4107 States Ave
CITY OF.EAGAN ?ermit Np; ~2 7-°~
3830 Pllol Kn+Db Road Meter No: '~r~D 3 / 3 f Date: '
~ Size: " Roc K
P.(X Box 21199 Reader Nae1 ~p~ g f~ q
Eagan, MN 55121 Dat~ ~~g
Owner. T'routier Etidwest
Site Address: 107 States Avenue taf f or~ i P.ace
Plumber Star Plnmhino
Conn. Chg: 55o_o(1nd Zoning: Rl
Acct Dep:_ 1 5 00 P'? No. of Units; _ 1
Permit Fee: I n (1nn~7
Surcharge; 9f)nri I agree to comply with the Clty of Eayan
Tr. Plant ^n , On,,,q
Ordinances.
Meter.
Misc.: 13y
WATER SERVICE PERMIT
' ' - . - . - , " . . --r-7'-`--~r~7!'
CITY OF EAGAN- Permk No: 17 Date: ` 27-•SR
3830 Pllot Kncb Road Meter No: Size:
P.O. Box 21199 Reader No: pete.
Eagan, MN 55121
Owner. Fro:it ier MiJwest
SiteAddress: • tgtes Avenue L2 B Stafforci °-ace
Plumber SCar 'Dlumhbtp_
Conn, Chg: 90, o'~tn Zoning: _ F 1
Acct Dep:_ 15_O~Ad No. oi Units: I
Permit Fee: 10. 0031~
Surcharge: . S lnd I agree to comply wlth the City of Eayan
Tr. Plant_ 204 0[1M] Ordinancea.
Meter.
Misc.: Br ~
WATER SERVICE PERMIT
CITY OF EAGAN Permit No:
3830 PHot K~b Road Date: ~
B
P.O. I~ox 21199 / P No: Date:
,
Eagan,~MN 55121 ~
~ Owner. . •
' SiteAddress: 1f, MntFae ?!venue ° f,4 StPfFor~~
- ~1RCf-
~ PlUmber. • D~ ~
~ MWCC: 550. 0 (1,T)e
Zoning
Ciry Chg: . p. •
' 7T F , No. of Units: -
Acct. Dep: - ' ;
Permit Fee: agree to comply eylth the CIt ~
, Y Of Eagan
Surcharge: - Ordinances.
Misc.:
By
~ SEWER SERVICE PERMIT
CASH RECEIPT
. f ~ ~ .
. CITY.Of EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. ,
DATE 18 J .J /
i%LcGLG. c ~ 1G~ '
AMOUNT
& DOLLAAS
lm
? CASH CHECK
7
FUND OBJECT AMOUNT
Thank You ~Y
BY
s ,y P, r•~~ White-Payers Copy
Yellom-Postin9 CoPY
Pink-File Copy
BLDG. PERMIT NO. ~
~ .
,,-p1.rs- S!,. ':tba , ~ 01`-A~Bldg.{Perrritt
01-3422 Plan Check 0 Q
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 ~ Surcharge
75-3860 ~ Road Unit
- 20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. ~
20-3716 Water Meter ~
20-2252 Acct. Dep. 00
20-3713 Water Permit
20-3743 Sewer Permit f G' C1
79-3866 Sewer Conn.
28-3855 Park Ded.
/ ' ~
TOTAL
CITY OF EAGAN 4S079
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt#
To be used for SV l-bL/GAk Est Vaiue 9,Date ;4t1Y 26
SiteAddress +107 4Tf,'i'{ic; Ailk'. OFFICE USE ONLY
r On Slte Sewage Occupancy 't"'3
Lot ' Block 4 Sec/Sub. ~ :;_3
MWCC 3ystem Zoning
ParCel No. On Site Well (Actual) Const V"N
r:%'GtiTI:..t Y;ICIWEST 1t0ME5 CDRP Citywater x (Allowable) w-N
a Name
z Address 39('i C'uARV:':l.t DR PRV Required # of Stories 1
~ City E'~G~i Phone 4 54-9433 eooster Pump Length 1
Depth
~ ~me SACi~: S.F. Total
! Footprint S.F.
~ Q Add/ess
~ City . Phone APPROVALS FEES
~ CC Engr.JAssess. Permit 45D.00
uW Name 34.50
r = Planner Surcharge
~
Address 225
~ z Cit ' Phone Council Plan Review •
a W y 100 .
61dg. Off. SAC, Cily
I hereby acknewledge ihat I have read this application and state that the Variance SAC, MWCC 550•00
information is coRect and agree to comply with alt applicable State of Water Conn. 550.00
Minnesota Statutes and City of Eagan Ordlnances. Water Meter 67.00
Sigiiafure of Permittee Road Unit 325.Q(?
A Building Permit is issued to: '~It~~•~ ~ 1 '~OV, F S Treatmert P1 204•QU
on the express condition that allwork shall be done in accordancewith all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Building Official TOTAL '
F', • ~ CITY OF FAGAN
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
Site Address OFFICE USE ONLY
Lot " Block Sec/Sub. pL.4t1'- OnSlteSewage Occupancy
MWCC System Zoning
Parcel No. - ' -
On Site Well (Actual) Const
„b,};s? }?1IRIE~ COPF C4ty Water (ANowable) -
m Name
x Address PRV Required # of Stories ~
n City Phone ~i4"y43 3 Booster Pump Length
Depth
.0 Name S.F. Total
~ a Address Footprint S.F.
~ City Phone AppROVALS FEES
Engr./Assess. Permit
WW Name
u~ Address Pianner Surcharge
Council Plan Review
a W City Phone
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
5ignature of Permittee Road Unit
A Building Permit is issued to: " Treatment Pt
on the express condition that all work shall be done in accordancewith all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Parks T_
Building Official TOTAL
Permit No. Psrmit Holder Dats Talephone #
Piuffibing J(l ~ • \1.~ ~ ~7 :C~: 11~~
i
HM.A.C. 611~
~
Electric )-k la,5 R"Ctti CQ20-. '~'SJ •S-0
Softener
Inspection oate lnsv. Comments
Footings I
Fovtings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireptace Final Htg. ~
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
t y-, ,
(ger#if irate uf (Orrupanry
titp of Cagan
llP~~ ~ Buttaing jwPrtim
This Cenificate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifying thar at t)re time of issuance tJris strucrwe was in compliance with the various
ordinances of the City regulatiag burlding construction or use. For lhe following.-
Uae Qesi6atioo Bldg. Rrmit No.
Oowpncy Type Zaoioj Distrin ` rs T Conet.
;c~~'IT~'4: 2~JGIr'~;t T~ ~~:i EAGA~i
o~oreWwm ~
t.r; `;S AS 1~, <L Lm"ty L25, B4, 5IAFFORD PLAC.E
o.u: •4IlC~JST t 1, 19£b
eua„m omc;,t' POST IN A CONSPICUOUS PLACE
PERMIT # • , • PLUMBING PEqMiT RECEIPt # ~ -
CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: 'CONTRACT PRICE PHOME: 454-8100
Site Address BLDG. TYPE WOqK OESCRIPTION
Lot Block ' Sec/Sub Res. y' New
Mult. Add-on
~ Name Comm. Repair
m '
m AddresS Other
c Ciry = f~' Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- Ng,. FIXTURES TOTAL
Name Water Closet - $3.00 $
Bath Tubs - $3.00
~ Address Lavatory - $3.00
3 `
p City Phone Shower - $3.00
`
" Kitchen Sink - $3.00 '
FEES _UrinallBidei - $3.00
COMM/fND FEE - 196 OF CONTfiACT FEE Laundry Tray -$3.00
AP7 BLDGS - COMM RATE APPLIES -7-Floor Drains -$1.50 ?
TOWNHOUSE & CONDO - RES. RATE APPLIES /-Water Heater -$1.50 t
MINIMUM - 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/G 1F PERMIT PAlCE GOES Softener -$5.00
BEYDND $1,000.00) Well - $10.00
Private Oisp. - $10.00
Rough Openings - $1.50
, : ~ • _
SIGNATURE OF PERMIFTEE FEE: STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
. . . . . . .
PERMIT #
MECHANICAL PERMIT RECEIPT # . CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~t~~
CONTRACT PRICE: PHONE: 454-8100
SiteAddress 41-~~7 States rlvc.
BLDG. TYPE WORK DESCRIPTION
lot_ x? Block 4 Sec/Sub R~ y,u New
1 11.1
m Name =a7FL HEATING & A C Mult Add-on
co Addressl 955 Shawnee Road Comm. Repair
c City taQa:i Phone 452-153) Other
Name Frontier ' FEES
=anies RES. HVAC 0-100 M 8TU -$24.00
3 Address~`~ ,i ' ADDITIONAL 50 M BTU - 6.00
p City Phone 45--0"3 CONS RUCTIONUDES AfC ON NEW
GAS OUTLETS (MINIMUM - 1 PER PERNIIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1°i6 OF CONTRACT FEE
Forced Air tL,i , M BTU oo APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIRL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # . ' r) BEYOND $1,000)
ather
FEE:
• ' ' •
S/C: " 50 SIGNATURE OF PERMITTEE
TOTAL• $26. 0a
FOR: CITY OF EAGAN
PERMIT # '
4j C~t,7t_ p,~ . i~" • G'~~/''/, _ MECHANICAL
OF EAGAN IT RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE~ .2 !P'J- o e PHONE: 454-8100 ~p2
Site Add~~ y v 7 BLDG. TYPE WORK OESCRIPTION
Lot ~.Rlock - Sec/Sub Res. ? New
' Name Mult Add-on v
m Comm. Repair
R Address ~ fr r 'ow'v'''E ,
c City K'A'" Phone y-r~ '~J fr Other
FEES
Name
RES. HVAC 0-100 M BTU -$24.00
c Address 4-/,7 7 ADDITIONAL 50 M BTU - 6.00
p Ciry j6X~''~ Phon(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiiiAlT) - 1.50 EA.
TYPE OF WORK COMM/iND FEE - 14b OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - C4MM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
/
Unit Heater M BTU REMODELS -<j2.OQ)
Air Cond. ~y M BTU /L•e u MINIMUM COMMERCIAL FEE - 20,QQ_
STATE SURCHARGE PER PERMIT - C.50~
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
•z.du
FEE % -~,u ~ • .~>m1• -
S/C: SI, A E ERMI
TOTAL•
FOR: CITY OF EAGAN
<
PLUMBING PERMIT For Office Use Only
CITY OF EAGAM~ PERMIT # -,Z~
CONTRACT 3830 PILOT KNOH ROAD, EAGAI~IIIAN 55122 RECEIPT ~ ~a v
PRICE PHONE 4548100 DATE: .~i~'
Slte Addf@SS y l BLDG. TYPE WORK DESCRIPTION
Lot " Block Sec/Sub ~S' New
, Mult.~ Add-onf~
Comm. Repair
Name
Other
~ Address ~
c RES. PLBG. aNLY - COMPLETE THE FOLLOWING:
City Phone
- NO. FIXTURES TOTAL
Water Closet - $3.00 $
~ Name Bath Tubs - $3.00
3 Address Lavatory - $3.00
~ City Phone Shower - $3.00
- Kitchen Sink - $3.00
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00
COMM.lIND. F-EE -1°,6 OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whiripool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50
MINIMUM - COMM.INDJFEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 ~ Softener - $5.00
(ADD '56S/C PER EACH $1 F PERMIT FEE) Well -$10.00
, Private Disp. - $10.00
Rough Openings - $1.50
siG TU E OF P R nEE PERMIT FEE:
J ~ STATE5 S/C:
FOR: CITY OF EAGAN GRANQ TOTAL: 5v
TAis requesl void G w p~~s a~
18 months Irom 'y`J O D
E28425
flea~~ Uate" ~ Fire No. Rou I ertion
Req - 6Ready Nuw~QIiM-H~ttity. InsPeo
M es ?NO Ior When Rendy
[4LJJeE11sed Eleclrical Cantracror I hereby request insoaction oi above
? Owner alactrical work installed ar.
Street Adtlress, Box or Rou No. CiIY ~
ect on o. ownship Name or Nq. qan8e No. Counry
Oc u t IPRINTI Phon Na.
Y
Pow¢r Su i r Address
Elacvical Convaclor IComDenv Name) Conhar.to's License No.
ENDRICK ELECTRIC
Mailir,,44~5~~ ~PE,"0CX,=Nttailalionl .
AMTLE,VALLE ~p tallatioN 13, Number
MINNESOTA STATE BOAND OF ELECTqICITV THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwav BICg. - Room N-791 BE ACCEPTED BY TME STq7E BOARD
UNLESS PFOPEX INSVECTION FEE IS
1821 Universitv qve.. St. Vaui. MN 55104
Phonw(612) 662-09U0 ENCLOSEO. ,
REQUEST FOR ELECTRICAL INSPECTION AVh Ea-ooooi-os
~28425 ~ Sea insbuclian5 lor completing this form oa baek o/ yellow copy.
E "X'" Below Work Covered by Ihis Aequest
A fleo. lvpe ot Builtling Appliances Wired Equiymenl Wired
Home Range Tem rary Serviw
Duplex Water Heater i,yhtiny Fixtures
Apt. Building Dryer Electric Heatin
, Commercial Bldy, umace Silo Unloader
Industrial Bidg. Air Conditioner BulkMilk Tank
Parm otne, pein v ine, 15nec;fy1
t n~ Suem y O[her Dmcr
ompute lnspection Fee Below
p Fee ServicaEntmnceSize B Fae Fexdera/Subtaeders few Circuits
0 to 200 Amps 0 to 30 Am s Ljdl(rP 0 ca 30 An! s
Above 200 qmpy. 37 to 100 qrnps Q, 31 to100 qm y
d winuning Pool Above 100-Amps Ahove tOD_Amps
Transformers Irrigation BoomS Partial.'0
Signs Special Inspection
OT
Hemerks
I!
HouBh-in r Date
the laciric
I,nspact ereby
~
certify that tha above
I I Final ~e/, inspeclion hae Ceen
~ N mede.
i
Thie request volE 1B monthe from
This reQUest voitl
18 months Imm
E 31813 -i
Renoesl Dale Fire No. ~AOUph-in InsUer,lion
o 'flequiretl~ Reatly Now ? Will Nntify InsPec-
9/~.5/80 ' oYps g]NO tor When Ready
`k] Licunsed Eleclrical Conlractor I hareby request inspection ol above
? Owner eleclricel work installed el:
Slreet Address, Box or Home No. City
[
4107 States A e.
ecLOn o. Towns~iD Name or No. Range No. County
Occupam (PRINT) Phune No.
Jeff Chevalier
Power Supplier Adtlress
Dakota FarmingAon
Electrical ConVactor (COmDany Namel Contractm's License No.
Hilite Electric, Inc.
Mailin9 AdJress ICuntractor or Owner Making Instnilationl
95 S
Au~ i d Si~namra h or~0 ner Malpng Ins[alla wn~ Phnne Number
Tim Philli s 452-8886
MINNESOTA STATE BOARO OF ELECTRIClify THIS INSPECTION flEQUEST WILI NOT
GrieSS-Mitlway Bldg. - Poom N•197 BE ACCEPTED BY THE STATE BOAND
1821 Universitv Ave.. St. Peul, MN 56104 UNIESS PNOPEF INSPECTION FEE IS
p.,,,,e .G.. i Ga,, .onn ENCLOSED.
CF/~ REQUEST FOR ELECTRICAL INSPECTION JV% es-ooooi-as
L'
' See instrac:ions taqcompleting this torm on bxck oi yellow copy. T~11-151
~ 31wt~ "J(" Be/ow Work Covered by lhis Request
AAtl flBp. Type ol BUilding Applianta! WireC EqulumEnl WIfBA
Home Fange Temporary Service
Duplex Water Heater Lightiny Fixttues
Apt. Building Dryer Electri:: Heatin
Commercial 81dg. FumaCe Silo Unloader
InAustrial Bldg. X Air Conditioner Bulk MFIk Tank
Farm me, aeu v Ctnm Isnr.a~M
t er Suecify Other CNher
ompu[e Inspectran Fee Below
p Fee ServiceEnhance5iza X Fee Fexders/Subleeders p Fee Circuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Ain s
Above Z00 qmps, 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers trrigation Booms 0 Partial.'Other Fee
Signs Speciallnspectio~ •
S lO. SO TOTA EE
Remarks 19429
NouBh-in Dnte
I, tha cal
~ Inspac~ar, he~aby
cerlify thet the a0ove
Final ~e inspec[ian has been
mede.
(hin request vo1G 18 months iram
~ CITYOFEAGAN N° 15079
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
pil~/L"
BUILDING PERMIT PH ONE: 454-8100
Receipt # p`f'
Tobeusedtor SF DWG/GAR Est.Value $69,000 Date M?.7C 26 ,19$-
Site Address 4107 STATES AVE OFFICE USE ONLY
25 4 STAFFORD PLACE On Site Sewage - Occupancy R-3 M-1
Lot Block SeC/Sub. MWCCSystem X Zoning R-3
Parcel No. V-N
On Site Well _ (Actuap Conat
FRONTIER MIDWEST HOMES CORP ciry Water X (Allowable) V-N
a Name
i 3902 CEDARVALE DR PRV Requiretl _ # of Storias
Address 4~'
0 Ciry EAGAN phone 454-9433 Booster Pump - Length DepSh 47,
, p Name SAME S.F.7otal
oa Address Footprint S.F.
P City Phone pppROVAL5 FEES
P-M ww Name Engr./ASSess. Permit ~+50.00
w Planner Surcharge 34.50
_za Address Council PianReview 225.00
aw City Phone
a Bldg. Off. SAG Ciry 100.00
I hereby acknowleAge that i have read mis applicati an state that the variance SAC, MwCC 550.00
information is correct end a ree to com I wi all able State of Water Conn. 550.0
Minnesota Statutes and City of Ea O tlan 0
s.
~ a Water Meter fL7.00
SignatureofPermittee RoadUnit 475_0
(1
A Building Permit is issuetl to: FRONTIER MIDWERT $QME,q_ Treatmenl P1 204.00
on the express condition that al I work shall b¢ done in accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ordinances. . Parks
- TOTAL z,505.50
Building Official
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
NewConstruetlonNeaulremente pemotleVHeuehAeaulrementa
• 3 repWered si[e surveys showing sq, lt. of bt, sq. tl. ol house; an0 3Ll roofed areas • 2 copies of plan
(20%mazimumbtcoveregealbwed) • tsetofEnergyCaMwlatbnsforhealetladditbns
. 2 copies ot ptan sfwwirq beam & wlndow skas; poured IaunO design, etc.) . t sRe survey tor eberbr atldilbns & decks
• 1 set o1 Energy Calculatbns • Indkxte it home served by septic system for edd'Aions
• 3 coples of Tree Preservatbn Plan H ht platted aRer 7/1193
. Rim Joist Detail Optbns seledbn &heet (bldgs wNh 3 or less untls)
DATE s J I 3-~ 0VALUATION
SITE ADDRESS 0 ST&71~4 ra U ~ MULTI-FAMILY BLDG _ Y ~ N
NPE OF WORK E x)e- FIREPLACE(S) 4 0_ 1_ 2
APPLICANT ~"_-v C av~S+3L~L'7~~ a>-J
STREET ADDRESS 3`~ S 1 ~EllMti ~ NB-C_ V ti d~ STATEn''!'J ZIP s~ Id-f
TELEPHONE #~5-/ ~SL.4~%ZZCELL PHONE #&(2 ~PU l~I(03 FAX # (00 ~.rZ 902-.S
PROPERN OWNER ~G 14_s TELEpHONE # lD yI qfZ S7q"L
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNFSOTA RULFS 7672
(J submission type) • Residential Ventila6on Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanlcal Conhacfor: Phone N
Mechanical system includes _ Air Conditioning Fee• 0.00
_ Heat Recovery System t
~ u
Sewer/Wafer Conhactor. Phon
I hereby acknowledge that I have read This application, state That the informatio is correct a omply
wlth all applicable State of Minnesota Statutes and City of Eagan Ordinances. By
Signaiure of ApptleaM
OFFICE USE ONLY
Certificates of Survey Recefved _ Tree Preservation Plan Received _ Not Required _
Upaated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 13 08 OEplex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi
O OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. 13 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Afteration ? 37 Demolish (Bldg)" O 43 Reroof 0 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ , .
1988 HIIILDING PERMIT APPLICATION - CITY OF EAGAN ~r
SINGLE FAMILY DWELLINGS 1451) 19
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CSECS WITA BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
COPIIMERCZAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - Mo n4Ati`
To Be Used For: New Construction Valuation: Date: May 4, 1988
Site Address 4107 States Avenue 6,91 Dqp OFFICE USE ONLY
Lot 25 Block 4 On site sewage_ Oecupancy R-3 M~1
MWCC system Zoning R-3
Parcel/Sub Stafford Place On site well Actual Const y-N
City water i/ Allowable V- N
Owner Jeff Chevalier & An¢ela Stariha PRV required _ U of stories
Hooster Pump _ Length 410
Address 1068 Cullen Depth 4'1
S.F. Total
City/Zip Code Mendota Heiehts. MN 5512 Footprint S.F.
Ph4PD$ 452-6320 APP80VALS FEES
Contractor Frontier Midwest Homes Corp. Engr/Assess Permit q50•Do
Planner Surcharge 3L1 , So
Address 3902 Cedarvale Drive Couneil Plan Review 22 5,00
Bldg. OPP. SAC, City D/ O.DO
City/Zip Code Eagan, Minnesota 55122 Varianee SAC, MWCC 650•00
Water Conn ,550• Cb
Phone 454-9433 Water Meter h), n v
Road Unit . 1i 100
Areh./Engr. Phillips Plan Service Treatment P1 7 D U, D O
Parks
Address Apple Valley, MN 55124 Copies
TOTAL
g-6ode 14~~8 Pennock Ave. STAFf " MOs"EL
~
Phone !i 432-2044
r ~
sYxalo,`s Certific,te
SURVEY FOR: Prontier i tichaest Ilomes Corp. i
OESCRIBED AS: Lot Z5), Bloc.~ 4, Stafford Place, City of F.agan, Dakota ~
County, T;innesota and reserving easements of record. ~
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EFAGAN EIVGIIV£ERING DEPT,
PROPOSED ELEVA710NS ~ BENCHMARK,
Top of foundotion .901,5 GaropeFloor .90 1, ~ Baeemsnt Floor + 518, 3 I MIN. SETBACK REOIREMENTS
Approa. Serrar Sxvke Elav. • w-- .
Proposed Elevatioos
Eaistinp Elavotlons ~ Front House SldO -Io m
Draiaaqe Direerlons Reur -t5 Qorape SiM- S o
Denotes Offesr Sraks ~ O SCALE: i Ineh ¦ 30 Feef . %
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BOOK:
Planning Englneering Saveylrrg ~
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PAOE:
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' . • ' R.*IEESJr1LL
C,;H.rz; Seff Ghevalier & Angelia Stariha 5-4-88
StT: ACCAr-,S• 4107 States Avenue PtlCNc: 454-0433 - FRONTI---3
C7HT+L".CTC2• ~ONTIF-R ''uDWEST HOnS CORPORATION '
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APFLICATIQN FOR PERMIT iNUE: pnMNr OF EYE AT TIIIE OF w
~ APPLICAI'i0P] OOFS IdUP CIXi-_ ,*y STIYS7IE APPAfTJAL OF PFF4ffT. ~
e ~
SEWER AND/OR WATER CONNECTIQN : I~~~ ~ ~ _
r : zrisrnculzaKS wnz caar se sc~m ;
• ; c~rnzi, r~ux ens ae~ nrpaovm. ;
. f~+~t~:ra**ii~~wts:ss*rat~~~~r~k»r:+
,
dty OF CCBgt8i9
(PLEASE PRINT
1) PROPERTSC ADDRFSS: ..41Q7.States.Avenue,.Eagan, MN
T•FY;AT, DESCRIPTIONI . Lot .25,. .Block .4,. Stafford Place
Lot Bloc S vision or Tax Parcel ID
IF EXISTING STRLrIYIRE, DATE OF ORIGINAL BUILDINGS PERMIT ISSLANCE:
Mont ear
PRESENT ZONING/PROPOSID OSE:
Q.COMMERCIAL/RETAIL/OFFICE J R-1 SINGLE FAMILY
Q INDOSTRIAL ~ R-2 DUPLEX (3WO L'nits)
Q;INSTI7[]TIONAL/GOVER6AENT ~ R-3 TCS4NHOUSE (Three + Dpits) ( Lni.ts)
Q R-4 APARTMENP/COAIDOMINIUM ( L~nits)
. .
2) ~ NAME: Frontier Midwest Homes Corporation
ADDRESS: .3902 Cedarvale Drive
CITY, STATE, ZIP: Eagan, MId 55122
PHONE: 454-0433 .
For City Lse
3) NAME: Star Plumbing Pl rs I.icense:
ADDRESS: 1018 Mound Springs Terrace ~Active
Ecpired
CITY, STATE, ZIP: Bloomington MN 55420 Not recorded
PHONE: 88474149. MASTER LICENSE # 3329 St Initia
4) ~
NAME: Jeff Chevalier & Angela Stariha
ADDRFSS: 1068 Cullen
CITY, STATE, ZIP: Mendota Heights, MN 55120
PHONE: 452-6320
5) ~ ~a~~~ • u a~
El CONNECTZON TO CITY SEWKRR CONNECTION 'I'0 CITY WATER ~ OTf~R
6) ~ 0570SJ8~
,
*
* THE GO1D COPY OF 7SiE PII2NIIT WILL BE SENP DIRF7.(.'PLY TO PUSLIC WORKS TO FACILITATE M~.'iER PICK-DP. ~
* PLEASE ALdAW 7W NARKING DAYS FOR PROCESSING. SOMFANE FROM 7IJE CITY WILL CONI'ACT Y00 IF 7HERE s
* ARE ANY PROSLENIS. *
~****:r~*+******+*x,rr*+*****t~t~*~*****,t********r~*,t*,r~,t,tr****~+******+~,t*****+*********~***,t*,t***,t*~
' r
:-FOR -CITY USE ONLY '
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ ~ 5z $ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$ / 7'0 P $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
S ~ S~C Ct C~ $ WAC sAc
$ S TRDNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ S LATERAL BENEFIT/TRUNK SEWER
$ S LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SLRCHARGE
$ S OTHER:
$ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE,EXCAVATIO[V IN PUBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q _ ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
Itr..o«n,
slnr
f.;Q o wh&Aa HaIISA WOV'ksho
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MEATINO . P""" L Tmp a11 y ~ •f ' ""^m: COMMON OATA SECTION.~....• . YSVQJF~6,T., c UN
' GHOSSWAIL ~wic" .~m•mr~
DOORS 6 WINOOWS IT~nM A or 91 3~l
; • ~ NETYYAII Sa ~
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FIDORS .
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AOJUSTMEIrT
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a 30D 9TNM GAIN •w+
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SuB'7dGL BTUM (SMwipb Gwni
S/ O 7 ~ MOIS~URE REMOYAL Iwp wW a 1.31 •
TO~fAL BTUN LOSS/(jA1N ~ 1'3
1~11?~i~~M~AT1110~
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2006 RESIDENTIAL MECHANICAL rERMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dweilings & rownhomes/condos when permiu are required for each unit
Date
Site Address Z-{ 10`7 Unit#
~
-ia
Property Owner Telephone t~ t )
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 1460' St.; #106
Street Address Apple Valley, bIN 55124 City
(952) 431-7099
State Telephone # ( )
Bond i L.l 05L'j'~79 8~7- Expires:
The Applicant is _ Owner Contractor _ Other
30.00
Add-on or alteratioo to existing dwelling unit T2o06
_ furnace _Additional XReplacement _ N¢,`~{ _ air exchanger U u JUN 1 ~
air conditioner
heat pump
other
^s 50
State Surcharge
Total s ~
I hereby apply for a Residentiaf Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in cQnformance with the 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 irrthe case of work which requires a review and approval of p/la~ns. ,I
Cf~IC~ ~1_Y~l1e1rS l jvl(.LI/~-
Applicant's Printed Name ApplicanYs Signature.
7 6 a g~
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for, single family dwellings & townhomes/condos when permits are required for each unit
Date 1 ClY . ~ A,;,, /C(o
Site Address ~41 '_7 Unit #
Property Owner V CUh rl ~ x~~j TelePhoneSk ~(CIDL.
Contractor Wohlers 3outhside Htg. & Air, Inc.
695C W. 146' St., #106
Street Address Apple Valley, MIIV 55124 City
(952) 431-7099
State Telephone # ( )
Bond Expires:
The Applicant is _ Owner X Conrtactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ fumace Additional ~ Replacement _ New
air exchanger
air conditioner
heat pump
other
5tate Sureharge $ .50
Total
I hereby apply for a Residential Mechanical 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 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 requires a review and approval of plans.
CtY`r cl ul`h I P~(-~ /)j, /r C. 6 FAA-*
ApplicanYs Printed Name Applicant's Signature.