4103 States Ave s
; CtTY OF EAGAN Permit No: Date: i I~
' 3830 Wilot Knob Road Meter No: 6,96 4.0 Size: 5XI " o
P.O. 9ok 21198 Reader No: 0 Datec 'q 4- f'k
Eagan, MN 55121
Owner.
SiteAddress; /1nI Ctsatnc AuanI a T,)% 1>4 T,
laro
Plumber
M,:n
~h
Conn. Chg: 'i SCI tl( lnati 3mt; ' oning:
Acct. Dep: rall Inra1 py~IibgJnhg:
Permit Fee; . G~ Et.
Surcharge: 1~ g~~ comply wfth the Ctt~r ol Eagan
Tr. Plant " llDGll g
Meter.
Misc.: BY ^ r
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date:, 13- `
3830 Pllot Knob Road 8/P No: Date: i. - l 4-c:: ;
P.M S& 21199
Eayan, MN 55121
Owner.
SlteAddress: 4103 5t~to~s '<< ~ ' ;4
Plumber. St^r D1 MWCC: Q06S1 i`
City Chg: No. o
Acct Dep: R
Permit Fee: ~r~?90 tO COmPlr with the CRY of EaQan
Surcharge: Ordinance% "
Misc.: BY
SEWER SERVICE PERMIT
CfTY OF F.qGAN Permn Na
3830 pliot Knob Road M I- I5-g£ ~
P 0• Box 21199 ~er No: Date:
F-agan, MN 55121 Reader No: Size:
- Date:
Owner.• :,ie
west
' Site Address: 4 I p 3 "O~e £
States Avenue L24 r,4
Plumber Star Plur~bin, Staf'rlace
or'' ~
Conn. Chg: 55Q.06
Acct Dep: I 5.00 d Zoning: nl
Permit Fee; I(", ()p a No. of Units: 1
Surcharge; 50 d
Tr. Plant 2 ^4, ()a 1 agree to comply yvnh the C
Meter. Ordinancss, RY Ea9an
Misc- .
By
WATER SERVICE PERMIT
- - - ~
CITY OF EAGAN Permit No: Daie: 1 -1 ~-$g
.
383q PNot Knob Road B/ P No: Date:
P.O. Box 21198 i
Eagan, MN 55121 ;
Owner.
SiteAddress:_'{Z0-1 States Avc,:.~~ i.'G 34 Stzffor" ; l-Ac_
Plumber: Star :'1Lffibin;,• ~
r MWCC:
- - Zoning•
City Chg: I010•04`~ No. of Units: - '
Acct. Dep: 15-00pd I agree to comply with the City of EaQan
Permit Fee: ''i ~nd
- Ordinances.
Surcharge:
Misc.: By ~
SEWER SERVICE PERMIT ;
_ ~
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: S.t,Pl.e PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot~ ` r_ Block + Sec/Sub Res. New
Mult Add-on ~
y Name
-E Address ~ ~ %f ¢ :v%~" ~is. Comm. Repair
c City Phone f`f Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ~yxd ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
~ CONSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PEkMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.Qp
Air Cond. t M BTU I• ~ o MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 SiC IF PERMIT PAICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
,
FEE / Z. • uei ,r,
S/C: ~ SI
TOTAL• r ~ FO : OF EAGAN
c... - - -
REE4CTIVA"_'ED FOR DECK 7/6/89 CITY OF EAGAN
TIM i3ARR1:T'r 3830 Pllot Knob Rosd, P.O. Box 21-199, Eagsn, MN 55121
454-2203 PHONE: 454-8100
BUILDING PERMIT Receipt ~
To be used for Est Value Date ~ j ,19
Site Address OFFICE USE ONLY
Lot Blxk Sec/Sub. On Site Sewage _ Occupency
MWCC Syatem _ Zoniny
Parcel Na On Site weu _ 7ype of Conat
c+tv wacer _ lnctuan ,
a Name (Allowable)
W * O} StOf188
= Address Langth
° City Phone Depth
S.F. Total
, p Name FootprintS.F.
z
o i Address APPROVALS FEES
0. City Phone Asaessments _ Permit
Water/Sewer _ Surcharpe
W W Name Police _ Plan Revlew
~ W Fire _ SAC, City
va Address Engr. _ SAC, MWCC
aZ City Phone Planner WaterConn. -
t W -
_ C.OllI1Cll _ WBtef MBtBf
1 hereby acknowledye that I have read thia appltcatfon and state Bldg. Off. _ Road Unlt
thattheinformationiscoRectandagreetocomplywithalleppHcable APC - TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinenoes. Variance _ Parks `
Copies `
Signature of Permittee TOTAL
A Building Permit is issued to: an the expreas condition that
all work shall be done in accordance with all appllcable State of Mfnnesote Statutes and City of Eapan Ordinances
Building Officfal
- Permit No. Wrmit Holdor Date TeNphon~ ~
Plumbing
- `
H.v.ac.
Electric
Softener
Inspection Date Insp. Comments
Footings I ~
Footings II
Foundation
Framing ~ a -C r 3 - -
Roofing
Rough Plbg.
Rough Htg. ,
ISUI. -
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ. hg ~ n
Temp. LP
Deck Ftg. ~
Deck Frmg. /
Well FA Pr . Disp.
~.G i ~t
T ~
. • . .
(gtr#ifirafr of (IDrrupanry
Citp of (Eagan
gppwtmnx of luaamg Jwtrthm
This CeMifcate usued pursreant to tite requirements of Sectioa 306 of the Uniform Building
Code certifying that a1 the time ojissuance this structure was in compliance with 1he various
ordinances of the City regulating building constncction or use. For rhe jollowing.•
Use ClLsifiation - Hldg. PErmit No.
O-Pa)CY TYPe Zooine Dahia 7yPe C- V:7
Owna of Buildiag pddren ?!?C - _ :i : a4 a . ~ _
Bulldi[gAddfp! IAOIity
Datt
Blnldn OMaal
POST IN A CONSPICUOUS PLACE
,i~. ?rc~,..~,, . . Q~`~r~`iry , yt ~ .
+ PERMIT #
. O 1
• . • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN p~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: 4 1700. UU PHONE: 454-8100
Site Address 4103 States AVe BLDG. TYPE WORK DESCRIPTION
LOt !4 t Block ~ Sec/Sub- Res. }'y New
4TENZEL RXATING & A/C Mult Add-on
Name
~a Addreas --1955 Shawnze 8d. Gomm. Repair ~
c City EaKan Phone 452-1565 ~1ef
Frontier Com anies FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address 3908 Sible `lemarial H . ADDITIONAL 50 M BTU - 6.00
p City Phone 454-0433 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 80. 000 M BTU 24.0( APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
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 OuUets # $ 1.5 BEYOND $1,000)
Other
FEE: 25.50 l :1
S/C: ' SU IGN RE OF PERMITTEE
TOTAL• ~ ~ ~ •
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT # - L
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~,:7 '
CONTRACT PRICE: PHONE: 454-6100
Site Address BIDG. TYPF WORK DESCRIPTION
lot Block Sec/Sub Res. New
Mult. Add-on
~ Name ~ ' -lci '4 Comm. Repair
Address Other
c City
Phone 2 'LRES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- N0. FIXTURES TOTAL
Water Closet - $3.00 S
~ IName f ~i'IC 5 ~Bath Tubs - $3.00 Lavatory - $3.00
; Address
p City Phone s' ~Shower, -$3.00
Kitchen Sink - $3.00 ?
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°fi OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 f
MINIMUM - RESIDEMTIAL 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
Rough Openings - $1.50
31GNATURE OF PERMITTEE FEE:
STATE S/C: J~
FOR: CITY OF EAGAN GRAND TOTAL:
. ' . "Ad-~ CASH RECEIPT ~ ~'f
. CITY OF EAGAN ~
,
~ 3830 PItOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
REGHIVED • 1 ' ' ,r ~ ~ ~
FROM ~7, t t. 1 ILy
AMOUNT
6 DOLLARt
oo
E] CASH Q'CHECK
~ i
l'ow ~ f fal ~
~r-4. ,
.C,
PUND CODE AMpUNT
Thank You BY
• White-PaYer3 CoPY
Yellow-Postiny Copy
Pink-File Copy
BLDG. PERMIT N0. !
ord R-ae- r 01-3210 Bldg. Permit
01-3422 Plan Check 00
01-3445 Surch./Adm, ~ bl
01-3446 SAC/Adm.
01 -2155 Surcharge
1•.r-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. 0c)
20-3716 4:ater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn,
.AT-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHOME: 454-8100 `j~ ~ ~•G;
BUILDING PERMIT Receipt ~
Tobeusedfor yr ;EoKValue 1v,0•* Date .1AtiT'ARY
SiteAddress f+l(!3 Q't'A3'ES AVi. OFFICE USE ONLY
Lot 2`' Block 4 Sec/Sub. SrwP'RnFti c'f ACF. On Site Sewage Occupancy ~
15T AI}D MWCCSystem _ Zoning
Parcel No. On Site Well Type of Const
Ciry Water ^ (ACtuaq
w Name FROhT i!:.rs. ::lt)WKST Hc)Pi1ES s GURI (Allowable)
W ik of Stories
3 Address 390A 51:iL:iY !!E':OR?AL ti1lY
0 City t=ACAt~ Phone •`r54-043 i Depthh
S.F. Total
, p Name Footprinl S.F.
o~ Addrdss APPROVALS FEES
U~ City ` Phone Aasessments _ Permit
Water/Sewer Surcharge
v W N8111@ ' Police _ Plan Review
~ = 1 UC~ . i`.~t~
_ SAC
Fire , City
Address Engf, _ SpC, MWCC
~ W City PhonB Planner _ WaterConn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bld9. Off• - Road Unit L-'
that the information is correct and agree to complywith all applicable APC _ Treatment Pt ~ ti•~U
State of Minnesota Statutes and City of Eagen Ordin~nces Variance _ Parks
Copies
SIg118tUfB Of PerR11tt@@ TOTAL
A Building Pe~mit is issued to: ::,tIt r r f d: r~~a,•:~_. on the express condition tfiat
all work shell be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordlnancea
Building Official
ihis repu¢sl void.
~e months from d~~ ~
D 94467 u.
Re~ t Date Fire o. - ~
G p n In50er.tion
_ ~~~d?' ~Ready Now ~yRrNO~ify Inspec-
~Ia•r+ ?No tor When Reatly
[B2~censeA Electtir.al Contracmr
? Owner 1 haraby raquest inspection ol abova
elecVical work installed eL
Shee tltlress~oz ar Rou N. C.i'
v 15 A
ecuon o. Township ame or No. Hanfle N. Cowv
OccuVan RINT)
% Phone rNo, /
G~\..
wer pplier Atldress
Elechir.al ConVactorlCompany Namel nntrar.[or' License No.
KENDRiCK Er FCTRro Q_,z 91
Mailing14 ,~I!54(vrppp~1^iv~rgOdr~Aekinp Instailation)
K L.AN._F,
Aut dt t t r/O O 1S(~7~G~Ilation) Phone Nmnber
+ J~S
MINNESOTA STATE BOARO OF ELECTpICITY THIS INSPECTION REUUEST WILL NOT
~Griggs:Mitlway Blde. - floom N-197 BE ACCEPTED BV THE STATE BOARD
1821 Universitv Ave.. St. P.O. MN 55109 UNLESS PqOPEX INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION es-ooooi-os
1 See instructions for compleline this lorm on beck ol vallow copy.
D 94467 "X" Below Work Covered by 117ls Request
NavV AAd TyOB ol Builtling ApOliancee Wirad Equiumant Wired
Home Range Temporary Service
Duplex Water Heater ryhUnp Fixtures
Apt. BuilAing Dryer Electric H¢ahn
Commercial Bldy. rnace Silo Unloader
Industrial BIAy. Air CorMitioner 8ulk Milk Tenk
Farm lnrer Veci v ISpa,lvl
t ar SuccifY Olher Othir
lompute Inspection Fee 8elow
p Fee ServiceEntronceSize „ Fee Fextlers/5ubieeders N Fee Circuits
U ro 200 Am ps 0 to 30 qm s ~ 0 to 30 Am s
Above 200 Amps, 37 to 100 Amps _ 31 to 100 Am wimming Pool Above 100_Amps Above 100_P.mps
Transrormers Irrigation Booms ParY Fee
Signs Special Inspection S~"~
TOT/~FEE a
flemarks .J '
Roueh'i^ , ~leJtha Elecvica
Ins ~eby
certify Ihen, the above
Finel insVeclion has been
made.
•
hiisrequeslvo1tl18monNSlrom 14-3
- CITY OF EAGAN ~J? 14 5 5 5
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 4D~.. pD
BUILDINGPERMIT Receipt# o
To be used for S F DW .~j. Value 79 , 000 Date SANliARY ~ 7'i g~~
SiteAddress 4103 STATF.S AVE OFFICEUSEONLY
Lot 24 Block 4 Sec/Sub. STAFFORD PLACE On site sewage Occupancy R-3
1ST ADD MWCCSystem X Za~mg R-1
Pafcel Na On Site Well 7ype W Const
Ciry Water X (ACtual) V-N
a Name FRONTIER MIDWEST HOMES, CORP lA~~owable~ V-N
w # oi Stories
= Address 3908 SIBLEY MEMORIAL HWY Lenafn 52
o ~{~y EAGAN phone 454-0433 oeptn 31.33
S.F. Total
, p Neme Footprint S.F.
~a Address APPROVALS FEES
~ Ciry Phone Asaessmenta Permit 4~
Water/Sewer Surchalge 39 50
W W Name Police _ Plan Review ~
t z Fire SAQ City 100. 00
~n AddreSS Engr. _ SAC, MWCC 5 S(1 . n0
aw City Phone Planner _ WaterConn. 550.00
Councll _ Weter Meter f~7 - (1(1
I ~ereby acknowledge that I have reed t~is application and state BIdg.ON. _ Hoad Unit
thattheinformationiscovectandegreetocompl~withallapplicable APC _ 7reatmentPl 20 .00
Stete of Minnesota Statutes an r of Eaga din n e& Variance _ Parks
Copies
Signature of Permittee 70TAL 2, 57(1 . 50
A Building Permit is issued to: on the exprese condition that
all work shall be doqq~e~i~n~~a~ccordance wf th all applicable State of Minnesota Statutes and City of Eagan Ordinances
BuildingOfficial~~dL ~11(,~1 `111P.
" 1
~ q ff~ ~7~ OD
2005 RESIDENTIAL BUILDING PERNIlT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construdian Reauirements RemodeUReoair Reauirements Otfice Use Oniv
3 registered site surveys showirg sq. R of lot, sq. tL of house; and all mafed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20%mazunum lot covarage allowed) 7 set of Energy Calcuiations for heated add'Aions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey foradditions & decks Tree Pres Required _ Y_ N
lsetofEneqyCalculatians Adddion - indicetelfon,sReseptlcsyslem OnsReSepticSystem _Y _N
3 copies ol Tree Preservation Plan N bt platted aRer 711193
Rim Joist Detail Options seleGion sheet (buldings with 3 or Iess untls)
Date l l Gs ConstructionCost
Site Address y/C3 c54 ~G- igrer Unit/Ste #
4p ~S ! 3
Description of Work bv
Multi-Family Bldg _ YY N Fireplace(s) _ 0 _ 1 _ 2
Property Owner cSAwC- .r'iv)a JU/IC- v c ra e Y' Telephone # ( 6SI )
1
Contractor Q G 5
Address e _P pLez-pllo C'tY e~p -^r 01
State ~ Zip S5,423 Telephone #(6 5/) ~ 5~. S^•''~' _I_ 9_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissionype) Submitted Submitted
. Energy Envalope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Coniractor Telephone # ( )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is. complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an applic 'on for a permit, and work is not to start without a
permit; that the work will be in accordance with the approve in the case of which requires a„i~view ani
appro 1 of plans. ~f L ~i
Q >'1 '~4'~ ~ 2 2005
Applic 's Printed Name Applic Ys Signature
OFFICE USE ONLY ~ Sub Types ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ?,C 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entlre Bldg) - Give PCA handout M applicant
Valuation ~8a r Occupancy ~-3 MCES System
Census Code y 3~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const y Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaVC.O.
~ Footings (deck) ~jp Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: ff~# , Building Inspector
Base Fee
Surcharge De c k" F }4r rCC-- ar 8dO' ~
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total '
.
~'r. . ~ngineering Services ~Ea.t ,
sr~ro - &0O^~YronFnewoy
CWiI Enqineqa Land..Plan BbO1"~tOM1~~oa SSa20
: urr~efor~s ners er Ppooa: e88-0289
Z
tt, f '`cate
u. 600K PAGEJ09 NO. ~~K-~n
~EY ~0 i'rontier Midraest ..ones Corn.
DESCRIBEO A5: Lot 24, Block n STAFFORD PI,ACE, City of F.agan, D: kota County,
Minnesota and reservinf- easements nf record.
TOP OF FOUNDATION ~ 401.5
GARAGE RLOpR
BASEYENT pLppR ~ 693.q ~
SEMER 36pVICE-E(,EV,
' PROP0.SBp ELEVATION3 ~ W
E]lISTiNG ELEVAT10N5
DRAINACE DIRECTIONS
DENOTES IAT COfINCR3 : o M
IV DENOTES OPFSET STAIiC: O .
O ~ 31.1 3 u
o~ 89 .1
/90
~
~ 34
b'IZ.1
o
ao ~ ~
j10
~ N 0
vs.3 w.; ua? ~eo.a N
ui
^-3~ ~ Ql-. E'i7:o t^
pg
P
'°5w•
ui LN ~ I .
$i 7,-. ~ a r 1 I r ~
Z
N 21 fb ~ ~
lOb
d_- un
- r ~
9. 42 , 30
N 7 q0'6
CERT~FISATE OF S RV v
IMby certify ihaf Mis surre ~
Y. Wan or nport was pnpa?od b ~
supenrisiq~ ond tAai Iam a duly peyy~ared Land Surv~yo~
Slote o( Minaesofa. ud~r tM IaMS pf herect
~ Dott: iz L\ .
(J
J~~' ind en , ~icees~ No. 1 T6 I
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date & I ~a I O V
Site Street Address H103 Vqfes Aae F;~a.. Unit #
PropertyOwner St¢uP -,~oqPr Telephone# (,/;S7) G97 fgf9
Contrector S'fCLe Toerr.¢f Telephone# IGsI )IPS7 98rL'
Address 'Y/0 35'ft4e5 Auf City Cara.~ State N" Zip 5-:5-lz 3
~
The Applicant is: X Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
X Add fiutures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required) ja~''`a ~
Other: ~
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ s~ ~
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 permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved
R
5~eu er - r t
ApplicanYs P nted Name A p icant' ig ature
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694Q,~~ .5-
New Construction Reauirements RemodeVReoair Reauirements ~ Use Onlv
3 regisle2d site surveys showing sq. R of IoL sq. R of house; and ~II rooled areas 2 mpies of plan Ceqoi Swvey Recd Y N,
(20°h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree PfCSflan R4~ Y 1J;
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Ttee Pres#~eyWred~ Y
1 set of Eneigy Cakvlations Addifbn - irrdicate 'rf on•sife septic sysfem On s~ Septic Sys(em Y^:,N';
3 copies of Tree Preservatlon Plan'rf lot platted after 711193
Rim Joist Detail Optbns seWtion sheet (bldgs with 3 or less un'As
Date 44_ / a 3 / 01Construction Cost y)f 70D
SiteAddress Sf ds lxL. UniUSte #
Description of Work 6-je7 /1) 1 rl nz77-z- ack` Z/ v v7 6-
Multi-Family Bldg _ Y~ N Fireplace(s) ~ D _ 1 _ 2
Property Owner 4; Te j/ - -TU L ~ e V in n gcwe_ Telephone #(~j J)~08 7- JB9~I
Contractar C i ii e Z: U L, e_ SO e- R!~ e /2 - ttn c e n 9[n r rz
Address 3 .g Ta Te 5 ./~?e~ City
State ~ Zip ~!j~~ Telephone # V,~60
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone ~
Sewer/Water Contractor Teiephone ) ~
APR 2
I hereby apply for a Residenrial Building Permit and aclrnowledge that the inf arion is plete an accurate;
that the work will be in conformance with the ordinances and codes of the Ci te of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
S7e-,20,- Soe-29eR
~u-~-
ApplicanYs Printed Name X~phcanY S gnature
OFFICE USE ONLY ,
~
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
ilk 02 SF Dwelling ? OS 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
WorkTypes L/SGtA'SOIV AiOq &#yars(,c Ao~~ /i'Vo Tnll,~'~L W
0 31 New ? 35 Int Imovement ? 38 Demalish Interior ? 44 Siding /
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair(26a10L00F,1'
)KC 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrsk~J r
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation , c(' Occupancy MCES System
Census Code _y_3 vZoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Vy`L Width
REQUIRED INSPECTIONS
_ Footings (new bidg) FinaUC.O.
Footings(deck) TC FinaUNo C.O.
~C Footings (addition) _ Pluxnbing
~C Foundation _ HVAC
Drain Tile Other
~ Roof _ Ice & Water _ Final = Pool = Ftgs =Air/Gas Tests Final
Framing . Siding Stucco Stone Brick
Fireplace R.I. Air Test Final Windows
~ Insulation _ Retaining Wall
Approved By: Building Inspector
- -
Base Fee c~ a . ~rs
Surcharge ~ ~ •~C~ v/-5~()>'U
Plan Review ~~Q x S ~s
MC/ES SAC f0
City SAC
Utility Connection Charge /
S&W Permit & Surcharge
v ~ lp - 1 /
Treatment Plant ~
V ~
License Search ~ 00 ~ / ~2
~
Copies
Other
Total
'r GT(~!f/s"/? /~'~~'s~ / ~~17
1~~v
Permit Number
MECcheck Compliance Report Checked By/Date
2000 Minnesota Energy Code
MECcheck Software Version 33 Release lc
Data filename: C:\Progratn FileslCheck\MECcheckUOERGERcck
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/23/04
COMPLIANCE: Passes
Maximwn UA = 62
Your Home = 61
1.6% Better Than Code
Gross Glazing
Area or Caviry Cont or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 288 0:0 38A 7
Wall 1: Wood Frame, 16" o.c. - 500 0.0 19.0 37
Window Above Grnde, Wood Frame, Double Pane with Low-E 52 0.330 ll
Proposed and Maximum U-Factor Averages
Proposed Maximum .
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0330 0.370
Includes Foundation Windows > 5.6 ft2
COMPLIANCE STATEMENT: The proposed building design described here is cansistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the 2000 Minnesota Energy Code requ'vemenu in MECcheck V ersion 3.3 Release 1 c and to
comply with the mandatory +equirements listed in the MECcheck Inspection Checklist.
Builder/Designer Date Y` LS B y
- - a o ~ - ewomx,oron,ww.aa 55420
~ wcw@ron Clrll Enpiniten Land Planners Phonr 888-0289
surrqor`s eatifirutc
BOOK _ PAGE -
.we No. a,K-61-1
S4RVEY.POR: Frontier Kidwest Hones Corn. •
DESCRiBEO AS= Lot 24, Block 4 STAFFORD PLACE, Citp of Eagan, Dakota C'ountp,
Hinnesota and reserving easements of record.
TOP OF PWNDATION ~ V01.5
GARAGE FLOOR 40I.1 L.
BASEIMNT PlAOR ~ s93.4 W
SEMER SERVICE-ELEV.
PROP0.SED ELEVATIONS ~ O
E]IISTING ELEVA?ION3
DAA3NAGE D1RECfIONS
OEN47'ES lAT COfiNL63 : o i
DENOTES OPFSET STAI:C: 0
89
C_~ ~-r f
74
\ . s~.o u.ts wn.a N
\ . _ 2_ S~• ~ ~
. 15 30
\ RG
6' \ b ; ~ ~ ~ w
N
~
~
~ ~
o
O ~
3C) ~
\ Jlr~'~ ~ C~.~
~ r Z
5 ~ N ~9.40'€
g96.9
ql 1Dl ~
~
CERTIFIGATE OF SURVEY
I MnDy certity fhaf this suney, plan or nport was pnpand by me w undrr mY dinct
supeniston ond that I om a duly Reqistered Land Surveyor under the laws of the
State af Minpeaota.
o Da,e:
Jeffr ind en ~ LicenA1,01 76
yl ~
1989 SOB.D26G PERIiIT APPLICAiION
(,I CITY OF EIGAN5
~5 ~T
SINGL£ FAMILY DiTELLIBGS rID1.iIPLE Di1ELLINGS COT87ERCIAL
2 3ET3 OF PLANS 2 3STS OF PL?NS 2 SETS OF IRCHIiECTUEtaI.
3REGISTEAED 3TTE SDRYEYS SEGISTfiRED SIlS 3URVEl3 - 6 SlRDCTOfiAL PLLNS
1 SET OF EHERGI CILCS. (CHECH HTPH BLDG DIV.) 1 SET OF 3PECIFICATIONS
1 SET OF EREHGI CAI.CS. 1 SET OF ERERGI CALCS.
NULTIPLE D1iELLINGS HENTAL DNIT3 FOA S6LE OBITS i OF DHITS
iOTEt IDDRFSSES FOH CORNER LOTS - COATtiACfOR/HOMEOWNER !lOST UE4I68ETE ii8IC8 1DDRFSS
IS DESIAED. 80 CAENGFS iTII.L BE lLLOUiED ONCE HOILDING PERMIT IS I33BED..
3EWER 6 liITER PERMIY FEES l1QD kCCOONT DEPOSIT F6E5 UiII.L Bfi INCLDDED iiITH THE HOILDINfi
PERMITT FEE. PROCFSSING TIIg FOR SEWER AAD 1i9TEA PERMI?3 IS Ti10 DAYS ONCE ! PEAMIT H65
BEEB COMPLETED INDICATING A LICEN3ED PLUMBEA.
PENALTY 1PPLIFS WEENs PERMIT IS NOT PAID FOR IN 39ME MONTH IT IS AEpIIESTED.
LOT CHANGE IS REQIIESTED ONCE PEAMIT IS ISSIIED.
To Be Used For: 1DECIL Valuation: Date: -1u+-~ 6~
31Le Address y In~ 5r,~17E~ AUE OFFICE OSS OH[.T
Lot ~2 q Block ! L Oceupancy
Zoning
Parcel/Sub ~Sf~FFoR~ ?LAcJEF~ Aetual Const Bldg. Permit
.y~, Allowable 3ureharge'
Otmer "titivld'md'MCa gja*~`C.i~' +1 of stories Plan Aeview
Length 12- k5- SAC, C1ty
eddress L1103 5?ATb3 AUE Depth i2.r+S SAC, HNCC
S.F. Total -„ca iiater Conn
Citq/Zip Code FloGAN,vnn! SSIa3 Footprint S.F. liater Heter
ecet. Deposit
Phone G1eZ 115,4-aaV3 On aite aewage S/N Permit
On aite well S/ii Surcharge
Contractor !lNCC Syatem _ Treatment P1.
City vater Road Uait
Address PRV required _ Park Ded.
Booster Pump _ Copies 1,00
Citq/Zip Code gUBTOTkL
1PPAOVELS Penalty
Phone Planner _ =OTAL
Couneil
Arch./Engr. Bldg. Off.
Yariance
Address
City/Zip Code
Phone A
? ,Wiiu Engineering 3ervices x~°°•,°~.-y,~^.°~°
. . Bwomirqron,w:www ssozo
'wererors Clvll Enpineers Lond Planners Phona: 888-0289
~ suMewr,s elffti*tep
BOOK _ PAGE -
_ JOB N0.
SURVEY FOR: rrontier Midviest Aones Corn.
QESCRIBEO AS~ Lot 24, Block STAFFORll PI,ACE, City of Eagan, Dakota Countp,
Minnesota and reserving easements of record.
- TOP OF FOUNDATION ~ 40%.5
GARAGE FLOOR qoi.% k
_ BASEYENT PLOOR ~ sq;4 V
SEWER SERYICEELEV.
PROPOSED ELF,VATIONS ~
EXISTING ELEVATIOHS
DRAINAGE D1i:ECTIONS
DENQTES lAT CORNERS : O r
`L DENOTES OFFSET STASC: O
V
~O 89
ti) C~~O^ s~ N B~ W 1 /9
0.74
it)
~
30
+ p a_ ,
5qz . 1 o
x ~i 'i I m
i. uSS wm.e I `C
di6.o 6.3
a98? 1.'
k~
N ~ 1S 30 ~
\ ~ ~ nc
s , ~ M ~ I N (I ,
N
s9,.i „ ~c ~ a~rl ,
2133
L-
N
-~vi - 10
~ ~ ~ r 89d,91
~
I69. 42
5 ln ~ 40'C-
B9_ 6.9 \ ~ ~ ~ ` ?
i
4L.~
LERTIFIGATE OF SURVEY
I Mnby cenify thof fhis su?vey, plon or nport was prepond by me or under my dirKt
supervision and ihaf I om o duly Reybtertd Lond Surveyor under fhe lars d th•
Stote of Minnesoto.
o na,e: IZ
Jeffr ind en, Licen4Nal
NEYV MOpEL
= , + 'W7hAh t/~ JI- -6 y
19$$ BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFIICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS ll OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: S1NGlEFAMILYDN'sl"Valuation: 711000°= Date: DECEMSER IO~/96J
Site Address y103 ,STqTES r1VEN UE OFFICE USE ONLY
Lot Zi Block ~ On site sewage_ Occupancy R- 3
- MWCC system ? Zoning R-I
Parcel/Sub ~'JTAFFORQ P-AM IST ,QDDAI• On site well Actual Const V-N
, City water ? Allowable V-N
Owner IIARRET7 TIMOTHy jWiuDiscW, MoNIeA PRV required _ df of stories
~ Booster Pump _ Length
Address 1726 WauESLEY AvENuE Depth 3- I._
S.F. Total
City/Zip Code 4ULf M N 551O6 Footprint S.E.
Phone y5 5- Z o ~ APPROVALS FEES
Contractor FRw4T ER MiDwEST I-Io?+i CO ,Engr/Assess Permit 490.00
Planner Surcharge TCF50
Address 3908 SIBLEY MEMORIqL WGNwAY Couneil Plan Review 295~
LiH~~~rMG E Hldg. Off. SAC, City /00.00
City/Zip Code EA.GAN hur4rlESOTA SSIZZ Variance SAC, MWCC SSD• OO
Water Conn 5400.00
Phone y5q- 043 3 Water Meter 6'1•00
Road Unit .00
Arch./Engr. MARK /VAEGLE Treatment P1 0.00
PNILLIVS PtAN SERVIcE Parks
Address 14530 PL•NNOCK AvENGE Copies
I TOTAL 25~0•~
City/Zip Code AyptE VALLEy.,,P1N 55124
Phone # y3Z- Zo'I y ()ypTE; SEE- N07%' ON RE1JE.p5c J
/
~Y s ~ + lw
6EE ENEriNE1MS QEpaRT OF aEr-Eirl$rR 30~/987 £ S~'~~y 121 ~y~x
REGARpING cANTrLtVERE'D POR-,iaN oF Ho".
y' I~
z-
Hedlund ~ngineering Services ~OlEast&oaminqtonFneway
. Bbomirpton, Minnosoro 55420
Land Surv~rors Clrll Enqineers Land Planners Phone: 888-0289
r' suriverlorits G'ertlf "~cate
JAWIZ BOOK- PAGE J08 N0. 5-11K' Vri
SURVEY FOR: Frontier Midwest Homes Corn.
GESGRIBEO AS: Lot 24, Block n STAFFORll PLACE, Cit,y of Eagan, Dakota CountY,
Minnesota and reserving easemenCs nf record.
TOP OF FOUNDATION a 401.5
GARAGE FLOOR ~ 40l. I . k
BASENENT FLOOR ~ 9a3,4 W
SEWER SERVICEELEV. ~
PROPOSCD ELF.VATIONS ~
ERISTING F.LEVATIOHS
DRAINAGE D1ilECTIONS 4
DENOTES LOT CORNSR3 : o r
`L. DENOTES OFFSET STAI:S: O 3~,33 2
V
0 /-a- ~ e~ °2p • jy r c' ~-t
/9p 74 i
N
~
0
0 ao
•qz . ~ o
5 - I 10
Q 896.5 ~
~
\ awo.~ 4v6.3 i u,;i vm.e N
895,3 891.~ j m P.o~nvd6%8 0 ~f.
\ ~ ~ ` . Nw.cWK ~ ~
~ 15 30 ~
\ ~ ^ R<
~ a
W
6Q4 9aq DRwF
897.1 a o ~l.l
Z 1433
N \ ~ <m. a,e.s ~
o i- I
~ i •
4 \ b ~ ~ ui
CP
9989
0 \ f r ~ ~ --1 ~jt~
16 9. 42
l
7 9°40'~
896.9 \ ~ ~ ?
i
CERTIFICATE OF SURVEY
I heroby cortify thot this survey, plon or report wos prepnrod by me or under my Oiract
supervision and fhof I om a duly Reyistend Land Surveyo? under iha laws of the
State of Minnesota.
o Doie:
JeHr ind en, License No. 4476
- ' Page 1 oi 4
. ~ ~
EXTERiOR ENVELOPE AVERAGE "U" COMPUTAT?ON
OWNER; BARRETT, TIMOTHY AND WINDISCH, MONICA nATf: DECEMBER 10, 1987
S?TE ADCRESS: 4103 STATES AVENUE pyONE: 454-0433 - FRONTIER
GONTRACTOR: FRONTIER MIDWEST HOMES CORPORATION NEWCASTLE 2x4
Determine working square footage of each
1. Total exposed wall area.....2Z3~ sq. ft. x.11
2. 7otal.roof/ceiling area..... sq. ft. x.D26
Total exoosed wall area above floor=1~-~~
a. Total wall window area
, b. Total door area
c. Total sliding glass door area
• d. Total `ireplace orall area
Total wall framing area (average 10%)
f. 7ota1 rim joist area Z47
g. ~net wali area a6oye f)oor 15~~1,31
h. wall area a6ove floor
i. wall area a6ove floor
j. frzme wall area at. *oundat_on
Total exposed ,`oundation area=
k. Total foundation window area
1. Total net foundation area above grade S"~;Zn
Dztermidre °u" value of eacn wall segment
(e.g. tiaindow, door, each separate wail section)
d. X uUii b. ~:R x ~v,
c. 4o x "U„ A-Z. = 1~~
d y ,iu„ _
e. 117_, 5~ X --u-, 'k:ss~
2~Z X „u„
9.1SSi,31 x is u.1
h. X ~lull _
X ,l U„ _
j X „u,l _
~ If item 03 is the sai
as, or less than itei
rl, you have met the
X"U" fntent of SBC 6006
3 . .................................Tctal
` y;:;te-ior Envelopc Avera9e "U" Conputation Page 2 of 4
Total exposed roof/ceiling area 7 S
m. Tbtal skylight area
a. Total roo•`/ceiling framinq area (average 102)... 1-
0. Totzl net insulated roof/ceiling area........... b`.5
Determine "U" value for each roof/ceiling segment
M. X "U" _
n. a 'lull ~03 _ = Z.3Z
0. x "U„ >OZS = ~`1,~3
4 Total = \ 1~ ~
'f tocal c= -4 is the same as, or less than $2, you have met the intent of
SHr 5005 ;c? 1-
Alternate Building Enve:.ope Design
~
To utiiiz2 the total enyelope system method, the values established by the s:ua of
:.tems n3 a.^.d -4 shall not be greater than the sum of items nl and #2.
1. + 2. _
' 3, + 4.
-
' PLAN #
1\I~~\~J1
* LINEAL FF~P EXPOSID WALL
sLOCx: I Z~J
KNEE:
w.o.:
FULL 1: 12.0
rvLt, z: I.ZZ
FTgEpIACE;
RIlM: 2~-Z
SQUARE FEET EXPOSID WALL AREA
' BIACK: ~ ZD x
KNEE; x5=
W.O.: x 8 =
FUIL 1: YZ x 8
L V'ii 2 : X o
FIREPLACE: x =
RLT?: x 1= Z~`Z
TO - - ZZ 3~
* SQUARE FEET DTOSID CEILING ~~75
~ ~r~ws 'i ~~>3Z = Dooxs
* PATIO DOORS
~ BASEMffU vNITS
G,G,1
47ALL SECTIONS
Occ- lgy, of opaque ua11 area for
frame conetruction Construccinn R-Valuo `.;4'f
. • .
I l. r i f i G
3. 3 inches sofr. wood .3~
o . ~J~~1`t~Ry~ SN1~3.D - 5 ,4r~
i 5. N4 •4_Z
BASZC 6. Exterioz air film = 0.17
YIALL Total 1 1~ b I.. : ..us.a~s
FIG. B1 TOPVIEfI OF
FxALtE taALL 1. Interior air film • 0.68 z• 41 p $n .4s
' . 3-
- ~ . - a. 3f,~P s.~
s. S( P1 ~`1St- -.{Q 2
6. Exterior air film 0.17
FIG. n2 Total
.
. ~
I 'QT 1. Interior air film 0.60
~zm 2. INSUL. ll•00
s..
, t ,
fc c.~[=~( 3 s ~IDlNS ,~Z
`~~"°1 '-Ily • 6. Exterior air film 0.17
,
.t ToLa1
i. tz, J l~ ~~l V .r" ~~5~
~ y)~ n ~ •~-0
Interior air film O.C68
i
a • `
1?.itCN C~ 3. ~1• • 3. 1 r~0~1'?• ~ • ti' • 'p' . • 4. ~.O N G 6 LOG 1L e . ~~nnL)_C 5.
•r.:A p~•.~~ . • '
6. Exterior air film 0.I7
. Total • 1113
SLAB QN 'GRADE
. . ~ ~
~ ~
r ~~~~r ~ r~k •
. ~
s, u v^ ~ • .
la
, r~1 ; " ~ ' ~ ` ? , ~
a' ' ' / ~ `
~ ((f ^ ' . ~ . ~ . .
. r FZG. N4 - . o ~
!!t ~ , J~J! i ~
ZG. $3 ~ .
- xr x = (~r
J
~ ~ .
o`.• ~ , NOTE: Indicate tyne, "R" value, deoth and. _
placenent of insulation. • .
a .
P = ' - • ~ ' STANp:AR:D
• , t;oo,r•%ceu.?rsc . . •
, , . , , . , . .
~ f Const~ i~ . R-Valuc
~ l, Intcrior air film , . 0.61 '
2: ,
s. 1~ I ag .`ti
Extcrior air film (still) 0.61
T°tau -5°1. bO
r~~~~~~i~l?. ~~i~ t~l',,~ ~ ~
rrr , . .
~ ~ ~ = d, = D~ 'r! .
' ~ . ' ~ . -
~ • ~ ' 1. interior air £iln ~ 0.61
ftn~ed Heac flov ~ 2_ ,
LP ' ' 3. 7 x st t 1 fJS~ 6. ~ 31 • g •
' • ~ . 4. £xterior air filn (stil • ~
- , . , • . . . Total 33.
. . YZG. ~5 , ~ . • . . - • V ~ V 7~
. . . .
. ' . . . ' tOA.9ir~?tT/ ol~~ .
e air filln 0.61
. ~ • ~/.[~-•,~y+~CJn~.L'41G .
J. Insid
2. ' .
3_
4- 0.17
1' S. Outside air film
1 ~ 4- . 1. Znsid'e air film 0.61 •
~ ~ . z. ,
.•veate$ 3"
~sz floet up • . - a.
• . ' ' ~ • • 5, Outside air film 0.17
, • ~ . ~ . ' ~ ~ • Total
. , TIG. ~6.:.. • ' - . . • _ • ' _ .
- . . ^ . . . . .
air film 0.61
2'
s. ...r .1~_ 3_ •
, „ • n' ~ ' . • .
Q.
o. 1.7
~r r~~::•~'.•":••~~•
• 5. Outside air film
i"• Total
~ . • ~ . ~ . ~ .
~ I . ~ ~ . , . • , .
. - ~ .
•~~r_~;~ : . i¢ote: ose additional sheets if more cpace
peeded for details and calcu!atians•
~ . ¢lov up • . '
• . . . . •
.
' RIG. #7 ' . ~ . • .
. ' .
e^ 75.(00
. .
McCONKEY & ASSOCIATES INC.
Consulting Engineers
DecemDer 30,1987
Frontier Midwest Homes Corporetion
3908 Sibley Memoriel Highway Eegan, MN 55122 .
- Re: Newcastle House Model
Gentlemen:
We have bean retained by Lymnn Lumber Company to enalyze some of the
. structural membere for the nbove mentioned house model.
At the request o£ the client, our work was limited to the structural
membera ahown in clouded areaa on the attached aheet. Please let us
know i£ you need £urther in£ormation.
Sincerel ,
J
McConkey, P. .
~
cc: Lyman Lumber
Encloaure •
3144 HENNEPIN AVENUE SOUTH • MINNEAPOLIS,MINNESOTA55406 • (612)8226950
~Q JHN 0 1988
,
' " `~1w\.
/JNC Of ZlIruw,.t /J60VC.
_ _ - ~a.-- - - _ • o ~
~
~ ~T~ NI
G F
,
~a• ~
~e I ° ~ i • '
'V o N nr E c=•.- rl a F' ~
oyJ~ chNTI,-c..g. J'oiSt I~T •1 3
rH iS E r u v~ I5 r RE~s r ST t
~'j~ ry.~-~'~-I3'~•q ~v^n~t , > ?45 ~ ~~r P~R ~o~sTF;
• ;
~ .~^'^~^-'1~ '
; . ~cs'-~~ ~T ~
Q
.
' _ . , ; ~ _ ^'//J I ' v I i
~
, , ;
~ • jQ i
OL-
x ;
. ' , • ' ~
McCONKEY & ASSOCIATES INC.
Consulting Engineers
January 12, 1987~
Soe Merchak
City of Eaqan Suilding Inepactor
3830 Pilot Knob koad A y/ `~-~7zs
Eagan, MN 55122
ke: Frontier Mid:+ast Homea ~ -7-
Newcastle Model
MY. MeTChBk
Purauant to our converaation on January 11, 1988, please find atteched tbe
lo.tat connection detail you requested. A copy of the same ia 6einy sent
to Frontier Midwest Homea £or their uae. Please qive ua a call iF yoie
need iurtAer information.
Sincerely, •
riuktiter N. Giader, P.E.
cc: TomBrigga Frontier Mldueat Homee
Tony Mertinaon
Lymen Lumber Co.
3144 HENNEPIN AVENUE SOUTH • .MINNEAPOLIS,MINNESOTA55408 • (612)8224950
JOB
BY
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(y Z'S 75 MECHANICAL (RESIDENTIAL) 0
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings Townhomes and Condos when pertnits are required for each unit
Date 1 2 / / 03
Site Address V44w Unit #
?roperty Owuer Te3ephone C/rj I) GP 0 7" ~Id "l I
Contractor
Street Address City /l~_~
State Zip Telephone# (71P~
The Appticant is _ Owner ~ Contractor _ Other
7 Add-o , modifcation or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
f2
1'otal
DEi 0 5 200
I hereby apply for a Residential Mechanica] Pernut and acknowledge that th Qy tro ete a accurate; that the work will
be in conformance with the ordinances and codes oF the City of Eagan and with the M h'cal Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start w theaYa pe th the work will be in with the
appcoved plan in the case of work which requires a review and approy~of plans.
7~ ~i/ /1 (
Applicant's PAnted Name Applic s Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner Conuactor Other
Work'Cype
_ New construction ' Underground Tank Install Remove
_ Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
P¢I'R71[ Fe¢ $5050 Minimum Fce (includes Sta[e Surcharge)
ContractValue $ x 1% _ $ PermitFee
• Ifpermit fee is $1,000 ar less, add $.50 $ State Surcharge
If permi[ fee is over $1,000, add $.50 per
$1,000 Permit Fee
5 Total Fee
I hereby apply for a Comme.rcial Mechanical Permit and aclmowledge that the informarion is complete and accurate; that the work
will be in conformance with ehe ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 requues a review and approval of plans.
ApplicanPs Printed Name ApplicanPs Si6mahue
Approved By: , Inspector Date:
331 as
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-0675
New ConsWefion Reauiremanh _ RertrodeUReoair Reuuirements
. 7 regLstered sile surveys shaxing sq. R. of lot, sq. ol house; and all mofed areas • 2 copies of plan
(20Ye mazimum lot coverage allowed) . 1 set of Energy CaICWa6ons for heated additions
• 2 wpies of plan showirg hearn 8 window s¢es; paured found desgn, etc.) • 1 site survey for exterior additions 8 decks
• 1 set of Eneryy Calculafiors . Indicate if Iwme served by septic system for additions
• 7 capies of Tree PreservaUOn Plan if lat platted aRer 711193
. Rim Joist Detad Oplions selectian sheet (61dgs wiN 3 ar less units)
DATE S• AUQ. q VALUATION I t FZILI'542
SITE ADDRESS 'II O".') n A(.IJL ~ MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WOR0kDQ1,(1.C,2Iy Wik~ FIREPLACE(S) _ 0_ 1_ 2
~w.,s-4;~ • - - - - - - -
APPIICANT i Renewal By Andersen, Inc. j
STREET ADDRESS 1920 County Road "C" West -STATE_ZIP
TELEPHONE #(46I•Q(B~~%4TCELI Roseville, MN 55113
PROPERTY OWNERcJk"& I S(Aik, ~Q2tTELEPHONE#19> I' IOV d
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINVESO"C.1 RliI.ES 7670 C:ITEGOR7" 1 NIINNCSO'1'A RliLL•'S 7672
(J submission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envebpe Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ W;uer Softener _ Iawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanieal Conkactor: Phone #
b[ectiviic.il system includes: .~ir Condiuoning Fer. )70.00
Hca[ Rccovcny Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge thof I have read this application, state that fhe i formation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inances.
Signaiure of Applica ~o A.('w n n
-
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-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 Ot 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Vaiuation Occupancy MC/ES System
Census Code Zoning City Water '
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered .
Type of Const Width
. REQUIRED INSPECTIONS ,
_ Foo[ings (new bldg) FinaUC.O.
_ Footings (deck) Fina6?!o C.O.
_ Footings (addidon) _ plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Warer _ Final _ Poo( _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ 6Vindows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbin9 Permit
Mechanical Permit
License Search'
Copies
Other
Total
auu i<.uu rnn, roJ ~/~'4$00 KCdl~iti2LKYaC1UtSLC.715tY . .
. ~BIVU2/U~
re ai
xn .
auna zaol .
04ty of Emm
3836 Pilnt $nob Road -
F;n$an, MN 55122
To Whom It May Concern: .
Elder Jones is authorized to pttll lrailding permits for Renewal by Andezsen. Pteaas alIow
F1der )ottes t.o pmvide this ser'vico for us in F,agan. This muhcniratian is valid for sny
date bcyond 615101; until a~`anawal by Andcisat? manager exProsslY revokes it in avtidng
to the City-
I reqaest this authorization 6e accepted expedidously, av w not delsy in tha prvicessing of
out build'mg Potmita aay furthcr. Plcasc caII mc If thctc arc any qnestions. I can Ue
cantacW at 763-502,4706_
~ - .
Your immqdiate attcation to Wis mattcr iS nppreciated.
Sincdmly, . .
ond R Rxu
astallation Manager
Renewal by A.ndorsen Corporation '
C:c.: Karn-FaRe,r Tnne_c
0 . L 4AMAL
Om!H
~a7' ~'YWIIC
raxonq~arAwfttLn. 21,
zUO.s .
Received ii~e Jun. 7. 1~OiP?~
RESIDENTIAL
~ BUILDINC PERMIT APPLICATION
~ CITY OF EAGAN
`
~'T 3830 PILOT KNOB RD, EAGAN MN 55122 f~-
651-681-4675
Naw Conatruction Reuuirements RemodellRewir RequiremeMs
• 3 registered site surveys showing sq. ft. ot lat, sq. R of Muse; and all roofed areas • 2 copies of plan
(20 % maximum lot coverage allowed) . 1 set of Energy Calculallans for heated additions
• 2 copies of plan showing beam d window s¢es; poured found desgn, etc,) . 1 sfle survey for euterior additions & decks
. lsetofEnergyCalculations • Indicalerfhomeservedbyseplicsystemforadditions
• 3 copies of Tree Preservation Plan if lot platled afler 717193
• Run Joist OeGil Options selecUon sheet (ddgs wilh 3 or less units)
DATE ~I1..7IOZ VALUATION -5/J!' OO• ~
SITE ADDRES S 7e-5- MULTI-FAMILY BLDG _Y ! N
TYPEIbMlkf I~eraoF' SC~S . FIREPLACE(S) 0~i _ 2
APPLICANT f"twteisrr.cn Gv~ <<'A < r3N,7'~~/ fs
STREET ADDRESS I z z y-7 N~, a II, fAv_ S. CITY Eve.~SU~~Ihf STATE/~!~ ZIP S 3~-
TELEPHONE # E -6q CELL PHONE # FAX
PROPERTYOWNER StC?P 30-Pi2~r-"_ TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNISOTA RULGS 7670 CATEGORY 1 MINNESO'1'A RULES 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contraetor: Phone #
Plumbing system mcludes: _ Water Soflener _ Lawn Sprinkler ree: $90.00
_ Watcr Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhador: Phone #
Mechanical systcm includes: _ Air Condiuoning ree: $70.00
_ HcaC Recovery Systein
Sewer/Water Contractor: 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 Ordin_ ances.
al
Signature of Applicant -
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 ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Glve 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) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacexnent)
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
Machanical Permit
License Search
Copies
Other
Total
c.r.rv uF FFlCFlN
CASH]:L'.fi: Ju I'L_fiMINFlL N0: 030
?A'Tk::: 07/22l33 TIMC:: 15:23:0
NFlME: STEVE:N L. JOF.RG.F..Fi
3214 34701 4103 ',3TAY'F_'S AVE 60.00
2155 900:1. 4103 STATF..S AVE 0.50
321.2 3001 4103 STAT'F; AVE 30.00
2155 jOQJ. 4103 STA'TE_S AVE 0.50
ror,al Rec~ipt Amount: 91.00
Cfi:i.14•054
USL.R SI1: JAN
~X~*~k%CXc~kXck~ ~kX~X~kCX~ ~k~k~Xkc~FX~ ~ ~C ~CX~X~ ~ #~X~k ~C%c~kk~~# X~ X~~~kkc
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CiTY OF EAGAN
3830 PILOT KNOB RD - 55122
J C) 651-681•4675
New Conshaetion Reaulremenh Remodel/Renalr ReaulremeMs
? 3 regisiered sBe surveys shoWinq sq. N. oi IW, sq. ff. ot house 2 eopfes of plan
and all roofed areas (20% maximum lof coveraae allowed) i ael of energy calculatlons tor heated addklons
D 2 copies of plans (show beam 3 wlndow sizes; povred fnd. deslgn; efc.) . 1 sHe survey tor ezTedor addifions a decks .
? 1 aM of energy calculahons
? 3 coples of tree preservaNOn plan M loi plaried a(ler 7/1/93
DATE: 7-/G-44 CONSTRUCTION COST:
DESCRIPTION OF WORK: A-'^ ~sh (~oy-,e!, (y,,jij
STREET ADDRESS:
LOT: ~ BLOCK: ~ SUBD./P.I.D. 0'
Name: ~C'eet~e~' Phone#: CoS/-~e87 ~8f9
PROPERTY last First
OWNER
StreetAddress: !YJd3 4A~-e6 A4
City LP~5~ State: vst~ Zip: SS/Z 3
Company: A/! pl 'C:- Phone
(area code)
CONTRACTOR
Street Address: License # Exp.
Cfty State: Zip:
ARCHITECT/ II!
ENGINEER Company: ~1(f-! Name:
Telephone area code ( )
Street Address: Regishatian
Ciiy State:
Sewer 8 water Iicensed plumber (reauired for new eonsfruction onlv): -
Pepalty applies when address change and lot change Is requested once permff Is luued.
I hereby acknowledge that I have read fhis application, state fhaf the information Is correct, and agree to comply wffh all applicabl
Sf,tite of Minnesota Statufes and City of Eagan Ordinances.
Signature of Applicanr -Ap 44,4
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ` b',: .
Tree Preservat+on Plan Received _ Yes _ No _ Not Required
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage q 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ~ 19 Lower Level ? 24 Storm Damage
Q 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Poal ? 25 Misceltaneous
WORK TYPE
4CI31 New ? 35 Tenant Impr ? 39 Gas Lane Oniy ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. Census Code y.~y
(Allowable) Main level sq. ft. SAC Code of
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs e2l
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Vaiuation: $
Surcharge ~Sd
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VN Surcharge
Treatment PI. ~
Park Ded. ,
Trails Ded. '
Other '
Copies
Total:
SAC Units
% SAC
L CITY US ONLY t I~j U C,
r~A B RECEIPT ~ t J
T ~
SUBD. RECEIPT DATE:~
PERMIT#
1999 PLUM$llVfi PERMIT (RESIDENTIAL)
crrY oe EAri,4x
3930 PILOT KNOB RD
EAfiAN, MN 55122
(651) 6$1-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in oUtlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ o5
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = a
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = u~
Water softener If dwellin under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ 50
Total $
Reminder: Call for inspections of alterations, i.e. water heaters, water safteners, etc.
-------------------------th--is--------application--,--state-----that----the----information-------- is-- corr---ec-t, ---and--agree----to-----comply----with-all- app---lic-able---Ci- -ry- -of E - - - - -aqan- - --ordinan - -ces
I ~here6y
acknowledge that I have read .
It is the applicanPs responsibility to notify the propeRy owner that the City of Eagan assumes no liability for any damages caused by the City during ils
normal operetional and maintenance activities to the facilities constmcted under this permit within City propertylright-of-way/easement.
SITEADDRESS: jtjo3 S~ Avp
OWNERNAME:: S't¢,uf "j'oqTELEPHONE#: 6S/ 687 9V9
(AREA CODE)
INSTALLERNAME: $fi2uP cJDeCc,(.+/~ TELEPHONE#: !oSl (087 48f 9
~ (AREA CODE)
STREET ADDRESS: 1-1103
CITY: d~~Var, +a+ STATE: tstA/ ZiP:
SIG~ 0 ERMITTEE
gL ~ CITY USE ONLY RECEIPT 1, ~ o~, D/
~SUBD. ~ RECEIPT DATE:
PERMIT#
7-
1999 PLUUM$INF PF.RNIIT (RESiDEN17AL)
crrY of EAeAN
3$30 PILOT KNOB RD
f.tk6illV, MN 551 PP
(651)661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G85 i it1 OutlEt *minimum-'I 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under cound s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dweliin 30.00 x = $ 30,6D
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 $ 50
Total > $ o sD
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, sfate that the infortnation is cortect, and agree to comply wifh all applicahle City of Eagan ordinances.
tt is the applicanPS responsibilify to nofify the property owner thal the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed unCer this permit within City property/right-of-wayleasement.
SITE ADDRESS: l n'?, 5-&It~6 041^k
OWNER NAME: : 576C"ur `So3~r TELEPHONE G SI /rS )
(AREA CODE)
INSTALLER NAME: S~t.vp ~~-!l62r TELEPHONE ~6 'S7 &,q > SB -~r 9
(AREA CODE)
STREET ADDRESS: S~IO 3 Stc~w 1¢~
CITY: ,q wr&~~5 STATE: 144 +~j ZIP: SS`(L-j
'
SIGNATURE OF PE MITTEE
CITY USE ONLY
BL RECEIPT
SUBD. ^!I.~l! RECEIPT DATE: ~
1997 PLUM81Nfi P£ftMIT (ft£SIDEN'fIAL)
crrY oe EmwN
3$30 PIL07 KPOB RD
SfkfiAN, N1V 55122
(612) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Raugh Openings 1.50 x =
Water Softener `for dweilings under construdion 5.00 X
Water Softener ' Por existing dwelling 20.00 X =
U.G.SprinklEr 'tordwellingunderconst. 3.00 =
U.G. Spdnklef ' for existing dwelling 20.00 =
Alter2ti0ns ' to existing residence 20.00 = JD ~'C>
Water Turn Around 20.00 =
Private Disposal System ' Dak Cty Iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'Abandonment 20.00 =
STATE SURCHARGE .50
0
TOTAL
-
- -
I hereby eGcnowledge thal I heve read this appliration, state that the iriformation is correG, arM agree to compy with all applicable Ciry of Eagan ordinances.
k is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no Iiability for any damagas caused by the Ciry during its
normal operetional and maintenance activiBes ro the Tacilfties wnstruded under this permit wRhin City propertylright-of-way/easament.
SITE ADDRESS: 9 10 3 54q4-e6 4vf
OWNER NAME: 5-{-2.U-F -Yn 2Qf,r
INSTALLER NAME: e TELEPHONE (0 87 -r!'c5'~i
STREET ADDRESS:
CITY: a STATE: JHn/ ZIP: <-S-/ Z 3
La~au
SIGNATURE OF PER ITTEE
CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 -
. . ,
. .
' APFLICATION FOR PERMIT :Nn'E: PASTIIaP OF FF£ AT TIME OF ~
; nerLxcaTTON oofs nxrr corr- ;
t 5171ST1E APPROVAL OF PIItPIIT. ~
~SEWER AND/OR WATER CONNECTION : I~~~
r_ : irsrnra-AriONs wffa. rxrr se scmorm ;
. • 3 L!Nl'IL PIIZPIIT FVS BEQJ APPROVID.
. taaxit»~ft~ti:~r+~tt»:~3x*t~e++rf~+e+
~
CltV OF GC1gCgr9
(PLEASE PRINT
1) PROPERTY ADDRESS:. ,,4103 STATES AVENUE, EAGAN, MINNESOTA
T•FY:AT• DFSCRIPTION; . LOT24BLOCK4 STAFFORD PLACE 1ST ~ADDITION Lot loc 5 vision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERN1iT ISSUANCE: A
1N~nt Year
PRESENT ZONING/PROPOSID USE:
Q COfM'IEf2C2AL/RETAIL/OFFICE I=X j R-1 SINGLE FAMILY
Q INIDLSTRIAL ~ R-2 DUPLEX ('Ikv C'nits)
Q.INSTITUTIONAL/GOVERNP'ENT Q R-3 'IOWDIIiOUSE (Three +.Units) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIOM ( Lnits)
.
Z) ~NA`E= FRONTIER MIDFiEST HOMES CORPORATION
ADDRESS: 3908 SIBLEY MEMORIA,~,HIGHWAY. BUILDING E
CITY, STATE, ZIP: ..EAGAN, MINNESOTA 55122
PHONE: 454-0433
For City Use
3) NAME= STAR PLUMB3NG Pliunbers License:
ADDRESS: 1018 MOUND SPRINGS TERRACE . Active
ExPired
BLOOMINGTON, MINNESOTA 55420
CITY, STATE, ZIP: - Not recorded
PHONE: 884-4149 MASTII2 LICENSE # 3329 St Initia
4) e,.~ ~
NF1ME: BARRETT TIMOTHY & WINDISCH. MONICA
ADDRFSS: 1726 WELLESLEY AVENUE
CITY, STATE, ZIP: ST. PAUL, MINNESOTA 55105
PHONE: 455-2336
5)
~ CON[QECTION TO CITY SEWER ~ CONNECTION TO CITY WATEE2 O OTHER
6)
*~+***~**~**x*+~****~~*,~****,~**,r***********~*****+*****+***~~***+**+*****~
* 14IE GOID COPY OF 74E PERNIIT WILL BE SENr DIRF)C1Z,Y TO PUBLIC WORKS TO FACILITATE MEPER PICK-uP. ;E
* PLEASE ALiAW '1W0 WORKING DAYS FOR PROCFSSING. SOMEONE F720M TfE CITY WILL CONPAC.T Y00 IF TfIERE *
* ARE ANY PROBLENIS. +
,~***~*~*********~,t*************:**,r,r**~*~+~**+*****~*+****+**********,t*«**+++~~*~*~*~+**+~*+*******;
I
. FOR -CITY USE ONLY .
. ,
PERMIT # ISSUED
3.~ s Pd w/Bldg. Permit FEES:
$ I~'JS b $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLLTDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ ~S~ •d $ WAC
S S-D • d C~ $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
c2 o $ LATERAL BENEFIT/TRLNK WATER
$ 4-°°-$ WATER TREATMENT PLA[VT SURCHARGE
$ L~ $ OTHER:
$ $ TOTAL
. go.s~ o
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE,EXCAVATION IN POBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q . ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
AY~M ,7g,5 Cs~
. ~Residantia/ .
/y . . Who Hvuse V11urksheet
Cuxiomer's Name Address . , . , ,
C'vti _ State Z;p Telephona Numher ~ WIN7Eq: Insiqe Oesic~n 7emp ~'f-Outside Decign Temp 'Dv °F + Haatin8 Tamp Differanta ~~,2_ OF
SUMM11ER:Ouuide0esignTempnF_InsideDasignTomp .75. OF=CoolingTampQitference dV °F
HEHTING , ~ , A,. y:j;F w wCOMMON DATA~SEC,ilONpSUw.,I.Me;iil.~.iy,i ~r,.,~r~~•COOLING::.al.
'HEATING HiUniD55 FACTOfl rfgNHGA1N"
e. GROSS WAIL OS Sa 0
DOORS & WINDOWS (TabluAore)
_.I~~ • G NET WALL
CEILING _
_l
l
FLAORS~ . . . . . .
n ~
iw.uop
r,ei. o x 10 x 1. Vw x 1awiur. F1.ui Vcic„wmecn yen . n 7 X coa~ imw.m~ un,'r.
x0.18333 x
&a~~ 6 JS~ x 0.01833 X,0x _ 7/
`SUB-TOTAL BTUH lA 5(per 10°F)
" - y H9> ; ADJUSTMENT FACTOR fTable C) -
• :;A i < TOTAL BTUH LDSS
` IASSUmexaerwm '
~}+.`ti, PEOPL x3008TUHGAIN '',~Q~' APPLlANCESBTUH .
1200
SUB-TpTAL BTUH GAW (room sensible only)
44 a' ` DUCT LOSS/GAIN FACTOR (Table F) . '
~+•r:~~1~~~„F,r~~,.,,j~~s; SU8•TOTAlBTUHISensibleGainl - z~, MOISTURE REMOVAL (su6 total x 1.3) ' x 1.3
6_3 . '.?~+'~~TOTAL BTUH LOSS/GAIN TASL_q--HEATING-DOORS G WOOD FRAMEWINDOWS TABLE B- COOLING - DOORS 6 WfNDOWS~ IPF. ti 1[1`f! Factors essuma windows have inside shading 6y drapeties or verretia-671
n
"r01 s~i;ny ylass Uours - use fxtors lor the same typa window Dlinds and sliding glass doors are treatad as winAOwa. cpr,:.ruuipn. ' Wlndow& Frames - sLLL"o1Ea!,Mi oou11uwcc nxuauas
DoorTypes W pd TIM Motal xArua a BtuhLOSS rcMnone r[ur.oirr.nwtions, aA.« .~rvHawu.
.~Sinyla Pane . - 2DD.~~ a
~-.s Gca~ 9.90 10.45 11:55 J5S25 6. Pane . ~ 5.57 6.09 25~ ~ W b f~Storm 3.A1 3.Bs 4.90 Trq>I5usw :a; w:sa a9 ap u y..v Os' .
Cl,n 3.80 4.39 5,46s a'Se' n li: x!ii~ Cf_
)F~
zlousie . ' swrww . ~ia 1ea iTL 1u ;w ru i~ pe ~i~o . .
SlnyTx w/siorm iii oc 10:6 13a u iw L. ~
.5.0;. .
gky?~hts ~~+0 ~ap. a-a .u ar s.4 x,e u iw . .
.y,:.:,, . . .
.Sinyle 11.07 11.69 .72,92' kvwooaeoasma TOTALS
DUU111e ~'PwY+tYnrrcuromsu~aoon . .
- 6.65 7.35
Door 8.75, ~ U yfwfflMacw@meuldoors -
WauA Only 4.60 - TABLE 0- INFILTRATION MULTIPLIERS
4VooA wlsIorm 320 _ - Winter qir Changec Por Hour - UrethanaCore (R-5) - -1`.90~ FloorArea 900 oNess 900-150p 1500-2100 o.m2100
UrechaneCore eest
(R-Sl O.a 0.4 0.3 - 0.3 w/storm - YJO~ .
Averape . 11 LO 0.8 OJ
. TOTALS~5~` //2 - Paor 2.2 7.8 1.1 1.0
For ach fireplace atltl: - B"t , A~ierap Poor
0.1 0.2 0.6
Summer Air Changas Par Hour
7'A6LE C-.qDJi1STMENT FACTCAS -(FiEATING) FborAren 900 urlass 900•1500 i5W4700 0v0r2106
f.u;;periture Gff. 3U JO 50 bp 70 ~ 50 B°61 0.2 Q2 OS 02
.%ktys~niant Facror _3 '_q 5 6 g Avemaa
7 0.5 0.5 O:a p.1 .
. . 0.8 0:7D.6 . 0.5
; qm,ercac Star,ddrtl. InL. 1986
- - . . - , . Pub. No.22-80/8-0 P.I. (L)
PI:UMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when pemuts are requued for each unit
Date/-3L/ LO ~
Site Address yl 03 ~AC~~-eS aUc- Unit #
Property Owner ;7ft Q.U e- ~0 eq 2-c- Telephone # (~051 ) (p8"7
Contractor 4' 1tkrn~'J ~ r q
Address q F'~ ,1~ City t c2,K~`e
State m ~Y-l V'-~ . Zip Telephone#
The Applicant is _ Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 seu of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures 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
_ Lawn irrigation system
L
~n~~.~
_ Water softener 1 2 Water heater 15.00
Zreplacement _ additlonal B
~--r. -
~
State Surc6arge 50
Tota1 $ / `5~ `5 ~
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 with the Plumbing Codes; that I understand this is not a
pertnit, but only an applicariou for a peimit, and work is not to start without a pemut; that the work will be in acwrdance with the
approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name Ap 'canYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116691
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 4103 States Ave
Lot:24 Block: 4 Addition: Stafford Place
PID:10-72500-04-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Bruce Gates
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven L Joerger
4103 States Ave
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164137
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 4103 States Ave
Lot:24 Block: 4 Addition: Stafford Place
PID:10-72500-04-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
Steven L Joerger
4103 States Ave
Eagan MN 55123
(952) 237-3794
T. Dunham Construction
831 Ventnor Ave
Eagan MN 55123
(612) 819-0480
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176739
Date Issued:05/31/2022
Permit Category:ePermit
Site Address: 4103 States Ave
Lot:24 Block: 4 Addition: Stafford Place
PID:10-72500-04-240
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Bennett Christian Brackey
4103 States Ave
Eagan MN 55123
(651) 395-0468
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature