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4076 States Ave'* City of Eapft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 q19c) . Use BLUE or BLACK Ink :For Office °Use '/L( 70 7 Permit Fee: qo ` c.' v Date Received: Staff: Permit #: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: LP P4- • 'U Site Address: da_e J Tenant: Suite #: RESIDENT / OWNER Name:kha--144-4-1-1.) ` 41D Address / City / Zip: 4107 4, 1ZiZo Applicant is: Owner 7" Contractor Phone: f51 'qqq_ S5/ ate-, 17 a 3 TYPE OF WORK Description of work: a Construction Cost: .,, DO o6 Multi -Family Building: (Yes / No ) CONTRACTOR Name:Clr rn /< c,. License #: l 7g Address: ii7tf City: State: P • Zip: SCO Phone: leS/ — '7 gq' `t Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that, you submit are considered to,� the information, may be classified as nonpublic if you provide specificereason conclude that they are trade secrets:. d nformatrlon fouldpermi ons of to, 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 pians. x Applicant's Printed Name x Applica , Signature Page 1 of 2 CITY OF EAGqM Permif No: 3830 Pl~o1 Knob'Aoad Meter No: ~o ~ ~ate: `2 f3 P.O. Box 21'199 y~ Size: Eagan, MN 55121 Reader No: Date: Owner. Froatier Hidc.est Site Address: 4076 States Ave R3 Stafford b7.dce LI Plumber S ~lu,.i?~ln . Conn. Chg: 550. Od d Acc[ Dep: 15, p(~pd Zoning: F.I Permit Fee_ Z0. 04pd No. of Units: Surcharge: .SQ d Tr. Plant 2 4. Qp d I a9ree to comply with the Clty of Eagan Meter. Ordlnances. Misc.: _ WATER SERWCE PEAMIT CITY OF EAGAN Permit No: 4367 Date: ~-SB 3830 PJIotKdoECRoad Meter No: Size: P.O. Box 21199 Eagan, MN 5$121 Reader No: Date: ' Owner. F'z'cutisr Hidvest Site Address: st+ttes dve 3~ tarfor P.ace Plumber. St+tr P1usblaA Conn. Chg: 550•04d Zoning: ~y Acct Dep: ' No. of Units: Permit Fee: ~ Surcharge: ' g 1 agree to comply with the City of Eagan Tr. Plant 704. Ordinances. Meter. 67 OtlVd Misc.: BY WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: F-22'88 ~ 3830 Pilot Knob Fioad B/P No: 8 7C, 3 - Date: 0-19--RE P.O. Box 21199 . Eagan, MN 55127' Owner. Frontier !riidweat SiteAddress: 4"76 Statea Ave I,! n3 Staffozd Placn Plumber. ~Lar plurnhi:t. MWCC: 550.00ad Zoning• pl City Chg: 1~'~n, L!4?nc1 No. of Units: Acct. Dep: I agree to comply wlth Ihe City of Eagan Permit Fee: Ordinances. Surcharge: ' Misc.: BY SEWER SERVICE PERMIT REACTIVATE FUR DEC{-PLAN REVIEJED 4/26/89 RIM, TqMn-r'.~TIRA..R 423-6071 CITY OF EAGAN ,TptIIV' aVIl+:~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 95121 bgg-76S2 PHONE: 454•8100 BUILDING PERMIT Receipt # To be used for Est Value Date ,19 Site Address • OFFICE USE ONLY T. F C) R 1'L.AOn SRe Sewage Occupancy Lot Block Sec/Sub. _ -1 MWCC Syatem Zoning Pareel Mo. On Ske Well (Actual) Const a Name CityWater ' (Allowable) z Address PRV Required s of Stories ` Boo~ City Phone Ster Pump Length Depth , p Name S.F. Total Footprint S.F. ~ ~ Address I' Ciry Phone APPROVALS FEES ~ W Engr./Assess. Permit ~'t~ • Rn W y~ F ame Planner Surcharge = n Address a W City Phone Council Plan Review Bldg. Off. SAC, City 1100. 00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC S"•00 information is correct and agree to comply with all applicable State of WatBrConn. ~*10•no Minnesota Statutes and City of Eagan Ordinances. Water Meter 67•00 Signature of Permittee - Road Unit ~1 5•`;. R A Building Permit is issued to: Treatment P1 2d4•90 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL ~ ~ ~t' ~ • 8uilding Official _ Permit No. Permit Holder Dats Telephone Plumbing 9wi I)i . j ffd'' H.V.AC. ~Ff c~ Electric j'ev Softener Inspectlon Date Insp. COmments Footings I Footings II Foundation - Framing Roofing Rough Plbg. Rough Htg. !03 isui. Fireplace Final Htg. Final Plbg. Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final 14 p Well . Pr. Disp. Y ~ Tutifiratr nf (Orrupanry Citp of eagan Bnwbnmt ~ lwlaWg Jwprtim Thi.s Cerlifrcate rssued pursuant to the reguirer?rents of Section 306 ojthe Uniform Building Code certifying ihat at tlte tlme of issuance this structure was in compliance with the various ordinances of dte City regulating building constructlon or use. For the foUowing.• Uee CLaafintian BMg. RKmit No. . pacuPwx*Y T~w ?`,3s I 2ooing Datrict 'n'pe CoosL Owna o( Bwldio6 Add= ~'rL- &e7d~~ Addrcat l.aCali - ~ ° tY n.ce: ! 4$S I Buacrms offidd POST IN A CONSPICUOUS PLACE . : " . PERMIT # PLUMBING PERMIT RECEIPT # - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address - , T i"' t~' BLDG. TYPE WORK OESCRIPTION Lot ~ Block.~ Sec/Sub Res. Y New Mult. Add-on - f i> 1 2 ~i! /L' i 1. L_. Comm. Repair m Name B Address Other c City tL) Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - V. FIXTURES TOTAL Name L 7 ~ • ~ ~ i S A_-water Closet - $3.00 S i ' ' J7 ('/77 f CU ~Bafh TubS - $3.00 ~ ~ L c Address Y 3 ft-Lavatory - $3.00 p Ciry Phone Shower - $3.00 -,Z--Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 ~ APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPUES Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ;?--Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADQ $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYONQ $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PEAMITTEE I FEE: < STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN % 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: A /;K7 •`•-,s CONTRACT PRICE: PHONE: 454-8100 Site Address f+~ 17f.i 5tates Avenue gLDG. TYPE WORK DESCRIPTION Lot 1 Block 3 Sec/Sub Res. Xx New Name ~4' ^ & Mult Add-on A/C Comm. Repair m B Addressl'' ~ Other ~ c City Lg~ai'? Phone 452-1565 FEES ~ Name ' RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Eagan Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air ~n,r,nn M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 SiC IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: 25.50 ~ SfC: • 50 SIGNATURE OF PERMITTEE TOTAL: g26'00 FOR: CITY OF EAGAN r_: . . , - , ti~_: :.u~ y:.~ • ' . _Y.l._a... ' . . . . . . , . , . . . . . . . . . . . ."F'+r,~ rF,.~. _ . PERMIT # PIUMBING PERMIT RECEIPT fik L G CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PNONE: 451-8100 i . Site Address - ' BLDG. TYPE WORK DESCRIPTION Lot ~ Block . 3 SeciSub Res. New 1? Mult. Add-on ~ Name Comm. Repair o Address ~ Other c City ' Phone ` -RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ~ NO. FIXTURES TOTAL Name Water Closet - $3.00 $ Bath Tubs - $3.00 3 Address j•; fiie, 1 j. f~ Lavatory - $3.00 O City ~~1 l Phone ' - Shower -$3.00 Ki?chen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.Q0 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONOO - RES, RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ~ f Rough Openings - $1.50 . + SIGNATURE OF ~EITTEE FEE: pF STATESIC: FOR: CITY OF EAGAN GRAND TOTAL: BLDG. PERMIT NO. 01-3210 81dg. Permit 01-3422 Vlah Check 01-344t ' SurchJAdm. 01-5446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit Qo 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 • BUILDING PERMIT Recsipt # : To be used for RWLG/r A'~ Est. Value Dete AUC*U3~ 18- ,19 Site Address 1~~ `7-~T[•;•~ r. OFFICE USE ONLY Lot - Block ~ Sec/Sub.SxAj''•"Tn OnSiteSewage Occupancy MWCC System Zoninp Parcel No. On Site Well (Actual) Conat d-N ; CityWater X (Allowable) V-,~3 ''(!N'Tl_" it ~'Z!1? ":4i ~ Name i.-.. z Address CEIMRVALE DR. PRV Required # of Stories ° Gity c-AGAN Pnone 45t-0103 gooster Pump Length 47 oeptn 44 , o Name SAM S.F. Total Footprinf S.F. ~ Q Address ~ City Phone APPROVALS FEES 45+J. ~ W Engr./Assess. Permit t)Cl 34.94 ~ Z ame ~ Planner Surcharge _ Address 225.00 u Z City Phone Council Plan Review a W ` BIdg.Off. SAC,City 100•00 I hereby'acknowledge that I har+e read this application and state that the Variance SAC, MWCC S~•00 infoPtnation is correct and agree to comply with all applicable State of Water Conn. 5~ Minnesota Statutes and City of Eegan Ordinances.~t Water Meter 67•00 Signature of Permittee 'I Road Unit -3-2-5-2-00 A Building Permit is Issued to: ~ r~ ~~;~~ST HI~~fES Treatment P1 2Q4=DO on the express condition that all work shall be done in accordance with all apolicable State of Minnesota Statutes and City of Eagan Ordinances. Parks • TOTAL ~2Si75.5(1 Building Official This reauest voitl/C~~~/~ d p J/J O 8qq"'5Y ¢ e &,/,p v7- 78 nwnffis fmm O 7' D30 0 7 6/ rg,c`S ftequOSt Uatq~ / Fiie ' f Rouph-in Insuection Heq rted7 oReatly Nuw~7 W~II Noufy Inspeo y~z ~~~~or When Read. O License Electrical ConVactor I hera y repuest inspe ion oi ebove ? Owner electrical work insta at: Str¢et AdAress, Bo. or Route o. City /O~' D ecuon o. ownshio Name or o. RanBe No. Cou y OccauO,d (PRI T) Phone No. G Power Suf'{~ lier Add es V /(/NL% v~'I Eleclri I Con[r c r ICo n amel C ractor 9 's Lir. e No. Mailin9 Ad ss (Co~n{t actnr or Owne MakinB Ins[ ation) d 7 .(t J.ryt.s ~.s C ~ Authorized Si ure I on rac dOwner Making In5ta11atioN Ph ne Number ~?-G~y3 MINNESOTA STATE BOAND OF ELECTFICITY THIS INSPECTION HEQUEST WILL NOT Grieee-MidweV Bitle. - Noom N•191 BE ACCEPTED 6Y THE STATE 80ARD 7821 Univarsitv Ave.. St. Paul, MN 56106 UNLESS PXOPEH INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION tVX Ea-oooai-os , See instructions far completing this form on bnck oi 4ellow copy. d ~ "X" Below Wak Covered by 7his Request y pa,~ AAtl XeO. Type oi Builtling AOPlipncm Wimd Equiu.,e.t Wired Home Ranye Temporary Service Duplex Water Heater Lightinp fixtures Apl. Building Dryer Electric HeaLn Commercial Bldy. bl~ Fumace Silo Unloader InAustrial Bldg. ir Conditioner Bulk Milk Tenk farm tner Peci v inor IsPn,ivl t .r Sucafy Other Oiher ompute lnspection Fee Below p Fe ServiceEntrenceSize H Fee Fexders/Su6lexders b Fee Circuits 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s Above 200 qmps37 to 100 Ainps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Amps Transrormers Irngation Booms Partial'Other Fee SignS Speciallnspection $ Remerks " i• ~ad ~ Rough-in u•~._ 1 5 i, the Elechical Inspector, hereby ' certily Ihet the nbove Flnal D:ite ..gpecxion hes Geen ~ , L(~/"~i/,%• 114 ~ o made. i0is repuml vo1G 18 montlia lrom y~ ~ So.Jv ~ `CASH RECEIPT ~we~.• CITY OF. EAGAN 3830 PICOT KNOB ROAD : EAGAN; MINNESOTA 55122 . ~~or~ ~ t ~i1V)1b G~~~ AMOUNT . . . . ~ ~ ~ ~ ~ ~ 8~~.~• . . ~DOLLAW. ? CASH CHECK ' ftl1 A J :FUNO - OBJECT ~ . OUNT , Thank You Whd,-Pa;m Cop,.. . ~ ' . Yegbw--4,OS1ing Cppy , . I ' . . ' PoNC-F'Je Copy. . . . RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ New Constructlon Reouiremenb RemodellReoair Reuuirements • 3 registered site surveys showirig sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20°h mazimum lot caverage allowed) . 1 set of Eneqy Caltulations for heated additions . 2 copies of plan showing 6eam 3 windax sizes; poured found desyn, etc.) . t sile survey for extenor additions 8 decks • t set of Energy CalculaUons . Indirate if Irome sened by sep6c system lor additions . 3 copies of Tree Preservation Plan if lat platletl after 711193 • Rim Joist Delail Optlons selection sheet (6idgs with 3 or less uniLs) DATE 6 /Oi~~I VALUATION (0 O0 O SITE ADDRESS SA1511~e6- MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK ek- QC042 k- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT `_~_0-fZ;,_Ce'xa*+-.~ STREETADDRESS I10a~- 3¢& OaAo 424cJe4 Ae CITY If4.~/'7O~--<iSTATEiXAf ZIP TELEPHONE CELL PHONE # Zz~f FAX # 56CZibZcIG(9-6 ? PROPERTYOWNER I ~?~'l Cw~LSOYt TELEPHONE# ft • COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'fA RULES 7670 CA"CF.GORY 1 MINNESOTr1 RUL1:S 7672 (v'submission type) • Residen6al Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing sysCem includes: _ Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths No. of Ba[hs Mechanical Contractor: Phone # Vlechanical system includes: _ Air Condiliociiiig Fee: $70.00 HeaC Recovery Sys[em Sewer/Water Contracfor: Phone # 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 Ordinances. Signature of Applicant ._w- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screene(l) ? 36 Multi ? OS 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impmvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre 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) _ FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Ptumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total 11 CITY OF EAGAN : - 15466 . 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55127 Na ` Q&.2 03 BUILDING PERMIT PH O N E: 454-8100 Receipt # 0 To be used for SF DWG/GAR Est. Value $69,000 Date AUGUST 18 ,79 8A- SiteAddress 4076 STATES AVE. OFFICE USE ONLY 1 Lot 1 Block 3 Sec/Sub.STAFFORD PLACE On MWCC Site Sewage - Occupancy R-3 M- System X Zoning R-1 ParcelNO. OnSiteWell _ (ActuaqConst V-N x Name FRONTIER MIDWEST HOMES Ciry Water X (qllowable) V-N W PRV Required # of Stories ~ pddress 3902 ,...EDARVALE DR. ; Booster Pump - Length . 47 ~ City EAGAN phone 454-0433 - Depth 40 , o Name SAME S.F.TOtal ~a Address FootprintS.F. ~ City Phone pppROVALS FEES 1-e Engr./ASSess. Permit 450.00 ww Name y ~ W Planner Surcharge 34.50 qg Address u Council PlanFeview 225.00 z City Phone a W 81dg. Off. SAC, Ciry 100.00 IherebyacknowledgethatlhaVereadlhisappliCation ndStatethatthe VarianCe SAqMWCC 550.~0 information is wrrect and agree to compry ith all a licable State of Water Conn. 550.00 Minaesota Staiutes and Ciry o 9a Ortlin' Water Meter 67.00 Si9nature of Perminee Road Unit 3_25. 0 A Building Permit is issued to: FRONTIER MIDWEST HOMES Treatment P1 704_00 on Ihe ezpress contlition that all work shall be done in accordance with all applicable State of Minne Statutes a City of Eagan Ordinances. TOTAL Parks $2509. SO Ol~ 8uilding Official 1 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN • SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHZCH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS li OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATZONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~r 0'~ To Be Used For: NEW CONSTRUCTIONValuation: $~}-966~-8,0 _ Date:K`8~/9/88 Site Address 4076 STATES AVE OFFICE USE ONLY G 'o ve ~ Lot 1 Block 3 On site sewage_ Occupancy -3 M-i - MWCC system i/ Zoning R-1 Pareel/Sub STAFFORD PLACE On site well Aetual Const V-N City water ? Allowable V-N Owner GARVIN. JON & STELTEN. JEAN PRV required # of stories Hooster Pump , Length W7 ' Address 7,~73 MORGAN AVE N Depth D' S.F. Total City/Zip Code RRC]f7Kl YN PARK 55444 Footprint S.F. Phone 5r~1-795F APPROVALS FEES Contractor FRONTiFR MTDWFST HOMES Engr/Assess Permit SO.DO Planner Surcharge ,So Address 3qm rFnoRVQi F nRTV Council Plan Review ZZS.DD Bldg. Off. -YiN 8 15 SAC, City /00,00 City/Zip Code FAGAN 55199 Variance SAC, MWCC SSO.Oo Water Conn SS`o,vb Phone 454-0433 Water Meter 69,DO Road Unit 325.0o Arch./Engr.,_.{\~k C~hrtrliF?_ Treatment Pl p ~OD Parks AddressC~//n~ Copies TOTAL ch<~_cy City/Zip Code .~l±rpic- .i/ail~y MN. 55-iazyl I Si.4FFaRD~~0~.2 Phone # 'A-92-6Y92. sapew`s Certificate SURVEY FOR: Pronti.e.r_6:idwest Ilomes Cotp. DESCRIBED AS: .--Block-3, S7'AITOI2D P1,ACF, City of Eagan, D3kota County, Plinnesota and reserving easeents of record. ~ ~tE1GAN REVIEWED . gY ~DM ~ g-?I-$?j OA7i , ~ • ~ ~ b~o , ~ N• -78 • ~ g,° v~ AVE ' ~ w R na sr~~~ ~20 ~z.c I }!~1s y ~ ~T I,1 4 +OZ1._ ~ ~ ~0 to w Ch, o-,0 n Q) 8 i5 (s~en ` ~~10 I U n p~ R'^d lo ~.E] ~ n SPI,4-E.M In Y M OPo`` ~ N~ ~0 5` 4ra y~ 8~ Q" w dJ Z! ~ / 9t1.5 JJ , / 4° z FNO, N LLJ NQ ~ "a N Np _ S a% ~ r ~ 95, p9 N v N. g2•~•~„ R W. 90=. I 1 901. 4' . 1 ~ D te FACAN ENGINE~RIIVG PROPUSED ELEVATIONS / I BENCHMARK+ Top o/ foundatfon .90L,8 E%w. • 903.41 Goraqe Floor .90i.4 8osemeM Floor 1. EY9.6 MIN. SETBACK REDIREMENTS ApproK.SswerServlnEMv.+991,3'- • - o Propoied Elevotions 4 Q Fronl - s° HowO Slde -1O m EMisHnq Elovalloni . Droinap• Dlrselion• 1....._. Reor -~s GoraQe81M- S o' Danofes Ol/sef Stake . O SCALE: t lnch a 30 Fssf so % I hveby Nrllly Ihot IAIs surveY, Vlon a Hporl wos PnDareA bY me JOB NO.: • /~IEDLUND or under my dlrecf superNslon mA Ihat 1 om o dulY Re9isterea 862 . 441 Land 9urvoYa undor the lows ol lhe 81at• ol Mlonesola. BOOK: Planning Engineeiirrg SurveyJng 4i1E~~1~Ipom4yluflN~~Y.wywp ~NImM~W]0 Iw.I+~+M~AM~wM , 8, 5 .ea - raae: Oal~: JH r Y n ~n, Llun~• N3T6 Nage 1 of 4 EXTERI02 ENVELOP[ AUfRAGf "lJ" COMFUTATiON.,-~ :;X X _ _ . OWNER:_ ARVIN. JON A $TELTENa ~~T~: SITE ADDRESS:4076 STATES AVE PNONE: 454_n433 FRnNTTFR CONTRACTOR: Fmo,-n TtE~ C ArJ e, ~ r--S PIAN # STIi-~T'~~C..I~ ZY Co Determine working square footage, of each 1. Total exposed wall area..... ~a 1 57 sq. ft. x .11 = `z1 ~Q iD~ 2. Total roof/cei 1 ing area..... ~(,0 sq. ft., x .026 Total exposed wall area above floor= 1$(9 a. Total wall window area ( Z~ b. Total door area y Z, c. Total sliding glass door area Z d. Total fireplace wall area e. Total wall framing area (average lOro) f. Total rim joist area g. net wall area a6ove floor K. wall area a6ove floor i. wall area a6ove floor j. frame wall area at foundation Total exposed foundation ai-ea= 3 Zc~ k. Total foundation window area l. Total net foundation area above grade Determine "u" value of each wa]1 segment (e,g. window, door, each separate wail section) . a. 1Z~ X mull b y Z X liu„ 3/ = l 3~oZ ~ LfZ X 11 V a. X l,U„ e. x u~~ f. 1 30 X liui, 9. xliuli Co n. x °u° _ i. X 1, U., _ ~ X IV, _ If item #3 is the sam k, X"U" = as, or less than item #1, you have met the 1, 3 Z~ ~ X"U" i ntent of SBC 6006 (c 3 . ToLal Z ~~25 _ ~:tcrior Envelopc Average "U" Conputation Page 2 of 4 Total exposed roof/ceiling area m. 2bta1 skylight area n. Total roof/ceiling framing area (lverage 10%)... Ifh t~~v o. Total net ir.sulated roof/ceiling area........... ' Determine "U" value for each roof/ceiling segment m. X "U.. _ n. X u. ~ O'z,q I`i,4 X„U„ ~ 4 4bL-al = ZO, ~ 3 'f total cf n4 is the`same as, or less than µ2, you have met.the intent of SHr_ 5005 !c) 1. Altern3te Building Enve].ope Design . 7.b utilize the total enyelope'system method, the values established by the s:un of S.tems_;;3 and r4 ;hall not be greater than the sum of items #l and #2. 1. Zl la t0°] + 2. Z~v ' N l = ~~I Z ~ S 3. _ ~ r ~j ~ + 4. . . PLAN # * L.INEP.L FEET EXPOSID WALL BIACK: Co S ~ KNEE: l3 O w.o.. - FvIt 1: I 3 ~5 fUtL 2: ~ FIREPLACE: ~ RIM: ~ 3 b * SQUARE FEET EXPOSID WALL AREA sz.ocx: x .5 = 3 Z.S" KME- t~ o X s= S-- w.o.: X $ _ fvt.i. i: x a= t l°~"f FtJL,L 2: _ X g = FIItEPLACE: x RIM: `,3 Q x 1•= L Co , ~ * SQLIARE FEET EXPOSED CEILING t d l~O ~ •14mmws * nooxs 4 Z . Z~-I 3 ce c,~ = LQ = 3~ -1 = 3 r * PATIO DOORS A~ Z, * &ssEMENT UxTTS 2 HLf U ~ 4= z-~ ~ Wou 5er-I-xx6 No~: use I tg, of opnque wh i ~ orea 'RDY R_..{tALLIE . . fvame.crr~stiru~tlo~ CONSTRUCfIOtS•- FRAMING _ ~ 1. INTERIOR AIR FILM 0,68 0 2. 2 BD .45 3. 5 2 SOFf WOOD 6.8 4. ~ 5. SIDING .62 FiaSaC ~ 6. EXTERIOR 71 R= .8 U= .09 FSG. 'Skl '(~>N+EN CF ~ . PR,4NE NnLt 1. INTERIOR'AIi2 FiIM 0.68 2:.,:, 2 YPBD .45 3. . ' 4. 25/32 SHEJiTHING' 276 5. ING .63 3~. ~1 3 6. 22.98 .04 ~ U= n . -U, 1. INTERIOR AIR FIIM 0.68 -QI 2. VrTTS-a 19.00 ISEhLFR 3. JOIST / 4. ff 5. D NG .6- . 6. OR AI FILM 0.17 U= .04 a p .i 1 • {d.rrDATILYJ t tc .•.._-,....~.......__.Q BI,OCK . 0 WALL •*0` - 1. INTERIOR AIR FIIM 0.68 c 0 . ~ 2. 12"IBLOCK ~ •n , ~ 3• 5.00 4. PFtOTECTIVE gARRIER 5. 6. TOTAL R= .13 U= .I4 SLAB ON GRADE ~ ` • • 1 P y ~ ' • , \ ~ ~ L ~ ~ p; ~ ! , , n _ 1?r! Utt 1.LL r ~ . 43 G ' NOTE: INLIICATE TYPE, "R" VAIIJE. DEPTH ATID PLACET4EM' OF INSUTATION. , WALL SECTIONS BRTCK FIRE PIACE NCTE:. USE 10$ OF OPAQUE WALL AREA FOR . • . FRAME CIONSTRUCt'ION CpNSl'RUCTION R-VAL7JE O '1. INTEFtIOR AIR FILM 0.68 2. RE iAC { 3, 4. AIR SPACE .68 5 . .11, 6. OR AIR FI .1 i! TOTAL 2.75 'BASIC WAIS. ' U .36 . 1. INTERTOR AIR FIIM 0.68 FIG. #1 TOPVIEW OF 2. £RAME WALL 3. 4, • 5. , 6. 0 R F ~j ToTaL z l. INTERIOR AIR FILM 0.68 FZG. #2 "i 2..... . 3. ~ q. 6. E}Ct"EfttIOR AIlt FILM 0.17 SF'eTFR ~ . ~ - . . IDITERIOR AIR FILM 0.68 U' 0 3. ~ , ? A 4. ' S. . . ~ d ~ ~ \ 6. EXTERIOR AIR FILM 1 - - 'IbTp,I,, bn'• ~ ~ • a' n . r ~ - . • . . . SLAS ON GRP.DE ~ I i t s i , , rr i ~f~ t ~1 . v . r. u /r ~f f a • A " ~l ( 1i{ ~L q ) ~ FIG. #3 FIG. #4 ~ 711~ ~ i r 3 ~ ~1~~i~ ' ---NOT£: INDICATE TYPE "R'l VALU~:, DEm AND ri, r~ PIACEMEtdT OF INSIJIATION ROOF-CEILING , , . l/Lt,CONSTRUCTION ' R-VALUE ~ 1. INTERIOR AIR FIIM 0.68 S7r 3. 4. VENT tr = .oz \ ~ • FRAME VENTED I~HEAT ~itl 1. INTERIOR AIR FILM 0:61 ~ 2. 3. nc 4. FIG. #5 U = (.024 CONSTRLTLTION INSIDE AIR FILM 0.61 r~ i~ r " • ".y`.°-1..~1' , ,ry;~,,, 2. ~ 3. 4. ~ 5. TOTAL U _ , _ .._......y FRAME Lo L(D 1_ INSZDE AIR FILM . 0.61 --O ~ 2. ~ HEAT FLOW U? VIINTID 3. 4. 5. FIG. #6 • U 1. .INSIDE AIR FIIM 0.61 3 0 0 2. mA~ I, i I I Y h~ i~ 5•' .~.~1lf1+ f ? ~ ? ~ ~ ; N 1 V i. • ~ .vi v ~X' ~ ~ ' j] _ NON-VIINTED ~ NOTE: USE PDDTTIONAL SEELPS IF MCJRE S?ACE IS T]EEDED FOR DETAILS AND G4ICILATIO*IS. HEAT FIAW UP Fzc. #7 /AN* 1989 HIIILDIHG Pfi9tiIT APPLICATION - CITY . SIRGLS FAMILY DWELLI9(3S INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCUL9TIONS 60TE: ADD&ESSFS F06 CO&IEB LOT3 - COATHACTOB/110l160WNEE MDST DSSIG9ATE iiHICH ADDEESS IS DESIRED. HO CHANGFS fiII.L BE ALLOiiED ONCE BIIII.DIBG PSRMIT I3 I3SQSD. 14[ILTIPLS DiIELLINGS HEI9TAL DHIT3 FOH SALS D8IT3 f OF IIHITS INCLQDE 2 SETS OF PLANS, CERTIFICATE OF SiJR4fiY - CHECH i1ITH BLDG. DEP?., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLODE 2 SETS OF ARCHITECTURAL & STRQCTURAL PLANS, 1 SET (T SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Dsed For: ~Ect<' 11aluation: - Date: 31te Address ~e~~ S~TES o~lV~_ OFFICE USE ONLY Lot } Bloek t) Decupancy FE&S Zoning Parcel/Sub Si'}PF°P-D Actual Const Bldg. Permit 7~ Allowable Surcharge Owner ~000 (SAV1 A # of atories Plan Review Length SAC Address ~9~ (o ST~ ~t5 +9 ~~t . , City ' Depth SAC, MWCC S.F. Total Water Conn City/Zip Code EACxhN) Footprint S.F. Water Meter Aeet. Deposit Phone On site sewage S/W Permit On site well 5/W 5urcharge Contractor 7-1 C<< l3 2-oTL /l~ MWCC System _ Treatment Pl. City water Road Onit Address A U/,J -2w2- A OF PRV required _ Park Ded. Booster Pump _ Copies ~ City/Zip Code A , VA~tY TOT9L APPROYALS Phone Q~-3- fo0~ 1 Planner _ Couneil Areh. /Engr . 5ri M e- Bldg. Off. Variance Address 57~~ City/Zip Code S~C Phone # Ssj02-G7- NOTE: Sexer 6 Water Permit fees and aenount deposit fees will be ineluded in the building permit fee. ProQessing time for serrer and vater permits ia tKO days once a licenaed plumber has applied for a permit at City Hall. . , S orits G'ert~f~cate . . SURVEY FOR: Frontier I!iJwest Ilomes Corp. DESCRI9ED AS: IAX 1, I31ock 3, S'fAl'fORll PI.ACE:, City o[ Iiagan, IUoCa (biutty, blinnesota and reseiving easeents of record. ~ ~kA GAN REVIEWEp i , A JV1 ~ S"r' I"p ~ f Sah N a~e. ~STAT - AVE ~ ~ . o vw S . ~ %~V sr-_ _ •20 ~t.o ~ ~ ,5 O&~?uL ~ f. tol. r Y ~ 9ro,y ^i.i " Gar ^ /4oi~ , > Y •1 ? n co g 25 „ P. Cs~.nq...J lo ~lo fl I O S~°Pot~~ i j, a~ 1 5 Pi.+- i f,~ N 8o- ~ ~ ~ / • Q -~a~o ~ ~ F~ ' 1 / a ?1 /4 ~ z qt)) ~d ~ g z FNO N ~ NQ N NV S ~ 95, Oq ~ tll /P + i~~v N.82•3y•aO..W. 9oz.~ a1.q' n D te . E:AGAN ENGINEERING PROPUSEO ELEVATIONS BENGIIMAflK, ~ •907.8 1N0. H: $wov.v V~M..a Top of fuundallon • 9a3.41 Garoqsfloor .vo-a•4 • Bassmenl Floor ~OY9.6 MIN.SETBACK flEQIREMENTS ApproM. Sewer Sarvlu Ebv..991,3'- ~ Proposed Ebvallons ~ Q Fronl - a° Houa 91d~ - jO m Ewistlnq El~vallan• . Pralnaq• Ptr~cllons Reor -is UaroqeBldo- 5 0. 0e001e5 Ol/sel Slake . O SCAIE: 1 IncA a 30 fest c,.-. st. -;o - I huOEy culllY Ihal IMf fulwq. plon or roPorl wos ynPaieA 4Y n's JOB No.; ; /,IL~'DLUND or unda my dlrIcl SuDSIdSlan on0 IAOI 1 om a auq p~pblend B82 449 Land 8wvqw undu IM lowS o11M Blal• cl Mlnnuolo. BOON: Plaruiing Engineeting Surveylilg ~ Ym~Yy1o+.ww~..w.a~m PAGE: IM~Y~aM~1~1N10iN o 0416: B/ 6 / eo JJ ~ y n ~a~ Uc~n~• f N776 APFLICATION FOR PERMIT iNOTE= pAYM7f OF FEE AT TIME OF x xx~ APPLICATION DOFS K7f CON- y STITS]lE APPRCNAL OF PERlffT. SEW ER AND/OR WATER CONNECTION : I~~ON OF mqm ANDiOR wATER _ xrasrALLATxoKS wna. rxrr se scmtn.m ; ~ • x[!NPIL PIIiPffT HAS B@] APpROVID. ; st~i++rfftt~sxta~at~~f~tf~tft~.e~~+~+:+ 1tV Of (zCBC'C8n _ (PLEASE PRINT 1) PROPERTSC ADDRFSS: _4f17F STATF4 AVF EAGAN T•FY;AT• DESCRIPTION; LOT 1~ BLOCK STAF RD P LotBloc S ivision or Tax Parcel ID IF EXISTING STRL'CTIJRE, DATE OF ORIGINAL BC!ILDING PEE2MIT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID USE: Q COA7MERCIAL/RETAIL/OE'FICE r ~ R-1 SINGI~E FAMILY Q INDUSTRIAL Ej R-2 DCPLEX (34ro Units) a INSTITUTIONAL/GOVERIVMEENT ~ R-3 TOWNHOUSE (Three +[Jnits) ( Lnits) Q R-4 APARTMENT/COAIDOMINIOM ( . Lnits) 2) NAME= FRONTIER MIDWEST HOMES ADDRESS: 3902 CEDARVALE DRIVE CITY, STATE, ZIP: EAGA_N, MN. 55122 PHONF: 454-0433 For City Use 3) NAME: STAR PLUMBING Pl rume s I,icense: ADDRESS: Active 1018 MOUND SPRINGS TERRACE F7cpired CITY, STATE, ZIP: gL00MINGTON. MN. 55420 Not recorded PHONE: 884-4149 MASTER LICENSE # 3329 - St Ia ~ itia nT 4) e ~ • NA`E: _GARVIN. JON & STELTEN. JEAN ADDRESS: 7673 MORGAN AVE N CITY, STATE,.ZIP: gR00KLYN PARK, MN, 55444 PHONE: 561-7956 5) ~ , a•~• i •a~~ ~ CONNECPION TO CITY SEWER XX CONNECTION TO CITY WATEEt O OTfER 6) * THE GOID COPY OF 7HE PERMCT WIIS, BE SEDTP DIRFX.TLY TO PCTBI,IC WORKS TO FACILITATE MEPER PICK-DP. * PLEASE ALIAW 7W0 WORKING DAYS FC)R PROCFSSING. SOMEIONE EROM TM CITY WILL CONPACP YOU IF THE2E * ARE ANY PROBLEMS. ~ ~~******+*~******~**r*+******~~+,+***+**,r**+*******~***+*«****~**~+*r*+**~+r*#***********+*r**+*r*+*~; . FOR CITY USE ONLY . ' . PERMIT # ISSLED Pd w/Bldg. Permit FEES: $ ~C~•S~~ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE ) $ U $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ .5S C> • 0Y9 $ ACCOUNT DEPOSIT - SEWER $ ACCOL'NT DEPOSIT - WATER ~ ~S• cf-L~ $ WAC $ $ sAc $ $ TRDNK WATER ASSESSME[VT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~ nc/~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL ? 0 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CO[VDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: u--.~, ~ cJ'7ta TITLE: DATE : ~3,79 ~2 553 2006 RESIDENTIAL PLUMBING PeRmiT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651•675-5675 Please complete for modifications to existing residential dwellings. [Date II V f0 treet Address '~D'7lo ~5~"~fS ~1/~ unit a rty Owner d'l/ Telephone #((_151) ~~'t_T-I Contractor h1" Pi o" Dr" ~ r Telephone # ({pS() 31~J" fN0 Address ,~~o [~dd F^Ll . City "Ct State ~M (~I Zip 52-13 The Applicant is: _ Owner ~Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee $ 100.00 Peras-built $ 10.00 Alterations to existing dwelling $ 50.00 ^ Add plumbing fixtures. This fee includes installation ot a water softener and/or water ~ heater at the same time. H you are insfalling on/v a wa2er softener and/or water heater, tlo not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener 14ater Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair `re6uild $ 30.00 Sta[e Surcharge $ 50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permii and work will be in accordance with the approved plan in the event a plan is reqwred b(be review d and approved. . D i e~ Applicant's Printed Name ApnPs Signature ~~CF,oWIED MAY o i 9oos N~ ~s-s~ Date: City of Eapjill 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Igo° For Office Use Permit # Permit Fee: Date Received: Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Tenant: Site Address• l b'--1 P \ \ Suite #: RESIDENT / OWNER Name: pli--). iR Phone: (..1 'l 4 `ri 11 Address / City / Zip: Ll Vf L " i cC-V h -v -e— DOP) N -3-51a- 5tc-CONTRACTOR CONTRACTOR Nam&Y D'\V'1 �/t 1 ' ... 41 11(14 +n`se #: (12 L t--1. LL ( Address: 1-1, Lt• 4' City: State i)\ Zip: DLL Vl Q�, 1 Phone: \' I1Q� Q C 101 Contact Persor_\ c" -}e" - TYPE OF WORK New yFieplacement — Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE __ RESIDENTIAL Water Heater \(Water Softener Lawn IrrigationAdd Plumbing Fixtures (. ; RPZ / PVB) - ( Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $136.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I b herey 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 andLn approval o tans f1� � Applicant's Printed Name x Appiijt`ant's Si FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground __Rough -In Air Test Gas Test __Final . �1}Mr�F±*�,r?�i ,�i r~ 7t•r � ,�lLf'� • .'1..' . . . !� ••y.! y �\' •1 . . . . . • . , ,�f ! ,�• ., � t . • • • . ��7Y �� , • .. , • • .. �------- or BLACK�ink �Cl� of .. � ; . ; Fo��o�.o�—_____,_� :; � � � a�au _ ... . � pe��: �� 3830 PUot Knob Road � ' � � � � � Permi!Fee: J�(�� I Eagan MN 6b122 . . . i Phona: (661j 876-6676 . � � Fdx: j Dale Receivea: i (661) 676►b69.4 i , � � i s�an: � � 20�� RESlDENT,IAI. ' � . �� '----------------- � 6UIL`DING;pERMIT.APPLICATION o�c�: �� l� s�c�ndd � 5�`s��"�• � re:s: ' '� ,i4 r�� . Name:,��Y.k.:l �N ��:.�� , ,,. :' , �r .. Unit�;-----------_..._. RESIDENT/ -�-�- ,� ��N �� .�.�r �� OWNER . Addrass I City I Zip; �.� ' ' " .•, , r. •, ,� Phone. l'' �,y�� ' �� — ��, AppAcant ls: � � r ...; , . . : — .Ovm�er� ;�,.Contractor. ,, 1YPE OF WORK Descrip0on of Worlc;' ��' � �F�YZ,A�l�-� � �2_. Construction Cos�� G� . ' ' Muld-Famlly B Udtng;{Yes_�No� Company:'�1�✓%N��'�/�„�� . . �R Gc� Contact:��e!/F�° S�`�O�'114��(� CONTRAC70R Adctress:,�� . • , ' /y� � S�3t9:��z1p .:�<jr'�j�'•j,�,��, 'P :' .Cijry: /��L� I ' ir�l h0�19� ' •.� ' (�' �8 �e , •',�'1�t� � ,�• ' • Ucensa�; L-�D,3.5�spg'�,�, , ... , l.oad,Cetqticat�#: /V'_�_,_3'� ? �/ ��the proj�ct is exempt.from lead certJfJcatton�pl8ase e 4aln wh� • asa �� ,..,.. . ' ��5 ;��.,., ;, Y�-�,:�:3 Pe9�3�for addit(onai(nformalion) G'�, „i. ��. ,<�,'`"f5,/�,v.•.`: 4 , '�' 'W� '��i�t..r•�3'Y,'v:y��„�� . COMPLETE THI3 AREq � Nl;• IF'C � . , , �.-� ; ».��N��..�(3 A NEW BUILDING t n t h e l as t 1 2 montha, has t h a C t ty�o(E a 9 a n I s�u e d a po.rrn Jt(or,a slmlJar.Plan baaed•on e ma8ter Ian ..,,Yes ,_„_No If yas,date end address of mastsr pian: • � . '. p 7 l,7censed Plumber: r` . . � Mochanlca!Contractor. Phone: ; Sewer b Watar Contractor: � Phone; i _' • . .. . _ ; • . Phonec � NOTE:P/ans and suppo��q documen . the lnformatlon may,be clas,9jll9d as�p��u�l%C'l� p��t$.�c,q,:n$l�/�rpd to'be publ/c Information. .Portfo . _ . . ... . .,,. ,�:"cd ` y�.•�i'�,YI��I.�F�naa�sons thaf ns ol CALI BEFORE YO j • �. . �. . , �c u��a#:f�ie�:�rAitxadg searets:•:�. wou/d permlt the Clty to � Q• CiBu QO �'r � �r•u'i... ti y . Delore.you Inlend!o d!fl lo recelva Phar 8tatv Qno Ct!!pt(��?�-000t '�'.` , '',, .•..� � . . I he7ebY ackr�o��d e�a locatai of undar�.rp{�� a Pro��1011698�1;1 underyfWnd uUIRy dema e. Can� � 9 �lhlS�!1/OfR1Su0•.Jf �',' �,�•<u:w}i� h.�.�:�`.�ii�i:Yis;,-r�i'f.,i��,' ;� � r'�' 9 8 h0u�3 �9a�: al I und6l�lend U11a i� p0l 8 p�p COR�p�I9 8nd BCCUf8l9. „M,,.•.+�; � , � {hal Uio iwrk 1NU�'N'COnfortnence wlth lhe ordlnancas end codes oI the Ciry ot accoraance w;�h!he approved ptan!n lha'cas�e�c��`,,,}��q��ai e�New and�approval o!. �.• � De�t� 9nd,.WPrk la no!to atert withoul e paRn(i; that Ihe wonc vd�l be in Eztertor work authortzed by� bulidln .: '. '� � �� . � � ;.� .� . days ol permlt Issuance, 0 pe�«I$suod In accordancv Wlth.tho M�nnv�ota g�atp Qulldinp Code mus�be com tetsd x S'��G' �"7"�O�� , P withln 180 i J� � � APP!(cant's Printad Mame x � • AP cant's Signature Page � 01� PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143720 Date Issued:06/26/2017 Permit Category:ePermit Site Address: 4076 States Ave Lot:1 Block: 3 Addition: Stafford Place PID:10-72500-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Ryan Bronson 4076 States Ave Eagan MN 55123 (651) 994-4569 X1 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature C IVSD I • MAY 18 2018 , ' ' For Office s � V ,, % tfr0, Permit#: E AGA N Permit Fee: / 72. 6Q ( �� Date Received: J 1 u✓1" 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /ti( (651)675-5675 I TDD:(651)454-8535 i FAX:(651)675-5694 Staff: ) buildinginspections(a�cityofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION i ipr,r , Date: 5- 1B- L e Site Address: `"IU it 33-Ciepi_ C Unit#: :� 4.0.. - Name,► 1 . 3 (') Av e Phone:�5 i opq ' ,-,\ ci I ne LI 1�. Address/City/Zip: v `5 oc- iL` Ne.., til l:Ar min "" ` Applicant is: Owner f " Contractor " t f k' Description of work: [ _�. �'I r'1 Ire.(`,(- '-t C i • i n A(C 113 (CA 1,3 ',`' : ' Construction Cost: ,'1D J 1J V Multi-Family Building:(Yes /No ) V- Cs U ' lctrc �.CCi v J Dci �� Contact: 1't t' Compan �. 1 V`G dry} ' Address: I:11�1 17 1\t.CC\lei- PVC ) City: urn.)\,, 11C Contractor q�f 1 State: u 1 Zip: Phone: Li d� - I V�ail: License#: (, r) -10 45 Lead Certificate#: If the project is exempt from lead certification, please explain why: qs.-!_\_ 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: Fire Suppression Contractor: Phone: Plans and g documents tha'Olt: it .sidered is forma . "' <R ons of the mroatrora may die +classified as nb14if Pc f you provide specific sons that would permit the City to canClu• :!," •t7 t " °• s ° s is e. }- ti„ y; 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.cityofeagan.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.gooherstateonecall.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. x C�S' 1\( t t (- f,- xl� A,1, j+ , i'�/�` Applicant's Prin e l Vi Name cCApplicants nature 55-e/DO NOT WRITE BELOW THIS LINE `-74 7 311'ke-C. nVe SUB TYPES Y Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi y Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation "24 Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ()) c 17 -7 Occupancy -%A -- MCES System Plan Review Code Edition vA jv/-Q /S SAC Units (25%_100% ,) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \/i/2 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) x Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan '�"� Other: Reviewed By: 1i , Building Inspector RESIDENTIAL FEES Base Fee , D y AA/ c1,3 Surcharge �V U 'i Or fl Or' Plan Review r MCES SAC 00 City SAC f, Utility Connection Charge 2140 y / 0 0 S&W Permit&Surcharge ( Treatment Plant Copies TOTAL Page 2 of 3 --N, 1 , : . /v975_<.V Surve'qor's Certlfi de . . - ___________ SURVEY FOR: Frontier I.lidwest Domes Corp. DESCRIBED AS: lAt1Minnesotaa of lon�i3resTAFFORDg PLACE, City yrof Eagan, Dakota Comity, qp1GA1 REVIEWED BY .3� �_._ C r.. ens, • 6-TATE S_. l 40N•-.. AVE. 811 0 1„1. 7 .1 .0,, y � r T• $ ts' . . L - r 2p� 1,0 1 0. r-c ) y � 8, / .. .,... �� 1L $9°4s.9Sab Gar 102.r ' ca�4 n it I--..... .... ; 7 15 -, P , C , oi,..J to -10-fil / C] 1 ., r0 es • )......t......o + ,/ a 14, is 10 b 2 .04)A�J Ni Lj !1'1A.S , la tT —�� / r6, in. / ,e// --... i . . in ! )( et 1 tl"'( ,'\(ie' A , .. 4o et• Li./ ,. 4,,,,, ,. N .S\\ s � a-siz � ' ` - IQ nl 95. Oq 0Y or N. 82•3q'ac3c'INK , 4-10z ,), ' Icisill n aide -` . E GAN ENGINEERING .0 41,1 PROPOSED ELEVATIONS 9ENCIIMARK• Top of foundation •90 .8lir -r.... two. ett 6.4*...ftv As....s. Et.... • 404.41 Garage Floor *yaz.4 Basemen) Floor aril.ro MIN.SETBACK REQIREMENTS Approve. Sewer Service Elev.a 111,3 '- Proposed Elevollons s CD Front — 1° Nouse Side—1 o m Eslslinq Elevallons • Drainage Directions r -....._IP. 1 Rear — is Garage Side— s O' Oenoles Otiset Slake • 17 SCALE: I Inch a 30 Feetcep'. st, - is - I hereby cern. Owl this survey, plan or report woe swipe-red bli ms JOB NO.: i II HDLD or under my direct supervision and Shot I am a duty Reelslersd 8b2.449 Lund Surveyor under his lows sl the MI. of 1Alnnaaolo. SOOK: Planning Engineering Surveying sao's•u u,.w•r.ew.rn•.•y�s+or.�y�r,swN••w•$s•m PAGE: +• r1eNIWe71s G Dale: Bt 5 Alb itp,,Jdly A n Zen,License 14375 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152977 Date Issued:11/13/2018 Permit Category:ePermit Site Address: 4076 States Ave Lot:1 Block: 3 Addition: Stafford Place PID:10-72500-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ryan Bronson 4076 States Ave Eagan MN 55123 (651) 994-4591 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature