4183 Pennsylvania Ave. ?
CITY OF EAGAN 18090
• - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for a DWG/QR Est. Value #63?000 Date 'Nj'Y 3 , 19 ?q
Site Address 4183 PENMBYL.YANIA AVS • `,
Lot 14 Block Z Sec/Sub. $T? ?? OFFICE USE ONLY ?
R-3 M-Y F?ES Parcel No. occuPancy ?1 _
88A80[IAL HUII.=S9 INC ?ing
W Name 473.00
(ACtual) Const ? Bidg. Permit
?
o Addr@SS ?? ? (Allowable) - gurcharg4/?
96
967 * of stories 7*00
Cit Phone
y Length Plan Review
o Name sm Depth SAC, City 100000
?q Address S.F.Total AC-?CWCC bW'?
? City PhOfte S.F. Footprints n b2S.?
?? On Site Sewage - ?.?
W W Name - on site weu Water Meter
?
p' ?Mwc¢sys ? ? •?
i W E Address ?ct Deposit
'-yJ;C?y(+ater
a W City P n? -
G t) PRV Required 5lNl Permit
I her e by ac kno w lege t ha t I have rea d t his app lica tion a n d s ta te t ha t t he B o o s ter PumP - SAN Surchar .?
in(ormation is correct and agree lo comply with aU applicable Slate of
? ZS2#?
Minnesota StaWtes and City of Ea inance?'? , Treatment PI
Signature ol Permitee APPROVALS Road Unit
?i Planner
A Building Permit is issued to: W1?M? Z - Park Ded,
on the express condition thal all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pry, _ CoPies Building Oflicial ? 't;t ; _ Variance - TOTAL 2o894.00
?
Date
VArER
SEWER
H.VA.C.
ELECTRIC
? Const. Meter Pibq- Inspec.for - NoU(y Plumber ?
Deck Final
Well
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE: ;s? i i t)t. NQ
3830 Pilot Knob Road Permit Number: ""`"4"
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i?,? I?t + ???•;
I'i reN•.'r i var? I A AVt M001. i i 141,
.:F ? iii I? f?l Ii? I- s e, i. ? ?•rs., A7?SFi .
PERMIT SUBTYPE:
,.t 1
TYPE OF WORK:
f4l IJ
INSPECTION DA • DA
,
, .. - . ... . ? -
pl? . a
?
?
Permit No. Permit Holder Date Telephons N
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
7EST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR 7EST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG /v l
DECK FINAL ? ?S-/?
p -. w'
`? : • . rb
??????????? ?? ???????ry
Citp of (eagan
flrpartatettt p# Wuitbiag 3ttvrrtian
T7ris Cer[ifrcate issreed prrrsuant to 1he requumenu of Seclion 306 of the Uniform Buifding
Code cernJ'ying lhat at the dme oJissuaxce lhisstructure was in compiiance with the vrrriaus
ordinances of the Crly reguialing buildkg cvnrtruaYOn or use Far !he followirtg.
use a.mrmuoa sg rr.r_'Ira Bw&p..dr.- lA(]48
O=V-.9 TYM R3.4di Tamg Disvicti R I Type Crnm! VN
owmacroEe?og .c+EASWA- ??MS IN+ Aadrcss 957 _1FOAM TANF* EA[',AN
8wl&l Addr= 41R3 PI?AL'GYT?At?IT_A A T? L14, ffi, STAFEM PIAX
? 0fficf?' ' " /
.
PaST It+f A CONSPICIIOUS ?LACE
SEWER de WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MM 55122-1897
DATE
6/21/90
OFFICE USE ONLY
METER # ? PERMIT DATE 07/06/9G
CHIP' # PERMIT # 1509
METER S1ZE i 1 B.P. RECEIPT # C 6697
? B.P. RECEIPTDATE 07/0 5 /40
ISSUEDATEV T?
_ PRV - BOOSTER PUMP
SITEADDRESS 41 ;3 - ::i:n ;ylvania 2.ve
LOT?LOCK.?SEC/SUB ?? ?fford pi,ACE
APPLICANT: -;easonal Builders Inc.
ADQRESS: =62 Jefterson Lane
CITY, ST 7E :,a`-?,:1 , -„In. ZIP I '' -'
PHONE: ?. , 1 G
PLUMBER: rlurnbin5?
ADDRESS: 31oor.?in;*ton, P p BOX 20509
CfTY, STATE lii.OOMINGTON W: Zlp 55420
,
PHONE: ?-
OWNER: 4.:1 1iO we
PERMIT REOUESTED
1L SEWER YWATER _ TAPS
- COMM/IND
XNEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Instal4ed
Ahead Domestic Meters on Water Line.
en for Deduct Meters.
iz? "
z
EE 4RD CO PLY WITH CITY OF
EAGAN NCES?
ADDRESS:
CITY, STATE ZIP ?? ? =a f ?'''?--?'
PHONEM SIGNA7URE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSINC?a.' CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. r
,
,
BUILDING PERMIT
To 6e used for SF 1
CITY OF EAGAN NO ? 809?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100 ? Q? (? -,
Receipt # ?
000
1s30-
Site Address 418 P NNSY .V N7A AVF
Lp( 14 BIOCk 2_ S0C/SUb. STAFFORi1 PT.ACF.
Parcei No. -
w IName SEASONAL BUILDERS INC
o Address 952-JEFFERSON LN
City EAGAN Phone 865-6967
Name _
Address
City -
Phone
W W Name
Address
<? City Phone
I hereby acknowleqe ihat I have read this application and stale Ihat the
informalion is correct antl agree lo comply with alyapplicable Slate of
Minnesota StatNes and City ol Ea inance
?
Signature ofPermitee<. ?
A Buildinq Permit is issued to: SEASONAL BUILDERS. INC
on the express condition that all work shall be done in accordance with all
apphrable State of Minnesota Statutes andyCay oi Eagan Ordmances.
Building O%icial
OFFICE USE ONLY
OCCUpancy R-3 M-1 FEES
Zoning R-1
(ACtual) Const -V--N Bldg Permit 473.00
(Allowable) V-N surcnarge 31 _ 50
A of Stories 41 ? plan Review 307- n0
Lerglh
Deplh 46 ? SAC. City lnn. n0
S F. Total - SAC, MCWCC Fnn _ o0
S F. FootpnMS -
Water Conn
625.00
On Site Sewage _
On Site Well - Waler Meler 90. 00
MWCC System XX qcct Oeposit 30.00
City Water XX
PRV Required _ S/W Permit 30.00
Booster Pump - SMI Sumharge • 50
Treatment PI 959- 0
APVROVALS Road Unit 355.00
Planner - park Ded.
Council
BIdp.Off. _ Copies
2
894.00
Variance - TOTAL ,
REQUES' FOR ELECTRICAL INSPECTION
? r w M ? rA ? SFeSOefnxlmns br comoletma this form on back ol vellow croov.
"X" Below Work Covered by This Request
ew Adtl qep Typeof8uiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electiic Heating
Apt. ewlding Dryer Olher (Specdy)
Comm./Industrial Fumace
Farm qir Conditioner
Other?syecdy) Conhxmr5 Remarks
?J,•y `n/
Compute Inspection Fee 8elow:
# ' Other Pee # ServiceEnlranceSae Fee # Cimuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 700 Amps
Transformer5 Above 200 _ Amps A _ Amps
9,g05 InspecmrS Use Only: TOTAL
Inigation sooms d
Special Inspection
Alarm/Communicauon THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
• Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certity that ihe above inspection has
been made. Aough-in ?
Fmai oat i?
OFFICE USE ONLY
TAis request voitl 18 monihs trom
EB-OD001-OB
?N'
3
f 4?2
`
7- ;
7
Repuest Date ? ?
? ? Fre No ough-in Inspeclion
e iretl?
? Aeatly Now?Nfill Notdy Inspecror
.Ves ? N. When Ready'+
I p licensed contractor ?owner hereby request inspection of a6ove electrical work at:
JobAWress(Sfree IeNO.) Pry
#/83 p cpns u:znr t.
Sedron No Townshi0 Nama or N. qenge No County
Occu RINT? Plione No.
? rr o rn icr,
PowerSuppper AEdress
Elecv¢al ont clor (COmparry Name7 Gontractor5 L¢ense No
Mailing dress IGOmracror or Owner Making Insiallation)
V t/
Aumronz!eOSienaloR-tEOmradonDrmer king Installalion)
" Phone Number
_
MINNESOTA STA BOARD OF ELEGTRICITY THIS INSPECTION PEOUEST WILL NOT
Griggs-MiEway BIOg. - Hoom 5-113 BE ACGEPTEO 8Y THE STATE 80ARD
1021 University Ave., 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(6/Y)662-0600 ENGLOSED.
Address: 4183 PIIVNSYLVANIA AVE. Lot 14 Blk 2 Sec/SubSTE1FF'0?tD PLA..E
These items were/were not complete at the time of the £inal inspection.
DATE: DECQiBE_R 17, 1990 Yes No INSPECTpR: S
Final grade (6" fxom siding)
Permanent steps - garage
Permanent steps - main entry ?
Permanent driveway
Permanent gas ?
Sod/seeded grass ?
Trai1/curb damage ?
Porch ?
Basement finish
Deck
Please verify vith the builder the removal of roof test caps from the plwnbing
system and the shut-off o£ water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Ye11ow - Resident copy Pink - Contractor copy
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permiks are required for each unit
Date-0
Sit
Add
- I 1 S 3 YIS f ( ? Vl
e
ress Unit #
Property Owner /V a Telep6one #
Contractor y,p pIpEWORKS
96Tp DpDQ ROAD
Address EAGM, MN 56123 ciry
??)W513Q
State Zip Telephane # ( )
The Applicant is Ownec Contractor Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Indudes County fee. Additlonal consultant fees may apply.
Altera[ions To EaisNng Dwelling Unit, Including $ 50
00
_ Adding futures to lower levels or room additions, excluding water softener and water heater .
_ A6andonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new installation _ repair _ rebuild
30.00
_ Lawn irrigation system
_ Watetsofteoer Waterhea[er ` $ 15.00
eplacement
additional
_
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Pemvt and aclmowledge that the information is complete and accurate; that tLe work witl
be in conformance with the ordinances and codes of the City of Eagau and with the Plumbing Codes; that I understand this is not a
pemvt, but only an application for a pernut, and work is not to start without a permit; that the wo k will be in accordance with the
approved plan m the case oF work which requires a review and approval of plan ?
?
Applic s PrintedName Appli t's gna
y?
'I RESIDENTIAL
??7 0) 5 ? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-689-4675
New Constructian Reauiromanif
• J regrstere0 site surveys sMwing sq. %. of lol, sq R. of house, mW all rooted areas
(20No maxvnum lot coverage allowed)
. 2 copws of plan showing beam 8 vnndow saes; poured found desgn, etc.)
• 1 set of Energy Calculatlans
• 3 copies of Tree Preservalian Plan rf lot platted afler 717l93
. Rim Joust Detad Ophons selection sheet (61dgs wdh 3 or less units)
DATE
SITE ADDRESS _
TYPE Of WORK'
APPLICANT
STREET ADDRESS
ID #0001050
TELEPHONE #Cd2?23-5?+?`{(o CELL PHONE #
FAX #
PROPERTYOWNER A'ItT-Y)!Q IVe?" TELEPHONE# S?3- 9d33
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category ? MINNESOT.\ RL;I.F.S 7670 C.vCEGORI" I
(d submission type) • Residen6al VenUlation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
'vIcchwiical svs[em inclueles:
Sewer/Water Contractor:
_ Air Conditioniug
Heat Recoven' System
MULTI-FAMILY BLDG _Y
_N
FIREPLACE(5) _ 0 _ 1 _ 2
STATE _ ZIP
Phone #
Phone #
Fec: 870.00
--------------------------•---------------------•--------°--------------------.._.....----°------.......-°-•-----------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applicant
OFFICE USE ONLY
-(?__7 - () 2.
Water Softener
Water Heater
No. of Baths
_ Phone #
Iawi Sprinkler
No. of R.I. Baths
RemadellReoairReauirements 1113, / J
• 2 copes of plan • 1 set of Energy Calculations for neated additions
. 1 site survey for extenor addrtions & aecks
. Indicate d home served by septic system tor addiAons
VALUATION d? q(D_? e ?
Certificates of Survey Received - Tree Preservation Plan Received Not Required _
Updaied 4i02
SELA ROOFWQ & REMODEIING, i?
4100 EXCELSIOR BLVD.
OFFICE USE ONLY
? 07 Foundation ? 07 OS-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 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscelfaneous
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addihon ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footmgs (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Poot _ Ftgs _ AirlGas Tests _ Final
_ Framing _ Sidmg Stucco Stone
_ Fireplace R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining W'all
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
.
SINGLE FAMILY Di1ELL2AGS
2 3ET3 OF PL1NS
3 EEGISTE[tED SITE SORVEYS
1 SET OF ENEAGI CALCS.
2 3ETS OF PLAN3
AEGISTfiRED 3I?E 3QftYEl3 -
(CHECS B2TS BLDG DIV.)
1 SET OF EIiEAGI CiLC3.
MULTIYL6 DiiELLING3 BENT?L IINITS FOR S6LE DBITS i OF WIITS
VOTEt 1DDRE33E5 F06 CORNER LOT3 - COIOTRACfOA/HOMEOHNEA pQS! DL4IGNATE i18IC9 ?DDRESS
I3 DFSIAED. AO C89tiGFS AILL HE ILLOIiED ONCE HOIGDINd PEAlII'! I3 23SIIED..
SE4TER 8 iTATEA PEAMIT FEES MD ?CCOONT DEPOSIT TfiE3 iTILL BE INCLUDED iT1T8 THE SOILDINd
PEEtMIT FEE. PAOCFS3ING TIME FOR SEWEA 1lQD iiATER PEAI7I15 IS TWO DAYS ONCE l PEAKIT HLS
BEEN COMPLETED INDIC9TIAG A LICENSED PLUIMEA.
PENALT'Y APPLIES ifHENt PERHIT IS NOT PAID FOA IN 36ME MONTH IT IS REQUESTED.
LOT CH9NGE IS REQUESTED ONCE PERMIT IS ZSStJED.
? J oo d at3ld 2 5 REC4
To Be Used For: single Family Valuation:-57-,A9&s89 Date: 6/25/90
31te Addresa 4183 Pennsylvania ave
Lot ? Block ?
Pareel/Sub S.taford 'knr?j
OWner Seasonal Build
Address1952 Jeffer on T,an _
City/Zip Code Fagan. Mn. 55123
Phone #H-454-5971 W-865-6967
Contraetor Seasonal Builders Inc:
kddress 952 Jefferson Zane
Citq/Zip Code Eagan, Mn. 55123
Phone H-454-5971 W 865-6967
Arch./Engr. Minnetonka Design
Address Excelsior, Mn.
City/Zip Code
?9 ?0
?"WBUILDIlP6 PERlSTT IPPLICATION
CTfY OF EAGAN
tL?LTIPLE DiiELLINGS
Occupaney L
2oning R:z
Aetual Const Zly
A1lorrable I/
f of stories
Length
Depth
S.F. Total
Footprint S.F.
On site aewage
On site xell
MWCC Syatem t/
City rraLer ?
PRY required _
Booster Pump _
IPPBOVALS
Planner _
Couneil
Bldg. Off.
Varianee
C0t8'IEACIAL
2 SET3 OF lRCHISECTURAI.
8 STSDCTQRAL PL1NS
1 SET OF BPECIFIC9TIONS
1 SET OF BIiERGT CALCS.
FE.FS
Bldg. Permit %'? ?
3ureharge .?/. S
Plan Review 30
SAC, Citq 100
SAC, MWCC 6'-? O
iiater Conn 25
Water Heter 90 -
9ect. Deposit 3 b
S/i1 Permit
_
30
S/W 3urcharge .SD
Treatment Pl. 2?z
Aoad Unit 3SS'
Park Ded.
Copies
SOBTDTIL
Penalty
tOTAL
Phone 0
3 z'y ?: 6?- -.
Gdr
1
?»-
.?,
? 4 oa
?
? J ?? O
EXTERIOR ENVCLOPE RUERAGE °U" COMFi1TATI0N..
f1ATF :
'Jr"
OWNER: __
?
/
SITE ADORESS: /? Ph;ONE:
'
CON7RACTOR: S??rf.4*.?? L?d ?•??5- PLAN # ?•" tvSl ?' %;,' ' -
Determine working square fooiage of each ...:.: .:.... :.
? ?`
"
?
fit
1. .Total sq.
1
exposed wall area..... . x
t abq Sq.
area
ili ft. x.026 =
al
2. To .....
ng
roof/ce
?ZZ
Total exposed wall area above,f}oor=_ -- - -- ?
? _ "..
v,, l
a_Total wa]1 window area.......................... .............. . -
,
.;-
b_ Total
.
...............
door area.... ...... .....
?.
" ... .: ... .... .
'"':.:..._._ ,
: . .
,c. Total sltding glass door area_.. ................ ............... ....
:
„
-•_:
?,-?
,
;. .
d.. :Tota1 fireplace wall area ....................... ............... v
,
_
. .
?
-
-:
;Total
e.. wal l framing area (average 10% . . . . . . . . . . . . . • • -.• • • • • • • • • .
,:?
• • ?
.
_Total rim Joist area ..... ...................... .... ............ ..:
:.;:;. ?., ...? ?..
:. : net wail area a6ove floor ................... ................
-n{. ;• wall area above floor ................... .........
. !
wall area above floor .............. . . . . . . . . . . . . . . . . . . . . .
' ...=
frame wall area at foundation .... .. .. ... ...... ..
.......
=
Total exposed foundation area _
:,
-,, k_ Total
, foundation w-indow area ................... .... --^ _•.
.
,
-
-
. ,. .
,, ... ? .
l. Total
net foundation area above grade ..........
.... ?
.._ ..;..
_
_
-? -
-
:=; ?z:• =
`'" - -
Determine "u" valu° of each wal l
segment . ,': _
_
'`-?'rc-," •?-- _ -_ -
'-
:?:_?. -
(e.g. tvindow, door, each separate
wail section)
e
;4
X
u
8
a.
' X „0?, , . -
b.
'?
-:.- - x 0 4
? „?„
'
c
' . .,
. .
1111
?' V IIu
n
?
. i .. ,
• ?'.???.=?_ _.
401 x v , pq ? ?.
= e•
'
-
;x:.;,•: - ,; f. ,?= : ; ` _ _
? ??•??9 X ?v, #6
g
.
X IIUII
X liuii
i _ --"
- . _ - -
? j. X"U" If item 13 i,s the s.
?
.
han it
as,`="or'less
k
X „
U„ ??
:;1 you have met th
. "U" intent of SBC 6006
-
,
, X
l.
-..
. ?
- -
3.. ..... ............... . . . . . . . . . . . . . . Tctal
•. .
;: .. . .
4. TOTAL EXPOSED ROOF/CEILIMG CALCLLATIOtIS:
:. .
Total,expnsed
roof/cei 1 ing area. .. .. ... tp`y" sq ft •-
,:,t-;` _'J) Total skyliaht area....... sq ft x''U''
_ , ..,.
- :..:•.;:.?. _ ?
k) Total roof/ceilinq framing /?
?O' -/ sq ft x ????? ? ? ?; .? p?•?!I
area (Averaoe l Ory) . . . . . 6
.?
- - 1) Total net insulated ?
,,... _ _
„
roof/cei 1 inq area....... Sq ft x U„
;«-:- • ? -_::...
TOTAL j ) thru` 1) , '
4
V.?;
If total of '-'14 is the same as, or less than /'2, you have met the intent of'
2 MCA2 1.16008 A a-nd 0. - - '_
$?._ - - ? - - - - ' - : - _ - . -
? ? ..
ALTER}IATE BUILDIMG ENVELOPE DESIGN
!S 1^ - ' . ' 1. - .
To u[ilize the total envelope system method, the values established?by''the "sum i_
of items "3 and ?4 shall not he grea[er than the sum of items NI "and-!?Z
?,- .....::,?.:.., .,- ..
/ql? • 52P z2•4? = -
+ 2.
- 3. ? 17Z,?S +
-- - - - ' - :•?r - - .
4?1 -
?
. r?.t.- _ . - • ` y{ .
L ?'?' . , ' . • wl.''.
.?K:' , _ - - - . - ? " - _ ? -
.?(-.•' ' ' ? _ ' ' . = _ " .
.?`?.?• ' . . , - .. - „
* LINEAL FEET EXPOSED WALL
BLOCK : -3G+Z4-F3?"1"Z44' 5 = I Z?j
KNEE: Zq-'I' 2-4--F'I 4- ° (iJZ
WALKOUT: 3(,o
FULL 1: 3?o '?Z4 'f'S (P "i 2-4 + 8 =12a
FULL 2: N A-
FIREPLACE: N A'
R LM : ) C??
= SQUARE FEET EXPOSED WALL
BLOCK: l? x .5
KNEE: ?Z x 5
WALKOUT : 3 ?ox 8
FULL 1: I,2Zx 8
FULL 2: x 8
AREA
- ??
31b
Z88 ? ?o 22
FIREPLACE: x =
RIM: !
T02AL
SQUARE FEET EXPOSED CEILING e?p?
WINDOWS: DOORS: 3S_{ _1?;7 31
Z-zv3?-I _? b
PATIO DOORS: 0-11 780
zo1??44?/z?? -I -Zl
Z- Z4 ,;? -1 - I 2
z-Z444-11
Z- I 436 -( - ?
7044-/ 4444f z,?54q -? - Z??o10
BASEMENT UNITS: /1A
SKYLIGHTS: j'}A
`? BL a cirr use oNLv
SUBD
RECEIPT#:
RECEIPT DATE: 3 -I 5' 0?
PERMIT# J I 9 (v 0
2000 PLUNIBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, I+IN 55122
651-681-4675
Please complete for. ? single family dwellings
D townhomes and condos when permits are required for each unit
)p backflow preventer for underground sprinkler system
F12CTURES
EACH #
TOTAL
AlteraGons to isting dwelling - inimum fee
Describe: ? ?? ?- $ 30.00
Bath tub $ 3.00 x $ 3?-
Floor drain 3.00 x = $
Gas piping outlet ' minimum - i 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x - $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requlres MPC lic 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 x = $
Rou h o ening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler ' ifdwanin9 is underconstruaion 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x t = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener ^ if existing dxrelling 30.00 x = $
Water tumaround 30.00 x $
State Surchar e .50 -? --? -> $ .50
Total -> -> --> --> 30, Sd
Remrnder: Call for imspections of alterations, i.e. water heaters, water softeners, etc.
---- --- ------
I hereby acknowledge that I have resd Uiis application, state that the infortnstion is ocrtect, and egree to comply wiUi alf applicable City of Eagan ordinsnces
It is the applicanPs responsibdtty to notify the property owner thet the City of Eagan assumes no liability tor any damages caused by the City during ds
normal operational and maintenance adivitiea to the faalfties constructed under this permit wiNin City property/right-of-wayleasement.
SITEADDRESS: L11673 P-ri7r+sy1tKeola aV-e hL) t
OWNER NAME: : a?utI•6?. Ne'?'?"0 TELEPHONE #: 651 9D5'9119
, (AREA CODE)
INSTALLER NAME'. 4j :i1-c ?iJw?.6rHa I' !? J"!!?6! TELEPHONE #: ltlSy'I?VyS
(AREA CODE)
STREET ADDRESS: 34S0 Z,N?bi'l v,a S?o1tC 10 ;1
CITY: ?ACGn STATE: ZIP: SS?a'Z
SIGNATURE OF PERMITTEE
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CI I Y('JF E Af:;At;
C:Ar1FIIl_Fi: :!S fER1i?NFlL P!Os 713
Dp'('I`;: 02/23/00 TIt1F_: 008a47
;ti;
NAME:: AhTOhIf.7 NETTIl
300 9001 4103 F'PdNSI...VN AW E3•00
205 9001 dJ.B'i f'hlN51._VN AV 0.50
?
i'o+,al. F:r.,ce:i.pt Amourii:e 4300
CR'J 2:i i'ii'k:,
t.1Sli R I? { s :11r!
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2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT Ia106 RD - 55122 $ (4
851•681-4875 C ?g a 0
RemodaVReoolr ReaWremenh
? 3 repbleied tlfe wneyt Ywwlny tq. IL of bf, tq. R. d howe 2 copi9s of plan
aW girooled areaa CM mmdmian lot coveraae dbwedl 1 set W energy odcWaHais lor tieatetl addlHons
D 4 eaplef d Planf (ahow qearn t wlndow dzes: Poured h& tleYyrc etc.) 1 fife wrvey tor exlaAor addfHan a d6Cka
D 1 wt of enerpy oalculofiqu
> 3 copies d hee presarvalbn plan H bt plctted aRer 7/1/93
DATE: L-L ?/ C/ z oz?ro CONSiRUCTION C05f: -P S`ooz -
I
DESCRIPTION OF WORK: 9A1 N1?
SfREET ADDRESS: 446-3 ftN /V?Y[-.V Arf /A Avf
LOT: I
BLOCK: ? SUBD./P.I.D. A:
,-?-
Name: NEr 0 AlTiLvN t o Pnone #: 6s' / '705'`j// d'
PROPERTY taal flrst
OWNER
Sfreet Addresa: ? 8 3 P?Nn1 S y(,V0,^?/ A fl IjF
City L?A*AJ S1ute: MN Lp: 3?3 ( Z 3
Company:-- Phone f:
(area code)
COMRACTOR
Sheet Address: llcense # Exp.
CNy
State:
Lp:
ARCHIiECT/
ENGINEER Company: SeI ? Name:
Telephone 0: (
Sfreet Address: Reglsfraflon 1I:
citY
State:
Lp:
Sewer/water licensed plumber (if Instaliina sawar/water): Phone 7k:
?"reby xknowledpe Mwt I have read Mts applicaNon, state MwF Ihe hfortraMaf I eortecf, and ayree to eomply wNh a9 applicable State
oF Minneaota Stahrtes cnd Cify ot Eayan Ordinances.
,
Slynalure of Applicanh '
OFFICE USE ONLY
Certfficates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No Not Required FEB I8
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
Cj 01 Foundation p 07 05-plex ? 13 16-plex O 21 Porch (3-sea.)
02 SF Dwelling O 08 06-plex O 17 Garage 0 22 PoroNAddn. (4sea.)
? 03 07 of_ plex O 09 07-ptex O 18 Deck O 23 Porch (screened)
p 04 02-plex O 10 08-plex O 19 Lower Level O 24 Stortn Damage
p 05 03-ptex O 11 10-plex Pibp Vor_N O 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool O 30 Accessory Bklg.
woRK nrPE
? 31 New ? 36 Move Bidg. O 43 Reroof
O 32 Addition ? 37 Demolish (Bldg)' 0 44 Siding
33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair O 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
of Stories ? S4•ft•
SAC Code #
No. of Units Le
No. of Buildings = W
Const. (Actual) Ba
(Allowable) Ma
UBC Occupancy
Zoning
MISCELLANEOUS INSPECTION
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
O 31 Ext Alt - Mul?
? 33 Fxt. Alt - SF
o ss Mum
ngth sq. ft.
idth Footprint sq. ft.
sement sq. ft. Census Code
in level sq. ft. MClES System
sq, ft. City Water
sq, ft, Booster Pump
PRV
Fire Sprinklered
S
Engineering Variance
Valuation: $-?,?
6/,1`I?i? 1;qyrdJ06L
?
SAC Units
% SAC
,?,? ?;?k'h#k:?'M:aY ?l.?;W:l: -F'4?::rx:'r:.;<x: ,N.:?(•i%:k??':,IY??W.7Xw,,;kk.akz??:k<:,
CT"i'Y OF i;rAC.;fi,"d
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Ur,rPi.r :?ri/nFM ,Trfi:;, ,.,c,t:;?.a
tD ;
t,'Ai`iFC° i:iUi'C`It I:. I F?f:M 0 [:!;: L CN r: ;YC
.:?•,.?1. ,
.,. i 9fu.ii. 4183 OEFJrJf.'.YLUAN =„00
?'I,`.i;.; :?f,;jil! 4100 IT.?!AI;uV4.V«iN 0-,50
'ii';tl 911i)J :1189 Ai.lRlt:l9..i.1fiP! t'} `:ic
?
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ie ?? r}
Cf'Fl::,":'•,;.I;' ?
UCSE,!i TY 1ANN'
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- CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuILpING
Permit Number: 0 2 8 9 4 B
Date Issued: 10 /02 /96
SITE ADDRESS:
P.I.N.: 10-72500-140-02
DESCRIPTION:
4183 PENNSYLVANTA AVE
LO7: 14 BLOCK: 2
STAFFORD PLACE
,-,
BUilding^-_permit Type
Buildi`ng 6 "6=rk 7ype
?'Ceneus- Code ?.
,
?
?
C?
DECK
NEW
434 ALT. RESIDENTIAL
?. ,? ..,:..? .-- . ??• ---
?
REMARKS:
FEE SUMMARY:
Base Fee $45.00 COPY $.50
Surcharge $.50 Total Fee $46.00
Subtotal $45.50
CONTRACTOR:
CJlTCMER REMODELING
43 WOODLAND
GAN MN
(612) 688-0758
- Applicant - ST. LIC
16880758 2003599
TR
55123
OWNER:
HAMANN RALPH
4183 PENNSYLVANIA AVE
EAGAN MN 55123
(612)688-0933
I hereby acknowledge 'that I have r,ead this
information is correct and agree to comply
Statutes and City ofi Eagan Qrdinances.
.-
APPLICANT/PERMITEE SIGNATURE
.. _,": - . . applioation end sta-te that the?
with all applicable State nf Mn.
iM? R.A??1 m?
ISSUED V: S NATU E
CITY OF EAGAN 44 a 0
3830 PILOT KNOB RD - 55122
A481996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Canslrudion Requirements RemodeliReoair Revuirements
? 3 regislered sde surveys ? 2 copies ot plan
? 2 copies of plans (fnGude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior add'Rions 8 decks)
? 7 energy calwlalions ? 1 energy calculations tor heated addilians
? 3 copies of tree preservation plan M lot plalted afler 711f93
iequired: _ Ves No
DATE: CONSTRUCTION COST? 4?? v?
DESCRIPTION OF WORK: be-clk'
STREET ADDRESS: ? 4 I 8 3 ?P.?ntsin ?1/?t?
LOT -1L BLOCK ? SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
Name: ?nh Phone#:
a. ,
Street
City: CL*\ State: ?h Zip: 5 sI Z3
Company: Phone #: 699-07 56
9W 0140- 111, fT
Street Address: a6 9'3 ?J(Jl)1.? la+JT`'" License #: 03 59 gP
City: 7 L[.ct.Gt.ti-\? State: M h Zip::5s,/ 2,7
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed ptumber: Penaity appiies when address change and lot
change are requested once permit is issued. -----
I hereby acknowledge that I have read this appfication and state that the informatirur' correct and agree ly with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. C\ ,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No $EU 7 9g9G
Tree Preservation Plan Received Yes No --
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
.e" 31 New a 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging o
0 12 Multi Repair/Rem. ?
a 13 GaragelAccessory ?
? 14 Fireplace ?
,e' 15 Deck
? 36 Move
0 37 Demolition
x
LT
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building MB
MC/WS System ?
City Water /
Fire Sprinklered
PRV
Booster Pump
Census Code. H3`f
SAC Code o i
Census Bldg ?
Census Unit o
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
1Z 0 -
Valuation: $
°k SAC
SAC Units
90-Sz3
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN, MN 55122
for =
SEASONAL
BUILDERS
DESCRIPTION: LOT;L4..,BLOCK9 , STAFFORD PLACE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
LOT 13
11.
33
SCALE:I"=310' q
?
0p
? ?O O
•M1',/n
"' 1 O
o°
O
Q ?
m
R?-- 20.00 `
0=89°2 30..
io DRAINAGE 8 UTILITY EASEMENT:
r?
j
? LOT 14
? 0101V
i
I A?
b?
/
!
?
s oP
a.c?_ I?oVSE
a?
/ ..?
/ e.,. %\ - ,
1h
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/
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o.7
0 ' % 204 k >
4v
S-.4A G A N
>?4tg:'W fEWED
r A
9rpp N?N S 8?eo ? ? J/.7- ?
O.. (L.?
S y? Vq 91; S q
'q 4 \(/e AGAN ENGIIVEERING DEPT
`?ZoPo5E0 S?/wo
LEGEN? INVERT EI.EVATION AT SERVICE EXTENSION- Rr?,o
o pENOTES IRON MONUMIENT PROPOSED GARAGE FLOOR ELEVATION •??LLl_
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION•
DENOTES EXISTING SPOT PROPOSED &4SEMENT FLOOR •
ELEVATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 MnEy eertify tiwt tAis wrwy,plan or
reDort was DrePare4 by nM or unar my
direct supwisian and ihat I am a duly
Repisfered Lond Surveyor uMw fhe
Laws of fhe StMe of Minnesota
NOTE ' VERIFY ALL FLOOR NEIGHTS WITH
' FINAL HOUSE PLANS
Brodley J. 040san, Mn. Rea No.ID233
oot. -
CERTIFICATE of SURVEY
r ?
9r?-SzZ
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA ORIVE
EAGAN , MN 55122
for t
SEASONAL
BUILDERS
DESCRIPTION; L0T;14_,8L0CK2, TS AFFORD PLACE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
I LOT 13
n.
33
?
z'j f
? r
ti
U
Q
m
F?-20.00
,p=89°2 '.
31.20
N 89° 45' 00"
r
10 ORAINAGE 8 UTILITY EA5EI
i
? LOT 14
Q o
O
?
aTiO 0.
?ag ,
33 / Q 4.
-?--- a?io
Sz.? ry ???sf
/
-?
.
\
? p
0
\ 4ij 7 ??1
? 3p. J' ?
4,...
A ^ J e
S F•p' ?
??' • ?? ? ? / t , ? S Xra . D
A(3AN El?ft,T?TL,?Y'tTNG Dk:P'i' ?
\ ?eoPoSEp SE/wo
LEGEND INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION •?
* DENOTES WO00 NUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR '
ELE VATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES ORAINAGE DIRECTION
I Mrsbj cerfify that tAis wrveY,Plan or
report ww prepand by nN or under my
direct supwiaion an4 ihat I am a duly
Repitfered Land Surreyor undw the
Laws of the State o} Minnesoto.
?
?
--
N y
- - --77p.a
I /S
?
%
/
?
0)
/ `?.
/
? o'.?ACi F1 N
/ O.?fOvtEwE o
M M ? y?
2 "
/
NOTE ? VERIFY ALL FLOOR HEIGMTS WITH
FINAL HOUSE PLANS
8rodley J. ~son, Mn. Rn No. I5235
oaW >/ /9 rl
CERTIFICATE of SURVEY
r
For Office Use.
/—
%
% E AG A N
i i ; 0
Permit#: / -) /0-3)
,_,, ,
.'~ Permit Fee: l')-D,
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(c�cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
r
Date: y ;3t 241-1t Site Address: '/1 ask,a 1
'�� Unit#:
l
Name: A.,..\_dry �' Phone:{ a � 7 � 31 ,s____
i Au
.. :,:00001;3 :::,-, r
Address/City/Zip: 4/1 p 3 e.►'1 J1‘ y I Va✓L to z_
Applicant is: Owner Contractor
Description of work: Es_ ,- �S, t='Construction Cost: "` 6 ' Multi-Family Building: (Yes `C /No )
ri1 1rl4 i4rtA
Yrl
Company: _A t _ ..AI di.. .J Contact: ,d
Address: JLi, -�
Q City: . l •C`�l"� I d
_q
Stater f Zip: $371 Phone: 1 T�� Email: 1'. ,e_r h'NekA--- s3 /
License#: 6 Lead Certificate#: --
O,
If the project is exempt from lead certification, please explain why:
:,.:,,.,-.- ,S-
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:
Fire Suppression Contractor: Phone:
NOTEt.Il***all t,,.10.** � I t��submit a � b. �Into !erns �;n�a on mays:'.
cla ,:t ; .b,',I i:x r i{'.. ° ..'," thatwoO - 1,.,t1,0.: con .i t .,..�..w�ii :<
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacan.com/subscribe.
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.
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accor ance with the approved plan in the case of work which requires a review and approv f tans.
x \ZI -kc irk Nit A x -INA- 14Q"ittil/1
Applican s Printed Name Applicants Signature
I