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4112 States Ave ..~r I-~ , . . . r -r..-- t . .r.-~.s'.- -4 ~^-e~xr-~TC•r+..w.rv-r-. " ."c~p~e-~v~-^+--' ^7+"".'~., CITY OF EAGAN • ~~w1~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHONE:454-8100 BUILDING PERMIT Receipt # To be used for 5F Di/C/GA1[ Est. Value =90r000 Date AUG 7 RJL__ Site Address 4112 STATES AVE S Block 3 SeclSub. StAFi"ORD PLACB OFFICE USE ONLY Lot Parcel No. Occuaancr R-3--M-1 FEES zoni PIODI°~BR DEVEIAPlfEidY COitP ng ~1 W Name (Actual) Const Bidg. Permil 595, I Address RTE 2 HOX 97 (Allowable) w"N s~r~na~ ~ ° City ~'~CGREGOR Phone (218) 768-2487 # ol Stones - 9e ~erKA ~I PlanReview 386•00 o Name sAMS oepm -Id' snc, ciry 1oo• ~ oui~ Addf2SS S.F. Total - SAC, MCWCC 650•~ ~ City Phone S.F.FOOtprints - 6~~~ On Site Sewage _ Water Conn ~W Name OnSiteWell - 95. 00 W y~ Water Meter Address Mwcc system x Accl. Depusit 34.00 i W City Phone CiN water ~ PRV Required _ S/W Permit 3~• ~ I hereby acknowlege ihat I have read this application and state that the Booster Pump - g/yi/ Surcharge inlormation is correct and agree to comply wilh ali applicable State of Minnesota Statutes and City of Eagan Ordinances. , Treatment PI 276•00 '1 - ! 1 APPROVALS Signature ol Permilee " Road Unit 3~0. A euilding Permil is issued to: PIOHEFR DEYLLOPMSIIT Planner - park Ded. on the express condition that all work shall be done in accordance with all Co+^cil i.~ applicable State of Minnesota Statutes and City oi Eagan Ordinances. gldj_ pfr. _ CoPies ~I Building Official Variance - TOTAL 3,238. ' Permit No. Permit Holder Date Tekpfwne # WATER ~ 9 g SE1MEfi PLUMBING HNA.C. E~CTRIC ~3b73 9 io 9/ rupscnon oale Insp. com"wnts Footings I Foundation Framin9 Rooling Rough Plbg. Y ~ Rough Htg. ISUI. Fireplace Final Htg. ~ Orstal Test ~ Final Plbg. Pibg. Inspecta - Notily Plumber Const. Meter EngrJPlan sldg. Fnal Z!p -9 ~ Dedt Ftg. Dedc Final Well Pr. Disp. : k $ . • } Ter#i#rrate uf (Orxu~aury Citp of cagan &Vwtmrtc# u# Nwiditug inwrtimt T7cis Cerlifuate Lcsrred pWrsuanl to the rogrdravienu ojSxtioa 306 ojlhe vuijorrn Building Code mmf*S gat at tlie time ojissuana thism"idurr ms in conrpliarrce with the various &V&wn= of the C}ty r+eSulalin8 building amlrudion ar ust Far the followb~g. U,e C7asLaoin CF T'L[=/~ W4 pt,~ tim I U579 O=Op.,7 Tra FA/Ml Zoviv4MVict Rl Type G,= VN o,,,.,fyad;., Pm(I1F7-R ilFM._ r7]RP_ R'IF._ 2- AM q7, MKRF[XlR &.l&WA&i,„ 4112 STAMS AVFNUE L,,.rq M. B3. STAFPM PI.ACE Doc qj~6.4ai eAeim offidd)POST IN A CONSPICWUS PIACE Address: 4112 STAiES AVEN[JE Lot $ Blk 3 Sec/Sub STAFFOP ,D pLA,,,E , These items were/were not complete at the time of the final inspection. Yes No Final grade (6" from siding) t/ Permanent steps - garage ~f Permanent steps - main entry ? Parmanent driveway ? Permanent gas ~ 5od/seeded grass Trail/curb damage ~ Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before ~ freeze potential exists. R~'ClE0NRl1 White - City copy Yellow - Resident copy Pink - Contractor copy _ . _ _ . . . . . . SEWER & WATER PERMIT OFFICE USE ONLY . CI* OF EAGAN MErEa # PERMIT DATE 3830 Pilot Knob Rd. Eagaq',;~r1fQ 55122-1897 CHIP # PERMIT # 12 21 0 METER SIZE B.P. RECEIPT # 4 14g a`i DATE 2' 11)( 12, 119''. i ISSUE DATE B.P. RECEIPT DATE [,H I01, i _ PRV - BOOSTER PUMP SITE ADDRESS ,1 ti 1~ St ~~q Avpp PERMIT REGIUESTED LOT BLOCK 3 SEGSUB Stafg.,rd ct zgp A SEWER Y WATER TAPS APPLICANT: ^ ' ` " • - COMM/IND r- RESIDENTtAL anx. ADDRESS: CITY, STATE 'r,&c3a;ZIP 547f,~ ~ NEW - EXISTING PHONE: (21B) 768»24'%. - Lawn Sprinkler Meters are to be Installed PLUMBER: QtaY' Rt<<m?.;Wi Ahead of Domestic Meters on Water Line. ADDRESS: 5 O lP Mty6Enk1 Spr-k na5 T@r Crgdit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: R84-49 =i I A REE TU COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: ='n j rni y P. C cy CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: AUG 9, 1991 4112 STATES AVE (PIONEE& DBYELOPI~:HT COitP) ( - RE0 X~ Your` Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBI.IC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy atlowed untii further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hail. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY OEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ~ CASH RECEIPT 0 ~ ~ CITY OF EAGAN . . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE FnoM AMOUNT 771 TF- & DOLLARS ~ro O CASH XCHECK Fp~ J 4 , • - ~ ~ ; ~ t- t ~~S lt-_-, FUND OBJECT AMOUNT Thank You i BY C 1054 w-*--pr. C-py Yellow-Poalinp Copy ~ Pink-FNe Copy SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER PERMIT DATE 'O` 3830 Pilot nob Rd. CHIP# PERMIT # I.~21Q Eagan, MN ~55122-1897 ` - METER SIZE ~eA; B.P. RECEIPT # C 14;• ~DATE 7 ?~30_] 1? 1 ISSUE DATE c I 3~Y~ B.P. RECEIPT QATE 0810 7 " t 1 _ PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT ''LOCK ?SECISUB SEWER X WATER - TAPS APPLICANT: ADDRESS: L~~ 2 gp;- J? COMM/IND x RESIDENTIAL ~ GITY, STATE ZIP NEW - EXISTING PHONE: L218~ 76$-24$7 ~ Lawn Sprinkler Meters are to be Installed PLUMBER: ~~T~ ~bing Ahead of Domestic Meters on Water Line. ADDRESS: 1~ 18 Mayn5 spri%s Tep Cre, dit WILL NOT be given for Deduct Meters. CITY, STATE P L40I113 Clat9n, 14N ZiP ^ 342 r~',,; PHONE: t~R[1_414Q - - ~ _i r---_ - ' ! AdREE TO COMPLY WITH CITY OF OWNER: Em EAGAN ORDINANCES ADDRESS: - ~n-_ i _y A. _cv ~ CITY, STATE ZIP r PHONE: SIGNAT E W EN METER ISSUED PLEASE ALLOW TWO WORKWG DAYS FOR PROCES$ING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGiNEERING DEPT. INSPECTION RECORD ~-'CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 SITE ADDRESS: 1 v j APPLICANT: + ! ~ . I !k 1"1"'a AVF , 1;tl I-t1.1I 1't At t ~ ~•t~F: I i PERMIT SUBTYPE: TYPE OF WORK: . ,1! t 1 i, , . I i ir[:A'irnN INSPECTION • rA ~ I.ii Mlrv~, !rl IYt f•Itifl ' IUF,i , I I PIAI'F ~I }!til fs i P~ Ih 4!, I illl i f.l !I ! tii, ! I t i 11, 1 i !11 lllalI ! 1 ilMli 1 N~~ I I~~S F F L ~ Pertnit No. PsrtnR HoldK Date Telephona 8 ELECTRIC PLUMBING HVAC Inspection Dab Inep. Comments FOOTINGS FOUND FRAMING ` O ROOFING ROUGH f~ PLUMBING PLBG AIR TEST ROUGH / f HEATING l~/ GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: • 3830 Pilot Knob Road Per'mit Number. Eagan, Minnesata 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: nVF ?:c~l PERMIT SUBTYPE: TYPE OF WQRK: INSPECTION . DA , i ? cy~,~ ~ ~ Permit No. Permit Holder Date Tetephone k ELECTRIC PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FOUND FRAMING HOOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST fNSlJ! GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 8SM7 R.I. BSMT FINAL OECK FTG -j+ ~ ~ DECX f, =t, 00100 lp O.V Q-M72'!:r- L - - - - - `f/~/V/f/ 3 /O~y.~~. p 43873 g ReQUest Dale Fir Rough-in Inspection Repuiretl? ? Reatly Now ill Notity Inspector ~ ~ i7es - No When Feady? - icensed contractor ] owner hereby request inspection of above electrical work at! Jo0 Atldres i5treet. 9ox or Rome No.7 Ciry Z - ~ 5,1GA.? Section No. Township Name or No. Range No. Coun~ . J Occupanl INTI Phone No. Power upplier AtlOress Elecinc .COmracio, IGOmpany Namel Conlrador's Lkense No. s ~ F-D Mailing Atltlress ( Comracior or Owner Ma4ing Insallahio, 7:5 z~.), Amnorrze rgoaWre iCOnlraotodOwnar Mek g Insta i ~ Pnone Numbar MiNNESOTA STATE BOANp OF ELECTRICIiY THIS INSPECTION qEQUEST WILL NOT Grigga-MlCway BIOg. - Hoom 5473,9E ACCEPTED BV THE STATE BOARD 1621 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-oooo, oe I ? See inslmclmns for compietino tM1is form on pack o( yeilow copy t x ~ "X° Below Work Covered by This Request 4wn `~e A TypeolBuilding AppliancesWiretl EquipmentWiretl Home Range Temporary Service 6uplex Water Heater Electric Heatinq Apt. euilding Dryer Other (Specify) CommJlndustrial Furnace Farm Air Conditioner Olherlspecilyi Conlraolors Remarks- Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abov Amps SignS inspeaors Use Only: TOTAL ~ Irrigation 8ooms 1;10 Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 TH Y I, the Electrical Inspector, here6y Roogh-'" oa•+;~ certify that the above inspection has F;,,ai WMO~ oaie been made. OFFICE USE ONLY '~This reQUest witl t8 months irom CITY OF EAGAN Np 19529 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 BUILDINGPERMIT PHONE:45a-81o0 Ct~gS.l , Receipt # Tobeusedfor SF DWG/GAR EscValue $90,000 oate AUG 7 , 1991 Site Address 4112 STATES AVE 8 Block 3 Sec/Sub. STAFFORD PLACE OFFICE USE ONLY Lot Parcel No. occuPancy R-11L-1 FEES Zoning --R--1 w Name PIONEER DEVELOPMENT CORP (nctuaq Const V-N emg. Permit 595.00 ; Address RTE 2 BOX 97 (Allowable) V-N ° Surcnarge 45.00 Ciry MCGREGOR Phone ~21g~ 768-2487 # orsrofies Lengih 46 ' Plen Review 386.00 io Name SAME oepm snc, ciry 100.0 0 g4~ Address S.F.Tolal - SAC.MCWCC 650.00 City Phone S.F. Footprints - On Site Sewage _ H'ater Conn 660. 00 r ~ W Name On Site Well - Waler Meter ~~0 Address Mwccsystem X 0 a~ City Ph011E Ciry Water x Accl. Deposit 30.0 0 PRV Raquired _ SPN Permit 30.0 I hereby acknowleqe that I have read this application and state that the Booster Pump - SiW Surcharga .5 4 information is wrract arrd\a9 ree to compl with II applicable State of Minnesota Statutes and it~~; 1 Eagan Ordi ce Tieatment VI 276. 00 Signature of Permitee I~ APPROVAL' Road Unit 370.0 0 A Building Permit is issued to: PIONEER DEVELOPMENT Pianner - Park Ded. on Ne express condition that all work shall be done in accordance with all Council applicable State oi Mi ta StaWtes i nd Ciry of Eagan Ordinances. gld9, pry, _ Copies 1.00 n BuildingOflidal n R.°,~~~ V Vanance - TOTAL 3.,.2.~..5 1 l f 1 jq!j429 19R1 149tl'BUILDING PERMIT APPLICATZON CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGP CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WAEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SE47ER & IdATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To se usea For: Single Family Valuation: C~0/ 000 ~ Date: JU1Y 30. 1991 Site Address 4112 States Avenue OFFICE IISE ONLY Lot 8 Block 3 FEES Occupancy R-3 M•1 Zoning R-I Parcel/Sub Stafford Place Actual Const V-^/ Bldg. Permit 59Si00 Allowable v-Iq Surcharge 4/5"r00 Owner William E. and Emilv A.Zwickv # of stories Plan Review 3g 6,vo Length 4(rT SAC, City /OD.Oo Address Depth 26 SAC, MWCC (~$U,DD S.F. Total Water Conn D,U ~ City/Zip Code Footprint S.F. Water Meter q5"00 Acct. Deposit 30,00 Phone On site sewage_ S/W Permit D,CT~ On site well S/W Surcharge iTD va concractor Pioneer Development Corp. h[wcc System ? Treatment rl. X74, City water Road Unit 0 Do Address Rt. 2 BOX 97 PRV Park Ded. Booster Pump _ Copies cicy/zip Code McGreqor, MN. 55760 SUBTOTAL APPROVALS Penalty Phone (218) 768-2487 Planner _ TOTAL 9 199.r~1 Council Arch./Engr. Bldg. Off. 9-7-f,-bg Variance Address City/Zip Code Phone # VA~~st`fdr~ ~ 4 . • 6A12A(s-rc °Z`~ X Z2 s LILlv X/S r6(~O'D 6sM r, ax 12. ~ Q2v) ~sZX ~y = 9,tza (s7 Fw~v~ i Pa5»2 % = 65Z. '2 x1 y= 2` 17 l2,cz; 35 '7~5 x 53= (Bq5 ^N~ F-LooV2 / rssm-' :'652. 2K~~f = '~`6 ~x53~ 3L~q 0 89~ 66 3 mn 9 aoD _ ~Cor r Su•8 G'ert~f~cate 3URVEY FOR: Pioneer Development DE9CRIBED AS: Lot 8, Block 3, STAFFORD PI.ACE, City of Eagan, Dakota Count Minnesota and reserving easements of record. gx:s~ qp3 ~ ?8• ~ 1 1 ~ 7Ll1 1 y -f 1 N86•05' 31E 131.13 9p0~ ~ SO r ~ I s. ~ yp3.~ I r~..a ~ o ao °o~ M! re~o ~ I I ~ ~ tD Nuj 9eM ~12e6 ld 1 W ~ S o W eweo$ ~ 90~" a,aa ~ffi ~ = i ~d L__~--- ~ b o^ 30 ~ ~---aa.~o----dl a«~.e yay~ p~,t3 z.a S88' 20' 46' N 136. 38 y l-011 19 J,~Kt LOT SQ FOOTAGE = 12, 209f R L L L. By . F.AGAN EPI YdEEAIRd4 DEPT eROPOSED pNS 8 H~ mN Top ol Foundallons Wm. 9oO.N . aod.9 ov OerepaFloor .9ob.4 rm H0 a 8aeemanl Fbor . aq9.7 glev.900,37 Approx. Sower 3ervke Etov. . 612.3t ' MIN. SE7BACK REQUIREMENTS Propoeed Elavatbnt . Q Erlellrq Elovntbns Front • 30 Houae Sido - io Dieinapo Dkoctlone ....,,..r Raer • is Oarape SWo •io Donroloa oileo151akv SCALE+ 1 Mch • 30 Feel JOB NO.: I~~D~~~D OF THE 90UNOAR~E OF iHE 11BOVE bfBCRIBED 7ROPERTY A9 SVR• IIIEpEBYCERiiiY i1NTiHq1811iRVEANDCOR(IECTREVIIEEENiATION q~R ZJDWIG.CHK. VEYEDBY ME OR UNDERMYOIIIEC? 9UPEAVISIONAfA00E8N0T PVRPORt 10 BNOW IMPROYEMENi! Oq ENCROACHMENiB. BMCEPT A! SHOWN. BOOKt PJanning Englneering Swnvying noi e.n ebemi~ywn te~mxn. ummauee'» JJ EF V IND6RE, UWD RVEYOR CADD FILE: MIPME90TALtCEN9ENUMBERt137e m;s~M•,~ 2 x 6 w/Waferboard , • . • MT,r: July 30, 1991 QWtIEEi: ,,:,m FAnd Em11Y A. ZWiCkY - 5~T (218) 768-2487' PY.O^Ic : 112 States Avenue " AOORESS: PL?lv m COVIhIrTON - C0NTRACTOR. Pioneer Development Corp - petermine wor.l•ing square footage of e3ch 1. Total exposed wzll area.:... ZI 7~ sq. •ft, x.11 = Z33•~S__~- Sq. ft. x .026 = `~l SS ~ Ln7' 2. Total roo`/ceiling ar°a..... -1 Tctal expased wall area above.floor= IQ S$ _ _ I `f Z. . ; . a. Total wall window area . . . . . . . b. Total door area ~Z•4 , c, Total slidin9 91ass door area . . . . d. Total iireplace wall area -~ISS R e. Total wall framing area (average IOp)••••-••••• . f. 7otzi rim joist area . .....Ica-Z Zs Z-. 9 net wall area a6ove floor . t....... . h. wall area z6ove Pioor........... . . , i_ wall area a6ove floor.......•• . . . . . . . ,rrzme wall a. . " =ounda`on j, area a~ ' Total exposed foundztion area= SL , : • j k_ Total foundztion window area...-•-••••••••••--• 3'3 ` • 1. Total net foundation area a6ove grade.............. Determine "u" value of each wall segment ~ (e,g, w'rndow, door, each separate wail sectian) X „U„ 3 :q . . a. l y-Z • ~ X g uil ~ ,t47- ?,S'IZ~ . c. 3Z~`{ d. - X ltu„ ~ . _ . " ~ e. I BS.FS X --u,- : . . X.~~~~~ t CO , 9. 7 z- z X „U„ os = s3~(or X „u„ n. - . . ^ ~ x „U„ ~ _ . ; . . • j. - xI I u 41_---- . . I; iiem 73 is tn_ ~,y3 as, or less thar. ` 01, you hzve me= ' I-intert o` SBC 6uC. 1. Y 3.~S • .roea' = 2-1 3 . - , Total ex?a!;ec rooC/cc_linq a=c? _ -llCc . • 7O:a'_ sky!iS::c area _e:_'_ =oo'/ccil:nr, •4:=:r.q a=r_a (:rvararc 102) : 1 lo ' . . , a. ta'_ net raat•/cc±ling ;irc:a....... De.ern;::e "U" valuc i`or each roo:/eeilinq seyzsenL , . M. X ~~U" _ _ • . a "U" ,p .z,~ • • • . . • . x „v„ ~,z~ = I y.BZ: . : 1 ~5~ . . . • . . To It zi 71 = ' =o:a: c` -.:s the sairLa as, or less t:hen 42, you have met the i.teat o= . . . S:r e~~5 ic) 1. Altarn=`e Buildizq Envelone Desi4? " . •,o _ `_:e ;se totzl enve?ooe'syste-m method, the vzlues established b}+ the s'io- ' itess 3 z_Z s?xa11 rot be qrezter than the sum of,items ;1 and II2.: , . z33:ss~ --2_ s. Z! 3 ~SS - 4. . . _ . . . • . . - :~:4 _ . . - . . . _ . . jL70C/CcZLL:[c. • . • ConzC=u~t~ R-Valuc / . , • ' , ~ - . ~ , . 3 1. Zntcriar ai= film , d.G1 D . S~ ~f4~~~i~lr 3. I~JSU~ U'~ l` 11~1~111~ ' 4. E:ctcriar_ ci:n (sti1-) ^ I ITaca{1J ~ ~ 4 ~ T~ ' . . _ ~ . • . _ • • . . . . . Iaterior air Pi1-1 0.61 ~c ad ceat zlov ~ 2. S P 4? . . g 3. -rL6-=6% +1 lJSU L- 3 D Z~ ~ • ~ . 4. E:ctcrior air Eiln. st"?I • . ~ . . . . . To ~ _ 3 of • . . . . . . J ~ ~ , , ' ~ ' . ~ , • Co,trYr2?CT/ o~`~ . • • . . - . . j . . _ . Z. . . . . ~ ~ • 3. 4. t. 5. Ov.tside aiz Pilm 0.17 Total t _ . . . - ~(1 ~ L.,~ ~ 4- ' • I. Snsid'c air film ' - 0-61 z_ . . ' .•eente3 . • ' • . . . . - EeL 3. C Flov up- , . 4_ , 0.17 . . . , . ` . ; ' - " • Tota1. . ' TSG_ A6_._.. - ' . . . . . ' - . . . . . . Insid'e air gilm 0.61 ~ . . J , 2- . . . . • t_..r..l~ - . 3_ . ~ . • ' • t2~d~ n. ' ' . . . 4- r~:,;~~::;:.?:•• • 5. Outside air film 0.17 ,w • • . • . - . ~ . ~I . ~ . . • ' ' ~ . • • . . - . • / ~ ` . • . . ~ . . • L • • • • ~ IIsc ad4_tionzl sheets i£ mo:c epace i: • _ fiQ:1-F~.~c~ • . • . necc'.ed `_ar cletails snd ezlcu'_atiaas. ' . Eent ' ' . . • , • . . , . . flov up • ' , . . ' FI t7 . • . . ~ . . : . . :...._~.•:~~~.~,s..,...-_.-_'=- I`+'.~`'.-?IOR AIR tTI.K 0.68 2. 17, 2 G'__ D .wS 1 r^ 3. 5 1/ 2 SOi"f 4rC9D 6.8 4. 7L16 Waferboard _ .62 1~' ,4I R F I I 1 1 0.17 T R= U' . / D ~4h E. L . , . . . , ~ . 1. 1. -L.N'~SQR .4:_R F'rLM • 0.68 _/2 GYP9D .45 • 3. b' L. . i9.00 S S 7rPl~WaferboarcL . . O U° , o y , n . I.N'!'ERTOA AT_R FrLM . , 0.68 - 2, . 6 INSUL. . i9.00 3. x_ • R1i 30 4 7/16 NGWaferboard 6, ' _ 70R'..T_R FI , 0.17- ~ ~ ~ ~ , Iz=.:. ~a• 98~ U= . , o ~ I I' L` b i r~ I ~ SI.dC1C . . . ~.4_r 1. P1T~IOA P.IR FTi~ 0.68. 11 ~ ~n ~~~p G . ~r • ' ' ~ ~ ' 3. tlJlt+l. at^1~L~l.Ltl . /~TST~/YvR21'1'L ~D{ 0 4. C. ~l 1~ r . S. . ' ;:wn4~:r~- " = . ~ F 6. _ , . . :7.13 i4, SLAS ON GRPDE v ~j ~ ` - ° ~ ~ . I ! I • . , ' ' ~ D:. ~ c` ~ , =/tr ffI . ( jc' : ~ c/(r F~',.G~ A°• ~ IS ~D 1!~ ~ ;73 L , . i 1 . ~ r t IC:i: 1ND7G1= ~r~ OL -NJ~-A-'"ICN. . . y o / ~ ! C _ n.AN # , , . . C~vi~.aGTC~tiI ECPOSfD Iti-.iL BLCC<: Zfo+,?~r Z~ t ZSo= f U`i ' w:o.: ~ FULL1: Z4t,ZhZ~ f-/Y tLf- JZi-Zy= ?Z1LL 2: ZCltzfrt fy Zf' 7-4 FIRE.pIACE: ' - : ' . ~ • SQUARE FEET E405ID WALL ARE.A ~ SIACK: -u, . , .i: W.O.: X a _ FuLL i: r d~~ ~ ~ x a. . FIREPLACE: - . . , H ryti•' g4 R. Mi. X 1 ._T2. . . _ . ' C' . . - ~ ' . ~ ~-.'4: • 'A . . ~ ~ ~ ti.: ± • Z L.~ .~i~;l:.~. . . . . ~ - * SQIL4RE F~~E' .T EXPOSID CEILING 7f Co DOOR$;'..' ~:._'::~::.F. . ' ~ 11 ~z4 3 6 =1 Z ~z~f ~ 3 ~ ~ : ~~~3~~~ _ • Z q 1 Co =4? PATIO DQORS , . . ~,TF+'.}. 3 Z.! f *lSSFl ffS1'?' M1 I-=g1 1 `I z ~zcY,<~:Xt~ tikik:#$t~:~Cr~r~~~C~kkckcM~t~k.~Y,c~;~mSt:~~kX~%cik~~*RcXt~: CTTV fll'= f_:AGAN r.Asfz:r.Ei?;, M1 I:r_rn:cNA!.. nO: 345 AA1E,. 08J23/96 TIi'ff_: 003:30 IDa NAMiF~ IiILI.. ZW'iC.:KY <3c^:iO 900.+. 4112 5'iATES AVE_ 45.00 205 900J. 4112 ciT61TF_S AVF? Q,,.iO Tnr.a1 f:ectei.p~r, Amaurti;, 45,50 CfiC)63c Esi. Ll^aE:fi 7:D: i`tAFil_YPltt . PERMIT - CITY:OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u= Lo x N G Eagan, Minnesota 55122-1897 PermitNumber: 028563 (612) 681-4675 Date Issued: 0 8( 2 3/ 9 6 SITE ADDRESS: 4112 STFlTES AVE LOT: 8 BLOCK: 3 STAFFORD PLACE P.I.N.: 10-72500-0$0-03 DESCRIPTION: 143,1di(1 Permit Type DECK n~ k T y p e N E W 434 ALT. RESIDENTIAL C ~ 5¢ds~r ~ A~` ~~z, hrt = zgqq h~ e .a~~:~..~~. ~ REMARKS: FEE SUMMARY: Base Fae $45.00 Surcharge _ $•50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicent - ZWICKY BILL 4112 STATES AVE EAGAN MN 55123 (612)688-2711 Z hereky .~ck~~wie8t~~ Cha~~ I hav~ read. `this agpli,aaCLQn a nd stdCe th,&t 'Vho in'format 16 rico,r.n;6 ct and Agre'o to ~aom'piy with al:l, apPl~aable. StaLe cs°f mn_ ' ty cEagen ordinatices, $ r.at+ftv 0- 06 0;cj P sY ~ ~j~ APPIIGANT/PER EE51 ATURE ISSUE :SIGNATt1RE CITY OF EAGAN 3830 PILOT KNC)B RD - 55122 auts996 BUILOING PERMIT APPLICATION (RESIDENTIAL) r ~ j 681-4675 v fl ~ New ConsWelion Reauirements RemodeVReoair Reevirementa ? 3 regbtered site surveys ? 2 cropks of plan ? 2 copbs of plane (Indude beam d wlrMow sizes; poured fid. tlesipn: eta.) ? 2 s8e surveys (exteNOr addRions & decks) ? 1 energy calwlatlona ? 7energy calculetione Mr heated addltions ? 3 eopiea M bee preservetbn pten N Id plaHed efier 711193 iequired: _ Yn _ No DATE: ~ CONSTRUCTION COST: ~~75D DESCRIPTION OF WORK: -e cl STREET ADDRESS: 411Q 51a1„5 ttV2 _ GG(';n~ MtJ LOT ~ BLOCK SUBD./P.I.D. 2144(id PROPERTY Name: 7'lnnCL4 Phone OWNER Street Address- 41IJ s615 AYe - City: EaaQh State: M~v Zip• SSI~~i CONTRACTOR Company: h0W cwhGr ' Phone - Street Address: License City: State: Zip, ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed piumber: Penalry applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appliqble State oi Minnesota Statutes and Ciry of Eagan Ordinances. / Signature of Applicant: 2 OFFICE USE ONLY ~,~~p V 1~16~ Certificates of Survey Received _ Yes No ~~uf~ S~~~~~ Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ~t~ ~4~ a 01 Foundation a 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? M Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex o~ 15 Deck WORK TYPE o' 31 New o 33 Alterations o 36 Move 0 32 Addition a 34 Repair o 37 Demolition . GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System r (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # ot Stories sq. ft. _ Booster Pump Length sq. ft. Census Code. y5-f Depth Footprint sq. ft. SAC Code o~ Census Bldg + Census Unit o APPROVALS Planning Building DIA*P.,- Engineering Variance Pinrnit Fee Valuation: $ /zvv, ~ uurcharge ~ Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatmern PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: °k 5AC SAC Units ~ , - ~ - _ ~5 ~ ~ ; ~ . , 1 ~ o~ ~ ~ j . ~ ~ ; S2~A_tI~_ tOCK , „ - 22 - . , ~ . . ~ ~ ~aTt+T t.. S Av E. . ~ ~ ~ ~ - ~ ?k%!:d:*~k~t%~~kY,<X~~k~XcXcX:~kr,o8~~:8<Si ~~v6?XV,t~~c~%;XX:Xci~k:~;:r,<~h• G:CTY OF E.A(:;AI•; CASH7:E:R:: S I'E:.RMTNAl_ N0: 347 DF1TL-": 07/11;97 T:!:MI-^ 0251°31. IIi : NFlMEe W:f.L..L_7'.ANi F.:: 71ai.T.CIGY 2155 9001 411£? S'iAT'E:S AVE'. 7..00 3c?1.C.'• 9001 4i.l.r 'iiTF3'fl"ti AVI- iCi.C.)CI :92:ir 9001 4i12 ciAT'f:S F?VI:" 20,.00 P 'io+.a:1 Fieec:ipi: Amnuni;^ 70011 CR(:J78414 USf:::Fi IA; NpNf;V PERMIT M CI1PY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 4 0 0 (612) 681-4675 Date Issued: 0 7/ 11 / 9 7 SITE ADDRESS: . aisz srwrES avE LO7: 8 BLOCKa 3 STHFFORD PLACE • P.I.N.: 10-72500-080-03 DESCRIPTION: wo permit Type BRSEMENT FINISH - ~3uil~~ng,~t1°~ark Type ALTERATION 434 ALT. RESIDENTIAL Sr p }5 3~waG~ rn4 Y"~ e 01 REMARKS: SEPARATE PERMTTS REQUIRED FOR ELECTRICAL AND PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $•50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - ZWSCKY BILL , 4112 S7ATES AVE i EAGAN MN ' (612)688-2711 a a~t,~Ce,~~hat tpa T P~~re#y, i nft rm 0,1:1On is applzca;ble Stato. o~ Mfi", ~ stdtIJt es af1Ct ;~..'"1ty. 0 r-d1f721T7~~~* APPLICANT/PERM E SIG UFE ISSUED 6. StGNAT E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~s-t - S O 0 b c?rr oF eaGAN 5830 PILOT KNOB RD - 55122 / 681~4675 ~ Q New Construction Reouirements RemodeUReoair ReauiremeMS " . ? 3 registerod aite surveys ? 2 copies of plan • 2 copies of plans (indutle Eeam 8 window saes; poured fid. deaign; etc.) ? 2 sRe surveys (exterior adORiona & tlecks) • 7 energy calculations ? 1 energy cetwlatbns Sar heated sdditions ? S coPies W tree preservation plan if lot platted efter 7l7193 required: _ Yes _ No ' DATE: 7 CONSTRUCTION COST: OQO DESCRIPTION OF WORK ke,Selvi ~k STREETADDRESS: AvQ, I Ea_ qG_M ~v SSu3 T L T D BLOCK ~ SUBD./P.I.D. S J ~ P"4'e'L PROPERTY Name: ZWic- ~ Phone ~~11 OWNER StreetAddress• 4111 S4-,Aes~ Ave Ciry: ~h State: MN Zip: ~ST~•~ CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT( Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licersed plumber (new construction only): . Penalty applies when address change and lot change are iequested once permit is issued. I hereby acknowledge that 1 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 ofApplicant: 7 OFFICE USE ONLY RECEIVED CertficatesafSurvey Received _ Yes _ No JUL 0 3 1997 Tree Preservation Pian Received _ Yes _ No _ Not Required BY.~ OFFICE USE ONLY ~ . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ,a' 16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 92-piex ? 74 Fireplace D 21 Miscelianeous ? 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE ? 31 New 0~33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/INS System / (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. q 'sy Depth Footprint sq. ft. SAC Code Census Bidg Census Unit r~ APPROVALS Planning Buifding IIAS Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNUS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: % SAC SAC Units ~ L ~ BL ~ CITY USE ONLY RECEIPT#: C r`~ SUBD. ~ RECEIPT DATE: y~~/9 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: . single family dwellings . townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH Ng. T T Shower 3.00 x I = 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 = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G.Sprinkler 'fordwellingunderconst. 3.00 = . U.G. Sprinkler ' for existing dwelling 20.00 = Alterations • to existing residance 20.00 = a ~ Water Turn Around 20.00 = Private Disposal System * Dak Cry iic. 75.00 = (new antl refurbished systems) Private Disposal Systems ' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL ~a ~•s~ I hereby adcnowledge that I have read thia application, state that the informetlan Is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no Ilabliiry for any damages eaused by the Ciry during ils noimel operetional and maintenance ac6vities to fhe Yacilities constructed under this pertnit within Ciry propertylright-of-way/easement. SITE ADDRESS: 40, X/e }~~ia h~ ~ Jrs(a~ OWNERNAME: Rdl Zw,Gk4 v INSTALLER NAME: m ~ TELEPHONE#: G~S' ~7JI STREETADDRESS: -gi12 stgs pi',r- S CITY: fA:Mn STATE u IN _ ZIP: 3 ~ SIGNATURE OF PE MI E CITY OF EAGAN FOR CITY USE ONLY , 3830 PILOT KNOB ROAD ` EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT s 9:9S~NGs~'~M DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST _ ADD-ON MINIM[IM 15.00 ADD ON SHOWER 3.00 ~ REPAIR vZ WATER CIASET 3.00 ~c.v0 ~ BATH TUB 3.00 .00 o LAVATORY 3.00 . OWNER NAME: ~ KITCHEN SINK 3.00 ~OD LAUNDRY TRAY 3.00 3, OQ SITE ADDRESS:AIlPi HOT TUB/SPA 3.00 WATER HEATER 3.00 .3r00 LOT:~ BLOCK ~ ;SUBD~. FIAOR DRAIN 3.00 GAS PIPING OUT. INSTALI.ER: ./.l~~ ~ (MINIMUM - 1) 3.00 9~00 ROUGH OPENINGS 1.50 D ADDRESS: M5~~iY/~,(~1~Ji OTHER _ WATER SOFTENER 5.00 CITY: ZIP: SJ~~~.Z = PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE V59 `1'56~ L/ 7D' S~ SUBTOTAL $ ST. SURCNARGE .50 i9•• S ATURE OF PERMITTEE TOTAL: $ Z//.OO ~~33MEitGiAl~ ~~TI&T&IAl;~ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND . _ . . MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED 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. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. SNSTALLER: CONTRACT PRICE x 18 $ ADDRSSS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN , ~ $G RaJ gyla- a7 ' CITY OF EAGAN FOR CITY USE ONLY . • 3830 PZIAT RNOB ROAD EAGAN 2fN 55122 PERMIT # PHONE: (612) 454 8100 RECEIPT .1 5 DATE: CP 9 R~STD~~TI1~S.;; PLEASE COMPLETE IIPPER PORTION ONLY FQR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 24.0 REPAIR ADDITIONAL.50 M STU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : o0 ~r cS~. 'tA-t-cS SUBTOTAL: $ a? SITE ADDRESS: STATE SURCHARGE: .50 LOT: ~ BIACK ~ SUBD. ~.GgEC~ TOTAL: $ ~'/7 ~ INSTALLER: ADDRESS: 1955 SHAWNEE ROAD• EAGAN.MN 55122 SIGNATURE OF ERMITTEE CITY: , ZIP: PHONE ~p2€hiERCT~.j~]I~US2~t~A1.;' PLEASE COMPLETE TH25 PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY HUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED 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. Pt20CESSED FIPING = $25.00 LOT: HIACK _ SIIBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNAT[TRE) F6R: CITY OF EAGAN 2006 RESIDENTIAL BUILDING rERMiT arrLicnziorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 - New ConsWction Reauirements RemodeVReoair Reouirements 3 regislered site sunreys showing sq. 8. of lot, sq. ft. of house; and all roofed areas 2 copies af plan showing footings, beams joisfs ~:Rectl ~'s*~- Y$: : (20°4 mauimum lot coverage allowed) 1 set of Energy Calwla6ons for healed addi6ons ~.~,~}f"~ 2 copiesof plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ' 7 set of Energy Calculations Addltion - 7nN'cate Non-sife sepfic system ? 3 copies ot Trea Presarvation Plan if lot piffiled after 711193 !Rim Jo'st Detail Options selection sheet (buddings with 3 or less uniGs) tvlinnegasco mechanical ventilakon form Date Construction Cost ~ODu Site Address I 1 :7 UnitJSte # Description of Work W; 'AOw.S -so^"e- Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2 ProperlyOwner Telephone#(6s'~)3 Contractor LA I4cs ~'JUO+.1 `6' ~ i ~ ~ ~c~ ~ • Address IL(65-V C-~ ~~d,,r ID-t ~ citv ~lc- Ua.l1ey State ~ Zip 2-L Telephone # (0p) 911t'3 qO0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 EI1Bfyy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Cotle Worksheet (J submission type) Submitted Su6mitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a masier planB _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Con}ractor U' ; IJ v Telephone ) 1 SeweUWaterContractor .1 2flna_ 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, hut 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 in th o£ work which requires a review and approval of plans. yw^' c~o~ ~ , b,IL CN~rtCA-14.5 1 App icant's Printed Name App ic ' S'gnatu 61 þ ý ü þýý üûúûüúûü ùýý üüûùýî äñ éé ÿ à äñ ÿ þýõ ûúùø÷ÿÿô ê ò ûùø÷ÿ ùø÷ÿô ê áÿôêßÿ÷ ÿíÿ ÿ ÷âû ÿ òÿ û òÿñîû÷ ø ðý ïû ÿÿÿ í÷ìÿíÿ ÿ íÿÿïûÿ íÿÿÿ úÿí ëé ÿýôô÷ÿý ü éé íý ý ÷ÿëò éé ÷ÿ éÿ ë ò úíèÿÿÿ ÿÿïûÿúø ô ýÿé íø íÿ ë ÿÿÿæñåæääë äëä ôù û ýÿ ÿç û æñåæë ë ç û ñüë óò õñð ÷÷ ÿ ô Þ ùûÿø ÿ ò ÷ ÿò ý ñ ÿ ìÿ øíû ãá þ ý ãá ñ õàñóà ÿÿúø ôÿýÿ ìÿÿ ÷÷ ÿ ÿéí ÿ ýÿÿí÷øô ÷÷ úÿ ÿ éãÿ ûÿ òøéþ ý î ÿ ë ÷÷ êÿíÿÿý ûÿ ûÿøý ûÿ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109600 Date Issued:03/21/2013 Permit Category:ePermit Site Address: 4112 States Ave Lot:8 Block: 3 Addition: Stafford Place PID:10-72500-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Crystal Cochran 7588 Washington Ave S 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 - Christopher C Biagini 4112 States Ave Eagan MN 55123--159 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150112 Date Issued:06/20/2018 Permit Category:ePermit Site Address: 4112 States Ave Lot:8 Block: 3 Addition: Stafford Place PID:10-72500-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Mark W Thommes 4112 States Ave Eagan MN 55123 Premier Window Professionals Inc 3897 Danbury Tr Eagan MN 55123 (612) 363-3914 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171358 Date Issued:08/12/2021 Permit Category:ePermit Site Address: 4112 States Ave Lot:8 Block: 3 Addition: Stafford Place PID:10-72500-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Yusef & Rebekah Jean Haddad 4112 States Ave Eagan MN 55123 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature