,?. r :"• ? ??^... ..4.?ii?.:. ?.i..?'_:.i.qv ....1?i.. ..._ ;,r :;J. .. .,??... . ,... ? '.:; i?' . ? .:?•r.' ' . ':','':'. ; .. r..., -i`t ..,.,?,... _ . y . :.:. _... . ,_ ,, ,,....? .. , . ... . . ? . .. . <.:, ,. X CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLorNG Permit Number: 0 2 9 5 3 4 Date Issued: 0 2 J 2 5/ 9 7 PERMIT SITE ADDRESS: P.I.N.: 10-72500-100-04 4041 PENNSYLVANIA AVE L07: 10 BLOCK: 4 STAFFORD PLACE DESCRIPTION: REMARKS: BASEMENT FINISH ALTERATION ALT. RESIDENTIAL U 1 ,i _jf (ONE BEDROQM) Building'-Permit Type Suilding W6:.r.k Type ? Census Gode 11 434 .. ? ?f \•?"'?f'. FEE SUMMARY: Base Fee Surcharge Lic. Search Total Fee $50.00 $.50 Fee $5.00 $55.50 CONTRACTOR: - ,qpplicant - 5T. Lzc OWNER: TUTEWOHL MICHAEL 16879141 0001670 MALONE MICHAEL A1612 MANOft DR 4041 PENNSYLVANIfi AVE EAGAN MN 55123 EAGAN MN 55123 (612) 687-9141 , T hereby acknowl,edge that T have read this information is correct and agree to camply ? Statutes and' City ofi Eagan 6rdinances. APPLICA /PERMITEESIGNATURE applicatian 'and state that the with all applicable 8tate df Mn. ? ISSUED URE 199 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3t CITY OF EAGAN 3830 PILOT KNOB RD - 65122 687-46T5 New Constnictian Reauiremants RemodeUReoair ReauiremeMs ? 3 repistered eke surveys ? 2 copies of plan ? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.) ? 2 sfta surveys (exterbr eddRions 8 dedcs) ? t energy calculations • 1 eneigy calwlatlons tor heated additions ? S copfes ot tree prexrvffiion pfan B fot plalted eftar 711193 required: _Yes _ No ' DATE: "q / Il `T/,?, 7 CONSTRUCTION COST: -1 ? - UJ DESCRIPTION OF WORK: t3`? r"L JLI °h?\ STREETADDRESS: LOT 10_ SLOCK 10 u 4_ SUBD.(P.I.D. #: ? PROPERTY Name: M 1 L```k <<- /" ` a La At- Phone OWNER ? ..? Street Address: 0 "I IP e 5 ti C. v w.? + a 14 U L City: ? T-. State: zip: ?, st a 3 ^ ?ri coNrRe?c7oR Company: M? L?-- Phone 9r Street Address: YJ n,L e- License #: ? ?7 0 City: State: Zip: =5LZ 3 ARCHITECT! Company: Phone #: ENGINEER f3ame: Registration #: Street City: 5tate: Zip: Sewer & water licensed piumber (new construction ony): . Penalty applies when address change and bt change are requested once pettnft is issued. I hereby aclmowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Stawtes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY FFB 2 0 1997 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ Na _ Not Requi Y• BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Z"' 96 Basement Finish a 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex n 13 GaragelAccessory n 20 Public Facility o 04 SF Porch ? 09 12-plex D 14 fireplace n 21 Miscellaneous n 05 SF Misc. ? 90 = plex o 15 Deck WORK TYPE e" 0 31 New A 33 Alterations o 36 Move a 32 Addition. ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ? (Allowable) Main level sq. ft. City Water l U8C Occupancy sq, ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. LI3 Depth Footprint sq. ft. SAC Code oj Census BId9 Census Unit t) APPROVALS Planning Building +vl? Engineering Variance Permit Fee Valuafion: Surcharge Plan Review License ? MC/W5 5AC . Ciry SAC Water Conn. Water Meter Acct. Deposii S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other ? Copies Total: $ % SAC SAC Un'Rs ? 1991 BIIII9NPERM?AILICATION CITY OF EAGAN ? SINGLE FAMILY DWELLINGS MITLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL ? 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS ? 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS V PENALTY APPLZES WEIEN: 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 MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuat ion: -409?- Date: g o-z-a Site Address 404) Pi1V1',t jjVan;o ??. OFFICE USE ONLY , I U L? Lot Block FEES Occupancy Bldg. Permit ?.S 0,2 2oning Surcliarge 15Z, Parcel/Sub =>TA? po R3? ??-FC_t Actual Const Plan Review Allowable SAC, City Owner a67P # of stories SAC, MWCC Length /(o Water Conn. Address ?loNr pr l??? AV. Depth Water Meter ? S.F. Total Acct. Deposit City/2ip Code FqGn n.?5 3 Footprint S.F. S/w Permit ( J S/W Surcharge Phone 0 V(j - $? On site sewage Treatment Pl. I _ On site well Road Unit Contractor Fr ??ur't:n e rl r1 k (!?W - ^ ,MWCC System _ Park Ded. p I ? City water Trail Ded. Address PRV Copies C _ Booster Pump _ City/Zip Code _ ?qqn 55??,3 SIIBTOTAL / APPROVALS Penalty Phone Planner Lot Change _ Council TOTAL V.tro Arch./Engr. A2t-4-n&r, i?1k Bldg. Off. •z39i?J? Variance Address 5 4iy1 e- City/Zip Code k 5 Phone # 4Ov.` S ater Li ens d Contr. agrees that all woik shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. SURVEY FOR: DE5CHI8ED A5: ' r i? •• i ' •,; J ? ? qN/? Swtvellors G'er?t?fica!`e Fronticx hlicltaest Flomes G?p. Lot 10, Block 4, STAFFORD PLACii, City of Eagan, Dakota County, P•iinnesota and reserving easements of record. \ Np?/ h ? ? 6 8??'Z e? SPI. ??cl < ?- ? i a1\ .? ?a^. / y / 0 NS ? y? \ gm l?ro ?os e,.d- DeLk C6 -aa-a? o ? . ?rry, ? Q? 34 / ? S ,:? ,io .? &w0E .t+ _-.'I P lia c.s:a , p L?? V By ':'AGAN E=.C?,_??,Y_ . . . .?,' P.R.V. REQU6RED ---0 g 5 ?a 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $--n . p New Consiruclion Reauirements RemodeVRepair Reauiremenls Offate lkeOnTv 3 regisfered sife surveys showing sq. fl. of bt, sq. N. of house; and all roofed areas 2 copies of plan C2ri of Swvpy ROCd ???Y N (2(1% maximum lof cove2ge allowed) t set of Energy Calculations fot heated addtions T[2e PresPfen Rectl 2 copiw of pian showing beam & window sizes; poured found design, etc, t site survey for additions & decks Ires PrBS {?ttEd ,? Y.',,;,,N 1 se1 of Energy Calculations Addifion -indicate i1 an-site septic system D?-Si1e 3ept?G?uys?em ..;: Y'_N3 copies of Tree Preservation Plan if lot platled aRer 711r93 Rim Joist Detail Opfions seleciion sheet (buildings vnth 3 or less units) Date c(o'-_? Construction Cost Site Address '-I 64 l rkno,, 0'?' ? • UniUSte # Description of Work 1t I?1v ' Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner M'wC. Telephone # 05 ? RENEWAL BY ANDERSEN ? Contractor 1920 COi7NTY RD. "C" W. Address ROSEVII.LE, MN 55113 CiTy State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv I Mumesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master planV _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Confractor 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 City of Eagan and the State of MN Statutes; 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 1 n in the case of work which requires a review and app oval of plans. r ??s?-T 1 Applicant' Printed Name Ap licant's Signature I 1)?p? p5 til - 1 - OFFICE USE ONLY Sub Types ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchJAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolkion (Entire Bldg) -Give PCA handout to applieant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings(addition) Fonndation Drain Tile Roof Ice& Water Final _ Freming - _ Fireplace _ RI. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Suroharge Treatment Plant License Search Copies Other Total REQUIItED INSPECTIONS _ FinaUC.O. _ FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ••?...e,c.«-,.c zuv i?.v? tna toJ DIl'4Hb0 KI:IV!'A/14L 351aB1YUlSKiflSA' ' _ . • w47U r? ?,? .. ?.?,. - . . . . . fimo 7, 200] - . - . ?Y ofEspa . 3836 Rlfcrt Kttoli Road - EagM MN 55122 . To W6om k MaY cmncern: E[der Iones is authorized to p? building permits for Rrrce,val by Fsider ]ones to proride tfiis ses'vice for ue in Hsgan, AndeismL pteasa allow ?Tua euth . date boyond 616101; qntfl aonga,aj yY Ade ortzacian is vaiid for any sen to the Gity manaper eaPcnssIY revokes it tn wiitfng I'ecNest this antiiorizatian be accepte d 'mcpedi@ousl .. ' .. - ovr baiIdinS P??nib emY fiuthcr. Plcasc caIl mc If thcm acc nny qn?tona:. I?g tsf , contacbed at 763-502-4706_ . . Your immpdia0c attention to 6ffi3s malicr is "' - . eted. . • , . SinoekeIy, ' . : *,¢ f •. oud"R Rau astallarion Manager . . ROIIOWc'll by AT1CmtII CA1p0IdtIDII , . C;c.: TCarn-F,ides 7nne_e . , . Recaived Tiu?e Ju?. 1. 07Pfd PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA084533 Eagan, MN 55122 . Date Issued: 07/21/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4041 Pennsylvania Ave Lot: 10 Block: 4 Addition: Stafford Place PID 10-72500-100-04 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Haley Comfort Systems Michael L Malone 122 West 3rd St 4041 Pennsylvania Ave Hastings MN 55033 Eagan MN 55123 (651) 437-0338 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 3830 Pilot Knob Rd Permit Number: EA090370 Eagan, MN 55122 . Date Issued: 07/28/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4041 Pennsylvania Ave Lot: 10 Block: 4 Addition: Stafford Place PID 10-72500-100-04 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: huprovements 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 $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Michael L Malone 1920 County Road C West 4041 Pennsylvania Ave Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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 Use BLUE or BLACK Ink Ask, I For Office Use lv~la City ~a an Permitof I Permit Fee: CJ~ I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 INFLOW & INFILTRATION PERMIT APPLICATION _Plumbing Sewer & Water Dater Site Address: Tenant: y +J N--~ o rJe, Suite Name: +`1 \ \ .o. •J2 Phone:r 651 to _ RESIDENT OWNER / Address / City / Zip: Name: License Address: City: c-.G-r- CONTRACTOR State:\`\11~ Zip: Phone: 9c, 3 C Contact: Email: ' C--G PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: DESCRIPTION FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the w 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 applicati for a permit, and work is not to start without a permit; that the wo, will bLinaccordance with the approved plan in the case of work whi requires and approval of plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In -Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159924 Date Issued:01/29/2020 Permit Category:ePermit Site Address: 4041 Pennsylvania Ave Lot:10 Block: 4 Addition: Stafford Place PID:10-72500-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Sarah Elizabeth Milner 4041 Pennsylvania Ave St Paul MN 55123 (651) 303-0692 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161444 Date Issued:05/27/2020 Permit Category:ePermit Site Address: 4041 Pennsylvania Ave Lot:10 Block: 4 Addition: Stafford Place PID:10-72500-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Sarah Elizabeth Milner 4041 Pennsylvania Ave St Paul MN 55123 (651) 303-0692 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature