4079 States Ave
CITY OF EAGAN - ~ ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ' ,19
Site Address OFFICE USE ONLY
Lot Block ' Sec/Sub. On 3Re Sewape Occupancy '
MWCC SyBtem ' Zoning ~ t
Parcel No. On Sfte We11 (Actual) Const
rc Name Ciry Water ~ (Allowable)
z . PRV Required ~ of Storles
o Cddress phone . ~4 3~ Booster Pup Length ~
Y •~b
Depth
, o Name S.F. Total
Footprint S.F.
~ i Address
~ City Phone APPROVALS FEES
~ ac Engr./Assess. Permit
W
W W Name . .
~ Planner Surcharge
_ z. Address . ~ ;l
v Council Plan Review
~ W City Phone . ~ . ~
Bldg. Off. SAC, City
. '
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC - ,
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter ~
Signature of Permittee Road Unit
A Building Permit is issued to: ' • i-'IUwWST " Treatment P1 ` •ou
on the express condition that al I work shal I be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks v^-
Building Officiel TOTAL
Permlt No. Psrmit Holder Date Talsphone it
Plumbing
H.1i./lC. / ) /D .19 ~
E lect ric y//-/Av8` l. y
Softener
Inspectlon Oata tnsp. Commenta
Footings I
Footings II
Foundation 22*
Framing 0~ ;
Roofing
Rough Plbg. _
Rough Htg. cpj~
Isul. Co-
'
Fireplace _Gle- ys t-"Z, 6 -
Final Plbg. . d
Final Htg. N-,E.
Bldg. Final ~g .
Cert Occ. Temp. LP
Deck Ftg.
Deck Final
Wel I
Pr. Disp.
i . ¦ ' - ' ' _ i . ' . . ' . . L,~ ` (1 r i 1
(C.erti#iratp uf (Orrupttnry
titp of (Eagatt
i0PPwdiptlf Qf Idtm" 3wetllDtt
This Certijcate issued pursuant to rhe requirements of Section 306 of the Uniform 9uilding
Code certijying thar ar rhe time of issuance rhis strucrure was in compliance with 1he various
ordinances of the City regulating building construction or use. For 1Jre following.•
~ •~„Lz U.~
use Q.ssiruauoo i!4rCi1
Bidg. Rnnit No.
R3 Ki yM Zofting Owner of HuiWinB ~ r'IMP-5I DWricts Addr= 02(4:'~Fti~J=•:«~, EAGM 39-
rr.~~, ~ , ,3, tr,P. .
Bwldi~g Addreas Locality Dau: .,91Z$ ~ 26, 19?''',
Buildwg OH'~Wl
POST IN A CONSPICUOUS PLACE
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN. MN 55122 DATE: May/6' 19 fi u
CONTRACT PRICE: PHONE: 454-8100
Site Address a es ve. BLpG TyPE WORK DESCRIPTION
LoA6 Block~ 4 Sec/Sub
Res. ~ New
.4..4'_
Name ' 4 . i Mult Add-on
7~r'haunee oa Comm. Repair
~ Address - 4521565 c Cily h8q8n Phone Other _
Frontier ampa aa FEE3
Name RES. HVAC 0-100 M BTU - 324.00
c Address 3908 Si ey Memori Hwy. ADDITIONAL 50 M BTU - 6.00
p City 28gan Phone CONSTRUCTIpN) INCLUDES A/C ON NEW
GAS OUTLETS (MINIMUM -1 PER PERiV11T) - 1.50 EA
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 80, 000 M BTU 24.00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
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 S/C IF PERMIT PRICE GOES
Ges Piping Oudeb # 1.50 BEYOND $1,000)
Other
FEE 25.50
S/C: .50 SIGNATURE OF PERMITTEE
TOTAL .
FOR: CITY OF EAGAN
~..t..
. , PERMIT q ~L~ LI G
. , PLUMBING PERMIT RECEIPT tk rJG
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address !2 ` BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. x New X
Mult. Add-on
~ Name, ' "'N L Comm. Repair
Address Other
~
c City Pnone y~~ ~5 5 RES. PLBG. ONLY - COMPLETE THE FOLLOWINGi:
- ~ NO. FIXTURES OTAL
Water Closet - $3.00 - ~
Name ~ l Bath Tubs - $3.00
3 Address Lavatory - $3.00
p City < f' Phone Shower - $3.00 Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°r6 OF CONTRACT FEE ~Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ~-Floor Drains -$1.50
TOWNHOUSE 8~ CONDO - RES. RATE APPLIES -~Water Heater -$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 PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
~Rough Openings -$1.50 '7- -~C
SIGNATURE OF PERMITTEE FEE: ~%l~ •CC~
STATE S/C: SD
FOR: CITY OF EAGAN GRAND TOTAL• ~C
BLDG. PERMIT NO.f'T V
V
`01-3210 Bldg. Permit
01-3422 Plan Check
I O1s7445 Surch./Adm. /
'01-3446 SAC/Adm. ~ v
01-2155 Surcharge
~r-~3860 Road Unit -3v~ 0
20-2275 SAC
20-3865 Water Conn. aJ SO ~%u
20-3868 Water Trmt. ~ fi r v 0
20-3716 kater Meter 60
20-2252 Acct. Dep.
.20-3713 Water Permit
,20-3743 Sewer Permit
79-3866 Sewer Conn. & C
)I 1L~3855 Park Ded.
TOTAL ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt#
To be used for 5F D'HG/GAR Est. Value $73•OW Date "RZL 12 ,19 88
Site Address 4J79 STA'TE5 AVL: OFFICE USE ONLY
16 4 STAP~'0RD P1,ACE On Site Sewage Occupancy a"~
Lot Block Sec/Sub. R_i
MWCC System x Zoning
ParCel No. On Site Well (Actuaq Const V`N
FROMTISR MIDWST iiOISES Citywater X (Allowable) Y'N
ac Name
z Address 3902 CEA"VAI.£ 1)R PRV Required # of Stories 1
~ City ~G~ Phone ~?+-0~+33 Booster Pump Length 81
Depth
, o Namea SAMF S.F.Total
~ 4 Address Footprint S.F.
~ City Phone APPROVALS FEES
~ a Engr./Assess. Permit 406.00
WW Name 36.50
~ W Planner Surcharge
= Z Addrdss 233 •UO
M Z Cit Phone Council Plan Review
Q w„ Y ~110~~
I Bidg. Off. SAC, City
I hereby acknowledge that 1 have read this application and state that the Variance SAC, MWCC g,w• Vo
in(onnation is correct and agree to comply with all applicable State of WaterConn. 550•00
Minnasota Statutes and Gity of Eagan Ordinances. 87
Water Meter
SigQature of Permittee Road Unit 32s•00
A~Buildin9 Permif is issued to: FkONTIER i•1IDiaEST HQt'iFS Treatment P1 204•00
on the exiq,ress condition that all work shall be done in accordance with all p~rks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official -
. . `.F.•.. " ~_...-...:~-!c.J^.-~
CITY OF EAGAN Permit No: Date: 4
` 3830 P(fot Knob Road t,~eter No: 4 V ~ Size: S~ Oc
i P.O. 8ox 21189 ~ Reader No: u a Date: 61
~ Eagan, MN 55121
i Owner. Frontier Midwest iiames
! Site Address: 4079 States A L16 B4 Staf. fcrd Place
f Plumber Star P
~ '
~ Conn.Ch9= rc;n r . V0-zS`~
r o9:.
~ Acct. Dep: of l, r~j~s: ~
Permit Fee: %TU Surcharge: = I ag9
Misc,: om e Cfty of Eagan
Tr. Plant OrdMeter. . t n By -
~ WATER SERVICE PERMIT
CITY OF EAGAN Permit No: ' Date: 4 i9~8P
3830 Pilo# Knok Road iuleber No: Size:
P.O. Box 21199 Reader No: Date:
Eagari, MN 55121
Owner. YYGTttiC.'T ?"iSd+Jf'SC qo:ies
Site Address: 4079' GCStes Avenue L26 R4 Staff.cr<j T'lsce
Plumber.
Conn. Chg: 2oning: T'
Acct Dep: 1 1~ ilfl~,ti No. of Units:
Permit Fee: 10 ilOoe
~ Surcharge: Sn*u~ I agree to comply with the Cfty of Eagan
, Tr. Plant Ordinancea.
Meter.
Misc.: BY
WATER SERVICE PERMIT
~ CITY OF EAGAN • Permit No: Date: i
' 3830 Pibt itnob i$oa,d P No: Date: -
P.O. Bp?21194
j Eag6n, MN 55121 • ~
Owner. rrout ierl'.":iJweat Homes i
'
~ Site Address: ~tes .ti-enue .
Star Flumb:si>; i
. Plumber:
, 5~0.(}Op,,
, MWCC: Zoning• ~
Ciry Chg: Z I M. 1 pu No. of Units: !
1 .
Acct Dep: I agree to comply with the City of Esgan
Permit Fee: Ordinances.
Surcharge:
Misc.: BY
I
SEWER SERVICE PERMIT
-
. . . . _ . .,i ra~ . . ~
CASH RECEIPT ~
CITY OF EAGAN
' 3830 PILOT FNOB FJAD '
• EAGAN, MINNESOTA 55722 '
MiE ~ , 19
r~cuveo ~ 4~-7?'-•t~~+-~
. A~UNT $
& DO LLARs
~ 0 CASH ~ HECK
~ytlJ 5~ S z j y l1
r.J4 ,e y c~a . . . .
~ .~L~.C..•~ h~ ' ~1.~ `/~P
FUND OBJECT~ ~ .~AMOUNT
Thank You
81,
Whi~--pa~~
° YeW~Om . :
~ ~ . Y ' %nk-Flle Copy
. . . ' ' . . . ,
TM1IS fCQuP.SI VOIA~~//eO
18 nwnths trom ~
E .1012 6116; aee~ • ~ &a
Nxquesl ate Fire N RouPh-in InsOecUOn
~ • Renuir ? ~Aeutly Nuw ~JM*~I Nnti
? ty, InsDec-
V es No lor When KFeadv
censed Eleclrical Contractor I hereby request inspection of ebove
Owner elacbical work installed et:
Street ddresBox or No o Ciry~~~ I
N
ectwn o. TownshiD Name or No. ftanye No. Counry
Oc opant IP TI. ~ Pho ~e N
E o. - -53
Pawe polier Addres
Elechical Convactor IComVany Numel Con[ract r's Licnnse No.
Mp r s~ICon"lra~Makin In ilatio~l ~ D
~wner
14540 PENNOCi{ L..1
Authali3a3gidZ: 6a[ r 0MVbb p 24laiionl Phone Number
tarrL ~
MINNESOTp STATE BOAPD OF ELECTNICITY THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway 9ltlg. - Naom N•197 0E ACLEPTEO 9Y THE STqTE BOARD
TEY1'Un~versiiv MN 55104 UNLESS PflOVEfl INSPECTION FEE IS
Phone16121642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION w ee-ooooi-os
1
See inshuMions lor comDle<ieg this form on Cack of Vellow coOV.Lt~1
q ^ ~!•~J
E -101L 6 "K" 8e/ow Woik Covered by 7his Request
~ fleD. TyOa o1 BuilEin9 AGPliantea Wiretl Enuipment Wired
Home Range • Temporary Service
Duplen Water Heater iyhtiny Fixturev
Apt. Building Dryer Electrii: Heatin
Commercial 81dy. umrce Silo Unloader
Industrial Bldg. Air Conditioner 8ulk Milk Tenk
Farm Otni:r SnecTrv ntnfr (5nediy)
tlwr Vecify t er Other
ompute Inspection Fee Belaw
k Fee Sarvice EntranceSize tt Fee Fenders/5ubleaders N Circuits
0 to 200 Am s 0 to 30 qm s 0 ta 30 Am s Above 200 qmps 31 to 100 qmps .121 31 m 100 qm s
Swimming Pool Above 100-Amps Above 100_Amos
Transiormers Irrigation Booms Partial.Other Fee
Signs Special Inspection $ ~
Hemarks T AL %EE
flough-in D"j° t Ele ' I
Insoector, hereby
a,~~tv meI me aeove
Final U' e/~ inspection has been
i maee.
mi6 reQUesl voiC 18 moniM tmm
C) RESIDENTIAL D~
BUILDING PERMIT APPLICATION ~
A CITY OF EAGAN
~ 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConswctMn Reaufrements RemodellReoair Reauirements
. 3 registered site surveys showing sq. R. of lol, sq. ft. of house; and all rooted areas • 2 topies af plan G(}-
(20% maximum lot coveroge allowed) . 1 set of Eneryy Calculatians !or heated addi6ons
• 2 copies of plan showing beam 8 window s¢es; pouied found design, etc.) . 1 site survey for extarior additions 8 decks
• i set of Energy Calculafions • Indiwte if home serve4 6y septic system for addi6ons
• 3 capias of Tree Preservation Plan if lol datted after 717/93
• Rim Joist Detail Oplions selection sheet (hldgs wifh 3 w less units)
DATE VALUATION 'XV02 n
SITE ADDRESS ~v 7 A-- ~7`?_ it'_`Q cr qvi /79 MULTI-FAMILY BLDG _ Y !/6
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 4)orlA 1rrk_
STREET ADDRESS Ba!/ r oo/o CITYe~'--67? 94 STATE7'?ZIP•-~S~? 3
TELEPHONE #6 51-Y 5-z Jp7Z ELL PHONE # 6:51-e191-..3t//Y FAX #
Ife- vnr_G~ TELEPHONE#b~/-`/S~ S~f~I~3
PROPERTYOWNER 6r16?0 (2vi j L
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ytlNtiI:50TA RULES 7670 CA"CF.GORY 1 1VIINIVI?SOTA RULES 7672
submission type) • Residential Venfilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contwctor. Phone #
Plumbiug system includes: Water Softener _ Lawn Sprinkler ~O ~'~,F~e•~~ $90-0Q
Water Heater No. oFR.I. Baths VZy Zc^? ~'I,
No, of Badis V I
Mechanical Confractor: Phone # I_ -=1
Mech~mical system includes: _ Air Condiuoning - ~Fce; ~70.00
Heal Recovery System
Sewer/WOter Contwctor. Phone #
I hereby acknowledge ihat I have read this applicotion, state that tKiin f mation is c , and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan nces.
Signature of Applicant
- ------------------_..----___...-----OFFTCE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Flreplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ~
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plez ? 10 08-plex x 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex 13 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Oemolish (Interlor) ? 44 Siding
il- 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demoiitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation 2,0_4pG7" Occupancy 0~_, - uL- MGES System
Census Code I~1 ~,Zoning City Water
~T
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const __vo_ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
~ Footings (deck) ~ FinaUNo C.O.
_ Footings (addirion) _ plumbing
_ Foundation HVAC
_ Drain Ti1e Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FranvuB _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC A' r
Ciry sAc
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Smmcllori's ecrtificatc
ASURVEY FOR: Frontier t'idviest [bmes (',orpocaxion
DESCRIBED-AS' ~-ot l(., Block 4, STt~FOP[)'i'I.ACf, City of 1?agan, I~kcta Cetnrty, F'iuiics
~ and reserving easements of record.
?
~ .e 6 rJC~v1 V
~G
~ `r9e
/
t~c s
rv)
A
1
1
i . . . ~ . . • . i...'..1 i ~
..i . _ . .
.I . . ` . . . . . . .
2
40/ ~ a
~ ~ ; , ~ ~ o ~
Yi t ? £ N 1 ~~895.4 1 ,e ~
. . _ . . ~ k io.:~ ~ -0 ~R . . . _
- p~ - . ~ ~t
Wo
- -
_ 75:33 ` . _ _Rvpoyed ~ . . }
svur-e..m.s
19~
Zs a~sa a _
' GAR:
~ ~7•~ ~ N . 97.5 1 - ~ ..E.. ~
Nlb^5 ' . ~ s I
30 zo ~ IO E 'r •
N
a51_~ ' D
843.8_'~ lo ~ .
AP~r?K '~~5
10 ~ .
•2g ~ 8R7:6
e3 3y1 Re2'~o' 84s.Z M'8
0
M srQrEs
AvE 8
PROPOSED ELEVATIONS BENCMMARK~
CITY OF EAGAN N2 1 4$ 18
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE:454•8100 70p/
BUILDING PERMIT Receipt# l0
To be used for SF DWG/GAR Est. Value $73,000 Date APRIL 12 ,19-8-8-
Site Address 4079 STATES AVE OFFICE USE ONLY
16 4 STAFFORD PLACE OnSReSewage _ Occupancy R-3
Lot Block Sec/Sub. MWCC System X Zoning R-1
ParcelNO. OnSiteWell _ (ACtueqConst V-N
Ciry Water x (Allowable) V-N
m Name FRONTIER MIDWEST HOMES
w PRV Required 7t of Stories
Address 3902 CEDARVALE DR
o eooster Pump _ Length 401
Ciry EAGAN Phone 454-0433 48'
Depth
, o Name SAME S.F.7otal
~a Address FootprintS.F,
P City Phone APPROVALS FEES
~w Engc/ASSess. Permit 466.00
ww Name
Pianner surcharge 36.50
i~ Add~ess
Cit Phone Council Plan Review 233.00
aw Y ~
Bldg. Off. SAC, City 100.00
r
I heraby acknowledge that I rave rea i plication and state that the Variance SAC, MWCC ~0.00
information is correct and agre t m wifh all applicable State of Water Conn. 550.00
Minnesota Statutes and Ci y of E - O inances.
~ Water Meter _67.00
Signature o( Permittee ~ Road Unit -325 ._0
A euilding Permit is issued to. ID~$T-HO Treatmenl P1 _204.00
on ihe express condition that all work shall be done in accordance with all
applica6le State of Minnesota Statutes antl City of Eagan Ordinances. Parks
~~~If TOTAL 2,531.50
BuildingOtficial_!~.lL~(~f~ m
O,
C.aMg0n&C 9°
)''IODtL <
1988 BUILDING PERMIT APPLICATION - CI'fY OF EAGAN
zi:~ 141 I$
SINGLE FAMILY DWELLINGS
INCLIIDE;~$ETS OF PLANS, ?~CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCU(.kTIONS
NOTE: ADDRESSES FOR CORNER iATS - CONTRACTOR/SOMEOWNER MUST DESIGN9TE WHICH ADDAESS
IS DESIRE?. NO CHANGES WIL[, BE ALLOWED ONCB BIIILDING PEAMIT I3 ISSUED,
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECg WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
~ ffD'0 MAR 2 9 ~ggg
To Be Used For:~l Valuation: Date:
Site Address OFFICE USE ONLY
Lot Block On site sewage_ Oecupancy R-3
MWCC system j.- Zoning R -1
Pareel/Sub On site well Actual Const Y-Hl
4 City water L/ Allowable V-N
Owner 6 1~i A11 PRV required N oF stories
~~?JC ~I~ Booster Pump _ Length -4
Addresa -
Depth 4t3'
1
City/Zlp Code~~InOlif~a~ ootprintS.F.
Phone APPROVALS FEES
Contractor (YdT--hiV d,6kL954 1-t~u~P~j EngrlAssess Permit (64,00
q , I Planner Surcharge ~
Address(J-l0Z- PfG~(i~?~-!f O? Council Plan Review 3Z 3.GD
Bldg. Off. ~3/31 SAC, City f DO.00
City/Z1p Code ~,&q2p2~- ~G~4W- 53I~L~- Variance SAC, MWCC 100
( Water Conn
Phone 4jrq- Water Meter 071 W
Road IInit 75,00
Areh./Engr. )34-~ e~K . Treatment Pl 20O-1 rONO
Parks
Address b6 IYi JrK '"Qu16M Copies
1 /
City/Zip Code ~ ~ TOTAL q~.531.5p
Phone !i Q~Q,~~ b~qg
VA~t,~ATtot~ ' ~
, - - , .
C,~R C~E
Zo X z2-= ~Uv
3 = Cl t)
6ct~em~sT' uLK x~u = S99 2.
X n
/ ~ 'zu = Zo
1070 XI3 = 13000
N~sc
4bX24 = Ivyb
i x s' : ss
b~g:-~ uu
3 ~c L( ri Z.
11oiX 4q~ Sy292
'1 3 Z~ ~I
i
' survellor`s Certificatc
1
SURVEY FOR: Frontier TSidwest F:omes Cor,r.•oration
DESCRIBED AS: I•ot 16, Blocb: 4, STAFFOP.D PLACH, City of Fagan, Dakcta Cotmty, 1'innesota
and reserving easements of record.
I ~ y
S~115'~ ~ ~,8se~
I 5 bq bZ
i N,
~ 6~~i ~5 0
867.0
1
1 1
~ 11 ~ . .
40 ~ s
N ~ o
.•y W ` ~ ~ Z
. i. ~ G~ 1 8~ 8954 I t~'
f N ~0 4.7 94• ~p 1 s
O-_ '--p 1f
yo
sc "r/p ta
- ~ ` hrCAM0RID6E) M }
zs,33 1 . F,.~posed ~ 1
~ N -sPur-Fxrv.l ~
50,33 o- o 14
25 C15.9 b
GAR. v O 1 :
~Q~ N 897.5
~ H'W,5 1 ~ ~
30 6, I ~ 20 ~i /0 . . .
__0 `
N
~
SR3.8 ' ~o ~
APP''Ow
Q /0 • Z~ S~Nef6A~;ehs 10 ~
°28 YO p 1 897.6
e_` R=2'JO'
O
~ srArES qVE 8`
o
PROPOSED ELEVA710NS BENCHMARK,
Top o! Foundofion .8q8,2, .
DoropeFloor
Basomenf Floor :l"6'.0 ~ MIN. SETBACK REQIREMEN7S
Approx. Sewer Servlee Elsv..89b.9'
ProposeA ElevaNone ~ Q c ERislinQ Elovaflans + Front -30 Hous* Slds -10 a
Urainoq• OIncllons ~...._r Reur -15 Omape Side- Ic
Denotes Oftesf 51oke . O SCALE: i lnch a 30 Fsef ,
I nonev arnrr rnar tbs wrver, obn a nparl ras prrpand 4y me J08 NO.:
/iEDLUND a mder my Alrect supuvlslon anA Ihot i nm o Ouly RsOislered oooonn- 127
land Swvoya under the larf ef Me 91eN sf Minneseea.
BOOK:
Planning Engineering Survey/ng
aoi wWaw+a. r..n. r~..Impm rw.w. Wxo
~ PA6E:
3 i 29 i 00 .0,,~..D._. •
OOq7
JH W IlpUynn, Lle06 Nal~)78
EXTe:c:^uR ENVELOPE AVERAGE: "U" COMPUTaTiON {CNeeW;W Zx(o-
,
~ • . ~ ~ OLINER d~d'IGLYL `1--JL~~)~ ~U1~CE'1
S ITE AOORE55
1 ,~l CON?RACTOR 14 .,P~z DATe ' %Z~ ~g PIiONE 33
,
Ceter,nine waricing square faotage af each.
1. Total expased wall area Z 7 $5.le,49 sq, ft. x .ll a 'x S
2. Total roai/cailinq area 10S J3 sq, ft, x
Total exposzd wa11 area above floor = SL2 ~iF3,(eCo
a. Total watt windaw area la6.~
b. Total docr area 3 9.
c. Total slidina giass doar area . ya
d: Total fi npizca wall area 449
e. Total wa11 framing ar2a {averageIOA}...:........ a a 8.)3(o
-
f. Total, net.-wa?1 araa above floor I [„5L.p,8
g. Total r:n jcist ar=a 1-{8 .
Total exposzd fauadatian area _ '1S.33
h. Total foundation windaw area.....................
i. Toal net foundation area a6ove arade 15.N3
Det=rnine "U" vatue of each waI7 segment. a. I o25.~ g °uli
b. 3q.(0 a X„u„ ,.y5 = ~ ~.83
c. ya x Ilu„
d. '-A g X „Un .'~lo = 1~1.~8
e• 1901$.S& X ilull
.
L`• I(o Slo. X,~U"
q. I ~4 $ x°u" 03 = S 33
n. x "u" -
~ s.33 x „U„ . ty = 6.S
3 Total
If ite.m #3 is the same as, er tess than ite+n 01, you have met tF.e intent
of SBC 6006(c)2.
i -
Tota7 exposed roof/cziZina area = 1 O$$
. Total gross rcof/ceiling area = .
j. Total skyiight arsa
k. 7ota1 rnaf/c2iling framing area ....10'
1. TotaT net insutated roof/ceiTing area....... q -1 q,^L
pe*_ernine "U" value for each roaf/ceiTing seement.
X "U" _
j,
k. .SS x"U" UZ 1 = 7 Z
1. C(1 `I.2 XOu" . O 14 = I S.(e
4 ..................................Tota1
If total ci A4 is the samP as, or less t5an 42, you have met the intent of
S8C GOafi(c)i.
To utilized the tnta7 envelope systam mathod, the values.estabtishe3 6y the
sum af items a3 and a"4 shall noc be greater than the scmi oi ite!as i1 and 742.
1. fi 2. 2$.Z7, 3. 1a\.o5 = 4. Zo~~~6 = Z11.93_
2SATr3IALS Taera. 3esistance "R'*
Exteriar AiT - l-l
S idi-ig . Mat eri31
Sheathing 3/w-(i^g"M" 5•
Insulztiaa SO
Sheetrock
Znterior Air .(s1 •
Studs 2w L.3*7
Rim 1,4°1
Conc. BI]cs. ~„Z~
• . . • ' •{---,AN 4.
l+ 5. 5 1 O 17V G Z
S:w2C'{ ' 6. TX_a~ic= a_ ' a 0.3;
! ' ' . ~ • ' . V
, • . ~ ~ O"!.
. . . • • -
• . vc. CY
na.= n=-. 1. mt----- -
. 2. 4'tP3*~ .43
' 3. `co" ! q O
. . , a .KKmArY.
• . ~ -11.11 n 6. ~c:==:°= az- o. 1~ _
•~~---~r Total ~t-o 30
, ~~tl iv . 1. Ints==O= a==„`'1~ 0.68
~ ' ~~2. 1r~S
,O
__~10 5~
fl • , 3_ Z.X_
~ i,-v a, ~y sl~ _K m,9.X S ~
Cz;t,
._~~s,s1 ' J~'~-'-'-~v • 6. F.xterior ar f? 1~ 0.17
s~ z ,~T_.l. .~---sU . 'rotal • a1..76
~~`_r\~ " ~ ~ . • • , U?
1 d . ~ ~ . . • I. Intar~= a== ' 0. 68
f ' 2. 1 P.1G1D 1 t ,ac
L-
~ • 3. . . • .
GO AlC n WG'iC I . Z
~ , q, 172
4` . n y•. • 0.I7
- c ~ ~p' ~ p ~~/r•. • : S. ~e :ar ar ua .
,,.J~ ~l • • ~ f1 -
~ ~ . 2 . ~ . • ~ V ~ •1~
. SL?3 CN 'Gs=E ' .
• • ' ~ • r ' . '44.
~ ~ . : - . ' + ~ ~ • .
~ '~'~!I lll~ ,
. _ ~ ~ • , .
~i_ ' ~ Il1 1 " Irr v , , .
' t. ~ • • 1 l(~ ~ • b ' _
] ss t~ .j.` = • ' • ' •
' • ' ' • ~ /!l.
«
: ~a - ' 3~ rf( . . • . _ , _ .
. ~
726. 14 (ft • ~
~ • r" ' .
?SG_ i3 - , ~ ' • . ' `u Y x`
~ • ~ II( = S . .
"C::Nigcz=a Z777a. '7L" *ra"_e,'c:e?-~h a
` ? ~ ; Y
~
i 1 " - - • _ b ' - . . s ~ rK ~ :~.z:.
~
• ~ Gnn3t~~=-°_=^ a~V3luc
• ' ~ ~
~ 2' - fi /-~!r ~D , • . , cS
t 1' ll~fl'~•, 3.
zcte_ __a_ a.r f:212 (sc:21' 6, $
ill~~t ~`s- 22 s
4"~ `~~~t~ ' ' . • • _ ~ • ' V= . ~1~
Z.l
. . . . ~ • . ' p,'l,.}...t s • . ' , .
flov ~ . 1• ~tar±or air 2L~ ~ 0.61
~ . 3. Zxy_ 11.l~irL • ~iy 3L
' • • 4. Estcrio= ai: Eila tse:l 1 i~oi
- . • • • ' , • . . . rouL 2 - ~flO•
. . . . ; ~ . ' ' • .U = o~
. • • ~ • • - V ' " ' • . • ~ ~
- . . . " , ' - . Co.t.9rR?GTl e~~
~.s~~..~..w~v,•-~. t:. +.c~.~.~,y •~.aav~~ i l~ InSj.dc .1iL fi17n 0.6~
~ - r--- . 3. ~ .
/ n + i . 5. G~tside air f_lm 0.1
/~~~5- ~~~~1!1~~~~~~~~ ' . . • Tata1 •
y) ~
l..! 7 1 • : Z„ Znsidc air t' lz • C:1
~ j L~ • 2.
~ Ilov ~p • , ~ ='veata3 , 4. ~
kTaa~ a.
. ~ . _ TIC_ i 6: . ~ . ' . ' : ~ Tota1 .
_ . . • ' . . . .
• 3 'v 1. Snsid'c air tilm p'.
• ry Q=..~~:': ~ . 4o ~t~idc air f;lm 0.
~'~?r. ~ 5• • , Sa eal
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J ~ ~ • - ' '
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' f:,.rtr: cc.n:.truct lun t'c.u;.trii. I ir~.~ r..~~.itu•'
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6. ExQ:riur air Cilm 0.17
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APFLICATION FOR PERMIT iZVM= pAYMMlf OF FEE AT TTME OF ;
+ nrMcnrioN ooES Ngr curr- ;
srilvrs nerxcML oF PErux. ;
. .
SEWER AND/OR WATER CONNECTION : rEPBMCN CF WAM AW/M WNTM ~
ieisrnLV,TTONS cv3t[. Nar eE sc=.m :
. . s', LMiL PERMIT HAS HEFSI APPROVE9.
r+att:tt~f~t+a+tiiisf.+aaat;+*exwww+a?
.
CitV OF CC1gC9P1
PLEASE P INT
1) PROPERTSC ADDRESS: AW . . .
T•FY;AT• DESCRIPTION: 67A'F(~GK-t? P('Afz- . . . . . . . . . . .
t B ock/ vision or Tax Parcel ID
IF EXISTING STF2Cr7Y7RE, DATE OF ORIGINAL BUILAING PIItMIT ISSUANCE:
Mont Year
PRESENP ZONlNG/PROPOSID USE:
Q ,COMMERCIAL/RETAIL/OFFICE I:2rR-1 SINGLE FAMILY
Q INDOSTRIAL ~ R-2 DUPLEX (3Wo C'nits)
a,INSTI'IUTIONAL/GOVEE2PIlMENT ~ R-3 TOWNiOLSE (Three .+:Onits) ( Units)
Q R-4 APARTMENT/CONIDOMINiUM ( Units)
2) ~NAnE: a-~2V i~ 40' eb- Cav
ADoREss: c qoz. MavV04e vr,
CITY, STATE, ZIP: m ~t_ .~31?-?-
PxorE: ~J y)- b ~3z'
For City Use
3) NAME: PJI~F'lb1tkc~ Pl ruTe s License:
aDDRESS: )(}{`E dhUw11) R~I~1hr5. /$YrG-ce-,, active
E7cpired
CITY, STATE, ZIP: . a AL, ,65 Zt Not recorded
PHONE: MASTER LICENSE # Initi
~ ~ n•
4)
NAME: jAjf,4_.
ADDRESS: ~'ft5"1
CITY, STATE, ZIP: D6 I Ylh1u il
PHONE:
5) ~ . w ~ ~e
a CONNECTION TO CITY SEWER a CONNECTION TO CITY WATEEt O OTfER
6)
*~+********~********~~************~******~,~***~~~*****~****~**~**r******~
* THE GOLD COPY OF THE PERNIIT WIIS, BE SENf DIRECTLY TO PCBLIC WORKS 10 FACILITATE METER PIQC-UP. *
PLEASE ALSAW 'iWU WORKING DAYS FY1R PROCESSING. SOMEONE FKOM Tfm CITY WILL CONfAGT YOU IF THERE *
* ARE ANSt PROSLENLS. *
~***~***~**~~**~*+**********~~***************~*******~***~~**+~*,e***~*~**~***~+**+**~~~~~~+********i
. FOR CITY USE 4NLY ,
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /aWATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ o e) ACCDUNT DEPOSIT - SEWER
$ ACCOONT DEPOSIT - WATER
$ '0--D S WAC
$ -c) $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ LATERAL BEIVEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
60 $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ TOTAL
-~.Z -7 S`6
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE,EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q _ ROADWAY" MLST BE ISSDED BY THE ENGINEERING
NO DIVISIOIV. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
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