4179 Reading? .m•-' . ;.r . . .....F . . .
f ' 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 ? F OWC/CAR Est. Value ?74?0GDate b"V% I
Site Address `d ??q kEADIMG OFFICE USE ONLY
Lot ? Block I Sec/Sub. STt+k??ORL' PLM-`=. On Site Sewage Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
m Name t'VCM '?rit' UT=?"e-T urwipt, Citywater X (Allowable)
z Address 3902 CFDAt'VAI.E gR
° City Phone
¢
, a Name
? Q Address
? City Phone
W W Name
FW
_ g Address
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.
Signature of Permittee
A Building Permit is issued to:__a
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official_____._ -- -_-____---
?.?
R-3 h,_1 ,
P-» 1
V-i:
ct_}.
PRV Required ? # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
µ 7 r? "'V
Engr./Assess. Permit
' 7' ??
Planner Surcharge
Council Plan Review
BIdg.Off. SAC,City
330'00
Variance SAC,MWCC ti•
i o oJ
Water Conn.
WaterMeter c. 7•??
Road Unit ?'??•?
204'00
Treatment P1
Parks
TOTAL ? ??
Permit No. Permit Holder Date Telephone #
Plumbing G A ??,v?- ???•L ?,,
H.v'.ac. ,'-4
? ?
Electric l--
Softener
Inspection Date Insp. Comments
Footings I i
Footings II
Foundation ?
Framing
Roofing ?
Rough Plbg.
Rough Htg.
Isul. ?
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
" a . .
AI fgtx#iftratit uf Orrupttnry
Citp of eagan
Ep}iwftPltf Of g3ltlhiltg jttRpPtttI1IT
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Clascificauon SF M/QR . B,dg. Pe,n,;t No. 15930
occupaocY Typc R3441 zoning nisu;ct Ri Type canst. VN
Owner of Building ?= MIMST HCMES Address3902 '?AI'E DR, EW"
Building Address 417 I.ocaGtyl•7• B1t SMT'M R"
?
`? '- - ?- n8te: FMJARY 1, 1989
e„ilai orcdg
POST IN A CONSPICUOUS PLACE
' PERMIT #
• l PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
?2 ?„??,?.
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 !'Z
Lot I ,'. Block Sec/Sub -
? Name
L(.3 Ce,?
? Address- '
c Ci4y L' "Y Rhone
Name ? `C> iU 7" I t ?+-..
3 Address
p Ciry A/. Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12
MINIMUM - COMM/IND FEE - $20
STATE SURCHARGE PER PERMIT -
BLDG. TYPE, WORK DgSCRIPTION
Res. ? New x
Mult. Add-on
Comm. Repair
Other
)0
)0
>0
. , i . ? r ? . (? ?•''. ? ?`?? ,
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N? `> fIXTURES
Water Closet - $3.00
__ JOTA?
S•=? - ' '
' Bath Tubs - $3.00
? .;r • f,-c''
Lavatory - $3.00 -
Shower - $3
00
?
.
-
t-
/ Kitchen Sink - $3.00
Urinal/Bidet - $3.00
:Laundry Tray - $3.00
-
i Floor Drains - $1.50 ??
Water Heater - $1.50
Whirlpool - $3.00
_„T_
'' Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $.10.00
Private Disp. - $10bd' `
, "') Rough Openings - $1.50
FEE: t? ??-
STATE S/C:
GRAND TOTA
; ? ?
L: --'?i?
CONTRACT PRICE: *1700.00
siteAddress 4179 Reading St
Lot 7 Block 1
- Name 'WENZEI. HEATZNG
m Address 1955 Shawnee Rt
PERMIT #
MECNANICAL PERMIT -
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 12 /4-V88
PHONE: 454-8100 ?' j
c City ??gan Phone.
Name rn=tv Tt::tc VUrir ylls"
c Address 3908 S' 1 1
p City %aaga n Phone 454-0433
TYPE OF WORK
Forced Air 80,000 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU $
Vent. CFM $
Gas Piping Outlets # $ 1 - `t.)
q
FEE:
S/C:
TOTAL:
$26.00 1
BLDG. TYPE
Res. ?
M ult.
Comm.
Other
WORK DESCRIPTION
New "X
Add-on
Repair
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 &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
1
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
??.;?,?3? 89981
?? ? ?p / / 9 ?Jr pO PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
CONTRACT PRICE: PHONE: 454-8100
Site Address - I . , '
Lot '7 Block ? Sec/;
?
aD
m
c Name
`
Address
City
_.
hone"
? Name
c Address 4.
p Ciry Phone '
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU.
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets #
Other
l> _-?) /._1i /
BLDG. TYPE? WORK DESCRIPTION
Res. New
?
< Mult Add-on
Comm. Repair
Other
? FEES
HVAC 0-100 M BTU
RES
-$24
00
.
ADDITIONAL 50 M BTU .
- 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEFiMIT)
- 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
! :y MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
50 S/C IF PERMIT PRICE GOES
(ADD $ - .50
.
BEYOND $1,000)
FEE: ,
G?• S/C: ?
TOTAL•
r.
FOR: CITY OF EAGAN
??y ???, /, ?;%, /
CITY OF EAGAN
3830 Pi{ot Knob Road, P.O. Box 21-199, Eagan, M N 55121 5. ?
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for SF' Di+?(;j4:"..; Est. Value ?7 4 ,4C10 Date DEC l ,1988
Site Address 4179 UATNNL*
Lot 7 Block 1 Sec/Sub. STAFFORD Pi.ACE
Parcel No
? Name FltOpTIF.R 1'',T?)WEST HOMIS
z Address 1902 CED+Ak;YALE OR
? City `:At'AFl Phone 454•-GA3
¢ Name SMM
,o
? ? Address
? City Phone
?Q
W W Name _
w
Address
UZ
aW Clty-
I hereby acknowledge that I have read this application and state that the
informktion is correct and agree to.comply with all applicable State of
Minnesota Statutes and City of Eegan Ordinances.
$ignature of Permittee
A Building Permit is issued to:_Y
on the express condition that all work shail be done in accordance with all
apilicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _ _
OFFICE USE ONLY
On Site Sewage Occupancy R"'3 M"1
MWCC System X Zoning R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) `''-N
PRV Required # of Stories
Booster Pump Length 40'
Depth 50,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 47U•00
Planner Surcharge 37'00
Council Plan Review 235•00
Bldg. Off. SAC, City 100• 00
Variance SAC, MWCC 550•00
WaterConn. !150•00
Water Meter 67.00
Road Unit 325•00
Treatment P1 :04•00
Parks
2
538
00
TOTAL ,
.
,.
CASH RECEIPT
A -
CITY OF EAGAN
3830 PILOT KNQB ROAD
EAGAN, MINNESOTA 55122
DATE ? 19
RECEIVED
FROM - . ? . •
AMOUNT
Q
& DOLLARS
,oo
? CASH ?CHECK
' 1'> I11 c.> -- C- I l:? I J
,
, .< . ? . . .. .-i ? ? < < •L.?.°aJc1Qr? ?
BY
.?
WhRe-Payers Copy
Yellox-Postlng Cppy
Pink-File Copy
Thank You
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
` 3830 Pilot Knob Road ? ?' ? `?
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: ,,, f. , APPLICANT:
11 F RV P i1
%r pl 0 Ol3D f""i. At:.E 0??-609+" .
PERMIT SUBTYPE: ? TYPE OF WORK:
mr: w
INSPECTION .. . ..
• Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ??Z ?7
_ .. - . --•:^'-r:.,.kr?
CIT1f QF?E?`.GAN Permit No:
I Date:
i
3830 Pilot: Knob R9ad B/P No: 89580 Date:
P.O. Box 21199
Eagan, MN 55121
? Owner. Fi'0N'£'lER ?4t1:3Wl:ST 'W)ME5
Site Address: ' ' ' SIAFYUK U C
Plumber: ' ?AR. PLBC.
141WCC: "`?St3.Gt? pd !t-1
Zoning.
00 c
City Chg: ` No. of Units:
?
Acct. Dep: i5.00 ?
Permit Fee: . p I agree to comply with the City of Eagan '
Surcharge: • 50 pd Ordinances.
Misc.: P'?V `?'?nUI??Cn
By
,
? CITY OF E4GAN
? 38$0 Pilot Knob R,oad
P.O. Box 21199
? Eagan, MN 55121
SEWER SERVICE PERMIT
Permit No:
Meter No: _
Reader No:
Date:
Size:
Date:
12f?1a? ?
Owner. FttONTIER MZDkEST ii(fWS
Site Address: ` + + s • , _ u .
Plumber. 'i _A`'• PLFX;
Conn. Chg: _ ?S50•00 Fd
AcCt Dep: 113.00 -1sr.
Permit Fee: 10.00 ne
Surcharge:
Tr. Plant ? '' • `'? Dd
Meter. ' ? • ?>?'
Misc.: j•i;v ... :)?. i . ._
Zoning: ?c ?
No. of Units: `
1 agree to comply with the City ot Eagan
Ordinances.
By
CITY OF EAraAN Permit No:
3830 Pifot Knob Road Meter No:
P.O. Box 21199 r No:
Eagan, MN 5512
Date: ?
Size:
Date:
?r Gc.)
Owner FRONTIER MIDWEST HOMES
. 4179 READING, L7, Bl, STAFFORD PLAC
Site Address:
Plumber S AR PLAC
: Rl
d Zonin
550 00
Conn. Chg: g
o
$
of Units: 1
d No
1 5 O0
Acct Dep: e
.
Permit Fee: t n0O nd
Surcharge: 5n pa I agree to comply with the City ot Eagan
Tr. Plant 204.00 pd Ordinances.
Meter. ?? 00 Ad
PRV REQUIRED g
Misc.:
? y
WATER SERVICE PERMIP
?
, ??
E 899?1 ?121,-
Request Date Fire Rough-in Inspection
Required? ? Ready Now )V Will NotiTy Inspector
4Z27/89 ? Yes N No When Ready?
I[N licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) ' City
4179 Readin St Eagan
Section No. Township Name or No. Range No. County
Dakota
Occupant(PRINT) Phone No.
Gamini Perera 687-0656
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
Hilite Electric, Inc 040445
Mailing Address (Contractor or Owner Making Installation)
1953 Shawnee Rd, Eagan, MN 55122
AuthorizedJ"re (Contractor inq Installation) ? Phone Number
` 452-8886
MINNiis6VSAW6UAR6 Ok?&CTRICITY y THIS INSPECTION REQUEST WILL NOT
GriggsMidway Bldg: - Room &173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0500 ENCLOSED. '
E. 4 -_N
? ?9981
REOUEST FOR ELECTRICAL INSPECTION
? See instructions for,completing this form on back of yellow copy.
"X" Below Work Covered by This Requesf
•r. ea-00001 -07
? ? 1o?/5C7
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range , Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
' Farm ' X Air Conditioner
Other (specify) Contrector's Remarks:
Compute Inspection Fee Below: J O b # 2 0 4 8 7
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 0 to 100 Amps 4.00
Transformers Above 200 Amps Abov 0 Amps
SIgf1S Inspector's Use Only: r TOTAL
irrigation Booms 15 . 50
Special Inspection
Alarm/Communication
Other Fee .50
I, the Electrical inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date^
OFFICE USE ONLY Lol
This request void 18 months from
? REQUEST FOR ELECTRICAL INSPECTlON .r. Ea-ooooi-os
?:
?=.?' , See instructions for completing this form on back of yellow copy. ?q'?'f?.
201 H I "X" Below Work Covered by This Request IA _dlv,._??
Add ReD• Type ot Building Apptiancea Wired EquiUment Wireri
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bidy. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Other pecify Other (Snecify)
t er Suecify Other ptner
Compute lnspection Fee Below
# F Service Entrance Size a Fee feeders/Subfeeders SI FP.P Circuits
? 0 to200Am s 0 to30Am s 0 to 30Am s
Above 200 Amps? 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Ampy
Transformers Irrigation Booms Partial, Other Fee
aigns special Inspection
Rerrarks J ? S' ?*Z3
? Rough-in ? Dnte I, the cal
In
t
h
b
spec
or,
ere
y
tif
th
t th
b
Final
D te cer
y
a
e a
ove
inspection has been
made.
This request void 18 months from
This request void
18 months from ? V
1'1 ofl 7 Q 1 i n :2,
?- ? ? r ? ?
5+ ? i? -- • --?-
.
Date Fire No. Reughedn?lnspection
41
ady Now ? WiII Notify. InsPec-
Fe
,
Yes ? No [or When Ready
' Lieensed Electrical Contractor . I hereby request inspection of above
electrical work installed at:
U uwner
Street Address, Box or R ute No. City
e
ec ion o. Township N e or No. Range No. C ,-
Phone No.
Occupan./t (PRIN1
'll/?l? h ? QTJ,J
J C.+r?
Power Supvl r Addre s
Q. 1)
an Name)
C
License No.
Ctract
o
Electrical Contract r ?
Mailing Ad res ootractor or wner Maki Instailation)
? o?tA 6
Autho zed S ature (Contractor/Owner Making Instatlation)
n.w.e
_ Phone Number
Y /v`w (
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bidg. - Room N-191
1821 Universitv Ave.. St. Paul, MN 55104
THIS INSPECTION REQUEST WILI NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
Phone(612)642-0800 _
BLDG. PERMIT NO. - I?? ? 30
r? ._1 12:1 (o C,l-L I "n r-r-1 1? L.
01-3210 Bldg. Permit -70 00
01-3422 Plan Check °? 3S C6
01-3445 Surch.lAdm. -1
01-3446 SAC/Adm. 50
01-2155 Surcharge
5-3860 Road Unit ?
0-2275
2
SAC
115 ?''?` 50
f
20-3865 Water Conn. 5 d -
CC)
2
0-3868 Water Trmt. 0:;-?)
? 20-3716 Water Meter 0c)
20-2252 Acct. Dep. oo
? 20-3713 Water Permit ? p Ov
-" 20-3743 Sewer Permit I d 00
'779-3866 Sewer Conn. ? 00 00
28-3855 Park Ded.
TOTAL °? ? 581?:) 100
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 ?T
1? ?
15930
? PH O N E: 454-8100
BUILDING PERMIT Receipt#
To be used for SF DWG/GAR Est. Value $74, 000 Date DEC 1 ,1988
Site Address 4179 READING OFFICE USE ONLY
Lot 7 Block 1 Sec/Sub. STAFFORD PLACE
On Site Sewage
Occupancy
R-3 M-1
MWCC System X Zoning R-1
Parcel No.
V
N
. On Site Well (Actual) Const -
oc Name FRONTIER MIDWEST HOMES
City Water x
(Allowable)
V-N
z Address 3902 CEDARVALE DR PRV Required _X_ # of Stories
a
City EAGAN Phone 454-0433 Booster Pump Length ?+0 '
Deptn 50'
°Co Name SAME S.F. Total
,
? Q
Address
Footprint S.F.
? City Phone APPROVALS FEES
? W Name Engr./Assess. Permit 470.00
Planner Surcharge 37.00
=Z
u Z Address Council Plan Review 235.00
°C w
a Cit Phone
Y
Bldg. Off.
SAC, City
100.00
I hereby acknowledge that I have read this applic tion and state that the Variance SAC, MWCC 550.00
information is correct and agree t omply ail applicable State of Water Conn. 550.00
Minnesota Statutes and Ci of g Ord nc
Water Meter
67.00
Signature of Permittee
Road Unit
325.00
A Building Permit is issued ta__FRONTIER MIDWEST_ HOMES _ Treatment P1 204.00
on the express condition that all work shall be done in accordance with all
Parks
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL ?, 538. 00
Building Official. _ /NA A -
??? - -
RESIDENTIAL BUILDING
?1 o g S? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N
2 c:opies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _ Y_ N
1 set of Energy Calcula6ons Addition - indicate if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date
-,Z, C5"
Construction Cost
Site Address ?-+rl c( UniUSte #
Description of Work
cl
Multi-Family Bldg _ YYc N Fireplace(s) 0 _ 1 _ 2
Property Owner
2.
Telephone # (?? ( ) a-?S2G)
Contractor ?kh?o)
\
Address ? -. t
State Wl ? Z el
?0
jy,?- /'??
?12-01 d3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categor1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(?1 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in
fee applies.
Y
At !G 1 3 2003 II phone #(
N If so, 25% plan review
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
e #(
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 plan in the case of work which requires a review and
approval of plans.
Y^1Jp?-
Applicant's Printed Name
- _- „
Applicant's Sign ture
Sub Types
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ',51C 17 Garage 0 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ?
?< 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation ? 4o 0
Census Code 1,/ ?57
SAC Units
Nbr. of Units j
Nbr. of Bldgs
Type of Const ?
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
?C Foundation
_ Drain Tile
Roof Ice & Water
_,LC Framing
?
? 30 Accessory Bidg .
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Final
_ Fireplace _ R.I. _ Air Test _ Final
Insularion
Occupancy R4 3 ' # MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaUC.O.
C FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By 1? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
? S.J
?
S 4
wrewres ert< <cate
SURVEY FOR: rrontier Ttidivest liomes Corporation
DESCRI8E0 AS: Lot 7, Block 1, S'I'APrORll PLACL, City of Eagan, 1)akota Courity,
rlinnesota and reserving easements of. record.
f /. -r-
I?,
?
p 921. S 840 00' E 25.33
°?-----_.
N • -` ,?? `
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tn
y •? ts.33
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.
'A
'?? 79e 'n 00 ? E
? ' •; % 939.0
.;
.
`
?--
PROPOSEO ELEVATIONS
Top of Foundoflon . 921.z
Oorape Floor ¦ 923.g
Bosomwnf Floor ii 921. o
Approx. 3ower Se?vlee Elw. • 912. /'_
Proposed Ehvoflons I ?
Exislinp EIevoNons I
Oroinop• Dlrecflons .......r
Oonofef Offsef 3tak• I O
144,15
- - 23 q?p
.?
.__---~
?
923.s ?
. ,
r ? ?40
3.s)3? .
102
-rf
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SCALE: i lnch a 30 Feet
BENCHMAftK* T, N. H• 5. E. C.oR.
LDT 17 BIOC(L Z
; EIEv. ? 91s.95
? MIN. SETBACK REQIREMENTS
?
Ftont ? 3o Howe Side - 1o m
Rabr - 15 Datoqe 81de - 5 0
I AoreOy eerflfy tAot fMs survey, pion or nport wos prepared 0y mo
lifEDLUND or under my dlrscf supervlslon ond Ihot 1 om a duly Replstered
LonA Bwveyor under ihe laMs ot Ihe 8fofe of Mlnnesoto.
P/enning Englneerlng Sunreying
ylo
fl01 tM Neo0MiN? ?N?Wa?M?111? MMrMwI6 b??0
J0 y I en. Lleaos• 14378
J08 NO.: ,
SSF-6o8
BOOK:
PAOE:
,
?
?
C:CTV t]F I:AGt1N
(::ASH:4:(wRu .:IS 'T'Ef:Ml:Nf-tl... N1[) ^ '352
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.321.0 900:I. 4179 F4EATI,I.NCy 50„00
21.55 900:1. 4179 F'tf:f-iD:lAG 0a5C)
Tcata:l. Recaipj: Amouni; - `;0n 50
,;_... ,. ...,
cRO{ ?,?_: -
USr-_R :r.D4 JAN
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7f.?i`yiC.?}iC}??fC•M)k+`?C! r?`?+?m:PNi}?CI M)X),
,
1988 BUILDING PERMIT 9PPLICATION - CITY OF EAGAN ? .
SINGLE FAMILY DWELLINGS 169'.50
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 BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCiJLATIONS
r /1M1ufL`DnT11T INCLUDE 2 SETS OF ARCHITECT(JRAL & STRUCTURAL PLANS,-
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
N 0 Y 2 5 1988
To Be Used For: NFW CONSTRIIGTTON Valuation: Date: 11/25/88
Site Address 4179 RFADTNC
Lot 7_ Block I_
Parcel/Sub STAFF(lRD PI ACF
Owner pFRFRA, GAMTNT R UAI(1RTF
Address 26,1 TWT I T r?HT TFRRA('F
City/Zip Code (:TRCI F PTNFS 55(l14
Phone 796_2674
ContraCtor FR(1NTTFR MTfIWFST H(1MFS ('f1RP
Address 3q02 rFIIAVAI F fIRTVF
City/Zip Code FAGAN 55122
Phone 454_0433
Arch./Engr. n,iCK CHARLiER
Address 141113 GARL1EUiEW. ORLVE.
City/Zip Code APPI F VAi I FY 55124
Phone # 432-5492
OFFICE USE ONLY
On site sewage Oecupancy
MWCC system ? Zoning GZ?(
On site well Actual Const
City water v Allowable VilO
PRV required ? # of stories
Booster Pump Length ?10_
Depth 3
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit op
Planner Sureharge 32
Council Plan Review 23S`
Bldg. Off. /2ci SAC, City /00
Variance SAC, MWCC SSt?
Water Conn
Water Meter (T
Road Unit 3'2S
Treatment P1 Z O Y
Parks
Copies
TOTAL
? •
?---,r°-
??Z
_.?.?----
l0`2-0
L J a v.S ?
?.----
1?
?
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, ?. , ? .
sfftrej o s ert«cate
dr
SURVEY FOR: Frontier Diidivest Homes Corporation
DESCRIBED AS:Lot 7, Block 1, STAFFORD PLACE, City of Eagan, Dakota County,
biinnesota and reserving easements of. record.
! i. -r•
9z?? S 840 O0'E zs.3s rs
-?_ 144.15
N • -?'
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?.
23 -,?
1l1 ~?
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2 O
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to ?
O .r-~'9221?; ? 923.s
m ?Z? zs.33
+
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E5 ri+rr ,
V N bG? i Gar.
Q1 ?
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943.7
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19e 3o pp" E
`; ? 939 v
.; o
.
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PROPOSED ELEVAttONS
top of Fouodoflon ¦ 994.z
l3oraqe Floor • 923.6
Bosoment Floor : 9Zi. o
Approx. 3ewer SKVIco ENv. • 912- 11
Proposed El.yation. , o
Exisfinp Elevoflons r
Droinape Olrocflons ? ........
Donofe• Otfssf Stoke . D
JA
IEDLUND
P/annlnp Englneerlng Sunreydng
9101 !a? MeaMiMla? f
N,W?w"MoanM?MO?, F?oU f6170
p'Amazir
'
?
SCALE: i IncA • 30 Feef
BE?NC?HMARK # T, N. N. 5. E. CoR,
LbT 17 BI otK Z.
; EiSv. - 915.95
( MIN. SET9ACK REQIREMENt3
Fronf ? 3o Nane 81de - Io
Rebr - 15 3araqe SIN- 5
T Mr•ey eerfity tAaf thle swwy, plon a reporf wos PnOoroA by me J08 NO.;
o? unAer my dlreef supervlNon and Ihof 1 om e duly RoOlofered g SR _ 6 0 8
Lond 8wveyor under tht larrs of fhe Stofe ef Minnesota.
BOOK:
Oefs: ,f ?2.3i SS ? ? PAOE:
Js y I 4e. Lleense N414378
Q 913.7
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EvATERIQR EYVEi.O?E AYERAG"c "U" COMPUiATION KNfeWM\ ZX? OSr1P1ER PEREA GAMINI & VALORIE
SITE ADORESS 4170 oranjNr, -
COPtTRACTOR ?Qn„ A.i.vR DATE " 11 /25/88 PHONE 454-0433 FRONTIER .
Deter,nine woricing square foatage of e3ch.
1. Total exposed wall are3 ...... 2sq. ft. x t l s S
2. Total raaTJcziling area ..... I US F3 sq. ft. *x
Total exposed wa11 area abave floor =A2 13 8,( (,7
a. Total wa1T window area ..................:........ t 25•3
b. Total door are3 ... ........... ................ ?9.
c. Total sliding giass dcor arza .................... ya
d: Total firEplace wa11 are3........................ 449
e. Total wall framing are3 (averagelQA)...:........ a a B.RIo
f. Tata l. np t. wa? 1 area above fi aor ................. j t,&5G .gg
g. Total r?m JQist area ............................ 1 14 8
Total exposed foundati on area _ -t1S.3 3
h. Total foundation window area.....................
1. Toal net foundatlan area a6ove grade ............
Determfne "U" value of eaca waZ1 segmen?.
a. ( otS,7s X iluii
b.-'3q_(Oa X „u„
c. y;a X liu„ ,
d. y? X "Ull .3b =
e. e3 2k, 8 .8G _ x ?,U,s
Lf• tcc 5(o .vz x„u;, 03
g- i z-i $ XflU„ e03(o _ 35
h. X f.uff _
i. -t s. 33 xflu° .114 = b. S
3 ........:.................' .......... Total =
If i tem #3 i s the same as, or 1 ess than i t:m #1, you have cnet the i ntent
of SBC 6006(c)2.
' . Total exposed roof/ceiling area = { O 88
. Tatal gross rcof/ceil?ng area =
.. j. Total skylight ar2a ................ . .
k. Total rooflcei 1 ing frami ng area ....10.?9.. . . . - -
I. Tota1 net insutate3 racflc--iling arEa.,..... q ? q,-7
Deternine "t!" value for each rcof/ceiling secmeat.
?• '
X uUu
k. th_ ?. SS Xltull .0 Z. 1. Ct xI,u„ .0 I9 = I S.?
4 .................................. 7ota1 = 2 . S
If total af 744 is the same as, or less t5an i2, you have met the intent af
SHC E;006{01. .
To uti7ized the total envelope systa-:n method, the vaiues-established by the
sum of Ztems a3 and 714 sha17 nai be grflatzr than the sum af iterns #1 and a2.
+ 2. 2$,ZR =
3. 1c?1.oS f 4. Zb?S'Z = 2- 11 .q3
MATF.rIALS • Merm. Hesistance "i3.'T
EX {;i ei i.::rr Li1 ( `
S iding ..tiia.t erial . !k2
Sheathing 31,4
"
5-
Insulat i aa S?
Shest_ack .Y SS
Intericr Ais .(a1
Studs 2g. .G.81
Rirn
Conc. Blks.
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? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PEIaMIT
PERMIT TYPf: BUILQING
Permit Number: 030276
Date Issued: 06/ 19 /97
41.79 REAcIraG
LOTo 7 6L"UGK> ?.
STAF=FttRD PLACE
DESCRIPTI4N:
REM/4RPG.S:
FEE SUMIVIARY:
Base i-?? ?50o 00
Starcharge <50
Tatal Few $50,50
VVIV 1 rSHle 1 VP3.
DEcK
NEw
434 ALT. RESIDENTIAL
? ?„ ' '??$ ri? :??5 .r 6'
? ??? H ?
'?% ??
t?
GA????? ????RA
4179 REACJING
EAGAN MN 55
(612)452-6092
D
.e_............?,..__.m........
• '?.( A y/' ' ? I R?'
A PLICANT/PERMITEE SIGNATURE IS ED : SI ATUR
? 7 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauirements
RemodeURepair Reauirements
?? L) .Z,
? 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 dedcs)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation pian if lot platted after 7N/93
required: _ Yes _ No DATE: k.- 16, q2 CONSTRUCTION COST: i(05?9 ?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK
Qa?, ?,_1a t :-^ t rZCa--cXL
SUBD./P.I.D. #:
PROPERTY Name:!'?N?-'- ?'-'CWT'?1 L P h o n e #:
OWNER L.,s, OWST
Street Address:- L k ^1 q
CONTRACTOR
ARCHITECT/
ENGINEER
City: c>,o? ca? State: ('kt k--? Zip: IL? «
.
Company: Phone #:
Street Address: License #:
City: State: Zip:
Company:
Name:
Phone #:
Registration #:
Street Address:
City:
State: Zip:
Sewer 8 water licer.ned piumber (new construction only): . Penalty appiies when address change
and lot change are ?•equested once permit is issued.
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.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
Yes No
Yes No
BUlLDlNG PERMIT TYPE
0 01 Foundation o 06 Duplex
? 02 SF Dweiling ? 07 4-plex
0 03 SF Addition a 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
X 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowabfe)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
OFFICE USE ONLY
0 11 Apt./Lodging o
? 12 Multi Repair/Rem. ?
n 13 Garage/Accessory a
? 14 Fireplace n
?( 15 Deck
? 36 Move
? 37 Demolition
•?:,. ?.,,? .
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump ?
sq. ft. Census Code.
Footprint sq. ft. SAC Code dl
Census Bldg /
Census Unit
' Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
license
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC-U, nits
e
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nA-r?a gc-of . ...:,,1_:. •
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-
APFLI'CATIQN FQR PERMlT
SEWER AND/OR WATER CONNECTIQN
*?-FnxFx„,F..,.._...FF,........:...,. . .
N(7I'E: PAY21ENT OF FEE AT TIME OF *
*t APPLICATION DpFS N(yP CpN- *
* STINPE APPRGJAL OF PII2MIT. *
* *
* INSPFxTION OF SEWE2 AAID/OR WATIIt *
*t INS'TALdATIONS WIIS, NOT BE SCIDUI,ID *k
* Lr7I'IL PEf2MIIT HAS B?I APPROVFD. *k
***?*****,r,r+**+r,r,?,t********,r**#rr*+*****
dtV oF ?ar
jan
(PLEASE PRINT
1) PROPIIRTY ADDRESS:
T,FY;AT, DESCRIPTION;
IF EXISTING STRL'CTC)RE, DATE
PRESENT ZONING/PROPOSID USE:
Q COMMEEZCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTITf.1TI0NAL/GOVERNMENT
)F ORIGINAL BLILDING PERMIT ISSUANCE: N/A
Mont Year)
R-1 SINGLE FAMILY
? R-2 DL'PLEX ('itwo L'nits )
? R-3 TOWNHOL'SE (Three + Cnits) ( Units)
Q R-4 APARTMENT/CONDOMINIL'M ( Lnits)
2) yNAME= _FRf1NTTFR MTr)WFST HnMFS CORP_
ADDRESS: 3902 CFIIARVAI F DRTVF
CITY, STATE, ZIP: FAGAN,_ MN _ 55122
PHONE: _454-0433
For City Lse
3) 31:-?+` NAME= STAR PI (1MRTN(-, (M?? Plumbers License:
ADDRESS: Active
1018 MOUND SPR T NGS TFRRACE------ Expired
CITY, STATE, ZIP: Ri(IOMTNGTON, MN_ 55420 Not recorde(f
PHONE: _ 884-4149 MASTER LICENSE # 3329
- Staf Initial
4)
NAME: _PFRFRA, GAMTNT R VAI (IRTF
ADDRESS: 2r,.-j TWTI T(;HT TFRRAf;F
CITY, STATE, ZIP: r,
.TRCI F PTNFSMN_ 5s(114
PHJNE: _7Rh_1q674
5) ? ?. tw;.U. ?f ,; •aJIMF
[a CONNECTION TO CITY SEWER []2 CONNECTION TO CITY WATER E] CTHIIR
6) 3*0-1tF.N:r? ?.??"?.?'? . • ? ?
-k?t**************^!r***-?c?v9r********:t***********?c************?t**************?r*********************,t***?r*?
* THE GOLD COPY OF THE PERN7IT WILL SE SEIVr DIRFX_'TLY TO PUBLIC WORKS 'PO FACILITATE METER PICK-DP. 7
* PLEASE ALWW TW0 WORKING DAYS FOR PRaCE'SSING. SONIEONE FROM THL CITY WILL CONPACT YOU IF THQ2E Y
* ARE ANY PROBIEN1S. i
?**************************************************************************************************;
FOR CITY USE ONLY
PERMIT # ISSL'ED
?
Pd w/Bldg. Permit FEES:
,
. ^
$ $ SEWER PERMIT (INCLLiDE SL'RCHARGE) °
?v
?
v
$
? $ WATER PERMIT ( INCLLiDE SL'RCHARGE )
$ ?? f $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
$ $
wAc
$ ((J S? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENiFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$
$ TOTAL
?c
L}
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCA VATION IN PLiBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC '
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
E3 NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
., ,.
APPROVED BY:
TITLE:
DATE : / C7'-/,-
_ •4?
December 2, 1988
STAR PLUMBING
1018 MOUND SPRINGS TER ?, ` ?'""'??;
BLOOMINGTON, MN 55420 REs 4179 READINGO L7t B1, STAFFORD PLACE
WARNINGs BEFORE DI(3GING9 CALL LOCAL UTILITIEB - TELEPHANEl ELECTRICt aAS9
ETC. - REQUIRED BY LAW
XX Your 5ewer and Water Permit for the above property has been completed.
? It will be held at the Publie Works Garage (3501 Coaehman Road) until
the meter is pieked up. BE SURE TO CALL PiTBLIC WORBS (454-5220) FOR
YOUR PERMANENT WATER TURN ON.
Your Sewer and Water Perma.t for the above property cannot be completed
for the following reasons:
Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupancy allowed until further
notice.
COMIlMERCIAL PROJECTS ONLY
Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coaehman Road) until
the meter is picked up.
Please come to City Hall to pay for whatever size meter you will need
for this project. The size must be confirmed by either our Publie Works
Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before
issuance.
Sincerely, ,Jan Severson
Secretary
JS
? . ,
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U„
_ Hf.4T LOSS CALCULATIONS
Ws.tbugtripa A.G,.M.dvt.?,
?1A?Iow? ` Dppt! • &(ttillCi
11 ui
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./ yr N 44
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-
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?
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Floo.
'WEnLEI MECHANICAL
3600 Kennebec Dri ve
- ?1 t C.AMT i'.?I c? G Eagan. MM
'?
QFPARTME?'T OF INSPECTIOV
? •• { .kEnLEL MECNANiCAL
3600 Kennobec Dri re
Eagan. MYI
HfAT LOSS CALCULATIONS DERARTMEnT OF INSPECTION
Weatbs?Nrip? COAlt . Cowtmtion No. lo?ul?tioa
v?adow• Door, Rsfereau OUt. Wall Iat. WaU Ceilin` RooE Floor Ktind How 1?pp6sd
l.I Pj^j Room I l.seyth ?I is Widcl, f 0 T h
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•t M No.
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• .
12
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Ceilin`
Ftoor
Toyl Btu.
FtsQuircd iq. (t. E.O.R. ot sq. ios. W.A. l.eader •rea a„$
Fl. Y. l.easth II Width I Heipht
Windows and Doon--Cracb s and Ares
.wFIai? Ni-seMt N•. •t Lu.•l n. wr•a
Ne. of 066••t Nws 11 AI41 ot craeM p. tt.
,
? 0• •?3
/
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c?.N I? co B o
fAp. wall.
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(nt, wall
Ceding
Floor
?ou1 WY. 1 .
itcQuired sq. (t. LD.R. or sq. ias. W.p, L ta?r area
Rooa Leu`th 2to ? Vl;dtb N O He' bt
WindoMn aad Doon-Crackage and Atea p
MtdiR Ntls11t No, ot Iwul t6 Aa• N?. •t ?• •t Bsa? IItA1• ?l cr?ek p. tt. ,
ZY ll: $.0 24
Zo 10. g L,g
a
Coef. Btu
c,.,. 7e v 3 9 o a
fsp. wall p?
Mt1 s3p. Ma11 17
is1. wa11
hlwu
Totai Btw.
ReQuusd sq. 1t.
b
Room ( L.sailtb Width
?.?
wi paows a aa uoon- --a.r?cu ?a aaa wrc a
-
No. 10111 -
of s• ' IIwtbt
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.
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Floor
Total Btu.
Required W. ft. E.D.R. or aq. ias. WA. Leader uu
.._?,
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,. .?...?.?.?wu?aows aaa uoon--Craasage ano rue?
No. w1ala
of a? Maiai
ot • a
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lat. wall .
Ceifing '
Floor I I Ow d[Y,
I Rcquired p. h. E.D.R. or p. ioa W.A. Lsadsr &rsa
- Fl., Ram I l.sagth alidth Hsi&
Windows asd Doom.-Craclcatc and Area
.
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or sq. isa. Vt.A. tsadc? :fea t'1 ? 3(?a Requued sq. ft. ED.ft. or sq, iaa. W.A, Liades arca
.._..._.?.?.?..s........?... - , a--
y
I [E c [E 0 MC
•
City of Eanan AM 1 0 2009
3830 Pilat Knob Raad
Eagan MN 55122
Phane: (651) 675-5675
Fax: (651) 675-5694
-- ---------,
; ? ?
I Permit #: i,
?
I h
? Permit Fee:
f? I
j Date Received:
I G ?
? Staff:
-----------------?
2009 RESIDENTIAL PLUMBING PERMiT APPLICATION
Date: L1 - Site Address:
Tenant:
Suite #:
RESIDENT 1 OWNER Name: Phone:
Address / City / Zip:
S( ,[ ffio (1 h(((l,t_Q ,
_
GONTRACTOR Name: License #: ?W&)3
Address:
citv= ?)Gcdan State: ffl N zp:
Phane: (? ID ISI 09 '? I &ca Contact Person: CVs(SYl ,
TYPE OF WORK _)(New , Replacement ` Repair Rebuiid _ Modify Space _ Work in R.O.W.
Descri tion of work: OLIAL111A
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
? Lawn Irrigation Add Plumbing Fixtures
L_ RPZ /x PVB) (_ Main _ Lawer Level)
Septic System Water Turnaround
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Neater, Water Softener, or Water Heater and Softener {inciudes $.50 State Surcharge}
$30.50 Lawn Irrigation (inciudes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (inciudes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out apptiances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the wortc 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 woric will be in
accordance with the approved plan in the case of work which requires a review and x
pprova lans.
/ / ?-->
X ,J ?Sl', G-G. d PC?N Applicant's Printed Name pplicant' ignature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149243
Date Issued:05/14/2018
Permit Category:ePermit
Site Address: 4179 Reading
Lot:7 Block: 1 Addition: Stafford Place
PID:10-72500-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Stephanie M Taylor
4179 Reading
Eagan MN 55123
(612) 386-3997
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature