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4099 States Ave
. Q CITY OF EAGAN Permit Na~~ Oate: 3830 Rllot I{nob R"d Meter No: yQ :3 13 y 7 giZe: S,~B goc P.Q. Box 21199 Reader No: Q~ Date: j Eagan, MN 55121 I 1 Owner. ror.tier rM j Site Address:- "4- nno h.. T~ Plumber. Conn. Chg: 5 50_ 00 Zoning: r! j Acct Dep: 15.00 No. of Units: Permit Fee: 10.00 Surcharge: • 50 I agree to comply with the City of Eayan 7r. Plant ?04 . Of? OrdFrtances. Meter. 67, Qtl Misc.: gy WATER SERVICE PERMIT ~ ,r°-- - . ~ L-~ . CITY OF EAGAN - Pwmit No: Data ' 3830 PHot Knob koad Meter No: S+ze: P.O. Box 21199 Reader No: Date Eagan, MN 55121 ~ Owner. T'I'ont3er I'ii ~ S tte Address: 4!)c1 n ;tar a--- A,--T-23-;4 Ste rrei-d j1; Plumber. ~ c*ar b~g • ~ Conn. Chg: `5n Zoning: _ - ~ I { Acct. Dep: 15' No. of Units: I Permii Fee: 10.00 • Surcharge: • 5o 1 agree to comply with the City of Eagan ! Tr. Piant ~ % • ~n Ordlnances. Meter. Misc.: By ~ WATER SERVICE PERMIT I ~ - - - - - - -A ~ C17Y OF EAGAN Permit No: - - Date: 5-25`1' , ; 3830 Pilot Knobpoad g/p No: Date: f-~4 ! P.O. 8ox 21199 . . - ~ j Eagan, MN 55121 • ' i k Owner. SiteAddress: Je4 ~-v I.?-'• Bk Staffar P ~ Plumber: ~ i MWCC: - Zoning• ' ~ City Chg: No. of Units: j I ~ Acct. Dep: i, I agree to comply with the City of Eagan Permit Fee; ~ - Surcharge: Ordinances. ~ ~ j ~ Misc.: gY SEWER SERVICE PERMIT ~ ! REACTIVATE FOR DECK-PLAN-BEMWED 9/22/88 D" GOL'•RNEZA 681-1846 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 Est, Value Date ,1 S Site Address OFFICE USE ONLY ' • ~ Lot Block SeclSub. On Sfte Sewage Occupancy MWCC 3yatem Zoning Parcel No. On Sfte Well (Actual) Const ¢ Name City water (Atlowable) W PRV Requlred ~ of Stories 3 Address ~ City Phone ~ h Booster Pump Length Depth ¢o Name S.F. Total . 0 ` Address Footprint S.F. 1- City Phone APPROYALS FEES Engr./AssBSS. Permit ' . W WW Name ~ Planner Surcharge _ = Address ¢ Z Cit Phone Council Plan Review 9 W Y Bldg. Off. SAC, City I hereby acknowledge that i have read this application and state that the Variance SRC, MWCC - information is conect 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 . . , u . . A Building Permit is issued ta Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL Psrmit No. Permit Holder Date Telephone # Plumbing 1::. H.V.A.C. j 1 ~ CC /S~ ~ Electric Softener InsPeccton oate lnsp. Commenta Footings I Footings II Foundation Framing Roofing Rough Plbg. . Rough Htg. Isul. ~s Firepiace Final Htg. Final Plbg. Bldg. Final Cert.Occ. Temp. LP Deck Ftg_ Z Deck Final Well Pr. Disp. y 4 • (Itr#i#iratt of Orrupanrg Citp of (Eagan ° ioppwtUlpttf Qf -slidbtiig 31tS.pPttl.Qit This Certificate issued pursuant to tlte requiremenls of SecNan 306 of the Unifornt Building Code certrfyrng that at the 1ime of issuance this structure was i» compliance with the various ordinances of the City regulating building construction or use. For the following: uxC7sniGauon cF U•'~/'~/ ~ ~_V< Bldg. Rrmit No. 1~J ~AP~'Y ~'Pt rl Zoning Distriet RI Type Coep VCl Owoer oF Bm7dins I~•M r~~'S A~ 3~ ~'~V~ Building Addreas `i ~~S A Lat~~q L23, B4t SIAFFM M~ ati: euamng oercid POST IN A COMSPICUOUS PLACE PERMIT # . , . . ' " PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -'CONTRACT PRICE PHONE: 454-8100 Site AddreSS ' -7-C S BLDG. TYPE WORK DESCRIPTION Lot ~ Block SeciSub Res. x IVew Mult. Add-on m Name L ' ' LiZAL Comm. Repair ~ Address ' Other Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: c Ciry ` NO. FIXTURES TOTAL Name 1 tLavatory Water Closet - $3.00 ~ t, r. Bath Tubs - $3.00 3 Address y -$3.00 ' ~ p City F < < Phone Shower -$3.00 ZKitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 _ COMM/IND FEE - 196 OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPUES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES ZWater Heater -$i.50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - COMMlIND FEE -$20.00 ZGas Piping Outlets -$1.50 --`-~r 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 _-3 Rough Openings - $1.50 S)GNATURE OF P MITTEE FEE: STATE S/C: ~ FOR: CITY OF EAGAN GRAND TOTAL• ~ PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address e BIDG. TYPE WORK DESCRiPT10N Lot Block 4Sec/Sub Res. ~ New 1 . i , ~ Name, 61NZE:I, HEATING & A/C Mult Add-on Comm. Repair ~ Addressl 955 Shawled Road c City Ea8gn Phone 462-1565 Other Name Frontier C ltnils FEES ~ RES. HVAC 0-100 M BTU -$24.00 c Addr Memorial fl~ . ADDITIONAL 50 M BTU - 6.00 p City Eagan Phone 454-0433 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkNIIT) - 1.50 EA. TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE Forced Air g0a0U0 M BTU 2 00 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $_j.j0 BEYOND $1,000) Other FEE 25.50 ~ . ~ .50 - ~ S/C: SIGNATURE OF PERMITTEE TOTAL• 26. FOR: CITY OF EAGAN . PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT li 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 5ite Add,-ts BLDG. TYPE WORK DESPRIPTION Lot BloQk l r,Sec/Sub Res. Y New w-'~°•" / ~7 . T_. _ v . Mult. Add-on 'A ~ Name ' Comm. Repair ~ Address 46 ~''~th !.A'~'- Other c City BLAIN E, PJl~i~o§~434 RES. PLBG. ONLY - COMPLETE THE FOLLGWING: PtiGNE:785-2?_t;2 NO. FIXTURES TOTAL Name ~ % Water Closet - $3.00 $ c Address ~ ~ Bath Tubs - $3.00 Lavatory - $3.00 p Ciry Phone Shower - $3.00 " Kitchen Sink - $3.00 FEES Urinal/ Bidet - $3.00 ' COMM/IND FEE - 146 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. HATE APPLIES Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMMIIND 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) We11 - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~..+pr. . ••,3~9F . - - ` CASH RECEIPT ~ S. CITY OF_EAGAN 3830 PILOT KNOB ROAD EAGaN, MINNESOTA 55122 DATE ~ RECENED ~ FpOM ~ 1 \ 1 1 lVMVVNT ~ . I . - . ~ B DOLLARS ,ao O CASH CHECK MR q~_,. , /1,.~ FUND OB.JECT ANlOUNT ('k Thank You BY wnrie--Payem coPy - Yelbw-Pos6ng Copy . Pink-Flle CoPY CITY OF EAGAN ; cz 0 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# To be used for 5i' D.,lG/GAR Est. Value $63'000 Date t'AY 24 1988 Site Address 4099 STATE3 AVE OFFICE USE ONLY 4 gTl1FFpRp pi,p(;g OnSneSewape Occupancy ~-3~~'~ ? Lot Block SeC/Sub. MWCC System x Zoning ~-1 PakpEI No, On Sirte Well (Actual) Const VU a Name FRONT1BR !lIDiBS'! HOXnS Cityweter x (Allowable) Vr W 3902 A PRV Required # of Stories = Address SS ° Ci'ry EAGAN Phone 454-'9433 Boaster Pump l.ength Depth 36 o Name 5At1E S.F. Total ~ Q Add?eSS Footprint S.F. PC, City Phone APPROVALS FEES " c- W Engr./Assess. Permit a 426•00 yJ W Name 31. SO ~ Planner Surcharge _ = Address L) = Cit Phone Council Plan Revlew 213•~ i W y 100.00 81dg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC ----5-50-S-00 information is correct and agree to cor9ply with all Elpplicable State of Water Conn. _-5-5qti00 Minnesota Statutes and City of Eagan {rTrdinattcea .67•~ Water Meter Signature of Permittee Road Unit A Building Permit is iseued to: FxaTitR MiD'WEsT NoagEs Treatment P1 ~ on the express condition that all work shal I be done in accordance with all applicable State of Minnesotg Statutes and City of Eagan Ordinances. Parks Building Official TOTAL This request void ~ 18 monlhs from ~ E 28447~,~,~ ~l Ad~ Req Uaie - _ Fire No. ~16, Rooph-in Ispection Req n ? OfleaAY Nuw ill NotitV Inspec- 1 No tor Wh¢n Ready m.Crcensed Elechical Contracror 1 hereby reouest inspaction of above ? Owner aleclricxl work installed et Street d,9ss, B~or Ro e No. ~ City U y ~ ecbon o. Townshio Nama or . flange No. Counry D Occ xnt INT~ I C !J~ ' i`%f Pa upplie, Address Phon 0 Elecvical Convactor ICompany Namel Cor'n~to 'Lice 'e o. I?q 14540 PEt1VNOeKr,~M~CNi~ptsroilation) LH AAP T39 1 t cto e tallationl Phone Number rLL i MINNESOTA STATE gOANp OF ELECTFICITV THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Foom N-191 gE qCCEPTED BY THE STATE BOAflD 1821 lJniverxitv Ave.. SL Gaul, MN 55104 UNLESS PROPER INSPECTION FEE IS vnnnn1a»Ifi420RD0 ENCLOSED. 17111F$' REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi-as I, See instructiens for camoleting this lorm on back ol Yellow copY. E 2 "X"Below Work Covered by This Request F d?W.-- ~vYe oi 9uIlGing Aooltancea WireE Equipment WireA .?lame Range Temporary Service Duplex WaterHeater igh[iny Fixtures Apt. BuilAing Dryer Bectric Heatin Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tnnk Parm Nx~ Deu V O~her (Specifyl t er Suecily the~ Othur ompute Inspeciion fee Be/ow p Fea ServiceEntrance3ize M1 Fee FexOets/SUbfeedefs k Fee Circults 0 to 200 qm 5 0 to 30 Amps ~ tn 30 Am s Above 200 qmps 31 to 100 Ainps Q 31 ta 100 Am s Q Swimming Pooi Above 100-Am s Above 100_Amps Transtormers Irrigation Boorns Pa ial-0 ee Signs Special Inspection S ~ emarks > ~c -C Hauah-in Date e Elactr' ?-qa.i Insp , e,eby ~ ~ c rtity that tha above Final ~ Dp nspec[ion has bean mede. ThN requesl void 1B montM from BLDG. PERMIT NOy . A f5ar-p 03 L'>loe' PL 01-3210 Bldg. Permit cO 01-3422 Plan Check a/ 3 dC) 01-3445 Surch./Adm. 5 01-3446 SAC/Adm. ~ 01-2155 Surcharge l<' V 75-3860 Road Unit ~a 5 Z~U 20-2275 s,ac 5 ~ ~l 50 20-3865 Water Conn. J`-50 d p 20-3868 Water Trmt a(D N o0 20-3716 Water Meter (0-) oo 20-2252 Acct. Dep. cO ~ 203713 Water Permit ~n 00 O ~ 20-3743 Sewer Permit /C> v`~ 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL S I ~ CITY OF EAGAN N2 15 0 6 5 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PHO N E: 454-8100 Receipt # 44 O 17S3 To be used for SF DWG/GAR Est. Value $63,000 Date mAY 24 ,1988 Site Address 4099 STATES AVE OFFICE USE ONLY Lot 23 Block 4 Sec/Sub. STAFFORD PLACE On51te5ewage _ Occupancy R-3/M-1 MWCCSystem X Zoning R-1 ParcelNo. OnsiteWell _ (ACtuapConst Vn m Name FRONTIER MIDWEST HOMES Ciry Water X (Allowa6le) Vn w 3902 CEDARVALE DR PRV Requiretl # ot Storias 3 Address Booster Pump _ LengM 55 o city EAGAN Phone 454-9433 oePtn 36 , p Name SAME S.F.7otal Oa Addfess FootprintS.F. ~ City Phone APPROVALS FEES ~ a Engr./Auess. Permit $ 426.00 w Name w W Planner Surcharga 31. SC ~ _za Address Council PlanReview 213.00 aw City Phone 81dg. ON. SAQ Ciry 1Q0 _00 I herehy acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 intormation is correct and agree [o co ply all p icable State of Weter Conn. 5~Q-DO Minnesota Statutes and City of E an rdin ces. WaterMeter 67-QQ Signature of Permittee qoyd UNt. 325-.DQ A Building Permil is issued to: fRONTIER MIDWEST HOMES Treatmen[ P7 204. 0 on the express condition that all work shall be done in accordance wit h all applicabl¢ State of Minnesot SICit fy-p Eagan Ordinances. Parks Building Otficial TOTAL $2.465-5C ~ RESIDENTIAL f a~ a~ f SS Ip BUILDING PERMIT APPLICATION ~ CITY OF EACAN 3830 PILOT I4Y06 RD, EAGAN MN 55122 851-689•4675 New ConstrucUon Reaulremante pemoOellRenair Neaulremems • 3 regmered sile surveys shaxing sq. fl. ol bt, sq.8. W house; and AI roofed areas • 2 copies of plan (20% maximum bt coverage albwed) . 1 set of Ene(gy Calculatbns lor heated additbns . 2 copies of plen shaxing beem & wmdow sites; poured found design, etc.) • 1 site survey for exlerlor adtlitiaES & decks • lsetofEnergyCakulatbns . UMicated homesenedbysepticsyatemtoradAilbns • 3 caples of Tree Preservatbn Plan tl lot platted atter 711/93 . Ran Joist Detail Options seleclion sheet (bltlps w0h 3 or less units) DATE ~IL-7 /D -z VALUATION ~ y .2D 7 SITE ADDRESS ~ S s 411 MULTI-FAMILY BLDG _ Y AN TYPE OF WORK LU( ra 1n us yp4olettd 4 P.n, y~- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Y' e~ STREET ADDRESS CITY_:5;LP&,_LSiATE -dgZIP~ iELEPHONE # ~SI69'S3 CELL PHONE # IS/ ffZ{X SSYS FAX # PROPERTY OWNER ! I t1K &d,y~n i- o TELEPHONE #45"I 4~SY A 8' cY COMPLEiE THIS SECTION FOR "NEW" RESIDENiIAI BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI,ES 7670 CATEGORY 1 MINDIIFSOTA RULES 7672 (J submission fype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelape Calculations Submitted Plumbing Coniracfor: Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths q , Mechanlcal Conhactor: Phor D 1 Mechanical system inciudes: Air Condiaoning I I Fee: t 0.00 Heat Recovery System ~ _ o" Sewer/water Coniracror: Phone # I hereby acknowledge that I have reod this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances. Signafure ofAppticant Jj.Ll.vq( OFFICE USE ONLY Y~ Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Firepleca ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 0 18 Deck O 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex PIbg__Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Atteration O 37 Demolish (Bldg)" ? 43 Reraof O 46 WindowslDoors ? 34 Replacement 'Demolition (Entlre Bldg only) - Give PCA handout to appflcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Boaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foorings(newbldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundadon HVAC Drain Tile Other Roof ! Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frazning _ Siding Stucco _ Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building InspecWr Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply 8 Storege S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ . 1988 BUILDING PERMIT APPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTR9CTOR/80MEOWNER MUST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITA BLDG. DEPT., 1 SET OF ENERGY CAGCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For:NPw f7nnctrnrr;on Valuation: Date: May 4, 1988 Site Address 4099 States Avenue 63,000 OFFICE_USE ONLY ~ Lot 21, Block A_ On site sewage_ Oceupancy ~'3IM-I MWCC system _ Zoning ~-I Pareel/Sub Stafford Place On site well Actual Const V-N City water Allowable U- N Owner Daniel & Sandra Courneya PRV required _ # of stor3es Booster Pump _ Length Address1121 N. Hamline, #16 Depth 3G'• q S.F. Tota7. City/Zip Code St. Paul, NIN 55108 Footprint S.F. Phone 649-0319 APPROVALS FEES Contractor Frontier Midwest Homes Corn. Engr/Assess Permit G,aa Planner Surcharge 3f,Su Address 3902 Cedarvale Drive Council Plan Review po Bldg. OfP. 1S& SAC, City OD'UO City/Zip Code Eaaan, Minnesota 55122 Variance SAC, MWCC 5 Ia0 Water Conn -'E;~0,00 Phone 454-9433 Water Meter ('Oo Road IInit 37-5,vo Arch./Engr. ph;ll;na plan rvi Treatment P1 4iW Parks Addi`E9S Annla Valley Mn 55124 Coples C±~T~gip A~Fi- 14530 Pennock Ave. " H FC " 070AEC TaTAI. Phone R 432-2044 Surveiloros ecrtificatc ~ SURVEY FOR: rrontier ;.'.idwes2 Fioi~ies Corn. DESCR18E0 AS' Lot 23, Bloci, 4, ST.^,FFO".D pLACE, City of Eagan, Dakota Cotint), i;innesota and reserving ease-:ents oP reca-rd. \ 99_.6 'S ao, z > tr i eyl. .ii a~) ~ J 16.1 8.I /I,1 /Q10 M )s .V I~.O; M N Z~ 31 ~ 3~, •+nYT ~ ryy P. ~ ~.a~ ` 6 m ~O ~ SWack Lo+t ~ / SPLPos~J c•i ~ dn 691.9 I'V m • ~ °+~Q y ~ j s u 1 ~ '6> l9N / B9j9 5 N 847 `a ^ ~ 8y6 ~ ~ / M ~ N %.9 9 3 T ~ IV ~ ~ ' =3 • 0 ~ 0 „ j ~J ~ ~ ~ y` ~ L D ~ s . ~t r N 230 00. ' ~ ~ ~ vAI1 ENGI;Vr:.ERII~1~ DEI', I ^ e' ~ N I PROPOSED ELEVATIONS BENCHMARK, i~ Top ol Foundotlan ¦ 69g,1e Ooraqe Floor Bqsament Floor : 89 4 I MIN. SEiBACK REOIREMENTS Appros. Sewer Ssrvicir Elev.. - ' Propossd Eievafions Fronl - 30 Houa Slde - 1O m EMnNnp Elwotionf . Z . Droinop• Direcllonf ~....~r - Reur -15 Qaroqe SlM- 5 0 Oenotas 0/}sef Sfaks ~ O SCALE: i lneh = 30 Fsst % . co ~ I herrDy cerllfy fhot IMs wrvey, plon er r.oore ra* vr.varee er mut J09 NO.; A /~IEDLUND or undor my dlrect aupervlalon an0 ihot i am o tlulY Roohtrrfd 88R-203 O lan0 SwreYa under Me lawf ef fhe 8fo1o of Minnesefa. W 600K: Planning Ertgineedng Surveying Mo ioN wr e..e MoviMNa. rn.w.~, qopNnpon u~m.w. ».ia ` lY~pw~ M~0 w me1 0 0oei: y, Za , as P40E: J9 y lo n, LIc~nN N 1l78 1- 1)( L.2 71UV7 EXTERIOR ENVEIOPE AVERhGE "U" COMPIITA:(ION , . " : 3 88 OwNER: naniel &_S3ndra CournPVa nnTr Z SIT; AODRESS: 4099 States Avenue Eaean PNONE: 454-0433' CONTRACTOR: FPo?J'tlez- !-oMeS PIAN # .54+1cFFIELD • Determine working square footage of each 1. Total exposed wall area..... I S 3S sq. ft. x.11 = 7AZ.Z- 2. Toial roof/ceiling area..... OR.oLP sq. ft. x.026 = ZS I Total exposed wall area above.floor= a. Total wall window area b. Total door area S?O c. Totall sliding glass door area 9b - d Totall fireplace wall area e. Totall wall framing area (average 10%) IS 4 f. Totall rim joist area neit wzll area above floor 1 f3 9• h. I wall area above floor i. I wall area above floor j. fra'me wall area a;,=oundation Total exposed foundation area= k. Total foundation window area l. Total net foundation area above grade _ Getermine "u" value of each wall segment (e.g. +vindow, door, each separate wall section) a. ti~3 X 'lull qo~ = 55,4 b. sco x 1,u„ c. ~o X „ul, d _ x ~lull e. 184 ' X IV, ,d:1 = IID~tA . f. 13Z k „v„ y. 13~3 X „u„ 04 = .SZ.S h. X ~lull _ X liuii _ i. z u° ~ If item 43 is the si X"U" - as, or less than iti r• A1, you have met tFii 1 X„u,i = intent of SBC 6006 3 . Total l2(n, S ' : PLAN #,SFr~~F~Et.U I._TiiE4L FEET DaDOSID WPI.L BLOCK: lqiEe: 3`1t39 2 U-1-1-tQ =13 0 - w.o.: FvU i: 7_1 +7_1 = 137- rvLL z : r-7?REeLAcE: Ri2.r: Z ~ sQuaxE FEer E)TosID WvU aREA . BLACK: x .5 = Km: 13o X 5 = ~,co _ W.O.: x 8 FLTLL 1: 132 x 8= ~ DStp FULL z : x 8 = FT.x'PLACE: X = R-~: 13L Xi - IS * sQuAxE FEer E<Posm cEZZ.arc 9Cotp . . I+F+I-~3 = 3ca ~ 0 In1 z~3 c. = zD Uf~ L49a = 3 x PATIO DOQRS ~11 Zotca='+-~ ~~~40 - j i"a * sasEMcrr vrrlTs • Total exoosed roof/ceiling area = Colo . m. Tbtz1 skylight area n. Total rooP/ceiling framzng area (avcraye lOR)... o. Total r.et, i^sulated roof/ceilinq rarea........... Detezmine "U" value for each roof/cetling seqnent M. X "U" _ n. X "U" ,OL o. ~toc~_ X .,U., ~~Z = t{ 4 1tot-al total cP T4 is the samz as, or less L•han 1#2, you have met the intent of SRr_ 50:5 ic) 1. slterr.ate Building Enve].ope Desiga To _tilize the total enyelope'system method, the values established by the s-.ua of 4 te+ns.aad -4 sha11 not be greater than the sum of items nl and n2. 1. -ZDZ , Z + 2. Z$ 3. + 4. ~ 1'O = I 8 tD, LO OT oPaque Wa l 1 areA fo'r R:. VATISF . . ' fYamz ccau'truGt ion CONSTRUCTIOAF=- £R4PffNG - - ~ 1. INTERIOR AIR FILM 0.68 . Q Y. 2 SD .45 3. 5 2 SOFf WOOD 6.87 u. S. SMING ~ . .89 6>SxC ~ 6. OR 0.17 TOT&L _ 10.85 W+t1. . U= .09 lTt:'rv;r=vJ CY . NET QR,qeiE NnGi .T.- 1. IIVTERIOR Alit FILM Q.68 R;'' 2 GYPBD !.45 3. ~ 4. 2 32 SHFAThTNG .0 5. IDING .6 6. MMOR AIR IM 0.17 - O U= .04 n -v. 1. IINTERIOR AIR FIIM 0.68 QI 2. 6 INSUL. 1.00 3. JOIST I 4. 5. S IN6 .6 6. OR R 2 -Tj= .04 . p .i ~ BIACK WALL 1. n=O& AIR FILM 0.68 2. . &W~ 3 . lif STYRO . 0 4. PROTBCTIVE HARRIER ~ - } ~ 5. 6. M=OR A FI 0.17 T-CM R= .13 : U= .I4 ~ . SLAB ON GRADE J • ti F ~ i ~ l~ f' k /~L } . ' ° : ~11 I - ~Ef ~ v ~ ' a a v ~ Ilr - IN j ~ ry ! a= ~ IEr 111 cr ~ ~ a 1li ~tt = i/ ~ ItE : y : m 'Q NOTE: IDIDICATE TYP'E, "R" VAI3JE. DEPTH ANID PLACEMffNf OF INSUI.ATION. R00£-CEILITIG . CONSTRUCTION ' R-VALUE . • ~ 1. IIVTERIOR AIR FIIM 0.61 2. ' s = 3. INSULATION 0.61 r' 4. , varr / U ~ :02 FxarE VIINI'fD FEAT FT)0Ti1 1. INTERIOR AIR FIIPt 0.61 2 ~ . 3. 4. FIG. #5 _ U - 0.024 ' CONSTRUCTIOM 1. INSIDE AIR FILM 0.61 .-fT\•.iW ~1~/.I.ir~, • . • • ~ N t / ~ V _ . . ..r_...~._. O _ L. • 3. 4. ~ d f s. u _ FRAME ¢ 1, INSIDE AIR FILM 0.61 --0 z ~-o z. ~ ~ FMP.T FIAW W t/ENTEp 3. 4. 5. 'SOTP FIG. 06 • U _ 1.. INSIDE AIR FTLM . 0.61 F-Q z. 3. 4. ; . `'~i:'•` ' S • ~ TOTAL ,A~. ~ ' U ~ ,t• ~ ~ ~ NON_VENTID NOTE: USE ADDITIONAL SFEE.TS I?' MRE SPACE ZS NEEDED FOR DETAILS AND CALCUSATIONS. - HFAT FIAW ~ - . UP ~ F'IG. #7 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 MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE Bt1ILDING PERMIT IS ISSt1ED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., ~ 1 SET OF ENERGY CALCULATIONS / . ~ COhAMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: leao Date: ffh 5"C~ 'P 00 Site Address OFFICE USE ONLY Lot ~ Block ~ On site sewage_ Oecupancy hIIJCC system Zoning Parcel/Sub / ~/19-61e, On site well Actual Const City water Allowable j Owner C gtrtP.+Ve-,,PRV required Ik of stories ~ n Booster Pump nghh Address /a-y-& Dep S.F. Tota City/Zip Code {nv ootpri S.F. Phone APPRDVALS E Contractor Engr/Assess e it Z Y Planner Sur arge .SO Address Council Plan eview Bldg. OPf. /ZZ,SAC, ty City/Zip Code :Lw, Varianee SAC, C Water C n Phone Water Me r Road Unit Arch./Engr. 6f,/F Treatment Parks Address 54~t Copies ~ City/Zip Code J~' ?!.j^~- TOTAI. p 1 Phone # -6%4JV,P ' Residentu/ ~ /r / Who% House Worksheet Cosiomer'a Name r I G t' ~ . . _ , . . , Gry /k!drnss - Stata _ Zip Tetephone Number WINTEH:Insida Dasi(;~Teeip~_ op_ Ouccide0asignTump °F ~ HeatinqtempDiffume~ SUMMER: Outside Oesign Tsmp ° F - - ' ' ' . . ~ - -J-~ _ inside DesiUn Tamp p ~ o , F Cooling T~mp DiHar~nc~ . ~'V . ~p HEATING- ,-C6MMONDqTASEC710N nnq~~0:.5 6fcton. . ~f AN'.M. p I ~rv_~ . • COOl1NQ r•/~:`f. ..~~';:YA~ 4_fFnCRIR'~~a n TVNfwIM , GROSS WALL B DOORS @ WINDOWS ITable A or Bl - --Z-3 .GO NETWALL Y.6 367 .7y . e yo a 6 `l 9 6 - . CEILING . ei FLOORS I.dn.~~un H~~eny ` uw~w r aso z 10 x In/00 % 'vow~~. vowm. Cu h C.FI X ~T % T ~ Inlhn~sn x0.18333 x ~as,-o x 0.0,~3 x~ x.r _ a h~ - Sy3 SUB•TOTAL BTUH LOSS (per 10°F) 6 " ~ . ~ `ADJUSTMENT FACTOR ITable C) TOTAL BTUH LASS `PEOPL~,~ x 300 BTUH GAIN ~"sunizpi'0^' APPLIANCES BTUH . 1200 SUB-TOTAL BTIIH GAINiroomsensible~,lyl . • 1`riM?T.DUC7 LASS/GAM FACTOR (Table F) x 5UB•TOTAL BTUH (Sensible Gainl ~LKtL-~ MOISTUHE REMOVAL (sub total x 1.3) x 1.3 -TOTAL BTUH LOSS/GAIN TAUIE A-11EATING-DpORS 6 WO00 FqqME WINOUWS IPER 10°F7 -TABL[ 8- COOIING - DOORS h WINDOWS fW siiainp doors, %J ~e h FnCbrs assw»e windows have inside shadiny yy dqpBrik Or wrrotun aaors br the same Iype v.indow LGnds and sliuin9 gidss aoors u,e imated as winCOw,,, suwu<ws oorx~eeuu ~un~uuu Framns DuorTypes 1Arp~~ TIM 5.nyia Mntal •ArBU y BtuhLass 76M1 DIfE TVN1 OOf. lOML PIN. Y~ru •pyeC~IM - Pana _ l'iear 9.90 10.45 11.55 0•~~^ u• m• a• n• a x• n• y y ~~W~1h51Lq1~ N ,1\ Y p.~ 1~ II q Il .1~ T155~1( J S 6.50 - I GouWePnne - - NE4~w n u a h a u n n f - ti.'09 7.25 Eew r y 1 n _I 3.fi~ sEesw s n u b a.~ n~. x. 3.:10 4.35 5.96- . a n oe y.n n n n~i 77r' S'_ n~nqle• 11.0 s~awnu iw ~a ~n u~ ~a uf in ia ~o 5.0 o.e 11 e.. 5a11.07 11.69 12.92 ~1 (orwpaJJOOn~nd IOTALS ~-31 ;5 6 -6.65 77!i B]5 u~~n~wanacwem~wm~~n - t a.ot _ U For m~tlnn~ cuu n~~y~ Wan YY'OUJ U.dY 9.60 - - TAULE D - INFIL71iq710N MULTIPLIERS w'oua w, uurm 3.~0 - - Wintur Air Chanyes Per Hour lhrth,~ncCun:(q~g~.' _ _ 1.90 6_0 FloorAroe 900urltlss 90(I.ISOp Ui I5OO.2100 pvujlpp cth,ine Core Bnst ' ~H.SIw:>IOim - - iJ0 0-4 U.a 0.3 0.7- AveraUe .1 0 0.8 0] TOTAL$ `]L'.., F 3 N~o~ _ 1.Z 1 6 1.7 1 0 ' ~ 1___--_ . Fo~ nach InuWacn aOE~ ~ , . , BMI Aviny. yDp, 0.1 01 06 TABL<<- -ADJ~SIMaNTFAGTORS IHEA'fING) SumrnnrAirChanpasParHour . FIOU~Aiue WA orleas 'Jl%)ISpp 15072100 1IX. a..~. °I lemp,, raIUre O H '--r~ 7p rLusl RO JO U? . : ~~„IF:~ Inr O4 . I ~neye ~._O 0S2 ` . _ 3 1 7 d 9 ua _ J~ - - --1--~ << w, ~ ...00 ~ JJ APFLICATION FOR PERMIT *NME' pAYMENr OF FEE P'T TTME OF x:x • $ APPLICATSON DOFS N:71' CON- ~ . , . STIILTIE APPA(7JAL OP PII24IIT. * • + SEWER AND/OR WATER CONNECTIaN : 'NsPwncN cF mmz Amlm w-m . irisrasuzz~s wna. No~r eE scEnc~.m ITTPIL PFRDIIT f@15 HffiJ APPROVID. ][EEO ity oF eagan PLEASE PRINT 1) PROPERTY ADDRFSS: 4099.States Auenue T,FY;AT• DESCRIPTION; . . Lot- 23, - Block4, Stafford P1ace- Lot B oc S vision or Tax Parce ID I£ EXISTILVG STRC~CTfJRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID LTSE: Q COMMERCIAL/RETAIL/OFFICE xo R-1 SINGLE FAMILY Q IAII7USTRIAL ~ R-2 DLPLEX (Two L~nits) a INSTITUTIONAL/GOVERNMENT Q R-3 TOWNEi0U5E (Three CTmits) ( Lni.ts) Q R-4 APARTMENT/COrIDOMINIUM ( Units) 2) ~ NAh1E: Frontier Midwest Homes Corvoration ADDAE55: . 3902 Cedarvale Drive CITY, STATE, ZIP: Eagan, MN 55122 PHONE: 454-0433 For City Use 3) NAME: Star PlumbinQ Plwnbers License: ADDRESS: 1018 Mound SnrinQS Terrace Active Expired CITY, STATE, ZIP: . Bloomington, MN 55420. ' Not recorded PHONE: 884-4149 MASTER LICENSE # 3329 S Zta nitial- 4 ) • ~ NAME; Daniel & Sandra Courneya ADDRESS: 1121 M. Hamline Avenue, #24 CITY, STATE, ZIP: St. Paul, MN 55108 PHONE: 649-0319 5) Q CONNECTION TO CITY SEWER [D CONNECTION TO CITY WATIIt O OTfERR 6) , * * THE GOLD COPY OF THE PERMIT WILL BE SENr DIRF7C1tiY TO PUBLIC WC)RRS 7l7 FACILITATE MEPER PICK-UP. * ,*t PLEASE ALL,OW 7W0 WORKING DAYS FOR PROCESSING. SOMEONE FROM 7to CITY WILL CONrACl' YOL IF THEE2E w * ARE ANY PROBLEMS. + ~~***~*~******~**+~~~**+*:*,t,r****x*x***~~***~a**+***~*~*x,e,t,t*,e,r************~*****~~~*+~*~+*r*******~ :f4R -CITY USE ONLY PERMIT # ISSOED J ~ Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ ` $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ . C! C3 $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE. EXCAVATION IN PIIBLIC RIGHT OF WAY? Q YES "IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MLST BE ISSUED BY THE ENGINEERING Pa~_7NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CO[VDITIONS: APPROVED BY: ,Q TITLE: DATE: PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please wmplete for: Single Family Dwellings Townhomes and Condos when perxnits are requued for each unit nate ~ Site Address 14M ~,TIS?/ h& Unit # Property Owner Telephone #(~%j Contractor Address City , State ~u V Zip ~`i Telephone # q' 9 The Applicant is _ Owner x Contractor _ Other Septic System New _ Refur6ished Submit 2 sets of plans antl MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Atterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawu irrigation system X Water so[tener _ Water heater $ 15.00 X replacement _ additional T~ State Surcharge $ '50 ~7-3,` TOtal $ _ I hereby apply For a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conforniance with the ordinances and codes of the City of Eagan and with e Plumbing Codes; that I understand this is not a pernut, but only an applicarion for a pemut, and work is not to start without a mut tttat the work wi116e in accordance with the approved plan in the case of work wluch requires a review and approval of pl ~ Applicant's Printed Name pplicanfs Sign e ,/D ~ L PLIIMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date~/ ~ l 63 Site Address 7 U q9 S7VC- S /g' (/e• Unit # Property Owner 'E1M Y-p'rn o7~-b Telephone #(/05) Contractor 1 Y1 G Aaare56 aq 1 y~ N~!E~ Nn Ukcw ~r v e. cicy Z a k~~J e State m \Y-~ Y-~ . ` Zip Telephone # (`7~ j ~/fo ( - ~ 9 9 1 The Applicant is _ Owner Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5!8" meter if needed -$121.00) - Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener v-Water heater nr^ \ $ 15.00 replacement _ additional ' . ~ State Surcharge $ .50 Total S z5 I hereby apply for a Residential Plumbing Pernut and aclmowledge 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 witL the Plumbing Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will Ue in accordance with the approved plan in the case of work wluch requires a review and approval of plans. ApplicanYs Printed Name Appli t's Signa e City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1,3` p 91911 Use BLUE or BLACK Ink For Office Use Permit #: it2—S3)? Permit Fee: 100 Date Received: Staff: J L� INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water J Date: Site Address: Tenant: Suite #: Name: Eli—CV) " 1 -ZirnPhone: to (- 22.--(0 2 t 7) Address / City / Zip: c1 S(&ff A -u -e IvtK 66)23 Name: License #: Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) sX‘Sump Pump Repair Other: Description of work: SEWER & WATER (Outside the building envelope) Repair Other: -fes Ise �i�e� �cd.e FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ (J L- ©O * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.00pherstateonecall.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 andoval of plans. no M Applicant's Printed Name b x ��JJu Axp icani's Sign to e FOR OFFICE USE Required Inspections: Rou, PERMIT City of Eagan Permit Type:Building Permit Number:EA129063 Date Issued:01/05/2015 Permit Category:ePermit Site Address: 4099 States Ave Lot:23 Block: 4 Addition: Stafford Place PID:10-72500-04-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - James Johnson 4099 States Ave Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature ` � Use BLUE or BLACK Ink r----------------� ' I For Office Use � C� � Permit#: '.��'7\.J�O I ity of ����� �-���� ibu�.�� � �j ; � Permit Fee:� � • 383�0 Pilot Knob Road � q �!�•"r, � � � � �� � I p �� � � Ea an MN 55122 F���3�J � '��i� � Date Received: ' � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I ---------C0.����J �1 2015 RESIDENTIAL BUILDING PERMIT APPLICATION 9'�8-�S� " Date: ��3� I� Site Address:_ "1" �� ����'�'S /1U� Unit#: �� �� ��. � �r;�� f / c�,, / J�¢,,� � / °� q/� ����� � ; �`� Name: ���1 V�J l7cX�l ' I`�'�a'/Y�91� /o/k'�r.d��Phone: �o��/� �J�/% � �� ���� � � �� � s � Oyy�l�r y Address/City/Zip: � � � � � 1 m " Applicant is: �Owner Contractor ` o�n�nsonl�30I � \\ . �•O � ��� ��� } . r, ` � � �v Y � Description of work: �� �/� � S� �- � ���� � � - Construction Cost: �� Multi-Family Building: (Yes /No b' ) � ����v� � . � � w�,,� �� � � ' � �� Company: �,�� Contact: ��� 4 Address: City: �0�������� ���� y�`'���� �����F; State: Zip: Phone: Email: � �� �� � � � �,�* * License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: ' �. F �i` �u�a, �,r �'� �� \ 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: ��VOTE Plan��nt� n orti � cume►� ���you�� � � � rtsr�er� y�� �I���iifor�rna�t�n � �s of : l! � ��'! �. tbe�nfQ��tior� �£� �be ,��etl�a� �, publ�'� �'yc�. ;A� ��'�sAec��c reas+�ns#ha����w��'�"i�tt�lae��#��o �� .,� '` P,� j rr„i #¥.. k. '*�4=�TM S A :fl � �� ` cC�nC�U��' �#�l$' are f!'atl�''„��►'�1�►s ` ��m �- �= f �rv, � m'* "" 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.qopherstateonecall.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 ' ota State ' ing de must be completed within 180 days of permit issuance. X _��r��-s.�fn�n X Applicant's Printed Name A IicanYs Si nature Page 1 of 3 %D % � �,,,/��;��'`J �G� DO NOT WRITE BELOW THIS LINE ' �?j(`��(� � ' SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) _ Single Family � Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ 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 _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �, Valuation � � Occupancy f1,L - MCES System -- Plan Review Code Edition '�01� SAC Units � (25°/a_100%� Zoning n^� City Water �'" Census Code �! ��j' Stories / Booster Pump '- #of Units / Square Feet /t�y PRV -- #of Buildings / Length J$ Fire Suppression Required '" Type of Construction � Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required � Foundation HVAC_Gas Service Test Gas Line Air Test �L Roof: �Ice &Water �Final PooL• _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control � Other: i0,�t TllSr, .�l9l•ae,�'L N�R�Y Reviewed By: , Building Inspector RESIDENTIAL FEES /iy,({ jf� �AM'�,� h��� � ��� � ��}"�9�� Base Fee � �� %' Surcharge Plan Review �`(� % MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 - �-!�°I°I �.k�-s �cv�-- I 3�Cx-1� . � - � Y � �ut�e a�`s e��`�c�c�te � - . �' SURVEY FOR: Frontier �.'.idwes� Ha:�es C�rn. DESCRIBEC� AS: Lot 23, B2or.i; �� , SThF�O'�D PL�,CE, Cl.tY o� Eag�n, Dakota Cc�zint} . t�;inneso�ta and reservin�; ease�ent5 of :e�cord. � �. � e�.a �T � � . �7`�� r � ----�_. $��.�, � 11�. r, % a �: 1�•Q�?G, �7 896• � •91e.Lo ,,,'"� s/�` `'`� �r Z�O. . j�--� �O ; . % I � � � �.� r �, � � ��.� ...... - � . `',' �� 4j��� •� � �,r � --... � -� 6,� i 1 � b 8`�'. lt,�y �+� $�� 4 ! , � �.� `��{s �$ � 1 , ff�' �afQ M 7 ,' 14�;N N ��•;3 ^ • + �1 1 �� � " M �r� a � :� 'y � S� ���� �a m 8 f o `� �'J` ;+�k t� �„/ SPf�{�!� c.y�1 ^ ry �l. � ,� r � � b (StiQ F.,+ �'•* � , v '�4 ,� ` ����, �' ry ��,67 • �� ����/r I � g9 � • � ta . � M l. 8'T) � �;� � B.=Z �� �r ¢ � �1AA!y?'i+a M t9 �t9 ` `�� � t ry M [y� � $`�3 ��L7 'o ! + � f � ,� ;,. , �, � 59 � � �;� .�,�� o ' �•�' .� � I �a , � � ��, ••, , , �, ,_ � ;_; / . E�� ..��( � `� ;, +,� � ���S Y�'tY.,..ny���! �� � T � + 1 � ;' , I ��'� " _� , 1 -� ..•- . � -.. ���� �/C�� � --v�� j �.� �'-�`���.t,����, x ' .�,'.. -"`, � � � '� --�� � �. , r �� -.. � � � _� � �` �� � -.. , . �+ '�8 � ,� f , o � 2 a G `� ��� ': . � ��' oo, ��-.,,,� v�.I'� EI�GIi���RII�T� S�E�'�, '+ F ''��^- - 1 " $�ii.g � -. ''�' '"�•_ . 'r ,. PRO�POSED ELEYATtONS �-• i ;� `f BEMCHMARK+ Top ol Foundatlan s By$,� � 'J - : �Gr , Qaraqe Floor � gq g,Z . , f Basem�nt Floar : ���. 4 �pprox.3awer Serries Elee,: ----- �MIN.SETBACK RE0IREMENTS Propos�d EI*v�alions � � �--� � ,�p Existtnq Elerotion� • FroM — �a Ho�at�Sld�-- 'a a� Droinap� Otrectlons .....^� . Rrar — ti'S Giaro4�$Idf— 5 � a Q�notat Olf�et Sfak� � O SCALE: ! Inch • 30 Fs�t , - • t h�r�0y c�r�ltr Mot iMa wrwr,Pbn ar nporl Mes pnpar�d 1►� nw dQ8 NO.: � � uaA�r mr dNtct seq�rrklan anA fhoi t �a+� �dulY 1h41st�r�d 8�R^2t3$ C �����u�� tae0 Swr�wor und�r�h� law� H fhf 8taf� �! Min��satti. 6 BODK: u P/a»RJnB EJ�giRBBri�r� $u/y�y�ng x+e�e..e«:�.��s�..■. rx�n..a.ee.�o ' � � �a�•�+A� 9 . 2t3, 89 P46E: h Ost+�; J� y nM tlewna� �78 Use BLUE or BLACK Ink -----------------, � For Office Use 1 � �o I �j�,] � Permit#: � � 11 � � ��� ��!,{l[�� I �j � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 � � I, Phone:(651)675-5675 � Date Received: � , Fax:(651)675-5694 � � ' � Staff: � , �-----------------� 2015 MECHANIGAL PERMIT APPLICATION ' ❑ Please submit two(2)sets of plans with ail commercial applications. , �( . �/ Date:� �ll 'Jr Site Address: 1�� �� - .fi 1��-� �'��#� i ��'i�' �� � l=T����'" � ; � Tenant: -�,;;-,` ``�, �� �'� ! Suite#: � �`������ � Name: �V_�,��'�"� .��E�1-Y`-s�'� ('Cxu�� �'�"��1���� ne. �'�� �y�_d.d ,����s.�/C ���� ' � T� .` �; Address/City/Zip: � � �� - ^ C� , /� , ,._� $ �, / E ,' Name: �� / License#: 4 ' � �������� l' Address: City: � State: Zip: Phone: � �. Yk �r�,��� ' � Contact: Email: � t� New Replacement Additional Alteration Demolition , �� '�`������ Descriptionofwork: � - �c� ��" � � � �! - � � # �h [����������������t��C���!���i�� �`�����i� � �� � �`���� �,�.. ,. a , .. ..�.� _�.ti �?"����� �'� ���� �� ��� k s �F� . , .._ �., <.,F_5 n �,� �_ �t�_ �. E , .a.k,.,..�.,� ��a �� � RESIDENTIAL COMMERC/AL Furnace New Construction Interior Improvement � ' � Air Conditioner tnstall Piping Processed ', ������� : � Air Exchanger Gas Exterior HVAC Unit I � i � Heat Pump. Under/Above ground Tank �Install/_Remove) � , — �, ;F � � �-��� Other 1` 4 . r�T z� �1';�� RESIDENTIAL FEES f $60.00 Minimum Add or alteration to an existing unit,indudes State Surcharge $700.00 Residential New,includes State Surcharge =$_ � `y r' ;�_TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank instattation/removal =$ Permit Fee _$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTA�FEE 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 1 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 'V� ;s �� �" X Applicant's Printe� me Appllc Si ` �ur � ����1���� � � � � � �� _ � : , �� � �, ��� �� � � � � � � � ;, 3 ? . `v `��, ., # r � , ` F ° :� t � .i 1 r' ` -�'��r sr �.-t { �u . 's' `r, ��������+�*�1�'� ° . � � .,', ,-" �9��RF��* � . � ' ��. ����. s ,� � � st 5� � '.r fl `� �,�� ' L�: � � �` ��ii7 � `��-t� f � �� �. y y '� . # � � .. ?�'+'`-,���� � ���se . t �. .---•+�+w ,'w"'�u.�.�, ..".,�.. :.,�"_..' x .a..., PERMIT City of Eagan Permit Type:Building Permit Number:EA174548 Date Issued:02/03/2022 Permit Category:ePermit Site Address: 4099 States Ave Lot:23 Block: 4 Addition: Stafford Place PID:10-72500-04-230 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 - Kathryn Louise Toner 4099 States Ave Eagan MN 55123 (612) 387-2333 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174549 Date Issued:02/03/2022 Permit Category:ePermit Site Address: 4099 States Ave Lot:23 Block: 4 Addition: Stafford Place PID:10-72500-04-230 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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 - Kathryn Louise Toner 4099 States Ave Eagan MN 55123 (612) 387-2333 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature