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4104 States Ave ; CITY ox EAGAN Permit No: ` Date: 3830 Pilot I~:nob Road Meter Na U~ giZe; O C P.-e Box 21199 R e a d e r No: OS Bul' -7 7 Date: U ~ Eagan, MN 55121 Owner. Fx,,nt ~.e~• ? i~, ~k*~ s SiteAddress: 4104 States Aven,ae 1.6 B3 Scafford pLac,~ Plumber._ Star Plumbinn Conn. Chg: _ 550.00pc1 Zaning: Acet. Dep: 15 •OOpd No. of Units: Z Permit Fee: 10. Q!)nd Surcharge: .0Qnd I agree 1o comply with t e City ol Eagan Tr. Plant 204 • 0(?,)d Ordi7ter Meter. 67. Misc.: er 1 WATER SERYICE PERMIT CITY OF EAGAN Permit No: Date: 4'Z"88 3830 PJlot Kwob Road Meter No; g12e: ~ P.O. Box 21199 Reader Na Eagan, MN 55121 Date: Owner. rrc) nt-4.-r ' iOvesc Site Address: St=at.>.;: .4vennt L6 B3 Stafford Place Pfumber. Conn. Chg: 559•00vd Zonin 9: Acct. Dep: 3-5•00No, of Units: Permit Fee: 11•04Dt1 Surcharge: • eNA 1 agree 1o compfy with ihe C1ty o! Eagan Tr. Plant 00-au _ Ordinances. Meter. - A 7 f,14 k Misc.: Br WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 8-1-•g8 i 3830Pitot Knob Road B/P No: Date: P.O. Box 21199 Eagan, MN 55121 ' Owner. :l xoa=ier Midwest I SiteAddress: 4I±!4 Strtac ,'l.vnr.t'e TO' 3"; "taffor4 Plumber: MWCC: Zoning- City Chg: ~ No. of Units: Acct. Dep: ; r• J~ I agree to comply with the City ot Eagan Permit Fee: Ordinances. . . tln~Surcharge: Misc.: By I SEWER SERVICE PEFtMIT ; - CITY OF EAGAN 5399 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est Value Date ,19 Si'- Address OFFICE USE ONLY r On Sife Sewaqe Occupancy ~ Lot Block sec/sub.~:-l r•.1 r 0 k'.:. MWCC System " Zonfng Parcel No. On Site Well (Actual) Conat °-i` . s Name ' • ' ~ ~ = ZR • ' :*FST 1iE?"tES Cifk Y City water (AlloweWe) W PRV Required # of Stories z Address • d -a . o • ra54-u433 BoosterPump Length " City Phone ~ Depth °C Name S.F. Total ,o ~ Q Address Footprint S.F. ~ City Phone APPROVALS FEES , , :4.Ju yVj W Name Engr./Assess. Permit _ ~ AddreSS Planner Surcharge T_ L) W City PhOne Council Plan Review Bidg. OfF, SAC, Ciry ~ e I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ' information is correct and agree to comply with all applicable State of Water Conn. " Minnesota Statutes and City of Eagan Ordinances. Water Meter t ' Signature of Permittee - Road Unit - A Building Permit is issued to: Treatment P1 204• u 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 TOTAL Building Official ~ , Permit No. Parmit Holdsr Date Telephone ~t Plumbing C G - H.V.AC. ulvd EleCtric Softener Inspectlon Dats Inap. Comment8 Footings I %y Footings II Foundation Framing Roofing Rough Plbg. . Rough Htg. Isul. ,ay ~/s t~•,-~t , • ~ 'as'~ Fireplace Final Htg. Final Plbg. o- l- ~ ~'Y Bldg. Final Cert Oca Temp. LP Deck Ftg. Deck Final Well Pr. Disp. (ger#i#iratt of (Orrupanry Citp of (Eagan lgrparhnrat af ludbing JwPriion This Certificate issued pursuant m the requirements of Section 306 of 1he Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulauing building construction or use. For the follnwing: U, Qf98ifiCihO[I '•k~7.i:"1`; Bld$. Petmlt NO. 0-1pe-Y Trne ~3f i'! 1 zDmnz nab;a i TyPC r, o~. ~ I T~ PfTDWfl:ST i "1~~'.: '..[:~.IAWAIE DR, rs1GM ~s ~T:~F'FCJRD Pi1~F suue~s naa~ n - a,e '!!`rJEEt 14, 1988 euaaing offici,i POST IN A CONSPICUOUS PU?CE . ? PERM17 # t ; PLUMBING PERMIT RECEIPT q CITIr OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 OATE_ ` CONTRACT PRICE: , PHONE: 454-8100 - Site Address C~"' BLDG. ~yPE WORK ~SCRIPTION Lot ~-r Block Sec/Sub Res. New Mult. Add-on ~ Name ~Wc1cLr.i CiC~:CliifllC.:1. Comm. ' Repair 1955 Shaw.i~~e ~ Address Other c City Eagaa Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N . FIXTURES _TOTAL Name Hocnes ~ Water Closet - $3.00 S • ~ c Address 39U6 Siol,2 `:ew. i;v- ~Bath Tubs - $3.00 3 Lavatory - $3.00 p City ua?:arL Phone Shower -$3.00 -TKitchen Sink - $3.00 77 FEES UrinallBidet - $3.00 COMM/IND FEE - 1%OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES y Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES EWater Heater -$t.50 ••~=i MINiM11M - RESIDENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ?-Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - 510.00 Private Disp. - $10.00 _ y , - Rough Openings - $1.50 ~y SIGNATURE OF PERMITTEE FEE: STATE S/C: ' FOR: CITY OF EAGAN GRAND TOTAL: y' ~ PERMIT # MECHANICAL PERMIT • ~ ; , ` 'o CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 5/X/88 CONTRACT PRICE: PHONE: 454-8100 J Site Address 4104 3t8tes AVernue BLDG. Ti(eE WORK DESCRIPTION Lot 6 _ Block I Sec/Sub Res. xi New ZEL AEATING & A C Mult Add-on y Name m Address195S &hlrwuQa Road Comm. Repair ~ Cih ~S~ Phone 452-1565 ~ Name FRIDNTIER COMPANIBS FEES RES. HVAC 0-100 M BTU -$24.00 c Address3408 S'Lbl! Memorial Elwy. ADDITIONAL 50 M BTU - 6.00 p City Eaain Phone 454-0433 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 80,000 M BTU 24'00 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMOOELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 1.50 BEYOND $1,000) Other $ FEE 25.50 ' ~ / /i S/C: . 50 SIGNATURE OF PERMITTEE .4 TOTAL• FOR: CITY OF EAGAN ~ • ~ CASH RECEIPT t-CITY OF EAGAN ~ • 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ i r DATE ~•1~'! ~ ` /9 ~ NECENED ROU 7 AMOUNT $ ° de- & DOLLARS ~ ,oo ? CASH rq CHECK ~ - ~ L, FUND OBJECT AMOUNT Thank You ev wnae-Paym Copr va~low-PosN 6 ri9 CoPY Pink-File Copy BLDG. PERMIT NO. , ~ 01-3210 Bldg. Permit L? ~ 01-3422 Pian Check ' a 01-3445 Surch./Adm. 01-3446 SAC/Adm. ` ~0 ~ 01-2155 Surcharge ~ 75-3860 Road Unit r 20-2275 SAC U ~ 20-3865 Water Conn. o' ~G 20-3868 Water Trmt. - ~ ~ 20-3716 Water Meter 20-2252 Acct. Dep. k20-3713 Water PeRnit 20-3743 Sewer Permit • ~ ~ U 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN j~ t~ ~'y 3830 Pllot Knob Road, P.O. Box 21 •199, Esgan, MN 55121 PHONE: 454-8100 ~ BUILDING PERMIT Receipt ~ 'I~~ % ~ To be used for SF t'~NGJC,',k Est. Vaiue Date .:'~1.Y 1y ,19 Site Address a~~''~ STATF:S R~-'= OFFICE USE ONLY On Slte Sewepe Occupancy ~ - ~3 / ` ~ Lot Block ~ Sec/Sub:tiTAFFOFiU PL~hC,. ~ MWCC 3ystem ~ Zoninp h" 1 Parcel No. y_y On Site Well (Actualy Canat a Name t::F, U~'EST iiOMES CUR~ Cnywater x (Allowable) 3 35101 C:~:UA' VALr !)k PRV Required ~ of Stories Address Booster Pump Len th ~ ~ o ~ty :,Ac,AN Phone ~~i--~~~33 g 47' Depth ¢ Name ~c~ F S.F.Total .o ~ Q Add~ess Footprint S.F. ~ City Phone APPROVALS FEES Engr./Assess. Permit 4`~4.04 W W Name J5.0(~ ~ Z Pianner Surcharge _ ~ Address r 2 ~ ~ ~j~ `Z City ~ Phone Council Plan Review 1~ ~ W Bldg. Off. SAC, City ' Variance SAC, MwCC S 5(? . 00 I hereby acknowledge that I have read this application and state that the information fs correct and agree to compty with all epplicable State of Water Conn. W Minqesota Statutea and City of Eagan Ordinances. Water Meter ~ 7~~~ Signature of Permittee 32 5 W Road Unit • A 8uilding Permit is issued ta ~ V~~T i~'-k i' l Di~J!~:ST Treatment P1 1~•~ on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordfnances. ~ TOTAL ~!'12'~L Building Ofticial INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ f i E, ~ r: I ArFki AVf_ , , ~ , • rt; , ~ , • • ! r`~., . ~ i I , , ~ , I PERIIAIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ ' . ~ Permit No. Permk Holder Date Telephone # ELECTRIC PLUMBING HVAC inspection Date Insp. Gomments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE M AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLQG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD Ci'TY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ? ~ ~ r ~ ~ ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i, it nvr rara t~. PERMIT SUBTYPE: TYPE OF WORK: , . ~ ~ r•i ~ t-i INSPECTION 14 ttiI F L ~ Permit No. Parmit Holder Date Telephone M S/VN PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comrt?ents FooHngsl Foundatfon Framing Roofing Rough Plbg. Rough Hlg. Isul. Flreplace Fnal Htg. Orsat TeBt Fnal Plbg. Plbg. InspeCtor - Notity Plumber Caut. Meter EngrJPlan I Bidg. Final I I oeak Ft9. Deck Final I weli I Pr. Disp. 40/i" /9/ lp/~SL~. H 67577,~~ ,5 Raquest Date Fae No. ough-in Inspeclion q~ired? ~ eady N. ? Will Notify Inspecfa p Yes When Ready? r I~ censed contractor p owner hereby request inspection of above electncal work at: Jot ndarese (s t XU r~uae Mo 173-16 A ciry - i SecporPNO. Township Name or No. Range No. Co Occupant (PRINT) ne No. 5 PoWer s~~ier Addrow Electncal CoMracf panY ime) , Corw Z.Jnse No. C-i Malmg Addreu (Coniractor or ne Making I lallaf quthonzed Sig re( to~/Owner Making In Ilatw Pho Number IAINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION iiEaUEST WILI NOT CiHQgrMldwey Bldg. - Room 5173 BE ACCEPTED BY THE S7ATE 80AF0 1821 Unfversffy Ave., Sl. Paul, MN 55101 UNLESS PROPEF INSPECTION FEE IS Phone (672) 842-0800 ENCLOSED. / REGlUEST FOR ELECTRICAL INSPECTION eB-ooooi-oa I ? See instructions for completing this tortn on back of yelbw copy. H 6 7 5 7 "X" Below Work Covered by This Request e Rdd RAp. - Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating ~ Apt. Building EjDryer Other (Speciiy) Comm./lndustrial ' Furnace Farm Air Conditioner -0 Olher (specity) ConUeclorS Remarks: Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Amps Signs Inspecror§ Use Ony: OT ~ Irrigation Booms iG~ ~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF NOT Other Fee COMPLETED WITMIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-ir, ~ oate certify that the above inspection has F;,,al been made. ocFIce use oroLr This request void i8 months from E 60291 Dele l~ Fre No. ough•in Inapactbn ~ Required7 Ready Noxr s.YI11(~olity Inspactor p~ ? Na When Ready7 IRAcensed contractor ? owner hereby request inspection of above electrical work at: Job Z Street, Box Route No City Section No. Tow ip Name -orAo. Range No. Counry ;6~ . T2'0 1 v( ~ D cc~ Es~" ~'.5"4(- 0 33 aowar sadaress . Electrical Conhactor (Company Name) racta's li nse No. Q Malli . ~J+ (~.~'LANE 4,0. A ed hoJoin N IrwQji~*Q~ 2 ~1 Phone Number `t • a v NINNESOTA STATE BOARD OF ELECTRICM ~ THIS INSPECTION REQUEST WILL NOT Gngg-Mfdwey Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD 1821 Univasity Ave., St Paul, AAN 55104 UNLESS PROPER INSPECTION FEE IS Plwne (612) 642-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION es-oooo,-o~ JO. See instruaions ta campleting this form on back of yellow copy. ~ ~~5 S 5 E 6 j 2-91 °x" Selow Work Covered by Fhis Request prl, p.TypeofBuilding Appliances~red EquipmemWired ' Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding D er Other (SpeCify) Comm./Industrial urnace Farm Air Condifioner Other (specify) CoMractor5 Remarks: Compute Inspection Fee Below: # Other Fee # rvice Entrance Size Fee # Circuits/Feeders Fee Slivimming Pool to 200 Amps ~ 0 to 100 Amps ,Q Transformers Above 200 Amps Above 100 Amps Signs Inspector+s use ooly: TOTAL 6,0 Irrigation Booms Special Inspection Alarm/Communication , d~A Other Fee I, the Electrical Inspector, hereby RO1O'"n Dat certify that the above inspection has Fl~ pe + J been made. T OFFICE USE ONLY ~ Thia request wid 18 months from MECHANICAL PERMIT DATE: 5/29/91 REO-EIPT: C13661 SITE ADORESS 4] 04 STATES AVENUE Unit # Permit # 13058 L 6 B 3 Sect/Sub. STAFFORD PLACE r_ r IMSPECTION DATE INSPECTOR OTHER FRAMINB ROUBH PL86. ROUBN NT6. INSUL FIREPLJICE flNAI HTB. FINAL PLB6. UNR FlNAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS ~ CITY OF EAGAN N_ 15 3 9 9 t 3830 Pifot Knob Road, F.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 ~ BUILDING PERMIT Receipt# ~~J3 To be used for SF DWG/GAR Est. Value $70, 400 Date JULY 29 Site Address 4104 STATES AVE OFFICE l1SE ONLY lot 6 Block 3 Sec/Sub.STAFFORD PLACE On Ske Sewage Occupancy R-3 /M-1 MWCC System X Zoning R-1 Parcel No. on site weu (Actual) Const V-N m Name FRONTIER MIDWEST HOMES GORP City Water X (Allowabie) V-N W PRV Required # of 5tories Address 3902 CEDARVALE DR 3 Booster Pump Length 40' ° City EAGAN Phone 454-0433 Depth 47 ' °Co Name SAME S.F. Total , o u AddreSS Fooiprin! S.F. ~a P City Phone APPROVALS FEES ~ CC Engr./Assess. Permit 4S4. 00 WW Name 35.00 ~ Z Planner Surcharge _ - Address U~ City PhOne Council PlanReview 22~•00 a W Bldg. Off. SAC, city 100 . OQ I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agree to compl with a pplicable State of Water Conn. 550.00 Minnesota Statutes and City n na c s Water Meter 67 . 00 Signature of Permittee _ Road Unit 325.00 A 6uiiding Permit is issued to: FRONTIER MIRTdEST Treatment P1 204.00 on the express condition that all work shall be done in accordance with all parks applicabie State of Minnesota Statutes and City of Eagan Ordinahces. Building Official~fi,!}'~tAfL lnt TOTAL 2,512.00 - 1 ~ ~ RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reuuirements RemodellReoair RenuiremeMs . 3 registered site surveys showing sq. ft. ot lot, sq. ol house; arM all rooted areas • 2 copies af plan (20% maximum lot coverege allowed) • 1 sel of Energy Calculations tar heated atldilions . 2 copies of plan showing 6eam 8 window s¢es; poured toufM design, etc.) . i sde survey for extenor addilions 8 decks • 5 sel of Enerqy CalculaPians • Indicate'rf Iwme served 6y septic system foradditions . 3 copies of Tree Preservation Plan if lot platted aRer 711193 . Rim Joist Detail Options selection sheet (hldgs with 3 or less uni4s) DATE G-74- 02- VALUATION ~ J~ ~ • SITE ADDRESS qlD qkQ MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK 1(cra~ hal~-2r,.e FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING, INC. APPLICANT 4100 EXCELSIOR BLVD. T. LOUIS PARK, MN 55416 STREETADDRESS ID#000105n CiTY STATE_ZIP TELEPHONE # CokZ 'Q,3 `ffdV6CELL PHONE # FAX # PROPERTYOWNER \Ja.l k9n A.x 5A1 TELEPHONE# Qgfz l9 ( ,'S 7 COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF.SOTA RULES 7670 CATEGORY 1 MINYESOTA HULLS 7672 (~I submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Wafer Heater No. of R.I. Baths No. of Baths Mechanicai Contractor: Phone # Mectkviical system includes: _ Air Conditioning _ Heat Recovery Systcm Sewer/water Conhactor: Phone # N 2 4 ZOOZ il - I hereby acknowledge that I have read this application, state that the information is c q3#: an ree- ply with all applicabie State of Minnesota Statutes and City of Eagan Ordi ances. c Signature of Applicant ~Vv 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 Ext. Alt - Multi ? 03 01 ot _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. qlt - SF ? 04 02-plex ? 10 OS-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ' ? 06 04•plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Window5/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handaut to applicant Valuation Occupancy MGES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV ' Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. ` Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing , Fouudation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final Framing _ Siding Siucco Stone _ Fireplace _ R.I. _ Au Test _ Final Windows (new;replacement) _ Insulation _ Re[aining Wall Approved By , Building Inspector ase Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total I 1988 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 WHICH ADDRESS IS DESIAED, NO CHANGE3 WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLZNGS RENTAL DNITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3URVEY - CHECK WITH HLDG. DEPT „ 1 SET OF ENERGY CALCULATIONS COhMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: &kao eun urtt ) Valuation: te: y Site Address 4104 nVU5 Q~F. OFFICE USE ONLY Lot ~t , Block 3 On site sewage_ Oceupancy p1- 3 MWCC system _ Zoning <<-1 Pareel/Sub -stikWoep On site well Actual Const VN City water ? Allowable !/q/ Owner ~s ~~qk1 SbNC'S PRV required _ If of stories Booster Pump _ Length ~ Address3$1~ Ltlp'µ` Srpx'-t"T ~a~'T' Depth 13 S.F. Total City/Zip Code ~~)EP- GpQuE ~ 55015 Footprint S.F. Phone 455 -051-x APPROVALS FEES Contractor Frontier Midwest Homes Corp. Epgr/Assess Permit Planner Surcharge 3 S Address 3902 Cedarvale Drive Council Plan Review -zZ> &7/1b SAC, City 1413 Bldg. OfP. Z:5 City/Zip Code Eagan, Minnesota 55122 Variance SAC, MWCC 1 Water Conn S,Sr' Phone 444-9«3 ~5~-0433 Water Meter -T,)- 8oad Unit 3'S Arch./Engr. Phillips Plan Service Treatment P1 2 0°/ Parks Address 14530 Pennock Avenue Copies City/Zip Code Apple Valley, MN 55124 TOTAL Phone li 432-2044 ,He;dl~und Engineering Services 9201East8loominqronFreeway ~ Bbominqton, Minrrsota 55420 Land SurveYora Clrll Enpineero Land Plannars Phone: 888-0289 sur~e#or`s G'ed~f "tcate - - BOOK_. PAGE _ - JOB N0. 89R-'L82 SURygy FpR: Frontier Midwest Homes Corporation DESCRIBED AS: Lot 6, Block 3, STAFFORD PLACE, City of Eag_an, Dakota County,, ??innesota and reserving easements oP record. ~ R(C)v ~ .Zq "33 il~~ ~ 4~e,5 EA~~N E V ~5 UT `6l. jo "8a9.o - 'u+ 898.7 ~a Q 4 1.S 1 a o ~ ~ S G o Q 1 , N9 yoy` 1 2, ss 9oi ~ / I Oui A s`-e°V ry) N _ ~S.ano~ ~ I5 n ba a~ ~ a 6 23 \ a~. ' i ir aa..3 ~G , o~~ o E a _7 Ln ~ T.V1. HYQ C.° lu~ Une Stefes kL.c- EL~.= ^po.il TOP OF FOUNDATION = '10Z•5 GARAGE FLOOR = 9oz.4 3O BASEMENT FLOOR = Sqq.b SEWER SERVICE ELEV. = 890.6 = PROPOSED ELEVATIONS EXISTING ELEVATIONS : DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o GERTIFICATE OF SURVEY DENOTES OFFSET STAKE: ? I Aercby certify that this survey, plon or report was preparad by me or under my direct suparvision ond ihat I am a duly Reyistered land SurveYor under the laxs of fh• State of Minnesofa. ^ n Dote: 5/ a3 / ss J6 e D. indqren, License No. 14376 Page 1 of 4 f . EXTERIOR ENV[LOPE AVERAGE "U" COMf`UTATION _ - ~ OWNER•-,,T/d/~5~. bENN15innrr: -7 SITE ADORESS: y~DY~~/}TE~ PHONE: CONTRACTOR: PLAN # 5-rp.~fb2.1~ ZX Cc Oetermine working square footage. of each 1. Total exposed wall area..... co-{rS7 sq. ft. x.11 2. Total roof/ceiling area..... ( Ur sq. ft.. x .026 Total exposed wall area above floor= 1 8 8~ " a. Total wall wi_ndow area ( ZS ~ b. Total door area Z c. Total sliding glass door area d. Total fireplace wa11 area e. Total wall framing area (average 10%) i gA ,'4 17 f. Total rim joist area g. net wall area a6ove floor h. wall area above floor . i. wall area a6ove floor j. frame wall area at foundation Total exposed foundation area= -5 k. Total foundation window area 1. Total net foundation area above grade Oetermine "u" value of each wa]1 segment . (e,g. window, door, each separate wail section) : a. lZ~ X t, u~~: b. y z x~~U" , 3/ = l 3~oz C. 4 z x„ul, d. X 11 U.. , ~a = ~ r z e. X ~v, f. I 30 XliU° 9. ~ t"CJls„OS__x " u~~ Co7~R'L/ h. x „u,. _ i X %1. _ j X itull _ If item 93 is the sa k. X"U" = as, or less than it #,1, you have met 1, 3?~~ X"U" ~r~ intent of 58C 60 3 . .............Total Z d b -g"L~ ~ ='.trrior Envelopc Avera9e "U" ComPutatioii Page 2 of 4 Total exoosed roof/ceiling area m. Tbtal skylight area ~ a. Total r.oof/ceiling 8raming area (avcrage 108)... I C) ~,(a o. Total net ir.sulated roof/ceiling area........... Determine "U" valuc for each roof/ceiling segment M. X "U" _ ' n. x "U" c. I igi'f. X"U., Q 4 Total = z0~ ! 3 'f total cf 444 is the'same as, or less than $21 you have met_the intent of Sxr 5005 ;c? 1. Alternate Buildinq Envelope Design 'ib utiliza the total enyelope'system method, the values established by the s-.un of items.n3 axid r4 ;hall not be greater than the sum of itens #1 and #2. 1. Z~ ~o cO~ + 2. Z.~J . -73 - '~~G°.L"' , -g ~ + 4. 'zO i ~ = Z~i r~7.J . . _ ' ! . PLAN # * LITIEAL FEET DTOSID WALL BI:UCK: Co iQM: I 3 O W.O.. F[JLL 1: I '3 ~5 ftILS. 2: ~ FIREPLACE: RIM: ~ 3 d * SQUARE FEET EXFOSID WALL ARFA . . BLOCK: ~s X.5_ 3z,r KNEE= c~o X5= cos' W.O.: - x8= fvt,t. 1: x 8= l l o~{ . FULL2: _ xa= - FIRII'IACE: (P x 43= t~ g RIM: x 1= lvm * sQcraM FEer EXPosm cai.arc ~ o t b ~ •am~ews ~ Dooxs q- ~ ZL1 3 c> ~ 3~ 3 co .-7 PATto nooxs Zo Cv o - 3 = ~5~ * aasEMErrr tNTz's ? Iq Lf Ll ~ 4 = z-~ I~~S , Wou seX-vx~ •.Q2,ii Llse f tg of Dpaque Wsl1 orea ft)r R- VAI1JE-- fvam2.crx~sEvute'~on CDNSTRUCTION•- FRANBNG - • - ~ 1. IN2£RIOR AIR FIIM 0.68 Q 2. . 3. 5 SOFP WDOD 6.8 4. ~ 5. 6a5ZC ' ~ 6. 0. TOTAL _ 10.85 I~ U= .09 ~ E2G. if1 'R~f11+E+J CP NEr p¢,qt1E N/~Lt 77- 1. IN'PIItZOR HIii FII14 0.68 .45 ~ 3. . 19.00 4. 25/32 SHEA G' 2.06 5. ING ,6 6. 22.99- ~ U= .04 n . 1. IINTERIOR AIR FIIM 0.68 + 01 2. SUI,. 19.00 SfkLs4Z 3. 0 2.06 4. . . 5. S 6. o. IUIAL . , ~ o • o 9 u= . oa . . ~ J ~ ' , _ . . 1 ~ C BL()CK WALL 1. INIERIOR AIR FILId ' 0.68 - , 2. IT"IMZtT • ar~ ~ • i= 3 . 4. PROTECTIVE RARRIER r- } 5. 6. TOTAL R= 7.13 U= .14 SLAB ON GRADE I * ' s ti . . ~-N . • ? ' y - < ~ ~ ~ ~ ~ ` Y , ~'I l V. • , t _ ~ . ~ ~ ~ ' I ~ ~ _ t~r " ~ ' a a Il~ f ~ . ' y - AA uL S• << - a ! ~ f2~. 43 y' NUI'E: INDIC.4TE TYPE, "R" VAIiJE. DEP'ITi .4DID PLACIIMM OF INSULATION. v'.,~ , -a" ~ J ' ~ WALL SECTIONS BRICK FIRE PLACE • NCXPE: USE 10$ OF OPAQUE WALL AREA FOR FRAMB CONSTRUCTION CONSTRUCTION R-VALUE i ~ I~ '1. INTERIOR AIR FIIM 0.68 3. 4. AIIt SPA .68 ; S. • 1! 6. MMUOR AIx FI .1 , TOTAL 2.75 ~ H4SIC WALL U= .36 1. ITPTERIOR AIR FILM 0.68 fTG. 01 TOPVIEW OF 2. FRAME WALL 3. 4. . S. 6. EffMOR 1. INRERIOR AIR FILM 0.69 FIG. #2 2. 3. ~ q, SEALER ~ i Q~ 6. MUM OR AIR FILM 0.1 1. INTERIOR AIR FIIM 0.68 ' 3.. . U' a ~l ` 1 D 4. ' ~ • ~ 5. d u•+ ~ 6. ZaMffO-R AIR RILM 0.17 , 1~DTAL. 6n~ ~ ~i • 'p' . ~ ^ • . i . - . . r^^r`w SIAB ON GRADE I , i i , ' . ~~~^^'7T1 ~ t 0 ' ` ~ ~ ` • ~ ~ •I t . (tE - AI ~ ~ 1 !t! - 1 : . ~ ~ r . j~l • e l FIG. #3 FIG. 04 ~ ~11 ~ . I NOT£: ITIDICATE TYPE ~~R~~ VALU~:, DEPTH AND ~ ° , „ i <<' i PLACIIMENT OF INSULATION CONSTRUCTION ' R-VALt1E 1. INTERIOR AIR FIIM 0.6& 2. - `rENi' ivrAL U = . 02 FRAME ~h,p= Z\ fTAT FIX)W 1. INTERIOR AIR FII.M 0.61 2. ~ 4. FIG. #5 U = r.024, • coxsTtucrzox INSIDE AIR FIII`f 0.61 2. • - 3 4. ~L ° FRAIE g~ 2 ~O LO 1. INSIDE AIR FILM 0.61 2. ~HFAT FLOW W VENTID 3. 5. ~ FIG. #6 • p = INSIDE AIR FIIM 0.61 3 ~ 2, ~ 1 3. 4. U.-Li / Z.r~' • % TOTP'L U = NON-V£NT"'D ~ NOTE: USE PDDTTIONAL 5I-IEETS IF I~!QRE SPAGT =S MEIDED FOR DETAILS AND CAI.~-'[JIATIONS. HEAT FLOW iJP FIG. #7 PERMIT --~CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e I N G Eagan, Minnesota 55123 Pemit Number: 020996 (612) 681-4675 Date Issued: 0 5/ 2 4 J 9 3 SITE ADDRESS: 4104 STATES AVE LOT: 6 BLOCK: 3 STAFFORD PLACE P.I.N.: 10-72500-060-03 DESCRIPTION: r-~ Bvilding Permit Type DECK ,4uilding -4ork Type NEW ,,°"Building Len}th 26 Bu.ilding Widt16 ~ ~ f ° ~~u (gZ 1"C' REMARKS: FEE SUMMARY: Bese Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: OWNER: - Applicant - JQNES DENNIS 4104 STA7ES AVE EAGAN MN (612)342-3706 I hereby acknow3edgt that Z havo read thts applicat;inh and staCe tftat the informaCion is correct and agree tp cnmply wlth all applioablg 5tmte of Ptn. statutes and City of Ea-gan Ordinances. APPLICANT/P RMIT E SIGNA7URE ISSUED B. IGNATURE INSPECTION RECURD CITYOFEAGAN PERMITTYPE: BurLozNe 3830 Pilot Knob Road Permit Number: 0 2 0 9 9 6 Eagan, Minnesota 55123 Date Issued: 0 5 J 2 4/ 9 3 (612) 681-4675 SITEADDRESS: Lor: s BLOCK: 3 APPLICANT: 4104 STATES AVE JONE3 DENNIS STAFFORD PLACE (612) 342-3706 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION . F007ING FINAL , _ ~ REACTIVATE _ L:11 T Ur tAWo?iv PERMIT #r ~~~EWED 993 BUILDING PERMIT APPLICATION ~ MAY 1 8 1993 681-4675 SIN~E & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ener9y calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but nat picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date K1 i}y /Ik / i q 93 Yal uati on of work Site Address: qlDq S`7AlC3 A1E JFA(r~ SiREET SUITE Y Tenant Name: (commercial only) IAT ~ BLOCK 3 FSUBD.3_rAMft ftAgo- P.I.D. N Descri tion of work: The appl i cant i s: 15~ Owner O Contractor ? Other ()eceribc) Name .-)n#j0 D-?.,njLl' Phone OF-739v Property LAST FIRST w,~K 3~1a_ 3~o b Owner Address gJ4g m7t-5 A/E STREET STE N City FA 6-A0 State mn~Zip, 5'5723 Company Phone COntfBCtOf Address License # Exp. City State Zip Architect/ Company Phone Engineer Name ~ A.w11! Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City.of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY . ~ BUlLDING PERMIT TYPE 0 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. O 04 SF Porch O 09 12-Plex ? 14 Fireplace 13 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. K 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ,M.31 New O 33 Alterations ? 35 Tenant Finish 0 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. 14WCC System (Allowable) lst F1. sq. ft. City Mater UBC Occupancy ~ 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire 5prinkler Length _29~_' On-site well Census Code ~ Depth On-site sewage SAC Code APPROVALS ~1uS o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' O Site I~ Footing ? framing O Insulation ? Wallboard ~ Final ? Draintile ? fireplace Permit Fee "Oa v.iuaeson: g Surcharge Plan Review License MWCC SAC tity SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit , Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units _,,i`und Engineering Services 9201East&oomioqronFreawoy Land Sutverora' Clvil Enyineen Bbaninpton,Minrysoto 55420 . , Land Piannsrs Phona: 868-0289 sr~rve~or`s G'ertlf "~cate - - BOOK _ PAGE _ f JOB N0. 894-282 SURVEY FOR: Frontier Midwest Homes Cornoration OESCRIBED AS, Lot 6, Block 3, STAFFORP PLACE, City of Eagan, Dakota County, innesota and reserving easements of record. ROV5D - 2q,33 C FA;;eIN E s) ';,PT, 167. ;a 189q.o ~ c~ r p t~ I --tp , s`, ar4-i 12 w o ~ o ~ 43 O .Css ~ ~5 u 6` ~G =tO. 3 a I , ~E Ab '7a ,r N , a. e57 i : T.N, ura e u,+ u„e `5~.~° 1 q`~c a. Sfei<• 14.c. Eie..= 10O.T! N c _ TOP OF FOUNDATION = 407-5 3o GARAGE FLOOR = aoz.4 BASEMENT FLOOR = 811t,46 SEWER SERVICE ELEV. = e9o.b_ PROPOSED ELEVATIONS : Q EXISTING ELEVATIONS : DRAINAGE DIRECTIONS DENOTES LOT CORNERS : o CERTIFIC4TE OF SURVFV DENOTES OFFSET STAKE: o I Aercby certify thot this survey,plon or report wes preparad by me orunder my Oirect iuparvisioe cnd that I am a duly Reyistered Land Survsyor under the laws of fhe Stote of Alinoesota. n y~ D DOtQ. s 98 J, - Jo{fje0. indqren, License No. 14376 ~ C.I.TY l)F F'f-rGANI (:'(tSl-I:I:E:t:: R!4)a 353 L:41'Eu 07J22/97 11:i`11_:v 15:5:105 ?z,:, i•lAMT_:; At..l_l:E::ri 1=IR6::STriL: IN.r„ ':;c?:i.t) 9001 430 Ft]X R]:L7GF_ ,"'iQ,pf.] ct.'S:"I 9(:)01 h3:t2 1'O;t Fi7Lsf;E: 0.50 320 900i. 404 S7Ai`Ei> f•1Vf:: 50,00 205 90[)1 404 S1't~ik S A',lE:: (:).50 ,-a ~ _ . i]'.:.3~. rie?('n;~prt fttnotlr51;;; :lll:l..0(7 CRO7698:1. l.!`;i::6: 7:Dy NAIvey :~F?X>Y9F~}'~m":~n::k:X?X?k:k~F?k:#~?k:>,mk~k r:~X?k>g*at;;h%#:~;km?ku:9;%i:>k R PERMIT ' CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: eurLoxNG Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 4 9 2 (612) 681-4675 Date Issued: 0 7/ 2 2 J 9 7 SITE ADDRESS: 4104 S7ATES AVE LOT: 6 BLOCK: 3 STAFFORD PLACE P.I.N.: 10-72500-060-03 DESCRIPTION: (GAS DIRECT VENT) B6 31ding-_Permit Type FIREPLACE BuildzngWo.r-~ Type NEW `Cerisus C'Ode ' 434 A'LT. RESIDENTIAL y tia i 1 m €tJ),ook~.~~~~~ :J REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $•Ss Total Fee $50.50 CONTRACTOR: - Applicant - S7. LIC OWNER: FIR,ESIDE CORNER INC 16332561 2009091 RAUSCH JIM 2700 N FAIRVIEW AVE 4104 STATES AVE ROSEVILLE MN 55113-0847 EAGRN MN 55122 (42) 633-2561 (612)686-9137 3 herehy aGkhowledge that I.have read , thls ,~ppl,Iea~Cion and sxate that the info'rma`tioti is correet a:nd ~sgree 'to comply witft a1i ap'pli.ceble 5tate afi Mn• ' Statutes and City of Eagan Ordinanoes.. 11(}(a ' !d APPLICANT/PERMITEE SIGNATURE IS3ED~1': SG AT RE CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 304 DATE: Z( ! / PERMIT FEE: $50.50 4'A 5 c~ 1 ~2.FSZrJ (/Cla/7 DESCRIPTION OF WORK: ~ CONSTRUCT NEW_ FIREPLACE- _ Ar.TERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTEER: STREET ADDRESS: S 7p LOT BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: Zh V .5 CAk VA C) c~ ~ ~ Phone ~86 /3 7 OWNER PIM* Signature: Street Address: kv&-~ City: State: Zlp: 6~1 Z Z ~t1..t~ Y~Dq~ 07~5~ c9~-z~l , N Phone ` FIREPLACE Company: iiini INSTALLER Signature: - Street Address:380 - W"WY ~1~ License #:20Oq° g Cit,yr~~712.~~1!lc,C.Y State: ~ GAS LINE Company: Phone INSTALLER Name: Signature: -;19 Street Address: City: State: Zip: r , ( t OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 14 F'veplace WORK TYPE ? 31 New ? 33 Alteraaons ? 32 Addi[ion o 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. APFLICATION FOR PERMIT ~NUM' pAWVNr OF FEE AT TIME OF APPLICATION OOFS NJP CON- : ~ STI1[TfE I+PPR(TJAL OF PERPIIT. y ~ SEW ER ANQ/OR WATER CONNECTIQN : I~~~ oF s~ n~.n/ox cu+~ : ; irsru.~.r,Tioras wua. r~om se scmun.rn ; i[!NPiL PIItFIIT HRS BEQi AppROVID. ]EFECItV OF GC9gaP9 (PLEASE PRINT 1) PROPERTY ADORFSS: '-tlb~ SP#rF_ )enoe Aw~RNa N 551a~ LDGAL DESQ2IPTIONS B~oCr. STAP'- ~P Lot B ock S ivision or Tax Parcel ID ) IF EXISTING STRtiCT[IRE, DATE OF ORIGINAL SUILDING PEl:ZMIT ISSUANCE: Nbnt Year PRESENT ZONING/PROP0.SID LSE: Q CObMMERCIAL/RETAIL/OFFICE I~ R-1 SINGLE FAMILY Q INDUSTRIAL E_~ R-2 DUPLEX ('I4ro Linits) Q,INSTIZS,'•TIONAL/GOVERNhET7T R-3 TOWNEi00SE (Three + L~nits) ( Lnits) Q R-4 APAFtTMENT/CODIDOMINZUM ( Onits) 2) N~: -Fe.or..7TIEK ADDRESS: 3QOa (1~q.~21)~ d~J2iUe CITY, STATE. ZIP: FpWq~. ~1~. ZSJQL a PHONE: For City Use 3) NAME: STA-2. `QL-umP,y.~ y Pl erwns License: ADDRESS: •ACtive Int s; fAc~UwD aPa tic s e- Expired CITY, STATE, ZIP: a-,,mNEac~y% Mky 554ao Not recordea PHONE: gqt- 41 MASTER LICENSE # ~3~~ Sta In~ 4) s~^ , e i~• NAME: ~-~XhS ~ ~f1~ ~x~c3 ADDRESS: 3g11 (P(D+h ST F• CITY, STATE, ZIP: GfL[v ]F. 4-V5. I..i A..~ - SS~-1 S PHONE: ~55-G 5 I ~ ' 5) ~ a ~•au .i El CONNECTION TO CITY SE4VER M CONNECTION TO CITY WATER a OTHER , 6) THE GOLD COPY OF TEE PERMIT WILL BE SEPTP DIRECPLY TO PUBLIC WORKS TO FACILITATE MEPER PICK-L~P. * PLF.ASE ALI,(nV 7WO WORKING DAYS FOR PROCESSING. SOfEANE FROM TfE CITY WILL CONrACi' YOU IF THERE * * ARE ANY PROBLEMS. ~***«****~************x*~+«*,r*,r*****+***+~**,r**~~******«**~***+,r~+~********~*~****~**~***,e****+*«+*:i TOR CITY USE ONLY " PERMIT ISSTIED • Pd w/Bldg. Permit FEES: - $ $ SEWER PERMIT (INCLLDE SORCHARGE) $ $ WATER PERMIT (INCLUDE SLRCHARGE) $ ~ $ WATER METER/COPPERHORN/OIITSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ IS `C`Z' $ ' ACCOUNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER s $ WAC $ o t $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER . $ $ LATERAL BENEEIT/TRONK WATER S ~cci'Ct z} $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ «1 $ TOTAL - ~4• ~ ~ "~j RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE 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. SOBJECT TO THE FOLLOWING CONDITIONS: I APPROVED BY: TITLE: DATE: S/. ~ /,~A CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT RNOB ROAD C/ EAGAN, MN 55122 PERMIT # ~.~US p PHONE: (612) 454 8100 RECEIPT 4 1k~T DATE: ~';~AT;:fi PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WkIEN PERMITS ARE REQIIIRED FOR EACH UNZT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON ~ HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: ~n I<' ~DYI L° OF 1 PER PERMIT S SITE ADDRESS: "IID SUBTOTAL: $ I~•OD ~ ,s~ *i°S h`U~ STATE 5],JRCHARGE: .50 LOT: V' BIACK ~ SiIBD. $ INSTALLER: S ADDRESS:,Zq(./(iLJ ~GiSTO/7 NATURE 0 P ITTEE CITY:Deep h Ct,o° ZIP: PHONE /Df2 ~OMHER~i~AI.f~N~7A5TK~AL:; PLEASE COMPLETE THIS PORTION FOR ALL CO?RfERCIAL/INDUSTRIAL BUILDINGS, . APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUZRED FOR EACH DWELLING UNIT. ° CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN i i ~ i I A I.~ ~ ¦ y ~ S _ { ~ ~ ~ r • ~ a s ot ` ~1 7 ~ • ~ ~ ' j R ~ CJ b ~ ~ ?J ~ y a a ~ ~ f S ~ 0 0 a~ ' ~ J: t , a ~y ~ r f ~ 1 ~ 1 • • s ! ~ 3 ~ ~ • a t t ~ ! ! ~ ~ ~ J i r ~ ~ ~~1i_~ ~~y~l J ~ ~ • ' ~ ~ ~ i ~ ~ i ~ J ~ ~~j ~ a ~ ~ } ! t • ~ A j 1 ~ ~ : ( I ' ~ r 33 Q ~ ~ N - ~ s ~ . ~ . M ~ • . y ~ ~a~, 3',~~g ~ ~ ~ 01 ~ a N J bQ U3. 411 5 ,r ~ a D I~ ~ ~ ~ i ~ ~ ~ ~ • ~ ~ ~ ~ ~ ~ • • ~ ~ ~ e ~Ia,~ ~ ~ ~ • r : . ' r~ ~ ~ a~ E~ E - # i~ ~l Z ~ ~ • ! ~ ~ f ~:3; s e _ ; _ ' . t ; - 88-031 i ~ [WitvoFe egen 3830PILOTKNOBROAD,P,O.BOX21199 TI #32380-46 EAGAN. MINNESOTA 55121 VIC E~~ISON PHONE: (612) 454-8700 mayOf 7HOMASEGAN Special Assessment Search DAVIDN,GUSTAFSON vnnnEU nnccaEa 1HEODOfiE WACHTER CauncY Members Date: June 9, 1988 n+onawsHEOeEs , CiryMmiNSha~or Requested $y: RB: 10-72500-060-03 EUGENEVMJOkERBEKE Dakota County Abstract L6 B3 Stafford Place On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition', pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City•s policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assuine its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. AAIVER/DISCLAIMER: Neither the City of Eagan nor its employees quarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. Zn consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN, Very truly yours, ~77~C SPECIAL A SESSMENTS Attachment THE LONE OAK TREE. iHE SYM80L Of STRENGIM AND GRON/fH IN OUR COMMUNIIV : ...;~rJ:,;~ ~i.:'(i: _ ~.•..Ofd .it): i=<Ir'_•t3 :?I='ECIF;L ASi:;k:;',>!3Mi hdT i i;F'I::CCiFiL FiS!:iE_SSI`ili_NTS EiLtiff[:F-I SlJl°II`6=`if;;Y PRi7F'EF:T,,. 1. .U_ IOllFIYS LiATli_: 06109i88 -'---5'r'E:L_Ir1L_ Fi_FiCi:i------' 1--2--?, 4...._;}.._ 6... 7-'-;a._ ri' -:L 0 10-72150i i--060...i i:'; `..:,,(;.14 EiEiS3Lc;3Sf*~I_IV°f D[:;iiC;it„ `ifi YFiS f-?A11-. 1"L)1'F3L ANN.l'Fi:[IV. F°'AYCI!'-1= COtiME:id-I 100_;'I6 WFTLR AliEA rt:, Y: l0...~~.>, _ _ .ii~~ ' .OeJ 1=•REc.FFIY 100847 blF1 fEFil"1i=4:t N 83 :L',''_-i 10. :70"/. 1.71 .00 .00 PFiL-.P(-1Y :I.01247 S f'43."-i; i.-~b 15 9.00% 12.90 .86 11.18 101471 SfRFI::_I 4J19:: 87 5 9.00"L 48.97 9.80 09,.Ic:3 101:472 SIt)Ii:ibJFll_F' bJ19:; 87 :i 9.00% 68.54 13.71 54.8:'; 7.iil-'4`.-it3 UTILI"fY v< :iTRI_F:75 Clii ii .fit>:l 2548.21 2648.21 :648.21 F'[ii:Nl:i '=il..ll°II°lAft'Y i:iFr F-ll:'I':i;VL= 130.41 <'•l.';'% 105.19 f_OI°I^I `IH:fS YF::::;ii`'a TOT P;;T :'_t7.lC? SIJI`ll°IA1';`i fli' PFcND.LNl=i { tii •-;i 2648.21 ,:;-::<.aE EN"flci.R !Comint=nts7, F-:l or f='2 !Hr_adei" 1=urrriS ui• F7 (Fta=st:ar't Fi76fi) PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107992 Date Issued:11/08/2012 Permit Category:ePermit Site Address: 4104 States Ave Lot:6 Block: 3 Addition: Stafford Place PID:10-72500-03-060 Use: Description: Sub Type:e - Air Conditioner Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - James A Rausch 4104 States Ave Eagan MN 55123 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139214 Date Issued:10/13/2016 Permit Category:ePermit Site Address: 4104 States Ave Lot:6 Block: 3 Addition: Stafford Place PID:10-72500-03-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James A Rausch 4104 States Ave Eagan MN 55123 (651) 686-9137 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167358 Date Issued:03/10/2021 Permit Category:ePermit Site Address: 4104 States Ave Lot:6 Block: 3 Addition: Stafford Place PID:10-72500-03-060 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - James A & Valerie Rausch 4104 States Ave Eagan MN 55123--159 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178704 Date Issued:08/30/2022 Permit Category:ePermit Site Address: 4104 States Ave Lot:6 Block: 3 Addition: Stafford Place PID:10-72500-03-060 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 A & Valerie Rausch 4104 States Ave Eagan MN 55123--159 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature