4064 States Ave r+T't'~77Sr•r~e-. _ e. . . .~''f#I~R*~T . , . PF~~.
{ _ . . r
SEWER & WATEfi PEFOMIT OFFICE USE ONLY
CITY OF EAGAN ' METER # ~640°2 IOq PERMITDATE 03 f 20/92
3830 PIIOt KtlOb Rd.
Eagan, MN 55122-1897 cHIP # 0 3 I d~a 9~ PERMIT # 12619
- , METER SIZE B.P. AECEIPT # ~L-4/7
paTE 3_12_92 ISSUE DATE ~•aO~ a g.p. RECEIPT DATE 03/19/92
_ PRV _ BOOSTER PUMP
SITE ADDRESS 4064 States Ave. PERMIT REQUESTED
LOT 14 BLOCK 4 SEC/SUB Hille of Stonebridge 3
X SEWER X WATER _ TAPS
APPLICANT: The Rottlund Co. Inc.
ADORESS: 5201 a. River Road - COMM/IND X RE5IDENTIAL
C1TY, STATE F='idley, Mn. ZlP 55421 X NEW - EXISTING
PHONE: 571-0304
' Lawn Sprinkler Meters are to be Installed
PLUMBER: Valley Pltmibinq Ahead of Domestic Meters on Water Line.
ADDRESS: 610 CYeek Lane Credit WILL NOT be given for Deduct Meters.
CITY, STATE Jordan, Mn. Zip 55352 /
PHONE: 492-2121 zt~
I AGREE TO COMPL WITH CITY OF
OWNER: T1ze ROttluctd Co. IrtC. EAGAN ORDINANCES
ADDRESS: 5201 E. River Road ,
CITY, STATE Fridley, Mn. Zlp 554211
PH E: 571-0304 MATURE WHEN METE SSUEO
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ~
!+Rj':n ~Y5 t r.wv r?w~-.. ..r ~ r sq. r- • . . TR,~7ll~a..-p . . _ . r
, SEW R WATER 6PIMIT OFFICE USE ONLY
CIT~~~i~AN METER # PERMIT DATE 03/20/92
3830 Pilot Knob Rd. 12619
Eagan, MN 55122-1897 CHIP PERMIT # METER SIZE B.P. RECEIPT #7,417
3_12-92 ISSUE DATE B.P. RECEIPT DATE 03/19/42
DATE
_ PRV _ BOOSTER PUMP
SITE ADDRESS 4064 States Ave. PERMIT REQUESTED
LOT 14 BLOCK 4 SEC/SUB Hills of Stonebridae 3 X SEWER X WATER - TAPS
APPLICANT: The Rottlurid Co. Inc.
ADDRESS: 5201 4. River Road - COMM/IND X RESIDENTIAL
CITY, STATE Fridley, Mr1. Zip 55921 x NEW - EXISTING
PHONE: 71-0344
Lawn Sprinkler Meters are to be Installed
PLUMBER: ValleY Pltmbirig Ahead of Domestic Meters on Water Line.
ADDRESS: 610 Creek Lsr?e Credit WILL NOT be given for Deduct Meters.
CITY, STATE Jordan, Mfl. z1P 55352 - 7--
492-2121
PHONE:
1 AGREE TO COMPUY WITH CITY OF
OWNER: The ROttlund Cc. Inc. EAGAN ORDINANCES
AODRESS: 5201 E. River Road
CITY, STATE Fr'f d2ey, Mn . Zlp 554211
PHONE: 571-0304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FQR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
+ i.; ~ ~ ~
~A~^~TIVATE FOR DEGA EBbS ~NSPECTION iV~CO~ ~~ntrol No. "
773_~~ ~~A~AN PERMIT TYPE: t~?~ i~~
g~~~ ~383d~Pilot Knob Road Permit Number: ~~l~p~ ~
Eagan, Minnesota 55123 Date Issued: ~ s/~ e/~~
(612} 681-4675
SITEADDRESS: ; 1,~ n~:~ APPLICANT:
40b4 `~tAr~'~ AVE. 'fHE ROTYtUMD ri1 IMC
HTl.LS OF S?ONF_EER1t)~L- 3ltU (612) gll~-Q3e9
PERMIT SIJBTYPE: TYPE OF WORK:
• h I)WCi MEN
• .
Ft~~l) 1N~i F'RAMINA
INSULAT 1 E)N f INA1,
F1RF:t~I AC~
~ ~ u ~ -I - .-t . • . , A~. r
~ ~ t~. r) 3 y? V- 4
A- p~
~ ~ S !.t [~..i~ Y r ~ f~ ~,J}i~~~~ {J "
I ~ ' f f' y'~
~ ~ ~ l ~ `sK ~ ~
\ ~ - ~ j } ~I~
~r jf- ~n~~~ ? ~ - . _ ' " " _ . - .
+ PKmit No. PKmN Holder Dah Tilsplwne t
~ .*l
~ PLIJMBING A
HVAC
ELEC
ELECTR{C
inspsetbn Dab Insp. Commsnts
Foaings I .3--V-ge-
Foundation
Frartring
Floofing
Rough Plbp ~
R°"gh S
lsw. S'm
Firoplace
Final Fitg. ~dl7 ~ C
Orsat Test ~
vN.dcQ/
FiriW amg. w~ Inspecta - tvotffr ~umber
Const. Meter
ErigrJPlen
Bldp. Final
Dedc Ftg.
Dedc Final 'I S~
weli
P?. oisp.
i..~; . - . . . . . . t, 'i~. .}?3"R,a~;: ..ato,~,x;C~C"'°.L'srs'^l^r-'~`~'^. • ,:'+i
. • ` ~ 1 ~ n { -I
,#l t t ~Qdr .
. ~
titp of Cagan .
iorwwetct vf wummg jnrrtinn
Tlris Cedfiwie issued pursuaxt so the nqulr+n~ents ojSectlon 306 ojtke uirFjomt BuMng
Code cerWf*g that at tlee linee of tssuanae dis stnrctwe was in complianae witk t/u mrious
ordixancrs of the CUy reSdaft bulkfl48 co+utrudiat or use Fvr the followts,q:
ur ad:sor•o. SF DIWIG/GAR., 57
~ II~ ~i~IDrJO A4d= - , -
~ 4064 STAII:S A ~wL , , 3RD
6/26/q2
Dow
aasr iN A coNSaIcuous Puce
. , _
,
- ~ -
lT ~ 9
/0.5 4 57
,J 4 052 3r~;f o0
Request Da~e Pire No. ugn-in Inspeciion
p uiretl? ? ReaOy Now ~}lYill Notify Inspeclw
9 ~ O Z Ves L Na When Ready?
IXlicensetl contractor ? owner hereby request inspection of above electrical work at:
Job AOtlress (Sireet Box or oute No.) City
Secfon No. I TownshiD Name or No. Range No. Coun
4A.-&
OccuO tIPFINTI Phone No.
PowerSUOP/l~ier Aptlress
ElecVitai ntrector ~COmOany Name) Cqntraciw5 Lkense N
o.
~ , c~oa3
~l
Mailing Atl ssICONractor or Owner Maki Installation)
AuIDOnzea SignaWre IConrcact .rOwner Installatio Phone Number
6
MINNESOTA STATE BOAHD OF EL CTRICITV THIS INSPECTION REOUEST WILL NDT
GirIggs-Mitlway BICg. - Room 5-1]] BE ACCEPTED BV THE STATE BOARD
11121 Univarslly Ave., SI. Paul. MN 55100 UNLE55 PROPER INSPEGTION FEE IS
Phone (613) 602-0800 ENCLOSED
.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.os
~~~4 w ? Seeinslmcti~ for coipleting ihis lorm on back of~ellow cupy.
, ~
" Felow Work Covered b rhis ReQuest ,ai.~ewAdd Rep.+ ?ypaofBuilding AppliancesWired EquipmeMWired
Home Range Temporary Service
Dupiex Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer (syecity) ConVactork Remerks:
Compute 7nspection Fee Selow:
# ' Other Fee # ServiceEntranceSize Fee /f CircuilslFeeders Fea
Swimming Pool 0[0 200 P.mps ~ 0 to 100 Amps
TranSfotmer5 Above 200 _ AmpS Above 100 _ Amps
SigltS Inspector§ Use Only. AL
rigation Booms -7d SO
trSpecial Inspeaion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspedor, hereby Rough-in r oa~e~_~T_y
certity that the above inspection has F;nei q
6een made.
OFFICE USE ONp •
This Bquest void 18 months from
Address: 4064 STAIES AVENUE Lot 14 Blk 4 Sec/Sub HIITS OF SI1Df7EBR= 3RD
Thase irQms, were/were not complate at the tima of the final inspection.
Date: 6/26/92 Yes No TnqPPntnr, I(I)
Final grade (6" from siding) ~
Permanent steps - garage (ll Permanent steps - main entry ~
Permanent driveway ~
Permanent gas ~
Sod/seeded grass 1Z
Trail/curb damage V/
Porch
Basement finish ~ Y
Deck
Please verify with the builder the temoval of roof test caps from tha plumbing
system and the shut-oYf of water supply to the outside lawn faucat before
freeze potential exists. ~
necrtmwu
White - City copy Yellow - Resident copy Pink.- Contractor copy
' DATE: MAR 20, 1992
R '
RE: 4064 STATES AVE (THE ROTTLUND CO INC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot 6e completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
_ 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 issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
~ . CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD , EAGAN, MINNESOTA 55122 ~
~
URTE 19 ~ ~ •
..l 1 ? i
AMOUM S D I
8 DOLURS
~m
? CASH CHECK
~"_-fY~~.,
I FUND OBJECT AAIOUNT
_ A ~ i
( r - U ~
~
~
1
Thank You ,
BY
017e47 c,,,, ~
.:.YT»0*W
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681•4675
NewConetrucdon ReauiremeMa RemodellRemir ReaulremeMa
- . 3 registered sile surveys shmMrg sq. R of IM, sq. ft M lause; and all mofed areag . 2 copies of plan (20% maimum lot coverage allowed) . 1 set af Enargy Calculations for heated additbns
• 2 copks of plan showing beam & windaw s¢es; poured found design, etc.) • 1 site survey Por euterior additians & decks
. 1 set of Energy Calculatiois . Indicate'rf Irome served 6y septic syslem for additioro
• 3 wpies of Tree Preservation Plan'rf bt plaNed after 711193 • Rim Jolst Detail Optbns selectlon sheet (bldga wBh 3 or less unps)
DATE 9 o~0704'
VALUATION
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING HOW MANY UNITS?
PROPERTY OWNER G~ / O
TYPE Of WORK ~4 ~J S FIREPLACE(S) _ 0_ 1Z)_ 2
APPLICANT PHONE# l l07 ALL-11S
ADDRESS -7 ZZ~ Q-~~'12f~ GY/X-C • ZIPCODE
PAGER CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category t Worksheet Submitted` .
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672 tI 3.200.2
- fl~ L 1~
- New Energy Code Worksheet Submitted
Plumbing Confractor. Phone -
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Wacer Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Coniractor. ~Vle%Ge//( , i'/%e~/"~c'Na %i4eJ- Phone # 61,7'
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor. Phone #
' All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan, r inaG~~~`lGU ~
Signafure ot Applicant,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca 0 21 Porch (3-sea.) 13 31 Ext. AR - Multi
? 03 01 of _ pleac ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Dedc ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage _
? 06 04-plex ? 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatian) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES 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) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ plumbing
_ Foundation HVAC
Drain Tile
Roof _ Ice & Water _ Final Other
_ Framing _ Pool _ Ftgs _ A'v/Gas Tests Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding . Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , euilding Inspector
Base Fee ~
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply 8, Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit ,
Mechanical Permit
License Search
Copies
Other
Total
PERMIT ? Control No. 0056
,4t.
CITY OF EAGAN PERMIT TYPE:
N G
3830 Pilot KrN~b Road Permit Number: 000057
Eagan,.Minnesota 55123
(612) 681-4675 Date Issued: 0 3/ 18 / 9 2
SITE ADDRESS:
4064 STATES AVE
LOT: 14 BLOCK: 4
HILLS OF STONEBRTDGE 3RD
DESCRIPTION:
B'uilding Permit Type SF DWO
Building Work Type NEW
UBC Occupancy R-3 M-1
Construction 7ype V-N
Zoning R-1
Building Length 58
Building Width 34
~
. `i
j
REMARKS:
0-o i -7747
FEE SUMMARY:
VALUATION $150,000
Base Fee $814.50 MISCELLANEOUS $1,610.50
Plan Review $529.43 Total Fee $3,729.43
Surcharge $75.00
SAC $780.00
SAC 8 100
SpC Units 1
Subtotal $2,118.93
CONTRACTOR: - Applicant - sT. AiNNER:
THE ROTTIUND CO ZIVC 15710304 0001335 THE ROTTLUND CO INC
6201 E RIVER RD 5201 E RIVER RD
FRIDLEY NN 65421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
Z hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State ofi Mn.
Statutes and City of Eagan Ordinances.
L -
ISSUED V:SIGNAfUFA~
APPLICANT/P MITEE SIGNATURE
INSPECTION RECORD C°nt° 0056
CITYOF EAGAN PERMITTYPE: ausLoinG
3830 Pilot Knob Road Permit Number: 000057
Eagan, Minnesota 55123 Date Issued: 03 / 18 / 92
(612) 681-4675
SITEADDRESS: tor: ia BLOCK: q APPLICANT:
4064 STATES AVE THE ROTTLUND CO INC
HILIS OF STONEBRIDGE 3RD (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
3F DWG NEW
iNSPECTION . .A
FOOTING FRAMING
INSULATZON FZNAL
FIREPLACE
F
L
- - -
cmr oF EAcaN
~ , ~ 1992 BUILDING PERMIT APPLICATION
681-4675 ilAR 1 3 REGO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
speciftcations, 1 copy of energy calcs.
Penalty applies when~typinq of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 12- / q Z Yaluation af work ~ p
Site Location: 4pcoa
STREET STE 1F
Tenant Name: "1,2 ~2 41 L.y-L C~ I W
LOT BLOCK SUBD. P.I.D. #
Descri tion of work: The applicant is: lZ Owner aContractor ? Othe1' (oescribe)
Name `Th af~lr~~ (19. //JC Phone
Property LAST FIRST
Owner address t;a,-,i c
STREET STE #
City State YY1 r.ZiP ~/ZI
Company z;7'R;0n1C_ _ Phone
Contractor Address License # a5ML'v3s ° oK
City State Zip
Company Phone
Arch(tecU
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber &'O..e-y Processing time for
sewer & water permits is two days once a ea has bee approved.
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 Applicant: -?--e
~ ~
~ OFFICE USE ONLY
BUILDING PERMIT TYPE
;
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
~$702 Single Family O 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Move
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add JO 18 Demolition
13 04 Multi-fam. T.H. ? 09 Basement finish ? 14 Comm./Ind. Rem. O 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
eW90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy Basement sq. ft. //Sz MWCC System ~
Zoning lst F1. sq. ft. i7 City Water
Const. (Actual) ~ 2nd F1. sq. ft. PR4 Required
(A1Towable) Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length -37- On-site well Census Code _7_0 T_
Depth 3 y On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
P-Site 04ooting C~ Framing ,-T Insulation OrWallboard ,L~ final ? Draintile ? Fireplace Permit Fee 8 y So vs~sT: $ /-SOooo ds~ Surcharge ~ zk z
Plan Review 5 2. 9, 3 >
License IS t
MWCC SAC 7po
City SAC po D z4r36
Water Conn. ~ 7,-
Water Meter fs
Road Unit 3hp
Treatment Pl. 300 6k ~S = ~
RQdd--UfTfit_A'ct 0,W 3 D
o-,-arrved-. VL 30 6,31 Z3
Ti"fl"ff5-DEa : S uv . . ~d z h Cr
C0p12S
Other 3 ~,~-3 z , ~~sz
Total: 11,E- z,s
l/73.S~j3~ ( Js'/3.S
SAC %
SAC Units
~ Jy
. ~
.
~ 2n22 Fnte,priee otive
*~ION~ER ~ Nei h, MN 5512q
IAND ~AV[TORl. CIYIt [MpINKIR Mendorn
c - -
e1'1g /~de1' Ilg~. L A nnn..nrrtm.ur+n+cnrrAwcNiiccie
(612) 8A11914
~
cerli?rrste oi s„rvAr rnrTNE_f_ZOTTLU ND COMPaINY
HOUS£ ADDRESS ' 4~rA'tE.S AVE. , EAGANI MINN
NOUSp MobEL• NORMeNDY
4°
qoH,}I
•2'~~
7
e A~ -6f f ~
6P?+ Servj~e_ , ~~5~(_
d 5 - ~ a
oa4, f-I N ~o
T f
9p)y~M Ib.o~ ec iz.sn M Ib.o X 9~S,~n
,n I 1 .1 v~•'" I ~
~ ~ ~nFroQOSP(II~~ N ~ A
I :s ~~n~ISP_ Zl.bl 41
~ 9~Z4 164 1 36.3~ N ' 16, I qt~ ~•3T "`IN
I X~F'y9pss~~pl
e~
~
-
o
9b.~;1
~ SI~~Of 0~E 40 Zz
r
r~
r ~oo.ao Dtrtefts frisfrn3 f/tvofinhs
~ ~oo.oo Orrx*s s~r~l flrvofions ~~?~f~~-~'~?!sE £cft!AT[ol?!f
°~'0' Lewrs~ (/nor•Elrvnfinrt. 9O~.ti
Ometrs Uro,"t(1IdiIY lnttnttn{ 1g"~ o~BJprF E/rvnlinn 91v,~f
Lhraolrs Orainair ~7ow ~lirorvs Crnrc~e SiaS E/rnrl;m 9laio ~
o (Xno~rs MMemrenf ~ -
BMI'~~~ SRorn~ art ar~unrd n I)mo%s "~ef dub
3~•
Lor14 , BLaCI! 4, NIL 15 4F STQN113R1 DGE 3RD AL~I
nnkorn ctivnrl', MlNUFSOtA
1 her*V errHly IAnt qMl IurveV, pien or ery.el1 w04 DrryPRrM ffY m! Or nnA,r my r~l~~rt enp~~vifinn er~d t1'nt 1 vm didy Rrqqler'A lMd Surr~ym
wf
~ imder ehs Itwf el the !SU1e ef Md,nNete, tf~tM Ihb . f~1
n.y of __M~rc~ n.n.Io
Rt~ 3-~o-`1L - pP~td C-r'SE Er.I 1
Ar~
~
Ir)thx [lV~_~[. "3-t5-4Z-F~•vuseti.i ~Fn.Nn.14e'.141Xi_-
V es e} S~o~~t5
~051 _
NO~Mf}NDY .
. , Ec1'F7ii0ii F:NVF.I~I~t: nvi•:rnrf: ^ u° co.rru•rn•ri~);1
' oWN ex
. ~ ' .
SITE ADDSESS
CONTRACTOR P-oTTL UNT~ G~. DhTF. PF{ONE
Determin workinr: squnre footar;e o!' each.
1. Total exposed va11 area ~LS'~ 3•~ sq. ft. x ~ ~.87•2
2. Total roof/ceiling area I17 q•!57 sq. ft. x e.026
• •
Total exposed wall arca nbovc rlonr = ZS~~'Z
a. Total vall window area . . . . . . . . . . . .
b. Total daor area
c. Total sliding glass door area
d. Total Sireplace wall area 2 G
e. Tota1 wall framing area (average lOP)
f. Total net wall area above floor /S Q7. O! •
•.5..........• . . . . .
. B• Total rim joist area 2D,Ignl
, Total exposed fnimdation arr.a
h. Total foundetion vindov aree ~l'J'~t•7 7r
~ i. Total net foundation a-ea above grade
~
. Determine "U" value o: each wall ,rFment.
. .
8. la4.2 x,.U„ 4,¢2 - 77•34
b. ~ lo. ¢2 x,.U„ 0.138 - 7, 7$ .
C. - X "U„ _ -
a. Z~ X„U„
e.. 210• 7"I X.~,U„ 0,089 - 18.75
r. l~ 97;a1 X„U.. . p, a43 8~1.57 y .
8. X.'I,,,
h. X'.Ull 7. Zt
s. 94 . 6.5- X„U„
3. . . rot.::l = 217• ~'i- o~~,
If item'H3 is the seme as, or less !.h:.n itecn #1, you have meL the intent
or sac 6oo6(02. ,
p ~
• Total exposed roof/ceiling nrea = I I~!i~'J
~ ~ . . . . ~
. Total gross roof/ceilinP are:i =
J. Totel skylieht area _ 7. ~
k. Total roof/ceiling framing area...............
1. Total net insulated roof/ceiling area G/• ~J" S_ •
Determine "U" value for clch roof/ccilint: segrocnt. _
-
J X uUn
~
7 = 3;1~ • '
x; 1i7. 9a x„U,I G,c7,
1. X„U„ D,o Lz. = z3..3~ k . Total _ zG.53
~ K-
If total oY N4 is the same as, or less than N2, you have met ttie intent of
saC 6oo6(c)i. . .
To utilize the total envelope system method, the values establi:hed by the sum of itens 6+3 and M4 shall not be greater. thKn the swn of iten:s Nl s.hd N2.
+ 2.
" •3•, +4. _ - '
, ' ~ • .
• , r,
O .
_ . . O . ° . . _
~ -
~ I.M g - -
~ ~.f~'_a?~~~ul., =_:19. ~ .
5 ~
3 0 ~T-~ ~M. o:?~.
r ~
? ~ ~ ° ~ , 9... 2 - - - -S.-a-- i o
3 _.-1-2b----
~
_tI-'~-~ = o• I~-
' =o.o~~
'A` -~z. ia
=VkW5 GAI,GUI-ATID?~i
DAfT;~-IDE AIlz fii.M D:)?
hlqF~v. 0.102 -
==_,6it5ATHIN4,
3
lN6ULA11C.H. 19.0
'
4 ~ iy' dYP~ ~?'D 0.45 -
A1fL ~''IL.kl., ---D:Co v -
, 23.oI =
U= R=- ~ 0_043
tbiA
~-F-AM5F WAu. G 6;Tt-4D .
GoMPvNLNTg ~ . - ~-VAI.UL
- ~ r o_u T-bloE RiP F1A.
2 ~Z~~hI~iN(..
`-''y 3 3 hHLA'rF~INli, 2,OU -
~
4 fo- ~xv h?UD(r-llm~) - -~.-~g-.--
J~--'
c` OhIM MP MM, . -0=lop~-_-
' ~
_ p1.l~N• Ulekt. _ uw r 1 o.o8q.
~L
+ Sc
,=i~om P~. 11 U =((D,) Z 1c o.0~9) t(o.Sb X 0 •043> = 04-7 -
~ '~~?~~s~r~cqr~7To~-
~~~~=r=~-~~~ - -
~
I~ S~.~T~Ffl=,c~t- _
,
' O
O
3 4 S I- R= 3 5.-_g 37-__-
- r = 0. 0 27
U ,~5.83
.
I 2
Q, -~6
0 ` ~
i
/
3
0 ~1=~~?~-~~~ ~ _ -a.~_t------
3
0.02!L
q5,~ 3
REACTIVAjE J%AY 'a(~(~~`Uf (~D CITY OF EAGAN
PEr~IT ~ 1 8 1993 1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ener9y
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work
Site Address: q'CJtScl S~cXA_-Q
SiREET SUtTE t
Tenant Name: (commercial only) 4:e__Z- ~ ze~
IAT ~ BIACK SUBD. *
1Y7,1Y QBU
Descri tion of work: r),?ciC
The applicant is: ? Owner Contractor ? Other (Oeccribe)
Name ~'rrlr~ c%s G n; f lo Phone~LS6
Property LAST FIRSi
Owner Address 1-Io6s, Ze
STREET . STE k
City State ZipSSI~'
~
Company n.~ Ll, co &~zaLs Phone
Contractor Address U6 . Q. License #oLa0`7 Exp. gs
City ~ rA State
Company Phone
Archttect/
Engineer Name Registration IF
Address
City State Zip
I~ Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have ea this application and state that the information is
correct and agree to comply wit al ppli able 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 5F Porch ? 09 12-P]ex 014 fireplace 0 19 Comn./Ind.'Misc.
? 05 SF Misc. El 10 Multi. Add'1. ~15 Deck O 20 Public Facility
? 21 Hiscellaneous
WORK TYPE
31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC 5ystem
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy ~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
d of Stories Faotprint 5q. ft. Fire Sprinkler
Length ~ Dn-site well Census Code ~
Depth /yOn-site sewage SAC Code
--~-r- CwtiSws
APPROVALS 4l
~
ca.~.~..
b
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ~ Footing ? Framing ? Insulation
? Wallboard Final ? Draintile ? Fireplace
Perrtii t Fee tj vaw.c;on: g
Surcharge
Plan Review
License
MWCC SAL °
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
,
~ w
* a 7A72 Fnr~rprl:e d~ive
~E Memlot~ R.1 N, MN 55120
~u.vYLWvtrone.avlte"wNe[M
* - ~
~ 181218A1-191~
CerNlicete el Snrvey 1or, TIAEROTTLU NID COMPA!AY
HOUSE qOpRESS ' SMAtES pVE, ~ EAGQNI MINN
FIOUSI! MOOEL• NpRMANDY
I
-
•
o ~~L4.J
~ qnlr 1~ ~ -
~y^1t' y i
~19 I r I
< r
,
~A Serv(~p_ -
d
0
I ~~A~`1.0 9Q7! 1 i f.1 •o .
7. !
sr.d ix.sn ~z.ti~ 16.o X 9"S•~^
M
n4' I ^
. I
ft
t^ a I rn
I
qr+r ^
19 i~
90 tc..c+ r_ ~b.o x M
i ~
~ - F• r
n I1'7"' R `4,
N
I n -i ~ I
`~O
~
8 I l4
90'~;1 ~ xAn±..~ -
S R<"l'i 0f ~E 9D zL
i 1
i.
• soo.oo D~rn,hs [.eisfin~ f/tvnlin~~e
(Ja0_~ LI'rk15°S (~IY~e~~fi?VOfiM7t -I ~A~?~fEQ_FMISk fLf VA .1 T _fOM
fletw4ffl _
Ornnlrs DrmiYem t(1/Ji/r fn•rmtnl ]qc~~yn^81c~k f/ivn/i n91o:3f ~
- Dn?o/t~ Drvir ~low ~Inbws ('~nra~e Nrvr,lrm : 910,0 - '
o [Xno~n t
9MPi~~ shmm art nr.Vnnrd n
nrlrs ny ~';l~f p~~b
Lor1418L061l4 ) NILLS OF STQN113RIO6E 3RD AQ-0
nnKnrn CWnTY, 4111vNF,5n7-11
"rM hY m! OI arviwmy db.11 mp•~vi~L.n ~mf 1hn1 I t"daty
R1 ~1/yqVrM (~nASuroyrn
tm.l~e 1M Ifm nf Ih~ tUV el Mlmr~nM. (1nIM 1h1. d.r nf __M~ 0%.h. ln JZ-
Rt.. 3-io-'1L - F%,{(I Cr,gl EI..~
e,{ J., ri,
ncf?: /l~ ~ - 3-.c5-9Z_ f' .p SE
i
unnn~~ n S~ .~~n.~IJfl. UIle1
. _ eSe~ r~i[S
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT
DATE : ~S 9
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION FEES
NEW CONST 4 ADD-ON MINIMUM $15_00
ADD ON 7T HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OWNER NAME: OF 1 PER PERMIT
~a i UfU,~
SUBTOTAL: $~_QO
SITE ADDRESS: !Y/J~ ~ cS T h1~V £ STATE SURCHARGE: .50
J
LOT:,Z:~e_ BLOC.K ~ SUBD./67TOTAL: $-c 7Z.~~
INSTALLER: QC. 9 Ag, W.
aDDxsss : 9303 Plymouth Av& No. SIGNA RE OF PERMIT
Golden E
, • 55427
-
CITY: ZIP:
PHONE it: ~~C~ 6
~O~ft4ERCTAT.~~lQSl$T$~AY.,g: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
.
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
L / y eL ^ J CITY OF EAGAN CITSt USE ONLY
SUSD. 7C'~CQ~~~~ ~PLUMBING PERMIT
(612) 681-4675 RECEIPT #
~ DATE " Z
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ REPAIR/ADD O1G 15.00
ADD ON SHOWER 3.00 ~
REPAIR WATER CIASET 3.00
a BATH TUB 3.00 ~
LAVATORY 3.00 L~ .
OWNER NAME: KITCHEN SINK 3.00 3-
' I.AUNDRY TRAY 3.00
SITE ADDRESS: ~l~L) c ~.AJ1~" HJCa•'' HOT TUB/SPA 3.00
` WATER HEATER 3.00 L~
FLOOR DRAIN 3.00 ~
GAS PIPING OUT.
INSTALLER: l~ )'Y~JlirJ ~ ~ 1 (MINIMOM - 1) 3.00 3'
ROUGH OPENINGS 1.50 ~d
ADDRESS: OTHER
WATER
5.00
CITY: ZIP: PRIVATE DISPER 15.00
7/I~I = U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
PHONE
STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: d a
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTIDN:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
gpR; (SIGNATURE)
CITY OF EAGAN
fi
Date: k
Tenant:
City af aali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
s
Use BLUE or BLACK Ink
For Office Use
Permit #: /0 2-7 71
Permit Fee:
Date Received:
Staff:
- 2011 MECHANICAL PERMIT.,oAPPLICATION
1 Site Address: O 110 q &USC.. s A vs_
Suite #:
J
Phone: (1)1(.7-5/6-4930
J0
Address / City / Zip.
Name: 31 181 874 License #: 3Lf 1 J. -
Address: Appiizwce ronnprjion . ;. City:
State: zip:1313 Danita Citrate €a
Contact: Shakopee, MNtaa5379 4,1
Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
XFurnace
Air Conditioner
J_\ Air Exchanger
_ Heat Pump
Other •
COMMERCIAL
New Construction _ Interior Improvement
Install Piping _ Processed
Gas Exterior HVAC Unit
Under / Above ground Tank (_ Install / Remove)
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) '�Q
$95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ SS TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$55.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Egg is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR
Contract Value $ x 1%
_ $ Permit Fee
_ $ Surcharge
= $ TOTAL FEE
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.00aherstateonecaliorq
1 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 wo is not to start without a permit; that the wo r will be in accordance
with the approved plan in the ase of work whictyrequires a review and approval of plans -
A
I P�
cant's Printed Na
C
Applicant's Signature
Date:
C!tyofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 0 3 2012 r,,Ar
2012 RESIDENTIAL BUILDING PERMIT APPLICATION C-
1.4
2- Site Address: LO" S Je
Use BLUE or BLACK Ink
For Office Use
Permit#:
Permit Fee: /00 - ( 1
Date Received:
Staff:
Unit #:
Name: FrG — G r- :110 Phone: (p315'S J -9Z LJ7
Address / City / Zip:
L/0 ?ti S s Ave.
Applicant is: Owner
Contractor
Description of work:
Construction Cost: 8;000 Multi -Family Building: (Yes / NoQ )
Company: J5f % f c'ko . 5, ,% Contact: /\ S s
Address: ZOO 11� Fw. /3 City: !315- // t.
State: MN) 13v Zip: 5-53-3-) Phone: (5-/-100-- 1 1033
License #: -3 -/ 5 7
Lead Certificate #: NAT- 1 q 2,15'
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
BOO' / 9,2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
c,5 c� i f ti 4.4 f d't,-. . x rr--- —5
Applicant's Si nature
Applicants Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
z(66c(
U&
SUB TYPES
_ Foundation Fireplace
�(C Single Family Garage
_ Multi Deck
_ 01 of Plex _ Lower Level
Accessory Building
WORK TYPES
New
Addition
. Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Interior Improvement
Move Building
Fire Repair
Repair
(25% 100%_/Zr
Census Code
#of Units i
# of Buildings
Type of Construction
To
REQUIRED INSPECTIONS
Footings (New Building)
_ Footings (Deck)
_ Footings (Addition)
Foundation
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
3g ,c
Siding
Reroof
Windows
_ Egress Window
fr.?hz-/
Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
27
R -r
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
- Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
6o ON 04. -
Page 2 of 3
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA103493
Date Issued: 03/28/2012
Permit Category: ePermit
Site Address: 4064 States Ave
Lot: 14 Block: 4 Addition: Hills of Stonebridge 3rd
PID: 10-32992-04-140
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Renae Freinwald
2200 Hwy 13 W
Burnsville, mn 55337
952-767-1870
Fee Summary:
Valuation: 500.00
PL - Permit Fee (miscellaneous) $55.00
Surcharge -Fixed
$5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
- Applicant -
Owner:
Francis A Grillo
4064 States Ave
Eagan MN 55123
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
Jun. 21. 2016 10:17AM
pity of Ea ali
3830 Pilot Knob Road
Eagan MN 55122 Phone: (651) 676.5675 Q\C)
•Pax: (661)675-5694
No. 2748
Use BLUE or BLACK Ink
For Office Use
I
permPermit*:%717:01
17% I.
Permit pee: � • c: •
Date Received;
Staff:
J
2016 RESIDENTIAL BUILDING PERMITAPPLICATION
Date: 6/20/201,6, site Address: .4064 States•Ave unit
#;
Name:..Laura &;Phil;Schulze Phone: 507-458-0801
Address / City / Zip: 4064 :States Ave Eagan MN 55123
Applicant is: _ Owner 1 Contractor
Description of work: Replace windows in existing openings
Construction Cost: 9,286 Multi -Family Building: (Yes / No _)
Company:
Scherer Bros Contact; '
Petra Lawrence
Address: 10751 Excelsior Blvd pity. Hopkins, ,
state: MN zip: 55343 Phone: 952-277-1678 Email: plawrenceschererbros.com
License #: BC239369 •Lead Certificate #:.NAT26305-2
If the project is exempt from lead certification, please explain why:
HArna hi tilt 1 A917
COMPLETE THIS AREA' ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor: ' Phone:
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.000herslateonecall.org
I hereby acknowledge that this Information is complete and accurate; that the won( 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 worlds not to start without a permit; that the work will be In
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x Petra Lawrence
Applicant's Printed Name
x Irl rl CM'-"
Applict's Signet
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148969
Date Issued:04/30/2018
Permit Category:ePermit
Site Address: 4064 States Ave
Lot:14 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Phillip M Schulze
4064 States Ave
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149039
Date Issued:05/03/2018
Permit Category:ePermit
Site Address: 4064 States Ave
Lot:14 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Phillip M Schulze
4064 States Ave
Eagan MN 55123
Norwest Contractors Inc
1370 Crestridge Lane
Eagan MN 55123
(763) 420-8268
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153233
Date Issued:12/03/2018
Permit Category:ePermit
Site Address: 4064 States Ave
Lot:14 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Phillip M Schulze
4064 States Ave
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166234
Date Issued:12/22/2020
Permit Category:ePermit
Site Address: 4064 States Ave
Lot:14 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Phillip M & Laura A Schulze
4064 States Ave
Eagan MN 55123
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature